• Title/Summary/Keyword: Chance

Search Result 2,005, Processing Time 0.022 seconds

Endoscopic Third Ventriculostomy for Adult Aqueduct Stenosis : Double Fenestration - A Case Report and Technical Note - (성인 수도관 폐쇄증에 대한 내시경적 제3뇌실 누공술 : 이중개창술 - 증례보고 및 수술수기 -)

  • Shim, Yong-Jin;Ha, Ho-Gyun;Jung, Ho;Kim, Yong-Seog;Park, Moon-Sun
    • Journal of Korean Neurosurgical Society
    • /
    • v.29 no.8
    • /
    • pp.1019-1023
    • /
    • 2000
  • Objective : Endoscopic third ventriculostomy is gaining popularity as a minimally invasive surgical option for certain types of hydrocephalus as an alternative to shunting. The authors have tried to fenestrate down to the subdural space passing through the prepontine cistern to lessen or avoid the chance of redoing due to healing. Materials and Method : A 48-year-old male patient with several years of intractable headache was presented. Magnetic Resonance Image(MRI) of the brain revealed marked ventricular dilatation with stenotic cerebral aqueduct. A 2.3mm flexible steerable endoscope($Neuroview^{(R)}$) was introduced via precoronal route and accessed to the third ventricular floor. Using 3-French Fogarty balloon catheter, thin third ventricular floor and the arachnoid membrane of the prepontine cistern were fenestrated, so called "double fenestration". To confirm the fenestration, subdural compa-rtment of the left abducens nerve was identified during the procedure. Forceful pulsating flow through the orifice convinced the patency of the opening. Results : The patient was discharged on the third postoperative day without any postoperative complications. The postoperative follow-up MRI of the brain, at second and sixth months, clearly demonstrated the flow void through the third ventricular floor. Conclusions : Endoscopic third ventriculostomy was successfully performed on an adult hydrocephalus patient with aqueduct stenosis. The third ventricular floor and arachnoid membrane of the prepontine cistern were fenestrated to achieve double fenestration to minimize the chance for failure. The details of this procedure and results are described.

  • PDF

Determinants for the Employment of the Disabled: Focusing on Differences by Age Group (장애인 고용의 결정변인: 연령집단별 차이를 중심으로)

  • Lee, Hyo-Sung;Ko, Greene
    • The Journal of the Korea Contents Association
    • /
    • v.14 no.5
    • /
    • pp.144-155
    • /
    • 2014
  • This study aims to overcome the limitations of prior studies that have failed to take into account the impact of psycho-social factors on the employment of people with disabilities as well as the differences in employment by life stage. This study employs a research model that includes psycho-social factors along with human capital to examine how the determinants of employment differ for the disabled by life stage. The analysis in this study takes the form of logistic regression, using data from the fifth wave of the Korea Welfare Panel Survey. Analysis results show that the employment probability of young people with disabilities is significantly associated with their experience of discrimination, with their chance of employment decreasing when they have more experience of discrimination. Middle-aged people with disabilities are more likely to be employed when they have a lower level of education, a better health condition and a higher level of labor ability. For the disabled elderly, their labor ability is the only factor affecting their possibility of employment; they have a higher chance of getting a job when they have a higher level of labor ability.

Relationship between Korean Juveniles' Dietary Habits and Drinking Alcohol - The Result of Korea Youth Risk Behavior Web-based Survey 2012 - (청소년의 식습관과 음주행태와의 관련성 - 2012년 청소년건강행태온라인조사를 중심으로 -)

  • Lee, Soon-Hee;Yun, Mi-Eun;Chun, Sung-Soo
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.15 no.2
    • /
    • pp.23-38
    • /
    • 2014
  • Objectives: Since juveniles' unhealthy diets, and their problematic behavior resulting from drinking cause serious harm to those who are in a period of growth, we attempted to find out the relationship between juveniles' dietary habits and their drinking alcohol. Methods: The data was collected from 74,186 people in a 2012 web-based survey of Korean juveniles' health behavior, which was jointly conducted by the Ministry of Education, Science, and Technology, the Ministry of Health and Welfare, and the Korea Centers for Disease Control. This study conducted a logistic regression analysis using SPSS 18.0. Results: Juveniles who consume fast food at least once in a day have a significantly higher chance of binge drinking (OR=3.063, 95% CI=2.332~4.023), problematic drinking(OR=6.041, 95% CI=4.947~7.379) than those who don't. It also indicates that juveniles who don't eat breakfast have a significantly higher chance of binge drinking (OR=1.358, 95% CI=1.158~1.593), problematic drinking(OR=1.762 95% CI=1.548~2006) than those who eat breakfast every day. Conclusions: Irregular breakfast or a frequent intake of fast food causes problematic drinking, and binge drinking. Therefore, when planning programs for the prevention of juvenile drinking, it seems necessary to include education of healthy dietary habits.

  • PDF

The Association Between Treatment Frequency and Treatment Outcome for Cardiovascular Surgeries

  • Choi, Ji Suk;Park, Choon Seon;Kim, Myunghwa;Kim, Myo Jeong;Lee, Kun Sei;Sim, Sung Bo;Chee, Hyun Keun;Park, Nam Hee;Park, Sung Min
    • Journal of Chest Surgery
    • /
    • v.49 no.sup1
    • /
    • pp.20-27
    • /
    • 2016
  • Background: This study analyzed the association between the volume of heart surgeries and treatment outcomes for hospitals in the last five years. Methods: Hospitals that perform heart surgeries were chosen throughout Korea as subjects using from the Health Insurance Review and Assessment Service. The treatment outcome of the heart surgeries was defined as the mortality within 30 postoperative days, while the annual volume of the surgeries was categorized. Logistic regression was used as the statistical analysis method, and the impacts of the variables on the heart surgery treatment outcomes were then analyzed. Results: The chance of death of patients who received surgery in a hospital that performed 50 or more surgeries annually was noticeably lower than patients receiving operations from hospitals that performed fewer than 50 surgeries annually, indicating that the chance of death decreases as the annual volume of heart surgeries in the hospital increases. In particular, the mortality rate in hospitals that performed more than 200 surgeries annually was less than half of that in hospitals that performed 49 or fewer surgeries annually. Conclusion: These results indicate that accumulation of a certain level of heart surgery experience is critical in improving or maintaining the quality of heart surgeries. In order to improve the treatment outcomes of small hospitals, a support policy must be implemented that allows for cooperation with experienced professionals.

A Study on an Efficient Double-fleet Operation of the Korean High Speed Rail (한국 고속철도의 효율적 중련편성 운영방법에 대한 연구)

  • Oh, Seog-Moon;Sohn, Moo-Sung;Choi, In-Chan
    • Journal of the Korean Society for Railway
    • /
    • v.10 no.6
    • /
    • pp.742-750
    • /
    • 2007
  • This paper presents a mathematical model for a double-fleet operation in Korean high speed rail (HSR). KORAIL has a plan to launch new HSR units in 2010, which are composed of 10 railcars. The double-fleet operation assigns a single-unit or two-unit fleet to a segment, accommodating demand fluctuation. The proposed model assumes stochastic demand and uses chance-constrained constraints to assure a preset service level. It can be used in the tactical planning stage of the rail management as it includes several real-world conditions, such as the capacities of the infra-structures and operational procedures. In the solution approach, the expected revenue in the objective function is linearized by using expected marginal revenue, and the chance-constrained constraints are linearized by assuming that demands are normally distributed. Subsequently, the model can be solved by a mixed-integer linear programming solver fur small size problems. The test results of the model applied to Friday morning train schedules for one month sample data from KTX operation in 2004 shows that the proposed model could be utilized to determine the effectiveness of double-fleet operation, which could significantly increase the expected profit and seat utilization rates when properly maneuvered.

A Study on the Validity of the Questionnaire about Sasang Constitution Classification for Mongolians (몽고인(蒙古人)을 위한 사상체질분류검사지(四象體質分類檢査紙)의 타당화(妥當化) 연구(硏究))

  • Kim, Kyung-Su;Lee, Su-Kyung;Shin, Hyeun-Kyoo;Koh, Byung-Hee;Song, Il-Byung;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
    • /
    • v.19 no.1
    • /
    • pp.98-115
    • /
    • 2007
  • 1. Objectives This study focuses on the Validity of the Questionnaire about Sasang Constitution Classification for Mongolians 2. Methods By using the way of backward elimination, certain variables are chosen from the 438 cases whose physical conditions are absolutely diagnosed. After that, discriminant analysis for the selected variables has been done to obtain the physical constitution equation and the accuracy ratio of diagnosis which are useful for physical constitution diagnosis. 3. Results and Conclusions (1) In tile Validity for the Questionnaire of Sasang Constitution Classification for Mongolians, the accuracy ratio of diagnosis of Taeyangin is 100%, Soyangin 62.5%, Taeumin 76.7%, and Soeumin 66.1% respectively as a result of the discriminant analysis employing Cronbach's alpha coefficient. On the whole, the accuracy ratio of diagnosis is 70.1%. (2). In the Validity for the Questionnaire of Sasang Constitution Classification for Mongolians, the accuracy ratio of diagnosis of 70.1% means that it beats the maximum chance criterion of 41.4% and the proportional chance criterion of 34.4% by 28.7% and 35.7% respectively. Conclusively, this questionnaire has discriminant power.

  • PDF

Value Engineering Idea Generation for Temporary Construction Designs through Conflict Resolution (가시설 공사 설계VE 대안검토시 모순충돌 해결을 통한 아이디어 창출)

  • Hong, Soonheon;Baeg, Hangee;Moon, Sungwoo
    • Korean Journal of Construction Engineering and Management
    • /
    • v.14 no.6
    • /
    • pp.30-37
    • /
    • 2013
  • Idea creation is the most important step in the overall value engineering (VE) process. Usually the activity is done mostly relying on the experience and knowledge of the experts in the VE team. A more organized approach is needed to find the chance of design improvement during a VE workshop. This study presents an organized approach to increasing the chance of idea creation during the VE workshop. The concept of conflict resolution in TRIZ (Theory of Inventive Problem Solving) is applied to understand the problem area during design improvement. The technical parameters were identified in the problem area to explain the conflicts in design improvement. These technical parameters were used to assist problem solving and improve design functions. A case study was done on a temporary construction operation, and demonstrated that the organized idea creation can help improve the design value of the temporary construction operation.

Health Locus of control : A Review of the Nursing Research in Korea (건강통제위 개념의 국내 간호연구 분석)

  • 이은희;임숙빈;김인자;이은옥
    • Journal of Korean Academy of Nursing
    • /
    • v.23 no.4
    • /
    • pp.694-712
    • /
    • 1993
  • A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.

  • PDF

The Processes of Habituating to Smoking among Teenagers (포커스 그룹 면담을 이용한 청소년 흡연의 습관화 과정)

  • Yun, Soon-Nyoung;Yi, Yun-Jeong;Suh, Eun-Young;Kim, Chun-Mi;Ko, Young;Jang, Mi-Gyeong;Hyeon, Jeong-Hee
    • Research in Community and Public Health Nursing
    • /
    • v.19 no.4
    • /
    • pp.636-648
    • /
    • 2008
  • Purpose: The smoking rates among teenagers in Korea grow gradually since 1980s despite of the numerous programs for youth smoking prevention and cessation have been developed and implemented. The purpose of this study was to explore and describe the processes of habituating to smoking among teenagers using the grounded theory methodology. Method: Qualitative data was collected via six focus group interviews. A total of 38 people, twelve teachers and 24 middle school students participated in this study. All focus group interviews were tape-recorded. transcribed. and analyzed according to the grounded theory methodology. Results: The overriding theme of the elicited grounded theory was "stepping into a quagmire by a merest chance". The student participants began smoking by a simple chance. The contingent factors to starting smoking were "discord within the family", "family member's smoking", "schoolwork stresses". or "a rebellious spirit". The conditions of smoking included accessibility. going around in group, and the lack of discipline. "Stigmatizing", "involved in mob violence", and "making a poor academic record" coexisted as the covariance of the smoking habituation. Conclusion: The findings of this study illustrated the comprehensive and insightful picture of the phenomena under investigation. Nursing implications and further directions for research were discussed.

  • PDF

The Role of Spreadsheet in Teaching Function and Modeling Activity (함수 지도와 수학적 모델링 활동에서 스프레드시트의 활용)

  • Son, Hong-Chan;Lew, Hee-Chan
    • Journal of Educational Research in Mathematics
    • /
    • v.15 no.4
    • /
    • pp.505-522
    • /
    • 2005
  • In this article we studied the role of spreadsheet in teaching function and modeling activity by some examples and students' activity performed by the six 10th graders. We especially focused the role of spreadsheet in understanding of various kinds of functions and the families of functions, and in the explanation of the given modeling problem situations. The functions of automatic copy, graphic and the cell reference of spreadsheet can be used to make students observe the causes and effects of changes of the various kind of mathematical representations of functions such as algebraic formulas, tables and graphs. Especially those functions give students a chance to identify family of functions by changing the parameters and this may lead them to the discovery of mathematical facts. In modeling activities they play a key role in the stages of the analysis of the model, explanation of the results of model and conjecture of the real world situations. As well as they make students find the rules underlying in the real world by making spreadsheet as simulation environments, which are almost impossible to make in paper and pencil environments, and give them a chance to justify their findings using mathematics.

  • PDF