• 제목/요약/키워드: Confidence Level

검색결과 1,997건 처리시간 0.031초

Utility of Serum Albumin for Predicting Incident Metabolic Syndrome According to Hyperuricemia

  • Lee, You-Bin;Jun, Ji Eun;Lee, Seung-Eun;Ahn, Jiyeon;Kim, Gyuri;Jee, Jae Hwan;Bae, Ji Cheol;Jin, Sang-Man;Kim, Jae Hyeon
    • Diabetes and Metabolism Journal
    • /
    • 제42권6호
    • /
    • pp.529-537
    • /
    • 2018
  • Background: Serum albumin and uric acid have been positively linked to metabolic syndrome (MetS). However, the association of MetS incidence with the combination of uric acid and albumin levels has not been investigated. We explored the association of albumin and uric acid with the risk of incident MetS in populations divided according to the levels of these two parameters. Methods: In this retrospective longitudinal study, 11,613 non-MetS participants were enrolled among 24,185 individuals who had undergone at least four annual check-ups between 2006 and 2012. The risk of incident MetS was analyzed according to four groups categorized by the sex-specific medians of serum albumin and uric acid. Results: During 55,407 person-years of follow-up, 2,439 cases of MetS developed. The risk of incident MetS increased as the uric acid category advanced in individuals with lower or higher serum albumin categories with hazard ratios (HRs) of 1.386 (95% confidence interval [CI], 1.236 to 1.554) or 1.314 (95% CI, 1.167 to 1.480). However, the incidence of MetS increased with higher albumin levels only in participants in the lower uric acid category with a HR of 1.143 (95% CI, 1.010 to 1.294). Conclusion: Higher levels of albumin were associated with an increased risk of incident MetS only in individuals with lower uric acid whereas higher levels of uric acid were positively linked to risk of incident MetS regardless of albumin level.

뇌혈관질환의 예측인자로서의 악력 (Grip Strength as a Predictor of Cerebrovascular Disease)

  • 정석환;김재현
    • 보건행정학회지
    • /
    • 제29권3호
    • /
    • pp.303-311
    • /
    • 2019
  • Background: Cerebrovascular disease is included in four major diseases and is a disease that has high rates of prevalence and mortality around the world. Moreover, it is a disease that requires a high cost for long-term hospitalization and treatment. This study aims to figure out the correlation between grip strength, which was presented as a simple, cost-effective, and relevant predictor of cerebrovascular disease, and cerebrovascular disease based on the results of a prior study. And furthermore, our study compared model suitability of the model to measuring grip strength and relative grip strength as a predictor of cerebrovascular disease to improve the quality of cerebrovascular disease's predictor. Methods: This study conducted an analysis based on the generalized linear mixed model using the data from the Korea Longitudinal Study of Ageing from 2006 to 2016. The research subjects consisted of 9,132 middle old age people aged 45 years or older at baseline with no missing information of education level, gender, marital status, residential region, type of national health insurance, self-related health, smoking status, alcohol use, and economic activity. The grip strength was calculated the average which measured 4 times (both hands twice), and the relative grip force was divided by the body mass index as a variable considering the anthropometric figure that affects the cerebrovascular disease and the grip strength. Cerebrovascular diseases, a dependent variable, were investigated based on experiences diagnosed by doctors. Results: An analysis of the association between grip strength and found that about 0.972 (odds ratio [OR], 0.972; 95% confidence interval [CI], 0.963-0.981) was the incidence of cerebral vascular disease as grip strength increased by one unit increase and the association between relative grip strength and cerebrovascular disease found that about 0.418 (OR, 0.418; 95% CI, 0.342-0.511) was the incidence of cerebral vascular disease as relative grip strength increased by unit. In addition, the model suitability of the model for each grip strength and relative grip strength was 11,193 and 11,156, which means relative grip strength is the better application to the predictor of cerebrovascular diseases, irrespective of other variables. Conclusion: The results of this study need to be carefully examined and validated in applying relative grip strength to improve the quality of predictors of cerebrovascular diseases affecting high mortality and prevalence.

광업 이직근로자에서 잠복결핵감염 위험요인 분석 (Risk Factors for Associated with Latent Tuberculosis Infection among Former Mine Workers)

  • 황주환;신재훈;백진이;최병순
    • 한국산업보건학회지
    • /
    • 제29권3호
    • /
    • pp.289-297
    • /
    • 2019
  • Objectives: To identify the positive rate of and the risk factors associated with latent tuberculosis infection(LTBI) in mine workers, the objectives of the present study evaluated those among former mine workers. Methods: Between January 2015 and May 2017, former male mine workers who had been subjects for epidemiology research for work-related chronic obstructive pulmonary disease(COPD) and had received QuantiFERON-$TB^{(R)}$ Gold In-Tube(QFT-GIT) from the Institute of Occupation and Environment(IOE) under Korea Workers' Compensation and Welfare Service(KCOMWEL) were selected as the study subjects. To identify significant variables for increased risk of LTBI, logistic regression analysis was performed. Results: A total of 736 male former mine workers were selected as study subjects. The positive rate of LTBI among subjects was 69.2%(509/736). The current smoking[odds ratio(OR), 2.3; 95% confidence interval(CI), 1.1-4.9], COPD(OR, 1.4; 95% CI, 0.9-2.3), department loading(OR, 1.8; 95% CI, 0.9-3.4) and mining(OR, 1.5; 95% CI, 0.9-2.5), and working duration of over 20(OR, 1.6; 95% CI, 0.9-3.1) and over 30 years(OR, 2.2; 95% CI, 0.9-4.9) were associated with increased risk of LTBI. The interferon-gamma(IFN-${\gamma}$) level after stimulation with Mycobacterium tuberculosis(MTB)-specific antigens showed a significantly negative correlation with age(r=-0.126). Conclusions: The present study determined that the high positive rate of LTBI among mine workers was associated with not only the host factors but also the occupational exposure to mine dust.

다성분 에어로졸계의 동특성 묘사를 위한 전산 코드의 개발 -불확실성 및 민감도 해석- (Development of Computer Code for Simulation of Multicomponent Aerosol Dynamics -Uncertainty and Sensitivity Analysis-)

  • Na, Jang-Hwan;Lee, Byong-Whi
    • Nuclear Engineering and Technology
    • /
    • 제19권2호
    • /
    • pp.85-98
    • /
    • 1987
  • 중대사고시 LMFBR의 에어로졸(aerosol) 동특성을 살피기 위해 전산코드인 MCAD (Multicomponent Aerosol Dynamics)가 개발되었다. 사고경과에 따른 두 방사능원의 상대적인 충돌확률을 적용하여 에어로졸계를 모사할 수 있다. Brownian 확산과 중력작용에 의한 결합 및 제거과정을 고려했으며, 입자형태를 묘사하기 위해 밀도보정과 형태요소(shape factor)를 동시에 고려하였다. ORNL의 NSPP-300 계열 실험자료와 기존의 코드를MCAD의 입증에 이용하였다. 그 결과 MCAD의 계산치와 실험치 및 기존의 코드 계산값이 일치함을 보여준다. 여러 입력자료의 불화실한 값들을 정의하고, 그들값의 한계로 설정하기 위하여 불확실성 및 민감도해석을 수행하였다. 14개의 입력자료를 선택하여 실험계획법과 Latin hypercube sampling에 의한 입력자료를 조합하여 그 회귀 (regression) 정도를 반응표면 계획법(Response surface method)에 의해 구하였다. 각 변수들의 중요성 및 시간경과에 따른 그들의 상대적인 등위를 결정하기 위하여 단계식 회귀방법 (Stepwise regression method)을 고려했다. LHS에 의한 회귀모형에 Monte Carlo Method를 적용하여 계산값 및 변수들에의 신뢰도를 향상시켰다.

  • PDF

ESTP 표지를 이용한 국내 소나무 집단의 유전변이 (Genetic Variation of Pinus densiflora Populations in South Korea Based on ESTP Markers)

  • 안지영;홍경낙;이제완;홍용표;강호덕
    • 한국자원식물학회지
    • /
    • 제28권2호
    • /
    • pp.279-289
    • /
    • 2015
  • 소나무의 유전다양성과 유전구조를 추정하기 위해 9개의 ESTP 표지를 13개 소나무 집단에 적용하였다. 소나무 집단의 유전다양성은 관찰된 대립유전자 수(A)가 2.2개, 유효 대립유전자 수(Ae)가 1.8개, 다형적 유전자좌 비율(P)이 98.8%, 이형접합도 관찰치(Ho)가 0.391, 이형접합도 기대치(He)가 0.402로 나타났다. 안강과 강릉 집단을 제외한 11개 집단이 하디-바인베르그 평형을 만족하였다. 집단간 유전분화도(FST)는 0.057으로, 동위효소나 nSSR 표지분석 결과보다 강하게 나타났다. 군집분석에서 집단의 유전적 거리와 지리적 분포간에 뚜렷한 연관성은 확인할 수 없었으며, 집단의 유전분화와 지리적 인접성도 상관이 없는 것으로 나타났다(Mantel 검증, r = 0.017, P = 0.344). 유전자좌에 대한 FST-outlier 분석을 실시한 결과, 빈도주의 방법에서는 FST 값이 신뢰하한 이하인 3개 유전자좌와 신뢰상한 이상인 3개 유전자좌가 특이값으로 추정되었고, 베이즈 방법에서는 3개 유전자좌들만 특이값으로 확인되었다. 두 방법에서 공히 특이값으로 판정된 3개 유전자좌(sams2+AluⅠ, sams2+RsaⅠ, PtNCS_p14A9+HaeⅢ)중 sams2 표지에서 유래된 2개 유전자좌는 balancing selection의 영향을 받는 것으로 추정되었다.

비 마비 측과 마비 측에 적용한 탄력밴드를 결합한 고유수용성 신경근 촉진법 하지패턴이 만성 뇌졸중 환자의 균형에 미치는 영향 (Effect of Non-paralyzed side and Paralyzed side of Elastic Band Combined with Proprioceptive Neuromuscular Facilitation Lower Extremity Patterns on Balance in Chronic Stroke Patients)

  • 이영민;함민식;김택수
    • PNF and Movement
    • /
    • 제13권4호
    • /
    • pp.181-188
    • /
    • 2015
  • Purpose: This study aimed to examine the effects of proprioceptive neuromuscular facilitation (PNF) lower extremity patterns combined with elastic bands applied to stroke patients diagnosed with hemiplegia through self-training using the non-paralyzed side approach and the paralyzed side approach, and to investigate the differences in the effects. Methods: Nine chronic stroke patients who were being treated not more than twice a week at H, K, R, and C hospitals located in Gangwon-do, performed self-training for 16 minutes, two times per day for four weeks between August and October 2015. The subjects' balance ability was measured using the Tetrax stability index, the weight distribution index, the Berg Balance Scale (BBS), and the Timed Up and Go (TUG) test before the experiment and four weeks later. Among the statistical methods, paired t-tests were conducted for intra-group comparison of the measurements taken before and after the experiment, and independent t-tests were conducted for inter-group comparison of the ex post facto values. The statistical significance level was set to 0.05. Results: When the lower extremity patterns were applied to the non-paralyzed side group and the paralyzed side group, significant intra-group differences were observed for the Tetrax stability index, the weight distribution index, the Berg Balance Scale (BBS), and Timed Up and Go (TUG) tests (p<0.05); however, the inter-group comparisons showed no significant differences. Conclusion: The non-paralyzed side approach was found to be easy for patients to participate in and it also affected the patients' paralyzed side. Although the paralyzed side approach produced good exercise effects in a short period of time, it could result in adverse effects, such as a decrease in motivation and self-confidence. Therefore, these approaches are considered to be more effective when they are selectively applied depending on the purpose of the intervention and the degree of a patients' participation.

중학교 과학영재학생의 과학불안 경험에 대한 현상학적 연구 (A Phenomenological Study on the Science Anxiety Experience of Science-Gifted Middle School Students)

  • 강지훈
    • 한국과학교육학회지
    • /
    • 제41권4호
    • /
    • pp.283-295
    • /
    • 2021
  • 본 연구는 Giorgi 의 현상학적 연구 방법을 바탕으로 중학교 과학영재학생들이 겪는 과학불안의 경험을 탐색하고자 하였다. 연구참여자는 대학교 과학영재교육원에 선발된 중학교 1학년 학생 중 과학특성불안 및 과학상태불안 수준이 높고 과학불안 경험이 있는 과학영재학생 6명으로 선별하였다. 연구참여자들을 대상으로 과학불안 경험과 관련된 두 차례의 면담을 실시하였다. 분석결과, 과학영재학생들이 경험하는 과학불안은 이상적 자아 설정, 자신감 부족, 과거의 경험, 내용의 어려움, 가치있는 일에 기인하고 있었다. 학생들은 과학불안을 느낄 때 신체적·생리적, 인지적, 정서적·심리적으로 불편함을 호소하였으며, 과학불안을 성장의 기회로 인식하기도 하였다. 또한 과학영재학생들은 과학불안이 유발될 때 나타나는 여러 불편한 증상들을 극복하기 위해 불안한 상황에 직접 맞서거나 자신의 마음을 가다듬는 등 다양한 방법으로 대처하는 모습을 보였다. 일부 학생들은 시간이 지나면 불안감이 해소되기 때문에 불안 수준을 낮추기 위한 특별한 노력이 필요하지 않다고 생각하고 있었다. 학생들은 과학불안에 대하여 부정적인 의미와 긍정적인 의미를 동시에 지니고 있었다. 본 연구의 결과는 과학불안을 경험하는 중학교 과학영재학생들에 대한 교사의 심층적인 이해를 돕고, 과학불안과 관련하여 어떠한 교육환경을 조성하고 교육프로그램을 제공해야 하는지에 대한 이론적 토대 마련에 기여할 것이다.

혼합 액체 프로판 표준가스 개발 (Development of Primary Reference Gas Mixtures for Liquid Propane)

  • 정윤성;김진석;배현길;강지환;이승호;김용두
    • 한국가스학회지
    • /
    • 제25권4호
    • /
    • pp.49-56
    • /
    • 2021
  • 액화석유가스(Liquefied Petroleum Gas)는 Propane(C3H8)과 Butane(C4H10)을 주성분으로 한 가스를 액화한 것으로 구분된다. LPG는 혼합 성분에 따라 품질의 차이가 커 성분 함량을 정확하게 측정하는 것이 중요하다. 이와 같은 물질은 혼합물의 성분별로 상온에서는 액체와 기체가 같이 공존해 정확한 측정이 까다롭다. 따라서 탄화수소의 성분별 농도의 측정 불확도가 높아 실제 함량 기준과 많은 차이가 발생하는 문제점을 안고 있다. 그러므로 탄화수소 물질의 조성과 정확한 농도 측정을 위해 혼합 액체 프로판 표준가스의 개발이 필요하였다. 혼합 액체 프로판 표준가스는 ISO-6142(2015)의 중량법으로 벨로즈형 정압실린더에 제조되었다. 제조한 4병의 표준가스에서 균질성이 GC-FID로 확인되었다. 제조 상대확장불확도는 0.01 % - 0.30 %, 균질성은 0.03 % - 0.25 %이었다. 이 혼합 액체 프로판 표준가스에서 중량법, 제조 일치성, 실린더 흡착 여부 및 장기 안정성에 대한 상대확장불확도는 0.26 % - 1.39 %(신뢰도 약 95 %, k=2)이내로 개발되었다.

채소 및 육류 섭취의 상대적인 선호도와 암 발생의 연관성: 국민건강보험공단 국민건강정보자료 활용 (Association between Relative Preference for Vegetables and Meat and Cancer Incidence in Korean Adults: A Nationwide Population-based Retrospective Cohort Study)

  • 이가은;김안나;조현정;강민지;문성지;김인아;고광필;이정은;박수경
    • 대한지역사회영양학회지
    • /
    • 제26권3호
    • /
    • pp.211-227
    • /
    • 2021
  • Objectives: We aimed to examine the association between the relative preference for vegetables and meat and cancer incidence, in a population-based retrospective cohort in Korea. Methods: We included 10,148,131 participants (5,794,124 men; 4,354,007 women) who underwent national health screening between 2004 and 2005 from the National Health Information Database of the National Health Insurance Service (NHIS-NHID). Participants were asked whether they preferred consuming 1) vegetables more often, 2) both vegetables and meat or 3) meat more often. Participants were followed up to Dec. 31, 2017. All cancer and eighteen common cancer cases were identified through the code from the International Classification of Diseases, 10th revision. We estimated sex-specific relative risks and 95% confidence intervals, adjusting for age, body mass index, alcohol consumption, smoking, physical activity, and income level. Results: During an average follow-up of 12.4 years, 714,170 cancer cases were documented. In men, consuming meat more often was associated with lower risk of esophageal, liver, and stomach cancers, but higher risk of lung and kidney cancers. Consuming both vegetables and meat was associated with higher risk of prostate cancer, but with lower risk of esophageal, liver, and stomach cancers in men. In women, consuming meat more often was associated with a higher risk of colorectal cancer and breast, endometrial, and cervical cancers diagnosed before the age of 50. Consuming both vegetables and meat was associated with lower risk of liver cancer in women. Conclusions: Our study suggests a potential link between vegetable and meat intake and cancer incidence in the Korean population. Further investigation on the association between the intake of specific types of vegetables and meat and cancer risk in Korean prospective cohort studies is needed.

Association between hemoglobin glycation index and cardiometabolic risk factors in Korean pediatric nondiabetic population

  • Lee, Bora;Heo, You Jung;Lee, Young Ah;Lee, Jieun;Kim, Jae Hyun;Lee, Seong Yong;Shin, Choong Ho;Yang, Sei Won
    • Annals of Pediatric Endocrinology and Metabolism
    • /
    • 제23권4호
    • /
    • pp.196-203
    • /
    • 2018
  • Purpose: The hemoglobin glycation index (HGI) represents the degree of nonenzymatic glycation and has been positively associated with cardiometabolic risk factors (CMRFs) and cardiovascular disease in adults. This study aimed to investigate the association between HGI, components of metabolic syndrome (MS), and alanine aminotransferase (ALT) in a pediatric nondiabetic population. Methods: Data from 3,885 subjects aged 10-18 years from the Korea National Health and Nutrition Examination Survey (2011-2016) were included. HGI was defined as subtraction of predicted glycated hemoglobin ($HbA1_c$) from measured $HbA1_c$. Participants were divided into 3 groups according to HGI tertile. Components of MS (abdominal obesity, fasting glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure), and proportion of MS, CMRF clustering (${\geq}2$ of MS components), and elevated ALT were compared among the groups. Results: Body mass index (BMI) z-score, obesity, total cholesterol, ALT, abdominal obesity, elevated triglycerides, and CMRF clustering showed increasing HGI trends from lower-to-higher tertiles. Multiple logistic regression analysis showed the upper HGI tertile was associated with elevated triglycerides (odds ratio, 1.65; 95% confidence interval, 1.18-2.30). Multiple linear regression analysis showed HGI level was significantly associated with BMI z-score, $HbA1_c$, triglycerides, and ALT. When stratified by sex, age group, and BMI category, overweight/obese subjects showed linear HGI trends for presence of CMRF clustering and ALT elevation. Conclusion: HGI was associated with CMRFs in a Korean pediatric population. High HGI might be an independent risk factor for CMRF clustering and ALT elevation in overweight/obese youth. Further studies are required to establish the clinical relevance of HGI for cardiometabolic health in youth.