• Title/Summary/Keyword: DM (Data Management)

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Investigating Non-Laboratory Variables to Predict Diabetic and Prediabetic Patients from Electronic Medical Records Using Machine Learning

  • Mukhtar, Hamid;Al Azwari, Sana
    • International Journal of Computer Science & Network Security
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    • v.21 no.9
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    • pp.19-30
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    • 2021
  • Diabetes Mellitus (DM) is one of common chronic diseases leading to severe health complications that may cause death. The disease influences individuals, community, and the government due to the continuous monitoring, lifelong commitment, and the cost of treatment. The World Health Organization (WHO) considers Saudi Arabia as one of the top 10 countries in diabetes prevalence across the world. Since most of the medical services are provided by the government, the cost of the treatment in terms of hospitals and clinical visits and lab tests represents a real burden due to the large scale of the disease. The ability to predict the diabetic status of a patient without the laboratory tests by performing screening based on some personal features can lessen the health and economic burden caused by diabetes alone. The goal of this paper is to investigate the prediction of diabetic and prediabetic patients by considering factors other than the laboratory tests, as required by physicians in general. With the data obtained from local hospitals, medical records were processed to obtain a dataset that classified patients into three classes: diabetic, prediabetic, and non-diabetic. After applying three machine learning algorithms, we established good performance for accuracy, precision, and recall of the models on the dataset. Further analysis was performed on the data to identify important non-laboratory variables related to the patients for diabetes classification. The importance of five variables (gender, physical activity level, hypertension, BMI, and age) from the person's basic health data were investigated to find their contribution to the state of a patient being diabetic, prediabetic or normal. Our analysis presented great agreement with the risk factors of diabetes and prediabetes stated by the American Diabetes Association (ADA) and other health institutions worldwide. We conclude that by performing class-specific analysis of the disease, important factors specific to Saudi population can be identified, whose management can result in controlling the disease. We also provide some recommendations learnt from this research.

Factors Influencing Diabetes Educational Needs in Patients with Diabetes Mellitus (당뇨병환자의 교육요구도 영향요인)

  • Park, Seon-Yeong;Oh, Pok-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.7
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    • pp.4301-4309
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    • 2014
  • This study was carried out to identify the perceived educational needs of diabetes mellitus type 2(DM 2) patients and the factors influencing their diabetes educational needs. The descriptive and correlation study design was used. The data was collected from January 2, 2012 to February 29 10, 2012 and a total of 346 diabetes patients responded in a structured instrument regarding their characteristics, diabetes knowledge and needs for diabetes education. The data was analyzed using ANOVA, t-test, Scheffe test, Pearson correlation, and stepwise multiple regression. The mean score of the diabetes educational needs was 3.03 (range: 1.09-4.00). Of the factors significantly influencing the diabetes educational needs, age (${\beta}$=-.25, p<.001), diabetes education participation of the family (${\beta}$=.21, p=.003), and self blood sugar test (${\beta}$=-.13, p=.045) explained the 11% variance of the diabetes educational needs. These three factors need to be considered when implementing diabetes education programs for diabetes management.

Investigations on the Failure Modes of Rock Slopes in Gyeongsangnam-do (경상남도에서 발생한 암반사면의 파괴유형 연구)

  • Park, Choon-Sik;Ha, Jung-Chul
    • Tunnel and Underground Space
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    • v.28 no.6
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    • pp.569-583
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    • 2018
  • The purpose of this study is to identify the collapse characteristics by analyzing various factors causing collapse based on field survey and existing data on rock slopes occurring in the construction of roads and industrial complexes in Gyeongsangnam - do area. In the case of the slope where the slope has been directly surveyed, the analysis of the collapse characteristics can be used for the prediction and prevention of slope failure through the continuous collection of the slope data, database construction, management and analysis. The evaluation items used in the collapse characteristics of slope were selected among the items that can be regarded as objective evaluation items among the overlapping factors by comparing the evaluation items frequently used for the evaluation of the existing slope stability among various factors. The type of destruction of the rock slope depends on the type of carcass of the bedrock, such as planar fracture, wedge fracture, onho fracture, and conduction fracture, which are different from each other. And the slope stability analysis should be performed accordingly.

PARTIAL REPLACEMENT OF GRASS SILAGE WITH WHOLE-CROP CEREAL SILAGE FOR GROWING BEEF CATTLE

  • Raza, S.H.;Rowlinson, P.
    • Asian-Australasian Journal of Animal Sciences
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    • v.8 no.3
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    • pp.281-287
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    • 1995
  • A study was conducted to investigate the effect of different inclusion levels of urea treated whole-crop wheat silage (UWCWS) in grass silage based rations on the performance of growing beef cattle. The winter wheat (variety, Riband) was harvested (in the summer of 1991) at a dry matter proportion of 520 g/kg and treated with feed grade urea at the rate of 37 kg/tonne crop dry matter and preserved in a heavy duty plastic bag using a silo press. The urea treated whole crop wheat silage (UWCWS) was mixed with grass silage to replace 0.00 (S100), 0.33 (S33) and 0.67 (S67) parts of the forage dry matter and fed ad libitum in a cross over design to 18 Simmental X Holstein Friesian growing beef animals. Two energy sources {one high in starch, rolled barley (RB) and one high in digestible fibre, sugar beet pulp (SBP)} were fed to supply sufficient energy for the efficient use of nitrogen by the rumen micro-organisms. The data on DMIF (dry matter intake of forage), TDMI (total dry matter intake), DLWG (daily live weight gain), FCR (feed conversion ratio) were recorded and faecal samples were collected to determine the digestibility coefficients. Results revealed that with the inclusion of UWCW in the animals' diets the DMI of the forage was significantly increased (p < 0.05). The highest DMIF was found in the treatment "S33" ($6.28{\pm}0.25kg$) where 67% of the silage dry matter was replaced with the UWCW and the lowest value for DMIF was observed in the control treatment ($5.03{\pm}0.23kg$). The DLWG did not differ significantly between the treatments. However, treatment "S100" showed a trend towards a superior DLWG. Feed conversion ratio in the control treatment differed significantly from "S67" and "S33". The addition of the UWCW in the animals' diet resulted in the lower FCR There was no effect of type of energy supplement on any aspect of performance either overall or in interaction with grass silage: UWCWS ratio. The regression and correlation coefficients for DMIF (r = 5.22 + 0.0184x*), DLWG (r = $1.04-0.00086x^{NS}$) and FCR (r = 4.78 = 0.022x*) on the inclusion of UWCW in the diet were calculated. The effect of the inclusion of UWCW on the overall digestibility coefficients was significant (p < 0.05). The addition of the UWCWS in the diet decreased the digestibility of the DM, OM, ADF and NFE but effect on the protein digestibility was non significant. The results of present study suggests that a DLWG slightly over 1 kg can be achieved with UWCW during the store period (period in which animal performance targets are low especially during winter) and the prediction of ME was overestimated as the high intake of DM did not reflect in improved animal performance.

Research into Clinical Nurses' Knowledge, Importance and Perception of Diabetes Mellitus (임상 간호사의 당뇨병에 대한 지식, 중요도 및 인지도 조사)

  • Shin, Jeong-Sup;Park, Choon-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.95-107
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    • 2002
  • The purpose of this study is to determine the clinical nurses' knowledge of DM and diabetes patient education aptitude so as to provide a basis for clinical nurse training with respect to diabetes patient education program. The data has been collected through the questionnaires of 42 items from the Knowledge on DM and each 16 item from the Importance on the elements of diabetes patient and the Recognition for clinical nurses, respectfully. 166 nurses from a general hospital who had participated in clinical nurse training in Sep. 28 and Oct. 4, 2001 were subject to respond the questionnaires. Analysis has been done by using statistical method such as percentage, average, standard deviation, t-test, ANOVA, Duncan test and Pearson correlation coefficients. The findings are as follows: 1. Clinical nurses' knowledge levels of diabetes 1) The average level of nurses' knowledge about diabetes is 29.37 (right answer- finding rate: 70%), which is intermediate. 2) Amongst the nurses classified by their knowledge levels about diabetes, the group with less than one year career and that with more than 5 year careers are found to have higher knowledge levels. The item with the highest right answer-finding rate was 'Please find the wrong out of the following examples about foot care'. Meanwhile, the item with highest incorrect answer-finding rate was 'what does blood sugar control aims for amongst gestational diabetes?'. 2. Clinical nurses' importance and perception levels of educational training about diabetes 1) There were no differences amongst nurses' importance level about diabetes. 2) Nurses usually had high scores(4.30) in terms of the items related to the importances about educational training. 3) There were quite high recognitions of general characteristics and symptoms about diabetes, amongst the nurse cohorts working more than one year and less than 5 years, and over 5 years, the group belonging to the internal department, that having the previous experiences of dealing with diabetes, and that having their diabetic relatives and other close people. Meanwhile, strangely, the group who identified themselves as 'not good at treating diabetes' had a high recognition level of educational training about diabetes. 3. Relationship between knowledge levels and importance & perception levels of diabetes 1) The higher knowledge about diabetes nurses had, the more importance they recognized. 2) It is found that there was no relationship between knowledge and perception of diabetes. 3) The more importance about diabetes nurses had, the higher perception they obtained. In conclusion, there is an urgent need for systematic educational programs about diabetes including technical aspects, in order to upgrade and improve nurses knowledge levels. In addition, re-educational training should be provided at regular intervals. Further, we believe the nurses with high knowledge about diabetes and interests in the provision of educations for patients can be far more confident, and in return, patients can have better self-management about diabetes obtained through educations. Based on the above-mentioned findings, we would like to make the suggestion: re-evaluation about nurses' knowledge and cognition levels should be carried out after job training programs about diabetes.

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Intake, digestibility, and performance of lambs fed spineless cactus cv. Orelha de Elefante Mexicana

  • Lopes, Levi Auto;de Andrade Ferreira, Marcelo;Batista, Angela Maria Vieira;Maciel, Michel do Vale;Barbosa, Rodrigo de Andrade;Munhame, Joana Albino;da Silva, Tomas Guilherme Pereira;Cardoso, Daniel Barros;Veras, Antonia Sherlanea Chaves;de Carvalho, Francisco Fernando Ramos
    • Asian-Australasian Journal of Animal Sciences
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    • v.33 no.8
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    • pp.1284-1291
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    • 2020
  • Objective: To evaluate the effects of the carmine cochineal-resistant spineless cactus genotypes cv. Orelha de Elefante Mexicana (Opuntia) and Miúda (Nopalea) on the intake and digestibility of nutrients, ingestive behavior, performance, and ultrasound measurements of growing lambs. Methods: Thirty-six male (non-castrated) Santa Inês lambs were used, with an average age of 6 months and an initial average weight of 22.0±2.9 kg. They were distributed in a completely randomized design with 3 treatments (Tifton hay, Nopalea and Opuntia) and 12 replications, using initial weight as a covariate. The experimental period was 86 days, with the first 30 days used for the adaptation of the animals to the facilities, diets and management, and the remaining 56 days used for evaluation and data collection. Results: The intake and apparent digestibility of dry matter (DM), organic matter (OM), crude protein (CP), neutral detergent fiber (NDF), total carbohydrates (TC), non-fibrous carbohydrates (NFC), and total digestible nutrients (TDN) showed a significant difference (p<0.05) as a function of the diets, with the Nopalea treatment (p<0.05) increasing DM intake (g/kg and % body weight [BW]), CP, TDN, and TC digestibility, whereas the Tifton hay diet led to a high (p<0.001) neutral detergent fiber corrected for ash and protein (NDFap) g/d intake, NDFap (BW %) and digestibility of said nutrient. There was no effect of treatments (p>0.05) on feeding time, however, rumination time and total chewing time were higher (p<0.05) for animals fed Tifton hay. The performance of the animals was similar (p>0.05). For the ultrasound measurements, Nopalea promoted an increase in the final loin eye area, compared to Tifton hay. Conclusion: The use of spineless cactus variety Miúda leads to the greater intake and digestibility of nutrients. The evaluated carmine cochineal-resistant spineless cactus genotypes are alternatives for semi-arid regions as they do not negatively affect the performance of growing lambs.

The Effect of Information Service Quality on Customer Loyalty: A Customer Relationship Management Perspective (정보서비스품질이 고객로열티에 미치는 영향에 관한 연구: 고객관계관리 관점)

  • Kim, Hyung-Su;Gim, Seung-Ha;Kim, Young-Gul
    • Asia pacific journal of information systems
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    • v.18 no.1
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    • pp.1-23
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    • 2008
  • As managing customer relationship gets more important, companies are strengthening information service using multi-channels to their customers as a part of their customer relationship management (CRM) initiatives. It means companies are now accepting such information services not as simple information -delivering tools, but as strategic initiatives for acquiring and maintaining customer loyalty. In this paper, we attempt to validate whether or not such various information services would impact on organizational performance in terms of CRM strategy. More specifically, our research objective is to answer the next three questions: first, how to construct the instruments to measure not information quality but information service quality?; second, which attributes of information service quality can influence corporate image and customer loyalty?; finally, does each information service type have unique characteristics compared with others in terms of influencing corporate image and customer loyalty? With respect to providing answers to those questions, the previous studies had been limited in that those studies failed to consider the variety of types of information service or restricted the quality of information service to information quality. An appropriate research model answering the above questions should consider the fact that most companies are utilizing multi channels for their information services, and include the recent strategic information service such as customer online community. Moreover, since corporate information service could be regarded as a type of products or services delivered to customer, it is necessary to adopt the criteria for assessing customer's perceived value when to measure the quality of information service. Therefore, considering both multi-channels and multi-traits may enable us to tell the detailed causal routes showing which quality attributes of which information service would affect corporate image and customer loyalty. As information service channels, we include not only homepage and DM (direct mail), which are the most frequently applied information service channels, but also online community, which is getting more strategic importance in recent years. With respect to information service quality, we abstract information quality, convenience of information service, and timeliness of information service through a wide range of relevant literature reviews. As our dependant variables, we consider corporate image and customer loyalty that both of them are the critical determinants of organizational performance, and also attempt to grasp the relationship between the two constructs. We conducted a huge online survey at the homepage of one of representative dairy companies in Korea, and gathered 367 valid samples from 407 customers. The reliability and validity of our measurements were tested by using Cronbach's alpha coefficient and principal factor analysis respectively, and seven hypotheses were tested through performing correlation test and multiple regression analysis. The results from data analysis demonstrated that timeliness and convenience of homepage have positive effects on both corporate image and customer loyalty. In terms of DM, its' information quality was represented to influence both corporate image and customer loyalty, but we found its' convenience have a positive effect only on corporate image. With respect to online community, we found its timeliness contribute significantly both to corporate image and customer loyalty. Finally, as we expected, corporate image was revealed to provide a great influence to customer loyalty. This paper provides several academic and practical implications. Firstly, we think our research reinforces CRM literatures by developing the instruments for measuring information service quality. The previous relevant studies have mainly depended on the measurements of information quality or service quality which were developed independently. Secondly, the fact that we conducted our research in a real situation may enable academics and practitioners to understand the effects of information services more clearly. Finally, since our study involved three different types of information service which are most frequently applied in recent years, the results from our study might provide operational guidelines to the companies that are delivering their customers information by multi-channel. In other words, since we found that, in terms of customer loyalty, the key areas would be different from each other according to the types of information services, our analysis would help to make decisions such as selecting strengthening points or allocating resources by information service channels.

Environmental Adaptation of Tall Fescue varieties in Mauntainous pastures III. Effect of autumn cutting management on the dry weight of plant(DW) of the 1st cutting (Tall fescue 품종의 환경적응성 III. 가을철 예취관리가 1번초의 개체중과 수량구성요소에 미치는 영향)

  • 이주삼;한성윤;조익환
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.13 no.3
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    • pp.203-212
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    • 1993
  • This experiments were carried out to estimate the optimum final cutting date in autumn and the selection of highly adaptable varieties in mountainous pastures of Taekwalyong area. The evaluations were based on the data of varietal differences of dry weight of plant(DW) and yield components of the 1st cutting as affected by various final cutting dates of last autumn. Nine varieties of tall fescue Barvetia, Fuego. Demeter, Safe. Barcel, Forager, Johnstone, Enforcer and Stef. were used and 4 final cutting date of autumn were $C_1$, cut on 30 Sept. $C_2$, on 14 Oct. $C_3$, on 28 Oct. and $C_4$. on 11 Nov.. respectively. The results obtained were as follows: I . Between the dry weight of plant(DM) and yield components of 1st cutting were different by various final cutting dates of autumn. The dry weight of plant(DW) was significantly positive correlated with heading characteristics of the 1st cutting in earlier cuttings($C_1- C_3$) of autumn, but there was not significant correlated with heading characteristics of the 1st cutting in the latest cutting($C_4$) of autumn. 2. The variety of Forager with heavier weight of heading tiller(HTW) and dry weight of tiller(WT) showed the highest dry weight of plant(DW) of the 1st cutting in earlier cuttings($C_1-C_3$) of autumn, whereas the variety of Barcel with high number of tillers per plant(NT) showed a high dry weight of plant(DW) of the 1st cutting in the latest cutting($C_4$) of autumn. 3. Optimum final cutting date and critical period of mountainous pastures in Taekwalyong area were estimated in late September($C_1$) and middle October($C_2$), sespectirety. 4. The dry weight of plant(DW) of the 1st cutting was significantly negative correlated with final cutting dates in growth period of autumn.

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Convergent Factors Affecting Depression of Drinkers by Age (연령에 따른 음주자 우울의 융합적 영향요인)

  • Kwon, Myoungjin;Kim, Jihyun;Jeong, Sunkyung
    • Journal of the Korea Convergence Society
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    • v.10 no.3
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    • pp.383-393
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    • 2019
  • The present study was conducted to determine convergent factors affecting depression in drinker by age. This was a cross-sectional secondary data analysis study that used the raw data from the Korea National Health and Nutrition Examination Survey in 2014 & 2016. The subjects of the present study were 4,446 middle-aged drinker. Variables related to general characteristics, physical and psychological factors were selected. After a sampling plan compound file was created using IBM SPSS 23.0 program, data were analyzed by giving weights. Depression was influenced by gender (30s, 50-60s), income (30-40s, 60s), education (30-40s), number of family members (30-60s), job (30-60s), eating level (30-40s, 60s), hypertension (40s), DM (30-40s), BMI (30-40s), smoking (30s, 50s), exercise (30s), weight control (60s), drinking binge (30-60s), subjective health (30-60s), subjective body awareness (30-50s), stress (30s-60s), quality of life (30-60s). It is required to design preventive interventions and management plans for depression, considering these factors comprehensively.

A Factor Analysis Study on Blood Glucose Control in Diabetics Mellitus Patients(1) -Focus on Blood Glucose Control and Lifestyle Factors- (당뇨환자의 혈당관리 태도에 대한 요인분석(I) - 혈당관리 요소와 식생활 태도를 중심으로 -)

  • Jun, Jung-Eun;Lee, Young-Mee;Oh, Yu-Jin
    • Korean Journal of Community Nutrition
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    • v.14 no.2
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    • pp.236-244
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    • 2009
  • Dietary therapy is a basic and emphasized treatment for diabetes. Several clinical studies have shown that diet can play a major role in preventing and managing diabetes. The purposes of this study were to evaluate the dietary behavior and to find solutions to barriers of diabetes mellitus patients. From February to July in 2007, questionnaires were distributed to one hundred and ten patients who were diagnosed DM by physicians and excluded first coming out-patients. One hundred and three data were used for statistical analysis using SPSS/Win 12.0. The main results of this study included the following: To measure dietary behaviors and barriers, a five point scale was used with the following labels: 'strongly yes', 'yes', 'fair', 'no', 'strongly no'. Thirteen dietary behaviors related to diabetes were grouped into the following 4 factors using factor analysis; 'taste control factor', 'blood glucose influence factor', 'practice volition factor', and 'exercise factor'. The mean scores of 4 factors were 3.88, 3.48, 3.55, 3.21, respectively. The 'taste control behaviors' score of subjects who had practiced diet therapy(4.00) was higher than those who had not practiced diet therapy(P<0.05). The 'blood glucose influence behaviors' score of subjects who had nutrition education(3.59) was higher than those who had no nutrition education(P<0.05) and subjects who had practiced diet therapy showed higher score(3.59) than those who had not practiced diet therapy(P<0.05). 'Exercise behaviors score' of subjects who were over 60(3.59) was the lowest(P<0.05). Subjects who had nutrition education showed higher 'exercise behaviors' scores(3.38) than those who had no nutrition education(P<0.05). Subjects who had practiced diet therapy showed higher 'practice volition behaviors' scores(3.72) than those who had not practiced diet therapy(P<0.001). Subjects who were over weight showed the highest 'practice volition behaviors' scores(3.78) concerning BMI(P<0.05). In conclusion, this study expected that Nutrition educators(Dietitian) applied to patient effective nutrition education and counseling through evaluation of Dietary behaviors and barriers considered management types and ecological factors of diabetes patients. Also diabetic patients were easy to change dietary habits because they formed behaviors through education and counsel and there were positive effects in their blood glucose control through removing barriers related to dietary therapy.