• Title/Summary/Keyword: Health assessment

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A Study on the Prediction of Mortality Rate after Lung Cancer Diagnosis for Men and Women in 80s, 90s, and 100s Based on Deep Learning (딥러닝 기반 80대·90대·100대 남녀 대상 폐암 진단 후 사망률 예측에 관한 연구)

  • Kyung-Keun Byun;Doeg-Gyu Lee;Se-Young Lee
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.2
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    • pp.87-96
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    • 2023
  • Recently, research on predicting the treatment results of diseases using deep learning technology is also active in the medical community. However, small patient data and specific deep learning algorithms were selected and utilized, and research was conducted to show meaningful results under specific conditions. In this study, in order to generalize the research results, patients were further expanded and subdivided to derive the results of a study predicting mortality after lung cancer diagnosis for men and women in their 80s, 90s, and 100s. Using AutoML, which provides large-scale medical information and various deep learning algorithms from the Health Insurance Review and Assessment Service, five algorithms such as Decision Tree, Random Forest, Gradient Boosting, XGBoost, and Logistic Registration were created to predict mortality rates for 84 months after lung cancer diagnosis. As a result of the study, men in their 80s and 90s had a higher mortality prediction rate than women, and women in their 100s had a higher mortality prediction rate than men. And the factor that has the greatest influence on the mortality rate was analyzed as the treatment period.

Occupancy Probability Estimation of Endangered Species Clithon retropictus (멸종위기종인 기수갈고둥의 잠재적 서식지 예측을 위한 점유 확률 추정)

  • Park, Woong-Bae;Lim, Sung-Ho;Won, Doo-Hee;Lee, Kyung-Lak;Hong, Cheol;Do, Yuno
    • Korean Journal of Ecology and Environment
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    • v.55 no.1
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    • pp.76-83
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    • 2022
  • We attempted to estimate potential habitats of Clithon retropictus and to determine the community structure of benthic macroinvertebrates by presence of C. retropictus. 2016 to 2018 database of "Survey and Assessment of Estuary Ecosystem Health" by the Ministry of Environment were used to identify the distribution site of C. retropictus. The occupancy model was applied to estimate the potential habitat of C. retropictus. Four diversity indices were used to confirm the community structure of benthic macroinvertebrates. C. retropictus was found in the southern coast area and part of the east coast, and this pattern was consistent with previous studies. Additionally, the occupancy model predicted that a potential habitat of C. retropictus could appear in the west coast area. The community structure of benthic macroinvertebrates was relatively high at the site with C. retropictus than the site without C. retropictus. Therefore, the occupancy model can be considered when conserving C. retropictus inhabiting a limited area. Additionally, C. retropictus can be used to the indicator species that can represent the brackish water environment.

Acute oral toxicity and bioavailability of uranium and thorium in contaminated soil

  • Nur Shahidah Abdul Rashid;Wooyong Um ;Ibrahim Ijang ;Kok Siong Khoo ;Bhupendra Kumar Singh;Nurul Syiffa Mahzan ;Syazwani Mohd Fadzil ;Nur Syamimi Diyana Rodzi ;Aina Shafinas Mohamad Nasir
    • Nuclear Engineering and Technology
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    • v.55 no.4
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    • pp.1460-1467
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    • 2023
  • A robust approach was conducted to determining the absolute oral bioavailable (fab) fractions of 238U and 232Th in rats exposed to contaminated soil along with their hematotoxicity and nephrotoxicity. The soil sample is the International Atomic Energy Agency-312 (IAEA-312) certified reference material, whereas blood, bones, and kidneys of in vivo female Sprague-Dawley (SD) rats estimate 238U- and 232Th-fab fractions post-exposure. We predict the bioavailable concentration (Cab) and fab values of 238U and 232Th after acute soil ingestion. The blood 238U (0.750%) and 232Th (0.028%) reach their maximum fab values after 48 h. The 238U (fab: 0.169-0.652%) accumulates mostly in the kidney, whereas the 232Th (fab: 0.004-0.021%) accumulates primarily in the bone. Additionally, 238U is more bioavailable than 232Th. Post 48 h acute ingestion demonstrates noticeable histopathological and hematological alterations, implying that intake of 238U in co-contaminated soil can lead to erythrocytes and proximal tubules damage, whereas, 232Th intake can harm erythrocytes. Our study provides new directions for future research into the health implications of acute oral exposures to 238U and 232Th in co-contaminated soils. The findings offer significant insight into the utilization of in vivo SD rat testing to estimate 238U and 232Th bioavailability and toxicity in exposure assessment.

Predicting the Fetotoxicity of Drugs Using Machine Learning (기계학습 기반 약물의 태아 독성 예측 연구)

  • Myeonghyeon Jeong;Sunyong Yoo
    • Journal of Life Science
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    • v.33 no.6
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    • pp.490-497
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    • 2023
  • Pregnant women may need to take medications to treat preexisting diseases or diseases that develop during pregnancy. However, some drugs may be fetotoxic and lead to, for example, teratogenicity and growth retardation. Predicting the fetotoxicity of drugs is thus important for the health of the mother and fetus. The fetotoxicity of many drugs has not been established because various challenges hinder the ability of researchers to determine their fetotoxicity. The need exists for in silico-based fetotoxicity assessment models, as they can modernize the testing paradigm, improve predictability, and reduce the use of animals and the costs of fetotoxicity testing. In this study, we collected data on the fetotoxicity of drugs and constructed fetotoxicity prediction models based on various machine learning algorithms. We optimized the models for more precise predictions by tuning the hyperparameters. We then performed quantitative performance evaluations. The results indicated that the constructed machine learning-based models had high performance (AUROC >0.85, AUPR >0.9) in fetotoxicity prediction. We also analyzed the feature importance of our model's predictions, which could be leveraged to identify the specific features of drugs that are strongly associated with fetotoxicity. The proposed model can be used to prescreen drugs and drug candidates at a lower cost and in less time. It provides a predictive score for fetotoxicity risk, which may be beneficial in the design of studies on fetotoxicity in human pregnancy.

A study on the prediction of aquatic ecosystem health grade in ungauged rivers through the machine learning model based on GAN data (GAN 데이터 기반의 머신러닝 모델을 통한 미계측 하천에서의 수생태계 건강성 등급 예측 방안 연구)

  • Lee, Seoro;Lee, Jimin;Lee, Gwanjae;Kim, Jonggun;Lim, Kyoung Jae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.448-448
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    • 2021
  • 최근 급격한 기후변화와 도시화 및 산업화로 인한 지류하천에서의 수량과 수질의 변동은 생물 다양성 감소와 수생태계 건강성 저하에 큰 영향을 미치고 있다. 효율적인 수생태 관리를 위해서는 지속적인 유량, 수질, 그리고 수생태 모니터링을 통한 데이터 축적과 더불어 면밀한 상관 분석을 통해 수생태계 건강성의 악화 원인을 규명해야 할 필요가 있다. 그러나 수많은 지류하천을 대상으로 한 지속적인 모니터링은 현실적으로 어려움이 있으며, 수생태계의 특성 상 단일 영향 인자만으로 수생태계의 건강성 변화와의 관계를 정확히 파악하는데 한계가 있다. 따라서 지류하천에서의 유량 및 수질의 시공간적인 변동성과 다양한 영향 인자를 고려하여 수생태계의 건강성을 효율적으로 예측할 수 있는 기술이 필요하다. 이에 본 연구에서는 경험적 데이터 기반의 머신러닝 모델 구축을 통해 미계측 하천에서의 수생태계 건강성 지수(BMI, TDI, FAI)의 등급(A to E)을 예측하고자 하였다. 머신러닝 모델은 학습 데이터셋의 양과 질에 따라 성능이 크게 달라질 수 있으며, 학습 데이터셋의 분포가 불균형적일 경우 과적합 또는 과소적합 문제가 발생할 수 있다. 이를 보완하고자 본 연구에서는 실제 측정망 데이터셋을 바탕으로 생성적 적대 신경망 GAN(Generative Adversarial Network) 알고리즘을 통해 머신러닝 모델 학습에 필요한 추가 데이터셋(유량, 수질, 기상, 수생태 등급)을 확보하였다. 머신러닝 모델의 성능은 5차 교차검증 과정을 통해 평가하였으며, GAN 데이터셋의 정확도는 실제 측정망 데이터셋의 정규분포와의 비교 분석을 통해 평가하였다. 최종적으로 SWAT(Soil and Water Assessment Tool) 모형을 통해 예측 된 미계측 하천에서의 데이터셋을 머신러닝 모델의 검증 자료로 사용하여 수생태계 건강성 등급 예측 정확도를 평가하였다. 본 연구에서의 GAN에 의해 강화된 머신러닝 모델은 수질 및 수생태 관리가 필요한 우심 지류하천 선정과 구조적/비구조적 최적관리기법에 따른 수생태계 건강성 개선 효과를 평가하는데 활용될 수 있을 것이다. 또한 이를 통해 예측된 미계측 하천에서의 수생태계 건강성 등급 자료는 수량-수질-수생태를 유기적으로 연계한 통합 물관리 정책을 수립하는데 기초자료로 활용될 수 있을 것이라 사료된다.

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Association between Participation in a Rehabilitation Program and 1-Year Survival in Patients Requiring Prolonged Mechanical Ventilation

  • Wanho Yoo;Myung Hun Jang;Sang Hun Kim;Soohan Kim;Eun-Jung Jo;Jung Seop Eom;Jeongha Mok;Mi-Hyun Kim;Kwangha Lee
    • Tuberculosis and Respiratory Diseases
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    • v.86 no.2
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    • pp.133-141
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    • 2023
  • Background: The present study evaluated the association between participation in a rehabilitation program during a hospital stay and 1-year survival of patients requiring at least 21 days of mechanical ventilation (prolonged mechanical ventilation [PMV]) with various respiratory diseases as their main diagnoses that led to mechanical ventilation. Methods: Retrospective data of 105 patients (71.4% male, mean age 70.1±11.3 years) who received PMV in the past 5 years were analyzed. Rehabilitation included physiotherapy, physical rehabilitation, and dysphagia treatment program that was individually provided by physiatrists. Results: The main diagnosis leading to mechanical ventilation was pneumonia (n=101, 96.2%) and the 1-year survival rate was 33.3% (n=35). One-year survivors had lower Acute Physiology and Chronic Health Evaluation (APACHE) II score (20.2±5.8 vs. 24.2±7.5, p=0.006) and Sequential Organ Failure Assessment score (6.7±5.6 vs. 8.5±2.7, p=0.001) on the day of intubation than non-survivors. More survivors participated in a rehabilitation program during their hospital stays (88.6% vs. 57.1%, p=0.001). The rehabilitation program was an independent factor for 1-year survival based on the Cox proportional hazard model (hazard ratio, 3.513; 95% confidence interval, 1.785 to 6.930; p<0.001) in patients with APACHE II scores ≤23 (a cutoff value based on Youden's index). Conclusion: Our study showed that participation in a rehabilitation program during hospital stay was associated with an improvement of 1-year survival of PMV patients who had less severe illness on the day of intubation.

The Effects of Mental Health Nursing Simulation Practice Using Standardized Patients on Learning Outcomes -Learning Motivation, Learning Self-Efficacy, Learning Satisfaction, Transfer Motivation- (표준화 환자를 활용한 정신간호 시뮬레이션 실습 교육 효과 -학습동기, 학습자기효능감, 학습만족도, 전이동기-)

  • Kim Namsuk;Song Ji-Hyeun
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.259-268
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    • 2023
  • The purpose of this study was to verify the effectiveness of mental simulation practice training using standardized patients for nursing students. This study is a single-group pre- and post-design study, and for data collection, a structured questionnaire was provided to 95 nursing students from a university located in J. The collected data was analyzed using the SPSS/WIN 27.0 program. Results of the study The mental simulation practice training program using standardized patients improved the subject's learning motivation (t=-2.011, p=.046), learning self-efficacy (t=-2.225, p=.027), and learning satisfaction (t=-). 3.428, p=.001) and transfer motivation (t=-2.628, p=.009). In addition, as a result of analyzing the self-assessment contents by text mining, words related to mental simulation practice education using standardized patients included situation, experience, acting, communication, scenario, and mental nursing clinical practice, and words related to satisfaction were actual, There was help, response, understanding, variety, etc. As a result of this study, an environment similar to the actual situation was implemented, and the mental simulation training program applying various cases was found to be effective in practical education of nursing students, so it is necessary to actively utilize it to improve the ability to adapt to the field in the future.

Current status of brominated flame retardants (BFR) and polybrominated dibenzo-p-dioxins and furans (PBDDs/PBDFs) (브롬화난연제 및 브롬화다이옥신류의 연구동향)

  • Kwon, Myung-Hee;Song, Ki-Bong;Kang, Yung-Ryul;Hwang, Seung-Ryu;Shin, Sun Kyoung;Kim, Kum-Hee;Park, Jin Soo;Kim, Sue-Jin;Lee, Su-Yung;Kim, Dong-Hoon;Jung, Kwang-Yong
    • Analytical Science and Technology
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    • v.21 no.6
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    • pp.443-458
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    • 2008
  • Brominated flame retardants (BFRs) are chemical compounds that inhibit the combustion of organic materials by scavenging free radicals that would otherwise encourage the spread of flames. These compounds are found in a wide variety of materials including paints, plastics, textiles, furniture and electronics. Mounting evidence, however, suggests that the non-reactive BFRs can easily leach into the environment and pose significant environmental and health concerns. PBDDs/PBDFs are often formed in the process of manufacturing brominated flame retardants and from the combustion of waste products containing flame retardants BFR. Therefore, this paper describes the general characteristics, management status, residual concentration in environments and analytical method.

Assessment of In vitro Antioxidant, Antidiabetic and Cytotoxic Activities of Sphaeranthus africanus Extracts

  • Tran Thi Huyen;Julien Dujardin;Nguyen Thi Thu Huong;Chung Thi My Duyen;Nguyen Hoang Minh;Ha Quang Thanh;Dao Tran Mong;Ly Hai Trieu;Nguyen Mai Truc Tien;Mai Thanh Chung;Nguyen Nhat Minh;Nguyen Thi Ngoc Dan;Huynh Loi
    • Natural Product Sciences
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    • v.29 no.2
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    • pp.98-103
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    • 2023
  • Sphaeranthus africanus is commonly used as a traditional remedy for sore throats and pain treatment in Vietnam. The aerial parts have been studied for its anti-inflammatory and anti-proliferative properties. However, the antioxidant and antidiabetic potential of the plant has not been explored. In this work, hydrophilic extracts of the plant's aerial parts were prepared in order to investigate its antioxidant and anti-diabetic properties. Also, the cytotoxicity of the root was evaluated and compared to that of the aerial parts. All of the extracts inhibited lipid peroxidation with IC50 values ranging from 2.05 to 3.56 ㎍/mL, indicating substantial antioxidant activity. At an IC50 value of 4.80 ㎍/mL, the 50% ethanol extract exhibited the most potent inhibition of α-glucosidase. The cytotoxic activity of root extracts is 2 to 5-fold less than that of the aerial parts. Nevertheless, dichloromethane and ethyl acetate extracts of the root demonstrated a selective effect on leukemia cells, with no harm towards the normal HEK-293 cell line. This work provides a scientific support for the antioxidant and antidiabetic activity of the plant. Hence, it may find a promising material for the development of novel antioxidant and antidiabetic agents. More research can be conducted on the phytochemistry and anticancer activities of the plant's root.

A study on environmental status, FIM and Illness intrusiveness of home stayed stroke patients (재가 노졸중 환자의 환경상태, 기능적 독립, 질병으로 인한 장애영향에 관한 연구)

  • Kim, Keum Soon;Roh, Kook Hee
    • 한국노년학
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    • v.25 no.2
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    • pp.143-154
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    • 2005
  • This study was conducted to examine the environmental status, FIM(Function Independence Measure), Illness intrusiveness of home stayed stroke patients. Data were collected on 145 patients living in K city and the neighborhood located in southern part of Korea. The data were analyzed by means of SPSS program. Results : In assessment of environmental safety, 46.2%(67) felt unsafe around their residential area. The most dangerous facilities in their residence was stairs(58.2%), gas/electric facilities(14.9%). For sanitary problems, 28.2%(41) felt they have problems at their home. The most important problems were outdoor polluted toilet(22.0%) and scattered and dirty residential circumstances(22.0%). The average FIM score was 74.52(4.14) of total score 126(7). In motor area FIM was lowest at stair walking(3.01) and bathing(3.16). In cognitive area FIM was lowest at social activities(3.36). The mean score of Illness intrusiveness was 58.86(4.52) of total score 91(7). The major area largely impacted by stroke were health(5.61), working(5.68), active leisure activities(5.56). There was significant reverse correlation between FIM and illness intrusiveness(r=-0.66, p=0.00). Conclusion : It was needed environmental improvement and rehabilitation program for stroke patients, and repeated follow up study.