• 제목/요약/키워드: Logistic Loss

검색결과 169건 처리시간 0.028초

두부 외상 후 두개골 골절 환아의 두개내 출혈 위험요인 (Risk Factors of Intracranial Hemorrhage in Skull Fracture after Pediatric Head Trauma)

  • 지명희;최혜란
    • Journal of Korean Biological Nursing Science
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    • 제22권1호
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    • pp.45-52
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    • 2020
  • Purpose: The purpose of this study was to investigate the risk factors of intracranial hemorrhage in children with skull fractures from head trauma. Methods: The retrospective study included 205 patients diagnosed with a skull fracture in a pediatric emergency room. Data were analyzed using 𝓍2-test, Fisher's exact test, t-test, and logistic regression analysis with the SPSS/WIN24.0 program. Results: Intracranial hemorrhage was diagnosed in 71 patients. There were statistically significant differences between the hemorrhagic group and non-hemorrhagic group in age group, places of accident, type of accident, location of the fracture, and symptoms. Intracranial hemorrhage by age group was higher in school-age and adolescence than in infancy. The places of accidents of hemorrhage were higher in street and school than in the home. The types of an accident of bleeding were higher in the case of knock and traffic accident than in fall. Symptoms of nausea, headache, and loss of consciousness were associated with higher intracranial hemorrhage. Multivariable logistic regression analysis showed that knock (OR= 3.29, 95% CI= 1.50-7.22), traffic accident (OR= 4.78, 95% CI= 1.31-17.43), nausea (OR= 4.18, 95% CI= 1.42-12.31), and loss of consciousness (OR= 3.29, 95% CI= 1.41-9.50) were risk factors for intracranial hemorrhage. Conclusion: In this study, the risk factors of intracranial hemorrhage were identified in pediatric patients with skull fractures caused by head trauma. It is recommended that the results of this study be used to manage and educate patients, caregivers, and medical staff after head trauma hemorrhage.

Association between cadmium exposure and hearing impairment: a population-based study in Korean adults

  • Jung, Da Jung
    • Journal of Yeungnam Medical Science
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    • 제36권2호
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    • pp.141-147
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    • 2019
  • Background: The present study aimed to evaluate the clinical association between cadmium exposure and hearing impairment among the Korean population. Methods: This retrospective cross-sectional study used the data obtained from the Korean National Health and Nutrition Examination Survey were used for our study. Finally, 3,228 participants were included in our study, which were then divided into quartiles based on their blood cadmium levels: first quartile (1Q), second quartile (2Q), third quartile (3Q), and fourth quartile (4Q) groups. The hearing thresholds were measured using an automatic audiometer at 0.5, 1, 2, 3, 4, and 6 kHz. Hearing loss (HL) was defined as >25 dB average hearing threshold (AHT). Results: All the groups had 807 participants each. The area under the receiver operating characteristic curves of cadmium level for HL were 0.634 (95% confidence interval [CI], 0.621-0.646). The participants in the 4Q group had higher Low/Mid-Freq, High-Freq, and AHT values than those in the other groups in the multivariate analysis after adjusting for confounding factors. The logistic regression showed that the OR for HL per $1{\mu}g/L$ increase in cadmium was 1.25 (95% CI, 1.09-1.44; p=0.002) on the multivariate analysis. Moreover, the multivariate logistic regression analyses revealed that the participants in the 4Q group exhibited a 1.59-, 1.38-, and 1.41-fold higher odds for HL than those in the 1Q, 2Q, and 3Q groups, respectively. Conclusion: High cadmium level quartile was associated with increased hearing thresholds and HL among the Korean adult population.

Comparison of panoramic radiography with cone beam CT in predicting the relationship of the mandibular third molar roots to the alveolar canal

  • Shahidi, Shoaleh;Zamiri, Barbod;Bronoosh, Pegah
    • Imaging Science in Dentistry
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    • 제43권2호
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    • pp.105-109
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    • 2013
  • Purpose: Preoperative radiographic assessment of the mandibular third molars is essential to prevent inferior alveolar nerve damage during extraction. The purpose of this study was to assess the reliability of panoramic signs of association between the roots of teeth and the canal, and to compare the panoramic signs with cone beam computed tomography (CBCT) findings. Materials and Methods: CBCT images of 132 impacted mandibular third molars were evaluated to determine the association of the root to the canal. The CBCT findings were compared with the corresponding panoramic images. Logistic regression analysis was used to define the diagnostic criteria of the panoramic images. Results: Among the panoramic signs, loss of the cortical line was the most frequent radiographic sign predicting association (sensitivity: 79.31). Contact of the tooth with the canal was observed in all cases in which the loss of cortical line of the canal or darkening of the roots was found on the panoramic radiographs. Conclusion: Darkening of the roots and loss of the cortical line on panoramic radiographs might be highly suggestive of the risk of nerve injury.

학업요인이 비만청소년의 체중감량 노력에 미치는 영향 (The Influences of Academic Factors on Body Weight Loss Efforts among Obese Adolescents)

  • 노영민;윤은경
    • 동서간호학연구지
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    • 제24권1호
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    • pp.63-69
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    • 2018
  • Purpose: The purpose of this study was to investigate the factors related to the academic burden on weight loss efforts among adolescents aged 12-18 in Korea. Methods: This study analyzed 29,069 obese adolescents (10.8%) using raw data of the 9th~12th the Korea Youth Risk Behavior Web-based Survey collected from 2013 to 2016. The data was analyzed using descriptive statistics, Chi-square and multivariate logistic regression. Results: Weight control efforts were significantly higher among girls, middle school students, those who are participating in nutrition education, and individuals with perceived fatness or perceived stress. Additionally, a long sitting time and high academic performance were found to be variables affecting the weight control efforts of adolescents. Conclusion: Obese adolescents in Korea spent a lot of time in their studies due to their academic burdens and this caused a lack of time to adjust their weight. Therefore, it is needed to establish a policy by considering these social and cultural factors for obese adolescents in Korea.

유지 치주치료에 대한 환자 협조도 분석 (Patient compliance with supportive periodontal therapy)

  • 이혜원;박진우;서조영;이재목
    • Journal of Periodontal and Implant Science
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    • 제39권2호
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    • pp.193-198
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    • 2009
  • Purpose: The purpose of this study was to evaluate the compliance to maintenance schedules recommended supportive periodontal therapy(SPT) and to determine differences in the characteristics of compliant and non-compliant patients. Methods: 414 patients commencing SPT after active periodontal treatment from 2003 to 2005 were included in this study. Based on their compliance with the suggested maintenance schedule, patients were classified as compliant and non-compliant groups. Also patients classified by gender, age, degree of alveolar bone loss and treatment rendered. The association between compliance and patient characteristics was assessed by odds ratio in logistic regression analyses. Results: Only 47% of the initial patient was found to be compliant at the end of August 2008 and 20.8% patients were lost in the first year of SPT. There were significant differences between compliant and non-compliant regard to age, degree of alveolar bone loss and treatment rendered. Conclusions: In conclusion, compliance with SPT generally poor and patients who were older, treated surgical therapy and with mild alveolar bone loss are more compliant to SPT.

한국 성인의 청력 상태: 국민건강영양조사 분석 (Hearing Status in Korean Adults according to the Fourth Korea National Health and Nutrition Examination Survey 2009)

  • 김지수;이봉숙
    • 한국보건간호학회지
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    • 제25권2호
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    • pp.197-208
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    • 2011
  • Background: This study investigated the hearing status in Korean adults according to data from the Korea National Health and Nutrition Examination Survey 2009. Methods: The data of 3,479 adults(${\geq}20$ years, 1,492 men, 1,987 women) collected by the Korean Center for Disease Control was analyzed using ${\chi}^2$-test and logistic regression. Results: Differences in hearing loss according to individual factors were evident by follows gender, region, education status, economic status, current smoking and recognition of stress. Differences in - hearing loss according to ear related factors were evident subjective hearing status, experience of tinnitus, prevalence of chronic otitis media, and tympanomembrane abnormality. Conclusion: Hearing-related disorders can cause many social problems. This study investigated a representative cross-section of Koreans to determine the hearing status. The study was limited in that the risk factors of hearing loss were not identified. It is also recommended that a program be developed that can help control the variables identified in this study along with follow-up studies to verify the model.

감각신경성 청력손실에 영향을 미치는 제 요인에 관한 연구 (Evaluation of factors affecting sensory neural hearing loss)

  • 홍성철;배성욱;이종영
    • Journal of Preventive Medicine and Public Health
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    • 제31권2호
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    • pp.249-264
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    • 1998
  • 감각신경성 난청은 성인에서 장애의 원인 중 큰 비중을 차지하고 있으며, 특히 소음성 난청은 흔한 직업병 중의 하나이며 산업보건사업의 주요 관심 중의 하나이다. 그러나 소음폭로와 노화를 제외하고는 대부분의 경우 그 원인이 규명되지 않고 있는 실정이다. 그러므로 난청에 대한 개인간의 감수성을 결정하는데 중요한 요인을 찾는 것은 중요하며 최근 청력손실의 측정치로서 소음 외 변수와의 상관성을 연구함으로써 청력손실에 대한 개인의 감수성의 차이를 밝히려는 많은 시도가 있었다. 특히 소음성 난청에 대한 많은 연구가 있어 왔지만 소음성 난청에 대한 감수성의 개인차에 대해서는 만족하게 설명하지 못하고 있다. 본 연구는 소음 비폭로자를 대상으로 소음폭로 이외 감각신경성 난청을 유발하는 잠재적 위험 인자들을 찾아내어 그 위험인자들의 역할을 평가하기 위해 주로 심혈관 위험인자와 지혈 및 혈액점도 요인이 청력손실에 미치는 영향에 대해 조사하였다. 대구시내 모 대학병원에서 91년에서 96년까지 종합검진을 받은 3050명을 대상으로 하여 청력검사와 혈액검사 및 생화학 검사 결과를 검진자료에 추출하여 위험인자들과 청력손실간의 관련성을 연구하였다. 그 결과 소음을 제외하고 감각신경성 청력손실에 미치는 영향으로 연령과 성별이 가장 크며, 성별 분포의 차이는 연구 변수에는 포함되지 않는 흡연력, 취미, 과거 소음폭로 등이 영향을 미친 것으로 보이며 본 연구에서는 확인할 수 없었다. 그리고 심혈관 위험인자인 체격지수, 혈압, 총콜레스테롤, 중성지방이 양의 영향을 알부민은 음의 영향을 어느 정도 미치는 것으로 보인다. 혈중점도 및 지혈인자와 관련하여 헤마토크릿, 백혈구, 혈소판 용적백분율, 적혈구침강속도가 어느 정도 양의 관련성이 있는 것으로 나타났다. 그리고 심혈관 위험인자와 혈액점도 및 지혈인자는 상호 관련성이 있으며, 이들과 소음노출 등이 서로 상호 작용하여 청력에 나쁜 영향을 미치는 것으로 보인다.

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임플란트의 생존과 변연골 소실에 영향을 미치는 인자들 (Factors associated with the survival and marginal bone loss of dental implants: a 5-year retrospective study)

  • 송을락;이재관;엄흥식;박세환;장범석
    • 구강회복응용과학지
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    • 제32권4호
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    • pp.280-292
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    • 2016
  • 목적: 이 연구의 목적은 임플란트의 생존율과 주위 변연골 수준을 후향적으로 평가하여, 술자의 임상적 경험을 포함한 요인들이 미치는 영향을 분석하고자 하였다. 연구 재료 및 방법: 2002년 1월부터 2009년 3월까지 강릉원주대학교치과병원 치주과에서 전공의가 2단계법으로 식립한 임플란트 중 5년 이상의 기록이 있는 146명의 420개 임플란트를 대상으로, 임플란트 탈락여부, 주위 골 소실량, 성별, 연령, 2형 당뇨, 흡연, 지대주 연결 형식, 표면 처리 방법, 직경, 식립 부위, 식립 당시 전공의 연차, 덮개 나사의 조기 노출, 보철학적 합병증, 동반된 골 이식 술식 등의 영향을 평가하였다. 결과: 최종 보철물 장착 후 5년간 누적생존율은 94.9% 이었다. 이원로지스틱회귀분석 결과, 흡연과 덮개 나사의 조기 노출이 실패율을 유의하게 증가시켰다. 다중회귀분석 결과, 흡연, 임플란트 지대주 연결 형식, 및 표면 처리 방법이 임플란트 주위 변연골 수준 변화에 유의한 영향을 주었다. 술자의 임상경험을 반영하기 위한 식립 당시의 전공의 수련 연차는 임플란트의 실패와 유의한 연관성은 보이지 않았다(P = 0.171). 결론: 흡연, 덮개 나사의 조기 노출, 지대주 연결 형식 및 표면 처리 방법이 임플란트의 성공과 유의한 상관관계를 보이는 것으로 생각된다.

Production of Glutaminase (E.C. 3.2.1.5) from Zygosaccharomyces rouxii in Solid-State Fermentation and Modeling the Growth of Z. rouxii Therein

  • Iyer, Padma;Singhal, Rekha S.
    • Journal of Microbiology and Biotechnology
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    • 제20권4호
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    • pp.737-748
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    • 2010
  • Glutaminase production in Zygosaccharomyces rouxii by solid-state fermentation (SSF) is detailed. Substrates screening showed best results with oatmeal (OM) and wheatbran (WB). Furthermore, a 1:1 combination of OM:WB gave 0.614 units/gds with artificial sea water as a moistening agent. Evaluation of additional carbon, nitrogen, amino acids, and minerals supplementation was done. A central composite design was employed to investigate the effects of four variables (viz., moisture content, glucose, corn steep liquor, and glutamine) on production. A 4-fold increase in enzyme production was obtained. Studies were undertaken to analyze the time-course model, the microbial growth, and nutrient utilization during SSF. A logistic equation ($R^2$=0.8973), describing the growth model of Z. rouxii, was obtained with maximum values of ${\mu}_m$ and $X_m$ at $0.326h^{-1}$ and 7.35% of dry matter weight loss, respectively. A goodfit model to describe utilization of total carbohydrate ($R^2$=0.9906) and nitrogen concentration ($R^2$=0.9869) with time was obtained. The model was used successfully to predict enzyme production ($R^2$=0.7950).

한국 프로야구의 승률 추정 (The estimation of winning rate in Korean professional baseball league)

  • 김순귀;이영훈
    • Journal of the Korean Data and Information Science Society
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    • 제27권3호
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    • pp.653-661
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    • 2016
  • 본 연구에서는 한국 프로야구의 승률을 추정하기 위하여 야구 경기의 피타고라스 정리라고 불리우는 방법을 사용하였고, 이 방법을 확장한 일반화 피타고라스 정리도 이용하면서 일반화 피타고라스 정리의 최적 지수 값을 찾아보았다. 그리고 다른 추정 방법들인 로지스틱 모형과 프로빗 모형의 사용을 제안하였다. 평균제곱오차의 제곱근 (RMSE)을 판정기준으로, 피타고라스 정리와 제안된 모형들의 효율성을 서로 비교하였다. 사용한 자료는 1982년부터 2015년 7월까지의 모든 한국 프로야구 기록이며, 제안한 방법은 일반화 피타고라스 정리를 이용한 승률 추정 방법보다 평균제곱오차의 관점에서 다소 나아졌음을 보여준다.