• 제목/요약/키워드: PSM Model

검색결과 74건 처리시간 0.029초

Effect of Stent Placement on Survival in Patients with Malignant Portal Vein Stenosis: A Propensity Score-Matched Study

  • Dong Jae Shim;Jong Woo Kim;Doyoung Kim;Gi-Young Ko;Dong Il Gwon;Ji Hoon Shin;Yun-Jung Yang
    • Korean Journal of Radiology
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    • 제23권1호
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    • pp.68-76
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    • 2022
  • Objective: Percutaneous portal vein (PV) stent placement can be an effective treatment for symptoms associated with portal hypertension. This study aimed to evaluate the effect of PV stenting on the overall survival (OS) in patients with malignant PV stenosis. Materials and Methods: Two groups of patients with malignant PV stenosis were compared in this retrospective study involving two institutions. A total of 197 patients who underwent PV stenting between November 2016 and August 2019 were established as the stent group, whereas 29 patients with PV stenosis who were treated conservatively between July 2013 and October 2016 constituted the no-stent group. OS was compared between the two groups before and after propensity score matching (PSM). Risk factors associated with OS were evaluated using the Cox proportional hazards model. Procedure-associated adverse events were also evaluated. Results: The stent group finally included 100 patients (median age, 65 [interquartile range, 58-71] years; 64 male). The no-stent group included 22 patients (69 [61-75] years, 13 male). Stent placement was successful in 95% of attempted cases, and the 1- and 2-year stent occlusion-free survival rate was 56% (95% confidence interval, 45%-69%) and 44% (32%-60%), respectively. The median stent occlusion-free survival time was 176 (interquartile range, 70-440) days. OS was significantly longer in the stent group than in the no-stent group (median 294 vs. 87 days, p < 0.001 before PSM, p = 0.011 after PSM). The 1- and 3-year OS rates before PSM were 40% and 11%, respectively, in the stent group. The 1-year OS rate after PSM was 32% and 5% in the stent and no-stent groups, respectively. Anemia requiring transfusion (n = 2) and acute thrombosis necessitating re-stenting (n = 1) occurred in three patients in the stent group within 1 week. Conclusion: Percutaneous placement of a PV stent may be effective in improving OS in patients with malignant PV stenosis.

초등학교 학생들의 자기장 개념 분석과 인지양식의 차이에 따른 대안실험의 효과 (The Effect of an Alternative Experiment for the Formation of Student's Conceptions about the Magnetic Fields of a Permanent Magnet by Cognitive Styles)

  • 오광택;윤석주
    • 한국자기학회지
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    • 제26권5호
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    • pp.159-167
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    • 2016
  • 초등학교 6학년 과학교과 영구자석 주위의 자기장에 대한 학습에서 나타나는 학생들의 자기장 개념 유형을 조사하였다. 그리고 학생들의 영구자석 주위의 자기장에 대한 오개념 개선을 위한 나침반을 사용하는 대안실험을 제안하였으며 학생들의 인지양식에 따른 효과를 비교하였다. 영구자석 주위에 철가루를 뿌려 관찰한 자기장에 대해 부분 분포 모형, 극 분리 모형, 균질 분포 모형, 장 모형의 4가지 개념 모형이 나타났으며, 영구자석과 나침반을 이용하여 자기장을 관찰한 실험에서는 철가루 실험에서 나타났던 자기장 모형들이 연속, 변형, 복잡화되었는데 극 분리 모형, 복합 균질 분포 모형, 장 모형의 3가지 자기장 개념 모형으로 나타났다. 대안실험을 통해서 올바른 자기장 개념의 형성 비율이 장의존적인 학생들에게 유의미하게 높은 것으로 나타났다.

Development and effects of a webtoon education program on preventive self-management related to premature labor for women of childbearing age: a randomized controlled trial

  • Kim, Sun-Hee
    • 여성건강간호학회지
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    • 제28권3호
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    • pp.250-263
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    • 2022
  • Purpose: The purpose of this study was to develop a webtoon education program on preventive self-management related to premature labor (PSM-PL) for women of childbearing age, to evaluate its effects, and to assess the usability of webtoon education for women of childbearing age. Methods: The study design was a stratified randomized trial with repeated measures. The participants were Korean women of childbearing age (between the ages of 19 and 49 years), with 49 participants each. The preventive health management self-efficacy related to premature labor (PHMSE-PL) scale, the preventive self-management knowledge related to premature labor (PSMK-PL) scale, and usability of webtoon education were assessed. The intervention group read six episodes of the PSM-PL webtoon within 2 days after clicking an online link. The control group did not receive anything but was given the webtoon after the last measurement. To test the effect of the repeatedly measured variables, a generalized estimating equation model was used. Results: The experimental group had statistically significantly greater increases in PHMSE-PL and PSMK-PL scores from baseline to immediately after and 2 weeks later than the control group. The average score for usability of webtoon education was high (4.52; standard deviation, 0.62) on a scale of 1-5. Conclusion: This webtoon education program on PSM-PL was a feasible and acceptable program that increased self-efficacy and knowledge of preventive health management of premature labor in women of childbearing age. Future studies that adopt a webtoon format can be beneficial for childbearing women with other risk factors.

Credit Rationing and Trade Credit Use by Farmers in Vietnam

  • LE, Ninh Khuong;PHAN, Tu Anh;CAO, Hon Van
    • The Journal of Asian Finance, Economics and Business
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    • 제8권4호
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    • pp.171-180
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    • 2021
  • The purpose of this paper is to estimate the impact of credit rationing on the amount of trade credit used by farmers in Vietnam. This study employs a survey data collected through direct interviews with heads of 1,065 rice households randomly selected out of provinces and city in the Mekong River Delta (MRD). In each province or city, the village with the largest area of land devoted to rice production from the district with the largest area of land devoted to rice production was picked up for survey. In each village, 200 rice farmers were randomly chosen for interview. Based on a probit model and a semi-parametric propensity score matching (PSM) estimator while controlling socio-demographic traits of rice farmers, the estimated results show that non-credit rationed farmers use less trade credit to finance production compared to their credit rationed counterparts. Moreover, the amount of trade credit used by farmers decreases as the degree of credit rationing drops. This paper provides evidence of the substitutive relationship between bank credit and trade credit. It also implicitly suggests that banks can drive trade creditors out of the market if they manage to solve the problem of information asymmetry and transaction cost.

Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy

  • Takai, Tomoaki;Inamoto, Teruo;Komura, Kazumasa;Tsujino, Takuya;Matsunaga, Tomohisa;Yoshikawa, Yuki;Uchimoto, Taizo;Saito, Kenkichi;Tanda, Naoki;Minami, Koichiro;Uehara, Hirofumi;Ibuki, Naokazu;Takahara, Kiyoshi;Nomi, Hayahito;Kiyama, Satoshi;Azuma, Hayahito
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1373-1377
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    • 2016
  • Background: We vigorously reviewed patients' operation record who had adhesion of the Denonvilliers' fascia and found out most of these patients had prostatic bleeding after prostatic gland biopsies. We examined the magnitude of prostatic bleeding and frequency after biopsies and the relationship with oncological outcomes. Materials and Methods: A total of 285 patients were selected for the final analyses. Inclusion criteria were as follows: receiving MRI three weeks after biopsiesand laparoscopic radical prostatectomy within 300 days after biopsy. We divided the patients into two groups with (group A) or without (group B) prostatic bleeding. We examined the magnitude of prostatic bleeding after biopsies and the relationship with operation time (OT), positive surgical margin (PSM), biochemical recurrence (BCR) and other factors. Furthermore, we created a logistic-regression model to derive a propensity score for prostatic bleeding after biopsies, which included all patient and hospital characteristics as well as selected interaction terms, and we examined the relationship with PSM and BCR. Results: In all patients, the OT in the group B was shorter than the group A (p < 0.001). Prostatic bleeding was associated with PSM (p=0.000) and BCR (p=0.036). In this propensity-matched cohort, 11 of 116 patients in the group B had PSM as compared with 36 of 116 patients from group A (match-adjusted odds ratio, 4.30; 95%CI confidence interval, 2.06 to 8.96; P=0.000). In addition, eight of 116 patients in group B encountered BCR, as compared with 18 of 116 patients in group A (match-adjusted odds ratio, 2.48; 95%CI, 1.03 to 5.96; P=0.042). Kaplan-Meier analysis in the propensity matching cohort showed a significant biochemical recurrence-free survival advantage for being free of prostate bleeding after biopsies. Conclusions: Our findings in the present cohort should help equip surgeons to pay attention to careful excision especially for those who experienced deferred prostatic bleeding.

증기운 폭발시의 예상최대손실 산정을 위한 전문가 시스템 개발 (A Development of Expert System for the Estimated Maximum Loss of Vapor Cloud Explosion)

  • 김원철
    • 한국화재소방학회:학술대회논문집
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    • 한국화재소방학회 1996년도 학술발표회
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    • pp.37-42
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    • 1996
  • The assessment of catastrophic accidents such as BLEVE, vapor cloud explosion, and toxic material releases in the chemical process industries(CPI) shall be carried out according to the Requirement of PSM/SMS enforced by Korea Government Agencies, but reasonable models are not proposed for the practical application. The traditional models, TNT Equivalency Model, are well-known and helpful for the assessment of vapor cloud explosion. However, the estimated-damage-area using the traditional model has much more deviations comparing to the real damage caused by vapor cloud explosion suffered before. These are why an expert system for the assessment of vapor cloud explosion has been developed, which is based on theoretical, statistical and experimental data, and it would be helpful for CPI to evaluate the damage-area in case of vapor cloud explosion.

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장대 PC교량의 최적 내진설계 및 성능개선을 위한 최소 기대 Life Cycle Cost 모델 (Minimum Expected Life Cycle Cost Model for Optimal Seismic Design and Upgrading of Long Span PC Bridges)

  • 조효남;임종권
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 1999년도 봄 학술발표회 논문집
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    • pp.305-312
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    • 1999
  • This study is intended to propose a systematic and practical life cycle cost(LCC) model for the development of the reliability-based seismic safety and cost-effective performance criteria for design and upgrading of long-span PC bridges. The LCC models consist of five cost functions such as initial cost, repair/replacement cost, human losses, road user cost, and indirect losses of regional economy. The proposed model Is successfully expressed in temrs of Park-Ang damage indices and life cycle damage probability obtained from SMART-DRAIN-2DX which is an existing algorithm for nonlinear time history analysis. The proposed LCC model is successfully applied to a viaduct constructed by PSM, in Seoul. Based on the observations, the proposed systematic procedure for the formulation of LCC model may be useful for the development of the reliability-based seismic safety and cost-effective performance criteria for design and upgrading of long-span PC bridges.

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RTOS-기반 임베디드 소프트웨어를 위한 모델기반 개발방법 (Model-Driven Development of RTOS-based Embedded Software)

  • 맹지찬;김종혁;유민수
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2006년도 춘계학술발표대회
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    • pp.1325-1328
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    • 2006
  • 본 논문에서는 RTOS 기반 임베디드 소프트웨어 개발에 적합한 모델기반 방법론을 제안하고 이와 함께 개발된 자동코드생성 도구를 기술한다. 현재까지 알려진 대표적인 모델기반 방법론으로는 OMG (Object Management Group)의 MDA (Model-Driven Architecture)가 있으며, MDA 에서는 EJB, 웹서비스,.NET, 그리고 CORBA 와 같은 미들웨어 플랫폼을 대상으로 하는 응용 소프트웨어의 개발을 지원한다. 하지만, 통상적인 임베디드 시스템은 실시간성에 대한 요구조건은 물론 성능과 자원활용에 있어 많은 제약을 가짐에 따라 상당수의 임베디드 시스템은 미들웨어를 사용하지 않고 RTOS 상에서 직접 수행되도록 개발되고 있다. 이에 따라 본 연구에서는 MDA 방법론을 확장하여 플랫폼 의존적인 모델 (PSM, Platform Specific Model) 단계에서 추상화된 RTOS 행위를 표현할 수 있도록 추상 RTOS API (Generic RTOS API)를 정의하고, 아울러 추상화된 RTOS 행위를 자동으로 변환하여 C 코드를 생성해주는 도구인 TransPI 를 함께 제시한다.

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A Systematic Design Automation Method for RDA-based .NET Component with MDA

  • Kum, Deuk Kyu
    • 인터넷정보학회논문지
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    • 제20권2호
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    • pp.69-76
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    • 2019
  • Recent Enterprise System has component driven real-time distributed architecture (RDA) and this kind of architecture should performed with satisfying strict constraints on life cycle of object and response time such as synchronization, transaction and so on. Microsoft's .NET platform supports RDA and is able to implement services including before mentioned time restriction and security service by only specifying attribute code and maximizing advantages of OMG's Model Driven Architecture (MDA). In this study, a method to automatically generate an extended model of essential elements in an enterprise-system-based RDA as well as the platform specific model (PSM) for Microsoft's .NET platform are proposed. To realize these ideas, the functionalities that should be considered in enterprise system development are specified and defined in a meta-model and an extended UML profile. In addition, after defining the UML profile for .NET specification, these are developed and applied as plug-ins of the open source MDA tool, and extended models are automatically generated using this tool. Accordingly, by using the proposed specification technology, the profile and tools can easily and quickly generate a reusable extended model even without detailed coding-level information about the functionalities considered in the .NET platform and RDA.

노인장기요양보험제도가 대상노인 및 부양가족의 삶의 질과 가족관계 만족도에 미치는 영향 - 성향점수매칭(PSM)과 이중차이(DD) 결합모형을 이용한 분석 - (The Effects of Long-term Care Insurance on the Life Satisfaction and Satisfaction in Family Relationships - The DD Method Combined with Propensity Score Matching -)

  • 권현정;조용운;고지영
    • 한국사회복지학
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    • 제63권4호
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    • pp.301-326
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    • 2011
  • 이 연구는 우리나라 노인장기요양보험의 제도성과를 평가하는데 그 목적이 있다. 정확한 제도성과를 추정하기 위하여 준실험적 방법인 성향점수매칭과 이중차이 결합모형을 이용해 타당성을 저해할 수 있는 요인들을 제거하였다. 노인장기요양보험제도가 사회적 성과변수인 대상노인과 부양가족의 삶의 질과 가족관계 만족도에 미치는 영향을 분석하기 위해 한국복지패널 3-4차 조사자료를 이용하여 성향점수추정을 통해 실험집단과 비교집단을 매칭한 후, 정책시행 이전과 이후 실험집단과 비교집단 간의 성과의 차이를 추정하기 위해 패널고정효과모형을 이용한 이중차이분석을 실시하였다. 그 결과, 노인장기요양보험제도의 대상노인과 부양가족의 삶의 질은 통계적으로 유의미하지 않았고, 가족관계 만족도는 제도시행 이전에 비해 제도시행 이후 향상된 것을 확인할 수 있었다. 이러한 결과는 노인장기요양보험이 실시되고 제도가 충분히 성숙된 시점에 이루어진 평가가 아니라는 한계점을 가지지만, 노인장기요양보험제도의 최종 목표인 대상노인과 부양가족의 삶의 질 향상이라는 정책의 목표실현과 향후 제도개선에 있어서 중요한 함의를 가진다.

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