• Title/Summary/Keyword: Poisson regression

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High prevalence of musculoskeletal pain in individuals with severe obesity: sites, intensity, and associated factors

  • Mendonca, Carolina Rodrigues;Noll, Matias;Santos, Annelisa Silva e Alves de Carvalho;Rodrigues, Ana Paula dos Santos;Silveira, Erika Aparecida
    • The Korean Journal of Pain
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    • v.33 no.3
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    • pp.245-257
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    • 2020
  • Background: Musculoskeletal pain is associated with obesity; however, information on factors associated with pain in adults with obesity and severe obesity is limited. The purpose of this study was to assess the prevalence of musculoskeletal pain by site and intensity of pain and associated factors in individuals with severe obesity (body mass index ≥ 35.0 kg/㎡). Methods: Baseline data from the DieTBra Trial study evaluating pain symptoms in nine body regions over the last seven days using the Nordic Questionnaire on Musculoskeletal Symptoms and Numerical Pain Scale. The variables analyzed using multiple Poisson regression with hierarchical analysis were: sociodemographic, lifestyle, food consumption, clinical, and anthropometric, and the outcome was moderate and intense pain. Results: In 150 participants, there was a high prevalence of ankle and foot pain (68.7%), lower back pain (62.7%), pain in the knees (53.3%) and upper back pain (52.0%), with a predominance of intense pain. Factors associated with pain according to specific sites were: type 2 diabetes with hand/wrist pain; sedentary time with hip pain; insomnia with pain in the hip and knee; edema in the lower limbs with pain in the lower back and ankles/feet; degree of obesity with ankle/foot pain; and percentage of total fat with ankle/foot pain. Conclusions: There was a high prevalence of pain and intense pain in individuals with severe obesity and an association with clinical variables, the degree of obesity, and sedentary lifestyle.

A Study on the Development of a Traffic Accident Ratio Model in Foggy Areas (안개지역의 교통사고심각도 모형개발에 관한 연구)

  • Lee, Soo-Il;Won, Jai-Mu;Ha, Oh-Keun
    • Journal of the Korean Society of Safety
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    • v.23 no.6
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    • pp.171-177
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    • 2008
  • As the risk of traffic accidents caused by mists emerged as a social problem, recently safety facilities to be prepared for mists are being actively installed when designing roads. But in some part, the facilities are being installed imprudently without analyzing the extent of occurrences of mists that would increase the risk of traffic accidents and appropriate countermeasures against the occurrences of mists are not being suggested. For that reason, in this study, first questionnaire surveys were executed on road users in order to draw the factors affecting the traffic accidents caused by mists, a mist traffic accident predicting model was developed and an accident seriousness determining model that can determine accident seriousness was developed. In this way, by extracting major factors affecting mist traffic accidents to grasp risk factors in roads to be caused by mists, safety of roads can be enhanced and traffic accidents in road operations can be decreased. As the affecting factors influencing mist traffic accidents, were extracted sightable distances, durations of mists and whether daytime or nighttime as major factors and the plan to install the facilities for the prevention of mist traffic accidents was suggested to prevent the traffic accidents to be caused by those factors and also the plan to operate roads considering sightable distances was suggested to solve the problem of insufficient sightable distances to be caused by mists was suggested. It is judged that the road safety in the areas where mists occur can be improved through foregoing methods.

Uncertainty Analysis of Stage-Discharge Curve Based on Bayesian Regression Model Coupled with Change-Point Analysis (Bayesian 회귀분석과 변동점 분석을 이용한 수위-유량 관계곡선 불확실성 분석)

  • Kwon, Hyun-Han;Kim, Jang-Gyeong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.364-364
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    • 2012
  • 수자원 연구의 주요 목적인 효과적인 홍수 및 가뭄관리를 하기 위해서는 그 연구의 기초가 되는 자료를 관측하고 정도(accuracy, 精度)를 향상시키는 연구 또한 매우 중요한 부분이라고 볼 수 있다. 이러한 점에서 수위-유량측정의 경우, 관측자의 숙련도와 계측기 오차에 따라 관측값에 미치는 영향이 큰 특징을 갖고 있어 유량측정의 정확성을 높이고자 진보된 계측기의 개발 및 분석 방법에 관한 연구는 꾸준히 진행되고 있다. 일반적으로 유량을 추정하기 위해서 특정 단면에서의 수위를 측정하여 이를 수위-유량 관계곡선을 통해서 유량으로 환산하고, 수위-유량 관계를 측정한 후 이를 회귀분석 방법으로 내삽 및 외삽을 실시하여 유량을 측정하게 된다. 그러나 수위-유량 관계곡선에서 저수위와 고수위를 하나의 곡선식으로 하게 되는 경우 정도가 낮아지게 되므로 많은 경우에 있어서 저수위, 고수위를 각각의 곡선으로 구하여 사용하고 있다. 문제는 이러한 경우 정량적으로 변곡점을 구하기보다는 경험적으로 저수위와 고수위를 구분하고 있으며, 수위-유량관계를 회귀식에 의해서 추정하게 되므로 이에 대한 불확실성이 발생하게 된다. 따라서 본 연구에서는 불확실성을 정량화시키기 위한 방법으로 Bayesian MCMC 기법을 활용하며 수위-유량 관계곡선식의 매개변수들의 사후분포를 추정하여 매개변수의 최적화 및 불확실성을 평가하였다. 앞서 언급되었듯이 저수위 및 고수위로 분리하여 수위-유량 곡선식을 도출하고 있으나 저수위 및 고수위를 분리하는 기준이 경험적이기 때문에 신뢰성이 저해되는 문제점이 발생한다. 본 연구에서는 수위-유량 곡선식의 매개변수들을 최적화 하는 동시에 Poisson 분포 기반의 변동점 분석이 연동되어 저수위 및 고수위를 분리할 수 있는 Bayesian 기반 통합 수위-유량 곡선 해석 방법을 개발하고자 한다.

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Evaluation of Indentation Fracture Toughens in Brittle Materials Based on FEA Solutions (유한요소해에 기초한 취성재료의 압입파괴인성평가)

  • Hyun, Hong Chul;Lee, Jin Heang;Felix, Rickhey;Lee, Hyungyil
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.37 no.12
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    • pp.1503-1512
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    • 2013
  • In this study, we proposed an indentation evaluation method for fracture toughness using cohesive finite element simulations. First, we examined the effect of material properties (yield strain, Poisson's ratio, and elastic modulus) on crack size during Vickers indentation and then generated a regression formula that explains the relations among fracture toughness, indentation load, and crack size. We also proposed another indentation formula for fracture toughness evaluation using the contact size a and E/H (H: hardness). Finally, we examined the relation between the crack size and the indenter shapes. Based on this, we can generate from the formula obtained using the Vickers indenter a formula for an indenter of different shapes. Using the proposed method, fracture toughness is directly estimated from indentation data.

Non-linear Relationship Between Body Mass Index and Lower Urinary Tract Symptoms in Korean Males

  • Choi, Chang Kyun;Kim, Sun A;Jeong, Ji-An;Kweon, Sun-Seog;Shin, Min-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.3
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    • pp.147-153
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    • 2019
  • Objectives: The purpose of this study was to evaluate the association between body mass index (BMI) and severe lower urinary tract symptoms (LUTS) in Korean males. Methods: This study was conducted on males aged ${\geq}50years$ who participated in the 2011 Korean Community Health Survey. LUTS severity was assessed using the Korean version of the International Prostate Symptom Score (IPSS) questionnaire, and was dichotomized as severe (IPSS >19) and non-severe ($IPSS{\leq}19$). BMI was divided into 6 categories: <18.5, 18.5-22.9, 23.0-24.9, 25.0-27.4, 27.5-29.9, and ${\geq}30.0kg/m^2$. To evaluate the relationship between BMI and LUTS, a survey-weighted multivariate Poisson regression analysis was performed to estimate prevalence rate ratios (PRRs). Age, smoking status, alcohol intake, physical activity, educational level, household income, and comorbidities were adjusted for in the multivariate model. Results: A U-shaped relationship was detected between BMI and severe LUTS. Compared with a BMI of $23.0-24.9kg/m^2$, the PRR for a BMI < $18.5kg/m^2$ was 1.65 (95% confidence interval [CI], 1.35 to 2.02), that for a BMI of $18.5-22.9kg/m^2$ was 1.25 (95% CI, 1.09 to 1.44), that for a BMI of $25.0-27.4kg/m^2$ was 1.20 (95% CI, 1.00 to 1.45), that for a BMI of $27.5-29.9kg/m^2$ was 1.11 (95% CI, 0.83 to 1.47), and that for a BMI ${\geq}30.0kg/m^2$ was 1.85 (95% CI, 1.18 to 2.88). Conclusions: This study showed that both high and low BMI were associated with severe LUTS.

Incidence of Falls and Risk Factors of Falls in Inpatients (입원환자의 낙상 실태 및 위험요인 조사연구)

  • Yoon, Soo-Jin;Lee, Chun-Kyon;Jin, In-Sun;Kang, Jung-Gu
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.2-14
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    • 2018
  • Purpose: The objective of this study was to report the incidence of falls in hospitals and analyze the risk factors for falls. Methods: This study used data on 1,216 patients who experienced falls from 2015 to 2017 during their hospitalization. The data was collected from the falls incident reports and patient' electronic medical record of hospital. Data were analyzed with descriptive statistics using Chi-square test, Fisher's exact test and multiple Poisson regression analysis with the SAS 9.4 Results: The incidence of falls was 1.38 per 1,000 patients days (2015), 1.81 per 1,000patients days (2016) and 1.99 per 1,000patients days (2017). The incidence of injury caused by falls (level III~V) was 0.05 per 1,000patients days (2015), 0.04 per 1,000patients days (2016) and 0.06 per 1,000patients days (2017). The largest number of falls occurred during night shift (42.5%), specifically in the patients' room (70.8%), and medical unit (66.0%). Average age of fallers was 69.1 years and 61.7% of them were older than 71 years. CCI and the patient's department have statistically significant differences in injury or injury levels from falls, but the integrated nursing care services had no significant difference in injury or injury levels from falls. Conclusion: The result of this study can be used as a reference for establishing a fall prevention strategy for hospitalized patients by presenting index values such as the fall rate.

The Unequal Burden of Self-Reported Musculoskeletal Pains Among South Korean and European Employees Based on Age, Gender, and Employment Status

  • Bahk, Jinwook;Khang, Young-Ho;Lim, Sinye
    • Safety and Health at Work
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    • v.12 no.1
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    • pp.57-65
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    • 2021
  • Background: The objective of this study was to elucidate the relationships musculoskeletal pains with combined vulnerability in terms of age, gender, and employment status Methods: The fifth European Working Conditions Survey (EWCS) in 2010 (43,816 participants aged 15 years and over) analyzed for European employees and the third Korean Working Conditions Survey (KWCS) in 2011 (50,032 participants aged 15 years and older) analyzed for Korean employees. In this study, three well known vulnerable factors to musculoskeletal pains (older age, female gender, and precarious employment status) were combined and defined as combined vulnerability. Associations of musculoskeletal pains with combined vulnerability were assessed with prevalence ratios (PRs) and 95% confidence intervals (CIs) estimated by Poisson regression models with robust estimates of variance. Results: The prevalences of musculoskeletal pains were lower but the absolute and relative differences between combined vulnerabilities were higher among Korean employees compared with the European employees. Furthermore, the increased risk of having musculoskeletal pains according to combined vulnerability was modestly explained by socioeconomic factors and exposure to ergonomic risk factors, especially in Republic of Korea. Conclusions: The results of this study showed that the labor market may be more unfavorable for female and elderly workers in Republic of Korea. Any prevention strategies to ward off musculoskeletal pains, therefore, should be found and implemented to mitigate or buffer against the most vulnerable work population, older, female, and precarious employment status, in Republic of Korea.

The Relationship between Hospital Selection by Employer and Disabilities in Occupational Accidents in Korea

  • Ahn, Joonho;Jang, Min;Yoo, Hyoungseob;Kim, Hyoung-Ryoul
    • Safety and Health at Work
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    • v.13 no.3
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    • pp.279-285
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    • 2022
  • Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia

  • Siti, Nurokhmah;Lucinda, Middleton;Aryono, Hendarto
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.6
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    • pp.549-558
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    • 2022
  • Objectives: Poor complementary feeding practices have consistently contributed to the burden of child undernutrition in Indonesia. This study aimed to estimate the prevalence and predictors of the time of the introduction of solid, semi-solid, and soft foods (ISSSF), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD). Methods: We analyzed 4804 last-born infants aged 6-23 months from the 2017 Indonesia Demographic and Health Survey, which employed multistage cluster random sampling. The outcomes were calculated based on the 2021 World Health Organization/United Nations Children's Fund guidelines. The predictors of the 4 complementary feeding indicators were assessed using multivariate Poisson regression with robust variance adjusting for potential confounders and study design. Results: The prevalence of ISSSF, MDD, MMF, and MAD was 86.1%, 54.3%, 71.8%, and 37.6%, respectively, with younger children less likely to meet 3 out of the 4 outcomes. Parental education, the presence of a birth attendant, and maternal media consumption were among the predictors of MDD and MAD. Children from families with higher income were more likely to meet MDD than those from low-income households (adjusted prevalence ratio [aPR], 1.16; 95% confidence interval [CI], 1.05 to 1.28). Living in an urban area was positively associated with MMF (aPR, 1.09; 95% CI, 1.04 to 1.15) and MAD (aPR, 1.12; 95% CI 1.02 to 1.24). In eastern regions, the prevalence of children achieving MDD and MAD was lower than in those living in Java and Bali. Conclusions: It is crucial that more attention and efforts are made to improve the recommended practices throughout Indonesia, since the prevalence of adequate complementary feeding practices remains low.

The Impact of An Interaction between Product Quality and Perceived Risk on Seller Profit

  • Seung HUH
    • The Journal of Economics, Marketing and Management
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    • v.11 no.2
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    • pp.23-32
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    • 2023
  • Purpose: This study examines the effect of full information disclosure on seller profit when there exists information asymmetry between sellers and buyers, focusing on the risk averseness of buyers. By investigating the interaction between product quality and perceived risk through online sales data, we attempt to figure out the incentive structure of full information disclosure specifically when buyers are risk-averse, so that we can suggest more feasible information disclosure strategy to sellers. Research design, data and methodology: Our empirical model analyzes the sales data of collectible goods from a major online seller using Poisson regression. In our model, we have specifically considered risk-averseness of buyers by estimating the interaction effect between the product quality and perceived risk on seller profit, aiming for a more precise empirical analysis on sellers' incentive structure of full disclosure. Results: Our empirical analysis strongly supports the effect of interaction between product quality and perceived risk, showing that the incentive for full disclosure is much stronger when product quality is higher, and vice versa. Therefore, sellers are strongly encouraged to voluntarily reveal product weaknesses when their product quality is higher than average, while it is more profitable to hide any product defects when quality claim is lower than average. Conclusions: This study supports the related literature by confirming economic incentives for full disclosure, and also supplements and strengthens previous studies by presenting that the effect of interaction between product quality and perceived risk strongly affects seller profit. Our unique finding supports both mandatory disclosure and voluntary disclosure arguments and presents practical implications to marketing managers by suggesting that seller's incentive for revealing weaknesses depends on the level of seller's product quality.