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Factors Associated with Early Adverse Events after Coronary Artery Bypass Grafting Subsequent to Percutaneous Coronary Intervention

  • Kamal, Yasser Ali;Mubarak, Yasser Shaban;Alshorbagy, Ashraf Ali
    • Journal of Chest Surgery
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    • 제49권3호
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    • pp.171-176
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    • 2016
  • Background: A previous percutaneous coronary intervention (PCI) may affect the outcomes of patients who undergo coronary artery bypass grafting (CABG). The objective of this study was to compare the early in-hospital postoperative outcomes between patients who underwent CABG with or without previous PCI. Methods: The present study included 160 patients who underwent isolated elective on-pump CABG at the department of cardiothoracic surgery, Minia University Hospital from January 2010 to December 2014. Patients who previously underwent PCI (n=38) were compared to patients who did not (n=122). Preoperative, operative, and early in-hospital postoperative data were analyzed. The end points of the study were in-hospital mortality and postoperative major adverse events. Results: Non-significant differences were found between the study groups regarding preoperative demographic data, risk factors, left ventricular ejection fraction, New York Heart Association class, EuroSCORE, the presence of left main disease, reoperation for bleeding, postoperative acute myocardial infarction, a neurological deficit, need for renal dialysis, hospital stay, and in-hospital mortality. The average time from PCI to CABG was $13.9{\pm}5.4$ years. The previous PCI group exhibited a significantly larger proportion of patients who experienced in-hospital major adverse events (15.8% vs. 2.5%, p=0.002). On multivariate analysis, only previous PCI was found to be a significant predictor of major adverse events (odds ratio, 0.16; 95% confidence interval, 0.03 to 0.71; p=0.01). Conclusion: Previous PCI was found to have a significant effect on the incidence of early major adverse events after CABG. Further large-scale and long-term studies are recommended.

정상성인에서의 한국어휘를 이용한 통증척도의 타당도 조사 (Validity Test of Korean Pain Measurement Tool Using Normal Adult Individuals)

  • 이은옥;이숙희
    • 대한간호학회지
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    • 제16권2호
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    • pp.13-28
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    • 1986
  • The main purpose of th study was to evaluate he validity of Korean Pain Measurement Tool composed of pain terms. The specific purposes of this study were 1. to examine whether pain intensities of pain terms are congruent with those classified in three previous studies. 2. to evaluate the relative intensity of each term by panel of judges. 3. to explore the difference of ranks of pain terms according to the sex, education, and ages. One hundred and sixty normal individuals were selected by 2$\times$2$\times$4 sampling design. Sex (male, female), education (high school, college), and age (20s, 30s, 40s, 50s) were matched. Each individual was asked to rate the ranks of 3~8 pain terms in each subclass. The data measured by ordinal scale were transformed to the interval scale to compare with the pain intensities gained from the previous study. The pain ranks different from previous results were finally rearranged or cancelled through the consultation of 4 panel of judges and sunmed up to 91 pain terms in the scale. As a result, the ranks of pain terms within each of eleven subclasses among the twenty subclasses completely were congruent with the Previous pain ranks, while the ranks of nine subclasses were different from the previous pain ranks. In addition, there was significant relation between sex and pain ranks in skin punctuate pressure pain and cavity pressure. (sp : $\chi$$^2$=5.18 ø=0.26; cp : $\chi$$^2$=5.83 ø=0.24) In conclusion, seven terms from subclasses of inflammatory repeated pain, traction pressure pain, fatigue-related pain, fear-related pain, dull pain, and pulsation. related pain were cancelled. The ranks of four terms in subclasses of incisive Pressure pain and constrictive pressure pain were tentatively rearranged. Ranks of two terms in the tract pain were left as shown in the third study. As a result, six terms must be studied repeatedly for obtaining exact scores from ratio scale.

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대형 시스템에서의 다단계 부분구조 기법을 이용한 시스템 축소기법에 관한 연구 (Study on the Structural System Condensation using Multi-level Sub-structuring Scheme in Large-scale Problems)

  • 백승민;김현기;조맹효
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 2008년도 정기 학술대회
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    • pp.356-361
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    • 2008
  • Eigenvalue reduction schemes approximate the lower eigenmodes that represent the global behavior of the structures. In the previous study, we proposed a two-level condensation scheme (TLCS) for the construction of a reduced system. And we have improved previous TLCS with combination of the iterated improved reduced system method (IIRS) to increase accuracy of the higher modes intermediate range. In this study, we apply previous improved TLCS to multi-level sub-structuring scheme. In the first step, the global system is recursively partitioned into a hierarchy of sub-domain. In second step, each uncoupled sub-domain is condensed by the improved TLCS. After assembly process of each reduced sub-eigenvalue problem, eigen-solution is calculated by Lanczos method (ARPACK). Finally, Numerical examples demonstrate performance of proposed method.

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Redshift Space Distortion on the Small Scale Clustering of Structure

  • Park, Hyunbae;Sabiu, Cristiano;Li, Xiao-dong;Park, Changbom;Kim, Juhan
    • 천문학회보
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    • 제42권2호
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    • pp.78.3-78.3
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    • 2017
  • The positions of galaxies in comoving Cartesian space varies under different cosmological parameter choices, inducing a redshift-dependent scaling in the galaxy distribution. The shape of the two-point correlation of galaxies exhibits a significant redshift evolution when the galaxy sample is analyzed under a cosmology differing from the true, simulated one. In our previous works, we can made use of this geometrical distortion to constrain the values of cosmological parameters governing the expansion history of the universe. This current work is a continuation of our previous works as a strategy to constrain cosmological parameters using redshift-invariant physical quantities. We now aim to understand the redshift evolution of the full shape of the small scale, anisotropic galaxy clustering and give a firmer theoretical footing to our previous works.

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유전 알고리즘과 No Fit Polygon법을 이용한 임의 형상 부재 최적배치 연구 (A Study on the Irregular Nesting Problem Using Genetic Algorithm and No Fit Polygon Methodology)

  • 유병항;김동준
    • 한국해양공학회지
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    • 제18권2호
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    • pp.77-82
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    • 2004
  • The purpose of this study is to develop a nesting algorithm, using a genetic algorithm to optimize nesting order, and modified No Fit Polygon(NFP) methodology to place parts with the order generated from the previous genetic algorithm. Various genetic algorithm techniques, which have thus far been applied to the Travelling Salesman Problem, were tested. The partially mapped crossover method, the inversion method for mutation, the elitist strategy, and the linear scaling method of fitness value were selected to optimize the nesting order. A modified NFP methodology, with improved searching capability for non-convex polygon, was applied repeatedly to the placement of parts according to the order generated from previous genetic algorithm. Modified NFP, combined with the genetic algorithms that have been proven in TSP, were applied to the nesting problem. For two example cases, the combined nesting algorithm, proposed in this study, shows better results than that from previous studies.

강박구매행동에 영향을 미치는 가족변인에 관한 연구: 패션제품을 중심으로 (Family Variables affecting Compulsive Buying Behavior on Fashion Products)

  • 이승희
    • 패션비즈니스
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    • 제13권4호
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    • pp.77-84
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    • 2009
  • The purpose of this study was to examine family factors affecting compulsive buying behavior. Three hundred fifty-five female college students who had purchased fashion products through Internet shopping or TV home shopping participated in this study. For data analysis, descriptive statistics, correlation analysis, t-test, multiple regression, and reliability test. As the results, approximately 18% of respondents were revealed as compulsive buyers. Compulsive consumption scores were correlated to higher previous childhood consumption experience, family matters, parents' compulsive consumption tendency, and reference group. Also, results of multiple regression revealed that previous childhood consumption experience, parents' compulsive consumption tendency, and reference group were significantly related to compulsive buying, Finally, there were significantly differences between compulsive buyers and non-compulsive buyers on previous childhood consumption experiences, parents' compulsive consumption tendency, and reference group. Based on these results, this study would provide significant implications to academic scholars, consumer policy decision makers, and marketers.

제주지역 강하먼지의 조성에 관하여 : 2. 오염원 추정 (A Study on Chemical Composition of Dustfall Sampled in Cheju Area: 2. Identification of Source)

  • 이기호;허철구
    • 한국대기환경학회지
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    • 제15권2호
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    • pp.101-111
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    • 1999
  • In previous study, the local trends in dustfall chemistry and deposition were determined and the characteristics of chemical compositions among dustfall, TSP and rainwater were also compared. Based on the previous results, in this study, the effects of sea salts and soil and soil on the chemical composition of dustfall were studied and then the sources of dustfall in Cheju area were tentatively identified by principal component analysis(PCA)

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기존의 색채연구유형과 선호색채연구의 분석 (Analysis of Previous Color Study : Focused on Study Category and Color Preference Study)

  • 이명희;김미영
    • 복식
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    • 제51권3호
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    • pp.33-49
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    • 2001
  • The purpose of this study was to analyse the previous color studies. A number of publications and journals were reviewed and analyzed carefully. The results of review and analysis were as follows : There were many different subjects in color studies and they were usually categorized into ten fundamental groups : color preferences, color image/symbol/association of ideas, emotion and colors, image making with colors, colors related with consumers' decision making, traditional colors, semantic color description, color plan of apparel merchandise, influential factors on colors, and color coordination preferences. In general, the color preference studies are conducted most actively, and they are followed by the studies of color image/symbol/association of ideas and traditional colors. In the previous studies on the color preferences, they provided sufficient amount of information on the preferred colors and the preferred apparel colors. however, they lacked in providing appropriate explanation on how these color preferences were related with colors in fashion. Also, there have been no thorough studies that questioned the reliability of measurement methods for obtaining color preference data. The authors also realized that it was extremely difficult to find any related publications on the studies that focus various influential variables on the disagreement between the preferred color and preferred apparel color. Thus, this study directed the future studies to solve the problem discussed above.

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이상자녀수(理想子女數) 및 자녀(子女)에 대(對)한 가치관(價値觀) 변천(變遷)에 관(關)한 연구(硏究) (Study on Changes of Attitude toward Ideal Number of Children and Value System for Children)

  • 김영봉
    • Journal of Preventive Medicine and Public Health
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    • 제7권1호
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    • pp.203-209
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    • 1974
  • This study is intended to comparison of the recent ideal number of children and atrial approach for analyzing value system for children that form attitude affecting birth control with earlier study conducted 10 years ago. In general the traditional fertility pattern of Korea may be considered as 'early marriage and high fertility' backed by the confucian value system of a farming-oriented country. A selective attitude favoring sons contributes substantially to fertility. But Korea is now moving toward a late marriage and fertility pattern. This has been due to the repid introduction of western culture and a partial acceptance of western value systems, a relative weakening of traditional value systems, a gradual increase in infant and child servival rates thresh medicines, and a desire to avoid having too many children because of economic poverty. This study showed following results: Ideal number of sons and daughters in urban area was decreased by 0.2 respectively compared to earlier study. In rural area, the number of decrease of sons and daughters was 0.5 and 0.2 respectively. The conception concerning Happiness has changed to wealth from health in previous opinion. Regarding attitude toward having sons, 98 percent of them wanted to have sons positively, moreover 10 percent of them wanted two or more sons. Regarding reasons for the wanting sons, we see that economic and traditional considerations, such as dependance in old age, and inheritance of the family line, are a principle concern of about 56 percent in both areas. The rate of dependence in old age was decreased conspicuously compare to previous study while the rate of helding rituals was increased remarkably in rural area. Among reasons for limiting family size. 'for better living and for better education for their children were main rasons reted 46 percent in urban, 51 percent in rural areas. The rates were not changed compare to previous study. Regarding attitude of those who have no son or children, the rate of re-marriage with second wife was decreased remarkably in rural area and the rate of living without special behaivor for having son was increased compare to previous study.

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예측소음도와 설문결과를 이용한 철도소음 노출-반응 모델 (Railway Noise Exposure-response Model based on Predicted Noise Level and Survey Results)

  • 손진희;이건;장서일
    • 한국소음진동공학회논문집
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    • 제21권5호
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    • pp.400-407
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    • 2011
  • The suggested method of previous Son's study dichotomized subjective response data to modeling noise exposure-response. The method used maximum liklihood estimation instead of least square estimation and the noise exposure-response curve of the study was logistic regression analysis result. The method was originated to modeling community response rate such as %HA or %A. It can be useful when the subjective response was investigated based on predicted noise level. It is difficult to measure the single source emitting noise such as railway because various traffic noise sources combined in our life. The suggested method was adopted to model in this study and railway noise-exposure response curves were modeled because the noise level of this area was predicted data. The data of this study was used by previous Ko's paper but he dealt the area as combined noise area and divided the data by dominant noise source. But this study used all data of this area because the annoyance response to railway noise was higher than other noise according to the result of correlation analysis. The trend of the %HA and %A prediction model to train noise of this study is almost same as the model based on measured noise of previous Lim's study although the investigated areas and methods were different.