• 제목/요약/키워드: Statistical Index

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감마나이프 방사선수술 치료계획의 평가에 필수불가결한 지표들의 분석 (Analyses of the indispensible Indices in Evaluating Gamma Knife Radiosurgery Treatment Plans)

  • 허병익
    • 한국방사선학회논문지
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    • 제11권5호
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    • pp.303-312
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    • 2017
  • 감마나이프 방사선수술(GKRS)의 핵심 목표는 병변에 처방 등선량 표면의 일치성을 최대화하고 병변 주변부 정상 조직의 방사선 효과를 최소화하는 것이다. 일치성 지표, 적용 범위, 선택성, 빔-온 시간, 기울기 지표(GI), 일치성/기울기 지표(CGI)와 같은 치료계획의 질과 관련된 다양한 종류의 지표들이 존재한다. 이 가운데 최상의 치료계획 평가 도구로서 우리는 일치성 지표, GI 및 CGI를 반드시 확인해야 한다. 특히 건강한 정상조직의 합병증과 관련된 GI 및 CGI는 일치성 지표보다 더욱더 중요하게 여겨진다. 그래서 저자는 치료계획 시스템 렉셀 감마플랜(LGP) 및 검증 방법 가변 타원체 모형화 기술(VEMT)을 사용하여 광범위하게 적용되고 있는 GI 뿐 만 아니고 CGI, 새로이 정의된 일치성/기울기 지표를 계산하고 통계적으로 분석하였다. 본 연구는 GKRS로 치료받은 두개 내 병변을 가진 10명의 환자를 대상으로 하였다. 저자는 단지네 인자들: 처방 등선량 체적, 최대 선량의 30% 이상 체적, 병변 체적, 처방 등선량 절반의 체적 만을 가지고 LGP와 VEMT를 이용해서 지표를 계산했다. 모든 데이터는 두 가지 다른 측정기법을 비교하는데 사용되는 통계적 방법인 Paired t-test로 분석되었다. 10명의 사례에서 LGP와 VEMT 사이에 GI의 통계적 유의성은 관찰되지 않았다. GI의 차이는 -0.14에서 0.01 사이의 범위였다. LGP와 VEMT의 두 가지 방법으로 계산된 새롭게 정의된 기울기 지표 또한 통계적으로 유의하지 않았다. 저자는 LGP와 VEMT 사이에 처방 등선량 체적에 대한 통계적 차이를 발견하지 못했다. 최상의 치료계획을 결정하기 위한 또 하나의 평가 지표인 CGI도 통계적으로 유의하지 않았고 CGI의 차이는 -4에서 3까지 이었다. 똑같이 GKRS에 적합하게 새로이 정의된 일치성/기울기 지표도 통계 분석을 통해서 치료계획 평가를 위한 훌륭한 측정 기준으로 여겨진다. 통계분석 결과 VEMT는 GKRS에서 최상의 치료계획을 평가하기 위해 GI, 새로운 기울기 지표, CGI 및 새로운 CGI를 고려했을 때 LGP와 우수한 일치를 보였다. 저자는 LGP 및 VEMT를 통해서 빠르고 쉬운 평가도구의 적용성으로 인하여 GI 뿐 만 아니라 CGI와 새로이 정의된 CGI가 널리 사용되기를 기대한다.

Cardiometabolic Index, Triglyceride-glucose Index를 이용한 대사증후군 진단 예측지수에 대한 고찰: 부산지역 건강검진대상자 중심으로 (Consideration of Predictive Indices for Metabolic Syndrome Diagnosis Using Cardiometabolic Index and Triglyceride-glucose Index: Focusing on Those Subject to Health Checkups in the Busan Area)

  • 안현;윤현서;박충무
    • 대한방사선기술학회지:방사선기술과학
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    • 제46권5호
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    • pp.367-377
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    • 2023
  • This study investigates the utility of the Triglyceride-glucose(TyG) index and Cardiometabolic Index(CMI) as predictors for diagnosing metabolic syndrome. The study involved 1970 males, 1459 females, totaling 3429 participants who underwent health checkups at P Hospital in Busan between January 2023 and June 2023. Metabolic syndrome diagnosis was based on the presence of 3 or more risk factors out of the 5 criteria outlined by the American Heart Association/National Heart, Lung, and Blood Institute(AHA/NHLBI), and participants with 2 or fewer risk factors were categorized as normal. Statistical analyses included independent sample t-tests, chi-square tests, Pearson's correlation analysis, Receiver Operating Characteristic(ROC) curve analysis, and logistic regression analysis, using the Statistical Package for the Social Sciences(SPSS) program. Significance was established at p<0.05. The comparison revealed that the metabolic syndrome group exhibited attributes such as advanced age, male gender, elevated systolic and diastolic blood pressures, high blood sugar, elevated triglycerides, reduced LDL-C, elevated HDL-C, higher Cardiometabolic Index, Triglyceride-glucose index, and components linked to abdominal obesity. Pearson correlation analysis showed strong positive correlations between waist circumference/height ratio, waist circumference, Cardiometabolic Index, and triglycerides. Weak positive correlations were observed between LDL-C, body mass index, and Cardiometabolic index, while a strong negative correlation was found between Cardiometabolic Index and HDL-C. ROC analysis indicated that the Cardiometabolic Index(CMI), Triglyceride-glucose(TyG) index, and waist circumference demonstrated the highest Area Under the Curve(AUC) values, indicating their efficacy in diagnosing metabolic syndrome. Optimal cut-off values were determined as >1.34, >8.86, and >84.5 for the Cardiometabolic Index, Triglyceride-glucose index, and waist circumference, respectively. Logistic regression analysis revealed significant differences for age(p=0.037), waist circumference(p<0.001), systolic blood pressure(p<0.001), triglycerides(p<0.001), LDL-C(p=0.028), fasting blood sugar(p<0.001), Cardiometabolic Index(p<0.001), and Triglyceride-glucose index (p<0.001). The odds ratios for these variables were 1.015, 1.179, 1.090, 3.03, and 69.16, respectively. In conclusion, the Cardiometabolic Index and Triglyceride-glucose index are robust predictive indicators closely associated with metabolic syndrome diagnosis, and waist circumference is identified as an excellent predictor. Integrating these variables into clinical practice holds the potential for enhancing early diagnosis and prevention of metabolic syndrome.

성인 아토피 피부염 환자의 삶의 질과 중증도에 대한 상관 연구 (A study on the correlation between quality of life and disease severity in adult patients with atopic dermatitis)

  • 김남권;이동효;조가원;문효;서은성
    • 한방안이비인후피부과학회지
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    • 제24권3호
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    • pp.27-36
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    • 2011
  • Objective : The purpose of this clinical research was to analyze the correlation between disease severity and disease specific quality of life adjusted by general quality of life measure in adult patients with atopic dermatitis attending Wonkwang Univ. Sanbon Oriental Medical Center. Methods : A total of 35 patients participated in atopic dermatitis clinical trial from June 1st, 2010 to June 30th, 2011 were included in this study. SCORing Atopic Dermatitis(SCORAD) index, Dermatologic Life Quality Index(DLQI), Health Utility Index III(HUI-III) and EuroQoL 5-Dimension(EQ-5D) have been estimatied. Baseline statistical analysis and normality test were done by using Student t-test, Shapiro-Wilk test and ladder test. Pearson analysis and Spearman analysis were conducted to examined the correlation of each variables. Hierachial regression analysis was performed using related variables. Statistical significance was achieved if the probability was less than 5%. Results : There were statistically significance between DLQI and SCORAD index, and also between DLQI and EQ-5D. However there was no significant between DLQI and HUI-III. In the hierachial regression analysis, after adjusting for demographic variables (gender, age) and general quality of life (EQ-5D), SCORAD index significantly predict the intensity of disease specific quality of life (DLQI). Conclusions : We confirmed the correlation between SCORAD index and DLQI, and developed the inference for regression equation of DLQI using SCORAD index, EQ-5D and demographic variables.

국민학교(國民學校) 아동(兒童)의 영양섭취실태(營養攝取實態)와 성장발육(成長發育)에 관(關)한 연구(硏究) (A Study in Every Possible Correlation between Daily Food Intake and Growth Rate of Primary School Students)

  • 류영상;김숙희
    • Journal of Nutrition and Health
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    • 제6권2호
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    • pp.25-33
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    • 1973
  • With the object of the study id every possible correlation between daily food intake and growth rate of primary school students, aged eleven years old, the author distributed prepared questionnaires through 200 children of 5th grade in both sexes in K private primary school, Seoul. Specific object of this study were included following three points: such as daily food intake records for six days. daily food intake records for six days. school records of sample children at the end of 4th grade. physical growth index calculated by means of weight and height of sample children at the first part of the 5th grade. CR. t. F. test as well as percentage calculations were included for statistical analysis. The result of this study were as follows: 1. For the living circumstances a) Average numbers of brother and sister in sampled family were two to three. b) Approximately 50%of the children were brought up by mother's milk at their infants and about 35% of children were weaned at the age of 7 to 12 months. c) Thirty to forty percent of the respondents revealed irregulity in their meal time due to early school time in the morning. d) Monthly average expenditure for daily food reached 20 to 29% out of total income. e) The most favorit foods reflect as follows: The most favorit main dish is boiled rice mixed with other careals and side dish beaf. Fruits and juice are more popular snack among whole children. 2. Nutrition survey a) The calcium and thiamine were the most limited factors out of daily nutrients consumption. b) The total calory intake were composed of carbohydrate 63%, protein 16% and fat 21% respectively. c) The total food intake were composed of 20 to 24% of animal source of foods and 76 to 80% of plant source of foods (vegetables, grains, fruits) d) The total protein intake were composed of 46% of animal protein and 54% of others. e) The grain stuffs consumed in the largest quantity at the level of 50% out whole food groups. f) Twenty four percent of total food intake came from snack between meal time. 3. The result of statistical analysis were as follows: a) The correlation between the calory intake and plysical growth index revealed statistical significancy at the level of p<0.001. b) The correlation between the protein intake and physical growth index revealed statistical significancy at the level of p<0.001. c) The correlation between the meal time and physical growth index revealed statistical significancy at the level of 0.02

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스텝박스 운동프로그램이 노년기 남녀의 심혈관 및 생리적 지수에 미치는 영향 (The Effect of Stepbox Exercise Program on Both Male and Female Elderly's Cardiovascular and Physiological Index)

  • 유경원;민순;하윤주
    • Journal of Korean Biological Nursing Science
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    • 제13권3호
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    • pp.291-297
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    • 2011
  • Purpose: The research was to investigate the effect of stepbox exercise program on both male and female elderly' physiological index such as cardiovascular and to improve exercise efficacy. Methods: The research design was a non-equivalent control group, quasiexperimental study. From 2011-05-10 to 2011-07-26, 3 times a week for 12 weeks, the 43 elderly of health center of D district in G city who participated in the program and pre and post test at the same time were investigated. Results: Statistical significant differences had not been detected in systolic blood pressure and diastolic blood pressure, pulse showed a statistical significant differences. After test of physiological index, weights of participants showed decreasing tendency. body fat mass, skeletal muscle mass, BMI, body fat rate and waist-hip-ratio had also showed statistically significant differences. Conclusion: In conclusion, stepbox exercise program has positive effects on physiological index, blood pressure and pulse. Therefore, dynamic stepbox exercise program is considered to be a helpful intervention to improve comprehensive health conditions by giving the elderly both easy and less-pain exercise and the opportunity to manage their own health.

조모-어머니 관계질이 조모-손자녀 유대감에 미치는 영향: 공동양육의 매개효과를 중심으로 (Effect of Grandmother-Mother Relationship on Grandmother-Grandchildren Ties: Focusing on the Mediating Effect of Coparenting)

  • 최혜정;안정신
    • Human Ecology Research
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    • 제58권2호
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    • pp.149-161
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    • 2020
  • This study showed that the association between grandmother-mother relationship and grandmother-grandchildren ties is mediated by the coparenting. Participants consisted of 329 grandmothers who were rearing preschool aged grandchildren in the Seoul and Gyeonggido area. SPSS 23.0 performed descriptive statistical analysis and correlation analysis. The structural equation model was estimated with AMOS 23.0. Parameters were estimated using the maximum likelihood method. Model fit index used the chi-square statistic, the goodness of fit index (GFI), the Turker-Lewis index (TLI), the comparative fit index (CFI), the root mean square error of approximation (RMSEA). The mediation effect analysis followed a two-step verification process; direct and indirect effect. In addition, statistical significance of the indirect effect was examined using a bootstrapping procedure. The results are as follows. First, a positive correlation was found between the grandmother-mother relationship, grandmother-grandchildren ties, and coparenting. Second, the association between grandmother-mother relationship and grandmother-grandchildren ties is mediated by coparenting. The results of this study suggest that the quality of the grandmother's relationship with mothers and cooperative coparenting is important to building relationships with grandchildren. In addition, coparenting can be an important mechanism for grandmother-mother relationships and grandmother-grandchild ties. Based on the results of this study, we discussed ways to improve the grandmothers' relationship quality with the mother and strengthen parenting ability.

KS제품 품질우수성지수 모델 개선 방안에 관한 연구 (A Study on the Model Improvement of Korean Industrial Standards-Quality Excellence Index(KS-QEI))

  • 김태규;김명준
    • 품질경영학회지
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    • 제41권3호
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    • pp.327-335
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    • 2013
  • Purpose: The purpose of this study is to suggest the modified 'Korean Standard-Quality Excellence Index' model and analyze the improvement effect with survey data by comparing the properness between current and suggested model result. Methods: The collected data through the survey were analyzed using paired t-test and unbalanced ANOVA method for testing the consistency of two customer satisfaction evaluating categories and comparing the current model to suggested model for confirming the improvement of performance. Results: The statistical analysis result shows that adjusted model using prior information improves the consistency between two customer satisfaction in case of short life-cycle product. Also long life-cycle product case, the result shows difference gap decreasing with same direction. Conclusion: Considering statistical model for QEI reflecting the characteristic of product group such as life cycle seems to be meaningful. Since index may be compared yearly base for checking the trend, careful approaching without big change should be considered for application.

MRI 검사 시 환자의 심리적 불안감이 폐쇄공포 및 활력징후에 미치는 영향(환자안전사고에 있어서) (Effects of Claustrophobia, Vital Signs on Psychological Anxiety of the Patients during MRI Examination(In Patient Safety Accident))

  • 김재천;배석환;김용권;이무식
    • 대한안전경영과학회지
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    • 제17권4호
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    • pp.231-240
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    • 2015
  • In this study, to find out the effect of psychological anxiety of the patients during MRI examination on the claustrophobia and vital signs, As for a study tool, to measure Anxiety Sensitivity Index(ASI), Kamsung Evaluation Index of Life Environmental Noise(KEI), Diagnostic and Statistical Manual of Mental Disorders(DSM-IV) was used, and for vital signs, blood pressure and pulse rate were measured pre and post MRI examination. In conclusion, it was indicated that though the effect of the general characteristics, psychological anxiety, on noise sensitivity and claustrophobia was small, the psychological anxiety of the patients during MRI examination affected claustrophobia and vital signs.