Objective : Cerebral vasospasm is a devastating medical complication of aneurysmal subarachnoid hemorrhage [SAH]. Therefore, prompt detection of vasospasms in aneurysmal SAH is important to the clinical outcome of the patient. For better prediction and effective management of vasospasms, identifying risk factors is essential. This study is aimed at evaluating the relationship between clinical hematologic values, especially white blood cell count, and cerebral vasospasms. Methods : A retrospective review was conducted on 249 patients with aneurysmal SAH who underwent surgical clipping [230 cases] or endovascular intervention [19 cases] between 2003 and 2005. The underlying clinical conditions assessed were leukocytosis, fever, hypertension, diabetes, smoking, Hunt and Hess grade, Fisher grade, aneurysm location, and direct clipping versus endovascular intervention. Results : Two hundred forty-nine patients were treated for aneurysmal SAH during this period. We selected 158 patients in Hunt and Hess grade I - III. Cases of infectious conditions, rebleeding and other surgical/clinical complications were excluded. Vasospasms occurred $7.0{\pm}3.1$ days after the onset of SAH. There were several independent predictors of vasospasm : Fisher grade III [p=0.002], fever within two weeks on admission [p<0.001], and a serum leukocyte count >$10.8{\times}10^3/mm^3$ on admission [p=0.018]. Conclusion : This study results indicate that leukocytosis and fever increase the risk of vasospasms. However, other known risk factors, such as hypertension and smoking, were not correlated with respect to predicting of cerebral vasospasm. Monitoring the serum leukocyte count may be a helpful and useful marker of vasospasms after aneurysmal SAH.
Journal of The Korean Association of Information Education
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v.18
no.2
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pp.203-212
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2014
With regard to recently emerged problems of smartphone addiction among adults and adolescents, this paper researched upper-grade elementary students depending on various demographic factors that have not been studied thoroughly so far. The survey was conducted on 1570 students in grades 4~6 of schools in Gyeonggi province. Results showed that, first, the average rate of smartphone ownership was about 66%. Second, about 1% of the students belonged to high-risk group, 5.7% to at-risk group, and normal user group was 93.3%. Third, based on the demographic factors, grade and academic achievements each was significantly correlated to the type of addiction group. For example, students with poor academic performance or in higher grade were more likely to be highly addictive. Fourth, both groups of at-risk and of normal-user pertaining to these factors - in urban areas, male students, sixth-grade, in dual income families - showed higher addictiveness score. But they were contrasted in the aspects of household economy and academic performance: at-risk group was more addictive in affluent families or excellent academic performance, whereas normal-user group had higher level of addictiveness in case of poor families or lower academic performance.
Purpose: To evaluate the predictive factors of radiation pneumonitis (RP) and associated changes in pulmonary function after definitive concurrent chemoradiotherapy (CCRT) in patients with non-small cell lung cancer (NSCLC). Materials and Methods: Medical records of 60 patients with NSCLC who received definitive CCRT were retrospectively reviewed. Dose volumetric (DV) parameters, clinical factors, and pulmonary function test (PFT) data were analyzed. RP was graded according to the CTCAE ver. 4.0. Percentage of lung volume that received a dose of threshold (Vdose) and mean lung dose (MLD) were analyzed for potential DV predictors. PFT changes were calculated as the difference between pre-RT and post-RT values at 3, 6, and 12 months after RT. Results: Twenty-two patients (37%) developed grade ${\geq}2$ RP. Among clinical factors, tumor location in lower lobe was associated with RP. Among the DV parameters, only MLD >15 Gy was associated with grade ${\geq}2$ RP. There were statistically significant decreases in PFT at all points compared with pre-RT values in grade ${\geq}2$ RP group. MLD was associated with forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) changes at 6 and 12 months. V10 was associated with FVC changes at 12 months. V20 and V30 were associated with FEV1 changes at 6 months and FVC changes at 12 months. Conclusion: After definitive CCRT in patients with NSCLC, MLD >15 Gy and lower lobe tumor location were predictors of grade ${\geq}2$ RP. Pulmonary functions were decreased after CCRT and the magnitude of changes was associated with DV parameters.
Purpose: The aim of this study is to investigate the relation of the unhealthy eating habit of high school students in Seoul with their school types. Methods: In cross-sectional study, secondary data was used, representative sample of 7,284 subjects, high school students in Seoul. Consumption rates of Ramyun, Fast-food, and a breakfast-skipping rate were compared by the gender, grade, and school type. Descriptive statistics, ${\chi}^2$ analysis, correlation, and multiple logistic regression were used for data analysis. Results: The odds ratios (OR) of associated factors on the breakfast-skipping were 1.25 times higher in the 11th grade, 1.26 times in the 12th grade (reference: 10th grade), 1.21 times in school for both gender (reference: only male gender), 2.63 times in the general high school, 4.82 times in the vocational (reference: the autonomous private). The odds ratios (OR) of associated factors on frequent Ramyun intake were 2.10 times in male, 1.79 times in both gender (reference: only male gender), 2.01 times in the general high school, vocational 5.26 times (reference: the autonomous private). The odds ratios (OR) of associated factors on frequent Fast-food intake were 1.89 times in school for both gender (reference: only male gender), 3.93 times in the vocational high school (reference: the autonomous private). Conclusion: Students of the vocational high school than those of the autonomous private had more and more the breakfast-skipping rate, and had more consumption rates of Ramyun and Fast-food. Therefore, in order to improve these problems, intervention for students, diversified school health policy as well as health education to right food intake consumption are needed.
To show the distribution and change of blood pressure according to age and to find factors affecting the level of blood pressure in primary school children, a follow-up study was conducted from 1986 to 1989 on 401 first grade children attending primary school in Kangwha County in 1986 and their parents. The blood pressure of the children was significantly increased according to age. The average annual increase was 1.8mmHg in systolic blood pressure and 2.5mmHg in diastolic blood pressure. The level of blood pressure did not show any significant difference in both sexes. Among children who were at or above the 80th percentile of blood pressure in the first grade, 35 and 30% of them have remained at the same level of systolic and diastolic blood pressure respectively in the fourth grade. But we could not find any significance in the tracking of blood pressure of children who were at or above the 90th percentile of blood pressure in the first grade. Weight and pulse rate were shown to be significant factors affecting systolic blood pressure in children of both sexes and mother's blood pressure and skinfold thickness were also affected systolic blood pressure in girls. The variables significantly affecting diastolic blood pressure were arm circumference and pulse rate for boys and height and pulse rate for girls.
Yi Jie Dong;Zhen Hua Liu;Jian Qiao Zhou;Wei Wei Zhan
Korean Journal of Radiology
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v.23
no.4
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pp.479-487
/
2022
Objective: To prospectively evaluate the efficacy of lauromacrogol injection for ablation (LIA) of benign predominantly cystic thyroid nodules and its related factors. Materials and Methods: A total of 142 benign predominantly cystic thyroid nodules (median volume, 12.5 mL; range, 0.4-156 mL) in 137 patients (male:female sex ratio, 36:101; mean age ± standard deviation [SD], 49 ± 13 years) were treated with LIA after being confirmed as benign via cytology. The volume reduction rate (VRR) of the nodules and cosmetic score were evaluated during follow-up at 1, 3, and 6 months after treatment and every 6 months thereafter. A VRR of ≥ 50% at the 12-month follow-up was considered to indicate effective treatment. The associations between the clinical factors and nodular ultrasound features, including the initial nodule volume, proportion of solid components, vascularity grade and ineffective treatment (VRR of < 50% at the 12-month follow-up), and regrowth were analyzed. Results: All patients completed follow-up for at least 12 months. The average ± SD follow-up period was 32 ± 11 months (range, 12-54 months). The effective treatment rate was 73.2% (104/142), while the regrowth rate was 12.0% (17/142) at the last follow-up. Grade 2-3 intranodular vascularity in the solid components of the nodules was the only independent factor associated with ineffective treatment, with an odds ratio (reference category, grade 0-1) of 3.054 (95% confidence interval, 1.148-8.127) (p = 0.025). Conclusion: LIA is an effective treatment for predominantly cystic thyroid nodules. Grade 2-3 intranodular vascularity in the solid components of nodules is the only independent risk factor for ineffective LIA.
The purpose of this study was to investigate physical condition, physical fitness, sociodemographic factors, biochemical factors and personality factors of 5th grade students of elementary school. The number of students surveyed was 760 from each school of urban, middle and rural areas. All data analysis was done by BMI group which is based on previous study. 1) The children whose parents were on low education level and mother had a job had lower BMI values than others. Nine percent of male and 21% of female subjects skipped breakfast almost everyday. The 21.7% of all subjects regularly took nutritive pills, which had no difference in various BMI groups. 2) The physical condition of children had a high correlation with that of parents. 3) The physical fitness in BMI 5 groups was weaker than other groups, especially in male. 4) The contents of blood hemoglobin, cholesterol and glucose and hematocrit value were estimated. In female, the values of hemoglobin content and hematocrit had significant difference between BMI groups, but there are no trends. 5) The impulsiveness of male was the highest in BMI 1 group and the lowest in BMI 5 group among 5 groups. Besides, general activity, reflectivity and sociality in BMI 5 group had a low level. In female, personality factors except sociality didn't show any considerable difference.
From a viewpoint of human factors, automated highway systems(AHS) can be defined as one of the newly developing human-machine systems that consist of humans(drivers and operators), machines(vehicles and facilities), and environments(roads and roadside environments). AHS will require a changed vehicle control process and driver-vehicle interface(DVI) comparing with conventional driving. This study introduces a fixed-based AHS simulator and provides questionnaire-based human factors evaluation results after three kinds of automated driving speed experiences in terms of road configuration, operation policies, information devices, and overall AHS use. In the simulator, the "shared space-at-grade" concept-based road configuration was virtually implemented on a portion of the Kyungbu highway in Korea, and heads-up display(HUD), AHS information display, and variable message signs(VMS) were installed for appropriate AHS DVI implementation. As the results, the subjects expressed positive opinions on the implemented road configuration, operation policies, and the overall use of AHS. The results of this study would be helpful in developing the road configuration and DVI design guideline as the basic human factors research for the future implementation of AHS.
In the current study, we measured the hands and other representative body items of 223 elementary school girls using Martin Anthropometer and a digital camera so that we would be able to provide information on both size and shape of hands for design of hand-related products. As time goes on, hands get bigger, yet they get thinner at the same time. The data implies that the frame of hands grows, but the skin fat lessens, which could be a determinant factor in the size system of hand-related products. According to the results of a factor analysis on 26 hand items, 5 factors including hand laterality and linearity, fingertip shape, finger breadth, and hand depth, have been extracted. Pearson's correlation showed that most of hand-related factors were strongly associated with other body items. Finger breadth and hand depth, however, were found less related to other body items. The ANOVA test used in testing the difference of hand factors showed, in most items, a difference by ages, but there was no significant differences in fingertip breadth, the third factor, Interestingly, in hand depth, the fifth factor, lower grade girls' hands were thicker than higher grade girls'. This research suggests that the size system of uniformly increasing the size of all hand parts by age groups should be reconsidered and leaves much for improvement.
Ku, Kyung-Nyer;Byun, Byung-Lae;Shim, Hang-Sub;Lee, Ho-Seung;Kim, Kyung-Suk;Woo, Jong-Tae
Korean Journal of Veterinary Service
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v.32
no.3
/
pp.287-292
/
2009
This study was conducted to analyse risk factors which can influence on blood splash in slaughtered cattle in D slaughterhouse located in Gyeonggi province in 2008. A total of 13,056 cattle were studied by several risk factors such as species, gender, body weight, meat grade, weather (temperature), transport distance, lairaging time, moving time, mixing cattle from different sources. As the result of analysis, the total mean of blood splash was 0.70% and the rate was highest (0.94%) in castrated Hanwoo. The heavier body weight, the higher blood splash rate. The farms which have had more than one experience of blood splash tend to have high grade in meat quality. As a weather factor, the rate in summer season was lower than in winter season. It increased as transport distance getting longer and decreased when the lairaging time was 2~5 hours. We could know many risk factors strongly related with the occurrence of blood splash from this study.
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