• 제목/요약/키워드: interval criteria

검색결과 426건 처리시간 0.023초

성별, 연령별, 월소득차이에 따른 질병발생의 위험성 차이연구;암, 고혈압, 중풍, 당뇨병, 관절염, 심장병을 중심으로 (The Risk of Onset of the Illnesses Based on Gender, Age, and Monthly Income;Focusing on cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders)

  • 이준오;김세진;이선동
    • 대한예방한의학회지
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    • 제12권1호
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    • pp.19-48
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    • 2008
  • In order to verify the risk of onset of the illnesses based on gender, age, and monthly income 1,739 subjects from Hongcheon county, Gangwon province were selected. Questionnaire on demographic sociology, health condition, existence of illnesses(cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders), and usage of public health services was surveyed from October 1, 2006 to October 20, 2006. Following conclusions were reached on the basis of the questionnaire : - For demographic sociological peculiarities, gender, age, occupation, and education level were evenly distributed. Most were under normal marriage(67.38%), health insurance(86.39%), 494(36.0%) individuals with less than monthly income of 1 million won, 494(36.0%) individuals with monthly income between 1 and 2 million won, 219(16.0%) with monthly income between 2 and 3 million won, and 164(12.0%) individuals with more than 3 million won, thus showing relatively low income. - For health status, 1,199(70.28%) individuals are non-smokers, 209(45.63%) individuals smoke $10{\sim}20$ cigarettes a day, 754(44.02%) individuals exercise less than twice a week are the major sector of the population. 1,518(88.10%) individuals have regular checkup more than once and 1,131(65.49%) stated their health condition less than average. - For comparison of existence of illnesses between genders, there was no statistical significance on cancer, stroke, and diabetes. But statistical significance was shown on hypertension(P value 0.025), arthritis(P value 0.000), and cardiac disorders(P value 0.016). Statistical significance was seen in the age comparison, and OR(confidence interval) drastically increased with increase in age. - There was no difference between the primary health clinic(P value 0.000), most visited clinic(P value 0.000), selection criteria(P value 0.000), and satisfaction on efficacy(P value 0.000). There was a tendency preferring hospital than public health center with increase in income. - For correlation between the existence of illnesses among different income levels, except for cancer(P value 0.172), statistical significance was seen in hypertension(P value 0.000), stroke(P value 0.003), diabetes (P value 0.001), arthritis(P value 0.000), and cardiac disorders(P value 0.000). The number of individuals suffering from illnesses and ratio all decreased for all illnesses with increase in income. - After adjusting confounding factors(gender, age, income, marriage, occupation, education) and male (1) as the standard, OR (confidence interval) of cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders were 0.47(0.11${\sim}$2.05), 1.27(0.89${\sim}$1.81), 0.58(0.21${\sim}$1.59), 0.71(0.41${\sim}$1.23), 1.79(1.34${\sim}$2.39, P<0.01), and 1.46(0.72${\sim}$2.96), respectively. Risk of arthritis is significantly high in female and 20's (1) as the standard, OR(confidence interval) of cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders were 1.01(0.96${\sim}$1.07), 1.06(1.04${\sim}$1.07, P<0.01), 1.05(1.01${\sim}$1.10, P<0.01), 1.06(1.03${\sim}$1.08, P<0.01), 1.05(1.03${\sim}$1.06, P<0.01), and 1.06(1.04${\sim}$1.09, P<0.01), respectively. Risk of onset for illnesses significantly increased with yearly aging except for cancer. - For comparison between monthly income after adjusting confounding factors(gender, age, income, marriage, occupation, education), with less than 1 million won (1) as the standard, OR(confidence interval) of cancer for 1 to 2 million won, 2 to 3 million won, and more than 3 million won were 0.23(0.03${\sim}$2.16), 2.53(0.41${\sim}$15.43), and 1.73(0.15${\sim}$19.50), respectively. OR(confidence interval) of hypertension were 1.12(0.76 ${\sim}$1.66), 0.68(0.34${\sim}$1.34), and 2.04(1.08${\sim}$3.86, P<0.01), respectively. OR(confidence interval) of stroke were 0.96(0.30${\sim}$3.08) for 1 to 2 million won, and 0.80(0.08${\sim}$8.46) for 2 to 3 million won. OR(confidence interval) of diabetes were 0.73(0.38${\sim}$1.38), 0.65(0.24${\sim}$1.71), and 0.69(0.24${\sim}$2.01), respectively. The values were 0.76(0.55${\sim}$1.03), 1.14(0.75${\sim}$1.73), and 0.90(0.56${\sim}$1.46), respectively for arthritis. OR(confidence interval) of cardiac disorders were 1.15(0.53${\sim}$2.48), 0.63(0.13${\sim}$3.12), and 1.20(0.28${\sim}$5.14), respectively. Risks of cancer, hypertension, stroke, diabetes, arthritis, and cardiac disorders were dependent of monthly income, and stroke and diabetes decreased with increase in income. Summarizing above data, arthritis was significantly higher in women and increase in age by each year brought significant increase in the chance of onset in hypertension, stroke, diabetes, arthritis, and cardiac disorders except for cancer. Stroke and diabetes decreased with increase in income. Above findings can be applied and reflected in public health policies at the national level, and it can also be applied at the personal level for individual health maintenance and prevention.

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델파이·AHP기법을 통한 유적정비 사후평가 지표 개발 (A Development of the Post-evaluation Index about Maintenance of Remains by Using Delphi and AHP Method)

  • 정영래;남호현
    • 건축역사연구
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    • 제23권4호
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    • pp.19-33
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    • 2014
  • Recently, conservation and utilization of cultural heritage has been regarded as importance. So, various research papers about maintenance of the remains have been presented in many conferences. But most of researches have focused on introduction about maintenance methods and explanation about maintenance concepts of remains. And even in case of a few papers treated post-evaluation about maintenance of the remains the criteria of the evaluation has tended to somewhat subjective. So, the purpose of this study is to show the objective post-evaluation indexes which was developed by Delphi AHP methods. This research was proceeded in two stages. First, we arranged the evaluation index in a hierarchy to be made through the analyses about references and researches about maintenance of remains. 304 evaluation articles were elicited through the process. And then, elicited evaluation articles were classified with 'conservation' and 'utilization'. Second step was to figure out importance and validity of hierarchical evaluation articles with twice questionnaire surveys. This research used interval scale to comprehend validity and AHP method to evaluate relative importance of each other articles.

국내 노인을 대상으로 한 낙상예방 운동프로그램이 근력증가에 미치는 효과: 메타분석 (Muscle Strengthening Effects of Exercise Programs for Preventing Falls Among the Elderly in Korea: A Meta-Analysis)

  • 박소연;신인수
    • 한국전문물리치료학회지
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    • 제18권3호
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    • pp.38-48
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    • 2011
  • The aim of the study was to identify which fall-prevention program offered in community settings in Korea is the most effective in strengthening muscles. Muscle weakness is one of the major risk factors causing falls among the elderly. Randomized controlled trials and clinical controlled trials published between 1996 and February 2011 were included in this study. Seventeen of the 69 identified studies met the study's criteria and were included in this meta-analysis. The overall effect size of the program was .822 (95% confidence interval= .717~.927). The general strengthening exercise (1.608), dance sports training (1.538), Thera-band exercise for lower extremities (1.517), Seniorobic exercise (1.146), gait training (.959), balance training (.909), gradual resistive exercise (.888), and multifactorial fall prevention (.842) programs all show positive effects on muscle strengthening. Subgroup analyses found that more relative effects are seen in programs offered to the more elderly. In this study, the effect of increasing muscle strength on the prevention of falls can only be indirectly suggested; there are few available studies that report the frequency or history of falls in Korea. Further studies are needed to examine the direct effect of fall prevention exercise programs among the elderly.

시상증후군(Thalamic Pain Syndrome) 환자의 한방 병합치료에 관한 임상적 고찰 (Clinical Study of Combination Treatment of Oriental Medicine on Thalamic Pain Syndrome)

  • 우영민;송경섭;이진헌
    • 대한한방내과학회지
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    • 제21권5호
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    • pp.765-771
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    • 2000
  • Objectives : To evaluate the pain control effect of combination treatment of Oriental Medicine on patients who suffered from thalamic pain syndrome caused by thalamic stroke. Methods : We reviewed the medical records and brain imaging data of all patients with thalamic stroke from September 1998 to August 2000 who visited to Department of Oriental Internal Medicine, National Medical Center. We evaluated clinical features of thalamic pain syndrome, including incidence, onset interval from stroke, nature, pain distribution, and assessed the pain control effect of combination treatment by Visual Analog Scale(VAS). Results : 64 cases were selected under the inclusion criteria, and 17 patients(26.5%) with thalamic pain syndrome were identified from 64 thalamic strokes. VAS proved combination treatment effective to control pain of thalamic pain syndrome. In 12 cases(70.5%), pain onset was within the first week poststroke. The patients with allodynia were 6(35.3%). In 12 cases(70.5%), the lesion was mainly located in the posterolateral areas of thalamus. Conclusion : We conclude that combination treatment of the Oriental Medicine modalities have pain control effectiveness on thalamic pain syndrome.(t=-5.47, p=0.0001)

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실물옵션에 기반한 한·미국방예산 분담금 적정성 검정 (A Real Options Approach to Testing the Validity of Contribution to the Budget of the United States Forces Korea)

  • 정원열;채원영;최문섭
    • 대한산업공학회지
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    • 제41권3호
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    • pp.287-295
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    • 2015
  • Due to the latest agreement between the military authorities of the Republic of Korea (ROK) and the United States (US) of America, Korea's annual contribution to the budget of the United States Forces Korea (USFK) rose as high as close to 1 trillion won. This seemingly prohibitive amount has led to the questioning of military critics regarding determination criteria, wholesomeness of cost, alignment of incentives, and implementational transparency, etc. As these sources of mistrust can potentially undermine the congruence of alliance, we attempt to devise a scientific means to test the validity of Korea's budget contribution. Specifically, we use the real options approach (ROA) to estimating the interval of the fair prices of maintaining the USFK. We consider the USFK as an insurance against foreign incursions, and this enables us to assume their role as a put option. Upon a hypothetical war breakout, the daily cumulative size of the Korean economy is estimated by implementing the simulated loss ratios of assets and population. As a result, the strategic value (put premium) of the USFK is exponentially higher the sooner the US forces are augmented following an intrusion. Also, Korea's payments toward the USFK in 2011 and 2012 appear theoretically fairly valued.

가상의 물 수요곡선에 따른 수충격에 의한 염소농도변동 모의연구 (Simulation of chlorine decay by waterhammer in water distribution system based on hypothetical water demand curve)

  • 백다원;김현준;김상현
    • 상하수도학회지
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    • 제32권2호
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    • pp.107-113
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    • 2018
  • Maintaining adequate residual chlorine concentration is an important criteria to provide secure drinking water. The chlorine decay can be influenced by unstable flow due to the transient event caused by operation of hydraulic devices in the pipeline system. In order to understand the relationship between the transient event and the chlorine decay, the probability density function based on the water demand curve of a hypothetical water distribution system was used. The irregular transient events and the same number of events with regular interval were assumed and the fate of chlorine decay was compared. The chlorine decay was modeled using a generic chlorine decay model with optimized parameters to minimize the root mean square error between the experimental chlorine concentration and the simulated chlorine concentration using genetic algorithm. As a result, the chlorine decay can be determined through the number of transients regardless of the occurrence intervals.

작업유형에 따른 생리학적 작업능력의 비교 분석 (Comparison analysis of physiological work capacity for different tasks)

  • 박지수;김홍기;최진영
    • 대한인간공학회지
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    • 제15권2호
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    • pp.89-98
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    • 1996
  • The objective of this study was to make comparison of the physical work capacities with different types and methods of tasks. To produce standard work loads, a bicycle ergometer and a treadmill were used for the purpose of two different types of tasks. Maximal oxygen uptake measurement tests are usually performen (1) continuously - with no rest between work load increments, or (2) discontinuously - with the subjects resting several minutes between work periods. Continuous test protocol with two different methods of work load increments, (1) ramp test- with 3 to 5 minutes of work period for each work load, and (2) incremental test - where exercise intensity was increased progressively in 2 minutes interval, were used. Predicted physicala work capacities (PWCs) were compared with the one by Kim(1990), and Lee(1995), and the NIOSH physiological criteria. For ergometer test, the PWC based on the ramp test was 89.65% of the one based on the incremental test. The PWC values were 2553.88 ml/min for the ramp test and 2848.82 ml/min for the incremental test. For treadmill test, the PWC based on the ramp test was 97.54% of the one based on the incremental test. The PWC values were 2786.89 ml/min for the ramp test and 2857.24 ml/min for the incremental test. The PWC obtained with a bicycle ergometer was 91.64% of the one obtained with a treadmill for the ramp test, and 99.71% for the incremental test.

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No evidence on the effectiveness of oral splints for the management of temporomandibular joint dysfunction pain in both short and long-term follow-up systematic reviews and meta-analysis studies

  • Fouda, Atef Abdel Hameed
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제46권2호
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    • pp.87-98
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    • 2020
  • The aim of this study was to determine the efficacy of oral splints in reducing the intensity of pain in patients with temporomandibular joint dysfunction in both short and long-term treatment durations. Electronic databases, Cochrane Library, MEDLINE via PubMed, Web of Science, Egyptian Knowledge Bank, and EMBASE were searched for randomized controlled trials comparing different types of splints to non-occluding splints, behavioral therapy, pharmacotherapy, counseling, and no treatment. The risk of bias was assessed by using Cochrane risk of bias recommendations. Fixed and random effects were used to summarize the outcomes. The effect estimates were expressed as standardized mean differences (SMD) or risk ratios with a 95% confidence interval (CI). Subgroup analyses were carried out according to the treatment duration. Twenty-two studies met the inclusion criteria. A meta-analysis of short-term studies up to three months revealed no significant difference between the study groups. However, long-term studies exhibited a significant difference in pain reduction in favor of the control group. Total analysis revealed that the control group resulted in significant pain reduction (SMD 0.14, 95% CI 0.05-0.23, P=0.002, I2=0%). Oral splints are not effective in reducing pain intensity or improving function in patients with temporomandibular joint dysfunction.

예선회가 존재하는 회전유동장의 불안정성 수치해석 (Numerical Instability Analysis of the Rotating Boundary-Layer flow Including Pre-Swirl)

  • 황영규;이윤용;이광원
    • 대한기계학회논문집B
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    • 제27권4호
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    • pp.415-423
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    • 2003
  • The hydrodynamic instability of the three-dimensional boundary-layer over a rotating disk has been numerically investigated for these flows; Ro = -1, -0.5, and 0, using linear stability theory. Detailed numerical values of the disturbance wave number. wave frequency. azimuth angle. radius (Reynolds number, Re) and other characteristics have been calculated for the pre-swirl flows. On the basis of Ekman and Karman boundary layer theory, the instability of the pre-swirl flows have been investigated for the unstable criteria. The disturbance will be relatively fast amplified at small fe and within wide bands of wave number compared with previously known Karman boundary-layer results. The flow (Ro =-0.5) is found to be always stable for a disturbance whose dimensionless wave number is greater than 0.9. It has a larger range of unstable interval than Karman boundary layer and can be unstable at smaller Re.

Lack of Association Between the CYP1A1 Ile462Val Polymorphism and Endometrial Cancer Risk: a Meta-analysis

  • Wang, Xi-Wen;Zhong, Tian-Yu;Xiong, Yun-Hui;Lin, Hai-Bo;Liu, Qing-Yi
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권8호
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    • pp.3717-3721
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    • 2012
  • Purpose: Any association between the CYP1A1 Ile462Val polymorphism and endometrial cancer risk remains inconclusive. For a more precise estimate, we performed the present meta-analysis. Methods: PUBMED, OVID and EMBASE were searched for the studies which met inclusion criteria. Data in all eligible studies were evaluated and extracted by two authors independently. The meta-analysis estimated pooled odds ratio (OR) with 95% confidence interval (CI) for endometrial cancer risk attributable to the CYP1A1 Ile462Val polymorphism. Results: A total of 7 studies were included in this meta-analysis. The results indicated no association between endometrial cancer risk and the CYP1A1 Ile462Val polymorphism (for Val vs Ile allele model [OR 1.09, 95% CI 0.73-1.62]; for Val.Val vs Ile.Ile genotype model [OR 1.54, 95% CI 0.56-4.23]; for (Ile.Val + Val.Val) vs Ile.Ile genotpye model [OR 1.08, 95% CI 0.71-1.63]; for Val.Val vs (Ile.Ile + Ile.Val) genotype model [OR 1.46, 95% CI 0.53-4.04]). Conclusions: This meta-analysis suggests that there is no association between endometrial cancer risk and the CYP1A1 Ile462Val polymorphism.