• Title/Summary/Keyword: p for trend

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Mortality from Stomach Cancer in Serbia, Excluding the Province of Kosovo, in the 1991-2009 Period

  • Ilic, Milena;Prodovic, Tanja;Milosavljevic, Zoran;Ljujic, Biljana
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2067-2070
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    • 2013
  • Background/Aim: Stomach cancer is the second most common cause of death from all malignant tumors in the world (third in men, fifth in women), with a strong decreasing trend in most developed countries. The aim of this descriptive epidemiological study was to analyze mortality of stomach cancer in Serbia, excluding the Province of Kosovo, in the 1991-2009 period. Materials and Methods: In data analysis, we used mortality rates which were standardized directly using those of the world population as a standard. In order to analyze the mortality trend from stomach cancer, linear trend and regression analysis were used. Confidence intervals (CIs) for the average age-adjusted and age-specific mortality rates were assessed with 95% level of probability. Mortality data were derived from the data file of the Statistical Office of the Republic of Serbia. Results: During the 1991-2009 period, a significant downward trend in mortality of stomach cancer was recorded in Serbia (y=9.78 - 0.13x, p=0.000; average annual percent change was -6.3 (95%CI, -7.8 to - 4.8). During the same period, a significant decrease in mortality trend was found both in male (y=14.13 - 0.20x; p=0.000; % change was -7.7 (95%CI, -10.9 to -4.5) and female populations (y=6.27 - 0.08x; p=0.000; % change was - 4.4 (95%CI, -5.3 to -3.6). Conclusion: Decreasing trends in mortality from stomach cancer in Serbia are similar to those in most developed countries.

Genetic association tests when a nuisance parameter is not identifiable under no association

  • Kim, Wonkuk;Kim, Yeong-Hwa
    • Communications for Statistical Applications and Methods
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    • v.24 no.6
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    • pp.663-671
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    • 2017
  • Some genetic association tests include an unidentifiable nuisance parameter under the null hypothesis of no association. When the mode of inheritance (MOI) is not specified in a case-control design, the Cochran-Armitage (CA) trend test contains an unidentifiable nuisance parameter. The transmission disequilibrium test (TDT) in a family-based association study that includes the unaffected also contains an unidentifiable nuisance parameter. The hypothesis tests that include an unidentifiable nuisance parameter are typically performed by taking a supremum of the CA tests or TDT over reasonable values of the parameter. The p-values of the supremum test statistics cannot be obtained by a normal or chi-square distribution. A common method is to use a Davies's upper bound of the p-value instead of an exact asymptotic p-value. In this paper, we provide a unified sine-cosine process expression of the CA trend test that does not specify the MOI and the TDT that includes the unaffected. We also present a closed form expression of the exact asymptotic formulas to calculate the p-values of the supremum tests when the score function can be written as a linear form in an unidentifiable parameter. We illustrate how to use the derived formulas using a pharmacogenetics case-control dataset and an attention deficit hyperactivity disorder family-based example.

Effect of the Dye Bath and Mordants on the Dyeing of Silk Fabric using Cochineal (견섬유의 코치닐 염색에서 염욕의 액성의 매염제가 미치는 영향)

  • Kim Kyung-Sun;Jeon Dong-Won;Kim Jong-Jun
    • Journal of the Korean Home Economics Association
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    • v.43 no.7 s.209
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    • pp.109-116
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    • 2005
  • Using buffer solutions, consisting of pH 4, 5, 6, 7, and 8, silk fiber fabric specimens, pre-mordanted with one of the mordanting agents, Sn, Al, Cu, Cr, and Fe, were dyed using cochineal dyestuff. The color of the dyed silk fabric specimens was predominantly red(R) for the acidic range of pH 4 and 5, and predominantly purple(RP) for the neutral range of pH 6,7, with 8, with the pH boundary differentiating between the shades being between pH 5 and 6. As a general trend, the chroma value decreased as the pH changed from acid to alkali, and the highest chroma value us attained between pH 4 and 5. Regardless of the mordanting conditions, the trend was that $ {\Delta}E$ showed the highest measured value in the acidic range of pH 4 and 5, and it dropped abruptly after the pH 6.

Analysis for the Regional Characteristic of Climatic Aridity Condition in May (5월 기후 건조현상의 지역별 특성 분석)

  • Rim, Chang-Soo;Kim, Seong-Yeop
    • Journal of Korea Water Resources Association
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    • v.46 no.6
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    • pp.613-627
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    • 2013
  • In this study, to understand the May aridity condition of each region for the year of the worst drought on record in each duration (1-, 3-, 6-, 12-, 24 months), monthly climate data recorded from 1973 to 2006 at 53 climatological stations in South Korea were used to estimate the FAO Penman-Monteith reference potential evapotranspiration (RET). Monthly precipitation and RET were used to estimate P/RET as aridity index and variation index (VI) of P/RET, and these indexes are compared with SPI (Standard Precipitation Index). Fifty three climatological stations were grouped into 20 regions, so that May aridity conditions of 20 regions were studied. Furthermore, regional trend of May aridity index was studied by applying Mann-Kendall trend analysis, Spearman rank test, and Sen's slope estimator. The study results show that variation index (VI) of P/RET and SPI have close correlation. Throughout the country, as the duration is shorter, May aridity was more severe. In case of 3-month and 6-month duration, most of region show significant or non-significant decreasing trend of aridity index. However, no region show significant decreasing trend of aridity index in case of 12-month and 24-month duration.

Role of Berberis lycium in Reducing Serum Cholesterol in Broilers

  • Chand, N.;Durrani, F.R.;Qureshi, M.S.;Durrani, Z.
    • Asian-Australasian Journal of Animal Sciences
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    • v.20 no.4
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    • pp.563-568
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    • 2007
  • This study was planned to investigate the role of Berberis lycium in reducing serum cholesterol in broilers. Six experimental rations designated as A, B, C, D, E and F having 0, 0.5, 1.0, 1.5, 2.0 and 2.5% Berberis lycium were fed to 240 broiler chicks, randomly distributed into 24 replicates, so as to have 4 replicates per group and 10 chicks per replicate. The experiment lasted for 35 days. Average serum total cholesterol, triglyceride, high density lipoprotein (HDL) and low density lipoprotein (LDL) were used as criteria of response. Average total serum cholesterol per chick was 129.33, 120.50, 116.50, 113.00, 101.67 and 114.00 mg/dl for group A, B, C, D, E and F respectively. Total serum cholesterol showed decreasing trend with the increasing level of Berberis lycium unto 2% (p<0.05). Mean serum triglyceride level per chick was 60.00, 58.17, 58.00, 55.33, 50.17 and 48.50 mg/dl for group A, B, C, D, E and F respectively. Mean serum triglyceride showed decreasing trend with the increasing level of Berberis lycium (p<0.05). Serum triglyceride was significantly lower in group F than other groups. Mean HDL per chick for the six experimental groups A, B, C, D, E and F was 52.08, 53.42, 60.42, 62.25, 62.92 and 54.50 mg/dl respectively. HDL showed increasing trend with the increase in the level of Berberis lycium unto 2%. The average serum LDL per chick was 65.25, 55.45, 44.48, 39.68, 28.72 and 49.80 mg/dl for group A, B, C, D, E and F respectively. LDL also showed decreasing trend with the increase in the level of Berberis lycium unto 2% (p<0.05). It was concluded that Berberis lycium added to feed at the rate of 2.0% can be used in broiler feed for reducing serum total cholesterol, triglyceride and LDL and increasing HDL.

Relationship Between Body Mass Index and Early Menarche of Adolescent Girls in Seoul

  • Oh, Chang-Mo;Oh, In-Hwan;Choi, Kyung-Sik;Choe, Bong-Keun;Yoon, Tai-Young;Choi, Joong-Myung
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.4
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    • pp.227-234
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    • 2012
  • Objectives: The object of this study was to determine the relationship between body mass index (BMI) and early menarche in adolescent girls in Seoul. Methods: A retrospective study was conducted with 144 middle school students in Seoul who provided informed consent. We measured their body composition, and used the questionnaire survey method for data collection from November to December 2008. Past elemental body composition data were collected from elementary school health records of first year of middle school. Results: The early menarcheal group was taller and heavier than the late menarcheal group (p<0.05 from 8-12 years old). The body fat percentage (%), BMI were higher in the early menarcheal girls than the late-menarcheal girls (p<0.05, age at 13). In the result of multiple logistic regression, the BMI at the age of 8 and 9 was associated with early menarche after adjusting for birth weight, breast feeding and age at menarche of the mother (BMI at the age of 8: p for trend=0.01, BMI at the age of 9: p for trend=0.04). An increase in BMI from 7 to 8 year was associated with early menarche after adjusting for birth weight, breast feeding, age at menarche of the mother (p for trend=0.048). Conclusions: The BMI at the age of 8 and 9 was associated with the early menarche of girls and increase in BMI from 7 to 8 year was associated with the early menarche of girls. These results suggest that BMI and increase in BMI before menarche cause early menarche. Although this study does not represent all Korean adolescent girls, it is one of the few studies that have investigated the temporal relationship between BMI and early menarche.

Esophageal Cancer in Brunei Darussalam over a three Decade Period: an Epidemiologic Study of Trends and Differences between Genders and Racial Groups

  • Chong, Vui Heng;Telisinghe, Pemasari Upali;Chong, Chee Fui
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.4123-4126
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    • 2015
  • Background: Carcinoma of the esophagus is associated with significant morbidity and mortality. The most common subtype is squamous cell carcinoma (SCC). In the past three decades, the incidence of SCC has been reported to be decreasing whereas esophageal adenocarcinoma (AC) is increasing. This study assessed the trend of esophageal cancer in Brunei Darussalam over a three decades period. Materials and Methods: The National Cancer registry was searched for esophageal cancers from 1986 to 2012. Data on age, gender, racial groups (Malays, Chinese, Indigenous and foreign nationals) and histology type were collected. The rate (ASR) and Age Specific Incidence rate (ASIR) were calculated. Results: The predominant tumor type was SCC which accounted for 89% of all esophageal cancer. The gender ratio was 2.25: 1 (male: female) and the mean age at diagnosis was $66.9{\pm}12.9$ years, significantly younger for esophageal AC ($57.2{\pm}16.0$) compared to SCC ($68.1{\pm}12.0$, p<0.05), and among the foreign nationals (p<0.05 for trend). The proportions of SCC among all esophageal cancers in the various racial groups were: Malays (87.8%), Chinese (100%), Indigenous (100%) and foreign nationals (20%). None of the Chinese and Indigenous groups were diagnosed with esophageal AC. The overall ASR for esophageal cancer was 2.1/100,000; 2.0/100,000 for SCC with a declining trend and 0.17/100,000 for esophageal AC, without any trend observed. Among the two major racial groups; the Chinese has higher ASR (3.42/100,000) compared to the Malays (ASR 0.95/100,000). Conclusions: SCC is the predominant tumor type of esophageal cancer in Brunei Darussalam and more common among the Chinese. There was a declining trend in the incidence of SCC but not for esophageal AC.

Relationship between Nurse Staffing and Critical Nursing Activities in Intensive Care Units : Analysis of National Health Insurance Claims Data from 2009 to 2020 (중환자실 간호사 배치수준과 중증 간호행위의 관련성 : 2009~2020년 건강보험 청구자료 분석)

  • Go, U Ri;Cho, Sung-Hyun
    • Journal of Korean Critical Care Nursing
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    • v.17 no.2
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    • pp.25-41
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    • 2024
  • Purpose : This study aimed to investigate changes in critical nursing activities from 2009 to 2020 and explore the relationship between nurse staffing and such activities in intensive care units. Methods : A total of 446,445 adult patients admitted to intensive care units in tertiary and general hospitals from 2009 to 2020 were identified using the National Health Insurance claims database. The Critical Nursing Activities Index was calculated based on the following critical nursing activities: ventilator, extracorporeal membrane oxygenation (ECMO), and continuous renal replacement therapy (CRRT). Trend analysis was performed to analyze changes in critical nursing activities over 12 years and to assess linear trends across different staffing levels. Results : The annual utilization days for ventilators, ECMO, and CRRT, as well as the Critical Nursing Activities Index significantly increased over the study period (p-for-trend<.001) in tertiary and general hospitals, except for ventilator use in general hospitals. Ventilator, ECMO, and CRRT utilization exhibited a significant upward trend with higher nurse staffing levels (Bonferroni adjusted p-for-trend<.001). The Critical Nursing Activities Index was significantly higher in hospitals with higher staffing levels compared to those with lower staffing levels (Bonferroni adjusted p <.05). Conclusion : The findings underscore the need for improved nurse staffing levels in intensive care units. Government policies should ensure that staffing levels align with critical nursing activities among critically ill patients to uphold the quality of care.

A Korean nationwide investigation of the national trend of complex regional pain syndrome vis-à-vis age-structural transformations

  • Lee, Joon-Ho;Park, Suyeon;Kim, Jae Heon
    • The Korean Journal of Pain
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    • v.34 no.3
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    • pp.322-331
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    • 2021
  • Background: The present study employed National Health Insurance Data to explore complex regional pain syndrome (CRPS) updated epidemiology in a Korean context. Methods: A CRPS cohort for the period 2009-2016 was created based on Korean Standard Classification of Diseases codes alongside the national registry. The general CRPS incidence rate and the yearly incidence rate trend for every CRPS type were respectively the primary and secondary outcomes. Among the analyzed risk factors were age, sex, region, and hospital level for the yearly trend of the incidence rate for every CRPS. Statistical analysis was performed via the chi-square test and the linear and logistic linear regression tests. Results: Over the research period, the number of registered patients was 122,210. The general CRPS incidence rate was 15.83 per 100,000, with 19.5 for type 1 and 12.1 for type 2. The condition exhibited a declining trend according to its overall occurrence, particularly in the case of type 2 (P < 0.001). On the other hand, registration was more pervasive among type 1 compared to type 2 patients (61.7% vs. 38.3%), while both types affected female individuals to a greater extent. Regarding age, individuals older than 60 years of age were associated with the highest prevalence in both types, regardless of sex (P < 0.001). Conclusions: CRPS displayed an overall incidence of 15.83 per 100,000 in Korea and a declining trend for every age group which showed a negative association with the aging shift phenomenon.

Suggestion of a Groundwater Quality Management Framework Using Threshold Values and Trend Analysis (문턱값과 추세분석을 이용한 지하수 수질관리체계 구축을 위한 연구)

  • An, Hyeonsil;Jee, Sung-Wook;Lee, Soo Jae;Hyun, Yunjung;Yoon, Heesung;Kim, Rak-Hyeon
    • Journal of Soil and Groundwater Environment
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    • v.20 no.7
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    • pp.112-120
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    • 2015
  • Statistical trend analysis using the data from the National Groundwater Quality Monitoring Network (NGQMN) of Korea was conducted to establish a new groundwater quality management framework. Sen’s test, a non-parametric statistical method for trend analysis, was used to determine the linear trend of the groundwater quality data. The analysis was conducted at different confidence levels (i.e., at 70, 80, 90, 95, and 99% confidence levels) for three of groundwater quality parameters, i.e., nitrate-nitrogen, chloride, and pH, which have sufficient time series of the NGQMN data between 2007 and 2013. The results showed that different trends can be determined for different depths even for the same monitoring site and the numbers of wells having significant trends vary with different confidence levels. The wells with increasing or decreasing trends were far less than the wells with no trend. Chloride had more wells with increasing trend than other parameters. On the other hand, nitrate-nitrogen had the most wells with increasing trend and concentration exceeding 75% of the threshold values (TVs). Based on the methodology used for this study, we suggest including groundwater TVs and trend analysis to evaluate groundwater quality and to establish an advanced groundwater quality management framework.