Objective : The authors analyzed the incidence, the cause and the prognosis of hydrocephalus following aneurysmal subarachnoid hemorrhage to evaluate the risk factors of hydrocephalus and to provide the proper treatment method for hydrocephalus following aneurysmal subarachnoid hemorrhage. Methods : The 505 cases of subarachnoid hemorrhage followed by aneurysmal surgery from January 1990 to May 1999, were divided into shunt group and shunt-free group and we were reviewed for the clinical status, Fisher's grade, brain CT findings and prognosis. Results : The incidence of acute hydrocephalus was 37.2% of patients and 18.9% to developed chronic hydrocephalus. Shunt surgery due to chronic hydrocephalus was required in 6.5% of patients. We found following variables were significantly related to shunt-dependent hydrocephalus : high Hunt-Hess and Fisher grade, initial CT findings of intraventricular hemorrahge, posterior circulation aneurysm, preoperative rebleeding, delayed ischemic deficits, and initial high ventricular size index. There were no statistically significant relationships between shunt-dependent hydrocephalus and patient age or sex, timing of operation. The previous hypertension was not related to shunt dependent hydrocephalus. Prognosis in shunt group showed poor result. Conclusion : The risk factors of hydrocephalus following aneurysmal subarachnoid hemorrhage are high Hunt-Hess grade, high Fisher's grade, aneurysms of posterior circulations, preoperative aneurysmal rebleeding, delayed ischemic deficits, initial CT findings of intraventricular hemorrahge and initially increased ventricular size. The patients with these factors should the carefully observed and managed accordingly due to poor prognosis related to hydrocephalus requiring shunt operation.
Journal of the Institute of Electronics Engineers of Korea TC
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v.40
no.2
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pp.56-63
/
2003
We investigate some implementation factors that affect the performance of multi-rate parallel interference cancellers (PICs) for the international mobile telecommunications-2000 (IMT-2000) 3rd-generation partnership project (3GPP) system. We consider the simple multi-rate PIC [1,2] that can remove effectively multiple access interference (MAI) through block-based detection and sample-based cancellation in asynchronous user environments. The PIC structure has significantly lower complexity as compared with that of the existing scheme, especially as the number of users increases. We analyze the effects of timing error, oversampling rate, unsynchronized users and/or outer-cell interference, and the number of Quantization bits on the PIE performance through extensive computer simulations. The models for such factors and the optimum parameters are drawn. Finally, we evaluate the receiver complexities of the PIC receivers employing using the advanced removal scheme.
Barriers to health seeking constitute a challenging issue in the treatment of breast cancer. The current meta-synthesis aimed to explore common barriers to health seeking among Malaysian breast cancer patients. From the systematic search, nine studies were found meeting the inclusion criteria. Data extraction revealed that health behavior towards breast cancer among Malaysia women was influenced by knowledge, psychological, sociocultural and medical system factors. In terms of knowledge, most of the Malaysian patients were observed to have cursory information and the reliance on the information provided by media was limiting. Among psychological factors, stress and sense of denial were some of the common factors leading to delay in treatment seeking. Family member's advice, cultural beliefs towards traditional care were some of the common sociocultural factors hindering immediate access to advanced medical diagnosis and care. Lastly, the delay in referral was one of the most common health system-related problems highlighted in most of the studies. In conclusion, there is an immediate need to improve the knowledge and understanding of Malaysian women towards breast cancer. Mass media should liaise with the cancer specialists to disseminate accurate and up-to-date information for the readers and audience, helping in modification of cultural beliefs that hinder timing health seeking. However, such intervention will not improve or rectify the health system related barriers to treatment seeking. Therefore, there is an immediate need for resource adjustment and training programs among health professional to improve their competency and professionalism required to develop an efficient health system.
Journal of Advanced Marine Engineering and Technology
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v.39
no.1
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pp.8-12
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2015
Non-esterified bio-diesel fuel saves cost by no esterified process and its performance was more similar to diesel oil than esterified bio-diesel fuel when the fuel blended 95% diesel oil and 5% it was used on diesel engine with electronic control system. A performance optimization is necessary for application of non-esterified bio-diesel fuel blended with diesel oil 95% on the latest diesel engine. In this study, test using fractional factorial design was accomplished at 25% and 50% partial load in order to evaluate influence of controllable 6 factors on responses such as specific fuel consumption, nitrogen oxides and coefficiency of variation of indicated mean effective pressure as basic experiment for performance optimization of this fuel. It is cleared that the injection timing and common rail pressure of 6 factors are mainly effective and its effect level is different according to load.
Background: Incidence and mortality rates for cancer have increased dramatically in the recent 30 years in Taiwan. However, not all patients receive treatment. Treatment refusal might impair patient survival and life quality. In order to improve this situation, we proposed this study to evaluate factors that are related to refusal of treatment in cancer patients via a cancer case manager system. Materials and Methods: This study analysed data from a case management system during the period from 2010 to 2012 at a medical center in Northern Taiwan. We enrolled a total of 14,974 patients who were diagnosed with cancer. Using the PRECEDE Model as a framework, we conducted logistic regression analysis to identify independent variables that are significantly associated with refusal of therapy in cancer patients. A multivariate logistic regression model was also applied to estimate adjusted the odds ratios (ORs) with 95% confidence intervals (95%CI). Results: A total of 253 patients (1.69%) refused treatment. The multivariate logistic regression result showed that the high risk factors for refusal of treatment in cancer patient included: concerns about adverse effects (p<0.001), poor performance(p<0.001), changes in medical condition (p<0.001), timing of case manager contact (p=.026), the methods by which case manager contact patients (p<0.001) and the frequency that case managers contact patients (${\geq}10times$) (p=0.016). Conclusions: Cancer patients who refuse treatment have poor survival. The present study provides evidence of factors that are related to refusal of therapy and might be helpful for further application and improvement of cancer care.
Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.
Journal of Korean Tunnelling and Underground Space Association
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v.26
no.4
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pp.315-326
/
2024
In this study, the Delphi method and AHP (analytic hierarchy process) were used to evaluate tunnel collapse risk from a comprehensive and multifaceted perspective. Influence factors were established through literature reviews, previous studies, and brainstorming sessions with expert groups, resulting in the construction of five main classification systems. A panel of 21 experts was formed, and three rounds of Delphi surveys were conducted to prevent errors and biases in the expert judgment process, thereby enhancing reliability. Ultimately, 14 influence factors were identified through CVR (content validity ratio) and COV (coefficient of variation) analyses of the experts' responses. Subsequently, the AHP method was applied to assess the relative importance of each influence factor and calculate the final composite weights. The timing of support and reinforcement had the highest priority, followed by groundwater inflow, joint conditions, support pattern levels, and auxiliary methods. These findings help identify the key factors affecting tunnel collapse risk and provide a foundation for developing strategies to improve tunnel safety.
In order to establish eLoran (enhanced Long Range Navigation) system, it needs the advancement of receiver, transmitter, data channel addition for Loran information, differential Loran sites for compensating Loran-c signal and ASFs (Additional Secondary Factors) database, etc. In addition, the precise synchronization of transmitting station to the UTC (Coordinated Universal Time) is essential if Loran delivers the high absolute accuracy of navigation demanded for maritime harbor entrance. For better timing synchronization to the UTC among transmitting stations, it is necessary to measure and monitor the transmission delay of the station, and the correction information of the transmitting station should be provided to the user's receivers. In this paper we presented the measurement method of absolute delay of Pohang Loran transmitting station and developed a time delay measurement system and a phase monitoring system for Loran station. We achieved -2.23 us as a result of the absolute phase delay of Pohang station and the drift of Loran pulse of the station was measured about 0.3 us for a month period. Therefore it is necessary to measure the delay offset of transmitting station and to compensate the drift of the Loran signal for the high accuracy application of PNT (Positioning, Navigation and Timing).
Journal of the military operations research society of Korea
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v.32
no.2
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pp.188-211
/
2006
This study aims to empirically investigate the effects of the individual-level characteristics on their timing decisions for their enlistments even though military services are their duties under a draft system. The individual characteristics considered include five psychological factors, such as attitude, uncertainty, information search level, future expectation, and perceived risk towards army, and other several demographic variables. Measurement scales for these psychological variables are developed and a duration model for individuals' enrollment timing decisions is also proposed. The proposed model is fitted to a survey data set collected from both those who have completed military service and those who have not. The estimation results show that two of five psychological variables, negative attitude and perceived risk, and several demographic variables, including education level, income level, residence area, and the number of family members serving the army, have meaningful impacts on the timing decisions for military service. Specifically, the enlistment timings are found to be more delayed as negative attitude towards army is stronger, perceived risk on army is higher, education level is higher, academic performance is better, income level is either low or high, residence area is either Seoul or big cities, and the proportion of family members enlisted is smaller. Several important managerial implications for alleviating problems resulting from enrollment postponements are also discussed.
Despite the fact that understanding customers satisfaction with transportation services is a subject of great importance, authors, so far, found no systematic researches referred to that issue. From this point, studying the satisfaction with subways services can be extremely useful. Empirical study of key factors in the satisfaction with subway services is the departure point, which holds as objectives, and we believe, will contribute to overall increasing in the number of subways services used and in the amount of public benefits derived from that usage. In order to achieve these goals: First, several items referred to some key factors in the satisfaction of subway usage were systemized. Second, a research of specific weights attached to those key factors by subway passengers was conducted. Knowledge of the satisfaction variables system can provide deep insights into ones perceptual experience when using a subway. The results were as follows: Various interrelated factors compose a passengers satisfaction with subway services. People do not just use subway passively; a number of key factors, like physical and personal services, exact timing, easiness to access etc. determine the passengers satisfaction with subway. In order to find out specific weights of these key factors multiple regression analysis was employed. Results showed that satisfaction with subway is determined by (in order of importance) easiness to access, quality of physical services, friendliness of working stuff and timing exactness. According to the findings, passengers do not use subway as a simple mean of transportation, rather they perceive it as a complex combination of environmental elements and overall satisfaction depends on these various factors. Therefore, to learn passengers satisfaction with subways services, passengers subway experience must be thoroughly studied and analyzed, and this is where papers value resides.
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