• Title/Summary/Keyword: Age prediction

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Fetal Bio Index Difference Analysis by Country and Quadratic Regression Model Design for The Gestational Age Prediction (태아 생체지표 국가별 차이분석 및 임신주수 예측의 2차 회귀모형 설계)

  • Kim, Changsoo;Yang, Sung-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.685-691
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    • 2020
  • Standard values for fetal bio index measurements should be applied differently depending on the past present and general characteristics of the target population. Therefore, we tried to predict the number of gestational week(GA) and analyze the differences by country based on the measurements of Korean fetal bio index. 480 fetal bio index measurements between 15~38 weeks of pregnancy using ultrasound were compared retrospectively with USA ad Japanese data. One Way ANOVA was used for the analysis of differences by country, and quadratic regression model was designed to predict the GA of fetal bio index in order to predict the standard pregnancy number of Korean fetuses(p<0.005). Mean difference in the 95% confidence interval is BPD was Korea and USA 0.17, Korea and Japan 0.11, AC was Korea and USA -0.35, Korea and Japan 0.42, FL was Korea and USA -0.18, Korea and Japan 0.14. Therefore, fetal bio index for GA predict is considered to be the standard of the fetal growth assessment by applying the country specific standard in consideration of differences between races.

A Study of Predictive Factors of Cervical Lymph Node Metastasis in Papillary Microcarcinoma(PMC) of Thyroid Gland (갑상선 미세유두암에서 경부림프절 전이의 예측인자에 대한 연구)

  • Yu, Hye-Mi;Ha, Tae-Kwun;Ryu, Sung-Mock;Kim, Woon-Won;Kim, Sang-Hyo
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.1
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    • pp.3-8
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    • 2010
  • Background : Though papillary microcarcinoma(PMC) of thyroid gland is known to have very favorable long-term prognosis, the recurrence in the neck and distant metastasis have been often reported. The predictive factors of node metastasis and tumor recurrence in clinical course were investigated to define surgical decision or guidelines in surgery of papillary microcarcinoma. Methods : The authors conducted a retrospective analysis of 216 patients of PMC treated with surgery at Department of Surgery, Busan Paik Hospital for the period from 1997 to 2007. Of these patients, 58 cases showing cervical lymph node metastasis at initial surgery were studied. Results : In overall 216 patients, the sex ratio of male to female was 1 : 9.3(male 21, female 195 cases), the mean age at the time of diagnosis was 44.7 years and the median tumor size was 6.61mm. Neck lymph node metastasis was found in 58 patients(26.9%), thyroid capsular invasion was 56 cases(25.9%), multifocality and bilaterality were found in 32(14.8%) and 29 cases(13.4%), respectively. Through statistical analysis, sex, capsular invasion, ETE, and tumor size(>5mm) were considered to be predictive factors of cervical lymph nodes metastasis. Of them, capsular invasion was the most predictive indicator of cervical lymph node metastasis on multivariate analysis. Nodal recurrence was observed in 6 of 58 patients of node positive at initial surgery. Conclusion : The cervical lymph node metastasis is known to be a risk factor of prognosis in PMC of thyroid gland. The results of this study showed four statistically significant independent predictive factors of cervical lymph node metastasis in PMC : capsular invasion, tumor size(>5mm), ETE, and sex. On multivariate analysis, capsular invasion was a great influencing factor in prediction of lymph node metastasis. Basically, patients who has predictive factors of cervical lymph node metastasis should have a thorough investigation, and close surveillance for nodal status is required in follow-up.

The Influence of Calling on School Organizational Commitment of School Health Nurses (보건교사의 소명의식이 학교조직몰입에 미치는 영향)

  • Kim, Hyo Soon;Lee, Yoonshin;Kim, Ok Sun;Sok, Sohyune
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.535-543
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    • 2020
  • With the emergence of new infectious diseases and changes in the educational environment, the health problems of school-age students are increasing. Accordingly, the role of school health teachers is expanding and becoming more important. The study was to examine the effect of calling on school organizational commitment of school health nurses. Samples were a total of 143 school health nurses working in elementary, middle, and high schools, Gyeonggi-do, South Korea who understood the purpose of this study and voluntarily participated in the study. Measures were Calling and Vocation Questionnaire-Korea (CVQ-K) and organization commitmen questionnaire. Data were analyzed using SPSS/WIN 23.0 program. The analyses showed that the prediction model for school organizational commitment of school health nurses was significant (F=16.142, p<.001). The value of the adjusted R2 was 0.307, which corresponds to the explanatory power of 30.7%. The factor that was found to have the most influence on school organizational commitment of school health nurses was purpose/meaning (β=.28, p=.011), followed by number of classes (β=-.20, p=.006). In order to improve the school organizational commitment of school health nurses, the purpose/meaning and the number of classes should be considered.

Sperm-Associated Antigen 9 is a Promising marker for Early Diagnosis of Endometrial Cancer

  • Baser, Eralp;Togrul, Cihan;Ozgu, Emre;Ayhan, Sevgi;Caglar, Mete;Erkaya, Salim;Gungor, Tayfun
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7635-7638
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    • 2013
  • Background: Sperm-associated antigen 9 (SPAG9) has been recently proposed as a novel biomarker for early diagnosis of several human tumors, including ovarian, cervical and breast cancers. Its clinical value remains to be clarified for endometrial cancer (EC). In this study, we investigated the utility of serum SPAG9 levels in diagnosis of EC and its association with important clinicopathological parameters. Materials and Methods: This cross-sectional study was performed at a tertiary women's referral center in Ankara, Turkey. Preoperative serum samples were collected from patients surgically treated for endometrial cancer between June 2012-April 2013. Similar aged women with a biopsy proven benign endometrium were used as controls. Serum SPAG9 levels were measured with an enzyme-linked immunosorbent assay (ELISA) method and assessed for links with clinicopathological factors. Receiver operating characteristic (ROC) curve analysis was performed to assess power of SPAG9 levels for EC prediction. P values less than 0.05 were considered statistically significant. Results: A total of 63 women with EC and 27 with benign endometrium were included in the study. Mean age in the EC group was $58.7{\pm}1.1$. Median SPAG9 levels in the EC and control groups were 18.3 (range, 12.7-53.8) and 14.1 (range, 4.3-65.3), respectively (p<0.001). A cut-off value of 17 ng/ml for SPAG9 predicted presence of malignant endometrium with 74% sensitivity and 83% specificity [Area under curve (AUC)=0.82, p<0.001]. SPAG9 levels did not demonstrate any significant association with histological type, FIGO stage, tumor grade, size, myometrial invasion, lymphovascular space invasion, cervical involvement, adnexal involvement, peritoneal cytology or lymph node status (all p>0.05). Conclusions: Testing for SPAG9 may be useful for early detection of EC in asymptomatic high-risk women. Its role in post-treatment follow-up and early detection of recurrence should be assessed in future trials.

Analysis of the Change in Density of Development And Environmental Restrictions Conflict Prediction in Pyeongchang (개발 밀도의 변화 분석과 환경규제 갈등 예측 -평창을 사례로-)

  • Bae, Sun-Hak
    • Journal of the Korean association of regional geographers
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    • v.15 no.2
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    • pp.282-291
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    • 2009
  • This research predicts the spatial discord which relates with a restriction using 1915 and 2005 spatial data. In this research, difference of relative spatial density is measured and predicted the discord which relates with an environmental restriction in Pyeongchang. First, research area Pyeonchang's relative crowding degree of the building was strengthened from 1915 to 2005. When classifies a change type, formed the strong hold with new regulation and grew types and at the strong hold where contiguous concentration is progress types, general the influence weakening types and the change almost nil types. The next is the result which analyzes the long and short terms discord for the environmental restriction which is forecast from the research area. That is forecast with the fact that the discord between of development and preservation will be big with long and short terms in Jinbu-Myeon, Pyeongchang-Eup city center angles and 31 national road circumferences. And in Daegwanryeong-Myeon the discord is big short-term but with the fact that the discord will be weakened long-term. Bangrim-Myeon, now the discord is weak but the discord will be strengthened long-term. This result could be applied with fundamental data for weakening the spatial discord of the area.

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Projecting Future Change in the Female Labor Force based on Historical Experiences of Other Developed Countries: Implications for the Effects of Changing Population Structure on the Size of the Workforce (선진국의 역사적 사례에 기초한 여성경제활동인구 변화 전망 : 인구구조 변화가 노동인력규모에 미치는 영향에 대한 함의)

  • Lee, Chulhee;Kim, Claire Kyu-yeon
    • Journal of Labour Economics
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    • v.42 no.4
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    • pp.1-29
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    • 2019
  • This study estimates how changes in the female (aged 25 to 54) labor force participation rate (LFPR) following the historical experiences of the US and Japan would alter the future trend of the female economically active population by 2065, compared to the case in which the LFPR as of 2018 will remain unchanged. According to the results, the female labor force aged 25 to 54 will increase by 14% (about 797,000) and 15% (about 831,000), respectively, by 2042 if the female LFPR should change following the past trends of the US and Japan. In particular, the increase in the labor force is expected to be pronounced among females aged 30 to 44 who currently suffer high rates of job severance. The results of this study strengthen the prediction that the on-going population changes will not reduce much the overall economically active population in the near future. The result of a simulation based on the historical experiences of Japan suggests that, as least in the near future, policy efforts to encourage female labor supply will be more effective in alleviating the potential labor-market impacts of population changes, compared to policies aiming at increasing old-age employment.

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A Dynamic Analysis of the Women's Labor Market Transition: With a Focus on the Relationship between Productive and Reproductive Labor (여성의 생산노동과 재생산노동의 상호연관성이 취업에 미치는 영향에 관한 경험적 연구)

  • 이재열
    • Korea journal of population studies
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    • v.19 no.1
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    • pp.5-44
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    • 1996
  • Wornen's lahor market participation as well as the policy concern for wider utilization of married women, have continuously grown up. However, research efforts on the determinants of women's labor market participation, in the context of the relationship hetween life courses and active entry into lahor market, has been far behind the growing interest in this field. This study has conducted an event histoiry analysis of women's labor market transition utilizing personal occupational history data collected by the Korea Institute for Women's Development in 1991. The analysis is divided into tow parts: First part introduces logit regression to analyze the determinants of women's labor market participation and exit. The second part employs Cox regression to see the variation of transition rate between employment and non-employment. The result shows that there is a wide variation in women's labor market participation according to age, cohort, and family formation. Special note is needed for the significantly negative effect of marriage and child birth on labor market participation. The transition pattern of lower class women with less education fits well to the prediction of neo-classical economics; but the tendency of highly educated women's regression to non-employment reveals the strong influence of the unfavorable labor market structure, which can be better explained by the neo-structuralist perspective. There is a strong trade-off between productive and reproductive labor of women, which can only be corrected by strong policy implementation, such as extended child care facilities, abolition of discriminatory employment practices, and expansion of flexible part-time employment.

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Prediction of the change of soft tissue profile on the lower face following retraction of incisors (전치부 후방이동에 따른 하안면부 연조직 측모 변화의 예측)

  • Lee, Jang-SeoP;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.29 no.4 s.75
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    • pp.399-409
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    • 1999
  • The purpose of this study was to evaluate the change of soft tissue profile on lower face following retraction of incisors through orthodontic treatment. 31 Korean women with bialveolar protrusion who were treated with 4 first bicuspid extraction were selected. All of samples were treated from above 17 years of age. Lateral cephalometric head films taken before and after treatment were analyzed statistically. The results were obtained as follows. $\cdot$The ratio of upper incisor retraction to upper lip retraction and lower incisor retraction to lower lip retraction were 1.54:1 (r=0.746) and 0.92:1 (r=0.584) respectively $\cdot$It appeared during orthodontic treatment that UIS-LS was increased considerably and the others in soft tissue thickness measurements were slightly decresed. $\cdot$Analysis of correlation showed that the change of the upper lip (LS) with the change of maxillary central incisor (UIS) and the change of lower lip with the change of B point were most strongly correlated. $\cdot$The multiple regression equations were obtained to predict soft tissue profile change of lower face according to retraction of incisors.

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Skeletal maturation evaluation using mandibular third molar development in adolescents (하악 제3대구치의 성숙도를 이용한 성장 평가)

  • Cho, Sun-Mi;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.39 no.2
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    • pp.120-129
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    • 2009
  • Objective: To estimate dental maturity using the Demirjian Index for the mandibular third molar and investigate the relationships between dental maturity and skeletal maturity among growing children. Methods: The samples were derived from panoramic, lateral cephalometric and hand-wrist radiographs of 270 female subjects registered as patients at the orthodontic department, dental hospital, Yonsei University. Dental maturity [Demirjian Index (DI)] and skeletal maturity [skeletal maturation indicators (SMIs)] and cervical vertebrae maturation indicators (CVMIs)] were estimated from these radiographs. Results: There was a significant correlation (r = 0.64) between SMIs and DI, and a similar correlation (r = 0.59) was observed between CVMIs and DI (p < 0.001). If DI was above Stage E, then the SMI was above Stage 10 and the CVMI was above Stage 5. There was a weak correlation (r = 0.26) between age at menarche and DI (p < 0.001). There was no significant difference in DI among Class I, II or III malocclusions. Conclusions: Dental maturity evaluation using the mandibular third molar will be an adjunctive tool in combination with cervical vertebrae and hand-wrist maturity evaluations.

A Study on Prevalence and Nursing Intervention of Bed Sore Patients who Received Regional Home Care Services (가정간호 대상자의 욕창발생 및 간호중재에 관한 조사연구)

  • Kim Keum-Soon;Cho Nam-Ok;Park Young-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.43-60
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    • 1997
  • This study was to identify the nursing intervention method in finding out the incidence, risk factor, prevention and treatment of bed sore cilents who received regional home care nursing services. The eleven home care nurse practitioners took the survey on 97 patients who received home care nursing service from Seoul City Nurses Association for one month from September 26 to October 26 1996. A modified version of Braden's bed sore assessment tool for bed sore risks and a tool for assessment of bed sore stage and measurement bed sore sizes by Bergstrom, Braden, Laguzza and Holman(1987) were as research tools for this study and a questionnare with 40 questions and 12 items on nursing activities was used to find out the prevention and treatment of bed sores. Also, two open ended questions were used on current approaches and efforts of the treatment being applied to clients. The finding of the study were summarized as following : 1. The rate of bed sore occurrence was 47.4% 2. The areas of bed sore occurrence were hip(28.9%), sacrum(18.6%), great trochanter(14.4%) and the average number of sore spots were 2.26 3. Two groups-one with bed sores and the other without-were studied to determine prediction factors for bed sore risks. Sensory function, humidity, level of activity, mobility, nutrition, skin friction and chapping and body temperature turned out to be statistically significant factors for bed sores. Also the age of clients turned out to be a individual characteristic variable significantly affecting the rate of bed sore occurrences. 4. The education for clients and family on systematic skin assessment and bed sores and practice of active/passive R.O.M. are mainly used as nursing activities for bed sore care. 5. The treatment method varied by stages of bed sores. Sometimes folk remedies like applying the powders of dried elm tree roots to sores were used. Good nutrition, frequent position change and skin care turned to be the most effective means to fast recovery of sores.

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