Background: The Korean Shoulder Scoring System (KSS) is a reliable and valid procedure for discriminative assessment of the clinical status of patients with rotator cuff tears. This study evaluates the correlation between the preoperative KSS and factors in patients with rotator cuff tears. Methods: From November 2009 to June 2016, 970 patients who underwent arthroscopic rotator cuff repair were retrospectively evaluated. A total of 490 patients met the study criteria. Preoperative factors included age, sex, symptom duration, mediolateral (ML) and anteroposterior (AP) tear size, acromiohumeral distance (AHD), tangent sign, tendon involvement (type I, supraspinatus; type II, supraspinatus and subscapularis; type III, supraspinatus and infraspinatus; type IV, all 3 tendons), fatty infiltration of rotator cuff muscles (group I, Goutallier stages 0 and 1; group II, Goutallier stages 2, 3, and 4), and KSS. Results: Old age, ML tear size, and AP tear size negatively correlated with the preoperative KSS (p<0.001). AHD showed a positive correlation with the preoperative KSS (p<0.001). A significantly inferior preoperative KSS was found in females and type III tendon involvement (p<0.001). For supraspinatus and infraspinatus, the preoperative KSS of group II fatty infiltration showed a significantly lower score than group I fatty infiltration (p<0.05). Conclusions: A relatively lower preoperative KSS was associated with old age, large tear size, narrow AHD, female, type III tendon involvement, and group II fatty infiltration of the supraspinatus and infraspinatus. Our study indicates that preoperative KSS can be a good measurement for the preoperative status of patients with rotator cuff tears.
Yesilyurt, Huseyin;Tokmak, Aytekin;Guzel, Ali Irfan;Simsek, Hakki Sencer;Terzioglu, Serdar Gokay;Erkaya, Salim;Gungor, Tayfun
Asian Pacific Journal of Cancer Prevention
/
v.15
no.19
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pp.8447-8450
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2014
Background: To evaluate factors for predicting the granulosa cell tumor of the ovary (GCTO) pre-operatively. Materials and Methods: This retrospective designed study was conducted on 34 women with GCTO as the study group and 76 women with benign ovarian cysts as the control group. Data were recorded from the hospital database and included age, body mass index (BMI), parity, serum estradiol ($E_2$) levels, diameter of the mass, ultrasonographic features, serum CA125 level, risk of malignancy index (RMI), duration of menopause, postoperative histopathology result, and the neutrophil/lymphocyte ratio (NLR). Results: The demographic parameters showed no statistically significant difference between the groups. Preoperative diameter of the mass, CA125, duration of menopause, and neutrophil/lymphocyte ratio were significantly different between the groups. ROC curve analysis demonstrated that diameter of the mass, serum estradiol and Ca125 levels, RMI and NLR may be discriminative factors in predicting GCTO preoperatively. Conclusions: In conclusion, we think that a careful preoperative workshop including diameter of the mass, serum estradiol ($E_2$) and Ca125 levels, RMI and NLR may predict GCTO and may prevent incomplete approaches.
Purpose: To identify factors associated with children's discriminatory attitudes towards fully recovered children who contracted the 2009 Influenza A (H1N1), in order to provide fundamental information to improve health education for children. Methods: Cross-sectional data were collected from the entire 6th grade classes (N=2,323) of 11 elementary schools randomly selected from 11 school districts in the Seoul Metropolitan Area of South Korea. Questionnaires were used to assess participants' knowledge of and attitudes towards the Influenza A (H1N1) virus. Results: Multiple regression analyses were used to investigate the factors associated with children's discriminatory attitudes toward fully recovered children who had contracted the 2009 Influenza A (H1N1). Multiple regression analysis revealed that perceived risk of contracting and knowledge of 2009 influenza A (H1N1) were significant factors in predicting a child's attitude toward fully recovered Influenza A (H1N1) patients, after controlling for socioeconomic variables. Conclusion: The findings suggests that perceived risk and knowledge play important roles in formulating children's appropriate attitudes towards Novel influenza A (H1N1) patients who are fully recovered from the disease. To promote and maximize children's attitudes in this area, health education needs to be directed at children to reduce excessive concern about contracting the virus and to improve their overall health knowledge.
Purpose With Intelligent public service (IPS), it is possible to automate the quality of civil affairs, provide customized services for citizens, and provide timely public services. However, empirical studies on factors for the successful use of IPS are still insufficient. Hence, the purpose of this study is to empirically analyze the factors that affect the success of IPS with classification function. ISSM (Information System Success Model) is considered as the underlying research model, and how the algorithm quality, data quality, and environmental quality of the discrimination system affect the relationship between utilization intentions is analyzed. Design/methodology/approach In this study, a survey was conducted targeting users using IPS. After giving them a preliminary explanation of the intelligent public service centered on the discrimination system, they briefly experienced two types of IPS currently being used in the public sector. Structural model analysis was conducted using Smart-PLS 4.0 with a total of 415 valid samples. Findings First, it was confirmed that algorithm quality and data quality had a significant positive (+) effect on information quality and system quality. Second, it was confirmed that information quality, system quality, and environmental quality had a positive (+) effect on the use of IPS. Thirdly, it was confirmed that the use of IPS had a positive (+) effect on the net profit for the use of IPS. In addition, the moderating effect of the degree of knowledge on AI, the perceived accuracy of discriminative experience and IPS, and the user was analyzed. The results suggest that ISSM and TOE framework can expand the understanding of the success of IPS.
Purpose: The purpose of this study was to evaluate the reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. Methods: Methodological study design was used to evaluate the reliability and validity of the clinical judgement rubric on simulation practice. The participants were 35 students in a college of nursing. Results: There were showed reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. In terms of internal consistency, the Cronbach's ${\alpha}$ for all columns was .821. Factor analysis showed that planning, intervention and evaluation domains with Eigen values of 69.87% were bound, unlike the original tool where four factors including noticing, interpretation, responding and reflecting domains were bound. Convergent validity was established by the correlation between the total clinical judgement score and critical thinking disposition before and after simulation practice. Discriminative validity was established by the correlation between the total clinical judgement score and simulation effectiveness score. Conclusion: The findings of this study suggested that clinical judgement rubric on simulation practice is reliable. Repeated studies are needed to objectively evaluate the clinical judgement rubric of simulation practice for applying various clinical situations.
Priority setting in national health insurances in major advanced countries and the nation was investigated to draw the criteria for priority setting and suggest the most rational criteria for dental insurance so as to help secure the efficiency of medicare financing and individual's health right and also elevate medical consumers' satisfaction with health insurance. 1. Priorities in national health insurance are different from country to country, depending on the medical security systems, priority introducing conditions, and social environment, but have many common factors. 2. The priority setting criteria for national health insurance in those countries include the following in common: the efficiency, equity, and cost effect of treatment, emergency of treatment, consumption of expense, efficacy of treatment, patient's receptiveness, patient's demand, severity of disease, and patient's responsibility for the disease. 3. In oral diseases, severe diseases including oral cavity cancer are low in rate, and in-hospital treatments are few. From the above findings, it is suggested that dental insurance should establish discriminative criteria for priority setting by reflecting the aspects of dental diseases and system difference between dental and other health insurances and taking account of efficiency of treatment through prevention, cost effect, prevalence and incidence of generalized diseases, and individual's financing burden.
This study is done to classify the upper body shapes for late elementary schoolgirls. The sampling was done for 11~12 years-old-girls resident in Busan and Kyungnam. Based on the somatometric charateristics of them, 33 anthropometic and 7 photogrphic measurment data were acquired from every girl. These data are statistically analyzed with the following methods; Factor Analysis, Cluster Analysis, and Discriminant Analysis. Resulting from the factor analysis, it is shown that 79.95% of the whole variances can be explained with 8 factors. Through the cluster analysis, 3 types of upper body shapes can be categorized as follows: Type I has average horizontal size, big vertical size and lots of protruded chest ; Type III has big horizontal size, the mean vertical size, and big upper angle of the back ; Type II has small horizontal and vertical size and long surface length of the upper body. Through the discriminant analysis, the high discriminative items in discriminant function are follows: Upper chest circumference, arm length and waist front length of discriminant function I and waist depth, front length, back breadth, nipple to nipple breadth and upper chest circumference of discriminant function II have large coefficient values.
Journal of the Korean Institute of Landscape Architecture
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v.26
no.3
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pp.118-133
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1998
The residents, living in multi-family housing, prefer to have healthy and natural outdoor environmental for better human and environment quality. Thus, providing the high qulity of amenity has become a popular word in site planning and housing developments field. However, the scope and definition of amenity have not yet clearly identified and it becomes and issue in planning and development field. The purpose of this study isto examine and to evaluate the amenity and its implicationi for site planning so that analysis methods such as to interview and survey with residents were carried out. The results of this study are summarized below; The amenity of residential environment means total environmental quality to the residents in a broad sense. Abundent green environment would be very important factor to increase the amenity of residential environment so that the expansion of green field would improve the quality of multifamily housing. The expansion of green environment and biotope was the most important factor to increase the symbiosis system between residents and outdoor environment. And the amenity should be conformed to the certain standand of environmental quality and the high quality of amenity would be increased significantly in the future for residental developments. Thus, it should be accomplished by preparing practical methods in means of discriminative strategy products planning principle.
Recent advancements in data measuring technology have facilitated the installation of various sensors, such as pressure meters and flow meters, to effectively assess the real-time conditions of water distribution systems (WDSs). However, as cities expand extensively, the factors that impact the reliability of measurements have become increasingly diverse. In particular, demand data, one of the most significant hydraulic variable in WDS, is challenging to be measured directly and is prone to missing values, making the development of accurate data generation models more important. Therefore, this paper proposes an adversarially trained autoencoder (ATAE) model based on generative deep learning techniques to accurately estimate demand data in WDSs. The proposed model utilizes two neural networks: a generative network and a discriminative network. The generative network generates demand data using the information provided from the measured pressure data, while the discriminative network evaluates the generated demand outputs and provides feedback to the generator to learn the distinctive features of the data. To validate its performance, the ATAE model is applied to a real distribution system in Austin, Texas, USA. The study analyzes the impact of data uncertainty by calculating the accuracy of ATAE's prediction results for varying levels of uncertainty in the demand and the pressure time series data. Additionally, the model's performance is evaluated by comparing the results for different data collection periods (low, average, and high demand hours) to assess its ability to generate demand data based on water consumption levels.
The shock of melamine-contained food has been known with the incident of hospitalization or death of infants at the age of 11-month old in China. The purpose of this study was to examine consumers' risk perception, attitude and purchase behavior of melamine-contained food which recently came to the fore as a social issue, focusing on the relationship between consumers' attitude and purchase behavior based on physical risk, social risk, psychological risk, financial risk, consumers' attitude and purchase behavior. Study findings are as follows. First, the four factors of risk perception of melamine-contained food were significantly different by consumers. Consumers regarded social risk as most significant and it was followed by financial risk and psychological risk. And they regarded physical risk as most insignificant. Second, as for the difference of risk perception by demographic features, such factors as gender, age, marital status and schooling had no statistically significant influence. Third, the potential risk of melamine-contained food had a negative influence upon consumers' attitude and purchase behavior. In addition, consumers' attitude and purchase behavior were decided by perceived risks. This finding implies that consumers' attitude can accompany with negative or positive behavior and consumers' behavior can be related to social, financial and physical risks. Because the risk perception of melamine-contained food can cause consumers' distrust about all kinds of food in general, domestic manufacturers of milk product-contained confectionery and food can be harmed. In order to overcome this problem and make consumers purchase all the milk products and milk-contained food without fear, governmental agencies must reestablish systems with which the safety of imported raw materials and its processing can be insured and manufactures must improve the quality of products in a diverse and discriminative manner. This study seems to be meaningful in that it examined consumers' risk perception of melamine-contained food, a current social issue, and then looked into the influence of risk perception upon consumers" attitude and behavior, thus presenting the strategy of reestablishing the system of relationship between consumers and business entities in a desirable manner.
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