• Title/Summary/Keyword: Medical statistics

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Association between Dietary Behavior and Esophageal Squamous Cell Carcinoma in Yanting

  • Zhao, Lin;Liu, Chun-Ling;Song, Qing-Kun;Deng, Ying-Mei;Qu, Chen-Xu;Li, Jun
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8657-8660
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    • 2014
  • Background: Yanting is one of high risk areas for esophageal cancer and the screening program was therefore initiated there. This study was aimed to investigate the dietary behaviors on the risk of esophageal squamous cell carcinoma (ESCC), among the individuals with normal and abnormal esophagus mucosa. Materials and Methods: A frequency matched case-controls study was proposed to estimate the different distribution of dietary behavior between individuals of control, esophagitis and cancer groups. Cancer cases were selected from hospitals. Esophagitis cases and controls were selected from screening population for ESCC. Health workers collected data for 1 year prior to interview, in terms of length of finishing a meal, temperature of eaten food and interval between water boiling and drinking. Chi-square, Kruskal-Wallis tests and unconditional logistic regression model were used to estimate differences and associations between groups. Results: Compared with controls, length of finishing a meal ${\geq}15mins$ was related to a reduced OR for cancer (OR=0.46, 95%CI, 0.22-0.97) and even compared with cases of esophagitis, the OR of cancer was reduced to 0.30 (95%CI, 0.13-0.72). The OR for often eating food at a high temperature was 2.48 (95%CI 1.06, 5.82) for ESCC as compared with controls. Interval between water boiling and drinking of ${\geq}10mins$ was associated with lower risk of cancer: the OR was 0.18 compared with controls and 0.49 with esophagitis cases (p<0.05). Conclusions: Length of eating food ${\geq}15mins$ and interval between water boiling and drinking ${\geq}10mins$ are potentially related to reduced risk of esophageal SCC, compared with individuals with normal and abnormal esophageal mucosa. Recommendations to Yanting residents to change their dietary behaviors should be made in order to reduce cancer risk.

A Study on the agreement of Principal Diagnosis (주상병 일치도에 관한 연구 -1개 중소병원을 중심으로-)

  • Seo, Young-Suk;Kim, Yoo-Mi;Nam, Moon-Hee;Kang, Sung-Hong;Lim, Ji-Hye
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.123-133
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    • 2009
  • Background : The principal diagnosis has been used in many different fields such as hospital statistics, medical research, insurance claim, national health statistics and so on. Some principal diagnoses have a relatively low level of reliability in the medium-sized hospitals. The purpose of this study is to identify the reliability level of principal diagnoses and to suggest ways to improve reliability of the principal diagnosis. Method : Data were collected from a medium-sized hospital located in Pusan. The discharge summaries on 323 patients who were discharged in January, 2008 and the outpatient summaries on 251 patients who visited the hospital on March 28, 2008 were collected, and descriptive analysis was performed using SPSS version 12.0K. Result : The findings are the followings: (1) the diagnostic consistency rate between medical records and doctors' was 92.0%; (2) the diagnostic consistency rate between medical records and insurance claims was 86.1%; (3) the diagnostic consistency rate between doctors' diagnoses and insurance claims was 80.2%. The evidence seems to indicate that some principal diagnoses have reliability problems in the medium-sized hospitals. Conclusion : The results of this study suggest the followings: (1) employees should be trained and supervision of hospital activities are needed; (2) network systems should be constructed for each department; (3) professions need to be fostered (4) doctors' awareness of medical records should be changed.

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Analysis of Articles Published in Korean Journal of Oriental Physiology and Pathology for Recent 3 Years (최근 3년간 발표된 동의생리병리학회지 논문의 방법론 및 통계처리기법에 관한 보고)

  • Ko, Mi-Mi;Kang, Byeong-Kab;Kang, Kyung-Won;Park, Sae-Wook;Kim, Bo-Young;Kim, Jung-Chul;Choi, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.1
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    • pp.189-193
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    • 2008
  • We analyzed the research type and statistical methods in Korean Journal of Oriental Physiology and Pathology for describing the trends of Oriental medicine research. The data for the analysis of trends in Oriental medicine research was taken from a total 808 articles published in Korean Journal of Oriental Physiology and Pathology from 2004 to 2006. We surveyed the number of authors, the institutes involved in each study, and used languages in each study. Also we seperated by epidemiological study design, the studies into categories and statistical methods into 13 categories. Results showed that descriptive statistics was used in 125(14.4%) papers. Also t-test, analysis of variance, multiple comparison, chi-square test, and non-parametric test were used in 338(38.9%), 147(16.9%), 81(9.3%), 27(3.1%), 23(2.6%) papers, respectively. And 62(7.1%) papers of the involved papers didn't use statistical methods. To improve the quality of Oriental medicine related articles, we have to use proper statistical methods with consultation of statistician or other experts before accepting a manuscript are needed.

Factors Influencing Chinese Customers' Loyalty to Korean Medical and Tourism Services (중국인의 한국 의료관광 서비스에 대한 질과 만족도가 충성도에 미치는 영향)

  • Yom, Young-Hee;Kim, Myoung Ae;Han, Jung Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.317-326
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    • 2015
  • Purpose: The purpose of this study was to identify factors related to the loyalty of Chinese customers who use Korean medical and tourism services. Methods: Participants were 158 Chinese who visited plastic surgery clinics in Korea. Data were analyzed using descriptive statistics, One-way ANOVA, $Scheff{{\acute{e}}$ test, Pearson Correlation and Hierachical Multiple Regression. Results: Medical service quality, tourism service quality and medical and service satisfaction were positively correlated with customer loyalty. Medical service quality and medical and tourism service satisfaction had significant influence on customer loyalty. The explained variance for customer loyalty was 84.9%. Conclusion: These results suggest the need to improve the tourism service and medical and tourism service satisfaction to retain loyal customers.

Cancer Incidence and Mortality in Osaka, Japan: Future Trends Estimation with an Age-Period-Cohort Model

  • Utada, Mai;Ohno, Yuko;Shimizu, Sachiko;Ito, Yuri;Tsukuma, Hideaki
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3893-3898
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    • 2012
  • In previous studies we predicted future trends in cancer incidence for each prefecture in order to plan cancer control. Those predictions, however, did not take into account the characteristics of each prefecture. We therefore used the results of age-period-cohort analysis of incidence and mortality data of Osaka, and estimated the incidence and mortality of cancers at all sites and selected sites. The results reflect the characteristics of Osaka, which has and is expected to have large number of patients with liver cancer. We believe our results to be useful for planning and evaluating cancer control activities in Osaka. It would be worthwhile to base the estimation of cancer incidence and mortality in each prefecture on each population-based cancer registry.

An Introduction to Data Analysis (자료 분석의 기초)

  • Pak, Son-Il;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.26 no.3
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    • pp.189-199
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    • 2009
  • With the growing importance of evidence-based medicine, clinical or biomedical research relies critically on the validity and reliability of data, and the subsequent statistical inferences for medical decision-making may lead to valid conclusion. Despite widespread use of analytical techniques in papers published in the Journal of Veterinary Clinics statistical errors particularly in design of experiments, research methodology or data analysis methods are commonly encountered. These flaws often leading to misinterpretation of the data, thereby, subjected to inappropriate conclusions. This article is the first in a series of nontechnical introduction designed not to systemic review of medical statistics but intended to provide the journal readers with an understanding of common statistical concepts, including data scale, selection of appropriate statistical methods, descriptive statistics, data transformation, confidence interval, the principles of hypothesis testing, sampling distribution, and interpretation of results.

Bayesian Analysis in Generalized Log-Gamma Censored Regression Model

  • Younshik chung;Yoomi Kang
    • Communications for Statistical Applications and Methods
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    • v.5 no.3
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    • pp.733-742
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    • 1998
  • For industrial and medical lifetime data, the generalized log-gamma regression model is considered. Then the Bayesian analysis for the generalized log-gamma regression with censored data are explained and following the data augmentation (Tanner and Wang; 1987), the censored data is replaced by simulated data. To overcome the complicated Bayesian computation, Makov Chain Monte Carlo (MCMC) method is employed. Then some modified algorithms are proposed to implement MCMC. Finally, one example is presented.

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The Estimation of Mean Residual Life Function under Left Truncation and Right Censoring Model

  • Moon, Gyoung-Ae;Shin, Im-Hee;Chae, Hyeon-Suk
    • Journal of the Korean Data and Information Science Society
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    • v.6 no.2
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    • pp.65-76
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    • 1995
  • The importance of left truncated and right censoring cases has considered for better information in medical follow-up and engineering life testing studies. We propose some estimation procedure for the mean residual life function with consistency and asymptotic normality on the left truncated and right censoring model. And then, the comparision with Kaplan-Meier estimator ignoring the left truncated effect and the small sample properities are investigated by asymptotic biases and M.S.E.'s thresh Monte Carlo study.

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Efficient Estimation of the Parameters of the Pareto Distribution in the Presence of Outliers

  • Dixit, U.J.;Jabbari Nooghabi, M.
    • Communications for Statistical Applications and Methods
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    • v.18 no.6
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    • pp.817-835
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    • 2011
  • The moment(MM) and least squares(LS) estimations of the parameters are derived for the Pareto distribution in the presence of outliers. Further, we have derived a mixture method(MIX) of estimations with MM and LS that shows that the MIX is more efficient. In the final section we have given an example of actual data from a medical insurance company.

A User Study for the Collection Management of a Medical Library: Focused on the Analysis of Circulation Data of the A-Medical Library (의학도서관의 단행본 장서구성을 위한 이용자 연구: A 의학도서관 대출기록을 중심으로)

  • Kim, Esther;Nam, Young Joon
    • Journal of the Korean Society for information Management
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    • v.32 no.3
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    • pp.261-276
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    • 2015
  • The aim of this study is supporting efficient development of library collection and improvement of library service for users by analyzing utilization patterns of library collection using circulation statistics of medical library users. With this purpose, circulation statistics were extracted from 90,420 cases of circulation records in A library for recent 3 years (from 2012 to 2014). Specifically, circulation data categorized according to status and subject, loan data of most popular books and use data of inter-library loan service were collected and analyzed. Subject groups of this study are undergraduate students, graduate students and incumbent hospital employees including faculty members, training members and nondoctor members. For the result, medical library users intensively lent materials of Technology (Applied Sciences), Literature and Social science areas. Especially, the demand of the materials of literature was higher than the demand of the other subject areas compared in the base of collection development.