• 제목/요약/키워드: Multinomial logistic

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Comparing Recurrence and Complications After Laparoscopy and Laparotomy Surgery among Patients Suffering from Colorectal Cancer, Shiraz, Iran

  • Ghaem, Haleh;Amiri, Zahra;Kianpour, Fatemeh;Rezaianzadeh, Abbas;Hosseini, Seyed Vahid;Khazraei, Hajar
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3111-3116
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    • 2016
  • Background: The goal of this study was to compare the rate of recurrence and occurrence of complications in colorectal cancer patients after two kinds of laparoscopy and laparotomy. Materials and Methods: A follow-up study was carried out among 358 patients who suffered from colorectal cancer from 2012-2014. The data were gathered from colorectal research center in Shiraz, Shahid Faghihi hospital, and analyzed using the chi-square test, logistic regression, and multinomial regression. Results: The average age of these patients was $56.3{\pm}14.6$, 55.0% being men. Moreover, 57.8% of them underwent laparoscopy surgery and 42.2% of the patients underwent laparotomysurgery and the conversion rate was 58.0% which ultimately was put under the category of laparotomy surgery. After biennial median follow-up, differences in the occurrence of complications such as bleeding (hemorrhage), fever, intestine blockage and wound infection in these two kinds of surgery werestatistically significant (P<0.05). However, the rate of recurrence and the patients' ultimate status (alive without disease, alive with disease, and death) did not significantly differ between these two surgery groups. Conclusions: Post-operation complications were laparoscopy surgery were less than those in laparotomy. However, the outcomes such as patients' ultimate status and recurrence were similar between the two groups.

Prevalence of Human Papillomavirus Infection in Oral Squamous Cell Carcinoma: a Case-control Study in Wuhan, China

  • Gan, Li-Li;Zhang, Hao;Guo, Ji-Hua;Fan, Ming-Wen
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5861-5865
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    • 2014
  • High risk forms of the human papilloma virus (HPV) are generally accepted as necessary causative agents for cervical cancer. Recently, a possible relation between HPV and oral squamous cell carcinoma (OSCC) has also been noticed. The present study was conducted to investigate the prevalence of HPV infection in OSCCs in Wuhan city. DNA samples were collected from fresh tissues in 200 patients with OSCC and 68 normal controls. The polymerase chain reaction and direct sequencing were used to identify the HPV types in the samples. The prevalence of HPV of all types in the OSCC group was higher than in the control group (55/200 vs 2/68, OR=11.5, 95% CI=2.6-50.2). HPV16 and HPV18 were the main types detected, with HPV6 was the only low-risk type identified. High-risk HPV types HPV16 and HPV18 are prevalent in OSCC patients and may participate in the development of OSCC with traditional risk factors, tobacco and alcohol, possibly exerting synergistic effects. The results of multinomial logistic regression showed that those who smoked, consumed alcohol and with HPV infection have the highest risk of developing oral cancer (OR=13.3, 95% CI=3.1-56.8). Adjusted for age, smoking and alcohol use, HPV infection was independently associated with oral squamous cell carcinoma.

점유형태 선택과 주거환경 및 주거의식의 관련성 분석 - 수도권 신혼부부 가구를 대상으로 - (A Relation between the Housing Tenure Choices and Residential Environments & Housing Consciousness - Focused on Newlyweds in the Seoul Metropolitan Region -)

  • 이창효;장성만
    • 지역연구
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    • 제32권2호
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    • pp.31-44
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    • 2016
  • 본 연구는 주택정책의 주요 대상 중 하나인 신혼부부 가구를 대상으로, 주거환경과 주거의식이 주택점유형태 선택에 미치는 영향에 대하여 실증적으로 분석하였다. 연구결과, 첫째, 주거환경과 주거의식은 가구속성 및 주택특성과 함께 주택 점유형태 선택에 유의미한 영향을 미치는 것으로 확인되었으며, 주거환경은 전세 선택에, 주거의식은 월세 선택에 유의미한 영향을 미치는 것으로 나타났다. 둘째, '주거환경' 측면에서, 주택 자체가 갖고 있는 속성(부(-)의 영향)과 주택을 둘러싸고 있는 주변 환경(정(+)의 영향)은 가구의 자가 대비 전세 선택에 영향을 미쳤다. 반면, 주거지 주변의 거주환경은 가구가 자가보다 월세를 선택하는데 정(+)의 영향을 미쳤다. 셋째, '주거의식'과 관련하여, 주택에 대하여 거주목적보다 투자목적의 자산가치에 중점을 두는 가구는 자가를 선택할 확률이 높은 것으로 확인되었다.

영남 지역 대학생들의 에너지 음료 음용 실태 및 영향 요인 (A Study on the Intake Status of Energy Drinks and Related Factors of University Students in Yeungnam Region)

  • 김효정;김미라
    • 한국식품영양학회지
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    • 제31권1호
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    • pp.160-172
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    • 2018
  • This study examined the intake status of energy drinks and related factors among university students in Yeungnam region, Korea. A total of 456 students participated in the study by a self-administered questionnaire. About 26% of the respondents never took energy drinks, whereas about 30% took them previously, but do not take them now. Almost 45% answered that they have taken them up to now. The reasons for first intake of energy drinks were 'necessity for myself' followed by 'curiosity', 'recommendation of friends', and 'seeing advertisement', and Chi-square test showed that there was a significant difference according to dwelling status. About half of the respondents took them since high school, and the main reason for energy drink intake was 'to stay awake'. About 45% of the respondents indicated that they increased study hours after taking energy drinks, whereas almost 40% answered that they had little effect on them. Over half of the respondents experienced side effects after energy drink intake. About one-fifth of the respondents mixed the energy drinks with alcoholic beverages to make them taste better. In addition, in the result for the multinomial logistic regression analysis, gender, grade, dwelling status, smoking status, alcohol drinking status, perception of effect of energy drinks on health, and perception of benefit level of caffeine were the predictors for the respondents who never took energy drinks in comparison with the respondents who have taken them up to now. On the other hand, for the respondents who took them previously but do not take them now compared with those of having taken them up to now, the predictors were dwelling status and smoking status. These results imply that dietary education from childhood regarding knowledge and side effects of energy drinks should be offered.

상대적 박탈 인지가구의 소비유형과 영향요인 (Factors Influencing Consumption Patterns of Household Recognizing Relatively Deprivation)

  • 심정인;김순미
    • Human Ecology Research
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    • 제53권5호
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    • pp.489-502
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    • 2015
  • This study identifies the relation between recognition relatively deprivation and consumption patterns. The data used were the seventh Korea Welfare Panel Study (KOWEPS). The final sample of 1,597 households was selected based on several sampling steps standard weights suggested by KOWEPS were applied. The final sample was subdivided into household recognizing relatively deprivation (51.7%) and non-household recognizing relatively deprivation (48.3%) per level of subjective income and objective income. We derived six consumption patterns from the cluster analysis as per consumption ratio: transportation dominant consumption pattern, essential consumption pattern, other dominant consumption pattern, care attention consumption pattern, private transfer consumption pattern, and education dominant consumption pattern. The results of this study are as follows. The analysis of the determinants of recognizing relatively deprivation in regards to question one found that the household was likely to be relatively deprived when: the head of a household was older, a household had a dual income, children and more total assets then those assessed 1 year ago compared to household living conditions, result of comparing the consumption patterns difference between household recognizing relatively deprivation and non-household recognizing relatively deprivation indicated that household recognizing relatively deprivation was more likely to belong to the transportation dominant consumption pattern, other dominant consumption pattern, and private transfer consumption pattern. The multinomial logistic analysis conducted to understand the determinants affecting the consumption patterns of household recognizing relatively deprivation indicated differences in demographic characteristics, household-related variables, financial variables and perception of economic conditions.

온라인 맞춤형 광고 인식에 따른 소비자유형 연구: 효용과 비용을 중심으로 (How Consumers Perceive Online Behavioral Advertising: Consumer Typology and Determining Factors)

  • 이진명;나종연
    • 디지털융복합연구
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    • 제13권9호
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    • pp.105-114
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    • 2015
  • 본 연구는 온라인 맞춤형 광고의 효용과 비용에 대한 소비자 인식을 살펴보고, 이에 따라 소비자가 어떻게 유형화되며 유형별 특성은 어떠한지 분석하는 것을 목적으로 한다. 이를 위해 20대에서 40대 일반소비자 1,000명을 대상으로 온라인 설문조사를 실시하였다. 본 연구의 결과를 요약하면 첫째, 온라인 맞춤형 광고의 효용과 비용에 대한 인식에 따라 군집분석을 실시한 결과, '효용지각형', '비용지각형', '효용비용지각형', '무관심형'의 4가지 소비자유형이 분류되었다. 둘째, 소비자유형별로 광고 관련 변수, 프라이버시 관련 변수, 기술 관련 변수의 유의한 차이가 나타났다. 셋째, 소비자유형을 종속변수로 다항 로지스틱 회귀분석을 실시한 결과, '효용비용지각형'은 '효용지각형'에 비해 자기정보통제권 인식이 높고 기술에 대한 불편감이 높으며 연령이 높다는 점에서 차별화되며, '비용지각형'에 비해 OBA 경험과 광고 관여도, 사업자 신뢰가 높고, 기술에 대해 낙관적이며, 여성의 비중이 많다는 점에서 차별화되는 것으로 나타났다.

체형, 성격, 소증 기반 단축형 사상체질 진단설문지(KS-15) 개발 및 타당도 연구 (Development and Validation of Brief KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) Based on Body Shape, Temperament and Symptoms)

  • 백영화;장은수;박기현;유종향;진희정;이시우
    • 사상체질의학회지
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    • 제27권2호
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    • pp.211-221
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    • 2015
  • Objectives The aim of this study is to develop a Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) with practicality and validity. Methods The data of body shape, temperament and symptoms were collected from 11 nationwide multi-centers in Korean Medical Clinics between Nov. 2009 to Aug. 2012. KS-15 algorithm was developed through Multinomial Logistic Regression and was applied for test group to verify it's classificatory function. Results The weight value of variables of KS-15 were different between male and female. The concordance of KS-15 with the expert in training group was 58.34% (72.8% in Tae-eumin, 54.8% in Soeumin, and 44.1% in Soyangin). The concordance of KS-15 with the expert in test group was 63.1% (63% in Tae-eumin, 83.3% in Soeumin, and 51.9% in Soyangin). Conclusions KS-15 seems to have suitable implement with practicality and validity. Further study is necessary to verify it accuracy and cut-off.

한국 청소년의 가당음료 섭취 관련 건강 행동 요인 분석 (Health Behavior Factors Associated with Sugar-sweetened Beverage Intake among Adolescents)

  • 구혜민;박종;류소연
    • 대한지역사회영양학회지
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    • 제23권3호
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    • pp.193-201
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    • 2018
  • Objectives: This study was conducted to measure the intake rate of SSBs (sugar sweetened beverages) and examine the relationship between health behavior factors and SSBs intake by adolescents. Methods: This study used data from the 2016 Korea Youth Risk Behavior Web-based Survey, which included 65,528 study participants. SSBs intake frequency was measured by asking respondents if they consumed soda, high-caffeinated beverages, and sugary drinks during the previous week. Type of intake was categorized into three groups according to the number of consumed drinks [SSBs (0): None; SSBs (1-2): 1 or 2 consumed; SSBs (3): 3 consumed]. Multinomial logistic regression analysis was used to examine health behaviors that affected SSBs consumption. Results: Increased SSBs intake was significantly correlated with current smoking (OR=2.4, 95% CI=1.82-3.17), current drinking (OR=2.13, 95% CI=1.82-2.51), sedentary time increase (OR=1.31, 95% CI=1.15-1.49), three days or more physical activity per week (OR=1.12, 95% CI=1.02-1.24), <8 hours sleep (OR=1.6, 95% CI=1.43-1.78), increased internet usage time (OR=1.44, 95% CI=1.25-1.65). Conclusions: Sugar-sweetened beverages intake by Korean adolescents was associated with health behaviors such as smoking, drinking, sedentary time increase, more physical activity, poor sleeping time, and increased internet use time. Based on these results, it is necessary to recognize the influence of SSBs intake and to intervene to reduce consumption of SSBs.

Impact of fish consumption by subjects with prediabetes on the metabolic risk factors: using data in the 2015 (6th) Korea National Health and Nutrition Examination Surveys

  • Kim, Kyoung-yun;Park, Jeong Seop
    • Nutrition Research and Practice
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    • 제12권3호
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    • pp.233-242
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    • 2018
  • BACKGROUND/OBJECTIVES: The effects of fish consumption by subjects with prediabetes on the metabolic risk factors were examined based on the data from the $6^{th}$ Korea National Health and Nutrition Examination Surveys in 2015. SUBJECTS/METHODS: A total of 1,520 subjects who agreed to participate in a blood test and dietary intake survey were divided into a prediabetes group and normal blood glucose group, and the level of the subjects' fish consumption was divided into ${\leq}17.0g/day$, 18.0-93.0 g/day, and ${\geq}94g/day$. The correlation between the level of fish intake and the metabolic risk factors was evaluated by multinomial logistic regression analysis. RESULTS: A significant difference in the gender distribution was observed in the prediabetes group, which is a group with a high risk of non-communicable diseases, according to the fish intake, and there were significant differences in the total energy intake, protein intake, n-3 fatty acids intake, and the intakes of sodium and micro-nutrients according to the intake group (P < 0.05). In addition, the blood total cholesterol (TC) decreased 0.422 fold in model 1 (unadjusted) [95% confidence interval (CI): 0.211-0.845] and 0.422 fold in model 2 (adjusted for sex) (95% CI: 0.210-0.846) in those with a fish intake of 18.0-93.0 g/day (P < 0.05) compared to those with a fish intake of ${\leq}17.0g/day$. The blood TC decreased 0.555 fold (95% CI: 0.311-0.989) in model 1 and 0.549 fold (95% CI: 0.302-0.997) in model 2 in those with a fish intake of ${\geq}94g/day$ compared to those with a fish intake of ${\leq}17.0g/day$ (P < 0.05). CONCLUSION: Subjects with prediabetes or the metabolic risk factors can maintain their blood low density lipoprotein cholesterol (LDL-C) and blood TC concentrations at the optimal level by consuming fish (18.0-93.0 g/day).

8체질(體質) 설문지(說問紙)의 타당도(妥當度), 신뢰도(信賴度)에 관한 연구(硏究) (A Study on the Validity and Reliability of the Eight-Constitution Questionnaire)

  • 민재영;김민용;박영재;박영배
    • 대한한의진단학회지
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    • 제11권2호
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    • pp.27-44
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    • 2007
  • Background: Eight-Constitution Medicine (ECM) classifies the human body into eight constitutions. Diagnosis of discrimination of the eight constitutions depends on a unique pulse diagnosis. However, pulse diagnosis is subjective and requires vigorous training. Objectives: This study aims to analyze the validity and reliability of the Eight-Constitution Questionnaire as a diagnostic method. Methods: Participants of this study were outpatients in six ECM clinics located in Seoul. The resources were collected from 409 patients who were classified into one of the eightconstitutions according to their pulse types and their responses to constitution-acupuncture therapy. SPSS 13.0 for Windows was used for statistical analysis: factor analysis, reliability analysis, independent sample t-test, and multinomial logistic regression were used to verify the results. Results and Conclusions: 1. The proportion of participants' constitutions is in the order of Pancreotonia (23.7%), Colonotonia (19.8%), Pulmotonia (18.1%), Hepatonia (16.9%), Vesicotonia (8.1%), Cholecystotonia (7.3%), Renotonia (5.3%) and Gastrotonia (0.7%). 2. Sevencomponents and 74 items were selected through factor factor and relaibility analysis performed on about 251 items. 3. The firstcomponent's mean is significantly higher in Pancreotonia than that in other constitutions (p<0.05). The second is in Pulmotonia and Colonotonia, whereas the third is in Hepatonia and Cholecystotonia. Fifth is in Vesicotonia, the sixth is in Colonotonia, and the fourth and seventh are not significant in specific constitutions. 4. The percentage that Pancreotonia is correctly predicted is 96.9%, Pulmotonia is 91.9%, Colonotonia is 91.4%, Hepatonia is 88.4%, Vesicotonia is 81.8%, Gastrotonia is 66.7%, Renotonia is 66.7%, Choleeystotonia is 30.0%, and the total percentage is 85.3%.

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