• Title/Summary/Keyword: Obstructive Factors

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The Prevalence and Characteristics of Positional Obstructive Sleep Apnea

  • Kim, Cheon-Sik;Lee, Yong-Seok;Cho, Cheon-Ung;Pae, Sang-Ho;Lee, Sang-Ahm
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.2
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    • pp.52-58
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    • 2012
  • Patients with obstructive sleep apnea (OSA) often have more aggravated symptoms in the supine position. We tried to investigate the clinical characteristics and the predictive factors for positional OSA. Polysomnographic data were reviewed for OSA patients (apnea hypopnea index, $AHI{\geq}5$) from April, 2008 to April, 2011 at the Asan Medical Center. Clinical data, comorbid medical condition data and questionnaires (SF-36, MFI-20, ESS, BDI, STAI) were assessed. All patients were classified into two groups: positional patients (PP) group and non-positional patients (NPP) group. PP was defined as a patient who had the AHI in the supine position was at least twice as high as that in the lateral position. The body position of patients was confirmed by sleep position sensor and video monitor. All patients had at least 30 minutes of positional and 30 minutes of non-positional sleep. We compared clinical, medical, polysomnographic data, and questionnaire results between two (PP and NPP) groups and investigated predictive factors for the PP group using binary logistic regression analysis. In total, 371 patients were investigated. 265 (71.4%) was categorized as PP group and 106 (28.5%) as NPP group. The mean age ($mean{\pm}SD$) was higher in the PP group ($52.4{\pm}9.8$) than in the NPP group ($49.5{\pm}11.9$) (p<0.05). Comparison of sleep parameters between the PP and the NPP group showed that the PP group had significantly lower BMI (PP: $26.1{\pm}3.2kg/m^2$; NPP: $27.8{\pm}4.3kg/m^2$, p<0.001), neck circumference (PP: $39.7{\pm}2.8cm$; NPP: $41.5{\pm}3.7cm$, p<0.001) and hypertension rate (PP: n=89/265 (33.5%); NPP: n=48/106 (45.2%), p=0.0240). In the PP group, the percentage of deep sleep (PP: $8.7{\pm}8.1%$; NPP: $5.6{\pm}7.0%$, P=0.001) and rapid eye movement (REM) (PP: $17.5{\pm}6.1%$; NPP: $14.0{\pm}6.9%$, p<0.001) were significantly higher whereas the percentage of light sleep (stage N1) was significantly lower than the NPP group (PP: $30.4{\pm}12.3$; NPP: $44.5{\pm}20.8%$, p<0.001). During the sleep, the AHI in the supine position (PP: $48.6{\pm}19.5$; NPP: $60.5{\pm}22.6$, p<0.001) and in the non-supine position (PP: $9.4{\pm}8.9$; NPP: $48.4{\pm}24.8$, p=<0.001) were significantly lower and the minimal arterial oxygen saturation in non-REM sleep was significantly higher in the PP group (PP: $80.3{\pm}7.6$; NPP: $75.1{\pm}9.9$, p=<0.001). There were no significant differences in all questionnaires including quality of life. The results of the binary logistic regression analysis showed that age, the amount of REM sleep(%) and AHI were significant predictive factors for positional OSA. The significant predictive factors for positional OSA were older age, higher percentage of REM and lower AHI. The questionnaire results were not significantly different between the two groups.

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A Study on the Evaluation of Acoustic Performance for Music Room in Middle School Using Auralization (가청화를 이용한 중학교 음악실의 음향성능 평가에 관한 연구)

  • Soul, Soo-Hwan;Kang, Gyu-Sun;Kim, Jae-Soo
    • Journal of the Korean housing association
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    • v.19 no.4
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    • pp.49-57
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    • 2008
  • The case study for this research is a middle school music room located in Iksan City, Korea. Although the room is used for teaching music, indiscreet sound-absorbing materials were applied within the space. Accordingly, a number of difficulties have been experienced when using the room. During a music lesson, the sound-volume is inadequate for music appreciation, while the music performance has an arid sound due to an insufficient echo. In order to control the obstructive factors resulting from a short Reverberation Time, the acoustic factor is optimized in this study by using an Acoustic Simulation, following an arrangement of Acoustic Design. A Psycho-acoustics Experiment was conducted using the Auralizational Technique, whereby the Virtual Acoustic Field can be experienced at the design stage.

Obstructive factors and N-Screen Service Technologies for Transmitting a Risk Information (재해정보 전송의 장애요인 및 N-스크린 서비스 기술)

  • Kim, Kyungjun;Jang, Dae-Jin
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2015.01a
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    • pp.315-317
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    • 2015
  • N-스크린 서비스를 통해 사용자는 여러 개의 디바이스에서 끊김 없는 콘텐츠 서비스를 받거나 특정 디바이스에 의존하지 않고 동일한 애플리케이션 서비스를 동시에 이용할 수 있다. 그러나, 국내외 재해정보 전송분야에 N-스크린 서비스는 다양한 기능 제공과 네트워크 상황에 대한 고려없이 적용되어, 신뢰성 있고 끊김 없는 N-스크린 서비스 제공에는 한계를 가지고 있다. 따라서, 본 논문에서는 재해정보 확산을 위한 끊김 없는 N-스크린 서비스의 기술적인 이슈들과 기존의 문제점들을 개선하기 위한 기술적인 장애요인 및 재해정보를 효과적으로 전송하기 위한 기술적인 이슈들에 대해서 다루면서, 이를 개선하기위해 끊김 없는 N-스크린 서비스를 제공을 위한 서비스 프레임워크와 네트워크 시스템을 제안한다.

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Effect of Rolling Factor on the Growth and Thatch Accumulation in Tall fescue. (Tall fescue의 생육과 thatch 축적에 미치는 압력요인의 영향)

  • 이주삼;윤용범;이강욱;윤익석
    • Asian Journal of Turfgrass Science
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    • v.1 no.1
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    • pp.37-41
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    • 1987
  • Effect of Rolling factor on the growth and thatch accumulation in tall fescue was studied from the viewpoint of estimate the rolling factor to obtain the highest values of growth characters and analysis of thatch accumulation. Rolling factors were 1.82, 3.33, 4.29 and 4.85, respectively. The results are may he summarized as follows ; 1. Rolling factor was affected to obstructive on the growth of tall fescue. Thus, the rolling factor ( RF) had significant negative correlated with the dry weight of plant ( DW ), leaf weight (LW), stem weight (SW), dry weight of thatch (Th), number of tillers (NT) and C / F ratio. 2. Rolling factor of 1.82 was an adequate rolling factor for the growth. 3. The dry weight of thatch(Th) had significant positive correlated with DW, LW, and NT, but negative correlated with the dry weight of thatch per a tiller ( th / NT). 4. Thatch accumulation system can be shown in following diagram. yield compnents - DW ~ Th - Rf (LW, SW, NT, C/F) th/NT 5. The dry weight of thatch per a tiller(th / NT) was a concerning factor for the losses of thatch.

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Structural Relationship of Variables Regarding Nurse's Preventive Action against Needle Stick Injury (간호사의 주사바늘자상 예방행위관련 변인들 간의 구조모형 분석)

  • Ju, Hyeon Jeong;Lee, Ji Hyun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.2
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    • pp.168-181
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    • 2015
  • Purpose: This study was conducted to determine the factors affecting the prevention of needle stick injury. Methods: Data collection was conducted during the period July 15-31, 2013 by a self-administered questionnaire involving 220 nurses working in 7 hospitals. The data was analyzed by SPSS v18 and AMOS v18. Results: Actions by nurses to prevent needle stick injury were directly and indirectly influenced by perceived benefits, attitude toward the behavior, perceived behavioral control, and intention underlying the behavior. Specially, perceived behavioral control is verified to have not only direct influence but also indirect influence on the performance of preventive action through the intention underlying the behavior. Also, perceived benefits indirectly influence the intention toward the behavior and performance of preventive action through attitude toward the behavior and perceived behavioral control. The predictor variables in this model are 52% explicable in terms of intention of prevention action against needle stick injury, and 66% explicable in terms of performance of preventive action. Conclusion: To ensure high performance of preventive action against needle stick injury, constructing not only the solution that inspires the intention toward behavior but also a system that can positively solve and improve obstructive factors in behavioral performance is of primary importance.

Widowed elderly's dating experience and related variables: focusing on gender difference (홀로된 노인의 이성교제경험과 관련변인 - 성별 차이를 중심으로)

  • Yi, Yeong Sug
    • Korean Journal of Human Ecology
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    • v.22 no.4
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    • pp.609-618
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    • 2013
  • The purpose of this study is to explore gender differences in elderly's dating experience and related variables. 427 elderly of age 65 or older participated. The results are as follows. 1. 80% of widowed elderly had no dating experience, and far more elderly men than women had dating experience. 2. Attitudes towards dating, of both elderly themselves and their children, had influence on the elderly's dating experience, regardless of gender. This indicates that the elderly's own acceptance and their children's positive attitude are important to the elderly's dating experience. 3. Gender differences were found in influences of living arrangement (whether they lived with their children or not), economical reasons, and personality factors. These variables proved significant only for the elderly men. More elderly men who did not live with their children than the elderly men who did had experienced dating, and economical reasons along with personality factors proved to be obstructive for elderly men's dating life.

Association of Waist Circumference with Risk Factors for Coronary Artery Diseases in Women Patients with Chest Pain (흉통을 호소하는 여성 환자에서 허리둘레와 관상동맥질환 위험인자간의 관계에 관한 조사연구)

  • Yun, Kyung Soon;Cho, Sook-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.3
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    • pp.248-258
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    • 2013
  • Purpose: The purpose of this study was to compare the associations of body mass index (BMI) and waist circumference (WC) with coronary artery diseases (CAD) in women patients with chest pain. Method: BMI, WC, and flow-mediated vasodilation (FMD) were measured for 162 women patients with chest pain whose mean age was $54.9{\pm}9.2$ years. CAD was diagnosed by coronary angiography. Results: In comparing BMI and WC, WC was found to be more strongly associated with cardiovascular risk factors. For example, correlations with the high density lipoprotein cholesterol were r=-.266, p=.001 (WC) vs. r=-.131, p=.104 (BMI), and for homocystein, r=.378, p<.001 (WC) vs. r=.150, p=.068 (BMI). Obstructive CAD develops more frequently in women patients with abdominal obesity than in patients without abdominal obesity. Conclusion: The results of the study indicate that WC is a better index of adiposity than BMI.

A Study on the Determinants Affecting Employment of the Unemployed Disabled (장애인 실업자의 취업에 영향을 미치는 결정요인에 관한 연구)

  • Gang, B.S.;Yeum, D.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.115-120
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    • 2015
  • This study applied a cox proportional hazard model for analysis, using data of the Panel Survey of Employment for the Disable from the first to fifth years. The purpose of the study is to make a policy suggestion necessary for the support of employment for the disabled, by analyzing important factors affecting employment of the unemployed disabled according to the unemployment period. Results of the analysis were: a model that considered all the sociodemographic, obstructive and social environmental factors was verified; the higher subjective SES of the disabled, the higher employment rate of the unemployed disabled; compared to the severely disabled, the slightly disabled had more advantages for employment; and relatively the lower unearned income, the higher employment rate. This study suggested based on these results limitations and implications of the study.

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Risk Factors of Nosocomial Bacteremia of Extended-spectrum ${\beta}$-Lactamase Producing Escherichia coli (병원획득 Extended-spectrum ${\beta}$-Lactamase 생성 Escherichia coli 균혈증의 위험인자)

  • Ko, Daisik;Moon, Song Mi;Lee, Ji Sung;Park, Yoon Soo;Cho, Yong Kyun
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.83-89
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    • 2013
  • Background: The prevalence of extended-spectrum ${\beta}$-lactamase (ESBL)-producing Escherichia coli is increasing rapidly worldwide. Treatment options for ESBL-producing E. coli are limited, and infections caused by this organism are associated with improper antibiotic use, a long hospital stay, and increased mortality. Thus, the assessment and early recognition of the risk factors of nosocomial infections due to ESBL-producing E. coli are important for the infection control and proper treatment. Methods: A case-control study was performed that included nosocomial episodes of ESBL-producing E. coli bacteremia at a tertiary care hospital from January 2004 to December 2007. For each case patient, three controls were randomly selected and data on predisposing factors were collected. Results: Fifty-five cases of nosocomial ESBL-producing E. coli bacteremia were studied. Carbapenem usage (OR: 11.3, 95% CI: 1.1-115.9, p=0.041), quinolone usage (OR: 4.5, 95% CI: 1.1-18.8, p=0.042), biliary obstructive disease (OR: 11.8, 95% CI: 3.0-46.7, p<0.001) and the APACHE II score (OR: 1.3, 95% CI: 1.2- 1.5, p<0.001) were analyzed as independent risk factors of nosocomial ESBL-producing E. coli bacteremia. Conclusion: Our results showed that physicians caring for patients with risk factors of nosocomial bacteremia should consider ESBL-producing E. coli as the causative organisms of the disease.

Challenges to Prevent in Practice for Effective Cost and Time Control of Construction Projects

  • Olawale, Yakubu A.
    • Journal of Construction Engineering and Project Management
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    • v.10 no.1
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    • pp.16-32
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    • 2020
  • Cost and time control of projects is important in preventing project failure. However, achieving effective cost and time control in practice is often challenging. The challenges of project cost and time control in practice are investigated by carrying out a questionnaire survey on the top 150 construction contractors in the UK followed by in-depth semi-structured interviews of practitioners from 15 construction companies in the country. Quantitative analysis reveals that design change is the most important factor inhibiting the ability of UK contractors from effectively controlling both the cost and time of construction projects. Four of the top five factors inhibiting effective cost control are also the top factors inhibiting effective time control albeit in a different order. These top factors-design changes, inaccurate evaluation of project time/duration, risk and uncertainty, non-performance of subcontractors and nominated suppliers were also found to be endogenous factors to the project. Additionally, qualitative analysis of the interviews reveals 16 key challenges to prevent for effective project cost and time control in practice. These are classified into four categorised based on where they stem from as follows; from the organisation (1. Lack of integration of cost and time during project control, 2. lack of management buy-in, 3. complicated project control systems and processes, 4. lack of a project control training regime); from the construction management/project management approach (5. Lapses in integration of interfaces, 6. project control not being implemented from the early stages of a project, 7. inefficient utilisation and control of labour, 8. limited time devoted to planning how a project will be controlled at the outset); from the client; (9. Excessive authorisation gates, 10. use of adversarial and non-collaborative forms of contracts, 11. communication problems within client set-up, 12. obstructive client representatives) and; from the project team (13. Lack of detailed/complete design, 14. lack of trust among the project partners, 15. limited time devoted to project control on site, 16. non-factual reporting). The study posits that knowledge of these project control inhibiting factors and challenges is the first step at ensuring they are avoided and enable the implementation of a more effective project cost and time control process in practice.