• Title/Summary/Keyword: Public logistic center

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Comparison of the Performance of Log-logistic Regression and Artificial Neural Networks for Predicting Breast Cancer Relapse

  • Faradmal, Javad;Soltanian, Ali Reza;Roshanaei, Ghodratollah;Khodabakhshi, Reza;Kasaeian, Amir
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5883-5888
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    • 2014
  • Background: Breast cancer is the most common cancers in female populations. The exact cause is not known, but is most likely to be a combination of genetic and environmental factors. Log-logistic model (LLM) is applied as a statistical method for predicting survival and it influencing factors. In recent decades, artificial neural network (ANN) models have been increasingly applied to predict survival data. The present research was conducted to compare log-logistic regression and artificial neural network models in prediction of breast cancer (BC) survival. Materials and Methods: A historical cohort study was established with 104 patients suffering from BC from 1997 to 2005. To compare the ANN and LLM in our setting, we used the estimated areas under the receiver-operating characteristic (ROC) curve (AUC) and integrated AUC (iAUC). The data were analyzed using R statistical software. Results: The AUC for the first, second and third years after diagnosis are 0.918, 0.780 and 0.800 in ANN, and 0.834, 0.733 and 0.616 in LLM, respectively. The mean AUC for ANN was statistically higher than that of the LLM (0.845 vs. 0.744). Hence, this study showed a significant difference between the performance in terms of prediction by ANN and LLM. Conclusions: This study demonstrated that the ability of prediction with ANN was higher than with the LLM model. Thus, the use of ANN method for prediction of survival in field of breast cancer is suggested.

Value Evaluation on the Experience Space of the Age-friendly Product (고령친화용품 체험공간에 대한 가치 평가)

  • Oh, Chan Ohk;Joo, Soo Hyun;Jin, Jae Moon;Kim, Soo Young
    • Design Convergence Study
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    • v.16 no.3
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    • pp.17-37
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    • 2017
  • The purpose of this study is to evaluate the value of the center of age-friendly goods to confirm the public value of the center. 152 elderly participants, either who have utilized the center themselves or who have experienced the center indirectly through the image have participated in the study. The experience of age-friendly product center was evaluated by the contingent valuation method, which is widely used in the public services. A double-bounded dichotomous choice (DB-DC) log-logistic model and a log-normal model were conducted. As the result of the estimation, the truncated mean of the log-logistic model was 3,401 Korean won, with the mean of 4,937 won. In addition, the truncated mean of the log-normal model was 3,433 won, with the mean of 4,144 won. Elderly who have not experienced the center placed a higher value on the center, compared to the experienced elderly. The results imply the necessity to enlarge the opportunity for future suppliers to experience the center for age-friendly products, in order to improve their objective understandings. In addition, the necessity of expanding exhibition products and applying age-friendly designs is proposed, to offer various attractive experiences to elderly.

Effects of the Acupuncture on the Smoking-cessation Clinic Program of Public Health Center in Urban Area: Retrospective Case Control Study (금연클리닉 프로그램을 통한 금연침 효과의 후향 연구)

  • Yeom, Seung-Chul
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.11-18
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    • 2009
  • Objectives : This study identified the effects of the acupuncture associated with successful cessation at a smoking-cessation clinic of public health center in an urban area. Methods : The subjects of this study were 1121 patients to the smoking cessation clinic of the Anjung Public Healthcare Center in Pyeongtaek, from June 1, 2007 to December 31, 2008. The 123 patients of them were treated by the auricular acupuncture. The experimental group were treated by the acupuncture, and the control only participated in the smoking-cessation clinic program. The data were analysed by SPSS(version 17.0). Chi-square analysis were conducted to see the different of effects between experimental and control group. Also, to find out the factors that affect the success of smoking cessation, logistic regression and Fisher's exact test were done. Results & Conculusions : 1. As the result of the analysis, it showed that 73.2% of the experimental were able to quit smoking for 4 weeks and 6months. 2. Logistic regression and Fisher's exact test showed that number of Cigarette per day, Nicotine Dependence, CO figure(p=.004<.01), and Number of Acupuncture(p=.000<.001) were the factors that affect the successful smoking cessation. 3. The smoking cessation were more likely to success as patients have lower CO figure(B=-.074), more number of the acupuncture(B=1.718). The more number of acupuncture increased 1 time, the more smoking cessation success did 5.576 times(e$^{(1.718{\times}x)$=e$^{(1.718{\times}1)$ = 5.576). 4. As the result of the analysis between experimental and control group, the success rate have the significance difference(p=.000<.001). 73.2% of the experimental were able to quit smoking, but 45.1% of the control did.

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Factors associated with success of smoking cessation for 6 months at smoking-cessation clinic of public health center in urban area (보건소 금연클리닉 프로그램의 실시 후 6개월 금연성공 요인)

  • Jun, Yong-Wook;Ji, Nam-Ju;Lee, Weon-Young
    • Korean Journal of Health Education and Promotion
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    • v.25 no.1
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    • pp.25-38
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    • 2008
  • Objectives: This study identified the factors associated with successful smoking cessation for 6 months at a smoking-cessation clinic of a public health center in an urban area. Methods: The subjects of this study were 670 visitors to the smoking cessation clinic of Dongjak-Gu public health center in Seoul, from September 6, 2005 to March 24, 2006. The 274 visitors of them responded to the questionnaire with registration, which contained the information related to the study except that of registered card for the clinic. A dependent variable was success or failure in smoking cessation during the 6 month-smoking cessation program, measured the status of smoking cessation in each week by self-report. Independent variable included demographic information, the characteristics in using the clinic, health status and smoking related behaviour, exposure to other smokers in daily life and motivation. Multiple logistic regression model was used to find the factors associated with success of smoking cessation. Results: The success rate in smoking cessation for 6 months was 33.6%. Five pretreatment characteristics were identified as univariate predictors of continuous abstinence. Finally, age, job, and practice oriented motivation were associated significantly with the success of smoking cessation for 6 months from a multiple logistic regression analysis. The lower socio-economic smokers such as people having lower literacy level, lower income people, unskilled workers, and recipients by Medical Assistant Program were more likely to fail in continuous abstinence for 6 months. Conclusions: In order to increase the success rate in smoking cessation clinics of public centers, counselors should activate self confidence and practice oriented motivation of participants for smoking cessation.

Factors affecting the Success of Smoking Cessation for Six Months in the Smoking Cessation Clinic of a Public Health Center Based on the Trans?theoretical Model (범이론적 모형을 기초로 한 보건소 금연클리닉 등록자의 6개월 금연성공요인)

  • Kim, Yun-Hee
    • Research in Community and Public Health Nursing
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    • v.20 no.4
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    • pp.433-442
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    • 2009
  • Purpose: The purpose of this study was to identify factors affecting on the successful cessation of smoking for six months in the smoking cessation clinic of a public health center. Methods: The subjects of this study were 568 adult smokers who had registered in the smoking cessation clinic of a public health center in B City. Data were analyzed through $x^2$-test, t-test, and logistic regression using the SPSS/WIN 12.0 program. Results: Identified factors affecting the successful cessation of smoking for six months were service type, number of counseling, alcohol problem, previous quit-smoking trial, dependency on nicotine, CO level in expiration at the first visit time, self-reevaluation, helping relationship, negative/affective situational temptation, and Cons. Conclusion: Trans-theoretical Model variables were confirmed as factors affecting the success of smoking cessation. Based on the results of this study, a smoking cessation program was suggested, which uses Trans-theoretical Model variables affecting smoking cessation for six months in a public health center.

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The Associations Between Physical Activity and Mental Health Problems in Middle-aged Indonesians

  • Sri Handayani;Siti Isfandari;Diyan Ermawan Effendi;Rozana Ika Agustiya;Irfan Ardani;Arief Priyo Nugroho;Yunita Fitrianti
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.379-387
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    • 2024
  • Objectives: Mental health issues have become a growing concern worldwide. Research has shown that regular physical activity (PA) can positively affect mental health. This study investigated the associations between PA and mental health problems (MHPs) in middle-aged Indonesians. Methods: The study utilized data from the 2018 Indonesian Basic Health Research Survey and used a cross-sectional approach. The participants included individuals aged 40-60 years who completed the 20-question Self-Reporting Questionnaire. A logistic regression was performed to analyze a sample of 263 930 data points. Results: Nearly 10.4% of the participants suffered from mental health issues. Notably, among those who did not engage in moderate and vigorous PA, a sign of MHPs was found in 12.5% of participants. Those who met World Health Organization standards for PA were less likely to experience MHPs (10.1%). This study found a significant association between PA and mental health. After adjusting for smoking, alcohol consumption, non-communicable diseases, and socio-demographic variables like age, sex, education, occupation, marital status, and residence, the connection between PA and mental health became even stronger (adjusted odds ratio, 0.81; 95% confidence interval, 0.78 to 0.85; p<0.001). Conclusions: Regular PA has been shown to affect mental health positively. Therefore, it is important to improve health education and efforts to raise awareness among middle-aged Indonesians about the importance of PA in maintaining good mental health.

Birth Patterns and Delayed Breastfeeding Initiation in Indonesia

  • Tama, Tika Dwi;Astutik, Erni;Katmawanti, Septa;Reuwpassa, Jauhari Oka
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.6
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    • pp.465-475
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    • 2020
  • Objectives: This study was conducted to examine the association between birth patterns (defined in terms of birth order and interval) with delayed breastfeeding initiation in Indonesia. Methods: A cross-sectional study was carried out using data from the Indonesian Demographic and Health Survey 2017. The weighted number of respondents was 5693 women aged 15-49 years whose youngest living child was less than 2 years old. Multivariable logistic regression was conducted to evaluate associations between birth patterns and delayed breastfeeding initiation after adjusting for other covariates. Results: This study found that 40.2% of newborns in Indonesia did not receive timely breastfeeding initiation. Birth patterns were significantly associated with delayed breastfeeding initiation. Firstborn children had 77% higher odds of experiencing delayed breastfeeding initiation (adjusted odds ratio, 1.77; 95% confidence interval, 1.02 to 3.04; p<0.05) than children with a birth order of 4 or higher and a birth interval ≤ 2 years after adjusting for other variables. Conclusions: Firstborn children had higher odds of experiencing delayed breastfeeding initiation. Steps to provide a robust support system for mothers, especially first-time mothers, such as sufficient access to breastfeeding information, support from family and healthcare providers, and national policy enforcement, will be effective strategies to ensure better practices regarding breastfeeding initiation.

Compliance Level with Therapeutic Regimen of Medication and Life Style among Patients with Hypertension in Rural Communities (일 농촌지역 고혈압 환자의 치료적 요법의 이행수준 - 약물복용과 생활습관을 중심으로 -)

  • Ahn, Yang-Heui
    • Journal of Korean Public Health Nursing
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    • v.21 no.2
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    • pp.125-133
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    • 2007
  • Purpose: To identify the compliance level with therapeutic regimen among patients with hypertension residing in rural communities. Method: A descriptive-retrospective research design was employed. One hundred patients with hypertension using 8 Primary Health Care Posts under W Public Health Center were randomly recruited on the basis of being over 35 years of age. After obtaining written consent, the patients underwent direct interviews with a structured questionnaire carried out by 8 public health practitioners. Descriptive statistics and binary logistic regression were utilized. Results: In a binary logistic regression model adjusted for age, sex, education, income, and occupation, those who were receiving medication (OR=5.34), were undergoing a weight control program (OR=4.45), restricted alcohol (OR=9.93), or smoking cessation (OR=25.59) as recommended by medical or health professionals were more compliant (p<.05) while those under a low salt diet, exercise, and stress management were not significant statistically (p>.05). Conclusions: Further research should be conducted to validate these findings so as to facilitate the development of nursing intervention strategies for improving the compliance of hypertensive patients in respect to medication and life style modification.

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A Study on the Reaction towards Damage Related to Health Foods among the Elderly (노인들의 건강식품 관련 문제 경험에 대한 대응 행동에 관한 연구)

  • Kim, Hyo-Chung;Kim, Mee-Ra
    • Journal of the East Asian Society of Dietary Life
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    • v.18 no.4
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    • pp.608-617
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    • 2008
  • This study examined the level of reaction towards damage related to health foods and the factors affecting this reaction among the elderly. Data were collected from 269 elderly individuals living in Seoul, Daejeon, Daegu, Gwangju and Busan. Frequencies, chi-square tests, and a multinomial logistic regression analysis were performed using the SPSS v. 14.0 program. When asked about their reaction towards damage related to health foods, approximately 48% of the respondents answered 'no response', 34% answered 'private response', and 18% answered 'public response'. Multinomial logistic regression analysis revealed that education level and awareness of health food price were significant factors influencing 'private response', and concerns about health foods and awareness of damage redemption were significant factors for 'public response'. These results imply that consumer education for elderly to prevent damage derived from the purchase and consumption of health foods is required.

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