• Journal of Preventive Medicine and Public Health
• /
• 제54권1호
• /
• pp.55-62
• /
• 2021

Objectives: After heart disease, brain stroke (BS) is the second most common cause of death worldwide, underscoring the importance of understanding preventable and treatable risk factors for the outcomes of BS. This study aimed to model the survival of patients with BS in the presence of competing risks. Methods: This longitudinal study was conducted on 332 patients with a definitive diagnosis of BS. Demographic characteristics and risk factors were collected by a validated checklist. Patients' mortality status was investigated by telephone follow-up to identify deaths that may be have been caused by stroke or other factors (heart disease, diabetes, high cholesterol, etc.). Data were analyzed by the Lunn-McNeil approach at alpha=0.1. Results: Older age at diagnosis (59-68 years: adjusted hazard ratio [aHR], 2.19; 90% confidence interval [CI], 1.38 to 3.48; 69-75 years: aHR, 5.04; 90% CI, 3.25 to 7.80; ≥76 years: aHR, 5.30; 90% CI, 3.40 to 8.44), having heart disease (aHR, 1.65; 90% CI, 1.23 to 2.23), oral contraceptive pill use (women only) (aHR, 0.44; 90% CI, 0.24 to 0.78) and ischemic stroke (aHR, 0.52; 90% CI, 0.36 to 0.74) were directly related to death from BS. Older age at diagnosis (59-68 years: aHR, 21.42; 90% CI, 3.52 to 130.39; 75-69 years: aHR, 16.48; 90% CI, 2.75 to 98.69; ≥76 years: aHR, 26.03; 90% CI, 4.06 to 166.93) and rural residence (aHR, 2.30; 90% CI, 1.15 to 4.60) were directly related to death from other causes. Significant risk factors were found for both causes of death. Conclusions: BS-specific and non-BS-specific mortality had different risk factors. These findings could be utilized to prescribe optimal and specific treatment.

• Journal of Gastric Cancer
• /
• 제22권3호
• /
• pp.210-219
• /
• 2022

Purpose: Completion total gastrectomy (CTG) for remnant gastric cancer (RGC) is a technically demanding procedure and associated with increased morbidity. The present study aimed to evaluate postoperative complications and their risk factors following surgery for RGC after initial partial gastrectomy due to gastric cancer excluding peptic ulcer. Materials and Methods: We retrospectively reviewed the data of 107 patients who had previously undergone an initial gastric cancer surgery and subsequently underwent CTG for RGC between March 2002 and December 2020. The postoperative complications were graded using the Clavien-Dindo classification. Logistic regression analyses were used to determine the risk factors for complications. Results: Postoperative complications occurred in 34.6% (37/107) of the patients. Intra-abdominal abscess was the most common complication. The significant risk factors for overall complications were multi-visceral resections, longer operation time, and high estimated blood loss in the univariate analysis. The independent risk factors were multi-visceral resection (odds ratio [OR], 2.832; 95% confidence interval [CI], 1.094-7.333; P=0.032) and longer operation time (OR, 1.005; 95% CI, 1.001-1.011; P=0.036) in the multivariate analysis. Previous reconstruction type, minimally invasive approach, and current stage were not associated with the overall complications. Conclusions: Multi-visceral resection and long operation time were significant risk factors for the occurrence of complications following CTG rather than the RGC stage or surgical approach. When multi-visceral resection is required, a more meticulous surgical procedure is warranted to improve the postoperative complications during CTG for RGC after an initial gastric cancer surgery.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제25권2호
• /
• pp.129-137
• /
• 2022

Purpose: The purpose of this study was to identify the risk factors for recurrent abdominal pain (RAP) in children who presented with nonorganic acute abdominal pain. Methods: A retrospective, single study was conducted on 2-15-year-old children diagnosed with nonorganic acute abdominal pain at the pediatric outpatient department of Vajira Hospital, Nawamindradhiraj University, between January 2015 and December 2019. The potential risk factors were analyzed using univariate and multivariate analyses. Results: Of the 367 patients with nonorganic acute abdominal pain, 94 (25.6%) experienced RAP within three months. In this group with RAP, 76 patients (80.8%) were diagnosed with functional gastrointestinal disorders, including functional dyspepsia, irritable bowel syndrome, functional abdominal pain-not otherwise specified, and functional constipation. History of gastrointestinal infection (p=0.011), mental health problems (p=0.022), abdominal pain lasting ≥7 days (p<0.001), and change in stool frequency (p=0.001) were the independent risk factors associated with RAP in children with nonorganic acute abdominal pain; their odds ratios and 95% confidence intervals were 3.364 (1.314-8.162), 3.052 (1.172-7.949), 3.706 (1.847-7.435), and 2.649 (1.477-4.750), respectively. Conclusion: RAP is a common problem among children who first present with nonorganic acute abdominal pain. The identification of risk factors may provide proper management, especially follow-up plans for this group in the future.

• Journal of Korean Biological Nursing Science
• /
• 제25권4호
• /
• pp.285-294
• /
• 2023

Purpose: This study aimed to identify the colonization rate of carbapenem-resistant Enterobacteriaceae (CRE), the characteristics of CRE isolates, and risk factors for CRE colonization in patients transferred to the general wards of a small/medium-sized hospital. Methods: This retrospective study was conducted on patients who underwent CRE culture tests within 24 hours of admission among patients transferred to a small/medium-sized hospital. Forty-seven patients confirmed as positive for CRE were classified as belonging to the patient group. For the control group, 235 patients (five times the number of the patient group) were matched by sex, age, and diagnosis, and then selected at random. Data were analyzed using descriptive analysis and multiple logistic regression analysis. Results: The CRE colonization rate was 5% (47 out of 933 patients), and Klebsiella pneumoniae (68.0%) was the most common isolate of CRE. The positivity rate of carbapenemase-producing Enterobacteriaceae was 61.7%. The risk factors for CRE colonization included renal disease (odds ratio [OR]=4.93; 95% confidence interval [CI], 1.49-16.31), heart disease (OR=3.86; 95% CI, 1.35-11.01), indwelling urinary catheters (OR=4.43; 95% CI, 1.59-12.36), and cephalosporin antibiotic use (OR=8.57; 95% CI, 1.23-59.60). Conclusion: Having a comorbid renal or cardiac disease, an indwelling urinary catheter, or a history of exposure to cephalosporin antibiotics could be classified as risk factors for CRE colonization in patients transferred to small and medium-size hospitals. It is necessary to perform active infection control through proactive CRE culture testing of patients with risk factors.

• Journal of Microbiology
• /
• 제45권2호
• /
• pp.122-127
• /
• 2007

Factors indicating culture status of two Spirulina platensis strains were monitored in a batch mode cultivation for 36 days. Changing mode in all factors showed a common turning point, indicating shift of cell or culture status. Mean biomass productivity was highly sustained until day 22, chlorophyll a concentration peaked on day 22, pH value was > 12 on day 22, coil number was abruptly shortened on day 22, and floating activity was sustained at greater than 79% after day 22, indicating that day 22 is a criterion reflecting phase-transfer in cell physiology in a batch culture system. Many of these changes may have been caused by increased pH, suggesting that pH control is essential for mass production of S. platensis. Fluctuations in floating activity were likely induced by the number of cellular gas vacuoles. Consequently, coil number per trichome and floating activity of S. platensis could readily act as simple indicators for determination of culture status or harvesting time of cells.

• 한국실내디자인학회논문집
• /
• 제16호
• /
• pp.75-81
• /
• 1998

With the rise of the economic level and the improvement of the standard of living the size of the interior work is becoming large and specialized, With the recent opening of the domestic interior decoration market the order of the large-scale interior decoration work is actively received and its efficient construction is vigorously made. Accordingly reliability is required in keeping with all the accuracy of computing interior construction expenses systematically is importantly emerging. The estimation sheet written in a kind of process mode and in an area made as the construction expense breakdown mode were statistically treated and analyzed as well as quantity computation breakdown data. In determing the major factors that expert an influence on the factors of changes in construction expenses as well as the compositional ratio of construction work that becomes basic material for developing the cost model of interior decoration work the following conclusion could be made: Improvement should be made to suit the present situation by synthesizing and arranging the data practically used in current interior construction expenses. Required construction expenses for the kind of work common to each construction field are showing a given proportion and the required construction expenses of rather small scale interior construction work tend to be irregular. It is necessary to compute optimal construction expenses by calculating the optimal period of work and working personnel in consideration of the influential factor in each work.

• 한국주거학회:학술대회논문집
• /
• 한국주거학회 2006년도 추계학술발표대회 논문집
• /
• pp.352-356
• /
• 2006

This study aims to analyze the current status and characteristics of apartment house unit plans towards spatial differentiation. The 172 house units from 32 housing complexes were selected for this analysis. In this study, factors of residential space plan especially in an apartment house are categorized into general characteristics on floor plan and factors for spatial floor plan. The Primary findings are as follows: (1) General characteristics on floor plan are analyzed based on space organization, area and number of bays. Among apartment houses over 40 pyeong, it seems that differentiation is well applied with various space plans available. (2) A result of an analysis on the factors for spatial floor plan shows that planning a living room with two-open-sides seems to be more common in the tower-shaped apartment blocks which are now on the increase. Moreover, many of them are adopting movable partitions to reflect resident's various demands on space plan. Among all, the extra kitchen in the balcony is planned high portion of 80.4%. And diningroom is positioned on the front side of the residential space along with a livingroom(19.2%). More frequently, dining area tends to face the living room(30.2%) according to the result. Besides dress rooms begin to be placed in each of the bedroom, once planned in one bedroom only while 18.6% of the apartment houses are placing new storages in the entrance to solve lack of storage space due to balcony extension.

• Structural Engineering and Mechanics
• /
• 제47권5호
• /
• pp.661-678
• /
• 2013

As a new type of vibration reduction, the ladder track system has been successfully used in engineering. In this paper, a numerical model of the train-track-viaduct system is established to study the dynamic responses of an elevated bridge with ladder track. The system is composed of a vehicle submodel, a track submodel and a bridge submodel, with the measured track irregularities as the system self-excitation. The whole time histories of a train running through an elevated bridge with $3{\times}27m$ continuous PC box girders are simulated. The dynamic responses of the bridge such as deflections, lateral and vertical accelerations, and the vehicle responses such as derailment factors, offload factors and car-body accelerations are calculated. The calculated results are partly validated through the comparison with the experimental data. Compared to the common slab track, adapting the ladder sleeper can effectively reduce the accelerations of the bridge girder, and also reduce the car-body accelerations and offload factors of the train vehicle.

• The Journal of Asian Finance, Economics and Business
• /
• 제7권12호
• /
• pp.377-384
• /
• 2020

Banking is very regulated by the government and even has to follow regulations issued by the Basel Committee on Banking Supervision, which regulates banking in the world. According to Basel III, banks must provide capital reserves called capital buffers. The purpose of this study is to examine the factors that determine capital buffer. Factors thought to affect the capital buffer studied consisted of profitability (ROA), credit risk (NPL), liquidity risk (LDR), capital adequacy in the previous period (CARt-1), management risk (NIM), and ratio of operating risk (OER). The population in this study is conventional banks listed on the Indonesia Stock Exchange, as many as 42 banks, with a sample of 40 banks taken by purposive sampling method with an observation period of four years with quarterly data (2016-2019). To test the hypotheses, regression panel data is used. After being tested, it turns out that the fixed effect model is better than the common effect and random effect. The results of the study with fixed effect models show that ROA, NPL, and OER significantly and negatively affect capital buffer. CAR_t-1 has a positive and significant effect on capital buffer, while LDR and NIM do not affect capital buffer.

• Geomechanics and Engineering
• /
• 제8권4호
• /
• pp.511-521
• /
• 2015

It is a common failure type that high-filled embankment slope sideslips. The deformation mechanism and factors influencing the sideslip of embankment slope is the key to reduce the probability of this kind of engineering disaster. Taking Liujiawan high-filled embankment slope as an example, the deformation and failure characteristics of embankment slope and sheet-pile wall are studied, and the factors influencing instability are analyzed, then the correlation of deformation rate of the anti-slide plies and each factor is calculated with multivariate linear regression analysis. The result shows that: (1) The length of anchoring segment is not long enough, and displacement direction of embankment and retaining structure are perpendicular to the trend of the highway; (2) The length of the cantilever segment is so large that the active earth pressures behind the piles are very large. Additionally, the surface drainage is not smooth, which leads to form a potential sliding zone between bottom of the backfill and the primary surface; (3) The thickness of the backfill and the length of the anti-slide pile cantilever segment have positive correlation with the deformation whereas the thickness of anti-slide pile through mudstone has a negative correlation with the deformation. On the other hand the surface water is a little disadvantage on the embankment stability.