• 제목/요약/키워드: multiple predictors

검색결과 922건 처리시간 0.028초

A Case-Control Study on the Predictors of Neonatal Near-Miss: Implications for Public Health Policy and Practice

  • Johnson, Avita Rose;Sunny, Sobin;Nikitha, Ramola;Thimmaiah, Sulekha;Rao, Suman P.N.
    • Neonatal Medicine
    • /
    • 제28권3호
    • /
    • pp.124-132
    • /
    • 2021
  • Purpose: Neonatal near miss (NNM) allows for the detection of risk factors associated with serious newborn complications and death, the prevention of which could reduce neonatal mortality. This study was conducted with the objective of identifying predictors for NNM in a tertiary hospital in Bangalore city. Methods: This was an unmatched case-control study involving 120 NNM cases and 120 controls. NNM was determined using Pileggi-Castro's pragmatic and management criteria. Data was collected from in-patient hospital records and interviews of postpartum mothers. Multiple logistic regression of exposure variables was performed to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI). Results: Significant predictors were maternal age ≥30 years (AOR, 5.32; 95% CI, 1.12 to 9.29; P=0.041), inadequate antenatal care (ANC) (AOR, 8.35; 95% CI, 1.98 to 51.12; P=0.032), <3 ultrasound scans during pregnancy (AOR, 12.5; 95% CI, 1.60 to 97.27; P=0.016), maternal anaemia (AOR, 18.96; 95% CI, 3.10 to 116.02; P=0.001), and any one obstetric complication (hypertensive disorder in pregnancy, diabetes in pregnancy, preterm premature rupture of membranes, prolonged labour, obstructed labour, malpresentation) (AOR, 4.34; 95% CI, 1.26 to 14.95; P=0.02). Conclusion: The predictors of NNM identified has important implications for public health policy and practice whose modifications can improve NNM. These include expanding essential ANC package to include ultrasound scans, ensuring World Health Organization recommendations of eight ANC visits, capacity building at all levels of health care to strengthen routine ANC and obstetric care for effective screening, referral and management of obstetric complications.

Prevalence and predictors of multidrug-resistant bacteremia in liver cirrhosis

  • Aryoung Kim;Byeong Geun Song;Wonseok Kang;Dong Hyun Sinn;Geum-Youn Gwak;Yong-Han Paik;Moon Seok Choi;Joon Hyeok Lee;Myung Ji Goh
    • The Korean journal of internal medicine
    • /
    • 제39권3호
    • /
    • pp.448-457
    • /
    • 2024
  • Background/Aims: Improved knowledge of local epidemiology and predicting risk factors of multidrug-resistant (MDR) bacteria are required to optimize the management of infections. This study examined local epidemiology and antibiotic resistance patterns of liver cirrhosis (LC) patients and evaluated the predictors of MDR bacteremia in Korea. Methods: This was a retrospective study including 140 LC patients diagnosed with bacteremia between January 2017 and December 2022. Local epidemiology and antibiotic resistance patterns and the determinants of MDR bacteremia were analyzed using logistic regression analysis. Results: The most frequently isolated bacteria, from the bloodstream, were Escherichia coli (n = 45, 31.7%) and Klebsiella spp. (n = 35, 24.6%). Thirty-four isolates (23.9%) were MDR, and extended-spectrum beta-lactamase E. coli (52.9%) and methicillin-resistant Staphylococcus aureus (17.6%) were the most commonly isolated MDR bacteria. When Enterococcus spp. were cultured, the majority were MDR (MDR 83.3% vs. 16.7%, p = 0.003), particularly vancomycin-susceptible Enterococcus faecium. Antibiotics administration within 30 days and/or nosocomial infection was a significant predictor of MDR bacteremia (OR: 3.40, 95% CI: 1.24-9.27, p = 0.02). MDR bacteremia was not predicted by sepsis predictors, such as positive systemic inflammatory response syndrome (SIRS) or quick Sequential Organ Failure Assessment (qSOFA). Conclusions: More than 70% of strains that can be treated with a third-generation cephalosporin have been cultured. In cirrhotic patients, antibiotic administration within 30 days and/or nosocomial infection are predictors of MDR bacteremia; therefore, empirical administration of broad-spectrum antibiotics should be considered when these risk factors are present.

아버지의 양육행동, 양육참여도 및 아버지-자녀간 의사소통이 아동의 다중지능에 미치는 영향 (The Effect of Father's Parenting Behavior, Parenting Involvement and Father-Child Communication on Children's Multiple Intelligence)

  • 장영애;이영자
    • 한국생활과학회지
    • /
    • 제22권6호
    • /
    • pp.529-546
    • /
    • 2013
  • The purpose of this study was to find the effects of parenting behavior, parenting involvement and father-child communicationon on children's multiple intelligence. For this purpose, 182 children selected from three elementary schools and their fathers participated in the study. The findings of this study are as follows : First, there were some significant differences in children's multiple intelligence according to the children's grade, gender, father's educational background and income. Second, there were some significant differences in children's multiple intelligence according to the parenting behavior, warmth acceptance, rejection restriction and permissiveness nonintervention behaviors, and to leisure activity, life guidance, study guidance of parenting involvement and to father-child open communication, problematic communication. Third, It was also found that children's grade, gender, father's educational background, warmth acceptance behavior, permissiveness nonintervention behaviors and open communication, problematic communication were all significant predictors of the children's multiple intelligence. In order to increase the children's multiple intelligence, parents should be warmer and more accepting and have open commnication with their children.

대학생의 체질량지수, 체형인식, 비만스트레스, 자아존중감에 따른 체중조절행동 예측요인 (Predictors of Weight Control Behavior According to College Students' BMI, Perception of Body Shape, Obesity Stress, and Self-Esteem)

  • 김종임
    • 한국산학기술학회논문지
    • /
    • 제17권6호
    • /
    • pp.438-448
    • /
    • 2016
  • 본 연구는 대학생들의 체중조절행동에 영향을 미치는 요인을 파악하고자 실시하였다. 연구대상자는 C지역 대학에 재학 중인 대학생을 대상으로 자가보고식 설문조사로 시행되었다. 조사기간은 2015.12.01-12.20일 까지였고, 분석대상은 289명 이었다. 자료는 기술적 통계, t-tset, ANOVA, pearson correlation과 stepwise multiple regression으로 분석 하였다. 그 결과 대학생들은 자신의 체형에 대한 인식에 왜곡된 현상이 두드러지며, 특히 타인평가에 의한 체형인식과 비만스트레스, 체중조절경험이 체중조절행동에 영향을 미치는 것으로 나타났다. 체중조절행동과의 상관관계에서는 본인체형인식(r=.31, p<.001), 타인평가체형(r=.30, p<.001), 비만스트레스(r=.43, p<.001)등이 체중조절행동과 관련성이 높게 나타났다. 다중회귀분석결과, 체중조절행동에 영향을 미치는 요인으로는 비만스트레스(${\beta}=.37$, p<.001), 타인평가체형(${\beta}=.15$, p=.009)이 밀접하게 관련되는 영향요인임을 알 수 있었으며, 이 변수들의 설명력은 20% 인 것으로 나타났다(F=37.30, p<.001). 결론적으로, 대학생의 체형인식에서 타인평가체형, 비만스트레스가 체중조절행동관련 예측요인으로 나타났다. 이러한 예측요인 등을 파악하여 자신의 체형을 객관적으로 판단하여 인식할 수 있고 적절한 체중조절을 할 수 있는 정보제공, 식이와 운동을 격려하는 예방프로그램, 건강교육 및 중재 프로그램의 개발과 실시가 필요하다고 생각된다.

여대생의 일가정 다중역할계획의도 예측모형 연구: 사회인지진로이론과 계획행동이론의 통합 (Predictive Model of the Intent of Work-Family Multiple-Role Planning among Female University Students: Integration of Social Cognitive Career Theory and Theory of Planned Behavior)

  • 김지은;박미석
    • Human Ecology Research
    • /
    • 제58권4호
    • /
    • pp.539-560
    • /
    • 2020
  • This study presents work-family multiple-role planning by female university students as a new approach to worklife balance. Accordingly, this study examines university years as a key time frame during which students establish their career paths. This study integrates the social cognitive career theory and the planned behavior theory to design and evaluate a model that explains the work-family multiple-role planning process; in addition, it develops an optimal model to predict the intentions of female university students in work-family multiple-role planning. This study has conducted a structural survey with 500 female university students. After inspecting the data, the responses of 435 participants were used in the data analysis (SEM) with SPSS 21.0 and AMOS 21.0. The findings include the following. First, suitability of predictive model presents a satisfying fit. The major factors in this study's model (parental support, subjective norms, attitudes toward multiple-role planning, career decision self-efficacy, and outcome expectations) are verified as direct and indirect predictors of the work-family multiple-role planning intent of female university students. Second, the strongest predictive factor for the work-family multiple-role planning intent is the social environment factor (subjective norms), indicating that the influence of social pressure on intent is relatively large. The predictive model formulated under this study's integrated theoretical framework supplements existing research that focused on attitudes toward multiple-role planning as well as provides a more profound theoretical foundation on which work-family multiple-role planning behaviors can be better understood.

커널 제약식을 이용한 다중 비교차 분위수 함수의 순차적 추정법 (Stepwise Estimation for Multiple Non-Crossing Quantile Regression using Kernel Constraints)

  • 방성완;전명식;조형준
    • 응용통계연구
    • /
    • 제26권6호
    • /
    • pp.915-922
    • /
    • 2013
  • 분위수 회귀는 반응변수의 조건부 분위수 함수를 추정함으로써 반응변수와 예측변수의 관계에 대한 포괄적인 정보를 제공한다. 그러나 여러 개의 분위수 함수를 개별적으로 추정하게 되면 이들이 서로 교차할 가능성이 있으며, 이러한 분위수 함수의 교차(quantile crossing) 현상 분위수의 이론적 기본 특성에 위배된다. 본 논문에서는 다중 비교차 분위수 함수의 추정을 위해 커널 계수에 제약식을 부여하는 순차적 추정법을 제안하였으며, 모의실험을 통해 제안한 방법론의 효율적인 성능과 유용성을 확인하였다.

응급실에 내원한 둔상환자의 수혈 필요성 예측인자 (Predictive Factors of Blood Transfusion Requirement in Blunt Trauma Patients Admitted to the Emergency Room)

  • 오지선;김형민;최세민;최경호;홍태용;박규남;소병학
    • Journal of Trauma and Injury
    • /
    • 제22권2호
    • /
    • pp.218-226
    • /
    • 2009
  • Purpose: In multiple blunt trauma patients, transfusion may be a significant therapeutic adjunct to non-operative management. The blood products must be expedited and efficiently to patients in impending shock caused by hemorrhage or traumatic coagulopathy, but the decision to perform blood transfusion has been made empirically, based on the clinician' and has not been guided by objective parameters, but own opinion, that may result in an underestimate of or a failure to detect bleeding, in delayed transfusion, and in a reduced outcome. This article presents quickly assessable predictive factors for determining if a blood transfusion is required to improve outcomes in multiple blunt trauma patients admitted to the emergency room. Methods: In a retrospective review of 282 multiple blunt trauma patients who visited our emergency center by emergency rescuer during a 1-year period, possible factors predictive of the need for a blood transfusion were subjected to univariate and multivariate logistic regression analysis. Results: Of blunt trauma patients, 9.2% (26/282), received red blood cells in the first 24 hours of care. Univariate analysis revealed significant associations between blood transfused and heart rate (HR) > 100 beats/min, respiratory rate (RR) > 20 breaths/min, Glasgow Coma Scale (GCS) < 14, Revised Trauma Score (RTS) < 11, white blood cell count (WBC) < 4000 or > 10000, and initial abnormal portable trauma series (Cspine lateral, chest AP, pelvis AP). A multiple regression analysis, with a correction for diagnosis, identified HR > 100 beats/min (EXP 3.2), GCS < 14 (EXP 4.1), and abnormal trauma series (EXP 2.9), as independent predictors. Conclusion: In our study, systolic blood pressure (SBP) < 90 mmHg, old age > 65 years, hemoglobin < 13g/dL, mechanism of injury were poor predictors of early blood transfusion. Initial abnormal portable trauma series, HR > 100 beats/min, and GCS < 14 were quickly assessable useful factors for predicting a need for early blood transfusion in blunt trauma patients visiting the emergency room.

영유아 입원 환아 어머니의 불안과 극복력의 관계 (A Study on the Anxiety and Mastery among Mothers of Hospitalized Young Children)

  • 유경희
    • 한국간호교육학회지
    • /
    • 제22권3호
    • /
    • pp.408-414
    • /
    • 2016
  • Purpose: This study was conducted to investigate the correlation between anxiety and mastery in hospitalized young children's mothers. Methods: The subjects were 118 mothers of young children who were hospitalized in a pediatric unit. Self-report questionnaires were used to measure the variables of anxiety and mastery. In the data analysis, SPSSWIN 23.0 was used for descriptive statistics, Pearson's correlation coefficients and multiple regression. Results: The reliability of instruments were found to have a Cronbach's alpha of .84 to .92. Anxiety correlated negatively with mastery (r=-.43, p<.001) and positively with duration of hospitalization (r=.26, p=.004). In multiple regression, mastery and duration of hospitalization were significant predictors of anxiety in hospitalized young children's mothers, explaining 24.0%. Conclusions: Anxiety and mastery were significant variables in hospitalized young children's mothers. A strategy of nursing intervention which decreases anxiety in mothers must be developed by increasing the level of mastery in mothers of hospitalized young children.

아동의 문제 해결력 관련 변인 연구 (Predictors of Problem Solving in Childhood)

  • 김원경;권희경;전제아;우남희
    • 아동학회지
    • /
    • 제22권3호
    • /
    • pp.63-73
    • /
    • 2001
  • The present study examined variables relevant to problem solving in childhood to determine predictive contributions of such variables as parenting style, child's temperament, self-esteem, depression, and self-efficacy. Subjects were 545 2nd, 4th, 6th grade elementary school children and their parents. Data were analyzed with bivariate correlation, multiple regression, and step-wise multiple regression. Results indicated that child's temperament and self-efficacy were significantly correlated with problem-solving, and self-efficacy was the most critical predictor of problem solving.

  • PDF

병원급식이 생산성에 영향을 미치는 요인분석 (Operational Factors Affecting Productivity of Foodservice System in Selected Hospitals)

  • 양일선
    • Journal of Nutrition and Health
    • /
    • 제26권3호
    • /
    • pp.357-366
    • /
    • 1993
  • The purposes of this study were to investigate the operational affecting productivity in hospital foodservice, and to examine the relationships between operational factors affecting productivity. The 28 hospitals over 400 beds in Seoul were mailed questionnaires assessing the factors that affect productivity in hospital foodservice(23 hospitals responded). Data analyses included descriptive statistics. Pearson product moment correlation analysis, and stepwise multiple regression analysis. The result of Pearson product moment correlation analysis indicated that the percentage of patient meals was significantly correlated to the productivity (r=.5560, p<.01). Stepwise multiple regression analysis indicated that the percentage of patient meals and the average work hours of employees were significant predictors of the operational factors at productivity.

  • PDF