• 제목/요약/키워드: predicting factors

검색결과 1,612건 처리시간 0.026초

Prognostic Scores for Predicting Recurrence in Patients with Differentiated Thyroid Cancer

  • Somboonporn, Charoonsak
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권5호
    • /
    • pp.2369-2374
    • /
    • 2016
  • Background: Differentiated thyroid cancer (DTC) is a cancer group that shares molecular and cellular origin but shows different clinical courses and prognoses. Several prognostic factors have been reported for predicting recurrence for individual patients. This literature review aimed to evaluate prognostic scores for predicting recurrence of DTC. Materials and Methods: A search of the MEDLINE database for articles published until December 2015 was carried out using the terms "thyroid neoplasms AND (recurrent OR persistent) AND (score OR model OR nomogram)". Studies were eligible for review if they indicated the development of prognostic scoring models, derived from a group of independent prognostic factors, in predicting disease recurrence in DTC patients. Results: Of the 308 articles obtained, five were eligible for evaluation. Two scoring models were developed for DTC including both papillary and follicular carcinoma, one for papillary carcinoma, and the other two for papillary microcarcinoma. The number of patients included in the score development cohort ranged from 59 to 1,669. The number of evaluated potential prognostic factors ranged from 4 to 25. Tumor-related factors were the most common factors included in the final scores, with cervical lymph node metastases being the most common. Only two studies showed internal validation of the derived score. Conclusions: There is a paucity of prognostic scores for predicting disease recurrence in patients with DTC, in particular for follicular thyroid carcinoma. Several limitations of the created scores were found. Performance of the scores has not been adequately studied. Comprehensive validation in multiple cohorts is recommended before widespread use.

Predicting Factors of Chronic Subdural Hematoma Following Surgical Clipping in Unruptured and Ruptured Intracranial Aneurysm

  • Kwon, Min-Yong;Kim, Chang-Hyun;Lee, Chang-Young
    • Journal of Korean Neurosurgical Society
    • /
    • 제59권5호
    • /
    • pp.458-465
    • /
    • 2016
  • Objective : The aim of this study is to analyze the differences in the incidence, predicting factors, and clinical course of chronic subdural hematoma (CSDH) following surgical clipping between unruptured (UIA) and ruptured intracranial aneurysm (RIA). Methods : We conducted a retrospective analysis of 752 patients (UIA : 368 and RIA : 384) who underwent surgical clipping during 8 years. The incidence and predicting factors of CSDH development in the UIA and RIA were compared according to medical records and radiological data. Results : The incidence of postoperative CSDH was higher in the UIA (10.9%) than in the RIA (3.1%) (p=0.000). In multivariate analysis, a high Hounsfield (HF) unit (blood clots) for subdural fluid collection (SFC), persistence of SFC ${\geq}5mm$ and male sex in the UIA and A high HF unit for SFC and SFC ${\geq}5mm$ without progression to hydrocephalus in the RIA were identified as the independent predicting factors for CSDH development (p<0.05). Conclusion : There were differences in the incidence and predicting factors for CSDH following surgical clipping between UIA and RIA. Blood clots in the subdural space and persistence of SFC ${\geq}5mm$ were predicting factors in both UIA and RIA. However, progression to hydrocephalus may have in part contributed to low CSDH development in the RIA. We suggest that cleaning of blood clots in the subdural space and efforts to minimize SFC ${\geq}5mm$ at the end of surgery is helpful to prevent CSDH following aneurysmal clipping.

말초성 안면신경마비의 예후인자로서 Electroneuronography(ENoG)의 유용성에 대한 연구 (A Study on the Validation of Electroneuronography as Predicting Factors for Peripheral Facial Palsy Prognosis)

  • 서은비;주현아;임진영;황충연
    • 한방안이비인후피부과학회지
    • /
    • 제24권3호
    • /
    • pp.55-64
    • /
    • 2011
  • Objectives : This study was performed in order to investigate the effectiveness of electroneuronography as predicting factors for peripheral facial palsy prognosis. Methods : Data were gathered with 32 Bell's palsy patients. The grade of Bell's palsy were measured 2 times; first medical exam and 4 weeks after treatment, with Lucille Daniels's Muscle test. We converted the grade system use on five rating scale. The significance of treatment verified with paired t-test used on first medical exam and 4 weeks after treatment score and predicting factors of electroneuronography verified with simple regression test. Results : The improvement score were statistically significant different before and after treatment(p<.001). Mean axonal loss according to electroneuronography showed a statistically significant correlation in predicting peripheral facial palsy (P<0.01). Conclusion : Axonal loss as determined by electroneuronography has statistical significance as predicting factors for peripheral facial palsy prognosis.

정상 상황과 비정상 상황에서 조종사의 수행을 예측하는 요인 (Factors predicting pilots' performance in routine and non-routine situations)

  • 이경수;손영우
    • 한국항공운항학회지
    • /
    • 제18권4호
    • /
    • pp.92-99
    • /
    • 2010
  • This study aimed to provide empirical evidence about expert performance approach in aviation field and the results suggested that the amount of experience(e.g. total flight hour) is necessary but not sufficient index of a pilot's expertise or superior performance. 43 pilots participated and completed a spatial span task and SA (situation awareness) tasks. To explore the factors predicting the performance in routine and non-routine situations, discriminant analysis was conducted. The results of discriminant analysis indicated that different variables are related with the performance in routine and non-routine situation. The factors predicting performance in routine situation were the spatial span scores and total flight hours. On the other hand, the factors predicting performance in non-routine situation were age and the qualification for instrument flying. In real world, total flight time which represents the quantity of experience has been frequently used to predict flight abilities and as an important index of expertise. The results of this study suggest that these kinds of factors have to be used cautiously to predict the performance in abnormal situation.

흉골 골절 환자에서 심혈관계 동반 손상의 예측 인자의 분석 (Analysis of Predicting Factors for Cardiovascular Injuries in Sternal Fractures)

  • 김찬웅;조대윤;손동섭;양기민
    • Journal of Chest Surgery
    • /
    • 제34권12호
    • /
    • pp.937-943
    • /
    • 2001
  • 배경 : 본 연구의 목적은 흉골골절에서 심혈관계 동반 손상의 예측인자를 알아내고 응급 심장 초음파검사의 적응증을 제시하고자 하였다. 대상 및 방법 : 1994년 3월부터 5년간 이화여자대학교 부속 목동병원 응급실을 통해 입원한 흉골골절로 입원한 40명의 환자들을 대상으로 후향적 분석을 시행하였다. 예측인자로서는 1) 안전띠 착용의 유무, 2) 동반 손상의 유무, 3) 심혈관계 질환의 병력 유무, 4) 내원시 환자의 RTS(Revised Trauma Score) 4가지를 대상으로 분석하였다. 또한 심혈관계 손상의 동반 유무를 파악하기 위하여 일반적으로 사용하는 심전도와 흉부 단순 촬영 및 심근 효소의 분획을 조사하였으며, 그 결과에서, 흉골골절에서 응급 심장 초음파 검사의 적응증을 추론하였다. 결과 : 흉골골절에서 심혈관계 손상의 동반 유무를 나타내는데 통계적으로 의미가 있다고 나온 인자로는 심혈관계 과거 병력이 있는 경우와 입원시 RTS의 이상을 들 수 있다. 응급 심장 초음파검사의 시행은 예측인자들과 심전도와 흉부 단순 촬영 및 심근 효소의 분획 같은 일반적으로 사용하는 검사 결과에 따라 시행하였다. 흉골골절 환자에서 응급 심장 초음파검사의 적응으로 1) 의미 있는 예측 인자의 변화가 없더라도 두 개 이상의 검사에서 이상소견을 보이던가, 2) 예측인자의 의미있는 변화가 하나 이상 나오는 경우를 들 수 있다. 결론 : 흉골골절 환자에서 심혈관계의 과거 병력과 초기활력 징후가 심혈관 동반 손상 유무를 중요하게 나타날 수 있으며, 필요한 경우, 응급 심장 초음파 검사를 시행하여 조기에 확진을 내리는 것이 중요하다고 생각한다.

  • PDF

동기-위생요인이 간호사의 직무만족, 조직몰입 및 조직동일시에 미치는 영향 (A Study of the Effects of Motivation-Hygiene Factors on nurse's Job Satisfaction, Organizational Commitment, and Organizational Identification)

  • 임지영
    • 간호행정학회지
    • /
    • 제11권3호
    • /
    • pp.243-254
    • /
    • 2005
  • Purpose: The purpose of this study was to analyze the effects of motivation and hygiene factors on nurse's job satisfaction, organizational commitment, and organizational identification. Methods: The subject hospital was 4 tertiary general hospital located in Seoul and Incheon, Korea. The participants of this study were 521 nurses working in the subject hospitals. The data were collected by self-reporting questionnaires from April 1 to June 30, 2004. The data were analyzed using SAS 8.0 program for descriptive statistics and stepwise multiple regression. Results: The mean score of variables were as follows. The motivation factor's total was 3.22, hygiene factor's total was 2.98, job satisfaction was 2.94. organizational commitment was 2.94, and organizational identification was 3.62. The statistically significant predicting factors of job satisfaction were achievement, work itself and salary. In organizational commitment, the significant predicting factors were achievement, advancement, work itself, policy and administration, working conditions, and interpersonal relations. In organizational identification, the significant predicting factors were work itself, responsibility, interpersonal relations, and personal life. Conclusion: With these results, it was identified that the predicting factors of nurse's job satisfaction based on Herzberg's two-factor theory. The most statistically significant factors were salary on job satisfaction, policy and administration on organizational commitment and work itself on organizational identification. So these results will be used to develop the more effective strategy of nursing staff management. And also these will be contributed to developing the nurse's motivation enhancement plans.

  • PDF

성능위주설계에서 화재위험성 예측 과정의 문제점 및 개선방안 (The Problems and Improvements of Process to Predict Fire Risk of a Building in Performance Based Design)

  • 이세명
    • 대한안전경영과학회지
    • /
    • 제16권3호
    • /
    • pp.145-154
    • /
    • 2014
  • Performance based design(PBD) is the method to make a fire safety design against them after predicting the factors of fire risk in a building. Therefore, predicting fire risk in a building is very important process in PBD. For predicting fire risk of a building, an engineer of PBD must consider various factors such as ignition location, ignition point, ignition source, first ignited item, second ignited item, flash over, the state of door and fire suppression system. But, it is difficult to trust fire safety capacity of the design because the process in Korea' PBD is unprofessional and unreasonable. This paper had surveyed some cases of PBD that had been made in Korea to find the problems of the process to predict fire risk. And it have proposed the improvements of process to predict fire risk of a building.

여대생의 인유두종바이러스 예방접종실천 예측요인 (Factors Predicting HPV Vaccination Practices among Female College Students)

  • 김선희
    • 부모자녀건강학회지
    • /
    • 제20권1호
    • /
    • pp.39-47
    • /
    • 2017
  • Purpose: This study was conducted to investigate the factors predicting HPV (Human Papilloma Virus) vaccination practices among female college students. Methods: A convenience sample of 207 female students attending four universities in one metropolitan city participated. Self-report questionnaires consisted of general characteristics, characteristics related prevention of cervical cancer, knowledge of HPV, knowledge of cervical cancer vaccination, and health beliefs related to HPV vaccination. Data were analyzed by $x^2$ test, independent t-test, and bivariate logistic regression. Results: Factors predicting HPV vaccination practices were information about HPV (OR=3.37), experience of HPV test (OR=12.71), and health beliefs related to HPV vaccination (OR=1.13). Conclusion: In order to increase the practice rate of HPV vaccination, it is necessary to provide simple key information that is easy to understand, rather than expert knowledge about HPV. Therefore, it is necessary to provide a way for college students to get information about virus easily. It is necessary to intervene integrally with the facilitation factor and obstacle factor of vaccination practice.

  • PDF

매설 환경에 따른 파형강 구조물의 부식 특성 연구 (A Study on the Corrosion of Corrugated Steel Structures in Buried Environment)

  • 박연수;김병하;한상호;박선준;서병철
    • 한국구조물진단유지관리공학회 논문집
    • /
    • 제7권1호
    • /
    • pp.147-156
    • /
    • 2003
  • In this research, multiple corrosion factors of buried environments were measured in order to establish a formula for the corrosion character of corrugated steel structures in domestic environments. By substituting corrosion factors for each predicting formula, the durable lifetime was measured, and the measured lifetime was compared with the estimated lifetime by applying existing thickness-measuring techniques. A new usage standard was proposed with these results, in order to create the conclusion below. There are known differences in the soil factors used as variables in estimating the duration caused by the seasonal effects of rainfall and temperature. Comparing the durable lifetime estimated by each predicting formula, the findings show that the California technique is conservative. This study demonstrates that the error range of the AISI technique, which is mostly used as a duration technique, is a very narrow predicting technique as compared with many other countries. Considering that there is on average, a 13% error margin in this study, a proposed safety factor of 0.87 could be used to more accurately predict the duration. The laying time in the California technique is not longer than the whole durability, and as a result, this error margin exists. It is concluded that this study on the open area has been overdue. Based on these findings, it's proposed that this error margin should be applied to the domestic environment through periodic observation, in order to establish the predicting techniques of durable lifetime.

Factors Predicting Difficult Biliary Cannulation during Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stones

  • Hirokazu Saito;Yoshihiro Kadono;Takashi Shono;Kentaro Kamikawa;Atsushi Urata;Jiro Nasu;Haruo Imamura;Ikuo Matsushita;Tatsuyuki Kakuma;Shuji Tada
    • Clinical Endoscopy
    • /
    • 제55권2호
    • /
    • pp.263-269
    • /
    • 2022
  • Background/Aims: Difficult biliary cannulation is an important risk factor for post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). Therefore, this study aimed to identify the factors that predict difficult cannulation for common bile duct stones (CBDS) to reduce the risk for PEP. Methods: This multicenter retrospective study included 1,406 consecutive patients with native papillae who underwent ERCP for CBDS. Factors predicting difficult cannulation for CBDS were identified using univariate and multivariate analyses. Results: Univariate analysis showed that six factors significantly predicted difficult cannulation: ERCP performed by non-expert endoscopists, low-volume center, absence of acute cholangitis, normal serum bilirubin, intradiverticular papilla, and type of major duodenal papilla. Multivariate analysis identified ERCP performed by non-expert endoscopists (odds ratio [OR], 2.5; p<0.001), low-volume center (OR, 1.6; p<0.001), intradiverticular papilla (OR, 1.3; p=0.007), normal serum bilirubin (OR, 1.3; p=0.038), and absence of acute cholangitis (OR, 1.3; p=0.049) as factors significantly predicting difficult cannulation for CBDS. Conclusions: Initial cannulation by an experienced endoscopist, early rescue cannulation, or early takeover by an experienced endoscopist should be considered when performing ERCP for CBDS in the presence of factors predicting difficult cannulation.