노년 청각손상자와 청각장애의 삶의 질 관련성 연구

劉俊榮,張勝成 대구대학교 특수교육재활과학연구소 2006 再活科學硏究 Vol.24 No.2

The hearing impairment happened extensively in the elderly and often resulted in the hearing handicap. A lot of study confused the hearing impairment with the hearing handicap and replaced the score of quality of life by the hearing handicap score to calculate the quality adjusted life years and analyzed the cost-utility of aural rehabilitation. In this study, the confusion of hearing impairment and hearing handicap was clarified, and the relevance between hearing handicap and quality of life was explored in order to examine the fitness of replacing the score of quality of life by the hearing handicap score. The result of this study indicated that the correlation between the hearing handicap and the quality of life. The fitness of correlating model of the hearing handicap and the quality of life was not accepted. So, it was not suggested that replacing the score of quality of life by the hearing handicap score. The inventory of disease-specific quality of life should be developed. Secondly, the poor fitness of correlating model of the hearing handicap and the quality of life could be resulted from the other variables that shall be included in the model. It was proposed to include relevant variables into the model in the future. 청각손상은 노년기에 광범위하게 발생하는 문제이다. 심각한 청각장애를 자주 일으킨다. 많은 연구는 청각손상과 청각장애를 혼돈하는 것 뿐 만아니라 자주 청각장애 검목표의 득점으로 피실험자의 생활 품질을 대표한다. 심지어 청각장애 검목표의 득점으로 생활 품질 조정년을 계산한다. 이것으로 청각 재활의 성공 효과를 분석한다. 본 연구는 청각 손상과 청각장애의 다른 점을 밝히는 것 외에도 주요 목적은 청각장애와 생활 품질의 관련성을 이해하고자 하는 것이다. 이것으로 청각장애 검목표를 생활 품질을 삼는 정당성을 관찰한다. 연구결과에 나타나는 것은 청각 표현과 생활품질의 관련성은 높지 않은 결과를 얻었다. 이 두 가지의 관련 양식은 일반화 하기는 제한점을 갖는다. 그래서 이론적 개념에서 청각 표현과 생활품질은 각자 다른 내용을 갖추고 있다. 자료 통계의 분석 결과도 이 두 가지의 관련 양식에 대해서 유의한 결과를 얻지 못했다. 그래서 청각표현 능력으로 피실험자의 생활 품질을 대신할 수 없다. 마땅히 청각 손상자에게 맞는 적합한 생활 품질 설문지를 발행해야한다. 그 다음에 두 가지의 관련 양식의 관련도 적다. 아마도 청각 손상자의 청각 표현과 생활 품질 간에는 많은 변인의 영향이 존재하기 때문이다. 미래의 연구는 더 많은 상관 관련 인소를 귀납해서 이 이론구조를 검증해야한다는 것을 건의한다.

Comparison of all-cause mortality associated with non-alcoholic fatty liver disease and metabolic dysfunction-associated fatty liver disease in Taiwan MJ cohort

Cheng Wei-Chun,Chen Hua-Fen,Cheng Hsiu-Chi,Li Chung-Yi 한국역학회 2024 Epidemiology and Health Vol.46 No.-

OBJECTIVES The global burden of non-alcoholic fatty liver disease (NAFLD) is rising. An alternative term, metabolic dysfunction-associated fatty liver disease (MAFLD), instead highlights the associated metabolic risks. This cohort study examined patient classifications under NAFLD and MAFLD criteria and their associations with all-cause mortality. METHODS Participants who attended a paid health check-up (2012-2015) were included. Hepatic steatosis (HS) was diagnosed ultrasonographically. NAFLD was defined as HS without secondary causes, while MAFLD involved HS with overweight/obesity, type 2 diabetes mellitus, or ≥2 metabolic dysfunctions. Mortality was tracked via the Taiwan Death Registry until November 30, 2022. RESULTS Of 118,915 participants, 36.9% had NAFLD, 40.2% had MAFLD, and 32.9% met both definitions. Participants with NAFLD alone had lower mortality, and those with MAFLD alone had higher mortality, than individuals with both conditions. After adjustment for potential confounders, the hazard ratios (HRs) for all-cause mortality were 1.08 (95% confidence interval [CI], 0.78 to 1.48) for NAFLD alone and 1.26 (95% CI, 1.09 to 1.47) for MAFLD alone, relative to both conditions. Advanced fibrosis conferred greater mortality risk, with HRs of 1.93 (95% CI, 1.44 to 2.58) and 2.08 (95% CI, 1.61 to 2.70) for advanced fibrotic NAFLD and MAFLD, respectively. Key mortality risk factors for NAFLD and MAFLD included older age, unmarried status, higher body mass index, smoking, diabetes mellitus, chronic kidney disease, and advanced fibrosis. CONCLUSIONS All-cause mortality in NAFLD and/or MAFLD was linked to cardiometabolic covariates, with risk attenuated after multivariable adjustment. A high fibrosis-4 index score, indicating fibrosis, could identify fatty liver disease cases involving elevated mortality risk.

A Novel Single-Stage Cost-Effective Electronic Ballast for HID Lamps with High Power Factor

Chun-An Cheng,Chen-Wei Ku 전력전자학회 2011 ICPE(ISPE)논문집 Vol.2011 No.5

High-intensity-discharge (HID) lamps are widely utilized in a variety of lighting circumstances that need high luminance. This paper proposes a single-stage electronic ballast for HID lamps; the ballast offers power factor correction and is acoustic-resonance-free. The presented HID lamp ballast integrates a discontinuous-conduction-mode (DCM) operated bridgeless power factor correction (PFC) converter for shaping the input utility-line current with a high/low-frequency square-wave-driven half-bridge inverter for supplying low-frequency square-wave sources to the HID lamp. The features of the proposed ballast are high power factor, low total harmonic distortion (THD) of the input current, cost-effectiveness, and that it is free of acoustic resonance. This paper analyzes the operational modes, key design guidelines and experimental results of the proposed ballast for a 70W HID lamp operating with 110V-rms input utility-line voltage.

Mathematical Thinking through the Grouping of Numbers

( Chun Chor Li Twin Cheng ) 한국수학교육학회 2014 뉴스레터 Vol.30 No.2

Teaching of Division of Fractions through Mathematical Thinking

( Cheng Chun Chor Litwin ) 한국수학교육학회 2013 수학교육 학술지 Vol.2013 No.1

Division of fractions is always a difficult topic for primary school students. Most of the presentations in teaching the topic in textbooks are procedural, asking students to invert the second fraction and multiply it with the first one, that is, (a/b)÷(c/d)=(a/b)×(d/c) Such procedural approach in teaching diminishes both the understanding of structure in mathematics and the interest in learning the subject. This paper discussed the formulation of teaching the division of fractions, which based on research lessons in some primary five classrooms. The formulated lessons started with an analogy to division of integers and working with division of fractions with equal denominators and then extended to division of fractions in general. It is found that the using of analogy helps students to invent their procedure in working the division problem. Some procedures found by students are discussed, with the focus on the development of their invention and mathematical thinking.

A Single-Stage LED Tube Lamp Driver with Input-Current Shaping for Energy-Efficient Indoor Lighting Applications

Cheng, Chun-An,Chang, Chien-Hsuan,Cheng, Hung-Liang,Chung, Tsung-Yuan,Tseng, Ching-Hsien,Tseng, Kuo-Ching The Korean Institute of Power Electronics 2016 JOURNAL OF POWER ELECTRONICS Vol.16 No.4

This study proposes a single-stage light-emitting diode (LED) tube lamp driver with input-current shaping for T8/T10-type fluorescent lamp replacements. The proposed AC-DC LED driver integrates a dual-boost converter with coupled inductors and a half-bridge series-resonant converter with a bridge rectifier into a single-stage power conversion topology. This paper presents the operational principles and design considerations for one T8-type 18 W-rated LED tube lamp with line input voltages ranging from 100 V rms to 120 V rms. Experimental results for the prototype driver show that the highest power factor (PF = 0.988), lowest input current total harmonic distortion (THD = 7.22%), and highest circuit efficiency (η = 92.42%) are obtained at an input voltage of 120 V. Hence, the proposed driver is feasible for use in energy-efficient indoor lighting applications.

Clinical efficacy of adalimumab versus infliximab and the factors associated with recurrence or aggravation during treatment of anal fistulas in Crohn`s disease

( Cheng-chun Ji ),( Shota Takano ) 대한장연구학회 2017 Intestinal Research Vol.15 No.2

Background/Aims: Infliximab has proven to be effective in the treatment of perianal fistulas in Crohn`s disease (CD) but the efficacy of adalimumab is still unclear. The aim of this study is to assess the clinical efficacy of adalimumab and compare the results with those for infliximab. Methods: Forty-seven CD patients treated for perianal fistulas with infliximab from September 2005 to December 2010 (n=31), or with adalimumab from November 2010 to May 2012 (n=16), were enrolled in this retrospective study. The following patient characteristics were analyzed; intestinal lesion site, fistula classification, seton placement, index of inflammatory bowel disease, C-reactive protein level, follow-up period, and the cumulative rate of nonrecurrence or aggravation of fistula. Results: There were no significant differences in the intestinal lesion site, fistula classification, inflammatory bowel disease index, C-reactive protein level, and the frequency of injection between the infliximab group and the adalimumab group. The cumulative rate of nonrecurrence or aggravation of fistula was 62.5% in the adalimumab group and 83.9% in the infliximab group at 24 months after treatment (P =0.09). The risk factors for recurrence or aggravation may be related to seton placement (P =0.02), gender (P =0.06), and fistula classification (P =0.07). Conclusions: There was no significant difference in the clinical efficacy of adalimumab and infliximab in the treatment of perianal fistulas in CD. However, fistula classification may be an important risk factor for recurrence or aggravation. The preliminary findings in this study show that further research is warranted. (Intest Res 2017;15:182-186)

Efficacy of Ethanol Ablation for Benign Thyroid Cysts and Predominantly Cystic Nodules: A Systematic Review and Meta-Analysis

Cheng-Chun Yang,Yung Hsu,Jyun-Yan Liou 대한내분비학회 2021 Endocrinology and metabolism Vol.36 No.1

Background: Ultrasound-guided minimally invasive procedures are widely used to treat thyroid diseases. The objective of this study was to assess the efficacy and safety of ethanol ablation (EA) in comparison with other non-surgical options in the treatment of benign thyroid cystic nodules. Methods: We conducted a systematic search of studies on EA for thyroid cystic nodules, mainly in the Ovid-MEDLINE and Embase, Web of Science, and Cochrane databases. The standardized mean difference (SMD) of the volume reduction ratio (VRR) after EA versus other non-surgical treatments comprised the primary outcome, whereas the odds ratio (OR) of therapeutic success rates between the two groups comprised the secondary outcome. Results: The meta-analysis included 19 studies (four randomized controlled trials and 15 non-randomized studies) with 1,514 participants. The cumulative VRR of EA was 83.908% (95% confidence interval [CI], 79.358% to 88.457%). EA had a significantly higher pooled VRR (SMD, 0.381; 95% CI, 0.028 to 0.734; P=0.030), but not a significantly higher pooled therapeutic success rate (OR, 0.867; 95% CI, 0.132 to 5.689; P=0.880), than other forms of non-surgical management including radiofrequency ablation (RFA), polidocanol sclerotherapy, and simple aspiration with or without saline flush. However, the VRR and therapeutic success rate were not significantly different between EA and RFA. Major complications were recorded only in six patients (0.53%) with self-limiting dysphonia. Conclusion: The role of EA as the first-line treatment for benign thyroid cysts and predominantly cystic nodules is supported by its high effectiveness and good safety profile compared to other currently available non-surgical options.

Mathematical Thinking through the Grouping of Numbers

( Cheng Chun Chorlitwin ) 한국수학교육학회 2014 수학교육 학술지 Vol.2014 No.1

Both counting and thinking are important process for the development of mathematics ability. Counting on and counting all is a important step for children to acquire the knowledge of addition, while grouping numbers into 10 is important for developing thinking and concept of place value. The general view is that the ability in combining and disjoining sets of objects helps to develop the concepts of place value. The ability of countingon and grouping numbers into 10 is important, because it requires the selection of numbers during grouping and hence requires thinking. This paper is a report of the observation of three children of age 5.5 to 6 during their activities of grouping into 10, and analyze how the activities help to make happen the mathematical thinking of the children.

An Extended Multi-Server-Based User Authentication and Key Agreement Scheme with User Anonymity

( Chun-ta Li ),( Cheng-chi Lee ),( Chi-yao Weng ),( Chun-i Fan ) 한국인터넷정보학회 2013 KSII Transactions on Internet and Information Syst Vol.7 No.1

With the explosive growth of computer networks, many remote service providing servers and multi-server network architecture are provided and it is extremely inconvenient for users to remember numerous different identities and passwords. Therefore, it is important to provide a mechanism for a remote user to use single identity and password to access multi-server network architecture without repetitive registration and various multi-server authentication schemes have been proposed in recent years. Recently, Tsaur et al. proposed an efficient and secure smart card based user authentication and key agreement scheme for multi-server environments. They claimed that their scheme satisfies all of the requirements needed for achieving secure password authentication in multi-server environments and gives the formal proof on the execution of the proposed authenticated key agreement scheme. However, we find that Tsaur et al.`s scheme is still vulnerable to impersonation attack and many logged-in users` attack. We propose an extended scheme that not only removes the aforementioned weaknesses on their scheme but also achieves user anonymity for hiding login user`s real identity. Compared with other previous related schemes, our proposed scheme keeps the efficiency and security and is more suitable for the practical applications.