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The Relationship Between Breastfeeding and the Development of Asthma in Early ChildhoodPugsley, River Anne 01 January 2005 (has links)
Purpose: Asthma can have significant adverse effects on the health and quality of life of children, and the prevalence of this condition continues to rise. Breastfeeding may protect against asthma, but some uncertainty remains. The purpose of this study was to further examine the relationship between breastfeeding and the risk of developing asthma in early childhood. Methods: Data were collected from the State and Local Area Integrated Telephone Survey: National Survey of Children's Health, 2003. The study population consisted of 33,315 children ages 0 to 5 years. Prevalence rates of asthma and breastfeeding ,were calculated, as were crude and Mantel-Haenszel summary odds ratios for breastfeeding and other potential confounders including age, race, education, poverty, and tobacco use. Logistic regression models were used to estimate odds ratios and 95% confidence intervals aRer adjustment for these confounders. Results: Breastfeeding (never vs. ever) was significantly associated with an increased odds ratio of asthma among the children surveyed (POR = 1.18, 95% CI = 1.04, 1.34). In addition, children with asthma had a slightly lower mean duration of breastfeeding than did children without asthma. However, a significant trend of increasing odds ratios with increasing duration of breastfeeding was not found. It therefore appears that the act of ever breastfeeding, regardless of duration, exerts some protective effect against the development of asthma in early childhood. Conclusions: Never breastfeeding was found to be significantly associated with the development of asthma in early childhood. Age, race, education, poverty level, and tobacco use were also implicated in this association. While further research is needed to fully determine the effectiveness of breastfeeding in the primary prevention of asthma, public health efforts should focus on promoting breastfeeding as it has the potential improve the overall health of children.
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The Impact of Service-Learning among Other Predictors for Persistence and Degree Completion of Undergraduate StudentsLockeman, Kelly 01 January 2012 (has links)
College completion is an issue of great concern in the United States, where only 50% of students who start college as freshmen complete a bachelor's degree at that institution within six years. Researchers have studied a variety of factors to understand their relationship to student persistence. Not surprisingly, student characteristics, particularly their academic background prior to entering college, have a tremendous influence on college success. Colleges and universities have little control over student characteristics unless they screen out lesser qualified students during the admissions process, but selectivity is contrary to the push for increased accessibility for under-served groups. As a result, institutions need to better understand the factors that they can control. High-impact educational practices have been shown to improve retention and persistence through increased student engagement. Service-learning, a pedagogical approach that blends meaningful community service and reflection with course content, is a practice that is increasing in popularity, and it has proven beneficial at increasing student learning and engagement. The purpose of this study was to investigate whether participation in service-learning has any influence in the likelihood of degree completion or time to degree and, secondarily, to compare different methods of analysis to determine whether use of more complex models provides better information or more accurate prediction. The population for this study was a large public urban research institution in the mid-Atlantic region, and the sample was the cohort of students who started as first-time, full-time, bachelor's degree-seeking undergraduates in the fall of 2005. Data included demographic and academic characteristics upon matriculation, as well as financial need and aid, academic major, and progress indicators for each of the first six years of enrollment. Cumulative data were analyzed using logistic regression, and year-to-year data were analyzed using discrete-time survival analysis in a structural equation modeling (SEM) framework. Parameter estimates and odds ratios for the predictors in each model were compared. Some similarities were found in the variables that predict degree completion, but there were also some striking differences. The strongest predictors for degree completion were pre-college academic characteristics and strength of academic progress while in college (credits earned and GPA). When analyzed using logistic regression and cross-sectional data, service-learning participation was not a significant predictor for completion, but it did have an effect on completion time for those students who earned a degree within six years. When analyzed longitudinally using discrete-time survival analysis, however, service-learning participation is strongly predictive of degree completion, particularly when credits are earned in the third, fourth, and sixth years of enrollment. In the survival analysis model, service-learning credits earned were also more significant for predicting degree completion than other credits earned. In terms of data analysis, logistic regression was effective at predicting completion, but survival analysis seems to provide a more robust method for studying specific variables that may vary by time.
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Analýza storna pojistných smluv / Lapse Analysis of Insurance ContractsStrnad, Jan January 2013 (has links)
The aim of the present work is to develop a tool for identification of Motor Third Party Liability insurance contracts which are at risk of cancellation. Methods for explorative data analysis, building a logistic regression model, comparing models and their validation and calibration are presented. Several models are developed on the real dataset using mentioned methods and then the final one is chosen. Behavior of the final model is verified by the validation on the out-of-time sample. Last step is calibration of the model to the expected value of the future portfolio cancellation rate.
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Multivariate analysis of the effect of graduate education on promotion to Army Lieutenant ColonelKabalar, Hakan 06 1900 (has links)
Approved for public release, distribution is unlimited / The objective of this thesis is to estimate and explain the effects of graduate education and other factors on promotion to the rank of Lieutenant Colonel (O-5) in the US Army. Our focus was primarily on determining whether graduate education provides officers with higher promotion probabilities. Besides graduate education, data that were analyzed include basic demographic traits, the officers' prior enlisted status, and their commissioning source information. The data used in this study were taken from the Active Duty Military Master File for fiscal years 1981 through 2001. This study develops multivariate logit regression and classification tree models to examine and explore the structure of the data sets. Both the regression models and the classification trees yielded positive results for the effect of graduate education on promotion. According to the regression model results, the odds ratio associated with graduate education is between 1.79 and 2.25. Military Academy and ROTC/Scholarship graduates have higher promotion probabilities than those from other sources, and married officers have higher rates than single officers. Additionally, age has a negative effect on promotion; that is, promotion probability decreases with age. Prior enlisted status, number of dependents, gender, race, and DOD primary occupation code do not seem to have statistically significant effects on promotion. / First Lieutenant, Turkish Army
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Selecting the brigade leadership at the United States Naval Academy: who are the stripers?Fox, Jason P. 06 1900
Approved for public release, distribution is unlimited / This thesis examines the process of selecting the midshipmen leadership, or "stripers," at the United States Naval Academy. Using a qualitative approach, it gathers data from the current cohort of decision makers who select the stripers each semester regarding what they believe to be the desirable and undesirable qualities of striper candidates. Shifting to a quantitative approach, those qualities are then used to create variables using data from the Naval Academy classes of 1999 through 2002. A logistic regression is then estimated with the purpose of gauging if those qualities are, in fact, represented in the selectees. A model is presented which indicates that, by and large, the goals of the selection process are being met. Recommendations for minor policy adjustments and for further research are made based on the findings of both the qualitative and quantitative data. / http://hdl.handle.net/10945/985 / Lieutenant, United States Navy
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The performance of LOGCAP in Operations Enduring and Iraqi Freedom / Performance of Logistics Civil Augmentation Program in Operations Enduring and Iraqi FreedomNeeb, Michael S. 12 1900 (has links)
Approved for public release, distribution is unlimited / The purpose of this study is to examine the role of the LOGCAP Logistics Support Unit (LSU) in Southwest Asia during the early stages of Operations Enduring and Iraqi Freedom. The study provides a summary of the LSU makeup, their roles, training and their processes and procedures. The study goes on to analyze the impact of the training and processes and procedures on the mission of the LSU and changes that were made during their deployment. Evidence is provided to demonstrate the difficulties the LSU encountered as a result of role confusion and inadequate training. The empirical data presented shows a correlation between role confusion and inadequate training as the cause of extended timelines and numerous changes to efforts undertaken to meet U.S. Military needs. The research then outlines the improvements that were attempted as well as the results of their implementation. In conclusion, the study provides conclusions based upon the analysis and presents three recommendations for improving the LSU to ensure the next deployment of the LSU to large-scale contingency leverages the lessons learned from this experience. Review and analysis of empirical data gathered from December 2002 through May 2003, interviews with LSU members, and General Accounting Office (GAO) audit reports provided the basis for this study / Civilian, United States Army
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A price not worth paying : using causal effect modelling to examine the relationship between worklessness and mortality for male individuals in ScotlandClemens, Thomas Laurie January 2012 (has links)
The research conducted in this thesis examines the relationship between forms of worklessness (both active unemployment and inactivity due to sickness and disability) and mortality for working age men. Previous research has shown that being out of work is associated with a greater risk of mortality relative to being in work. However, there remains debate as to whether this association is the result of a causal pathway leading from worklessness to mortality or whether it reflects the ‘selection' of individuals who are already at greater risk of mortality from pre-existing poor health or other characteristics. In the UK, many studies rely on the use of ‘wear-off' periods in which mortality events occurring within five years after the observation of employment status are ignored to allow the confounding effects of selection to diminish. Generally these studies concluded in support of a causal relationship. In contrast, more recent studies making use of innovative methodological designs such as natural experiments and linked register and health datasets have found less evidence for this explanation with many emphasising the role of confounding and selection. The thesis aims to firstly, examine the effectiveness of wear-off periods and secondly, to develop an alternative counterfactual approach to examine the relationship between worklessness (both active unemployment and health related inactivity) and mortality. These questions are addressed in three stand-alone papers. In the first paper, data from the Scottish Longitudinal Study and the England & Wales Longitudinal Study was used in logistic regression models which estimated the odds of death in a given time period after the 1991 Census for those aged 35–64 in 1991. The odds ratios for the different economic positions (in work, unemployed, retired, permanently sick and other inactive) were compared, as well as the changes in risk associated with cumulatively increasing the length of wear-off prior to follow-up. No evidence was found of health related selection for the unemployed in 1991 suggesting that the use of the five year wear-off period in many studies of mortality and unemployment may be an ineffective and unnecessary technique for mitigating the effects of health-related selection. The second paper examined men aged between 35 and 54 who were in work in 1991. Subsequent employment status in 2001 was observed (in work or unemployed) and the relative all-cause mortality risk of unemployment between 2001 and 2007 was estimated. To account for potential selection into unemployment of those in poor health, a counterfactual propensity score matching framework was used to construct unbiased and comparable samples of in work and unemployed individuals. Matching was based on a wide range of explanatory variables including health status prior to year of unemployment (hospital admissions and self-reported limiting long term illness) as well as measures of socio-economic position. The findings showed that unemployment was associated with a doubling (hazard ratio 2.1 95% CI 1.30 - 3.38) of the subsequent risk of mortality from all causes relative to employment. This scale of effect was consistent across different samples and was robust controlling for prior health and socio-demographic characteristics. These findings were interpreted as evidence that the often observed association between unemployment and mortality may contain a causal component. The second paper implemented a similar analytical design to address the lack of evidence for the independent mortality effect of inactivity due to sickness. The results showed that the mortality risk of economic inactivity due to sickness relative to active employment was significant (HR. 3.18, 95% CI 2.53-3.98) and suggest that economic inactivity due to sickness poses a mortality risk that is independent of prior health. The findings could be interpreted in two ways; either economic inactivity due to sickness is worse for health than actively seeking work or previous studies of unemployment and mortality have underestimated the true effect of being out of work generally. Across the three studies, the main contribution of the thesis is to reassert the importance of worklessness as a determinant of individual mortality. In doing so the studies also found little evidence of systematic confounding by either health or other characteristics. The thesis concludes with a comprehensive discussion of the wider implications of the findings in relation to both general methodological issues in observational epidemiology and possible policy interventions that could be implemented to tackle work-related inequalities in male mortality.
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Analýza současného stavu a možnosti optimalizace logistického systému ve společnosti Unipetrol RPA / Analysis of current state and optimization possibilities of logistic system in the Unipetrol RPA CompanyMertlová, Tereza January 2010 (has links)
The Master's Thesis deals with an analysis of logistic system in the Unipetrol RPA Company. The objective of this thesis is to detect possible bottlenecks and to identify possibilities to optimize the logistic system. The first part of the Master's Thesis characterizes the terms logistics, Supply Chain Management, logistic chain, lean management, outsourcing, further it deals with the area of storage facilities, packaging, transportation, handling and storage means. The second chapter contains introduction of the Company, the respective branch of industry, as well as international project ChemLog. The analysis of the Company logistic system itself is described in the third chapter. Analyzed are individual logistic processes within the Company related to polyolefins (polyethylene and polypropylene). At the end of this chapter, bottlenecks of the system are detected and subsequently, certain recommendations proposed, which should be considered.
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Learning Curves in Emergency UltrasonographyBrady, Kaitlyn 29 December 2012 (has links)
"This project utilized generalized estimating equations and general linear modeling to model learning curves for sonographer performance in emergency ultrasonography. Performance was measured in two ways: image quality (interpretable vs. possible hindrance in interpretation) and agreement of findings between the sonographer and an expert reviewing sonographer. Records from 109 sonographers were split into two data sets-- training (n=50) and testing (n=59)--to conduct exploratory analysis and fit the final models for analysis, respectively. We determined that the number of scans of a particular exam type required for a sonographer to obtain quality images on that exam type with a predicted probability of 0.9 is highly dependent upon the person conducting the review, the indication of the scan (educational or medical), and the outcome of the scan (whether there is a pathology positive finding). Constructing family-wise 95% confidence intervals for each exam type demonstrated a large amount of variation for the number of scans required both between exam types and within exam types. It was determined that a sonographer's experience with a particular exam type is not a significant predictor of future agreement on that exam type and thus no estimates were made based on the agreement learning curves. In addition, we concluded based on a type III analysis that when already considering exam type related experience, the consideration of experience on other exam types does not significantly impact the learning curve for quality. However, the learning curve for agreement is significantly impacted by the additional consideration of experience on other exam types."
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The effect of socio-demographic, socio-economic and environmental factors on under-five mortality in South Africa: analysis of the 1998 South African Demographic Health Survey datasetPhetoane, Basetsana Malefi 03 September 2012 (has links)
M.A. University of the Witwatersrand, Faculty of Humanities (Population Studies), 2012 / This study is based on secondary data analysis of the 1998 South African Demographic and Health Survey (SADHS) data set. The aim of the study was to identify socio-demographic, socio-economic and environmental variables that affect the survival of South African children under the age of five years.
Descriptive analyses, frequency tables, Pearson’s chi-square tests of association and binary logistic regression analysis were used for data analysis in this study. Mothers who lost an under-five child were predominantly Black and rural. Such mothers were characterized by rural residential areas, relatively large family sizes, relatively poorer socioeconomic status, relatively poorer access to basic health services, relatively more child deliveries at home, and low level of education.
The study showed that 269 of the 5, 066 children in the study died before celebrating their fifth birthday (5.31%). At the 5% level of significance, the survival of under-five children is significantly influenced by 2 of the 11 predictor variables found to be significantly associated in the univariate analysis and therefore included in the logistic regression analysis. These 2 predictor variables were: place of delivery of child [OR=0.97; P=0.000; CI = (0.96, 0.98)], and use of modern contraceptives by the mother [OR=0.73; P=0.002; CI = (0.59, 0.89)]. The study found that not using modern contraceptives gives a lower chance on death of a child under 5 as well as delivering at home, in the absence of a trained birth attendant. These findings are unexpected and contrary to what was found in the univariate analysis. No real explanation can be given for these findings and it would be interesting to see if the same results are found with more recent data. In order for the South African National Department of Health to fulfil its United Nations Millennium Development Goals, rural mothers and their under-five children must be provided with improved health as well as socioeconomic services.
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