ABSTRACT
Objective@#The early prediction of multiple organ dysfunction syndrome (MODS) in trauma patients and provision ofprompt treatment may improve their outcomes. We investigated the efficacy of the mean platelet volume (MPV) for predictingMODS in cases of severe trauma. @*Methods@#This retrospective, observational cohort study was performed with patients prospectively integrated in a criticalpathway of TRAUMA. We analyzed the severe trauma patients admitted to the emergency department (ED), based onthe Advanced Trauma Life Support guideline, between January 1, 2011 and May 31, 2017. The outcomes were developedfrom MODS at least 48 hours after ED admission. @*Results@#A total of 348 patients were enrolled. An increase in the MPV at 12 hours (odds ratio [OR], 2.611; P8.6 fL (OR, 4.831; P<0.001). The area under the receiver operating characteristic curve(AUROC) value of the MPV at 12 hours (0.751; 95% confidence interval [CI], 0.687-0.818; P<0.01) was not inferior thanthat of Acute Physiology and Chronic Health Evaluation II score, injury severity score, lactate, and total CO2 for predictingMODS. @*Conclusion@#MPV was an independent predictor of MODS development in severe trauma patients. Emergency physicianscan use the MPV as an ancillary biomarker for predicting MODS.
ABSTRACT
PURPOSE: The purpose of this study was to provide basic data for the development of weight control programs to maintain and promote healthy behavior in women college students by identifying their weight control behaviors and factors that influence these behaviors. METHOD: Data were collected from 300 women student participants and were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression with the SPSS 18.0 program. RESULT: Weight control behavior showed a significant difference according to participants' gender role identity type. Weight control behaviors were correlated with self-efficacy, body image, objective BMI, and ideal BMI. Factors influencing weight control behavior were self-efficacy (beta= .449, p<.001), secret method for weight loss (beta= .181, p<.001), monthly allowance below 200,000 won (beta= .156, p= .006), weight control support from others (beta= .124, p= .013), eating breakfast (beta= .119, p= .015), and age (beta= .113, p= .023) with R-sq. value of 45.3%. CONCLUSION: The results of the study indicate that development of interventions for weight control behavior and health education for college women should reflect identified factors influencing weight control behavior and gender role identity.