scholarly journals Safety Evaluation of Shoulder Bypass Lanes at Unsignalized Intersections on Rural Two-Lane Roadways Using Cross Sectional Analysis

2016 ◽  
Author(s):  
Sunanda Dissanayake ◽  
Alireza Shams
Keyword(s):  
Low Cost ◽  
Safety Evaluation ◽  
Cross Sectional Study ◽  
Highway Safety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Crash Data ◽  
Study Approach ◽  
Unsignalized Intersections ◽  
Before And After

Construction of bypass lanes at rural intersections has typically been considered a low-cost highway safety improvement by the transportation community. However, this needs to be quantitatively evaluated so that the decisions could be made on whether to continue with adding bypass lanes. Highway safety analyses utilize two common approaches to evaluate the effectiveness of a geometric treatment: before-and-after study and cross-sectional study. This paper explains the results using a cross-sectional study approach, where intersections with bypass lanes were compared to intersections with no bypass lanes for which crash data were obtained for more than 1,100 intersections in Kansas. Both 3-legged and 4-legged intersections were taken into consideration separately by looking at intersection-related crashes and crashes within an intersection box. According to the results, the number of crashes and crash severities were lower at 3-legged intersections with bypass lanes compared with 3-legged intersections without bypass lanes, even though these reductions were not statistically significant at 95% level. When considering a 300-ft. intersection box, statistically significant crash reductions were observed at 4-legged intersections, for all considered crash and crash rate categories. When considering 90% level, crash reduction at 3-legged intersections was also statistically significant when considering a 300-ft. intersection box. Crash modification factors (CMFs) calculated to evaluate safety effectiveness of bypass lanes at unsignalized rural intersections in Kansas showed values less than 1.0 for almost all cases, indicating safety benefits of bypass lanes. Accordingly, it is beneficial to continue with the practice of adding shoulder bypass lanes at rural unsignalized intersections on two-lane roads where the traffic volumes are relatively low.

Developing Crash Modification Factors for Horizontal Curves on Rural Two-Lane Undivided Highways Using a Cross-Sectional Study

2017 ◽  
Vol 2636 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Lingtao Wu ◽  
Dominique Lord ◽  
Srinivas Reddy Geedipally
Keyword(s):  
Regression Models ◽  
Cross Sectional Study ◽  
Highway Safety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Highway Safety Manual ◽  
Horizontal Curves ◽  
Before And After ◽  
Crash Modification Factors ◽  
Curve Radius

Horizontal curves have been identified as experiencing more crashes than tangent sections on roadways, especially on rural two-lane highways. The first edition of the Highway Safety Manual provides crash modification functions (CM functions) for curves on rural two-lane highways. The CM functions proposed in the manual may suffer from both outdated data and analysis technique. Before-and-after studies are usually the preferred method for estimating the safety effects of treatments. Unfortunately, this method is not feasible for curves. Previous studies have frequently used regression models for developing CM functions for horizontal curves. As recently documented in the literature, some potential problems exist with using regression models to develop crash modification factors. This research utilized a cross-sectional study to develop curvature CM functions. Curves located on Texas rural two-lane undivided highways were divided into a number of bins based on the curve radius. Safety was predicted with the assumption that these curves had been tangents. The observed number of crashes that occurred on the curves was compared with the dummy tangents and for different bins. The results showed that the horizontal curve radius has a significant role in the risk of a crash. From these results, a new CM function was developed. The prediction performance of the Highway Safety Manual CM function was compared with the new CM function in this study and another function that was recently proposed in the literature. It was found that the new CM function documented in this study outperformed both.

scholarly journals Analisis Kebijakan Regionalisasi Rujukan terhadap Jumlah Kunjungan dan Kepuasan Peserta Jaminan Kesehatan Nasional

2018 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Amirul Mustofa dkk
Keyword(s):  
Secondary Data ◽  
Cross Sectional Study ◽  
Research Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Approach ◽  
Before And After ◽  
The Difference ◽  
Research Type ◽  
Visit Number

This research was conducted to know the difference of visit number and satisfaction level before and after referral regionalization policy. The research type is quantitative with cross sectional study approach. This study uses secondary data of JKN participants at the Hospital Bantul District. Data analysis using paired t-test paired test and analysis of variance (Anova). Based on the test of normality's output that visit data and satisfaction are normally distributed. The research data was taken in seven hospitals because it has complete data about JKN participants' satisfaction data in Advanced Health Facility Advanced Facility (FKRTL) before and after the policy was enacted.

scholarly journals 732. Evaulation of Micafungin Treatment at Pediatric Patients: A cross-sectional Study from Tertiary Pediatric Centre

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S416-S417
Author(s):  
Kamile Arıkan ◽  
Nuri Bayram ◽  
İlker devrim ◽  
Ayküke Akaslan-Kara
Keyword(s):  
Amphotericin B ◽  
Liver Function Tests ◽  
Cross Sectional Study ◽  
Resistance Rate ◽  
Sectional Study ◽  
Candida Spp ◽  
Cross Sectional ◽  
Median Serum ◽  
Before And After ◽  
Resistance Patterns

Abstract Background Micafungin is one of three currently available echinocandin for treatment of candidiasis and candidemia. Methods Children who were treated for micafungin for possible or proven invasive Candidia infection between May 2017 and October 2019 were included. Results In this cross-sectional study, totally 78 children with a median age of 3 months (8 days -17 years), 50 (64.1%, F/M: 0.56) male were included. Thirty four (43.6%) patients were neonate, 26 (76 %) of them were premature. Thirty seven patients (47.4%) received micafungin for candidemia and 41 (52.6%) patients received micafungin empirically for IC. Twelve (32.4%) Candida spp cultured were C. albicans, the rest twenty five (67.6%) Candida spp were non-albicans Candida spp. The most commonly cultured Candida spp was Candida parapsilosis (C. parapsilosis) (n=13) followed by C. albicans (n=12), C. glabrata (n=3), C. tropicalis (n=3), C. guilliermondii (n=3), C. krusei (n=2) respectively. Resistance rate of C. parapsilosis (n=13) isolates to fluconazole, voriconazole, amphotericin B, caspofungin, micafungin were as follows respectively; 66.7%, 100%, 69.2%, 90.9%, 37.5% respectively. Resistance rate of C. albicans (n=11) isolates to fluconazole, voriconazole, amphotericin B, caspofungin, micafungin were as follows respectively; 50%, 50%, 12.5%, 42.9%, 0% respectively. None of the C. tropicalis, C. guilliermondii and C. krusei isolates were resistant to micafungin. Culture negativity could not be achieved at the end of 14th day of micafungin treatment in the 15 (16.9%) candidemia episodes. The most commonly isolated Candida spp in patients with treatment failure was C. parapsilosis (n=7), the other species were; C. albicans (n=5), C. guilliermondii (n=1), C. tropicalis (n=1) and C. tropicalis and C. guilliermondii coinfection (n=1) respectively. Median serum AST, ALT and creatinin levels didn’t increase during and at the end of micafungin therapy. None of these patients had experienced an anormal kidney or liver function tests due to micafungin usage. Characteristics of patients who received micafungin.and cultured Candida spp Antifungal resistance patterns of Candida spp. Laboratory change before and after micafungin treatment Conclusion Increase in fluconazole resistant Candida spp makes micafungin a reasonable and effective choice for suspected or proven invasive candidiasis Disclosures All Authors: No reported disclosures

scholarly journals The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study

2020 ◽  
Vol 30 (11) ◽  
pp. 4505-4509
Author(s):  
Anna Różańska-Walędziak ◽  
Paweł Bartnik ◽  
Joanna Kacperczyk-Bartnik ◽  
Krzysztof Czajkowski ◽  
Maciej Walędziak
Keyword(s):  
Bariatric Surgery ◽  
Menstrual Cycle ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Obese Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Contraception Use ◽  
Before And After ◽  
The Impact

Abstract Introduction Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use. Materials and Methods It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion. Results Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3; p < .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (p < .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration; p < 0.46). Conclusion Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.

Giving when it costs

2017 ◽  
Vol 35 (5) ◽  
pp. 722-742 ◽  
Author(s):  
Lisa C. Day ◽  
Emily A. Impett
Keyword(s):  
Romantic Relationships ◽  
Low Cost ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Daily Experience ◽  
Self Construal ◽  
Interdependent Self ◽  
The Face ◽  
Willingness To Sacrifice

Do some people exhibit a greater willingness to sacrifice in romantic relationships and derive more satisfaction from doing so, even in the face of high costs? In a cross-sectional study and a daily experience study, we show that people low in interdependent self-construal were less willing to sacrifice when the costs were relatively high, whereas people high in interdependent self-construal were equally willing to make high- and low-cost sacrifices. Further, when people low in interdependent self-construal chose to sacrifice, they felt less authentic when the costs were high, which in turn, detracted from their satisfaction with sacrifice. In contrast, people high in interdependent self-construal did not feel less authentic and were buffered against feeling less satisfied when making more costly sacrifices. The findings identify a set of individuals who are more willing to sacrifice, even in the face of high costs, and who feel more satisfied and authentic when doing so.

scholarly journals Safety Evaluation of Stop-Sign Mounted Beacons—A Cross-Sectional Study

2019 ◽  
Vol 09 (01) ◽  
pp. 95-108
Author(s):  
Amrita Goswamy ◽  
Shauna Hallmark ◽  
Guillermo Basulto-Elias ◽  
Michael Pawlovich
Keyword(s):  
Safety Evaluation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stop Sign

scholarly journals Internet addiction among engineering students in Belagavi city: cross sectional study

2019 ◽  
Vol 6 (4) ◽  
pp. 1488
Author(s):  
Ravikiran Kamate ◽  
Sulakshna Baliga ◽  
M. D. Mallapur
Keyword(s):  
Internet Addiction ◽  
Internet Use ◽  
Engineering Students ◽  
Low Cost ◽  
Cross Sectional Study ◽  
Behavioral Pattern ◽  
Easy Access ◽  
The Internet ◽  
Sectional Study ◽  
Cross Sectional

Background: Internet addiction is not clinical diagnosis, but a potentially pathological behavioral pattern with symptoms: a loss of control over the behavior, preoccupation with the Internet, using the Internet to modify mood, and withdrawal symptoms. Easy access and low cost of Internet packs- are main cause of development of increased internet use in India. Internet addiction – factors like gender, environmental factors, socioeconomic status, etc. have effect on internet use.Methods: Cross-sectional study conducted during January 2016 to February 2016. Data was collected among 500 engineering students of four engineering colleges of Belagavi city using young's questionnaire. Analysis was performed using SPS 20. Chi-square applied as statistical test of significance for the association between age, sex, residence, SES and schooling. P<0.01 was considered to be statistically significant.Results: The present study revealed that 16.2 and 6.2% of participants had moderate and severe form of internet addiction respectively. With increase in age prevalence of addiction increased. Internet addiction was more among Males when compared to females. Addiction was seen more in students whose both parents were working.Conclusions: Internet addiction is an emerging form of addiction among students with males more than females mostly among engineering students who are dependent on internet for their work, carrier and completion of course Hence it's time to develop comprehensive intervention approach to promote healthy and safe internet use from family, college and peers.

scholarly journals Faktor-Faktor Yang Mempengaruhi Penyapihan Bayi Umur Kurang Dari 6 Bulan Melalui Studi Cross Section

2021 ◽  
pp. 88-95
Author(s):  
Dahniar Dahniar ◽  
Nurdiana Nurdiana ◽  
Abdul Halim
Keyword(s):  
Employment Status ◽  
Nutritional Value ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Birth Spacing ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Approach ◽  
Nutritional Needs

Weaning too early can affect the growth of the baby and the mother often ignores the nutritional needs of the baby. In addition, malnutrition is more common today than during the first 4-6 months of life. This is because many families do not understand the special needs of babies and are unable to provide food with good nutritional value. The type of research used is a survey with a cross-sectional study approach. The population is all mothers who have babies aged 6 months and the sample is all mothers who have babies aged 6 months. The sampling technique was simple random sampling. The results showed that there was a significant effect between mothers who did weaning for less than 6 months with education = 0.006. There is a significant effect between mothers who do weaning for less than 6 months with employment status = 0.008. There is a significant effect between mothers who do weaning less than 6 months with birth spacing = 0.007.

scholarly journals Malondialdehyde Levels in Preeclampsia before and after Delivery

1970 ◽  
pp. 143
Author(s):  
Harold Rumopa ◽  
Freddy W. Wagey ◽  
Eddy Suparman
Keyword(s):  
Oxidative Stress ◽  
Plasma Levels ◽  
Cross Sectional Study ◽  
Hplc Method ◽  
Wilcoxon Test ◽  
Sectional Study ◽  
Cross Sectional ◽  
Average Value ◽  
Significant Difference ◽  
Before And After

  Objective: Determine differences plasma levels MDA in preeclampsiabefore and 2 hours after delivery.   Methods: This was an analytic cross-sectional study. Subjectconsists of 23 pregnancies with preeclampsia, where 23 bloodsamples taken before delivery and 23 were taken 2 hours afterdelivery. This study was conducted from August 2016 untilDecember 2016 at Department of Obstetrics and GynecologyFaculty of Medicine Universitas Sam Ratulangi / Prof. Dr. R. D.Kandou Hospital Manado and satellite hospital. Samples weretaken from plasma and analysed using HPLC method at Prodiaclinical laboratory.   Results: In patients with severe preeclampsia before deliverywe found average value (1.4796  0.40819 nmol/ml), minimumvalue (1.03 nmol/ml) and maximal value (2.77 nmol/ml)and 2 hours after delivery with average value (1.2470 0.34324 nmol/ml), minimum value (0.91 nmol/ml), and maximumvalue (2.47 nmol/ml). by using Wilcoxon test, we foundthere were significant differences in plasma levels of MDA (p =0.000).   Conclusion: This significant difference suggests that decreasedplasma levels of MDA 2 hours after delivery and gives the sense thatthere is a relationship between oxidative stress of cells with severepreeclampsia before and shortly after delivery, that MDA is an indicatorof oxidative stress.   Keywords: malondialdehyde, oxidative stress, peroxidation lipid,preeclampsia

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