• Title/Summary/Keyword: 고위험

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A Pediatric Fall-Risk Assessment Tool for Hospitalized Children (입원 아동의 낙상 위험 예측 도구)

  • Shin, Hyeon Ju;Kim, Young Nam;Kim, Ju Hee;Son, In Sook;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.215-224
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    • 2014
  • Purpose: This study was conducted to identify risk factors in hospitalized children, and to develop and validate a fall-risk assessment tool for hospitalized children. Methods: A retrospective chart review was performed at one university children's hospital, and an analysis was done of the characteristics of all patients who fell during a 44-month period (n=48). These patients were compared with another 149 hospitalized children who did not fall. Results: Significant predictors of falls as identified in a multivariate logistic regression analyses were age of less than 3 years old, neurological diagnosis including epilepsy, children's dependency of ADL, physical developmental delay, multiple usage of fall-risk-increasing drugs. The respective odds ratios ranged from 2.4 to 7.1 with 95% confidence interval (p<0.05). Accordingly, defining patients with either 5 risk factors as fall-prone hospitalized children provided a sensitivity of 93.6% and specificity of 16.2%. Conclusion: The results show that this tool has an acceptable level of sensitivity to assess the risk factors of fall in hospitalized children even though the specificity was low, suggesting that this tool may enable nurses to predict the risk level of childhood falls, and develop preventive strategies against pediatric falls in children's units.

Probabilistic Project Duration Estimation by Combination of PERT and PLET in High-Risk Project (고위험 사업에서 PERT와 PLET기법 결합에 의한 확률적 사업공기 추정)

  • Kim, Seon-Gyoo;Kim, Junyoung
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.3
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    • pp.71-80
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    • 2016
  • PERT(Project Evaluation and Review Technique) is typical method in order to probabilistically establish the schedule plan for large scale complex project or mega project. PERT technique is impossible to estimate relationship of each activity probabilistically when there are overlapping relationships because it is limited to Finish-to-Start(FS) relationship. In order to overcome this kind of limitation of PERT technique, PLET(Probabilistic Linkage Evaluation Technique) has been suggested to probabilistically estimate project duration for various overlapping relationships for each activity. However, estimating project duration by PLET technique only considers uncertainty of relationship between activities and not activity time, thus it is not the perfect duration estimating method. The main objective of this research is to propose the integration model of PERT and PLET and verify its probabilistic validity. By verifying application of time calculation method of integration model in practical case, this research will suggest probabilistic project duration estimating method in schedule plan of high-risk construction industry.

Usefulness of Magnetic Resonance Imaging after Serial Cranial Ultrasound in the Neonates Graduating Neonatal Intensive Care Unit (신생아 중환자실을 퇴원하는 고위험 환아에서 순차적인 뇌초음파 검사 후 시행한 자기 공명 영상의 유용성)

  • Kim, Ji-Hye
    • Investigative Magnetic Resonance Imaging
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    • v.12 no.2
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    • pp.170-177
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    • 2008
  • Purpose : To evaluate usefulness of MR imaging after serial brain US in the high-risk neonates before discharge of the neonatal intensive care unit. Materials and Methods : Retrospective comparison of 412 US and 121 MR scans in 121 neonates and young infants were performed. Grading of germinal matrix/intraventricular hemorrhage (GMH/IVH) was performed and presence of intracranial hemorrhage other than GMH/IVH and parencyma lesions was also analyzed. Results : Among the 242 lateral ventricles, Seven GMH and 46 IVH were additionally detected by MRI. On the other hand, 30 GMH were only detected by US. US demonstrated Grade 1/2/3/4 GMH/IVH in 24/8/13/0 ventricles each, while each grades were identified in 3, 49, 10, 2 ventricles on MR images. Other intracranial lesions additionally detected on MR images were cerebral hemorrhage (n=4), cerebellar hemorrhage (n=4), extraaxial hemorrhage (n=8), diffuse excessive signal change of the white matter (n=72), non-cavitary lesion (n=4), encephalomalacia (n=2), and ventriculomegaly (n=5). Conclusion : MR imaging could be an excellent complimentary study after serial brain US for additional detection of the intracranial pathology, particularly IVH and white matter lesions, though US would be better in follow-up of GMH in some neonates.

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Postoperative Radiation Therapy in High-risk Breast Cancer (고위험 유방암 환자의 수술 후 방사선치료)

  • Lee Kyung-Ja
    • Radiation Oncology Journal
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    • v.19 no.4
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    • pp.312-318
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    • 2001
  • Purpose : To assess the locoregional recurrence rate, survival rate and prognostic factors after modified radical mastectomy and postoperative adjuvant radiation therapy with or with chemotherapy in high-risk breast cancer patients. Methods : Between $1984\~1995$, 48 patients underwent postoperative irradiation to the regional lymphatics and chest wall due to large tumor size $(\geq5\;cm)$ or small tumor size (<5 cm) with axillary lymph node involvement after modified radical mastectomy. The median age of the patients was 47 years (range, $31\~79\;years$). The clinical tumor size was <2 cm in 1 patient, $2\~5\;cm$ in 15 patients, and >5 cm in 32 patients. Thirty two patients had positive axillary lymph nodes. Forty two patients were irradiated to the chest wall and regional lymph node and 6 patients were irradiated in the chest wall only. Radiation dose to the chest wall and regional lymph node was 5040 cGy/28 fraction. The median follow-up time was 61 months. Results : Locoregional recurrence rate was $8\%$ and distant metastatic rate was $14\%$. The actuarial overall survival rate and disease-free survival rate was $53\%\;and\;62\%$ at 5 years, respectively. The median survival time was 57 months. Five-year overall survival rate by the stage is $70\%$ in IIB and $58\%$ in IIA. The significant prognostic factor for survival on multivariate analysis was the stage. Conclusion : Postoperative adjuvant radiation therapy in high-risk breast cancer can reduce the locoregional recurrence rate and increase the survival time by combined chemotherapy. The significant prognostic factor for survival rate was the stage.

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The Differences of the Ego-Resilience and Disagreement in Parents' Rearing Attitude according to the Levels of the Smartphone Addiction of Adolescents (청소년의 스마트폰 중독수준에 따른 자아탄력성과 부모양육태도 불일치의 차이)

  • Jung, Kyung-A;Kim, Bong-Whan
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.299-308
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    • 2015
  • This study investigated the differences of the ego-resilience and disagreement in parents' rearing attitude according to the levels of the smartphone addiction of adolescents. To conduct this study, 317 adolescents participated in the survey. The major findings of the study was as follows: First, the smartphone addiction rate was 21.1%, which the high risk group rate was 5.3% and potential risk group rate was 15.8%. Second, ego-resilience was indicated to be lower in the high risk user group than the potential risk user group and the general user group, and disagreement in parents' rearing attitude was indicated to be higher in the high risk user group than the general user group, thereby having indicated to have statistically significant difference. The results of this study, it could be known that ego-resilience and agreement of parents' rearing attitude was significant factors to prevent smartphone addiction of adolescents.

The Impact of Forest Therapy on Neuro-cognitive, Psychosocial, and Physiological Aspects of Adolescent Internet Addiction Risk Group (산림치유가 청소년 인터넷 중독 위험군의 신경인지, 심리사회, 그리고 생리적 측면에 미치는 영향)

  • Choi, Sam Wook;Mok, Jung Yeon;Kim, Min Soo;Chung, Ahn Soo;Han, Jin Woo;Woo, Jong Min;Kim, Ki Weon;Park, Bum-Jin
    • Journal of Korean Society of Forest Science
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    • v.104 no.2
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    • pp.277-284
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    • 2015
  • This study aims to evaluate the impact of forest therapy on neuro-cognitive, psychosocial, and physiological aspect of adolescent internet addiction risk group. We have classified potential and high risk user group as internet addiction risk group according to the criteria of Korean Internet Addiction Proneness Scale(K Scale). Based on the results of k-scale from the adolescents in metropolitan area from May to July 2013, 25 people were selected as Internet addiction risk group. We have randomized 13 participants joining forest therapy camp and 12 participants not joining one, and analyzed the change of the two groups with Continuous Performance, Kimberly S. Young, Connor-Davidson Resilience, Relationship Change Scale, heart rate variability and cortisol. Statistically significant changes were observedd in neuro-cognitive, psychosocial, and physiological variables, Through this study, we can consider that the therapy healing may relieve the level of internet addiction and can be an alternative to control emotional stability and impulsive behavior.

Analysis of Stock Price Increase and Volatility of Logistics Related Companies (물류관련 기업들의 주가 상승률과 변동성 분석)

  • Choi, Soo-Ho;Choi, Jeong-Il
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.135-144
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    • 2017
  • This study is to identify the growth rate and volatility of logistics related firms in the stock market. To do this, we used monthly data for 197 years from June 2000 to October 2016 by selecting KOSPI and Transport & Storage(T&S), KOSDAQ, Transportation(TRANS) index. The purpose of this study is to compare the T&S and TRANS stock index returns with the KOSPI and KOSDAQ index. And we are to judge whether the development potential of the logistics industry and the value of the investment of related companies in the future is high. For this purpose, we will analyze the basic statistics, correlation and growth rate of each index, and compare T&S and TRANS with market returns. Analysis result, for the past 197 months logistics related T&S and TRANS have been higher than market returns. The correlation was highly related to TRANS and T & S in KOSPI, but it was not related to KOSDAQ. TRANS represents high risk and high return, while KOSDAQ represents high risk and low return market. TRANS is considered to be an efficient investment. We expect the future development of logistics related industries and T & S and TRANS to show a high rate of increase compared to the market returns.

Analysis of Real Estate Investment Trusts' Performance By Risk Adjustment Model (위험조정모형을 활용한 미국 REITs의 부동산 유형별 성과 분석)

  • Park, Won-Seok
    • Journal of the Economic Geographical Society of Korea
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    • v.12 no.4
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    • pp.665-680
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    • 2009
  • This study aims at analyzing the performance of Real Estate Investment Trusts(REITs) by Risk Adjustment Model. The main results are as follows. Firstly, most property types of REITs gain positive(+) excess overall returns at first and second period. On the contrary, most property types of REITs gain negative(-) excess overall returns and their standard deviations are larger at financial crisis period. Secondly, lodging, regional mall and commercial mortgage show lower risk-lower return, and freestanding, apartment and specialty show higher risk-higher return than average REITs, according to the CAPM results of . Moreover CAPM results of show the characteristics of REITs as investment commodities changes into higher risk-higher return for financial crisis period. Lastly, risk adjusted demanded returns of REITs are affected positively(+) by systemic risks and negatively(-) by unsystemic risks, according to the Risk Adjustment Model results of both and . Comparing risk adjusted demanded returns of REITs with their realized returns, healthcare reveals the largest outperformance.

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Management Strategy and Surveillance of Intraductal Papillary Mucinous Neoplasm-Gastroenterologist's Viewpoint (췌관 내 유두상 점액종양의 치료 전략과 추적 관찰-소화기내과의 관점)

  • Kim, Tae Hyeon;Chon, Hyung Ku
    • Journal of Digestive Cancer Reports
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    • v.9 no.1
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    • pp.1-7
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    • 2021
  • The length, the frequency, and the methods of surveillance for intraductal papillary mucinous neoplasm (IPMN) of the pancreas are still debating. According to the recent guidelines, IPMN is stratified into "high-risk stigmata" or absolute indication and "worrisome features" or relative indication as a guide in managing these patients, either those with resection of the lesion or those under surveillance. The risk of malignant transformation was quite low for branch duct-IPMNs without worrisome features or high risk stigmata. However, because the incidence rate of pancreatic cancer in these patients increase linearly with time, continued long-term surveillance is therefore important for patients with low-risk, as well as higher-risk, IPMN. Considering the high prevalence of malignancy, main duct-IPMN should be treated by surgical resection. Among patients with these type IPMNs, segmental dilatation of the main pancreatic duct without any mural nodules and larger than 10 mm of main pancreatic duct might not be immediately resected and need very careful examination and observation. The risk related to a major pancreatic resection must balance the risk of surveillance in patients with IPMN of the pancreas who have co-morbidity and are elderly.

A Study on the Social Exclusion Types of Middle-aged Single-person Households (중년1인가구의 사회적 배제 잠재집단 유형과 영향요인)

  • Chang, On Jeong
    • Journal of Family Resource Management and Policy Review
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    • v.26 no.3
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    • pp.1-17
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    • 2022
  • This study focused on the heterogeneity of groups in single-person households, to identify how middle-aged single-person households is categorized by sub-groups and to come up with policy measures to overcome social exclusion by examining predictive factors for the type of social exclusion. Potential class analysis and multinomial logistic regression analysis were conducted on a total of 361 middle-aged single-person households using the 14th Korea Replication Panel data. The social exclusion index of these households was measured consisting of 10 six-dimensional indicators. The results showed that middle-aged single-person households had five different types: "non-exclusion"(29.6%), "health restriction"(14.3%), "interact restriction and middle-risk multiple-exclusion" (12.0%), "income and health exclusion"(14.1%), and "high-risk multiple-exclusion"(30.0%). More than 70% of the respondents experienced social exclusion, and most of the exclusion types were multiple exclusion. When examining the factors affecting each exclusion type, the 'subjective health level' was a common major predictor, and family interact, age and leisure activity satisfaction variables were significant predictors of the 'high-risk multiple exclusion type' and 'the interact restriction and middle-risk multiple-exclusion type'. Based on these results, a multidimensional intervention strategy is an effective measure to solve the social exclusion problem of middle-aged single-person households, and practical measures should be considered by strengthening 'health' and exchanges.