• 제목/요약/키워드: Adverse Factors

검색결과 621건 처리시간 0.026초

연부 조직 육종의 생존 및 예후 인자 분석 (Analysis of Survival and Prognostic Factors in Soft Tissue Sarcomas)

  • 김한수;성상철;최인호;정진엽;조태준;김상림;정진영;한일규;이한구;이상훈
    • 대한골관절종양학회지
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    • 제5권4호
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    • pp.208-215
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    • 1999
  • The purpose of this study was to identify the independent clinicopathologic prognostic factors of soft tissue sarcoma affecting local recurrence, metastasis and survival. Retrospectively collected data from 130 patients with soft tissue sarcoma were analyzed. Patient, tumor and pathologic factors were analyzed by univariate and multivariate methods for the endpoints of local recurrence, metastasis and survival. In univariate analysis, wide surgical margin, adjuvant radiotherapy and age younger than 40 years reduced local recurrence. Tumor size larger than 5cm was related with a higher rate of metastasis. Patients with metastasis at initial presentation and with a large tumor size had a low survival rate. In multivariate analysis, adjuvant radiotherapy and young age were significantly correlated with a low local recurrence rate. In conclusion, patients with metastasis at initial presentation and a large tumor size had a reduced survival rate. Independent adverse prognostic factors for local recurrence were old age and not undergoing adjuvant therapy.

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전자상거래에서 정보 프라이버시 염려를 유발하는 원인과 보호반응에 관한 연구: 주인-대리인 이론을 중심으로 (A Study on the Causes of Information Privacy Concerns and Protective Responses in e-Commerce: Focusing on the Principal-Agent Theory)

  • 김종기;김진성
    • 한국정보시스템학회지:정보시스템연구
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    • 제23권4호
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    • pp.119-145
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    • 2014
  • Under the premise that information privacy concerns can atrophy e-commerce by causing particular behaviors of Internet users, this study focused on exploring the causes of information privacy concerns, the related information privacy protective responses of Internet users, and measures for alleviating the information privacy concerns. This study is based on the 'principal-agent theory,' and established the following as factors that cause information privacy concerns of Internet users: perceived information non-transparency; perceived action uncertainty. Also, the information privacy concerns caused by the factors were established as the cause of information privacy protective responses of Internet users. Also, the concept of 'signaling' and 'incentive,' which were presented to solve the adverse selection and moral hazard issue in the host-agent theory, was introduced to establish the following as factors that alleviate information privacy concerns: trust; informativeness. Those factors were included in the research model to conduct an empirical analysis. The analysis has revealed that both the perceived information non-transparency (p<0.01) and perceived action uncertainty (p<0.01) as to websites had a significant impact on information privacy concerns. Also, information privacy concerns of Internet users (p<0.01) had a significant impact on their information privacy protective responses who strive to protect their personal information. In addition, when trust and informativeness, which were established as factors that can alleviate information privacy concerns, were empirically analyzed, trust and informativeness had the effect of alleviating information privacy concerns. Based on the findings, the following was confirmed: Boosting the trust of Internet users in websites and offering useful information related to personal data can play a key role in alleviating the information privacy concerns of Internet users.

Risk Factors for Suicidal Ideation and Attempts in Adolescents

  • Kwon, Hoin;Lee, Jong-Sun;Kim, Ah Reum;Hong, Hyun Ju;Kweon, Yong-Sil
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제29권3호
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    • pp.114-121
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    • 2018
  • Objective: Although suicide is a serious public health concern for adolescents, there is a lack of studies that explore its risk factors in the Republic of Korea. The present study aims to investigate risk factors associated with suicidal behaviors in Korean adolescents. Methods: Participants consisted of 2258 middle and high school students who completed a series of questionnaires regarding suicide ideation or attempts, non-suicidal self-injuries, depression, impulsivity, drinking behaviors, and negative life events, including peer bullying. Results: Among the participants, 8.3% of students reported suicide ideation, while 3.2% reported a history of a suicide attempt in the past 12 months. Depression, peer-victimization, internet-related delinquency, and positive attitudes toward suicide were associated with suicidal ideations and attempts. Adverse life events were also associated with suicide ideation, but not attempts, while not living with both parents and poor family relationships were associated with suicide attempts, but not ideations. Non-suicidal self-injuries were associated with both suicide ideations and attempts. Students with suicidal ideations and attempts can be differentiated depending on the presence of self-injury. Conclusion: In addition to depression or behavioral problems, non-suicidal self-injuries and lack of support from family may also play significant roles in suicide attempts in adolescents. To facilitate the prevention of suicide in adolescents, longitudinal studies should be followed to confirm the risk factors identified in this study.

Risk Factors of Red Blood Cell Transfusion in Isolate off Pump Coronary Artery Bypass Surgery

  • Chung, Eui Suk;Park, Kay-Hyun;Lim, Cheong;Choi, Jinho
    • Journal of Chest Surgery
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    • 제45권5호
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    • pp.301-307
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    • 2012
  • Background: Perioperative transfusion of red blood cell (RBC) may cause adverse effects. Bloodless-cardiac surgery has been spotlighted to avoid those problems. Off pump coronary artery bypass (OPCAB) surgery can decrease the transfusion. However, the risk factors of transfusions in OPCAB have not been investigated properly. Materials and Methods: One hundred and thirteen patients (male:female=35:78, mean age=$66.7{\pm}9.9$ years) who received isolated OPCAB were retrospectively analyzed from March 2006 to September 2007. The threshold of RBC transfusion was 28.0% of hematocrit. Bilateral internal thoracic arteries graft were used for 99 patients (87.6%). One hundred and three (91.1%) and 35 patients (31.5%) took aspirin and clopidogrel just before surgery. Results: Sixty-five patients (47.5%) received the RBC transfusion (mean $2.2{\pm}3.2$ units). Mortality and major complications were not different between transfusion and no-transfusion group. But, ventilator support time, intensive care unit stay and hospitalization period had been reduced in no-transfusion group (p<0.05). In multivariate analysis, patients risk factors for RBC transfusion were preoperative low hematocrit (<37.5%) and clopidogrel medication. Surgical risk factors were longer graft harvesting time (<75 minutes) and total operation time (<5.5 hours, p <0.05). Conclusion: We performed the transfusion according to transfusion guideline; over 40% cases could conduct the OPCAB without transfusion. There were no differences in major clinical results between transfusion and non-transfusion group. In addition, when used together with accurate understanding of transfusion risk factors, it is expected to increase the proportion of patients that do not undergo transfusions.

Changing Factors of Employee Satisfaction with Working Conditions: An Analysis of the Korean Working Conditions Survey

  • Lee, Changhun;Park, Sunyoung
    • Safety and Health at Work
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    • 제12권3호
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    • pp.324-338
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    • 2021
  • Background: We hypothesized that the growing demand of Korean workers for work-life balance would change the factors influencing job satisfaction. We sought to verify our hypothesis by conducting a conjoint analysis based on the Korean Working Conditions Survey (KWCS). Methods: We analyzed the raw data of the KWCS, conducted by the Occupational Safety and Health Research Institute from 2006 to 2017. To complete the analysis, we counted on a conjoint model of analysis, typically used in the analysis of customer satisfaction. The dependent variable was the satisfaction of workers with their working conditions, and the independent variables were the job quality indicators identified by Eurofound. Results: The factors that have the greatest impact on working conditions satisfaction are summarized as follows: "physical environment" for the first wave, "adverse social behavior" for the second wave, "occupational status" for the third and fourth waves, and "management quality" for the fifth wave. "Earnings" were not a major factor in determining employee job satisfaction, and the relative importance index is decreasing. Conclusion: According to the results of the analysis of the tendencies of Korean workers, the factors that affect the satisfaction with the working conditions have changed over time. It is crucial to identify factors that affect working conditions to assure the health and productivity of workers. The results of this study demonstrate that policymakers and employers are required to attentively consider human relations and social environment at work to improve working conditions in the future.

기혈소통환(氣血疏通丸)이 Monosodium iodoacetate로 골관절염(骨關節炎)을 유도(誘導)한 랫드에 미치는 영향(影響) (Effects of gihyeolsotong-hwan on monosodium iodoacetate-induced osteoarthritis in rats)

  • 허문강;김순근;최학주;김동희
    • 대한본초학회지
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    • 제33권3호
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    • pp.45-53
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    • 2018
  • Objectives : In cases of osteoarthritis, the hypofunction of the cartilage and joint leads to a limited range of joint motion, swelling, and pain, which is generally treated using pharmaceutical drugs (e.g., anti-inflammatory agents, cartilage protectants, and nonsteroidal anti-inflammatory drugs) or replacement arthroplasty. However, long-term drug treatment is associated with adverse effects on the gastrointestinal systems. The present study aimed to evaluate the ability of Giheolsotong-hwan to treat of osteoarthritis symptoms in the MIA-induced rat model based on histological analysis, and factors that are associated with inflammation and bone mineral metabolism. Methods : Giheolsotong-hwan was administered orally at doses of 200 mg/kg/day or 400 mg/kg/day for 2 weeks before direct injection of monosodium iodoacetate ($3mg/50{\mu}{\ell}$ of 0.9% saline) into the intra-articular space of the rats' right knee. The rats subsequently received the same doses of oral Giheolsotong-hwan for another 4 weeks. We evaluated the treatment effects based on serum biomarkers and histopathological analysis of the knee joints. Results : Compared to those in control rats, the Giheolsotong-hwan treatments significantly decreased the serum concentration of inflammation factors (i.e., $IL-1{\beta}$, IL-6, $TNF-{\alpha}$, $PGE_2$, and $LTB_4$), and bone degrade factors (i.e., MMP-9, CTX-II, and COMP). In addition, the Giheolsotong-hwan treatments significantly increased the concentration of glycosaminoglycans of bone defence factors, but no chage the TIMP-1. Furthermore, the Giheolsotong-hwan treatments effectively preserved the knee cartilage and proteoglycan. Conclusion : The results indicate that Giheolsotong-hwan treated osteoarthritis symptoms. Thus, Giheolsotong-hwan may be a novel oriental therapeutic option for the management of osteoarthritis.

식품이물의 다인자기반 위해평가 및 우선순위 설정 (Multifactorial Risk Based Prioritization of Foreign Matters in Food)

  • 김현정;최성욱;전향숙
    • 한국식품위생안전성학회지
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    • 제28권1호
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    • pp.83-88
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    • 2013
  • 식품 이물의 검출 및 저감화 기술 개발과 안전관리를 위한 정보를 제공하고자, 국내 보고된 식품 이물의 혼입 자료를 바탕으로 식품별, 이물별 검출율과 건강 위해도, 경제 산업적, 소비자 민감성 등의 인자를 고려한 다인자기반 위해평가를 수행하고 이를 바탕으로 식품-이물의 위해 순위를 분석하였다. 사용한 인자 중 이물별 발생 빈도와 건강 위해도는 이물에 대한 위험지표로 이용하였으며 식품별 국내 연간 생산량과 해당 식품의 이물 혼입율은 식품 중 이물발생이 관련 산업에 미치는 영향을 나타내는 지표로 이용하였다. 식품-이물에 대한 소비자의 민감성에 대한 간접적인 지표로는 각 식품별 이물 저감화에 따른 추가비용부담률을 활용하였다. 이와 같은 여러 인자를 종합적으로 고려한 다인자기반 종합위해지수는 금속-면류가 가장 높게 추정되었다. 그 외에도 곤충-면류 및 금속-음료의 위해순위가 높은 것으로 산출되었다. 본 결과는 지금까지 단순히 이물별 발생 순위 또는 식품별 발생 순위 중심의 자료 제공에서 나아가 식품 안전 관리에서 고려해야 할 여러 인자를 종합적으로 분석하여 위해지수를 산출함으로써 향후 식품 중 이물의 관리와 이물의 검출 기술 개발 등 식품안전 분야의 연구에서 자원의 배분과 연구개발시 유용한 정보로 활용될 것으로 사료된다.

노후보일러 유해인자 발굴 및 사고예방에 관한 연구 (A Study on the Identification of Hazardous Factors and Prevention of Accident in Old Boilers)

  • 사민형;우인성
    • 한국가스학회지
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    • 제23권4호
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    • pp.1-9
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    • 2019
  • 큰 규모의 산업용 보일러는 고온, 고압을 이용하는 설비이며, 보유수량이 많아 폭발시 엄청난 에너지가 방출된다. 현재 산업용 보일러는 대부분이 LNG, LPG 등의 가스연료를 사용하고 있고, 연료가 설비와 같은 공간에 존재하기 때문에 보일러 사고 발생시 화재, 폭발 등 2차 피해 가능성이 높다. 뿐만 아니라 단위 사고당 2.51명의 사상자를 발생시키는 대단히 위험한 설비로 운영에 특별한 주의와 관리가 필요하다. 일정 규모 이상의 보일러는 에너지이용 합리화법, KS, 산업통상자원부 고시 등에 따라 한국에너지공단에서 검사를 실시하고 있다. 본 연구에서는 검사 결과 불합격 사항을 바탕으로 위험인자를 구성하고, 검사원, 기기 관리자, 유지보수 담당자, 제조업체 담당자에게 설문을 실시하여 보일러 안전관리에 중요하게 판단하는 기준을 AHP(계층분석방법)을 통해 분석하였다. 분석결과 공통적으로 인식하고 있는 위험인자는 관리소홀, 계측기 고장, 규격미달, 누수, 누설로 분석되었고, 접속, 용접, 스케일, 부식 등은 상대적 중요성이 낮은 것으로 분석되었다. 모든 집단과 경력에서 중요성이 높다고 인식하고 있는 위험인자는 이미 관리가 잘 되고 있다고 판단되나, 중요성이 낮게 분석된 위험인자는 관리누수가 발생되지 않도록하여 보일러를 안전하게 사용할 수 있도록 해야 한다.

SNS 스트레스와 이용의도저하에 관한 연구 (A Study on the Stress of Social Network Service and Using Reluctant Intention)

  • 박현선;김상현
    • 한국정보시스템학회지:정보시스템연구
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    • 제24권2호
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    • pp.53-72
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    • 2015
  • Purpose The purpose of this study was to investigate the factors affecting the users' stress and using reluctant intention to use social network service(SNS). This study especially focused on stress of SNSs' user. Because SNS has led to negative effects such as invasion of privacy, addiction and social overload recently. In addition, adverse effects of SNS had caused SNSs' user to feel stress and fatigue. Design/methodology/approach This study developed hypotheses to empirically examine the factors that affect SNS users' stress and using reluctant intention. In order to verify research hypotheses, this study collected data from 362 users who currently use the SNS in Korea. Further, we used the smartPLS analysis. Findings The results of this study are as follows; First, reputation perception, unwanted relation burden, privacy concern, information overload and interaction overload had a significant positive effect on SNS users' stress. But international influence had no significant positive effect on SNS users' stress. Second, SNS users' stress had a significant positive effect on using reluctant intention. The results of this study provides theoretical foundations on the research for dark side of SNS and implies that SNS providers are in need of exerting an effort to minimize the negative aspects.

Residual spatial autocorrelation in macroecological and biogeographical modeling: a review

  • Gaspard, Guetchine;Kim, Daehyun;Chun, Yongwan
    • Journal of Ecology and Environment
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    • 제43권2호
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    • pp.191-201
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    • 2019
  • Macroecologists and biogeographers continue to predict the distribution of species across space based on the relationship between biotic processes and environmental variables. This approach uses data related to, for example, species abundance or presence/absence, climate, geomorphology, and soils. Researchers have acknowledged in their statistical analyses the importance of accounting for the effects of spatial autocorrelation (SAC), which indicates a degree of dependence between pairs of nearby observations. It has been agreed that residual spatial autocorrelation (rSAC) can have a substantial impact on modeling processes and inferences. However, more attention should be paid to the sources of rSAC and the degree to which rSAC becomes problematic. Here, we review previous studies to identify diverse factors that potentially induce the presence of rSAC in macroecological and biogeographical models. Furthermore, an emphasis is put on the quantification of rSAC by seeking to unveil the magnitude to which the presence of SAC in model residuals becomes detrimental to the modeling process. It turned out that five categories of factors can drive the presence of SAC in model residuals: ecological data and processes, scale and distance, missing variables, sampling design, and assumptions and methodological approaches. Additionally, we noted that more explicit and elaborated discussion of rSAC should be presented in species distribution modeling. Future investigations involving the quantification of rSAC are recommended in order to understand when rSAC can have an adverse effect on the modeling process.