• Title/Summary/Keyword: Fall risk

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Sex-based differences in factors associated with bronchial hyperresponsiveness in adolescents with childhood asthma

  • Kim, Young Hwan;Jang, Yoon Young;Jeong, Jieun;Chung, Hai Lee
    • Clinical and Experimental Pediatrics
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    • v.64 no.5
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    • pp.229-238
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    • 2021
  • Background: Bronchial hyperresponsiveness (BHR), an important physiological feature of asthma, is a prognostic marker of childhood asthma. Purpose: We aimed to investigate the factors associated with BHR in adolescents with childhood asthma. Methods: Two hundred and fifteen adolescents (≥13 years of age; 149 males, 66 females) who were diagnosed with asthma during childhood were enrolled, underwent methacholine challenge tests, and were divided into the BHR group (<25 mg/mL of provocation concentration causing a 20% fall in forced expiratory volume in 1 second [FEV1] [PC20], n=113) or non-BHR group (≥25 mg/mL of PC20, n=102). We examined longitudinal changes in BHR and the risk factors for its persistence in the 108 adolescents for whom baseline data, including methacholine PC20 at age 6 years, were available. Multivariate logistic regression analyses were performed to assess the factors associated with BHR in adolescents. Results: Mold sensitization (adjusted odds ratio [aOR], 5.569; P=0.005) and increased blood eosinophil count (aOR, 1.002; P=0.026) were independently associated with BHR in boys but not girls. The odds of BHR decreased by 32% with each 1-year increase in age in boys (aOR, 0.683; P=0.010) but not girls. A reduced FEV1/forced vital capacity ratio (<90%) was independently related with BHR in female patients only (aOR, 7.500; P=0.007). BHR decreased with age throughout childhood. A low methacholine PC20 at age 6 years was independently associated with persistent BHR throughout childhood in male and female patients, whereas early mold sensitization was a risk factor for persistent BHR in male patients only (aOR, 7.718; P=0.028). Conclusion: Our study revealed sex-specific differences in the factors associated with BHR in adolescents with childhood asthma. Our findings suggest the risk factors that might affect asthma transition from childhood to adolescence and adulthood.

Exploring the Performance of Synthetic Minority Over-sampling Technique (SMOTE) to Predict Good Borrowers in P2P Lending (P2P 대부 우수 대출자 예측을 위한 합성 소수집단 오버샘플링 기법 성과에 관한 탐색적 연구)

  • Costello, Francis Joseph;Lee, Kun Chang
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.71-78
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    • 2019
  • This study aims to identify good borrowers within the context of P2P lending. P2P lending is a growing platform that allows individuals to lend and borrow money from each other. Inherent in any loans is credit risk of borrowers and needs to be considered before any lending. Specifically in the context of P2P lending, traditional models fall short and thus this study aimed to rectify this as well as explore the problem of class imbalances seen within credit risk data sets. This study implemented an over-sampling technique known as Synthetic Minority Over-sampling Technique (SMOTE). To test our approach, we implemented five benchmarking classifiers such as support vector machines, logistic regression, k-nearest neighbor, random forest, and deep neural network. The data sample used was retrieved from the publicly available LendingClub dataset. The proposed SMOTE revealed significantly improved results in comparison with the benchmarking classifiers. These results should help actors engaged within P2P lending to make better informed decisions when selecting potential borrowers eliminating the higher risks present in P2P lending.

Relevance between Geriatric Oral health Assessment (GOHAI) and Falls : Using KLoSA 2018 7th Data (노인구강건강평가지수(GOHAI)와 낙상 경험의 관련성: 고령화연구패널조사(KLoSA) 2018년도 제7차 자료를 이용하여)

  • Kim, SeYeon;Kim, Jae Hyun
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.51-58
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    • 2021
  • Purpose: This study is based on the results of previous studies that falls, which is a frequent social problem, causes physical, mental and social health problems in the elderly. In order to identify risk factors for falls in the elderly, this study derives a relationship with oral health and proposes the necessity of oral health care as part of countermeasures to prevent falls in the elderly. Methodology: The final 6,936 people were analysed using the 2018 Korean Longitudinal Study of Ageing(KLoSA) survey data, and the analysis was conducted using the multiple logistic and multiple regression analysis to investigate the relationship between Geriatric Oral Health Assessment Index (GOHAI) and falls experience. Findings: As a result of the analysis in this study, the number of falls experiences and whether or not falls were higher in the elderly female group than in the male group. The likelihood of falls experience has been statistically reduced as Geriatric Oral Health Assessment Index increases by one unit.(OR : 0.991) The number of falls has also been statistically reduced as Geriatric Oral Health Assessment Index increase by one unit.(B : -0.001) Practical Implications: The results of this study, which showed that higher Geriatric Oral Health Assessment Index was lower risk of falls, explained by the connection that oral health may affect nutritional intake, which leads to sarcopenia and physical loss, which in turn increases the risk of falls. As a way to solve the fall problem, efforts should be made to improve the oral health of the elderly, and furthermore, the importance of nutrition management thorugh oral health care of the elderly is increasd.

Comparison of Risk and Safety Perceptions of Industrial Hygienist (산업위생 분야 종사자들의 사회 안전의식변화에 관한 조사)

  • Lim, Dae Sung;Lee, Seung kil
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.30 no.4
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    • pp.331-341
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    • 2020
  • Objectives: This study was conducted to evaluate perceptions of safety and risk among Korean industrial hygienists and the change between before and after the Sewol Ferry Disaster in 2014. Two surveys with questionnaires composed of 51 questions were completed by attendees of the Korea Industrial Hygiene Association(KIHA) conference. Methods: One was conducted at the 2013 KIHA Fall Conference(N=181) and the other was from the 2014 KIHA Summer Conference(N=123). Between these two surveys was the Sewol Ferry Disaster on April 14, 2014, which was believed to seriously affect safety and risk perceptions in Korea. Results: It was revealed that industrial hygienists' awareness of safety rules strengthened after the Sewol Ferry Disaster(p<0.05). It was apparent that people over the age of 30 were more sensitive to social safety. There was no significant difference in the evaluation and attitude regarding governmental safety policy between the years of 2013 and 2014. The credibility of public organizations responsible for the disaster management system decreased. The self-evaluation of respondents' safety level also decreased. This trend shows mainly in the younger generation. It was evaluated that the overall social safety level decreased and the anxiety level increased. The score on social safety on a ±5 Likert scale was 0.68 in the 2013 survey and -0.33 in the 2014 survey(p<0.05). It was reported that the most serious threat factors for accident or disaster were 'building collapse > illegalities and corruption > side effects of radiation therapy >accidents in normal activity > occupational disease,' in order. They picked 'safety ignorance > hurry-up habits and culture > focusing on short-term benefit > easy-going attitude > insufficient safety education' for the causes of low social safety levels in 2013. In 2014, they were 'safety ignorance > easy-going attitude > focusing on short-term benefit > insufficient safety education > hurry-up habits and culture'. Conclusions: This study has some limitations because it was originally not designed to survey attitudes prior to the Sewol Ferry disaster in 2013. In addition, the survey targets are industrial hygienists who are familiar with occupational disease and injury.

Patient radiation dose and protection from cone-beam computed tomography

  • Li, Gang
    • Imaging Science in Dentistry
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    • v.43 no.2
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    • pp.63-69
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    • 2013
  • After over one decade development, cone beam computed tomography (CBCT) has been widely accepted for clinical application in almost every field of dentistry. Meanwhile, the radiation dose of CBCT to patient has also caused broad concern. According to the literature, the effective radiation doses of CBCTs in nowadays market fall into a considerably wide range that is from $19{\mu}Sv$ to $1073{\mu}Sv$ and closely related to the imaging detector, field of view, and voxel sizes used for scanning. To deeply understand the potential risk from CBCT, this report also reviewed the effective doses from literatures on intra-oral radiograph, panoramic radiograph, lateral and posteroanterior cephalometric radiograph, multi-slice CT, and so on. The protection effect of thyroid collar and leaded glasses were also reviewed.

The Development of Cloud Computing-Based Integrated EHS Management System for the Construction Companies (클라우드 컴퓨팅 기반 건설사용 EHS 통합관리시스템 개발)

  • Seo, Kwang-Kyu
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.859-861
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    • 2010
  • The construction companies are facing potential EHS(Environment, Health & Safety) of major accidents to cause casualties or a financial loss and increasing social responsibility. So, they have to voluntarily accomplish the EHS management system rather than passively with regard to EHS regulation. In this study, the integrated EHS management system is developed based on cloud computing, and construction companies are to materialize self-regulation EHS process of construction workplace and to standardize the total EHS business process using the developed system. The proposed system also provides risk analysis, education/control and continuous improvement for EHS tasks and users can easily access the system on the web at a low price through cloud computing service. Eventually, the integrated system contributes to the managerial improvement by minimizing economic and physical loss caused by construction accidents.

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The Effect of Price Discount and Perceived Risk on the Impulsive Purchase Intention in the context of Social Commerce (소셜커머스에서 가격할인과 지각된 위험이 소비자 충동구매에 미치는 영향 -상품 사용후기의 조절효과를 중심으로-)

  • Qian, Chen;Bang, Joung-Hae;Kim, Min-Sun
    • Proceedings of the KAIS Fall Conference
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    • 2012.05a
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    • pp.304-306
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    • 2012
  • 최근 들어 온라인 쇼핑몰과 SNS(Social Network Service)가 결합한 새로운 쇼핑방식인 소셜쇼핑(social shopping)과 소셜커머스(social commerce)가 핫이슈가 되었다. 소셜커머스는 이전에 존재하지 않던 수요를 창출해 낼 수 있다는 점에서 공동구매와는 전혀 다른 새로운 상거래방식이다. 소셜커머스는 50% 이상의 가격할인율과 특정 거래조건(품목, 거래가능 시간, 사용기간, 물량 등)의 제약을 통해 관심의 경제(economy of attention)를 극대화한 수익모델이라 할 수 있다. 본 연구에서는 소셜커머스에서 가격할인과 소비자들의 제품에 대한 지각된 위험은 충동구매에 어떤 영향을 미치는지에 대해서 검토하고자 하였다.

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A Case-control Study of Risk Factors in Angina Pectoris Incidence (협심증 발생 위험요인에 관한 환자-대조군 연구)

  • Lee, Seong-Ran
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.920-923
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    • 2011
  • 본 연구는 협심증 발생의 위험요인에 관여하는 관련요인을 파악하기 위해 환자-대조군 연구를 시도 하였다. 자료수집은 2010년 12월 7일부터 2011년 2월 5일까지 서울에 소재한 종합병원에 내원한 협심증환자 141명을 대상으로 설문 및 면접조사를 하였다. 연구결과 첫째, 성별을 보면 환자군에서 여성 32.6%에 비해 남성 61.1%에서 유의하게 높았다($X^2$=11.94, p<.01). 둘째, 성별은 여성에 비해 남성에서 협심증의 위험요인이 3.24배 유의하게 높게 나타났다(OR=3.24, 95% Cl=1.93-6.84). 셋째, 남성, 현재흡연을 할수록, 당뇨병과 복부비만이 있는 경우 협심증 위험요인이 유의하게 나타났다(p<.05). 이러한 결과를 토대로 협심증에 이환된 대상자에게 철저한 장-단기적인 전략과 대책을 계획하고 수행하기 위한 방향을 제공하는 데 도움이 될 수 있을 것이다.

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Real-Time Vision Sensor-based Unexpected Fall Risk Detector Using Depth Information (깊이 정보를 이용한 실시간 비전 센서 기반 낙상 위험 검출기)

  • Lee, Young-Sook;Chung, Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.05a
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    • pp.476-477
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    • 2011
  • 본 논문에서는 홈 헬스케어 환경에서 위험 동작이 발생할 경우 이를 검지하는 방법으로, 물체 검출을 위해 입력받은 영상으로 부터 배경모델을 생성하여 이를 이용해 관심 물체를 검출한다. 검출된 물체 영역 내에서 중심점의 주변 탐색을 통해 관심 물체를 추적하며, 관심 물체의 모멘트 분석 정보와 깊이 정보를 활용하여 정상 동작이 아닌 낙상과 같은 비정상적인 위험 동작이 발생되었을 경우 검출할 수 있다. 기존 비전 센서 기반 방법들은 2차원 영상 정보를 이용하기 때문에 다양한 낙상 동작에 대해 낮은 검출율을 보이고 있다. 이에 대한 개선책으로 깊이정보를 활용하여 검출함으로써 신뢰성있는 검출율을 보여주는 실시간 비전 센서 기반을 둔 위험 낙상 검출기를 제안한다.

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A Study on Risk Criteria of Vehicles Driven on Highway under Strong Wind Condition (강풍 발생시 고속도로 주행차량의 위험도 판단기준에 관한 연구)

  • Kim, Hyun-Gi;Kim, Kyung-Hun;Ma, Seok-Oh;Lee, Soon-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.821-824
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    • 2009
  • 고속도로를 주행 중인 차량에 강풍이 작용할 경우 차량의 주행안정성 저하와 운전자의 상황에 따른 치명적인 교통사고로 이어질 수 있다. 특히, 최근에 건설되거나 추진 중인 고속도로는 교량과 터널의 연속적인 조합으로 강풍발생위험에 노출되어 있어 적극적인 강풍저감 대책이 필요하다. 효과적인 방풍 시설 설치나 사전예고 시스템의 도입을 위해서는 차량의 동역학적 거동 분석, 주행 중인 차량의 위험도 판단기준 연구, 강풍위험지역의 정확한 풍속 추정기법 연구, 지능화된 방풍벽 개발, 방풍시설 설치판단 기준 제시, 합리적인 차량 속도 규제정책 등의 연구 개발이 수행되어야 한다. 본 연구에서는 강풍 발생 구간을 주행하는 차량의 동역학적 거동모델을 제시하고, 이를 기반으로 기존에 제안된 위험도 판단기준의 합리성을 제고하였으며, 운전자의 상황을 고려한 현실적인 차량주행위험도 판단기준 제시를 목표로 하였다.

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