• Title/Summary/Keyword: Fall risk

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Factors Influencing Fear of Falling in Postmenopausal Women (폐경 후 여성의 낙상 두려움에 영향을 미치는 요인)

  • Ahn, Suk-Hee;Kim, Huyn-Li;So, Hee-Young;Song, Rha-Yun
    • Women's Health Nursing
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    • v.15 no.4
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    • pp.344-352
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    • 2009
  • Purpose: The study was to identify influencing factors on fear of falling in postmenopausal women. Methods: With a correlational survey design, 125 postmenopausal women were recruited at the D metropolitan city by a convenience sampling. Fracture risk status was assessed by bone mineral densities (BMD) at lumbar and femur with DEXA method. A structured study questionnaire was used to measure demographic variables, osteoporosis self-efficacy, and fear of falling. Results: Mean age of the subjects was 59 years old and duration since menopause was 9.55 years. Twenty six percent of the subjects belonged to osteoporotic group in fracture risk status. Mean score for fear of falling was 16.10 (SD=5.18) indicating low level, and osteoporosis self-efficacy for exercise and diet was 44.76 (SD=7.41), indicating mid-range level. Factors influencing the fear of falling was longer time since menopause ($\beta=.30$), lower score of osteoporosis self-efficacy for exercise ($\beta=-.26$), poor health perception status ($\beta=-.16$), and presence of chronic disease ($\beta=.16$), and the explained variance was 20%. Conclusion: Although the level of fear of falling was yet low in postmenopausal women, women who had lower self-efficacy of osteoporosis for exercise and poorer health perception felt greater fear of falling. Therefore, an educational program specific to improve osteoporosis self-efficacy and reduce the fear of falling is needed for improving postmenopausal women's psychosocial well-being.

Trauma severity and mandibular fracture patterns in a regional trauma center

  • Lee, Hyeok;Kim, Kwang Seog;Choi, Jun Ho;Hwang, Jae Ha;Lee, Sam Yong
    • Archives of Craniofacial Surgery
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    • v.21 no.5
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    • pp.294-300
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    • 2020
  • Background: Mandibular fractures are one of the most common types of facial fractures, the treatment of which can be delayed due to the severity of the trauma resulting in an increase of complications; thus, early evaluation of trauma severity at the time of visit is important. In South Korea, trauma patients are triaged and intensively treated in designated regional trauma centers. This study aimed to analyze the relationship between trauma severity and mandibular fracture patterns. Methods: A medical records review was performed on patients who visited the regional trauma center at our hospital for mandibular fracture between 2009 and 2018. Epidemiologic data and mandibular fracture patterns were analyzed and compared with the conventional facial injury severity scale (FISS). Results: Among 73 patients, 51 were classified as non-severe trauma patients and 22 as severe trauma patients. A higher trauma severity was associated with older age (odds ratio [OR], 1.164; 95% confidence interval [CI], 1.057-1.404) and lower risk was associated with fractures located in the angle (OR, 0.001; 95% CI, 0-0.022), condylar process (OR, 0.001; 95% CI, 0-0.28), and coronoid process (OR, 0.004; 95% CI, 0-0.985). The risk was lower when the injury mechanism was a pedestrian traffic accident (OR, 0.004; 95% CI, 0-0.417) or fall (OR, 0.004; 95% CI, 0-0.663) compared with an in-car traffic accident. Higher FISS (OR, 1.503; 95% CI, 1.155-2.049) was associated with a higher trauma severity. The proposed model was found to predict the trauma severity better than the model using FISS (p< 0.001). Conclusion: Age, location of mandibular fractures, and injury mechanism showed significant relationships with the trauma severity. Epidemiologic data and patterns of mandibular fractures could predict the trauma severity better than FISS.

Optimal inspection frequency to mitigate the risk of building system failure

  • Au-Yong, Cheong Peng;Ali, Azlan Shah;Ahmad, Faizah;Chua, Shirley Jin Lin
    • Structural Engineering and Mechanics
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    • v.64 no.3
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    • pp.347-352
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    • 2017
  • The poor maintenance practice increases the possibility of system failure. Subsequently, the consequences of failure fall on the aspects of output, safety and healthy, environmental integrity, system quality, and customer satisfaction. Conditionbased maintenance is seen as a potential strategy to improve performance. Whereby, the key success factor of this maintenance strategy is identified as the system inspection. This study aims to investigate the association between system breakdown rate and frequency of inspection. A mixed method approach is implemented by distributing questionnaire and interviewing for data collection. Subsequently, descriptive analysis, correlation analysis and regression are adopted to analyse the collected data from 100 respondents and the results are validated with interview data of 10 interviewees. The research result establishes significant relationship between the system breakdown rate and the frequency of inspection. Additionally, the result of regression analysis confirms that the frequency of inspection is the significant predictor of system breakdown rate. Planning of accurate inspection frequency is crucial to secure the system performance. Hence, the research signifies the importance to carry out regular inspection towards the building systems and components. As a recommendation, the maintenance personnel should assess the risk criticality of the building systems. Then, continuously monitor the condition of critical building systems; regularly inspect the condition of non-critical building systems and randomly inspect all of them.

Analysis of Regional-Scale Weather Model Applicabilities for the Enforcement of Flood Risk Reduction (홍수피해 감소를 위한 지역규모 기상모델의 적용성 분석)

  • Jung, Yong;Baek, JongJin;Choi, Minha
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.5B
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    • pp.267-272
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    • 2012
  • To reduce the flood risk caused by unexpected heavy rainfall, many prediction methods for flood have been developed. A major constituent of flood prediction is an accurate rainfall estimation which is an input of hydrologic models. In this study, a regional-scale weather model which can provide relatively longer lead time for flood mitigation compared to the Nowcasting based on radar system will be introduced and applied to the Chongmi river basin located in central part of South Korea. The duration of application of a regional weather model is from July 11 to July 23 in 2006. The estimated rainfall amounts were compared with observations from rain gauges (Sangkeuk, Samjook, and Sulsung). For this rainfall event at Chongmi river basin, Thomson and Kain-Frisch Schemes for microphysics and cumulus parameterization, respectively, were selected as optimal physical conditions to present rainfall fall amount in terms of Mean Absolute Relative Errors (MARE>0.45).

Severe vitamin D deficiency in preterm infants: maternal and neonatal clinical features

  • Park, Sook-Hyun;Lee, Gi-Min;Moon, Jung-Eun;Kim, Heng-Mi
    • Clinical and Experimental Pediatrics
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    • v.58 no.11
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    • pp.427-433
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    • 2015
  • Purpose: We investigated the vitamin D status of preterm infants to determine the incidence of vitamin D deficiency. Methods: A total of 278 preterm infants delivered at Kyungpook National University Hospital between January 2013 and May 2015 were enrolled. The serum concentrations of calcium, phosphorous, alkaline phosphatase, and 25-hydroxyvitamin D (25-OHD) were measured at birth. We collected maternal and neonatal data such as maternal gestational diabetes, premature rupture of membranes, maternal preeclampsia, birth date, gestational age, and birth weight. Results: Mean gestational age was $33^{+5}{\pm}2^{+2}$ weeks of gestation and mean 25-OHD concentrations were $10.7{\pm}6.4ng/mL$. The incidence of vitamin D deficiency was 91.7%, and 51.1% of preterm infants were classified as having severe vitamin D deficiency (25-OHD<10 ng/mL). The serum 25-OHD concentrations did not correlate with gestational age. There were no significant differences in serum 25-OHD concentrations or incidence of severe vitamin D deficiency among early, moderate, and late preterm infants. The risk of severe vitamin D deficiency in twin preterm infants was significantly higher than that in singletons (odds ratio, 1.993; 95% confidence interval [CI], 1.137-3.494, P=0.016). In the fall, the incidence of severe vitamin D deficiency decreased 0.46 times compared to that in winter (95% CI, 0.227-0.901; P=0.024). Conclusion: Most of preterm infants (98.9%) had vitamin D insufficiency and half of them were severely vitamin D deficient. Younger gestational age did not increase the risk of vitamin D deficiency, but gestational number was associated with severe vitamin D deficiency.

Awareness and Attitude Toward Suicide in Community Mental Health Professionals and Hospital Workers (지역사회 정신보건관련 센터 근무자와 병원 근무자들의 자살에 대한 인식 및 태도)

  • Kim, Soung-Nam;Lee, Kang-Sook;Lee, Seon-Young;Yu, Jae-Hee;Hong, A-Rum
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.3
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    • pp.183-189
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    • 2009
  • Objectives : The purpose of this study was to evaluate community mental health professionals and hospital workers attitude and awareness towards suicide. Methods : This study investigated 264 community mental health professionals and 228 hospital workers. SOQs (Suicidal Opinion Questionnaires) were used from July 2007 to September 2007. After a factor analysis for the attitude towards suicide, the items on ethics, mental illness, religion, risk, and motivation were included in the subsequent analysis. Results : There were significant differences in the attitude towards suicide according to religion, age, educational background, the marriage status, the economic position, and different professional licenses. Hospital workers' view was different from the community workers'. The hospital workers judged that suicide was due to mental illness, and suicide was high for the people in a special environment and who lacked motivation, which caused them to fall in a dangerous situation. For the lower educational group, they thought that suicide was attributable to mental illness. The awareness for suicide was significantly higher in the group with a postgraduate education, unmarried people, mental health professionals and the persons who had concern and experience with suicide. The factors that had an influence on the awareness of suicide were the items of mental illness, religion, risk and motivational factors. Conclusions : This study suggested that the factors to increase the awareness and attitude for suicide were the experience of increased education and case management of suicide. Therefore, education dealing with suicide and reinforcement of crisis management programs should be developed.

Acute Health Effects among Soldiers Involved in the Cleanup Operation Following the Hebei Spirit Oil Spill in Taean, Korea (허베이스피리트호 원유유출의 방제작업에 참여한 군인의 급성건강영향)

  • Hong, Jee-Young;Lee, Moo-Sik
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.910-914
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    • 2010
  • A collision between a barge and an oil tanker of Hebei Spirit caused the release of an estimated 12,547 tons of light crude oil into the Yellow Sea off the west coast of Taean-gun, Korea on December 7, 2007. This study was aimed to evaluate exposure conditions and acute health effects in soldiers participating in the Hebei Spirit oil spill cleanup activities and the association between these and the nature of the work and use of protection devices. The sample comprised 2,624 soldiers stratified by working area and number of working days. We divided working area into the coast of Taean-gun(highly polluted area) and other areas affected by Hebei Spirit oil spill. And we divided number of working days into 1-7 days, 8-14 days, 15-21 days and above 22 days. Data were obtained via a structured, self-administered questionnaire and included information on working area, type of working, number of working days, use of protective materials, and acute health effects. Acute health effects were classified into 5 groups: neurological, respiratory, dermatologic, ophthalmic and other symptoms. Data analysis was performed using unconditional logistic regression used to compute odds ratios and 95% confidence intervals. On logistic regression analysis, working on the coast of Taean-gun was significantly associated with increased risk of acute health problems: headache, dizziness, nausea, general fatigue, insomnia, flushed face, sore throat, dry throat, runny nose, cough, sputum, skin irritation, sore eyes, injection of conjunctiva, tear, and low back pain. Furthermore soldiers working more than 21 days were significantly associated with increased risk of acute health problems: insomnia, flushed face, sore throat, runny nose, cough, sputum, tear, low back pain and fever. Accordingly, the exposure to the oil and the subsequent cleanup efforts were suggested to inflict acute health problems on soldiers participating in the Hebei Spirit oil spill cleanup activities.

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A Study on Correlation Between Clothing Involvement and Brand Extension (의복관여와 상표확장과의 상관성 연구)

  • 정미재;이선재
    • Journal of the Korean Society of Clothing and Textiles
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    • v.21 no.7
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    • pp.1124-1138
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    • 1997
  • This study intended to investigate the concept of Clothing Involvement and Brand and to provide useful basic data for building on affective brand strategy. The purpose of this study is as follows: first, It is to measure the result of Brand Extension attitudes and Brand Extension items by clothing involvement (high involvement/low involvement). Second, It is to classify the factors of Clothing Involvement which suggested in theoretical research and to clarify correlation between clothing involvement factor and brand evaluation, brand extension attitudes. Third, It is to investigate the affect that clothing involvement, demographic variable and brand type on Brand Extension Evaluation. Subjects of this study were the adult women in Seoul, who were extracted by sampling randomly during the fall of 1995. Questionnaire was used as major method of gathering data. They were analyzed by the SAS method such as Frequency, Anova, Duncan, Correlation, multiple regression, Factor analysis. Main result of this study were as follows : 1. In brand extension attitude evaluation by high-involve group and low-involve group, quality, reputation and buying intension of brand extension attitudes showed significant difference. B brand extension attitudes and items of high-involve group was high compare to low-involve stoup. High-involve group evaluated watch, underwear, shoes and stocking of extension items highly, and there is no involvement difference of perfume, parasol, cushion. 2. In order to classify the dimension of Clothing Involvement, it was carried out factor analysis. 1 found that Clothing Involvement was composed of 4 factors, namely, interest - fashion.perceived risk symbolism. Correlation between clothing involvement and brand extension attitude was as followed; Interest factor of clothing involvement was correlated the existing brand attitude. Brand preference of the existing brand attitude was related the image of brand extension attitude, interest of advertising was the quality and the reputation-image was the buying intension. 3. For evaluation of a factor influenced on Brand Extension, it was produced multiple -regression test. Demographic variables and brand types had some influence of Clothing Involvement and Clothing Involvement had on brand extension. 27% of interest, 26% of symbolism was explained by brand types and 15% of fashion, 6% of perceived risk was explained by brand types, demographic variables. And, 10% of brand extension was explained by interest, fashion and symbolism.

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Association Analysis of TEC Polymorphisms with Aspirin-Exacerbated Respiratory Disease in a Korean Population

  • Lee, Jin Sol;Bae, Joon Seol;Park, Byung-Lae;Cheong, Hyun Sub;Kim, Jeong-Hyun;Kim, Jason Yongha;Namgoong, Suhg;Kim, Ji-On;Park, Choon-Sik;Shin, Hyoung Doo
    • Genomics & Informatics
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    • v.12 no.2
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    • pp.58-63
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    • 2014
  • The tyrosine-protein kinase Tec (TEC) is a member of non-receptor tyrosine kinases and has critical roles in cell signaling transmission, calcium mobilization, gene expression, and transformation. TEC is also involved in various immune responses, such as mast cell activation. Therefore, we hypothesized that TEC polymorphisms might be involved in aspirin-exacerbated respiratory disease (AERD) pathogenesis. We genotyped 38 TEC single nucleotide polymorphisms in a total of 592 subjects, which comprised 163 AERD cases and 429 aspirin-tolerant asthma controls. Logistic regression analysis was performed to examine the associations between TEC polymorphisms and the risk of AERD in a Korean population. The results revealed that TEC polymorphisms and major haplotypes were not associated with the risk of AERD. In another regression analysis for the fall rate of forced expiratory volume in 1 second ($FEV_1$) by aspirin provocation, two variations (rs7664091 and rs12500534) and one haplotype (TEC_BL2_ht4) showed nominal associations with $FEV_1$ decline (p=0.03-0.04). However, the association signals were not retained after performing corrections for multiple testing. Despite TEC playing an important role in immune responses, the results from the present study suggest that TEC polymorphisms do not affect AERD susceptibility. Findings from the present study might contribute to the genetic etiology of AERD pathogenesis.

Features and implication of new physical activity guidelines (새 신체활동기준의 동향과 함의)

  • Koh, Kwang Wook
    • Korean Journal of Health Education and Promotion
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    • v.35 no.5
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    • pp.17-24
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    • 2018
  • Objectives: After many national physical activity guidelines have established, recent changes are deep and rapid. So the major features and implication to reverse worsening Korean physical activity indicator is desprate but related knowledge and informations are few. So review of recent features and implications of new physical activity guidelines have made. Methods: National physical activity guidelines of advanced countries were searched through snowballing methods. Major features were described according to the nation. Implication were drew through discussion for Korean realitiy. Results: New Australian physical activity and sedentary behaviour guideline explicitly included sedentary behaviour. The age in the guideline expanded to early years. Canada also presented 24-hour movement guidelines to early years. The second generation of the physical activity guidelines reflects the extensive amount of new knowledge. New aspects include discussions of additional health benefits related to brain health, additional cancer sites, and fall-related injuries; immediate and longer term benefits for how people feel, function, and sleep; further benefits among older adults and people with additional chronic conditions; risks of sedentary behavior and their relationship with physical activity; elimination of the requirement for physical activity benefits to occur in bouts of at least 10 minutes; and tested strategies that can be used to get the population more active. Conclusions: The most important message from the new guidelines is that the greatest health benefits accrue by moving from no, to even small amounts of, physical activity. Multiple studies demonstrate that the steepest reduction in disease risk occurs at the lowest levels of physical activity. People need to understand that even small amounts of physical activity are beneficial and that reductions in the risk of disease and disability occur by simply getting moving. So various evidence based proven strstegies are needed in Korea including workforce training.