• Title/Summary/Keyword: General Risk

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How Have Indian Banks Adjusted Their Capital Ratios to Meet the Regulatory Requirements? An Empirical Analysis

  • NAVAS, Jalaludeen;DHANAVANTHAN, Periyasamy;LAZAR, Daniel
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.11
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    • pp.1113-1122
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    • 2020
  • The purpose of this study is to examine how the Indian banks have adjusted their risk-based capital ratios during 2009-2018 to meet the regulatory requirements. Banks can, in principle, increase their risk-based regulatory capital ratio, either by increasing their levels of regulatory capital or by shrinking their risk-weighted assets by adjusting asset growth or risk in the portfolio. We investigate banks' capital behavior by decomposing the change in the capital ratio into the contribution of its components and analyzing their variance across regulatory regimes and banks' ownerships. We further investigate how each component of the capital ratio is adjusted by the banks by breaking down them into balance sheet items. We find that the banks' capital behavior significantly differed between public and private sector banks and between the two regulatory regimes. During Basel II, banks, in general, followed a strategy of aggressive asset growth with increased risk-taking. The decline in the CRAR because of such an expansionary strategy was adjusted by augmenting additional capital. However, during Basel III, due to higher capital requirements, both in terms of quantity and quality, banks followed a strategy of cutting back their asset growth and reducing the risk in their portfolio to maintain their CRAR.

Risk Factors for Surgical Site Infections According to Electronic Medical Records Data (전자의무기록(EMR) 자료를 활용한 수술부위감염 관련요인)

  • Kim, Young Hee;Yom, Young-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.2
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    • pp.151-161
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    • 2014
  • Purpose: The purpose of this study was to identify the risk factors that influence surgical site infections after surgery. Methods: This study was a retrospective research utilizing Electronic Medical Records. Data collection targeted 4,510 adult patients who had 8 different kinds of surgery (gastric surgery, colon surgery, laparoscopic cholecystectomy, hip & knee replacement, hysterectomy, cesarean section, cardiac surgery) in 4 medical care departments, at one general hospital between January 2006 and December 2011. Multivariate logistic regression analyses were used to identify the risk factors affecting surgical site infections after surgery. Results: Risk factors for increased surgical site infection following surgery were confirmed to be age (OR=1.59, p<.001), BMI (Body Mass Index)(OR=1.25, p=.034), year of operation (OR=2.45, p<.001), length of operation (OR=3.06, p<.001), ASA (American Society of Anesthesiology) score (OR=1.36, p=.025), classification of antibiotic used (OR=2.77, p<.001), duration of the prophylactic antibiotics use (OR=1.85, p<.001), and interaction between classification of antibiotic used and duration of the prophylactic antibiotics use (OR=1.90, p=.016). Conclusions: Results suggest that risk factors affecting surgical site infections should be monitored before surgery. The results of this study should contribute to establishing effective infection management measures and implementing surveillance systems for patients who have actual risk factors.

Gender difference in the association of metabolic syndrome with hs-CRP Concentration of Blood

  • Park, Se-Kwon
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.2
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    • pp.86-96
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    • 2012
  • The high sensitivity C-reactive protein (hs-CRP) as one of the typical acute phase reactants is used for predictive factor of the cardiovascular disease and diabetes mellitus. In addition, there are claims that must be included as factors of metabolic syndrome. This research examined the relationship between the concentration of hs-CRP in blood and risk factors of the metabolic syndrome by gender, and the rates of metabolic syndrome depending on the hs-CRP level based on the general public who took the comprehensive medical check-up at Chonbuk National University Hospital in the Jeonbuk province. The subjects aged 17-87 years were participated, and 2,000 people were included as the final subjects except the persons with more than 10 mg/L of the hs-CRP of blood level. The hs-CRP concentrations increased according to the number of risk factors of metabolic syndrome in both men and women. In regards to the risk ratio of metabolic syndrome based on hs-CRP level in blood according to gender, the risk ratio increased by 3.07 times in male and 4.55 times in female intermediate risk group and 3.60 times in male and 6.15 times in female high risk group compared to hs-CRP low risk group. As a result, there was a proportional relation between hs-CRP level and the occurrence of metabolic syndrome, and it occurs more frequently among women than men.

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Surgical Intensive Care Unit Patients' Risk Factors for Postoperative Pulmonary Complications after Abdominal Surgery (외과중환자실에 입실한 복부수술 환자의 수술 후 폐합병증 발생 위험요인에 대한 연구)

  • Joo, Soon Yeo;Kim, Hee-Seung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.1
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    • pp.32-41
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    • 2019
  • Purpose: The purpose of this study was to identify the risk factors for postoperative pulmonary complications (PPCs) after upper or lower abdominal digestive tract surgery. Methods: Participants in this retrospective observational study had undergone upper or lower digestive tract surgery and entered the surgical intensive care unit between March 1, 2016 and February 28, 2017. Data were collected from the medical records, operative records, results of laboratory test, and the nursing records of the hospitals. Results: Of the patients, 544 patients were enrolled in the study and PPCs -developed in 335 (61.6%) patients. On multivariate logistic regression analysis, significant risk factors of PPCs were identified: BMI (Body Mass Index; $kg/m^2$), preoperative serum BUN (Blood Urea Nitrogen; mg/dL), abdominal open surgery, or blood transfusion during operation. Conclusion: These risk factors could be used to help identify patients at risk for PPCs and then appropriate nursing interventions could be provided for patients at risk of PPCs.

Study on the Relationship between Health Risk Behaviors of Rural Residents by Regional Scale (지역 규모에 따른 농촌주민의 건강위험행동 관계 연구)

  • Seungyeon Cho
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.111-120
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    • 2024
  • Objective: This study aimed to analyze the correlation between factors affecting health risk behaviors of rural residents according to regional scale. Methods: Restricted-access data from the 2016~2021 Korea National Health and Nutrition Examination Survey and the multivariate probit model were used. As for health risk behaviors, smoking, drinking, lack of aerobic exercise, low level of healthy eating index, unvaccination, and non-participation in health examination were considered. Results: Controlling for individuals' socio-demographic characteristics, in general, correlation coefficients between unobservable factors affecting health risk behaviors were significant. However, the magnitude and statistical significance of the correlation coefficients varied by regional scale (dong/eup/myeon). This suggests that rural residents engage in health risk behaviors due to their different characteristics compared with urban dwellers, which also varies by whether residents are located in eup or myeon area. Conclusion: It is necessary to differentiate health care services between urban and rural areas in terms of type of service and programs based on the relationship between unobservable factors affecting each type of health risk behaviors.

Vaccine Misconceptions and Low HPV Vaccination Take-up Rates in Singapore

  • Tay, SK;Tesalona, KC;Mohamed Rashid, N;Tai, EYS;Mohd Najib, S
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.12
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    • pp.5119-5124
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    • 2015
  • Background: HPV vaccination in Singapore is voluntary and physician prescription-based. This study investigated the current status and intention for HPV vaccination among Singapore nurses. Materials and Methods: All female nurses in a general hospital were given an anonymous questionnaire on HPV vaccination experience and intention of vaccinating their daughters. The influence of age, knowledge and perceived-risk of cervical cancer, and cultural background on mother's intention of vaccinating their daughters was analyzed. Results: Of 2,000 nurses, 1,622 (81.1%) responded and analysis was performed on 1,611 with valid data. They showed good awareness on association of cervical cancer with multiple sexual partners (81.9%), history of sexually transmissible diseases (78.2%), and history of genital warts/HPV infection (73.5%), and on cervical cancer preventive effects of HPV vaccination (54.6%). The prevailing misconceptions of the vaccines were: investigational nature (38.9%), side effects (27.9%) and indicated for women at high risk for cervical cancer (20.5%). Conclusions: Misconceptions on the nature, role and safety of HPV vaccines low vaccine up-take rates and daughters. Dissemination of adequate and accurate HPV vaccine information and a review for school-based vaccination are needed for optimal delivery of HPV vaccines in Singapore.

Aberrant DNA Methylation of P16, MGMT, and hMLH1 Genes in Combination with MTHFR C677T Genetic Polymorphism and Folate Intake in Esophageal Squamous Cell Carcinoma

  • Chen, Jing;Huang, Zhi-Jie;Duan, Yu-Qin;Xiao, Xin-Rong;Jiang, Jian-Qing;Zhang, Ru
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5303-5306
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    • 2012
  • Aim: The present case-control study was conducted to explore the association of MTHFR gene polymorphism and relations of P16, MGMT and HMLH1 to MTHFR and folate intake. Methods: A total of 257 cases of esophageal squamous cell carcinoma confirmed by histopathological examination were collected. Genotyping of P16, MGMT and HMLH1 was accomplished by methylation-specific polymerase chain reaction (PCR) after sodium bisulfate modification of DNA and the MTHFR C677T genetic polymorphism was detected by PCR-restriction fragment-length polymorphism (PCR-RFLP). Results: The proportions of DNA hypermethylation in P16, MGMT and hMLH1 in cancer tissues were significantly higher than in paracancerous normal tissue. The proportion of hypermethylation in at least one gene was 88.5% in cancer tissue, and was also significantly higher than that in paracancerous normal tissue. Our finding showed individuals with homozygotes (TT) of MTHFR C677T had significant risk of DNA hypermethylation of MGMT in cancer tissues, with an OR (95% CI) of 3.15 (1.12-6.87). Similarly, patients with high intake of folate also showed a slight high risk of DNA methylation of MGMT, with OR (95% CI) of 2.03 (1.05-4.57). Conclusion: Our study found the P16, MGMT and hMLH1 demonstrate a high proportion of hypermethylation in esophageal squamous cell cancer cancer tissues, which might be used as biomarkers for cancer detection.

General Requirements Pertaining to Radiation Protection in Diagnostic X-ray Equipment -KFDA DRS 1-1-3 : 2008 base on IEC 60601-1-3:2008- (진단용 엑스선 장치에 있어서 방사선 방어에 대한 일반 요구사항 -IEC 60601-1-3:2008에 근거한 KFDA DRS 1-1-3:2008-)

  • Kang, Hee-Doo;Dong, Kyung-Rae;Kweon, Dae-Cheol;Choi, Jun-Gu;Jeong, Jae-Ho;Jung, Jae-Eun;Ryu, Young-Hwan
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.2
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    • pp.69-77
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    • 2009
  • This study gives an account of the collateral standards in IEC 60601-1-3: 2008 specifying the general requirements for basic safety and essential performance of diagnostic X-ray equipment regarding radiation protection as it pertains to the production of X-rays. The collateral standards establish general requirements for safety regarding ionization radiation in diagnostic radiation systems and describe a verifiable evaluation method of suitable requirements regarding control over the lowest possible dose equivalent for patients, radiologic technologists, and others. The particular standards for each equipment can be determined by the general requirements in the collateral standard and the particular standard is followed in the risk management file. The guidelines for radiation safety of diagnostic radiation systems is written up in ISO 13485, ISO 14971, IEC 60601-1-3(2002)1st edition, medical electric equipment part 1-3, and the general requirements for safety-collateral standards: programmable electrical medical systems. Therefore the diagnostic radiation system protects citizens' health rights with the establishment and revisions of laws and standards for diagnostic radiation systems as a background for the general requirements of radiation safe guards applies, as an international trend, standards regarding the medical radiation safety management. The diagnostic radiation system will also assure competitive power through a conforming evaluation unifying the differing standards, technical specifications, and recognized processes.

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A Study on High-level FSA for Korean-flagged General Cargo Ships (국적일반화물선 초기안전성평가 연구(2))

  • Lee, Jong-Kap;Na, Seong;Kim, Hong-Tae
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2010.10a
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    • pp.112-117
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    • 2010
  • 본 논문은, 국적일반화물선 공식안전성평가(Formal Safety Assessment, 이하 FSA) 연구의 1, 2 단계에 해당하는 위험요소 식별(Hazard identification) 및 식별된 사고 시나리오에 대한 위험도 분석(Risk analysis) 결과를 소개한 "국적일반화물선 초기안전성평가 연구(1)"에 이어서 FSA 연구의 3, 4 그리고 5단계의 내용으로, 국적일반화물선의 위험도 수준을 저감할 수 있는 위험도제어방안들(Risk Control Options)을 식별하는 단계(Step 3)와 식별된 위험도제어방안들 중 전문가 의견수렴을 통하여 선별된 위험도제어방안들을 대상으로 한 비용-효과 평가 단계(Step 4: Cost-Benefit Assessment) 그리고 비용-효과 평가의 결과를 정리하여 국적일반화물선의 안전성 제고를 위한 구체적인 방안을 제안하는 단계(Step 5: Recommendation for Decision Making)의 결과를 소개하였다.

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Stress and Stress Management in Clinical Nurses Working from University Hospitals in Daejeon City (대전지역 대학병원 간호사들의 스트레스 및 스트레스 대처에 관련된 요인)

  • 윤현숙;조영채
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.25-43
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    • 2004
  • This study is aimed at determining stress and the degree of stress coping among nurse as well as such general characteristics as daily life styles, duty, and socio-demographic characteristics of that group. 525 nurses, from four university hospitals in Daejeon city underwent a self-administered questionnaire during the 3-week period from July. 21 to August. 9, 2003. The questions focused on general characteristics including: socio-demographic and duty characteristics, daily life styles, and stress and methods of coping with stress. Based on the distribution of degree of stresses, 66.1% of the study subjects were at the potential risk of stress, with the high risk group constituting 30.3% and the normal group 3.6%. The stress and the degree of stress coping were shown to be affected by socio-demographic and job-related characteristics as well as daily life styles. The group at higher risk of stress was shown to have a lower degree of coping with stress, implying that a lower degree of coping with stress would in turn heighten the occurrence of stress. Therefore, it is required to develop an effective strategy that includes stress-reduction programs available in the field and prompting further build-up of comprehensive stress-management programs.