• 대한안전경영과학회:학술대회논문집
• /
• 대한안전경영과학회 2013년 추계학술대회
• /
• pp.275-290
• /
• 2013

The main cause of building fire fatalities occur in the combustible material heat, smoke and toxic gases are. Building interior decoration, etc., especially as much of the harmful substances generated during combustion, and, used in domestic architecture wallpaper, ceiling, and other plastics, built-in foam insulation also analyzed recognition of fire hazards approach to test the conkalrorimiteo test, choedaeyeolbangchulryul through, chongbal heat, mass loss rate, generates carbon monoxide gas hazard ratio tests, analysis and evaluation rigid foam index testing the toxicity of hazardous material generated by performing a gas clean up and assess the material test results, the minimum order to provide data to quantify the risk of fire. Ensure fire safety of building materials, composite materials in order to test the various risk factors could be considered organic to the introduction of testing and evaluation is needed urgently.

• 산업경영시스템학회지
• /
• 제14권24호
• /
• pp.199-206
• /
• 1991

As the development of modern technology, human works shift whose roll from physical conditions to the system monitoring tasks. In this paper, safety-presentation configuration is discussed instead of well-known fault-warning configuration. Safety-presentation configuration is verified as superior to the fault-warning configuration in hazard prevention. The estimation of system states involves the decision making environments which lack of required in formations and most of all the informations are not precise too. And the limitation of human information processing show doubtful results. So the estimation of system states is regardes as fuzzy number, and its operation produces the parameter that explain the discriminability(d), decision criterion ($\beta$) of system operator's behaviors. These two values served as performance indices. Especially the $\beta$ is a good milestone of the operator's altitude degree of caution.

• Clinical and Experimental Pediatrics
• /
• 제62권10호
• /
• pp.374-379
• /
• 2019

Background: Attention deficit hyperactivity disorder (ADHD) symptoms have a major impact on individuals, families, and society. Therefore identification risk factors of ADHD are a public health priority. Purpose: This is meta-analysis evaluated the association between maternal prepregnancy body mass index and the risk of ADHD among the resulting offspring. Methods: The search identified studies published through December 2018 in the PubMed, Web of Science, and Scopus databases. The odds ratios (ORs) or hazard ratios (HRs) with 95% confidence intervals (CI) extracted from eligible studies were used as the common measure of association among studies. Results: A significant association was found between overweight women and the risk of ADHD among children with the pooled HR and OR estimates (HR, 1.27 and 95% CI, 1.17-1.37; OR, 1.28 and 95% CI, 1.15-1.40, respectively). This association was significant between obese women and the risk of ADHD among children and adolescents with the pooled estimates of HR and OR (HR, 1.65 and 95% CI, 1.55-1.76; OR, 1.42 and 95% CI, 1.23-1.61). Conclusion: The current epidemiological studies present sufficient evidence that prepregnancy overweight and obesity are significantly associated with an increased risk of ADHD among children and adolescents. These findings provide a new approach to preventing ADHD by controlling weight gain in the prenatal period, which should be considered by policymakers.

• Journal of Gastric Cancer
• /
• 제18권3호
• /
• pp.274-286
• /
• 2018

Purpose: The aim of this study was to investigate the impact of preoperative low body mass index (BMI) on both the short- and long-term outcomes in patients with gastric cancer. Materials and Methods: A total of 510 patients with gastric cancer were divided into the following 3 groups: low BMI group (${\leq}18.5kg/m^2$, n=51), normal BMI group ($18.6-24.9kg/m^2$, n=308), and high BMI group (${\geq}25.0kg/m^2$, n=151). Results: There were significantly more stage III/IV patients in the low BMI group than in the other groups (P=0.001). Severe postoperative complications were more frequent (P=0.010) and the survival was worse (P<0.001) in the low BMI group. The subgroup analysis indicated that survival was worse in the low BMI group of the stage I/II subgroup (P=0.008). The severe postoperative complication rate was higher in the low BMI group of the stage III/IV subgroup (P=0.001), although the recurrence rate and survival did not differ in the stage III/IV subgroup among all the BMI groups. Low BMI was an independent poor prognostic factor in the stage I/II subgroup (disease-free survival: hazard ratio [HR], 13.521; 95% confidence interval [CI], 1.186-154.197; P=0.036 and overall survival: HR, 5.130; 95% CI, 1.644-16.010; P=0.005), whereas low BMI was an independent risk factor for severe postoperative complications in the stage III/IV subgroup (HR, 17.158; 95% CI, 1.383-212.940; P=0.027). Conclusions: Preoperative low BMI in patients with gastric cancer adversely affects survival among those with stage I/II disease and increases the severe postoperative complication rate among those with stage III/IV disease.

• Journal of Gastric Cancer
• /
• 제18권3호
• /
• pp.242-252
• /
• 2018

Purpose: Surgical resection for gastric adenocarcinoma is associated with significant post-operative morbidity and mortality. The aim of this study was to assess the prognostic significance of sarcopenia in patients undergoing resection for gastric adenocarcinoma with respect to post-operative morbidity and survival. Materials and Methods: A retrospective analysis was conducted on a cohort of consecutive patients who underwent surgical resection for gastric adenocarcinoma between 2008 and 2014. Patient demographics, radiological parameters, and pathological data were collected. OsiriX software (Pixmeo) was used to measure skeletal muscle area, which was normalized for height to calculate skeletal muscle index. Results: A total of 56 patients (41 male, 15 female; mean age, $68.4{\pm}11.9years$) met the inclusion criteria. Of these, 36% (20 of 56) of the patients were sarcopenic pre-operatively. Both sarcopenic and non-sarcopenic patient groups were equally matched with the exception of weight and body mass index (P=0.036 and 0.001, respectively). Sarcopenia was associated with a decreased overall survival (log-rank P=0.003) and was an adverse prognostic predictor of overall survival in multivariate analysis (hazard ratio, 10.915; P=0.001). Sarcopenia was a predictor of serious in-hospital complications in multivariate analysis (odds ratio, 3.508; P=0.042). Conclusions: In patients undergoing curative resection for gastric cancer, there was a statistically significant association between sarcopenia and both decreased overall survival and serious post-operative complications. The measurement and reporting of skeletal muscle index on pre-operative computed tomography should be considered.

• 대한지역사회영양학회지
• /
• 제25권1호
• /
• pp.61-70
• /
• 2020

Objectives: This study examined the association of the total diet quality with the incidence risk of metabolic syndrome constituents and metabolic syndrome among Korean adults. Methods: Based on a community-based cohort of the Korean Genome and Epidemiology Study (KoGES) from 2001 to 2014, data from a total of 5,549 subjects (2,805 men & 2,744 women) aged 40~69 years at the baseline with a total follow-up period of 38,166 person-years were analyzed. The criteria of the National Cholesterol Education Program Adult Treatment Panel was employed to define metabolic syndrome. The total diet quality was estimated using the Korean Healthy Eating Index (KHEI). Hazard ratios (HR) and 95% confidence intervals (CI) for risk of metabolic syndrome constituents and metabolic syndrome in relation to KHEI quintile groups was calculated by multivariate Cox proportional hazards regression model. Results: After adjusting for age, energy intake, income, education, physical activity, smoking, and drinking, the incidence of abdominal obesity and high blood pressure was significantly lower, by approximately 29.7% (P < 0.01) and 25.2% (P < 0.01), respectively, in the fifth KHEI quintile compared to the first quintile in men. A significant decreasing trend of the metabolic syndrome incidence was observed across the improving levels of KHEI (HRq5vs.q1: 0.775, 95% CIq5vs.q1: 0.619~0.971, P for trend < 0.01). In women, the incidence of abdominal obesity and metabolic syndrome was significantly lower, by approximately 29.8% (P < 0.01) and 22.5% (P < 0.05), respectively, in the fifth KHEI quintile compared to the first quintile adjusting for multiple covariates. On the other hand, the linear trend of metabolic syndrome risk across the KHEI levels did not reach the significance level. Conclusions: A better diet quality can prevent future metabolic syndrome and its certain risk factors among Korean men and women.

• Journal of Gastric Cancer
• /
• 제4권3호
• /
• pp.164-168
• /
• 2004

Purpose: The most feared complication of gastrointestinal tract operations is anastomotic leakage, not only because of the presumed individual surgeon's culpability but also because of the assumption that this event is often fatal. We have experienced 32 cases of anastomotic leakage after elective gastric resection during 8 years. The purpose of this study was to evaluate the result of their treatment. Materials and Methods: We evaluated the records of 1335 patients who had undergone elective gastric resection for an adenocarcinoma of stomach from January 1995 to October 2003 and conducted a retrospective, multivariate analysis. Results: Of the 1335 patients, 32 ($2.4\%$) sustained an anastomotic leakage. Anastomotic leakages usually developed on mean postoperative day $9.1\pm3.2$ (range:$1\∼18$ days).Overall, $31.3\%$ (10/32) of patients who sustained an anastomotic leakage died. The anastomotic leakages were identifed by radiological study or by operative finding at the site of the duodenal stump (20 patients), the esophagojejunostomy (7), the gastroduodenostomy (4), and the gastrojejunostomy (1). Fourteen patients ($43.8\%$) underwent a relaparotomy, a drainage procedure in the main, and 18 patients ($56.3\%$) were treated conservatively. The mortality rates were $42.9\%$ (6/14) and $22.2\%$ (4/18), respectively, but this difference was not statistically significant. A cox's proportional hazard analysis showed that a body-mass Index < 24 kg/m2 (odds ratio 5.55, $95\%$ CI: $0.69\∼44.82$) and non-enteral feeding (odds ratio 18.27, $95\%$ CI 2.22.150.69) were independent factors of mortality due to anastomotic leakage. Conclusion: Our observations show that anastomotic leakage after an elective gastric resection has a high risk of being fatal. Moreover, for a patient with a body-mass index lower than $24\;kg/m^{2}$ and/or non-enteral feeding, an anastomotic leakage after an elective gastric resection has a higher risk of being fatal.

• Geomechanics and Engineering
• /
• 제18권5호
• /
• pp.515-525
• /
• 2019

A karst collapse, as a natural hazard, is totally different to a normal collapse. In recent years, karst collapses have caused substantial economic losses and even threatened human safety. A risk assessment model for karst collapse was developed based on the fuzzy analytic hierarchy process (FAHP) and grey relational analysis (GRA), which is a simple and effective mathematical algorithm. An evaluation index played an important role in the process of completing the risk assessment model. In this study, the proposed model was applied to Jiaobai village in southwest China. First, the main controlling factors were summarized as an evaluation index of the model based on an investigation and statistical analysis of the natural formation law of karst collapse. Second, the FAHP was used to determine the relative weights and GRA was used to calculate the grey relational coefficient among the indices. Finally, the relational sequence of evaluation objects was established by calculating the grey weighted relational degree. According to the maximum relational rule, the greater the relational degree the better the relational degree with the hierarchy set. The results showed that the model accurately simulated the field condition. It is also demonstrated the contribution of various control factors to the process of karst collapse and the degree of collapse in the study area.

• 대한건축학회논문집:구조계
• /
• 제34권5호
• /
• pp.35-42
• /
• 2018

In order to seek out methods to reduce safety accidents caused by construction machinery and equipment, this study collects data about safety accidents and draws main risk factors by construction from the data, through SNA. It aimed to suggest safety management points to be used in future construction fields, by analyzing risk index of such factors. The finding can be summarized: First, Backhoe Bucket is the risk factor for crash accidents of average workers in earth works; boring machines-maintenance is the risk factor for fall accidents of construction machinery operators in foundation works; bending machine-reinforcing rod processing is the risk factor for jamming accidents of reinforcing rod engineers in frame works; and mobile crane-hook is the risk factor for crash accidents of average workers in lifting works. Second, works can be arranged in turn, according to the risk index: earth, lifting, frame and foundation works. Risk factors can be also arranged according to the risk index: Backhoe in earth works, pile drivers in foundation works, bending machines in frame works and mobile cranes in lifting works. This study has some limits, in that it only analyzed main machinery/equipment, among various kinds of them, for earth, foundation, frame and temporary works (lifting works) and used data collected over three years. Therefore, it is necessary to conduct an analysis using big data, by collecting additional data about a lot of machinery/equipment in future construction fields.

• Journal of Periodontal and Implant Science
• /
• 제51권3호
• /
• pp.163-178
• /
• 2021

Purpose: The aim of this study was to evaluate clinical factors affecting the longevity of fixed retainers and the influence of fixed retainers on periodontal health in periodontitis patients. Methods: In total, 52 patients with at least 2 years of follow-up after periodontal and orthodontic treatment were included in this study. After scaling and root planing, orthodontic treatment with fixed appliances or clear aligners was performed. Fixed retainers with twist-flex stainless steel wires were bonded to the palatal or lingual sides of anterior teeth. Changes in clinical parameters, including the plaque index, gingival index, calculus index (CI), probing pocket depth, and radiographic bone levels, were evaluated before bonding of fixed retainers and at a 12-month follow-up. Cumulative survival rates (CSRs) for retainer failure were evaluated according to sex, site, CI, stage of periodontitis, and the severity of the irregularity with the log-rank test and hazard ratios (HRs). Results: Twelve months after bonding of fixed retainers, improvements were observed in all clinical parameters except CI and radiographic bone gain. The overall CSR of the retainers with a CI <1 at the 12-month follow-up after bonding of fixed retainers was significantly higher than that of the retainers with a CI ≥1 at the 12-month follow-up (log-rank test; P<0.001). Patients with stage III (grade B or C) periodontitis had a higher multivariate HR for retainer failure (5.4; 95% confidence interval, 1.22-23.91; P=0.026) than patients with stage I (grade A or B) periodontitis. Conclusions: Although fixed retainers were bonded in periodontitis patients, periodontal health was well maintained if supportive periodontal treatment with repeated oral hygiene education was provided. Nonetheless, fixed retainer failure occurred more frequently in patients who had stage III (grade B or C) periodontitis or a CI ≥1 at 12-month follow-up after bonding of fixed retainers.