• Title/Summary/Keyword: High risk

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A Study on Internet Addiction and Parental Marital Conflict, Parenting Attitudes, and Parental Monitoring and Control as perceived by Elementary School Children (아동이 지각한 부모의 부부갈등, 양육태도, 감독과 통제와 인터넷 중독에 대한 연구)

  • Yang, Myong-Suk;Jo, Eun-Joo
    • Korean Journal of Human Ecology
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    • v.20 no.2
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    • pp.339-351
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    • 2011
  • The purpose of this study was to inquire into how children's internet addiction is affected by home environments, computing environments, parental marital conflicts, parenting attitudes and parental monitoring and control as perceived by children. The study was conducted on 579 sixth graders at elementary schools located in Daejeon City. The data was analyzed by frequency, percentage, $X^2$, one way ANOVA, and scheffe analysis using the SPSS 18.0 version program. The results were as follows: first, out of 579 students, 5.0% were classified as at high-risk for addiction; 22.8% as at potential-risk; 72.2% as normal. Second, in the high-risk group, boys accounted for a higher percentage compared to girl students. Mothers' academic backgrounds and fathers' occupations affected the children's internet addiction. Third, the high-risk group tended to use the internet in internet cafes, to use it before going to elementary school, to use it for at least 4 hours once, and to use it to play games. Fourth, the high-risk group perceived parents marital conflicts as more frequent and more severer, as compared to other groups. Fifth, while the high-risk group perceived parenting attitudes as negative, the normal group perceived them as positive. Sixth, the potential-risk group and the normal group perceived parental monitoring and control as more frequent, as compared to the high-risk group.

The Surgical Treatment of Choice for Patients with Differentiated Thyroid Cancer(DTC) (분화성 갑상선암 환자에서 수술범위의 선택)

  • Cha Seong-Jae;Park Sung-Jun;Lim Hyen-Muck
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.2
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    • pp.200-205
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    • 1997
  • Background: There is considerable controversy concerning the most appropriate surgical treatment of patients with DTC. Objectives: In order to selection of the appropriate surgical treatment for DTC, we have analyzed the outcome of the different types of surgical treatment in low and high risk groups of DTC. Materials and Methods: From January 1968 through december 1980, a total of 71 patients with DTC were treated surgically at our institution. According to Cady and Rossi's scoring system, the patients were divided into low risk and high risk groups. Results: Seventy percent of patients were defined as low risk group with a 4% death rate whereas 30% of patients at high risk with a death caused by thyroid cancer in 38%(p<0.05). There was no difference in mortality between ipsilateral lobectomy and total thyroidectomy in both low and high risk groups(p>0.1). Conclusion: In our study, total thyroidectomy was not benefit in high risk group. These results suggested that total thyroidectomy must be selected carefully and based on clear evidence of major improvement in outcome or absence of other suitable surgical approaches. However, follow up study of more cases will be needed for accurate determination of the efficacy of total thyroidectomy in high risk group.

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Factors Affecting Health Promotion Behavior among Workers with High Risk of Metabolic Syndrome: Based on Theory of Planned Behavior (대사증후군 고위험 근로자의 건강증진 행위에 미치는 영향 요인: 계획적 행위 이론 적용)

  • Park, Sungwon;Yang, Sook Ja
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.128-139
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    • 2015
  • Purpose: The purpose of this study was to identify factors affecting health promotion behavior among workers with high risk of metabolic syndrome. This study was based on the planned behavior theory. Methods: The participants were 167 workers at high risk of metabolic syndrome. Data were collected using a structured questionnaire. Surveyed variables were attitude, subjective norm, perceived behavioral control, intention, and health promotion behavior. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN 22.0. Results: Perceived behavioral control affected the intention of health promotion behavior among the workers with high risk of metabolic syndrome. It explained 62% of variance in the intention of health promotion behavior (F=40.09, p<.001). Perceived behavioral control and occupation affected health promotion behavior among the risk workers with high risk of metabolic syndrome. The two factors explained 16% of variance in health promotion behavior (F=4.95, p<.001). Conclusion: The findings of this study suggest that perceived behavioral control is the only factor affecting health promotion behavior when the theory of planned behavior was applied. Therefore, intervention programs for improving health promotion behavior should be focused on strengthening perceived behavioral control.

Terror Risk Analysis of High-rise Building by Rapid Visual Screening (Rapid Visual Screening을 통한 국내 고층건물의 테러 위험도 분석)

  • Ji, Jung-Hwan;Yoon, Sung-Won
    • Journal of Korean Association for Spatial Structures
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    • v.11 no.2
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    • pp.55-62
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    • 2011
  • While frequency of occurrence of terrorism has recently increased, it intensively occurs in buildings that many unspecified persons gather. Terrorism which occurs in high-rise buildings causes a lot of damage. It is necessary for design approach to reduce terrorism damage from explosive of buildings. Terror risk analysis of domestic tall and high-rise buildings is evaluated by fema 455, Rapid Visual Screening which is found to be comparatively simple and practicable. Common risk factors of terrorism in domestic buildings were investigated. The results of terror risk assessment of all buildings are found to be a medium risk score, Main reason is that domestic tall or high-rise buildings have similar external-environmental factors.

The Effect of Mental Health Improvement Programs for Firefighters (소방공무원에서 정신 건강 증진 프로그램의 효과)

  • Kim, Jae Jun;Choi, Tae Young;Kim, So Yeun;Park, Ju Hyun
    • Anxiety and mood
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    • v.13 no.1
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    • pp.17-24
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    • 2017
  • Objective : The purpose of this study was to investigate the effectiveness of the mental health improvement program in Korean firefighters. Methods : A total of 502 firefighters working at Daegu, Ulsan and Gumi participated in the mental health improvement program for an 8-week period. The program included evaluation and counseling as well as psychoeducation for mental health awareness. Subjects were divided to two groups including the PTSD high risk group and PTSD non-high risk group. Results : The program resulted in a significant decrease in mean scores of depression and insomnia for all firefighters. PTSD high risk group showed a significantly higher level of depression, anxiety, and insomnia. Multiple logistic regression analysis with PTSD high risk group as a dependent variable indicated that moderate depression was a high-risk factor for PTSD in firefighters, as compared to no depression ; in addition, subthreshold and moderate insomnia was another risk factor. Conclusion : The evaluation and management of psychopathologies including depression and insomnia associated with traumatic events can be helpful to improve the mental health of firefighters.

An ecological risk assessment for the effect of the Korean tuna longline fishery in the Western and Central Pacific Ocean (중서부 태평양해역의 한국 다랑어 연승어업 영향에 대한 생태학적 위험도 평가)

  • Kwon, You-Jung;An, Doo-Hae;Moon, Dae-Yeon;Hwang, Seon-Jae;Lee, Jae-Bong
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.45 no.1
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    • pp.22-33
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    • 2009
  • Ecological risk assessment(ERA), developed in Australia, can be used to estimate the risk of target, bycatch and protected species from the effects of fishing using limited data for stock assessment. In this study, we employed the ERA approach to estimate risks to tunas, billfishes, sharks, sea turtles and other species by the Korean tuna longline fishery in the Western and Central Pacific Ocean using productivity and susceptibility analyses of the ERA based on low(<1.30), medium(1.30-1.84) and high risk(>1.84). Albacore, bigeye, yellowfin, skipjack and bluefin tunas were generally evaluated in the medium risk. The susceptibility of tuna species, however, had higher risks than the productivity. Billfishes were also at medium risk, while sharks were at high risk by the tuna longline fishery. The risk of productivity was generally high, because most sharks caught by the tuna longline fishery have high longevities, i.e., over 10 years, including ovoviviparous species. Susceptibility, which is related with the selection of fishing gear, was also high, because the longline fishery has no gear modifications to prevent bycatch of protected species. Not only target tuna species were influenced by the tuna longline fishery in the Western and Central Pacific Ocean, but also nontarget species, such as pomfret, mackerels rays, sea turtle were done. Ecosystem-based fishery assessment tools, such as productivity and susceptibility analysis(PSA), have the ability to provide broad scientific advice to the policy makers and stakeholders.

Evaluation of the Validity of a Simple Screening Test Developed for Identifying Korean Elderly at Risk of Undernutrition (우리 나라 노인의 영양부족위험 진단을 위해 개발된 간이조사표의 타당성 평가)

  • 이정원;김경은;김기남;현태선;현화진;박영숙
    • Journal of Nutrition and Health
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    • v.33 no.8
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    • pp.864-872
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    • 2000
  • This study intended to evaluate the validity of the simple nutrition screening test that had been developed with the elderly living in Cheongju as a subject. Nutrition screening score(NSS) and reference standards for nutritional and health status(nutrient intakes, mean adequacy ratio, perceive health, and serum albumin, hematocrit, and hemoglobin) were estimated by using the date obtained in 1996 from the 174 elderly living in Taejon, Statistical analysis showed significant correlations between mean adequacy ratio(MAR) and NSS(r=0.341) and also between NSS and biological indices such as albumin and hematocrit, Around 65-75% of the elderly with perceive health and low level of serum albumin, hemoglobin and hematocrit had NSS$\leq$ll. Sensitivity, specificity, and positive predictive values(PPV) were calculated from the crosstabulation of the three categories of NSS(high, moderate, and low nutritional risk) and low categories MAR(< 0.75, undernutrition;$\geq$0.75, normal) to validate the cut-off point for high or low nutritional risk by NSS. It was suggested that point l1 was appropriate as a criterion to determine high risk of undernutrition, but point 16 was better than 17 as criterion to determine low nutritional risk in the Taejon elderly. When point ll was used as a criterion of high nutritional risk, sensitivity, specificity, and PPV are 59.5, 60.5 and 82.1 respectively. When point 16 was used as a criterion of low nutritional risk, sensitivity, specificity, and PPV are 25.6, 95.4, and 64.7%, respectively. In conclusion, nutrition screening test that had been developed can be a simple, easy, and proper instrument to classify the high risk group of undernutrition. A further validation study seems to be required among other groups of individuals for the screening test to the finalized as a more valid instrument identifying Korean elderly at nutrition and health risk(Korean J Nutrition 33(8) : 864-872, 2000)

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Effect of Latent Class Types of Risk and Protective Factors on the Suicidal Ideation of Family Members Living with Dementia Patients in Community (위험요인과 보호요인의 잠재계층유형이 지역사회 거주 치매 환자 가족의 자살생각에 미치는 영향 연구)

  • Park, Mi Jin
    • 한국노년학
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    • v.38 no.4
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    • pp.1107-1125
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    • 2018
  • The purpose of this study was to present the empirical data for the prevention of suicide by analyzing the group differences according to the types of risk factors and protective factors of family members living with dementia patients and the effects of each type on suicidal ideation. This study investigated the characteristics of suicidal ideation among family members of people living with dementia by using a community health survey. It then investigated the effect of each latent group on the suicidal ideation of family members of people living with dementia. Twenty-four risk and protective factors on suicide ideation were analyzed by using Mplus. The four latent classes were high risk - low protective, high risk - high protective, low risk - high protective and low risk - low protective. Multivariate logistic regression analysis showed that the high risk-low protective factor group had the highest suicidal ideation. Based on these results, practical implications and challenges were presented.

Characteristics and Risk Factors of High Caries Risk Group in 12-year-old Children Using Data from the 2015 Children's Oral Health Survey (2015년 아동구강건강실태조사 자료를 이용한 12세 아동의 치아우식증 고위험군의 특성과 위험 요인 분석)

  • Kim, Kayoung;Kim, Ah-Hyeon;An, So-Youn
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.3
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    • pp.327-336
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    • 2020
  • The purpose of this study was to examine the characteristics of the high caries risk group of 12-year-old children in Korea. Oral health status and interview data were collected from 23,089 children aged 12 years who participated in the 2015 Korean Children's Oral Health Survey. Subjects were classified into high-risk and low-risk groups according to the Significant caries (SiC) index, and the influence of each variable was analyzed. As a result of the study, the SiC index of the high-risk group was 5.08, which was about 9.6 times higher than the low-risk group. The risk factors associated with the high-risk group were in the order of the number of sealant teeth, dental treatment demand for the past year, perceived oral health status, gender, region, frequency of snack intake per day, and use of oral hygiene aids. In order to improve the oral health of children, appropriate preventive treatment and oral health education should be carried out with reference to the items indicated as risk factors in the high-risk group of dental caries.

Does performing high- or low-risk coronary artery bypass graft surgery bias the assessment of risk-adjusted mortality rates of hospitals? (관상동맥우회로술의 위험 수준이 병원내사망률 평가 결과에 미친 영향 분석)

  • Lee, Kwang-Soo;Lee, Sang-Il;Lee, Jung-Soo
    • Health Policy and Management
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    • v.17 no.3
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    • pp.87-105
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    • 2007
  • The purpose of this study was to analyze whether nonemergency, isolated coronary artery bypass graft (CABG) surgery for high- or low-risk patients biases the assessment of the risk-adjusted mortality rates of hospitals. This study used 2002 National Health Insurance claims data for tertiary hospitals in Korea. The study sample consisted of 1,959 patients from 23 tertiary hospitals. The risk-adjustment model used the patients' biological, admission, and comorbidity data identified in the claims. The subjects were classified into high- and low-risk groups based on predicted surgical risk. The crude mortality rates and risk-adjusted mortality rates for low-risk, high-risk, and all patients in a hospital were compared based on the rank and the four intervals defined by quartile. Also, the crude mortality rates of the three groups were compared with their 95% confidence intervals of predicted mortality rates. The C-statistic (0.83) and Hosmer-Lemeshow test ($X^2$=11.47, p=0.18) indicated that the risk-adjustment model performed well. Presenting crude mortality rates with their 95% confidence intervals of predicted rates showed higher agreements among the three groups than using the rank or intervals of mortality rates defined by quartile in the hospital performance assessment. The crude mortality rates for the low-risk patients in 21 of the 23 hospitals were located on the same side of their 95% confidence intervals compared to that for all patients. High-risk patients and all patients differed at only one hospital. In conclusion, the impact of risk selection by hospital on the assessment results was the smallest when comparing the crude inpatient mortality rates of CABG patients with the 95% confidence intervals of predicted mortality rates. Given the increasing importance of quality improvements in Korean health policy, it will be necessary to use the appropriate method of releasing the hospital performance data to the public to minimize any unwanted impact such as risk-based hospital selection.