• Title/Summary/Keyword: High risk

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Effects of the Temperament and Character on Depression, Anxiety, and Maternal-Fetal Attachment in High-Risk Pregnant Women (고위험 임산부의 기질과 성격이 임산부의 우울, 불안, 모-태아 애착에 미치는 영향)

  • Jung, Sang Hyup;Bae, Jin Gon;Jung, Sung Won;Kim, Min Kyung;Kim, Hee Cheol;Kim, Jung Bum
    • Anxiety and mood
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    • v.14 no.2
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    • pp.106-111
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    • 2018
  • Objective : High-risk pregnant women are exposed to the physical and emotional crisis associate with the condition of high-risk pregnancy, making these women emotionally unstable, exhibiting such conditions as depression and anxiety. The aim of this study was to examine what effects the temperament and character of high-risk pregnant women had on their depression, anxiety, and maternal-fetal attachment. Methods : A hundred and five high-risk pregnant women were recruited in the maternity ward of the Keimyung University medical center. All subjects were administered a sociodemographic and obstetric questionnaire, Temperament and Character Inventory, Beck Depression Inventory-II, State Trait Anxiety Inventory-State, and Maternal-Fetal Attachment Scale. Results : First, higher scores on the harm-avoidance scale and lower scores on the self-directedness scale were associated with higher depression scores. Second, higher scores on the harm-avoidance and reward-dependence scale were associated with higher anxiety scores. Lastly, higher scores on the cooperativeness scale were associated with higher maternal-fetal attachment scores. Conclusion : Temperament and character in high-risk pregnant women were associated with the degree of depression, anxiety, maternal-fetal attachment. Based on these findings, it is suggested that examining temperament and character in advance and screening for vulnerability in pregnant women can help to prevent emotional problems for high-risk pregnant women.

An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model

  • Mihyeon Park;Sukhee Ahn
    • Women's Health Nursing
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    • v.29 no.4
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    • pp.302-316
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    • 2023
  • Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy's adaptation model. Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment). Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=-.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=-. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=-.56 p=.023) indirectly affected QoL. Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.

A Consumer-Oriented Study of Price Increases and Downsizing : Focused on Roles of Competitor's Pricing Strategy and Risk-Aversion (가격인상과 용량감소에 관한 소비자 관점의 비교 연구 : 경쟁사 가격전략과 위험회피성향을 중심으로)

  • Kim, Hye Young;Kang, Yeong Seon
    • Korean Management Science Review
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    • v.32 no.3
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    • pp.55-70
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    • 2015
  • The main objective of this study is to investigate the moderating roles of the competitor's pricing strategy and the degree of consumer's risk-aversion on perceived risk and perceived benefit in responding to price increases and package downsizing. Based on Prospect Theory, several prior researches find that consumers perceive increased price as more loss than package downsizing and perceive package downsizing as more benefit than increased price. We extend these behavioral economics approach using the reference effect of competitor's pricing strategy. We focus on consumer heterogeneity on risk-aversion, measure the degree of consumer's risk-aversion, and divide the consumers into two groups of high levels of risk-aversion vs. low levels of risk-aversion. We find that the firm's pricing strategies of both price increases and package downsizing do not significantly influence the perceived benefit for relatively low risk-aversion consumers. We find that when the firm reduce the package size, relatively high risk-aversion consumers perceived more benefit and had higher purchase intention compared to price increases. We also find that the competitor's pricing strategies do not significantly influence the consumer's response for relatively low risk-aversion consumers. For relatively high risk-aversion consumers, they perceived more loss when the firm has different pricing strategy from the competitor's.

Lightning Risk Assessment for Structures Lower than 20m High (높이 20미터 미만인 구조물의 낙뢰리스크 평가)

  • Lee, Ju-Chul;Kim, Gi-Hyun;Lee, Young-Chul
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.26 no.12
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    • pp.21-27
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    • 2012
  • Korean Industrial Standards for lightning protection system complies with IEC standards. However, the standards are applicable only to buildings and structures more than 20 meters in high. Therefore, it is necessary to determine whether lightning protection system should be installed on structures lower than 20 meters high. This paper proposes an efficient method of assessing risk against lightning of structures lower than 20 meters high. The method suggests simplified lightning protection system and provides selecting an appropriate protection level. The suggested method assumes that structure under assessment has no lightning protection system and there is no person around the structure at the moment of lightning stroke. A simplified method of assessing the risk to human within the structure is developed by adopting the general assessment factor. The selection of a protection level is possible by comparing tolerable risk with physical damage risk caused by a direct lightning. Finally, this paper gives ways to establish surge protection measures when a structure with lightning risk is within a radius of 2km from the assessed structure even if this structure requires no lightning protection system.

A Study on the Influencing Factors of High Risk Drinking by Gender in Single Adult Households (성인 1인 가구의 성별에 따른 고위험 음주 영향요인에 관한 연구)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.321-331
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    • 2021
  • This study sought to analyze factors influencing high-risk drinking in single-person households. For this, data from the 2018 community health survey were used. Subjects were 32,389 adults above the age of 19 in single-person households. For the data analysis, high-risk drinking groups were extracted according to the high-risk drinking rate index of the survey to arrive at influencing factors and differences in health-related and sociodemographic characteristics. The IBM SPSS 25.0 software was used for analysis and a complex sampling design was applied. The results showed that the high-risk drinking rate of Korea's single-person households was 15.0% (male: 25.8%, female: 5.8%) and age, education under high school level, service-industry employees, smokers, people with depression, high blood pressure, and irregular breakfast eaters appeared as common elements for both genders. Stress appeared to only affect males while being diabetic only affected females. High-risk drinking was higher for males in their 30~40s and women in their 20~30s. The younger generation showed the highest numbers in high-risk drinking and factors like stress or depression appeared to be influencing factors for high-risk drinking. Hence, mental health programs along with customized health policies through health forms and lifestyle changes will be required to lower the high-risk drinking rates of single-person households.

Physical Stress Symptoms and Health Risk Behaviors between Adolescent Athletes and High School Students (일부 체육고등학교와 인문계 고등학교 남학생의 신체적 스트레스 증상과 건강위험행위 비교)

  • Park Sun-Nam;Moon Young-Im;Park Ho-Ran
    • Child Health Nursing Research
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    • v.8 no.3
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    • pp.251-259
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    • 2002
  • The purpose of the study was to investigate physical stress symptoms and health risk behaviors of adolescent athletes and high school students as a basis for providing a health promotion program of adolescent athletes. The subjects consisted of 160 male students of a physical education high school(athletes) in Kyonggi and 147 male high school students(non-athletes) in Seoul. Data was obtained from the physical stress symptoms and the health risk behaviors questionnaire. The result were as follows : 1. Physical stress symptoms didn't make significant difference between groups. GI symptom, as the subscale of physical stress symptoms of non-athletes were higher then those of athletes. The highest ranked physical stress symptoms in athletes was cardiopulmonary symptom Ⅱ(upper respiratory symptoms) and in non- athletes was central-neurological symptoms. 2. Health risk behaviors didn't make significant difference between groups. Weight control, as the subscale of health risk behaviors of athletes were higher then those of non-athletes. The highest ranked health risk behaviors in athletes was alcohol and in non-athletes was smoking. 3.There were the low positive correlation between physical stress symptoms and health risk behaviors.

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Differences in Preventive Activities among Smokers

  • KIM, Kapseon
    • The Korean Journal of Food & Health Convergence
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    • v.7 no.1
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    • pp.17-26
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    • 2021
  • The purpose of this study was to develop strategies and policies for smoking prevention that are tailored to the characteristics of different groups of smokers. The structured survey was conducted with regular smokers. The results were as follows: It has been demonstrated that Risk Perception Attitude framework can be used as a major research framework to predict behavioral changes related to the prevention of smoking. The smokers were divided into four attitude groups based on perceived risks and self-efficacy: indifference, proactive, avoidance, and responsive. The smoker groups showed significant differences in information seeking, information avoidance, prevention behavior and addiction degree. Especially, the difference in prevention behavior depended on the self-efficacy when the perceived risk level was high. Information avoidance was the lowest when the perceived risk level was high and the self-efficacy was low. Information seeking was lowest when the perceived risk level was low. When the level of self-efficacy was high, if the perceived risk level was high, prevention behavior was actively performed. Therefore, the self-efficacy was related to preventive behavior, and the perceived low-risk played a role in hindering information seeking. Smoking prevention strategies are important to raise awareness of the risk of smoking and to improve the positive willingness of smokers to quit smoking through self-efficacy.

A Study on the Fire Risk Assessment : Based on the Proposal of a Fire Risk Assessment Processor Considering the Reality in Korea (화재위험도 평가에 대한 연구 : 국내 현실을 고려한 화재위험도 평가 프로세서 제안을 중심으로)

  • Lee, Jong Hwa
    • Journal of the Korea Safety Management & Science
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    • v.23 no.1
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    • pp.57-64
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    • 2021
  • Recently, advanced countries assessment the risk of fire to prevent large-scale damage to high-rise buildings, In addition, performance-Based design, which is a fire risk assessment, is being conducted in Korea to prevent massive damage to high-rise buildings. However, unlike advanced countries, fire risk assessment in Korea is subject to fire risk assessment only for objects subject to consent from fire-fighting facilities such as building permits, When building engineers and fire-fighting engineers assessment the risk of fire, It has always been discussed because the results vary depending on which part of the evaluation is focused between economic feasibility and safety. Therefore, in this study, we would like to propose a fire risk assessment process suitable for domestic conditions by comparing the process of performance-based design, which is a domestic fire risk assessment, and the process of Iso/TC 16732 which is an overseas fire risk assessment.

Adverse Effects of Preserved Vegetables on Squamous Cell Carcinoma of Esophagus and Precancer Lesions in a High Risk Area

  • Song, Qing-Kun;Zhao, Lin;Li, Jun;He, Yu-Ming;Jiang, Cui-Ping;Jiang, Hai-Dong;Qu, Chen-Xu
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.659-663
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    • 2013
  • Introduction: Squamous cell carcinoma of esophagus (ESCC) is one of the most common cancers in China. Preserved vegetables are processed foods and consumed in high amounts in the high risk areas for ESCC. This study aimed to investigate the relationships of preserved vegetable consumption with ESCC and precancer lesions. Methods: Cases from Yanting cancer hospital with pathological diagnosis of primary cancer, along with controls and individuals diagnosed with precancer lesions by endoscopy with iodine staining were interviewed. Trained staff collected data on dietary habits 1 year before the interview. An unconditional logistic regression model was used to estimate odds ratios of preserved vegetable consumption for precancer lesions and cancer. Results: Adjusting for potential confounders, intake of preserved vegetables (OR=2.92, 95%CI 1.32~6.47) and longer intake period (OR=5.78, 95%CI 2.26~14.80) were associated with higher risk of ESCC. Compared with lowest intake frequency, the highest was associated with a 3.0-fold risk for precancer lesions and 3.59-fold risk for ESCC (both p<0.05). Conclusion: Consumption of preserved vegetables is a risk factor for esophageal lesions in high risk areas. The carcinogenicity of preserved vegetables needs investigation in further studies and the public health strategies for reducing the consumption might be initiated in high risk areas.

A Study on the Long-Run Consumption Risk in Foreign Currency Risk Premia (장기소비 위험을 이용한 통화포트폴리오 수익률에 관한 연구)

  • Liu, Won-Suk;Son, Sam-Ho
    • Journal of Distribution Science
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    • v.11 no.10
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    • pp.55-62
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    • 2013
  • Purpose - The purpose of this study is to suggest a risk factor that significantly explains foreign currency risk premia. In recent years, some studies have found that the performance of the simultaneous consumption risk model improves considerably when tested on foreign currency portfolios, which are constructed based on the international interest rates differentials. However, this paper focuses on the long-run consumption risk factor. In our empirical research, we found that the real excess returns of high interest rate currency portfolios depreciate on average, when the future American long-run consumption growth rate appears low. This makes the high interest rate currency portfolios have relatively high risk premia. Meanwhile, the real excess returns of low interest rate currency portfolios appreciate on average, under the same conditions, which results in relatively low risk premia for these portfolios. Therefore, this long-run consumption risk factor might explain why low interest rate currencies do not appreciate as much as the interest rate differential, and why high interest rate currencies do not depreciate as much as the interest rate differential. Research design, data, methodology - In our explanation, we provide new evidence on the success of long-run consumption risks in currency risk premia by focusing on the long-run consumption risks borne by American representative investors. To uncover the hidden link between exchange rates and long-run consumption growth, we set the eight currency portfolios as our basic assets, which have been built based on the foreign interest rates of eighty countries. As these eight currency portfolios are rebalanced every year, the first group always contains the lowest interest rate currencies, and the last group contains the highest interest rate currencies. Against these basic eight currency portfolios, we estimate the long-run consumption risk model. We use recursive utility framework and the stochastic discount factor that depends on the present value of expected future consumption growth rates. We find that our model is optimized in the two-year period of constructing the durable consumption expectation factor. Our main results surprisingly surpass the performance of the existing benchmark simultaneous consumption model in terms of R2, relatively risk aversion coefficient γ, and p-value of J-test. Results - The performance of our model is superior. R2, relatively risk aversion coefficient γ, and p-value of J-test of our long-run durable consumption model are 90%, 93%, and 65.5%, respectively, while those of EZ-DCAPM are 87%, 113%, and 62.8%, respectively. Thus, we can speculate that the risk premia in foreign currency markets have been determined by the long-run consumption risk. Conclusions - The aggregate long-run consumption growth risk explains a large part of the average change in the real excess returns of foreign currency portfolios. The real excess returns of high interest rate currency portfolios depreciate on average when American long-run consumption growth rate is low, and the real excess returns of low interest rate currency portfolios appreciate under the same conditions. Thus, the low interest rate currency portfolios allow investors to hedge against aggregate long-run consumption growth risk.