• Title/Summary/Keyword: High risk factor

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Burnout and Long-term Sickness Absence From the Teaching Function: A Cohort Study

  • Salvagioni, Denise A.J.;Mesas, Arthur E.;Melanda, Francine N.;Gonzalez, Alberto D.;de Andrade, Selma M.
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.201-206
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    • 2022
  • Background: The present objective was to verify whether burnout (emotional exhaustion [EE], depersonalization [DP] and low professional efficacy [PE]) is a risk factor for long-term sickness absence (LTSA; 30 consecutive days) from the teaching role. Methods: This was a prospective cohort study with two years of follow-up that investigated 509 elementary and high-school teachers. Burnout was identified by Maslach Burnout Inventory. Poisson regression with robust variance was used to adjust for possible confounders. Results: The incidence of LTSA was 9.4%. High EE levels were associated with LTSA in the crude analysis, but the association lost statistical significance after adjustments (for sex, age, perception of work-life balance, general self-rated health, chronic pain and depression). High DP levels were associated with this outcome, even after all adjustments (relative risk = 1.80; 95% confidence interval: 1.05-3.09). Low PE levels were not related to LTSA. Conclusion: The results reinforce the need to improve teachers' work conditions to reduce burnout, particularly DP, and its consequences.

When Should Familial Hypercholesterolemia Be Suspected?: A Case of Dyslipidemia in Young Patient without Coronary Artery Disease (가족성 고콜레스테롤혈증은 언제 의심해야 할까?: 관상동맥 질환이 없는 젊은 이상지질혈증 환자 증례)

  • In Sun Ryou
    • Archives of Obesity and Metabolism
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    • v.2 no.1
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    • pp.29-35
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    • 2023
  • Familial hypercholesterolemia (FH) is a genetic disease that is not well known or diagnosed in Korea. This disease is associated with persistently high levels of low-density lipoprotein cholesterol (LDL-C), which increase the risk of coronary artery disease at a young age. Therefore, early diagnosis and treatment are important; however, there are no global consensus diagnostic criteria. In Korea, the Dutch Lipid Clinic Network diagnostic criteria, and the Simon Broome diagnostic criteria were used for diagnosis of FH according to the agreement announced at the Korean Society of Lipid and Atherosclerosis (KSoLA) in 2022. Recently, the absence of coronary artery calcification has been considered a good prognostic factor, even among patients with very high LDL-C levels who are considered to be at high risk for atherosclerotic cardiovascular disease. We describe throughout this paper the diagnosis and treatment of FH in a young male without coronary artery calcification.

Soil Environmental Assesment by the Risk and Artificial Enrichment of Hampyeong District Soils (함평지역 토양의 위해성과 인위적 부화에 의한 토양환경평가)

  • Youn, Seok-Tai;Na, Bum-Soo
    • Journal of Environmental Impact Assessment
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    • v.17 no.6
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    • pp.321-333
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    • 2008
  • Considering risks and artificial enrichments of metals in the soils of the study area, the study aims to analyze geology, grain size and geochemistry. Geology is mainly composed of gneisses and phyllites of metamorphic rocks, sandstones, siltstones, shales, tuffs of sedimentary ones and granites and andesites of igneous ones in the area. In the area, mean contents of metals are not meaningful in accordance with petrogenesis. The soil textures of the area are of S, lS and sL of sandy soil, L, scL, cL of loam and C, zC and sC of clayey soil. Mean contents of Ni, Cr, Co and Cu are meaningfully high in loam and clayey soil relative to sandy soil, whereas Ni, Zn, Cd contents are higher in clayey soil than in loam. Those differences imply the metallic contents are dependent to grain size. Based on the metal contents in the soils of the study area, Cu and Zn in loams and Pb in sandy soils are corresponded to soil contamination warning standards, and As showing 75mg/kg of maximum content in loams is assigned to soil contamination countermeasure standards, respectively. Artificial enrichment factor minimized wall rock and grain size relations is over 1 in Cr, Ni and Cu, but the factor is below 1 in average of other metals.

A Study on Dietary Factors Related to the Incidence of Breast and Cervical Cancer in Korean Women (유방암 및 자궁암의 유발에 영향을 미치는 식이요인에 관한 연구)

  • 김화영
    • Journal of Nutrition and Health
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    • v.27 no.10
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    • pp.1058-1069
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    • 1994
  • This study was performed to study the effects of dietary factors on breast and cervical cancer incidence in female Koreans. The subjects were 60 breast and 109 cervical cancer patients recruited from five general hospitals in Seoul. Food intake, anthropometric measurement, and blood compositions were studied through personal interview and using medical records, from August 1991 to September 1992. Body weight, body mass index, triceps skinfold thickness and body muscle mass were at upper limit of normal value, which suggest that these patients had a tendency of overweight. The levels of hemoglobin and hematocrit of the patients were below the normal values. The values of serum protein, albumin, and calcium were in the normal range but close to the lower bound. Therefore the nutritional status assessed by blood composition seems to be marginal. The results of diet history showed that most of the nutrient intake of the subjects met with RDA. The fat intake were 22.9-36.9g/day which supplies about 15-16% of total calories. The results of this study do not agree with those reports of western societies which showed the positive correlation between calorie and fat intake and the incidence of breast and cervical cancer. Even through the calories and fat intake of the subjects were not high, it was higher than national average, especially in breast cancer patients. From this study, dietary factors does not seem to be a major risk factor in cancer incidence in Korea. However, the tendency of the increasing consumption of fat could be a contributing risk factor together with overweight.

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Annexin A2 and CD105 Expression in Pancreatic Ductal Adenocarcinoma is Associated with Tumor Recurrence and Prognosis

  • Huang, Ya-Kai;Liu, Hong;Wang, Xin-Zheng;Zhu, Shan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9921-9926
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    • 2014
  • To investigate the value of expression of annexin A2, microvessel density (MVD) and CD105 in pancreatic ductal adenocarcinoma (PDAC) tissues and adjacent normal tissues, immunohistochemical staining was used. The positive expression rate of Annexin A2 and the MVD in pancreatic ductal adenocarcinoma tissues was higher than that in in adjacent normal tissues (p<0.005). Expression of Annexin A2 and MVD correlated with histological grade (p<0.05). MVD of cancers in TNM stage IIb was higher than that in TNM stageI~IIa (p<0.026). Cancerous tissues with Annexin A2 staining grade 3+ had lower MVD than the tissues with the other Annexin A2 staining grade (p<0.05). Patients with high MVD had worse prognosis. However, our study did not confirm Annexin A2 was an independent risk factor for patients with PDAC. We confirmed MVD labeled by CD105 was an independent risk factor for patients with PDAC and had moderate predictive value of prognosis.

Isolation Rate of Methicillin-Resistant Staphylococcus aureus (MRSA) from Nasal cavity inferior regions and Cellular phones

  • Kim, Chung Hwan;Lee, Jun Young;Kim, Mi Kyeong;Kim, Sung Hwan;Park, Geun Young;Bae, So Yeon;Seo, Myeong Jin;Go, In Hyeog
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.3
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    • pp.118-123
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    • 2012
  • Nosocomial infection and community-acquired infection with Staphylococcus aureus, especially methicillin-resistant S. aureus (MRSA), has become a strong concern in human body sites and related effects. The aim of this study is investigate the isolation rate of MRSA from nasal cavity inferior regions and cellular phones to assess the risk factor of nosocomial infection and community-acquired infection. 34.7% and 37.2% isolates were MRSA from the nasal cavity inferior regions and cellular phones according to a Mannitol salt agar (added oxacillin $6{\mu}g/mL$) culture and PCR according to S. aureus specific 16S rRNA and mecA primers. Thus, the distribution of S. aureus and the isolation rate of MRSA represent a very high risk factor regards nosocomial infection and community-acquired infection.

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Diagnosis and Treatment of Latent Tuberculosis Infection due to Initiation of Anti-TNF Therapy

  • Shim, Tae Sun
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.6
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    • pp.261-268
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    • 2014
  • Patients with immune-mediated inflammatory diseases (IMIDs) are increasingly being treated with anti-tumor necrosis factor (TNF) agents and are at increased risk of developing tuberculosis (TB). Therefore, diagnosis and treatment of latent TB infection (LTBI) is recommended in these patients due to the initiation of anti-TNF therapy. Traditionally, LTBI has been diagnosed on the basis of clinical factors and a tuberculin skin test. Recently, interferon-gamma releasing assays (IGRAs) that can detect TB infection have become available. Considering the high-risk of developing TB in patients on anti-TNF therapy, the use of both a tuberculin skin test and an IGRA should be considered to detect and treat LTBI in patients with IMIDs. The traditional LTBI treatment regimen consisted of isoniazid monotherapy for 9 months. However, shorter regimens such as 4 months of rifampicin or 3 months of isoniazid/rifampicin are increasingly being used to improve treatment completion rates. In this review, the screening methods for diagnosing latent and active TB before anti-TNF therapy in patients with IMIDs will be briefly described, as well as the current LTBI treatment regimens, the recommendations for managing TB that develops during anti-TNF therapy, the necessity of regular monitoring to detect new TB infection, and the re-initiation of anti-TNF therapy in patients who develop TB.

Analysis of the Problems related to the Cumulative Trauma Disorders at Manufacturing Workplace and Development of a Risk Factor Checklist (제조업에서 발생하는 누적외상성질환 관련 문제점 분석 및 위험요인 점검표의 개발)

  • Park, Hee-Sok;Lee, Yun-Geun;Yim, Sang-Hyuk
    • Journal of Korean Institute of Industrial Engineers
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    • v.24 no.4
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    • pp.503-517
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    • 1998
  • Cumulative trauma disorders(CTDs) of the upper extremities among the workers at manufacturing workplace have become a serious problem in Korea. However, most of the studies on the CTDs carried out in this country have focused on the Video Display Terminal(VDT) operators. In fact, high rates of the CTDs have been reported for telecommunication employees, and the CTDs associated with VDT use in telecommunication industries pose great health and social problems in Korea today. On the other hand, there are few studies on the CTDs among the manufacturing workers, and the severity of the problem was much under-reported. This study reports and discusses the results of the literature review on the cross-sectional studies of the CTDs, along with the analysis of the problems associated with identification, medical examinations, and ergonomic evaluation of the disorders. Also a checklist was developed for the use of quick screening tool for risk factor analysis. Consistency of the checklist was validated with the field studies of several manufacturing workplace. Current issues and suggestions for future ergonomic studies are also addressed.

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A Study on the Analysis of Risk Factor on Highway Alignment Using RTK GPS (RTK GPS를 이용한 도로선형 위험요소 분석에 관한 연구)

  • Jang, Ho-Sik;Seo, Dong-Ju;Lee, Jong-Chool
    • Journal of Korean Society for Geospatial Information Science
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    • v.10 no.1 s.19
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    • pp.67-76
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    • 2002
  • At a recent, with an increase of traffic demand and a spread of automobile culture, the safety, convenience and speed of highway is required. On this study, using the real time kinematic GPS, observation value at a center line of ready-built road is obtained and then design specification of highway, IP, IA and R are obtained by least square method. Using those IP, IA and R, we analysed the risk factor of highway alignment by the standard for structure and facility of the road. With using RTK GPS, we could analyse dangerous element of highway alignment rapidly and cope with dangerous area of the existing road. It is also proved to apply availably whether we determine alignment improvement is needed or not or analyze source of accident related with alignment in the region having a high traffic accident rate.

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The Correlation between Benign Laryngeal Mucosal Disease and Metabolic Syndrome (양성후두점막질환과 대사증후군의 상관관계)

  • Kim, Hyun-Bum;Han, Kyung-Do;Joo, Young-Hoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.34-38
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    • 2019
  • Background and Objectives : The aim of this study is verify the correlation between benign laryngeal mucosal disease and metabolic syndrome. Materials and Method : Data for patients diagnosed with benign laryngeal mucosal disease and metabolic syndrome from 2006 to 2015 were selected for analysis from the National Health Insurance Service database. Results : The prevalence of Metabolic syndrome was 2,179,785 out of 6,437,051 patients (33.86%). The prevalence of benign laryngeal mucosal disease was 516,594 out of 6,437,051 patients (8.03%). Metabolic syndrome was a risk factor for benign laryngeal mucosal disease [hazard ratio: 0.99, 95% confidence interval: 0.984-0.997] after adjusting for age and other variables including age, gender, smoking status, alcohol intake, exercise, body mass index, and diabetes. The number of metabolic syndrome components was also risk factor. Conclusion : Metabolic syndrome was related to the incidence of benign laryngeal mucosal disease. However this correlation did not seem to be high.