• 제목/요약/키워드: High risk group

검색결과 2,159건 처리시간 0.033초

소비자의 인터넷쇼핑 구매경험과 기술준비성이 인터넷 의류쇼핑시 위험지각과 만족도에 미치는 영향 (The Influence of Consumers' Purchase Experience and Technology Readiness on Risk Perception and Satisfaction in Internet Clothing Shopping)

  • 홍금희
    • 한국의류산업학회지
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    • 제6권1호
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    • pp.93-101
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    • 2004
  • The purpose of this study is to examine consumers' risk perception in internet clothing shopping and its relation with technology readiness and the frequency of purchase. Thereafter, this study examines how consumers' risk perception affect service quality and satisfaction at the apparel shopping sites. An on-line survey was made to collect data, and the replies from 785 people, who had an experience of apparel shopping on line, were used in data analysis. From factor analyses, risk perception comprised 3 factors of product related risk, delivery related risk, and security related risk, and technology readiness comprised 4 factors of optimism, innovativeness, discomfort, and insecurity. Based on cluster analysis, consumers were classified into 3 types in terms of the internet risk perception: low risk group, medium risk group, and high risk group. From path analysis, risk perception was decreased with high frequency of purchase and low discomfort and insecurity of technology readiness, and risk perception and service quality had an influence on consumers' satisfaction with the shopping sites.

Clinical outcomes in patients treated with radiotherapy after surgery for cervical cancer

  • Yang, Kyungmi;Park, Won;Huh, Seung Jae;Bae, Duk-Soo;Kim, Byoung-Gie;Lee, Jeong-Won
    • Radiation Oncology Journal
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    • 제35권1호
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    • pp.39-47
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    • 2017
  • Purpose: The purpose of this study was to analyze clinical outcomes from cervical cancer and stratify patients into risk groups for prognostic factors for early-stage disease. Materials and Methods: We retrospectively reviewed patients with stage IB or IIA cervical cancer treated with adjuvant radiotherapy (RT) or concurrent chemoradiotherapy (CCRT) following primary surgery at Samsung Medical Center from 2001 to 2011. Adjuvant RT was added for patients with intermediate-risk factors, and adjuvant CCRT was performed on high-risk patients after surgery. Results: We reviewed 247 patients-149 in the high-risk group and 98 in intermediate-risk group. The median follow-up was 62 months. Loco-regional failure (LRF) alone occurred in 7 patients (2.8%), distant metastasis alone in 37 patients (15.0%) and LRF with DM in 4 patients (1.6%). The 5-year disease-free survival (DFS) and overall survival (OS) rates for both groups were 79.7% and 87.6%, respectively. In the high-risk group, the 5-year DFS and OS probabilities were 72.5% and 81.9%, respectively. Histologic type, pathologic tumor size, and the number of pelvic lymph node (PLN) metastasis were significant prognostic factors for DFS and OS. We suggest a scoring system (0-3) using these prognostic factors to predict poor prognosis in high-risk patients. Using this system, patients with higher scores have higher recurrence and lower survival rates. Conclusion: In the high-risk cervical-cancer group who received primary surgery and adjuvant CCRT, non-squamous type, large tumor size and the number of PLN metastasis were significant prognostic factors, and the number of these factors was associated with survival rates.

치매노인의 낙상위험요인에 관한 메타분석 (A Meta-analysis of the Risk Factors related to Falls among Elderly Patients with Dementia)

  • 홍선영;박희옥
    • 성인간호학회지
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    • 제29권1호
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    • pp.51-62
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    • 2017
  • Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included 'dementia', 'Alzheimer', 'fall'. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.

Impact of Non-Calcified Specimen Pathology on the Underestimation of Malignancy for the Incomplete Retrieval of Suspicious Calcifications Diagnosed as Flat Epithelial Atypia or Atypical Ductal Hyperplasia by Stereotactic Vacuum-Assisted Breast Biopsy

  • Chi-Chang Yu;Yun-Chung Cheung;hir-Hwa Ueng;Shin-Cheh Chen
    • Korean Journal of Radiology
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    • 제21권11호
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    • pp.1220-1229
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    • 2020
  • Objective: Stereotactic vacuum-assisted breast biopsy (VABB) is considered a reliable alternative to surgical biopsy for suspicious calcifications. In most cases, the management of flat epithelial atypia (FEA) and atypical ductal hyperplasia (ADH) after VABB with residual calcifications requires surgical excision. This study aimed to evaluate the impact of pathology of non-calcified specimens on the underestimation of malignancy. Materials and Methods: We retrospectively reviewed 1147 consecutive cases of stereotactic VABB of suspicious calcifications without mass from January 2010 to December 2016 and identified 46 (4.0%) FEA and 52 (4.5%) ADH cases that were surgically excised for the retrieval of residual calcifications. Mammographic features and pathology of the calcified and non-calcified specimens were reviewed. Results: Seventeen specimens (17.3%) were upgraded to malignancy. Mammographic features associated with the underestimation of malignancy were calcification extent (> 34.5 mm: odds ratio = 6.059, p = 0.026). According to the pathology of calcified versus non-calcified specimens, four risk groups were identified: Group A (ADH vs. high-risk lesions), Group B (ADH vs. non-high-risk lesions), Group C (FEA vs. high-risk lesions), and Group D (FEA vs. non-high-risk lesions). The lowest underestimation rate was observed in Group D (Group A vs. Group B vs. Group C vs. Group D: 35.0% vs. 20.0% vs. 15.0% vs. 3.6%, p = 0.041, respectively). Conclusion: Considering that the calcification extent and pathology of non-calcified specimens may be beneficial in determining the likelihood of malignancy underestimation, excision after FEA or ADH diagnosis by VABB is required, except for the diagnoses of FEA coexisting without atypia lesions in non-calcified specimens.

물류센터 근로자의 안전인식에 대한 요인분석 및 집단간 인식 비교 (Factor Analysis and Intergroup Awareness Investigation of Workers' Safety in Logistic Center)

  • 최현준;문상영;옥승용
    • 한국안전학회지
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    • 제30권4호
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    • pp.113-119
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    • 2015
  • This study is to examine the workers' awareness of the safety in logistic centers. For that purpose, the exploratory factor analysis of workers' safety awareness in logistic centers was performed at first, and the 6 variables extracted from the factor analysis were then used to investigate the difference in intergroup awareness of the safety environment in the logistic centers. We administered a survey to 147 workers attending the logistic centers and collected data from them. The results of the study showed that the intergroup awareness of the safety environment turned out to be statistically different from each other in terms of working environment, safe behavior, work risk, safety knowledge and effort, risk justification and compromising attitudes. Experiences in industrial accidents influenced awareness of working environment, work risk and risk justification. The group who experienced accidents is more likely to feel risky and unsatisfied with working place, and their awareness toward risk justification was high as well. It was also observed that there exists awareness difference between manager group and worker group. The group who manages the working place showed more positive awareness of working environment, safe behavior, work risk, safety knowledge and effort, risk justification and compromising attitudes than the worker group. On the contrary, the worker group showed high recognition in risk of working place, and felt that they are willing to compromise on safety for increasing production. The scale of the logistic center produced negative influence on awareness of safety. The group in small logistic center showed the highest awareness in safety, whereas the group in large logistic center with more than 100 workers showed the highest awareness in risk. They are more likely to deviate from correct and safe work procedures due to over-familiarity with the job, as well. The findings suggest that there is a need for the safety management and education to change the workers' understanding and attitudes towards safety.

지역사회 고등학생의 인터넷 문제 사용과 건강 위험 행동 간의 연관성에 대한 연구 (The Relationship between Problematic Internet Use and Health Risk Behavior in Community High School Students)

  • 김양석;안동현;김윤영
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제18권2호
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    • pp.130-137
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    • 2007
  • Objectives: Studies investigating problematic internet use have increased rapidly and have been focused on its causes, psychopathology, prevalence, characteristics and so on. However, there are few studies concerning the correlation between problematic internet use and youth health risk behavior. Therefore, the purpose of this study was to examine the relationship between problematic internet use and youth health risk behavior. Methods: A community sample of 632 high school students in grades 10 and 11 was collected for the survey. The sample was assessed using the Youth Risk Behavior Surveillance System(YRBSS) and Young's Diagnostic Questionnaire of Internet Addiction(YDQ). The subjects were classified into two groups: normal and problematic internet use, and the problematic internet use group was further divided into at-risk use and addiction groups. Results: There were 56 subjects(8.9%) in the internet addiction group and 56 subjects(8.9%) in the at-risk internet use group. The other 507 subjects were classified as normal. The subjects in the internet addiction group kissed more frequently and ate less fruit than those in the normal group. They also showed a relatively higher tendency to watch TV, ride in a car driven by a drunk driver and to carry a weapon than those in the normal group. There were no differences in health risk behaviors between the subjects in the internet addiction group and those in the at-risk internet use group, except for the possibility of riding in a car driven by a drunk driver. Conclusion: Unlike the normal group, there was very little difference in health risk behavior between the internet addiction group and the at-risk internet use group, which indicates that the addiction group and the at-risk internet use groups are homogenous. It is important to focus on the behavior of individuals in the at-risk group, and preventive measures should be taken in order to reduce the possibility of at-risk adolescents becoming addicted.

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강에서 발생한 익수 환자의 경추손상 위험도 (The Risk of Cervical Spine Injuries among Submersion Patients in River)

  • 김석환;최경호;최세민;오영민;서진숙;이미진;박규남;이원재
    • Journal of Trauma and Injury
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    • 제19권1호
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    • pp.47-53
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    • 2006
  • Purpose: Recently, the American Heart Association recommended that routine cervical spine protection in submerged patients was not necessary, except in high-energy injury situations. However, until now, this recommendation has few supportive studies and literatures. This retrospective study was performed to demonstrate the risk of cervical spine injury in patients who had been submerged in a river. Methods: Seventy-nine submerged patients who visited St. Mary's Hospital between January 2000 and December 2005 were included in this retrospective study. We investigated and analyzed the victim's age, sex, activity on submersion, mental status and level of severity at admission, prognosis at discharge, associated injuries, and risk group by using the medical records and cervical spine lateral images. According to the activity on submersion, victims were classified into three groups: high risk, low risk, and unknown risk. The reports of radiologic studies were classified into unstable fracture, stable fracture, sprain, degenerative change, and normal. Results: The patients' mean age was 36.8 yrs, and 54% were males. Of the 79 patients, adult and adolescent populations (80%) were dominant. Jumping from a high bridge (48%) was the most common activity on submersion and accounted for 52% of the high-risk group. The Glasgow coma scale at admission and the cerebral performance scale at discharge showed bimodal patterns. The results of the radiologic studies showed one stable fracture, one suspicious stable fracture, and 18 sprains. The incidence of cervical spine fracture in submerged patients was 2.5% in our study. The incidence of cervical spine injury was higher in the high-risk group than it was in the low-risk group, especially in the jumping-from-high-bridge subgroup; however this observation was not statistically significant. No other factors had any significant effect on the incidence of cervical spine injury. Conclusion: Our study showed that even submerged patients in the high risk group had a low incidence of cervical spine fracture and that the prognosis of a patient did not seem to be influenced by the cervical spine fracture itself.

여고생의 유행태도에 따른 의복구매시의 디스플레이 활용도와 인지위험 (A Study on the Use of Display and Perceived Risk according to High School Girls′ Attitudes Toward Fashion)

  • 황춘섭;박지영
    • 복식
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    • 제53권8호
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    • pp.149-158
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    • 2003
  • The purpose of the present study was to investigate the use level of display and perceived risk of high school girls according to their attitudes toward fashion. Data were collected through self-administered questionnaires and analyzed by descriptive statistics, $x^2$, ANOVA, and Duncan test. The sample consisted of 390 students at four girls' high schools located in Seoul. The results are as follows : 1. Based on the attitudes toward fashion, respondents were classified into 3 groups, fashion-oriented, fashion-conformed, fashion-retarded. No differences were found in fashion attitudes among and between the groups by residing place. The group having higher interest in fashion spent more expenditure for apparels, and showed the higher interest in display, and highly regarded the needs of display. 2. The more fashion-oriented group showed higher degree of risk perceiving. Especially, they perceived psychological risk, fashionability risk, and social risk highly. And all the three groups perceived opportunity risk most. 3. In general, those who are more sensitive to fashion showed more positive attitude of risk reduction activities.

심뇌혈관질환 고위험군 교육프로그램개발을 위한 노인 고혈압·당뇨병환자와 교육자의 교육요구도 및 지식수준에 대한 비교분석 (Educational Needs of Elderly Hypertensive or Diabetes Patients and Educators for Education Program Development of Cardiocerebrovascular High-risk Group)

  • 이혜진;감신
    • 농촌의학ㆍ지역보건
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    • 제35권2호
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    • pp.177-192
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    • 2010
  • 본 연구는 심뇌혈관질환 고위험군 교육프로그램 개발을 위해 대구광역시 심뇌혈관질환 고위험군 등록관리 시범사업단 교육정보센터 방문한 65세 이상 고혈압?당뇨병 환자(고위험군)와 교육자를 대상으로 교육목적, 교육과정구성, 교육방법, 교육내용에 대하여 고위험군과 교육자의 교육필요도와 지식 정도 등의 교육요구도를 조사하였고, 교육내용 영역 및 내용에 대해서는 필요도와 고위험군 및 교육자가 평가한 고위험군의 지식 정도를 비교하였다. 연구대상자는 2009년 6월부터 8월까지 4개 교육정보센터 자조모임에 참석한 고위험군 60명과 교육정보센터 44명의 교육자를 대상으로 실시하였다. 가장 선호하는 형태는 소그룹(5-9명)교육, 교육 시간은 30분-1시간, 교육구성은 이론 50%와 실습 50%. 교육이수완료기간은 3개월로 응답하였다. 교육내용에 대한 필요도는 고위험군과 교육자 모두 평균 이상으로 응답하여 본 연구에서 제시한 모든 교육내용을 포함하는 것을 반영할 수 있었다. 고위험군과 교육자의 교육필요도와 지식 정도평가에 따라 교육프로그램 개발 및 교육방향을 제시하면 다음과 같다. 첫째 범주로 고위험군의 교육필요도와 지식 정도 점수 간에 차이가 없는 항목들로 대부분 기본교육과정으로, 잘 인지하고 있는 편이므로 표준화된 교육방법을 지속적으로 운영하면 될 것으로 생각된다. 둘째 범주로 고위험군의 지식 정도가 낮은 교육내용에 대해서는 기본교육과정에 포함시키고 효과적인 실습으로 모든 단계에서 반복할 수 있도록 한다. 셋째 범주로 고위험군의 지식 정도에 개인편차가 큰 항목들은 집단교육이나 소그룹교육보다 개별교육과정에 포함시켜 개별 교육 시 개인의 문제를 해결할 수 있는 기술향상을 목적으로 이루어질 수 있도록 한다. 넷째 범주로 고위험군의 지식 정도 점수와 교육자가 평가한 고위험군의 지식 정도 점수 간에 차이가 있는 항목들은 고위험군이 직접 참여할 수 있는 심화교육의 형태로 하며, 교육방법, 교육환경에 대한 표준화와 구체적인 매뉴얼을 제시하고 관리 목표를 설정하여야 할 것이다. 다섯째 범주로 고위험군과 교육자간 교육의 필요성에 대해 유의한 차이가 있는 항목들은 교육 시 이들 항목의 필요성을 강조하여야 할 것이다. 이상의 내용을 반영하고, 자가관리기술을 향상 시킬 수 있는 요소들을 추가하면 체계적인 교육 프로그램을 개발하는데 도움이 될 수 있을 것이다.

개인의 성별, 정보추구성향 및 불건강 행위 간 관계 연구 (The Relationships among Gender, Information Seeking Style and High Risk Behavior in Korean Adults)

  • 이동숙
    • 성인간호학회지
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    • 제19권2호
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    • pp.217-224
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    • 2007
  • Purpose: The aim of this study was to investigate the relationships among gender, information-seeking styles, and high risk behavior in Korean adults. Methods: A survey utilizing a structured questionnaire was used to examine the relationships of the study variables. Eight hundred fifty six adults were recruited and this group consisted of 403 females and 453 males. Information seeking style and high risk behavior were measured by Miller Behavioral Style Scale revised by Zurren and Wolfs, and High Risk Behaviors checklist developed by Lee, respectively. Results: Differences between gender were significant in information-seeking styles and high risk behavior. Monitoring and blunting scores were both higher in female than male, and high risk behavior was higher in males than females. The blunting style was positively related to high-risk behavior and the monitoring style was negatively related to high risk behavior. Conclusion: To intervene with high risk behavior effectively, individual differences such as gender and information seeking style should be considered. In addition, the research about well-designed health information support is needed in the future.

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