• Title/Summary/Keyword: High-risk groups

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The Effect of Sexual Orientation on Suicidal Ideation in Korean High School Students (고등학생의 성적지향이 자살생각에 미치는 영향)

  • Kwon, Mi Young
    • Journal of Korean Public Health Nursing
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    • v.34 no.1
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    • pp.87-98
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    • 2020
  • Objectives: The aim of this study was to identify the relation of sexual orientation and suicidal ideation. Methods: The study includes 33,309 Korean high school students: 31,213 of whom had no experience of sexual intercourse, 1,739 had heterosexual sexual intercourse, 191 had homosexual sex, and 166 had bisexual intercourse. The study used the 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables related to suicidal ideation of participants except for sexual orientation were analyzed, and suicidal ideation was higher in the homosexual and bisexual groups. These two groups showed a higher risk of suicidal ideation (homosexual: OR=2.28, 95% CI:1.54-3.39) (bisexual: OR=2.78, 95% CI:1.61-4.81). Conclusions: The study results showed sexual orientation was associated with suicidal ideation. Further studies and evaluations are needed.

How to Reduce Fire Fatalities in Residential Occupancies on the Way to a Rapidly Aging Society?

  • Sekizawa, Ai
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2006.04a
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    • pp.29-40
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    • 2006
  • Everybody may be vulnerable to fires depending on the time, place, and circumstances. Fire statistics show that the occurrence of fire death depends not only on the severity of a fire itself, but also largely on the conditions of occupants such as physical functions, the environment around occupants, and the type of facility where are fire occurs. The review of fire safety from the viewpoint of vulnerable populations does not simply mean additional special attention and care only to high risk groups, but instead it means significant review of fire safety design and systems for all people from a more universal standpoint. Therefore, in order to examine the strategies of a fire death-reduction program, safety measures suitable for the relevant high-risk groups considering the type of vulnerable person, the type of fire, and the type of building in residential occupancies. Solutions will require strenuous multilateral effort and flexibility.

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A Study on the Improvement for Port Placement of Response Vessel (방제선 배치 항만의 개선 방안)

  • Jang, Duck-Jong;Kim, Dae-Jin;Kim, Woo-Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.7
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    • pp.810-819
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    • 2017
  • The purpose of this study is to evaluate port use and the distribution of risk factors in 15 major ports in Korea, delineating the risk of each port after classifying the ports into four risk groups based on estimated risks. The placement of response vessels is then analyzed accordingly. Based on the results, danger was estimated to be especially high in ports where large-scale petrochemical facilities are located, such as Yeosu Gwangyang ports (1.85), Ulsan port (1.33) and Daesan port (1.25). The ports showing the next highest degree of danger were Pusan (0.95) and Incheon (0.83), which have significant vessel traffic, followed by Mokpo (0.71) and Jeju (0.49), which expanded their port facilities recently and saw an increase in large vessel traffic. Next is Masan (0.44), for which many fishing permits in the vicinity. When the relative ratios of each port were graded based on the Yeosu Gwangyang Ports, which showed the highest risk values, and risk groups were classified into four levels, the highest risk groups were Yeosu Gwangyang, Ulsan, Daesan and Pusan, with Incheon, Mokpo, Jeju, and Masan following. Pyeongtaek Dangjin, Pohang, Gunsan, and Donghae Mukho were in the mid-range danger group, and the low risk groups were Samcheonpo, Okgye, and Changsungpo. Among these, all response vessel placement ports specified by current law were above the mid-range risk groups. However, we can see that ports newly included in mid-range risk group, such as Mokpo, Jeju, and Donghae Mukho, were excluded from the pollution response vessel placement system. Therefore, to prepare for marine pollution accidents these three ports should be designated as additional response vessel placement ports.

Risk Assessment with the Development of CAES (Compressed Air Energy Storage) Underground Storage Cavern (CAES(Compresses Air Energy Storage) 지하 저장 공동 개발에 따른 리스크 사정)

  • Yoon, Yong-Kyun;Seo, Saem-Mul;Choi, Byung-Hee
    • Tunnel and Underground Space
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    • v.23 no.4
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    • pp.319-325
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    • 2013
  • The objective of this study is to assess risks which might occur in connection with the storage of the highly compressed air in underground opening. Risk factors were selected throughout literature survey and analysis for the characteristic of CAES. Large risk factors were categorized in three components; planning and design phase, construction phase, and operation & maintenance phases. Large category was composed of 8 medium risk groups and 24 sub-risks. AHP technique was applied in order to analyze the questionnaires answered by experts and high-risk factors were selected by evaluating the relative importance of risks. AHP analysis showed that the operation & maintenance phases are the highest risk group among three components of large category and the highest risk group of eight medium risk groups is risk associated with the quality and safety. Risk having the highest risk level in 24 sub-risks is evaluated to be a failure of tightness security of inner containment storing compressed air.

Patients with High Risk Breast Cancer (고위험군 유방암 환자의 치료과정에 따른 삶의 질의 변화)

  • Park, Eun-Young;Lee, Eun-Ok
    • Asian Oncology Nursing
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    • v.1 no.1
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    • pp.32-43
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    • 2001
  • High risk breast cancer patients receive aggressive treatments such as APBSCT in order to prevent the recurrence. These treatments take a long time and decrease the quality of life of patients as a result. The purpose of this study is to examine when the changes of quality of life are dramatic in general and in specific dimension. This is a time series study of two types of treatment groups, in which 15 patients were treated by chemotherapy only and nine patients by auto-peripheral blood stem cell transplantation. Subjects were in this study were stage III and above of breast cancer. Data were collected from April 1999 to April 2000 with the 3 month-interval starting after 3rd cycle of chemotherapy. Data were collected 3 times ; treatment period, treatment finishing period and 3 months later after the treatment. Ferrell's QOL instrument was used which had been developed for the breast cancer patients in 1989. Repeated Measure ANOVA was used to examine differences of quality of life at 3 points of time respectively. As a result, average age was 43.29 years (4.38yrs) and the number of married person was 22(91.7%). Scores of quality of life were 5.45 at 1st period after 3rd cycle of chemotherapy, 5.17 after treatment, 5.10 at 3 months later after treatment and difference of quality of life was decreased according to period of treatment (P=.085). Only the psychological dimension of the quality of life showed the significant difference (P=.045). Two different treatment groups showed a difference of quality of life at 3 month later after treatment. In conclusions, high risk breast cancer patients showed the decreased quality of life related to treatment up to 3 months later of treatment. Subjects who received APBSCT returned to the normal quality of life more rapidly than those who received chemotherapy. Psychological nursing intervention was needed during the whole period of treatment.

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Relationship between Communication Stance and Characteristics of Internet Use (청소년에서의 인터넷 중독 정도 조사 및 이에 따른 의사소통 유형과의 관계)

  • Lee Moon-Soo;Choo Chung-Sook;Joung Yoo-Sook;Hong Sung-DoDavid;Lee Hyeon-Soo;Nam Min;Song Hyoung-Seok
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.2
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    • pp.141-148
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    • 2006
  • Objectives : Internet became essential component in these days. This study primarily tried to find out the characteristics of high risk internet users through using the communication scale. Methods : We investigated levels of internet addiction using Internet Addiction Scale in 1,193 high school and middle school students. Participants were divided into 3 groups (high risk user group, potential risk user group, normal user group) according to the results from internet addiction scale. We additionally surveyed characteristics of internet use, and patterns of communication and Communication Scale based on Satir theory in 614 from 1,193 participants. Results : Boys showed higher tendencies for internet addiction than girls in internet addiction scale. There were significant differences in mean computer using time especially during weekends among 3 internet user groups. The distribution of communication types in each internet user group was similar and this finding coincided with previous study results. However high risk user group showed higher scores in each inadequate communication pattern such as placating, blaming, super-reasonable and irrelevant stance. Conclusion : These results suggest that adolescents who use internet in addictive patterns may have more problematic communication styles and these may be associated with poor interpersonal relationships.

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Identification of High-risk Groups of Suicide from the Depressed Elderly using Decision Tree Analysis (의사결정나무 분석법을 이용한 우울 노인 중 자살 고위험군 규명)

  • Hong, Sehoon;Lee, Dongwon
    • Research in Community and Public Health Nursing
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    • v.30 no.2
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    • pp.130-140
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    • 2019
  • Purpose: The aim of this study is to explore levels of suicidal ideation and identify subgroups of high suicidal risk among the depressed elderly in Korea. Methods: A descriptive cross-sectional design was adopted on secondary data from the 6th (1st year) Korean national health and nutrition examination survey (KNHANES). A total of 239 depressed elders aged 60 or over who participated in the KNHANES. The prevalence of suicidal ideation and its related factors, including sociodemographic, physical, psychological characteristics and quality of life (EQ-5D index) were examined. Descriptive statistics and a decision tree analysis were performed using the SPSS/WIN 23.0 and SPSS Modeler 14.2 programs. Results: Of the depressed elderly, 28.9% had suicidal ideation. Three groups with high suicidal ideation were identified. Predictive factors included perceived stress level, household income level, quality of life and restriction of activity. In the highest risk group were those depressed elderly with moderate and low levels of stress, less than .71 of EQ-5D index and restriction of activity, and 80.0% of these participants had suicidal ideation. The accuracy of the model was 80.8%, its sensitivity 85.9%, and its specificity 68.1%. Conclusion: Multi-dimensional intervention should be designed to decrease suicide among the depressed elderly, particularly focusing on subgroups with high risk factors. This research is expected to contribute itself to the policy design and solution building in the future as it suggests policy implications in preventing the suicide of the depressed elderly.

Gastrointestinal Stromal Tumors: A Clinicopathologic and Risk Stratification Study of 255 Cases from Pakistan and Review of Literature

  • Din, Nasir Ud;Ahmad, Zubair;Arshad, Huma;Idrees, Romana;Kayani, Naila
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.12
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    • pp.4873-4880
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    • 2015
  • Purpose: To describe the clinicopathological features of gastrointestinal stromal tumors (GIST) diagnosed in our section and to perform risk stratification of our cases by assigning them to specific risk categories and groups for disease progression based on proposals by Fletcher et al and Miettinen and Lasota. Materials and Results: We retrieved 255 cases of GIST diagnosed between 2003 and 2014. Over 59% were male. The age range was 16 to 83 years with a mean of 51 years. Over 70% occurred between 40 and 70 years of age. Average diameter of tumors was 10 cms. The stomach was the most common site accounting for about 40%. EGISTs constituted about 16%. On histologic examination, spindle cell morphology was seen in almost of 85% cases. CD117 was the most useful immunohistochemical antibody, positive in 98%. Risk stratification was possible for 220 cases. Based on Fletcher's consensus proposal, 62.3 gastric, 81.8% duodenal, 68% small intestinal, 72% colorectal and 89% EGISTs were assigned to the high risk category; while based on Miettinen and Lasota's algorithm, about 48% gastric, 100% duodenal, 76% small intestinal, 100% colorectal and 100% EGISTs in our study were associated with high risk for disease progression, tumor metastasis and tumor related death. Follow up was available in 95 patients; 26 were dead and 69 alive at follow up. Most of the patients who died had high risk disease and on average death occurred just a few months to a maximum of one to two years after initial surgical resection. Conclusions: Epidemiological and morphologic findings in our study were similar to international published data. The majority of cases in our study belonged to the high risk category.

Immunization schedule Recommended by Korean Pediatric Society, 2008 (2008년 대한소아과학회 예방접종 스케줄)

  • Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.15 no.1
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    • pp.1-4
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    • 2008
  • Immunizations are among the most cost-effective and widely used public health interventions. This is a report a revision of recommendation of immunization for children by Korean Pediatric Society. Immunization. Vaccines were divided into 4 groups. 1) Vaccines that are recommended to all infants and children (BCG, hepatitis B vaccine, DTaP, Td, Polio vaccine, Japanese encephalitis vaccine, MMR, varicella vaccine, influenza vaccine [6-23 months of age], H. influenzae type b vaccine), 2) those that can be administered to all infants and children, but decision of administration is made by parents (pneumococcal conjugate vaccine, hepatitis A vaccine, influenza vaccine [healthy children ${\geq}24$ months of age], rotavirus vaccine, human papilloma virus vaccine), 3) those that should be given to high risk group (pneumococcal polysaccharide vaccine [high risk patients ${\geq}24$ months of age], influenza vaccine [high risk patients ${\geq}24$ months of age], typhoid vaccine), and 4) those administered for control of outbreaks or prevention of emerging infectious diseases. Immunization schedule recommended by Korean Pediatric Society in 2008 is presented.

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Risk Analysis of Alcohol Consumption During Underwater Activity Using the Risk Assessment and Analysis Method (리스크 평가 및 분석 기법을 활용한 알코올 섭취에 따른 수중활동 시 리스크 분석)

  • SEO, Sang-Woo;KANG, Shin-Beum;KANG, Sin-Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.2
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    • pp.159-168
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    • 2019
  • This study was designed to investigate the physiological response of humans to alcohol during underwater activity and to complete related risk analysis. After comparing human responses to alcohol during underwater activity, we analyzed physiological changes and risk level using a new risk analysis method developed in this study, 'Risk Assessment and Analysis (RAA)'. RAA is a modified method based on an internal control frame work. It has 3 steps, the first of which is to analyze risk correlation. The second step is to quantify risk and build a risk database. The last step is to analyze the diagramed risk map. Using RAA, the risk levels of alcohol use underwater were calculated and diagramed. The diagramed risk map was then used to analyze the difference between risk levels underwater before and after alcohol use. As a result, it was found that risk level underwater increased after alcohol use. This study shows alcohol use increases the ratio of high risk groups during underwater activity. It also indicates that risk levels can be quantified according to the likelihood and impairment scale, which can potentially help in identifying high risk groups for intensive management underwater.