• Title/Summary/Keyword: Risk Cause

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The Comparison of Risk Factors for Ischemic Stroke or Intracranial Hemorrhage in Korean Stroke Patients: A Nationwide Population-based Study

  • Choi, Sun-Young;Kim, Ji-In;Hwang, Shin-Woo
    • Biomedical Science Letters
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    • v.24 no.4
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    • pp.405-410
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    • 2018
  • Stroke is a leading cause of death in the Korean population and remains a major health burden worldwide. The two main pathologic types of stroke are ischemic stroke and intracranial hemorrhage (ICH), but comparisons of risk factors for these have been limited. We under took a nationwide population-based study to analyze the relationship between these risk factor sand ischemic stroke and ICH. From January 2003 to December 2013, a total of 37,561 patients with newly diagnosed ischemic stroke or ICH were identified using the National Health Insurance Service data base as the study population. Multivariable logistic regression analysis was used to determine the association between baseline risk factors and presentation with ICH versus ischemic stroke. The incidence of ischemic stroke showed an increasing rend every year, while there was no significant change in the incidence of ICH. Of the several risk factors associated with stroke, old age (OR 2.35, 95% CI 2.12~2.49, P < 0.001) was more closely associated with ischemic stroke than ICH, whereas renal disease (OR 0.74, 95% CI 0.55~0.99, P = 0.04) and carotid disease (OR 0.25, 95% CI 0.17~0.35, P < 0.001) were more strongly associated with ICH. In addition, diabetes mellitus, dyslipidemia, hypertension, ischemic heart disease and male sex was associated with an increased risk of ischemic stroke. Old age was more strongly associated with ischemic stroke than ICH, while carotid stenosis and renal impairment were more closely associated with ICH risk. Classic risk factors for stroke have considerably different associations with the two main pathologic types of stroke.

Effect of Low-fat Diet on Breast Cancer Survival: a Meta-analysis

  • Xing, Mei-Yuan;Xu, Su-Zhen;Shen, Peng
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1141-1144
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    • 2014
  • Background: Even though many studies have examined the possible effect of low-fat diet on breast cancer survival, the relationship remains unclear. Objectives: To summarize the current evidence about the effect of post-diagnostic low-fat diet on recurrence and all-cause mortality of breast cancer. Methods: We conducted a search of Pubmed, Embase, Web of Science, and Cochrane Library and as a result two randomized controlled trials (RCT) and one large multi-center prospective cohort study with 9,966 breast cancer patients were included in this report. Results: Post-diagnostic low-fat diet reduced risk of recurrence of breast cancer by 23% (HR=0.77, 95%CI 0.63 to 0.94, P=0.009) and all cause mortality of breast cancer by 17% (HR=0.83, 95%CI 0.69 to 1.00, P=0.05). Conclusions: This meta-analysis suggested the post-diagnostic low-fat diet can improve breast cancer survival by reducing risk of recurrence. However, more trials of the relationship between low-fat diet and allcause mortality of breast cancer are still needed.

Root cause analys is and improving strategy of suicidal sentinel events (의료기관 내 자살사건의 근본원인분석과 개선전략)

  • Lim, Hun-Sun;Kim, Hong-Soon;Yum, Ho-Kee
    • Quality Improvement in Health Care
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    • v.19 no.2
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    • pp.50-64
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    • 2013
  • Objectives : Suicide is a serious sentinel event in healthcare organization. Suicide and suicidal attempt are fatal and long lasting mental and physical damage to themselves, family, and medical staffs. To develope the system to prevent suicidal accident in hospital, we reviewed and analysed one case of suicidal sentinel event. Methods: The risks of suicidal sentinel event were evaluated and analysed through the root cause analysis and failure mode effects analysis. Result: We found several root causes such as initial assessment of oldest patient and security issues. Couple of action plans to fix the problems were done immediately. According to failure mode, we evaluate the risk priority number to modify the action plans. Conclusion: To reduce the risk of sentinel events, we reviewed the suicidal event and established the new system and action plan to prevent sentinel events.

Analysis of Thermal Characteristics for the Fire Risk Assessment According to Partial Disconnection on the VCTF and IV Electric Wire (VCTF와 IV전선의 반단선에 의한 화재위험성 평가를 위한 열적특성 해석)

  • Kim, Doo-Hyun;Kim, Sung-Chul;Lee, Jong-Ho;Park, Jong-Young;Park, Young-Ho;Lee, Hyung-Jun
    • Journal of the Korean Society of Safety
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    • v.23 no.4
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    • pp.47-52
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    • 2008
  • Many researches on fire risk for normal electric wiring have been pursued in advanced countries such as the USA and Japan, but comparative studies of the partial disconnection and normal state of electric wires have not been conducted. Detection system for the cause of partial disconnection is not developed and prevention countermeasure for electrical fire by the cause is not effective. Therefore, in this paper, partial disconnection characteristics on electric wires were derived and analyzed by experiment and electrical-thermal finite element method(Flux 3D) on the model wires which consist of VCTF(PVC insulated PVC sheathed Cap Tyre Flexible Cord, KS C 3304) and IV(lndoorwire PVC, KS C 3302). VCTF is used in wiring portable electric appliances and the IV is used indoors. Interrelationships between partial disconnection premonitory symptom and current were derived and analyzed by the characteristics based on experiments and thermal analysis for electric wire according to current under normal state and 200% overload state of rated current.

Statistical Approach to Discovery of Factors Impacting on Emergence of Blood Cancers in Iran

  • Zand, Ali Mohammad;Imani, Saber;Saadati, Mojtaba;Ziaei, Robabeh;Borna, Hojat;Zaefizadeh, Mohammad;Shazad, Babak
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.5965-5967
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    • 2012
  • Cancer is now the main cause of increasing mortality throughout the world. Minor alterations in the cell cycle which are inherited and not removed by apoptosis are important rsik factors. Blood cancers are asmong the types which most readily cause death. Here in this study, usual but important factors such as age, gender, Rh and ABO blood typing, weight, and platelet counts are analyzed for impact on blood cancers. Frequencies and distributions, correlations and chi-square test were utilized in order to clarify the perspective of important factors. Our statistical results show males and females to have same risk in blood cancer but A blood type (40%) along with positive Rh (73%) had the highest risk. Low platelet counts are related to more than 80% of cases. Obesity has a statistically ignorable role in blood cancer prevalence. The fact that blood cancer cases increase during the second decade of life (45.7%) which might be because of involvement of maturation processes.

The Health Effects of Whole Body Vibration

  • Lee, Soo-Jin;Roh, Soo-Yong
    • Journal of the Ergonomics Society of Korea
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    • v.32 no.4
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    • pp.297-301
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    • 2013
  • Objective: The purpose of this study is to review the hazards of whole body vibration(WBV) and prevent human injuries due to WBV. Background: Vibrations that shake the whole body in vehicles and vessels is WBV. Vibration at a specific frequency, and intensity in the human body can act as a hazard. But, it has not yet done enough research about effects of WBV. Method: We analyzed and reviewed occupational or ergonomic papers published past 30 years. Results: Exposure to whole body vibration can cause permanent physical injury or damage of the nervous system. In addition, it may cause problem in the cardiovascular system, digestive system, musculoskeletal system, endocrine system, reproductive system, and psychological system. The effect of vibration depends on its acceleration, duration, frequency, and direction. Conclusion: WBV-exposed human body experience a high risk of some illnesses such as lumbar spinal disorders. Some workers(bus drivers, truck drivers and heavy equipment operators) are the high risk population exposed to WBV. Application: The results of this study might help to judge and prevent occupational disease caused by WBV.

Open Heart Surgery in Patients with Chronic Renal Failure (만성 신부전 환자의 심장수술 - 개심술 4례 보고 -)

  • 김정택
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.482-487
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    • 1990
  • The leading cause of death in patients with chronic renal failure is cardiovascular diseases. The problems relevant to cardiac surgery in these patients are occurring more frequently with a growing number of patients at risk. Among these, important risk factors related to uremic patients undergone open heart surgery are fluid and electrolytes imbalance, coagulopathy, increased susceptibility to infection. Since 1968 when Lansing and colleagues reported the first successful aortic valve replacement in patients with chronic renal failure and infective endocarditis, there have been increasing reports of the cardiopulmonary bypass surgery in chronic renal failure patients with acceptable perioperative morbidity and mortality From Jan. 1988 to Nov. 1989 we have experienced four uremic patients necessitating open heart surgery ; one needing a coronary artery bypass graft and the other 3 needed cardiac valve replacement. Based on our observations we would like to suggest followings 1]Intraoperative ultrahemofiltration during C-P bypass thought to be an excellent means for the control of hyperkalemia and fluid balance. 2] The immediate postoperative application of peritoneal dialysis instead of hemodialysis is beneficial in controlling fluid and electrolyte imbalance. 3]The cause of one early postoperative death was not associated to renal failure, rather it was the result of an accidental rupture in the right ventricular wall.

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An Overview about Treatment of Gestational Diabetes Mellitus: A Short Communication

  • Maqbool, Mudasir;Zehravi, Mehrukh;Maqbool, Rubeena;Ara, Irfat
    • CELLMED
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    • v.11 no.3
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    • pp.12.1-12.5
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    • 2021
  • Gestational diabetes mellitus (GDM) has become one of the major public health problems for both mothers and children globally. Internationally, the frequency of excess weight and obesity has risen dramatically in women of childbearing age. There seems to be a greater risk of having GDM in overweight or obese women, resulting in problems during pregnancy, birth and neonatal development. Hospital management is a problem for obese pregnant females with GDM and places extra burdens on the healthcare sector. GDM can result in possible risks to the wellbeing of the mother, fetus, and infant, as well as clinically significant negative effects on the mental health of the mother. For females and their developing babies, diabetes may cause problems during pregnancy. Unsatisfactory diabetes control enhances the risk of complications and other birth related issues during pregnancy. It may also cause a woman to suffer severe complications. Numerous maternal and fetal effects are associated with GDM and multiple detection and management methods are also pursued globally in order to reduce the burden of health. An overview of gestational diabetes treatment is given in this review.

Investigation on The Cause of Interception of Regulated Pest from Imported Glue-laminated Boards Through In-situ Inspection of Their Manufacturing Processes (생산공정 현장실사를 통한 수입 집성재로부터 규제해충 검출 원인 조사)

  • Kim, Min-Ji;Shin, Hyun-Kyeong;Choi, Yong-Seok;Salim, Sabiha;Kim, Gyu-Hyeok
    • Journal of the Korean Wood Science and Technology
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    • v.44 no.5
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    • pp.617-621
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    • 2016
  • On-site survey on glue-laminated board (GLB) manufacturers of Malaysia, Indonesia, and China was conducted to identify the cause of interception of regulated pest from imported GLBs from those countries, and to suggest optimal manufacturing processes of GLB for preventing quarantine risk associated with imported GLBs. The cause of pest interception was improper manufacturing processes, such as air drying or inadequate kiln drying of green laminae, improper storage of dried laminae before finger jointing and edge gluing, and/or incomplete packing of GLBs. In particular, Paulownia GLB manufacturing processes used in China, including air drying of laminae, were mostly poor in terms of preventing quarantine risk associated with imported GLBs. From now on, for preventing quarantine risk associated with imported GLBs, importers have to ask foreign manufacturers spontaneously to use proper manufacturing processes (adequate kiln drying of green laminae, proper storage of dried laminae, and complete packaging of final GLBs).

Application to the Stochastic Modelling of Risk Measurement in Bunker Price and Foreign Exchange Rate on the Maritime Industry (확률변동성 모형을 적용한 해운산업의 벙커가격과 환율 리스크 추정)

  • Kim, Hyunsok
    • Journal of Korea Port Economic Association
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    • v.34 no.1
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    • pp.99-110
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    • 2018
  • This study empirically examines simple methodology to quantify the risk resulted from the uncertainty of bunker price and foreign exchange rate, which cause main resources of the cost in shipping industry during the periods between $1^{st}$ of January 2010 and $31^{st}$ of January 2018. To shed light on the risk measurement in cash flows we tested GBM(Geometric Brownian Motion) frameworks such as the model with conditional heteroskedasticity and jump diffusion process. The main contribution based on empirical results are summarized as following three: first, the risk analysis, which is dependent on a single variable such as freight yield, is extended to analyze the effects of multiple factors such as bunker price and exchange rate return volatility. Second, at the individual firm level, the need for risk management in bunker price and exchange rate is presented as cash flow. Finally, based on the scale of the risk presented by the analysis results, the shipping companies are required that there is a need to consider what is appropriate as a means of risk management.