• Title/Summary/Keyword: Risk Preference

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The Guideline for Colorectal Cancer Screening (대장암 선별검사 권고안)

  • Dong Il Park
    • Journal of Digestive Cancer Research
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    • v.4 no.1
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    • pp.17-20
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    • 2016
  • Colorectal cancer is the 2nd most common cancer in men, and the 3rd most common cancer in women in Korea. This incidence has been increasing steadily since the data analysis began in 1999. Guidelines from many countries including Korea recommend annual or biennial fecal occult blood test as a national colorectal cancer screening program, however, colonoscopy, stool DNA test, double contrast barium enema, and sigmoidoscopy are recommended in some countries. I will summarize the Korean National Screening Guideline for colorectal cancer revised by multi-society expert committee in Korea last year. They recommend annual or biennial fecal immunochemical test between 45 and 80 year-old asymptomatic average risk people. Selective use of colonoscopy is recommended, taking into consideration of individual preference and the risk of colorectal cancer. There is no evidence for the risks or benefits of double contrast barium enema or computed tomographic colonography for colorectal cancer screening.

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Reproductive Factor and Food Intake Pattern Influencing on the Breast Cancer Risk in Daegu${\cdot}$Gyungbuk Area, Korea (대구${\cdot}$경북지역 유방암 위험에 영향 미치는 생식적 요인 및 식품섭취 패턴)

  • Lee, Eun-Ju;Suh, Su-Won;Lee, Won-Kee;Lee, Hye-Sung
    • Journal of Nutrition and Health
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    • v.40 no.4
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    • pp.334-346
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    • 2007
  • The present study examined the reproductive factors and food intake pattern which influence on the breast cancer risk in Daegu${\cdot}$Gyungbuk area. The case subjects were 103 patients newly diagnosed as breast cancer at Kyungpook National University Hospital. The control subjects were 159 healthy women selected by frequency matching of age and menopausal status in the same community. The survey was conducted by individual interviews using questionnaires which include general and reproductive characteristics, dietary habits, and food frequency. The odds ratios were calculated by using unconditional logistic regression after adjusting for confounding variables. The mean age of the subjects was 50 yrs, and mean body mass index was significantly high in the patient group than in the control. The patient group had a significantly higher familial history of breast cancer and a significantly shorter breast-feeding period compared to the control group. It has been found no significant relationship between extrinsic hormone use such as oral contraceptives or estrogen replacement therapy and breast cancer risk. In regard of food habits, a high preference for the cooking method of steaming rather than frying, panbroiling or roasting was significantly associated with lower relative risk of breast cancer. The higher intake frequencies of fruits for all subjects, and seaweeds only for postmenopausal subjects were related with a significantly lower relative risk of breast cancer. The results of the study suggest that the possible risk factors for the breast cancer occurrence include high BMI, family history, less breast feeding experience, preference for the cooking method of frying, and less consumption of fruits and seaweeds. This study provides an useful data for nutrition education to prevent breast cancer for the residents in Daegu${\cdot}$Gyungbuk area.

A Study on Categorizing Ecosystem Groups for Climate Change Risk Assessment - Focused on Applicability of Land Cover Classification - (기후변화 리스크 평가를 위한 생태계 유형분류 방안 검토 - 국내 토지피복분류 적용성을 중심으로 -)

  • Yeo, Inae;Bae, Haejin;Hong, Seungbum
    • Journal of Environmental Impact Assessment
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    • v.26 no.6
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    • pp.385-403
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    • 2017
  • This study showed the national ecosystem classification for the spatial standards of ecosystems-based approaches to the risk assessments and adaptation plan. The characteristics of climate change risk assessment, implement national adaptation plans, and ecosystem/habitat classification status was evaluated. Focusing on the land cover classification widely utilized as spatial data for the assessments of biodiversity and ecosystem services in the UK and other countries in Europe, the applicability of the national land cover classification for climate change risk assessments was reviewed. Considering the ecosystem classification for climate change risk assessment and establishing adaptation measures, it is difficult to apply rough classification method to the land cover system because of lack of information on habitat trend by categorization. The results indicated that forest ecosystems and agro-ecosystem occupied 62.3% and 25.0% of land cover, respectively, of the entire country. Although the area is small compared with the land area, wetland ecosystem (2.9%), marine ecosystem (0.4%), coastal ecosystem (0.6%), and urban ecosystem (6.1%) can be included in the risk assessments. Therefore, it is necessary to subdivide below the medium classification for the forest and agricultural land, as well as Inland wetland, which has a higher proportion of habitat preference of taxa than land area, marine/coastal habitat, and transition areas such as urban and natural ecosystem.

Diabetes Risk Analysis Model with Personalized Food Intake Preference (개인 식품섭취 선호도에 따른 당뇨병 발생 위험도 분석 모델)

  • Jeon, So-Hye;Kim, Nam-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5771-5777
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    • 2013
  • The need of continuous management for diseases came to the fore as a chronic disease has increased, however, research related to personalized food intake analysis are insufficient. In diabetes risk analysis model of this study, food preferences are calculated by Pearson correlation coefficient that is proven method to assess the similarity, and diabetes risk is computed as a Logistic regression that was used in prevalence studies. For the Significance evaluation of this model, it was verified through t-test at 0.05 level of 52 comparison subjects and 52 control subjects. Both groups were significantly independent (p=0.046 <0.05). This model is a new way to personalized health management, through the application to healthcare system based on web and mobile.

Perception Survey of Nuclear Power after the Nuclear Plant and Thyroid Cancer Controversy (원자력발전소와 갑상선암 논란 이후 원자력에 대한 인식 조사)

  • Lee, Jae-Heon;Park, Eun-tae
    • Journal of the Korean Society of Radiology
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    • v.11 no.1
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    • pp.19-25
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    • 2017
  • In this study, in order to analyze the general awareness of the nuclear power according to the controversy of thyroid cancer around nuclear plant, we investigated risks, preference and economics regarding type of power, and awareness of pre-post nucl ear power targeting the Busan Metropolitan residents. As a result, there has been a change in people's awareness of nuclear power as a result of the controversy thyroid cancer around nuclear plant. Especially, there was the greatest increase in the risk factors compared to before the event(p<0.05). Negative awareness of nuclear risk was shown to be expressed differently accor ding to the difference between groups. It is thought that this is due to the different prior experience of each individuals or obtained information through the interaction with others rather than on scientific and objective grounds. In order to establish a nuclear power policy considering the level of the people in the future, it seems that the efforts to understand the attitudes and opinions of people about nuclear power and above all, a scientific trust in nuclear power should be guaranteed.

National-Wide Survey on Endotracheal Suctioning in High-Risk Infants (고위험신생아를 위한 기관지흡인에 대한 실태조사)

  • Ahn Youngmee
    • Child Health Nursing Research
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    • v.5 no.2
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    • pp.198-210
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    • 1999
  • The goal of respiratory management in high risk infants is to maintain proper oxygenation by supporting respiration, therefore to minimize the secondary complications and to promote the maximum growth and development. While on artificial ventilator to achieve this goal, the infants require endotracheal suctioning(ETS) to remove lung secretions. However, the negative effects of ETS in neoates have been documented and include hypoxia, bradycardia, mucosal damage, increased intracranial pressure, and death result. The purpose of the study was to investigate how ETS is currently performed in NICU, which would be beneficial to develop the standardized ETS protocol and to apply it to these population. A national-wide survey on clinical protocol of ETS was performed to 149 neonatal nurses with the average of 3 years and 6 months experience in neonatal nursing, 34.2% of whom was bachelor in nursing. The results showed that about 89% of the nurses initiate En primarily based on the need of the subjects. The aseptic regulation on ETS was used in 83.9% of the subjects. There was no regulation on the length of catheter in 32.9% and on ID/OD ratio in 17.4%. Many nurses administered hyperoygenation/hyperinflation/hyperventilation based on personal knowhow, rather than scientific rationals (77.2%, 40.9%, 75.2%, retrospectively). About 41% of the nurse regulate subjectively the suction power, while 73.8% of them rotate the sub ject's head during suctioning and the half of the nurses was favorable in adapting the closed-suctioning protocol. With the findings of the study, the current clinical application of E% in neonates appears to be based on adult care practices, or personal preference, rather than scientific validation of the safety and effectiveness of the procedure. This study support the needs for developing and applying the standardized ETS protocolin conjunction with the consideration given to the physiologic characteristics of the neonates in respiratory distress.

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Effects of a mobile healthcare service provided by public health centers on practicing of health behaviors and health risk factors

  • Kim, Tae-Yon;Lee, Yun-Su;Yu, Eun-Jung;Kim, Min-Su;Yang, Sun-Young;Hur, Yang-Im;Kang, Jae-Heon
    • Nutrition Research and Practice
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    • v.13 no.6
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    • pp.509-520
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    • 2019
  • BACKGROUND/OBJECTIVES: This study evaluated whether a mobile health (mHealth) application can instigate healthy behavioral changes and improvements in metabolic disorders in individuals with metabolic abnormalities. SUBJECTS/METHODS: Participants were divided into an mHealth intervention group (IG), which used a mobile app for 24 weeks, and a conventional IG. All mobile apps featured activity monitors, with blood pressure and glucose monitors, and body-composition measuring devices. The two groups were compared after 24 weeks in terms of health-behavior practice rate and changes in the proportion of people with health risks, and health behaviors performed by the IG that contributed to reductions in more than one health risk factor were analyzed using multiple logistic regression. RESULTS: Preference for low-sodium diet, reading nutritional facts, having breakfast, and performing moderate physical activity significantly increased in the mHealth IG. Furthermore, the mHealth IG showed a significant increase of eight items in the mini-dietary assessment; particularly, the items "I eat at least two types of vegetables of various colors at every meal" and "I consume dairies, such as milk, yogurt, and cheese, every day." The proportion of people with health risks, with the exception of fasting glucose, significantly decreased in the mHealth IG, while only the proportion of people with at-risk triglycerides and waist circumference of females significantly decreased in the control group. Finally, compared to those who did not show improvements of health risks, those who showed improvements of health risks in the mHealth IG had an odds ratio of 1.61 for moderate to vigorous physical activity, 1.65 for "I do not add more salt or soy sauce in my food," and 1.77 for "I remove fat in my meat before eating." CONCLUSIONS: The findings suggest that the additional use of a community-based mHealth service through a mobile application is effective for improving health behaviors and lowering metabolic risks in Koreans.

Perception of Food Safety and Risk of Foodborne Illness with Consumption of Meat and Processed Meat Products (식육 및 식육가공품 섭취에 따른 안전성 및 식중독 위험성 인식)

  • Choi, So Jeong;Park, Jin Hwa;Kim, Han Sol;Cho, Joon Il;Joo, In Sun;Kwak, Hyo Sun;Heo, Jin Jae;Yoon, Ki Sun
    • Korean journal of food and cookery science
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    • v.32 no.4
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    • pp.476-491
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    • 2016
  • Purpose: This study investigated consumers' perception of food safety and risk from foodborne illness and consumption pattern of meat and processed meat products in Korea. Methods: A quantitative survey was performed by trained interviewers, surveying 1,500 adults who were randomly selected from six major provinces in Korea. Results: Most of the respondents reported foodborne illness risk related to the consumption of raw meat but not related to heated meat and processed meat products. As respondents perceived the risk of food poisoning from raw meat, the purchase and intake decreased (p<0.001). Most of the respondents considered a low possibility of foodborne illness at home. Seventy-seven percent of the respondents thought that bacteria and virus are the main causes of foodborne illness. Improper storage practice (40.7%) and unsafe food material (29.3%) were the main risk factors contributing to foodborne illness. Perception and practice of food safety was significantly different by the residency area. The most preferred meat, processed meat, and processed ground meat products were pork (58%), ham (31.1%), and pork cutlet (40.4%), respectively. The most preferred cooking method was roasting, regardless of the type of meat, but the second preference for cooking method was significantly affected by the type of meat (p<0.001): stir-fried pork, beef with seasoning, fried-chicken and boiled duck. Frequency of eating out was 0.75/day on weekdays and 0.78/day on weekends at the mainly Korean BBQ restaurant. Conclusion: The results of this study could be used to develop science-based education materials for consumer and the specific guideline of risk management of meat and processed meat products.

Acculturation, Cultural Orientation, and Clothing Involvement of International Students in Korea

  • Youn, Song-Yi;Lee, Kyu-Hye
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.6
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    • pp.641-652
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    • 2012
  • This study took the conceptual framework of acculturation styles into the empirical investigation of international students in Korea. This research identifies the differences in acculturation styles, the characteristics of each segment, the effect of acculturation styles on clothing involvement (clothing involvement and risk probability), and the effect of cultural orientation values (individualism and collectivism) as covariates. The participants were international students attending a university located in Seoul. Data from 153 international students were used for statistical analysis. Respondents were grouped into four acculturation styles (integration, assimilation, separation, and marginalization). The assimilation group had the highest mean score of clothing interest. Cultural orientation values showed a significant covariate effect. With individualism as covariates, the main effect of acculturation styles on clothing interest was significant. In clothing product evaluation criteria, the integration group regarded design, fit and trend as most important. The marginalization group showed a mean score that was significantly lower in brand preference and satisfaction; however, the assimilation group had a mean score that was significantly higher.

Hierarchical and Empirical Bayes Estimators of Gamma Parameter under Entropy Loss

  • Chung, Youn-Shik
    • Communications for Statistical Applications and Methods
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    • v.6 no.1
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    • pp.221-235
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    • 1999
  • Let be $X_1$,...,$X_p$, $p\geq2$ independent random variables where each $X_i$ has a gamma distribution with $\textit{k}_i$ and $\theta_i$ The problem is to simultaneously estimate $\textit{p}$ gamma parameters $\theta_i$ and $\theta_i{^-1}$ under entropy loss where the parameters are believed priori. Hierarch ical Bayes(HB) and empirical Bayes(EB) estimators are investigated. And a preference of HB estimator over EB estimator is shown using Gibbs sampler(Gelfand and Smith 1990). Finally computer simulation is studied to compute the risk percentage improvements of the HB estimator and the estimator of Dey Ghosh and Srinivasan(1987) compared to UMVUE estimator of $\theta^{-1}$.

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