• Title/Summary/Keyword: Risk Rating

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Age and Gender Differences in the Relationship of Cognitive Impairment, Vascular Risk Factors, and Subclinical Carotid Atherosclerosis from Community-based Elderly (나이와 성별에 따른 지역사회 거주 노인에서 무증상 경동맥 죽상경화증에 대한 혈관위험인자 및 인지장애와의 관련성)

  • Kim, Ji-Hee;Park, Hyun-Young;Kim, Dae-Won;Byun, Seung-Jae;Moon, Hyo-Jeong;Lee, In;Yang, Chung-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.399-407
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    • 2012
  • To evaluate age and gender differences in the relation of cardiovascular risk factors, cognitive impairment, and subclinical carotid atherosclerosis from aged people using by a cross sectional method. Sixty-nine healthy elders living in the community who had not previously undergone carotid ultrasonography were included. We conducted life style surveys, and cognitive function tests including Korean-mini-mental state examination (K-MMSE) and clinical dementia rating-Korean. Various biomarkers from blood were assessed; fasting insulin-like growth factor-1, lipid-profile, high sensitivity C-reactive protein, total homocysteine, glucose, insulin, Homeostasis model assessment (HOMA) for insulin resistance index, vitamin B12, and folate level. Carotid intima-media thickness (C-IMT), and plaques were measured using carotid ultrasonography and aortic ultrasonography, a valid index of atherosclerosis. For the elderly subjects (aged 65-82 years), cognition impairment was more prevalent in females while subclinical atherosclerosis was more prevalentin males. Increased C-IMT has been kept in males, and C-IMT shows increasing trend and the peak at about 80 year-old in females with increasing age. The significant correlations between C-IMT and many vascular risk factors including age, triglyceride, abnormal homocysteinein male, and K-MMSE, insulin, HOMA index and abnormal aortic ultrasonography in female were different in each gender, with the exception of homocysteine (p<0.05). This data suggests that there were differences of age and gender characteristics in terms of subclinical atherosclerosis, cognitive impairment and vascular risk factors in community-living elders. Further larger and longitudinal studies across entire age are required to better understand the effects of risk factors on subclinical atherosclerosis.

Fire Risk Rating Evaluation of Organic Insulation Materials (유기 단열재의 화재위험성 등급 평가)

  • You, Ji Sun;Jeon, Nam;Chung, Yeong-jin
    • Applied Chemistry for Engineering
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    • v.32 no.4
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    • pp.417-422
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    • 2021
  • In this study, poly isocyanurate foam (PIR), poly urethane foam (PUR), and phenol foam (PF) of organic insulation materials were selected, and investigated using a cone calorimeter, as per ISO 5660-1. Standard materials (PMMA) were used to standardize the fire hazard assessment, and the fire risk was classified and evaluated by Chung's equations-III and IV. The fire performance index-II value of Chung's equations-II was the highest value with PF of 14.77 s2/kW. And the PUR was 0.08 s2/kW, the lowest value of fire performance index-II value. The fire growth index-II value was the lowest value with PF of 0.01 kW/s2. And the PUR was 1.14 kW/s2, the highest value of fire growth index-II value. The fire performance index-III (FPI-III) of Chung's equations-III had the lowest value for PUR (0.11) and the highest for PF (20.23). The PUR showed the highest value of the fire growth index-III (FGI-III) as 14.25, while the PF exhibited 0.13 regarded as the safest materials. The fire risk index-IV (FRI-IV) value of Chung's equation-IV was in the following order: PUR (130.03) >> PIR (19.13) > PMMA (1.00) > PF (0.01). Therefore, it was concluded that the fire risk associated with PF is the lowest, whereas that associated with PUR is the highest.

Workload Evaluation of Various Shoulder Posture by using Muscle Force, Fatigue and Psychophysical Workload

  • Park, Ji-Soo;Kim, Jung-Yong
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.2
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    • pp.281-289
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    • 2012
  • Objective: The purpose of this study is to evaluate the potential risk of shoulder muscle at particular working postures in sitting. Background: The cause of shoulder pain needs to be specifically studied in relation with particular shoulder postures to prevent shoulder MSDs in workplace. Method: In this study MVC, fatigue and subjective workload were investigated depending on the change of shoulder posture. An experiment was designed to evaluate the six shoulder muscles at nine shoulder postures including the combination of 30(adduction), 0, 30(abduction) degrees and 60, 90, and 120 degrees of shoulder flexion. Surface electrodes were attached to the middle trapezius, inferior middle trapezius, anterior deltoid, posterior deltoid, serratus anterior and teres major. Thirteen subjects participated in the experiment. Dependent variables were RPE (rating of perceived exertion), MVC(maximum voluntary contraction) and MPF(mean power frequency) shift by EMG (electromyography). Results: The middle trapezius and inferior middle trapezius were not significantly fatigued at all postures. The decline of MPF slope was less than 10% at all postures. The anterior deltoid was significantly fatigued all postures. The decline of MPF slope was more than 10% at all postures. The posterior deltoid was significantly fatigued 30 degrees of adduction and 90 degrees of flexion. And, neutral and 30 degrees of abduction postures were fatigued more than 90 degrees of flexion. The serratus anterior was significantly fatigued except for 30 degrees of adduction and 60 degrees of flexion posture. The teres major was significantly fatigued except for neutral and 60 degrees of flexion, 30 degrees of abduction and 60 degrees of flexion posture. Conclusion: It was found that a certain muscle was fatigued fast at particular posture compared to other muscles, which would mean that a certain shoulder muscle at particular posture could be easily exposed to the risk of musculoskeletal disorders than other muscles. Application: It is expected that the result can be applied to design workplace using shoulder muscles.

Analysis of forest fire danger rating on the forest characteristic of thinning area and non-thinning area (숲 가꾸기 실행 및 미실행지의 임분특성에 따른 산불위험도 분석)

  • Lee, Si-Young;Lee, Myung-Woog;Chae, Hee-Min;Won, Myoung-Soo;Yeom, Chan-Ho
    • 한국방재학회:학술대회논문집
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    • 2007.02a
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    • pp.217-222
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    • 2007
  • Since 1973, we attain a successful achievement of nation-wide afforestation such as a thick forest and heaped-up leaves. However, the higher of the formation density in forest, the more dangerous to be a large-scale forest fire whenever fire occurs. According to the type of forest in the country, 42% of the forest is occupied by conifer forest that are highly flammable, and the distribution of forest age is in a transition period from immature forest to mature one. And the structure is too weak to the forest fire for the occurrence and spread because there are too many scrub and shrub trees in the forest. As a matter of course, it is on the increase of the thinning-forest that can shift the forest structure from a weak on forest fire to a strong one nowaday. In other words, thinning-forest has primary purposes such as the promotion of producing forest trees, production of excellent timbers, and build-up of public forest area. Furthermore, in some reports, the reduction of ladder fuel by eliminating the vertical/horizontal fuel in a forest and ensuring spaces in the forest can decrease the occurrence of forest fire and the risk of spread of burning as by-effect. Therefore, this study is designed to clarify the relation with the risk of forest fire by an on-spat-investigation of the characteristics of forest composition on the thinning and the non-thinning area.

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Relationship between Internet Game Addiction and Psychiatric Symptoms in a Child and Adolescent Psychiatric Clinic (일 대학병원 소아청소년 정신건강클리닉에 내원한 청소년에서 인터넷게임중독과 정신과적 증상의 관계)

  • Oh, Eun-Jeong;Choi, Sam-Wook;Lee, Hae-Kook;Park, Jang-Ho;Ahn, Joon-Ho;Choi, Ji-Eun;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.3
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    • pp.136-141
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    • 2014
  • Objectives : The aim of this study was to examine the relationship between internet game addiction and psychiatric symptoms. Methods : A total of 447 adolescents who were recruited from a child and adolescent psychiatric clinic of university hospital completed a self-report questionnaire consisting of Korean Internet Addiction Self-scale (K-scale), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Korean-Attention-Deficit Hyperactivity Disorder Rating Scale (K-ARS), and Adolescent Happiness Index (AHI). They were classified into three internet user groups, non-addicted group (below or equal to 94), potential risk group (95 to 107) and high risk group (above or equal to 108) according to K-scale total score. Results : Significant mean differences in BDI, BAI, K-ARS, and AHI scores were observed among the three groups. The BDI, BAI and K-ARS scores showed positive correlation with K-score. The AHI score showed negative correlation with K-score. Conclusion : Findings of this study suggest that depression, anxiety, inattention, hyperactivity/impulsivity, and happiness are associated with internet game addiction.

Reliability and Validity of the Korean Translation of Quantitative Checklist for Autism in Toddlers: A Preliminary Study

  • Park, Subin;Won, Eun-Kyung;Lee, Ji Hyun;Yoon, Soyoung;Park, Eun Jin;Kim, Yeni
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.2
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    • pp.80-85
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    • 2018
  • Objectives: We aimed to assess the test-retest reliability, internal consistency, and validity of the Korean version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT). Methods: The Korean version of the Q-CHAT and the Korean version of the Child Behavior Checklist (CBCL) 1.5-5 were completed by parents of 24 toddlers and preschoolers with autism spectrum disorder (ASD) and 80 unselected toddlers and preschoolers. Parents of the ASD group also completed the Social Communication Questionnaire (SCQ), and Childhood Autism Rating Scale (CARS) scores were obtained from medical records. Results: The ASD group scored higher on the Q-CHAT than the unselected group. The Cronbach's alpha coefficient of the Q-CHAT was 0.658, and test-retest reliability was calculated to be 0.836. The estimated area under the curve was 0.793. The total scores of the Q-CHAT in the ASD group demonstrated significant positive correlations with findings regarding pervasive development problems in the CBCL, SCQ, and CARS. A total score of 33.5 may be a useful cutoff point to use when identifying toddlers at risk of ASD. Conclusion: The Korean version of the Q-CHAT has good reliability and validity and can be used as a screening tool in order to identify toddlers and preschool children at risk of ASD.

Association of Psychosocial Factors in Developing Childhood Depression and ADHD in a Community Low Income Family Children (지역 저소득층 아동의 우울증상과 주의력결핍-과잉행동증상에서 사회경제적 요소의 관련성)

  • Kim, Seol-Yeon;Ha, Jee-Hyun;Hwang, Won-Sook;Yu, Jae-Hak
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.20 no.2
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    • pp.76-81
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    • 2009
  • Ovjectives: As the attention devoted to children's mental health increases, medical costs and burdens mount as well. In the present study, we evaluated the association between socioeconomic status(SES) and major child psychiatric symptoms. Methods: The subjects of this study were children of recruited from a mental health screening program in the Seoul Sungbuk mental health center over the course of 3 months. To establish the SES of each child, we collected data about each child's medical insurance, years of parental education, household income, family structure and housing. 149 children & parents completed questionnaires including the Childhood Depression Inventory(CDI) and the Korean Attention Deficit Hyperactivity Disorder Rating Scale(K-ARS). Results: The mean K-ARS-P score was $12.1{\pm}11.1$ and the suspected prevalence of ADHD was 20.8%(n=31). The mean cm score was $12.9{\pm}7.9$, and the prevalence of suspected depression was 16.8%(25). Depressive symptoms and ADHD symptoms were both more severe than those observed in a previous epidemiologic study in Korea. Depressive symptoms were more closely associated with family SES status. Conclusion: SES status is one of the most important risk factors in the development of major child psychiatric symptoms. In our study we found that depressive symptoms in particular were most tightly associated with psychosocial factors. Evaluation of the risk factors, early screening and intervention for low SES children would be valuable mental health management tactics to implement in a community mental health system.

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Subsyndromal Depression (아증후군적 우울증)

  • Park, Joon-Hyuk;Kim, Ki-Woong
    • Korean Journal of Biological Psychiatry
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    • v.18 no.4
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    • pp.210-216
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    • 2011
  • Subsyndromal depression (SSD) is found to be more prevalent than major depressive disorder (MDD) and minor depressive disorder (MnDD). SSD is also associated with adverse clinical outcomes, increased risk of suicide, increased social dysfunction and disability, increased risk for future mood disorders, and increased uses of medical and mental health services. DSM-IV diagnostic criteria are not suitable for capturing SSD. Although there is no agreement on gold standard to define SSD so far, three definitions of SSD are available. First, SSD is defined as having two or more current depressive symptoms without core depressive symptoms (depressive mood or loss of interest) and with time threshold (most of the day and nearly every day over at least two weeks). Second, SSD is defined as having two or more current depressive symptoms with core depressive symptoms and without time threshold. Third, SSD is defined by using cutoff points of depression rating scales. SSD may represent a prodromal, residual, or interepisode symptomatic state in the course of MDD and MnDD. More than a half of SSD patients became any type of depressive disorders (SSD, MnDD and MDD) at 1 year. SSD may represent a discrete category of its own, without prior or consequent episodes of MDD. Considering clinical significance of SSD such as its high prevalence, significant psychosocial impairment and chronicity and serious outcomes, researchers and clinicians should be more vigilant in capturing and caring for patients with SSD.

Analysis of Priority Investments for Preventing Roadside Slope Failures (도로비탈면 투자우선순위 결정에 관한 연구)

  • Kim, Seung-Hyun;Kim, Hong-Gyun;Oak, Young-Suk;Lee, Jong-Hyun;Koo, Ho-Bon
    • The Journal of Engineering Geology
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    • v.23 no.3
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    • pp.257-269
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    • 2013
  • Prevention plans for landslide and slope disasters should be appropriate for a country's budget when considering a systematic investment plan. The systematic management of slopes adjacent to national highways should incorporate reasonable investment risk and the expected degree of damage should be calculated by considering the investment priorities. In terms of priority of investment, the major factors used to determine the degree of hazard are gradient, soil characteristics, RMR (Rock Mass Rating), stability interpretation, type of discontinuities, and history of collapse, among others. The likely consequences of slope failure can be determined by considering traffic volume, the number of lanes, and average vehicle risk. We performed such calculations regarding the priority of investment and performed a regression analysis for 392 slopes located in Yeongseo region, Gangwon province. The calculation results show that collapsed slopes have a higher priority for investment, as do slopes with a high proportion of dangerous sections and locations in valleys.

Factor Structure of a Korean-Language Version of the Patient Satisfaction with Procedural Aspects of Physical Therapy Instrument

  • Lee, Hae-Jung;Adams, Roger;Oh, Tae-Young
    • The Journal of Korean Physical Therapy
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    • v.25 no.3
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    • pp.160-166
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    • 2013
  • Purpose: The aim of the study was to survey satisfaction with physical therapy. Methods: After the physical therapy consultation, patients filled in a Korean-language version of the 20-tiem version of the MedRisk Instrument developed for measuring Patient Satisfaction with physical therapy. Items are scored on a five-point Likert scale ranging from strongly disagree to strongly agree. The last two items are general satisfaction and future return to the clinic. Age and gender information was also collected anonymously. Exploratory factor analysis based on principal components analysis with varimax rotation was performed on the first 18 items of the MedRisk Instrument using SPSS v.20. Results: Four factors emerged with eigenvalues greater than 1, and these cumulatively explained 55% of the total variance in item scores. The factors were labelled: Internal, External Positives, External Negatives, and Clinic Presentation. Correlations of the factor scores with the two global items ranged from 0.29 to 0.70 (both p<0.001). Gender differences were only found on the last factor, with male Korean patients rating Clinic Presentation significantly higher than females (p=0.001). Conclusion: Using factor analysis, the proposed factor structure was revealed using the positive and negative components of the external aspects of the physical therapy and by identifying a clinic presentation which contributes to patients' satisfaction. The largest proportion of the variance in Patient Satisfaction was related to clinicians' attention and behaviour. The results of the analysis provide guidelines as to the dimensions of professional physical therapy care and the implications for service delivery and patient experience.