• Title/Summary/Keyword: Risk Severity

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Effect of Non-Alcoholic Fatty Liver Disease on Components of Metabolic Syndrome in Post-menopausal Women

  • Shim, Moon-Jung;Im, Jee-Aee
    • Biomedical Science Letters
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    • v.14 no.4
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    • pp.225-231
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    • 2008
  • Non-alcoholic fatty liver disease (NAFLD) is associated with various metabolic abnormalities, including central obesity, type 2 diabetes, dyslipidemia, and high blood pressure. This suggests that NAFLD may represent the hepatic manifestation of the metabolic syndrome. In this study, we investigated unfavorable effects NAFLD on components of metabolic syndrome in post-menopause women. Eight hundred sixty-nine postmenopausal women were recruited for this study. The diagnosis of fatty liver was based on the results of abdominal ultrasonography. Serum levels of fasting glucose, total cholesterol, triglyceride, and HDL-cholesterol were measured. The prevalence of component of metabolic syndrome such as hypertension, hyperglycemia, hypertriglyceridemia, and low-HDL-cholesterol was significantly higher in subjects with NAFLD as compared with those without NAFLD. The moderate to severe grade of NAFLD presented higher levels of serum fasting glucose, fasting insulin, HOMA-IR, total cholesterol, and triglycerides than the mild NAFLD and the normal group. In conclusion, metabolic syndrome risk was increased in post-menopause women with NAFLD as compared with those without NAFLD. The severity of NAFLD affected metabolic syndrome risk factors. The optimal strategy for the treatment of NAFLD is likely to include lifestyle modifications and therapy to improve insulin resistance.

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Qualitative Assessment for Hazard on the Electric Power Installations of a Construction Field using FMEA (FMEA를 이용한 건설현장 전력설비의 위험성에 대한 정성적 평가)

  • Kim Doo-hyun;Lee Jong-ho
    • Journal of the Korean Society of Safety
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    • v.19 no.4 s.68
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    • pp.36-41
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    • 2004
  • This paper presents an qualitative assessment for hazard on the electric power installations of a construction field using FMEL The power installations have the mission to maintain the highest level of service reliability on the works. The more capital the electric power invest the higher service reliability they plausibly will achieve. However, because of limited resources, how effectively budgets can be allocated to achieve service reliability as high as possible. The assessment typically generates recommendations for increasing component reliability, thus improving the power installation safety. The FMEA tabulates the failure modes of components and how their failure affects the power installations being considered. Tn order to estimate the risks of a failures, the FMEA presents criticality estimation or risk priority number using the severity, occurrence, and detectability. The results showed that the highest components of the risk priority number among components were condenser, transformer, MCCB and LA. And In case of the criticality estimation, the potential failure modes were abnormal temperature rise, insulation oil leakage, deterioration for the transformer, overcurrent for the MCCB and operation outage fir the LA.

Impacts of Asian Dust on Atmospheric Environment (황사의 대기환경영향)

  • Ghim, Young-Sung
    • Journal of Korean Society for Atmospheric Environment
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    • v.27 no.3
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    • pp.255-271
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    • 2011
  • ACE-Asia (Asian Pacific Regional Aerosol Characterization Experiment) in spring 2001 was a turning point to trigger international research interest on Asian dust (AD). This basically arose from the lack of research on AD, the important natural phenomenon to characterize the Northeast Asia. In contrast, health risk related to AD has been the primary concern in Korea. Although due in part to severe AD events of 2001~2002, research and mitigation measures on AD in Korea are typically based on the assumption that AD events are increasing in frequency and severity. However, contrary to the trend in Korea, the number of AD days and emission amounts of AD in China have decreased since 1980s. This paper reviews the impacts of AD on ambient air quality and variations in toxic substances during the AD event, reflecting the concern in Korea. While a great amount of dust particles flow into Korea during the AD event, a considerable amount of dust particles are locally generated as well. Since dust particles are mixed with toxic substances as they pass over polluted areas, the levels of toxic substances become lower in dust particles that do not pass over polluted areas. Broadening the research scope on AD is warranted to understand the AD as an important natural phenomenon, irrespective of its associated health risk.

Analysis of Service Factors in Relation to Disease and Treatment Stages of Cancer Patients (암환자의 질병단계와 진료단계의 상황변화에 따른 서비스요인에 관한 연구)

  • Youn, Inhee;Kim, Seungbaum
    • Korea Journal of Hospital Management
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    • v.17 no.4
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    • pp.133-166
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    • 2012
  • Hospitals tend to provide uniformed service to patients despite their various demands stemming from the severity of disease stages or the uncertainties in information of treatment stages. To identify service factors and provide effective contextually aware service models that patients demand depending on their evolving circumstances, the study conducted a survey on service quality based on importance and satisfaction of cancer patients. The study surveyed 286 patients and caregivers on importance and satisfaction through a questionnaire comprising of 17 questions at the outpatient clinic of cancer centers of university hospitals in 5 cities. Based on the risks of the disease and uncertainties in information of treatment stages, the cancer patients were grouped into diagnosis stage; low-risk treatment stage; high-risk treatment stage; stabilization stage. Depending on the patient's situation, the importance and satisfaction of service factors were ranked. These factors were categorized into 4 groups from a managerial perspective into 'keep it up area', 'focus here area', 'low priority area', 'overdone area'. This study provides an effective medical service model that can accommodate patients based on management areas of cancer patients.

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Therapeutic Assessment of Primaquine for Radical Cure of Plasmodium vivax Malaria at Primary and Tertiary Care Centres in Southwestern India

  • Kumar, Rishikesh;Guddattu, Vasudeva;Saravu, Kavitha
    • Parasites, Hosts and Diseases
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    • v.54 no.6
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    • pp.733-742
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    • 2016
  • Acquaintance is scanty on primaquine (PQ) efficacy and Plasmodium vivax recurrence in Udupi district, Karnataka, India. We assessed the efficacy of 14 days PQ regimen (0.25 mg/kg/day) to prevent P. vivax recurrence. Microscopically, aparasitemic adults (${\geq}18years$) after acute vivax malaria on day 28 were re-enrolled into 15 months' long follow-up study. A peripheral blood smear examination was performed with participants at every 1-2 month interval. A nested PCR test was performed to confirm the mono-infection with P. vivax. Of 114 participants, 28 (24.6%) recurred subsequently. The median (IQR) duration of the first recurrence was 3.1 (2.2-5.8) months which ranged from 1.2 to 15.1 months, including initial 28 days. Participants with history of vivax malaria had significantly higher risk of recurrence, with hazard ratio (HR) (95% CI) of 2.62 (1.24-5.54) (P=0.012). Severity of disease (11.4%, 13/114) was not associated (P=1.00) with recurrence. Of 28 recurrence cases, the nPCR proved that P. vivax mono-infection recurrence rate was at least 72.7% (16/22) at first recurrence. In Udupi district, PQ dose of 0.25 mg/kg/day over 14 days seems inadequate to prevent recurrence in substantial proportion of vivax malaria. Patients with a history of vivax malaria are at high risk of recurrences.

Factors of Video Display Terminal Syndrome in Elementary School Students Who Use Digital Textbooks (디지털교과서를 활용하는 초등학생의 VDT증후군 자각증상과 관련요인)

  • SeoMoon, Gyeong-Ae;Kim, Eun-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.1
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    • pp.141-148
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    • 2012
  • Purpose: The purpose of this study was to determine the factors associated with video display terminal (VDT) syndrome in students who use digital textbooks. Methods: A descriptive survey design was used, and 515 students were selected in 6 out of 20 designated as digital textbook research schools by the Ministry of Education, Science and Technology (MEST). Results: The subjective symptoms of VDT and their degree of severity in participants were similar to those in general students. Approximately 12.5% of the participants were classified as a potential risk group for VDT syndrome. In the potential risk group, the mean of the subjective symptoms of VDT was above normal ($2.53{\pm}0.52$). Related factors were identified using logistic regression analysis and included being female (odds ratio [OR]= 2.57, p=.002), communication time with family (<30 min) (OR=2.70, p=.006),moderate satisfaction with school life (OR=2.57, p=.003),and dissatisfaction with school life (OR=14.92, p<.001). Conclusion: In order to prevent the occurrence of VDT syndrome in students, it is necessary to urgently establish a preventative program and monitor the use of digital textbooks.

Evaluation of the Knowledge, Behavior and Health Beliefs of Individuals over 50 Regarding Colorectal Cancer Screening

  • Tastan, Sevinc;Andsoy, Isil Isik;Iyigun, Emine
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5157-5163
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    • 2013
  • The aim of the study was to evaluate of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening, with a descriptive and cross-sectional design at Karabuk Life and Health Center in Turkey. A total of 160 people meeting set criteria were included in the study. The questionnaire consisted of two parts. The first part was composed of questions on characteristics of participants and the second part of questions derived from the Champion's Health Belief Model Scale. Only 15.0% of participants (n=24) had undergone a fecal occult blood test (FOBT), 11.3% (n=18) had had colonoscopy and 4.4% (n=7) had had sigmoidoscopy. Some 90.6% of the participants had low levels of risk awareness about the colorectal cancer. It was found that the average point of severity subscale of participants over 65 is higher than that of participants under 65 (p<0.05). In conclusion, because of the many barriers and health beliefs for the colorectal cancer screening program, the rate of participation in screening programs is not sufficient. Healthcare providers have important responsibilities for increasing rate of attendance in colorectal cancer screening programs.

A Review of Conception and Developmental Process of Stretching in Sports Physical Therapy (스포츠 물리치료에서의 스트레칭의 개념 및 발달과정)

  • Chang Chung-Hoon;Jeong Dong Hyeog;Lee Rae Joon
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.423-440
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    • 2002
  • The purpose of this study is to investigate the conception and developmental process of stretching in sports physical therapy. This study is to find conception of stretching, feature and effect, principles and fundamental rule, consideration of enforcement and developmental process in order to use the basic material which is very helpful in the every field and the scene of sports needing stretching. Flexibility is the ability to move muscles and joints through their full ranges of motion. Flexibility is developed by stretching. About player who insufficiency of flexibility, patient and disabled person who restrict of range of motion, older adult who reduce of flexibility, promote of flexibility for upgrading stability and efficiency of body on the based of scientific principles is completed by stretching. The method of stretching has been developed with passive stretching, CR, PNF stretching, PIC stretching, MET stretching in the order. The effects that we can get through stretching are as follows : 1. Enhance physical fitness. 2. Optimize learning, practice and performance of many types of skilled movement. 3. Increase mental and physical relaxation. 4. Promote development of body awareness. 5. Reduce risk of joint sprain or muscle strain. 6. Reduce risk of back problem. 7 Reduce muscular soreness. 8. Reduce the severity of painful menstruation for female athletes. 9. Reduce muscular tension. 10. Advance recognition of body.

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Development of sewer condition assessment and rehabilitation decision-making program(SCARD) (하수관거 평가 및 정비 우선순위 의사결정도구 개발)

  • Han, Sangjong;Hwang, Hwankook
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.1
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    • pp.123-131
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    • 2015
  • A CCTV inspection method has been widely used to assess sewer condition and performance, but Korea lacks a proper decision support system for prioritizing sewer repair and rehabilitation (R&R). The objective of this paper is to introduce the results that we have developed in the Sewer Condition Assessment and Rehabilitation Decision-making (SCARD) Program using MS-EXCEL. The SCARD-Program is based on a standardized defect score for sewer structural and hydraulic assessment. Priorities are ranked based on risk scores, which are calculated by multiplying the sewer severity scores by the environmental impacts. This program is composed of three parts, which are decision-making for sewer condition and performance assessment, decision-making for sewer R&R priority assessment, and decision-making for optimal budget allocation. The SCARD-Program is useful for decision-makers, as it enables them to assess the sewer condition and to prioritize sewer R&R within the limited annual budget. In the future, this program logic will applied to the GIS-based sewer asset management system in local governments.

Hydraulic analysis of design alternatives to improve an industrial water distribution system (공업용수 배수관망시스템을 개선하기 위한 설계 대안의 수리해석)

  • Lim, Seong-Rin
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.1
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    • pp.97-106
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    • 2015
  • A CCTV inspection method has been widely used to assess sewer condition and performance, but Korea lacks a proper decision support system for prioritizing sewer repair and rehabilitation (R&R). The objective of this paper is to introduce the results that we have developed in the Sewer Condition Assessment and Rehabilitation Decision-making (SCARD) Program using MS-EXCEL. The SCARD-Program is based on a standardized defect score for sewer structural and hydraulic assessment. Priorities are ranked based on risk scores, which are calculated by multiplying the sewer severity scores by the environmental impacts. This program is composed of three parts, which are decision-making for sewer condition and performance assessment, decision-making for sewer R&R priority assessment, and decision-making for optimal budget allocation. The SCARD-Program is useful for decision-makers, as it enables them to assess the sewer condition and to prioritize sewer R&R within the limited annual budget. In the future, this program logic will applied to the GIS-based sewer asset management system in local governments.