• 지역사회간호학회지
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• 제33권2호
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• pp.259-268
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• 2022

Purpose: In Cambodia, noncommunicable diseases (NCDs) account for 64% of all deaths. A lack of risk perception of NCDs leads to poor measures of their prevention and management. This study aimed to investigate Cambodians' risk perceptions of NCDs based on the health belief model. Methods: A cross-sectional design was used, and using convenience sampling, participants included 200 Cambodians aged 40 years or older. A face-to-face administered structured questionnaire was used to assess demographic characteristics, health behaviors, and risk perceptions of NCDs. Results: Of the constructs of NCD risk perception, perceived severity (88.2%) and benefits (86.3%) were high, but relative to these, perceived cues to action (64.1%), barriers (63.5%), and self-efficacy (58.1%) were low. Conclusion: It is important to improve perceived self-efficacy in government health promotion, outreach, and improvement programs and to reduce perceived barriers through medical tests either by facility-based delivery or via outreach health services in Cambodia.

• 정보보호학회논문지
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• 제25권4호
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• pp.921-932
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• 2015

본 논문에서는 소프트웨어 보안취약점의 중요도를 정량적으로 산출할 수 있는 중요도 정량 평가 체계를 제안한다. 제안된 평가 체계는 국내 소프트웨어 이용 환경을 고려한 보안취약점의 파급도, 위험도, 소프트웨어 점유율, 시스템에서의 사용 정도 등을 복합적으로 반영하여 보안취약점에 대한 심각성을 적절히 평가할 수 있는 평가 척도와 이를 기반으로 한 중요도 계산식으로 구성된다. 논문에서는 제안된 소프트웨어 보안취약점 평가 체계를 국내의 보안취약점에 시범적으로 적용하고 그 효용성을 CVSS 및 CWSS 등과 비교, 분석하였으며, 제안된 평가 체계의 활용 방안을 제시하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권5호
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• pp.474-480
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• 2001

Purpose: The aim of this study was to evaluate the complications of open reduction and internal fixation of mandibular fracture with miniplates. Patients and Methods: A total of 134 patients who presented with 196 fractures were analyzed retrospectively. Complications were evaluated for factors such as age, the site of fracture, the severity of fracture, delayed operation, preoperative wound contamination, the site and disposition of teeth in the fracture line and midfacial fractures. Statistical analysis was used to compare complications to risk factors. Results: Of the 134 patients, 20 patients had some form of postoperative complications and complication rate was 14.9%. These complications included infection, plate fracture, malocclusion, wound dehiscence, nerve injury and nonunion. There was a significant correlation between complication rate and the severity of fracture, preoperative wound contamination and the site of the fracture and disposition of teeth(p<0.05). Conclusion: The occurrence of postoperative complications in the treatment of mandibular fractures was related to the severity of fracture, preoperative wound contamination and the site of the fracture and disposition of teeth.

• 산업경영시스템학회지
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• 제31권4호
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• pp.162-167
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• 2008

FMEA (failure mode and effect analysis)is a widely used technique to assess or to improve reliability of product not only at early stage of design and development, but at the process and service phase during the product life cycle. In designing a service system, this study proposes a fuzzy service FMEA with the service blueprints as a tool which describes customer actions, onstage contact employees actions, backstage contact employees actions, support processes, and physical evidences, in order to analyse and inform service delivery system design. We fuzzified only two risk factors, occurrence and severity, to more effectively assess the potential failure modes in service. Proposed fuzzy risk grades are applied to Gaussian membership function, defuzzified into Fuzzy Inference System, and eventually identified the ranks on the potential fail points.

• 한국식품위생안전성학회지
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• 제24권3호
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• pp.200-203
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• 2009

우리나라 식품공전상에 수록된 식품군 및 식품유형에 대한 위해순위(risk ranking) 결정은 식품안전관련 위생관리 우선순위 적용 등에 있어 중요한 수단으로 작용할 수 있다. 하지만 세계적인 관심의 증대에도 불구하고 아직까지 국내에서는 체계적으로 수행된 적이 없었다. 본 연구는 식품공전에 포함되어 있는 101개의 식품유형에 대하여 상대적인 위해 순위를 결정하였다. 상대위해도는 노출평가, 심각성평가 및 섭취량 추정부분으로 구성된 위해평가모델을 이용하였다. 추정결과, 즉석섭취식품(RTE)이 가장 높은 위해수준을 나타내었고, 다음이 어육가공품, 빵류 등의 순으로 나타났다. 이러한 식품공전상의 식품유형에 대한 과학적인 위해순위 결과는 식품안전에 있어 가장 많은 영향을 미치는 식품과 이들 식품에 대한 관리목표를 설정하는데 크게 활용될 수 있을 것이다.

• Journal of Preventive Medicine and Public Health
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• 제40권5호
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• pp.397-403
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• 2007

Objectives: The prevalence of metabolic syndrome has recently increased, Payments from the Korea Labor Welfare Corporation for compensation for mortality in workers caused by cardiovascular and cerebrovascular diseases have also increased in Korea in recent years. The association of metabolic syndrome and cardiocerebrovascular disease has been investigated by several researchers in recent studies, This study was conducted in an attempt to characterize the relationship between metabolic syndrome and Korean cardiocerebrovascular disease risk assessment, and to provide basic data to group health practices for the prevention of cardiocerebrovascular disease. Methods: Health examinations were previously conducted for 1526 male researchers at a private laboratory. The prevalence by age and the odds ratio of metabolic syndrome scores into the "cardiocerebrovascular risk group" (sum of low, intermediate, and high risk groups) of the Korean cardiocerebrovascular disease risk assessment were assessed, in an effort to elucidate the associations between metabolic syndrome and cardiocere brovascular disease risk assessment. Results: The prevalence of metabolic syndrome and inclusion in the cardiocerebrovascular risk group was 11,7% and 22.1% respectively. The severity of metabolic syndrome and cardiocerebrovascular risk assessment showed that individuals in their 40's and 50's were at higher risk than those in their 30's (p<0,001). The age-adjusted odds ratio of metabolic syndrome to cardiocere brovascular risk group inclusion was 5.6. Conclusions: An active prevention program for cardiocerebrovascular disease needs to begin in the 40's, as the prevalence of metabolic syndrome and the risk group of cardiocerebrovascular risk assessment peak in the 40's age group. The odds ratio between metabolic syndrome and the cardiocerebrovascular risk group was high, which indicates that metabolic syndrome scores should be utilized as guidelines during the consultation and behavioral modification program for the workplace prevention of cardiocerebrovascular diseases in group health practices.

• 대한족부족관절학회지
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• 제15권4호
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• pp.232-239
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• 2011

Purpose: Diabetic foot ulcer is one of the most important diabetic complications because it increases the risk of amputations. Moreover, it lowers the quality of patients' life and increases the social medical expenses. Authors analyzed risk factors of intractable diabetic foot ulcer using retrospective study. Materials and Methods: From January 2007 to December 2010, 40 patients who could not achieve complete healing despite more than 12 weeks of proper management among who had been diagnosed and treated as diabetic foot ulcer at our hospital were included and evaluated retrospectively. We compared the risk factors between two groups who were finally treated by amputation and non-amputation. Results: The sample was composed of 31 male patients (77.5%) and 9 female patients (22.5%). Comorbidity including hypertension and hyperlipidemia were 77.5% and 80% each. By Wagner classification, 30 patients (80%) had ulcerative lesion over the grade 3. From bacteriology results, 29 patients (72.5%) had polybacteria infection. 35 patients (87.5%) had neuropathy and 26 patients (65%) had vascular stenosis at least one level. The mean initial ankle-brachial index and toe-brachial index were 0.982 and 0.439. In comparison between amputation group and non-amputation group, ulcer severity, number of stenotic vessel and initial ankle-brachial index/toe-brachial index had statistical significance. Conclusion: The most commonly risk factor of intractable diabetic foot ulcer was peripheral neuropathy reaching 87.5% of cases. In comparison with non-amputation group, ulcer severity according to Wagner classification, number of stenotic vessel and initial ankle-brachial index/toe-brachial index were demonstrated as a risk factor of amputation in intractable diabetic foot ulcer.

• 한국지능시스템학회논문지
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• 제25권2호
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• pp.174-179
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• 2015

동적 위치제어 시스템(Dynamic Positioning System)의 위험성과 신뢰성 평가에 FMEA(Failure Mode and Effect Analysis)를 적용하고 있으나, 해양 프로젝트가 가진 특징으로 인해 다음과 같은 한계를 가진다. 1) SCADA(Supervisory Control and Data Acquisition) 시스템을 통해 수집되는 고장 데이터의 일부는 환경의 영향으로 인한 오작동이나 단순한 센서고장으로 인해 생성되는 데이터를 포함하고 있으므로 불완전하고 신뢰할 수 없다. 따라서, FMEA의 세 가지 변수인 심각도(Severity), 발생빈도(Occurrence), 검출빈도(Detection)의 평가는 전문가 지식에 근거한다. 2) 전문가들의 주관적인 판단에 전적으로 의존할 경우 위험 요소들을 정밀하게 평가하기 어렵다. 3) 위험 요소들 사이의 상대적인 중요도는 고려되지 않아 위험우선순위가 명료하게 표현되지 않는다. 4) 서로 다른 고장모드에 대해 동일한 위험 우선순위 값을 가질 경우 상대적인 중요도를 판단하기 어렵다. 이러한 문제점을 극복하고 기존의 FMEA의 효과를 높이기 위해, Fuzzy-FMEA를 제안하고, 선박/해양 프로젝트의 동적 위치제어 시스템의 FMEA 문서에 적용하였다. 본 논문은 DP FMEA, DP FMEA 입증 시험서(DP FMEA Proving Trials)에 나타낸 전문가 지식을 퍼지 모델로 구현하여 FMEA 위험우선순위(RPN; Risk Priority Number)에 위험요소들의 상대적인 중요성을 포함시켰다. 제안한 방법은 해양 프로젝트의 동적 위치제어 시스템의 기계 및 전장 장비에 적용하여 기존의 FMEA와 비교하였다.

• Journal of Chest Surgery
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• 제46권2호
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• pp.130-134
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• 2013

Background: Rib fractures are the most common type of thoracic trauma and cause other complications. We explored the risk factors for pneumonia in patients with multiple rib fractures. Materials and Methods: Four hundred and eighteen patients who visited our hospital with multiple rib fractures between January 2002 and December 2008 were retrospectively reviewed. Chest X-rays and chest computed tomography were used to identify injury severity. Patients with only a single rib fracture or who were transferred to another hospital within 2 days were excluded. Results: There were 327 male patients (78%), and the median age was 53 years. The etiologies of the patients' trauma included traffic accidents in 164 cases (39%), falls in 78 cases (19%), slipping and falling in 90 (22%), pedestrian accidents in 30 (7%), industrial accidents in 41 (10%), and assault in 15 (4%). The median number of rib fractures was 4.8. Pulmonary complications including flail chest (2.3%), lung contusion (22%), hemothorax (62%), pneumothorax (31%), and hemopneumothorax (20%) occurred. Chest tubes were inserted into the thoracic cavity in 216 cases (52%), and the median duration of chest tube insertion was 10.26 days. The Injury Severity Score (ISS) and rib score had a median of 15.27 and 6.9, respectively. Pneumonia occurred in 18 cases (4.3%). Of the total cases, 33% of the cases were managed in the intensive care unit (ICU), and the median duration of stay in the ICU was 7.74 days. Antibiotics were administered in 399 patients (95%) for a median of 10.53 days. Antibiotics were used for more than 6 days in 284 patients (68%). The factors affecting pneumonia in patients with multiple rib fractures in multivariate analysis included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). The use of antibiotics was not associated with the occurrence of pneumonia (p=0.28). In-hospital mortality was 5.3% (n=22). Conclusion: The factors affecting risk of pneumonia in patients with multiple rib fractures included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). Elderly patients with multiple traumas have a high risk of pneumonia and should be treated accordingly.

• The Korean Journal of Pain
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• 제34권4호
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• pp.454-462
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• 2021

Background: This study was performed to reveal the relationships between the cross-sectional areas (CSAs) of the paraspinal muscles and the severity of low back pain (LBP), including the level of disability. Methods: This single-center cross-sectional study was conducted on 164 patients with chronic LBP. The effects of demographic characteristics, posture, level of physical activity, disc herniation type, and sarcopenia risk on the CSAs of paraspinal muscles were evaluated along with the relationship between the CSAs and severity of pain and disability in all patients. The CSAs of paraspinal muscles were evaluated using the software program Image J 1.53. Results: A negative significant correlation was found between age and the paraspinal muscle's CSA (P < 0.05), whereas a positive correlation was present between the level of physical activity and the CSA of the paraspinal muscle at the L2-3 and L3-4 levels. The CSAs of paraspinal muscles in patients with sarcopenia risk was significantly lower than those in patients without sarcopenia risk (P < 0.05). The CSAs of paraspinal muscles at the L2-3 and L3-4 levels in obese patients were significantly higher than those in overweight patients (P = 0.028, P = 0.026, respectively). There was no relationship between the CSAs of paraspinal muscles and pain intensity or disability. Conclusions: Although this study did not find a relationship between paraspinal CSAs and pain or disability, treatment regimens for preventing paraspinal muscles from atrophy may aid pain physicians in relieving pain, restoring function, and preventing recurrence in patients with chronic LBP.