• 제목/요약/키워드: Risk Severity

검색결과 778건 처리시간 0.232초

Comparison of Clinical Laboratory Data and Prevalence according to Arterial Stiffness in Stroke Patients

  • Jin, Bok Hee;Han, Min Ho
    • 대한임상검사과학회지
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    • 제46권4호
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    • pp.143-149
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    • 2014
  • Pulse wave velocity (PWV) is used to non-invasively estimate the severity of arteriosclerosis by measuring the patient's arterial stiffness comparing with each normal reference range according to their ages. Increased arterial stiffness is closely related to both atherosclerosis and arteriosclerosis, which have been known for causes of cardiovascular disease and stroke, also negatively affects the prognosis and the re-occurrence in patients with stroke. The study is focused on how brachial-ankle pulse wave velocity (baPWV) is related to cardiovascular disease risk factors in patients with acute stroke. There were 114 subjects, 69 males and 45 females, all in their 60's and had PWV test for acute stroke. The results are as follows: the group with increased arterial stiffness showed significant increase in HbAlc, total cholesterol, RSBP (resting systolic blood pressure), CSBP (central systolic blood pressure) and CDBP (central diastolic blood pressure). Cross tabulation test showed that there was a significant relationship only between the group with increased arterial stiffness and diabetes mellitus (DM). Therefore, it might be useful for preventing re-occurrence and making a favorable prognosis to promptly adjust DM and hypertension-related risk factors in patients with acute stroke.

관절염 노인의 연령별 우울정도와 위험요인 (Depressive Symptoms and Related Risk Factors in Old and Oldest-old Elderly People with Arthritis)

  • 안지연;탁영란
    • 대한간호학회지
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    • 제39권1호
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    • pp.72-83
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    • 2009
  • Purpose: This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis. Methods: The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above. Results: We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms. Conclusion: The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

제조업에서 발생하는 누적외상성질환 관련 문제점 분석 및 위험요인 점검표의 개발 (Analysis of the Problems related to the Cumulative Trauma Disorders at Manufacturing Workplace and Development of a Risk Factor Checklist)

  • 박희석;이윤근;임상혁
    • 대한산업공학회지
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    • 제24권4호
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    • pp.503-517
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    • 1998
  • Cumulative trauma disorders(CTDs) of the upper extremities among the workers at manufacturing workplace have become a serious problem in Korea. However, most of the studies on the CTDs carried out in this country have focused on the Video Display Terminal(VDT) operators. In fact, high rates of the CTDs have been reported for telecommunication employees, and the CTDs associated with VDT use in telecommunication industries pose great health and social problems in Korea today. On the other hand, there are few studies on the CTDs among the manufacturing workers, and the severity of the problem was much under-reported. This study reports and discusses the results of the literature review on the cross-sectional studies of the CTDs, along with the analysis of the problems associated with identification, medical examinations, and ergonomic evaluation of the disorders. Also a checklist was developed for the use of quick screening tool for risk factor analysis. Consistency of the checklist was validated with the field studies of several manufacturing workplace. Current issues and suggestions for future ergonomic studies are also addressed.

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A Study on FSA Application for Human Errors of Dynamic Positioning Vessels Incidents

  • Chae, Chong-Ju
    • 한국항해항만학회지
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    • 제41권5호
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    • pp.259-268
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    • 2017
  • Formal Safety Assessment (FSA) has been mostly implemented on the hardware aspects of vessels. Although there are guidelines regarding human error FSAs, there have not been many assessments in such areas. To this end, this study seeks to use precedent studies for the safe operation of DP vessels, conducting an FSA regarding human error of DP LOP (Loss of Position) incidents. For this, the study referred to precedent studies for the frequency of DP LOP incidents caused by human errors, adding the severity of LOP incidents, and then applying them to the Bayesian network. As a result, the study was able to confirm that among DP LOP incidents caused by human errors, the drive-off from skill-based errors was 74.3% and the drive-off from unsafe supervision was 50.5%. Based on such results, RCOs (Risk Control Options) were devised through a brainstorming session with experts coming up with proposals including providing mandatory DPO training, installing DP simulator on the vessels, drawing up measures to understanding the procedures for safe operation of DP vessels. Moreover, it was found that mandatory DPO training is reasonable in terms of cost benefits and that while installing a DP simulator is not suitable in terms of cost benefits, it can significantly reduce risks when operating DP vessels.

Risk Factors of Neuropathic Pain after Total Hip Arthroplasty

  • Maeda, Kazumasa;Sonohata, Motoki;Kitajima, Masaru;Kawano, Shunsuke;Mawatari, Masaaki
    • Hip & pelvis
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    • 제30권4호
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    • pp.226-232
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    • 2018
  • Purpose: Pain caused by osteoarthritis is primarily nociceptive pain; however, it is considered that a component of this pain is due to neuropathic pain (NP). We investigated the effects of total hip arthroplasty (THA) in patients with NP diagnosed by the PainDETECT questionnaire. Materials and Methods: One hundred sixty-three hips (161 patients) were evaluated. All patients were asked to complete the PainDETECT questionnaire based on their experience with NP, and clinical scores were evaluated using the Japanese Orthopaedic Association (JOA) Hip Score before and after THA. Results: The patients of 24.5% reported NP before THA; 5.5% reported NP 2 months after THA. Prior to THA, there was no significant correlation between the PainDETECT score and the radiographic severity; however, there was a significant correlation between the PainDETECT score and JOA score. NP at 2 months after THA was not significantly correlated with pain scores at 1 week after THA; however, a significant correlation was observed between the preoperative pain score and NP at 2 months after THA. Conclusion: THA was useful for relieving nociceptive pain and for relieving NP in patients with hip osteoarthritis. Preoperative pain was a risk factor for NP after THA. Controlling preoperative pain may be effective for reducing postoperative NP.

뇌성마비 아동의 엉덩관절에 관한 연구 (A Study for Hip Joint in Children with Cerebral Palsy)

  • 오태영
    • 신경치료
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    • 제22권3호
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    • pp.43-48
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    • 2018
  • Purpose The purpose of this study is to identify the prevalence, risk factors, characteristics, and interventions of hip joint problems in children with cerebral palsy, and to be able to serve as leverage for early detection, prevention, and function recovery. Method The electronic journal site was searched by the search terms "cerebral palsy", "hip joint", "hip joint dislocation", we analyzed and descript the cited articles from domestic and foreign papers in Pubmed 9, Science Direct 7, and K RISS analysis and analysis. Results Children with cerebral palsy showed the different prevalence according to their disability type, severity, and functional level, and we knew that abnormal neuromuscular control, stiffness, and biomechanical changes could be risk factors. Migration Index, Acetabolum Index, Neck shaft angle using by radiography and passive ROM test, special tests were available for the diagnosis and evaluation of the hip joint. Combination of physical therapy and orthopedic surgery was very important intervention, and complementary alternative therapy, orthosis, and postural assistant are effective. Conclusion We suggested that early detection and prevention is the most important periodic examination and that a multidisciplinary approach is a major factor in intervention.

Effect of Stress, Impulsivity, Peer Attachment and Social Interest on Gambling Behavior

  • JI, Jaehyun;KIM, Minchang;KO, Seokhyun;JUNG, Minhyuk;HAN, Jaepil;SEO, Bo-Kyung
    • 식품보건융합연구
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    • 제7권2호
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    • pp.11-24
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    • 2021
  • This study identified the severity of youth gambling behavior and analyzed the impact of stress, impulsivity, peer attachment and social interest on youth gambling behavior. Based on the results of the study, the government sought to help understand teenagers who are addicted to gambling and to help them maintain psychological and social stability and healthy living. A total of 237 high school students were surveyed. According to the analysis, the prevalence rate was found to be 3.4 percent of the problem gambling group and 9.3 percent of the medium-risk gambling group, and a total of 12.7 percent was addiction. Low-risk gambling groups accounted for 16.9 percent and non-problem gambling groups accounted for 70.5 percent. By gender, male students have more serious gambling problems than female students. As a result of dividing the group that experienced gambling more than once and the group that did not experience gambling into gambling group and non-gambling group, the two groups showed significant differences in impulsiveness, avoidant attachment, and interest in others. Furthermore, a correlation analysis was conducted to examine the relationship between these factors and the level of gambling behavior, showing that only impulsivity was significant.

SPI와 DRI를 활용한 의령군 지역의 가뭄 평가 (Drought Assessment with SPI and DRI in Uiryeong-Gun)

  • 곽제상;김광섭;정영훈;엄명진
    • 대한토목학회논문집
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    • 제42권4호
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    • pp.457-467
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    • 2022
  • 가뭄은 지역적 특성이 강하게 나타나므로 가뭄이 진행하는 상태나 심한 정도를 정의할 수 있는 객관적인 정의나 기준이 필요하다. 이를 위해 가뭄지수(drought index)란 개념은 증발산량을 정량적으로 제시하면서 시작되었으며, 현재까지 전 세계적으로 많은 가뭄 관련 연구가 수행되고 있다. 본 연구에서는 대표적인 기상학적 가뭄지수인 표준 강수 지수(SPI)를 산정하였고, 실질적인 가뭄을 고려할 수 있는 가뭄 위험 지수(DRI)를 가뭄 취약성 지수(DVI)와 가뭄 위험요소 지수(DHI)를 대상지역인 의령군에 적용하여 안정적인 용수공급 체계를 마련할 수 있는 실제적인 가뭄의 평가에 대한 방법을 제시하였다.

Fatigue and Associated Factors among Airline Pilots

  • Kim, Hye Jin;Choi, Yun Young
    • 항공우주의학회지
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    • 제31권2호
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    • pp.38-44
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    • 2021
  • Purpose: This study aimed to identify the prevalence of fatigue and its associated factors leading to the fatigue among Korean commercial airline pilots. Methods: An anonymous, web-based questionnaire collecting data on sleep related characteristics was completed by airline pilots. The final 1,029 samples of completed questionnaires were analyzed. The association of the risk factors with fatigue was determined using logistic regression analysis. Results: The prevalence of fatigue was 60% (Fatigue Severity Scale index≥3.2), disturbed sleep 28% (Pittsburgh Sleep Quality Index≥9), daytime sleepiness 17% (Epworth Sleepiness Scale≥10), and sleep apnea (Berlin Questionnaire≥2) 11%. The fully adjusted logistic regression showed that quality of life (odds ratio [OR]=0.16, confidence interval [CI]=0.11-0.24), daytime sleepiness (OR=1.26, CI=1.18-1.34), sleep quality (OR=1.44, CI=1.29-1.61), mental workload (OR=1.10, CI=1.05-1.14), vigorous physical activity (OR=0.82, CI=0.72-0.92), late starts (OR=1.25, CI=1.06-1.46) and average weekly flying hours (OR=1.02, CI=1.00-1.03) were associated with higher levels of fatigue. Conclusion: Lower quality of life, disturbed sleep, more subjective sleepiness, shorter sleep duration, higher mental workload, less vigorous physical activity, frequent late starts, and longer flying hour were shown to be risk factors for fatigue in airline pilots. These findings should be taken into account in the development of sleep and fatigue countermeasures for airline pilots.

An Etiology Report for Burns Caused by Korean Folk Remedies

  • Hong Sil Joo;Hyun Been Kim
    • Archives of Plastic Surgery
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    • 제50권3호
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    • pp.305-310
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    • 2023
  • Background In this modern era of science-based medicine, some people still accept folk remedies as an alternative form of medicine. However, misinformation and misuse of folk medicines can result in dangerous complications. Among the possible complications of folk remedy use, this study focused on the clinical characteristics of burns caused by folk remedies. Methods We retrospectively reviewed the clinical records of patients who had been treated for burns caused by folk remedies from May 2015 to April 2022. Data were collected on patients' age and gender, type of folk remedy, reason for using the folk remedy, the severity of the burn, the number of wounds, lesion type, and type of treatment. Results We found 59 patients with burns due to folk remedies. Most were female (76.3%) and ≥ 60 years old (72.9%). The most common type of folk remedy was moxibustion (74.6%), followed by the use of glacial acetic acid (20.3%). The reasons for using folk remedies were arthralgia relief (39%), health improvement (18.6%), and treatment of tinea pedis (11.9%). Most patients had multiple wound sites and had burns that were considered severe, requiring surgical treatment (72.9%). The majority of lesions were on the lower extremity, including the foot. Conclusion This study described the risk of burns caused by folk remedies and the clinical characteristics of the wounds. The results emphasize the need for greater public awareness of the risk of burn injuries when using folk remedies.