• 임상간호연구
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• 제18권1호
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• pp.171-181
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• 2012

Purpose: This study was conducted to identify the clinical characteristics and risk factors on the occurrence of metabolic syndrome (MS), and to examine factors affecting the severity of coronary artery diseases in patients with acute myocardial infarction (AMI). Methods: A total of 894 patients who had admitted C national university hospital from 2008 to 2010 participated in this study. Collected data were lipid profiles, abdominal circumference, blood pressure, fasting blood sugar (FBS) level, participants' demographic data and other risk factors by interview, measurement, and review of participants' medical records. MS was defined according to modified National Cholesterol Education Program Adult Treatment Panel III and Asia-Pacific Criteria. Results: The participants' mean age was 64.7 (${\pm}11.0$) years and 65% was male patients. The participants' with MS was 37.6% in men and 71.4% in women. According to binary logistic regression analysis, high FBS (95% CI 1.7-2.0) and lower high-density lipoprotein (HDL) cholesterol (95% CI 1.1-1.9) were independent predictors of severe coronary artery disease. Conclusion: These risk factors of severe coronary artery disease will be utilized as an important basic data in part of management, education, and countermeasure of patients with both MS and AMI.

• Journal of Oral Medicine and Pain
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• 제44권3호
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• pp.92-102
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• 2019

Purpose: To investigate the masticatory function of patients with different temporomandibular disorders (TMD) phenotypes, and to explore the risk factors for the masticatory function of TMD patients among multiple biopsychosocial variables using patient-reported outcomes (PROs). Methods: Clinical features and TMD diagnoses of 250 cases were investigated by reviewing medical records. Psychosocial factors were evaluated using four questionnaires representing pain severity and pain interference (Brief Pain Inventory), pain catastrophizing (Pain Catastrophizing Scale, PCS), psychological distress (Symptom Check List-90-Revised, SCL-90R) and kinesiophobia (Tampa Scale for Kinesiophobia for Temporomandibular Disorders, TSK-TMD). Masticatory function, as a dependent variable, was determined using the Jaw Functional Limitation Scale (JFLS). Kruskal-Wallis test and Spearman's rank correlation were used for analyses. Results: A total of 145 cases were included and classified into four subgroups including group 1: TMD with internal derangement without pain (n=14), group 2: TMD with muscle pain (n=32), group 3: TMD with joint pain (n=60) and group 4: TMD with muscle-joint combined pain (n=39). Pain severity (p=0.001) and interference (p=0.022) were the highest in group 2, but the mean global score of JFLS was the highest in group 3, followed by group 4, group 2, and group 1 (p=0.013). Pain severity, pain interference, the mean global score of PCS and the mean global score of TSK-TMD showed significant and moderate correlation with the mean global score of JFLS. All subdimensions and the global severity index of SCL-90R had significant, but weak correlations with all scores of JFLS. Conclusions: The results suggest that masticatory functional limitation depends on the TMD phenotypes. Among the various PROs, pain perception, pain catastrophizing and kinesiophobia seem to be more influential risk factors on jaw function than psychological distress, such as depression and anxiety.

• 한국콘텐츠학회논문지
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• 제17권1호
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• pp.50-57
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• 2017

본 논문은 대전도시철도 개통 이후 내부자료 통계분석을 통해 열차지연 원인과 문제점을 살펴보고 고위험군의 위험도를 평가하여 위험도 지수 심각도와 위험도를 측정하였다. 측정방법으로는 위험도 관리방법인 risk matrix($5{\times}5$)를 적용하여 위험도 등급을 산정하였으며, 결과에 따른 안전수준과 허용수준 범위를 분석하였다. 그 결과 차량분야가 가장 위험도가 심각하고, 다음으로 기계설비분야가 위험도를 내재하고 있는 것으로 나타났다. 특히 차량의 출입문장치결함으로 인한 출입문고장과 열차신호 및 제어장치는 심각도도 높지만, 빈도수가 매우 잦아 추가적인 사고 잠재성을 보이고 있다. 기계설비 분야의 PSD결함도 PSD의 안전문 개폐불량이 가장 위험한 것으로 나타났으며, PSD의 오취급 및 PSD의 유리파손 등도 위험도를 내포하고 있는 것으로 나타났다. 본 연구는 이러한 위험도를 내재하고 있는 사고의 빈도수를 경감하고, 심각도를 낮춰서 위험도를 예방할 수 있는 방안을 예측하여 미리 선제적으로 대비할 수 있는 분석결과를 제시함으로써 안전한 도시철도운영으로 이용자의 교통편익에 기여할 것으로 기대된다.

• 한국항공운항학회지
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• 제30권4호
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• pp.145-158
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• 2022

To manage State Safety Program (SSP) in a more integrative and proactive manner, an aviation safety authority of the state shall detect and assess the risk of emerging or hidden safety hazards before they provoke accidents or incidents(ICAO, 2018). In case of South Korea, safety risk assessment is conducted by calculating the likelihood and severity of the hazard following ICAO's safety management manual. It is reasonable to extract the safety risk likelihood by calculating the number of occurrence caused by the hazard. However, it is ambiguous to assess the safety risk severity defined as the extent of harm that might be expected to occur as a consequence of the identified hazard. In this paper, a safety risk assessment method which quantitatively calculates the risk of hazard using aviation safety data(i.e. aviation safety mandatory report, etc.) is proposed. By utilizing the proposed method, the existing process that safety risk is being subjectively assessed by safety inspectors can be supplemented. So that essential aviation safety policy decision making can be accomplished by the accurate result of safety risk assessment.

• Journal of Trauma and Injury
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• 제35권1호
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• pp.25-33
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• 2022

Purpose: The scoring system for traumatic liver injury (SSTLI) was developed in 2015 to predict mortality in patients with polytraumatic liver injury. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury through a generalized estimating equation analysis. Methods: The medical records of 521 patients with traumatic liver injury from January 2015 to December 2019 were reviewed. The primary outcome variable was in-hospital mortality. All the risk factors were analyzed using multivariate logistic regression analysis. The SSTLI has five clinical measures (age, Injury Severity Score, serum total bilirubin level, prothrombin time, and creatinine level) chosen based on their predictive power. Each measure is scored as 0-1 (age and Injury Severity Score) or 0-3 (serum total bilirubin level, prothrombin time, and creatinine level). The SSTLI score corresponds to the total points for each item (0-11 points). Results: The areas under the curve of the SSTLI to predict mortality on post-traumatic days 0, 1, 3, and 5 were 0.736, 0.783, 0.830, and 0.824, respectively. A very good to excellent positive correlation was observed between the probability of mortality and the SSTLI score (γ=0.997, P<0.001). A value of 5 points was used as the threshold to distinguish low-risk (<5) from high-risk (≥5) patients. Multivariate analysis using the generalized estimating equation in the logistic regression model indicated that the SSTLI score was an independent predictor of mortality (odds ratio, 1.027; 95% confidence interval, 1.018-1.036; P<0.001). Conclusions: The SSTLI was verified to predict mortality in patients with polytrauma and liver injury. A score of ≥5 on the SSTLI indicated a high-risk of post-traumatic mortality.

• 한국수소및신에너지학회논문집
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• 제31권1호
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• pp.65-72
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• 2020

In this study, the purpose is to identify the risks of the facilities of packaged hydrogen stations. As a risk identification method, failure mode & effect analysis (FMEA), a qualitative risk assessment, was used to analyze failure mode and effects of component of each facility. The analysis criteria were used to derive the risk priority number (RPN) using the 5-point method according to severity, incidence, and detectability. The study analyzed a total of 141 components of 23 types that can be identified on the design of the packaged hydrogen filling station. As a result, 683 types of failures and their causes and effects were identified. and the RPN was number of a total of 1,485. Of these, 10 failure types with a RPN value of 40 or more were deemed necessary. In addition, a list of failure types with a severity score of 5 was identified and analyzed.

• 한국안전학회지
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• 제30권5호
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• pp.108-113
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• 2015

Plastic injection moulding machine is widely used for many industrial field. It is classified into mandatory safety certification machinery in Industrial Safety and Health Act because of its high hazard. In order to prevent industrial accidents by plastic injection moulding machine, it is necessary for designer to identify hazardous factors and assess the failure modes to mitigate them. This study tabulates the failure modes of main parts of plastic injection moulding machine and how their failure has affect on the machine being considered. Failure Mode & Effect Analysis(FMEA) method has been used to assess the hazard on plastic injection moulding machine. Risk and risk priority number(RPN) has been calculated in order to estimate the hazard of failures using severity, probability and detection. Accidents caused by plastic injection moulding machine is compared with the RPN which was estimated by main regions such as injection unit, clamping unit, hydraulic and system units to find out the most dangerous region. As the results, the order of RPN is injection unit, clamping unit, hydraulic unit and system units. Barrel is the most dangerous part in the plastic injection moulding machine.

• 산업경영시스템학회지
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• 제24권67호
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• pp.1-10
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• 2001

A series of studies with collaboration of university, research institute, and labor union were conducted to examine the situation and severity of work-related musculoskeletal disorders (MSDs) at an automobile company which is one of the three major car companies in Korea. As the first part of the study, a questionnaire survey was conducted on 4,000 employees at 2 different assembly sites and A/S centers over the country. The questionnaire was consisted of three parts; symptom survey, work environment information, and labor intensity survey. Among 4,000 questionnaires, 2,643 responses were considered for analysis. The result showed that 68.5% of the respondents complained pains on at least one part of the body and 48.8% on at least two parts of the body. After cross-sectional analysis of various information and risk factors such as severity of symptom, duration and frequency of pain, 31.5% of respondents were considered as at high risk of having MSDs. This high-risk rate showed similar result when compared with previous studies conducted at various manufacturing industries in Korea. Also the analysis of the work environment and job intensity survey supported the high-risk rate of MSDs.

• 응용통계연구
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• 제26권6호
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• pp.857-871
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• 2013

한국을 비롯한 많은 국가에서 수출보험은 수출증진을 위한 수단으로 이용되어 왔다. 무역자유화를 위한 세계무역기구의 출범 이후에도 수출보험은 여전히 수출증진을 위한 주요 수단으로 인식된다. 본 논문은 국내 기업의 해외법인이 체결한 단기수출보험의 자료를 이용하여 수출보험과 관련한 위험요소(수입자의 신용등급, 결제기간, 모기업의 크기)의 각 등급에 따른 보험가입금액 대비 보험금 지급비율을 산출한다. 이를 위해 일반화 선형모형을 활용, 모델 선택과정을 거쳐 사고빈도(frequency)와 사고심도(severity)를 각각 음이항분포와 로그노말분포로 적합한다. 그리고 일반화 선형모형의 분석결과를 바탕으로 사고빈도와 사고심도에 미치는 각 위험요소의 등급에 따른 계약건수 대비 평균 사고발생 비율과 보험가입금액 대비 평균 지급비율을 제시한다. 이후 이를 통합함으로써 각 위험요소의 등급별 지급비율의 기댓값을 추정한다. 그리고 이 결과를 이용하여 요율산정에 대한 시사점을 논의한다.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.263-269
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• 2021

Purpose: There have been increasing concerns about serious traffic accidents on highways. The purpose of this study was to analyze factors affecting traffic accidents on highways and the severity of the resulting injuries. Methods: This retrospective study was conducted at a regional trauma center. We reviewed 594 patients who had been in 114 traffic accidents on highways from January 2018 to June 2020. We collected demographic data, clinical data, accident-related factors, and meteorological data (weather and temperature). Results: Environmental risk factors were found to be significantly associated with the incidence of traffic accidents on highways. Injury severity and the death rate were higher in sedans than in any other type of vehicle. Tunnels were the most common location of accidents, accounting for 47 accidents (41.2%) and 269 injured patients (45.3%). The injury severity of individuals riding in the driver's seat (front seat) was high, regardless of vehicle type. Three meteorological risk factors were found to be significantly associated with traffic accidents: rainy roads (odds ratio [OR] 2.08; 95% confidence interval [CI] 1.84-3.29; p=0.01), icy or snowy roads (OR 5.12; 95% CI 2.88-7.33; p<0.01), and foggy conditions (OR 2.94; 95% CI 2.15-4.03; p<0.05). Conclusions: The injury severity of patients was affected by seat position and type of vehicle, and the frequency of accident was affected by the location. The incidence of traffic accidents was strongly influenced by meteorological conditions (rain, snow/ice, and fog).