• Title/Summary/Keyword: Risk management factors

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Relationship of Colorectal Polyps and Fatty Liver Disease Diagnosed by Ultrasonography (초음파로 진단된 지방간 질환과 대장 용종과의 연관성)

  • Lee, Hye-Nam;Lim, Cheong-Hwan;Jung, Hong-Ryang
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.345-352
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    • 2014
  • This study proposes a more comprehensive approach for FLD by analyzing the relationship of colorectal polyps, which are precursors of colorectal cancer. In Chi-Square tests of FLD and colorectal polyps, the prevalence of colorectal polyps was significantly high in cases of FLD. The polyps and correlation of each factor showed a positive relationship with all factors, and the correlation coefficient with FLD was highest (r = 0.39, p <.001). In multiple regression analysis, FLD(OR 3.80 95% CI 1.93.-7.50), FBS (OR 2.51; 95% CI 1.12-5.62), and older age (OR 2.12; 95% CI 1.27-3.54) were independent risk factors for colorectal polyps. FLD was associated with the prevalence of colorectal polyps. These results show a meaningful influenceof FLD by ultrasonography in the occurrence of colorectal polyps, and that positive consideration of colonoscopy is needed for diagnosed FLD.

The Factor Affecting Alcohol Use Disorder in Korean women (한국 여성의 알코올사용장애 영향요인)

  • Kim, Ji-In
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.367-374
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    • 2019
  • The purpose of this study was identify the factor affecting alcohol use disorder in Korean women. This study used the data from the 6th Korea National Health and Nutrition Examinations Survey and analyzed the demographic characteristics, health related factors and alcohol use disorder. Data were analyzed using the IBM SPSS 25.0 program. As a result, the prevalence of alcohol use disorder in Korean women was 14.7%. There were significant differences depending on age, marital status, educations level, occupation, smoking, stress, melancholy. By logistic regression, the risk factors of alcohol use disorder were age, marital status, occupation, smoking, melancholy. According to the results of this study, further research on the alcohol use disorder of single-working women should be conducted in considering of various variable.

A Resilience-based Model for Performance Evaluation of Information Systems (복원탄력성기반 정보시스템 성과평가모델 연구)

  • Kim, Kyung-Ihl;Lee, Seong-Hyo
    • Journal of Convergence for Information Technology
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    • v.10 no.3
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    • pp.1-6
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    • 2020
  • Information System is influenced by the innovation of new IT. Therefore, IS should response to external environment's changes quickly. Particularly, resilience should be considered in barriers of IS. This study suggests a new information system evaluation model in which resilience is added to the existing factors of Delone and Mclean. Then the effect of resilience is evaluated through the DEA(Data Envelopment Analysis) based on a survey targeting 115 users of a mid-sized manufacturing company. The results show that the effect of resilience is stronger than any other factors in the previous researches. We, thus, suggest that the resilience should be included as an evaluation factor of the ISO27001 information security standard in order to enhance the absorptive capacity of the information system.

Metabolic Syndrome Status of Chinese Workers and Their Physical Profiles, Lifestyle Scores, and Nutrient Intakes (중국 직장인의 대사증후군 실태와 대사증후군 유무에 따른 신체적 특성, 생활습관 및 영양소 섭취량 비교)

  • Wang, Chao;Ryu, Hokyung
    • Korean Journal of Community Nutrition
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    • v.22 no.1
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    • pp.63-73
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    • 2017
  • Objectives: This study was conducted to survey the related factors of metabolic syndrome of Chinese workers aged 20 years and above. Methods: The study was conducted at three locations in Shandong, China, currently working and took the physical examination (PE) within one year in the area as target participants. Personal characteristics, physical and biochemical results based on the PE, lifestyle habits, and food intake of the participants were used to analyze the relationship with metabolic syndrome. Results: Results showed that overall, thirty-one subjects (22.5%) had metabolic syndrome, twenty males (32.7%) and eleven females (14.2%). Metabolic syndrome was related to age, gender, educational level and occupational type with more risk in male (P < 0.05), people of older age (P < 0.001), low educational level (P < 0.05) and non-office workers (P < 0.01). According to the life style scores, lifestyle evaluation showed specifically alcohol consumption and smoking (P < 0.001) and stress management (P < 0.05) as important factors that were associated with the metabolic syndrome. High calorie (P < 0.01) and carbohydrate (P < 0.01) intakes were observed on male participants with metabolic syndrome in comparison to the non-metabolic syndrome but no significant difference on female participants. Conclusions: This results of this study can be used as significant supporting data to prevent and control metabolic syndrome in Chinese workers.

The Safety Guidelines for use of Ma-huang in Obesity Treatment (비만처방에서의 안전한 마황사용 지침)

  • Song, Mi-Young;Kim, Ho-Jun;Lee, Myeong-Jong
    • Journal of Korean Medicine for Obesity Research
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    • v.6 no.2
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    • pp.17-27
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    • 2006
  • Objectives : Ma-huang (Ephedra sinica) is frequently prescribed for obesity management in oriental medicine. The main component is ephedrine alkaloids which can have serious adverse side effects such as heart attack, stroke, sudden death. There are no scientific guidelines for Ma-huang usage in the safe treatment of obesity in oriental medicine. We reviewed published studies on its safety to make evidence based guidelines. Methods : We searched electronic databases up to May 2006. We limited evidence to controlled trials for efficacy or safety, case reports for safety, and studies for Ma-huang contents analysis. Results and Conclusions : In clinical trials for weight loss, Ma-huang and ephedrine promote modest short-term weight loss but have no serious adverse effects, have only a few adverse effects associated with increased risk of psychiatric, autonomic, gastrointestinal symptoms and heart palpitations. In case reports, there have been serious adverse effects including stroke, heart attack, and death using typical doses of ephedrine or no associated illness. There are factors related to serious adverse effects, such as overuse, lack of standardization, individual sensitivity, and interactions with other drugs. Studies relating to these factors should be analyzed for safe use of Ma-huang and ephedrine. After analyzing related studies, we suggest guidelines for Ma-huang usage. We propose that the dosage should be within 4.5-7.5g per day for up to 6 months for generally healthy individual. It's use is contraindicated in individuals with heart disease, thyroid disease, diabetes mellitus, hypertension, psychiatric disorders, glaucoma, urination disorders, enlarged prostate, persons using MAOIs, methyldopa and sympathomimetic agents.

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Essential Factors in Predicting the Need for Angio-Embolization in the Acute Treatment of Pelvic Fracture with Hemorrhage

  • Yang, Seok-Won;Park, Hee-Gon;Kim, Sung-Hyun;Yoon, Sung-Hyun;Park, Seung-Gwan
    • Journal of Trauma and Injury
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    • v.32 no.2
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    • pp.101-106
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    • 2019
  • Purpose: The purpose of this study was to determine the essential factors for prompt arrangement of angio-embolization in patients with pelvic ring fractures. Methods: A total of 62 patients with pelvic ring fractures who underwent angio-embolization in Dankook University Hospital from March 2013 to June 2018 were retrospectively reviewed. There were 38 men and 24 women with a mean age of 59.8 years. The types of pelvic ring fractures were categorized according to the Tile classification. Patient variables included sex, initial hemoglobin concentration, initial systolic blood pressure, transfused packed red blood cells within 24 hours, Injury Severity Score (ISS), mortality rate, length of hospital stay, and time to angio-embolization. Results: The most common pelvic fracture pattern was Tile type B (n=34, 54.8%). The mean ISS was $27.3{\pm}10.9$ with 50% having an $ISS{\geq}25$. The mean time to angio-embolization from arrival was $173.6{\pm}89minutes$. Type B ($180.1{\pm}72.3minutes$) and type C fractures ($174.7{\pm}91.3minutes$) required more time to angio-embolization than type A fractures ($156.6{\pm}123minutes$). True arterial bleeding was identified in types A (35.7%), B (64.7%), and C (71.4%). Conclusions: It is important to save time to reach the angio-embolization room in treating patients with pelvic bone fractures. Trauma surgeons need to consider prompt arrangement of angio-embolization when encountering Tile type B or C pelvic fractures due to the high risk of true arterial bleeding.

A Improvement Plan for Fire Fighting Activity of Rack- Type Warehouse Based on Case Study and Field Interview (사례분석과 현장인터뷰를 통한 적층형 대형창고 소방활동 개선방안 연구)

  • Kim, Woon Hyung;Seo, Dong Hun;Ham, Eun Gu
    • Journal of the Society of Disaster Information
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    • v.15 no.1
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    • pp.67-75
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    • 2019
  • Purpose: The purpose of this study is to suggest a systematic improvement plan for strengthening fire fighting ability of domestic rack- type warehouse buildings. Method: A fire case of small warehouse with sandwich panel structure and four design review of large warehouse with fire endurance structure were analyzed. Also, interviewed a group of 11 fire fighters who had 20 years field experience. Results: A provision of mobile equipment for initial fire fighting, accessibility of more than three sides, installation of internal entrance windows, proper placement of outdoor fire fighting equipment, image processing of fire site informations, and provide more incentives on the field commander are main factors of improvement plan. Conclusion: Effective standard operation procedures (SOP) and safety standards should be established and applied for each stage of the dispatch and on-site response considering the fire characteristics and risk factors of each warehouse by scale.

Factors influencing dementia prevention behaviors in older Koreans enrolled in senior welfare centers (노인복지관 이용 노인의 치매예방행위에 미치는 영향요인)

  • Lim, Kyung-Choon;Kim, Myoungsuk;Ko, Hana
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.1
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    • pp.39-48
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    • 2021
  • Purpose: This study aimed to explore factors influencing on the preventive behaviors of dementia in older Koreans enrolled in senior welfare centers to provide basic information on dementia prevention. Methods: A total of 182 older Koreans participated in this study, which employed a cross-sectional design. Data were collected using questionnaires with items related to general characteristics, depression, self-esteem, knowledge and attitudes about dementia, preventive behaviors of dementia, dementia management self-efficacy, and anxiety about dementia. Using SPSS WIN 23.0, data were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression. Results: Living with a spouse (p=.013), a higher monthly income (p=.018), better nutrition (p=.010), not having a sleep disorder (p<.001), and higher number of participating programs (p=.001) were associated with better dementia prevention behaviors. Attitudes about dementia (��=.18, p=.006) and the number of programs older Koreans were participating in (��=.17, p=.006) influenced positively on the preventive behaviors of dementia, while depression (��=-.41, p<.001) and sleep disorders (��=-.17, p=.006) influenced negatively on dementia preventive behaviors. Overall, approximately 35% of the variability in dementia preventive behaviors was explained by these four variables in this study (F=24.97, p<.001). Conclusion: The findings of this study suggest that depression reduction, good attitudes about dementia, program participation, and good sleep should be encouraged to promote dementia prevention. In addition, effective and structured educational programs should be developed for older Koreans to encourage dementia preventive behaviors to reduce the risk of dementia.

Association between Sleep Quality, Physical Activity and Abdominal Obesity in the Community-Based Population: Based on Sasang Constitution Types (일반 인구집단의 사상체질에 따른 수면의 질 및 신체활동량과 복부비만과의 연관성)

  • Jeong, Kyoungsik;Lim, Sueun;Kim, Hoseok;Lee, Siwoo;Baek, Younghwa
    • Journal of Sasang Constitution and Immune Medicine
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    • v.34 no.3
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    • pp.41-49
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    • 2022
  • Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

A relationship of healthy eating status and body composition in Korean adults by their constitution type: A cross-sectional study (우리나라 성인의 사상체질에 따른 식생활 상태와 신체구성의 상관성에 관한 단면분석연구)

  • Kim, Jieun;Jeong, Kyoungsik;Baek, Younghwa;Lee, Siwoo
    • Journal of Sasang Constitution and Immune Medicine
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    • v.34 no.1
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    • pp.46-57
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    • 2022
  • Background Adherence to healthy diet acts as a key role to modify sedentary lifestyle in real life setting. Constitution type of traditional Korean medicine has been prediagnosed to risk factors of cardiometabolic diseases. This study aims to evaluate the associations between body composition and healthy eating status in Korean adults by their constitution type. Methods Of 4046 participants from Korean Medicine Daejeon Citizen Cohort study, Korean Medicine Daejeon Citizen Cohort (KDCC) study were included for analysis. Demographic, health-related behaviors and Korean Medicine (KM) type were surveyed based on a general health-related questionnaire. Anthropometric measurements and dietary factors by using Korean Healthy Eating Index (KHEI) were assessed only in the half of the original participants. Results 50.8% of Taeeum was observed from eligible 1967 participants (66.7%, women). The highest KHEI score was observed in soyang group (52.0±0.3, p=0.006) compared to other two groups. In taeeum group, lower appendicular skeletal muscle mass (ASM)(%)(Taeeum: 38.7±0.1 vs. Soeum/Soyang: 39.2±0.1, p < 0.05), and higher percent of body fat (PBF)(%) (Taeeum: 32.9±0.2 vs. Soeum/Soyang: 29.0±0.2, p < 0.05) by the lowest tertile (T1) of the KHEI score, respectively. When the KHEI score increased by 1 point in taeeum group, a positive relationship was observed, which increased by 0.015% of ASM, however, a negatively related to in which body fat mass (BFM) decreased by 0.022 kg and PBF decreased by 0.024%. Conclusion Customized nutritional management is required that could help maintaining physical health and diet by their constitution type.