• Title/Summary/Keyword: causes of risk

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Sex-specific Associations Between Serum Hemoglobin Levels and the Risk of Cause-specific Death in Korea Using the National Health Insurance Service-National Health Screening Cohort (NHIS-HEALS)

  • An, Yoonsuk;Jang, Jieun;Lee, Sangjun;Moon, Sungji;Park, Sue K.
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.6
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    • pp.393-404
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    • 2019
  • Objectives: The purpose of this study was to determine the associations between blood hemoglobin (Hgb) levels and the risk of death by specific causes. Methods: Using the National Health Insurance Services-National Health Screening Cohort (n=487 643), we classified serum Hgb levels into 6 sex-specific groups. Cox regression analysis was used to analyze the associations between Hgb levels and the risk of cause-specific death. Results: Hgb levels in male population showed a U-shaped, J-shaped, or inverse J-shaped association with the risk of death from ischemic heart disease, acute myocardial infarction, liver cancer, cirrhosis and chronic obstructive pulmonary disease (COPD) (all non-linear p<0.05; hazard ratio [HR]; 95% confidence interval [CI]) for the lowest and the highest Hgb levels for the risk of each cause of death in male population: HR, 1.14; 95% CI, 0.98 to 1.34; HR, 2.87; 95% CI, 1.48 to 5.57; HR, 1.16; 95% CI, 0.96 to 1.40; HR, 3.05; 95% CI, 1.44 to 6.48; HR, 1.36; 95% CI, 1.18 to 1.56; HR, 2.11; 95% CI, 1.05 to 4.26; HR, 3.64; 95% CI, 2.49 to 5.33; HR, 5.97; 95% CI, 1.44 to 24.82; HR, 1.62; 95% CI, 1.14 to 2.30; HR, 3.84; 95% CI, 1.22 to 12.13, respectively), while in female population, high Hgb levels were associated with a lower risk of death from hypertension and a higher risk of death from COPD (overall p<0.05; HR, 1.86; 95% CI, 1.29 to 2.67 for the lowest Hgb levels for hypertension; overall p<0.01, HR, 6.60; 95% CI, 2.37 to 18.14 for the highest Hgb levels for COPD). For the risk of lung cancer death by Hgb levels, a linear negative association was found in male population (overall p<0.01; the lowest Hgb levels, HR, 1.17; 95% CI, 1.05 to 1.33) but an inverse J-shaped association was found in female population (non-linear p=0.01; HR, 1.25; 95% CI, 0.96 to 1.63; HR, 2.58; 95% CI, 1.21 to 5.50). Conclusions: Both low and high Hgb levels were associated with an increased risk of death from various causes, and some diseases showed different patterns according to sex.

Non-Fatal Injuries among Preschool Children in Daegu and Kyungpook (대구, 경북지역 학령전기 아동의 사고 발생 현황)

  • Heo, Youn-Jeong;Lee, Sang-Won;Park, Jung-Han;Park, Soon-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.3
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    • pp.274-281
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    • 2004
  • Objectives : This study was performed to investigate the injury rates and risk factors for preschool children in Daegu city and Kyungpook province. Method : A questionnaire survey about medically attended injuries during the preschool period was performed in nine primary schools located in Daegu city, Pohang city and Goryung County. The overall injury rate was estimated using person-year. The causes and patterns of the injuries, and their risk factors were examined. Result : A total of 469 medically attended injuries were reported in 330 of the 959 study subjects during the preschool period. The overall annual injury rate was 7.5 per 100 children. The injury rate increased sharply during the period from infant (2.4) to 1 year of age (7.5), and the peak injury rate (9.2) was reported for 5 year olds. The most common causes of injuries were falling (36.0%), followed by being struck by an object (23.7%), and traffic accidents (14.1%). Among the traffic accidents, 72.8% occurred while playing on the road, riding a bicycle or roller-skating. A proportional hazard model showed that males (hazard ratio=1.49, p<0.001 compared with female) and the mother's higher education level (hazard ratio of college or higher= 1.51, p=0.013; high school=1.32, p=0.085 compared with those of middle school or lower) were significant risk factors of childhood injury. Conclusion : The results of this study suggested that efforts for children's safety should be made, especially from the toddler stage, and in male children. To develop a more specific childhood injury prevention program, a surveillance system for injuries should be established. Further study of the relationship between mother's occupation and injury rates is also needed.

Study on Risk Assessment Method of Hydrogen Station using FAHP-HAZOP (FAHP-HAZOP을 적용한 수소충전소의 위험성평가 방법 연구)

  • Yeong Gwang Jo;Sien Ho Han
    • Journal of the Korean Institute of Gas
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    • v.27 no.4
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    • pp.92-101
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    • 2023
  • To solve the problem of climate change, carbon neutrality has now become a necessity rather than an option. Hydrogen is not only a energy storage that can supplement the intermittent production of renewable energy, but is also considered a good alternative in the field of utilization as it does not emit carbon dioxide after reaction. In order to revitalize hydrogen vehicles, one of the fields of hydrogen utilization, the construction of hydrogen station infrastructure must be preceded. Prioritization of risk factors is necessary for efficient operation and risk assessment of hydrogen stations, but due to the short operation period of domestic hydrogen stations, there is a lack of frequency data on accidents and their reliability is low. In this study, we aim to identify the causes and consequences of deviations in hydrogen stations through HAZOP analysis. Additionally, we intend to analyze them using Fuzzy-AHP. Through this, we intend to derive the decision values for the causes of deviations in hydrogen stations and apply them to hydrogen accident cases and risk assessments to confirm the reliability and utility of the data.

Quantitative microbial risk assessment indicates very low risk for Vibrio parahaemolyticus foodborne illness from Jeotgal in South Korea

  • Choi, Yukyung;Kang, Joohyun;Lee, Yewon;Seo, Yeongeun;Kim, Sejeong;Ha, Jimyeong;Oh, Hyemin;Kim, Yujin;Park, Eunyoung;Lee, Heeyoung;Lee, Soomin;Rhee, Min Suk;Yoon, Yohan
    • Fisheries and Aquatic Sciences
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    • v.25 no.9
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    • pp.463-472
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    • 2022
  • In this study, a microbial risk assessment was performed for the bacteria Vibrio parahaemolyticus, which causes a foodborne illness following the consumption of Jeotgal, a fermented seafood in South Korea. The assessment comprised of six stages: product, market, home, consumption, dose-response, and risk. The initial contamination level (IC) was calculated based on the prevalence of V. parahaemolyticus in 90 Jeotgal samples. The kinetic behavior of V. parahaemolyticus was described using predictive models. The data on transportation conditions from manufacturer to market and home were collected through personal communication and from previous studies. Data for the Jeotgal consumption status were obtained, and an appropriate probability distribution was established. The simulation models responding to the scenario were analyzed using the @RISK program. The IC of V. parahaemolyticus was estimated using beta distribution [Beta (1, 91)]. The cell counts during transportation were estimated using Weibull and polynomial models [δ = 1 / (0.0718 - 0.0097 × T + 0.0005 × T2)], while the probability distributions for time and temperature were estimated using Pert, Weibull, Uniform, and LogLogistic distributions. Daily average consumption amounts were assessed using the Pareto distribution [0.60284,1.32,Risk Truncate(0,155)]. The results indicated that the risk of V. parahaemolyticus infection through Jeotgal consumption is low in South Korea.

Cohort Study on Age at Menopause and Mortality - Kangwha Cohort Study - (폐경 연령과 사망력과의 관계에 대한 코호트 연구 - 강화 코호트 연구 -)

  • Hong, Jae-Seok;Yi, Sang-Wook;Jee, Sun-Ha;Sohn, Tae-Yong;Ohrr, Hee-Choul
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.323-330
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    • 2001
  • Objective : To examine the association between age at menopause and mortality in a population-based sample of women in Kangwha, Korea. Methods : From the Kangwha Cohort, followed-up from 1985 to 1999, the data of the over 55 year old female group(n=3,596) was used in this study to examine the association between age at menopause and mortality. We calculated the all causes mortality risk ratio and the cancer mortality risk ratio by age at menopause grouping using the Cox Proportional Hazards Model with adjustments for age, BMI, smoking, education, chronic disease, self-rated health status, alcohol consumption and age at first birth. Result and conclusion : Compared to women who had menopause at 45-49 years, the all causes mortality risk ratio was 1.24 for women with menopause at less than 40 years(95% CI=1.01-1.53) and 1.05 for women with menopause at over 50 years(95% CI=0.92-1.20). Also, compared to women who had menopause at 45-49 years, the cancer mortality risk ratio was 1.53 for women with menopause at less than 40 years(95% CI=0.78-2.98) and 1.17 for women with menopause at over 50 years(95% CI=0.77-1.80).

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Development of Railway Accidents Causal Analysis System (철도사고 원인분석시스템 구축 방안에 관한 연구)

  • Song, Bo-Young;Lee, Dong-Hoon;Lee, Hi-Sung;Moon, Dae-Seop
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.2472-2479
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    • 2008
  • There exist several ways to analyse the accident causal analysis. Selection of a method and procedure depends on the characteristics of the system being analysed. Moreover, the selection should take into account of how the accidents causes are classified, since analysis model should make use of the classified causes to identify factors contributing to the risk of accidents. For railway case, a relational analysis as well as statistical estimation of significant hazard frequencies is applied to identify the dominant causes of accidents. This paper introduces outline of the causal analysis system, which is a significant part of the railway accident information and analysis system.

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Construction Delay Risk and its Prevention Measures

  • Acharya, Nirmal Kumar;Lee, Young-Dai;Im, Hae-Man
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2006.11a
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    • pp.268-270
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    • 2006
  • The purpose of this paper was to explore delay avoiding measures and strategies. The paper was based on previous work of authors on finding delay causes. Firstly, the paper has discussed about delay avoidance measures prescribed by the previous work. As the previous study identified five main causes of construction delays, various measures and strategies to overcome those delay problems have been discussed in sequence in the last sections. Major delay prevention strategies are: involving stakeholders in the project decisions, outreach program, realistic time and resource estimation, try to adjust the triple constraints of time, cost and scope, ensure fair and complete disclosure of information at an early stage of the construction project, contractor, itself should inquire about patent design errors prior to submitting its bid, owner should include in its contract with the consultant an indemnity (protection) clause etc.

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A Field Study on the Loss Factors of IS Development Project in the Public Sector: Perspectives of Project Management (공공부문 IS 개발 프로젝트 손실요인에 대한 현장연구: 프로젝트 관리를 중심으로)

  • Jang, Sung-Bong
    • Journal of Information Technology Services
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    • v.3 no.2
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    • pp.65-84
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    • 2004
  • This research analyzes the causes of delay and resulting additional expenses on the IS project in the public sector, and then proposes some solutions to the problem. Through a field study, the research found that the causes include employer's attitude, the leadership and risk management ability of the project manager, and qualifications of project members. In order to avoid those problems, the project manager should secure various communication channels and good relationship between the employee and the contractor.

Risk Factors for Falls Among Elderly People Living in the Rural Community

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.13 no.4
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    • pp.16-22
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    • 2006
  • Falling is a serious problem associated with aging. Unintentional injury, which most often results from falling, is one of the leading causes of death in elderly people. The purpose of this study is to investigate the risk factors of falls and to compare characteristics of people who fall with that of non-fallers among the rural community-dwelling elderly of Korea. A sample of 201 people, living in the community, aged 60 years and over was taken from the members of a center for seniors located in Jecheon city. The mean age of the participants was 70.5 years of age. The participants are comprised of 151 women and 50 men. Eighty four of the 201 participants (41.8%) fell during the previous year. Twenty two of the fallers (26.2%) fell down more than two times. It was found that fallers had poorer eyesight, multiple chronic diseases and a more difficult time walking than non-fallers. In the logistic regression analysis of falls, only the difficulty of walking one kilometer (OR=2.4) and chronic diseases (OR=2.5) have shown an increased risk of falls. The risk of recurrent falls is, in addition, influenced by the difficulty of walking one kilometer. The result of our study shows that the impairment of mobility was the strongest risk factor of recurrent falling.

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Risk Evaluation Based on the Time Dependent Expected Loss Model in FMEA (FMEA에서 시간을 고려한 기대손실모형에 기초한 위험 평가)

  • Kwon, Hyuck-Moo;Hong, Sung-Hoon;Lee, Min-Koo;Sutrisno, Agung
    • Journal of the Korean Society of Safety
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    • v.26 no.6
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    • pp.104-110
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    • 2011
  • In FMEA, the risk priority number(RPN) is used for risk evaluation on each failure mode. It is obtained by multiplying three components, i.e., severity, occurrence, and detectability of the corresponding failure mode. Each of the three components are usually determined on the basis of the past experience and technical knowledge. But this approach is not strictly objective in evaluating risk of a given failure mode and thus provide somewhat less scientific measure of risk. Assuming a homogeneous Poisson process for occurrence of the failures and causes, we propose a more scientific approach to evaluation of risk in FMEA. To quantify severity of each failure mode, the mission period is taken into consideration for the system. If the system faces no failure during its mission period, there are no losses. If any failure occurs during its mission period, the losses corresponding to the failure mode incurs. A longer remaining mission period is assumed to incur a larger loss. Detectability of each failure mode is then incorporated into the model assuming an exponential probability law for detection time of each failure cause. Based on the proposed model, an illustrative example and numerical analyses are provided.