• Title/Summary/Keyword: increased risk

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The Prevalence of Gout and Its Risk Factors in Healthy Workers

  • Kwon, Gi-Hong;Chun, Byung Yeol;Kwon, Yong Hyun
    • The Journal of Korean Physical Therapy
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    • v.28 no.5
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    • pp.259-263
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    • 2016
  • Purpose: This study was conducted to investigate the prevalence and risk of gout in healthy workers. Methods: This cross-sectional analysis was conducted in 1,876 subjects (1,515 men and 361 women) enrolled in the Healthy Worker Cohort Study at Daegu, South Korea. Relationships between serum uric acid levels and independent risk factors were evaluated using multiple linear regression analysis after adjustment for covariates. Results: Among study participants, the prevalence of gout was 22.9% in men and 2.5% in women (based on a serum uric acid level >7.0 mg/dL for men and >6.0 mg/dL for women). Among men, increased ALT, GGT, total cholesterol, and triglycerides were associated with increased risk of gout (p<0.05) by multiple linear regression analysis; however, increased age and HDL-cholesterol/triglyceride ratio were associated with decreased risk of gout (p<0.05). In women, increased triglycerides were associated with increased risk of gout (p<0.05). Conclusion: Our findings suggest that increased triglycerides were significantly associated with the risk of gout in men and women. Moreover, a high HDL-cholesterol/triglyceride ratio in men may reduce the risk of gout.

Association between drinking behaviors and components of metabolic syndrome in subjects in their 20s and 30s: data obtained from the Korea National Health and Nutrition Examination Survey (2016-2018)

  • Lee, Soo Jin;Ryu, Ho Kyung
    • Nutrition Research and Practice
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    • v.16 no.3
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    • pp.392-404
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    • 2022
  • BACKGROUND/OBJECTIVES: Numerous studies have examined the relationship between drinking behaviors and metabolic syndrome (MetS) for adults, but these include very few studies for young adults. This study therefore undertook to investigate the association between drinking behaviors and components of MetS among adult drinkers aged 20-30 years. SUBJECTS/METHODS: Using the 2016-2018 Korea National Health and Nutrition Examination Survey data, drinking behaviors of adults in the age group 20-30 years were divided into 4 groups: 1) group A, good drinking habits; 2) group B, frequent binge drinking but not frequent drinking; 3) group C, frequent drinking but not frequent binge drinking; 4) group D, frequent drinking and binge drinking. The association between MetS components and drinking behaviors was analyzed by applying multiple logistic regression analysis. RESULTS: We determined the prevalence risk compared to group A. In men, the prevalence risk of high triglyceride (TG) increased 2.051-fold in group C and 1.965-fold in group D. Moreover, in group D, the prevalence risk of low high density lipoprotein cholesterol (HDL-C) increased 0.668-fold, high blood pressure (BP) increased 2.147-fold, and MetS increased 1.567-fold. In women, there was an increased prevalence risk of low HDL-C (0.353-fold) and MetS (3.438-fold) in group C, whereas group D showed increased prevalence risk of abdominal obesity (2.959-fold), high TG (1.824-fold, and low HDL-C (0.424-fold). CONCLUSIONS: Our study indicates that frequent drinking increases the risk of high TG, whereas frequent and binge drinking increases the risk of high TG, low HDL-C, high BP, and prevalence of MetS in men. In women, frequent drinking without binge drinking increases the risk of low HDL-C and MetS, whereas frequent and binge drinking increases the risk of abdominal obesity, high TG, and low HDL-C. We propose that improvements in the drinking behaviors can reduce the prevalence of MetS.

Characteristics of Women Who Have Had Cosmetic Breast Implants That Could Be Associated with Increased Suicide Risk: A Systematic Review, Proposing a Suicide Prevention Model

  • Manoloudakis, Nikolaos;Labiris, Georgios;Karakitsou, Nefeli;Kim, Jong B.;Sheena, Yezen;Niakas, Dimitrios
    • Archives of Plastic Surgery
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    • v.42 no.2
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    • pp.131-142
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    • 2015
  • Literature indicates an increased risk of suicide among women who have had cosmetic breast implants. An explanatory model for this association has not been established. Some studies conclude that women with cosmetic breast implants demonstrate some characteristics that are associated with increased suicide risk while others support that the breast augmentation protects from suicide. A systematic review including data collection from January 1961 up to February 2014 was conducted. The results were incorporated to pre-existing suicide risk models of the general population. A modified suicide risk model was created for the female cosmetic augmentation mammaplasty candidate. A 2-3 times increased suicide risk among women that undergo cosmetic breast augmentation has been identified. Breast augmentation patients show some characteristics that are associated with increased suicide risk. The majority of women reported high postoperative satisfaction. Recent research indicates that the Autoimmune syndrome induced by adjuvants and fibromyalgia syndrome are associated with silicone implantation. A thorough surgical, medical and psycho-social (psychiatric, family, reproductive, and occupational) history should be included in the preoperative assessment of women seeking to undergo cosmetic breast augmentation. Breast augmentation surgery can stimulate a systematic stress response and increase the risk of suicide. Each risk factor of suicide has poor predictive value when considered independently and can result in prediction errors. A clinical management model has been proposed considering the overlapping risk factors of women that undergo cosmetic breast augmentation with suicide.

Inflammatory Bowel Disease and Risk of Cholangiocarcinoma: Evidence from a Meta-analysis of Population-based Studies

  • Huai, Jia-Ping;Ding, Jin;Ye, Xiao-Hua;Chen, Yan-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3477-3482
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    • 2014
  • Objective: Patients with inflammatory bowel disease (IBD) have an increased risk of extra-intestinal cancer, whereas its impact on cholangiocarcinoma (CC) remains unknown. The aim of this study was to obtain a reliable estimate of the risk of CC in IBD patients through a meta-analysis of clinical observational studies. Methods: Relevant studies were retrieved by searching PUBMED, EMBASE and Web of Science Databases up to Dec 2013. Four population-based case-control and two cohort studies with IBD were identified. Summary relative risk (RR) and its corresponding 95% confidence interval (CI) were calculated using a random-effects model. Potential sources of heterogeneity were detected using subgroup analyses. Results: The pooled risk estimate indicated IBD patients were at increased risk of CC (RR = 2.63, 95%CI = 1.47-4.72). Moreover, the increased risk of CC was also associated with Crohn's disease (RR = 2.69, 95%CI = 1.59-4.55) and ulcerative colitis (RR = 3.40, 95%CI = 2.50-4.62). In addition, site-specific analyses revealed that IBD patients had an increased risk of intrahepatic CC (ICC) (RR = 2.61, 95%CI = 1.72-3.95) and extrahepatic CC (ECC) (RR = 1.47, 95%CI = 1.10-1.97). Conclusions: This study suggests the risk of CC is significantly increased among IBD patients, especially in ICC cases. Further studies are warranted to enable definite conclusions to be drawn.

Analysis of risk for high-speed trains caused by crosswind in subgrade settlement zones based on CFD-FE coupling

  • Qian Zhang;Xiaopei Cai;Tao Wang;Yanrong Zhang;Shusheng Yang
    • Wind and Structures
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    • v.37 no.4
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    • pp.275-287
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    • 2023
  • Subgrade differential settlement of high-speed railways was a pivotal issue that could increase the risk of trains operation. The risk will be further increased when trains in the subsidence zone are affected by crosswinds. In this paper, the computational fluid dynamics (CFD) model and finite element (FE) model were established, and the data transmission interface of the two models was established by fluid-solid interaction (FSI) method to form a systematic crosswind-train-track-subgrade dynamic model. The risk of high-speed train encountering crosswind in settlement area was analyzed. The results showed that the aerodynamic force of the trains increased significantly with the increase in crosswind speed. The aerodynamic force of the trains could reach 125.14 kN, significantly increasing the risk of derailment and overturning. Considering the influence of crosswind, the risk of train operation could be greatly increased. The safety indices and the wheel-rail force both increased with the increase of the wind speed. For the high-speed train running at 350 km/h, the warning value of wind speed was 10.2 m /s under the condition of subgrade settlement with wavelength of 20 m and amplitude of 15 mm.

Analysis of Likelihood of Failure for the Corrosion of High Temperature $H_2S/H_2$ through Risk Based-Inspection (위험기반검사에서 고온 $H_2S/H_2$ 부식에 의한 사고발생 가능성 해석)

  • Lee Hern-Chang;Lee Joong-Hee;Kim Tae-Ok
    • Journal of the Korea Safety Management & Science
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    • v.8 no.2
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    • pp.61-70
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    • 2006
  • The likelihood of failure by the corrosion of high temperature $H_2S/H_2$, which affect to a risk of facilities, was analyzed through the risk based-inspection using API-581 BRD. We found that the corrosion rate was increased as temperature and $H_2S$ concentration were increased. Also, the technical module subfactor(TMSF) was increased as an used you increased, material thickness decreased, inspection number decreased, and inspection effectiveness increased. In these conditions, the maximum value of TMSF was not varied, but the TMSF was sensitively varied at low temperature for high concentration of $H_2S$.

A Study on Risk Communication and Risk Perception in Environmental Problems (환경문제의 위해도 인식과 위해도 홍보 프로그램의 효과분석 -라돈과 다이옥신을 중심으로-)

  • 김진용;신동천;박성은;임영욱;황만식
    • Environmental Analysis Health and Toxicology
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    • v.17 no.4
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    • pp.315-324
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    • 2002
  • Risk communication can be defined as the exchange of information about the nature, magnitude, significance, acceptability, and management of risk. The effect of risk communication on the perception and knowledge towards risk of environmental pollutants and it's related factors were investigated in this study. To investigate perception and knowledge of students and teachers towards risk of environmental pollutants, we conducted the survey using self-administrated questionnaire. The subjects were 574 for the first survey and 465 for the seconds survey from May to June, 2000. The main methods of transmission used in this study- through video tape, visual materials, question and answer, and participation in measuring pollutants - were not a one - way street. But an interactive process where information and opinions were exchanged among individuals, groups, and institutions. Environmental pollutants measured with participation of study subjects was Radon in the class room. The concentration of Radon was measured using E -PERM Device by installing it at each site for about 5 days. Subjects showed much interest in environmental pollution. Also, more than 98% of total subjects were perceived as Korea is seriously contaminated at present. By risk communication activity, risk perception of all subjects about Radon was increased, on the other hand, risk perception of Dioxin was decreased except for elementary student. Moreover, knowledge of all subjects about environmental risk was significantly increased (p =0.0001) and effort of reducing environmental pollution was more increased (p<0.05). There is need to further develop, refine, and integrate these approaches environmental risk communication study, there is an even more pressing need to accelerate the diffusion of environmental risk communication practice into government and organizations.

The Effect of Sleep Duration on the Risk of Unintentional Injury in Korean Adults

  • Kim, Yeon-Yong;Kim, Un-Na;Lee, Jin-Seok;Park, Jong-Heon
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.3
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    • pp.150-157
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    • 2014
  • Objectives: The decrease or increase in sleep duration has recently been recognized as a risk factor for several diseases, including hypertension and obesity. Many studies have explored the relationship of decreased sleep durations and injuries, but few have examined the relationship between increased sleep duration and injury. The objective of this research is to identify the risk for injury associated with both decreased and increased sleep durations. Methods: Data from the 2010 Community Health Survey were used in this study. We conducted logistic regression with average sleep duration as the independent variable, injury as a dependent variable, and controlling for age, sex, occupation, education, region (cities and provinces), smoking, alcohol use, body mass index, hypertension, diabetes, arthritis, and depression. Seven categories of sleep duration were established: ${\leq}4$, 5, 6, 7, 8, 9, and ${\geq}10$ hours. Results: Using 7 hours of sleep as the reference, the adjusted injury risk (odds ratio) for those sleeping a total of ${\leq}4$ h/d was 1.53; 1.28 for 5 hours, for 1.11 for 6 hours, 0.98 for 8 hours, 1.12 for 9 hours, and 1.48 for ${\geq}10$ hours. The difference in risk was statistically significant for each category except for the 8 and 9 hours. In this study, risk increased as the sleep duration decreased or increased, except for the 8 and 9 hours. Conclusions: This research found that either a decrease or increase in sleep duration was associated with an increased risk for injury. The concept of proper sleep duration can be evaluated by its associated injury risk.

Impact of Perceived Risk on Purchasing Behavioral Intention of Internet shopping Mall Shoppers (위험지각이 인터넷 패션 쇼핑몰 이용 소비자의 구매행동의도에 미치는 영향)

  • Ku, Yang-Suk;Lee, Seung-Min
    • Fashion & Textile Research Journal
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    • v.4 no.3
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    • pp.235-242
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    • 2002
  • The purpose of this study was to investigate the types of perceived risk of Internet shopping and the impact of perceived risk on purchasing behavioral intention of Internet shopping mall shoppers. A self-administrated questionnaire was e-mailed to INR research (www.inr.co.kr) panel who had purchasing experience of fashion product through Internet shopping mall. The perceived risk was reduced when the innovativeness increased and purchasing experience in Internet shopping mall increased. The financial risk had an effect on purchasing intention, and social/psychological risk had impact on revisiting intention and word-of-mouth intention negatively. The performance risk perception had significantly negative influence on word-of-mouth intention. Internet using time per week, purchasing experience and Internet innovativeness were positive impact on purchasing behavioral intention of Internet fashion product.

Increased Wall Enhancement Extent Representing Higher Rupture Risk of Unruptured Intracranial Aneurysms

  • Jiang, Yeqing;Xu, Feng;Huang, Lei;Lu, Gang;Ge, Liang;Wan, Hailin;Geng, Daoying;Zhang, Xiaolong
    • Journal of Korean Neurosurgical Society
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    • v.64 no.2
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    • pp.189-197
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    • 2021
  • Objective : This study aims to investigate the relationship between aneurysm wall enhancement and clinical rupture risks based on the magnetic resonance vessel wall imaging (MR-VWI) quantitative methods. Methods : One hundred and eight patients with 127 unruptured aneurysms were prospectively enrolled from Feburary 2016 to October 2017. Aneurysms were divided into high risk (≥10) and intermediate-low risk group (<10) according to the PHASES (Population, Hypertension, Age, Size of aneurysm, Earlier SAH history from another aneurysm, Site of aneurysm) scores. Clinical risk factors, aneurysm morphology, and wall enhancement index (WEI) calculated using 3D MR-VWI were analyzed and compared. Results : In comparison of high-risk and intermediated-low risk groups, univariate analysis showed that neck width (4.5±3.3 mm vs. 3.4±1.7 mm, p=0.002), the presence of wall enhancement (100.0% vs. 62.9%, p<0.001), and WEI (1.6±0.6 vs. 0.8±0.8, p<0.001) were significantly associated with high rupture risk. Multivariate regression analysis revealed that WEI was the most important factor in predicting high rupture risk (odds ratio, 2.6; 95% confidence interval, 1.4-4.9; p=0.002). The receiver operating characteristic (ROC) curve analysis can efficiently differentiate higher risk aneurysms (area under the curve, 0.780; p<0.001) which have a reliable WEI cutoff value (1.04; sensitivity, 0.833; specificity, 0.67) predictive of high rupture risk. Conclusion : Aneurysms with higher rupture risk based on PHASES score demonstrate increased neck width, wall enhancement, and the enhancement intensity. Higher WEI in unruptured aneurysms has a predictive value for increased rupture risk.