• 제목/요약/키워드: risk assessment

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Nutrient intakes and medication use in elderly individuals with and without dry mouths

  • Lee, Kyung Ah;Park, Jung-Chul;Park, Yoo Kyoung
    • Nutrition Research and Practice
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    • 제14권2호
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    • pp.143-151
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    • 2020
  • BACKGROUND/OBJECTIVES: The nutrition of the elderly depends on various factors. Oral health, especially oral dryness, can be an important risk factor. In this study, we attempted to determine whether dry mouth is associated with compromised nutrient intakes. SUBJECTS/METHODS: A total of 120 participants aged 65-86 yrs (mean age: 69 ± 1 y) were included in this study. Demographic and health-related characteristics, living status, meals, number of medications, medical conditions, chewing ability, and quality of life, the Oral Health Impact Profile (the OHIP-14) were assessed. We performed one day 24-hr recall assessment for nutrient analyses. The differences of the means between the dry-mouth and non-dry-mouth groups were analyzed. Elderly subjects with xerostomia-induced dry mouth were classified as those who reported at least one dryness symptom on a questionnaire. RESULTS: A significant difference in population distribution was observed among the elderly who took medications for hypertension, diabetes and osteoporosis and was significantly higher in the dry-mouth group (70.2%) than in the non-dry-mouth group (44.4%) (P = 0.005). Compared with the non-dry-mouth group (50.8%), a significantly higher proportion (73.7%) of participants in the dry-mouth group took multiple medicines (≥ 4 medications) (P = 0.019). The intakes of vegetable fat, vitamin E, folate and water in the dry-mouth group were lower than in the non-dry-mouth group. The intakes of fluoride and ω-3 fatty acids were significantly lower in the dry-mouth group than in the non-dry-mouth group. CONCLUSION: The participants in the dry-mouth group exhibited low nutrient and water intakes. It is recommended that the elderly with dry mouth should drink sufficient water and receive targeted and specific nutritional guidance to prevent malnutrition.

안전약자의 재난안전분야 자원봉사활동 참여활성화 방안 연구 (A Study on the Revitalization of Disaster Vulnerable Population's Social Activity in the Safety Fields)

  • 유병태;김현정;김상용;오금호
    • 한국안전학회지
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    • 제30권3호
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    • pp.135-140
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    • 2015
  • Individuals who are vulnerable during disaster - including elderly, people with disabilities, children, pregnant women and etc - have a strong desire to protect themselves when disaster strikes since they are less capable to deal with the impact of disaster. Their experience and effort to keep them safe can be used as a resource to reduce the impacts of disaster not only for them but also for the community as a whole. Therefore, voluntary disaster management program will contribute to our society as a tool to respond effectively to disaster not only to meet the vulnerable's special needs but also to enhance community safety and public interest. This paper suggests a model that able "disaster vulnerable population" to take a leadership role in identifying risk and vulnerability factors, recommending disaster management strategy, and through that, contributing to enhance society's disaster plan. Therefore, this study aimed to surveyed individuals including "disaster vulnerable population" in order to assess the vulnerable's participation in disaster related volunteer work and surveyed associated institutions(volunteer centers, community centers) in order to research currently existing relevant programmes and the participation of "disaster vulnerable population" in such programmes. Also conducted focus group interview to explore voluntary program which will possibly integrate "disaster vulnerable population" into disaster management activities. As a result, three types of voluntary disaster management programs - education, public-relations, and activity - were suggested.

SIEM을 이용한 소프트웨어 취약점 탐지 모델 제안 (Using the SIEM Software vulnerability detection model proposed)

  • 전인석;한근희;김동원;최진영
    • 정보보호학회논문지
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    • 제25권4호
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    • pp.961-974
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    • 2015
  • ESM에서 SIEM으로의 발전은 더 많은 데이터를 기반으로 상관분석을 할 수 있게 되었다. 취약점 진단에서 발견된 소프트웨어 취약점을 CWE와 같은 분류 표준으로 수집을 한다면, 로그 분석 및 취합, 보안관제 및 운용 과정 등에서 통일된 유형의 메시지를 활용함으로써 초기대응단계에서의 귀중한 시간절약으로 신속하게 대응할 수 있고, 모든 대응 단계에서 일관성을 유지하여 처리할 수 있게 된다. 취약점 진단과 모니터링 단계에서 CCE, CPE, CVE, CVSS 정보를 공유하여, 사전에 정의된 위협에 대해서만 탐지하지 않고, 각 자산이 가지고 있는 소프트웨어 취약점을 유기적으로 반영할 수 있도록 하고자 하였다. 이에 본 논문에서는 SIEM의 빅데이터 분석 기법을 활용하여 소프트웨어 취약점에 대한 위협을 효과적으로 탐지하고 대응할 수 있는 모델을 제안하고 적용해본 결과 기존의 방법으로 탐지할 수 없었던 소프트웨어 취약점을 탐지함으로서 효과적임을 확인하였다.

Effect of Garlic and Aged Black Garlic on Hyperglycemia and Dyslipidemia in Animal Model of Type 2 Diabetes Mellitus

  • Seo, Yeong-Ju;Gweon, Oh-Cheon;Im, Ji-Eun;Lee, Young-Min;Kang, Min-Jung;Kim, Jung-In
    • Preventive Nutrition and Food Science
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    • 제14권1호
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    • pp.1-7
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    • 2009
  • Control of hyperglycemia and dyslipidemia is strongly correlated with decreased risk for cardiovascular disease, the most common and fatal diabetic complication. The purpose of this study is to determine the effects of garlic and aged black garlic on glycemic control and blood lipid profile in animal model of type 2 diabetes. Three week-old db/db mice (C57BL/Ks, n=21) were fed AIN-93G semipurified diet or diet containing 5% freeze-dried garlic or aged black garlic for 7 weeks after 1 week of adaptation. Fasting serum glucose, insulin, triglyceride, total cholesterol, and HDL-cholesterol and blood glycated hemoglobin were measured. Body weight and food intake of garlic and aged black garlic group were not significantly different from those of the control group. Fasting serum glucose and blood glycated hemoglobin levels were significantly decreased and insulin level was significantly increased in garlic group compared with control group (p<0.05). Consumption of aged black garlic significantly decreased homeostasis model assessment for insulin resistance (HOMA-IR) and tended to decrease serum glucose. Garlic consumption significantly decreased total cholesterol, while aged black garlic significantly reduced serum total cholesterol and triglyceride and increased HDL-cholesterol levels. These results suggest that garlic exerts hypoglycemic and hypocholesterolemic effect and aged black garlic improved insulin sensitivity and dyslipidemia in db/db mice.

화상의 침 치료에 대한 체계적 문헌고찰 (Acupuncture for the Treatment of Burns: A Systematic Review of Randomized Controlled Trials and Case Controlled Trials)

  • 이지은;정서윤;최유민;정민정
    • 대한한방소아과학회지
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    • 제31권4호
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    • pp.19-30
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    • 2017
  • Objectives The study was conducted to evaluate the acupuncture treatment for burns by reviewing international randomized controlled studies and case controlled studies. Methods In the review, ten academic literature archives; NDSL, OASIS, PubMed, Cochrane library, CNKI, WANFANG, CINAHL, J-STAGE, CiNii, and EMBASE were used as the main databases to search for the randomized controlled trials or the case controlled trials about acupuncture treatment of burns using the keywords "burns AND acupuncture", "burn AND acupuncture", and "scald AND acupuncture". Results Initially, a total of 852 studies were founded except duplicate studies. 801 studies were excluded after screening of title and abstract. After reviewing 51 papers, a total of four randomized controlled trials and two case controlled trials were selected. These studies were analyzed by year, subjects, treatment intervention, evaluation criteria, treatment effect, adverse events, and 'Risk of Bias' assessment for randomized studies and non-randomized studies. From the six papers out of 51 papers those were reviewed, patients with burns were divided into two groups. The experimental group received acupuncture treatment, while the control group did not. The results of the completed studies have shown that the experimental group receiving acupuncture treatment demonstrated significant improvement compared to the control group, and there was no serious adverse events. Conclusions According to some of the studies, acupuncture in burn treatment is worth to try. However, additional well-designed randomized controlled studies will be required to justify the effectiveness of acupuncture treatment of burns.

유해 대기오염물질의 난류확산 수치모의에서 침적한과 부력항 추가에 따른 효과 (Addition Effect of the Deposition and Buoyancy Terms in Modeling Turbulence Diffusion of Hazardous Air Pollutants)

  • 원경미;이화운;지효은;김철희;송창근
    • 한국대기환경학회지
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    • 제22권1호
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    • pp.73-84
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    • 2006
  • Hazardous Air Pollutants (HAPs) are characterized by being relatively heavier and denser than that of ambient air due to the various reasons such as higher molecular weight, low temperature and other complicated chemical transformations (Witlox, 1994). In an effort to investigate transport and diffusion from instantaneous emission of heavy gas, Lagrangian Particle Dispersion Model (LPDM) coupled with the RAMS output was employed. Both deposition process and buoyancy term were added on the atmospheric diffusion equations of LPDM, and the locations and concentrations of dense gas particle released from instantaneous single point source (emitting initially for 10 minutes only) were analyzed. The result overall shows that adding deposition process and buoyancy terms on the diffusion equation of LPDM has very small but detectable effect on the vertical and horizontal distribution of Lagrangian particles that especially transported for a fairly long traveling time. Also the slumping of dense gas can be found to be ignored horizontally compared to the advection by the horizontal wind suggesting that it was essential to couple the Lagrangian particle dispersion model coupled with the RAMS model in order to explain the dispersion of HAPs more accurately. However, during the initial time of instantaneous emission, buoyancy term play an important role on the vertical locations of dense particles for near surface atmosphere and around source area, indicating the importance of densities of HAPs in the beginning stage or short duration for the risk assessment of HAPs or management of heavy vapors during the explosive accidents.

Sheath-core 구조 전도사 섬유센서의 Home-Textile 적용을 위한 전기·물리학적 특성연구 (Electrical and Physical Properties of Sheath-core Type Conductive Textile Sensor with Home-Textile)

  • 조광년;정현미
    • 한국의류산업학회지
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    • 제16권1호
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    • pp.145-152
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    • 2014
  • The usage of textile-based sensors has increased due to their many advantages (compared to IT sensors) when applied to body assessment and comfort. Textile-based sensors have different detecting factors such as pressure, voltage, current and capacitance to investigate the characteristics. In this study, textile-based sensor fabrics with sheath-core type conductive yarns were produced and the relationship between capacitance changes and applied load was investigated. The physical and electric properties of textile-based sensor fabrics were also investigated under various laminating conditions. A textile based pressure sensor that uses a sheath-core conductive yarn to ensure the stability of the pressure sensor in the textile-based sensor (the physical structure of the reaction characteristic of the capacitance) is important for the stability of the initial value of the initial capacitance value outside the characteristic of the textile structural environment. In addition, a textile based sensor is displaced relative to the initial value of the capacitance change according to pressure changes in the capacitance value of the sensor due to the fineness of the high risk of noise generation. Changing the physical structure of the fabric through the sensor characteristic of the pressure sensor via the noise generating element of laminating (temperature, humidity, and static electricity) to cut off the voltage output element to improve the data reliability could be secured.

원발성 유방암에서 질병병기 분류 및 추적검사 $^{99m}Tc-MDP$ 골 신티그램의 의의 ($^{99m}Tc$ MDP-Bone Scintigraphy for Preoperative and Follow up Assessment in Primary Breast Cancer)

  • 이강욱;방영주;정준기;이명철;조보연;김노경;고창순
    • 대한핵의학회지
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    • 제22권1호
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    • pp.59-64
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    • 1988
  • Because carcinoma of breast is known to readily metastasize to the bone, early detection of metastasis spread is very important. Two hundred thirty four consecutive patients who had $^{99m}Tc-MDP$ bone scans prior to treatment and during the follow up period were studied retrospectively to determine the contribution of the scans to staging, treatment and follow up examination between Jan. 1980 and Apr. 1987 in Seoul National University Hospital. 1) Positive bone scan rates in initial clinical stage I, II, III and IV were 0%, 4%, 14% and 53%, respectively. 2) The higher clinical stage is, the more cumulative risk of conversion to positive bone scan is during the same follow up period. 3) Conversion rate to positive bone scan in patients with lymph node metastasis is higher (50%) than those without metastasis (18%) (P < 0.001). We concluded that the bone scan in primary breast cancer was very useful to evaluate initial clinical stage and to perform the follow up examination.

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Acanthosis Nigricans as a Clinical Predictor of Insulin Resistance in Obese Children

  • Koh, Young Kwon;Lee, Jae Hee;Kim, Eun Young;Moon, Kyung Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권4호
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    • pp.251-258
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    • 2016
  • Purpose: This study aimed to evaluate the utility of acanthosis nigricans (AN) severity as an index for predicting insulin resistance in obese children. Methods: The subjects comprised 74 obese pediatric patients who attended the Department of Pediatrics at Chosun University Hospital between January 2013 and March 2016. Waist circumference; body mass index; blood pressure; fasting glucose and fasting insulin levels; lipid profile; aspartate transaminase, alanine transaminase, glycated hemoglobin, C-peptide, and uric acid levels; and homeostatic model assessment insulin resistance (HOMA-IR) and quantitative insulin check sensitivity index (QUICKI) scores were compared between subjects with AN and those without AN. Receiver operating characteristic curves were used to investigate the utility of the AN score in predicting insulin resistance. HOMA-IR and QUICKI were compared according to AN severity. Results: The With AN group had higher fasting insulin levels ($24.1{\pm}21.0\;mU/L$ vs. $9.8{\pm}3.6\;mU/L$, p<0.001) and HOMA-IR score ($5.74{\pm}4.71$ vs. $2.14{\pm}0.86$, p<0.001) than the Without AN group. The AN score used to predict insulin resistance was 3 points or more (sensitivity 56.8%, specificity 83.9%). HOMA-IR scores increased with AN severity, from the Without AN group (mean, 2.15; 95% confidence interval [CI], 1.72-2.57) to the Mild AN (mean, 4.15; 95% CI, 3.04-5.25) and Severe AN groups (mean, 7.22; 95% CI, 5.08-9.35; p<0.001). Conclusion: Insulin resistance worsens with increasing AN severity, and patients with Severe AN (AN score ${\geq}3$) are at increased risk of insulin resistance.

우리나라 산업안전보건법상 특별관리물질 규정에 대한 독일, 영국 및 일본과의 비교법적 고찰 (A Comparative Legal Study of Germany, the United Kingdom, Japan and Korea for the Regulations on Special Management Materials)

  • 최상준;피영규;김신범;김원
    • 한국산업보건학회지
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    • 제23권2호
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    • pp.137-147
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    • 2013
  • Objectives: This study was conducted in order to evaluate the limitations of the regulations on the safety and health standards for special management materials(SMM) under the Industrial Safety and Health Act in Korea. Methods: Hazardous chemicals management systems in Germany(Hazardous Substances Ordinance), the UK(Control of Substances Hazardous to Health Regulations), Japan(Ordinance on Prevention of Hazards due to Specified Chemical Substances) and Korea(Regulation of Occupational Safety and Health Standards, ROSHS) were investigated and compared in terms of 14 items. Results: Among the 14 items, we eventually found seven items which should be amended: 1) definition and scope, 2) general duties clause, 3) principles of management, 4) preventive measures, 5) control measures, 6) risk assessment, and 7) record keeping. The principal limitations of Korean regulations in comparison with those of other countries were that there were no preventive measures such as substitution, and no principles of good practices for the control of exposure to SMM. In terms of control measures, there were no regulations on suitable workplace design, reducing the number of exposed workers, reducing the level and duration of exposure, and reducing the quantity of hazardous substances in ROSHS. Conclusions: Based on the results of this study, ROSHS should be complemented with preventive measures and the principles of management related to SMM. According to the suggestions, an employer who deals with SMM should preferably consider the possibility of substitution and perform substitution so far as is reasonably practicable.