• 제목/요약/키워드: risk assessment model

검색결과 1,071건 처리시간 0.025초

나이와 성별에 따른 지역사회 거주 노인에서 무증상 경동맥 죽상경화증에 대한 혈관위험인자 및 인지장애와의 관련성 (Age and Gender Differences in the Relationship of Cognitive Impairment, Vascular Risk Factors, and Subclinical Carotid Atherosclerosis from Community-based Elderly)

  • 김지희;박현영;김대원;변승재;문효정;이인;양충용
    • 동의생리병리학회지
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    • 제26권3호
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    • pp.399-407
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    • 2012
  • To evaluate age and gender differences in the relation of cardiovascular risk factors, cognitive impairment, and subclinical carotid atherosclerosis from aged people using by a cross sectional method. Sixty-nine healthy elders living in the community who had not previously undergone carotid ultrasonography were included. We conducted life style surveys, and cognitive function tests including Korean-mini-mental state examination (K-MMSE) and clinical dementia rating-Korean. Various biomarkers from blood were assessed; fasting insulin-like growth factor-1, lipid-profile, high sensitivity C-reactive protein, total homocysteine, glucose, insulin, Homeostasis model assessment (HOMA) for insulin resistance index, vitamin B12, and folate level. Carotid intima-media thickness (C-IMT), and plaques were measured using carotid ultrasonography and aortic ultrasonography, a valid index of atherosclerosis. For the elderly subjects (aged 65-82 years), cognition impairment was more prevalent in females while subclinical atherosclerosis was more prevalentin males. Increased C-IMT has been kept in males, and C-IMT shows increasing trend and the peak at about 80 year-old in females with increasing age. The significant correlations between C-IMT and many vascular risk factors including age, triglyceride, abnormal homocysteinein male, and K-MMSE, insulin, HOMA index and abnormal aortic ultrasonography in female were different in each gender, with the exception of homocysteine (p<0.05). This data suggests that there were differences of age and gender characteristics in terms of subclinical atherosclerosis, cognitive impairment and vascular risk factors in community-living elders. Further larger and longitudinal studies across entire age are required to better understand the effects of risk factors on subclinical atherosclerosis.

MLH1 Polymorphisms and Cancer risk: a Meta-analysis Based on 33 Case-control Studies

  • Xu, Jia-Li;Yin, Zhi-Qiang;Huang, Ming-De;Wang, Xie-Feng;Gao, Wen;Liu, Ling-Xiang;Wang, Rong-Sheng;Huang, Pu-Wen;Yin, Yong-Mei;Liu, Ping;Shu, Yong-Qian
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.901-907
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    • 2012
  • Objective: Cumulative evidence suggests that MLH1, the key component in the mismatch pathway, plays an important role in human cancers. Two potential functional polymorphisms (-93G>A and I219V) of MLH1 have been implicated in cancer risk. The aim of this meta-analysis was to summarize the evidence for associations. Methods: Eligible studies were identified by searching the electronic literature PubMed, ScienceDirect and Embase databases for relevant reports and bibliographies. Studies were included if of case-control design investigating MLH1 polymorphisms (-93G>A and I219V) and cancer risk with sufficient raw data for analysis. Odds ratios (OR) and 95% confidence intervals (95% CI) were used to evaluate the strength of associations. Results: Our meta-analysis from 33 published case-control studies showed the variant A allele of -93G>A polymorphism to be associated with increased risk in all genetic models (AA vs. GG: OR = 1.22, 95% CI: 1.03-1.44), especially among non-Asians (AA vs. GG: OR = 1.28, 95% CI: 1.04-1.58). For the I219V polymorphism, however, there was no main effect associated with overall cancer risk in any genetic model. Conclusions: The meta-analysis suggested that the MLH1 -93G>A polymorphism may be a biomarker of cancer susceptibility. Large sample association studies and assessment of gene-to-gene as well as gene-to-environment interactions are required to confirm these findings.

국내.외 Chemical Ranking and Scoring 체계 비교분석을 통한 우선순위 토양오염물질 선정을 위한 평가인자 도출 (Assessment factors for the Selection of Priority Soil Contaminants based on the Comparative Analysis of Chemical Ranking and Scoring Systems)

  • 안윤주;정승우;김태승;이우미;남선화;백용욱
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제13권6호
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    • pp.62-71
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    • 2008
  • 환경에는 매우 다양한 유해화학물질이 존재하며 지속적으로 새로운 화학물질이 개발되고 다시 환경 중으로 유출되고 있다. 화학물질의 관리나 규제를 위해서는 우선관리대상 오염물질(Priority Contaminants)을 결정해야 하는데, 이를 위한 과학적이고 정량적인 방법론으로는 우선순위선정(Chemical Ranking and Scoring; CRS)기법이 대표적이다. CRS기법에는 개발목적에 따라 다양한 평가인자들이 적용되는데 본 연구에서는 토양매체에서의 우선순위물질 선정시 필요한 인자를 제시하기 위해 다양한 CRS기법을 비교분석하여 토양특성을 고려할 수 있는 평가인자를 제시하였다. 연구대상 CRS는 국외에서 개발된 CHEMS-1, EURAM, SCRAM, ARET와 국내에서 개발된 CRS-Korea 및 그 외 기타 관련연구들이다. 기존에 개발된 CRS에 적용된 평가인자들을 비교분석한 결과 노출과 독성을 고려하여 우선순위물질을 선정하는데, 주로 화학물질의 잔류성, 생물축적성, 배출량 등을 공통적인 노출인자로 적용하고 있었고 독성인자로는 인체와 환경독성을 고려하고 있다. 본 연구에서는 토양매체의 우선순위물질선정을 위하여 이러한 CRS기법들이 공통적으로 적용하고 있는 인자들 이외에 토양매체의 특성을 고려할 수 있는 토양배출량, 토양오염 사고사건사례, 선진국의 규제국가수 등을 평가인자로 제안하였으며, 지하수매체와의 연계성을 위하여 지하수이동성 인자를 새로이 추가하였다. 본 연구결과는 CRS기법을 비교분석하여 토양에서의 유해화학물질 우선순위 선정시 고려되어야할 평가인자를 제안한 연구로 토양에 대한 CRS기법개발을 위한 기반연구로 활용될 수 있을 것이다.

직무긴장 모형을 이용한 치과위생사의 직무스트레스와 반응 (Job stress and reaction of dental hygienist by using the job strain model)

  • 최미숙;안권숙
    • 한국치위생학회지
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    • 제10권4호
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    • pp.595-605
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    • 2010
  • Objectives : A precedent research has documented that occupational stress is closely associated with increased the risk of fatigue and decreased in job satisfaction. This study was conducted in an effort to assess the relationship of occupational stress to self-perceived fatigue and job satisfaction by using job strain model. Methods : The number of respondents was 122 dental hygienist who work in dental clinic and period of the investigation was July 2009 through september 2009. A structured questionnaire was employed to evaluate the participants' sociodemographics, job-related factors, health-related behaviors, occupational stress, job satisfaction and self-perceived fatigue. Occupational stress and self-perceived fatigue were assessed using the Korean Occupational Stress Scale-Short form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively. Results : In job strain model, the ratio of Q2(High Strain Job) group that more susceptible to disease by stress than other group was 16% and the proportion of high fatigue group(Q3, Q4 group) and low job satisfaction group(Q3, Q4 group) was 48%, 45% respectively. In logistic regression analyses, a High Strain Job group was associated with higher odds of react factor(fatigue, job satisfaction) and the odds was down by 3.3%~7.5% after adjustment for age, smoking, alcohol drinking, regular exercise. So the effective strategy for fatigue, job satisfaction reduction for dental hygienist requires additional program focusing on innovated work environment that provide a enough leisure time and exercise program considering the personality traits. Conclusions : The results of this study suggest that occupational stress is a determinant predictor of self perceived fatigue and job satisfaction. Thus, a stress management program for the reduction of occupational stress, and the promotion of dental hygienist impact assessment health and quality of life is strongly recommended.

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.

CB6F1-Tg rasH2 Mouse Carrying Human Prototype c-Ha-ras Gene As an Alternative Model For Carcinogenicity Testing For Pharmaceuticals

  • Usui, T.;Urano, K.;Suzuki, S.;Hioki, K.;Maruyama, Ch.;Tomisawa, M.;Ohnishi, Y.;Suemizu, H.;Yamamoto, S.
    • Toxicological Research
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    • 제17권
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    • pp.293-297
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    • 2001
  • The international pharmaceutical and regulatory communities had been recognizing the limited utility of conventional rodent carcinogenicity study particularly on the second species, mouse, after intense investigation of carcinogenicity data base worldwide, and a new scheme for carcinogenicity testing for pharmaceuticals was proposed at the Expert Working Group on Safety in the International Conference on Harmonization (ICH) in 1996. CB6F 1-Tg rasH2 mouse carrying human prototype c-Ha-ras gene with its own promoter/enhancer is one oj the new carcinogenicity assay model for human cancer risk assessment. Studies have been conducted since 1992 to validate the transgenic (Tg) mice for rapid carcinogenicity test-ing, short term (26 weeks) studies with genotoxic (by Salmonella), non-genotoxic carcinogens, genotoxic non-carcinogens, non-genotoxic non-carcinogens revealed relatively high concordance oj the response of the Tg mouse with classical bioassay across classes of carcinogenic agents. Mechanistic basis for carcinogensis in the model are being elucidated in terms of the role of overexpression and/or point mutation of the transgene. This report review the initial studies of validation of the model and preliminary results of on-going ILSI HESI ACT project will be presented.

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가용 침수 자료를 활용한 도심지 침수 해석 모형의 평가 절차 수립 및 표준화 (Establishment and Standardization of Evaluation Procedure for Urban Flooding Analysis Model Using Available Inundation Data)

  • 신은택;장동민;박성원;엄태수;송창근
    • 한국안전학회지
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    • 제35권2호
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    • pp.100-110
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    • 2020
  • Recently, the frequency of typhoon and torrential rain due to climate change is increasing. In addition, the upsurge in the complexity of urban sewer network and impervious surfaces area aggravates the inland flooding damage. In response to these worsening situations, the central and local governments are conducting R&D tasks related to predict and mitigate the flood risk. Researches on the analysis of inundation in urban areas have been implemented through various ways, and the common features were to evaluate the accuracy and justification of the model by comparing the model results with the actual inundation data. However, the evaluation procesure using available urban flooding data are not consistent, and if there are no quantitative urban inundation data, verification has to be performed by using press releases, public complaints, or photos of inundation occurring through 'CCTV'. Because theses materials are not quantitative, there is a problem of low reliability. Therefore, this study intends to develop a comparative analysis procedure on the quantitative degree and applicability of the verifiable inundation data, and a systematic framework for the performance assessment of urban flood analysis model was proposed. This would contribute to the standardization of the evaluation and verification procedure for urban flooding modelling.

거주지의 지하수사용에서 유래한 벤젠의 흡입노출에 대한 동적약리학 모델의 불확실성 분석 (Uncertainty Analysis of a Pharmacokinetic Modeling for Inhalation Exposure of Benzene from the Use of Groundwater at Dwelling)

  • 김상준;이현호;박지연;이유진;유동한;양지원
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제9권1호
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    • pp.28-38
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    • 2004
  • 본 연구는 지하수로부터 유래한 벤젠이 실내공기에 휘발되어 호흡을 통하여 인체에 유입될때 각 장기에 분포하고 제거되는 것을 묘사하는 동적약리학 모델의 불확실성 및 중요도 분석의 결과를 제공하였다. 오염된 실내공기의 호흡을 통해 체내에 유입된 벤젠이 각 장기에 분포하는 비율과 농도를 모의하기 위해 기존의 동적약리학 모델을 적용하였으며 간에서의 분해대사를 포함하여 구성하였다. 본 연구는 동적약리학 모델의 각 장기의 혈류량, 분배계수, 분해상수, 부피 등과 같은 인자들에 대한 지식 및 측정의 부족에서 오는 고정된 단일 값의 사용이 야기하는 불확실성 문제에 대해 초점을 맞추었다. 이를 해결하기 위해서 동적약리학 모델과 불확실성 분석을 동시에 수행되었으며 앞으로 휘발성 유기화합물과 관련한 위해도 평가에서의 이해를 높일 수 있다고 생각된다.

대기오염 확산분석을 위한 복합모형 방법론 연구 (Studies on the Methodology of a Hybrid Model for Emission Dispersion Analysis)

  • 양충헌;구윤서;김인수;성정곤
    • 대한교통학회지
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    • 제31권2호
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    • pp.69-79
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    • 2013
  • 본 연구에서는 대기오염 물질이 대기 변화에 따라 주변 지역의 오염농도에 미치는 영향 분석에 대한 필요성과 구체적인 방법론을 제시하였다. 이에 대한 사례연구로서 경기도 포천지역 도로망을 대상으로 본 방법론을 적용하였다. 본 연구에서 제시한 방법론은 1) 교통에서 배출된 오염물질만을 고려한 확산 분석, 2) 교통에서 배출된 오염물질과 주변오염물질농도를 결합하여 분석하는 두 가지 분석 모형을 포함하고 있다. 이를 통해 교통에 의해 발생된 대기오염물질이 교통망과 교통망 주변지역에 미치는 영향을 분석하는데 유용 할 것으로 판단된다. 또한, 교통에 의해 발생된 대기오염원과 대기오염원이 인체에 미치는 영향을 본 분석에 근거하여 도로주변 고농도의 대기오염물질에 의한 위해성(危害性)을 평가하는데 유용할 것으로 판단된다.

The Effect of Foreign Direct Investment on Public Health: Empirical Evidence from Bangladesh

  • SIDDIQUE, Fahimul Kader;HASAN, K.B.M. Rajibul;CHOWDHURY, Shanjida;RAHMAN, Mahfujur;RAISA, Tahsin Sharmila;ZAYED, Nurul Mohammad
    • The Journal of Asian Finance, Economics and Business
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    • 제8권4호
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    • pp.83-91
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    • 2021
  • Health is an outset of psychological, social, financial, and physical state. Several macroeconomic factors are entangled with health and mortality. Infant mortality and life expectancy are two keyguard on demographic research context on last few decades. On the other hand, foreign inflows play an unprecedent role for raising economic circulation and providing more opportunities to build a better society. The study aims to investigate the relationship between foreign direct investment (FDI), economic growth, and Bangladesh's health. This study employs time-series data from 1980 to 2018. Results show, with Auto-regressive Distribute Lag (ARDL) model, that there is significant cointegration among variables. Foreign investment and economic output relate significantly and positively to health. On the contrary, education is quasi-linked with a different sign-on different model. For model validation, pitfalls of time-series multicollinearity, heteroscedasiticy, and autocorrelation are not present. Also, CUSUM and CUSUMSQ tests are validating the model as stable and fit for future prediction. Medical assessment and education need more attention from the government as well as the private sector. FDI can play a catalyst role for improving the health sector, raising opportunity in educating and creating a better lifestyle. In order to optimize foreign investment, the government should implement necessary reforms and policies.