• 제목/요약/키워드: risk assessment model

검색결과 1,071건 처리시간 0.027초

Predictive Factors of Postoperative Pain and Postoperative Anxiety in Children Undergoing Elective Circumcision: A Prospective Cohort Study

  • Zavras, Nick;Tsamoudaki, Stella;Ntomi, Vasileia;Yiannopoulos, Ioannis;Christianakis, Efstratios;Pikoulis, Emmanuel
    • The Korean Journal of Pain
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    • 제28권4호
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    • pp.244-253
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    • 2015
  • Background: Although circumcision for phimosis in children is a minor surgical procedure, it is followed by pain and carries the risk of increased postoperative anxiety. This study examined predictive factors of postoperative pain and anxiety in children undergoing circumcision. Methods: We conducted a prospective cohort study of children scheduled for elective circumcision. Circumcision was performed applying one of the following surgical techniques: sutureless prepuceplasty (SP), preputial plasty technique (PP), and conventional circumcision (CC). Demographics and base-line clinical characteristics were collected, and assessment of the level of preoperative anxiety was performed. Subsequently, a statistical model was designed in order to examine predictive factors of postoperative pain and postoperative anxiety. Assessment of postoperative pain was performed using the Faces Pain Scale (FPS). The Post Hospitalization Behavior Questionnaire study was used to assess negative behavioral manifestations. Results: A total of 301 children with a mean age of $7.56{\pm}2.61$ years were included in the study. Predictive factors of postoperative pain measured with the FPS included a) the type of surgical technique, b) the absence of siblings, and c) the presence of postoperative complications. Predictive factors of postoperative anxiety included a) the type of surgical technique, b) the level of education of mothers, c) the presence of preoperative anxiety, and d) a history of previous surgery. Conclusions: Although our study was not without its limitations, it expands current knowledge by adding new predictive factors of postoperative pain and postoperative anxiety. Clearly, further randomized controlled studies are needed to confirm its results.

서울지역 겨울철 기온과 노인의 사망률간의 관련성 연구(1992년~2007년) (Association between Cold Temperature and Mortality of the Elderly in Seoul, Korea, 1992-2007)

  • 이정원;전형진;조용성;이철민;김기연;김윤신
    • 환경영향평가
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    • 제20권5호
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    • pp.747-755
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    • 2011
  • This study was investigated the relationship between the temperature and the mortality of aged (${\geq}65$ yr) during the winter seasons from 1992 to 2007 in Seoul, Korea by utilizing climate data and death records. The study also estimated the future risks by employing the projections of the population in Seoul, Korea and climate change scenario of Korea from 2011 to 2030. The limitation of this study was the impossibility in the prediction of daily mortality counts. Therefore, daily death numbers could be predicted based on the future population projection for Korea and the death records of 2005. The result indicated that risks increased by 0.27%, 0.52%, 0.32% and 0.41% in association with the $1^{\circ}C$ decrease in daily minimum temperature from the mortality counts of total, respiratory, cardiovascular, and cardiorespiratory in the past date while 0.31%, 0.42%, 0.59% and 0.66% in the future. Based on the results obtained from this study, it is concluded that the risk in the future will be higher than the past date although there is an uncertainty in estimating death counts in the future.

발전방류구 위치변화에 따른 저수지내 탁수변화 -대청댐을 대상으로- (Effect of Hydroelectric Power Plant Discharge on the Turbidity Distribution in Dae-Cheong Dam Reservoir)

  • 서세덕;이재일;하성룡
    • 환경영향평가
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    • 제20권2호
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    • pp.227-234
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    • 2011
  • In the study, CE-QUAL-W2 was used and its examination and correction were conducted targeting 2001 and 2003 when the condition of rainfall was contradicted. Using the proved model in 2003, a scenario was implemented with management of locations for dewatering outlets and actual data for dam management in 1987 when inflow and outflow level were almost same. In case of the scenario which the location of dewatering outlets was 5m higher than usual location, exclusion efficiency for turbid water inflow at the beginning of precipitation was good. In case of the scenario which the location of dewatering outlets was 10m lower than usual location, exclusion efficiency for excluding turbid water remained in a reservoir after the end of precipitation. However, the scenario applying dam management data in 1987, exclusion efficiency was relatively low. In the scenario, power-generating water release spot at EL.57m for first four days after the beginning of precipitation, EL.52m for 5th to 8th and EL.42m from 9th days. An analysis of the scenario reveals that both excessive days exceeded 30 NTU and average turbidity levels were decreased comparing before and after the alteration on outlets. The average turbidity levels were decreased by minimum of 55% to maximum of 70% and 30NTU exceeding days were decreased by 45 days at maximum. Also, since it could exclude most of turbid water in a reservoir before the destatifcation, the risk for turbid water evenly distributed in a reservoir along with turn-over could be decreased as well.

Priority Setting for Occupational Cancer Prevention

  • Peters, Cheryl E.;Palmer, Alison L.;Telfer, Joanne;Ge, Calvin B.;Hall, Amy L.;Davies, Hugh W.;Pahwa, Manisha;Demers, Paul A.
    • Safety and Health at Work
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    • 제9권2호
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    • pp.133-139
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    • 2018
  • Background: Selecting priority occupational carcinogens is important for cancer prevention efforts; however, standardized selection methods are not available. The objective of this paper was to describe the methods used by CAREX Canada in 2015 to establish priorities for preventing occupational cancer, with a focus on exposure estimation and descriptive profiles. Methods: Four criteria were used in an expert assessment process to guide carcinogen prioritization: (1) the likelihood of presence and/or use in Canadian workplaces; (2) toxicity of the substance (strength of evidence for carcinogenicity and other health effects); (3) feasibility of producing a carcinogen profile and/or an occupational estimate; and (4) special interest from the public/scientific community. Carcinogens were ranked as high, medium or low priority based on specific conditions regarding these criteria, and stakeholder input was incorporated. Priorities were set separately for the creation of new carcinogen profiles and for new occupational exposure estimates. Results: Overall, 246 agents were reviewed for inclusion in the occupational priorities list. For carcinogen profile generation, 103 were prioritized (11 high, 33 medium, and 59 low priority), and 36 carcinogens were deemed priorities for occupational exposure estimation (13 high, 17 medium, and 6 low priority). Conclusion: Prioritizing and ranking occupational carcinogens is required for a variety of purposes, including research, resource allocation at different jurisdictional levels, calculations of occupational cancer burden, and planning of CAREX-type projects in different countries. This paper outlines how this process was achieved in Canada; this may provide a model for other countries and jurisdictions as a part of occupational cancer prevention efforts.

비즈니스 연속성 보장을 위한 복구 시간 목표(RTO) 및 복구 지점 목표(RPO)를 최소화할 수 있는 재해복구시스템 구축 방안 연구 (A Study on How to Build a Disaster Recovery System that can Minimize Recovery Time Objective(RTO) and Recovery Point Objective(RPO) to Ensure Business Continuity)

  • 강현선
    • 한국소프트웨어감정평가학회 논문지
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    • 제17권2호
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    • pp.91-99
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    • 2021
  • IT 의존도가 급격히 높아진 현재 비즈니스 환경에서 재해 또는 사이버 공격으로 인한 위험도 점차 증가하고 있다. 각종 재해로 인해 비즈니스 중단이 초래된 상황에서 서비스를 계속 제공할 수 있는 능력인 비즈니스 연속성은 필수적이다. 즉, 미리 정해진 복구시간목표(RTO)와 복구지점목표(RPO) 시간 내에 신속한 복구로 핵심 비즈니스 기능을 중단 없이 유지할 수 있는 계획을 세워야 한다. 본 논문에서는 비즈니스 연속성 보장을 위한 RTO, RPO를 최소화할 수 있는 재해복구시스템 구축방안을 제시한다. 재해복구시스템 구성은 Tier 7의 재해복구 모델 및 동기식 스토리지 복제, Hot 재해복구 사이트, 운영관리 자동화 솔루션을 채택하였다. 이를 통해 데이터 손실이 거의 없고 RTO 및 RPO를 최소화함으로써 핵심 비즈니스의 연속성을 보장한다.

Pattern Recognition of Ship Navigational Data Using Support Vector Machine

  • Kim, Joo-Sung;Jeong, Jung Sik
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제15권4호
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    • pp.268-276
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    • 2015
  • A ship's sailing route or plan is determined by the master as the decision maker of the vessel, and depends on the characteristics of the navigational environment and the conditions of the ship. The trajectory, which appears as a result of the ship's navigation, is monitored and stored by a Vessel Traffic Service center, and is used for an analysis of the ship's navigational pattern and risk assessment within a particular area. However, such an analysis is performed in the same manner, despite the different navigational environments between coastal areas and the harbor limits. The navigational environment within the harbor limits changes rapidly owing to construction of the port facilities, dredging operations, and so on. In this study, a support vector machine was used for processing and modeling the trajectory data. A K-fold cross-validation and a grid search were used for selecting the optimal parameters. A complicated traffic route similar to the circumstances of the harbor limits was constructed for a validation of the model. A group of vessels was composed, each vessel of which was given various speed and course changes along a specified route. As a result of the machine learning, the optimal route and voyage data model were obtained. Finally, the model was presented to Vessel Traffic Service operators to detect any anomalous vessel behaviors. Using the proposed data modeling method, we intend to support the decision-making of Vessel Traffic Service operators in terms of navigational patterns and their characteristics.

도시홍수모델을 이용한 해안지역의 침수재해평가 (Inundating Disaster Assessment in Coastal Areas Using Urban Flood Model)

  • 유환희;김원석;김성삼
    • 한국측량학회지
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    • 제24권3호
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    • pp.299-309
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    • 2006
  • 최근 세계적인 기상이변으로 대규모의 자연재해가 발생되고 있으며, 도시지역의 인구 과밀화와 시설물의 대형화로 피해규모도 대형화되고 있다. 본 연구에서는 매미 태풍 시 침수피해가 크게 발생하였던 마산시 월영동지역에 대해 도시홍수량을 추정할 수 있는 SWMM모형을 이용하여 빈도강우와 해수위별 침수예상지를 추정하고 이것을 GIS데이터베이스와 연결하여 침수예상피해를 분석하였다. 그 결과, GIS자료를 이용하여 대상지역을 소유역으로 구분하고 홍수추정모형인 SWMM을 이용하여 침수위치와 침수심을 예측함으로서 빈도강우와 해수위 상승에 따른 침수예상지역을 정확하게 예측할 수 있었다. 또한 침수가 예상되는 지역에 대해 건물용도별로 침수위험도를 예측하거나 침수에 따른 대피계획수립에 이용할 수 있는 자료를 제공할 수 있었으며, 향 후 웹이나 무선통신기술 등과 연계된 재난관리체계구축에 대한 연구가 이뤄질 경우 활용성이 증대될 것으로 판단된다.

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.

Misclassification Adjustment of Family History of Breast Cancer in a Case-Control Study: a Bayesian Approach

  • Moradzadeh, Rahmatollah;Mansournia, Mohammad Ali;Baghfalaki, Taban;Ghiasvand, Reza;Noori-Daloii, Mohammad Reza;Holakouie-Naieni, Kourosh
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8221-8226
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    • 2016
  • Background: Misreporting self-reported family history may lead to biased estimations. We used Bayesian methods to adjust for exposure misclassification. Materials and Methods: A hospital-based case-control study was used to identify breast cancer risk factors among Iranian women. Three models were jointly considered; an outcome, an exposure and a measurement model. All models were fitted using Bayesian methods, run to achieve convergence. Results: Bayesian analysis in the model without misclassification showed that the odds ratios for the relationship between breast cancer and a family history in different prior distributions were 2.98 (95% CRI: 2.41, 3.71), 2.57 (95% CRI: 1.95, 3.41) and 2.53 (95% CRI: 1.93, 3.31). In the misclassified model, adjusted odds ratios for misclassification in the different situations were 2.64 (95% CRI: 2.02, 3.47), 2.64 (95% CRI: 2.02, 3.46), 1.60 (95% CRI: 1.07, 2.38), 1.61 (95% CRI: 1.07, 2.40), 1.57 (95% CRI: 1.05, 2.35), 1.58 (95% CRI: 1.06, 2.34) and 1.57 (95% CRI: 1.06, 2.33). Conclusions: It was concluded that self-reported family history may be misclassified in different scenarios. Due to the lack of validation studies in Iran, more attention to this matter in future research is suggested, especially while obtaining results in accordance with sensitivity and specificity values.