• 제목/요약/키워드: risk degree

검색결과 1,209건 처리시간 0.025초

신생아 집중실에 입원한 고위험 신생아 어머니의 스트레스 정도 및 내용에 관한 연구 (Study on the Perceived Stress Degree and Content of Mother of High-Risk Infants in Neonatal Intensive Care Unit)

  • 성미혜
    • Child Health Nursing Research
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    • 제8권1호
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    • pp.97-109
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    • 2002
  • This study was conducted to understand the degree and contents of stress which the mothers of high-risk infants can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to he nursing intervention program for these. Subjects were the 171 mother of hospitalized newborn in NICU of 1 University Hospital in Busan from June, 20, 2001 to September, 15, 2001, who agreed to take part in this study. The instruments used in this study were Parental Stressor Scale:NICU(PSS:NICU) developed by Miles et al. The questionnaire has 4 dimensions and 45 items ; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The data was analysed as average, frequency, Standard Deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study are as follows ; 1. The total perceived stress level score of mothers of high-risk infants was slightly high(3.44±0.71). The highest scored dimension was 'appearance and behavior of the baby'(4.06±0.80), and next were 'relationship with their baby and parental role change'(3.55±0.98), 'sight and sounds of NICU'(3.22±1.01), 'communication with health team'(2.93±0.91). 2. The total perceived stress level score was significantly correlated with birth weight (F=2.35, p<.05). 3. In sight and sounds of NICU, the perceived stress level score was significantly correlated with nursing in the incubator(t=2.28, p<.05) and birth weight(t=2.26, p<.05). In summary, information about physical environment of NICU, birth weight and nursing in the incubator must be included in nursing intervention program of mother's of high-risk infants in reducing the patents stress level. And, it is suggested that there need to find the coping mechanism of mother of high-risk infants.

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일반외과 환자의 환자위험지수에 따른 수술창상감염 발생률 (Surgical Site Infection Rates according to Patient Risk Index after General Surgery)

  • 이혜령
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.44-51
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    • 2002
  • Purpose: Surgical Site Infection(SSI) is the third most common cause of nosocomial infection, so that it results in serious socioeconomic impact such as extra hospitalization, mortality and health care cost. The aim of this study was to analyses the SSI that based on the degree of wound contamination and patient risk index after general surgery and to generate a reference data for the effective management and reducing SSI. Method: From July, 1999 to June, 2000, 1080 cases which presented with surgical site infection after general surgery at S hospital in chunchon city were included in this study. The data were collected by review of the medical records retrospectively. The collected data, in accordance with the test purpose, is analyzed by SPSS/PC+ program, using real numbers, percentage, $X^2$ test, Pearson's correlation and stepwise logistic regression. Result: The overall wound infection rate was 4.7%(51 cases out of 1,080). The infection rate of clean wounds was 1.4%. Surgical site infection rate for patient risk index scores of 0, 1, 2 and 3 was 1.9%, 8.0%, 13.1% and 20.0%, respectively and increased significantly according to patient risk index(p=.000). Sixteen of the fifty one(31.4%) surgical site infections were found during an outpatient visit after discharge. Multivariate analysis, identified two independent variables : duration of postoperation stay(p=.000), age(p=.037). The most frequent isolated organisms were Pseudomonas aeruginosa(21%) and Staphylococcus aureus(21%). Also Staphylococcus aureus were all MRSA(Methicillin Resistant S. aureus). Conclusion: In this study, SSI was analysed according to the degree of wound contamination and patient risk index after general surgery. The data that obtained from this study is expected that it would be available for surveillance and control of SSI.

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Polymorphisms of XRCC1 and XRCC2 DNA Repair Genes and Interaction with Environmental Factors Influence the Risk of Nasopharyngeal Carcinoma in Northeast India

  • Singh, Seram Anil;Ghosh, Sankar Kumar
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2811-2819
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    • 2016
  • Multiple genetic and environmental factors have been reported to play key role in the development of nasopharyngeal carcinoma (NPC). Here, we investigated interactions of XRCC1 Arg399Gln and XRCC2 Arg188His polymorphisms and environmental factors in modulating susceptibility to NPC in Northeast India. One-hundred NPC patients, 90 first-degree relatives of patients and 120 controls were enrolled in the study. XRCC1 Arg399Gln and XRCC2 Arg188His polymorphisms were determined using PCR-RFLP, and the results were confirmed by DNA sequencing. Logistic regression (LR) and multifactor dimensionality reduction (MDR) approaches were applied for statistical analysis. The XRCC1 Gln/Gln genotype showed increased risk (OR=2.76; P<0.024) of NPC. However, individuals with both XRCC1 and XRCC2 polymorphic variants had 3.2 fold elevated risk (P<0.041). An enhanced risk of NPC was also observed in smoked meat (OR=4.07; P=0.004) and fermented fish consumers (OR=4.34, P=0.001), and tobacco-betel quid chewers (OR=7.00; P=0.0001) carrying XRCC1 polymorphic variants. However, smokers carrying defective XRCC1 gene showed the highest risk (OR = 7.47; P<0.0001). On MDR analysis, the best model for NPC risk was the five-factor model combination of XRCC1 variant genotype, fermented fish, smoked meat, smoking and chewing (CVC=10/10; TBA=0.636; P<0.0001); whereas in interaction entropy graphs, smoked meat and tobacco chewing showed synergistic interactions with XRCC1. These findings suggest that interaction of genetic and environmental factors might increase susceptibility to NPC in Northeast Indian populations.

간호사의 A형 행동유형과 스트레스, 우울 및 피로수준과의 관련성 (Type A Behavior Pattern and Its Association with Stress, Depression and Fatigue in Nurses)

  • 윤현숙;김현리;권인선;조영채
    • 한국직업건강간호학회지
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    • 제17권2호
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    • pp.180-190
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    • 2008
  • Purpose: The present study was intended to assess stress, depression and fatigue of nurses working for university hospitals and to reveal its association with the type A behavior pattern. Method: The self-administered questionnaires were given to 810 nurses employed in 4 participating hospitals located in Daejeon City. The questionnaire items included sociodemographic, job-related, and the type A behavior patterns as independent variables and the PWI, SDS and MFS as dependent variables. Result: The proportion of the type A behavior pattern was 24.3% of subjects, in the degree of stress, high risk stress group was 87.0%, in the degree of depression, normal group was 60.9%, in the degree of fatigue, high risk fatigue group was 48.6%. The degree of stress, depression, and fatigue were significantly higher in the type A behavior pattern group then the type B behavior pattern group. The type A behavior pattern was significant positive correlation with stress, depression, and fatigue. The degree of stress(OR=1.2, 95%CI=1.167-1.262), depression(OR=1.1, 95%CI=1.11-1.17) and fatigue (OR=1.1, 95%CI=1.04-1.06) were significantly higher for the type A then the type B behavior pattern group. Conclusion: The degree of stress, depression, and fatigue were significantly higher in the type A then the type B behavior pattern group.

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대장 선종 이형성 및 대장암과 임신, 출산, 월경 요인의 관련성에 관한 환자-대조군 연구 (A Case-control Study of the Relationships between Reproductive Factors and Degree of Dysplasia of the Colorectal Adenoma and Cancer)

  • 이세영;최규용;김미경;이진희;맹광호;이원철
    • Journal of Preventive Medicine and Public Health
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    • 제36권3호
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    • pp.279-288
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    • 2003
  • Objectives : Evidence for an effect of rerroductive factors on colorectal carcinogenesis is not yet consistent. Little research has been conducted to investigate whether reproductive factors were associated with colorectal adenomas that are the precursors of colorecta1 cancer, We evaluated the relationships between reproductive factors and the degree of dysplasia of the colorectal adenoma and cancer as colorectal adenoma-carcinoma sequence. Methods : For this study, 241 adenoma cases with histopathologically confirmed incident colorectal adenoma, 76 cancer cases with colorectal cancer and 1677 controls were collected from Our Lady of Mercy Hospital, The Catholic University of Korea, during 1994-1999. Before colonoscopy, information on demographic characteristics, reproductive factors, life style habits and dietary intake were obtained by interviewed questionnaire. Adjusted OR and 95% CI were estimated by using polytomous logistic regression model, Potential confounders that were selected based on the goodness of fit Statistics and interaction between risk factors were considered in this adjustment. The Wald statistic was calculated to test the heterogeneity of the odds ratios for each case. Results .: Postmenopausal women with natural menopause were found to be positively associated with the risk of mild dysplasia adenoma (multivariate-adjusted OR : 2.59, 95% CI=1.1-0.2). Parity was found to be negatively associated with the risk of colorectal lancer (age-adjusted OR : 0.40, 95% CI=0.2-0.9), but did not significantly decrease the risk of colorectal cancer (multivariate-adjusted OR : 0.95, 95% CI=0.3-2.9). Me associations were seen between a9e at menarche, breast feeding, induced abortion, oral contraceptive use, menopausal types, menopausal age or hormone replacement therapy (HRT and the degree of dysplasia of the colorectal adenoma and cancer. However, none of these associations differed' significantly between the degree of dysplasia of the colorectal adenoma and cancer. Conclusions : These findings suggest that postmenopausal women with natural menopause may experience increased risk of mild dysplasia adenorna among colorectal adenoma-carcinoma sequence.

정보시스템 관련 교육의 정도가 보안 우려 및 온라인 거래 의도에 미치는 영향 - 인터넷 이용과 스마트 폰 이용의 비교 분석 (The effects of the degree of education related to information systems on online transaction intention and security concerns - Comparative analysis of the use of the Internet and smartphone)

  • 정승민
    • 한국컴퓨터정보학회논문지
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    • 제17권8호
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    • pp.145-161
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    • 2012
  • 본 연구에서는 정보시스템 관련 교육의 정도와 인터넷 활용 능력이 인지된 보안성 우려에 어떠한 영향을 미치며, 기술수용모델에 기반을 두어 이 세 변수가 온라인 거래 의도에는 어떻게 영향을 미치는지 살펴보고자 하였다. 또한 스마트 폰을 이용하여 필요로 하는 제품을 구매하는 사례가 증가하는 추세이므로 기존 인터넷을 이용할 경우와 스마트 폰을 이용할 경우로 구분하여 비교 분석하였다. 실증 분석 결과, 정보시스템 관련 교육의 정도, 인터넷 활용 능력, 인지된 보안성 우려는 인지된 유용성 및 인지된 사용 용이성을 매개로 하여 온라인 거래 의도에 유의한 영향을 미쳤다. 그리고 예상했던 것과 달리, 정보시스템 관련 교육을 많이 받을수록 해킹이나 프라이버시 침해 사례들을 더 많이 알게 되어 보안에 대해 더 우려하게 되며, 따라서 인터넷을 통한 거래가 많은 노력을 요구한다고 믿었다. 또한 정보시스템 관련 교육을 많이 받을수록 보안에 대해 더 우려하게 되므로, 인지된 보안성 우려는 인지된 유용성에 부(-)의 영향이 아니라 정(+)의 영향을 미쳤다. 마지막으로 정보시스템 관련 교육의 정도는 인터넷 거래의 유용성이나 인터넷 거래의 사용 용이성을 인지하는 것과는 관련이 있으나, 스마트 폰의 유용성이나 스마트 폰의 사용 용이성을 인지하는 것과는 관련이 없는 것으로 나타났다.

코로나19 백신접종이 사회적 거리두기 효과에 미치는 영향분석 (The Effect Analysis of COVID-19 vaccination on social distancing)

  • 문수찬
    • 한국융합학회논문지
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    • 제13권2호
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    • pp.67-75
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    • 2022
  • 이 연구의 목적은 현재 운영되고 있는 코로나19 예방을 위한 거리두기 체계의 과학적 근거 보완으로 적절한 관리방안을 제시하고자 함이다. 현재의 수리 모델들은 연립 상미분방정식으로 표현되어 소상공인이나 영세업자들의 출입자 관리에 사용하기는 어려운 문제가 있다. 본 고에서는 이러한 점을 보완하기 위하여 집합 공간에 주어지는 허용위험도와 기초감염재생산지수, 백신접종에 의한 위험도 감소율을 고려하여 집합하는 사람들에 의한 감염위험도를 정량적으로 표현하는 방법을 제시하였다. 백신접종 상황(미접종, 1차 접종, 완전 접종)에 따른 감염 위험성 정도와 바이러스의 유행상황을 함께 고려하여 방문자의 집합에 따른 감염자 발생 가능성을 확률론적인 차원에서 관리하는 간단한 정량적 모델을 개발하였다. 모델을 사용하여 주어진 예에서 20%의 미접종자가 완전 접종으로 전환될 경우 위험도는 55% 수준으로 감소되는 것을 보였고, 기초 감염재생산지수와 백신접종에 의한 감염위험도 감소 개선 효과를 비교하여 의학적인 관리보다 방역 측면에서의 관리가 더 큰 효과를 얻을 수 있다는 점을 제시하였다. 이를 바탕으로 백신의 종류와 확진자 발생 정도를 고려한 다양한 상황에서 적용할 수 있는 일반화 모델도 제시하였다. 이 모델을 적용하면 백신의 종류, 접종 정도, 접종 후 시간 경과에 따른 실시간 개인별 위험도를 산출할 수 있고, 이를 통해 주어진 공간의 집합 인원에 따른 위험도 관리에 이용할 수 있다.

여고생의 유행태도에 따른 의복구매시의 디스플레이 활용도와 인지위험 (A Study on the Use of Display and Perceived Risk according to High School Girls′ Attitudes Toward Fashion)

  • 황춘섭;박지영
    • 복식
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    • 제53권8호
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    • pp.149-158
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    • 2003
  • The purpose of the present study was to investigate the use level of display and perceived risk of high school girls according to their attitudes toward fashion. Data were collected through self-administered questionnaires and analyzed by descriptive statistics, $x^2$, ANOVA, and Duncan test. The sample consisted of 390 students at four girls' high schools located in Seoul. The results are as follows : 1. Based on the attitudes toward fashion, respondents were classified into 3 groups, fashion-oriented, fashion-conformed, fashion-retarded. No differences were found in fashion attitudes among and between the groups by residing place. The group having higher interest in fashion spent more expenditure for apparels, and showed the higher interest in display, and highly regarded the needs of display. 2. The more fashion-oriented group showed higher degree of risk perceiving. Especially, they perceived psychological risk, fashionability risk, and social risk highly. And all the three groups perceived opportunity risk most. 3. In general, those who are more sensitive to fashion showed more positive attitude of risk reduction activities.

도시 재해위험도 평가 모형 연구 - 화재, 시설, 피난위험도 중심의 청주시 사례 - (Empirical Application for the Urban Disaster Risk Assessment : Fire, Facility and Escape Cases in Cheongju City)

  • 황희연;백기영;박병호;이만형;황재훈;류을렬;김태환
    • 한국방재학회 논문집
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    • 제1권2호
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    • pp.123-137
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    • 2001
  • 본 연구는 우리나라의 도시재해의 특성과 자료확보 가능성을 기반으로 청주를 사례로 화재, 시설, 피난위험도에 한정하여 재해위험도 평가모형을 제시하고 있다. 평가기준에 있어 동별 기준으로 화재위험도는 화재발생건수와 피해액을 기준으로 하고 있으며, 시설위험도의 경우 중점관리시설의 개소 수와 관리등급을 기준으로 하고 있고, 피난위험도는 지목별 면적과 지목별 가중치로 모형을 설정하였다. 청주시에 대한 모형 적용 결과 화재위험도는 불량주거지역과 생활편익시설이 집중되어 있는 중심 상업지역내의 시가화구역이 상대적으로 높게 나타났으며, 반대로 시설위험도와 피난위험도는 신흥 아파트 밀집지역과 구주거지역 모두가 높게 나타났다 종합위험도에 있어서는 중심상업지역과 그 주변밀집주거지역에서 높은 점수를 나타내는 것으로 판명되었다.

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케이블TV 홈쇼핑을 통한 의복구매시 소비자 반응과 추구이점 및 위험지각 (Consumers' Reaction, Perceives Benefits and Risk When Purchasing Apparel through Cable TV Home-Shopping)

  • 김주영;구양숙
    • 한국의류학회지
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    • 제21권6호
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    • pp.1082-1093
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    • 1997
  • The purpose of this study was to identify characteristics and consumer attitude on purchasing apparel through Cable TV home-shopping. The questionnaire was administered to 4y5 May through September in 1996 and the data were analyzed by using frequency, factor analysis, crosstab, 1-test, ANOVA, MANOVA, scheffe with utilizing SPSS/PC+ The results of this study were as follows: 1. The most favorite media in purchasing apparel through home-shopping was Cable TV in all over ages except 50's. Women showed Cable TV the most interested, whereas men showed printed media and computer on-line shopping as home shopping media. 2. Home-shopping favor in region' was higher than that of Seoul. In the degree of favor, college students showed the highest, followed by part time employees, housewives and full time employees. Those who lived individual houses in other than Seoul area showed higher purchasing intention. 3. Sweater item was shown as the highest purchasing interested item and coat/business suit items were shown as lower among 10 different apparel items. 4. Five dimensions of Perceived benefits of apparel purchasing through Cable TV were derived by factor analysis such as variety of merchandise information, purchase convenience, efficiency, saving time, and convenience of physical inactivity. The convenience of physical inactivity showed the most important benefit through Cable TV home-shopping. Perceived risk of apparel purchasing through Cable TV was factor analyzed as merchandise related risk, size and appearance related risk, delivery related risk, TV watching related risk, and unplanned purchasing related risk. The sixte and appearance related risk was shown as the highest risk.

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