• 제목/요약/키워드: risk indicators

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폐광지역 산업도시의 도시축소양상과 도시공간정책방안에 관한 연구 -석탄산업합리화조치에 따른 폐광지역 축소도시에 대한 사례 연구 (A Study on the Urban Spatial Policy for the Industrial Cities in Abandoned Mining Area Through the Analysis of the Actual Condition of Urban Shrinkage - A Case Study on Shrinking Cities in Abandoned Mining area by the Coal Industry Rationalization Policy)

  • 지은희;한동규;정찬구;강준모
    • 대한토목학회논문집
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    • 제42권1호
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    • pp.135-144
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    • 2022
  • 이 논문은 폐광지역진흥지구가 지정된 4개의 사례도시를 대상으로 최근 20년간 도시축소 유형을 분석하고 도시축소 실태분석을 통해 향후 도시공간정책의 방향을 제시하고자 하였다. 최근 20년간의 1년 단위 도시축소유형 분석결과, 사례도시 모두 고착형 축소도시로 분석되었으며 최근 40년간 정점인구 대비 30 % 이상의 인구감소를 나타냈다. 공간구조적으로는 인구감소에도 불구하고 시가화면적과 비도시지역의 지구단위계획구역 지정면적은 매년 증가하고 있으며, 비도시지역의 개발행위허가 및 건축허가도 증가추세에 있어 도시공간의 효율적 관리와 운영이 필요하다. 향후 소멸 고위험단계에 있는 군급 도시에 대한 연구와 도시축소 유형의 세분화 및 유형별 실태분석을 위한 다양한 지표의 개발이 요구된다.

욕창, 낙상예방 및 통증간호의 간호과정 적용 평가도구 개발 (Development of Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain)

  • 김금순;김진아;김문숙;김유정;김을순;박광옥;송말순;이영희;이인옥;정연이;최윤경
    • 임상간호연구
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    • 제15권1호
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    • pp.133-147
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    • 2009
  • Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.

Evidence and suggestions for establishing vitamin D intake standards in Koreans for the prevention of chronic diseases

  • Kim, Jung Hyun;Park, Hyoung Su;Pae, Munkyong;Park, Kyung Hee;Kwon, Oran
    • Nutrition Research and Practice
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    • 제16권sup1호
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    • pp.57-69
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    • 2022
  • BACKGROUND/OBJECTIVES: Vitamin D is produced in the skin during sun exposure and is also ingested from foods. The role of vitamin D needs to be considered in the prevention and management of various diseases. Moreover, since the majority of Koreans spend their days indoors, becoming susceptible to the risk of vitamin D deficiency. The current study aims to prepare a basis for determining dietary reference intake of vitamin D in Korea, by reviewing the evidence against various diseases and risks. MATERIALS/METHODS: Literature published in Korea and other countries between 2014 and 2018 was prioritized based on their study design and other criteria, and evaluated using the RoB 2.0 assessment form and United States Department of Agriculture Nutrition Evidence Library Conclusion Statement Evaluation Criteria. RESULTS: Of the 1,709 studies, 128 studies were included in the final systematic analysis after screening. To set the dietary reference intakes of vitamin D based on the selected articles, blood 25(OH)D levels and indicators of bone health were used collectively. Blood vitamin D levels and ultraviolet (UV) exposure time derived from the Korean National Health and Nutrition Examination Survey were analyzed to establish the dietary reference intakes of vitamin D for each stage of the life cycle. The adequate intake levels of vitamin D, according to age and gender, were determined to be in the range of 5-15 ㎍/day, and the tolerable upper intake level was established at 25-100 ㎍/day. CONCLUSIONS: The most important variable for vitamin D nutrition is lifestyle. A balanced diet comprising foods with high contents of vitamin D is important, as is vitamin D synthesis after UV exposure. The adequate intake level of vitamin D mentioned in the 2015 Dietary Reference Intakes for Korean (KDRI) remained unchanged in the 2020 KDRI for the management of vitamin D nutrition in Koreans.

Perspectives on the systematic review for the 2020 Dietary Reference Intakes for Koreans for calcium

  • Bu, So Young;Choi, Mi Ja;Choi, Da Seul;Jung, You-Mi;Jang, In-Sil;Yang, Narae;Kim, Kirang;Park, Clara Yongjoo
    • Nutrition Research and Practice
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    • 제16권sup1호
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    • pp.89-112
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    • 2022
  • An accurate assessment of the recommended calcium (Ca) intake may contribute to reducing the risk of fractures and chronic diseases, ultimately improving quality of life. This review was performed to summarize key findings of Ca studies, investigate the effect of Ca intake on health outcomes, and determine the adequacy of evidence to revise the 2015 Dietary Reference Intakes for Koreans (KDRIs) for Ca in 2020. Databases were searched for intervention studies that assessed health outcomes by providing Ca in diets or as supplements. The framework of the systematic review comprised conducting literature searches, data extraction, quality assessment of the literature, and summarizing key findings relevant to set the Estimated Average Requirement (EAR) and Tolerable Upper Intake Level (UL) for Ca for the 2020 KDRI. The final search was performed in June 2019. A total of 13,309 studies were identified through databases and manual search. Sixtyfive studies were included in the final quality assessment and were summarized according to health indicators. As bone health was used as an indicator of the EAR for Ca, literature reports on bone health were further categorized by the life-cycle stage of the participants. This systematic review did not find new evidence that could be applied to the general Korean adult population, including postmenopausal women, for defining a new EAR for Ca in the 2020 KDRIs. Evidence in most of the reviewed literature was considered weak; however, some evidence was found that could improve the criteria on how the EAR for Ca was determined in children and adolescents. A review of the literature for the 2020 KDRIs for Ca did not find strong evidence in order to change the recommended values of the 2015 KDRIs. More clinical interventions are required among Koreans to strengthen the body of evidence to warrant the revision of the KDRIs.

Future drought risk assessment under CMIP6 GCMs scenarios

  • Thi, Huong-Nguyen;Kim, Jin-Guk;Fabian, Pamela Sofia;Kang, Dong-Won;Kwon, Hyun-Han
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2022년도 학술발표회
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    • pp.305-305
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    • 2022
  • A better approach for assessing meteorological drought occurrences is increasingly important in mitigating and adapting to the impacts of climate change, as well as strategies for developing early warning systems. The present study defines meteorological droughts as a period with an abnormal precipitation deficit based on monthly precipitation data of 18 gauging stations for the Han River watershed in the past (1974-2015). This study utilizes a Bayesian parameter estimation approach to analyze the effects of climate change on future drought (2025-2065) in the Han River Basin using the Coupled Model Intercomparison Project Phase 6 (CMIP6) with four bias-corrected general circulation models (GCMs) under the Shared Socioeconomic Pathway (SSP)2-4.5 scenario. Given that drought is defined by several dependent variables, the evaluation of this phenomenon should be based on multivariate analysis. Two main characteristics of drought (severity and duration) were extracted from precipitation anomalies in the past and near-future periods using the copula function. Three parameters of the Archimedean family copulas, Frank, Clayton, and Gumbel copula, were selected to fit with drought severity and duration. The results reveal that the lower parts and middle of the Han River basin have faced severe drought conditions in the near future. Also, the bivariate analysis using copula showed that, according to both indicators, the study area would experience droughts with greater severity and duration in the future as compared with the historical period.

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파킨슨병에 동반된 수면장애의 한약 치료에 대한 임상 연구 동향 : 무작위 대조연구를 중심으로 (Efficacy of Herbal Medicine on Sleep Disorders in Parkinson's Disease: A Review of Randomized Controlled Trials)

  • 강지현;백경민
    • 대한한방내과학회지
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    • 제44권4호
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    • pp.603-620
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    • 2023
  • Objectives: This study reviewed randomized controlled trials (RCTs) investigating the efficacy of herbal medicine on sleep disorders associated with Parkinson's disease and suggests a better research process. Methods: We searched for RCTs for herbal medicine treatments for sleep disorders related to Parkinson's disease on July 31, 2023 using eight databases (PubMed, Embase, the Cochrane library, China National Knowledge Infrastructure [CNKI], the Research Information Service System [RISS], Science ON, the Oriental Medicine Advanced Searching Integrated System [OASIS], and the Korea Citation Index [KCI]). Cochrane's risk of bias tool was used to assess the quality of the RCTs. Results: A total of 16 RCTs met all the inclusion criteria, and in most reports, the treatment group showed a significant improvement in sleep disorders compared to the control group. Total effective rate (TER), Pittsburgh Sleep Quality Index (PSQI), Unified Parkinson's Disease Rating Scale (UPDRS), TCM Symptom Score (TSS), Parkinson's Disease Sleep Scale (PDSS), etc., were used as evaluation indicators. Conclusion: Herbal medicine is a potential treatment for sleep disorders associated with Parkinson's disease. However, the selected RCTs were of poor quality, and it is necessary to perform more systematic studies.

통합적인 인공 신경망 모델을 이용한 발틱운임지수 예측 (Predicting the Baltic Dry Bulk Freight Index Using an Ensemble Neural Network Model)

  • 소막
    • 무역학회지
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    • 제48권2호
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    • pp.27-43
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    • 2023
  • 해양 산업은 글로벌 경제 성장에 매우 중요한 역할을 하고 있다. 특히 벌크운임지수인 BDI는 글로벌 상품 가격과 매우 밀접한 상관 관계를 지니고 있기 때문에 BDI 예측 연구의 중요성이 증가하고 있다. 본연구에서는 글로벌 시장 상황 불안정성으로 인한 정확한 BDI 예측 어려움을 해결하고자 머신러닝 전략을 도입하였다. CNN과 LSTM의 이점을 결합한 예측 모델을 설정하였고, 모델 적합도를 위해 27년간의 일일 BDI 데이터를 수집하였다. 연구 결과, CNN을 통해 추출된 BDI 특징을 기반으로 LSTM이 BDI를 R2 값 94.7%로 정확하게 예측할 수 있었다. 본 연구는 해운 경제지표 연구 분야에서 새로운 머신 러닝 통합 접근법을 적용했을 뿐만 아니라 해운 관련기관과 금융 투자 분야의 위험 관리 의사결정에 대한 시사점을 제공한다는 점에서 그 의의가 있다.

Association of the number of remaining teeth with kidney function in community-dwelling healthy older adults: a cross-sectional study

  • Yui Nanba;Yuhei Matsuda;Satsuki Watanabe;Mayu Takeda;Takafumi Abe;Kazumichi Tominaga;Minoru Isomura;Takahiro Kanno
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제49권5호
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    • pp.243-251
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    • 2023
  • Objectives: Although a few studies have investigated the relationship between kidney and oral function (number of remaining teeth), their results remain inconclusive. Therefore, this study aimed to investigate the relationship between kidney function and oral health in community-dwelling healthy elderlies and examine the factors associated with kidney function. Materials and Methods: We used cross-sectional data from the Shimane prefecture cohort recruited by the Center for Community-Based Health Research and Education in 2019. We collected clinical data on dental status, background factors and kidney function (estimated glomerular filtration rate [eGFR], mL/min/1.73 m2 and creatinine levels, mg/dL). Results: The study enrolled 481 participants, whose mean age was 66.7±7.4 years, and 223 (46.4%) participants were men. Multivariate analysis revealed significant correlations between eGFR (B=0.17, P=0.04), creatinine (B=-0.54, P<0.01), and the number of remaining teeth. The number of remaining teeth was associated with creatinine and eGFR, which are indicators of kidney function. Conclusion: This study suggests that preserving the teeth may prevent decline in kidney function. Dental professionals should provide instructions and professional care to reduce the risk of systemic diseases such as kidney dysfunction.

패션산업의 경기변동은 뉴스의 영향을 받는가? -섬유의복 KOSPI와 미디어 의제의 ARIMAX 시계열 상관관계 분석- (Are Business Cycles in the Fashion Industry Affected by the News? -An ARIMAX Time Series Correlation Analysis between the KOSPI Index for Textile & Wearing Apparel and Media Agendas-)

  • 김효정;박민정
    • 한국의류학회지
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    • 제47권5호
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    • pp.779-803
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    • 2023
  • The growth of digital news media and the stock price index has resulted in economic fluctuations in the fashion industry. This study examines the impact of fashion industry news and macroeconomic changes on the Textile & Wearing Apparel KOSPI over the past five years. An auto-regressive integrated moving average exogenous time series model was conducted using the fashion industry stock market index, the news topic index, and macro-economic indicators. The results indicated the topics of "Cosmetic business expansion" and "Digital innovation" impacted the Textile & Wearing Apparel KOSPI after one week, and the topics of "Pop-up store," "Entry into the Chinese fashion market," and "Fashion week and trade show" affected it after two weeks. Moreover, the topics of "Cosmetic business expansion" and "Entry into the Chinese fashion market" were statistically significant in the macroeconomic environment. Regarding the effect relation of Textile & Wearing Apparel KOSPI, "Cosmetic business expansion," "Entry into the Chinese fashion market," and consumer price fluctuation showed negative effects, while the private consumption change rate, producer price fluctuation, and unemployment change rate had positive effects. This study analyzes the impact of media framing on fashion industry business cycles and provides practical insights into managing stock market risk for fashion companies.

범불안장애의 한약 치료에 관한 체계적 문헌고찰 및 메타분석: 최근 5년 임상연구를 중심으로 (Systematic Review and Meta-Analysis on Herbal Medicine for Generalized Anxiety Disorder: Focusing on Clinical Studies over the Past 5 Years)

  • 김민재;박현섭;권찬영
    • 동의신경정신과학회지
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    • 제34권4호
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    • pp.403-420
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    • 2023
  • Objectives: This study investigated the effectiveness of herbal medicine for generalized anxiety disorder (GAD) based on recent clinical studies. Methods: Studies were searched through four databases. Clinical research studies on herbal medicine treatment for GAD patients were included. The studies were analyzed according to study design, diagnostic criteria, population, and intervention. A risk of bias assessment was performed to assess the quality of the included randomized controlled trials (RCT). If the intervention applied to the treatment and control groups was the same and two or more studies were reporting the same items as outcome indicators, a meta-analysis was performed. Results: A total of 19 studies, including 12 RCTs were selected. The most common pattern identification was 'Phlegm fire disturbing upward' (痰熱上擾), and the most used herb for therapeutic purposes was 'Rhizome of Poria cocos' (茯苓). Meta-analysis results of three studies showed that there were no significant differences in effectiveness between the herbal medicine intervention and the Western medicine intervention. Meta-analysis results of five studies showed that the Hamilton Anxiety Rating Scale was significantly reduced in the case of herbal medicine intervention compared to Western medicine intervention. Conclusions: The results of our study demonstrated that herbal medicine treatment for GAD is effective in alleviating anxiety symptoms and chief symptoms of GAD. However, this study has several limitations; there was a lack of placebo-controlled RCT and an absence of objective diagnostic criteria in case reports. Therefore, further well-designed clinical studies, conducted based on the results of this study, are recommended.