• Title/Summary/Keyword: risk indicators

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Subjective and objective indicators of socioeconomic status and self-rated health in Korean adolescents

  • Choi, Kyungwon
    • Korean Journal of Health Education and Promotion
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    • v.32 no.5
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    • pp.53-62
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    • 2015
  • Objectives: The purpose of this study was to examine the associations among self-rated health and socioeconomic status. Methods: Analyses were conducted based on cross-sectional data obtained from the Korea Youth Risk Behavior Web-based Survey. A total of 79,202 students aged 12 to 18 years participated in the study and there was a response rate of 95.5%. Separate logistic regression analyses were performed on each gender group based on a set of independent variables. Those being: the level of parental education level; family affluence scale; subjective household economic status; and subjective school achievement with SRH as the dependent variable. Results: Multivariate analyses revealed significant associations between each SES and adolescent SRH after controlling for other covariates. However, in the models that included all SES indicators, subjective household economic status and subjective school achievement remained significant in boys and girls. Conclusions: The findings demonstrated that subjective SES indicators are more closely related to adolescent SRH when compared with objective indicators.

Development of the Safety Management Risk Assessment Factors and Indicators for Coastal/Offshore Fishing Vessels (연근해어선의 안전관리 위험성평가 인자 및 지표개발)

  • Song, Byung-Hwa;Kim, Cheol-Seong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.6
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    • pp.783-788
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    • 2021
  • Although the Korean government (Ministry of Ocean and Fisheries) and related organizations are enforcing many policies to improve the marine safety of vessels with weak safety management, the effectiveness of each policy is deficient due to the lack of a risk assessment method for ship safety management. Most previous studies in Korea of the risk assessment of ships only dealt with fragmentary risks of individual marine accident risks, so a new assessment method for comprehensive marine accident risk is needed. Examples of comprehensive risk assessments for ship safety management are the selection method for inspection targets by the Port State Control and the Norwegian Maritime Authority. In this study, indicators for the comprehensive risk assessment of ship safety management were developed for and applied to coastal/offshore fishing vessels that occupy a high proportion of the registrations and marine accidents in Korea. As a result, the risk of each ship was confirmed quantitatively, and a ranking of the weakness factors for ship safety management was identified.

Analysis of Healthcare Quality Indicators using Data Mining and Development of a Decision Support System (데이터마이닝을 이용한 의료의 질 측정지표 분석 및 의사결정지원시스템 개발)

  • Kim, Hye Sook;Chae, Young-Moon;Tark, Kwan-Chul;Park, Hyun-Ju;Ho, Seung-Hee
    • Quality Improvement in Health Care
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    • v.8 no.2
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    • pp.186-207
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    • 2001
  • Background : This study presented an analysis of healthcare quality indicators using data mining and a development of decision support system for quality improvement. Method : Specifically, important factors influencing the key quality indicators were identified using a decision tree method for data mining based on 8,405 patients who discharged from a medical center during the period between December 1, 2000 and January 31, 2001. In addition, a decision support system was developed to analyze and monitor trends of these quality indicators using a Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. Result : Among 12 selected quality indicators, decision tree analysis was performed for 3 indicators ; unscheduled readmission due to the same or related condition, unscheduled return to intensive care unit, and inpatient mortality which have a volume bigger than 100 cases during the period. The optimum range of target group in healthcare quality indicators were identified from the gain chart. Important influencing factors for these 3 indicators were: diagnosis, attribute of the disease, and age of the patient in unscheduled returns to ICU group ; and length of stay, diagnosis, and belonging department in inpatient mortality group. Conclusion : We developed a decision support system through analysis of healthcare quality indicators and data mining technique which can be effectively implemented for utilization review and quality management in a healthcare organization. In the future, further number of quality indicators should be developed to effectively support a hospital-wide Continuous Quality Improvement activity. Through these endevours, a decision support system can be developed and the newly developed decision support system should be well integrated with the hospital Order Communication System to support concurrent review, utilization review, quality and risk management.

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Prevalence and risk indicators of peri-implantitis in Korean patients with a history of periodontal disease: a cross-sectional study

  • Goh, Mi-Seon;Hong, Eun-Jin;Chang, Moontaek
    • Journal of Periodontal and Implant Science
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    • v.47 no.4
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    • pp.240-250
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    • 2017
  • Purpose: The aim of this study was to analyze the prevalence and risk indicators of peri-implantitis in Korean patients with history of periodontal disease. Methods: A total of 444 patients with 1,485 implants were selected from patients who had been treated at the Department of Periodontology, Chonbuk National University Dental Hospital between July 2014 and June 2015. A group with a history of peri-implantitis (HP) (370 patients with 1,189 implants) and a group with a current peri-implantitis (CP) (318 patients with 1,004 implants) were created based on the radiographic and clinical assessments of implants. The prevalence of peri-implantitis was calculated at both the patient and implant levels. The influence of risk variables on the occurrence of peri-implantitis was analyzed using generalized estimating equations analysis. Results: The prevalence of peri-implantitis in the HP and CP groups ranged from 6.7% to 19.7%. The cumulative peri-implantitis rate in the HP group estimated with the Kaplan-Meier method was higher than that in the CP group over the follow-up period. Among the patient-related risk variables, supportive periodontal therapy (SPT) was the only significant risk indicator for the occurrence of peri-implantitis in both groups. In the analysis of implant-related variables, implants supporting fixed dental prosthesis (FDP) and implants with subjective discomfort was associated with a higher prevalence of peri-implantitis than single implants and implants without subjective discomfort in the HP group. The presence of subjective discomfort was the only significant implant-related variable predictive of peri-implantitis in the CP group. Conclusions: Within the limitations of this study, the prevalence of peri-implantitis in Korean patients with a history of periodontal disease was similar to that reported in other population samples. Regular SPT was important for preventing peri-implantitis. Single implants were found to be less susceptible to peri-implantitis than those supporting FDP. Patients' subjective discomfort was found to be a strong risk indicator for peri-implantitis.

Household Over-indebtedness and Financial Vulnerability in Korea: Evidence from Credit Bureau Data

  • KIM, YOUNG IL;KIM, HYOUNG CHAN;YOO, JOO HEE
    • KDI Journal of Economic Policy
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    • v.38 no.3
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    • pp.53-77
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    • 2016
  • Financial soundness in the household sector matters for financial stability and for the real economy. The level of household debt in Korea raises concern about the financial soundness of the household sector due to its size, growth rate and quality. Against this backdrop, we assess the financial vulnerability of borrowers based on an analysis of credit bureau (CB) data, in which the actual credit activities of most individuals are recorded at a high frequency in Korea. We construct over-indebtedness indicators from the CB data and then assess the predictability of forthcoming defaults. Based on the over-indebtedness indicators, we show how borrowers are distributed in terms of over-indebtedness and how the over-indebted differ from average borrowers in terms of their characteristics. Furthermore, we show how the aggregate credit risk in the household sector would change under macroeconomic distress by analyzing how each borrower's credit quality would be affected by adverse shocks. The findings of this paper may contribute to assessing household debt vulnerability and to enhancing regulatory and supervisory practices for financial stability.

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Relationship between Ferric Reducing Antioxidant Power and Metabolic Risk Factors in Korean Women Living in Seoul (서울지역 일부 성인 여성에서 혈청 Ferric Reducing Antioxidant Power와 대사 위험요인간의 상관성에 대한 연구)

  • Kwak, Ho-Kyung;Lee, Mee-Sook;Lim, So-Young;Yoon, Sun
    • Korean Journal of Community Nutrition
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    • v.13 no.1
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    • pp.91-99
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    • 2008
  • The present study was conducted to examine metabolic risk factors and total antioxidant capacity (TAC) of Korean females living in Seoul and to investigate the relationship between the metabolic risk factors and serum TAC. A total of 353 females aged between 20 and 64 participated in the study. Obesity indicators, blood pressure, serum lipid profile and fasting blood glucose were measured as metabolic risk factors. Ferric reducing antioxidant power (FRAP) assay was employed to determine serum TAC of subjects. Obesity indicators such as body mass index, waist circumference and waist-hip ratio were significantly higher in the participants aged $\geq$ 50 y (older group) than in the participants aged 20-49 y (younger group) (p < 0.001). Blood pressure, serum total cholesterol (TC), triglyceride (TG) and fasting blood glucose were also significantly higher in the older group than in the younger group (p < 0.001), demonstrating significant positive correlations between age and MS risk factors. The association between FRAP and MS risk factors were also investigated. FRAP values showed significant positive correlations with age (p = 0.001), serum TG (p = 0.002) and TC (p = 0.03). A tendency of positive association between FRAP and waist circumference was observed without any significant difference (p = 0.06). Increased serum FRAP with central obesity and serum lipids may be interpreted as results of activation of antioxidant defense system against oxidative stress induced by metabolic syndrome (MS) constituent factors. However, to verify the function of FRAP as a potential biomarker of susceptibility to MS various contributors to the plasma antioxidant capacity and their biological relevance related to MS should be elucidated further.

Analysis of Potentioal Risk of Tuberculosis Using Socioeconomic Indicators - Focused on 8 Cities in Chungcheongnam-do - (사회·경제적 지표를 활용한 결핵의 잠재적 위험도 분석 - 충청남도 8개 시를 대상으로-)

  • Park, Keunoh
    • Journal of the Society of Disaster Information
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    • v.17 no.1
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    • pp.68-80
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    • 2021
  • Purpose: In this study, potential demographic, social, and economic factors causing tuberculosis were identified, and eight cities in South Chungcheong Province were compared and analyzed with the IPA method. Method: The factors potentially affecting the prevalence of tuberculosis were categorized demographically, socially, and economically, and selected through brainstorming. Furthermore, potential factors affecting tuberculosis were derived using the revised IPA. Based on this analysis, areas with a potential risk of tuberculosis were classified, and the following policy implications were suggested. Result: The analysis found the three cities of Nonsan, Boryeong, and Gongju to have the highest potential risk of tuberculosis, and the frequency of potential risk factors in the above three cities to be 6 or more. Thus, an urgent policy response to prevent tuberculosis in these regions is required. Conclusion: According to the results of this study, it is necessary to take potential risk factors into account when promoting tuberculosis prevention policies and projects in South Chungcheong Province.

A Study on the Selection of Candidates for Substances Subject to Permission Using Chemicals Ranking and Scoring (CRS) (화학물질 우선순위 선정기법(CRS)을 활용한 허가대상 후보물질 선정 연구)

  • Kim, Hyo-dong;Park, Kyo-shik
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.3
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    • pp.253-267
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    • 2022
  • Objectives: This study was performed to check whether the CRS (Chemical Ranking and Scoring) system is appropriate as a method to determine substances as candidates for substances subject to permission and to apply this system to the selection of candidates for substances subject to permission. Methods: A risk score was obtained by multiplying the hazard score and the exposure score and then ranking them. The hazard sub-indicators are carcinogenicity, germ cell mutagenicity, reproductive toxicity, specific target organ toxicity-repeated exposure, respiratory sensitization and endocrine disrupting chemicals. Exposure sub-indicators are persistence, bioaccumulation and emission volume. Sensitivity analysis was performed for missing values. Correlation analysis and multivariable linear regression analysis were performed among hazard, exposure and risk in order to confirm that CRS was an appropriate method. Results: As a result of the sensitivity analysis on missing values, it was confirmed that the effect on the risk ranking was not sensitive. Correlation and regression analysis confirmed that exposure had a greater effect on risk than hazard. Conclusions: The CRS system, which derives a risk score using a hazard and exposure score, is judged to be appropriate as a method for the selection of preliminary of candidates for substances subject to permission. Benzene, cadmium, nickel, and cobalt were selected as priority candidates for substances subject to permission.

Risk Estimation Study on Railway Track Worker Hit by Train (철도 운행선로 작업자와 열차 접촉사고 위험도 평가에 관한 연구)

  • Kwak, Sang Log
    • Journal of the Korean Society of Safety
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    • v.35 no.3
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    • pp.72-78
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    • 2020
  • The accident fatality rate has decreased by more than 90% compared to 2006, due to the safety management and safety investment based on the Rail Safety Act. Most railway safety indicators, including fatality rates, have improved significantly from 60% to 80%, reaching the level of developed countries in terms of most railway safety indicators. However, the only staff fatality rate at work is not improved, and it is 3 to 5 times higher than that of developed countries. Most of the fatality occurred during employee's work recently occurred due to accidents hit by train while track work. In principle, when operating track need to check or maintenance, the operation of the train should be stopped and the work carried out. However, in Korea, due to the highest passenger density and train operating density in the world, it is caused by a structural problem that requires workers to enter the track while the train is running and perform various tasks such as maintenance and inspection. In this study, we analyzed the risk of accidents caused by hit by trains on the track, which is the biggest cause of staff fatality, using the main statistics of the last 10 years. In detail, the scenarios of the main causes of hit by trains and workers were formed to suggest the effectiveness of the current preventive measures and supplementary.