• Title/Summary/Keyword: risk-group

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Efficiency of MVP ECG Risk Score for Prediction of Long-Term Atrial Fibrillation in Patients With ICD for Heart Failure With Reduced Ejection Fraction

  • Levent Pay;Ahmet Cagdas Yumurtas;Ozan Tezen;Tugba Cetin;Semih Eren;Goksel Cinier;Mert Ilker Hayiroglu;Ahmet Ilker Tekkesin
    • Korean Circulation Journal
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    • v.53 no.9
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    • pp.621-631
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    • 2023
  • Background and Objectives: The morphology-voltage-P-wave duration (MVP) electrocardiography (ECG) risk score is a newly defined scoring system that has recently been used for atrial fibrillation (AF) prediction. The aim of this study was to evaluate the ability of the MVP ECG risk score to predict AF in patients with an implantable cardioverter defibrillator (ICD) and heart failure with reduced ejection fraction in long-term follow-up. Methods: The study used a single-center, and retrospective design. The study included 328 patients who underwent ICD implantation in our hospital between January 2010 and April 2021, diagnosed with heart failure. The patients were divided into low, intermediate and high-risk categories according to the MVP ECG risk scores. The long-term development of atrial fibrillation was compared among these 3 groups. Results: The low-risk group included 191 patients, the intermediate-risk group 114 patients, and the high-risk group 23 patients. The long-term AF development rate was 12.0% in the low-risk group, 21.9% in the intermediate risk group, and 78.3% in the high-risk group. Patients in the high-risk group were found to have 5.2 times higher rates of long-term AF occurrence compared to low-risk group. Conclusions: The MVP ECG risk score, which is an inexpensive, simple and easily accessible tool, was found to be a significant predictor of the development of AF in the long-term follow-up of patients with an ICD with heart failure with reduced ejection fraction. This risk score may be used to identify patients who require close follow-up for development and management of AF.

Suicide Risk and the MMPI-2 Findings Among College Students (대학생의 자살위험도와 MMPI-2의 관계)

  • Lee, Kounseok;Lee, Hye Kyung;Kim, Seok Hyeon;Jang, Eun-Young;Kim, Daeho
    • Anxiety and mood
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    • v.11 no.2
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    • pp.120-128
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    • 2015
  • Objectives : The Minnesota Multiphasic Personality Inventory (MMPI) is a commonly used psychological test measuring personality and psychopathology in both clinical and non-clinical population. This study was to evaluate characteristic MMPI-2 profile associated with the risk of suicide among college students. Methods : We analyzed the survey response of 2,964 college students who participated in a health survey from a school health center at a national university in 2011. Those who endorsed any of six items on the suicidaity module of MINI were classified as a suicide risk group and remaining students who did not as a control group. Then we compared the Patient Health Questionnaire (PHQ-9) score, the MMPI-2 Clinical scales and Restructured Clinical (RC) scales. To evaluate the correlation RC scales with suicidality score, Pearson correlation analysis was performed. Results : The suicide risk group was 464 students, and the control group was 2,500. The classification result of suicidality, 255 (8.6%) students were low-risk group, 149 (4.8%) students were moderate-risk group and 60 (2.0%) students were high-risk group. In the suicide risk group, VRIN, F scale, Clinical scale and RC scales were significantly higher. In the control group L, K and S scales were significantly higher. Suicidality score has significant correlation with all RC scales. Conclusion : In the suicide risk group, overall psychopathology was higher than the control group. Taken together, features of depressive symptom, antisocial behavior, aggressiveness, introversion may indicate the risk of suicide in college students. These results display both clinical and public health implications for clinicians and school health professionals.

Evaluation of Proper Use of NSAIDs to Prevent Gastrointestinal and Cardiovascular Problems in Elderly Patients (노인환자에서 위장관계 및 심혈관계 부작용 발생 예방을 위한 NSAIDs 사용의 적절성 평가)

  • Joo, Sung-Lak;Bang, Joon Seok
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.1
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    • pp.15-25
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    • 2014
  • Background: Elderly patients with gastrointestinal (GI) and cardiovascular (CV) risk factors may be more easily exposed to NSAID-related side effects (SEs). Based on the ACG guideline of year 2009, the aim of the study is to evaluate proper use of NSAIDs and gastroprotective drugs according to the degree of GI and CV risk strengths in the patients. Methods: Retrospectively surveyed 410 elderly patients with NSAIDs for more than 30 days at a general hospital in Korea. GI risk factor includes age, ulcer history, high-dose NSIADs, concurrent aspirin use, steroids or anticoagulants. CV risk factor includes angina, myocardial infarction, cerebral infarction, atrial fibrillation or coronary intervention requiring low-dose aspirin. These factors were classified as high/low cardiovascular groups and high/moderate/low GI groups. Results: There were 14 patients in high CV risk group and high GI risk group. The group was recommended not to use NSAIDs as it is not adequate. There were 101 patients in high CV risk group and moderate GI risk group. This group was recommended to use naproxen and PPI/misoprostol. But all patients except one were not adequate. There were 9 patients in low CV risk group and high GI risk group. This group was recommended to use selective COX-2 inhibitor and PPI/misoprostol. 5 cases were proper while 4 cases did not. There were 285 patients in low CV risk and moderate GI risk group who were recommended to use non selective NSAIDs and PPI/misoprostol or selective COX-2 inhibitor only. 103 patients were proper while 182 patients not adequate. Overall, the SEs were higher in those cases for inadequate use of drugs comparing to the adequate. CV SEs were statistically significant. However, SEs for each risk groups were different. For the case of low CV risk group and high/moderate GI risk group, the inadequate use of drugs makes the SE high and the other groups are not. Also, it was not statistically significant. Conclusions: In elderly patients, the inappropriate use of NSAIDs can increase the risk of the disease. Therefore, GI and CV risk must be considered simultaneously, and the proper use of NSAIDs and gastroprotective drugs for each risk groups should be reconsidered.

The Relationship between Alcohol Consumption and Diabetes in Korean Adults

  • Gi Tae Kim;Jae Woong Sull
    • Biomedical Science Letters
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    • v.29 no.3
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    • pp.159-167
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    • 2023
  • The prevalence of diabetes continues to increase worldwide, and the problem is also important in Korea, and about 14% of Korean adults have diabetes. Alcohol consumptions are increasing rapidly around the world and are recognized as one of the major problems in the country. Alcohol consumption is an environmental factor previously known to be associated with the risk of developing diabetes. Alcohol consumption can cause problems in the endocrine system and gastrointestinal function, and oxidative stress of acetaldehyde, an ethanol metabolite, can damage beta cells in the pancreas. In the present study, we found the effect of alcohol intake on fasting blood sugar and the difference between men and women in the risk of diabetes according to alcohol intake. In men, the high-drinking group had a higher risk of diabetes than the non-drinking group (OR, 1.41; P=0.058). In women, the Moderate-drinking group had a lower risk of diabetes compared to the non-drinking group (OR, 0.42; P=0.039). The high-drinking group had a higher risk of diabetes than the non-drinking group (OR, 2.97; P=0.034). The group that consumed more than the WHO's daily alcohol intake risk standard tended to have a higher risk of diabetes than the group that did not (OR, 5.48; P=0.001). This study suggest that moderate alcohol consumption reduce the risk of developing diabetes, and high alcohol consumption increase the risk of developing diabetes.

The Study on the Perceived Risk and Product Innovativeness Evaluation of Smart Clothing (스마트 의류의 지각된 위험과 제품혁신성 평가에 관한 연구)

  • Kang, Keang-Young;Jin, Hyun-Jeong
    • Fashion & Textile Research Journal
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    • v.10 no.5
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    • pp.618-624
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    • 2008
  • The purposes of this study were to explore the perceived risk of smart clothing, to classify consumers by risk perception of smart clothing, and to investigate the differences among the segmented groups in regard to the evaluation of newness and innovativeness of smart clothing. In addition, the relationship among perceived risk, evaluation of newness and innovativeness of smart clothing were examined. A questionnaire was administered to 338 male and female subjects aged from 17 to 50. Analysis was performed by factor analysis, cluster analysis, ANOVA, and Pearson's correlation analysis. The results showed that the perceived risk of smart clothing was composed of 4 factors: economic risk, social risk, functional risk and physical risk. Consumers were classified into four groups: high risk perception group, low economic risk perception group, low functional risk perception group, and low social risk perception group. ANOVA showed that there were significant differences among four groups regard to the evaluation of newness and innovativeness of smart clothing. High risk perception group most highly evaluated the newness and innovativeness of smart clothing. There were positive correlation among the perceived risks, the evaluation of the newness and innovativeness of smart clothing.

Risk and Protective Variables Related with Continuity of Infant Development at Risks

  • Shin, Yoo-Lim;Lee, Meery;Park, Ji-Nah
    • International Journal of Human Ecology
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    • v.13 no.1
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    • pp.29-37
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    • 2012
  • This study examined risk and protective variables related with the continuity of developmental risks among 136 infants, aged 4-10 months. Using the Denver Developmental Screening Test, 136 infants among 2978 infants in the first wave of the Korea Child Panel were classified into the developmental risk group. Among the 136 risk group infants, 45 infants stayed in the risk group (continuing risk group) and the other 91 infants moved into the normal group (recovering risk group) after 1 year. Group differences were tested in the levels of infant, mother and father variables to examine which variables were associated with the continuity of developmental risks for a year. Variables indicating parents' marital relationships such as the mothers' marital satisfaction and conflict of the first wave and the fathers' marital satisfaction of the second wave significantly distinguished the continuing from the recovering risk group. In addition, there were significant group differences in the levels of mothers' self-efficacy in the first wave. The findings suggest that the exposure to marital conflict during infancy is associated with the continuity of developmental risks.

The Relationship between Metabolic Syndrome and Korean Cardiocerebrovascular Risk Assessment: for Male Researchers in a Workplace (대사증후군과 뇌심혈관질환 발병위험도 평가와의 연관성: 일개 사업장 남성 근로자를 대상으로)

  • Yoon, Jong-Wan;Yi, Kyung-Jin;Lee, Sang-Yun;Oh, Jang-Gyun
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.5
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    • pp.397-403
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    • 2007
  • Objectives: The prevalence of metabolic syndrome has recently increased, Payments from the Korea Labor Welfare Corporation for compensation for mortality in workers caused by cardiovascular and cerebrovascular diseases have also increased in Korea in recent years. The association of metabolic syndrome and cardiocerebrovascular disease has been investigated by several researchers in recent studies, This study was conducted in an attempt to characterize the relationship between metabolic syndrome and Korean cardiocerebrovascular disease risk assessment, and to provide basic data to group health practices for the prevention of cardiocerebrovascular disease. Methods: Health examinations were previously conducted for 1526 male researchers at a private laboratory. The prevalence by age and the odds ratio of metabolic syndrome scores into the "cardiocerebrovascular risk group" (sum of low, intermediate, and high risk groups) of the Korean cardiocerebrovascular disease risk assessment were assessed, in an effort to elucidate the associations between metabolic syndrome and cardiocere brovascular disease risk assessment. Results: The prevalence of metabolic syndrome and inclusion in the cardiocerebrovascular risk group was 11,7% and 22.1% respectively. The severity of metabolic syndrome and cardiocerebrovascular risk assessment showed that individuals in their 40's and 50's were at higher risk than those in their 30's (p<0,001). The age-adjusted odds ratio of metabolic syndrome to cardiocere brovascular risk group inclusion was 5.6. Conclusions: An active prevention program for cardiocerebrovascular disease needs to begin in the 40's, as the prevalence of metabolic syndrome and the risk group of cardiocerebrovascular risk assessment peak in the 40's age group. The odds ratio between metabolic syndrome and the cardiocerebrovascular risk group was high, which indicates that metabolic syndrome scores should be utilized as guidelines during the consultation and behavioral modification program for the workplace prevention of cardiocerebrovascular diseases in group health practices.

Relation Study of Edinburgh Postnatal Depression Scale and Heart Rate Variability in the Early Postpartum (EPDS와 HRV 측정을 통한 산후초기우울과 심박변이도의 상관성 연구)

  • Lee, Eun-Hee;Kim, Tae-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.1
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    • pp.186-198
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    • 2007
  • Purpose : Postnatal depression is a major public health problem. The aim of this study is to investigate the relation between Edinburgh postnatal depression scale and Heart rate variability in the Early Postpartum. Methods : The subjects were 33 women who admitted for postpartum treatment in Hospital of Woosuk University from 13th October to 8th December 2006. 33 women filled out an EPDS, general questionnaire and then they took the test of Heart rate variability at 3th day after normal spontaneous vaginal delivery. We studied the results to investigate the relation between EPDS and HRV. Results: 1. Mean age of risk group of depression is larger than non-risk group. 2. SDNN, RMSSD and SDSS of non-risk group of depression significantly increased compared with that of risk group. 3. Ln(TP), Ln(HF) of non-risk group of depression significantly increased compared with that of risk group. Conclusion : The results suggest that there were significant differences on HRV between risk group and non-risk group of early postpartum depression examined by EPDS.

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An Analysis of Adolescents' Perceived Risk on Conformity Behavior of Fashion Brand (의복구매시 청소년의 지각된 위험이 패션브랜드 동조행동에 미치는 영향)

  • Jun, Dae-Geun
    • Journal of the Korean Home Economics Association
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    • v.46 no.10
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    • pp.71-81
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    • 2008
  • This study aimed to identify the effects of adolescents' perceived risk on fashion brand conformity behavior. To analyze conformable fashion brand behavior with consideration to their reference group, 6 dimensions of perceived risk were adopted as explanatory variables. Reference group means people that a person refers to when evaluating his values & behaviors. Data were collected from 672 male and female students aged between 14 and 18. Factor analysis on perceived risk resulted in 6 dimensional structures: socio-psychological, time loss, functional, fashionability loss, performance and opportunity loss risk. Fashionability loss risk positively affected adolescent fashion brand conformity behavior according to their favorite celebrities. Performance risk positively affected in consideration to their parents, while opportunity loss risk had a negative effect on the same reference group. However, socio-psychological and fashionability loss risk positively affected adolescent fashion brand conformity behavior in consideration to their friends, while performance loss risk had negative effect on the same reference group. Adolescent groups divided by the 6 dimensions of perceived risk showed meaningful differences in their fashion brand conformable behavior in consideration to their reference groups.