• 임상간호연구
• /
• 제26권2호
• /
• pp.265-273
• /
• 2020

Purpose: The purpose of this study was to test the predictive validity of the Fall Assessment Scale-Korean version (FAS-K) and to find the most appropriate cutoff score to screen high-risk fall groups in adult patients in general hospitals in Korea. Methods: We performed a prospective evaluation study in medical and surgical ward patients at two major general hospitals in Seoul. Data were collected from Nov. 1, 2018 to Feb. 28, 2019, nurses performed 651 observation series. The researcher measured the fall risk assessment score by applying FAS-K, MFS (Morse Fall Scale), and JHFRAT (Johns Hopkins Hospital Fall Risk Assessment tool) to the patients twice a week between 10 am and 12 noon. Data were analyzed using Pearson's corelation coefficients, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools. Results: The FAS-K was positively correlated with the MFS (r=.70, p<.001) and the JHFRAT (r=.82, p<.001). According to the receiver operating characteristics (ROC) curve analysis of the FAS-K, sensitivity, specificity, and positive and negative prediction values were 85.3%, 49.4%, 8.5%, and 98.4%, respectively, when the FAS-K score was 4. Therefore, the cut-off score of the FAS-K to identify groups with high fall risk was 4. Conclusion: The FAS-K is a valid tool for measuring fall risk in adult inpatients. In addition, the FAS-K score, 4, can be used to identify high-risk fall groups and know specific points in time to provide active interventions to prevent falls.

• Spatial Information Research
• /
• 제22권4호
• /
• pp.77-87
• /
• 2014

2014년 에콰도르의 툰구라와 화산폭발, 2010년 아이슬란드 에이야프야틀라이외쿠틀 화산폭발 등과 같이 최근 화산활동으로 인한 재해피해가 증가하고 있으며 이에 대한 대책마련이 시급한 실정이다. 본 연구에서는 현재 폭발 위험성이 높은 활화산 중 하나인 백두산을 대상으로 객관적 관측자료와 과학적인 방법에 근거하여 재해위험지역 분석을 실시하였다. 첫 번째로 중국학자 Liu Ruoxin의 연구에 근거하여 1215(${\pm}15$)년 백두산 화산 대폭발 화산재해 데이터를 참조하여 백두산지역의 지진관측자료와 화산지역 형태변화 관측자료, 화산지역 유체지구화학관측자료, 사회경제 통계데이터를 이용해 재해유발요소, 잠재적인 재해유발환경, 피해대상의 취약성을 종합적으로 평가하였다. 평가결과를 토대로 대상지역에 대한 백두산화산재해위험등급분포도를 산출하였으며, 그 결과 백두산화산재해위험등급을 4단계로 체계화하였다. 분석결과 백두산화산재해위험등급은 중심부에서 주변으로 갈수록 점차 등급이 낮아지는 것으로 분석되었으며 1,2급 위험지역은 화산폭발 시 위험도와 피해가 클 것으로 예상되는 고위험지역으로, 3,4급 위험 지역은 화산재해위험이 상대적으로 낮은 지역으로 나타났다. 또한 같은 강도의 화산재해요소의 작용하에서는 연구지역의 서쪽지역이 받는 위험성이 동쪽지역보다 높은데 이는 비교적 낮은 잠재적인 재해유발환경의 안정성과 높은 피해대상 취약성에 의해 결정됨을 확인할 수 있었다.

• 환경영향평가
• /
• 제17권6호
• /
• pp.321-333
• /
• 2008

Considering risks and artificial enrichments of metals in the soils of the study area, the study aims to analyze geology, grain size and geochemistry. Geology is mainly composed of gneisses and phyllites of metamorphic rocks, sandstones, siltstones, shales, tuffs of sedimentary ones and granites and andesites of igneous ones in the area. In the area, mean contents of metals are not meaningful in accordance with petrogenesis. The soil textures of the area are of S, lS and sL of sandy soil, L, scL, cL of loam and C, zC and sC of clayey soil. Mean contents of Ni, Cr, Co and Cu are meaningfully high in loam and clayey soil relative to sandy soil, whereas Ni, Zn, Cd contents are higher in clayey soil than in loam. Those differences imply the metallic contents are dependent to grain size. Based on the metal contents in the soils of the study area, Cu and Zn in loams and Pb in sandy soils are corresponded to soil contamination warning standards, and As showing 75mg/kg of maximum content in loams is assigned to soil contamination countermeasure standards, respectively. Artificial enrichment factor minimized wall rock and grain size relations is over 1 in Cr, Ni and Cu, but the factor is below 1 in average of other metals.

• 한국농촌간호학회지
• /
• 제18권1호
• /
• pp.11-18
• /
• 2023

Purpose: This study is to compare adolescents' health behaviors by city size and to propose regionally tailored health promotion. Methods: We analyzed the data from the 17th Youth Health Risk Behavior Online Survey, national widly performed in 2021. Multi-sample descriptive and linear regression analysis was performed by city size. Results: The frequency of fruit consumption in the last week was 2.88 in the rural area, which is lower than 2.98 and 3.05 in other cities (F=10.98, p<.001). The number of high-intensity physical activity days in the last week (7 days) was 2.90 days in the rural area, higher than 2.74 and 2.73 days in other cities (F=3.36, p=.038). The number of days smoking cigarettes in the last 30 days was 3.23 days in the rural area, higher than 3.08 and 3.02 days in other cities (F=3.41, p=.035). BMI was 22.01 in the rural area, which was higher than 21.57 and 21.61 in other cities (F=4.19, p=.015). Conclusion: School health offices in the rural area districts need to operate to manage lack of fruit intake, smoking, and weight management programs in association with local healthcare institutions.

• 대한환경공학회지
• /
• 제29권2호
• /
• pp.163-168
• /
• 2007

국내 5개 폐광산 지역의 갱내수 및 배출수에 대해 화학적 분석 및 생물학적인 독성 평가를 통한 생태 위해성 평가를 실시하였다. 본 연구에서 선정한 9가지 중금속의 화학적 분석 결과, 거의 모든 지점에서 높은 중금속 농도가 검출되었으며, 특히 송천, 낙동, 덕음 지역에서는 상대적으로 비소가 높게 검출되었고, 낙동 지역은 하류까지 전체적으로 각 항목의 중금속이 높은 농도로 존재하였다. 통합 방류수 독성 평가(WET)에 기초해 Vibrio fisheri, Selenastrum capricornutum, Daphnia magna를 이용한 생물학적 독성 평가 결과, 모든 지점에서 높은 독성이 나타났다. 유출수가 처음 흐르는 갱구에서 가장 높은 독성이 나타났으며, S. capricornutum에 대한 독성이 모든 지점에 걸쳐 $1.3\sim32.0$ TU 사이의 독성이 나타나 독성 민감도가 가장 높은 것으로 나타났다. 각각의 독성 평가 종에 따른 독성 미감도 차이는 폐광사의 위해성을 평가함에 있어 두 종 이상의 평가 종이 사용되어야 함을 의미한다. HQ(Hazard Quotient) 개념을 적용한 생태 위해성 평가 결과, 폐광산에서 분석된 대부분의 중금속에 대해 HQ 값이 1보다 훨씬 크게 나타났으므로, 폐광산의 중금속에 대한 영향은 심각한 정도의 위해도를 가지고 있다고 판단된다. 한편, 생물학적 독성은 유하 거리의 증가에 따라 감소하는 것으로 나타났다. 따라서, 폐광산의 복원이나 생태 위해성 평가 시 지점별로 희석률뿐 아니라 DOM, 경도 등 환경인자들이 고려되어야 할 것으로 판단된다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권1호
• /
• pp.11-13
• /
• 2013

Background: Esophagus cancer, the third most common gastrointestinal cancer overall, demonstrates high incidence in parts of Iran. The counties of Iran vary in size, shape and population size. The aim of this study was to account for spatial support with Area-to-Area (ATA) Poisson Kriging to increase precision of parameter estimates and yield correct variance and create maps of disease rates. Materials and Methods: This study involved application/ecology methodology, illustrated using esophagus cancer data recorded by the Ministry of Health and Medical Education (in the Non-infectious Diseases Management Center) of Iran. The analysis focused on the 336 counties over the years 2003-2007. ATA was used for estimating the parameters of the map with SpaceStat and ArcGIS9.3 software for analysing the data and drawing maps. Results: Northern counties of Iran have high risk estimation. The ATA Poisson Kriging approach yielded variance increase in large sparsely populated counties. So, central counties had the most prediction variance. Conclusions: The ATAPoisson kriging approach is recommended for estimating parameters of disease mapping since this method accounts for spatial support and patterns in irregular spatial areas. The results demonstrate that the counties in provinces Ardebil, Mazandaran and Kordestan have higher risk than other counties.

• 대한간호학회지
• /
• 제40권4호
• /
• pp.589-598
• /
• 2010

Purpose: The purpose of this study was to investigate the factors that increase of the risk for falls in low-income elders in urban areas. Methods: The participants were elderly people registered in one of public health centers in one city. Data were collected by interviewing the elders, assessing their environmental risk factors, and surveying relevant secondary data from the public health center records. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 14. Results: Stroke, diabetes, visual deficits, frequency of dizziness, use of assistive devices and moderate depression were statistically significant risk factors. The comorbidity of chronic diseases with other factors including depression, visual deficit, dizziness, and use of assistive devices significantly increased the risk of falls. From multiple logistic regression analysis, statistically significant predictors of falls were found to be stroke, total environmental risk scores, comorbiditiy of diabetes with visual deficits, and with depression. Conclusion: Fall prevention interventions should be multifactorial, especially for the elders with stroke or diabetes, who were identified in this study as the high risk group for falls. A fall risk assessment tool for low-income elders should include both the intrinsic factors like depression, dizziness, and use of assistive devices, and the extrinsic factors.

• 한국수자원학회논문집
• /
• 제47권9호
• /
• pp.789-799
• /
• 2014

본 연구는 도시지역의 내수침수 특성을 고려한 내수침수위험도 산정방법을 제시하였다. 의사결정과정에서 발생할 수 있는 불확실성을 정량적으로 반영하기 위하여 Fuzzy AHP 기법을 활용하였다. 내수침수 위험도의 평가기준으로는 물리적 지표, 사회적 지표, 그리고 내수침수 시나리오 결과 등 세 가지로 구성하였다. 각각의 평가기준은 3개의 세부평가항목을 가지고 있어 총 9가지의 평가항목을 바탕으로 내수침수 위험도 분석을 수행하였다. 또한, 행정구역 단위가 아닌 배수시스템의 노드(맨홀)를 기준으로 침수위험도를 분석하여 침수위험도가 높은 지점을 상세하게 표현할 수 있었다. 본 연구의 대상지역인 부산시 거제지구에 Fuzzy AHP 기법을 적용한 결과, 온천천 거제천 합류부 저지대의 침수위험도가 크게 나타났으며, 이는 과거 피해이력과 일치하는 것이다. Fuzzy AHP 기법을 적용한 본 연구결과는 내수침수 위험도 산정 및 고위험도 지역의 내수침수 저감계획 수립을 위한 자료로 활용될 수 있을 것이다.

• 한국임상수의학회지
• /
• 제36권1호
• /
• pp.23-29
• /
• 2019

While research findings suggest that the highly pathogenic avian influenza (HPAI) is the leading cause of economic loss in Korean poultry industry with an estimated cumulative impact of $909 million since 2003, identifying the environmental and anthropogenic risk factors involved remains a challenge. The objective of this study was to identify areas at high risk for potential HPAI outbreaks according to the likelihood of HPAI virus detection in wild birds. This study integrates spatial information regarding HPAI surveillance with relevant demographic and environmental factors collected between 2003 and 2018. The Maximum Entropy (Maxent) species distribution modeling with presence-only data was used to model the spatial risk of HPAI virus. We used historical data on HPAI occurrence in wild birds during the period 2003-2018, collected by the National Quarantine Inspection Agency of Korea. The database contains a total of 1,065 HPAI cases (farms) tied to 168 unique locations for wild birds. Among the environmental variables, the most effective predictors of the potential distribution of HPAI in wild birds were (in order of importance) altitude, number of HPAI outbreaks at farm-level, daily amount of manure processed and number of wild birds migrated into Korea. The area under the receiver operating characteristic curve for the 10 Maxent replicate runs of the model with twelve variables was 0.855 with a standard deviation of 0.012 which indicates that the model performance was excellent. Results revealed that geographic area at risk of HPAI is heterogeneously distributed throughout the country with higher likelihood in the west and coastal areas. The results may help biosecurity authority to design risk-based surveillance and implementation of control interventions optimized for the areas at highest risk of HPAI outbreak potentials.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권9호
• /
• pp.4587-4592
• /
• 2012

Purpose: This study used receiver operating characteristic curve to analyze Surveillance, Epidemiology and End Results (SEER) neuroblastoma (NB) and other peripheral nerve cell tumors (PNCT) outcome data. This study found under usage of radiotherapy in these patients. Materials and methods: This study analyzed socio-economic, staging and treatment factors available in the SEER database for NB and other PNCT. For the risk modeling, each factor was fitted by a generalized linear model to predict the outcome (soft tissue specific death, yes/no). The area under the receiver operating characteristic curve (ROC) was computed. Similar strata were combined to construct the most parsimonious models. A random sampling algorithm was used to estimate the modeling errors. Risk of neuroendocrine (other endocrine including thymus as coded in SEER) death was computed for the predictors. Results: There were 5261 patients diagnosed from 1973 to 2009 were included in this study. The mean follow up time (S.D.) was 83.8 (97.6) months. The mean (SD) age was 18 (25) years. About 30.45% of patients were un-staged. The SEER staging has high ROC (SD) area of 0.58 (0.01) among the factors tested. We simplified the 4-layered risk levels (local, regional, distant, un-staged/others) to a simpler 3-tiered model with comparable ROC area of 0.59 (0.01). Less than 50% of PNCT patients received radiotherapy (RT) including the ones with localized disease. This avoidance of RT use occurred in adults and children. Conclusion: The high under-staging rate may have precented patients from selecting definitive radiotherapy (RT) after surgery. Using RT for, especially, adult PNCT patients is a potential way to improve outcome.