• Title/Summary/Keyword: High Risk Area

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The Effects of Spinopelvic Parameters and Paraspinal Muscle Degeneration on S1 Screw Loosening

  • Kim, Jin-Bum;Park, Seung-Won;Lee, Young-Seok;Nam, Taek-Kyun;Park, Yong-Sook;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • v.58 no.4
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    • pp.357-362
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    • 2015
  • Objective : To investigate risk factors for S1 screw loosening after lumbosacral fusion, including spinopelvic parameters and paraspinal muscles. Methods : We studied with 156 patients with degenerative lumbar disease who underwent lumbosacral interbody fusion and pedicle screw fixation including the level of L5-S1 between 2005 and 2012. The patients were divided into loosening and non-loosening groups. Screw loosening was defined as a halo sign larger than 1 mm around a screw. We checked cross sectional area of paraspinal muscles, mean signal intensity of the muscles on T2 weight MRI as a degree of fatty degeneration, spinopelvic parameters, bone mineral density, number of fusion level, and the characteristic of S1 screw. Results : Twenty seven patients showed S1 screw loosening, which is 24.4% of total. The mean duration for S1 screw loosening was $7.3{\pm}4.1$ months after surgery. Statistically significant risk factors were increased age, poor BMD, 3 or more fusion levels (p<0.05). Among spinopelvic parameters, a high pelvic incidence (p<0.01), a greater difference between pelvic incidence and lumbar lordotic angle preoperatively (p<0.01) and postoperatively (p<0.05). Smaller cross-sectional area and high T2 signal intensity in both multifidus and erector spinae muscles were also significant muscular risk factors (p<0.05). Small converging angle (p<0.001) and short intraosseous length (p<0.05) of S1 screw were significant screw related risk factors (p<0.05). Conclusion : In addition to well known risk factors, spinopelvic parameters and the degeneration of paraspinal muscles also showed significant effects on the S1 screw loosening.

Association between Sodium Excretion and Obesity of Adults in Gwangju (광주지역 성인의 나트륨 배설량과 비만의 관계)

  • Jo, Mijin;Heo, Young-Ran
    • Korean Journal of Community Nutrition
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    • v.23 no.1
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    • pp.38-47
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    • 2018
  • Purpose: The aim of this study was to analyze the association between sodium excretion and obesity for healthy adults in the Gwangju area. Methods: The participants included 80 healthy adults aged 19 to 69 years in Gwangju. The dietary intake and sodium excretion were obtained using the 24-hour recall method and 24 hour urine collection. The participants were classified into two groups according to the amount of urinary sodium excretion: (${\leq}141.75mmol/dL$, > 141.75 mmol/dL). Results: After adjusting for sex, age, smoking history, and income, the high excretion of sodium group was significantly higher for weight, body mass index, body fat mass, percent body fat, visceral fat area (VFA), waist circumference, hip circumference, and WHR. The energy and nutrients intake were significant after adjusting for sex, age, smoking history, and income. The LSE group had a significantly higher fat intake and Na/K intake ratio. The HSE group had significantly higher fiber intake, and K intake. As the amount of urinary sodium excretion increased, the risk of obesity before correction was 3.57 (95% CI: 1.13-11.25) times greater, and the risk of obesity of T3 increased significantly by 3.33 times (95% CI: 1.05-10.59). After correcting for sex and age, the obesity risk of T2 increased significantly by 4.23 times (95% CI: 1.11-16.06), and after correcting for sex, age, smoking history, and income, the obesity risk of T2 increased significantly by 6.81 times (95% CI: 1.44-32.19) the risk of obesity. Conclusions: An association exists between sodium excretion and obesity in Korean adults. In this study, the high excretion of sodium group was obese and the risk of obesity was higher than the low excretion of sodium group.

A Study on Flood Risk Analysis for A Small Stream in Urban Residential Area (도시 주거지역 내 소하천의 홍수 안정성에 관한 연구)

  • Kwak, Jae-Won;Ahn, Kyoung-Soo;Kyoung, Min-Soo;Kim, Hung-Soo
    • 한국방재학회:학술대회논문집
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    • 2008.02a
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    • pp.195-198
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    • 2008
  • In this study we analyzed flood runoff and flood characteristics of an small urban river basin which is in an apartment complex in Yewol-Dong, Buchun-Si, Gyunggi-Do. A little discharge normally flows in the river, however this small river has a relatively high potential of flood damage risk in the flood season due to the high flood level and velocity. Therefore we used the GIS data, cross section data in the river, HEC-RAS model, etc. for investigating safety of a river against flood runoff and also we investigated the stability of hydraulic structures and ability of flood prevention in the river. As the result of investigation, we found that the river had the risk of flood damage occurrence due to the hydraulic structures constructed for various purposes in the river. So we should analyze backwater effect by the structures and consider the risk factors can be occurred by the flood runoff and velocity for more safe design of a small river basin in the residential area such as an apartment complex in the urban area.

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Individual Differences, Attitudes toward Risk Behaviors, Parents and Peers Correlates of Adolescent Risk Behaviors (청소년의 위험행동에 영향을 미치는 개인적 특성, 위험행동에 대한 태도, 부모 및 또래 변인)

  • Lee Ji-Min;Bell Nancy
    • Journal of the Korean Home Economics Association
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    • v.42 no.12 s.202
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    • pp.55-67
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    • 2004
  • The purpose of this study was to investigate the associations between adolescent risk behaviors and correlates of risk behaviors. Questionnaires were completed by 955 high school freshmen in the Daegu${\cdot}$Kyungpook area and included measures of risk behaviors, coping, self-esteem, social competence, attitudes toward risk behaviors, parental attachment, autonomy, parental monitoring, and peers' risk behaviors. The major findings were as follows. (1) Parental attachment, autonomy, and appropriate parental monitoring were positively correlated with adolescent coping, self-esteem, social competence, and peers' desirable behaviors, but were negatively associated with peers' risk behaviors and attitudes toward risk behaviors. (2) Of all the variables, peers' risk behaviors and favorable attitudes toward smoking had the greatest influence on adolescent drinking and smoking, following by favorable attitudes toward drinking, social competence, and gender (3) Similar to adolescent drinking and smoking, of all the variables, peers' risk behaviors had the greatest influence on adolescent delinquency, following by favorable attitudes toward smoking and gender.

Aberrant DNA Methylation of P16, MGMT, and hMLH1 Genes in Combination with MTHFR C677T Genetic Polymorphism and Folate Intake in Esophageal Squamous Cell Carcinoma

  • Chen, Jing;Huang, Zhi-Jie;Duan, Yu-Qin;Xiao, Xin-Rong;Jiang, Jian-Qing;Zhang, Ru
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5303-5306
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    • 2012
  • Aim: The present case-control study was conducted to explore the association of MTHFR gene polymorphism and relations of P16, MGMT and HMLH1 to MTHFR and folate intake. Methods: A total of 257 cases of esophageal squamous cell carcinoma confirmed by histopathological examination were collected. Genotyping of P16, MGMT and HMLH1 was accomplished by methylation-specific polymerase chain reaction (PCR) after sodium bisulfate modification of DNA and the MTHFR C677T genetic polymorphism was detected by PCR-restriction fragment-length polymorphism (PCR-RFLP). Results: The proportions of DNA hypermethylation in P16, MGMT and hMLH1 in cancer tissues were significantly higher than in paracancerous normal tissue. The proportion of hypermethylation in at least one gene was 88.5% in cancer tissue, and was also significantly higher than that in paracancerous normal tissue. Our finding showed individuals with homozygotes (TT) of MTHFR C677T had significant risk of DNA hypermethylation of MGMT in cancer tissues, with an OR (95% CI) of 3.15 (1.12-6.87). Similarly, patients with high intake of folate also showed a slight high risk of DNA methylation of MGMT, with OR (95% CI) of 2.03 (1.05-4.57). Conclusion: Our study found the P16, MGMT and hMLH1 demonstrate a high proportion of hypermethylation in esophageal squamous cell cancer cancer tissues, which might be used as biomarkers for cancer detection.

Financing Risk in Indonesian Islamic Rural Banks: Do Financing Products Matter?

  • WIDARJONO, Agus;ANTO, M.B. Hendrie;FAKHRUNNAS, Faaza
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.9
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    • pp.305-314
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    • 2020
  • This paper investigates the impact of profit and loss sharing (PLS) contracts on non-performing financing of Islamic rural banks as Islamic small banks focus on small and medium enterprises at province level across country. Our study employs panel data, consisting of 142 Islamic rural banks and using quarterly data from 2013Q1 to 2018Q4, and splits them based on the bank's size and geographical area. Both static and dynamic panel regressions are then applied. The results obviously indicate that a high proportion of profit and loss sharing contracts leads to high financing risk. The large Islamic banks encounter a higher non-performing financing stemming from profit and loss contracts compared to small Islamic banks. Profit and loss contracts also produce higher financing risk for Islamic banks outside Java, as those areas are less developed areas than Java itself. A more efficient Islamic bank is less financing risk. Income diversification lessens the impaired financing and, more particularly, large Islamic banks and Islamic banks located in Java much benefit by diversifying income and financing to lower financing risk. Our study suggests that Islamic rural banks may consider the optimal level of profit and loss sharing contracts to minimize financing risk.

3D Modeling based on Digital Topographic Map for Risk Analysis of Crowd Concentration and Selection of High-risk Walking Routes (군중 밀집 위험도 분석과 고위험 보행로 선정을 위한 수치지형도 기반 3D 모델링)

  • Jae Min Lee;Imgyu Kim;Sang Yong Park;Hyuncheol Kim
    • Journal of the Korean Society of Safety
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    • v.38 no.2
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    • pp.87-95
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    • 2023
  • On October 29, 2022, a very large number of people gathered in Itaewondong, Yongsan-gu, Seoul, Korea for a Halloween festival, and as crowds pushed through narrow alleys, 159 deaths and 195 injuries occurred, making it the largest crushing incident in Korea. There have been a number of stampede deaths where crowds gathered at large-scale festivals, event venues, and stadiums, both at home and abroad. When the density increases, the physical contact between bodies becomes very strong, and crowd turbulence occurs when the force of the crowd is suddenly added from one body to another; thus, the force is amplified and causes the crowd to behave like a mass of fluid. When crowd turbulence occurs, people cannot control themselves and are pushed into he crowd. To prevent a stampede accident, investigation and management of areas expected to be crowded and congested must be systematically conducted, and related ministries and local governments are planning to establish a crowd management system to prepare safety management measures to prevent accidents involving multiple crowds. In this study, based on national data, a continuous digital topographic map is modeled in 3D to analyze the risk of crowding and present a plan for selecting high-risk walking routes. Areas with a high risk of crowding are selected in advance based on various data (numerical data, floating population, and regional data) in a realistic and feasible way, and the analysis is based on the visible results from 3D modeling of the risk area. The study demonstrates that it is possible to prepare measures to prevent cluster accidents that can reflect the characteristics of the region.

Cumulative Impact Assessment Using Environmental Health Screening Tool in Seoul (환경보건 스크리닝 툴을 이용한 서울시 누적영향 평가)

  • Lim, Yu-ra;Bae, Hyun-joo
    • Journal of the Korean association of regional geographers
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    • v.20 no.4
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    • pp.444-453
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    • 2014
  • Inequality of environmental impact is forecast to deepen due to the damage of environmental risk by the interaction between environmental and social inequalities causing more harms to environmentally vulnerable population. This study assessed the integrated cumulative impact of Seoul using Environmental Health Screening Tool developed by Environmental Protection Agency of California. In order to screen vulnerable area to environmental health, 10 indexes have been selected according to the environmental burden of exposure to environment and public health effects, population characteristics of sensitive populations and socio-economic factors. As a result of assessment conducted on cumulative impact of Seoul for years 2009~2011 through Environmental Health Screening Tool, risk factor for districts of Gangseo and Gangnam of Seoul showed high - Gangseo area indicated high risk factor both in environmental burden and population characteristics, while Gangnam area appeared high in environmental burden. The result of survey will be able to suggest scientific basis to push through fair and effective environmental policy in consideration of environment vulnerable population.

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A Study on the Sexual Behaviors and its related Factors of High School Students in Seoul Area (서울지역 일부 고등학생들의 성행태 및 관련 요인 분석)

  • 한성현;이명선;이선희
    • Korean Journal of Health Education and Promotion
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    • v.17 no.1
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    • pp.19-39
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    • 2000
  • The purpose of this study was to examine the prevalence and correlated factors of sexual behavior among high school students in Seoul A sample of 233 male and 248 female high school students were analyzed using cross-tabulation and logit regression models. Correlated factors examined include type of school, level of mothers education, perceived living status of family, whether family has two parents or not, and whether students have ever lived away from the family, whether students received reproductive health education at school and whether they have friends with sexual experience, whether students have ever smoking and alcohol drinking. The prevalence of alcohol drinking was 73% among boys and 55% among girls and the prevalence of smoking was 64% of boys and 40% of girls, whereas the prevalence of sexual activity was 27% among boys and 15% among girls. Risk taking was more prevalent among boys than among girls. Multiple risk taking behavior was common for both boys and girls. Students who did not have two parents were more likely to engage in risk taking behavior than those who had two parents. For both boys and girls, the factor that affects their own sexual activity most was having a friend who was sexually active and having an experience of living away from their family also increases the odds. For girls, the factor that affects having experience of alcohol drinking and smoking. Receiving reproductive health education at school had no effect on students sexual behavior. Much higher risk taking behavior with sexual behavior among students in Seoul implies that the overall prevalence of risk taking behavior among high school students was likely to rise as South Korea continues its modernization. In-school and community health education programs need to be modified to be effective in protecting students from risk taking sexual behavior.

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Risk Assessment of Pine Tree Dieback in Uljin and Bonghwa (울진·봉화 일대 금강소나무 고사 피해 특성 분석)

  • Eun-Sook Kim;Kiwoong Lee
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.25 no.3
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    • pp.117-128
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    • 2023
  • Tree dieback in Geumgang pine forest has occurred in Uljin and Bonghwa since the 2010s. In order to identify status of tree dieback and prevent further damages, a monitoring project for tree dieback in Geumgang pine forest had been launched by Southern regional office of forest service in 2020. This study was conducted to understand the characteristics of tree dieback occurrence and assess the high risk areas using the occurrence data in the project. Pine tree dieback occurred frequently in areas with mountain ridges in high elevation, dry south-facing slopes, mature stands, and high temperature rise in winter. Furthermore, the result of risk assessment showed that 6.2 percent(5,294ha) of Geumgang pine forest(85,000 ha) in total study area are at high risk of tree dieback. As the pine trees in the high risk area are prone to experience the dieback due to temperature and drought-related extreme weather events, regular forest management activities are needed to reduce the drought stress of pine trees. Forest health management for the pine forest with high protection priority can be also useful strategy to counter the risk of decline. This results can be used as the basic information for the adaptive forest management to climate change.