• 제목/요약/키워드: Risk Adjustment

검색결과 389건 처리시간 0.027초

사상체질에 따른 대사증후군과 Adiponectin의 상관성 (Association Between Metabolic Syndrome and Adiponectin according to Sasang Constitution)

  • 유준상;고상백;박종구
    • 사상체질의학회지
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    • 제21권3호
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    • pp.122-130
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    • 2009
  • 1. Objectives: The objective of this study is to investigate the relationship between adiponectin and metabolic syndrome according to Sasang Constitution. 2. Methods: Six hundred sixty six participants were included in this cohort study. Sex, age, BMI(Body Mass Index), smoking, drinking, adiponectin level and Metabolic syndrome components were considerd. Sasang constitutional diagnosis was carried out by a sasang constitutional specialist using photos, questionnaires and PSSC(Phonetic System for Sasang Classification). 3. Results: In binary logistic analysis after adjustment of age, sex, BMI, smoking, drinking, adiponectin level and sasang constitution were related with Metabolic syndrome. 4. Conclusions: We suggest that adiponectin and sasang constitution are the important biomarker in Metabolic syndorme.

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Constrained Bayes and Empirical Bayes Estimator Applications in Insurance Pricing

  • Kim, Myung Joon;Kim, Yeong-Hwa
    • Communications for Statistical Applications and Methods
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    • 제20권4호
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    • pp.321-327
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    • 2013
  • Bayesian and empirical Bayesian methods have become quite popular in the theory and practice of statistics. However, the objective is to often produce an ensemble of parameter estimates as well as to produce the histogram of the estimates. For example, in insurance pricing, the accurate point estimates of risk for each group is necessary and also proper dispersion estimation should be considered. Well-known Bayes estimates (which is the posterior means under quadratic loss) are underdispersed as an estimate of the histogram of parameters. The adjustment of Bayes estimates to correct this problem is known as constrained Bayes estimators, which are matching the first two empirical moments. In this paper, we propose a way to apply the constrained Bayes estimators in insurance pricing, which is required to estimate accurately both location and dispersion. Also, the benefit of the constrained Bayes estimates will be discussed by analyzing real insurance accident data.

Confounder를 고려한 3단계의 logistic regression model을 통한 노인인구에 있어서의 치주질환과 뇌경색 경험 유무와의 상관관계에 대한 연구 (Relationship between periodontal disease and stroke history in the geriatric population - Using logistic regression model with 3-step adjustment considering effect of confounder)

  • 이효정
    • 대한치과의사협회지
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    • 제44권10호통권449호
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    • pp.658-670
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    • 2006
  • 1980년대 후반기부터 치주질환과 뇌경색(ischemic stroke)자료의 연관성을 모색하는 시도가 있어왔다. 이번 연구의 목적은 치주질환과 뇌경색 유무와의 어떤 관계가 있는지를 60세 이상의 노인을 대상으로 조사, 통계 분석하였다. 자료는 미국의 총 국민조사 격인 The Third Nation Health and Nutrition Examination Survey (NHANES III)를 이용하였다. 이번 연구에서 unadjusted logistic model 통계법을 이용하여 치아 상실수와 뇌경색 경험이 통계학적으로 유의한 수치의 상관성이 있음을 알게 되었다. 또한 나이와 흡연유무를 고려, 조정한 후 multiple logistic model 통계법으로 잔존치아가 적을수록 더욱 뇌경색에 걸릴 확률이 높음을 보였다. 그러나 두 질병에 동시에 선택된 중요한 위험인자 (risk factor)를 모두 고려, 조정 한 후에는 통계학적인 유의성을 찾지 못했다. 치은퇴축, 치주낭 깊이, 치석, 탐침시 출혈과 뇌경색 경험은 각각의 비교법에서 약간의 상관성을 보이나, 모든 통계법을 통해 일괄된 결과를 얻을 수는 없었다.

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산업용 위험기계·기구 의무 및 임의 안전인증의 효과 및 균형 (Effectiveness and Balance of Compulsory and Voluntary Safety Certification of Industrial Machines and Devices)

  • 최기흥
    • 한국안전학회지
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    • 제31권1호
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    • pp.7-12
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    • 2016
  • This study first focuses on the quantitative evaluation of both compulsory and voluntary safety certification of industrial machines and devices. Based on the results of statistical analysis, effectiveness of those safety certifications were confirmed. In order to reduce both the frequency and the strength of industrial accidents associated with industrial machines and devices, major target of safety regulations needs to be shifted from users to manufacturers. Adjustment of industrial machines and devices which are subject to compulsory safety certification and implementation of risk assessment are further suggested. As for the voluntary certification, reestablishment of the concept of voluntary safety certification and balance between compulsory and voluntary certifications is discussed. Voluntary safety certification is further suggested as a mean to manage safety of industrial machines and devices which are not subject to any safety regulations.

제한적인 출처논문을 활용한 사망률분석 (mortality analysis of limited source article)

  • 이신형
    • 보험의학회지
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    • 제29권2호
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    • pp.22-28
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    • 2010
  • Medical risk selection or mortality analysis is very important in insurance medicine. Among many kind of source articles there have been several limitations. There are few long-term follow-up studies in rare disease, as Romeo's article. We can do mortality analysis of this type using cause of death within the article and assumption of expected mortality q'. In the case of article which is published in foreign country such as Tikkanen et al, we can use comparative group from the control group within source article. It is another way for mortality analysis of limited article. However Retrospective study even performed in Korea, is unusable for estimation of extra-mortality.

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건강보장과 국민건강보험공단의 역할 (The Roles of the National Health Insurance Service in the Public Health Security)

  • 김용익
    • 보건행정학회지
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    • 제28권3호
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    • pp.210-216
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    • 2018
  • National Health Insurance Service (NHIS) has put a great effort on extending life expectancy, for last 40 years. The system has also made remarkable outcomes in achieving universal health coverage. However, it is facing challenges of low health insurance benefits and sustainability risk due to low birth rate and aging society at the same time. To overcome the difficulties and build a lifelong health security system for the nation, it is required for NHIS to make multilateral changes in its roles. Based on the quantitative growth achieved so far, NHIS needs to strive for the growth in quality by not only increasing coverage and reforming contribution imposition system, but also reorganizing the relevant systems such as lifelong health management support, rational adjustment to the medical fee, and benefit costs monitoring. In addition, it's important for NHIS to restructure the organizational culture by having specialty and communicating with people for high quality of administration and health insurance sustainability.

Cognitive Routing for Multi-hop Mobile Cognitive Radio Ad Hoc Networks

  • Lee, Jae-Joon;Lim, Jaesung
    • Journal of Communications and Networks
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    • 제16권2호
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    • pp.155-161
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    • 2014
  • Mobility can lead to continual loss of data and service interruptions during communications in multi-hop cognitive radio networks. Mobility of primary users (PUs) or cognitive users (CUs) requires adjustment of multi-hop communications among CUs to avoid any interference to PUs. To provide durable and reliable data routing that ensures continuous network service, we propose mobility-aware cognitive routing (MCR) for multi-hop cognitive radio networks. MCR examines the risk level of each node against interference regions and selects the most reliable path for data delivery using a Markov predictor. Through simulation, we verify that the proposed scheme can avoid route destruction preemptively and achieve reliable data delivery.

누적외상병 예방을 위한 심생리학적 접근법을 이용한 상체작업의 안전한 작업기준의 설정에 관한 연구 (Acceptable work limits for the upper extremities with the psychophysical approach)

  • Kim, Chol-Hong;Marley, Robert J.;Fernandez, Jeffrey E.;Klein, Mary G.
    • 대한인간공학회지
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    • 제13권2호
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    • pp.57-63
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    • 1994
  • This paper summarizes recent research in the use of the psychophysical method of adjustment to establish acceptable parameters for upper extremity work activities. Results from these studies show that this psychophysical approach can provide reliable guidelines based upon realistic job conditions which involve one or more risk factors for cumulative trauma. It is also shown that this method provides advantages over other psychophysical methods as well as current biomechanical and physioligical criteria.

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Family History of Cancer and Head and Neck Cancer Risk in a Chinese Population

  • Huang, Yu-Hui Jenny;Lee, Yuan-Chin Amy;Li, Qian;Chen, Chien-Jen;Hsu, Wan-Lun;Lou, Pen-Jen;Zhu, Cairong;Pan, Jian;Shen, Hongbing;Ma, Hongxia;Cai, Lin;He, Baochang;Wang, Yu;Zhou, Xiaoyan;Ji, Qinghai;Zhou, Baosen;Wu, Wei;Ma, Jie;Boffetta, Paolo;Zhang, Zuo-Feng;Dai, Min;Hashibe, Mia
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.8003-8008
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    • 2015
  • Background: The aim of this study was to investigate whether family history of cancer is associated with head and neck cancer risk in a Chinese population. Materials and Methods: This case-control study included 921 cases and 806 controls. Recruitment was from December 2010 to January 2015 in eight centers in East Asia. Controls were matched to cases with reference to sex, 5-year age group, ethnicity, and residence area at each of the centers. Results: We observed an increased risk of head and neck cancer due to first degree family history of head and neck cancer, but after adjustment for tobacco smoking, alcohol drinking and betel quid chewing the association was no longer apparent. The adjusted OR were 1.10 (95% CI=0.80-1.50) for family history of tobacco-related cancer and 0.96 (95%CI=0.75-1.24) for family history of any cancer with adjustment for tobacco, betel quid and alcohol habits. The ORs for having a first-degree relative with HNC were higher in all tobacco/alcohol subgroups. Conclusions: We did not observe a strong association between family history of head and neck cancer and head and neck cancer risk after taking into account lifestyle factors. Our study suggests that an increased risk due to family history of head and neck cancer may be due to shared risk factors. Further studies may be needed to assess the lifestyle factors of the relatives.