• Title/Summary/Keyword: Risk assessment Model

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Acanthosis Nigricans as a Clinical Predictor of Insulin Resistance in Obese Children

  • Koh, Young Kwon;Lee, Jae Hee;Kim, Eun Young;Moon, Kyung Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.4
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    • pp.251-258
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    • 2016
  • Purpose: This study aimed to evaluate the utility of acanthosis nigricans (AN) severity as an index for predicting insulin resistance in obese children. Methods: The subjects comprised 74 obese pediatric patients who attended the Department of Pediatrics at Chosun University Hospital between January 2013 and March 2016. Waist circumference; body mass index; blood pressure; fasting glucose and fasting insulin levels; lipid profile; aspartate transaminase, alanine transaminase, glycated hemoglobin, C-peptide, and uric acid levels; and homeostatic model assessment insulin resistance (HOMA-IR) and quantitative insulin check sensitivity index (QUICKI) scores were compared between subjects with AN and those without AN. Receiver operating characteristic curves were used to investigate the utility of the AN score in predicting insulin resistance. HOMA-IR and QUICKI were compared according to AN severity. Results: The With AN group had higher fasting insulin levels ($24.1{\pm}21.0\;mU/L$ vs. $9.8{\pm}3.6\;mU/L$, p<0.001) and HOMA-IR score ($5.74{\pm}4.71$ vs. $2.14{\pm}0.86$, p<0.001) than the Without AN group. The AN score used to predict insulin resistance was 3 points or more (sensitivity 56.8%, specificity 83.9%). HOMA-IR scores increased with AN severity, from the Without AN group (mean, 2.15; 95% confidence interval [CI], 1.72-2.57) to the Mild AN (mean, 4.15; 95% CI, 3.04-5.25) and Severe AN groups (mean, 7.22; 95% CI, 5.08-9.35; p<0.001). Conclusion: Insulin resistance worsens with increasing AN severity, and patients with Severe AN (AN score ${\geq}3$) are at increased risk of insulin resistance.

Effects of early nonparental care on preschoolers' socioemotional behaviors (영·유아기 타인양육이 학령전 어린이의 사회정서적 행동에 미치는 영향)

  • Park, Kyung Ja
    • Korean Journal of Child Studies
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    • v.13 no.2
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    • pp.217-228
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    • 1992
  • The purpose of this study is to examine the effects of early full-time nonparental care during infancy/toddlerhood on children's socioemotional behaviors during the preschool period. Subjects for this study were 105 three- to five-year-olds from middle-class families in the U. S. A. Children were assigned to one of three groups according to their early care history. Children's social interactions with peers and caregivers during indoor free-play sessions in day care centers were observed for 20 minutes. The head teachers rated the children's social and emotional behaviors on two questionnaires. Mothers completed the Attachment Q-sort for attachment assessment for the preschoolers. In addition, mothers were asked to fill out a questionnaire on their parenting practices. Children who had received full-time nonparental care during infancy and/or toddlerhood were rated by their teachers as being more intellectually competent than children who did not receive full-time nonparental care during first three years of life. They were, however, rated by teachers and were observed by the researcher as being more aggressive than children with no full-time nonparental care. These children were observed to engage in less wandering/onlooking behaviors than children who had not had any full-time nonparental care. Children's attachment security scores and dependency scores did not differ as a function of early nonparental care histories. When the effects of early care patterns, sex of child, and current attachment security to mothers on aggressive behaviors of the preschoolers were examined by a hierarchical regression model, then any "pure" effects of nonparental care and of attachment security on child aggression were minimal after controlling for family background, child care center quality, and maternal childrearing practices. Strong buffering factors for the preschool children (family characteristics, parenting styles, and high quality nonparental care) mediated a possible risk factor of early nonparental care and promoted optimal outcomes for the children.

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Developing Sequential Sampling Plans for Evaluating Maize Weevil and Indian Meal Moth Density in Rice Warehouse (쌀 저장창고에서 어리쌀바구미와 화랑곡나방 밀도 추정을 위한 축차추출 조사법 (Sequential sampling plans) 개발)

  • Nam, Young-Woo;Chun, Yong-Shik;Ryoo, Mun-Il
    • Korean journal of applied entomology
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    • v.48 no.1
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    • pp.45-51
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    • 2009
  • This paper presents sequential sampling plans for evaluating the pest density based on complete counts from probe in a rice storage warehouse. Both maize weevil and Indian meal moth population showed negative binomial dispersion patterns in brown rice storage. For cost-effective monitoring and action decision making system, sequential sampling plans by using the sequential probability ratio test (SPRT) were developed for the maize weevil and Indian meal moth in warehouses with 0.8 M/T storage bags. The action threshold for the two insect pests was estimated to 5 insects per kg, which was projected by a matrix model. The results show that, using SPRT methods, managers can make decisions using only 20 probe with a minimum risk of incorrect assessment.

Screening of Ecotoxicant Responsive Genes and Expression Analysis of Benzo[a]pyrene-exposed Rockfish (Sebastes schlgeli)

  • Yum, Seung-Shic;Woo, Seon-Ock;Lee, Taek-Kyun
    • Molecular & Cellular Toxicology
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    • v.2 no.2
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    • pp.114-119
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    • 2006
  • Benzo[a]pyrene is a representative ecotoxicant in marine environment and a model compound of polycyclic aromatic hydrocarbons, which has an ability to bioaccumulate in aquatic organisms. This study aimed to identify molecular biomarkers suitable for assessing environmental pollution using a microarray technique. We examined the effects of benzo[a]pyrene on gene expressions in the rockfish, Sebastes schlegeli. We constructed the subtractive cDNA library with hepatic RNA from benzo[a]pyrene-exposed and non-exposed control fish. From the library 10,000 candidate clones were selected randomly and cDNA microarray was constructed. We determined benzo[a]pyrene-responsive genes using a high-density microarray. Statistical analysis showed that approximately 400 genes are significantly induced or reduced by benzo[a]pyrene treatment ($2\;{\mu}m$). Especially gene expression changes of 4 candidate clones among the up- or down-regulated genes were investigated in 6, 12 and 24 hr BaP-exposed fish groups. Many methods have been developed to monitor marine environmental status, which depend on quantifying the levels of the toxic components in polluted seawater or on ecological accessing, such as species diversity or richness. However, those methods could not provide information on physiological or genetic changes induced by such environmental stresses. Comparing with the conventional methods, these data will propose that benzo[a]pyrene-responsive genes can be useful for biological risk assessment of polycyclic aromatic hydrocarbons on marine organism at molecular level.

In Vivo Effects of Lead on Erythrocytes Following Chronic Exposure through Drinking Water

  • Lee, Moo-Yeol;Shin, Jung-Hun;Han, Hee-Shim;Chung, Jin-Ho
    • Archives of Pharmacal Research
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    • v.29 no.12
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    • pp.1158-1163
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    • 2006
  • More than 95% of lead, a environmental heavy metal, entering into blood accumulates in erythrocytes suggesting erythrocytes as an important target of lead toxicity. Recent studies reported that erythrocytes could contribute to blood coagulation via phosphatidylserine (PS) exposure in erythrocytes. However, in vivo effects of chronic lead exposure especially by drink-ing water on procoagulant activity of erythrocytes have not been studied yet. In the present study, we investigated the effects of chronic exposure of lead by drinking water on erythrocytes in rats. Groups of 40 male rats were provided with drinking water containing various concentrations of lead for 4 weeks and complete blood cell count, procoagulant activities of erythrocytes and platelets were evaluated with basic inspections on body weight and food/water consumption. The administration of lead containing drinking water increased the blood lead level (BLL) in a dose-dependent manner up to $22.39{\pm}2.26\;{\mu}g/dL$. Water consumption was significantly decreased while food consumption or body weight gain was not affected. In contrast to the previous findings with acute lead exposure, chronic lead exposure failed to increase PS exposure in erythrocytes with statistical significance although some trends of enhancement were observed. It implies that a certain adaptation might have happened in body during repeated exposure to lead, resulting in attenuation of PS exposure. With this study, we believe that a valuable information was provided for the study on the toxicological significance and the risk assessment of lead contaminated drinking water.

Responses of Various Biomarkers in Common Carp (Cyprinus carpio) Exposed to Benzo[k]fluoranthene

  • Kim, Woo-Keun;Kim, Ja-Hyun;Yeom, Dong-Hyuk;Lee, Sung-Kyu
    • Korean Journal of Ecology and Environment
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    • v.41 no.3
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    • pp.331-337
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    • 2008
  • Polycyclic aromatic hydrocarbons (PAHs) derived from leakage of fossil fuels and incomplete combustion of organic materials have been considered as harmful contaminants in environments. This study evaluated the effect of benzo[k]fluoranthene (BkF), one of the PAHs, using the multiple biomarkers and applied the integration model with those biomarker responses. After 10 days of the exposure at the measured concentrations of BkF (6, 25, and 45 ${\mu}g\;L^{-1}$), the changes of the four biomarkers, that is, 7-ethoxyresorufin-O-deethylase (EROD), DNA single-strand breaks (Comet), acetylcholinesterase (AChE) and vitellogenin (VTG) in the common carp (Cyprinus carpio) were observed. The standardized values of four biomarker responses were computed and integrated as star plots, representing Integrated Biomarker Respnse (IBR) values. DNA damage was induced in a dose-dependent manner, and increased significantly compared with that in the control. EROD and VTG levels were significantly elevated at low concentrations of BkF. On the other hand, AChE activities were not altered by BkF. IBR values increased as the exposure concentrations increased. Thus, the metabolic, endocrine and genetic changes of the biomarker responses in the common carp exposed to BkF should be considered in the case of the ecological risk assessment of the BkF in fish and it can be used as a biomonitoring tool in aquatic ecosystems. In addition, star plots can be used as a useful analysis tool in multibiomarker integration approach.

Capacity Credit and Reasonable ESS Evaluation of Power System Including WTG combined with Battery Energy Storage System (에너지저장장치와 결합한 WTG를 포함하는 전력계통의 Capacity Credit 평가 및 ESS 적정규모 평가방안)

  • Oh, Ungjin;Lee, Yeonchan;Choi, Jaeseok;Lim, Jintaek
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.65 no.6
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    • pp.923-933
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    • 2016
  • This paper proposes a new method for evaluating Effective Load Carrying Capability(ELCC) and capacity credit(C.C.) of power system including Wind Turbine Generator(WTG) combined with Battery Energy Storage System(BESS). WTG can only generate electricity power when the fuel(wind) is available. Because of fluctuation of wind speed, WTG generates intermittent power. In view point of reliability of power system, intermittent power of WTG is similar with probabilistic characteristics based on power on-off due to mechanical availability of conventional generator. Therefore, high penetration of WTG will occur difficulties in power operation. The high penetration of numerous and large capacity WTG can make risk to power system adequacy, quality and stability. Therefore, the penetration of WTG is limited in the world. In recent, it is expected that BESS installed at wind farms may smooth the wind power fluctuation. This study develops a new method to assess how much is penetration of WTG able to extended when Wind Turbine Generator(WTG) is combined with Battery Energy Storage System(BESS). In this paper, the assessment equation of capacity credit of WTG combined with BESS is formulated newly. The simulation program, is called GNRL_ESS, is developed in this study. This paper demonstrates a various case studies of ELCC and capacity credit(C.C.) of power system containing WTG combined with BESS using model system as similar as Jeju island power system. The case studies demonstrate that not only reasonable BESS capacity for a WTG but also permissible penetration percent of WTG combined with BESS and reasonable WTG capacity for a BESS can be decided.

I Do Not Even Say "It" - a Mixed Methods Study on Breast Cancer Awareness of Omani Women

  • Alkhasawneh, Esra;Siddiqui, Saad T;Leocadio, Michael;Seshan, Vidya;Al-Farsi, Yahya;Al-Moundhri, Mansour S
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2247-2254
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    • 2016
  • Background: The incidence of breast cancer is rising in Oman, and the disease is diagnosed at late stages, when treatment success is limited. Omani women might benefit from better awareness, so that breast cancer can be detected early and treated. This study was conducted to assess Omani women's levels of breast cancer awareness and early detection practice, and explore factors which might influence these levels. Materials and Methods: A mixed methods study was conducted in 2014, including a quantitative survey of 1,372 and a qualitative assessment of 19 Omani women, aged ${\geq}20years$ from five Omani governorates using convenient sampling. Demographic information and scores for awareness levels were used in a multivariate regression model to investigate factors associated with awareness. Thematic analysis and interpretive description were used to analyse the qualitative data. Results: The overall means for early detection and general awareness scores were 0.58 (SD 0.24) and 0.46 (SD 0.21), respectively. General awareness was significantly associated with age, education, income and familiarity with cancer patients (p<0.05), while early detection was significantly associated with age, marital status and education. A majority of women (59.5%) agreed with a belief in 'evil eye' or envy as a risk factor for breast cancer. Women discussed various factors which may empower or inhibit awareness, including the cultural-religion-fatalistic system, personal-familial-environmental system, and healthcare-political-social system. Conclusions: The overall low scores for awareness and early detection, and the survey of local beliefs highlight a severe necessity for a contextually-tailored breast cancer awareness intervention programme in Oman.

A Study on Emission Characteristics of VOCs During Cold Start Test Mode for Motorcycles (냉간모드에서의 이륜자동차 VOCs 배출특성연구)

  • Lee, Jongtae;Yoo, Heung-Min;Son, JiHwan;Yun, Changwan;Mun, SunHee;Park, Gyu-Tae;Kim, JeongSoo
    • Journal of ILASS-Korea
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    • v.20 no.1
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    • pp.28-34
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    • 2015
  • Recently, some researchers have been carried out risk assessment of vehicles exhaust on human health. Especially, some of VOCs which is non-controlled, was classified to hazardous pollutant, such as 1,3-Butadiene and BTEX(Benzene, Toluene, Ethylbenzene and Xylene). Therefore, the profile on non-controlled pollutant may be needed in the future, because it would be critical data or information to control them. Additionally, with increasing amount of motorcycle, the source profiling is essential for estimating emission factor and amount on motorcycle exhaust. For these, in this study, imported motorcycles (8 vehicles) were selected as a test model while considering the increasing ratio on sales volume between 2013 and 2014; it was also compared with domestic motorcycles on those. The experiment was conducted by driving mode, UDC and ECE+EUDC that made from EURO III. In addition, it was performed at cold start driving mode without effect by displacement, for evaluating only correlation of BTEX with HC. In order to apply the ratio (m,p-Xylene/o-Xylene) as a marker, the ratio was compared with those of tunnel, road side and residential area. As a result, it showed best correlation ($R^2=0.98$) among those. In the future, it has to be considered as a marker for effect evaluation to atmospheric environment by exhaust emission.

Uncertainty Analysis on the Simulations of Runoff and Sediment Using SWAT-CUP (SWAT-CUP을 이용한 유출 및 유사모의 불확실성 분석)

  • Kim, Minho;Heo, Tae-Young;Chung, Sewoong
    • Journal of Korean Society on Water Environment
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    • v.29 no.5
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    • pp.681-690
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    • 2013
  • Watershed models have been increasingly used to support an integrated management of land and water, non-point source pollutants, and implement total daily maximum load policy. However, these models demand a great amount of input data, process parameters, a proper calibration, and sometimes result in significant uncertainty in the simulation results. For this reason, uncertainty analysis is necessary to minimize the risk in the use of the models for an important decision making. The objectives of this study were to evaluate three different uncertainty analysis algorithms (SUFI-2: Sequential Uncertainty Fitting-Ver.2, GLUE: Generalized Likelihood Uncertainty Estimation, ParaSol: Parameter Solution) that used to analyze the sensitivity of the SWAT(Soil and Water Assessment Tool) parameters and auto-calibration in a watershed, evaluate the uncertainties on the simulations of runoff and sediment load, and suggest alternatives to reduce the uncertainty. The results confirmed that the parameters which are most sensitive to runoff and sediment simulations were consistent in three algorithms although the order of importance is slightly different. In addition, there was no significant difference in the performance of auto-calibration results for runoff simulations. On the other hand, sediment calibration results showed less modeling efficiency compared to runoff simulations, which is probably due to the lack of measurement data. It is obvious that the parameter uncertainty in the sediment simulation is much grater than that in the runoff simulation. To decrease the uncertainty of SWAT simulations, it is recommended to estimate feasible ranges of model parameters, and obtain sufficient and reliable measurement data for the study site.