• Title/Summary/Keyword: Risk factors analysis

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Synergistic effect of independent risk factors for post-endoscopic retrograde cholangiopancreatography pancreatitis: a multicenter retrospective study in Japan

  • Hirokazu Saito;Yoshihiro Kadono;Takashi Shono;Kentaro Kamikawa;Atsushi Urata;Jiro Nasu;Masayoshi Uehara;Ikuo Matsushita;Tatsuyuki Kakuma;Shunpei Hashigo;Shuji Tada
    • Clinical Endoscopy
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    • v.57 no.4
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    • pp.508-514
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    • 2024
  • Background/Aims: This study aimed to examine the synergistic effect of independent risk factors on post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). Methods: This multicenter retrospective study included 1,273 patients with native papillae who underwent ERCP for bile duct stones in Japan. Independent PEP risk factors were identified using univariate and multivariate analyses. Significant risk factors for PEP in the multivariate analysis were included in the final analysis to examine the synergistic effect of independent risk factors for PEP. Results: PEP occurred in 45 of 1,273 patients (3.5%). Three factors including difficult cannulation ≥10 minutes, pancreatic injection, and normal serum bilirubin level were included in the final analysis. The incidences of PEP in patients with zero, one, two, and three factors were 0.5% (2/388), 1.9% (9/465), 6.0% (17/285), and 12.6% (17/135), respectively. With increasing risk factors for PEP, the incidence of PEP significantly increased (1 factor vs. 2 factors, p=0.006; 2 factors vs. 3 factors, p=0.033). Conclusions: As the number of risk factors for PEP increases, the risk of PEP may not be additive; however, it may multiply. Thus, aggressive prophylaxis for PEP is strongly recommended in patients with multiple risk factors.

The effect of clothing involvement and risk preception of internet fashion consumers on the risk reduction behavior (인터넷 패션 소비자의 의복관여도와 위험지각이 위험감소행동에 미치는 영향)

  • Lim, Kyung-Bock
    • Journal of the Korea Fashion and Costume Design Association
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    • v.21 no.1
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    • pp.73-85
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    • 2019
  • The purpose of this study was to discover the effects of clothing involvement and risk perception, which can influence risk reduction behavior. The subjects of this study were young male consumers living in Seoul and Kyunggi-do who had purchased fashion products from an Internet shopping mall. Questionnaires were collected from July 1, 2018 to July 8, 2018 and 300 questionnaires were used in the data analysis. The data was analyzed utilizing a factor analysis, a regression, ANOVA and a Duncan-test. The results of this study were as follows. Clothing involvement factors influenced various risk perceptions and risk perception influenced risk reduction behaviors. Among the various risk perception factors, psychological risk was the most important factor, which was influenced by clothing involvement factors. The usage of media was the most important factor, which was influenced by various risk perception factors. Finally clothing involvement and risk perception influenced risk reduction behaviors. Among the various risk reduction factors, the usage of media was the most important factor, which was influenced by clothing involvement and risk perception factors.

A Meta-analysis of the Risk Factors related to Falls among Elderly Patients with Dementia (치매노인의 낙상위험요인에 관한 메타분석)

  • Hong, SunYoung;Park, Heeok
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.51-62
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    • 2017
  • Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included 'dementia', 'Alzheimer', 'fall'. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.

Prevalence Rates and Risk Factors of Metabolic Disorder in Urban Adults assessed in Home Visits (가정방문을 통한 일 광역시 성인의 대사증후군 유병률 및 위험요인 조사)

  • Kim, Jong-Im
    • Journal of Home Health Care Nursing
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    • v.16 no.1
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    • pp.12-21
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    • 2009
  • Purpose: The survey-based study aimed to determine the distribution and clustering tendency of metabolic syndrome risk factors in urban residents, and cluster odds ratios. Methods: Cluster sampling involved 827 urban participants and analysis of the collected data. Results: Regarding the prevalence of metabolic syndrome risk factors used for diagnosis, abdominal obesity was higher in women(69.5%) than in men(34.3%), high blood pressure was higher in men(57%) than in women(46.5%), and blood sugar was higher in men(6.9%) than in women(5.7%). Clustering increased with increasing body mass index(BMI), weight:height ratio(W/Ht) and abdominal obesity Risk factors for females were 1.7 times higher than for males. Participants with a family history of metabolic syndrome displayed related risk factors 1.5 times more than participants without a family history. Participants having a BMI ranking them as obese were 9.5 times more likely to display metabolic syndrome risk factors than non-obese participants. Obese participants were 20 times more likely to display risk factors than non-obese participants. Conclusion: BMI, W/Ht and abdominal obesity correlate with clustering of metabolic syndrome risk factors. The risk is increased by smoking and family history. Exercise weight control and non-smoking are recommended for comprehensive management of clustering of metabolic syndrome risk factors.

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Analysis of the risk factors for offshore gillnet fisheries in the floating offshore wind farms based on AHP technique (AHP 기법을 이용한 부유식 해상 풍력 단지 내 근해자망어업 위험 요인 분석)

  • Jong-Kap AHN;You-Jin PARK;Yu-Jin JEONG;Young-Su AN
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.59 no.4
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    • pp.354-361
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    • 2023
  • In this study, the AHP (analytic hierarchy process) technique was used to analyze the risk of expected risk factors and fishing possibilities during gillnet fishing within the floating offshore wind farms (floating OWF). For this purpose, the risks that may occur during gillnet fishing within the floating offshore wind farms were defined as collisions, entanglements, and snags. In addition, the risk factors that cause these risks were classified into three upper risk factors and ten sub risk factors, and the three alternatives to gillnet fishing available within the floating OWF were classified and a hierarchy was established. Lastly, a survey was conducted targeting fisheries and marine experts and the response results were analyzed. As a result of the analysis, among the top risk factors, the risk was the greatest when laying fishing gear. The risk of the sub factors for each upper risk was found to be the highest at the berthing (mooring), the final hauling of fishing net, and the laying of the bottom layer net. Based on the alternatives, the average of the integrated risk rankings showed that allowing full navigation/fisheries had the highest risk. As a result of the final ranking analysis of the integrated risk, the overall ranking of allowing navigation/fisheries in areas where bottom layer nets were laid was ranked the first when moving vessels within the floating OWF was analyzed as the lowest integrated risk ranking of the 30th at the ban on navigation/fisheries. Through this, navigation was analyzed to be possible while it was analyzed that the possibility of gillnet fishing within the floating OWF was not high.

Comparing validity of using Body Mass Index, Waist to Hip Ratio, and Waist Circumference to Cardiovascular Risk Factors of Middle Aged Koreans (한국중년층에서 체질량지수, 허리-엉덩이둘레비, 및 허리둘레의 심장혈관계질환 위험인자 타당도 비교)

  • Mun, Hyeon-Gyeong;Kim, Yu-Jin
    • Journal of the Korean Dietetic Association
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    • v.11 no.3
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    • pp.365-374
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    • 2005
  • This study was conducted to compare the validity of obese index among body mass index(BMI), waist to hip ratio(WHR), and waist circumference(WC) and to determine which is the best in relation to cardiovascular risk factors of middle aged Korean(40-64yr).Data from the 1998 Korean Health and Nutrition Survey were used(N=3380). Anthropometric indices and cardiovascular risk factors were measured. Chi-square test, analysis of variance following duncan's multiple range test, partial correlation analysis, and Receiver Operator characteristic(ROC) curves were used in the analysis. There was a significant increasing trend in WHR, systolic blood pressure(SBP), high density lipoprotein cholesterol(HDL), and fasting blood sugar(FBS) with age categories of male and in BMI, WC, WHR, diastolic blood pressure(DBP), SBP, total cholesterol(TC), low density lipoprotein cholesterol(LDL), triglycerol(TG), and FBS with those of female. Specially female had the characteristics of upper body fat and systolic blood pressure risk(p<0.05). Proportions of subjects with lifestyle factors related to cardiovascular risk in overweight or upper body fat group were higher than that of normal group. Higher proportions of subjects were practiced exercise in upper body fat group of male than in other groups. Among 7 cardiovascular risk factors in partial correlation analysis, BMI had the highest correlation coefficient in 6 risk factors in male, whereas WC in 4 risk factors in female. Mean of each obese index according to cardiovascular risk groups except smoker was higher than that of normal(p<0.05). These trends were shown in upper body fat group and female. In ROC analysis of 12 risk factors and health conditions, the largest area under curve among obese indices for risk factors were BMI in male and WHR in female. The optimal cutoff values of each index(BMI: WHR: WC) for one or more cardiovascular risk factors were 23.13: 0.89: 85.35 in male and 23.57: 0.84: 78.35 in female. The results showed that cardiovascular risk factors were prevalent in middle aged Koreans within normal limits of obese indices like another Asians. For the identification of cardiovascular risk factors of middle aged Koreans, BMI for men and WHR for women are appropriate indices. But it is recommended that BMI, WHR, and WC, all three indices should be considered, when using these indices.

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Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study (다수준 분석을 이용한 한국 생산직 근로자의 심혈관질환 위험에 대한 생태학적 요인)

  • Hwang, Won Ju;Park, Yunhee
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.857-867
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    • 2015
  • Purpose: The purpose of this study was to investigate individual and organizational level of cardiovascular disease (CVD) risk factors associated with CVD risk in Korean blue-collar workers working in small sized companies. Methods: Self-report questionnaires and blood sampling for lipid and glucose were collected from 492 workers in 31 small sized companies in Korea. Multilevel modeling was conducted to estimate effects of related factors at the individual and organizational level. Results: Multilevel regression analysis showed that workers in the workplace having a cafeteria had 1.81 times higher CVD risk after adjusting for factors at the individual level (p =.022). The explanatory power of variables related to organizational level variances in CVD risk was 17.1%. Conclusion: The results of this study indicate that differences in the CVD risk were related to organizational factors. It is necessary to consider not only individual factors but also organizational factors when planning a CVD risk reduction program. The factors caused by having cafeteria in the workplace can be reduced by improvement in the CVD-related risk environment, therefore an organizational-level intervention approach should be available to reduce CVD risk of workers in small sized companies in Korea.

An Analysis on the Relative Importance of the Risk Factors for the Marine Traffic Environment using Analytic Hierarchy Process

  • Lee, Hong-Hoon;Kim, Chol-Seong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.19 no.3
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    • pp.257-263
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    • 2013
  • The classification of risk factors and the identification of risk acceptance criteria are core works to assess risk levels with high enough confidential level in the field of marine traffic environment. In the previous study work, the twenty kinds of risk factors and its assessment criteria for the domestic marine traffic environment were proposed. In this paper, with these previous studying results, the relative importance of the risk factors were analyzed by questionnaire survey of marine traffic experts using the analytic hierarchy process. The analysis results showed that the relative importance of the visibility restriction is the highest among the twenty kinds of risk factors, and the relative importance of the traffic condition is the highest among the five kinds of risk categories. As results from analysis, it is expected that the approaching method on the relative importance is to be one of basic techniques for the development of risk assessment models in the domestic marine traffic environment.

AN EFFECT ANLYSIS OF RISK FACTORS FOR BUILD TRANSFER LEASE PROJECTS

  • Yang-Woo Lee;Soo-Yong Kim; Jung-Man Jung;Dae-Young Kim
    • International conference on construction engineering and project management
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    • 2007.03a
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    • pp.498-508
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    • 2007
  • The Build-Transfer-Lease (BTL) projects have rapidly increased under the Government support during recent years. This paper presents the risk analysis of factors affecting BTL projects in the initial phase. This study resulted in 10 significant risk factors influencing on each phase of BTL projects and then factors were grouped into each phase. The sensitivity analysis was also performed to identify risk factors with more significant influence on BTL projects. The results may useful to practitioners in order to cope with risks in initial phase of BTL projects. The paper resulted in the distribution of risks to project parties, thus it can be used as standards for risk assignment to competent authorities and private enterprises of BTL projects.

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Related Factors of Environmental Risk Perception among General Public and Experts (환경문제에 대한 일반대중과 전문가의 위해도 인식 관련 요인)

  • 박종연;장은아;신동천;임영욱;최우혁
    • Environmental Analysis Health and Toxicology
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    • v.16 no.2
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    • pp.85-95
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    • 2001
  • This study was to investigate factors of risk perception on major environmental issues among general public and environmental experts in Korea. Structured questionnaire surveys were conducted to samples from general public and environmental experts during March and April, 2000. Total numbers of respondents were 773, general public and 353 experts. Analysis of the data showed that risk perception was correlated with health concern, environmental satisfaction, perception of environmental pollution, interest on the environmental issues, knowledge, experiences, and social-cultural consciousness, and so on. Overall environmental risk perception was affected by knowledge on environmental issues, experience of damage from environmental problems, sex and perception of environmental pollution. According to the results, environmental risk perception is not independent from social and psychological factors, and it may be desirable to consider the related factors in the process of risk communication for a more effective risk management or environmental policy.

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