• 제목/요약/키워드: Risk of Loss

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Risk assessment for clinical attachment loss of periodontal tissue in Korean adults

  • Rheu, Gun-Bak;Ji, Suk;Ryu, Jae-Jun;Lee, Jung-Bok;Shin, Chol;Lee, Jeong-Yol;Huh, Jung-Bo;Shin, Sang-Wan
    • The Journal of Advanced Prosthodontics
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    • 제3권1호
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    • pp.25-32
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    • 2011
  • PURPOSE. The purpose of this study was to assess the prevalence and extent of clinical attachment loss of periodontal tissue and to find out variables related to clinical attachment loss (CAL) in Korean adults older than 40 years of age. MATERIALS AND METHODS. Data were collected from 2,519 subjects who were part of a cohort study conducted in Ansan city by Korea University Medical School for Korean Genome project. Age, sex, smoking, drinking, fast glucose, blood pressure, obesity and total cholesterol levels were examined. The oral examination included probing pocket depth, gingival recession and CAL of Ramford's teeth. The severity of periodontitis was classified based on the mean value of CAL. The relationship between each risk factor and the severity of CAL was independently estimated using the chi-square test, the test or one-way ANOVA. Multiple regression analysis was used to determine the significance of each factor in the periodontal disease. RESULTS. The prevalences of clinical attachment between 1 and 3 mm, between 3 and < 5 mm, and ${\geq}$ 5 mm were 80.27%, 16.75% and < 1%, respectively. Although the univariate analysis showed age, gender, smoking, fasting glucose, blood pressure and total cholesterol levels were significantly related to the severity of CAL, multiple regression analysis indicated that age (P < .0001), gender (P < .0001) and smoking (P < .05) were only significantly related. CONCLUSION. Older age, male gender and smoking were significant risk factor for the increase of CAL, and these may be useful indicators of periodontitis high-risk groups.

Prevalence and Risk Factors for the Weight Loss during Hospitalization in Children: A Single Korean Children's Hospital Experience

  • Hwang, Eun Ha;Park, Jae Hong;Chun, Peter;Lee, Yeoun Joo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권4호
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    • pp.269-275
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    • 2016
  • Purpose: Undernutrition during hospitalization increases the risk of nosocomial infection and lengthens the disease courses. The aim of this study was to evaluate the risk factors of weight loss during hospitalization in children. Methods: All the patients who were admitted in general wards between April and May 2014 were enrolled. Patients aged >18 years and discharged within 2 days were excluded. Weight loss during hospitalization was defined as a decrease in body weight of >2% in 8 hospital days or on the day of discharge. Patients who lost body weight during hospitalization were compared with patients who maintained their body weights. Significant parameters were evaluated by using the multivariate logistic regression analysis. Results: We enrolled 602 patients, of whom 149 (24.8%) lost >2% of their body weight. Complaint of pain (p=0.004), admission to the surgical department (p=0.001), undergoing surgery (p=0.044), undergoing abdominal surgery (p=0.034), and nil per os (NPO) durations (p=0.003) were related to weight loss during hospitalization. The patients who had high weight-for-age tended to lose more body weight (p=0.001). Admission to the surgical department (odds ratio [OR], 1.668; 95% confidence interval [CI], 1.054-2.637; p=0.029) and long NPO durations (OR, 1.496; 95% CI, 1.102-2.031; p=0.010) were independent risk factors of weight loss during hospitalization. The patients with high weight-for-age tended to lose more weight during hospitalization (OR, 1.188; 95% CI, 1.029-1.371; p=0.019). Conclusion: Greater care in terms of nutrition should be taken for patients who are admitted in the surgical department and have prolonged duration of nothing by mouth.

임시 활주로 건설공사의 위험영향 및 손실비용 사례분석 (A Case Study on the Risk Impact and Loss Cost of Temporary Aircraft Runway Construction)

  • 강현욱;이원배;김민정;김용수
    • 한국건설관리학회논문집
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    • 제21권1호
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    • pp.32-39
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    • 2020
  • 본 연구의 목적은 임시활주로를 건설하는 과정에서 발생된 위험항목을 도출하고 위험항목을 조치하기 위해서 지출된 위험비용에 따른 손실비용을 분석하는 것이다. 이에 따라 건설공사가 완료된 임시활주로를 사례대상으로 선정하였으며, 시공자료(실정보고자료, 설계변경요청자료, 설계변경승인자료, 계약내역, 준공내역 등)를 기반으로 공사비의 변동을 유발한 위험항목과 위험항목을 조치하기 위해서 지출된 위험비용 그리고 손실비용을 분석하였다. 사례대상으로 선정된 임시활주로를 건설하는 기간 동안에 발생되었던 위험항목은 8개로 도출되었으며, 그 중에서 발주기관의 책임으로 인하여 발생된 위험항목은 3개, 건설회사의 책임으로 인하여 발생된 위험항목은 5개이다. 그리고 위험비용은 520백만원으로 발주기관이 부담하여야 하는 위험비용은 243백만원, 건설회사가 부담하여야 하는 위험비용은 277백만원으로 산정되었다. 이에 따라 발주기관은 건설회사와 체결된 계약금액 대비 2.36%의 예산이 추가적으로 지출되었고 건설회사는 최초 계획된 수익 443백만원 중 -277백만원이 손실되어 잔여수익은 165백만원으로 분석되었다.

신이식환자에서 이식과 환자의 생존에 영향을 끼치는 위험요인 분석 (Risk Factors Affecting the Graft and Patient Survival in Kidney Transplant Patients)

  • 김주영;한덕종;신혜영;신완균;오정미
    • 한국임상약학회지
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    • 제16권1호
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    • pp.14-22
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    • 2006
  • Purpose: To determine the short (1 year of transplant) and long-term (1-5 years of transplantation) risk factors affecting the graft and patient survival in kidney transplantation recipients. Methods: Records of 149 patients who received kidney transplantation in 1996 from Asan Medical Center were followed for 5 years retrospectively. Results: All patients initiated triple immunosuppressive therapy with cyclosporine, prednisone and azathioprine. One, two, three, four, five year patient and graft survival rates were 98.7%, 98.0%, 98.0%, 97.3%, 97.3%, and 96.6%, 95.2%, 94.6%, 92.5%, 91.8%, respectively. There were 30 cases of acute rejection (AR) and 6 cases of chronic rejection (CR) within $2.1{\pm}3.2$ months and $42.1{\pm}13.2$ months of transplantation, respectively. The risk factors for AR were donor's age older than 30 years (p=0.02) and cardiovascular disease (p=0.05). The risk factors for CR were AR (p=0.0169) and episode of complications (p=0.0330). Increasing period of dialysis (p=0.0473), episodes of AR (p<0.0001) and complication (p=0.0317) were significant factors for graft loss. Seven grafts were lost from noncompliance during 1-5 year period. The most com- mon cause of the graft loss for both periods was the graft rejection. The graft survival rate was significantly lower in patients with than without rejection episodes (77.4% vs. 90.0%, p=0.002). Conclusions: Survival rate of the graft with rejection was significantly lower. The risk factors affecting AR were donor's age older than 30years and CVD. AR and episode of complications within 1year were the risk factors for CR and graft loss.

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Impact of Periodontal Treatment and Demographic and Socioeconomic Factors on Tooth Loss in Persons with Disabilities: An Analysis of Korean National Health Insurance Claims Data

  • Bo-Ra Kim
    • 치위생과학회지
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    • 제23권3호
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    • pp.225-235
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    • 2023
  • Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

Seismic probabilistic risk assessment of weir structures considering the earthquake hazard in the Korean Peninsula

  • Alam, Jahangir;Kim, Dookie;Choi, Byounghan
    • Earthquakes and Structures
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    • 제13권4호
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    • pp.421-427
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    • 2017
  • Seismic safety evaluation of weir structure is significant considering the catastrophic economical consequence of operational disruption. In recent years, the seismic probabilistic risk assessment (SPRA) has been issued as a key area of research for the hydraulic system to mitigate and manage the risk. The aim of this paper is to assess the seismic probabilistic risk of weir structures employing the seismic hazard and the structural fragility in Korea. At the first stage, probabilistic seismic hazard analysis (PSHA) approach is performed to extract the hazard curve at the weir site using the seismic and geological data. Thereafter, the seismic fragility that defines the probability of structural collapse is evaluated by using the incremental dynamic analysis (IDA) method in accordance with the four different design limit states as failure identification criteria. Consequently, by combining the seismic hazard and fragility results, the seismic risk curves are developed that contain helpful information for risk management of hydraulic structures. The tensile stress of the mass concrete is found to be more vulnerable than other design criteria. The hazard deaggregation illustrates that moderate size and far source earthquakes are the most likely scenario for the site. In addition, the annual loss curves for two different hazard source models corresponding to design limit states are extracted.

운영 위험 관련 손실 분포 - 퍼지 히스토그램의 효과 (Fuzzy histogram in estimating loss distributions for operational risk)

  • 박노진
    • Journal of the Korean Data and Information Science Society
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    • 제20권4호
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    • pp.705-712
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    • 2009
  • 히스토그램이 활용의 간편성과 자료의 전체적 구조를 한 눈에 볼 수 있는 정보량을 제공하지만 히스토그램의 계급 구간의 설정에 따라 그 표현이 달라 질 수 있는 문제가 있다. 이러한 문제를 해결하기 위해 퍼지 개념을 활용한 히스토그램이 제안되었고 그 효과가 제시되었다 (Loquin과 Strauss, 2008). 히스토그램이 다양한 분야에서 사용되지만 요즘 운영 위험과 관련된 손실 분포를 추정함에 있어서 유용하게 사용되고 있다. 그런데, 임계치를 활용한 극단치 확률 함수 추정에 사용함에 있어 임계치의 선택에 따른 히스토그램의 모양 변화는 그 활용을 어렵게 하는 경향이 있다. 본 연구는 퍼지히스토그램을 손실에 대한 극단치 분포를 추정에 사용할 경우 임계치의 선택에 따른 전체적 모양의 차이가 일반적인 히스토그램 보다 크지 않아 상대적으로 안정된 분포를 추정할 수 있음을 보였다.

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유조선 운항에 따른 위험관리에 관한 소고 (A Study on the Risk Management of Oil Tanker Operation)

  • 윤대근;박상갑
    • 한국항해학회지
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    • 제25권1호
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    • pp.33-44
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    • 2001
  • 유조선은 보통 상선과는 다른 선체구조와 작업환경을 가지고 있다. 유조선에서 사고가 발생하면, 보통 상선에서는 선박과 화물에 제한되지만 유조선 사고에 따른 피해는 선박과 화물에 추가하여 유류유출에 따른 엄청난 제3자에 대한 배상책임을 져야한다. 따라서 유조선 운항에 따른 위험요소, 사전/사후손실통제, 해상 보험과 관련된 법규정을 이해하고, 기대하지 않은 사고가 발생할 때 피해를 최소화해야 할 것이다. 이러한 피해를 줄이기 위해서는 사전에 유류오염방지 시스템구축 및 유류오염 피해보상에 대한 준비를 해야만 한다. 이러한 준비에도 불구하고, 유조선 사고는 빈번히 발생하고 있다. 이에 본 논문에서는 유조선 운항에 따른 근본적이면서 전반적인 위험관리 방안에 대해 연구하였다.

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온라인 중고제품 구매에 관한 지각된 위험과 구매의도: 온/오프 중고품 구매경험의 조절효과 (Examining the Moderating Role of Purchase Experience in the Relationship between Perceived Risk and Purchase Intention of Online Used Goods)

  • 한수진;강소라
    • 한국IT서비스학회지
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    • 제21권4호
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    • pp.123-140
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    • 2022
  • In the ever-increasing online secondhand product market, the perceived risk of online used products purchase was identified as a factor influencing consumer purchase intention. The results of this study are as follows. First, the relationship between the perceived risk of online secondhand purchase and purchase intention was presented with somewhat different results for each sub-risk factor. First of all, a significant negative causal relationship between physical risk, time loss risk, psychological risk, social risk and online used product purchase intention was verified. On the other hand, financial risk and functional risk did not show a statistically significant relationship with online used products purchase intention. Second, as a result of research on the moderating effect of purchasing experience, offline purchasing experience of used products and online purchasing experience were verified differently. First of all, the moderating effect of the online purchase experience of used products was significant only in the relationship between psychological and social risks on the intention to purchase used products online. The experience of purchasing used products online is believed to reduce uncertainty about the surrounding response to purchasing used products online and weaken the intention to purchase used products online by reducing tension and concerns about purchasing them. Other risks, such as financial risk, performance risk, physical risk, time loss risk, and online purchase experience of used products, were verified to have no significant effect on online used products purchase intention. In addition, the offline purchase experience of used products did not verify a significant moderating effect on the effect of all perceived risks on online used product purchase intention.

해상보험(海上保險)에서의 복합인과관계(複合因果關係)에 관한 연구(硏究) (The Study on the Complex Causation of Loss in Marine Insurance)

  • 박성철
    • 무역상무연구
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    • 제15권
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    • pp.119-136
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    • 2001
  • The purpose of this paper is to consider how to decide the cause of loss or damage to the transport goods when maritime accident occurs. In marine insurance, the underwriter is liable for any loss or damage proximately caused by a risk insured(MIA Art.55). So it is very important to determine the proximate cause of loss or damage to ascertain whether it is to be recoverable under the policy. But there is no definite conception or rule what is the proximate cause. It was left to the tribunal as a question of fact. In this paper, I will suggest the general rules to determine the proximate cause of loss or damage of the transport goods in marine insurance. First, in MIA 1906, there is the rule of proximate causation and it has been established the effective causation by cases since 1918. Second, in Institute Cargo Clauses(B) & (C), there are rules of considerably relaxed standards to determine the causation of loss of or damage using the "attributable to" and "caused by" basis. Third, it is noted, under the complex causation situation, there are difference basises to decide the liability of underwriters between the case of successive occurrence of single risk and the case of concurrent occurrence of several risks. Forth, in practice, it couldn't be ascertained the underwrier's liability by a definite rule and it should be fully considered the circumstances and conditions of the loss.

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