• Title/Summary/Keyword: Risk value

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The Relationship Between Epicardial Adipose Tissue and Diabetes Mellitus (심장외막지방두께와 당뇨와의 연관성 연구)

  • Kim, Sun-Hwa;Kim, Jung-Hoon;Im, In-Chul
    • Journal of radiological science and technology
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    • v.41 no.4
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    • pp.305-312
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    • 2018
  • The incidence of cardiovascular disease increases rapidly after 40's. The thickness of the epicardial adipose tissue was measured to analyze the risk factors affecting the thickness change. We present the cut off value for the epicardial adipose tissue thickness for high impacted variables. For the study, 547 patients underwent echocardiography, epicardial adipose tissue thickness, body mass index, abdominal subcutaneous fat thickness and diabetes mellitus were used as analytical variables. As a result, multiple regression analysis of age group showed that diabetes mellitus was highly influential in all age group, so we could predict the cut off value for the epicardial adipose tissue thickness for diabetes mellitus. As a result of ROC curve analysis, cut off value of 7.44 mm was obtained with sensitivity of 79.6% and specificity of 60.6% for diab etes variab le. Logistic regression analysis b ased on this value showed that the risk for diab etes increased 6 times with each increase in the thickness of the epicardial adipose tissue. Among the various obesity indexes, epicardial adipose tissue is used as an important index especially to prevent the risk of cardiovascular disease. Therefore, we suggest that the use of echocardiography as a routine screening method for the prevention of cardiovascular disease and metabolic syndrome, which is rapidly increasing in patients over 40's age, will enable more effective monitoring. Radiation is the emission or transmission of energy in the form of waves or particles through space or through a material medium.

Threshold Primary Tumour Sizes for Nodal and Distant Metastases in Papillary and Follicular Thyroid Cancers

  • Zaman, Maseeh Uz;Fatima, Nosheen;Sajjad, Zafar;Akhtar, Jaweed;Islam, Najmul;Masood, Qamar;Ahmed, Asma
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2473-2476
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    • 2012
  • Background: In papillary and follicular thyroid cancers (PTC, FTC), nodal and distant metastasis are generally considered important determinants of recurrence and survival, respectively. However, there is no consensus about the threshold primary tumour size (PTS) for these determinants. The aim of this study was to assess size relationships for developing nodal, pulmonary, bone and overall distant metastases. Methods: This prospective study covered 139 (93 females and 46 males) consecutive biopsy proven patients with PTC (114/139, mean age $41.0{\pm}15.7$ years, M: F, 35%:65%) and FTC (25/139, mean age $39.2{\pm}14.3$ years, M: F: 24%:76%). Results: Average primary tumor size was $23.4{\pm}11.1$ mm and $26.5{\pm}13.1$ mm for PTC and FTC respectively (p value=0.223). Nodal metastasis was found more common in PTC than FTC (49% vs 28%, p value <0.05), whereas overall distant metastasis was approximately the same (13% and 24%, p value=0.277); however, bone metastasis was significantly higher in FTC than PTC (24% vs 5%, p value <0.05). Cumulative risk for nodal and distant metastases for FTC and PTC starts at PTS <20 mm and may indicate an unusual aggressive tumor behavior in the studied population. Highest cumulative risk for nodal and pulmonary metastases in PTC and for bone metastasis in FTC was found to be ${\geq}50$ mm PTS. Conclusion: We conclude that a PTS of <20 mm may indicate an unusual aggressive tumor behavior with highest cumulative risk for nodal and pulmonary metastases in PTC and for bone metastasis in FTC with a cutoff of ${\geq}50$ mm.

Comparative Evaluation of the Risk of Malignancy Index Scoring Systems (1-4) Used in Differential Diagnosis of Adnexal Masses

  • Ozbay, Pelin Ozun;Ekinci, Tekin;Caltekin, Melike Demir;Yilmaz, Hasan Taylan;Temur, Muzaffer;Yilmaz, Ozgur;Uysal, Selda;Demirel, Emine;Kelekci, Sefa
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.345-349
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    • 2015
  • Background: To determine the cut-off values of the preoperative risk of malignancy index (RMI) used in differentiating benign or malignant adnexal masses and to determine their significance in differential diagnosis by comparison of different systems. Materials and Methods: 191 operated women were assessed retrospectively. RMI of 1, 2, 3 and 4; cut-off values for an effective benign or malignant differentiation together with sensitivity, specificity, negative and positive predictive values were calculated. Results: Cut-off value for RMI 1 was found to be 250; there was significant (p<0.001) compatibility at this level with sensitivity of 60%, positive predictive value (PPV) of 75%, specificity of 93%, negative predictive value (NPV) of 88% and an overall compliance rate of 85%. When RMI 2 and 3 was obtained with a cut-off value of 200, there was significant (p<0.001) compatibility at this level for RMI 2 with sensitivity of 67%, PPV of 67%, specificity of 89%, NPV of 89%, histopathologic correlation of 84% while RMI 3 had significant (p<0.001) compatibility at the same level with sensitivity of 63%, PPV of 69%, specificity of 91%, NPV of 88% and a histopathologic correlation of 84%. Significant (p<0.001) compatibility for RMI 4 with a sensitivity of 67%, PPV of 73%, specificity of 92%, NPV of 89% and a histopathologic correlation of 86% was obtained at the cut-off level 400. Conclusions: RMI have a significant predictability in differentiating benign and malignant adnexal masses, thus can effectively be used in clinical practice.

Study on Impact of Metaverse's Social Presence on Perceived Value and Intention to Use (메타버스의 사회적 실재감이 지각된 가치와 사용의도에 미치는 영향 연구)

  • Minjung Kim;Mina Lee
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.721-728
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    • 2024
  • The purpose of this study is to confirm the direct and indirect influence of the social presence of the Metaverse on intention to use. At this time, in addition to the direct effect of social presence, we attempted to examine the indirect effect on intention to use through perceived value. Perceived value was based on previous research. Perceived Enjoyment and perceived usefulness were used as positive values, and anxiety or worry perceived in the use of the Metaverse was defined as perceived risk and applied together. As a result of conducting a survey targeting college students who are the main users of Metaverse, the social presence of Metaverse had a direct positive effect on intention to use, and the mediating effects of perceived enjoyment and perceived usefulness could be confirmed. However, perceived risk did not have a significant mediating effect. Strategic implications were provided based on the results of this study, which showed that increasing the social presence of the Metaverse can enhance the intention to use it by increasing the value of the platform.

The application study of preventive maintenance during normal operation for APR1400 nuclear power plants considering risk

  • Jung-Wun Kim;YoungJu Lee;Weon Gyu Shin
    • Nuclear Engineering and Technology
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    • v.56 no.10
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    • pp.4327-4334
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    • 2024
  • Preventive Maintenance(PM) for safety component during power operation at nuclear power plants, On-Line Maintenance(OLM) refers to intentionally entering the Limited Condition of Operation(LCO) specified in the Technical Specification(TS) for safety-related systems and components in order to perform preventive maintenance within the Allowed Outage Time (AOT). This study assessed the feasibility of conducting OLM at the domestic APR1400 nuclear power plant. It focused on preventive maintenance duration and risk perspectives. A total of 78 FEGs were developed for 4450 facilities, considering system functions and preventive maintenance scope during output operation for eight safety-related systems. Additionally, maintenance items included in FEGs were selected, designated as targets for OLM, and their maintenance durations were evaluated and compared with AOT for each maintenance item. As a result, the Auxiliary Feedwater and Essential Chilled Water systems were identified as systems allowing OLM. Furthermore, utilizing the Risk Monitoring System (RIMS), the increased risk value due to the unavailability of target equipment during preventive maintenance was analyzed to determine whether it falls within the acceptable range. Regarding the temporary risk increase caused by OLM, it was observed that in all systems, it falls within Zone III according to NUMARC93-01 standards, allowing for normal equipment arrangement for OLM. However, according to the risk increase standards rate in domestic nuclear power plants, when maintaining the A-train in four systems including Component Cooling Water, they are all evaluated as 'Orange,' indicating that measures for risk mitigation are necessary for OLM to be feasible. When considering extending AOT up to 1.6 times the maintenance time, the risk increase falls within Zone III according to permissible change in risk standards, indicating that AOT extension might be feasible based solely on risk changes. To apply OLM within the permissible risk management scope in domestic nuclear power plants, regulatory policies need to allow voluntary LCO entry for preventive maintenance, necessitating clear determination by regulatory agencies using risk-informed policies. While OLM seems viable concerning maintenance duration and quantitative risk aspects, for inducing regulatory policy changes, comprehensive OLM guidelines are necessary, including risk management strategies.

A Study of the Risk Analysis Technique Optimization in the Pre-Project Evaluation Phase of the Development Projects (개발사업 사전평가단계에 적용하는 위험분석기법 최적화 연구)

  • Kim, Han;Kim, Seon-Gyoo
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2008.11a
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    • pp.517-520
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    • 2008
  • The city refreshing development projects in the domestic recently have been performed under leading of public institution laying stress on new city and existing urban district. These development projects are still staying in safety control level despite risk factor management at preliminary estimation stage has been more important factor to success and add value creation. Understanding inaccurately about various risk analysis techniques that can analyze risk factors and the insufficient application of step that can analysis technique s could make projects more difficult. Therefore, this research suggests the more effective methods for risk analysis that can control the risks in the pre-project evaluation stage.

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Analysis and Reduction for Risk factors of Construction Projects (건설공사의 리스크인자 분석 및 경감에 관한 연구)

  • Chung Byoung-Hwa;Chung Young-Shik
    • Korean Journal of Construction Engineering and Management
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    • v.2 no.4 s.8
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    • pp.62-68
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    • 2001
  • The purpose of this study was to Identification the Risk of construction method to protect and reduce of construction period. Risk management is one of the key project management process. Numerous tools are available to support the various phases of the risk management process. We present the results of a study designed to identify the tools that are most widely used and those that are associated with successful project management in general, and with effective project risk management in particular. The study is based on a questionnaire administered to a sample of project managers from construction enterprises. The response data was analyzed in order to find which tools are more likely to be used in the those organizations that report better project management performance and in those that value the contribution of risk management processes.

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Anger Expression Style and Risk Factors for Stroke (성인의 분노표현 방식과 뇌졸중 위험 요인)

  • Nam, Kyoung-A
    • Journal of East-West Nursing Research
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    • v.17 no.1
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    • pp.16-23
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    • 2011
  • Purpose: As anger may be strongly related to stroke, this study examined the relationship between anger expression style (anger-in, anger-out, anger-control) and risk factors for stroke to investigate the possible attribution of anger expression style to stroke incidence. Methods: The cross sectional study design was employed. The 291 participants signed consent forms and completed questionnaires including the anger expression style scales and risk factors for stroke. Data were analyzed using descriptive statistics, t-test and One-way ANOVA. Results: The highest score among anger expression styles of the participants was from anger-control. Participants with higher mean value of anger-out were current non-smokers, doing regular exercise, having scores above 23 in Body Mass Index, having scores above 90 cm (male) or 80 cm (female) in abdominal circumference, and having scores below 85 mmHg in diastolic blood pressure. Participants with more than 5 risk factors to stroke had the highest score of anger-in. Conclusion: The results of this study implied anger expression style was psychological risk factor for stroke. Further studies to differentiate the anger expression style contributing to the risk of stroke are needed with a longitudinal study design.

A Model of the Risk Response Repeat Process in the Construction Project (건설공사 위험대응 반복 프로세스 모델)

  • Kim Seon-Gyoo
    • Korean Journal of Construction Engineering and Management
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    • v.3 no.1 s.9
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    • pp.107-114
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    • 2002
  • Recently, a few major construction companies in Korea have a growing interests to the risk management system, and they are trying to apply it to their construction projects. However, the existing methodologies to be applied to the foreign public projects are not proper to the construction environments due to its adaptabilities, that has one time process and heavily depends on personal judgement. The purpose of this paper is to propose a risk response process in consideration of the residual risks, which would be more adaptable and practical in the construction environment, overcoming the current obstacles to be mentioned above. This process has systematic repeat process until the residual risks go down to the risk thresholds based on the efficiency of specific response strategy.

Wind Induced Risk Analysis of Highway Facilities (고속도로 시설물의 풍하중 위험도 해석)

  • Kim, Dong Hyawn;Lee, Il Keun;Jo, Byung Wan
    • Journal of Korean Society of Steel Construction
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    • v.21 no.6
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    • pp.553-561
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    • 2009
  • Risk analysis of highway sign supporting structures and sound barriers was done. Stochastic wind load was modeled by using extreme value distribution from site measurement and the variability of structural parameters was considered. Limit state functions were defined to assess structural stability by wind and risk of highway facilities was analyzed by combining wind hazard. According to the numerical analysis results, sound barrier post shows significantly higher risk than highway sign supporting structures. This is caused by the fact that the design codes of the structures are different. To distribute wind induced risk in highway structures, unification and improvement of design codes are required based on risk assessment.