• Title/Summary/Keyword: Risk value

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Usefulness of Low Risk Criteria for Serious Bacterial Infection Among Febrile Infants Younger than Three Months of Age (생후 3개월 이하의 발열이 있는 환아에서 세균성 감염의 예측을 위한 저위험 예측기준의 유용성)

  • Kim, So Hyun;Jung, Ji Ah;Kim, Hae-Soon;Yoo, Eun Sun;Sohn, Sejung;Seo, Jeong Wan;Lee, Seung Joo
    • Clinical and Experimental Pediatrics
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    • v.45 no.8
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    • pp.967-972
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    • 2002
  • Purpose : A retrospective study was undertaken to evaluate the usefulness of low risk criteria for identifying febrile infants younger than three months unlikely to have serious bacterial infection. Methods : We conducted a retrospective study of 527 infants younger than three month with a axillary temperature ${\geq}37.4^{\circ}C$. If they met the following all four criteria, appear well, WBC $5,000-20,000/mm^3$, urine stick WBC(-) and nitrite(-), CSF WBC < $10/mm^3$, they were considered at low risk for serious bacterial infection(SBI). SBI was defined as a positive culture of urine, blood, or cerebrospinal fluid. The sensitivity, specificity, negative predictive value and positive predictive value of the low risk criteria were calculated. Results : Of 527 febrile infants, 110(21.0%) had serious bacterial infections. The 2.7% who met the low risk criteria had SBI and negative predictive value was 97.3%. SBI was diagnosed in 103 infants(38.6%) who didn't meet the low risk criteria including urinary tract infection(78.6%), most commonly, bacteremia(16.5%), bacterial meningitis(8.7%), Salmonella gastroenteritis(1%), osteomyelitis( 1%), septic arthritis of hip joint(1%). There were no differences in the sensitivity and negative predictive value according to the monthly-age-group. Conclusion : This low risk criteria to identify infants unlikely to have SBI early is available, however low risk infants must be carefully observed.

Layout Optimization of FPSO Topside High Pressure Equipment Considering Fire Accidents with Wind Direction (풍향에 따른 화재영향을 고려한 FPSO 상부구조물 고압가스 모듈내부의 장비 최적배치 연구)

  • Bae, Jeong-Hoon;Jeong, Yeon-Uk;Shin, Sung-Chul;Kim, Soo-Young
    • Journal of Ocean Engineering and Technology
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    • v.28 no.5
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    • pp.404-410
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    • 2014
  • The purpose of this study was to find the optimal arrangement of FPSO equipment in a module while considering the economic value and fire risk. We estimated the economic value using the pipe connections and pump installation cost in an HP (high pressure) gas compression module. The equipment risks were also analyzed using fire scenarios based on historical data. To consider the wind effect during a fire accident, fuzzy modeling was applied to improve the accuracy of the analysis. The objective functions consisted of the economic value and fire risk, and the constraints were the equipment maintenance and weight balance of the module. We generated a Pareto-optimal front group using a multi-objective GA (genetic algorithm) and suggested an equipment arrangement method that included the opinions of the designer.

Categorizing tumor size as a prognostic factor for risk of relapse of hepatocellular carcinoma (간세포암종의 재발 위험과 관련된 한 예후인자로서의 종양의 크기의 범주화)

  • 김선우;박철근
    • The Korean Journal of Applied Statistics
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    • v.15 no.1
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    • pp.1-8
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    • 2002
  • Categorizing prognostic factors is very useful for a disease diagnosis, determination of treatment and study eligibility criteria. Methods often used to categorize factors are to select a cutpoint by biological theory, by graphical examination, by the minimum p-value approach. The last method involves multiple testing, and several methods for adjusting p-values have been developed. This study determines the cutpoint of tumor size to separate patients of high risk of relapse after hepatic resection of hepatocellular carcinoma.

A Study on Wearable Healthcare Device Adoption : An Integrated Approach of UTAUT2 and MIR (웨어러블 헬스케어 기기의 수용에 관한 연구: 확장된 통합기술수용모형과 혁신저항모형의 통합적 접근)

  • Jin, Seok;Ahn, Hyunchul
    • The Journal of Information Systems
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    • v.28 no.3
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    • pp.159-202
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    • 2019
  • Purpose The purpose of this study is to explain users' wearable healthcare device adoption using performance expectancy, effort expectancy, the hedonic motivation and price value of UTAUT2, and to identify the causal relationship between intention to use wearable healthcare device and innovation resistance formed by perceived risks. Design/methodology/approach The research model proposed in this study is based on UTAUT2(Extended Unified Theory of Acceptance and Use of Technology) and MIR(Model of Innovation Resistance). In specific, performance expectancy, effort expectancy, hedonic motivation and price value of UTAUT2 and innovation resistance formed by perceived risks of MIR are adopted in our research model. To validate the research model, we carry out the analysis of the survey data using Smart PLS 3.0 to test the hypotheses. Findings According to the empirical analysis results, this study confirms that the performance expectancy, effort expectancy, hedonic motivation, and price value have significant effects on the intention to use wearable healthcare devices. It also finds that perceived risk affects innovation resistance and in turn, innovation resistance affects the intention to use wearable healthcare devices.

Establishment of Navigational Risk Assessment Model Combining Dynamic Ship Domain and Collision Judgement Model (선박동적영역과 충돌위험평가식을 결합한 항해위험성평가모델 전개)

  • Kim, Won-Ouk;Kim, Chang-Je
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.1
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    • pp.36-42
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    • 2018
  • This paper considers the Marine Traffic Risk Assessment for fixed and moving targets, which threaten officers during a voyage. The Collision Risk Assessment Formula was calculated based on a dynamic ship domain considering the length, speed and maneuvering capability of a vessel. In particular, the Navigation Risk Assessment Model that is used to quantitatively index the effect of a ship's size, speed, etc. has been reviewed and improved using a hybrid combination of a vessel's dynamic area and the Collision Risk Assessment Formula. Accordingly, a new type of Marine Traffic Risk Assessment Model has been suggested giving consideration to the Speed Length Ratio, which was not sufficiently reflected in the existing Risk Assessment Model. The larger the Speed Length Ratio (dimensionless speed), the higher the CJ value. That is, the CJ value is presented well by the Speed Length Ratio. When the Speed Length Ratio is large, states ranging from [Caution], [Warning], [Dangerous] or [Very Dangerous] are presented from a greater distance than when the Speed Length Ratio is small. The results of this study, can be used for route and port development, including dangerous route avoidance, optimum route planning, breakwater width, bridge span, etc. as well as the development of costal navigation safety charts. This research is also applicable for the selection of optimum ship routing and the prevention of collisions for smart ships such as autonomous vessels.

Establishment of the Korean Tolerable Daily Intake of Bisphenol A Based on Risk Assessments by an Expert Committee

  • Choi, Chan-Woong;Jeong, Ji-Yoon;Hwang, Myung-Sil;Jung, Ki-Kyung;Lee, Kwang-Ho;Lee, Hyo-Min
    • Toxicological Research
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    • v.26 no.4
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    • pp.285-291
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    • 2010
  • Recently, reproductive and neurobehavioral effects of bisphenol A (BPA) have been documented, and thus a review was requested for BPA management direction by the government. Therefore, this study was performed to establish a Korean tolerable daily intake (TDI) for BPA. An expert committee, consisting of specialists in fields such as toxicology, medicine, pharmacology, and statistics, was asked to evaluate BPA health based guidance values (HbGVs). Although many toxicological studies were reviewed to select a point of departure (POD) for TDI, rat and mouse reproductive studies by Tyl et al. (2002, 2006), which were performed according to GLP standards and OECD guidelines, were selected. This POD was the lowest value determined from the most sensitive toxicological test. The POD, a NOAEL of 5 mg/kg bw/day, was selected based on its systemic toxicity as critical effects. An uncertainty factor of 100 including interspecies and intraspecies differences was applied to calculate the TDI. According to the evaluation results, a TDI of BPA for Korean was suggested at 0.05 mg/kg bw/day. In addition, the BPA exposure level based on food consumption by the Korean population was estimated as 1.509 ${\mu}g/kg$ bw/day, and the HI was evaluated at 0.03 when the TDI of 0.05 mg/kg bw/day was applied. This HI value of 0.03 indicated that hazardous effects would not be expected from BPA oral exposures. Although highly uncertain, further studies on low dose neurobehavioral effects of BPA should be performed. In addition, it is recommended that the 'as low as reasonably achievable' (ALARA) principle be applied for BPA exposure from food packaging materials in newborn infants and children.

Automatic Control for Ship Collision Avoidance Support-II (선박충돌회피지원을 위한 자동제어-II)

  • Im, Nam-Kyun
    • Journal of Navigation and Port Research
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    • v.28 no.1
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    • pp.9-16
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    • 2004
  • The purpose of this study is to examine the algorithm of ship collision avoidance system and to improve its performance. The study on the algorithm of ship collision avoidance system have been carried out by many researchers. We can divide the study according to the adopted theory into two category such as 'collision risk calculation method' and 'risk area method'. It is not so difficult to find heir merit and demerit in the respective method. This study suggested newly modified model, which can overcome a limit in the two method. The suggested model is based on collision risk calculation method and suggests how to solve the threshold value problem, that is, one of the unsolved issues in collision risk calculation method. To solve that problem this study proposed new system under which the users can select appropriate threshold value according to environments such as traffic situations and weathers conditions. Simulation results of new model is schematized using 'risk area method'to examine the relationships between the two method. In addition, in case of 'collision risk method', when TCPA and DCPA are used to determine collision risk, a problem happens, that is, two ships become too close in their stem area, therefore, partial function of 'risk area method'is adopted to solve the problem in suggested model.

Determinants of Capital Structure of Korea Listed Firms (우리나라 상장기업(上場企業)의 자본구조(資本構造) 결정요인(決定要因)에 관한 연구(硏究))

  • Shin, Min-Shik
    • The Korean Journal of Financial Management
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    • v.6 no.2
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    • pp.33-69
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    • 1989
  • The Purpose of this study is to test empirically the determinants of capital structure of the Korea Listed Firms. In order to accomplish the purpose of this study, both literature survey and empirical test have been made. For the empirical test, agency and asymmetric information factors as well as traditional ones have been throughly reviewed. Traditional factors tested in this study include firm-size, collateral value of the assets, business risk, tax, non-debt tax shields, and industry effects. Agency and asymmetric information factors include growth opportunities, the percentage of outstanding equity held by inside stockholders, and the number of inside stockholders. From the results of the cross-sectional regression analysis, the adjusted R-square is 1931%, and the overall F-value indicates significance. For the analysis period, the signs of the variables except business risk are as predicted. Firm-size, collateral value of the assets, and business risk significant at the.01-.05 level. In order to determine the influence of industry factors on the financial leverage, a total of 8 dummy variables are added to the regression model. The adjusted R-square inclosed by 4.2% for the first analysis period(1983-1985) and 6% for the second analysis period(1986-1987). This suggests that industry factors are significant in explaining the variations in financial leverage across firms. In order to pursue the influence of agency and asymmetric information factors on the financial leverage, again the cross-sectional regression analysis is done for the middle size firms gruop(n=40). The adjusted R-square increased by 9.8% for the first analysis period(1983-1985) and 6.1% for the total analysis period(1983-1987), and all the signs was as predicted. But both the variables except the number of inside stockholders was not significant.

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Increased Risk of Differentiated Thyroid Carcinoma with Combined Effects of Homologous Recombination Repair Gene Polymorphisms in an Iranian Population

  • Fayaz, Shima;Karimmirza, Maryam;Tanhaei, Shokoofeh;Fathi, Mozhde;Torbati, Peyman Mohammadi;Fard-Esfahani, Pezhman
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6727-6731
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    • 2013
  • Homologous recombination (HR) repair has a crucial role to play in the prevention of chromosomal instability, and it is clear that defects in some HR repair genes are associated with many cancers. To evaluate the potential effect of some HR repair gene polymorphisms with differentiated thyroid carcinoma (DTC), we assessed Rad51 (135G>C), Rad52 (2259C>T), XRCC2 (R188H) and XRCC3 (T241M) polymorphisms in Iranian DTC patients and cancer-free controls. In addition, haplotype analysis and gene combination assessment were carried out. Genotyping of Rad51 (135G>C), Rad52 (2259C>T) and XRCC3 (T241M) polymorphisms was determined by PCR-RFLP and PCR-HRM analysis was carried out to evaluate XRCC2 (R188H). Separately, Rad51, Rad52 and XRCC2 polymorphisms were not shown to be more significant in patients when compared to controls in crude, sex-adjusted and age-adjusted form. However, results indicated a significant difference in XRCC3 genotypes for patients when compared to controls (p value: 0.035). The GCTG haplotype demonstrated a significant difference (p value: 0.047). When compared to the wild type, the combined variant form of Rad52/XRCC2/XRCC3 revealed an elevated risk of DTC (p value: 0.007). It is recommended that Rad52 2259C>T, XRCC2 R188H and XRCC3 T241M polymorphisms should be simultaneously considered as contributing to a polygenic risk of differentiated thyroid carcinoma.

Cost-Benefit Analysis for Determination of the Time to Implement In-line Inspection(ILI) on High Pressure Urban Gas Pipelines (도시가스 고압배관의 내부검사(ILI) 이행시기 결정을 위한 비용-편익 분석)

  • Ryou, Young-Don;Kim, Young-Seob;Lee, Su-Kyung
    • Journal of the Korean Institute of Gas
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    • v.15 no.1
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    • pp.15-21
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    • 2011
  • Cost-benefit analysis (CBA) has been performed in order to decide whether the ILI (in-line inspection) suggested as risk mitigation measure (RMM) from quantitative risk assessment is reasonably practicable. As a result of CBA, we could find out the reasonable intervals of implementation of ILI. In order to assess the benefit, value of preventing a fatality (VPF), which measures value of human life, has been used. The adequate VPF figure of high pressure urban gas pipelines for CBA used in this paper is two billion won. As a result of 2 case studies, we found that the most reasonable intervals of ILI suggested as RMM were 13 years or 15 years.