• Title/Summary/Keyword: Risk value

Search Result 2,503, Processing Time 0.034 seconds

Anal Papanicolaou Smear in Women with Abnormal Cytology: a Thai Hospital Experience

  • Sananpanichkul, Panya;Pittyanont, Sirida;Yuthavisuthi, Prapap;Thawonwong, Nutchanok;Techapornroong, Malee;Bhamarapravatana, Kornkarn;Suwannarurk, Komsun
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.3
    • /
    • pp.1289-1293
    • /
    • 2015
  • Background: Anal intraepithelial lesions (AIL) are likely to represent a precursor for anal cancer. Women infected with human immunodeficiency virus (HIV) may be at higher risk of anal cancer but a screening program for AIL still is not routinely recommended. We here studied the relationship of dysplastic cells from cervical and anal cytology in HIV-infected women. Materials and Methods: This prospective study was conducted in Prapokklao Hospital, Thailand during 2013-2014. Five hundred and ninety nine HIV-infected women were recruited. Participants who had cytological reports of equally or over "abnormal squamous/glandular cells of undetermined significance" (ASC-US) were classified as abnormal cervical or anal cytology. Descriptive statistics and logistic regression analysis were used to evaluate correlations between groups. Results: HIV-infected women with abnormal cervical cytology had 3.8 times more risk (adjusted odd ratio 3.846, 95% confidence interval 1.247-11.862, p-value. 019) for abnormal anal cytology. The major problem of the anal Pap test in this study was the inadequacy of the collected specimens for evaluation (34.4%, 206/599). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of cervical and anal Pap tests were 93.9/12.0, 87.3/96.9, 39.7/21.4, 99.4/94.1 and 88.1/91.4 percent, respectively. Conclusions: Abnormal cervical cytology in HIV-infected women indicates elevated risk for abnormal anal cytology. The sensitivity of the anal Pap test for detection of AIL 2/3 in HIV-infected women was quite low while specificity was excellent. Inadequacy of specimen collection for evaluation was a major limitation. Improvement of sample collection is recommended for future investigations.

A Study on the Style Factors of Office Investment -An Analysis using Appraisal-based Returns- (오피스 투자의 스타일인자에 관한 연구 -평가기반 수익률을 기준으로-)

  • Min, Seonghun;Lee, Young Ho
    • Korea Real Estate Review
    • /
    • v.24 no.1
    • /
    • pp.53-62
    • /
    • 2014
  • A test on the significance of style factors which were revealed to be significant in U.S. and U.K. literature is conducted in this study using appraisal-based returns of offices in Korea. Region, size (appraisal value), value-growth propensity (yield gain gap) and leasing conditions (the number of tenants, the length of average leased period and the proportion of key tenant) are included in the analysis model as style factors. The empirical result suggests that firstly core region and large size are significant but they increase risk as well as return contrary to general belief, secondly value propensity significantly decreases risk as well as return as it does in U.S. and U.K., finally the number of tenants among leasing conditions decreases risk as well as return but the length of average leased period and the proportion of key tenant are not significant.

An Experimental Study on the FMEA Evaluation of Non-metallic Materials in High-Pressure Hydrogen Facility (고압 수소설비용 비금속부품 소재의 FMEA 평가를 통한 실험적 연구)

  • Ahn, Jeongjin;Kim, Wanjin;Kim, Laehyun
    • Journal of Energy Engineering
    • /
    • v.28 no.3
    • /
    • pp.10-17
    • /
    • 2019
  • According to South Korea's policy of supplying eco-friendly hydrogen vehicles, related industries are actively conducting research on the development of hydrogen cars and hydrogen charging station infrastructure. On the other hand, there is a lack of empirical research and assessment of the risk of non-metallic materials (such as liners, seals, gaskets) for classified materials that directly affect the durability and reliability of hydrogen vehicles and hydrogen charging stations. In this study, the risk factors for liners and seals of non-metallic parts used in high-pressure hydrogen installations were derived using FMEA, and the RPN values were calculated by converting the severity, frequency of occurrence and degree of detection into scores. The maximum value of the RPN 600, minimum value 63, average value 278.5 was calculated and periodic control of the liner and seal was identified as important. In addition, through hydrogen soakage and oxygen aging tests for non-metallic rubber products, physical test values that can be used as basic data were presented.

Long Memory Properties in the Volatility of Australian Financial Markets: A VaR Approach (호주 금융시장 변동성의 장기기억 특성: VaR 접근법)

  • Kang, Sang-Hoon;Yoon, Seong-Min
    • International Area Studies Review
    • /
    • v.12 no.2
    • /
    • pp.3-26
    • /
    • 2008
  • This article investigates the usefulness of the skewed Student-t distribution in modeling the long memory volatility property that might be present in the daily returns of two Australian financial series; the ASX200 stock index and AUD/USD exchange rate. For this purpose we assess the performance of FIGARCH and FIAPARCH Value-at-Risk (VaR) models based on the normal, Student-t, and skewed Student-t distribution innovations. Our results support the argument that the skewed Student-t distribution models produce more accurate VaR estimates of Australian financial markets than the normal and Student-t distribution models. Thus, consideration of skewness and excess kurtosis in asset return distributions provides appropriate criteria for model selection in the context of long memory volatility models in Australian stock and foreign exchange markets.

How Should We Respond to the Collapse of the Global Value Chain? An In-Depth Investigation of Disruptive Events and Risk Management Strategies in SMEs (글로벌 가치사슬의 붕괴에 어떻게 대응해야 하는가? 분열적 상황의 심층규명과 중소기업의 위험관리 전략에 관한 연구)

  • Kwon, Se-In;Yang, Jong-Gon
    • Journal of Convergence for Information Technology
    • /
    • v.12 no.5
    • /
    • pp.107-115
    • /
    • 2022
  • The purpose of this study is to identify the drivers of supply chain vulnerability and internal/external disruptive events and to verify the moderating effect of SCRM to mitigate negative disruption impacts. The analysis results of 182 SMEs are as follows. First, SC vulnerability proceeded from excessive efficiency. Second, the probability and severity of internal factors were higher than that of external factors. In particular, the priority of responding to risks arising from the supply chain process was higher than the value chain within the firm. Finally, the higher the level of risk management in the supply chain, the more positively the negative disruption impact was mitigated. This study is valuable in providing practical clues to the decision-making of a firm's managers and policymakers responding to supply chain risks.

AIoT-based High-risk Industrial Safety Management System of Artificial Intelligence (AIoT 기반 고위험 산업안전관리시스템 인공지능 연구)

  • Yeo, Seong-koo;Park, Dea-woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
    • /
    • 2022.05a
    • /
    • pp.168-170
    • /
    • 2022
  • The government enacted and promulgated the 'Severe Accident Punishment Act' in January 2021, and is enforcing the law for workplaces with 50 or more full-time workers. However, the number of industrial accident accidents in 2021 increased by 10.7% compared to the same period of the previous year, and chemical gas Safety accidents due to leaks and explosions also occur frequently. Therefore, in high-risk industrial sites, comprehensive Safety measures are urgently needed. In this study, BLE Mesh networking in industrial sites with poor communication environment apply technology. The complex sensor AIoT device recognizes a dangerous situation as a gas sensing value, voice, and motion value, and transmits it to the server. The server monitors the risk situation in real time through information value analysis and judgment through artificial intelligence LSTM algorithm and CNN algorithm for AIoT transmission information. Through this study, through the development of AIoT devices capable of gas sensing, voice and motion recognition, and AI-applied safety management systems, It will contribute to the expansion of the social safety net by expanding its application.

  • PDF

Determining Optimal Cut-off Score for the Braden Scale on Assessment of Pressure Injury for Tertiary Hospital Inpatients (상급종합병원 입원환자의 욕창발생 위험예측을 위한 Braden Scale의 타당도 검증)

  • Park, Sook Hyun;Choi, hyeyeon;Son, Youn-Jung
    • Journal of Korean Critical Care Nursing
    • /
    • v.16 no.3
    • /
    • pp.24-33
    • /
    • 2023
  • Purpose : This study aims to establish an optimal cut-off score on the Braden scale for the assessment of pressure injury to detect pressure injury risks among inpatients in a South Korean tertiary hospital. Methods : This retrospective study used electronic medical records, from January to December 2022. A total of 654 patients were included in the study. Of these, 218 inpatients with pressure injuries and 436 without pressure injuries were classified and analyzed using 1:2 Propensity Score Matching (PSM), and the generalized estimating equation was performed using SPSS Version 26 and the R Machlt package program. Results : The cut-off value on the Braden scale for distinguishing pressure injury was 17 points, and the AUC (area under the ROC curve) was 0.531 (0.484-0.579). The sensitivity was 56.6% (45.5-67.7%) and the specificity was 69.7% (66.0-73.4%). With 17 points, the Braden scale cut-off distinguished those who had pressure injuries from those who did not at the time of admission (p < .03). In the pressure injury group, the Braden score on the day of the pressure injury was 14, with significant results in all subcategories except the moisture category. Conclusion : Our findings revealed that a cut-off value of 17 was optimal for predicting the risk of pressure injuries among tertiary hospital inpatients. Future studies should evaluate the optimal cut-off values in different clinical environments. Additionally, it is necessary to conduct multicenter large sample studies to verify the effectiveness of a 17 value in PI risk assessments.

Prognostic Value of a Single Center Nutrition Screening Tool in Patients with Metastatic Cancer (전이암 환자에서 단일기관 영양검색 도구의 예후 가치)

  • Yoon, Sung Soo;Kim, Min Jin;Kim, Eun Hye;Lee, Jee Young;Yoon, Seong Woo
    • Journal of Korean Traditional Oncology
    • /
    • v.24 no.2
    • /
    • pp.1-11
    • /
    • 2019
  • Objectives : We investigated whether a single center nutrition screening tool (Kyunghee Neo Nutrition Risk Screening, KNNRS) can predict survival in patients with metastatic cancer. Methods : We retrospectively reviewed data of inpatients with metastatic cancer from April 2016 to August 2019. Data on demographic and clinical parameters were collected from electronic medical records, and overall survival was estimated using the Kaplan-Meier method. Stepwise Cox regression analysis was used to determine factors associated with survival. Patients with a KNNRS score of 0 to 3 were classified as "no-risk", 4 to 10 as "low-risk", and 11 to 20 as "high-risk". Results : Total 105 patients were included in the study. According to nutritional screening at baseline, 25 patients (23.8%, median age 57.0) were classified as ""no risk"" group; 80 patients (76.2%, median age 68.5) as "low risk" group; No patients as "high risk" group. Predictors of survival were Eastern Cooperative Oncology Group Performance Status score of 3 or 4 (hazard ratio [HR] = 1.93; 95% confidence interval [CI] = 1.21-3.10), hemoglobin less than 10 g/dL (HR = 1.97; 95% CI = 1.25-3.10) and C-reactive protein more than 1.0 mg/dL (HR = 1.95; 95% CI = 1.21-3.13). Kaplan-Meier survival analysis showed significant differences in the survival between KNNRS groups: ""no risk"" group: 6.1 ± 1.4 months (95% CI = 3.37-8.83); ""low risk"" group: 3.4 ± 0.9 months (95% CI = 1.5-5.37). Conclusions : Nutritional status according to KNNRS wasn't significant predictor of survival for patients with metastatic cancer. Improvement of KNNRS score thresholds is needed.

A Study on the Risk Identification Methods for Initial and Mass Production Stage of Military Products Using FMEA (FMEA를 활용한 군수품 초도 생산 및 양산 단계의 위험 식별 방안 연구)

  • Lee, Chang Hee;Yang, Kyung Woo;Park, Du Il;Lee, Il Lang;Kwon, Jun Sig;Choe, Il Hong;Kim, Sang Boo
    • Journal of Korean Society for Quality Management
    • /
    • v.42 no.3
    • /
    • pp.311-324
    • /
    • 2014
  • Purpose: It can deduce improvement plan that recognizes any risk factors in initial production and mass production by using FMEA and through this process, the appropriate criteria for defence items can be established. Methods: It proposes two methodology - Apply DT/OT data achieved from the beginning mass production stage based on FMECA data of the design stage, to risk management, and risk management plan that reflected line and field faliure data in case of is offered. Results: It proposes the risk management plan through Bayesian method and the risk identification that considered MTTF estimated value in case of initial production process. In case of mass production process, both risk identification by using fault occurrence frequency scores and Byaesian method, In case of the Initial production and mass production, it proposes use both two methods. Conclusion: A more realistic risk identification method can be applied, and by this method the quality improvement effect is expected.

Risk Assessment of Exposure to Silica Dust in Building Demolition Sites

  • Normohammadi, Mohammad;Kakooei, Hossein;Omidi, Leila;Yari, Saeed;Alimi, Rasul
    • Safety and Health at Work
    • /
    • v.7 no.3
    • /
    • pp.251-255
    • /
    • 2016
  • Background: Building demolition can lead to emission of dust into the environment. Exposure to silica dust may be considered as an important hazard in these sites. The objectives of this research were to determine the amount of workers' exposure to crystalline silica dust and assess the relative risk of silicosis and the excess lifetime risk of mortality from lung cancer in demolition workers. Methods: Four sites in the Tehran megacity region were selected. Silica dust was collected using the National Institute for Occupational Safety and Health method 7601 and determined spectrophotometrically. The Mannetje et al and Rice et al models were chosen to examine the rate of silicosis-related mortality and the excess lifetime risk of mortality from lung cancer, respectively. Results: The amount of demolition workers' exposure was in the range of $0.085-0.185mg/m^3$. The range of relative risk of silicosis related mortality was increased from 1 in the workers with the lowest exposure level to 22.64/1,000 in the employees with high exposure level. The range of the excess lifetime risk of mortality from lung cancer was in the range of 32-60/1,000 exposed workers. Conclusion: Geometric and arithmetic mean of exposure was higher than threshold limit value for silica dust in all demolition sites. The risk of silicosis mortality for many demolition workers was higher than 1/1,000 (unacceptable level of risk). Estimating the lifetime lung cancer mortality showed a higher risk of mortality from lung cancer in building demolition workers.