• Title/Summary/Keyword: Systemic risk

Search Result 423, Processing Time 0.025 seconds

Treatment of Systemic Arterial Supply to Lower Lobe of Left Lung (Operation vs. Embolotherapy): Comparison of Two Cases and Literature Review (좌측 하폐엽에 공급하는 비정상적인 체동맥의 치료 (수술과 색전술의 비교))

  • Jeon Eui-Yong;Rhee Gwang-Woo;Goo Dong-Erk;Kim Eung-Soo
    • Journal of Chest Surgery
    • /
    • v.39 no.3 s.260
    • /
    • pp.230-235
    • /
    • 2006
  • Systemic arterialization of lung with/without sequestration (Sequestration/Anomalous Origin of Left Pulmonary Artery, AOLPA) is a rare form of congenital anomalous systemic arterial supply to the lungs. In this anomaly, the arterial supply of one or more arteries of the basal segments of the lower lobe derives from an aberrant vessel arising from the aorta. We report two adult cases of systemic arterialization of normal basal segments of left lower lobe lung with/without sequestration. The one (AOLPA) was treated by left lower basal segmentectomy and the other (Sequestration) by therapeutic angiographic embolization. Based on the favorable follow-up result in our patients, although lobectomy (segmentectomy) is the basic treatment modality, embolotherapy could also be a mode of treatment that could be selectively applied to elderly, infirm patients or high risk patients with poor pulmonary function.

The socioeconomic impact of Korean dental health insurance policy on the elderly: a nationwide cohort study in South Korea

  • Seo, Hyewon;Lee, Bo-Ah;Lim, Hyunsun;Yoon, Joon-Ho;Kim, Young-Taek
    • Journal of Periodontal and Implant Science
    • /
    • v.49 no.4
    • /
    • pp.248-257
    • /
    • 2019
  • Purpose: The purpose of this retrospective study was to investigate the relationships of types of dental insurance coverage in Korea with sociodemographic characteristics and the prevalence of systemic and oral diseases, as well as to evaluate the socioeconomic impact of Korean dental insurance policies. Methods: Sample cohort data from 2006 to 2015 were obtained from the National Health Insurance Service. Patients were divided into 2 groups. The exposed group comprised patients who received insurance benefits for complete dentures, removable partial dentures, and implant care, while the control group comprised patients who did not receive these benefits. The type of insurance coverage and the prevalence of systemic and oral diseases were compared between the 2 groups. Results: Patients who received benefits in the form of complete dentures, removable partial dentures, and implants had similar sociodemographic characteristics in terms of sex, age, income quintile, and type of insurance coverage to the control group. The prevalence of hypertension, anemia, renal disease, rheumatoid arthritis, osteoporosis, asthma, and cerebral infarction was higher in the exposed group than in the control group (P<0.05). The prevalence of periodontal diseases and dental caries was also higher in the exposed group. Conclusions: Korean dental health insurance policy has been beneficial for the medical expenses of low-income and elderly people suffering from a cost burden due to systemic diseases. However, since there is a tendency to avoid invasive interventions in older patients due to the high risk of systemic diseases, insurance coverage of dentures may be more helpful from a socioeconomic perspective than coverage of dental implant treatments.

Effect of Pilocarpine Mouthwash on Xerostomia (구강건조증에 대한 필로카핀 구강양치액의 효과)

  • Kim, Ji-Hyun;Park, Ju-Hyun;Kwon, Jeong-Seung;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
    • /
    • v.36 no.1
    • /
    • pp.21-24
    • /
    • 2011
  • Xerostomia is subjective feeling of dry mouth, a symptom that may or may not be accompanied by hyposalivation, an objective decrease in salivary flow. There are many causes induced xerostomia like drugs, salivary gland diseases, radiation therapy to the head and neck region, Sjogren syndrome, emotional stress etc. Insufficient salivary flow creates complications with oral candidiasis, dental caries, periodontitis, halitosis, dysgeusia. So finally, these complications lead to an overall decline in quality of life. Managements of xerostomia are eliminating or alterating the etiologic factors, relieving symptoms, preventing or correcting the consequences of salivary dysfunction, treating underlying disease and stimulating salivation. One of the salivation stimulation agents studied to treat xerostomia was the pilocarpine muscarinic agonist. Pilocarpine is one of salivation stimulants, a parasympathomimetic drug and non-selective muscarinic receptor agonist. Systemic pilocarpine has been used to stimulate salivary secretion. But systemic administration of pilocarpine has limitations such as increased risk of side effects and contraindications. Side effects of systemic pilocarpine administration are sweating, urinary and gastrointestinal disturbance, risk of cardiovascular and pulmonary disorders. This drug must be used carefully by patients with controlled asthma, chronic bronchitis, pulmonary or cardiac disease. Patient with acute asthma, narrow angle glaucoma, iritis should not use pilocarpine. Like this, systemic pilocarpine has many limitations. So, many investigators also have looked at the effectiveness of topical pilocarpine. Here we present patients with xerostomia which was relieved by pilocarpine mouthwash.

Hazards of Chloroprene and the Workplace Management (클로로프렌의 유해성과 작업환경 관리)

  • Kim, Hyeon-Yeong;Lim, Cheol-Hong
    • Journal of the Korean Institute of Gas
    • /
    • v.19 no.3
    • /
    • pp.1-8
    • /
    • 2015
  • In this study, we performed risk assessment of chloroprene by hazard evaluation and workplace investigation. The chemical is used to manufacture of shoes, tires, adhesives, and classified as IARC category 2B (possibly carcinogenic to humans) and target organ systemic toxicity. It is used about 1,300 tons per year in 27 sites. It was calculated the risk of carcinogenesis with chloroprene by Monte-carlo simulation that the averages are 2,199 and 26,404 in each case of working less than 15 minutes per day with local exhaust ventilation and over 4 hours per day without local exhaust ventilation. The risk of target organ systemic toxicity are 4.10 and 169.06 with high correlation with working time to be longer and with ventilation system. Therefore, it is recommended that the local exhaust ventilation and respirators to prevent occupational cancer and target organ systemic toxicity with chloroprene. Especially it is determined that there is a need to strengthen the workplace exposure limit (TWA 10 ppm) in Korea since it is managed with TWA less than 5 ppm ($18mg/m^3$) by the United States Occupational Safety and Health Administration (OSHA) as well as it has carcinogenicity, reproductive toxicity.

Assessment of the correlation between various risk factors and orofacial cleft disorder spectrum: a retrospective case-control study

  • Cheshmi, Behzad;Jafari, Zahra;Naseri, Mohammad Ali;Davari, Heidar Ali
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.42
    • /
    • pp.26.1-26.6
    • /
    • 2020
  • Background: Orofacial clefts (OFCs) comprise a wide range of malformations, including cleft lip, cleft palate, and cleft lip with cleft palate, which can vary in terms of etiology, severity, and disease burden. Objective(s): This study aimed to evaluate the correlation between various risk factors and orofacial cleft disorder spectrum in newborns. Study design: A total of 323 cases and 400 controls were enrolled in this study and evaluated in terms of the maternal history of abortion or miscarriage, child's sex, maternal and paternal age, maternal history of systemic disease, history of medication therapy during pregnancy, birth order, consanguineous marriage, and complications during pregnancy. Results: Analysis of the results suggested that consanguineous marriage, a maternal history of abortion/miscarriage, and complications during pregnancy could potentially increase the risk of OFCs in children (P < 0.05). However, the analyses revealed that the other variables could not potentially increase the risk of OFCs (P > 0.05). Conclusion(s): Multiple cofactors may simultaneously contribute to the formation of such abnormalities; therefore, a comprehensive, multidisciplinary care program is necessary to ensure a successful pregnancy period and the birth of a healthy newborn.

Rebuilding Operational Risk Management Capabilities: Lessons Learned from COVID-19

  • JADWANI, Barkha;PARKHI, Shilpa;KARANDE, Kiran;BARGE, Prashant;BHIMAVARAPU, Venkata Mrudula;RASTOGI, Shailesh
    • The Journal of Asian Finance, Economics and Business
    • /
    • v.9 no.9
    • /
    • pp.249-261
    • /
    • 2022
  • Globally, COVID-19 has significantly impacted many different organizations and people. From the banks' perspective, this pandemic has affected banks' corporate and retail customers. Also, banks had to adjust to distributed workforce model. This paper analyses the lessons learned from the COVID-19 pandemic, which can be effectively used to rebuild banks' Operational Risk Management capabilities. The present study used the survey research methodology, which includes structured questionnaires completed by senior banking professionals to analyze the learnings from COVID-19 and understand the distributed workforce model and remote working effectiveness. Findings: The Pandemic accelerated the pace of digital transformation. The lockdown imposed due to the pandemic led to employees working remotely, which has been effective because of enhanced digital capabilities. However, enhanced monitoring is required to prevent data-related issues, and action needs to be taken to address challenges faced in having a remote distributed workforce model, like negative impact on on-the-job learning, data-related risks, and employee wellbeing. COVID-19 is an unprecedented event that could not have been predicted in any scenario analysis. This crisis has highlighted various systemic drawbacks that need to be addressed. Banks can apply the lesson learned from this Pandemic to become more robust in the future.

Risk Priority Analysis for Preventing Electrical Fires in Food Manufacturing Electrical Facilities (식료품제조업 전기설비의 전기화재방지를 위한 위험우선순위 분석)

  • Seung Ku Lee;Doo Hyun Kim;Sung Chul Kim
    • Journal of the Korean Society of Safety
    • /
    • v.39 no.1
    • /
    • pp.16-26
    • /
    • 2024
  • This study aims to introduce a method for risk assessment analysis aimed at preventing electrical fires within the manufacturing industry. Initially, we provided a functional block diagram illustrating the electrical equipment employed in various processes within a food manufacturing company in Chungcheongbuk-do. Subsequently, we categorized the components of each machine outlined in the functional block diagram and determined the priority of failure for each classified component. Upon implementing the model in the frying process of the food manufacturing company, specific components, including MC, motor, mixer heater, electric wiring, and terminal block, exhibit a risk priority number (RPN) of 40 or higher. This identified an electrical issue within the manufacturing process and environment. Consequently, we propose a methodology to identify latent failure modes that could escalate into fires or systemic issues if not promptly addressed. It is essential to note that while the FMEA presented in this study may not immediately impact food manufacturing, its applicability extends to various workplaces.

Neonatal jaundice (신생아 황달)

  • Lee, Sang Lak
    • Clinical and Experimental Pediatrics
    • /
    • v.49 no.1
    • /
    • pp.6-13
    • /
    • 2006
  • Jaundice is one of the most common gastrointestinal conditions found in neonatal period, and most jaundice is benign. But because of the possibility of bilirubin toxicity, every newborn infants must be examined to identify the development of severe hyperbilirubinemia. To prevent the development of severe hyperbilirubinemia, promote and support successful breast-feeding, perform a systemic assessment before discharge for the risk of severe hyperbilirubinemia, provide early and close follow-up program, and treat with phototherapy or exchange transfusion or other therapeutic modalities, if indicated, are recommended.

China's Debt Woes: Not Yet a "Lehman Moment"

  • Sharma, Shalendra D.
    • East Asian Economic Review
    • /
    • v.19 no.1
    • /
    • pp.99-114
    • /
    • 2015
  • What explains the sharp increase in the Chinese economy's indebtedness, in particular the China's onshore corporate debt? Has the overall debt burden reached a threshold where it poses a systemic risk, thereby making the economy vulnerable to a "Lehman Moment" - with disorderly unwinding of the private sector and sovereign debt? What are the short and longer term implications of China's growing debt problems on domestic economic growth and the broader global political economy? What has Beijing done to ameliorate the problem, how effective were its efforts, and what must it do to deal with this problem?

Predictors and management of intravenous immunoglobulin-resistant Kawasaki disease

  • Song, Min Seob
    • Clinical and Experimental Pediatrics
    • /
    • v.62 no.4
    • /
    • pp.119-123
    • /
    • 2019
  • Kawasaki disease (KD) is a systemic vasculitis that mainly affects younger children. Intravenous immunoglobulin (IVIG) resistant cases are at increasing risk for coronary artery complications. The strategy on prediction of potential nonresponders and treatment of IVIG-resistant patients is now controversial. In this review the definition and predictors of IVIG-resistant KD and current evidence to guide management are discussed.