• Title/Summary/Keyword: examination system of risk factors

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Survey on Experts' Opinion for the Legal Examination of WMSDs Risk Factors (근골격계부담작업 유해요인조사 제도에 대한 전문가 의견 조사)

  • Lee, In-Seok;Park, Jae-Hee;Jung, Hwa-Shik;Kee, Do-Hyung;Kim, Hyun-Joo;Roh, Sang-Chul
    • Journal of the Korean Society of Safety
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    • v.24 no.4
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    • pp.90-95
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    • 2009
  • The purpose of this study is to investigate industrial safety and health experts' opinions on the examination system of WMSDs(work related musculoskeletal disorders) risk factors. For doing this, a questionnaire study and two FGIs(focused group interview) were conducted. A questionnaire with open questions about the examination system was developed, and sent to 42 experts consented bye-mail. Of the experts, 24 experts responded, whose data were used in the analysis. The FGIs were performed for the persons in charge of industrial safety and health in industries and ergonomists. The questionnaire study revealed that most experts(91.3%) agreed with legalization of employers' duty for preventing WMSDs, necessity of the 11 tasks designated by Ministry of Labor, the examination system and ergonomics program, and pertinency for the examination system classification of periodic and occasional one. However, more than half experts disagreed with timeliness and appropriateness of the legal system. This was validated by the low approval rates for appropriateness of the 11 tasks, methods of the examination, charge person in the examination and ergonomics program. FGIs showed that it was desirable for the examination system to be legalized, and that the system was generally properly performed. It was suggested that the system be partially revised with reflecting problems disclosed during its enforcement rather than whole revision. It is expected that when revising relevant legal system, the results of this study would be used as valuable data.

Prevalence and Risk Factors of Diabetic Retinopathy in Diabetes People using Korean National Health and Nutrition Examination Survey VII

  • Jeong, Ihn Sook;Kang, Chan Mi
    • Research in Community and Public Health Nursing
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    • v.33 no.4
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    • pp.408-417
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    • 2022
  • Purpose: This study aimed to investigate the prevalence and risk factors of diabetic retinopathy (DR) in people with diabetes mellitus (DM) using Korean National Health and Nutrition Examination Survey VII (2017~2018). Methods: DM was defined as in two ways; 1) doctor's diagnosis (Group 1, n=549), 2) one of doctor's diagnosis, medication, or hyperglycemia (Group 2, n=849). The DR prevalence was measured as the prevalence proportion (%). Risk factors for developing DR were analyzed using multiple logistic regression, and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: The prevalence of DR was 25.87% in Group 1 and 20.14% in Group 2. Risk factors for DR were identified as insulin therapy (Group 1: OR=5.31, Group 2: OR=5.27), DM duration ≥10 years (Group 1: OR=2.20, Group 2: OR=3.10), and systolic blood pressure ≥140 mmHg (Group 1: OR=2.26, Group 2: OR=2.23) for both groups. Conclusion: Considering the DR prevalence, eye examinations education is highly recommended as part of a diabetes management programs in the community. It is also proposed to shorten the eye examination cycle for people with risk factors and establish a referral system to link between screening to treatment.

Scoring System and Management Algorithm Assessing the Role of Survivin Expression in Predicting Progressivity of HPV Infections in Precancerous Cervical Lesions

  • Indarti, Junita;Aziz, M. Farid;Suryawati, Bethy;Fernando, Darrell
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1643-1647
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    • 2013
  • Background: To identify the risk factors and assess the role of survivin in predicting progessivity precancerous cervical lesions. Materials and Methods: This case-control study was conducted from October 2009 until May 2010. We obtained 74 samples, classified according to the degree of cervical intraepithelial neoplasia (CIN): 19 samples for CIN 1, 18 samples for CIN 2, 18 samples for CIN 3, and 19 samples as controls. Demographic profiles and risk factors assesment, histopathologic examination, HPV DNA tests, immunocytochemistry (ICC) and immunohistochemistry (IHC) staining for survivin expression were performed on all samples. Data was analyzed with bivariate and multivariate analysis. Results: Multivariate analysis revealed significant risk factors for developing precancerous cervical lesions are age <41 years, women with ${\geq}2$ sexual partners, course of education ${\geq}13$ years, use of oral contraceptives, positive high-risk HPV DNA, and high survivin expression by ICC or IHC staining. These factors were fit to a prediction model and we obtained a scoring system to predict the progressivity of CIN lesions. Conclusions: Determination of survivin expression by immunocytochemistry staining, along with other significant risk factors, can be used in a scoring system to predict the progressivity of CIN lesions. Application of this scoring system may be beneficial in determining the action of therapy towards the patient.

Nomogram plot for predicting chronic otitis media in Korean adults

  • Kang, Eun Jin;Lee, Jea Young
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.4
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    • pp.899-910
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    • 2017
  • Nomogram is useful for predicting the prevalence of each patient through the scoring system without a complex formula. Because there are few studies on chronic otitis media (COM) in adults, this study aims to identify the relevant risk factors for COM in Korean adults and to build a nomogram for the risk factors. The Health Interview Survey data subset, derived from the Sixth Korean National Health and Nutrition Examination Survey (KNHANES VI), was used to evaluate the participants. Of the participants, the weighted prevalence of COM was 5.3%. Residence, earphone use, atopic dermatitis, allergic rhinitis, chronic rhinosinusitis, and subjective hearing status were identified as risk factors for COM. Using 6 risk factors, we propose a nomogram for COM, and use AUC to verify the discrimination of the nomogram.

Development of Animal Health Monitoring System Model V. Analysis of Risk Factors in Clinical Part (동물(젖소)건강 Monitoring system 모델 개발 V. 임상학적 위해요소 분석)

  • 최민철;김종수;김곤섭;김용환;이효종;손우진;원현희
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.439-442
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    • 1999
  • An animal health monitoring system in Gyeongnam area (near-Chinju) was studied to evaluate the environmental risk factors, physical examinations and 4 disease entities(abomasal displacement, traumatic reticulopericarditis & -peritonitis, milk fever and lameness) in 40(34 in second year)dairy herds (total 1253 dairy cattle). In feeding environments, we examined housing system, forage percentage in ration, stall types, playground, cleanness of stall. In housing system, most of herds (60%) have tie-stall types and 36 herds are open-type housing. The forage ratio of ration was less than 50% in most of herds (67%). 39 herds had their own playgrounds and the frequency of playground cleanness was irregular, Physical examinations included the T(temperature), P (pulse), R (respiration), abnormalities of superficial lymph nodes, claw examination and total CBC with blood from tail veins. T, P, R are within normal limits (T : 38.1$\pm$0.6$^{\circ}C$, P : 84.6$\pm$12.9/min., R : 24.0$\pm$7.6/min. ,respectively), the swelling of lymph nodes were shown in 13 cattle and overall claw trimming was required in 3 herds. In blood examination, 23 cattle showed leuko-cytosis and 7 cattle showed low RBC and hemoglobin level, the other cattle were within normal limits (WBC : 8.90$\pm$2.06 10$^3$/ul., RBC : 6.36$\pm$1.02 10$^{6}$ ul, Hb : 9.83$\pm$ 1.20 g/dl PCV : 27.43$\pm$5.67 %, respectively). In 4 disease entities, we found some metallic foreign bodies in men of 13 cattle, which had predisposing factors of traumatic reticulopericarditis and reticuloperitonitis, 13 abomasal displacement, 51 milk fever and lameness in 39 cattle.

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The Mitigation Model Development for Minimizing IT Operational Risks (IT운영리스크 최소화를 위한 피해저감모델 구현에 관한 연구)

  • Lee, Young-Jai;Hwang, Myung-Soo
    • Journal of Information Technology Applications and Management
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    • v.14 no.3
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    • pp.95-113
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    • 2007
  • To minimize IT operational risks and the opportunity cost for lost business hours. it is necessary to have preparedness in advance and mitigation activities for minimization of a loss due to the business discontinuity. There are few cases that banks have a policy on systematic management, system recovery and protection activities against system failure. and most developers and system administrators response based on their experience and the instinct. This article focuses on the mitigation model development for minimizing the incidents of disk unit in IT operational risks. The model will be represented by a network model which is composed of the three items as following: (1) the risk factors(causes, attributes and indicators) of IT operational risk. (2) a periodic time interval through an analysis of historical data. (3) an index or an operational regulations related to the examination of causes of an operational risk. This article will be helpful when enterprise needs to hierarchically analyze risk factors from various fields of IT(information security, information telecommunication, web application servers and so on) and develop a mitigation model. and it will also contribute to the reduction of operational risks on information systems.

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The Examination of Subgroup-Sensitive Risks and Needs among Delinquent Adolescents in the US

  • Lim, Ji-Young
    • International Journal of Human Ecology
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    • v.8 no.2
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    • pp.47-60
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    • 2007
  • While there is growing evidence regarding the subgroup-sensitive nature of risk factors among delinquent adolescents, researchers have paid little attention to the tracking of risks and needs by subgroups (e.g., gender, ethnicity, and the timing of onset for delinquency) among youth who are currently involved in the juvenile court system. Therefore, greater empirical attention directed toward subgroup-sensitive risk factors experienced by delinquent adolescents is thought to be both timely and necessary. A final convenience sample of 2167 court-involved adolescents in the US was used to specify subgroup-sensitive risks and needs. The results demonstrated that there were various levels of risks according to subgroups associated with gender, ethnicity, and onset for delinquency group. The findings of this study add to the extant literature on delinquency by demonstrating the importance of considering subgroups associated with gender, ethnicity, and the timing of onset for delinquency when practicing treatment or intervention programs with delinquent adolescents.

Development Plan of Licence Holders Health Management System (항공종사자 건강관리 제도의 발전방안)

  • Han, Bok Soon;Kwon, Young Hwan;Kim, Soo Geun;Choi, Eun Hi;Jang, Joung Soon;Shin, Yun Young;Ha, Yoon
    • Korean journal of aerospace and environmental medicine
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    • v.29 no.2
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    • pp.67-71
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    • 2019
  • The health of licence holders (flight crew members and air traffic controllers) is recognized as an important element of aviation safety. The medical emergency symptoms that occur during the flight duty period without prior notice can interfere with human performance capabilities and threaten aviation safety. To prevent this, ICAO has been required to conduct a periodic medical assessment process of licence holders including routine analysis of in-flight incapacitation events and medical findings during medical to identify areas of increased medical risk and continuous reevaluation of the medical assessment process to concentrate on identified areas of increased medical risk. The supply and demand of licence holders have become a major issue due to the increase in air traffic around the world, and the pilot retirement age has been extended to 65 years. But, there is no significant change in the aviation medical assessments process. The follow up of the result of medical examination discovered through aviation medical examination is a very important part, but it has not been properly implemented, and the sick leaves and medical inflight incapacitation reporting system should be improved. The management of health risk factors for licence holders must be implemented to prevent aircraft accidents or aviation safety problems caused by health problems. In this paper, we propose the development plan and concrete improvement plan of the health risk management system of licence holders in Korea in terms of aviation safety.

PREVALENCE AND ASSOCIATED RISK FACTORS OF DENTAL EROSION IN 9- AND 10-YEAR-OLD CHILDREN IN BUSAN (부산시에 거주하는 9~10세 어린이의 치아침식증 유병률과 관련된 위험요소)

  • Yu, Seong Goo;Lee, Chang Han;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.1
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    • pp.11-20
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    • 2013
  • The prevalence and interest of dental erosion seems to be rising in children all over the world. Thus, This study was performed to investigate the prevalence and severity of dental erosion in the primary molars at terminal stage nearing exfoliation, and associated risk factors. An examination was performed on 788 children using modified Linkosalo & Markkanen system, and questionnaires were gained. Association between dental erosion and the risk factors were statistically analyzed with chi-squared test and logistic regression analysis at a significance level of p < 0.05. As a result, 213 children (27%) showed dental erosion, and the mandibular left first primary molar was the most influenced tooth. According to the analysis of risk factors, frequent intake of carbonated drinks and fruit juices showed significant development of erosion (p < 0.05), and using straw for drinking fruit juices showed significant a reduction of erosion (p < 0.05).

A Study on the Risk Factors for Maternal and Child Health Care Program with Emphasis on Developing the Risk Score System (모자건강관리를 위한 위험요인별 감별평점분류기준 개발에 관한 연구)

  • 이광옥
    • Journal of Korean Academy of Nursing
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    • v.13 no.1
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    • pp.7-21
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    • 1983
  • For the flexible and rational distribution of limited existing health resources based on measurements of individual risk, the socalled Risk Approach is being proposed by the World Health Organization as a managerial tool in maternal and child health care program. This approach, in principle, puts us under the necessity of developing a technique by which we will be able to measure the degree of risk or to discriminate the future outcomes of pregnancy on the basis of prior information obtainable at prenatal care delivery settings. Numerous recent studies have focussed on the identification of relevant risk factors as the Prior infer mation and on defining the adverse outcomes of pregnancy to be dicriminated, and also have tried on how to develope scoring system of risk factors for the quantitative assessment of the factors as the determinant of pregnancy outcomes. Once the scoring system is established the technique of classifying the patients into with normal and with adverse outcomes will be easily de veloped. The scoring system should be developed to meet the following four basic requirements. 1) Easy to construct 2) Easy to use 3) To be theoretically sound 4) To be valid In searching for a feasible methodology which will meet these requirements, the author has attempted to apply the“Likelihood Method”, one of the well known principles in statistical analysis, to develop such scoring system according to the process as follows. Step 1. Classify the patients into four groups: Group $A_1$: With adverse outcomes on fetal (neonatal) side only. Group $A_2$: With adverse outcomes on maternal side only. Group $A_3$: With adverse outcome on both maternal and fetal (neonatal) sides. Group B: With normal outcomes. Step 2. Construct the marginal tabulation on the distribution of risk factors for each group. Step 3. For the calculation of risk score, take logarithmic transformation of relative proport-ions of the distribution and round them off to integers. Step 4. Test the validity of the score chart. h total of 2, 282 maternity records registered during the period of January 1, 1982-December 31, 1982 at Ewha Womans University Hospital were used for this study and the“Questionnaire for Maternity Record for Prenatal and Intrapartum High Risk Screening”developed by the Korean Institute for Population and Health was used to rearrange the information on the records into an easy analytic form. The findings of the study are summarized as follows. 1) The risk score chart constructed on the basis of“Likelihood Method”ispresented in Table 4 in the main text. 2) From the analysis of the risk score chart it was observed that a total of 24 risk factors could be identified as having significant predicting power for the discrimination of pregnancy outcomes into four groups as defined above. They are: (1) age (2) marital status (3) age at first pregnancy (4) medical insurance (5) number of pregnancies (6) history of Cesarean sections (7). number of living child (8) history of premature infants (9) history of over weighted new born (10) history of congenital anomalies (11) history of multiple pregnancies (12) history of abnormal presentation (13) history of obstetric abnormalities (14) past illness (15) hemoglobin level (16) blood pressure (17) heart status (18) general appearance (19) edema status (20) result of abdominal examination (21) cervix status (22) pelvis status (23) chief complaints (24) Reasons for examination 3) The validity of the score chart turned out to be as follows: a) Sensitivity: Group $A_1$: 0.75 Group $A_2$: 0.78 Group $A_3$: 0.92 All combined : 0.85 b) Specificity : 0.68 4) The diagnosabilities of the“score chart”for a set of hypothetical prevalence of adverse outcomes were calculated as follows (the sensitivity“for all combined”was used). Hypothetidal Prevalence : 5% 10% 20% 30% 40% 50% 60% Diagnosability : 12% 23% 40% 53% 64% 75% 80%.

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