• Title/Summary/Keyword: risk-sensitive

Search Result 427, Processing Time 0.027 seconds

Factors associated with Hospitalization among Patients with Diabetes Mellitus (당뇨병 환자의 입원에 영향을 미치는 요인)

  • Guk, Mi Ra;Choi, Ja Yun
    • Korean Journal of Adult Nursing
    • /
    • v.29 no.1
    • /
    • pp.1-11
    • /
    • 2017
  • Purpose: The purpose of this study was to identify the factors and the relative risk associated with admission of patients with diabetes mellitus (DM). Methods: The sample included one hundred twenty-eight patients with type II DM. Seventy-seven patients who were admitted within six months of a hospitalization to one hospital from the first of February to the 31st of August 2014, were compared with fifty-one patients who regularly attended an outpatient clinic and had no hospitalizations. Results: Hospitalization probabilities among patients who had only diet and exercise or took oral diabetic medication were 0.03 (p=.004) and 0.21 (p=.007) times independently lower than the ones with insulin injection. The risks for hospitalization increases 6.33 times if there is absence of a spouse (p=.027) whereas the presence of a spouse seems to make hospitalization less likely. The risk among the ones having diabetic complications was 5.15 times higher than ones having no recognition of the complications (p=.040). For every one point increase in self-efficacy and every 1 mg/dL increase in high density lipoprotein (HDL) cholesterol, there was a 0.84 (p=.005) and a 0.96 (p=.036) decrease in hospitalization risk, respectively. Conclusion: Nurses should be sensitive to the risk groups of hospital admission among patients with DM including no spouse, insulin injection, diabetic complications, low self-efficacy, and low HDL cholesterol.

Human Health Risk based Priority Ranking for Hazardous Air Pollutants (대기중 유해 화학 물질의 인체 위해도 우선순위 선정 연구)

  • Park Hoa-sung;Kim Ye-shin;Lee Dong-soo;Shin Dong-chun
    • Environmental Analysis Health and Toxicology
    • /
    • v.19 no.1
    • /
    • pp.81-91
    • /
    • 2004
  • Although it is suggested that risk -based management plan is needed to manage air pollution effectively, we have no resources enough to evaluate all aspects of substances and set priorities. So we need to develop a logical and easy risk-based priority setting method. However, it if impossible that only one generic system that is consistent with all the use is developed. In this study, we proposed a human health risk based priority-setting method for hazardous air pollutants, and ranked priorities for this method. First of all, after investigating previous chemical ranking and scoring systems, we chose appropriate indicators and logics to goal of this study and made a chemical priority ranking method using these. As results, final scores in priority ranking method were derived for 25 substances, and ethylene oxide, acrylonitrile and vinyl chloride were included in high ranks. In addition, same substances were highly ranked when using default values like when using no default, but the scores of hydrofluoric acid and ryan and compounds were sensitive to default values. This study could be important that priorities were set including toxicity type and quality and local inherent exposure conditions and we can set area-specific management guidelines and survey plans as a screening tool.

Experiences of Breast Cancer Women Undertaking Genetic Test (국내 고위험 유전성 유방암 환자의 유전자검사 경험)

  • Jun, Myung-Hee;Choi, Kyung-Sook;Ahn, Sei-Hyun;Gu, Bo-Kyung
    • Asian Oncology Nursing
    • /
    • v.5 no.2
    • /
    • pp.146-158
    • /
    • 2005
  • Purpose: This study was to obtain a understanding of breast cancer women with high risk for hereditary cancer syndrome. Method: A micro-ethnography was used, including participation observation, open-ended in-depth interviews. Results: Two major arguments were derived. First, When Korean women at high risk to hereditary breast cancer make a decision about whether to take a genetic test, they are strongly motivated by a desire to preserve close kinship bonds and "family love" among their siblings, parents and children. Second, Even after genetic risk assessment and counseling services, Korean women at high-risk for developing a hereditary breast cancer who have been informed that they are mutation carriers, still hold onto previous beliefs about cancer causation. Their cancer prevention strategies are constructed according to their unchanged perceptions and beliefs about cancer causation. Conclusion: More sensitive genetic counseling program needs to be developed. Referral programs and clinical services must be attentive to cultural values and beliefs otherwise cultural attitudes and practices toward genetic counseling will not change.

  • PDF

Development of Web-based Design Review System for Reliability and Safety Knowledge Management

  • Otsuka, Yuichi;Yukawa, Takashi;Mutoh, Yoshiharu
    • International Journal of Safety
    • /
    • v.9 no.2
    • /
    • pp.22-28
    • /
    • 2010
  • This paper describes a web-based design review system as a knowledge management system relating reliability and safety system design. Since people's consciousness for safety and security become sensitive and increases the need of establishing a proactive prevention method for internal failures and relating risks in products. It also means that prevailing tacit knowledge in retired workers, in order to transform them to be easily used to support new system development, become more important. When considering safety and reliability design, at least two data sheet are necessary; Failure Modes and Effects Analyses (FMEA) and Risk Assessment (RA). These two data are practically made separately. However, it includes the concerns that a risk by failures during long-term use may not be noticed. To overcome this insufficiency, a support tool for integrating reliability evaluation and risk assessment data simultaneously is expected to be revealed. The authors have then developed a web-based design review system for reliability and safety system design. The system include various profitable functions; making FMEA and RA sheet, retrieving past data sheet for engineering change management and new product development and web-based discussion to increase the efficiency of discussion. The system is applied to one practical development works in order to demonstrate its effectiveness that is to be made clear by interviewing user's qualitative comment.

Bacteriocins: Assay, Biochemistry, and Mode of Action

  • Paik, Hyun-Dong
    • Preventive Nutrition and Food Science
    • /
    • v.1 no.2
    • /
    • pp.269-277
    • /
    • 1996
  • Bacteriocins are proteins produced by a heterogeneous group of bacteria that have a bactericidal effect on closely related organisms. Recently, bacteriocins from lactic acid bacteria and other food-related organisms have been the subject of much research because of their potential as food biopreservatives. Various modifications of agar plate diffusion assays are the most widely used methods even though the limitations of such assays are generally recognized. The ability to obtain a concentrated crude preparation on bacteriocin by optimizing production parameters greatly simplifies recovery of bacteriocin on subsequent purification steps. Some studies performed to optimize bacteriocins have been purified to homogeneity, and the amino acid sequences of many of these purified bacteriocins have been determined. Obtaining characterization data on purified bacteriocin will minimize the risk of overlapping of research and confusion on identification of these compounds. Several me-chanisms leading to cell death have been hypothesized. These include depletion of the proton motive force(PMF) across the cell membrane: RNase and/or DNase activity within the sensitive cell; and pore formation and lysis of sensitive cells at the cell membrane.

  • PDF

Salty taste: the paradoxical taste

  • In-Sun, Choi;Kyung-Nyun, Kim
    • International Journal of Oral Biology
    • /
    • v.47 no.4
    • /
    • pp.49-54
    • /
    • 2022
  • Taste is a basic sensation to get attracted toward nutritious foods or avoid possible harmful substances. The basic taste qualities in humans consist of sweet, bitter, umami, salty, and sour. Basically, sweet and umami tastes make food attractive, whereas bitter and sour tastes make it avoidable. Salty taste comprises basic salty and high salt taste. The basic salty taste is known as amiloride-sensitive salty taste, which is inhibited by amiloride, but the high salt taste is not sensitive to amiloride. Moreover, high salt taste can also cause avoidance behavior in human beings. Sodium, one of the most important cations in the body fluids of vertebrates, controls the volume of total body fluids and is a risk factor for cardiovascular diseases, such as hypertension. The concentration of sodium in body fluids must be under delicate control. A distinction between the salty taste and high salt taste would be a contributing mechanism to control the volume and/or osmolarity of body fluids.

Enhancing the Cybersecurity Checklist for Mobile Applications in DTx based on MITRE ATT&CK for Ensuring Privacy

  • Gee-hee Yun;Kyoung-jin Kim
    • Journal of Internet Computing and Services
    • /
    • v.24 no.4
    • /
    • pp.15-24
    • /
    • 2023
  • Digital therapeutics (DTx) are utilized to replace or supplement drug therapy to treat patients. DTx are developed as a mobile application for portability and convenience. The government requires security verification to be performed on digital medical devices that manage sensitive information during the transmission and storage of patient data. Although safety verification is included in the approval process for DTx, the cybersecurity checklist used as a reference does not reflect the characteristics of mobile applications. This poses the risk of potentially overlooking vulnerabilities during security verification. This study aims to address this issue by comparing and analyzing existing items based on the mobile tactics, techniques, and procedures of MITRE ATT&CK, which manages globally known and occurring vulnerabilities through regular updates. We identify 16 items that require improvement and expand the checklist to 29 items to propose improvement measures. The findings of this study may contribute to the safe development and advancement of DTx for managing sensitive patient information.

The Effects of Ecological Cue on Risk Perception in Insurance Buying Situations (보험 구매 상황에서 위험 지각에 영향을 주는 생태학적 단서의 효과)

  • Jeong, Ju-Ri;Lee, Na-Keung;Lee, Young-Ai
    • Korean Journal of Cognitive Science
    • /
    • v.23 no.2
    • /
    • pp.205-224
    • /
    • 2012
  • How would people who buy an insurance policy respond to a low probability risk with a high future cost? Presented with a scenario describing a low probability accident of a chemical plant, participants in four experiments were asked to rate their perception of the risk and also their intention to buy an insurance of a given premium, an insurance, or a ratio insurance. Participants differently responded only to ratio insurance when rating their perception of risk, not to either premium or insurance. The pattern of results in four experiments converged to the conclusion that ratio insurance, an ecologically valid cue, makes people sensitive to the level of risk expressed in low probabilities of an accident. Our results were consistent with the prediction generated by the ecological cue hypothesis which empathizes the importance of frequency over probability in risk perception (Gigerenzer, 2000).

  • PDF

Health Risk Assessment of Toxic Chemicals (Phenol) in Tattoo Inks (문신용 염료에 들어 있는 유해화학물질(페놀)의 인체 위해성 평가)

  • Cho, Sam Rae;Kim, Kyong Hee;Choi, Jae Wook
    • Journal of Environmental Health Sciences
    • /
    • v.45 no.1
    • /
    • pp.9-17
    • /
    • 2019
  • Objectives: This study examined the safety of tattoo ink by analyzing the phenol contents in tattoo inks and its risk assessment of selected phenol. Methods: A sample of 30 tattoo inks was purchased, the phenol contents were analyzed, and a risk assessment on dermal exposure from tattooing was carried out. Hazard identification was collected from toxicity data on systemic effects caused by dermal exposure to phenol, and the most sensitive toxicity value was adopted. Exposure assessment ($Exposure_{phenol}$) was calculated by applying phenol contents and standard exposure factors, while dose-response assessment was based on the collected toxicity data and skin absorption rate of phenol, assessment factors (AFs) for derived no-effect level ($DNEL_{demal}$). In addition, the risk characterization was calculated by comparing the risk characterization ratio (RCR) with $Exposure_{phenol}$ and $DNEL_{dermal}$ Results: The phenol concentration in the 30 products was from 1.4 to $649.1{\mu}g/g$. The toxicity value for systemic effects of phenol was adopted at 107 mg/kg. $Exposure_{phenol}$ in tattooing was from 0.000087 to 0.040442 mg/kg. $DNEL_{dermal}$ was calculated at 0.0072 mg/kg (=toxicity value 107 mg/kg ${\div}$ AFs 650 ${\times}$ skin absorption rate 4.4%). Thirteen out of 30 products showed an RCR between 1.02 and 5.62. The RCR of all red inks was above 1. Conclusions: Phenol was detected in all of the 30 tattoo inks, and the RCR of 13 products above 1 indicates a high level of risk concern, making it necessary to prepare safety management standards for phenol in tattoo inks.

Toxicity test of wetland sediments by Simocephalus mixtus (국내종 물벼룩 Simocephalus mixtus에 의한 습지퇴적물 독성도 측정)

  • 이찬원;권영택;윤종섭;문성원
    • Journal of Environmental Science International
    • /
    • v.11 no.9
    • /
    • pp.851-855
    • /
    • 2002
  • A comparison of Daphnia magna, Ceriodaphnia dubia and Simocephalus mixtus toxicity test was performed to study the relative sensitivities and discrimination abilities with both pore and elutriate water of Woopo wetland sediments. Sediment risk assessment has been done by standardized preparation method of pore and elutriate water described in the joint US EPA-US Army Crops of Engineers manual. Simocephalus mixtus which was obtained from Woopo wetlands in Korea was cultured and applied to sediment toxicity test. Water quality in Woopo wetland had great site and seasonal variations. S. mixtus was more sensitive than D. magna in heavy metal toxicity test. The toxicity results with S. mixtus reflected the water quality of elutriate and pore water. The results also suggested that S. mixtus could be used as a test organism in estimating potential risk of contaminated sediments.