• Title/Summary/Keyword: National Risk 4-stage

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Comparison of Acute Toxicity Sensitivity of Potassium Dichromate to the Larva Neocaridina denticulata, Daphnia magna and the Juvenile Oryzias latipes (Potassium dichromate에 대한 새뱅이 유생, 물벼룩 및 송사리 치어 급성독성 민감도 비교)

  • Lee, Jae-Woo;Kim, Kyung-Tae;Cho, Jae-Gu;Kim, Ji-Eun;Lee, Jae-An;Kim, Pil-Je;Ryu, Ji-Sung
    • Korean Journal of Environmental Biology
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    • v.30 no.4
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    • pp.314-318
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    • 2012
  • The aims of the present study were to estimate the possibility for toxicity test and compare acute toxicity of potassium dichromate in the larva stage of Neocaridina denticulata, Daphnia magna and the juvenile stage of Oryzias latipes. N. denticulate, a freshwater shrimp lives in Korea, is an indigenous species and considered to be useful for toxicity test. D. magna and O. latipes were recommended as a test species for the OECD test guideline. The 96 h-$LC_{50}$ potassium dichromate value was 0.62 mg $L^{-1}$ for the larva stage of N. denticulata and 168.44 mg $L^{-1}$ for the juvenile stage of O. latipes. The 48 h-$EC_{50}$ value was 1.27 mg $L^{-1}$ for the D. magna. The study was confirmed higher sensitivity of the larva stage of N. denticulata to potassium dichromate compared to the D. magna and the juvenile stage of O. latipes.

Importance of Target Blood Pressure Management in Diabetic Kidney Disease (당뇨병성 신장질환 환자에서 적정 혈압 관리의 중요성)

  • Kim, Hee Sung
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.461-470
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    • 2019
  • In diabetes mellitus, renal disease is a common complication, characterized by increased urinary albumin excretion and reduced eGFR. According to KDIGO CKD stage classification, Korean characteristics were analyzed according to urinary albumin and eGFR using the National Health and Nutrition Examination Survey VI raw data. According to KDIGO classification, diabetic patients were classified as Low risk 72.0%, Moderate risk 19.3%, High risk 5.6% and Very high risk 3.0%. Low risk decreased from 74.7% to 52.2%, and moderate to very high risk increased from 25.4% to 47.8% as the duration of diabetes mellitus was prolonged. The risk factors were CKD stage 1 (HR 2.064) to stage 4 (HR 11.049), the highest risk of hypertension. The incidence of renal disease was elevated according to duration of hypertension and HR 0.42 of kidney disease was decreased in the group maintaining proper blood pressure. In the hypertensive patients, the group administered with target blood pressure had a reduction of the kidney disease by 42% than the group with the hypertension. Therefore, controlling and managing hypertension to target blood pressure is important for the prevention of kidney disease.

The efficacy of chemotherapy in the patients with stage II colon cancer associated with number of high-risk factors

  • Kim, Min Joo;Baek, Seung-hyun;Ko, Sanghwa
    • Korean Journal of Clinical Oncology
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    • v.14 no.2
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    • pp.116-119
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    • 2018
  • Purpose: This study assessed the effect of chemotherapy over stage II colon cancer in terms of presence of high-risk factors. Methods: Data were retrospectively reviewed for 364 patients with stage II colon cancer who underwent curative surgery between January 2007 and December 2012. High-risk factors of stage II colon cancer were examined, and the overall survival (OS) rates were analyzed. Survival benefit of adjuvant chemotherapy was also analyzed. Results: One hundred and fifteen cases had exclusively single high-risk factor and 194 cases were negative for high-risk factors. Postoperative chemotherapy was performed in 262 of 364 patients (72.0%). The 5-year OS was 79.4% and 86.6% for patients without adjuvant chemotherapy and those with chemotherapy, respectively. The 5-year OS was 88.2% and 83.3% for patients having exclusively single high-risk factor with adjuvant chemotherapy and those without chemotherapy, respectively. Conclusion: Adjuvant chemotherapy for patients with stage II colon cancer having exclusively single high-risk factor could be omitted, weighing up the survival benefit and side effect of chemotherapy.

The Relationships between the Types of Perceived Risk and the Use of Information Sources in Clothing-Purchase. (의복 구매시 인지되는 위험 유형과 정보원 활용과의 관계)

  • Ok Sun Kyung;Lee Eun Young
    • Journal of the Korean Society of Clothing and Textiles
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    • v.10 no.3
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    • pp.49-61
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    • 1986
  • The purpose of this study is to analyze the types of perceived risk and the use of information sources respectively in clothing-purchase and ; study the correlations between the two variables and also ; study how the socioeconomic status impacts on the use of information sources. The questionnaires were administered to a sample of 393 housewives living in Seoul. For statistical analysis, the Pearson's product-moment correlation coefficients, analysis of variance, and Neuman-keul's test were used. The results were as follows : 1) There were significant differences in the types of perceived risk, reviewing these by clothing use and fashion Stage. 2) There were significant differences in the use of information sources, reviewing these by clothing use and fashion stage. 3) There were significant correlations between the types of Perceived risk and the use of information sources, reviewing these by clothing use and fashion stage. 4) In each fashion stage, there were partly significant differences in the types of perceived risk, reviewing these by SES. 5) In each fashion stage, there were partly significant differences in the use of information sources, reviewing these by SES.

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Clinical implication of adjuvant chemotherapy according to mismatch repair status in patients with intermediate-risk stage II colon cancer: a retrospective study

  • Kang, Byung Woog;Baek, Dong Won;Chang, Eunhye;Kim, Hye Jin;Park, Su Yeon;Park, Jun Seok;Choi, Gyu Seog;Baek, Jin Ho;Kim, Jong Gwang
    • Journal of Yeungnam Medical Science
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    • v.39 no.2
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    • pp.141-149
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    • 2022
  • Background: The present study evaluated the clinical implications of adjuvant chemotherapy according to the mismatch repair (MMR) status and clinicopathologic features of patients with intermediate- and high-risk stage II colon cancer (CC). Methods: This study retrospectively reviewed 5,774 patients who were diagnosed with CC and underwent curative surgical resection at Kyungpook National University Chilgok Hospital. The patients were enrolled according to the following criteria: (1) pathologically diagnosed with primary CC; (2) stage II CC classified based on the 7th edition of the American Joint Committee on Cancer staging system; (3) intermediate- and high-risk features; and (4) available test results for MMR status. A total of 286 patients met these criteria and were included in the study. Results: Among the 286 patients, 54 (18.9%) were identified as microsatellite instability-high (MSI-H) or deficient MMR (dMMR). Although all the patients identified as MSI-H/dMMR showed better survival outcomes, T4 tumors and adjuvant chemotherapy were identified as independent prognostic factors for survival. For the intermediate-risk patients identified as MSI-low (MSI-L)/microsatellite stable (MSS) or proficient MMR (pMMR), adjuvant chemotherapy exhibited a significantly better disease-free survival (DFS) but had no impact on overall survival (OS). Oxaliplatin-containing regimens showed no association with DFS or OS. Adjuvant chemotherapy was not associated with DFS in intermediate-risk patients identified as MSI-H/dMMR. Conclusion: The current study found that the use of adjuvant chemotherapy was correlated with better DFS in MSI-L/MSS or pMMR intermediate-risk stage II CC patients.

Improvement of National Risk Alarm 4-Stage Criteria for Flood Disaster (홍수재난 대응을 위한 국가위기경보 4단계 설정기준 개선)

  • Lee, Sookyong;Park, Jae-Woo;Oh, Eun-Ho
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.369-377
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    • 2018
  • EAP, which is operated on the frame of Risk Alarm 4-stage of National Risk Management Guideline, is a critical method in order to promptly respond to disasters. Korea Flood Control Office issues major and moderate flood alarm at each river station by respectively 50% and 70% of design flood discharge in terms of watermark or sea level, however, the criteria deciding major and moderate floods are vague for field managers to control the disaster situations. On the other hand, Japan and USA use river water level as a main criterion in order to classify the stage of flood disaster, which is higher design flood level than Korea. Thus, the authors analyzed domestic and oversea EAP guidelines and suggested improved criteria showing easy display method and raising the criteria of flood level for reflecting more effective action plans through testing a simulation training on the test-bed.

Relationship between Social Network and Stage of Adoption of Gastric Cancer Screening among the Korean Population

  • Lee, Myung Ha;Choi, Kui Son;Lee, Yoon Young;Suh, Mina;Jun, Jae Kwan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.6095-6101
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    • 2013
  • Few studies have examined the relationship between social support and stages of adoption of cancer screening. Here we investigated associations between both structural and functional aspects of social support and stages of adoption of gastric cancer screening in the general population of Korea. The study population was derived from the 2011 Korean National Cancer Screening Survey (KNCSS), an annual cross-sectional survey that uses nationally representative random sampling to investigate cancer screening rates. Data were analyzed from 3,477 randomly selected respondents aged 40-74 years. Respondents were classified according to their stage of adoption of gastric cancer screening: precontemplation (13.2%), contemplation (18.0%), action/maintenance (56.1%), relapse risk (8.5%), and relapse stage (4.1%). Respondents with larger social networks were more likely to be in the contemplation/action/maintenance, or the relapse risk/relapse stages versus the precontemplation stage (OR=1.91, 95%CI: 1.52-2.91; p for tend=0.025). Emotional and instrumental supports were not associated with any stage of adoption of gastric cancer screening. However, respondents who reported receiving sufficient informational support were more likely to be in the relapse risk/relapse stages versus the precontemplation, or the contemplation/action/maintenance stage (p for trend=0.016). Interventions involving interactions between social network members could play an important role in increasing participation in gastric cancer screening.

Blood Pressure and the Risk of Death From Non-cardiovascular Diseases: A Population-based Cohort Study of Korean Adults

  • Choi, Jeoungbin;Jang, Jieun;An, Yoonsuk;Park, Sue K.
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.6
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    • pp.298-309
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    • 2018
  • Objectives: The objective of this study was to assess the relationship between systolic and diastolic blood pressure (SBP, DBP) and the risk of death from specific causes other than cardiovascular diseases. Methods: We calculated the risk of specific death by SBP and DBP categories for 506 508 health examinees in 2002-2003 using hazard ratios (HRs) and 95% confidence intervals (CIs) in a Cox proportional hazards model. Results: Compared to normal levels (SBP <120 or DBP <90 mmHg), stage I systolic and diastolic hypertension (SBP 140-159, DBP 85-89 mmHg, respectively) were associated with an increased risk of death from diabetes mellitus, alcoholic liver disease, and renal failure (HR, 1.83; 95% CI, 1.51 to 2.22; HR, 1.24; 95% CI, 1.06 to 1.46; HR, 2.30; 95% CI, 1.64 to 3.21; HR, 1.67; 95% CI, 1.27 to 2.20; HR, 1.99; 95% CI, 1.41 to 2.81; HR, 1.31; 95% CI, 0.99 to 1.73, respectively), but a decreased risk of death from intestinal pneumonia (HR, 0.64; 95% CI, 0.42 to 0.98; HR, 0.59; 95% CI, 0.39 to 0.91). Only stage II systolic hypertension (SBP ${\geq}160mmHg$) was associated with an increased risk of death from pneumonia, liver cirrhosis, and intestinal ischemia (HR, 1.54; 95% CI, 1.19 to 1.98; HR, 1.46; 95% CI, 1.00 to 2.15; HR, 3.77; 95% CI, 1.24 to 11.40, respectively), and stage I and II diastolic hypertension (SBP 140-159 and ${\geq}160mmHg$) were associated with an increased risk of death from intestinal ischemia (HR, 3.07; 95% CI, 1.27 to 7.38; HR, 4.39; 95% CI, 1.62 to 11.88, respectively). Conclusions: An increase in blood pressure levels may alter the risk of death from certain causes other than cardiovascular diseases, a well-known outcome of hypertension, although the mechanism of these associations is not well documented.

Predictors of Recurrence after Curative Resection in Patients with Early-Stage Non-Small Cell Lung Cancer

  • Lee, Sang Hee;Jo, Eun Jung;Eom, Jung Seop;Mok, Jeong Ha;Kim, Mi Hyun;Lee, Kwangha;Kim, Ki Uk;Park, Hye-Kyung;Lee, Chang Hun;Kim, Yeong Dae;Lee, Min Ki
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.4
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    • pp.341-348
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    • 2015
  • Background: There have been various results from studies concerning the predictors of recurrence in early-stage nonsmall cell lung cancer (NSCLC). Therefore, an accurate assessment is needed to guide effective adjuvant therapy. We investigated the predictors of a recurrence in patients with resected, early-stage NSCLC and the risk factors associated with locoregional or distant recurrence. Methods: This retrospective study was conducted on patients at the Pusan National University Hospital from January 2006 to December 2011. Patients with pathological stages I or II were included in this study, as based on the seventh edition TNM staging system. Multivariate Cox proportional hazard models were used to identify factors associated with recurrence. Results: Two hundred and forty-nine patients were included. Among them, 180 patients were stage I, and 69 were stage II. Overall, by multivariate analysis, the independent factors associated with a 5-year total recurrence were the presence of visceral pleural invasion (VPI) (p=0.018) and maximal standardized uptake values (SUVs) of tumors on positron emission tomography (PET) >4.5 (p=0.037). The VPI was the only independent risk factor associated with both locoregional and distant recurrence, in the analysis of the patterns of tumor recurrence and their risk factors. In the subgroup analysis of stage I patients, three variables (male, VPI and resection margin positive) were significantly associated with a 5-year recurrence. Conclusion: The independent factors associated with postoperative recurrence in early-stage NSCLC were as follows: PET SUV >4.5 and the presence of VPI. For patients with those factors adjuvant therapy should be recommended as a more efficacious treatment.

Safety Management Information System in Construction Work;Focus on Tunnel Work (건설공사의 안전관리정보시스템 개발;터널공사 중심으로)

  • Park, Jong-Keun;paik, Shin-Won
    • Journal of the Korean Society of Safety
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    • v.23 no.4
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    • pp.72-78
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    • 2008
  • In any form of construction work, it is essential that accidents be prevented at every stage from foundation preparation to build completion. For this, it is necessary to use models that can assess risk and provide instruction for safe work processes so that the risk of accidents is reduced. Currently, however, very few models can perform these tasks. In this paper, we presents a model that assesses risk quantitatively by analyzing risk factors involved in stage of construction such as foundation work, erection work, structural work, equipment work, finishing work and etc work. The model performs assessment based on examples of accidents and by investing actual conditions during construction. In addition, we presents in this paper a safety management system was developed to assess risk during construction and to effectively train laborers.