• 제목/요약/키워드: Comprehensive Risk

검색결과 773건 처리시간 0.026초

A Comprehensive review of raisins and raisin components and their relationship to human health

  • Schuster, Margaret J.;Wang, Xinyue;Hawkins, Tiffany;Painter, James E.
    • Journal of Nutrition and Health
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    • 제50권3호
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    • pp.203-216
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    • 2017
  • Purpose: This literature review was performed to assess the effect of raisins on human health. Methods: A review of Medline was conducted using the keywords: 'raisins, raisins and health, raisins and cardiovascular disease (CVD), raisins and cancer, raisins and diabetes, raisins and fiber, raisins and colon health, raisins and antioxidants, raisins and inflammation, raisins and dental caries'. The reference lists from previous review articles on raisins and human health and the California Raisin Marketing Board files were reviewed for additional studies. Results: Raisins have one of the highest polyphenolic content and antioxidant ORAC levels compared to other traditional dried fruits. Many of the polyphenols in raisins are well assimilated and bioavailable. Raisin consumption reduces low density lipoprotein (LDL) cholesterol, blood pressure and blood sugar, when compared to equal caloric carbohydrate snacks and is associated with a reduced risk of CVD. The anti-inflammatory and cancer chemopreventive effects of raisins are mixed. Raisin consumption reduces intestinal transit time and positively affects gut microbiota. Raisins produce sustained energy during long term athletic competitions equal to traditional sports energy gels, shots and jelly beans. Raisins produce a non-cariogenic oral environment and do not fit the American Academy of Pediatrics criteria to be considered a choking hazard. Conclusions: Based on the review of literature, consumption of raisins provide numerous health benefits for promoting general wellness and in the prevention of many chronic diseases including: CVD, type 2 diabetes mellitus (T2DM) gastrointestinal diseases, and dental caries.

한국 영화산업의 집중성과 불균형의 맥락들 (The context of concentration and polarization of Korean film industry)

  • 김미현
    • 문화경제연구
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    • 제21권1호
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    • pp.3-20
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    • 2018
  • 본 연구는 한국 영화산업의 수직계열화 구조와 배급 및 상영시장의 집중도를 파악하고, 이 두 범주 간의 상호연관성에 대한 통합적인 맥락을 제시하고자 하였다. 한국영화 배급 및 상영시장의 집중성은 규모의 경제를 추구하고 수요의 불확실성을 방어하기 위한 산업 논리의 결과이다. 메이저 배급사는 대작영화에 자원을 집중하고 공급량을 조절함으로써 흥행위험을 방어하려는 경향이 강해지고 있으며, 최대한 많은 스크린을 확보하려는 배급 경쟁에 의해 멀티플렉스 체인의 협상력은 강화되고 있다. 수직결합 기업의 멀티플렉스는 계열관계에 따라 각 배급사의 영화에 차별적인 좌석수를 배정하는 것으로 나타났다. 그러나 수직계열화 기업마다 차별의 정도는 차이가 있으며, 상영 스크린수가 증가할수록 관객의 좌석점유율도 증가하고 있어서, 상영관이 계열관계에 따라 비합리적인 선택을 한다고 보기에는 무리가 있다. 따라서 수직결합구조가 스크린 독과점과 양극화의 원인이라는 일반화하기는 어려우며 유통시장의 집중성을 완화하고 중소영화를 지원하는 정책 방향이 요구된다.

자원 제약하의 중소기업 정보보안계획 수립방안 연구 (A Study on Establishment of Small and Medium Business Information Security Plan under Resource Restrictions)

  • 권장기;김경일
    • 융합정보논문지
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    • 제7권2호
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    • pp.119-124
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    • 2017
  • 정보는 기업의 규모와 무관하게 소중한 자산이며 정보보안은 기업의 생존과 번영을 위해 필수적인 요소이다. 하지만 대기업의 경우 정보보안경영시스템(ISMS)의 신속한 도입을 통해 안전을 확보해 나가지만, 중소기업의 경우는 예산 제약, 보안 지침의 미흡, 보안에 대한 인식 부족 등, 복합적인 요인들로 인해 보안시스템이 구축되지 않거나 구축이 지체되고 있다. 본 논문에서는 중소기업의 정보보안 관리 실태를 설문조사를 통하여 문제점을 분석하고, 중소 기업을 위한 무료 또는 저렴한 방법으로 종합적인 보안계획 수립 방안을 제시하고자 한다. 본 논문이 제시하는 방법을 적용해 중소기업들은 최저 비용의 기본적인 정보보안을 구현할 수 있을 것이며, 정보보안 계획을 수립하고자 하는 중소기업들에 도움이 될 것이라고 믿는다.

Examples of Holistic Good Practices in Promoting and Protecting Mental Health in the Workplace: Current and Future Challenges

  • Sivris, Kelly C.;Leka, Stavroula
    • Safety and Health at Work
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    • 제6권4호
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    • pp.295-304
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    • 2015
  • Background: While attention has been paid to physical risks in the work environment and the promotion of individual employee health, mental health protection and promotion have received much less focus. Psychosocial risk management has not yet been fully incorporated in such efforts. This paper presents good practices in promoting mental health in the workplace in line with World Health Organization (WHO) guidance by identifying barriers, opportunities, and the way forward in this area. Methods: Semistructured interviews were conducted with 17 experts who were selected on the basis of their knowledge and expertise in relation to good practice identified tools. Interviewees were asked to evaluate the approaches on the basis of the WHO model for healthy workplaces. Results: The examples of good practice for Workplace Mental Health Promotion (WMHP) are in line with the principles and the five keys of the WHO model. They support the third objective of the WHO comprehensive mental health action plan 2013-2020 for multisectoral implementation of WMHP strategies. Examples of good practice include the engagement of all stakeholders and representatives, science-driven practice, dissemination of good practice, continual improvement, and evaluation. Actions to inform policies/legislation, promote education on psychosocial risks, and provide better evidence were suggested for higher WMHP success. Conclusion: The study identified commonalities in good practice approaches in different countries and stressed the importance of a strong policy and enforcement framework as well as organizational responsibility for WMHP. For progress to be achieved in this area, a holistic and multidisciplinary approach was unanimously suggested as a way to successful implementation.

Neurodevelopmental outcomes of very low birth weight infants in the Neonatal Research Network of Japan: importance of neonatal intensive care unit graduate follow-up

  • Kono, Yumi
    • Clinical and Experimental Pediatrics
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    • 제64권7호
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    • pp.313-321
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    • 2021
  • Here we describe the neurodevelopmental outcomes of very low birth weight (VLBW) infants (birth weight ≤1,500 g) at 3 years of age in the Neonatal Research Network of Japan (NRNJ) database in the past decade and review the methodological issues identified in follow-up studies. The follow-up protocol for children at 3 years of chronological age in the NRNJ consists of physical and comprehensive neurodevelopmental assessments in each participating center. Neurodevelopmental impairment (NDI)-moderate to severe neurological disability-is defined as cerebral palsy (CP) with a Gross Motor Function Classification System score ≥2, visual impairment such as uni- or bilateral blindness, hearing impairment requiring hearing amplification, or cognitive impairment with a developmental quotient (DQ) of Kyoto Scale of Psychological Development score <70 or judgment as delayed by pediatricians. We used death or NDI as an unfavorable outcome in all study subjects and NDI in survivors using number of assessed infants as the denominator. Follow-up data were collected from 49% of survivors in the database. Infants with follow-up data had lower birth weights and were of younger gestational age than those without follow-up data. Mortality rates of 40,728 VLBW infants born between 2003 and 2012 were 8.2% before discharge and 0.7% after discharge. The impairment rates in the assessed infants were 7.1% for CP, 1.8% for blindness, 0.9% for hearing impairment, 15.9% for a DQ <70, and 19.1% for NDI. The mortality or NDI rate in all study subjects, including infants without follow-up data, was 17.4%, while that in the subjects with outcome data was 32.5%. The NRNJ follow-up study results suggested that children born with a VLBW remained at high risk of NDI in early childhood. It is important to establish a network follow-up protocol and complete assessments with fewer dropouts to enable clarification of the outcomes of registered infants.

화학물질 배출·이동량 자료를 이용한 유해기반 지수의 시공간 특성 연구 (A Study on the Spatiotemporal Characteristics of a Hazard-based Index using the Pollutant Release and Transfer Register Data)

  • 김시진;임유라;배현주
    • 한국환경보건학회지
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    • 제47권2호
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    • pp.144-154
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    • 2021
  • Objectives: This study was intended to identify hazard contribution by region, media, and chemical by calculating a hazard-based index using pollutant release and transfer register (PRTR) data. Methods: PRTR data for the period 2011 to 2016 was analyzed to examine the regional trends in toxic releases in terms of quantity and to create a corresponding hazard-based index. For the hazard-based index, the Risk-Screening Environmental Indicators (RSEI) Model was used. Results: The results of the trend analysis show that total releases decreased slightly, but health hazard levels increased consistently. According to the outcome of regional contribution analysis of the hazard-based index, Chungcheongnam-do, Jeollabuk-do and Gyeonggi-do Provinces showed a high ratio in the index for air and water release pollutants, while Gyeongsangbuk-do and Gyeongsangnam-do Provinces showed a high ratio in the index of soil release and waste transfer pollutants. Also, as a result of the analysis of the top ranked substances in the hazard-based index, it was found that chromium, cobalt and its compounds, and ethylene oxide contributed greatly to air release substances, while chromium, benzene, and lead and its compounds contributed greatly to water release substances. Conclusion: These results showed considerable disparities between total release and health hazard levels, especially in the analysis of contribution by regions and by chemical substance. Therefore, the hazard-based index should be used both to support a more comprehensive and robust approach to screening of chemicals for environmental health policy and for management.

광업부문에 대한 외국인직접투자 결정요소: 패널 분석 (The Determinants of Foreign Direct Investment in the Mining Sector: A Panel Analysis)

  • 너민체첵;손찬현
    • 국제지역연구
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    • 제15권3호
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    • pp.145-174
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    • 2011
  • 광업에 의존하고 있는 개발도상국들에 있어 광업 부문에 외국인직접투자(FDI)를 유치하는 것은 지속적인 경제성장을 위한 중요한 요소가 되고 있다. 본 논문은 광업부분에서 외국인직접투자를 유인하는 결정요소들을 밝히는 것을 목표로 하고 있다. 기존의 개념적인 연구들에 기초하여 1996년부터 2009년까지의 40개 광업 국가들의 패널통계를 이용해 실증 분석하고 있다. 본 논문은 기존 논문들과 달리 광범위하고 포괄적인 변수들을 사용하고 있어 광업부문 외국인직접투자의 요소결정을 분석하는 최초의 의미 있는 실증분석이라 하겠다. 실증분석 결과 시장규모, 무역개방성, 광물의 품질, 기반시설의 수준, 규제의 정도와 국가의 경제적 위험도는 광업 분야 외국인직접투자의 유입과 정(正)의 관계를 보이고 있다. 이와 반대로 관세율, 법인세율, 부패수준과 정치적 불안정도는 광업 분야에 유입되는 외국인직접투자와 부(負)의 상관관계를 보이고 있다. 또한 일반적으로 개발도상국들이 선진국들보다는 광업 분야에 대한 외국인직접투자를 더욱 많이 끌어들이고 있는 것으로 나타났다.

광범위한 안면외상 환자에서의 미세술기를 이용한 재건술 (Microsurgical reconstruction of posttraumatic large soft tissue defects on face)

  • 백우열;송승용;노태석;이원재
    • 대한의사협회지
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    • 제61권12호
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    • pp.724-731
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    • 2018
  • Our faces can express a remarkable range of subtle emotions and silent messages. Because the face is so essential for complex social interactions that are part of our everyday lives, aesthetic repair and restoration of function are an important tasks that we must not take lightly. Soft-tissue defects occur in trauma patients and require thorough evaluation, planning, and surgical treatment to achieve optimal functional and aesthetic outcomes, while minimizing the risk of complications. Recognizing the full nature of the injury and developing a logical treatment plan help determine whether there will be future aesthetic or functional deformities. Proper classification of the wound enables appropriate treatment, and helps predict the postoperative appearance and function. Comprehensive care of trauma patients requires a diverse breadth of skills, beginning with an initial evaluation, followed by resuscitation. Traditionally, facial defects have been managed with closure or grafting, and prosthetic obturators. Sometimes, however, large defects cannot be closed using simple methods. Such cases, which involve exposure of critical structures, bone, joint spaces, and neurovascular structures, requires more complex treatment. We reviewed and classified causes of significant trauma resulting in facial injuries that were reconstructed by microsurgical techniques without simple sutures or coverage with partial flaps. A local flap is a good choice for reconstruction, but large defects are hard to cover with a local flap alone. Early microsurgical reconstruction of a large facial defect is an excellent choice for aesthetic and functional outcomes.

상부 요로상피암에서 신보조 항암요법 및 보조 항암요법의 최신 지견 (Update on Current Role of Perioperative Chemotherapy in Upper Tract Urothelial Carcinoma)

  • 전병조;태범식;박재영
    • 대한비뇨기종양학회지
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    • 제16권3호
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    • pp.89-96
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    • 2018
  • Upper tract urothelial carcinoma (UTUC) has a relatively low prevalence rate of about 1.8 per 100,000 people. According to the recent literature, the development of diagnostic techniques has gradually increased the prevalence and diagnosis rate. In the past, when UTUC was diagnosed, more than 60% of the patients were diagnosed as locally advanced or metastatic cancer. However, since 2010, approximately 70% of the patients have been diagnosed as operable stage. Although radical nephroureterectomy is known as the basis of treatment for UTUC, overall survival is poor in patients with lymph node invasion. Especially, the finding that a localized UTUC is associated with a high risk of cancer metastasis in approximately 50% of patients suggests that these patients may not have sufficient treatment through surgery alone. The European Association of Urology and the National Comprehensive Cancer Network guideline 2017 suggested that postoperative adjuvant chemotherapy may be considered in patients with advanced UTUC beyond pT2. Also, recent meta-analyses have reported that cisplatin-based adjuvant chemotherapy can be expected to have a synergistic effect of overall survival and disease-free survival. However, many patients with UTUC undergo postoperative renal failure, which may result in failure to perform cisplatin-based adjuvant chemotherapy with adequate dose. For this reason, several researchers have suggested that it is beneficial to apply neoadjuvant chemotherapy when the preoperative renal function is maintained to a certain extent. But, neoadjuvant chemotherapy has not been used by many clinicians because of the lack of studies and the rarity of the disease. We are currently discussing the outcomes and prospects of perioperative chemotherapy.

Multivariate design estimations under copulas constructions. Stage-1: Parametrical density constructions for defining flood marginals for the Kelantan River basin, Malaysia

  • Latif, Shahid;Mustafa, Firuza
    • Ocean Systems Engineering
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    • 제9권3호
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    • pp.287-328
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    • 2019
  • Comprehensive understanding of the flood risk assessments via frequency analysis often demands multivariate designs under the different notations of return periods. Flood is a tri-variate random consequence, which often pointing the unreliability of univariate return period and demands for the joint dependency construction by accounting its multiple intercorrelated flood vectors i.e., flood peak, volume & durations. Selecting the most parsimonious probability functions for demonstrating univariate flood marginals distributions is often a mandatory pre-processing desire before the establishment of joint dependency. Especially under copulas methodology, which often allows the practitioner to model univariate marginals separately from their joint constructions. Parametric density approximations often hypothesized that the random samples must follow some specific or predefine probability density functions, which usually defines different estimates especially in the tail of distributions. Concentrations of the upper tail often seem interesting during flood modelling also, no evidence exhibited in favours of any fixed distributions, which often characterized through the trial and error procedure based on goodness-of-fit measures. On another side, model performance evaluations and selections of best-fitted distributions often demand precise investigations via comparing the relative sample reproducing capabilities otherwise, inconsistencies might reveal uncertainty. Also, the strength & weakness of different fitness statistics usually vary and having different extent during demonstrating gaps and dispensary among fitted distributions. In this literature, selections efforts of marginal distributions of flood variables are incorporated by employing an interactive set of parametric functions for event-based (or Block annual maxima) samples over the 50-years continuously-distributed streamflow characteristics for the Kelantan River basin at Gulliemard Bridge, Malaysia. Model fitness criteria are examined based on the degree of agreements between cumulative empirical and theoretical probabilities. Both the analytical as well as graphically visual inspections are undertaken to strengthen much decisive evidence in favour of best-fitted probability density.