• 제목/요약/키워드: Critical risk factors

검색결과 351건 처리시간 0.029초

신생아 혈전색전증 (Neonatal Thromboembolic Disorders)

  • 김도현
    • Neonatal Medicine
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    • 제18권1호
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    • pp.23-33
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    • 2011
  • The etiology of thrombosis is multifactorial and involves the interaction of inherited and acquired risk factors. Many neonatal thromboembolic disorders are iatrogenic and their incidence is likely to increase as advancements are made in neonatal care. Among pediatric populations, neonates have the highest risk for thrombosis secondary to the unique developmental hemostatic system, inherited prothrombotic disorders, and perinatal clinical conditions. Central venous and arterial catheters present the greatest risk for developing thromboembolisms in neonates. Both venous and arterial thromboses have been reported in a variety of anatomic locations. Prompt identification and appropriate management of thromboembolisms is critical for avoiding life-threatening complications. To date, few data are currently available regarding the contribution of inherited and acquired prothrombotic disorders in the pathogenesis of neonatal thromboembolism. In particular, a lack of information about neonatal thromboembolism in Korea has inhibited the development of appropriate guidelines for diagnosing thromboembolisms in neonates. An overview of the current knowledge about the role of inherited and acquired risk factors for neonatal thromboembolism in the West and a detailed description of common neonatal thromboembolic diseases is reviewed.

A Stochastic Simulation Model for Estimating Activity Duration of Super-tall Building Project

  • Minhyuk Jung;Hyun-soo Lea;Moonseo Park;Bogyeong Lee
    • 국제학술발표논문집
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    • The 5th International Conference on Construction Engineering and Project Management
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    • pp.397-402
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    • 2013
  • In super-tall building construction projects, schedule risk factors which vertically change and are not found in the low and middle-rise building construction influence duration of a project by vertical attribute; and it makes hard to estimate activity or overall duration of a construction project. However, the existing duration estimating methods, that are based on quantity and productivity assuming activities of the same work item have the same risk and duration regardless of operation space, are not able to consider the schedule risk factors which change by the altitude of operation space. Therefore, in order to advance accuracy of duration estimation of super-tall building projects, the degree of changes of these risk factors according to altitude should be analyzed and incorporated into a duration estimating method. This research proposes a simulation model using Monte Carlo method for estimating activity duration incorporating schedule risk factors by weather conditions in a super-tall building. The research process is as follows. Firstly, the schedule risk factors in super-tall building are identified through literature and expert reviews, and occurrence of non-working days at high altitude by weather condition is identified as one of the critical schedule risk factors. Secondly, a calculating method of the vertical distributions of the weather factors such as temperature and wind speed is analyzed through literature reviews. Then, a probability distribution of the weather factors is developed using the weather database of the past decade. Thirdly, a simulation model and algorithms for estimating non-working days and duration of each activity is developed using Monte-Carlo method. Finally, sensitivity analysis and a case study are carried out for the validation of the proposed model.

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Critical Success Factors for Malaysian SMEs and Large Companies in Commercializing Universities' R&D Outputs

  • Tam, Kok Chian;Chong, Aik Lee;Yee, Angelina Seow Voon;Tham, Joel Kah Marn
    • Asian Journal of Innovation and Policy
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    • 제8권3호
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    • pp.362-377
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    • 2019
  • Commercializing universities' R&D outputs is a major management challenge and there are limited studies to describe this phenomenon from the perspective of companies' management. Experiences of six small and medium size and four large companies' management's respondents are gathered through semi-structured face-toface interviews. Twelve critical success factors revealed by the respondents, namely R&D product and market readiness, good partnership with university, researcher's motivationand commitment, availability of resources, government support and motivation, control and ownership of intellectual property rights, university's management support, entrepreneurial culture in the university, an open communication and trusting relationship, researchers' skills, a risk taking attitude, and existence of performance measures as important to commercialize the universities' R&D outputs in Malaysia. The different views from the management of small and medium size, and large companies are also discussed in this study.

동맥경화증 위험요인들간의 인과관계에 대한 구조모형 구축 (Development of Structural Equation Model for Causal Relationships Among the Risk Factors of Arteriosclerosis)

  • 오현수;서화숙
    • 대한간호학회지
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    • 제29권6호
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    • pp.1192-1207
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    • 1999
  • The purpose of this study was to clarify the dynamic relationships among risk factors of arteriosclerosis and to develop and examine a model which could explain this relationship clearly. Data were collected from medical records of 400 male clients who visited a university hospital located in Inchon for physical examinations, from May 1996 to December 1996. Data were analyzed using the LISREL (Linear Structural Relationship) 8 program. To test the fitness of the hypothesized model, chi-square, RMSR (root mean square residual), GFI (goodness of fit index), CN (critical number) and Q-plot were used. Most of the fitness measurements, except the chi-square showed that the hypothesized model complimented the real data. According to the results, there were trends that obesity and hyperlipidemia were prevalent in heavier smokers, higher alcohol intakers, and groups who excercised less. Also, hypertension was more prevalent in older age, higher alcohol intaker, and higher serum lipid level groups. In contrast to the hypothesis, alcohol intake did not significantly affect serum lipid levels. This might be due to the serum lipid measurements (total cholesterol and trigryceride) used in this study to estimate hyperlipidemia. The direct effect of smoking on hypertension was not significant. However, the total effect of smoking on the hypertension was significant since indirect effects of smoking on hypertension, such as obesity and hyperlipidemia, were significant. The total effect of obesity on hypertension was significant since the indirect effect of obesity on hypertension via hyperlipidemia was significant, although the direct effect of smoking on hypertension was not significant. The degree of explaining hyperlipidemia with smoking, exercise, and obesity was high (60%), however, the degree of explaining obesity with age, smoking, alcohol intake, and exercise was very low (7%). On the basis of these results, high risk factors of arteriosclerosis such as hypertension, hyperlipidemia, or obesity are either directly or indirectly correlated each other. Therefore, it is difficult to predict outcomes for increasing or decreasing the risk factors by simply modulating a factor. Smoking, alcohol, and exercise both directly and indirectly affected major risk factors of arteriosclerosis. Therefore, correcting these variables is required to decrease risk factors. Finally, the relationship among other risk factors which have been known to be related with arteriosclerosis (diet, stress or hereditary) should be clarified in further studies.

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건설공사보험의 효율적 관리방법 (An Effective Management of Construction Insurance)

  • 양진국;김수용
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2003년도 학술대회지
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    • pp.319-324
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    • 2003
  • 건설프로젝트는 불확실한 요인들로 인해 심각한 문제의 발생 가능성이 많기 때문에, 프로젝트 초기에 다양한 리스크 분석이 상당히 중요하다. 본 연구에서는 건설사업관리 방법 중에서 리스크 전가를 위한 방안인 건설공사보험에 대해 연구해 보고자 한다. 연구의 방법은 국내 건설공사보험의 유형별 특성 및 건설공사보험과 관련된 국외 제도분석을 통해 국내 건설공사보험의 효율적 관리 방안을 제시하고자 한다.

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RFID기반수산물이력제의 성공요인에 대한 탐색적 연구 -소비자 및 공급자 관점을 중심으로- (Critical Success Factors of REID-based Fisheries Traceability Systems: From the Perspectives of Consumers and Suppliers)

  • 김진백
    • 수산경영론집
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    • 제38권2호
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    • pp.25-40
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    • 2007
  • Recently, fisheries safety has been a matter of primary concern among consumers and suppliers. This phenomenon made them require the introduction of fisheries traceability systems. For traceability systems to be effective, automatic identification means play an important role. Therefore, RFID-based fisheries traceability systems are more required than barcode-based fisheries traceability systems. Unlikely EU and Japan, Korea did not accept mandatory traceability regulations. But Many countries began to accept mandatory traceability regulations to diminish food risks. So Korea is expected to adopt them in the near future. The purpose of this study is to find what benefits are generated from the adoption of RFID-based fisheries traceability systems and are related to their success. To do these, this study investigated primary benefits of RFID-based fisheries traceability systems from the perspectives of consumers and suppliers. Consumers' benefits were derived from the perceived risk dimensions. And suppliers' benefits were derived from operational benefits of RFID systems. To purify the benefits from RFID-based fisheries traceability systems, reliability and factor analysis were used. And the refined benefits of RFID-based fisheries traceability systems were additionally analyzed to find which benefits were significantly related to fisheries traceability systems' success. According to the analysis results, all risk dimensions except social risk were significantly related to their success. But in the benefits of suppliers, only "recalls and counterfeits" factor was significantly related to their success. These results implied that fisheries traceability systems should be based RFID technology instead of barcode and fisheries traceability systems were related to almost food risk dimensions. It's because these significant factors are related all food risks except social risk and the benefits of suppliers can be derived from only RFID technology.

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Preventive Strategies of Ventilator Associated Pneumonia

  • Kim, Jin-A;Kim, Keum-Soon
    • 중환자간호학회지
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    • 제2권2호
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    • pp.42-55
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    • 2009
  • Purpose: Despite numerous evidence based preventive strategies of ventilator associated pneumonia (VAP) have been introduced, the incidence rate of VAP continues in an unacceptable range. The purposes of this review were to identify risk factors and diagnosis of VAP and to introduce current evidence based preventive strategies of VAP. Methods: A comprehensive literature search using keywords, including ventilator associated pneumonia were entered into a search engine. A number of highly pertinent papers relevant to the purpose of the review were identified. The papers that discussed specific preventive strategies of VAP were selected for analysis and inclusion in this review. Results: A number of evidence based preventive strategies that nurses can implement in their clinical practice to prevent VAP were identified. Such strategies include hand washing, use of protective gloves and gowns, oral care, stress ulcer prophylaxis, avoidance of unnecessary intubation, weaning protocol, sedation vacation, use of non-invasive ventilation, semi-recumbent position, continuous aspiration of subglottic secretions, and maintenance of proper endotracheal tube cuff pressure. Staff education is essential in preventing VAP. Conclusion: Preventive strategies of VAP should be applied to daily nursing care and each critical nurse should play a functional role in preventing VAP.

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Bone mineral density deficits in childhood cancer survivors: Pathophysiology, prevalence, screening, and management

  • Kang, Min Jae;Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • 제56권2호
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    • pp.60-67
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    • 2013
  • As chemotherapy and other sophisticated treatment strategies evolve and the number of survivors of long-term childhood cancer grows, the long-term complications of treatment and the cancer itself are becoming ever more important. One of the most important but often neglected complications is osteoporosis and increased risk of fracture during and after cancer treatment. Acquisition of optimal peak bone mass and strength during childhood and adolescence is critical to preventing osteoporosis later in life. However, most childhood cancer patients have multiple risk factors for bone mineral loss. Cancer itself, malnutrition, decreased physical activity during treatment, chemotherapeutic agents such as steroids, and radiotherapy cause bone mineral deficit. Furthermore, complications such as growth hormone deficiency and musculoskeletal deformity have negative effects on bone metabolism. Low bone mineral density is associated with fractures, skeletal deformity, pain, and substantial financial burden not only for childhood cancer survivors but also for public health care systems. Thus, it is important to monitor bone health in these patients and minimize their risk of developing osteoporosis and fragility fractures later in life.

Integrated risk assessment method for spent fuel road transportation accident under complex environment

  • Tao, Longlong;Chen, Liwei;Long, Pengcheng;Chen, Chunhua;Wang, Jin
    • Nuclear Engineering and Technology
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    • 제53권2호
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    • pp.393-398
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    • 2021
  • Current risk assessment of Spent Nuclear Fuel (SNF) transportation has the problem of the incomplete risk factors consideration and the general particle diffusion model utilization. In this paper, the accident frequency calculation and the detailed simulation of the accident consequences are coupled by the integrated risk assessment method. The "man-machine-environment" three-dimensional comprehensive risk indicator system is established and quantified to characterize the frequency of the transportation accidents. Consideration of vegetation, building and turbulence effect, the standard k-ε model is updated to simulate radioactive consequence of leakage accidents under complex terrain. The developed method is applied to assess the risk of the leakage accident in the scene of the typical domestic SNF Road Transportation (SNFRT). The critical risk factors and their impacts on the dispersion of the radionuclide are obtained.

Factors Influencing the Purchase Intention of EVs Among Korean and Chinese Consumers

  • Jian Cong;Kyoung-Suk Choi;Tongshui Xia
    • Journal of Korea Trade
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    • 제27권4호
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    • pp.77-100
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    • 2023
  • Purpose - Using the Model of Goal-Directed Behavior (MGB), this study identifies the critical factors that influence consumer intention to purchase an electric vehicle (EV). This study also provides differentiated policy implications to the Korean and Chinese governments and EV-related companies for the expansion of the EV market in both countries by comparing consumers' perceptions of EV purchase intentions. Design/methodology - Our extended MGB model adds to the standard model consideration of financial incentives, perceived risks, and environmental concerns. An online survey was conducted of Korean and Chinese consumers. Based on the collected responses, all tested hypotheses were verified using PLS-SEM (Partial Least Squares-Structural Equation Modeling). Differences in the path analysis results between Korea and China were compared and verified using Henseler's MGA (multi-group analysis), the parametric test, and the Welch-Satterthwaite test. Findings - The most critical factor that influences the intent to purchase an EV in consumers from both countries is personal desire. PBC and SN were identified as the critical factors that respectively increase personal desire in Korea and China. In addition, in Korea, among the three factors EC, FIP, and PR, environmental concerns were found to have the most significant impact on attitudes and purchase intention. In contrast, in China, economic factors (specifically financial incentives) had greater importance than environmental issues. Originality/value - This study has academic contributions in that it presents a new research model that includes financial incentive policies, environmental concerns, and perceived risk variables based on the MGB to explore consumers' purchase intentions. This study can also make a practical contribution in that it provides some meaningful implications to the governments and EV-related companies of both countries based on the differences in the analysis results of the Korean and Chinese markets.