• Title/Summary/Keyword: Critical risk factors

Search Result 354, Processing Time 0.032 seconds

Hospital-Acquired Pressure Injury: Clinical Characteristics and Outcomes in Critical Care

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda
    • International Journal of Advanced Culture Technology
    • /
    • v.7 no.2
    • /
    • pp.28-33
    • /
    • 2019
  • Electronic health records (EHRs) enable us to use and re-use electronic data for various multiple purposes, such as public reporting, quality improvement, and patient outcomes research. Current hospital-acquired pressure injury (HAPI) risk assessment instruments have not been specifically developed for intensive care unit (ICU) patients and showed false positive rates in this specific populations. Previous research studies report a number of risk factors; however, it is still not clear what factors influence ICU HAPI in this population. As part of a larger research study, we performed an exploratory analysis by using a large electronic health record data. The aims of this study were to compare characteristics of patients who developed HAPIs during their ICU stay with those who did not, and to determine whether the two groups were different in the aspects of length of ICU stay, discharge disposition, and discharge destinations. We conducted chi-square test and t-test for group comparison. Association was examined by using bivariate analyses. Pearson correlation coefficients were used to examine correlation between LOS and number of medications. Our findings suggest a number of consistent and potentially modifiable risk factors, such as sedation, feeding tubes, and the number of medications administered. The mortality of the HAPI group was significantly higher than the non-HAPI group in our data. Discharge disposition was significantly different between the groups. 67% of the HAPI group transferred to intermediate or long-term care hospitals whereas 57.7% of the non-HAPI group went home after discharge. Awareness of these risk factors can lead to clinical interventions that can be preventative in the ICU setting.

A Systematic Review on Human Factors in Cybersecurity

  • Alghamdi, Ahmed
    • International Journal of Computer Science & Network Security
    • /
    • v.22 no.10
    • /
    • pp.282-290
    • /
    • 2022
  • A huge budget is spent on technological solutions to protect Information Systems from cyberattacks by organizations. However, it is not enough to invest alone in technology-based protection and to keep humans out of the cyber loop. Humans are considered the weakest link in cybersecurity chain and most of the time unaware that their actions and behaviors have consequences in cyber space. Therefore, humans' aspects cannot be neglected in cyber security field. In this work we carry out a systematic literature review to identify human factors in cybersecurity. A total of 27 papers were selected to be included in the review, which focuses on the human factors in cyber security. The results show that in total of 14 identified human factors, risk perception, lack of awareness, IT skills and gender are considered critical for organization as for as cyber security is concern. Our results presented a further step in understanding human factors that may cause issues for organizations in cyber space and focusing on the need of a customized and inclusive training and awareness programs.

Construction Management Evaluation Model using Risk Index Modeling in Construction Phase (위험도 모델링을 이용한 시공단계의 감리업무 평가모델)

  • Ryu Jin-Young;Mo Yong-Woon;Kim Kyung-Rai
    • Korean Journal of Construction Engineering and Management
    • /
    • v.1 no.3 s.3
    • /
    • pp.89-100
    • /
    • 2000
  • The purpose of this study is to maximize project efficiencies in construction management by analyzing hierarchical factors that effect in project supervision system, and consequently constructing managerial CSF(Critical Success Factors). For this study, the tools for evaluating operating and management abilities of site engineers are built from analyzing status and issues, deducing influence factors and rating cardinal scales of these factors from survey results. These evaluation tools are reflected to the construction supervision decision making process so that can improve project management effectiveness.

  • PDF

Critical Factors Affecting Consumer Intention of Using Mobile Banking Applications During COVID-19 Pandemic: An Empirical Study from Vietnam

  • SANG, Nguyen Minh
    • The Journal of Asian Finance, Economics and Business
    • /
    • v.8 no.11
    • /
    • pp.157-167
    • /
    • 2021
  • The study analyzes the factors affecting the intention and recommendation to use the mobile banking applications of 314 customers from Vietnam. The study analyzes 7 factors affecting the intention and recommendation to use the mobile banking applications of customers from Vietnam, including (i) Perceived risk; (ii) Perceived ease of use; (iii) Perceived usefulness; (iv) Attitude; (v) Perceived trust; (vi) Social image; and (vii) Innovativeness. Besides, the study also analyzes 4 variables that reflect the customer's demographics, including gender, age, education, and occupation, and 6 variables describing the behavior of customers using mobile banking applications. The study findings indicate that the following factors (i) Innovativeness; (ii) Attitude; (iii) Perceived risk; (iv) Perceived ease of use, and (v) Perceived trust have the most significant impact on customers' behavior of using mobile banking applications in emerging markets such as Vietnam in the context of prolonged pandemic and continuous lockdown in many provinces and cities. The study is also of great value to studies on behavior changes among customers using mobile banking applications after the COVID-19 pandemic in Vietnam. The study will provide additional empirical evidence useful to bank administrators in motivating customers to use mobile banking applications, helping develop a digital economy in Vietnam.

Critical Care Management Following Lung Transplantation

  • Jeon, Kyeongman
    • Journal of Chest Surgery
    • /
    • v.55 no.4
    • /
    • pp.325-331
    • /
    • 2022
  • Postoperative critical care management for lung transplant recipients in the intensive care unit (ICU) has expanded in recent years due to its complexity and impact on clinical outcomes. The practical aspects of post-transplant critical care management, especially regarding ventilation and hemodynamic management during the early postoperative period in the ICU, are discussed in this brief review. Monitoring in the ICU provides information on the patient's clinical status, diagnostic assessment of complications, and future management plans since lung transplantation involves unique pathophysiological conditions and risk factors for complications. After lung transplantation, the grafts should be appropriately ventilated with lung protective strategies to prevent ventilator-induced lung injury, as well as to promote graft function and maintain adequate gas exchange. Hypotension and varying degrees of pulmonary edema are common in the immediate postoperative lung transplantation setting. Ventricular dysfunction in lung transplant recipients should also be considered. Therefore, adequate volume and hemodynamic management with vasoactive agents based on their physiological effects and patient response are critical in the early postoperative lung transplantation period. Integrated management provided by a professional multidisciplinary team is essential for the critical care management of lung transplant recipients in the ICU.

Critical financial variation of ratios between healthy and workout construction firms

  • Im, Haekyung;Choi, Jaehyun
    • International conference on construction engineering and project management
    • /
    • 2015.10a
    • /
    • pp.354-356
    • /
    • 2015
  • As domestic recession has had an adverse impact on many Korean companies in Korea, financial soundness has become a critical issues. It is essential to identify financial risk factors to prevent workout as well as to improve the financial condition of domestic construction companies. Therefore, this study derived important management indicators and the financial ratios that belong to each indicator through a comparative analysis between healthy companies and workout companies with financial statement. As a consequence, key financial ratios are derived into 3 of 25 ratios; Equity Ratio in stability indicator, Total Asset Turnover Ratio in activity indicator, and Labor Equipment Ratio in productivity indicator. So, Korean construction firms are required close monitoring these critical financial ratios indicating variation between construction companies which have opposing statuses in finance in order to keep sound financial condition and increase productivity.

  • PDF

Chronic Obstructive Pulmonary Disease Combined with Interstitial Lung Disease

  • Choi, Joon Young;Song, Jin Woo;Rhee, Chin Kook
    • Tuberculosis and Respiratory Diseases
    • /
    • v.85 no.2
    • /
    • pp.122-136
    • /
    • 2022
  • Although chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD) have distinct clinical features, both diseases may coexist in a patient because they share similar risk factors such as smoking, male sex, and old age. Patients with both emphysema in upper lung fields and diffuse ILD are diagnosed with combined pulmonary fibrosis and emphysema (CPFE), which causes substantial clinical deterioration. Patients with CPFE have higher mortality compared with patients who have COPD alone, but results have been inconclusive compared with patients who have idiopathic pulmonary fibrosis (IPF). Poor prognostic factors for CPFE include exacerbation, lung cancer, and pulmonary hypertension. The presence of interstitial lung abnormalities, which may be an early or mild form of ILD, is notable among patients with COPD, and is associated with poor prognosis. Various theories have been proposed regarding the pathophysiology of CPFE. Biomarker analyses have implied that this pathophysiology may be more closely associated with IPF development, rather than COPD or emphysema. Patients with CPFE should be advised to quit smoking and undergo routine lung function tests, and pulmonary rehabilitation may be helpful. Various pharmacologic agents and surgical approaches may be beneficial in patients with CPFE, but further studies are needed.

The Critical Success Factors of Internet Banks and Considerable Points When Introducing into Domestic Markets (인터넷전문은행의 성공요인과 국내 도입시 고려요인에 관한 다중사례 연구)

  • Cho, Dong-Hwan;Lee, Ho-Guen
    • The Journal of the Korea Contents Association
    • /
    • v.9 no.12
    • /
    • pp.600-612
    • /
    • 2009
  • Special banks primarily using Internet have different properties in transactions with customers, risk management, capital strength, and branch networks with general banks. The success and failure factors of Internet banks have been explained only by the economies of scale, and learning and experience effects of Internet banks based on the perspective of organizational ecologies. In this study, the success factors of Internet banks are investigated based on strategic choice by organizations and resource-based view of the firms instead of organizational ecology perspective. To this end, 31 major Internet banks operating in overseas market have been classified by the size and profitability of banks, and three strategic groups have been derived. three representative company cases were analyzed. critical success factors of Internet banks were derived, and considerable points when operating Internet banks were discussed.

The impacts of exercise on pediatric obesity

  • Headid, Ronald J. III;Park, Song-Young
    • Clinical and Experimental Pediatrics
    • /
    • v.64 no.5
    • /
    • pp.196-207
    • /
    • 2021
  • Over the last few decades, the rates of pediatric obesity have more than doubled regardless of sociodemographic categorization, and despite these rates plateauing in recent years there continues to be an increase in the severity of obesity in children and adolescents. This review will discuss the pediatric obesity mediated cardiovascular disease (CVD) risk factors such as attenuated levels of satiety and energy metabolism hormones, insulin resistance, vascular endothelial dysfunction, and arterial stiffness. Additionally, early intervention to combat pediatric obesity is critical as obesity has been suggested to track into adulthood, and these obese children and adolescents are at an increased risk of early mortality. Current suggested strategies to combat pediatric obesity are modifying diet, limiting sedentary behavior, and increasing physical activity. The effects of exercise intervention on metabolic hormones such as leptin and adiponectin, insulin sensitivity/resistance, and body fat in obese children and adolescents will be discussed along with the exercise modality, intensity, and duration. Specifically, this review will focus on the differential effects of aerobic exercise, resistance training, and combined exercise on the cardiovascular risks in pediatric obesity. This review outlines the evidence that exercise intervention is a beneficial therapeutic strategy to reduce the risk factors for CVD and the ideal exercise prescription to combat pediatric obesity should contain both muscle strengthening and aerobic components with an emphasis on fat mass reduction and long-term adherence.

Burden of COPD among Family Caregivers (만성폐쇄성폐질환자 가족의 보호부담에 관한 연구)

  • Kim, Jeong-Hwa;Kim, Eun-Kyung;Park, Sun-Hyung;Lee, Kyung-Ae;Hwang, Yong-Il;Kim, Eun-Ji;Jang, Seung-Hun;Park, Sung-Hoon;Lee, Chang-Youl;Lee, Myung-Goo;Lee, Ji-Yeon;Kim, Dong-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
    • /
    • v.69 no.6
    • /
    • pp.434-441
    • /
    • 2010
  • Background: Chronic obstructive pulmonary disease (COPD) is a major health problem resulting in significant burden for patients and families. However, family caregivers' burden has not been well recognized. The objectives of this study were to evaluate the level of caregivers' burden and to explore the related factors based on family, patient, and social support factors. Methods: A face-to-face interview with 86 family caregivers who had been taking care of COPD patients was conducted. The participants answered a self-administered questionnaire. The questionnaire included the level of family caregivers' burden, health status and the relationship within the family, functional limitation of patients perceived by family caregivers and the social support. Results: The level of caregivers' burden among participants was considerably high. Risk factors for caregivers' burden included low educational level of family caregivers, low family income, hours of caregiving, and functional limitation of the patients. Protective factors for caregivers' burden were good relationship within the family and support from other family members or friends. Conclusion: It is proved that family caregivers are facing significant burden in taking care of COPD patients. To reduce family caregivers' burden, it is necessary to address socioeconomic status of the family and to provide various community resources including financial support and nursing services.