• Journal of Korean Biological Nursing Science
• /
• v.21 no.1
• /
• pp.54-61
• /
• 2019

Purpose: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. Methods: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model. Results: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (${\pm}3.81$) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p= .039), spinal anesthesia (p= .029), and stay at intensive care unit after operation (p= .009). Conclusion: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.

• Journal of the Society of Naval Architects of Korea
• /
• v.56 no.2
• /
• pp.135-142
• /
• 2019

Ice accretions on the ship equipment and areas are the most common issues for vessels operating in cold climate and ice-covered waters and it has effect on the vessel safety and operability of equipment and systems, thus ship machineries and structures exposed to low temperature environments should satisfy the winterization requirements specified in ice class rules. The main objective of this study is to review the state-of-the-art of winterization trend for vessels navigating in ice-covered waters. The hazard of icing and how ice accretions affect operations and safety are investigated firstly, and then winterized notations for each classification are summarized. In addition, winterization methods currently used in vessels operating in ice-covered waters are investigated for a better understanding of effective approach and its application. This information will provide a framework for future winterization issues to mitigate the ice accretion phenomena.

• Safety and Health at Work
• /
• v.11 no.4
• /
• pp.397-404
• /
• 2020

Background: Most job exposure matrices (JEMs) have been developed for chemical and physical hazards in the United States (US). In addition, the overall validity of most JEMs of work organization hazards using self-reported data in the literature remains to be further tested due to several methodological weaknesses. Methods: This paper aims to review important methodological issues with regard to a JEM of work organization hazards using self-report data and to present a research protocol for developing a four-axis (job titles, hazards, sex, and time) JEM of major work organization hazards using the US General Social Survey-Quality of Work-Life (GSS-QWL) data (2002-2018; N = 7,100 workers). Results: Five methodological weaknesses in existing JEMs of work organization hazards using self-report data were identified: having only two axes (hazard and occupation), using psychometrically weak items and scales, including scales having little interoccupational variability, unresolved optimal minimum numbers of subjects per occupation, and low accessibility. The methodological weaknesses were successfully addressed in the proposed research protocol. Conclusion: The work organization JEM to be developed will significantly facilitate and strengthen occupational epidemiological studies on work organization hazards and major health outcomes, improve national and occupational surveillance of work organization hazards, and promote interventions for a healthy work environment in the US.

• Clinical Endoscopy
• /
• v.55 no.4
• /
• pp.507-515
• /
• 2022

Background/Aims: Metastases of malignant melanoma (MM) are rare and associated with poor prognosis. The objective of this study was to analyze the clinical and endoscopic characteristics of gastric metastases of MM by systematically reviewing cases and case series involving patients diagnosed using upper gastrointestinal endoscopy. Methods: The PubMed and LILACS databases were searched. Reports containing individual patient data were included. Outcomes such as clinical data, endoscopic findings, treatments, and survival were analyzed. Results: A total of 88 studies with individual data from 113 patients with gastric metastases of MM were included. The primary sites of MM were the skin (62%), eyes (10%), and mucous membranes (6%). Most patients (56%) had multiple metastases in the stomach, located predominantly in the gastric body (approximately 80%). The overall survival rate at 2 years was 4%. There was a significant reduction in the survival of patients with multiple gastric metastases compared to that of patients with single metastasis (hazard ratio, 0.459; 95% confidence interval, 0.235-0.895; p=0.022). Conclusions: Gastric metastases of MM have a poor prognosis, especially in patients with multiple implants in the stomach. Additional studies are needed to verify whether ocular and mucosal melanomas are associated with a higher risk of gastric metastases than that of cutaneous melanomas.

• Environmental and Resource Economics Review
• /
• v.6 no.2
• /
• pp.275-303
• /
• 1997

최근 각국은 자국의 해양자원을 보존한다는 명분으로 EEZ선포를 서두르고 있다. 한반도 주변과 같이 서로 인접한 수역에서의 EEZ설정은 필연적으로 각국의 이해관계가 상충될 수밖에 없고 따라서 이의 해결을 위해 인접국들은 합의에 의해 공동어로수역을 설정하고 이를 공동을 관할하려 할 것이다. 이 논문은 각국이 공동어로 수역을 설정하여 접속수역에 대해 인접국에게 관할권을 부여할 경우 초래될 수 있는 점을 게임이론과 정치경제적인 접근으로 이러한 문제를 다루었다. 즉, 접속수역에서 인접국은 자원의 채취에 있어서 다국과의 차별적인 규제를 시행하고 타국도 마찬가지의 정책을 구사할 경우 도덕적 위해(moral hazard)에 의해 각국의 접속수역에서의 자원이 가속적으로 고갈될 수 있다는 점을 보이고 있다. 또한 단기적인 전략적 산업정책의 수행은 타국의 희생하에 시장점유율을 확대시키며 그 결과 이윤의 이전을 가져오며 이는 자국 후생의 향상을 가져올 수 있다는 브랜드-스펜서(Brander-Spencer)의 결과는 수산자원과 같은 갱생지원의 경우에는 적용될 수 없다는 점을 보이고 있다.

• Journal of the Korean Society of Safety
• /
• v.28 no.6
• /
• pp.90-96
• /
• 2013

Since the last 50 years, the terminology 'risk' has been widely used in general and industrial applications, with different meanings. The different definitions of risk can lead to the different risk assessments and risk management process elements, and the misunderstandings. For the reasons, the ISO(International Standard Organization) has recently defined a new risk concept through the publication of IS0 31000:2009. Although the new concept of risk was globally accepted, it seem to be argued in its definition debate. Thus, this paper reviews the definition and meaning of the concept of risk in terms of risk origin, general and industrial applications, related domestic laws and risk management standards published to improve an understanding of risk concept.

• 한국방재학회:학술대회논문집
• /
• 2007.02a
• /
• pp.101-104
• /
• 2007

There is no overall understanding about the road marking situation in Korean national highway nowadays. In addition road marking increases risk in traffic accidents especially while it's raining at night because of diffused reflection. So administrator has a lot of problems to maintain and make a decision about the road marking. In this paper, literature review and field investigation about the road marking are carried out from the viewpoint of road safe and the propriety in retroreflective performance of the road marking is grasped. Also, improvement methods about retroreflective performance of the road marking are proposed on the basis of the result in field investigation.

• Journal of Advanced Marine Engineering and Technology
• /
• v.33 no.2
• /
• pp.362-367
• /
• 2009

Formal Safety Assessment(FSA) was introduced by the IMO as "a rational and systematic process for accessing the risk related to maritime safety and the protection of the marine environment and for evaluating the costs and benefit of IMO's options for reducing these risks". FSA can be used as a tool or a rule making process to help develope new rules and regulations. The purpose of this paper is to conduct a general review of the FSA methodology and to propose ways to use it in rule making process of machinery parts.

• THE INTERNATIONAL COMMERCE & LAW REVIEW
• /
• v.34
• /
• pp.3-26
• /
• 2007

Product liability law lies at the center of the modem world. This law concerns liability for damages arising from the commercial sale of a product that causes personal injury or property damage because it was defective or falsely represented. One engaged in the business of selling or otherwise distributing products who sells or distributes a defective product is subject to liability for harm to persons or property caused by the defect. In short, product defectiveness is the heart of products liability law. Regardless of the underlying cause of action, the plaintiff in nearly every products liability case must prove that the defendant's product contained an unnecessary hazard that caused the harm. The purpose of this paper is to clarify the meaning of the product defectiveness to products liability claims in China. In China, Product to include most movable personal property, but to exclude services. And a product is defective when, at the time of sale or distribution, it contains a manufacturing defect, is defective in design, or is defective because of inadequate instructions or warnings.

• Environmental Analysis Health and Toxicology
• /
• v.21 no.2 s.53
• /
• pp.93-102
• /
• 2006

Methyl tert-butyl ether (MTBE), an octane booster that is added to the reformulated gasoline, has been a widespread contaminant in aquatic ecosystem. MTBE is a recalcitrant pollutant having low biodegradability. Due to its higher water solubility and low octanol-water partition coefficient, it can be rapidly transported to the surrounding water environment. Also, MTBE is a known animal carcinogen, and is classified as a possible human carcinogen by U. S. Environmental Protection Agency. The adverse effect of MTBE to aquatic biota was widely reported. In Korea, the recent detection of MTBE in groundwater near gasoline filling stations has drawn concern to public health and ecosystem. To address this concern, the effect of MTBE to human health and ecosystem was discussed in this review. Also, ecotoxicity data of MTBE for fish, invertebrates, and algae were extensively compared to estimate the hazard concentration 5($HC_5$) of MTBE as a screening level.