• 제목/요약/키워드: Risk Likelihood

검색결과 375건 처리시간 0.022초

Human Error Analysis in a Permit to Work System: A Case Study in a Chemical Plant

  • Jahangiri, Mehdi;Hoboubi, Naser;Rostamabadi, Akbar;Keshavarzi, Sareh;Hosseini, Ali Akbar
    • Safety and Health at Work
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    • 제7권1호
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    • pp.6-11
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    • 2016
  • Background: A permit to work (PTW) is a formal written system to control certain types of work which are identified as potentially hazardous. However, human error in PTW processes can lead to an accident. Methods: This cross-sectional, descriptive study was conducted to estimate the probability of human errors in PTWprocesses in a chemical plant in Iran. In the first stage, through interviewing the personnel and studying the procedure in the plant, the PTW process was analyzed using the hierarchical task analysis technique. In doing so, PTWwas considered as a goal and detailed tasks to achieve the goal were analyzed. In the next step, the standardized plant analysis risk-human (SPAR-H) reliability analysis method was applied for estimation of human error probability. Results: The mean probability of human error in the PTW system was estimated to be 0.11. The highest probability of human error in the PTW process was related to flammable gas testing (50.7%). Conclusion: The SPAR-H method applied in this study could analyze and quantify the potential human errors and extract the required measures for reducing the error probabilities in PTW system. Some suggestions to reduce the likelihood of errors, especially in the field of modifying the performance shaping factors and dependencies among tasks are provided.

Investigation of the Factors Affecting Bone Mineral Density in Children with Celiac Disease

  • Dehghani, Seyed Mohsen;Ilkhanipour, Homa;Samipour, Leila;Niknam, Ramin;Shahramian, Iraj;Parooie, Fateme;Salarzaei, Morteza;Tahani, Masoud
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권2호
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    • pp.138-146
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    • 2022
  • Purpose: Children with celiac disease (CD) are at an increased risk of low bone mineral density (BMD) owing to malabsorption of fat-soluble vitamins, inflammation, and malnutrition. This study aimed to determine the prevalence and risk factors for low BMD in Iranian children with CD. Methods: This prospective cohort study examined 149 Iranian children with CD between 2011 and 2018 at Zabol University of Medical Sciences. BMD was measured using dual-energy X-ray absorptiometry. Demographic, clinical, and laboratory data were collected from patients' medical records. Logistic regression analysis was performed to identify the factors associated with low areal BMD (BMD-Z <-2) in the lumbar spine and femoral neck. Descriptive data were analyzed using the mean, standard deviation, and relative frequency. Data were analyzed using the chi-square test, t-test, and analysis of variance. Results: Of the 149 children with CD, 27.5% had osteoporosis. The mean body mass index (BMI) Z score was -1.28±1.2. Lower BMI was associated with a higher likelihood of BMD-Z (odds ratio 2.17; p≤0.05). Conclusion: Overall, the findings of this study showed that there was no correlation among Marsh classification, presence of specific human leukocyte antigens, and low BMD in Iranian children with CD. BMI can be a predictor of bone density in children with CD and may be applied clinically in early screenings to evaluate the bone health status in these children.

Nutrition and health challenges among low-income families of young children in the post COVID-19 era: a qualitative study

  • Hyunjung Lee;Wilna Oldewage-Theron;Conrad Lyford;Stephanie Shine
    • Nutrition Research and Practice
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    • 제17권6호
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    • pp.1185-1200
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    • 2023
  • BACKGROUND/OBJECTIVES: In the United States, one in every 5 children is obese with greater likelihood in low-income households. The coronavirus disease 2019 (COVID-19) pandemic may have accelerated disparities in child obesity risk factors, such as poor dietary intake and increased sedentary behaviors, among low-income families because of financial difficulties, social isolation and other struggles. This study reveals insights into nutrition and health challenges among low-income families of young children in West Texas to better understand needs and develop interventions. SUBJECTS/METHODS: In-depth individual interviews were performed via Zoom among 11 families of children under the age of 3. A semi-structured interview guide was developed to explore 3 areas: changes in (1) dietary intake and (2) sedentary behaviors and (3) families' preferences regarding a parent nutrition education program. Each interview was audiorecorded, transcribed, and coded using MaxQDA software. RESULTS: Eating together as a family become challenging because of irregular work schedules during the COVID-19 pandemic. Most parents stated that their children's dietary habits shifted with an increased consumption of processed foods. Many parents are unable to afford healthful foods and have utilized food and nutrition assistance programs to help feed their families. All families reported that their children's screen time substantially increased compared to the pre-pandemic times. Moreover, the majority of parents did not associate child screen time with an obesity risk, so this area could be of particular interest for future interventions. Meal preparation ideas, remote modality, and early timing were identified as key intervention strategies. CONCLUSIONS: Online nutrition interventions that emphasize the guidelines for child screen time and regular meal routines will be effective and promising tools to reach low-income parents for early childhood health promotion and obesity prevention.

Risk Factors of Delayed Surgical Intervention after Conservatively Treated Acute Traumatic Subdural Hematoma

  • Kwon, Hyungjoo;Choi, Kyu-Sun;Yi, Hyeong-Joong;Chun, Hyoung-Joon;Lee, Young-Jun;Kim, Dong-won
    • Journal of Korean Neurosurgical Society
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    • 제60권6호
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    • pp.723-729
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    • 2017
  • Objective : Acute subdural hematoma (ASDH) is generally considered a condition that should be managed surgically. However, some patients initially receive conservative treatment, a subset of whom require surgical intervention later. This study aimed to evaluate the predictors of delayed surgical intervention in ASDH patients who are initially managed conservatively. Methods : From January 2007 to December 2015, 842 patients diagnosed with ASDH were treated at our institution. Among them, 158 patients with convexity ASDH were initially treated conservatively. Patients were divided into a delayed surgery group and a conservative group. Demographic characteristics, past medication and medical histories, and radiological and laboratory data were collected by retrospective chart review. Independent risk factors were identified with univariate and multivariate analyses. Results : Twenty-eight patients (17.7%) underwent delayed surgical intervention. Their mean age was 69.0 years, and 82.1% were male. Hypertension, diabetes mellitus, and heart disease prevalence and use of anti-platelet agents did not significantly differ from the conservative group. However, age (p=0.024), previous cerebral infarction history (p=0.026), increased maximal hematoma thickness (p<0.001), midline shifting (p=0.001) and accompanying subarachnoid hemorrhage (p=0.022) on initial brain computed tomography (CT) scan, low hemoglobin level (p<0.001), high leukocyte count (p=0.004), and low glucose level (p=0.002) were significantly associated with delayed surgical intervention. In multivariate analysis, increased maximal hematoma thickness (odds ratio [OR]=1.279, 95% confidence interval [CI] 1.075-1.521; p=0.006), low hemoglobin level (OR=0.673, 95% CI 0.467-0.970; p=0.034), and high leukocyte count (OR=1.142, 95% CI 1.024-1.272; p=0.017) were independent risk factors for delayed surgical intervention. Conclusion : Due to the high likelihood of delayed surgical intervention among minimal ASDH patients with a thicker hematoma on initial brain CT, lower hemoglobin level, and higher leukocyte count, these patients should receive more careful observation.

여성의 개인적 특성과 생활양식요인을 이용한 골량감소 예측모형 (Prediction Model for Reduced Bone mass in Women using Individual Characteristics & Life Style Factors)

  • 이은남;이은옥
    • 근관절건강학회지
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    • 제5권1호
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    • pp.83-109
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    • 1998
  • This study was carried out to identify the Important modifiable risk factors for reduced bone mass and to construct prediction model which can classify women with either low or high bone mass. Through the literature review, individual characteristics such as age, body weight, height, education level, family history, age of menarche, postmenopausal period, gravity, parity, menopausal status, and breast feeding period were identified and factors of life style such as past milk consumption, past physical activity, present daily activity, present calcium intake, alcohol intake, cigarette smoking, coffee consumption were identified as influencing factors of reduced bone mass in women. Four hundred and eighty women aged between 28 and 76 who had given measurement bone mineral density by dual energy x-ray absortiometry in lumbar vertebrae and femur from July to October, 1997 at 4 general hospitals in Seoul and Pusan were selected for this study. Women were excluded if they had a history of any chronic illness such as rheumatoid arthritis, diabetes mellitus, hyperthroidism, & gastrointestinal disorder and any medication such as calcium supplements, calcitonin, estrogen, thyroxine, antacids, & corticosteroids known affect bone. As a result of these exclusion criteria, four hundred and seventeen women were used for analysis. Multiple logistic regression model was developed for estimating the likelihood of the presence or absence of reduced bone mass. A SAS procedure was used to estimate risk factor coefficient. The results are as follows For lumbar spine, the variables significant were age, body weight, menopause status, daily activity, past milk consumption, and past physical activity(p<0.01), while for femoral Ward's triangle, age, body weight, level of education, past milk consumption, past physical activity(p<0.001). Past physical activity, present daily activity and past milk consumption are the most powerful modifiable predictors in vertebrae and femur among the predictors. When the model performance was evaluated by comparing the observed outcome with predicted outcome, the model correctly identified 74.1% of persons with reduced bone mass and 84.5% of persons with normal bone mass in the lumbar vertebrae and 82.9% of persons with reduced bone mass and 75.0% of persons with normal bone mass in the femoral Ward's triangle. On the basis of these results, a number of recommendations for the management of reduced bone mass may be made : First, those woman who are classified as high risk group of the reduced bone mass in the prediction model should examine the bone mineral density to further examine the usefulness of this model. Second, the optimal amount of milk consumption and a regular weight bearing exercise in childhood, adolescence, and early adult should be ensured.

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초등학생들의 잠재적 일탈집단 유형에 영향을 미치는 요인에 관한 연구 (Factors Associated with Latent Delinquent Classes among Elementary School Students)

  • 현안나
    • 사회복지연구
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    • 제40권1호
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    • pp.197-234
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    • 2009
  • 유형학적 범죄 이론들은 아동기 일탈을 유발하는 일련의 위험요인들이 있으며, 아동기에 일탈행동을 시작할 경우 심각하고 만성적인 범죄자로 성장할 가능성이 높다고 주장한다. 이러한 관점에서 아동을 다양한 일탈 경험에 따라 유형화하고, 각 유형과 관련된 요인들을 규명하는 것은 아동 일탈 예방 및 치료적 개입에 유용한 정보를 제공할 수 있다. 본 연구는 한국청소년패널조사 초등패널의 1차년도와 2차년도 자료를 활용하여 (1) 개인의 일탈 경험에 기초하여 초등학교 5학년생들을 유형화하고 (2) 아동기 일탈을 유발하는 개인 관련, 가족 관련, 학교 관련, 또래 관련 위험요인들이 각 집단 유형에 미치는 영향을 규명하였다. 총 15개 일탈항목의 응답유형에 근거한 잠재적 집단 분석(Latent Class Analysis)을 통해 초등학교 5학년생들은 일탈 집단, 저일탈 집단, 비일탈(규준) 집단의 세 집단으로 유형화되었다. 다변랑 다항 로지스틱 회귀분석 결과 자기 통제력이 낮을수록, 빈곤 가정 출신일 경우, 일탈 친구가 많을수록, 남자초등학생일 경우, 집단 따돌림 피해 경험이 있을 경우 가장 높은 수준의 일탈 행동을 보이는 일탈 집단에 귀속될 확률이 높았다. 또한, 자기 통제력이 낮을수록, 공격성이 높을수록, 가정폭력에 많이 노출될수록, 교사와의 애착이 낮을수록, 일탈 친구가 많을수록 중간 수준 이하의 일탈행동을 보이는 저일탈 집단에 귀속될 확률이 높았다. 결과에 대한 논의를 바탕으로 실천적 함의와 후속연구를 위한 과제를 제시하였다.

한국노인의 낙상 요인 연구 (Risk Factors of Falls among Korean Elderly)

  • 염지혜;나항진
    • 한국노년학
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    • 제32권2호
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    • pp.577-592
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    • 2012
  • 본 연구는 전국단위의 패널데이터를 사용하여 한국노인의 인구사회학적요인, 보조기구사용, 신체건강상태, 정신건강상태, 건강행태 중 낙상에 영향을 미치는 요인을 도출하는 것을 목적으로 한다. 이러한 연구목적을 달성하기 위하여 고령화연구패널조사(KLoSA)의 제 1차와 제 2차 조사 자료를 분석에 활용하였다. 연구대상자는 2006년 제 1차 조사시점에서 만 65세 이상의 참여자를 기준으로 제 1차 조사와 제 2차 조사에 모두 참여한 응답자만(N=3,311)을 선택했으며 2008년 제 2차 조사 자료에서 낙상경험을 종속변수로 추출했다. 인구사회학적 요인들, 신체기능 및 질병유무, 건강행태 등에 대한 변수들은 시간의 선행 조건이 충족되어야 하므로 1차 조사로 부터 변수들을 추출했다. 분석방법으로는 변수에 따른 낙상경험 차이가 존재하는지 밝혀내기 위해 x2 혹은 t-test를 실시하였으며 독립변수들이 낙상경험에 유의미한 영향을 미치는지 고찰하기 위하여 로지스틱 회귀분석을 실시하였다. 분석결과로 성, 동거인여부, 거주지역, 보조기구사용, 질병의 수, 우울, 운동 및 흡연 여부에 따라 낙상경험에 통계적으로 유의미한 차이를 보였다. 또한 로지스틱 회귀분석에서 모든 변수를 통제하였을 때 여성, 청각보조기구사용자, 질병수가 2가지, 3가지 이상일 때, 우울이 있는 사람과 운동을 주 5회 이상 하는 응답자의 낙상경험 오즈가 그렇지 않은 사람에 비해 더 증가하였다. 반면 비만, 치매의심, 현재흡연자의 낙상경험 오즈는 준거카테고리에 비해 더 낮아졌다. 결론적으로 질병수 3가지 이상과 우울이 있는 사람의 낙상경험 오즈는 그렇지 않은 사람에 비해 2배 이상 높았기 때문에 낙상예방에 더욱 주의가 요구된다고 할 수 있다. 신체건강상태와 정신건강상태 모두 낙상과 관련이 있으므로 재가노인들의 낙상을 방지하기 위해서는 이러한 요인들을 갖고 있는 노인들을 위한 체계적인 지원이 이루어져야 하겠다.

Gender Differences of Vertical Drop Landing Strategies in College Students

  • Yi, Chung-Hwi;Park, So-Yeon;Yoo, Won-Gyu
    • 한국전문물리치료학회지
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    • 제11권4호
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    • pp.1-6
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    • 2004
  • The kinematics involved in different landing strategies may be related to the occurrence of trauma. Several sources suggest that the angle of knee extension on touchdown and impact with the ground determines the magnitude of the impact force and, indirectly, knee loading. This study compared the initial knee angle and maximum knee flexion angle at the instant of impact on drop-landings between healthy men and women. In this study, 60 participants (30 males, 30 females) dropped from a height of 43 cm. A digital camera and video motion analysis software were used to analyze the kinematic data. When landing, there was significant difference between the two groups ($15.67{\pm}6.05^{\circ}$ in male, $24.10{\pm}6.34^{\circ}$ in female) in the mean knee flexion angle. The range of knee flexion on landing ($44.06{\pm}10.97^{\circ}$ in male, $36.96{\pm}9.99^{\circ}$ in female) also differed significantly (p<.05). The greater knee flexion that was observed in the male subjects would be expected to decrease their risk of injury. Women land with smaller range of knee flexion than men and this might increase the likelihood of a knee injury.

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공항 안전관리시스템이 경영성과에 미치는 영향 (Influence in the Management Performance by the Airport Safety Management System)

  • 송종선;김기웅;이영길
    • 한국항공운항학회지
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    • 제23권3호
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    • pp.64-80
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    • 2015
  • In this article, we verify to influence in the management performance by the safety management system that is recommended by the ICAO for the safety management on the airside area in the airport. Also, We present a comprehensive mediator effect that the employees perceive safety culture and safety behavior. We design how participants were selected as study the employees from 4 airports on the airside areas of the Incheon International Airport, Gimpo International Airport, Jeju International Airport and Gimhae International Airport in the Korea using the simple random sampling method. The instrument for data collection was a questionnaire, and it was developed. Data analysis was to conduct structural equation modeling. Test of the hypotheses were verified to Maximum Likelihood Estimator. As a result of the analysis, safety behavior and risk management of the safety management system found out that affect management performance. Also, the employees of a high awareness about safety policy could be seen that is a high impact on management performance through a safety culture and a safety behavior. Safety behavior has significant mediator effect within the relationship between the safety management system and management performance. So, We provide guidance of the safety policies for the safety management on the airside area in the airport.

수출동기요인과 수출유통경로 (Export Motivating Factors and Export Distribution Channels)

  • 김종훈
    • 한국유통학회지:유통연구
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    • 제7권2호
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    • pp.1-19
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    • 2003
  • 과거 할인점에서의 상품구색은 대체로 가격이 저렴한 제품들로 구성되어 있었지만, 외국계 할인점이 국내에 진출하고 할인점들 간 경쟁이 치열해지면서 할인점은 매장을 고급스럽게 디자인하고 상품가치가 높고 지명도가 높은 제품들로 구색을 갖추고 있다. 이러한 할인점의 새로운 위상정립에 따라 할인점에서의 화장품 매대도 진열과 구색이 변화되고 있는데, 본 연구는 할인점에서의 화장품 매대 및 취급상표의 특징, 그리고 화장품 매대를 쇼핑하는 소비자의 행태에 관한 자료를 수집 및 분석한 후, 그 결과를 종합하여 메이커와 소비자 측면에서 할인점을 통한 화장품 판매현황을 분석하였다. 조사결과 소비자들은 화장품 구매 장소로서 할인점을 기존 화장품 전문점보다 모든 측면에서 우수한 구매 장소로 인식하고 있었고, 백화점에 비해서도 나쁘지 않은 것으로 평가하고 있었다. 또한 메이커들도 할인점의 화장품매장에 대한 지원을 강화하고 있고, 할인점 전용상표를 개발하여 일반 화장품 전문점 및 백화점과 차별화된 유통경로를 구축하기 위하여 노력하고 있음이 확인되었다.

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