• 한국식품위생안전성학회지
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• 제26권2호
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• pp.91-99
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• 2011

국내 주요 잠재적 위해식품에 오염된 미생물 조합에 대한 위해순위 결정은 식품안전관리의 우선순위를 정하는데 매우 중요하다. 본 연구에서 사용한 Risk Ranger는 위해식품과 위해미생물 조합에 대해 11가지 정보를 Microsoft Excel Spreadsheet에 입력하여 간단하게 위해순위를 결정하는 도구이다. 본 연구에서는 국내의 23개의 잠재적 위해식품과 위해미생물 조합의 위해순위를 결정하기 위하여 Risk Ranger의 활용성을 조사하였다. 연구결과 E. coli 위해미생물에 대하여 신선편의식품 샐러드가 가장 높은 위해순위 79를 나타내었다. 초밥의 V. parahaemolyticus, 육가공식품의 Salmonella, 햄버거 패티의 E. coli O157:H7 오염에 대한 위해순위는 0으로 본 연구에서 조사된 품목 중 가장 낮은 위해순위를 나타내었다. 이는 발표된 모니터링 연구에서 불검출로 나온 결과에 기인한다. Risk Ranger는 위해성의 순위를 간단하게 평가할 수 있는 장점을 가지지만, 정확한 data가 부족한 경우 결과의 정확성에 한계를 가진다. 또한 문헌조사 결과 국내의 위해식품 섭취빈도 조사, 원재료의 위해미생물 오염도, 위해미생물에 미치는 가공과정 영향에 대한 자료가 매우 부족한 것으로 나타났다. 본 연구는 위해순위 결정 도구로서 Risk Ranger 활용성을 소개하며 위해식품과 위해미생물 조합의 위해순위 결과는 국내 식품안전관리의 중요한 기초 자료로 활용될 수 있을 것이다.

• 해운물류연구
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• 제34권4호
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• pp.565-581
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• 2018

본 연구는 증가하고 있는 항만 위험물 사고 등과 관련하여 보다 더 안전하고 효율적인 위험물 리스크 관리를 위한 요인 평가를 목적으로 하고 있다. 국내 주요 항만인 부산, 광양, 인천, 울산의 위험물 전문가들을 대상으로 설문조사와 Fuzzy-AHP 방법론을 적용하여 분석을 진행하였다. 총 3개의 측정 영역과 9개의 세부 측정 요인을 선정하였으며, 분석 결과 측정 영역에서는 인적자원(HR) 관리가 가장 중요도(0.445)가 높게 분석되었으며, 환산 가중치를 적용한 세부 측정 요인에서는 관리자 숙련도 확보(0.158), 관리 인원 업무 개선(0.150), 안전교육 강화(0.136)가 우선 순위로 나타났다.

• Tuberculosis and Respiratory Diseases
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• 제83권4호
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• pp.268-275
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• 2020

Background: It is not evident that the attributable risk of smoking on mortality in Korea has decreased. We investigated the impact of smoking on all-cause mortality and estimated the attributable risk of smoking in Korean adults. Methods: Those aged ≥20 years with smoking history in the Korean National Health and Nutrition Examination Surveys (KNHANES) 2007-2015 were enrolled. We categorized the participants into three groups as follows: never smoker, <20 pack-years (PY) smokers, and ≥20 PY smokers. We applied inverse probability weighting using propensity scores to control various confounders between the groups. All-cause mortality risks were compared between the groups using the Kaplan-Meier log-rank test. The effects of smoking-attributable risks (ARs) on mortality were also calculated. Results: A total of 50,458 participants were included. Among them, 19,334 (38.3%) were smokers and 31,124 (61.7%) were never smokers. Those with a smoking history of 20 PY or more (≥20 PY smokers), those with a smoking history of less than 20 PY (<20 PY smokers), and never smokers were 18.1%, 20.2%, and 61.7%, respectively, of the study population. Smokers had a higher risk of all-cause mortality compared to never smokers (log-rank test p<0.01). The ARs of smoking were 21.8% (95% confidence interval [CI], 5.7%-37.9%) and 9.0% (95% CI, 6.1%-12.0%) in males and females, respectively. ARs decreased from 24.2% to 19.5% in males and from 9.5% to 4.1% in females between 2007-2010 and 2011-2015. Conclusion: Our study using KNHANES IV-VI data demonstrated that smoking increased the risk of all-cause mortality in a dose-response manner and the ARs of smoking on mortality were 21.8% in males and 9.0% in females during 2007-2015. This suggests that the ARs of smoking on mortality have decreased since around 2010.

• 보건행정학회지
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• 제17권3호
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• pp.87-105
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• 2007

The purpose of this study was to analyze whether nonemergency, isolated coronary artery bypass graft (CABG) surgery for high- or low-risk patients biases the assessment of the risk-adjusted mortality rates of hospitals. This study used 2002 National Health Insurance claims data for tertiary hospitals in Korea. The study sample consisted of 1,959 patients from 23 tertiary hospitals. The risk-adjustment model used the patients' biological, admission, and comorbidity data identified in the claims. The subjects were classified into high- and low-risk groups based on predicted surgical risk. The crude mortality rates and risk-adjusted mortality rates for low-risk, high-risk, and all patients in a hospital were compared based on the rank and the four intervals defined by quartile. Also, the crude mortality rates of the three groups were compared with their 95% confidence intervals of predicted mortality rates. The C-statistic (0.83) and Hosmer-Lemeshow test ($X^2$=11.47, p=0.18) indicated that the risk-adjustment model performed well. Presenting crude mortality rates with their 95% confidence intervals of predicted rates showed higher agreements among the three groups than using the rank or intervals of mortality rates defined by quartile in the hospital performance assessment. The crude mortality rates for the low-risk patients in 21 of the 23 hospitals were located on the same side of their 95% confidence intervals compared to that for all patients. High-risk patients and all patients differed at only one hospital. In conclusion, the impact of risk selection by hospital on the assessment results was the smallest when comparing the crude inpatient mortality rates of CABG patients with the 95% confidence intervals of predicted mortality rates. Given the increasing importance of quality improvements in Korean health policy, it will be necessary to use the appropriate method of releasing the hospital performance data to the public to minimize any unwanted impact such as risk-based hospital selection.

• Korean Circulation Journal
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• 제52권12호
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• pp.890-900
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• 2022

Background and Objectives: Some individuals exhibit discrepancies between risk classifications assessed using clinical factors and those obtained by vascular imaging. We aimed to evaluate whether statins provide clinical outcome benefits in patients classified as having low to moderate cardiovascular risk but with carotid plaque. Methods: This was a retrospective propensity score matching study. A total of 12,158 consecutive patients undergoing carotid ultrasound between January 2012 to February 2020 were screened. Individuals with low to moderate cardiovascular risk who were not currently recommended for statin therapy but had carotid plaques were included. Among 1,611 enrolled individuals, 806 (statin group: 403, control group: 403) were analyzed. The primary outcomes were major adverse cardiovascular and cerebrovascular events (MACCEs: cardiovascular death, myocardial infarction, coronary revascularization, and ischemic stroke or transient ischemic attack) and all-cause mortality. Results: During the median follow-up of 6.0 years, the incidence of MACCEs did not differ between the groups (6.1 and 5.7/1,000 person-years in the control and statin groups, respectively; adjusted hazard ratio [HR], 0.95; p=0.90). The incidence of all-cause mortality did not differ (3.9 and 3.9/1,000 person-years, respectively; adjusted HR, 1.02; p=0.97). Kaplan-Meier curves revealed similar rates of MACCEs (log-rank p=0.72) and all-cause mortality (log-rank p=0.99) in the 2 groups. Age and smoking were independent predictors of MACCEs. Subgroups exhibited no differences in clinical outcomes with statin use. Conclusions: Benefit of statin therapy was likely to be limited in low to moderate risk patients with carotid plaques. These results could guide physicians in clinical decision-making regarding cardiovascular prevention.

• Communications for Statistical Applications and Methods
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• 제16권1호
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• pp.115-125
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• 2009

경영.경제분야에서 사용되는 모형 가운데 연립방정식 모형은 모형 내에서 결정되는 내생변수와 모형 외부로부터 결정된 외생변수들로 구성된 M개의 방정식과 T개의 관찰치로 이루어진 회귀방정식체계이며, 모형에 대한 모수식별 및 유일해의 존재여부에 대한 결정방법으로 순서조건과 계수조건이 있다. 그러나 대부분 연립방정식 모형이 이들 조건을 만족한다는 가정하에서 모수들을 추정하기 때문에 추정값이 비효율적이거나, 유일한 모수 추정값이 존재하지 않는 경우가 이들 조건에 따라 발생할 수 있다. 본 연구에서는 순서조건을 만족한다는 가정 하에서 계수조건의 충족여부를 검정하기 위한 검정통계량을 새롭게 제시하고 이의 근사분포를 도출하였으며, 이와 함께 모의 실험을 통하여 제안한 검정통계량의 검정력을 살펴보았다.

• Journal of Forest and Environmental Science
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• 제40권1호
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• pp.24-34
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• 2024

Fire, being primarily a natural phenomenon, is impossible to control, although it is feasible to map the forest fire risk zone, minimizing the frequency of fires. The spread of a fire starting in any stand in a forest can be predicted, given the burning conditions. The natural cover of the land and the safety of the population may be threatened by the spread of forest fires; thus, the prevention of fire damage requires early discovery. Satellite data and geographic information system (GIS) can be used effectively to combine different forest-fire-causing factors for mapping the forest fire risk zone. This study mainly focuses on mapping forest fire risk in the Madikhola watershed. The primary causes of forest fires appear to be human negligence, uncontrolled fire in nearby forests and agricultural regions, and fire for pastoral purposes which were used to evaluate and assign risk values to the mapping process. The majority of fires, according to MODIS events, occurred from December to April, with March recording the highest occurrences. The Risk Zonation Map, which was prepared using LULC, Forest Type, Slope, Aspect, Elevation, Road Proximity, and Proximity to Water Bodies, showed that a High Fire Risk Zone comprised 29% of the Total Watershed Area, followed by a Moderate Risk Zone, covering 37% of the total area. The derived map products are helpful to local forest managers to minimize fire risks within the forests and take proper responses when fires break out. This study further recommends including the fuel factor and other fire-contributing factors to derive a higher resolution of the fire risk map.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 1998년도 춘계학술발표회논문집(1)
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• pp.838-843
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• 1998

Risk importance measures are widely wed to rank risk contributors in risk-based applications. Typically, Fussell-Vesely (F-V) importance and risk achievement worth (RAW) are used in the component importance raking for the reliability centered maintenance (RCM) analysis of safety system in nuclear power plants (NPPs). This study was performed as part of feasibility study on RCM for domestic NPPs, which is focused on the component importance ranking approach the maintenance recommendation. The approach of modulizing faulting tree basic events was applied in the simplification process of the PSA model and the validity of the approach was evaluated As a result of the case study, this paper included the importance and the maintenance recommendations for the safety-related equipments associated with safety injection and containment spray in large loss of coolant accident sequences.

• Nuclear Engineering and Technology
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• 제53권5호
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• pp.1464-1478
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• 2021

Selective Production of Exotic Species is an innovative plant for advanced nuclear physic studies. A radioactive beam, generated by using an UCx target-ion source system, is ionized, selected and accelerated for experimental objects. Very high vacuum conditions and appropriate safety systems to storage exhaust gases are required to avoid radiological risk for operators and people. In this paper, Failure Mode, Effects, and Criticality Analysis of a preliminary design of high activity gas recovery system is performed by using a modified Fuzzy Risk Priority Number to rank the most critical components in terms of failures and human errors. Comparisons between fuzzy approach and classic application allow to show that Fuzzy Risk Priority Number is able to enhance the focus of risk assessments and to improve the safety of complex and innovative systems such as those under consideration.

• 대한간호학회지
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• 제42권5호
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• pp.730-737
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• 2012

Purpose: This study was done to identify the time interval to pressure ulcer and to determine the optimal time interval for position change depending on pressure ulcer risk in patients using foam mattress in intensive care units. Methods: The Braden scale score, occurrence of pressure ulcers and position change intervals were assessed with 56 patients admitted to an intensive care unit from April to November, 2011. The time to pressure ulcer occurrence by Braden scale risk group was analyzed with Kaplan-Meier survival analysis and log rank test. Then, the optimal time interval for position change was calculated with ROC curve. Results: The median time to pressure ulcer occurrence was 5 hours at mild or moderate risk, 3.5 hours at high risk and 3 hours at very high risk on the Braden scale. The optimal time interval for position change was 3 hours at mild and moderate risk, 2 hours at high and very high risk of Braden scale. Conclusion: When foam mattresses are used a slight extension of the time interval for position change can be considered for the patients with mild or moderate pressure ulcer risk but not for patients with high or very high pressure ulcer risk by Braden scale.