• 제목/요약/키워드: Risk appraisal

검색결과 85건 처리시간 0.03초

미생물 실험실에서의 부유 곰팡이 농도의 계절별 변이와 환경영향 (Seasonal and Environmental Influences on Culturable Airborne Fungi Levels in Microbiology Laboratories)

  • 황성호;홍순열;석지원;윤충식
    • 한국환경보건학회지
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    • 제42권1호
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    • pp.19-26
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    • 2016
  • Objectives: This study aimed to assess temporal changes in the level of culturable airborne fungi (CAF) in three microbiology laboratories and determine the environmental factors associated with CAF level. Methods: CAF levels were determined once per month from March 2011 to February 2012 in three microbiology laboratories. An Andersen one-stage sampler was used for five minutes, three times per day to collect the CAF. Arithmetic means of CAF concentrations and standard deviation (SD) were calculated. A Mann-Whitney test was applied to compare the differences between environmental factors such as divided room by structure of laboratory, use of humidifier, and use of air-conditioner. Correlation analysis was also applied to identify the association between CAF concentrations and environmental factors. Results: CAF levels demonstrated an increasing tendency in summer, and the three laboratories showed consistent seasonal patterns. Temperature and relative humidity (RH) were associated with CAF levels. When the humidifier was off, CAF concentrations were significantly higher in study rooms than in study rooms in which the humidifier was on. Conclusion: CAF levels in indoor microbiology laboratories varied greatly depending upon the temperature and RH and whether a humidifier was used.

일반건강검진의 이상지질혈증 검진주기 변경에 대한 문제점 고찰 (Consideration of Dyslipidemia Examination Cycle Change in Korea National Health Checkup Program)

  • 이준희;이경재
    • 보건행정학회지
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    • 제31권3호
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    • pp.255-260
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    • 2021
  • Background: Korea National Health Checkup Programs are aimed at the prevention and early detection of cardiovascular disease in adults. To establish a countermeasure for this tendency, The current Korea National Health Checkup Programs have been providing Health Risk Appraisal (HRA) since 2009, thereby focusing on individual lifestyle correction. However, from 2018, the dyslipidemia screening exam cycle has been changed from 2 to 4 years. Methods: In this study, we try to investigate whether policy decisions are valid based on domestic reports that have influenced policy decisions. First, considering the epidemiology of the domestic cardiovascular disease, dyslipidemia, and metabolic syndrome, the change of the 4-year cycle is appropriate or not. Second, whether the research method that applies came to make policy decisions appropriate or not. Third, our study also investigates whether the direction of policy decision was suitable for the second comprehensive national examination plan. Results: The data that are used in the previous study were that of 10 years ago and there also was a problem in selecting the data, especially the use of one of the research methods to calculate the signal to noise ratio that was aimed at improving health had some problems. This is a research method that does not match with the aim itself. Conclusion: Changing the screening cycle for dyslipidemia does not match the recent trend of general screening to effectively prevent cardiovascular disease in improving individual lifestyles in the national health checkup plan. Studying the relationship with metabolic syndrome, which can be an intermediate stage of cardiovascular disease, could be a policy direction that is more suitable for the national health examination comprehensive plan.

국내 음용수의 안전성 (Safety of Drinking Water in Korea)

  • 권숙표
    • 한국막학회:학술대회논문집
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    • 한국막학회 1997년도 제5회 하계 Workshop (97 한,카 국제공동 Workshop, 고도 수처리를 위한 막분리 공정)
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    • pp.1-20
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    • 1997
  • The present standard of drinking water quality is not reached to the guidelines of WHO and US EPA recommended. The appraisal of safety is not appropriate by the results of intermittent and limitted analysis. 45 items of drinking water quality are regulated in the Korean standard and 9 items for inspection designated by Seoul City. This report is the results of analysis of the water quality in the water stations of Seoul which are concerned with the items of Korean water quality standard and the priolity pollutnats recommended by WHO. In the results, 45 items of water quality, and the priolity pollutants were not exceeded to the standard and criteria, while DDT, heptachlor-epoxide, THMs, benzo(a)pyrene, Ba, Al, Gross beta, $^{226}$Ra, $^{90}$Sr were detected, the levels were not exceeded to the WHO guidelines. In ordes to evalute the safety of drinking water quality, besides of the existed items of standard, new hazardouse pollutants should be considered monitored continenously. For the regulation of hazardous pollutants, it may be introduced from the risk assessment. According to the relevant assessment, the acceptable risk of pollutants estimated could be applied to set the water quality standard or recommendations or quidelines as well as the number of monitoring.

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Risk Assessment from Heterogeneous Energy Deposition in Tissue. The Problem of Effects from Low Doses of Ionizing Radiation

  • Le, Feinendegen;J, Booz
    • 대한핵의학회지
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    • 제26권1호
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    • pp.8-13
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    • 1992
  • Low doses of ionizing radiation from external or internal sources cause heterogeneous distribution of energy deposition events in the exposed biological system. With the cell being the individual element of the tissue system, the fraction of cells hit, the dose received by the hit, and the biological response of the cell to the dose received eventually determine the effect in tissue. The hit cell may experience detriment, such as change in its DNA leading to a malignant transformation, or it may derive benefit in terms of an adaptive response such as a temporary improvement of DNA repair or temporary prevention of effects from intracellular radicals through enhanced radical detoxification. These responses are protective also to toxic substances that are generated during normal metabolism. Within a multicellular system, the probability of detriment must be weighed against the probability of benefit through adaptive responses with protection against various toxic agents including those produced by normal metabolism. Because irradiation can principally induce both, detriment and adaptive responses, one type of affected cells may not be simply summed up at the expense of cells with other types of effects, in assessing risk to tissue. An inventory of various types of effects in the blood forming system of mammals, even with large ranges of uncertainty, uncovers the possibility of benefit to the system from exposure to low doses of low LET radiation. This experimental approach may complement epidemiological data on individuals exposed to low doses of ionizing radiation and may lead to a more rational appraisal of risk.

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Low Social Support and Risk for Depression in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis

  • Azmiardi, Akhmad;Murti, Bhisma;Febrinasari, Ratih Puspita;Tamtomo, Didik Gunawan
    • Journal of Preventive Medicine and Public Health
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    • 제55권1호
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    • pp.37-48
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    • 2022
  • Objectives: Depression is a frequent complication of type 2 diabetes mellitus. This study aimed to investigate the relationship between low social support and risk for depression in people with type 2 diabetes through a meta-analysis. Methods: PubMed, ProQuest, SpringerLink, ScienceDirect, Scopus, the Cochrane Library, Embase, and Google Scholar were searched for English-language articles published up to 2021. Pooled adjusted odds ratios (aORs) were calculated using a random-effect model with 95% confidence intervals (CIs). Heterogeneity was evaluated by using the Cochrane Q test and I2 statistics. The risk of publication bias was estimated using a funnel plot, the Egger test, and the Begg test. The Joanna Briggs Institute Critical Appraisal Tools were used to assess the quality of evidence and the risk of bias. Results: Eleven studies were included in this meta-analysis, containing a total of 3151 people with type 2 diabetes mellitus. The pooled analysis showed that people with type 2 diabetes mellitus who had low social support had twice as high a risk of depression as those with high social support (aOR, 2.02; 95% CI, 1.51 to 2.70; p<0.001). A random-effect model was used because the heterogeneity was high (I2 = 87%). Conclusions: Low social support was found to increase the risk of depression among people with type 2 diabetes mellitus. Further investigation into factors that may moderate this relationship is required.

정량적 위험성 평가를 통해 제안된 도시가스 고압배관의 안전조치에 대한 비용.편익 분석 (Cost-Benefit Analysis for the Safety Measures about High Pressure Natural Gas Pipelines Proposed by Quantitative Risk Analysis)

  • 류영돈;이수경;이경식
    • 한국가스학회지
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    • 제13권3호
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    • pp.22-27
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    • 2009
  • 이 논문은 한국가스안전공사가 도시가스 고압배관에 대한 안전성평가를 실시하고 안전관리 조치를 권고하는 경우 그 안전관리조치가 합리적으로 실행가능한 것인지를 판단하기 위한 비용.편익분석 방법으로 PF(Proportion Factor)를 사용할 것을 제시하였다. 또한, 설치 예정인 도시가스 고압배관에 대하여 정량적 위험성평가를 실시하고, 평가결과에 따라 개선 권고한 안전조치에 대하여 VPF와 PF를 이용한 비용 편익분석을 실시하여 제시한 위험감소조치가 합리적으로 실행가능한 것임을 확인할 수 있었다. 본 논문에서 제시한 비용 편익분석방법은 국내에서 안전성평가를 실시하고 위험감소조치를 제시하는 경우 그 조치가 합리적으로 실행 가능한 것인지를 입증하는데 유용하게 활용될 수 있을 것으로 판단된다.

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청소년의 스트레스, 사회적 지지 및 충동성이 인터넷 중독에 미치는 영향 (The Effects of Stress, Social Support and Impulsiveness on Adolescents' Internet Addiction)

  • 박지은;최연희
    • 재활간호학회지
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    • 제14권2호
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    • pp.145-152
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    • 2011
  • Purpose: The study was to identify the influences of stress, social support and impulsiveness on the internet addiction of adolescents. Methods: A cross-sectional study was conducted with 243 male middle and high school students in D city. Data were collected from March to April in 2009 using self-report questionnaires such as internet addiction test, perceived stress, social support appraisal scale and Barratt impulsiveness scale. Data were analyzed using frequency, mean, Pearson's corelation coefficient, & hierarchial multiple regression. Results: The results showed that adolescents who had poor social support or higher stress and impulsiveness were more likely to have higher levels of internet addiction. The internet addiction was positively related to the stress and impulsiveness and negatively related to the social support. And education, record at school, stress, social support and impulsiveness had influence on the depression. Conclusion: Based on the findings, school nurses need to screen the risk of the internet addiction for adolescents who are in serious stress and have poor social support and impulsiveness. It is necessary to develop some preventive programs for those in high risk of internet addiction.

Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis

  • Jeong, Hyesun;Lee, Yesul;Park, Jin Sup;Lee, Yoonju
    • 대한간호학회지
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    • 제54권2호
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    • pp.162-177
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    • 2024
  • Purpose: This study aimed to investigate the influence of uncertainty-related factors on the health behavior of individuals with coronary artery disease (CAD) based on Mishel's uncertainty in illness theory (UIT). Methods: We conducted a cross-sectional study and path analysis to investigate uncertainty and factors related to health behavior. The study participants were 228 CAD patients who visited the outpatient cardiology department between September 2020 and June 2021. We used SPSS 25.0 and AMOS 25.0 software to analyze the data. Results: The final model demonstrated a good fit with the data. Eleven of the twelve paths were significant. Uncertainty positively affected danger and negatively affected self-efficacy and opportunity. Danger had a positive effect on perceived risk. Opportunity positively affected social support, self-efficacy, perceived benefit and intention, whereas it negatively affected perceived risk. Social support, self-efficacy, perceived benefit and intention had a positive effect on health behavior. We found that perceived benefit and intention had the most significant direct effects, whereas self-efficacy indirectly affected the relationship between uncertainty and health behavior. Conclusion: The path model is suitable for predicting the health behavior of CAD patients who experience uncertainty. When patients experience uncertainty, interventions to increase their self-efficacy are required first. Additionally, we need to develop programs that quickly shift to appraisal uncertainty as an opportunity, increase perceived benefits of health behavior, and improve intentions.

병원 간호사의 환자안전문화 인식, 사건보고 및 안전간호활동: 일 대학병원을 중심으로 (A Study on Patient Safety Culture, Incident Reporting and Safety Care Activities of Clinical Nurses in a University-Affiliated Hospital)

  • 하수진;이민주
    • 근관절건강학회지
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    • 제26권1호
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    • pp.35-45
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    • 2019
  • Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activities among clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaires were used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylses revealed that the mean score of patient safety culture was $3.26{\pm}0.32$ and $4.19{\pm}0.41$ was for the safety care activities. In incident reporting, reporting intention ($3.56{\pm}0.68$), belief in improvement ($3.42{\pm}0.60$), worry about appraisal ($3.37{\pm}0.65$) and reporting knowledge ($3.36{\pm}0.72$) respectively. Correlational analyses showed that perceived patient safety culture (r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting were positively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negatively correlated. The factors associated with safety care activities were incident reporting knowledge (${\beta}=.31$, p<.001), supervisor/managers' attitudes toward patient safety culture (${\beta}=.29$, p<.001), belief in improvement of incident reporting attitude (${\beta}=.16$, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessary to educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety and to provide positive feedback on incident reporting.

한국 반도체관련 산업의 사업장 안전 분위기와 근로자들의 안전행동에 관한 실증적 연구 (An Empirical Study on the Safety Climate and Worker's Safe Work Behavior in Semiconductor Industry Related Work Site in Korea)

  • 정낙경;김홍
    • 한국안전학회지
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    • 제23권2호
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    • pp.57-64
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    • 2008
  • The Semiconductor industry in Korea has achieved a great contribution to the growth of its economy for the last 20 years with its product export ranked to #1 nowadays. However, the working environment in semiconductor industry is always exposed to a potential risk of critical safety issue for workers with many kinds of utilities used such as toxic chemicals, gases, high vacuum and high voltages of electricity. This study is focused on empirical research to find out the factors on safety climate and to examine the relationships of safety climate and safe work behaviour in the work site of Korea semiconductor industry. As a result of simulation, a strong positive relationships and safe work behaviour have been identified in this study. Its result and implications has been discussed and suggested further studies on its limitation from this study.