• Title/Summary/Keyword: Risk management factors

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Evaluation of Exposure Characteristics of Fine Dusts by Subway Lines (지하철역사의 호선별로 미세먼지의 노출특성에 대한 평가)

  • Hwang, Sung Ho;Kim, Jeong Oh
    • Journal of Environmental Health Sciences
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    • v.43 no.1
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    • pp.71-76
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    • 2017
  • Objectives: This study aimed to assess the environmental factors that affect particulate matters (PM10) and to compare with outdoor PM10 concentrations in an underground subway stations. Methods: The PM10 level was determined from May 2013 to September 2013 in the Seoul subway stations in four lines. PM mini-vol portable sampler sampler was used to collect PM10 for 6 hrs. Arithmetic means of PM10 concentrations with standard deviation (SD) were calculated. Paired t-test was used to compare the differences between indoor PM10 and outdoor PM10 concentrations with correlation analysis which was used to identify the association between indoor PM10 concentrations and environmental factors. Results: There were no different PM10 concentrations significantly between line 1, 2, 3 and 4 in an underground subway stations. Passenger number was positively associated with PM10 concentration while construction year was negatively associated with PM10 concentrations. Indoor PM10 concentrations were significantly higher than those in outdoor PM10 concentrations. PM10 concentrations were higher in the stations which were constructed before 1990s rather than the stations constructed after 1990s. Conclusion: PM10 levels in the underground subway stations varied greatly depending on the construction year. Therefore, it might need to be more careful management to the stations which constructed in before 1990s.

Decision Model of the Effectiveness for Advanced that Security Visualization (발전된 보안 시각화 효과성 결정 모델)

  • Lee, Min-Sun;Lee, Kyung-Ho
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.27 no.1
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    • pp.147-162
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    • 2017
  • With the advent of various services and devices in the change of IT environment, increasing the complexity of the data, and increasing scale of IT, Many organizations are experiencing the difficulty of analyzing and processing with a large amounts of data for security situations awareness. Therefore, propose the enhancement of security situational awareness through visualization in order to solve the problems of slow response and security situational awareness in organizational risk management. In this paper, we selected the evaluation factors and alternatives for effective visualization by considering user type, situational awareness step, and information visualization attributes through various studies on visualization. And established AHP layer model. Based on this, by using the AHP method for solving the problem of multi-criteria decision making, by calculating the factors for effectively visualizing and the importance of alternative by factor, try to propose a visualization method that can improve the effectiveness of the security situational awareness according to the purpose of visualization and the type of user.

Quantitative and Qualitative Gradient of Pain Experience, Sleep Quality and Psychological Distress in Patients with Different Phenotypes of Temporomandibular Disorders

  • Choi, Hee Hun;Kim, Hye-Kyoung;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.45 no.3
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    • pp.56-64
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    • 2020
  • Purpose: Temporomandibular disorders (TMD) is a mosaic of clinical signs and symptoms that can be regarded as a set of phenotypes that are affected by various factors including pain sensitivity, pain disability, sleep and psychological functioning. The aims of this study were to evaluate association of pain experience, sleep quality and psychological distress with different phenotypes of TMD patients. Methods: This retrospective study included a cohort (n=1,858; 63.8% for female, mean age=34.9±15.9 years) of patients with TMD. A set of self-administered questionnaires concerning pain interference (Brief Pain Inventory), pain disability (Graded Chronic Pain Scale), sleep quality (Pittsburg Sleep Questionnaire Index), psychological distress (Symptom Checklist-90 revised), and pain catastrophizing (Pain Catastrophizing Scale) were administered to all participants at the first consultation. All TMD patients were classified into four groups including TMD with internal derangement without pain (TMD_ID, n=370), TMD with joint pain (TMD_J, n=571), TMD with muscle pain (TMD_M, n=541) and TMD with muscle-joint combined pain (TMD_MJ, n=376). Results: The female ratio was particularly high in the group with TMD_MJ (p=0.001). The patients with muscle pain and both muscle and joint pain had longer symptom duration (p=0.004) and presented significantly higher scores in pain experience (p<0.001), subjective sleep quality (p<0.001), pain catastrophizing (p<0.001) and psychological distress (p<0.05) except for paranoid-ideation than the groups with only joint problems. Conclusions: The results of this study highlight the importance of multi-dimensional approach that consider pain disability, sleep quality, and psychological functioning in the management of TMD with muscle component. This study would contribute to a better understanding of interaction between heterogeneous TMD and multiple risk factors in order to build tailored treatment based on different phenotypes.

Literature Review of Postoperative Delirium in Geriatric Patients After Elective Gastrointestinal Cancer Surgery

  • Park, Da-In;Choi-Kwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.20 no.3
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    • pp.177-186
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    • 2018
  • Purpose: Increasing number of older adults are receiving cancer surgeries especially for gastrointestinal cancers, which brings forth attention to age-related postoperative complication prevention. Postoperative delirium (POD) is a common complication that rises after surgical procedures involving general anesthesia, largely in the elderly population. Due to its sudden onset and fluctuating symptoms, POD often goes underdiagnosed and undertreated even though it may lead to various adverse outcomes. POD in GI cancer surgical elderly patients is poorly understood in terms of prevalence, pathophysiology, assessment, treatment and nursing management. We aimed to identify available literature and investigate study results to broaden our understanding of geriatric GI cancer POD. Methods: The search process involved six databases to identify relevant studies abided by inclusion criteria. Results: Eleven studies were selected for this review. Geriatric POD is closely related to frailty and surgical complications. Frailty increases vulnerability to surgical stress and causes cerebral changes that affect stress-regulating neurotransmitter proportions, brain blood flow, vascular density, neuron cell life and intracellular signal transductions. These conditions of frailty result in increased risks of surgical complications such as blood loss, cardiovascular events and inflammation, which all may lead to the POD. Mini Metal State Examination (MMSE), Confusion Assessment Method (CAM) and Delirium Rating Scale-revised-98 (DRS-R-98) are recommended for POD assessment to identify high-risk patients. Conclusion: The POD prevalence ranged from 8.2% to 51.0%. The multifactorial causative mechanism suggests nurses to identify highrisk elderly GI-cancer surgical patients by reviewing patient-specific factors and surgery-specific factors.

A Field Survey of Rack-Type Warehouse for Commodity Classification System in Korea (국내 랙크식 창고 수용물품 등급분류를 위한 현장조사)

  • Kim, Woon-Hyung;Lee, Young-Jae
    • Fire Science and Engineering
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    • v.30 no.2
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    • pp.98-105
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    • 2016
  • A fire risk assessment in rack-type warehouse is typically determined based on the following factors: 1. flammability and fire loads for storage of goods, packing materials, and pallet, 2. a ceiling height of warehouse indoor spaces, and 3. height, arrangement, and spacing for storage racks. For appropriately extinguishing and protecting the fire in warehouses, therefore, it is necessary to classify combustibles considering the previously mentioned factors and to develop design Standards for sprinkler system. As the first step to apply automatic sprinkler system to domestic warehouses, this study investigated characteristics for commodity distribution and warehouse configuration using 28 warehouses in five distribution complexes located in Gyeonggi-do, South Korea. In addition, this study analyzed Standards for commodity distribution adopted in USA, Europe, and Japan. Using the field survey analysis, this study was aimed to provide baseline data to prepare for Commodity Classification Standard for warehouses in South Korea.

A study on suicidal behavior factors (자살행동에 미치는 요인에 관한 연구)

  • Lee, Tae-Yong;Shin, Jong-Hun;Yu, Mi-Seon;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.6
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    • pp.2636-2643
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    • 2011
  • The aims of this study is to look for lifetime prevalence of suicide and to identify and compare their risk factors of suicidal ideation group and suicidal planning group. For six monthes from September 2008 to March 2009, researchers of Chungnam province studied 1,400 adults living in 7 cities and counties who are more than nineteen years old. Of those surveyed, suicide ideation, suicide plan and suicide attempt rates were 15.9%, 4.3% and 1.8% each. In conclusion, to prevent and manage suicide behavior effectively, we propose that people with more stress, greater depression, old age, lower quality of life and unemployment should be managed primarily.

Breast and Cervical Cancer Screening and Associated Factors among Older Adult Women in South Africa

  • Peltzer, Karl;Phaswana-Mafuya, Nancy
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2473-2476
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    • 2014
  • Background: Little is known about the cancer screening prevalence and correlates in older adults from different racial backgrounds. In the context of heightened efforts for prevention and early diagnosis, we collected information on screening for two major types of cancers: cervical and breast cancer in order to establish their prevalence estimates and correlates among older South African women who participated in the Study of Global Ageing and Adults Health (SAGE) in 2008. Materials and Methods: We conducted a national population-based cross-sectional study with a multi-stage stratified cluster sample of 3,840 individuals aged 50 years or older in South Africa in 2008. In this analysis, we only considered the female subsample of (n=2202). The measures used included socio-demographic characteristics, health variables, anthropometric and blood pressure measurements. Multivariable regression analysis was performed to assess the association of socio-demographic factors, health variables and cancer screening. Results: Overall, regarding cervical cancer screening, 24.3% ever had a Papanicolaou (PAP) smear test, and regarding breast cancer screening, 15.5% ever had a mammography. In multivariate logistic regression analysis, younger age, higher education, being from the White or Coloured population group, urban residence, greater wealth, and suffering from two or more chronic conditions were associated with cervical cancer screening, and higher education, being from the White or Indian/Asian population group, greater wealth, having a health insurance, and suffering from two or more chronic condtions were associated with breast cancer screening. Conclusions: Cancer screening coverage remains low among elderly women in South Africa in spite of the national guideline recommendations for regular screening in order to reduce the risk of dying from these cancers if not detected early. There is a need to improve accessibility and affordability of early cervical and breast cancer screening for all women to ensure effective prevention and management of cervical and breast cancer.

Post-traumatic Stress Disorder and Post-traumatic Growth in Breast Cancer Patients - a Systematic Review

  • Parikh, Darshit;Ieso, Paolo De;Garvey, Gail;Thachil, Thanuja;Ramamoorthi, Ramya;Penniment, Michael;Jayaraj, Rama
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.641-646
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    • 2015
  • Breast cancer (BC) is potentially a traumatic stressor which may be associated with negative outcomes, such as post-traumatic stress disorder (PTSD) or positive changes, such as post-traumatic growth (PTG). This study aims to identify the core issues of BC related PTSD, PTG and psychological distress by interrogating the literature in BC survivors. We have also highlighted issues related to the assessment, diagnosis and clinical management of PTSD and PTG. The authors systematically reviewed studies published from 1985 to 2014 pertaining to PTSD, psychological distress and PTG in BC survivors with particular attention paid to incidence rates and causative factors. Multiple studies intimated that women with BC have evidence of PTSD at the initial stages of diagnosis, whereas PTG develops once patients undergo treatment. Early diagnosis and treatment of PTSD/PTG is paramount from literature review but the previously mentioned relationship between PTSD and PTG in BC patients could not be verified. It is evident from the literature that a small percentage of BC patients experience PTSD, while the majority experience PTG after BC diagnosis and treatment. Future research should include prospective studies focusing on high-risk patients, causative factors and the development of psychological interventions.

Prevalence and Related Factors of Clonorchiasis among Five Major Riverside Residents in South Korea

  • Kim, Chunmi;June, Kyung Ja;Cho, Shin Hyeong;Park, Kyung Soon;Lee, Hung Sa;Park, Ji Yeon
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.346-357
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    • 2016
  • Purpose: This study attempted to investigate the prevalence and related factors of Clonorchiasis among five major riverside residents in South Korea. Methods: This study is descriptive research, nationwide survey, and the subjects are 23,492 residents selected by convenience sampling. Data collection was conducted between March 1 and June 30, 2011, and stool collection and questionnaire survey were conducted by affiliated public health centers in 38 cities and Gun's. Results: The prevalence rates of Clonorchiasis in the five major riversides were as follows: the Guem River 15.2%; the Nakdong River 11.9%; the Seomjin River 10.9%; the Han River 5.7%; and the Yeongsan River 3.9%. The prevalence rates were shown to be significantly high among people who had highly frequent experiences of eating and cooking freshwater raw fish, were diagnosed with liver and/or biliary tract diseases, and drank less than once a month. Conclusion: These results suggest that it is necessary to improve awareness of Clonorchiasis and provide intensive public health education for the riverside residents. And the target groups should be set up by reflecting the characteristics of at-risk groups, and it is necessary to prepare customized strategies for prevention and management of Clonorchiasis.

Influence of the Meaning in Life, Depression, and Social Support on the Suicidal Ideation of Old Adult Hemodialysis Patients (노인 혈액투석 환자의 삶의 의미, 우울, 사회적 지지가 자살생각에 미치는 영향)

  • Shin, Jinhee;Sim, Hyebeen;Cho, Eunhee
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.279-289
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    • 2020
  • Purpose: This study is to identify how the meaning in life, depression, and social support influences the suicidal ideation of old adult hemodialysis patients. Methods: A cross-sectional design was used. A descriptive correlative study was conducted through an organized and structured self-administrated questionnaire survey for 120 sampled old adult renal dialysis patients. The collected data were analyzed by t-tests, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis using the Stata 13.0 program. Results: The suicidal ideation of participants was positively correlated with the meaning in life, and social support, and the depression was negatively correlated with the suicidal ideation. Significant factors influencing the suicidal ideation included the meaning in life, depression, social support, age, caregiver, monthly income, and smoking. These factors explained 68% of the variance. Conclusion: The depression of old adult hemodialysis patients was a major risk factor that increased suicidal ideation, and the meaning in life and social support was a protective factor that reduced the suicidal ideation. These results suggest that health professionals should provide old adult hemodialysis patients with proper management of suicidal ideation, and depression as well as its meaning in life, and social support.