• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.4829-4837
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• 2014

The present systematic review and meta-analysis was conducted to assess any association between breastfeeding and the risk of ovarian cancer. A systematic search of published studies was performed in PUBMED and EMBASE and by reviewing reference lists from retrieved articles through March 2013. Data extraction was conducted independently by two authors. Pooled relative risk ratios were calculated using random-effect models. Totals of 5 cohort studies and 35 case-control studies including 17,139 women with ovarian cancer showed a 30% reduced risk of ovarian cancer when comparing the women who had breastfed with those who had never breastfed (pooled RR = 0.70, 95% CI: 0.64-0.76; p = 0.00), with significant heterogeneity in the studies (p = 0.00; I2 = 76.29%). A significant decreasd in risk of epithelial ovarian cancer was also observed (pooled RR = 0.68, 95% CI: 0.61-0.76). When the participants were restricted to only parous women, there was a slightly attenuated but still significant risk reduction of ovarian cancer (pooled RR = 0.76, 95% CI: 0.69-0.83). For total breastfeeding duration, the pooled RRs in the < 6 months, 6-12 months and > 12 months of breastfeeding subgroups were 0.85 (95% CI: 0.77-0.93), 0.73 (95% CI: 0.65-0.82) and 0.64 (95%CI: 0.56-0.73), respectively. Meta-regression of total breastfeeding duration indicated an increasing linear trend of risk reduction of ovarian cancer with the increasing total breastfeeding duration (p = 0.00). Breastfeeding was inversely associated with the risk of ovarian cancer, especially long-term breastfeeding duration that demonstrated a stronger protective effect.

• 한국건설관리학회논문집
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• 제13권6호
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• pp.63-70
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• 2012

우리나라 주택유형 가운데 대부분을 차지하는 공동주택은 급격한 도시화가 진행됐던 과거, 공급위주에서 소비물량의 한계에 직면하며 수요중심으로 전환되었다. 따라서 주택품질에 대한 소비자의 요구도는 다양화 다변화되고 있으며, 이를 충족시키기 위해서는 건설단계에부터 하자 예방을 위한 효율적이고 체계적인 품질관리가 요구된다. 이에 본 연구에서는 공동주택 하자의 효율적이고 체계적인 관리를 위해 최근 5년 이내 입주가 완료된 공동주택 사례를 대상으로 발생빈도 및 하자보수 손실비용 분석과 거주자 만족도조사를 실시하여 보정 및 수치화에 의한 정량적 공동주택 하자 위험성 평가표를 구축 제시하였다.

• 한국직업건강간호학회지
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• 제25권1호
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• pp.41-54
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• 2016

Purpose: The purposes of this study were to review the research trends and to identify developmental direction of studies on community interventions according to the ecological model for workers with cardiovascular diseases (CVD) risk factors. Methods: Electronic databases including PsycINFO, PubMed, EMBASE, CINAHL, and Cochrane Library and the reference lists of articles were searched. All articles were assessed in relation to inclusion and exclusion criteria, resulting in 29 researches being reviewed. Each review was critically appraised by two authors using a guideline of PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Results: Nowadays, interventions in organizational level, integrated and web-based interventions are increasing to prevent CVD risk factors for workers. Even though the importance of psychosocial aspects to prevent CVD, the only 2 studies included psychosocial factors in the outcome variables. Also, 14% among 29 researches were based on theories. Conclusion: Psychosocial factors such as job stress, depression, and emotional labor could be CVD risk factors. Therefore, interventions including psychosocial aspects are needed to prevent workers' CVD risks more effectively. Theory-based interventions are needed to support interventions' effects and to develop the nursing science.

• 보건교육건강증진학회지
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• 제33권4호
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• pp.89-100
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• 2016

Objectives: Life style modification leads to decrease health risk and change of health status for person at health risk. This study aimed to suggest essential components and effective strategies for customized health management service to provide individual and risk group in public and private health care organizations. Methods: To systematic review the essential component of health management service, I performed to collect political legislation, research papers, reports, publication and public release for heath management service from 2008 to 2016. Essential components of heath management service were service scope, service design, organizations and applied technology. Results: Service cope was composed of health risk factors, such as smoking, drinking, nutrition, physical activity and weight control. Main strategies were customized health management services, personalized behavior modification programs, evidence-based service protocol, utilization of information and communications technology (ICT), multi-dimension and multi-level approach, and public and private organizations partnership through health policies and health care system. Conclusions: To make the most of the limited resources, it should require a systematic approach that focuses on continuous monitoring and partnership of health management service.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3229-3234
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• 2016

Background: Bone mineral density (BMD) is a lifetime marker of estrogen in a woman's body and has been associated with increased breast cancer risk. Nonetheless the actual association is still debatable. Furthermore, estrogen is very crucial in maintaining human bone density and gradually decreases over age. A systematic search was conducted to assess any association of BMD with breast cancer risk factors among premenopausal and postmenopausal women. Materials and Methods: Review identification was performed through databases searching on MEDLINE, CINAHL and SCOPUS and 19 qualified studies were elected. The keywords used were "bone mineral density", "breast cancer", and "breast density". Results: A total of 19 articles showed variation with the majority of the studies focused on postmenopausal and a few focused on premenopausal women. Overall there was no concensus on effects. Conclusions: An enormous effort is being undertaken by researchers to prove that BMD might be one of the significant risk factors for breast cancer.

• 벤처창업연구
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• 제7권2호
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• pp.195-205
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• 2012

본 연구는 청소년쉼터에 입소한 가출위기청소년의 자립생활준비에 관해 살펴보고 가출위기청소년의 개인적 특성과 자립에 영향을 주는 자립의 촉진요인과 저해요인을 파악하여 이들의 건강한 성장을 위한 경제적 자립, 교육적 자립, 심리적 자립, 사회적 자립의 다차원적 관점에서 가출위기청소년의 자립에 대한 의식과 욕구수준을 파악하고 성공적인 자립을 위한 필요요인을 확인하여 자립생활 준비를 위해 개입할 수 있는 근거를 확립하고자 하였다. 본 연구의 자립생활준비에 영향을 미치는 변인을 분석한 결과는 다음과 같다. 첫째, 미시체계 변인이 자립생활 준비에 미치는 영향을 살펴본 결과 진로준비행동에 문제해결능력, 자기효능감이 영향을 미치는 것으로 나타났다. 둘째, 중시체계 변인이 자립생활 준비에 미치는 영향을 살펴본 결과 진로준비행동에는 자립준비프로그램 참여, 시설지원이 영향을 미치는 요인으로 나타났으며, 가출위기청소년의 진로성숙에는 교사와의 관계, 자립준비프로그램 참여만이 영향을 미치는 요인으로 나타났다. 셋째, 거시체계 변인이 자립생활 준비에 미치는 영향을 살펴본 결과 진로준비행동에는 지역사회조직 참여, 서비스 연계가 영향을 미치는 요인으로 나타났으며, 가출위기청소년의 진로성숙에는 지역사회조직 참여만이 영향을 미치는 예측변인으로 나타났다. 넷째, 진로준비행동에 영향을 미치는 생태체계변인을 살펴본 결과 가출위기청소년의 진로준비행동에는 중간변인과 거시변인이 가장 강력한 영향을 미치는 요인으로 나타났다. 이에 정책적 개입으로 가출위기청소년들의 자립생활준비를 위해 문제해결능력과 직업능력개발과 역량강화 교육이 필요하고 쉼터교사의 전문인력이 확대, 배치가 필요하다. 쉼터의 특성을 고려한 자립준비프로그램이 적극적이고 실질적인 프로그램개발확대가 필요하고, 지역사회의 인적자원과 서비스 프로그램 등을 활용하여 지역사회와의 지지망을 구축하는 것이 필요하다. 가출위기청소년들의 가출을 독립을 위한 전단계로 사회가 이해하고 성인이 될 때까지 사회에 안정적인 정착을 위해 주택지원이 주택복지차원에서 필요하다. 가출위기청소년의 건강한 성장을 위한 건강, 심리, 학습, 자활활동을 위한 맞춤교육으로 전문인을 양성하는 직업진로교육의 지원이 필요하다.

• Journal of Information Technology Applications and Management
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• 제15권2호
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• pp.67-82
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• 2008

Risk that breed large size disaster is happening variously for cause at social. natural a management. Incidence and damage scale are trend that increase rapidly than past. In these circumstance, to keep operational continuity of organization, area, society, risk management action that establish systematic counter measure estimating and analyze occurrence possibility and expectation damage of risk is essential indispensable issue and the best countermeasure. Risk management action does by main purpose establish optimum disaster reduction countermeasure. To deduce various countermeasure, process that estimate and analyze occurrence possibility and expectation damage of risk is essential indispensable issue. Therefore, this paper studies process design that can presume risk occurrence frequency and damage scale through distribution of probability.

• 디자인학연구
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• 제16권4호
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• pp.69-78
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• 2003

웹 디자인 프로젝트에서 리스크 매니지먼트는 매우 중요한 프로젝트 매니지먼트 항목 중 하나이다. 리스크 매니지먼트란 웹 디자인 프로젝트 위기사항을 피하기 위하여 시간을 가지고 리스크의 원인을 찾아내어 적절한 대응책을 강구하여 프로젝트의 최종 목표를 성공적으로 수행하는데 있다. 즉 프로젝트 3대 요소인 일정, 비용, 품질을 만족하기 위한 프로세스이다. 본 논문은 첫째, 웹 디자인 프로젝트 매니지먼트의 개념 및 목적, 프로세스와 지식 영역을 살펴보고 둘째, 웹 디자인 프로젝트 기 계획 단계에서 리스크 매니지먼트 계획에 대한 체계적인 리스크 매니지먼트 프로세스와 리스크 관리 모델을 제안하고 있다. 세 째는 제시한 리스크 매니지먼트 모델의 표준화 및 모델 화의 타당성을 실제 사례인 E사 프로젝트를 통해 검증하고 있다.

• Nuclear Engineering and Technology
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• 제50권8호
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• pp.1210-1216
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• 2018

Site or multi-unit (MU) risk assessment has been a major issue in the field of nuclear safety study since the Fukushima accident in 2011. There have been few methods or experiences for MU risk assessment because the Fukushima accident was the first real MU accident and before the accident, there was little expectation of the possibility that an MU accident will occur. In addition to the lack of experience of MU risk assessment, since an MU nuclear power plant site is usually very complex to analyze as a whole, it was considered that a systematic method such as probabilistic safety assessment (PSA) is difficult to apply to MU risk assessment. This paper proposes a new MU risk assessment methodology by using the conventional PSA methodology which is widely used in nuclear power plant risk assessment. The logical failure structure of a site with multiple units is suggested from the definition of site risk, and a decomposition method is applied to identify specific MU failure scenarios.

• 척추신경추나의학회지
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• 제16권2호
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• pp.1-8
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• 2021

Objectives This study aimed to evaluate the effect of chuna manual therapy (CMT) for postpartum low back pain using a systematic review. Methods We performed a literature search using 12 electronic databases up to the end of September 2021. We included randomized controlled trials (RCTs) that evaluated the effect of CMT in the treatment of postpartum low back pain. The risk of bias was evaluated using the Cochrane risk-of-bias tool. Results Four randomized controlled trials were reported statistically significant effect in pain VAS, ODI and JOA of chuna manual therapy compared with moxibution, electro acupuncture, hyperthermia or usual care. As a result of assessing the risk of bias tool, most of the contents of the evaluation items were not identified, so it was evaluated as an uncertain risk. Conclusions CMT may be effective in treating postpartum low back pain. However, evidence was limited due to the small sample size, lack of well-designed RCTs and regional bias. Further well-designed studies are required to obtain stronger evidence.