• 제목/요약/키워드: initial risk

검색결과 860건 처리시간 0.028초

MODELING MEASURES OF RISK CORRELATION FOR QUANTITATIVE FLOAT MANAGEMENT OF CONSTRUCTION PROJECTS

  • Richard C. Jr. Thompson;Gunnar Lucko
    • 국제학술발표논문집
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    • The 5th International Conference on Construction Engineering and Project Management
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    • pp.459-466
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    • 2013
  • Risk exists in all construction projects and resides among the collection of subcontractors and their array of individual activities. Wherever risk resides, the interrelation of participants to one another becomes paramount for the way in which risk is measured. Inherent risk becomes recognizable and quantifiable within network schedules in the form of consuming float - the flexibility to absorb delays. Allocating, owning, valuing, and expending such float in network schedules has been debated since the inception of the critical path method itself. This research investigates the foundational element of a three-part approach that examines how float can be traded as a commodity, a concept whose promise remains unfulfilled for lack of a holistic approach. The Capital Asset Pricing Model (CAPM) of financial portfolio theory, which describes the relationship between risk and expected return of individual stocks, is explored as an analogy to quantify the inherent risk of the participants in construction projects. The inherent relationship between them and their impact on overall schedule performance, defined as schedule risk -the likelihood of failing to meet schedule plans and the effect of such failure, is matched with the use of CAPM's beta component - the risk correlation measure of an individual stock to that of the entire market - to determine parallels with respect to the inner workings and risks represented by each entity or activity within a schedule. This correlation is the initial theoretical extension that is required to identify where risk resides within construction projects, allocate and commoditize it, and achieve actual tradability.

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난치성 당뇨 족부 궤양에 대한 임상적 고찰: 치료에 영향을 미치는 인자 분석 (Clinical Analysis of Intractable Diabetic Foot Ulcers: Accessing Risk Factors)

  • 박세진;이승희;박헌용;김장환;신헌규;김유진;최재열
    • 대한족부족관절학회지
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    • 제15권4호
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    • pp.232-239
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    • 2011
  • Purpose: Diabetic foot ulcer is one of the most important diabetic complications because it increases the risk of amputations. Moreover, it lowers the quality of patients' life and increases the social medical expenses. Authors analyzed risk factors of intractable diabetic foot ulcer using retrospective study. Materials and Methods: From January 2007 to December 2010, 40 patients who could not achieve complete healing despite more than 12 weeks of proper management among who had been diagnosed and treated as diabetic foot ulcer at our hospital were included and evaluated retrospectively. We compared the risk factors between two groups who were finally treated by amputation and non-amputation. Results: The sample was composed of 31 male patients (77.5%) and 9 female patients (22.5%). Comorbidity including hypertension and hyperlipidemia were 77.5% and 80% each. By Wagner classification, 30 patients (80%) had ulcerative lesion over the grade 3. From bacteriology results, 29 patients (72.5%) had polybacteria infection. 35 patients (87.5%) had neuropathy and 26 patients (65%) had vascular stenosis at least one level. The mean initial ankle-brachial index and toe-brachial index were 0.982 and 0.439. In comparison between amputation group and non-amputation group, ulcer severity, number of stenotic vessel and initial ankle-brachial index/toe-brachial index had statistical significance. Conclusion: The most commonly risk factor of intractable diabetic foot ulcer was peripheral neuropathy reaching 87.5% of cases. In comparison with non-amputation group, ulcer severity according to Wagner classification, number of stenotic vessel and initial ankle-brachial index/toe-brachial index were demonstrated as a risk factor of amputation in intractable diabetic foot ulcer.

A More Detailed Classification of Mild Head Injury in Adults and Treatment Guidelines

  • Lee, Young-Bae;Kwon, Sun-Ju
    • Journal of Korean Neurosurgical Society
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    • 제46권5호
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    • pp.451-458
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    • 2009
  • Objective : The purpose of this study was to analyze risk factors that are associated with intracranial lesion, and to propose criteria for classification of mild head injury (MHI), and appropriate treatment guidelines. Methods : The study was based on 898 patients who were admitted to our hospital with Glasgow Coma Scale (GCS) score of 13 to 15 between 2003 and 2007. The patients' initial computerized tomography (CT) findings were reviewed and clinical findings that were associated with intracranial lesions were analyzed. Results : GCS score, loss of consciousness (LOC), age and skull fracture were identified as independent risk factors for intracranial lesions. Based on the data ana lysed in this study, MHI patients were divided into four subgroups : very low risk MHI patients are those with a GCS score of 15 and without a history of LOC or headache; low risk MHI patients have a GCS score of 15 and with LOC and/or headache; medium risk MHI patients are those with a GCS score of 15 and with a skull fracture, neurological deficits or with one or more of the risk factors; high risk MHI patients are those with a GCS score of 15 with abnormal CT findings and GCS score of 14 and 13. Conclusion : A more detailed classification of MHI based on brain CT scan findings and clinical risk factors can potentially improve patient diagnosis. In light of our findings, high risk MHI patients should be admitted and treated in same manner as those with moderate head injury.

Risk Factors for COVID-19 Infection Among Healthcare Workers. A First Report From a Living Systematic Review and meta-Analysis

  • Dzinamarira, Tafadzwa;Nkambule, Sphamandla Josias;Hlongwa, Mbuzeleni;Mhango, Malizgani;Iradukunda, Patrick Gad;Chitungo, Itai;Dzobo, Mathias;Mapingure, Munyaradzi Paul;Chingombe, Innocent;Mashora, Moreblessing;Madziva, Roda;Herrera, Helena;Makanda, Pelagia;Atwine, James;Mbunge, Elliot;Musuka, Godfrey;Murewanhema, Grant;Ngara, Bernard
    • Safety and Health at Work
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    • 제13권3호
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    • pp.263-268
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    • 2022
  • Health care workers (HCWs) are more than ten times more likely to be infected with coronavirus infectious disease 2019 (COVID-19) than the general population, thus demonstrating the burden of COVID-19 among HCWs. Factors that expose HCWs to a differentially high-risk of COVID-19 acquisition are important to elucidate, enable appropriate public health interventions to mitigate against high risk and reduce adverse outcomes from the infection. We conducted a systematic review and meta-analysis to summarize and critically analyze the existing evidence on SARS-CoV-2 risk factors among HCWs. With no geographical limitation, we included studies, in any country, that reported (i) the PCR laboratory diagnosis of COVID-19 as an independent variable (ii) one or more COVID-19 risk factors among HCWs with risk estimates (relative risk, odds ratio, or hazard ratio) (iii) original, quantitative study design, and published in English or Mandarian. Our initial search resulted in 470 articles overall, however, only 10 studies met the inclusion criteria for this review. Out of the 10 studies included in the review, inadequate/lack of protective personal equipment, performing tracheal intubation, and gender were the most common risk factors of COVID-19. Based on the random effects adjusted pooled relative risk, HCWs who reported the use of protective personal equipment were 29% (95% CI: 16% to 41%) less likely to test positive for COVID-19. The study also revealed that HCWs who performed tracheal intubations were 34% (95% CI: 14% to 57%) more likely to test positive for COVID-19. Interestingly, this study showed that female HCWs are at 11% higher risk (RR 1.11 95% CI 1.01-1.21) of COVID-19 than their male counterparts. This article presents initial findings from a living systematic review and meta-analysis, therefore, did not yield many studies; however, it revealed a significant insight into better understanding COVID-19 risk factors among HCWs; insights important for devising preventive strategies that protect them from this infection.

Concept Selection of NPP Construction Delay Risk Assessment Methodology Using Systems Engineering Approach

  • Hossen, Muhammed Mufazzal;Kang, Sunkoo;Jung, JC;Kim, Jonghyun
    • 시스템엔지니어링학술지
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    • 제11권1호
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    • pp.9-24
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    • 2015
  • Construction industry faces a lot of inherent uncertainties and issues and the construction phase of nuclear power project is not free from this risk. This paper investigates promising methodologies to be used on nuclear power plant (NPP) construction schedule delay risk assessment by using entry level systems engineering approach. This study contains how the initial concept for the risk assessment methodology has been developed. In this point of view, this work structured on three main phases: needs analysis (NA), concept exploration (CE), and concept definition (CD) through systems engineering (SE) approach. Traditionally, the SE process is applied to technical development programs but this study opens up a new avenue that SE can also be successfully applied to the development and optimization of the risk assessment model. This study provides a rational and systematic process for developing and selecting the best risk assessment model. This paper selects analytic hierarchy process (AHP) method to assess NPP construction schedule delay risk for international project. As conclusion, the proposed concept and selected method can discriminate successfully and clearly among schedule delay risk assessment methods.

간호사의 주사침 자상 위험행동 측정도구 개발 (Development of the Needlestick Injuries Risk Behavior Scale for Nurse)

  • 공희경;강소영
    • 한국콘텐츠학회논문지
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    • 제17권12호
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    • pp.215-225
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    • 2017
  • 본 연구는 주사침 자상을 유발하는 위험행동을 측정하기 위한 도구를 개발하고 타당도와 신뢰도를 검정하는 방법론적 연구이다. Reason(1990)의 불안전한 행동 이론을 토대로 25개 문항의 주사침 자상 위험행동 도구(NIRB scale)을 개발하였다. 요인분석 결과 주사바늘 뚜껑을 다시 씌우는 위험행동, 채혈검체를 옮길 때 주사바늘을 사용하는 위험행동, 사용한 주사바늘을 분리하는 위험행동, 주사바늘을 사용하는 주사행위 중 위험행동, 주사행위 후 사용한 주사바늘 처리 시 위험행동, 주사행위 준비 시 위험행동의 6개 요인이 추출되었다. 본 연구를 통해 주사침 자상 위험행동 측정도구의 신뢰도, 구성 및 준거타당도를 입증하였다.

VaR개념을 응용한 건설공사 위험허용도 산정방법 (The construction project's risk threshold calculation methodology applying a concept of VaR)

  • 김선규;김재준;김경래
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2001년도 학술대회지
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    • pp.65-72
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    • 2001
  • 최근 들어 건설환경이 더욱 복잡해지고 경쟁이 치열해짐에 따라 위험관리의 중요성이 더욱 부각되고 있다. 그러나 건설공사에 적용되는 대부분의 위험관리 기법들이 사업초기단계에서 위험분석에 집중되어 있어, 건설과정에서 공정관리, 원가관리 또는 품질관리처럼 일상적인 관리기법으로 개발되어 있지 않다. 본 논문에서는 건설공사에서 위험관리를 일상적인 관리기법으로 적용하기 위하여 위험허용도 중심의 위험대응 프로세스를 제안하고, VaR개념을 응용한 위험허용도 산정방법을 제시하고자 한다.

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Factors Influencing Recurrent Chronic Subdural Hematoma after Surgery

  • Kang, Min-Su;Koh, Hyeon-Song;Kwon, Hyon-Jo;Choi, Seung-Won;Kim, Seon-Hwan;Youm, Jin-Young
    • Journal of Korean Neurosurgical Society
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    • 제41권1호
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    • pp.11-15
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    • 2007
  • Objective : The authors attempted to confirm the risk factors for recurrent chronic subdural hematoma[CSDH] after simple burr-hole drainage. Methods : A total of 302 patients with CSDH who were treated at our hospital between January 1998 and May 2005 were studied. Various parameters considered for analysis of factors associated with CSDH recurrence; demographic and clinical findings [age, sex, history of seizures, diabetes, vascular diseases], initial and perioperative CT findings [hematoma density, location of catheter tip, post operative intracranial air, intracranial hematoma extension, hematoma width, hematoma site]. Results : Twenty-four patients [7.9%] experienced recurrence, whereas 278 patients [92.1%] did not. Five major risk factors should be considered : 1) layered type by hematoma density, 2) type I, II by location of catheter tip, 3) presence of postoperative intracranial air, 4) cranial base type of intracranial hematoma extension, 5) greater hematoma width. Conclusion : In this study, we report that the incidence of postoperative CSDH recurrence can be reduced by the examination of the hematoma characteristics on initial and perioperative CT findings and by preventing subdural air accumulation during operation. In addition, the location of the catheter tip can be used as a helpful factor in reducing the recurrence.

연약지반상 위생매립지 안정성 평가에 대한 문제점 분석과 개선방향 (Slope Stability Evaluation System of Sanitary Landfill on Soft Ground and Its Reliability)

  • 우동찬;송좌빈
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 1997년도 봄 학술발표회 논문집
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    • pp.161-168
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    • 1997
  • The purpose of this study is to evaluate the possibility of normalization of the distibutions of soil parameters taken from soft ground and the reliability of the safety factors of specific objects on it, including sanitary landfill. Through this study it is found that distributions of soil parameters could be adjusted to appropriate normal distributions as possibility density functions(PDF), and that especially the group of initial cohesions and the coresponding safety factors has a perfect linear correlation. According to those results the PDF to initial cohesion as possibility parameter can not only be tmsformed to the PDF to safety factor but also, conseqently, the reliability of the safety factor(SF) simply based on the mean value of soil parameter(Co) can be calculated or easily picked up from the standrad normal distribution table. It is therefore concluded that even though calculated values of safety factors are over any standard requirements some possibility of risk both to the objects and natural soft ground could be still existing, and also a new standard value for this slope stability control system should be derived just by adjusting old one according to the magnitude of risk possibility.

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지진위험도평가 방법을 이용한 내진성능관리 의사결정 (Decision Making of Seismic Performance Management Using Seismic Risk Assessment)

  • 김동주;최지혜;김병화
    • 한국지진공학회논문집
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    • 제23권6호
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    • pp.329-339
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    • 2019
  • The strategy for the management of earthquakes is shifting from post recovery to prevention; therefore, seismic performance management requires quantitative predictions of damage and the establishment of strategies for initial responses to earthquakes. Currently, seismic performance evaluation for seismic management in Korea consists of two stages: preliminary evaluation and detailed evaluation. Also, the priority of seismic performance management is determined in accordance with the preliminary evaluation. As a deterministic method, preliminary evaluation quantifies the physical condition and socio-economic importance of a facility by various predetermined indices, and the priority is decided by the relative value of the indices; however, with the deterministic method it is difficult to consider any uncertainty related to the return-year, epicenter, and propagation of seismic energy. Also this method cannot support tasks such as quantitative socio-economic damage and the provision of data for initial responses to earthquakes. Moreover, indirect damage is often greater than direct damage; therefore, a method to quantify damage is needed to enhance accuracy. In this paper, a Seismic Risk Assessment is used to quantify the cost of damage of road facilities in Pohang city and to support decision making.