• Title/Summary/Keyword: minimizing risk

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Acute airway obstruction resulting in Pneumonia after palatoplasty: A Case Report (구개성형술후 폐렴을 동반한 급성 기도 폐색: 증례보고)

  • Ra, Ju-Il;Koo, Hyun-Mo;Jeong, Jong-Sun;Park, Chul-Hui;Kim, Hyeon-Min;Song, Min-Seok
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.2
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    • pp.81-86
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    • 2005
  • Cleft palate patients with congenital anomalies have an increased risk of airway problems following palatoplasty. Factors that were related included presence of associated congenital anomalies, duration of surgery, age at time of surgery, history of previous airway problem, and excessive pressure exerted on the base of the tongue by Dingman retractor. This report described a complication of post-operative Pneumonia after palatoplasty (Furlow technique), which resulted in a life-threatening acute airway obstruction in an infant with cleft palate. Patient has a history of previous mild airway problems. In addition to this problem, we speculate that Furlow technique involves more extensive surgical dissection than other techniques may increase risk for upper airway obstruction. Awareness of this risk permits identifying those patients prior to surgery so that they can be monitored and managed properly, minimizing the likelihood of major complications or possibility of death.

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Exploring the Distribution of Organizational Risk and Assessing Internal Audit Effectiveness: A Systematic Review

  • Arum ARDIANINGSIH;Doddy SETIAWAN;Wahyu WIDARJO;Payamta PAYAMTA
    • Journal of Distribution Science
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    • v.22 no.4
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    • pp.59-68
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    • 2024
  • Purpose: The function of internal audit is to help achieve company goals and targets by minimizing the impact of business risks. The distribution of internal audit activities in carrying out control and supervision covers all aspects or activities at all levels of management. The aim of the research is to determine the distribution of risk-based internal audit effectiveness assessments in companies. Data and Research Design Methodology: Researchers examined research trends regarding things that could influence the distribution of the effectiveness of the internal audit function from 2007 to 2023.This research used a systematic literature review (SLR) research method. This research used 23 papers sourced from the Scopus database. Results: The distribution of the effectiveness of audit services provided by internal auditors is more influenced by the personal characteristics of internal auditors and has little to do with the leadership of the chief internal auditor, technology, and risk management. Conclusion: The distribution of monitoring services provided by internal auditors covers all levels of departments or divisions of the organization. The assessment of internal audit effectiveness is more influenced by the auditor's personal attributes such as independence, competence, and management support.

Design and Implementation of Big Data Analytics Framework for Disaster Risk Assessment (빅데이터 기반 재난 재해 위험도 분석 프레임워크 설계 및 구현)

  • Chai, Su-seong;Jang, Sun Yeon;Suh, Dongjun
    • Journal of Digital Contents Society
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    • v.19 no.4
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    • pp.771-777
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    • 2018
  • This study proposes a big data based risk analysis framework to analyze more comprehensive disaster risk and vulnerability. We introduce a distributed and parallel framework that allows large volumes of data to be processed in a short time by using open-source disaster risk assessment tool. A performance analysis of the proposed system presents that it achieves a more faster processing time than that of the existing system and it will be possible to respond promptly to precise prediction and contribute to providing guideline to disaster countermeasures. Proposed system is able to support accurate risk prediction and mitigate severe damage, therefore will be crucial to giving decision makers or experts to prepare for emergency or disaster situation, and minimizing large scale damage to a region.

Occupational Health and Safety Risk Assessment Checklist for Preventing Accidents During Building Design Phase (재해예방을 위한 건축공사 설계단계 안전 위험성 평가 체크리스트)

  • Han, Byoung-Soo;Park, Chan-Sik;Hong, Sung-Ho
    • Korean Journal of Construction Engineering and Management
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    • v.8 no.2
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    • pp.68-74
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    • 2007
  • It has been recognized that safety management is activated during the construction phase to prevent accidents and fatalities of workers. However, It is revealed that about 15% of fatal death accidents is caused by the lack of management of planning and design phases. There is a crucial need of assessing safety risk during building design phase. This paper is aimed to develop a safety risk assessment checklist that can be used during building design phase, utilizing the concept of Design for Safety. In doing so, a broad literature survey on safety management of building Process, various safety risk assessment toolboxes being utilized in the HSE and the BAA of UK. The proposed checklist contains the followings: 1) classification structure for safety design on space, element, and trade work 2) hazard risk factor, probability and degree of intensity of accident occurrence, and 3) safety assessment criteria. It is expected that the checklist would be an effective tool of preventing and minimizing fatal accidents of building construction projects.

Dental Treatment for Patients with Non-Vitamin K Antagonist Oral Anticoagulant (비타민 K길항제가 아닌 항응고제를 복용하는 환자들을 위한 치과 치료)

  • Sung, Iel-Yong
    • The Journal of the Korean dental association
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    • v.57 no.10
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    • pp.613-622
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    • 2019
  • The vitamin K antagonist (VKA), cumadin, or warfarin, is the only antithrombotic drug that can be orally administered and has excellent effective for decades. However, it is cumbersome to periodically inspect the prothrombin time (PT) order to maintain adequate concentrations that do not cause bleeding, takes a few days to indicate therapeutic effects, gets affected by several factors such as food and drugs etc, and narrow in the therapeutic range. Although recently in development, the non-vitamin K antagonist anticoagulants(NOACs) exhibit a rapid onset of action and have relatively short half- lives compared to Coumadin. Because of these pharmacokinetic properties, it is possible to modify an individual's anticoagulation status quite rapidly, minimizing the period where the anticoagulation activity is therapeutically suboptimal. And the short half -lives of these drug allow for the relatively rapid reduction of their anticoagulation effects. There are currently no published clinical trials specifically assessing the bleeding risks associated with dental procedures for patients taking the NOACs. It is not necessary to interrupt NOAC medication for dental procedures that are likely to cause bleeding, but which have a low risk of bleeding complications. Because the bleeding risk for these procedures is considered to be low, the balance of effects is in favour of continuing the NOAC treatment without modification, to avoid increasing the risk of a thromboembolic event. The patients should be advised to miss(apixaban or dabigatran) or delay(rivaroxaban) a dose of their NOAC prior to dental procedures that are likely to cause bleeding and which have a higher risk of bleeding complications. Because the risk of bleeding complications for these procedures is considered to be higher, the balance effects is in favour of missing or delaying the pretreatment NOAC dose. The interruption is only for a short time to minimize the effect on thromboembolic risk.

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Knowledge, Awareness and Health Risk Concerns on Occupational Exposure to Radiation among Firefighters in Korea (소방공무원의 직업적 방사선노출에 대한 지식, 자각 및 건강피해 우려)

  • Lee, Hyeongyeong;Yoon, Hyeongwan;Park, Jeongim
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.25 no.4
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    • pp.516-524
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    • 2015
  • Objectives: This study aims to investigate the current status of knowledge, awareness and health risk concerns on occupational radiation exposures among firefighters in Korea. The results will provide basic information for developing a prevention program to minimize adverse health effects relating to radiation exposure among firefighters. Methods: A questionnaire was composed of general characteristics of participants, and their knowledge, awareness, health risk concerns relating to occupational radiation exposure. It was distributed by email to all of 307 firefighters in Jeollabukdo in April 2014 and 259 of them (response rate 84.3%) were responded. Answers were analyzed for descriptive statistics including frequencies and percentages. SPSS/WIN 18.0 program was utilized for statistical analysis of t-test, ANOVA and Pearson's correlation. Results: The average score of radiation protection knowledge was $5.83{\pm}1.77$ ($average{\pm}SD$) out of 10. The score of awareness and health risk concerns on radiation exposure were 4.27, 3.94 out of 5, respectively. The results indicated that the knowledge on the characteristics of radiation was marginal among the firefighters, while the awareness and health risk concerns relating to radiation exposures were relatively higher comparing to other professions. Conclusions: Knowing the characteristics of potential risks is the first step for minimizing the adverse health effects relating to the risks. Therefore, it is necessary to provide adequate training and information on radiation and exposure protection methods for firefighters.

Noninvasive prenatal test for fetal chromosomal aneuploidies by massively parallel sequencing of cell-free fetal DNA in maternal plasma: The first clinical experience in Korea

  • Han, Sung-Hee;Yang, Young-Ho;Ryu, Jae-Song;Kang, Myung-Soo;Kim, Young-Jin;Lee, Kyoung-Ryul
    • Journal of Genetic Medicine
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    • v.12 no.2
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    • pp.85-91
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    • 2015
  • Purpose: Noninvasive prenatal test (NIPT) by massively parallel sequencing (MPS) of cell-free fetal DNA in maternal plasma marks a significant advancement in prenatal screening, minimizing the need for invasive testing of fetal chromosomal aneuploidies. Here, we report the initial clinical performance of NIPT in Korean pregnant women. Materials and Methods: MPS-based NIPT was performed on 910 cases; 5 mL blood samples were collected and sequenced in the Shenzhen BGI Genomic Laboratory to identify aneuploidies. The risk of fetal aneuploidy was determined by L-score and t-score, and classified as high or low. The NIPT results were validated by karyotyping for the high-risk cases and neonatal follow-up for low-risk cases. Results: NIPT was mainly requested for two clinical indications: abnormal biochemical serum-screening result (54.3%) and advanced maternal age (31.4%). Among 494 cases with abnormal biochemical serum-screening results, NIPT detected only 9 (1.8%) high-risk cases. Sixteen cases (1.8%) of 910 had a high risk for aneuploidy: 8 for trisomy 21, 2 for trisomy 18, 1 for trisomy 13, and 5 for sex chromosome abnormalities. Amniocentesis was performed for 7 of these cases (43.8%). In the karyotyping and neonatal data, no false positive or negative results were observed in our study. Conclusion: MPS-based NIPT detects fetal chromosomal aneuploidies with high accuracy. Introduction of NIPT as into clinical settings could prevent about 98% of unnecessary invasive diagnostic procedures.

Research on the Prevention of Major Industrial Accident By Integrated Risk Management System (중대산업사고 예방을 위한 종합위험관리체제(IRMS) 구축에 관한 연구)

  • Kwon, Hyuck-Myun;Seong, Dae-Hyun;Kim, Jae-Hyun;Yim, Dae-Sik;Kim, Gi-Young;Pyeon, Mu-Wook;Moon, Il;Ko, Jae-Wook;Lee, Young-Soon;Yoon, En-Sup
    • Journal of the Korean Society of Safety
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    • v.18 no.3
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    • pp.88-93
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    • 2003
  • The Process Safety Management (PSM) by the Law of Industry, Safety and Health has been performed for preventing major accidents of chemical plants since 1996. In terms of preventing chemical accidents more precisely, it is essential to develop a tool for quantitative risk assessment. For this, KOSHA (Korea Occupational Safety and Health Agency) developed an Integrated Risk Management System (IRMS). The system is designed to assimilate data on chemical plant hazards from external database, to integrate these data with location information(topographic and demographic), and to make them user-friendly accessible. The system consists of several main functions: display of five major Korean petrochemical complex layout display of equipment layout with its information utilizing the external database, zonation of the hazard effected area with consequence analyses, the most probable accident scenario generation, accident/incident database and calculation of frequency of accident using equipment reliability database, etc. The highlight of IRMS is to provide the risk contours using GIS(Geographical Information System) technology. IRMS is intended to manage hazardous installation more systematically and effectively, to reduce the number of accident remarkably, further minimizing production loss in the plant. The system is now under application to about 500 PSM sites as well as and emergency authorities in Korea by KOSHA (Korea Occupational Safety and Health Agency)

Finger Printing Based Radio Positioning Scheme for Maritime Safety (수상 안전을 위한 Finger Printing 기반 무선 위치추적 기술)

  • Seok, Keun Young;Ryu, Jong Yeol;Lee, Jung Hoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.7
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    • pp.1001-1008
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    • 2018
  • In this paper, we propose an efficient location tracking scheme using wireless signals for various situations in marine environment that requires location information for many reasons such as lifesaving, accident prevention, and facility management. Our proposed location tracking scheme not only monitors user's location, but also minimizes the risk under the user's limited battery power budget. The position of a user can be obtained at base stations from the strengths of the received signals from the user. In this case, it may require to prevent the user from getting out of the predetermined safe area. For each location in the safe area, we define a risk function, which is influenced by many factors such as location accuracy, depth, flow rate, and geometry. Our proposed scheme is based on finger printing technique and aims at minimizing the average risk of each user in the safe area.

A Variables Repetitive Group Sampling Plan for Minimizing Average Sample Number (평균 샘플 수 최소화를 통한 계량형 반복 샘플링 검사의 설계)

  • Park, Heekon;Moon, Young-gun;Jun, Chi-Hyuck;Balamurali, S.;Lee, Jaewook
    • Journal of Korean Institute of Industrial Engineers
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    • v.30 no.3
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    • pp.205-212
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    • 2004
  • This paper proposes the variables repetitive group sampling plan where the quality characteristic following normal distribution has upper or lower specification limit. The problem is formulated as a non-linear programming problem where the objective function to minimize is the average sample number and the constraints are related to lot acceptance probabilities at acceptable quality level (AQL) and limiting quality level (LQL) under the operating characteristic curve. Sampling plan tables are constructed for the selection of parameters indexed by AQL and LQL in the cases of known standard deviation and unknown standard deviation. It is shown that the proposed sampling plan significantly reduces the average sample number as compared with the single or the double sampling plan.