• 제목/요약/키워드: Risk Review

검색결과 3,336건 처리시간 0.03초

근로자의 뇌심혈관계 질환 예방을 위한 중재 연구의 분석적 고찰: 생태학적 모델을 기반으로 (A Systematic Review of Interventions for Workers with Cardiovascular Disease Risk Factors: Using an Ecological Model)

  • 황원주;박윤희;김진아
    • 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.

Relationship between Postural Balance Training and Fall Risks for Elderly: a Systematic Review of Randomized Controlled Trials

  • Kim, Heesuk;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • 제10권2호
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    • pp.185-196
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    • 2021
  • Objective: Falling is one of main accident to facilitate the physical injuries in order adults. The purpose of the systematic review was to determine the effects of postural balance training whether the recovery of falls in elderly with normal physical function or not throughout summing the selected studies quantitatively. Design: A systematic review Methods: MEDLINE and other four databases were searched up to April 20, 2021 and randomized controlled trials (RCTs) evaluating postural balance approaches on fall risks in elderly. The researched studies excluded the double studies, titles and abstract, and finally full-reported study. The selected RCTs studies were extracted characteristics of the studies and summary of results based on PICOS-SD (population, intervention, comparison, outcomes, and setting- study design) model to synthesize the papers qualitatively. Results: The review involved 22 RCT reports with 4,847 community older adults aged 65 years or over. Nineteen of the selected RCT studies reported dual or multimodal exercises show the beneficial effect for older adults compared to one-type treatment or no intervention. All of selected showed low risk in the selection, attrition, and reporting bias. However, detection bias showed low risk at 75% records of the involved RCTs and performance bias was low risk at only three records. Conclusions: The results of the systematic review propose that a standardized therapeutic approach and the intensity are needed for improving risk of falls in older adults.

Modeling of Public Risk Perception and Risk Communication Research: In A Social-Cognitive Direction

  • Li, Yiwei;Guo, Yu;Ito, Naoya
    • Asian Journal for Public Opinion Research
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    • 제1권3호
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    • pp.217-231
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    • 2014
  • This study begins with a review of commonly discussed dimensions of public risk perception that may influence public opinion toward risks. Factors that have been revealed by the literature to have substantial impact on risk perception, such as demographic background, trust, and media environment, are also discussed. Meanwhile, we evaluate two well-known research models in the realm of risk analysis: 1) the psychometric paradigm, and 2) the social amplification of risk framework (SARF). Based on a literature review, this study suggests that, besides the psychological and social approach, models of risk perception and risk communication research should shift to a more comprehensive one by considering the interrelations between laypeople and the environment. This study proposes a research model from the perspective of social cognitive theory (SCT) as a potential framework for future studies: 1) in the societal environment, individuals' risk perception and information seeking behavior, which is determined by risk perception will be influenced by trust in regulators and interpersonal trust; 2) in the media environment, individuals' risk perception and information seeking behavior will be influenced by individuals' perceived information characteristics. Knowledge about risk accumulated through information seeking will change risk perception in a longitudinal process.

Review of Qualitative Approaches for the Construction Industry: Designing a Risk Management Toolbox

  • Zalk, David M.;Spee, Ton;Gillen, Matt;Lentz, Thomas J.;Garrod, Andrew;Evans, Paul;Swuste, Paul
    • Safety and Health at Work
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    • 제2권2호
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    • pp.105-121
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    • 2011
  • Objectives: This paper presents the framework and protocol design for a construction industry risk management toolbox. The construction industry needs a comprehensive, systematic approach to assess and control occupational risks. These risks span several professional health and safety disciplines, emphasized by multiple international occupational research agenda projects including: falls, electrocution, noise, silica, welding fumes, and musculoskeletal disorders. Yet, the International Social Security Association says, "whereas progress has been made in safety and health, the construction industry is still a high risk sector." Methods: Small- and medium-sized enterprises (SMEs) employ about 80% of the world's construction workers. In recent years a strategy for qualitative occupational risk management, known as Control Banding (CB) has gained international attention as a simplified approach for reducing work-related risks. CB groups hazards into stratified risk 'bands', identifying commensurate controls to reduce the level of risk and promote worker health and safety. We review these qualitative solutions-based approaches and identify strengths and weaknesses toward designing a simplified CB 'toolbox' approach for use by SMEs in construction trades. Results: This toolbox design proposal includes international input on multidisciplinary approaches for performing a qualitative risk assessment determining a risk 'band' for a given project. Risk bands are used to identify the appropriate level of training to oversee construction work, leading to commensurate and appropriate control methods to perform the work safely. Conclusion: The Construction Toolbox presents a review-generated format to harness multiple solutions-based national programs and publications for controlling construction-related risks with simplified approaches across the occupational safety, health and hygiene professions.

Risk Graph에 의해 할당된 SIL에 따른 철도 승강장 도어 시스템의 정량적 Risk 저감 모델 (Quantitative Risk Reduction Model according to SIL allocated by Risk Graph for Railway Platform Door System)

  • 송기태;이성일
    • 한국안전학회지
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    • 제31권5호
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    • pp.141-148
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    • 2016
  • There exists required safety integrity level (SIL) to assure safety in accordance with international standards for every electrical / electronics / control equipment or systems with safety related functions. The SIL is allocated from lowest level (level 0) to highest level (level 4). In order to guarantee certain safety level that is internationally acceptable, application of methodology for SIL allocation and demonstration based on related international standards is required. Especially, in case of the SIL allocation method without determining of quantitative tolerable risk, the additional review is needed to check whether it is suitable or not is required. In this study, the quantitative risk reduction model based on the safety integrity allocation results of railway platform screen door system using Risk Graph method has been examined in order to review the suitability of quantitative risk reduction according to allocated safety integrity level.

Occupational Safety and Health Among Young Workers in the Nordic Countries: A Systematic Literature Review

  • Hanvold, Therese N.;Kines, Pete;Nykanen, Mikko;Thomee, Sara;Holte, Kari A.;Vuori, Jukka;Waersted, Morten;Veiersted, Kaj B.
    • Safety and Health at Work
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    • 제10권1호
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    • pp.3-20
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    • 2019
  • This review aimed to identify risk factors for occupational accidents and illnesses among young workers in the Nordic countries and to attain knowledge on specific vulnerable groups within the young working force that may need special attention. We conducted a systematic review from 1994 to 2014 using five online databases. Of the 12,528 retrieved articles, 54 met the review criteria and were quality assessed, in which data were extracted focusing on identifying occupational safety, health risk factors, and vulnerable groups among the young workers. The review shows that mechanical factors such as heavy lifting, psychosocial factors such as low control over work pace, and organizational factors such as safety climate are all associated with increased injury risk for young Nordic workers. Results show that exposures to chemical substances were associated with skin reactions, e.g., hand eczema. Heavy lifting and awkward postures were risk factors for low back pain, and high job demands were risk factors for mental health outcomes. The review identified young unskilled workers including school drop-out workers as particularly vulnerable groups when it comes to occupational accidents. In addition, apprentices and young skilled workers were found to be vulnerable to work-related illnesses. It is essential to avoid stereotyping young Nordic workers into one group using only age as a factor, as young workers are a heterogeneous group and their vulnerabilities to occupational safety and health risks are contextual. Politicians, researchers, and practitioners should account for this complexity in the education, training and organization of work, and workplace health and safety culture.

Adolescent Smoking Behaviors and the Related Risk Factors in Korea: A Descriptive Literature Review

  • Moon In-Ok
    • 보건교육건강증진학회지
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    • 제21권4호
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    • pp.1-13
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    • 2004
  • This study conducted descriptive literature review on adolescent smoking and the related factors to realize significance of adolescent smoking onset in Korea and to identify risk factors of smoking incidence. Korean adolescent smoking status was generated based on the cumulated data of the Korean Association of Smoking and Health. Risk factors of adolescent smoking were identified based on 18 studies written in English, with cross-sectional research design and published as a peer-reviewed journal article between 1994 and 2003. The results were as follows. 1. Korean adolescent smoking rate was the highest among OECD affiliated countries; in particular, male adolescent smoking incidence was very serious. 2. Risk factors related to smoking of adolescent population were personal factor, friend factor, family factor, and mass-media factor. Demographic characteristics, attitudes on smoking, and willingness of smoking, and health behaviors were selected as personal factor of smoking. 3. Best friends smoking was a strong factor of students' smoking set. Prevalent popularity of smoking in peer-group allowed students to feel free to smoking. 4. Concerning family factor related to smoking status, parents' smoking and sibling's smoking were significant indicators of adolescent smoking status. 5. Seeing smoking behaviors and scenes through films, TV shows, drama, and advertisement was a significant risk factor of adolescent smoking status.

Association between maternal smoking during pregnancy and risk of bone fractures in offspring: a systematic review and meta-analysis

  • Ayubi, Erfan;Safiri, Saeid;Mansori, Kamyar
    • Clinical and Experimental Pediatrics
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    • 제64권3호
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    • pp.96-102
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    • 2021
  • This study aimed to investigate the effect of maternal smoking during pregnancy (MSDP) on the risk of bone fractures in the offspring through a systematic review and meta-analysis. The PubMed, Web of Science, and Scopus databases were systematically searched for relevant articles published through July 2019. According to heterogeneity, the pooled risk ratio (RR) and odds ratio (OR) and their corresponding 95% confidence interval (CI) were obtained using fixed or random effects models. The heterogeneity and quality of the included studies were assessed by the I-squared (I2) statistic and the Newcastle-Ottawa scale, respectively. Sensitivity analyses were performed to test the effect of MSDP misclassification on the results. The review of 842 search records yielded 5 studies including 8,746 mother-child pairs that were included in the meta-analysis. Pooling adjusted effect measures showed that MSDP was not associated with a later risk of bone fractures in the offspring (pooled RR, 1.15; 95% CI, 0.84-1.58; I2=66.8%; P=0.049). After the adjustment for misclassification, MSDP may be associated with a 27% increased risk of bone fracture (pooled OR, 1.27; 95% CI, 1.00-1.62; I2=0%; P=0.537). After the adjustment for misclassification, MSDP is associated with an increased risk of bone fractures among children whose mothers smoked during pregnancy.

Factors associated with the decision to undergo risk-reducing salpingo-oophorectomy among women at high risk for hereditary breast and ovarian cancer: a systematic review

  • Park, Sun-young;Kim, Youlim;Kim, Sue
    • 여성건강간호학회지
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    • 제26권4호
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    • pp.285-299
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    • 2020
  • Purpose: This systematic review aims to identify factors associated with risk-reducing salpingo-oophorectomy (RRSO), including the uptake rate and decision timing, among women at high risk for hereditary breast and ovarian cancer (HBOC). Methods: We found 4,935 relevant studies using MEDLINE, Embase, CINAHL, and PsycINFO on July 6, 2020. Two authors screened the articles and extracted data. Twenty-four studies met the inclusion criteria. Quality assessment of articles was conducted using the Risk of Bias for Nonrandomized Studies tool. Results: Five types of factors were identified (demographic factors, clinical factors, family history of cancer, psychological factors, and objective cancer risk). The specific significant factors were older age, having child(ren), being a BRCA1/2 carrier, mastectomy history, perceived risk for ovarian cancer, and perceived advantages of RRSO, whereas objective cancer risk was not significant. The uptake rate of RRSO was 23.4% to 87.2% (mean, 45.2%) among high-risk women for HBOC. The mean time to decide whether to undergo RRSO after BRCA testing was 4 to 34 months. Conclusion: RRSO decisions are affected by demographic, clinical, and psychological factors, rather than objective cancer risk. Nonetheless, women seeking RRSO should be offered information about objective cancer risk. Even though decision-making for RRSO is a complex and multifaceted process, the psychosocial factors that may influence decisions have not been comprehensively examined, including family attitudes toward RRSO, cultural norms, social values, and health care providers' attitudes.

기술검토회의 진입조건 분석 및 적용 (Analysis of Technical Review Entry Criteria and Application)

  • 정세영;이홍기;김동운;최관범
    • 시스템엔지니어링학술지
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    • 제5권2호
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    • pp.27-34
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    • 2009
  • This paper analyze technical review entry criteria and review process based on system property, and review checklist to conform technical review is also showed. The execution of review is determined according to the preparation of review item and identification for risk element. Risk level should be mitigated before technical review by appropriate plan. This paper described the entering condition of technical review for developmental phase, and tailoring consideration for technical review condition. Described technical review entry criteria, review process, and tailoring consideration is applied to development of test equipment for ground ant-air missile system. Applied system specific technical review process, tailored entry condition for test equipment for ground ant-air missile system and review check list is showed and the effectiveness of described system specific technical review process is presented.

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