• Title/Summary/Keyword: Risk Sharing

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Korean Medicine for Thoracolumbar Compression Fracture in Korean Literature : a Systematic Review (흉요추 압박 골절의 한의학적 치료에 대한 국내 임상 근거 : 체계적 문헌 고찰)

  • Bae, Ji Min;Kim, Dae Hun;Kim, Jae Kyu;Lee, Byung Ryul;Yang, Gi Young;Kim, Kun Hyung
    • Journal of Acupuncture Research
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    • v.32 no.4
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    • pp.147-156
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    • 2015
  • Objectives : This study aims to evaluate the effectiveness and safety of Korean medicine for a thoracolumbar compression fracture. Methods : We searched six Korean databases (DBPIA, Korean Studies Information Service System, Oriental Medicine Advanced Searching Integrated System, National Digital Science Library, Research Information Sharing Service, KoreaMed) (up to June 2015) and the Journal of Korean Acupuncture and Moxibustion Society. Unpublished studies were also searched. Clinical research, other than case reports involving less than 10 patients, were eligible. The effectiveness and safety of Korean Medicine was analyzed. The 'Risk of Bias' was assessed using the 'Risk of Bias' assessment tool for non-randomized studies as well as the Cochrane Collaboration's 'Risk of Bias' tool. Results : We found 12 before-after studies (374 patients). There was no randomized trial. All studies combined at least three different types of Korean medicine treatments. The period of treatment varied between less a week and 154 days. All the included studies reported improvements in pain, functional disability related to lower back pain, global assessment, and benefits in the compression ratio of a fractured vertebrae and skin temperature measured by digital infrared thermal imaging in comparison with the baseline. However, all studies had a high risk of bias and three studies reported mild adverse events. Conclusions : There is no randomized trial for the role of Korean medicine for patients with a thoracolumbar compression fracture. The effectiveness and safety of Korean medicine for this population remains unclear. Findings in this review are seriously biased due to observational design and a high risk of bias included in the studies. Future high-quality randomized trials are warranted.

A Study of a Relapse Prevention Program for Alcoholics focused on Action Methods (행위기법을 중심으로 한 알코올의존 재발방지 프로그램 개발에 관한 연구)

  • No, In-Suk;Kim, Seong-Jae
    • Journal of East-West Nursing Research
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    • v.10 no.1
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    • pp.27-40
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    • 2004
  • Relapse is one of the most series problems in alcoholics treatment. Previous studies have shown that significant proportions of treated alcoholics show an early relapse and go through a chronic phase. It is necessity to find more effective relapse prevention program. The Purpose of this study was to develop a relapse prevention program that emphasis on group activities using various action methods. Previous studies revealed that there was no effective therapeutic strategy to prevent relapse and proposed that action methods were more practical ways to be able ti cope with high-risk situation than verbal methods such as discussions and lectures. The special attempt of this program was the application of various actions methods and the integration of many psychosocial therapeutic strategies as compared with many relapse prevention programs. The theoretical framework of this relapse prevention program was based on mainly the Marlatt's Relapse Prevention model and Prochescha and DiClemente's Transtheoretical model. This Program consists of eight structure sessions. Every session has three phase: Warm-up phase, action phase, and sharing phase as sociodrama structure. Sociodrama is based on many of the principles of adult learning. And sociodrama looks at how groups work through an understanding of systems and role theory. Therefore, in working with a group a therapist might explore with them the roles that people play, roles that are missing at present such a visionary and how people can develop new roles or new ways of playing existing roles. The researchers explained the purpose of this study to all participants after their agreement to participate. Voluntary informed consent was obtained from all participants. Every session allows participants to recognize personal specific high-risk situation and to examine possible coping behaviors creatively. Multiple solutions can be proposed, tested and evaluated dramatically, giving new insights or breakthroughs in thinking. This is vital for the initiation of change, and if appropriate, expanding new role development. The first two sessions aim at understanding of relapse process and recognize of high-risk situations focused on orientation about action methods. The next four sessions deal with high-risk situations. The last two sessions give participants opportunities to venture new life-styles. The methods and approaches used in this program utilized as a tool to explore and practice possible coping strategies. and this program can contribute to prevent relapse episode if tune with the particular high-risk situation by using active practices in safe environment.

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A Quantitative Risk Analysis of Related to Tower Crane Using the FMEA (타워크레인의 정량적 위험성 평가가법에 관한 연구(FMEA 기법 위주))

  • Shim, Kyu-Hyung;Rie, Dong-Ho
    • Journal of the Korean Society of Safety
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    • v.25 no.6
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    • pp.34-39
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    • 2010
  • The purpose of this study is to suggest objective evaluation model as a plan to utilize as opportunity in establishing judgment standard of mutual inspection criteria and to upgrade inspection ability by reviewing and analyzing level of danger and importance in advance based on inspection results of inspection institutions regarding tower cranes used in construction fields. Tower crane is a mechanical device transporting construction supplies and heavy materials to places over 20~150M high from the ground for the period ranging from a short time of 2~3 months to two years after being installed in construction sites in vicinity of buildings or structures and is an important facility indispensable for construction sites. However, since use period after installation is short and professional technical ability of technicians working on-site about of tower crane is poor, systematic and quantitative safety management is not carried out As a part of researches on procedure of RBI(Risk Based Inspection) possible to apply to Knowledge Based System based on knowledge and experiences of experts as well as to tower cranes for solving these problems, quantitative RPN(Risk Priority Number) was applied to RPN utilizing technique of FMEA(Failure Mode and Effect Analyses). When general RBI 80/20 Rule was applied parts with high level of risks were found out as wire rope, hoist up/down safety device, reduction gear, and etc. However, since there are still many insufficient parts as risk analyses of tower crane were not established, it is necessary for experts with sufficient experiences and knowledge to supplement active RBI techniques and continuous researches on tower cranes by sharing and setting up data base of important information with this study as a starting point.

Institutional Research for the Introduction of Construction Management at Risk in the Public Sector (시공책임형 CM의 국내 공공부문 도입을 위한 제도적 기반 수립 연구)

  • Park, Jiho;Kim, Kyungrai;Bae, Byungyun
    • Korean Journal of Construction Engineering and Management
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    • v.22 no.4
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    • pp.20-28
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    • 2021
  • The Domestic Construction Industry is in the process of changing from a one-sided production method centered on the contractor to a production method in which the order and the contractor can collaborate. Depending on the delivery method, the bid/success method, the contract method, and the degree of business involvement of the order may also vary. In this thesis, in order to introduce 'Construction Management at Risk' suitable for the domestic environment, domestic and foreign institutional analysis, bid process analysis, contract fulfillment and management analysis, post management analysis, and related laws and regulations for legalization In order to suggest a plan for the efficient operation of the system, a system and case analysis of domestic and international construction responsibility type construction project management was conducted. 'Construction Responsible Construction Project Management' defined in the Framework Act on the Construction Industry is divided into the main contract transfer contract, which is a service contract performing pre-con work, and the main contract, which is construction project management and construction contract. Therefore 'Construction Management at Risk' should be regarded as one of the ordering methods rather than a successful bid system, as in the case of overseas, and legalization as a bidding system equivalent to design/construction batch bid and technology proposal is necessary for introduction. In order to introduce 'Construction Management at Risk' suitable for the domestic environment, domestic and foreign institutional analysis, bidding process analysis, contract fulfillment and management analysis, and follow-up management analysis are conducted. A method for efficient operation was suggested so that it can be applied in the domestic market while maintaining the original merits of this system.

Appropriate App Services and Acceptance for Contact Tracing: Survey Focusing on High-Risk Areas of COVID-19 in South Korea (코로나 19 동선 관리를 위한 적정 앱 서비스와 도입: 고위험 지역 설문 연구)

  • Rho, Mi Jung
    • Korea Journal of Hospital Management
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    • v.27 no.2
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    • pp.16-33
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    • 2022
  • Purposes: Prompt evaluation of routes and contact tracing are very important for epidemiological investigations of coronavirus disease 2019 (COVID-19). To ensure better adoption of contact tracing apps, it is necessary to understand users' expectations, preferences, and concerns. This study aimed to identify main reasons why people use the apps, appropriate services, and basis for voluntary app services that can improve app participation rates and data sharing. Methodology/Approach: This study conducted an online survey from November 11 to December 6, 2020, and received a total of 1,048 survey responses. This study analyzed the questionnaire survey findings of 883 respondents in areas with many confirmed cases of COVID-19. This study used a multiple regression analysis. Findings: Respondents who had experience of using related apps showed a high intention to use contact-tracing apps. Participants wished for the contact tracking apps to be provided by the government or public health centers (74%) and preferred free apps (93.88%). The factors affecting the participants' intention to use these apps were their preventive value, performance expectancy, perceived risk, facilitative ability, and effort expectancy. The results highlighted the need to ensure voluntary participation to address participants' concerns regarding privacy protection and personal information exposure. Practical Implications: The results can be used to accurately identify user needs and appropriate services and thereby improve the development of contact tracking apps. The findings provide the basis for voluntary app that can enhance app participation rates and data sharing. The results will also serve as the basis for developing trusted apps that can facilitate epidemiological investigations.

A Research on the Quantitative Analysis of the Credit Information for the Improvement of Financial Policies for Startup Companies: Focusing on Negative Factors (창업기업 금융정책 개선을 위한 기업 신용정보 데이터의 정량적 분석 연구: 기업의 생존에 부정적인 요인을 중심으로)

  • Lee, Raehyung;Kim, Karpsoo
    • Journal of Technology Innovation
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    • v.25 no.4
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    • pp.189-209
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    • 2017
  • Financial institutions around the world, including financially advanced nations, widely operate a credit information sharing system to ease off information asymmetry between financial institutions and financial consumers. This study analyzed the credit problem data that is actually being shared among financial institutions in Korea, and classified credit problem data into three categories; Frequency, Period, Amount. In survival analysis, this study analyzed how different types of credit problem influence on survival period of companies. Next, in comparative analysis, this study verified a difference between start-up companies and existing companies on classified conditions of the credit problems. After conducting a survival and comparative analysis of the credit information of 449,579 companies of 8 years' actual information sharing in Korea, it showed that the number of the frequency of accidents showed a positive(+) correlation with the survival period. This provides contrary evidence to the financial institutions' risk policies that the number of the frequency of accidents is a negative factor. Furthermore, since the start-up companies that are under 7 years old show more positive aspect in the survival period than existing companies, it draws a policy implication that the credit information sharing system need to be improved by taking account of characteristics of the start-up companies.

People Participation Towards Opisthorchis viverrini Prevention and Control in Chaiyaphum Province, Northeastern Thailand

  • Phongsiripapat, Rutjirapat;Chimplee, Kanokporn;Rujirakul, Ratana;Kaewpitoon, Soraya;Keawpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.177-181
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    • 2016
  • This cross-sectional descriptive and qualitative study was aimed to study the people participation and their approaches toward the human carcinogenic liver fluke, Opisthorchis viverrini, prevention and control in Ban Chaun sub-district administrative organization (BCSAO) and Bamnet Narong sub-district municipality (BNSM), Bamnet Narong district, Chaiyaphum Province, Thailand between June 2013 and February 2014. Participants were purposive selected, included chiefs of sub-district administrative organizations, sub-district municipalities, sub-district health promotion hospitals (SHPHs), heads of village, and a further sample was selected with a multi-stage random sampling for public health volunteers, and villagers. The pre-designed questionnaire contained items for individualized status and the participatory steps of sharing ideas, decision-making, and planning, procession, evaluation, and mutual benefit, for the project O. viverrini prevention and control (POPC). In-depth interviews were used for collection of need approaches to POPC. With 375 participants who completed the questionnaire, it was found that people had a high level regarding to participate in the POPC, particularly in the process stage ($\bar{X}=3.78$, S.D. = 0.56), but the lowest level was found in sharing ideas, decision making, and planning step ($\bar{X}=3.65$, S.D. = 0.63). By comparison, participant status and organization did not significantly differ with people participation. In each step, Ban Chaun sub-district had a high level of participation in the step of sharing ideas, decision making, and planning toward POPC, more than Bamnet Narong sub-district municipality (t=2.20, p=0.028). Approaches for POPC in Ban Chaun sub-district and Bamnet Narong sub-district municipality included requirements for budget support, annual campaigns for liver fluke prevention and control, campaign promotion, risk group observation, home visiting, community rules regarding reducing raw fish consumption in their communities, and a professional public health officer for working in their communities, BCSAO, BNSM, and SHPH, for O. viverrini prevention and control. This study indicates that people realize that eradication of the liver fluke needs a continuous people participation for O. viverrini prevention and control in their communities.

The Causal Relationship among Vision-sharing, Communication, Management Competences and Performance of Agricultural Product Unit in Rural Village Level (마을단위 농업경영체의 비전공유, 의사결정과정, 실무경영역량과 경영성과와의 관계)

  • Park, Un Sun;Park, Joo Sub;Jo, Hyung Rae;Lee, Sang Young
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.1
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    • pp.105-141
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    • 2013
  • This study focuses on the vision-sharing practices, actual management capabilities and marketing competence for management which are supposed to be associated with the performance of village-based agricultural production sector. For this, vast literatures related to this issues were reviewed and analyzed. and which were used to establishment of research model. And then questionnaire were developed along the research model, survey were implemented using the questionnaire. In survey both of questionnaire and interview were used to obtain proper opinion. Total of 51 completed questionnaires were obtained and used to empirical analysis. The correlation method was used to investigate the relationships between factors affecting performance of agricultural production unit and performance. Major findings are as follows: (1) in overall, factors related to the vision-sharing or communication are not so important or even negative effects on the performance (2) in overall, factors of management competences are relatively associated with the performances positively (3) in overall, general management capabilities like planning or analyzing were positively related to the performance (4)significant factors which were related to the positive effects on the performances were alternatives considering risk of depreciation, securing stable customers, retention of professional personnels.

A Study on Maturity Model of Information Integration System (정보연계 시스템의 성숙도 모델에 관한 연구)

  • Ha, Hyodong;Lee, Ook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.570-578
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    • 2019
  • In this era of big data, a variety of government organizations are trying to create new added value via Information Integration. Therefore, several projects related to government agencies' information sharing have activated system connection/integration. The risk factors of system operation, however, have increased as the volume of Information Integration System grows. The interference in information sharing is predicted to affect the operation of the agencies, and the issue will grow even worse with massive impact on civil society when the agency operation is interrupted due to system failures in terms of infrastructure, software, data quality, and security. Diverse studies related to the maintenance of Information System have been conducted, but there is currently no evaluation framework for the operational system of Information Integration between various government agencies. In this respect, this study distinguishes each of the Information System components, Data, IT, People, Process, systematizes with Plan-Do-See, and finally presents a maturity model for Information Integration. Nine derived processes were analyzed through interview and questionnaires from Information Integration System officials, further suggesting maturity stage applying CMMI. This model allows diagnosis of the maturity level of an Information Integration System, and is expected to be utilized as resource for improving organizational processes.

The Study to ETS Exposure and Their Biomarkers in Hair of Restaurant Workers (식당 종업원의 환경 담배 연기(ETS)의 노출과 머리카락 중 생체지표 연구)

  • Jo Seong-Joon
    • Environmental Analysis Health and Toxicology
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    • v.19 no.2
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    • pp.169-176
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    • 2004
  • ETS (environmental tobacco smoke) is composed of exhaled mainstream smoke (MS) from the smoker, sidestream smoke (SS) emitted from the smoldering tobacco between puffs and contaminants that diffuse through the cigarette paper and mouth between puffs. These emissions contain both vapor phase and particulate contaminants. ETS is a complex mix of over 4,000 compounds. This mix contains many known or suspected human carcinogens and other toxic agents. More of these toxic compounds are found in SS than in MS. Workplace exposure to ETS can result in significant smoke intake, and passive smoke exposure may be related to impair respiratory function and an increase risk of lung cancer in nonsmokers. For nonsmokers sharing a work environment with cigarette smokers, the workplace must be considered hazardous independently of any specific industrial toxic exposure. The risk is particularly important when a high percentage of the workers smoke or where smokers and nonsmokers work in poorly ventilated areas. Nicotine is converted in the body to cotinine; cotinine therefore can be used as an indirect measure of a person's recent exposure to tobacco smoke. Levels of nicotine in hair and levels of cotinine in body fluids (saliva and urine) have been shown to increase with increasing environmental nicotine levels and with self-reported ETS exposure. The measurement of nicotine or cotinine in hair may be more appropriate for longer-term exposure to tobacco. The purpose of this study is to comparing airborne nicotine levels and hair cotinine level in restaurant workers. Concentration of airborne nicotine and hair nicotine (and cotinine) is closely related to exposed frequency of sidestream smoke in the workplace. Nicotine in hair is a better predictor of airborne nicotine than hair cotinine. Hair nicotine can be a useful tool to assess ETS exposure interventions. It may have limiting levels of ETS exposure by placing regulatory restrictions on smoking in workplaces and in public spaces.