• Title/Summary/Keyword: Risk program

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Spatial Distribution of the Population at Risk of Cholangiocarcinoma in Chum Phaung District, Nakhon Ratchasima Province of Thailand

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Loyd, Ryan A;Matrakool, Likit;Sangkudloa, Amnat;Kaewthani, Sarochinee;Khemplila, Kritsakorn;Eaksanti, Thawatchai;Phatisena, Tanida;Kujapun, Jirawoot;Norkaew, Jun;Joosiri, Apinya;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.719-722
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    • 2016
  • Background: Cholangiocarcinoma (CCA) is a serious health problem in Thailand, particularly in northeastern and northern regions, but epidemiological studies are scarce and the spatial distribution of CCA remains to be determined. A database for the population at risk is required for monitoring, surveillance and organization of home health care. This study aim was to geo-visually display the distribution of CCA in northeast Thailand, using a geographic information system and Google Earth. Materials and Methods: A cross-sectional survey was carried out in 9 sub-districts and 133 villages in Chum Phuang district, Nakhon Ratchasima province during June and October 2015. Data on demography, and the population at risk for CCA were combined with the points of villages, sub-district boundaries, district boundaries, and points of hospitals in districts, then fed into a geographical information system. After the conversion, all of the data were imported into Google Earth for geo-visualization. Results: A total of 11,960 from 83,096 population were included in this study. Females and male were 52.5%, and 47.8%, the age group 41-50 years old 33.3%. Individual risk for CCA was identifed and classified by using the Korat CCA verbal screening test as low (92.8%), followed by high risk (6.74%), and no (0.49%), respectively. Gender ($X^2$-test=1143.63, p-value= 0.001), age group ($X^2$-test==211.36, p-value=0.0001), and sub-district ($X^2$-test=1471.858, p-value=0.0001) were significantly associated with CCA risk. Spatial distribution of the population at risk for CCA in Chum Phuang district was viewed with Google Earth. Geo-visual display followed Layer 1: District, Layer 2: Sub-district, Layer 3: Number of low risk in village, Layer 4: Number of high risk in village, and Layer 5: Hospital in Chum Phuang District and their related catchment areas. Conclusions: We present the first risk geo-visual display of CCA in this rural community, which is important for spatial targeting of control efforts. Risk appears to be strongly associated with gender, age group, and sub-district. Therefor, spatial distribution is suitable for the use in the further monitoring, surveillance, and home health care for CCA.

Application of Risk-Based Inspection with Financial Risk for a Petrochemical Process (석유화학공정에서 재정적 위험도에 의한 위험기반검사의 적용)

  • Kim, Tae-Ok;Lee, Joong-Hee;Choi, Sung-Kyu;Lee, Hern-Chang;Jo, Ji-Hoon
    • Journal of the Korean Institute of Gas
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    • v.13 no.4
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    • pp.53-60
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    • 2009
  • For the case of the facilities using utilities such as cooling water and steam, risk of the facilities is zero because the consequence of failure (COF) through equipment damage area is zero. Therefore, to improve the estimation method of the risk by COF through equipment damage area in the risk-based inspection (RBI), this study developed the procedures of RBI, in which the risk was estimated by COF through financial loss. And, the RBI program (KS-RBI Ver 3.1) was developed to establish inspection interval based on the risk of the facilities estimated by COF through equipment damage area and financial loss, simultaneously, and the developed RBI program was applied to a petrochemical process. As a result, risks of the facilities estimated by COF through financial loss were similar to risks by COF through the equipment damage area. But, for the case of the facilities using utilities or expensive facilities, the estimation method of the risk by COF through financial loss was more accurate than through equipment damage area.

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Nutritional Risk of the Elderly Receiving a Home-Delivered Meal Service Program and the Factors for Nutritional Risk (가정배달급식 수혜 노인의 영양위험도와 영양위험도에 미치는 요인)

  • Yi, Na-Young;Choi, Jung-Hwa
    • Korean Journal of Community Nutrition
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    • v.24 no.3
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    • pp.197-207
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    • 2019
  • Objectives: This study examined the characteristics and nutritional risk of the elderly who receive home delivery services. We then analyzed the effects of the characteristics of the elderly who receive the home-delivery meal service on their nutritional risk. Methods: A total of 220 respondents who receive home-delivery meal service in Seoul participated in the survey. The survey consisted of the characteristics of the elderly (health status, tooth condition, physical activity, social participation activity, depression and relationship with neighbors), nutritional risk assessment and other general matters. The data was analyzed by using the SPSS program. Cross-tabulation analysis, t-test, correlation analysis and regression analysis were all conducted. Results: 47.0% of the subjects were under 80 years old and 53.0% were over 80 years old, The nutritional risk score, as evaluated by a Nutrition Screening Initiative (NSI) checklist was 10.7 points, and the high nutrition risk group was 91.5% of the subjects. The subjective self-health status score was 2.24 points (out of a total of 5 points) and the tooth status score was 3.30 points. The physical activity level was 2.17 points for the under 80 years old group and 1.76 points for the over 80 years old, and there was a significant difference according to age (p<0.01), The higher the health status, tooth condition, physical activity and social participation activity level, the lower was the nutritional risk. Further, the higher the degree of depression, the higher was the nutritional risk. Conclusions: For the healthy life of the elderly in the community, various welfare policies should be planned to increase social participation as well as to promote physical health and reduce depression.

Quantitative Safety Risk Assessment using Aviation Safety Data (항공안전데이터를 사용한 위해요인 위험도 정량적 평가기법)

  • Hyunjin Paek;Jun Hwan Kim;Jae Jin Lim;Sungjin Jeon;Young Jae Choi
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.30 no.4
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    • pp.145-158
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    • 2022
  • To manage State Safety Program (SSP) in a more integrative and proactive manner, an aviation safety authority of the state shall detect and assess the risk of emerging or hidden safety hazards before they provoke accidents or incidents(ICAO, 2018). In case of South Korea, safety risk assessment is conducted by calculating the likelihood and severity of the hazard following ICAO's safety management manual. It is reasonable to extract the safety risk likelihood by calculating the number of occurrence caused by the hazard. However, it is ambiguous to assess the safety risk severity defined as the extent of harm that might be expected to occur as a consequence of the identified hazard. In this paper, a safety risk assessment method which quantitatively calculates the risk of hazard using aviation safety data(i.e. aviation safety mandatory report, etc.) is proposed. By utilizing the proposed method, the existing process that safety risk is being subjectively assessed by safety inspectors can be supplemented. So that essential aviation safety policy decision making can be accomplished by the accurate result of safety risk assessment.

Alleviation of PM2.5-associated Risk of Daily Influenza Hospitalization by COVID-19 Lockdown Measures: A Time-series Study in Northeastern Thailand

  • Benjawan Roudreo;Sitthichok Puangthongthub
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.2
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    • pp.108-119
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    • 2024
  • Objectives: Abrupt changes in air pollution levels associated with the coronavirus disease 2019 (COVID-19) outbreak present a unique opportunity to evaluate the effects of air pollution on influenza risk, at a time when emission sources were less active and personal hygiene practices were more rigorous. Methods: This time-series study examined the relationship between influenza cases (n=22 874) and air pollutant concentrations from 2018 to 2021, comparing the timeframes before and during the COVID-19 pandemic in and around Thailand's Khon Kaen province. Poisson generalized additive modeling was employed to estimate the relative risk of hospitalization for influenza associated with air pollutant levels. Results: Before the COVID-19 outbreak, both the average daily number of influenza hospitalizations and particulate matter with an aerodynamic diameter of 2.5 ㎛ or less (PM2.5) concentration exceeded those later observed during the pandemic (p<0.001). In single-pollutant models, a 10 ㎍/m3 increase in PM2.5 before COVID-19 was significantly associated with increased influenza risk upon exposure to cumulative-day lags, specifically lags 0-5 and 0-6 (p<0.01). After adjustment for co-pollutants, PM2.5 demonstrated the strongest effects at lags 0 and 4, with elevated risk found across all cumulative-day lags (0-1, 0-2, 0-3, 0-4, 0-5, and 0-6) and significantly greater risk in the winter and summer at lag 0-5 (p<0.01). However, the PM2.5 level was not significantly associated with influenza risk during the COVID-19 outbreak. Conclusions: Lockdown measures implemented during the COVID-19 pandemic could mitigate the risk of PM2.5-induced influenza. Effective regulatory actions in the context of COVID-19 may decrease PM2.5 emissions and improve hygiene practices, thereby reducing influenza hospitalizations.

Determining the Priority of Investment for Remedial Works of Slopes (사면관리를 위한 재원의 투자 우선 순위 평가)

  • 김상규;류지협;구호본;정하익;윤수호
    • Proceedings of the Korean Geotechical Society Conference
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    • 1999.03a
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    • pp.269-276
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    • 1999
  • The program ESRAS Ver 0.5 that can assess the risk of slopes by means of fuzzy inference is developed in this paper. The results of assessment involve the degree of stability of slopes, the possible travel distance of the soil mass being failed, and anticipated loss of life and properties. With this program, vulnerable slopes can be managed most effectively and the fuzzy inference is used to express quantitatively the judgement of an expert and the uncertainty of slope stability. The fuzzy rule base is composed of an evaluation list for slope stability together with the experience of an expert. This program has been examined for 88 slopes which have been failed or shown a possibility of failure. With this examination, the standards to assess the stability of slopes can be presented and it is proven that this is particularly useful in determining the priority of investment for remedial works of slopes.

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The Effectiveness of School Sexuality Education (학교 성교육 효과)

  • 장영미;이시백
    • Korean Journal of Health Education and Promotion
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    • v.14 no.1
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    • pp.125-145
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    • 1997
  • Over the last several decades, the debates on school sexuality education program have centered on the specific education topics and its in-depth to be taught for different level of students. Many people, on the whole, worried that sexuality education for the adolescents promote irresponsible sexuality activities and that students become more liberal following sex education(in all ways, not just sexually). At the present time, however, most social leaders agree that school sexuality education program should be developed and implemented as an important part of the formal school curriculum. Because they believe that sexuality education programs will be effective to change irresponsible sexual behavior and prevent sexual risk among teenagers. Researches demonstrate that not all school-based sexuality and AIDS education programs are effective, but that some programs are effective. On the basis of previous studies, the present paper reviewed the beliefs and questions which generate discussion and opposition to sexuality education program at the school. The effectiveness of the educational instruction was also evaluated focused on the reducing specific sexual risk behavior and reinforcement of individual values against sexuality activities. Lastly, this paper proposed several ways and means for effective sexuality education program in general.

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Risk Tolerance and Financial Satisfaction

  • Jeong, Woon-Young;Sherman D. Hanna
    • International Journal of Human Ecology
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    • v.5 no.1
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    • pp.35-43
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    • 2004
  • The purposes of this study are to examine effects of household characteristics and risk tolerance attitude on risk tolerance behavior and to investigate the effect of risk tolerance attitude and behavior on financial satisfaction. For this study, data were collected during October of 2001 through a popular Web site for women in South Korea (www.azoomma.com). The participants in this study were 609 housewives, resulting in 607 with usable data. Multiple regression and path analysis were conducted using the SPSS for Windows. Findings suggest that the greater is risk tolerance attitude, the greater is risk tolerance behavior and those who exhibit more risk tolerance behavior tend to be more satisfied with their personal financial situation. It implies that risk tolerance behavior playa positive role in predicting financial satisfaction. The results have implication for family economists and educators in developing educational program and presenting strategic to increases financial well-being, and also for financial counselors and planners in suggesting portfolio advice to their client

Treatment and Follow-up of Human Papillomavirus Infected Women in a Municipality in Southern Brazil

  • Ruggeri, Joao Batista;Agnolo, Catia Millene Dell;Gravena, Angela Andreia Franca;Demitto, Marcela de Oliveira;Lopes, Tiara Cristina Romeiro;Delatorre, Silvana;Carvalho, Maria Dalva de Barros;Consolaro, Marcia Edilaine Lopes;Pelloso, Sandra Marisa
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6521-6526
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    • 2015
  • Background: This study aimed toanalyze the risk behavior for cervical cancer (CC) and the human papillomavirus (HPV) prevalence and resolution among women who received care through the private healthcare network of a municipality in southern Brazil. Materials and Methods: This descriptive and retrospective study was conducted with 25 women aged 20 to 59 years who received care through the private healthcare network and were treated at a specialty clinic in the period from January to December 2012 in a municipality in Northwest Parana, Southern Brazil. Data from medical records with cytological and HPV results were used. Following treatment, these women were followed-up and reassessed after 6 months. Data were statistically analyzed using the t-test and chi-squared test at a 5% significance level. Results: The mean age of the studied women was $27.8{\pm}7.75$ years old, and the majority were married, with paid employment and were non-smokers. The mean age at menarche was $13.0{\pm}0.50$ years old, and the mean age at first intercourse was $17.5{\pm}1.78$ years, with only 8.0% (2) initiating sexual activity at an age ${\leq}15$ years old. The majority had 1 to 2 children (60.0%), while 88.0% reported having had one sexual partner in their lifetime, and all the women were sexually active. A total of 68.0% used a hormonal contraceptive method. All the women had leukorrhea and pain and were infected by a single HPV type. Regarding the lesion grade, 80.0% showed high risk and 20.0% low risk. The most prevalent high-risk HPV strain was 16. Conclusions: These findings provide relevant information on HPV risk factors and infection, as well as the treatment and 6-month follow-up results, in economically and socially advantaged women with no traditional risk factors, corroborating previous reports that different risk factors may be described in different populations. Thus, this study reinforces the fact that even women without the traditional risk factors should undergo HPVmonitoring and assessment to determine the persistence of infection, promoting early diagnosis of the lesions presented and appropriate treatment to thus prevent the occurrence of CC.

The Application Method of System Safety Analysis Technique (시스템 안전 분석기법 활용방안에 대한 연구)

  • 김병석
    • Proceedings of the Safety Management and Science Conference
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    • 1999.11a
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    • pp.355-363
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    • 1999
  • Free from the industrial accident is the goal from top manager to foreman. Therefore all the company try to prevent occupational accident using system safety program in order to increase productivity Korean industries have been tend to depending upon historical information to control risk. The other hand, foreign industries have been Identify risk factors using system safety techniques to predict future risk. Therefore, this study is presented to applying the foreign industries's risk control technique to korean industries.

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