• Title/Summary/Keyword: Risk-based assessment

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Assessing Breast Cancer Risk among Iranian Women Using the Gail Model

  • Khazaee-Pool, Maryam;Majlessi, Fereshteh;Nedjat, Saharnaz;Montazeri, Ali;Janani, leila;Pashaei, Tahereh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3759-3762
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    • 2016
  • Background: Breast cancer risk assessment is a helpful method for estimating development of breast cancer at the population level. Materials and Methods: In this cross-sectional study, participants consisted of a group of 3,847 volunteers ($mean{\pm}SD$ age: $463{\pm}7.59$ years) in a convenience sample of women referred to health centers affiliated to Tehran University of Medical Sciences in Tehran, Iran. The risk of breast cancer was estimated by applying the National Cancer Institute's online version of the Gail Risk Assessment Tool. Results: Some 24.9% of women reported having one first-degree female relative with breast cancer, with 8.05% of them having two or more first-degree relatives with breast cancer. The mean five-year risk of breast cancer for all participants was $1.61{\pm}0.73%$, and 9.36% of them had a five-year risk of breast cancer >1.66%. The mean lifetime risk of breast cancer was $11.7{\pm}3.91%$. Conclusions: The Gail model is useful for assessing probability of breast cancer in Iranian women. Based on the their breast cancer risk, women may decide to accept further screening services.

Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients (일개 종합병원 입원환자의 낙상관련 특성 및 낙상발생 예측요인)

  • Choi, Eun-Ju;Lee, Young-Shin;Yang, Eun-Jung;Kim, Ji-Hui;Kim, Yeon-Hee;Park, Hyeoun-Ae
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.420-430
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    • 2017
  • Purpose: The aim of this study was to explore characteristics of and risk factors for accidental inpatient falls. Methods: Participants were classified as fallers or non-fallers based on the fall history of inpatients in a tertiary hospital in Seoul between June 2014 and May 2015. Data on falls were obtained from the fall report forms and data on risk factors were obtained from the electronic nursing records. Characteristics of fallers and non-fallers were analyzed using descriptive statistics. Risk factors for falls were identified using univariate analyses and logistic regression analysis. Results: Average length of stay prior to the fall was 21.52 days and average age of fallers was 61.37 years. Most falls occurred during the night shifts and in the bedroom and were due to sudden leg weakness during ambulation. It was found that gender, BMI, physical problems such elimination, gait, vision and hearing and medications such as sleeping pills, antiarrhythmics, vasodilators, and muscle relaxant were statistically significant factors affecting falls. Conclusion: The findings show that there are significant risk factors such as BMI and history of surgery which are not part of fall assessment tools. There are also items on fall assessment tools which are not found to be significant such as mental status, emotional unstability, dizziness, and impairment of urination. Therefore, these various risk factors should be examined in the fall risk assessments and these risk factors should be considered in the development of fall assessment tools.

Direction for the management of air pollutants based on health risk in Korea (위해성을 고려한 대기오염물질의 관리 방향)

  • Kim, Young Ju;Kim, Yong Pyo
    • Particle and aerosol research
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    • v.13 no.2
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    • pp.43-52
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    • 2017
  • Policy direction for the management of air quality in Korea has been on the reduction of the average concentrations of the criteria air pollutants such as sulfur dioxide and fine particles. However, recently, risk based management of air pollutants becomes an important issue. In this study, to develop an effective air quality management policy direction in Korea, (1) the fourth Multiple Air Toxics Exposure Study (MATES IV) carried out in the South Coast Air Quality Management District (SQAQMD) in the USA is reviewed and (2) the results are compared with in these in Seoul and (3) policy directions are suggested. It was found that (1) systematic integrated study comprising of measurement, modeling, emission inventory estimation, and risk assessment was essential to estimate the health risk of air pollutants reliably, (2) cancer risk of diesel particle was dominant over other air pollutants, and (3) health risk based emissions were different from amount based emissions. It was suggested that (1) reducing the exposure from hot spots might important to reduce health risk from air pollutants and (2) an integrated air quality management administration system is important for the efficient management of air pollution.

Development Plan of Accident Scenario Modeling Based on Seasonal Weather Conditions - Focus on Chlorine Leakage Accident - (계절별 기상조건에 따른 사고시나리오 모델링 발전방안 - 염소 누출사고를 중심으로 -)

  • Kim, Hyun-Sub;Jeon, Byeong-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.733-738
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    • 2017
  • In this study, we selected chlorine, a typical toxic material used in many workplaces, as the leakage material, and through the analysis of alternative scenarios based on the meteorological conditions in the summer frequently encountered in accidents, we suggest ways to improve the (method of analysis/accident scenario modeling). The analysis of 296 chemical accidents from January 2014 to December 2016 found that the highest rate of occurrence was in summer, accounting for 35.81% of the total. According to the risk assessment, the influence range and number of inhabitants in the influence area were 712.4 m and 20,090 under the annual mean weather conditions and 796.2 m and 27,143 people under the summer mean weather conditions, respectively. This result implies that, under certain conditions, the range of impacts in the current alternative scenario is incomplete. Therefore, risk assessment systems need to be improved in order to take into consideration the characteristics of each chemical substance.

Risk assessment of karst collapse using an integrated fuzzy analytic hierarchy process and grey relational analysis model

  • Ding, Hanghang;Wu, Qiang;Zhao, Dekang;Mu, Wenping;Yu, Shuai
    • Geomechanics and Engineering
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    • v.18 no.5
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    • pp.515-525
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    • 2019
  • A karst collapse, as a natural hazard, is totally different to a normal collapse. In recent years, karst collapses have caused substantial economic losses and even threatened human safety. A risk assessment model for karst collapse was developed based on the fuzzy analytic hierarchy process (FAHP) and grey relational analysis (GRA), which is a simple and effective mathematical algorithm. An evaluation index played an important role in the process of completing the risk assessment model. In this study, the proposed model was applied to Jiaobai village in southwest China. First, the main controlling factors were summarized as an evaluation index of the model based on an investigation and statistical analysis of the natural formation law of karst collapse. Second, the FAHP was used to determine the relative weights and GRA was used to calculate the grey relational coefficient among the indices. Finally, the relational sequence of evaluation objects was established by calculating the grey weighted relational degree. According to the maximum relational rule, the greater the relational degree the better the relational degree with the hierarchy set. The results showed that the model accurately simulated the field condition. It is also demonstrated the contribution of various control factors to the process of karst collapse and the degree of collapse in the study area.

A Design of Risk-Based Security Threat Assessment Process for Fighter-Aircraft Airworthiness Security Certification (전투기 감항 보안 인증을 위한 위험기반 보안위협 평가 프로세스 설계)

  • Kim, Hyunju;Kang, Dongsu
    • KIPS Transactions on Software and Data Engineering
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    • v.8 no.6
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    • pp.223-234
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    • 2019
  • Cyber attacks are an important factor that determines the victory and defeat of Network-centric wars in which advanced weapon systems are highly interlinked. In addition the increasing dependability on software as its develop as the latest fighter is demanding enhanced security measures for fighter software to Cyber attacks. In this paper, we apply the DO-326A, which is an airworthiness security certification standard, to design a risk-based security threat assessment process by reflecting characteristics and operational environment of fighter aircraft. To do this, we add the following steps in security threat assessment stage of DO-326A's airworthiness security certification process. First, we derive security threats of fighter. And then, we scored the security threat in terms of possibility and impact on the fighter. Finally, we determine the security risk severity.

Towards Safety Based Design Procedure for Ships

  • Bakker, Marijn;Boonstra, Hotze;Engelhard, Wim;Daman, Bart
    • Journal of Ship and Ocean Technology
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    • v.5 no.3
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    • pp.1-13
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    • 2001
  • Present-day rules and regulations for the design and construction of ships are almost without exemption of a prescriptive and deterministic nature. Often it is argued that this situation is far from ideal; it does no right to the advances, which have been made during the past decades in engineering tools in marine technology, both in methodology and in computational power. Within IMO this has been realized for some time and has resulted in proposals to use Formal Safety Assessment(FSA) as a tool to improve and to modernize the rule making process. The present paper makes use of elements of the FSA methodology, but instead of working towards generic regulations or requirements, a Risk Assessment Approach, not unlike a 'safety case'; valid for a certain ship or type of ship is worked out. Delft University of Technology investigated the application of safely assessment procedures in ship design, in co-operation with Anthony Veder Shipowners and safety experts from Safely Service Center BV. The ship considered is a semi-pressurized-fully refrigerated LPG carrier. On the basis of the assumption that a major accident occurs, various accident, scenarios were considered and assessed, which would impair the safety of the carrier. In a so-called Risk Matrix, in which accident frequencies versus the consequence of the scenarios are depicted, the calculated risks all appeared lo be in the ALARP('as low as reasonable practicable') region. A number of design alternatives were compared, both on safety merits and cost-effectiveness. The experience gained with this scenario-based approach will be used to establish a set of general requirements for safety assessment techniques in ship design. In the view that assessment results will be most probably presented in a quasi-quantified manner, the requirements are concerned with uniformity of both the safety assessment. These requirements make it possible that valid comparison between various assessment studies can be made. Safety assessment, founded on these requirements, provides a validated and helpful source of data during the coming years, and provides naval architects and engineers with tools experience and data for safety assessment procedures in ship design. However a lot of effort has to be spent in order to make the methods applicable in day-to-day practice.

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Risk Critical Point (RCP): A Quantifying Safety-Based Method Developed to Screen Construction Safety Risks

  • Soltanmohammadi, Mehdi;Saberi, Morteza;Yoon, Jin Hee;Soltanmohammadi, Khatereh;Pazhoheshfar, Peiman
    • Industrial Engineering and Management Systems
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    • v.14 no.3
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    • pp.221-235
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    • 2015
  • Risk assessment is an important phase of risk management. It is the stage in which risk is measured thoroughly to achieve effective management. Some factors such as probability and impact of risk have been used in the literature related to construction projects. Because in high-rise projects safety issues are paramount, this study has tried to develop a quantifying technique that takes into account three factors: probability, impact and Safety Performance Index (SPI) where the SPI is defined as the capability of an appropriate response to reduce or limit the effect of an event after its occurrence with regard to safety pertaining to a project. Regarding risk-related literatures which cover an uncertain subject, the proposed method developed in this research is based on a fuzzy logic approach. This approach entails a questionnaire in which the subjectivity and vagueness of responses is dealt with by using triangular fuzzy numbers instead of linguistic terms. This method returns a Risk Critical Point (RCP) on a zoning chart that places risks under categories: critical, critical-probability, critical-impact, and non-critical. The high-rise project in the execution phase has been taken as a case study to confirm the applicability of the proposed method. The monitoring results showed that the RCP method has the inherent ability to be extended to subsequent applications in the phases of risk response and control.

A Case Study on the Risk Management for the Long-term Preservation Business Activities Related to Electronic Records (전자기록 장기보존 위험관리 사례)

  • Yim, Jin-Hee
    • The Korean Journal of Archival Studies
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    • no.39
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    • pp.3-43
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    • 2014
  • This paper showed results of the risk management project in detail which was conducted by National Archives of Korea(NAK) in 2010. In the project NAK examined its long-term preservation business of electronic records using DRAMBORA(Digital Repository Audit Method Based on Risk Assessment). NAK has defined 44 different risk elements related to its business activities, assessed and classified them into several grades according to the severity calculated by risk probability score and risk potential impact score, and developed precise management plans for two of the most serious risks. This paper introduced the management plan for one of them. The risk was numbered with NR04 and described by 'Loss of integrity of records information'. This paper explained mitigation strategies, contingency organization, disaster control responsibilities, and personal mission cards for the NR04. This paper planned to give comprehensive understandings to Records Management Organizations about the risk management approaches as an effective way for business management through the case study.

Seismic Risk Assessment on Buried Electric Power Tunnels with the Use of Liquefaction Hazard Map in Metropolitan Areas (액상화 재해지도를 이용한 수도권 전력구 매설지반의 지진시 위험도 평가)

  • Baek, Woohyun;Choi, Jaesoon
    • Journal of Korean Society of Disaster and Security
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    • v.12 no.1
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    • pp.45-56
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    • 2019
  • In this study, the seismic risk has been evaluated by setting the bedrock acceleration to 0.154g which, was taking into consideration that the earthquake return period for the buried electric power tunnels in the metropolitan area to be 1,000 years. In this case, the risk assessment during the earthquake was carried out in three stages. In the first stage, the site classification was performed based on the site investigation data of the target area. Then, the LPI(Liquefaction Potential Index) was applied using the site amplification factor. After, candidates were selected using a hazard map. In the second stage, risk assessment analysis of seismic response are evaluated thoroughly after the recalculation of the LPI based on the site characteristics from the boring logs around the electric power area that are highly probable to be liquefied in the first stage. The third Stage visited the electric power tunnels that are highly probable of liquefaction in the second stage to compensate for the limitations based on the borehole data. At this time, the risk of liquefaction was finally evaluated based off of the reinforcement method used at the time of construction, the application of seismic design, and the condition of the site.