• 제목/요약/키워드: Risk-based assessment

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Role of the medical claims review (의적클레임검토의 역할 및 기능)

  • Lee, Sin-Hyung
    • The Journal of the Korean life insurance medical association
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    • v.26
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    • pp.31-39
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    • 2007
  • Background and main issue: In the Korean insurance market, an outstanding issue is the decrease of margin of risk ratio. This affects the solvency and profitability of insurance companies. Insurance medicine, which has been developed in Western countries, is so-called medical risk selection or medical underwriting. Medical risk selection is based on clinical follow-up study and mortality analysis methodology. Unfortunately, there have been few clinical follow-up studies, and no intercompany disease analysis system is available in the Korean insurance market. In practice, we use underwriting guidelines, which were developed by some global reinsurance companies. However, these guidelines were developed under clinical follow-up studies performed abroad. So, we cannot rule out underestimation of excess mortality factors such as mortality ratio, excess death rate, and life expectancy. It is necessary to perform medical assessment in claims administration. Comparing the insured's statement by medical records with products' benefit according to this procedure, we can make sound claim decisions and participate in the role of sound underwriting. We can call this scientific procedure as the verification of medical claims review. Another area of medical claims review is medical counsel for claims staff. Result: There is another insurance medicine in addition to medical risk selection. Independent medical assessment by medical records of insured is medical claims review. Medical claims review is composed of verification and counsel.

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Risk evaluation of fisher's safety on stow net fishing vessel (안강망어선에서 조업하는 선원의 위험도 평가)

  • HYUN, Yun-Ki;KIM, Hyung-seok;LEE, Yoo-Won
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.56 no.2
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    • pp.138-146
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    • 2020
  • Stow net fishery is one of the fishery with high fishing work accidents in southwestern sea of Korea. We conducted to serve as basic data for improving the healthy and safe working environment of fisher using risk assessment process (ISO45001) with fishermen's occupational accidents of the National Federation of Fisheries Cooperative (NFFC) from 2016 to 2018. The average occurrence rate of victim in this fishery was 9.04%, 16.7 times more than such rate in all industries. In addition, the average fatality rate was found to have a very serious level management to 31.06‱, 27.7 times more than such rate in all industries. The safety hazards of stow net fishery was more likely to occur by other general industrial groups, with more severe consequences after the accident. According to 4M analysis, 58.6% of all accidents were caused by human factors, 24.0% by environmental factors, 16.0% by mechanical factors, and 1.5% by managerial factors, respectively. The occurrence frequency by accident type was the highest in 187 cases (32.2%) for struck by object, 158 cases (27.2%) for slipping, and 94 cases (16.2%) for being in contact with machinery. Severity is the highest for others such as diseases etc., in the order of being struck by object, being in contact with machinery, falling from above slipping, collapsing, bumping, and burning. Being struck by object, being in contact with machinery, and slipping are high-risk groups, falling from above others, bumping, and burning are medium-risk groups based on the risk assessment using the occurrence frequency and severity of accident. The obtained results are expected to contribute to the safe operation environment subsidy for fishing crews on the stow net fishing vessel.

Toxicity Assessment of Antifouling Agent using the Survival and Population Growth Rate of Marine Rotifer, Brachionus plicatilis (해산로티퍼(Brachionus plicatilis)의 생존 및 개체군 성장률을 이용한 신방오도료(Zinc undecylenate)의 독성평가)

  • Hwang, Un-Ki;Choi, Hoon;Park, Yun-Ho;Park, Na-Young;Jang, Soo-Jung;Lee, Seung Min;Choi, Yun-Seok;Yang, Joon-Yong;Lee, Ju-Wook
    • Korean Journal of Environmental Biology
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    • v.36 no.3
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    • pp.392-399
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    • 2018
  • Toxicity assessment of antifouling agent, zinc undecylenate (ZU) has been investigated using the rate of survival and population growth in marine rotifer, Brachionus plicatilis. The survival rate of Brachionus plicatilis was determined after 24 h of exposure to ZU and was not affected up to the maximum level of $100.0mg\;L^{-1}$ of ZU. The population growth rate (r) was determined after 72 h of exposure to ZU. It was observed that r in the controls (absence ZU) was greater than 0.5 but exhibited a sudden decrease with an increase in the concentration of ZU. ZU reduced r in a dose-dependent manner and a significant reduction occurred at a concentration greater than $12.5mg\;L^{-1}$. The 50% effective concentration ($EC_{50}$) value of r during ZU exposure was $26.4mg\;L^{-1}$, No-observed-effect-concentration (NOEC) was $6.3mg\;L^{-1}$ and Lowest-observed-effect-concentration (LOEC) was $12.5mg\;L^{-1}$, respectively. Based on the results, it is apparent that ZU concentration greater than $12.5mg\;L^{-1}$ exhibited a toxic effect on the r of zooplankton, B. plicatilis in natural ecosystems.

Risk Assessment Technology of LNG Plant System (액화천연가스 플랜트 시스템 위험도평가 기술)

  • Choi, Song-Chun;Ha, Je-Chang;Lee, Mee-Hae;Jo, Young-Do;Chang, Yoon-Suk;Choi, Shin-Beom;Choi, Jae-Boong
    • Journal of the Korean Society for Nondestructive Testing
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    • v.29 no.2
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    • pp.162-170
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    • 2009
  • As one of promising solutions to overcome high oil price and energy crisis, the construction market of high value-added LNG plants is spotlighted world widely. The purpose of this manuscript is to introduce domestic activities to develop risk assessment technology against overseas monopolization. After analyzing relevant specific features and their technical levels, risk assessment program, non-destructive reliability evaluation strategy and safety criteria unification class are derived as core technologies. These IT-based convergence technologies can be used for enhancement of LNG plant efficiency, in which the modular parts are related to a system with artificial optimized algorithms as well as diverse databases of facility inspection and diagnosis fields.

Development and Use of Data for Chemical Risk Assessment (화학물질 유해성 평가를 위한 정보의 작성 및 활용)

  • Rim, Kyung-Taek;Kim, Hyun-Ok;Kim, Young-Kyo;Cho, Hae-Won;Ma, Yong-Seok;Lee, Kwon-Seob;Lim, Cheol-Hong;Kim, Hyeon-Yeong;Yang, Jeong-Seon
    • Environmental Analysis Health and Toxicology
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    • v.22 no.1 s.56
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    • pp.91-101
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    • 2007
  • The new chemicals are developed and circulated without the verified toxicity data. So, the accidents and occupational diseases, such as explosion, fire, suffocation about deadly poisons etc. are frequently to workers. Classifications of chemicals suited with guideline and an offer of correct chemical information data are the molt important thing for the establishment of suitable chemical management system. The GHS (Globally Harmonized System of classification and labeling of chemicals) is based with the chemical classifications and unification plan. The warning symbol and phrases are established for improvements of chemical information data system. According to these unified and improved systematic form of data, and the chemical information data, the workplaces will be presented many chemical safety and risk data correctly. In this paper, we will present constructions and accomplishment contents-based chemical management of workplace through development of chemical information data and the nice using for new chemical investigation and risk assessment of chemicals in workplaces.

An Application of a Baseline Checklist for Risk Assessment of Cumulative Trauma Disorders in Shipyard Workers (범용 위험도 평가서를 이용한 조선업체 작업에서의 누적외상성질환에 대한 인간공학적 분석)

  • Park, Donghyun;Han, Sang-Hwan
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.8 no.1
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    • pp.24-35
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    • 1998
  • Cumulative trauma disorders(CTDs) have been a growing problems for US and European industries with higher incidence rate every year. The increase and their associated costs has led companies to form committes and implement programs to address this problem. In our country, we have just started to recognize and to work on the problems in industry. This study conducted an ergonomic analysis for typical jobs of ship building industry which was not usually surveyed for CTD problem. A baseline CTD checklist which was supposed to do a risk assessment was developed and applied in this study. Initially, we considered five major parts in the checklist which consisted of personal, frequency, posture, force, and miscellaneous information. Most jobs in ship building industry were much different from typical assembly work and VDT work that have been major part of the previous CTD studies. Specifically, job characteristics in terms of frequency and posture were quite different. There were relatively long cycle time, awkward postures for whole body (not just for upper extremities). Also, CTD risk scores based on checklist were a lot higher than the scores for VDT jobs which was a case of preceding application of the checklist. Specifically, grinding jobs turned out to be the most risky one in terms of CTDs. In conclusion, usual CTD prevention guidelines are not likely to he effective in this type of industry. An individual job based interventions are strongly suggested to have a good control of CTD problems in ship building industry.

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Mullti-factor fusion Process for Pedestrian Risk Assesment (보행자의 위험도 산출을 위한 다중요인 융합 처리)

  • Ryu, Chang-Keun
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.8
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    • pp.817-826
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    • 2016
  • The importance of common life safety is getting growth with modern society progress. This paper shows the extended way of assessment of danger that outcomes better result than the previous assessment based on crime frequency assessment. The assessment of this paper involves time, illusion degree, floating population and the personal condition. The evidence theory is not beneficial when the number of component increases, the assessment is more complex than before. This research solves the problem through the fuzzy theory adoption. This paper shows more advanced result that can express better danger awareness and get the adjective expression.

Assessment of Contamination of Harbor Dredged Materials for Beneficial Use (항만준설토사 유효활용을 위한 오염도 평가)

  • Yoon, Gil-Lim;Jeong, Woo-Seob
    • Journal of the Korean Geotechnical Society
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    • v.24 no.5
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    • pp.15-25
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    • 2008
  • Contamination level assessment of harbor dredged materials is carried out for beneficial use, which generated annually due to port construction and maintenance of harbor channel. The basic purpose of environmental risk assessment was a scientific approach to susceptibility of hazard risk to human's health from different dredged materials. And this paper proposes a guideline of safely beneficial use of dredged materials at both industrial area and residental area, generated from major port execution throughout a sound investigation of their contamination levels. Newly proposed guidelines were in general higher levels compared to both current guidelines of treatment and use of dredged materials and soil environment protection levels. Finally, environmental assessment results of dredged material contamination generated in major ports of Korea for beneficial use based on pre-assessment environmental levels show that some port's dredged materials contain heavy metals such as Cd, As, Cr and Zn, more than base levels which requires more precise contamination investigation. Others were found to be very appropriate for beneficial use.

Underestimation of Dietary Exposure to Pesticide Residues in Relation to Residue Definition in South Korea (국내 잔류농약 residue definition과 관련된 식이노출의 과소평가)

  • Lee, Mi-Gyung
    • Journal of Food Hygiene and Safety
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    • v.35 no.5
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    • pp.452-458
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    • 2020
  • In this study we aimed to find out pesticide types with probability for underestimation of dietary exposure to pesticide residues in Korea by comparing the residue definitions between Korea and Codex standards. In addition, we sought to establish priorities regarding the necessity of review concerning pesticide types and their impacts based on the risk assessment and dietary exposure underestimation. As a result, we found that according to the residue definition information, 44 pesticides have probability for underestimation in terms of dietary exposure assessments. Among them, 24 pesticides have priority for review of dietary exposure underestimation and its impacts on risk assessment, based on the ADI values of pesticides, Korean MRL information and toxicological information of metabolite. The 24 pesticides were as follows: acibensolar-S-methyl, chlorfenapyr, chlorothalonil, cyantraniliprole, cyclaniliprole, cyflumetofen, dithiocarbamates, fenamidone, fenpyroximate, fluazifop-P-butyl, fluopicolide, flupyradifuron, fluxapyroxad, glyphosate, hexythiazox, isoprothiolane, isopyrazam, myclobutanil, penthiopyrad, propiconazole, spinetoram, spiromesifen, spirotetramat, trifloxystrobin. Furthermore, chlorfenapyr, chlorothalonil, dithiocarbamates and fenamidone may have considered a top priority for review due to greater toxicity of metabolite. This study could be of great use for improvement on risk assessment approaches in South Korea regarding pesticide residues in food commodities.

Damage Effects Modeling by Chlorine Leaks of Chemical Plants (화학공장의 염소 누출에 의한 피해 영향 모델링)

  • Jeong, Gyeong-Sam;Baik, Eun-Sun
    • Fire Science and Engineering
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    • v.32 no.3
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    • pp.76-87
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    • 2018
  • This study describes the damage effects modeling for a quantitative prediction about the hazardous distances from pressurized chlorine saturated liquid tank, which has two-phase leakage. The heavy gas, chlorine is an accidental substance that is used as a raw material and intermediate in chemical plants. Based on the evaluation method for damage prediction and accident effects assessment models, the operating conditions were set as the standard conditions to reveal the optimal variables on an accident due to the leakage of a liquid chlorine storage vessel. A model of the atmospheric diffusion model, ALOHA (V5.4.4) developed by USEPA and NOAA, which is used for a risk assessment of Off-site Risk Assessment (ORA), was used. The Yeosu National Industrial Complex is designated as a model site, which manufactures and handles large quantities of chemical substances. Weather-related variables and process variables for each scenario need to be modelled to derive the characteristics of leakage accidents. The estimated levels of concern (LOC) were calculated based on the Gaussian diffusion model. As a result of ALOHA modeling, the hazardous distance due to chlorine diffusion increased with increasing air temperature and the wind speed decreased and the atmospheric stability was stabilized.