• Title/Summary/Keyword: System Risk Analysis

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A Numerical study on the Moisture Transport of Concrete Tunnel Linings with the Sprayable Waterproofing Membrane (뿜칠 방수 멤브레인이 시공된 터널 라이닝의 수분이동에 관한 수치해석 연구)

  • Lee, Chulho;Choi, Soon-Wook;Kang, Tae-Ho;Chang, Soo-Ho
    • Tunnel and Underground Space
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    • v.26 no.3
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    • pp.212-219
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    • 2016
  • The sprayable waterproofing membrane is installed between shotcrete to provide crack bridging and hence prevent flow of liquid water as a waterproofing system. Because of its material characteristics, the sprayable membrane can be constructed at more complex structure than sheet membrane. The main component of the sprayable waterproofing membrane is a polymer-based material, therefore, moisture can migrate through sprayable waterproofing membrane materials by capillary and vapor diffusion mechanisms. The moisture transport mechanisms can have an influence on the degree of saturation and may influence the pore pressure and risk of freeze-thaw damage on concrete linings and membrane. In this study, long-term hygrothermal behavior was simulated with considering moisture transport and long-term effects on saturation of tunnel linings. From the simulation, due to water absorption and vapor transport properties of sprayable membrane, change of relative humidity and water content in tunnel lining can be evaluated.

Effects of Continuity of Care on Diabetes-Related Avoidable Hospitalizations among Middle- and Old-Aged Patients: Analysis of National Health Insurance Claims Data (건강보험 청구자료를 이용한 진료 연속성이 당뇨 관련 예방 가능 입원에 미치는 영향 분석: 중·고령군을 중심으로)

  • Kim, Boah
    • Health Policy and Management
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    • v.29 no.3
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    • pp.277-287
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    • 2019
  • Background: Diabetes is known as one of the most important ambulatory care sensitive conditions. This study purposed to assess the status of continuity of care (COC) and diabetes-related avoidable hospitalizations (DRAHs) of a group of middle- and old-aged patients and to observe the relationship of the two elements by the two age groups. Methods: This study utilized the National Health Insurance Service's National Sample Cohort data and the subjects are diabetes patients of 45 and over, classified into two groups of 'middle-aged'(45-64 years) and 'old-aged'(${\geq}65years$) patients. The dependent variable was DRAHs, which was defined in accordance with the definition of the Organization for Economic Cooperation and Development "Health Care Quality Indicators" project. COC, as an independent variable, is measured by the COC index in this study. Two-part model (multi-variate and multi-level analyses) was utilized. Results: Factors associated with the status and the number of DRAHs differed by each age group. Meanwhile, the two-part model showed that higher COC was associated with a lower risk of preventable hospitalizations in both middle- and old-aged groups. Conclusion: Study findings can provide health policy insights and implications in order to strengthen the primary care system for further improvement of diabetes management, especially for middle- and old-aged groups.

Strengthening BCP for the Prevention of Infectious Diseases in Companies (기업의 감염병 예방을 위한 BCP 강화방안 연구)

  • Kim, Young-Kook;Jeong, Kyung-Ok;Yang, Kyung-Ah
    • Journal of the Korea Safety Management & Science
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    • v.23 no.3
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    • pp.11-18
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    • 2021
  • As the number of confirmed cases of Covid-19 is not decreasing, it is time for domestic companies to respond preemptively and in terms of business continuity. The purpose of this study is to present measures to strengthen BCP to prevent infectious diseases in the enterprise. In this work, three methods of data investigation are used. The first was to search for keywords in academic databases such as the National Assembly Library and the Korea Research and Information Service to investigate degree papers and academic papers. Second, we investigated literature such as research reports, manuals, and guidelines on infectious diseases. Finally, the researchers visited official websites such as KDCA, MOHW, and MOIS to collect and analyze recent data. BCP In view of the Board, a new risk analysis should be made and a disaster preparedness system tailored to the characteristics of the entity should be established. We need to analyze corporate weaknesses and focus on safety culture. It is also important to look at how customers choose their services and products. Based on this, differentiated service strategies should be presented. It is hoped that the results of this study can be used as basic data for companies that want to systematically manage and operate BCP to prevent infectious diseases.

Research Trend Analysis of Questionnaires for Evaluation of Weight Loss Effect on Health-Related Quality of Life (체중 감량에 따른 삶의 질 영향 평가를 위한 설문지 연구 동향 분석)

  • Noh, Eun-Young;Kim, Seo-Young;Lim, Young-Woo;Park, Young-Bae
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.1
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    • pp.12-23
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    • 2019
  • Objectives: Obesity is associated with a high mortality risk and impairment in health-related quality of life (HRQOL). The aim of this article is to examine the impact of weight loss on HRQOL and which questionnaires sensitively reflect weight loss effects on HRQOL. Methods: PubMed, Scopus, Research Information Sharing Service, and Korean Studies Information Service System were searched for the studies related to weight loss and HRQOL, published from 2009 to 2018. A total of 28 studies were eligible for inclusion. HRQOL results after weight loss from selected studies were classified and reported according to questionnaires. Results: Twenty-two studies reported statistically significant HRQOL improvements after weight loss and especially, all of studies with weight loss of more than 5% reported HRQOL improvements. HRQOL questionnaires were classified as generic, obesity-related and depression questionnaires. The most commonly used questionnaires were Short-Form health survey 36 (SF-36), Impact of Weight on Quality Life-Lite (IWQOL-Lite) and Beck Depression Inventory (BDI) respectively. SF-36 had a tendency to reflect physical health. IWQOL-Lite score was tended to be changed sensitively according to weight change. Depression questionnaires including BDI reported improvement of depression while mental aspects of SF-36 not changed in same studies. Conclusions: Improvements of HRQOL were noted in studies with weight loss of more than 5%. The main questionnaires for evaluating HRQOL were SF-36, IWQOL-Lite and BDI. It is suggested to use these questionnaires together for evaluating multiple aspects of impact of weight loss on HRQOL.

Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey (상급종합병원과 여성전문병원 간호사의 산후 간호중재 조사)

  • Park, Hyunsoon;Kim, Ha Woon;Kim, Hee Jeong;Kim, Soon Ick;Park, Eun Hye;Kang, Nam Mi
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.55-66
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    • 2019
  • Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

A Study on Economic Evaluation of Small KSO Field in Indonesia (인도네시아 소규모 KSO 광구의 경제성 평가 연구)

  • Moon, Seo-Yoon;Choi, Youngil;Lim, Jong-Se;Huh, Seung-Kyun;Jeong, Kwang-Seok
    • Journal of the Korean Society of Mineral and Energy Resources Engineers
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    • v.55 no.6
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    • pp.624-634
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    • 2018
  • Indonesia has become a net crude oil importer because of the reduction of a new oil field discovery, and Indonesia is attempting to raise investment funds through the Kerja Sama Operasi (KSO) contract to develop a small-scale field. However, the KSO has a high-risk and low-return contract system for investors, necessitating an economic evaluation to examine the feasibility of the project. This study performed economic evaluation on the development of an Indonesian small-scale field by applying the KSO contract conditions, and identified the major economic parameters through a sensitivity analysis. As a result, the oil price, CAPEX and OPEX were identified as influential factors for economic evaluation. The results also indicate that commercial production in small-scale fields is difficult. In the future, this study can be used as a reference resource for investment in oil and gas development projects in Indonesia.

Management and Outcome of Patients with Acetabular Fractures: Associated Injuries and Prognostic Factors

  • Yeo, Do-Hyun;Oh, Jong-Keon;Cho, Jae-Woo;Kim, Beom-Soo
    • Journal of Trauma and Injury
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    • v.32 no.1
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    • pp.32-39
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    • 2019
  • Purpose: The aim of this study was to determine which factors contribute to the surgical treatment outcomes of acetabular fractures. Simultaneously, we aim to report on the treatment results after our hospital was designated as the focused training center for trauma. Methods: We conducted a retrospective review of all patients who experienced acetabular fractures from January 1, 2014 to May 1, 2017 and visited our hospital. Patients who had associated pelvic ring fractures or were lost to the one-year follow-up were excluded; a total of 37 fractures were evaluated. We evaluated the clinical results using the scoring system of Merle $d^{\prime}Aubign\acute{e}$ (MDA) and grade of Brooker for heterotopic ossification. Results: Thirty-seven patients (31 men and 6 women) were identified. The mean injury severity score (ISS) was 8.7, with 32.4% of patients having a score >15. The average blood transfusion in the first 24 hours was 0.54 pints. Falling was the most common injury mechanism (32.4%). Chest injury was the most common associated injury (16.2%), followed by head injury (13.5%). The posterior wall and both column fracture were the most common (37.8%) fracture patterns. Excellent and good clinical grades of MDA included 28 patients (75.6%) and fair and poor grades included nine (24.3%), respectively. Four patients were diagnosed with a post-operative infection (10.8%); one out of four patients who had co-morbidity died (2.7%), and another patient underwent a replacement surgery (2.7%). Multivariate analysis showed that age and operation time were associated with MDA. In addition, operation time and ISS were significant co-factors of the Brooker grade. Conclusions: Korea University Guro Hospital showed similar treatment results of acetabular fractures compared to other publications. The age and operation time were co-factors of the clinical outcome of this fracture. Additionally, increased operation time and injury severity score were suggested to increase the Brooker grade.

An Examination of Multi-Dimensional Constructs of Resistance to Supply Chain Management (SCM) Change for a Small and Medium Sized Food Production Company (공급사슬관리 (SCM) 운영 변화의 저항에 영향을 미치는 선행요인 평가 : 식품제조 중소기업 K사 사례를 중심으로)

  • Kim, Dae-Cheol;Kim, Won-Kyo;Seo, Youing-Kyu
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.42 no.3
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    • pp.206-216
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    • 2019
  • The present study identified several antecedents that create perceived resistance to supply chain management (SCM) change. This work particularly emphasizes SCM change, which is notable given its central role in reacting market orientation and varied environmental and managerial conditions. A careful case study on a small and medium sized food production company in South Korea leads to the formulation of our framework including one second-order construct of 'resistance' as well as eight first-order constructs of 'implementing the payment terms', 'balancing of business process', 'fear of responsibility', 'business sustainability transparency', 'past experience of failure', 'competence of work personnel', 'cooperation with third parties' and 'sharing personnel information with partner'. The hypothesized relation of first- and second-order construct was validated using survey sample data collected from 350 respondents who completed their questionnaire instrument. Results from confirmatory factor analysis revealed that nomological validity was established at statistical significance level by identifying six first order constructs of 'implementing the payment terms', 'fear of responsibility', 'business sustainability transparency', 'past experience of failure', a conbined construct of 'competence of work personnel/cooperation with third parties' and 'sharing personnel information with partner'. The findings from our work are expected to provide important insights to the strategy for SCM risk management for small and medium sized company.

Effects of emotional labor, organizational climate, and job involvement on turnover intention in Korean dental hygienists (치과위생사의 감정노동, 근무환경 분위기, 직무몰입이 이직의도에 미치는 영향)

  • Jeung, Da-Yee
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.813-824
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    • 2019
  • Objectives: The purpose of this study was to investigate the effects of emotional labor, organizational climate, and job involvement on turnover intention in Korean dental hygienists. Methods: A total of 806 dental hygienists were enrolled in this study. A self-administered questionnaire was used to evaluate the demographic and occupational characteristics, emotional labor, organizational climate, job involvement, and turnover intention of the subjects. A hierarchical multiple regression analysis was performed. All statistical analyses were performed using the Statistical Package for the Social Sciences for Windows (version 23.0) and p-values < 0.05 were considered significant. Results: Highly chronic exposure to emotional labor were more likely to increase the risk of turnover intention among dental hygienists, especially in the sub-scales of "over-load and conflict in customer service" (OR: 1.64; CI: 1.01-2.64), "organizational surveillance and monitoring" (OR: 1.76; 95% CI: 1.21-2.57), and "lack of a supportive and protective system in the organization" (OR: 1.76; 95% CI: 1.36-2.46). Job involvement (OR: 0.91; 95% CI: 0.86-0.96) and organizational climate (OR: 0.82; 95% CI: 0.75-0.90) were negatively associated with turnover intention among dental hygienists. Conclusions: Exposure to chronic and excessive emotional labor might be a contributing factor for turnover intention, and job involvement and a positive organizational climate contribute to protecting the negative impacts of emotional labor on turnover intention in dental hygienists.

The Effect of Community Mapping Application Development and Application on the Safety Consciousness of Elementary and Middle Schools (커뮤니티맵핑 어플리케이션 개발과 활용이 초·중생의 안전의식 고취에 끼치는 영향)

  • Kwon, Jin-Suk;Lee, Hyo-Jeong;Shin, Eun-Hye;Park, So-Soon
    • Journal of the Society of Disaster Information
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    • v.15 no.3
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    • pp.323-338
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    • 2019
  • Purpose: The purpose of this study is to propose an educational program for enhance safety capability of elementary and middle school students through community mapping application. Method: Developed and utilized a community mapping application that can be easily used for research. After participating in 425 elementary and middle school students, This study analyzed the change of safety competency through survey. Results: Through the community mapping activities, it was possible to derive the actual life surrounding risk factors of the earthy life, and it was found through the questionnaire before and after the activity that the safety competence of the participants improved. Conclusion: Investigation of similar related cases of Public Participant Safety Mapping Tool and analysis of their functionalities are conducted, and user demanded functionalities with improved usability accessability expandability are derived. Also, the system applied the test to elementary and middle school students and the survey showed that the safety capacity was improved according to Safety Mapping activities. This is proposed as a safety education program.