• Title/Summary/Keyword: integrated risk

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Healthcare Work and Organizational Interventions to Prevent Work-related Stress in Brindisi, Italy

  • d'Ettorre, Gabriele;Greco, Mariarita
    • Safety and Health at Work
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    • v.6 no.1
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    • pp.35-38
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    • 2015
  • Background: Organizational changes that involve healthcare hospital departments and care services of health districts, and ongoing technological innovations and developments in society increasingly expose healthcare workers (HCWs) to work-related stress (WRS). Minimizing occupational exposure to stress requires effective risk stress assessment and management programs. Methods: The authors conducted an integrated analysis of stress sentinel indicators, an integrated analysis of objective stress factors of occupational context and content areas, and an integrated analysis between nurses and physicians of hospital departments and care services of health districts in accordance with a multidimensional validated tool developed in Italy by the National Network for the Prevention of Work-Related Psychosocial Disorders. The purpose of this retrospective observational study was to detect and analyze in different work settings the level of WRS resulting from organizational changes implemented by hospital healthcare departments and care services of health districts in a sample of their employees. Results: The findings of the study showed that hospital HCWs seemed to incur a medium level risk of WRS that was principally the result of work context factors. The implementation of improvement interventions focused on team development, safety training programs, and adopting an ethics code for HCWs, and it effectively and significantly reduced the level of WRS risk in the workplace. Conclusion: In this study HCW resulted to be exposed to occupational stress factors susceptible to reduction. Stress management programs aimed to improve work context factors associated with occupational stress are required to minimize the impact of WRS on workers.

Effects of nursing intervention programs for women with gestational diabetes: a systematic review of randomized controlled trials (임신성 당뇨병을 가진 임산부를 위한 간호중재 프로그램의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰)

  • Kim, JooHee;Chung, ChaeWeon
    • Women's Health Nursing
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    • v.27 no.1
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    • pp.14-26
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    • 2021
  • Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

A Design of the Social Disasters Safety Platform based on the Structured and Unstructured Data (정형/비정형 데이터 기반 사회재난 안전 플랫폼 설계)

  • Lee, Chang Yeol;Park, Gil Joo;Kim, Junggon;Kim, Taehwan
    • Journal of the Society of Disaster Information
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    • v.18 no.3
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    • pp.609-621
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    • 2022
  • Purpose: Natural Disaster has well formed framework more than social disaster, because natural disaster is controlled by one department, such as MOIS, but social disaster is distributed. This study is on the design of the integrated service platform for the social diaster data. and then, apply to the local governments. Method: Firstly, we design DB templates for the incident cases considering the incident investigation reports. For the risk management, life-damage oriented social disaster risk assessment is defined. In case of the real-time incident data from NDMS, AI system provides the prediction information in the life damage and the cause of the incident. Result: We design the structured and unstructured incident data management system, and design the integrated social disaster and safety incident management system. Conclusion: The integrated social disaster and safety incident management system may be used in the local governments

A Study on the Corporate Portfolio Risk Management for Multinational Construction Company (대형건설업체의 해외건설공사 포트폴리오 리스크 관리에 관한 연구)

  • Han Seung-Heon;Lee Young;Kim Hyung-Jin;Ock Jong-Ho
    • Korean Journal of Construction Engineering and Management
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    • v.2 no.2 s.6
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    • pp.68-80
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    • 2001
  • While opportunities for international construction firms have been growing with globalization, the risk of international construction projects is significantly increasing in severity and complexity. However, the traditional risk management approach in the construction industry has maintained a profit focus. In addition, this approach has not considered the overall risk at the corporate level, but rather has focused only on the risk of individuals at the project level. Corporate risk management should be implemented from the initial stages of new project selection. This paper suggests the Multi-criteria Integrated Systematic Analysis as a strategic decision-making tool for international construction contractors. The model integrates the multi-criteria of risk, return, and efficiency to choose the optimal set of new portfolios at the corporate level. This model also introduces the Value at Risk (VaR) concept to the international construction industry to present the total risk at the corporate level. To validate this model, this paper tested an experimental case study using the historical data of a global general contractor.

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Development Acceptable Risk Model for International Construction Projects - Focusing on Small and Medium Construction Companies - (해외 건설 다수 프로젝트 관리를 위한 허용리스크 도출 - 중소·중견 건설기업 관점에서 -)

  • Hwang, Geunouk;Park, Chan Young;Jang, Woosiki;Han, Seung Heon;Kang, Sin Young
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.3
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    • pp.90-97
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    • 2016
  • Since Korean construction firms have steadily advanced into the international market, small and medium construction companies (SMCCs) have also advanced in such market. SMCCs's recent trend have clearly shown the changes of contract types from single subcontractor projects to multiple general contracting projects. However, among those multiple projects performed by SMCCs, 1 out of 3 projects were deficit projects that impact the overall pe rformance of the firm. To increase such performance, risk management for in international construction must be managed at the enterprise level for SMCCs. This research aims to create a multiple project management model for SMCCS that employs the concept of acceptable risk to assess the limit risk level for corporation to acceptable. Using the accumulated data from previous survey and International Construction Association of Korea (ICAK), integrated risk of each firm and their profitability of each project are analyzed. Through the analysis, each firm's acceptable risk level is derived. Through the two research steps, acceptable risk algorithm was developed based on corporate integrated risk and profit correlation. To prove the acceptable algorithm relevance, financial statement analysis of 3 corporation was derived that level of acceptable risk and financial statement were available. Through the approach, this research allows the firms to analyze the firm's capability and find projects that suits the firm's situation and capability.

Health Risk Assessments using GIS Method for the Abandoned Asbestos Mines (GIS 기법을 이용한 폐석면 광산의 위해성 평가)

  • Choi, Jin-Beom;Son, Ill;Noh, Jin-Hwan
    • Journal of the Mineralogical Society of Korea
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    • v.24 no.1
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    • pp.43-53
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    • 2011
  • Health risk assessments for the abandoned asbestos mine were usually performed with activity-based sampling (ABS) method, which was not a effective tool for indexing health risk on an exact small area of mine. A newly proposed potential index of health risk (PIHR) was applied with proper spatial determination of geographical information system (GIS) to assess quantitatively health risks. A new trial was applied to a certain abandoned mine in Boryong as follows: A high grade area of PIHR was estimated 7.8% of the whole area of the mine (about 27.3 ha). Based on US EPA IRIS (integrated risk information system) model considering lifetime excess cancer risk (LECR), the health risk assessment indicated that the high grade area increased from 3.0 ha through 12.9 ha to 19.5 ha with an increase of asbestos contents in soil from 0.36% (1E-04 level) through 0.1% (3E-05 level) to 0.04% (1E-05 level). These results can be effectively applied to determine reclamation area of the abandoned asbestos mine.

Comparison of oral health status by metabolic syndrome risk factors in workers (일부지역 근로자의 대사증후군 위험요인별 분류와 구강건강상태 비교)

  • Ku, In-Young;Moon, Seon-Jeong;Lee, Myeong-Seon;Ka, Kyung-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.581-588
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    • 2013
  • Objectives : The aim of the study si to investigate correlation between metabolic syndrome risk factors and oral health status in workers and to propose the integrated and effective management measures. Methods : Subjects were 4,600 workers in industrial company. Data by medical checkup and oral examination were collected from July 13, 2010 to September 12, 2010. Self-reported questionnaire included general characteristics, job description, smoking, drinking, and metabolic syndrome risk factor indicators. Gingivitis, dental calculus and missing tooth tended to have more metabolic syndrome risk factors. Data were analyzed by descriptive statistics, chi-square test, correlation analysis, logistic regression using SPSS version 18.0. Results : Dental caries revealed 1.146 times higher than the control group. Risk group showed the following results; gingivitis was 1.317 times higher in risk group and 1.612 times in metabolic syndrome. Dental calculus was 1.532 times higher in risk group and 1.557 times in metabolic syndrome. Mssing teeth were 1.976 higher in metabolic syndrome. Conclusions : Metabolic syndrome risk factors had close correlation to poor raol health status. It is necessary to establish the effective plan for the oral health in workers.

Risk Factors of Postoperative Nosocomial Pneumonia in Stage I-IIIa Lung Cancer Patients

  • Wang, Zeng;Cai, Xin-Jun;Shi, Liang;Li, Fei-Yan;Lin, Neng-Ming
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.7
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    • pp.3071-3074
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    • 2014
  • Background: To investigate the related risk factors of postoperative nosocomial pneumonia (POP) in patients withI-IIIa lung cancer. Methods: Medical records of 511 patients who underwent resection for lung cancer between January 2012 to December 2012 were retrospectively reviewed. Risk factors of postoperative pneumonia were identified and evaluated by univariate and multivariate analyses. Results: The incidence of postoperative pneumonia in these lung cancer patients was 2.9% (15 cases). Compared with 496 patients who had no pneumonia infection after operation, older age (>60), histopathological type of squamous cell carcinoma and longer surgery time (>3h) were significant risk factors by univariate analysis. Other potential risk factors such as alcohol consumption, history of smoking, hypersensitivity, hypertension, diabetes mellitus and so on were not showed such significance in this study. Further, the multivariate analysis revealed that old age (>60 years) (OR 5.813, p=0.018) and histopathological type of squamous cell carcinoma (OR 5.831, p<0.001) were also statistically significant independent risk factors for postoperative pneumonia. Conclusions: This study demonstrated that being old aged (>60 years) and having squamous cell carcinoma histopathological type might be important factors in determining the risk of postoperative pneumonia in lung cancer patients after surgery.

A Study on the Standards for Implementation of Comprehensive Dependability Management System (신뢰성경영시스템 구축을 위한 규격조사)

  • Kim, Jong-Gurl;Jung, Back-Woon;Lee, Mun-Kyo
    • Proceedings of the Safety Management and Science Conference
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    • 2008.11a
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    • pp.589-598
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    • 2008
  • Nowadays worldwide leading companies try to establish more efficient and comprehensive management system for getting high quality, reliability and safety. In this paper, we investigate standards for quality management, dependability management and risk management. We also suggest an integrated and comprehensive system of quality(ISO/TS16949), dependability (IEC60300)and risk(JIS Q2001).

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Defining Risk Education in Climate Change Issues and Exploring its Status Quo in the Current Science Education

  • Yohan Hwang;Young-Shin Park;Hyunju Lee;Hyunok Lee;Kongju Mun
    • Journal of the Korean earth science society
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    • v.45 no.4
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    • pp.404-420
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    • 2024
  • Many risk-related issues within the realm of science education have been addressed through science-technology-related socioscientific issues (SSI) education. It has been established that the topics categorized as SSI are interconnected with risk-related issues. These topics emphasize numerous points of convergence with the goals of SSI education, particularly in understanding and analyzing risks, including risk assessment, risk management, and risk decision-making. Such understanding can aid in grasping the complexity of SSI based on risk-related issues and facilitate informed decision-making by structuring debates. Although there has been discourse on the need for education aimed at future survival and reflection on the responsibilities and roles of education in risk-prone societies, concepts or strategies related to actual risk responses are rarely addressed in science education and schools. Education tailored to risk-prone societies is not yet well established. This study explored the incorporation of climate change risk education into science education. A framework for climate change risk education was developed, encompassing seven elements, with corresponding definitions and examples. The researchers applied this framework to evaluate the extent to which climate change risk education is integrated into the current science curriculum of Korea. Additionally, SSI lesson scenarios related to climate change were analyzed using this risk education framework to determine the types and extent of risk education incorporated. The findings underscore the importance of teaching climate change risk education to equip students for rational decision-making.