• Title/Summary/Keyword: pre-management of risk

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Suicide-Related Behaviors among College Students and suicide prevention (대학생의 자살관련행동 및 예방대책)

  • Kim, Jeong-Yeon
    • Journal of Digital Convergence
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    • v.10 no.11
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    • pp.525-533
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    • 2012
  • This aim of the present study was to determine the prevalence of suicide-related behavior(suicide ideation, plans and attemps) and its relationship in college students. 384 college students in Daejeon, Chungbuk provice were selected for this study from April 2 to April 21, 2012. Collected data was analyzed by using the SPSS 19.0 pragram. The prevalence of lifetime suicide ideation, plans and attemps were 32.3%, 4.7% and 3.0%. Respondents with mild ~ severe depressive symptoms were 42.2%. Depressive symptom was the consistent and crucial risk factor associated with suicide-related behavior indicates(suicide ideation, plans and attempts) commonly. We consider the suicide ideation and depressive symptom when develop the suicide prevention program. To prevent suicide, institutionalization of suicide screening program for who experience suicide ideation, depression, follow management of pre-suicide attemptor, surrounders of suicide victims, development of manual about strategy toward suicide, operating mental health program, delicate media representation.

Evaluation of Visiting Nursing Care Using Geographical Information System(GIS) Technology (Geographical Information System 기법을 이용한 방문간호 중재 평가)

  • Lee, Suk-Jeong;Park, Jeong-Mo
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.1042-1054
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    • 2006
  • Purpose: Previous evaluation studies of the visiting nursing program explained an average change of the participants' health status, without considering socio-ecological characteristics and their impacts. However, these factors must affect individual health problems and lifestyles. For effective and appropriate community based programs, the Geographical Information System(GIS) can be utilized. GIS is a computer-based tool for mapping and analyzing things that happen on earth, and integrates statistical analysis with unique visualization. The purpose of this study was to evaluate visiting nursing care and to advocate the usefulness of planning and evaluating visiting nursing programs using Exploratory Spatial Data Analysis(ESDA) with GIS technology. Methods: One hundred eighty-four elderly participants with cerebrovascular risk factors who lived in 13 areas of one community received visiting nursing care. The data analyzed characteristics of pre-post change and autocorrelation by ESDA using GIS technology. Results: Visiting nursing care showed an improvement in the participants' lifestyle habits, and family management ability and stress level, while the improvements were different depending on the regions. The change of family management ability and stress level correlated with neighborhoods (Morgan's I=0.1841, 0.1675). Conclusions: Community health providers need to consider the individual participant's health status as well as socio-ecological factors. Analysis using GIS technology will contribute to the effective monitoring, evaluation and design of a visiting nursing program.

A Study on Constructing the RCM-based Failure Analysis System for Railway Facilities & Equipments (RCM 기반 철도시설물 고장분석시스템 구축 - 서울메트로 -)

  • Jung, Kwan-Soo;Seo, Kwang-Hyuk;Lee, Jung-Joo;Nam, Jin-Geun
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.881-895
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    • 2011
  • Seoul Metro railway facilities' inspection and maintenance tasks cause failure analysis, but if there is trouble the diverse cause investigation and the systematic analysis and management among broken facilities, related facilities and components fell short and the conditions are different. And, excess and insufficiency, under inspection and maintenance, is being raised regardless of the introduction year and the operating environment including the number of use by applying the same facilities in the uniform inspection cycle. In this study, we will analysis systematically facility system information, failures, operational status, performance, fault and maintenance information resulting from the maintenance management of railway facilities and derive the relationship between associated equipment and its components. In addition, optimizing the inspection and the maintenance cycles of railway facilities, we will improve the reliability of operation. Considering the probability of risk, it is possible to predict the occurrence of accidents or faults and to minimize the frequency of breakdown by pre-inspection maintenance. Finally, This paper is to introduce the content of constructing the Seoul Metro RCM-based failure analysis system for railway facilities to support the optimal continuance of operation status of equipments and the securement of the safe operation of vehicles.

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A Study on the Direction for the Institutional Improvement of Financial Supply Chain Management Solution under Global e-Trade (글로벌 전자무역에서의 금융지원체인관리 솔루션의 운용현황과 개선방향 - Bolero를 중심으로 -)

  • Chae, Jin-Ik
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.33
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    • pp.247-275
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    • 2007
  • This paper is to propose the Direction for the institutional improvement of Financial Supply Chain Management(FSCM) Solution which are currently coming into operation under Global e-Trading Platform. The Financial Supply Chain compromise the entire trade processes and information that manage a trader's cash, Accounts payable and receivable, Risk, working capital, and so on in international trade transaction. From a buyer's perspective, this involves the full procurement-to-payment process. For the seller, it is the order-to-cash cycle. Bolero provides the party concerned a e-trade platform which conformed to these fundamental pre-requisites to underpin fully electronic trade. But this FSCM solution have failed to provide the efficient platform to effectively manage the process of Global e-Trade because it does not correspond with e-Trade environment. Therefore, present FSCM system need the institutional improvement as follows: AA) Strengthening the role of the correspondent Bank under e-Trade System, BB) Extending the function of e-Trade intermediary institution, CC) The introduction of Trade Insurance System, etc. So, by streamlining and automating these processes on an open and flexible platform, The party concerned can optimize their trade transaction and maintain better relations with their business partners

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A Study on Customized Nutrition Intervention Program Design and Application for the Low-Income Elderly (저소득층 노인을 위한 맞춤영양관리 프로그램의 개발과 시범 적용 연구)

  • Do, Hyun-Joo;Lee, Young-Mee
    • Korean Journal of Community Nutrition
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    • v.16 no.6
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    • pp.716-729
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    • 2011
  • This study aimed to plan nutrition support programs for the elderly living alone whose nutrition status were seriously concerned, conducted seven stages nutrition intervention program on a trial basis, and evaluated the effectiveness of the program of the Elderly Nutrition Support Project. Subjects were selected for personalized nutrition management based on nutritional risk score and nutrition intervention were tailored to the problems occurred. The elderly nutrition support program targets were 44 senior citizens who lived alone with low income. The 33 (as Type 1) of the subjects with whom milk, tofu, seaweed, eggs, black beans have been supported, and also provide nutrition education, and the rest 11 persons (as Type 2) to whom food was not supported but provide nutrition education programs. As a result, all subjects showed that compared with pre and post program implementation, their daily exercise time and milk and protein consumption level were increased and some improvement was observed regular meals consumption and low-salt diets. Their nutrient intake level such as calories, protein, calcium, iron improved after implementation. In addition, NSL DETERMINE scores significantly improved from 13.21 to 7.24 in Type 1 and 11.27 to 9.91 in Type 2. As positive dietary behavioral changes were observed as in that they purchased more protein and calcium rich foods.

Prognostic factors in hepatocellular carcinoma patients with bone metastases

  • Kim, Sungmin;Choi, Youngmin;Kwak, Dong-Won;Lee, Hyung Sik;Hur, Won-Joo;Baek, Yang Hyun;Lee, Sung Wook
    • Radiation Oncology Journal
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    • v.37 no.3
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    • pp.207-214
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    • 2019
  • Purpose: To identify the prognostic factors that could influence survival and to compare prognoses of the patients with the number of the risk factors that might assist in the adequate management of hepatocellular carcinoma (HCC) patients with bone metastases that showed a heterogeneous range of survival. Materials and Methods: A total of 41 patients, treated with radiotherapy (RT) for bone metastases from HCC from 2014 to 2017, were enrolled retrospectively. Survival was determined by the Kaplan-Meier method from the start of the RT for metastatic bone lesions. Pre-RT clinical features were evaluated and their influences on survival were analyzed. The significant factors were considered to compare survivals according to the number of prognostic factors. Results: Median follow-up was 6.0 months (range, 0.5 to 47.0 months). The median overall survival was 6.5 months, and the 1-year and 2-year survival rates were 35.5% and 13.5%, respectively. Multivariate analysis revealed that the Child-Pugh class A group, alpha-fetoprotein increased more than 30 ng/mL, and HCC size of more than 5 cm were associated with worse overall survival. The median survivals in HCC with none, 1, 2, and 3 of the aforementioned risk factors were 19.5, 9.0, 2.5, and 1.0 months, respectively (p < 0.05). Conclusion: Our results show that the overall survivals were significantly different according to the number of the risk factors among HCC patients with bone metastases who showed various lengths of survival.

Surgical Result of Coronary Artery Bypass Grafting - The Effect of Pre and Intraoperative Procedures (관동맥 우회술의 수술성적-수술전 처치 및 수술수기의 영향에 관한 연구)

  • Kim, Young-Tae;Hong, Jong-Myun;Chae, Hurn
    • Journal of Chest Surgery
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    • v.26 no.2
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    • pp.141-147
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    • 1993
  • A total of 40 patients having a diagnosis of atherosclerotic coronary arterial disease were analysed on the operative outcomes according to variables as follows: 1) preoperative risk factors such as age, sex, CCS (Canadian Cardiovascular Society) functional class, type of angina, number of diseased vessel, presence of left main coronary artery stenosis, previous history of habitual smoking and presence of other medical diseases (diabetes mellitus, essential hypertension), 2) preoperative management such as intravenous infusion of nitroglycerine, preoperative IABP (intra-aortic balloon pump) support and whether the operation was scheduled as emergency or not, 3) intraoperative variables such as infusion method and composition of cardioplegic solutions, number of distal anastomosis, use of internal mammary artery, total cardiopulmonary bypass time and total cross clamp time. Complications included operative death in 12.5%, perioperative myocardial infarction in 25.0% and perioperative arrhythmia in 17.5%. Nineteen perioperative variables were analyzed to identify risk factors for these end points. For operative death, presence of left main coronary artery stenosis (p = 0.056) and cardiopulmonary bypass time (p = 0.029) were significant in the univariate analysis, but presence of left main coronary artery lesion (p = 0.011, $\chi$$^2$= 6.45) and abscence of preoperative of IABP support (p = 0.069, $\chi$$^2$ = 3.30) were independent predictor in multivariate analysis (stepwise linear logistic regression).

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Quantification for Collapsion Probability of Building Structures( I ) (건축구조물 붕괴위험도 정량화에 관한 연구( I ))

  • 손기상
    • Journal of the Korean Society of Safety
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    • v.9 no.1
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    • pp.110-120
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    • 1994
  • The Quantitative analysis for collapsion probability of each construcion work has not been developed, despite of that the one for safety management itself has been reported, up to now. It is concluded that showing critical check points against structure collapsion due to each work at construction site, and Quantifying those could be useful Quality-assuring tool, not to prevent Quality failure. Risk classes of each work at construction site, classified by German Builders Mutual-Aid Association (GEBMAS), and by special instruction rates of Korea Insurance Development Institute, are introduced to compare with the results of this study. As of a study method, total 2,002 sheets of questionwares are distributed directly to new city development areas, which are called, Ilsan 110 points : Pundang 79points and Chungdong 38points, including additional Changwon 125sheets and pusan 60sheets, by four(4) people, for contact with actual site engineers. Total responses of 1,056 sheets, are collected. Interrelationship diagram between experience years of Engrs., and risk rate of responses are also classified, with the criteria of four(4) years. Domestic journals with relation to construction have reported that main building Structure collapsions are mainly shown on apartment buildings and office ones. These two(2) building structures are again classified as five(5) kinds of works. This study takes use of an approach on haying the risk rates for each construction work on the above individual construction work. Additionally, site investigations have been performed to find out any possible unreasonable check items, due to construction method ; Reinforced Concret structure, Pre cast Concrete structure, and Steel structure building. Developed Quality Assurance Analysis Form with the Quantitative danger class, resulted from this study, are verified as it is able to be a good efficiency tool against collapsion of building structures.

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Risk Assessment of a Drone Under the Gust and its Precise Flight Simulation (드론의 외풍 환경 비행 안전성 평가 및 정밀 시뮬레이션)

  • Lee, DongYeol;Park, SunHoo;Shin, SangJoon
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.50 no.3
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    • pp.173-180
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    • 2022
  • The operation and transportation environment for an unmanned aerial vehicle will be completely different from those for the conventional air and ground transportation. The requirement for a traffic management system for its safe operation has been emerging. Accordingly, investigation is being conducted to analyze the danger that unmanned aerial vehicle may encounter during the flight and to provide the countermeasure by the simulation. When the drones operate in an urban environment, they may be affected by the wind around the building. Thus it is essential to predict the influence of the gust and analyze the resulting risk. In this paper, a method for evaluating the safety for a flight mission under the gust is suggested. By using the precise 6-degree-of-freedom flight simulation that is capable of simulating the gust condition, possible deviation from the pre-planned flight path in terms of the attitude orientation will be predicted. A method of quantifying the probability of the flight mission failure will also be presented.

Analysis on Inundation Characteristics for Flood Impact Forecasting in Gangnam Drainage Basin (강남지역 홍수영향예보를 위한 침수특성 분석)

  • Lee, Byong-Ju
    • Atmosphere
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    • v.27 no.2
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    • pp.189-197
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    • 2017
  • Progressing from weather forecasts and warnings to multi-hazard impact-based forecast and warning services represents a paradigm shift in service delivery. Urban flooding is a typical meteorological disaster. This study proposes support plan for urban flooding impact-based forecast by providing inundation risk matrix. To achieve this goal, we first configured storm sewer management model (SWMM) to analyze 1D pipe networks and then grid based inundation analysis model (GIAM) to analyze 2D inundation depth over the Gangnam drainage area with $7.4km^2$. The accuracy of the simulated inundation results for heavy rainfall in 2010 and 2011 are 0.61 and 0.57 in POD index, respectively. 20 inundation scenarios responding on rainfall scenarios with 10~200 mm interval are produced for 60 and 120 minutes of rainfall duration. When the inundation damage thresholds are defined as pre-occurrence stage, occurrence stage to $0.01km^2$, 0.01 to $0.1km^2$, and $0.1km^2$ or more in area with a depth of 0.5 m or more, rainfall thresholds responding on each inundation damage threshold results in: 0 to 20 mm, 20 to 50 mm, 50 to 80 mm, and 80 mm or more in the rainfall duration 60 minutes and 0 to 30 mm, 30 to 70 mm, 70 to 110 mm, and 110 mm or more in the rainfall duration 120 minutes. Rainfall thresholds as a trigger of urban inundation damage can be used to form an inundation risk matrix. It is expected to be used for urban flood impact forecasting.