• 제목/요약/키워드: risk assessment method

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모유수유교육과 추후간호방법이 산모의 모유수유실천율과 모유수유방법에 미치는 효과 - 가정방문과 전화상담을 중심으로 - (Effect of Breast-feeding Education and Follow-up care on the Breast-feeding Rate and the Breast-feeding Method - Focused on Home Visit and Phone Counselling -)

  • 박숙희;고효정
    • 여성건강간호학회지
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    • 제7권1호
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    • pp.30-43
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    • 2001
  • This was a pre-experimental study to confirm the breast-feeding ability and effect of follow up care on the breast-feeding rate and the breast-feeding method by the mother-infant breast-feeding assessment tool for the mothers who got the breast-feeding education. The subjects were 46 mothers who experienced normal delivery of infants at a college hospital in K-city, Kyungsangbuk-do, from July 1 to October 21, 2000. The instrument for data obtainment were The Mother-Infant Breast-Feeding Assessment Tool of Johnson et al. (1999), and The Breast- Feeding Method Measurement Tool of Jeong, Geum-hee(1997). This instrument was reliable, showing Cronbach $\alpha$.751. This study classified them into 3 groups: at high risk for breast-feeding failure, at risk for breast-feeding problems, and at low risk for breast-feeding failure by the mother-infant breast-feeding assessment tool on the day of discharge from the hospital after delivering individual breast-feeding education to the subjects. This study investigated the breast-feeding rate and the breast-feeding method through mail questionnaire at the four week after childbirth, and through the phone counselling and the home visit for follow up care at the first week and the second week after childbirth. The sixth week after childbirth, this study investigated the breast-feeding rate by phone. The data analyzed the hypothesizes by $x^2$-test, paired t-test, ANOVA, Wilcoxon signed rank test, Wilcoxon rank sum test and trend analysis using SPSS/PC+ WIN 10.0 program. The results were as follows : 1) Hypothesis 1-1, "there won't be any difference the breast-feeding rate of a group at risk for breast-feeding failure by the time elapsed" was supported through constant the breast-feeding rate, because changes in the breast-feeding rate by the time elapsed after childbirth wasn't statistically significant(t= -1.501, p=.270). Hypothesis 1-2, "there won't be any difference the breast-feeding rate of group at low risk for breast-feeding failure by the time elapsed" was supported through constant the breast-feeding rate, because changes in the breast-feeding rate by the time elapsed after childbirth wasn't statistically significant(t=-1.732, p=.225). 2) Hypothesis 2-1, "there won't be any difference between the breast-feeding method of group at risk for breast-feeding failure for four weeks after childbirth and just after childbirth” was rejected, because the mean point of post test appeared to be higher than that of pre test(t=-7.267, p=.000). Hypothesis 2-2, "there won't be any difference between the breast-feeding method of the group at low risk for breast-feeding failure for four weeks after childbirth and just after childbirth" was rejected, because the mean point of post test appeared to be higher than that of pre test(t=-2.501, p=.012). 3)The 3rd hypothesis, "there won't be any difference between breast-feeding method of groups at risk for breast-feeding problems and at low risk for breast-feeding failure at the 4th week after childbirth and just after childbirth" didn't show any difference between the breast-feeding method of groups at risk for breast-feeding problems and at low risk for breast-feeding failure in the advance test(t=-1.521, p=.130) but there was difference between them in post test (t=-2.012, p=.044). As a result, the 3rd hypothesis was supported by pre test, but it was rejected by post test. In conclusion, this study confirmed breast- feeding education and follow up care just after childbirth were effective for the breast-feeding rate and method. Accordingly, it is proposed that successful nursing intervention of breast-feeding to be necessary by continuously providing follow up care through the mother-infant breast-feeding assessment tool as well as to execute individual breast-feeding education to mothers just after childbirth.

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공동주택용 외단열 동시타설 공법 적용을 위한 리스크 요인 평가 (Assessment of Risk Factors for Application of Exterior Insulation Board in Cast-in-place Concrete Form System for Apartment)

  • ;김태훈;임현수;조훈희;강경인
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2015년도 춘계 학술논문 발표대회
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    • pp.204-205
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    • 2015
  • Exterior insulation board in cast-in-place concrete form system could reduce construction period and improve quality in apartment construction. However, the method is progressed with insulation and concrete frame works at the same time, then risk is increased in duration control and quality management. Therefore, this paper analyzed risk factors through FMEA method. We found that the key risk factors delaying schedule was insulation material that soaked in the rain and quality defects on the insulation material joint. Based on this research, the risk management approach should be developed for improvement of method activation.

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관상동맥우회로술의 위험 수준이 병원내사망률 평가 결과에 미친 영향 분석 (Does performing high- or low-risk coronary artery bypass graft surgery bias the assessment of risk-adjusted mortality rates of hospitals?)

  • 이광수;이상일;이정수
    • 보건행정학회지
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    • 제17권3호
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    • pp.87-105
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    • 2007
  • The purpose of this study was to analyze whether nonemergency, isolated coronary artery bypass graft (CABG) surgery for high- or low-risk patients biases the assessment of the risk-adjusted mortality rates of hospitals. This study used 2002 National Health Insurance claims data for tertiary hospitals in Korea. The study sample consisted of 1,959 patients from 23 tertiary hospitals. The risk-adjustment model used the patients' biological, admission, and comorbidity data identified in the claims. The subjects were classified into high- and low-risk groups based on predicted surgical risk. The crude mortality rates and risk-adjusted mortality rates for low-risk, high-risk, and all patients in a hospital were compared based on the rank and the four intervals defined by quartile. Also, the crude mortality rates of the three groups were compared with their 95% confidence intervals of predicted mortality rates. The C-statistic (0.83) and Hosmer-Lemeshow test ($X^2$=11.47, p=0.18) indicated that the risk-adjustment model performed well. Presenting crude mortality rates with their 95% confidence intervals of predicted rates showed higher agreements among the three groups than using the rank or intervals of mortality rates defined by quartile in the hospital performance assessment. The crude mortality rates for the low-risk patients in 21 of the 23 hospitals were located on the same side of their 95% confidence intervals compared to that for all patients. High-risk patients and all patients differed at only one hospital. In conclusion, the impact of risk selection by hospital on the assessment results was the smallest when comparing the crude inpatient mortality rates of CABG patients with the 95% confidence intervals of predicted mortality rates. Given the increasing importance of quality improvements in Korean health policy, it will be necessary to use the appropriate method of releasing the hospital performance data to the public to minimize any unwanted impact such as risk-based hospital selection.

독일에서의 환경영향의 정량적 평가 (Quantification of Ecological Impact as a Basis for Evaluation)

  • Schweppe-Kraft, Burkhard
    • 환경영향평가
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    • 제2권2호
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    • pp.59-71
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    • 1993
  • Evaluation methods are employed in environmental impact assessment to choose between different project site, to determine the required measures to compensate impact and to decide whether the environmental impacts are more important than the social or economic effects of a project. The main obstacles that restrict use of quantitative evaluation method are a Lack of knowledge about the environmental effects (e.g. if impacts on wildlife or landscape amenities are predicted) and the relative importance of economic and social issues compared with nature conservation stability of ecosystem or landscape beauty. In Germany, the most common method for site planning is the "ecological risk analysis". It is a kind of multi-criteria-decision-method based on quantitative and qualitative description and ordinal ranking. The various kinds of "ecological balancing methods" that are more recently developed (within the last decade) to quantify the required amount for compensatory measures instead often use cardinal figures to express the value of ecosystems, the intensity of impacts, the need for additional measures to compensate for long recuperative periods when restoring ecosystems and so on. There are still only a view attempts to quantify decisions between environmental and socio-economic issues. Multicriteria-analysis as well as cost-benifit-analysis was used. Some new approaches which are still in a preliminary status are based on contingent valuation and on calculations for compensatory payments (instead of compensatory measures).

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대학 실험실에서의 유기화합물 노출에 의한 건강위험성 평가에 관한 연구 (A Study on Health Risk Assessment by Exposure to Organic Compounds in University Laboratory)

  • 심상효;원정일;전하섭;김도원
    • 한국학교ㆍ지역보건교육학회지
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    • 제22권4호
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    • pp.49-60
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    • 2021
  • Objectives: Laboratories have various latent physical, chemical, biological, and ergonomical factors according to the diversification and fusion of research and development activities. This study aims to investigate the chemical exposure concentrations of college laboratories and evaluate their health risks, and use them as basic data to promote the health of college students. Methods: The sampling and analysis of harmful chemicals in the air in laboratories were performed using Method 1500 of the U.S. National Institute for Occupational Safety and Health (NIOSH)의 Method 1500. The harmful chemicals in the laboratories were divided into carcinogenic and non-carcinogenic chemicals. Risk assessment was performed using the cancer risk (CR) for carcinogenic chemicals and using the hazard index (HI) for non-carcinogenic chemicals. Results: The harmful chemicals in college laboratories consisted of acetone, diethyl ether, methylene chloride, n-hexane, ethyl acetate, chloroform, tetrahydrofuran, toluene, and xylenes. They showed the highest concentrations in laboratories A (acetone 0.001~2.34ppm), B (chloroform 0.95~6.35ppm), C (diethyl ether 0.08~8.68ppm), and D (acetone 0.07~14.96ppm). The risk assessment result for non-carcinogenic chemicals showed that the HI of methylene chloride was 2.052 for men and 2.333 for women, the HI of N-hexane was 4.442 for men and 5.05 for women. Thus, the HI values were higher than 1. The risk of carcinogenic chemicals is determined by an excess cancer risk (ECR) value of 1.0×10-5, which means that one in 100,000 people has a cancer risk. The ECRs of chloroform exceeded 1.0×10-5 for both men and women, indicating the possibility of cancer risk. Conclusion: College laboratories showed the possibility of non-carcinogenic health risks for methylene chloride, n-hexane, tetrahydrofuran (THF), toluene, and xylenes, and carcinogenic health risks for chloroform, methylene chloride. However, this study used the maximum values of measurements to determine the worst case, and assumed that the subjects were exposed to the corresponding concentrations continuously for 8 hours per day for 300 days per year. In consideration of the nature of laboratory environment in which people are intermittently exposed, rather than continuously, to the chemicals, the results of this study has an element of overestimation.

Earthquake risk assessment methods of unreinforced masonry structures: Hazard and vulnerability

  • Preciado, Adolfo;Ramirez-Gaytan, Alejandro;Salido-Ruiz, Ricardo A.;Caro-Becerra, Juan L.;Lujan-Godinez, Ramiro
    • Earthquakes and Structures
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    • 제9권4호
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    • pp.719-733
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    • 2015
  • Seismic risk management of the built environment is integrated by two main stages, the assessment and the remedial measures to attain its reduction, representing both stages a complex task. The seismic risk of a certain structure located in a seismic zone is determined by the conjunct of the seismic hazard and its structural vulnerability. The hazard level mainly depends on the proximity of the site to a seismic source. On the other hand, the ground shaking depends on the seismic source, geology and topography of the site, but definitely on the inherent earthquake characteristics. Seismic hazard characterization of a site under study is suggested to be estimated by a combination of studies with the history of earthquakes. In this Paper, the most important methods of seismic vulnerability evaluation of buildings and their application are described. The selection of the most suitable method depends on different factors such as number of buildings, importance, available data and aim of the study. These approaches are classified in empirical, analytical, experimental and hybrid. For obtaining more reliable results, it is recommends applying a hybrid approach, which consists of a combination between methods depending on the case. Finally, a recommended approach depending on the building importance and aim of the study is described.

Technical note: Estimation of Korean industry-average initiating event frequencies for use in probabilistic safety assessment

  • Kim, Dong-San;Park, Jin Hee;Lim, Ho-Gon
    • Nuclear Engineering and Technology
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    • 제52권1호
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    • pp.211-221
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    • 2020
  • One fundamental element of probabilistic safety assessment (PSA) is the initiating event (IE) analysis. Since IE frequencies can change over time, time-trend analysis is required to obtain optimized IE frequencies. Accordingly, such time-trend analyses have been employed to estimate industry-average IE frequencies for use in the PSAs of U.S. nuclear power plants (NPPs); existing PSAs of Korean NPPs, however, neglect such analysis in the estimation of IE frequencies. This article therefore provides the method for and results of estimating Korean industry-average IE frequencies using time-trend analysis. It also examines the effects of the IE frequencies obtained from this study on risk insights by applying them to recently updated internal events Level 1 PSA models (at-power and shutdown) for an OPR-1000 plant. As a result, at-power core damage frequency decreased while shutdown core damage frequency increased, with the related contributions from each IE category changing accordingly. These results imply that the incorporation of time-trend analysis leads to different IE frequencies and resulting risk insights. The IE frequency distributions presented in this study can be used in future PSA updates for Korean NPPs, and should be further updated themselves by adding more recent data.

An Improved Multilevel Fuzzy Comprehensive Evaluation to Analyse on Engineering Project Risk

  • LI, Xin;LI, Mufeng;HAN, Xia
    • 융합경영연구
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    • 제10권5호
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    • pp.1-6
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    • 2022
  • Purpose: To overcome the question that depends too much on expert's subjective judgment in traditional risk identification, this paper structure the multilevel generalized fuzzy comprehensive evaluation mathematics model of the risk identification of project, to research the risk identification of the project. Research design, data and methodology: This paper constructs the multilevel generalized fuzzy comprehensive evaluation mathematics model. Through iterative algorithm of AHP analysis, make sure the important degree of the sub project in risk analysis, then combine expert's subjective judgment with objective quantitative analysis, and distinguish the risk through identification models. Meanwhile, the concrete method of multilevel generalized fuzzy comprehensive evaluation is probed. Using the index weights to analyse project risks is discussed in detail. Results: The improved fuzzy comprehensive evaluation algorithm is proposed in the paper, at first the method of fuzzy sets core is used to optimize the fuzzy relation matrix. It improves the capability of the algorithm. Then, the method of entropy weight is used to establish weight vectors. This makes the computation process fair and open. And thereby, the uncertainty of the evaluation result brought by the subjectivity can be avoided effectively and the evaluation result becomes more objective and more reasonable. Conclusions: In this paper, we use an improved fuzzy comprehensive evaluation method to evaluate a railroad engineering project risk. It can give a more reliable result for a reference of decision making.

Consistency of the rapid assessment method for reinforced concrete buildings

  • Isik, Ercan
    • Earthquakes and Structures
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    • 제11권5호
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    • pp.873-885
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    • 2016
  • Determination of earthquake-safety of existing buildings requires a rather long and challenging process both in terms of time and expertise. In order to prevent such a tedious process, rather rapid methods for evaluating buildings were developed. The purpose of these rapid methods is to determine the buildings that have priority in terms of risk and accordingly to minimize the number of buildings to be inspected. In these rapid evaluation methods detailed information and inspection are not required. Among these methods the Canadian Seismic scanning method and the first stage evaluation method included in the principles concerning the determination of risk-bearing buildings promulgated by the Ministry of Environment and Urbanization in Turkey are used in the present study. Within the scope of this study, six reinforced concrete buildings damaged in Van earthquakes in Turkey are selected. The performance scores of these buildings are calculated separately with the mentioned two methods, and then compared. The purpose of the study is to provide information on these two methods and to set forth the relation they have between them in order to manifest the international validity.

A Method of Risk Assessment for Multi-Factor Authentication

  • Kim, Jae-Jung;Hong, Seng-Phil
    • Journal of Information Processing Systems
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    • 제7권1호
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    • pp.187-198
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    • 2011
  • User authentication refers to user identification based on something a user knows, something a user has, something a user is or something the user does; it can also take place based on a combination of two or more of such factors. With the increasingly diverse risks in online environments, user authentication methods are also becoming more diversified. This research analyzes user authentication methods being used in various online environments, such as web portals, electronic transactions, financial services and e-government, to identify the characteristics and issues of such authentication methods in order to present a user authentication level system model suitable for different online services. The results of our method are confirmed through a risk assessment and we verify its safety using the testing method presented in OWASP and NIST SP800-63.