• 제목/요약/키워드: risk reporting

검색결과 323건 처리시간 0.024초

Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects?

  • Zulkifli, Aziemah;Abidin, Najihah Zainol;Abidin, Emilia Zainal;Hashim, Zailina;Rahman, Anita Abd;Rasdi, Irniza;Syed Ismail, Sharifah Norkhadijah;Semple, Sean
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권12호
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    • pp.4815-4821
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    • 2014
  • Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.

Influencing Factors of High PTSD Among Medical Staff During COVID-19: Evidences From Both Meta-analysis and Subgroup Analysis

  • Qi, Guojia;Yuan, Ping;Qi, Miao;Hu, Xiuli;Shi, Shangpeng;Shi, Xiuquan
    • Safety and Health at Work
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    • 제13권3호
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    • pp.269-278
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    • 2022
  • Background: PTSD (Post-traumatic stress disorder, PTSD) had a great impact on health care workers during the COVID-19 (Corona Virus Disease 2019, COVID-19). Better knowledge of the prevalence of PTSD and its risk factors is a major public health problem. This study was conducted to assess the prevalence and important risk factors of PTSD among medical staff during the COVID-19. Methods: The databases were searched for studies published during the COVID-19, and a PRISMA (preferred reporting items for systematic review and meta-analysis) compliant systematic review (PROSPERO-CRD 42021278970) was carried out to identify articles from multiple databases reporting the prevalence of PTSD outcomes among medical staff. Proportion random effect analysis, I2 statistic, quality assessment, subgroup analysis, and sensitivity analysis were carried out. Results: A total of 28 cross-sectional studies and the PTSD results of doctors and nurses were summarized from 14 and 27 studies: the prevalences were 31% (95% CI [confidence interval, CI]: 21%-40%) and 38% (95% CI: 30%-45%) in doctors and nurses, respectively. The results also showed seven risks (p < 0.05): long working hours, isolation wards, COVID-19 symptoms, nurses, women, fear of infection, and pre-existing mental illness. Two factors were of borderline significance: higher professional titles and married. Conclusion: Health care workers have a higher prevalence of PTSD during COVID-19. Health departments should provide targeted preventive measures for medical staff away from PTSD.

예비보육교사의 아동학대 신고에 관한 인식과 태도: 타전공 대학생과의 비교 (The Perception and Attitude of Pre-service Childcare Teachers on Child Abuse - Preparation with other Major Students -)

  • 김태연;정현심
    • 한국보육학회지
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    • 제18권3호
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    • pp.65-75
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    • 2018
  • 본 연구는 이후 아동학대의 가장 가까운 목격자이자 신고의무자가 될 예비보육교사들이 아동학대 신고에 대해 얼마나 정확하게 인식하고 있으며, 학대신고를 위한 적극적인 태도를 보이는지 알아보고자 하였다. 이를 위해 서울과 경기도의 5개 학교에서 아동학과와 타전공 대학생들을 대상으로 설문조사를 시행하고, 두 집단 간 응답을 비교하여 예비보육교사들의 아동학대 및 신고에 대한 인식 및 태도가 어떠한지 살펴보았다. 검사도구로는 정종오(2008)의 아동학대 인식척도와 김소연과 윤혜미(2003)의 아동학대 신고인식 태도 척도 등을 사용하였다. 수집한 자료는 IBM SPSS 22.0 통계 프로그램을 이용하여 빈도와 백분율, 독립표본 t-test와 교차분석을 사용하여 분석하였다. 연구결과는 다음과 같다. 첫째, 예비보육교사들의 학대에 대한 심각성 인식 수준은 타전공 대학생보다 유의하게 높았다. 학대신고제도 및 신고의무에 대한 인지 수준 역시 타전공 대학생보다 높았다. 그러나 아동학대 담당기관에 대해서는 두 집단 모두 정확히 알고 있지 못하였다. 둘째, 예비보육교사는 아동학대 목격 시 타전공 대학생보다 신고의향이 높았다. 그러나 신고의 효과성에 대해서는 두 집단 모두 다소 부정적이었다. 또한, 신고의 저해요인으로써 신분 노출에 대한 우려를 가장 많이 선택하였다. 결론적으로 이 연구는 예비보육교사들의 신고의향을 높이기 위해 신고 처리과정 및 결과의 정확한 전달과 신고자의 신분 노출을 방지할 효과적인 대책 마련이 필요함을 시사한다. 또한, 아동학대를 예방하고 학대신고제도를 활성화하기 위해 학대신고의 정확한 방법과 필요성, 효과성에 관한 대중매체를 통한 정보전달과 홍보가 필요함을 지적하는 등, 아동학대와 관련된 이후 정책 제정에 대한 시사점을 제공하고자 하였다.

노인 운전자의 운전 위험성 자각 특성 분석 (Analyzing Driving Risk Self-Perception Characteristics of Elderly Drivers)

  • 최성열
    • 융합정보논문지
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    • 제10권7호
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    • pp.223-231
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    • 2020
  • 노인 운전자는 기능저하로 인해 사고 위험성이 증가하지만 스스로 변화를 점검하는 자가-조절 능력 또한 발달한다. 이에 실제 노인 운전자가 운전 능력과 위험성 변화에 대응하는 특성에 대한 정보는 노인의 운전 능력 평가 현장과 연구에 의미있는 근거를 제공할 수 있다. 따라서 본 연구의 목적은 한국 노인 운전자의 운전 위험성 자각 특성을 운전 중 행동과 운전관련 기능변화의 측면에서 분석하여 노인 운전자 평가를 위한 기초 자료를 제공하는 것이다. 지역사회에 거주하는 노인 운전자 500명을 대상으로 자가-보고식 평가를 실시하고 노인 운전자의 운전 위험성 자각 징후를 분석하였다. 그 결과 다수의 노인 운전자가 시각 및 청각이 저하되거나 운전 여건 변화에 적응하는데 어려움을 느낄 때 운전 위험성을 자각하는 특성이 있음을 확인하였다. 반면, 약물 복용이나 간질, 발작, 의식손실 등 의학적 건강 상태 변화에는 둔감하게 반응하는 특성이 확인되었다. 본 연구 결과가 고령화가 가속화되는 한국의 노인 운전자 안전 관리에 기여할 수 있기를 기대한다.

Use of Ergonomic Measures Related to Musculoskeletal Complaints among Construction Workers: A 2-year Follow-up Study

  • Boschman, Julitta S.;Frings-Dresen, Monique H.W.;van der Molen, Henk F.
    • Safety and Health at Work
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    • 제6권2호
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    • pp.90-96
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    • 2015
  • Background: The physical work demands of construction work can be reduced using ergonomic measures. The aim of this study was to evaluate the use of ergonomic measures related to musculoskeletal disorders (MSDs) among construction workers. Methods: A questionnaire was sent at baseline and 2 years later to 1,130 construction workers. We established (1) the proportion of workers reporting an increase in their use of ergonomic measures, (2) the proportion of workers reporting a decrease in MSDs, (3) the relative risk for an increase in the use of ergonomic measures and a decrease in MSDs, and (4) workers' knowledge and opinions about the use of ergonomic measures. Results: At follow-up, response rate was 63% (713/1,130). The proportion of workers using ergonomic measures for vertical transport increased (34%, 144/419, p < 0.01); for measures regarding horizontal transport and the positioning of materials, no change was reported. The proportion of workers reporting shoulder complaints decreased (28%, 176/638, p = 0.02). A relationship between the use of ergonomic measures and MSDs was not found; 83% (581/704) of the workers indicated having sufficient knowledge about ergonomic measures. Lightening the physical load was reported to be the main reason for using them. Conclusion: Only the use of ergonomic measures for vertical transport increased over a 2-year period. No relationship between the use of ergonomic measures and MSDs was found. Strategies aimed at improving the availability of ergonomic equipment complemented with individualized advice and training in using them might be the required next steps to increase the use of ergonomic measures.

Applications of Goods Mutation Control Form in Accounting Information System: A Case Study in Sumber Indah Perkasa Manufacturing, Indonesia

  • ARIF, Donny;YUCHA, Nikma;SETIAWAN, Setiawan;OKTARINA, Dian;MARTAH, Varid;MUTTAQIIN, Ninnasi
    • The Journal of Asian Finance, Economics and Business
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    • 제7권8호
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    • pp.419-424
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    • 2020
  • This study analyzes the new GMCF method applied by the company with the aim to find out how the production of Accounting Information Systems (AIS) implemented by the company can be managed properly. The study also seeks to find out whether the company needs new system support facilities to facilitate the production performance reporting process of each division and evaluate the performance of GMCF systems in the company. The methods used are descriptive analysis techniques and statistical tests of Paired Sample T-Test comparison; this study uses production data of each unit of a product with random sampling to determine the level of product damage and compare production with the GMCF system and prior to using it. The results of the analysis found that the application of goods mutation control forms (GMCF) greatly influenced the smooth production reporting process, which resulted in an increase in achieving production targets and reducing the risk of product damage during the production process. The company also benefits from the efficiency of production costs when using the GMCF system and can quickly design policies for products that are damaged during the production process. In addition, the company can have damaged products repaired faster than before.

자발적 약물 이상반응 보고 분석을 통한 수술 후 통증 조절에 사용된 Fentanyl의 약물사용적정성 (Fentanyl PCA Monotherapy and Fentanyl TTS Combination Therapy in Post-Operative Pain Management: Analyses of Spontaneous Adverse Drug Reaction Reports)

  • 박수정;정경혜;김은영
    • 한국임상약학회지
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    • 제28권2호
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    • pp.81-87
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    • 2018
  • Objective: There have been many cases of spontaneous adverse drug reactions to fentanyl at a regional pharmacovigilance center in the hospital. To assess the factors causing the adverse drug reactions reported in patients receiving fentanyl patient-controlled analgesia (PCA) monotherapy or in combination with fentanyl transdermal therapeutic system (TTS) for acute post-operative pain management. Methods: We conducted a retrospective cohort study with all patients prescribed fentanyl PCA for pain management after orthopedic surgery at a single university hospital from June 2012 to May 2013. We analysed the factors causing adverse drug reactions reported by a spontaneous reporting system in patients receiving fentanyl PCA monotherapy and those receiving fentanyl TTS in combination with fentanyl PCA. Results: Based on the spontaneous adverse drug reaction reporting, the risk ratio for the incidence rate of adverse drug reaction in the fentanyl TTS combination therapy group was 3.04 (95 % CI: 2.4-4.00, P < 0.0001), which was approximately 3-fold higher than that reported for fentanyl PCA monotherapy. Only 60 % of the adverse drug reactions were reported. Conclusion: It is inappropriate to add fentanyl TTS to fentanyl PCA to manage post-operative acute pain. There is a need to improve adverse drug reaction reporting. We expect that regular analysis of adverse drug reactions reported at regional pharmacovigilance centre would aid in appropriate drug utilization by patients.

A Civilian Reporting Service to Guide Converging Resources for Search and Rescue in Disaster Response

  • Chen, Albert Y.;Han, Sang-Uk;Lee, Sang-Hyun;Pena-Mora, Feniosky
    • Journal of Construction Engineering and Project Management
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    • 제1권3호
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    • pp.45-51
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    • 2011
  • During disaster response, prioritization of limited resources is one of the most important but challenging tasks. At the same time, it is imperative to timely provide to the rescuers with the adequate heavy equipment to facilitate lifesaving operations. However, supply of high demand equipment is usually insufficient during the initial phase of disaster response, challenging lifesaving operations. At the same time, resources outside of the disaster affected zone converge into the area to assist the response efforts, which is the effect of convergence that often made resource coordination challenging in large scale disasters. Meanwhile, the initial condition of the disaster is usually best known by civilians already at the area before and during impact of the disaster. The knowledge of the civilians is not always received and considered by the responding organizations. With the help of these civilians, critical information such as victim location, infrastructure damage, and risk condition could be better know before any response actions are taken. To efficiently collect information and utilize the converging resources, this paper proposes a geospatial information repository for initial condition reporting and update to guide search and rescue operations and deployment of equipment with safety considerations for the rescuers in large scale disaster response scenarios.

A Comparative Analysis of Corporate Governance Guidelines: Bangladesh Perspective

  • Rahman, Md. Musfiqur;Khatun, Naima
    • Asian Journal of Business Environment
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    • 제7권2호
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    • pp.5-16
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    • 2017
  • Purpose - The purpose of this research study is to make a comparative analysis between corporate governance guidelines 2016 and 2012 and area of further improvement to ensure better governance, accountability and transparency. Research design, data and methodology - This research study is mainly based on the corporate governance guidelines 2016 and 2012 issued by the regulatory authority known as Bangladesh Securities and Exchange Commission (BSEC). Results - This study finds that corporate governance guideline 2012 include some new issues such as criteria and qualification of independent director; some additional statements in the directors' report; mandatory requirement of separation of chairman and CEO; constitution of audit committee; chairman of audit committee; role of audit committee, duties of CEO and CFO on financial statements; and collection of compliance certificate from professional accountant or secretary in compare to corporate governance guidelines 2016. Conclusions - This study suggests that the regulatory authority should include more issues such as tax management and reporting, risk management and reporting; individual and overall performance analysis of the board and independent directors; separate nomination and compensation committee; assessment of true independence of the board and its supporting committees to ensure higher quality of corporate governance and transparency.

Evolution of Aviation Safety Regulations to cope with the concept of data-driven rulemaking - Safety Management System & Fatigue Risk Management System

  • Lee, Gun-Young
    • 항공우주정책ㆍ법학회지
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    • 제33권2호
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    • pp.345-366
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    • 2018
  • 국제민간항공협약 37조는 ICAO에서 제정하는 국제표준 및 권고에 따라 각국의 사정에 맞는 입법을 할 것을 요구하고 있다. 국제표준 및 권고는 매년 개정되고 있으므로 각 회원국은 적기에 해당 내용을 자국 항공법규에 반영할 필요가 있다. 최근에는 데이터 기반 국제표준이 만들어지고 있으며 그 이유는 인적요소를 주축으로 하여 사고예방을 위해서는 항공안전 데이터와 정보에 기반한 입법이 중요하게 되었기 때문이다. 데이터 기반 입법의 예로 안전관리시스템과 승무원 피로위험관리시스템이 검토 되었다. 안전관리시스템은 부속서 19가 2013년 채택되었으며 관련 매뉴얼 제5장에는 안전데이터의 수집과 분석 시스템에 기술되어 있다. 안전데이터와 정보의 분석을 통하여 의사결정권자는 데이터에 기반한 결정을 할 수 있다. 대한민국은 항공안전법 제58조에 따라 모든 항공사, 정비업체, 공항공사 등이 안전관리시스템을 도입하고 이행하여야 한다. 이러한 안전관리시스템을 뒷받침하기 위해서는 의무보고와 자발적 안전보고 시스템이 활성화 될 필요가 있으며 현재까지는 안전관리시스템 도입 위반에 대한 행정처분 기준은 아주 미미한 상태이다. 미국과 유럽도 안전관리시스템의 적절한 입법을 위하여 다양한 규정이 개발되어 시행되고 있다. 피로위험관리시스템의 경우 2009년 Colgan 항공기 추락을 계기로 미국교통안전위원회는 미연방항공청에 조종사 피로위험을 확인하고 관리할 수 있는 시스템 구축을 권고하였으며 2010년 미연방항공청에서 발행한 입법예고에는 약 8,000여개의 제안이 있었다. 2011년 최종법안이 통과되었으며 조종사의 조종사가 업무를 시작한 시간, 보조 승무원의 탑승여부, 휴식시설의 등급 등에 따라 승무시간을 차등 적용하는 입법이 이루어지게 되었다. 이러한 입법과정에 수많은 데이터와 정보가 분석되었으며 그 내용이 승무시간에 반영되었다. 최종 입법이 이루어지기 이전에 비용 대비 효과 분석이 실시되었으며 10년간 운영할 경우 비용보다는 효과가 더 크다는 결론이 이루어졌다. 대한민국도 승무원 피로위험 관련 항공안전법 조항이 있으며 항공사는 전통적인 승무시간 제한 방법 또는 피로위험관리시스템 둘 중 하나를 선택할 수 있다. 데이터 기반 입법을 위하여 미국의 경우 항공입법위원회를 구성하여 운영하고 있는데 이는 대한민국에도 도입이 필요한 내용이며 유럽에서 시행하고 있는 D4S도 고려할 만한 시스템이다. 비용 대비 효과 분석은 입법을 견고하게 할 수 있어 필요하다고 판단되며 데이터 기반 입법의 실효성을 제고하기 위해서는 전문 인력의 보강, 보다 자세한 점검표 작성 등이 필요하다.