Risk Precaution Research Articles

Co-creating a yoga program for women diagnosed with gynecologic cancer: a consensus study

PurposeYoga may be uniquely suited to address bio-psycho-social concerns among adults with gynecologic cancer because it can be tailored to individuals’ needs and can help shift focus inward towards self-reflection, body appreciation, and gratitude. This study describes the collaborative process guided by the Knowledge-to-Action framework used to develop a yoga program for adults diagnosed with gynecologic cancer and inform a feasibility trial.MethodsIn 3 collaborative phases, yoga instructors and women diagnosed with gynecologic cancer formulated recommendations for a yoga program and evaluated the co-created program.ResultsThe program proposed is 12 weeks in length and offers two 60-min group-based Hatha yoga classes/week to five to seven participants/class, online or in person, with optional supplemental features. Overall, participants deemed the co-created program and instructor guidebook to be reflective of their needs and preferences, though they provided feedback to refine the compatibility, performability, accessibility, risk precautions, and value of the program as well as the instructor guidebook.ConclusionThe feasibility, acceptability, and benefits of the program are being assessed in an ongoing feasibility trial. If deemed feasible and acceptable, and the potential for enhancing patient-reported outcomes is observed, further investigation will focus on larger-scale trials to determine its value for broader implementation.

Adverse effects of Microcystis aeruginosa exudates on the filtration, digestion, and reproduction organs of benthic bivalve Corbicula fluminea

Cyanobacteria bloom and the secondary metabolites released by the microorganism are extremely harmful to aquatic animals, yet study on their adverse effects in zoobenthos is rare. Corbicula fluminea widely distributed in freshwater environment with algal blooms. It is a typical filter feeding zoobenthos that may be affected by the secondary metabolites of cyanobacteria due to its high filtering rate. In this study, C. fluminea was exposed to Microcystis aeruginosa exudates (MaE) for 96 h, which was obtained from 5 × 105 cells/mL and 2.5 × 106 cells/mL exponential stage M. aeruginosa culture solution that represented cyanobacteria cell density needs environmental risk precaution control and emergent control, respectively. The responses of C. fluminea critical organs to MaE were analyzed and evaluated based on histopathological sections, antitoxicity biomarkers, and organ function biomarkers. The results showed that all the organs underwent structural disorders, cell vacuolization, apoptosis, and necrosis, and the damage levels increased as MaE concentration increased. The detoxification and antioxidant defense systems biomarkers in each organ response to MaE exposure differently and the level of reaction improved when MaE concentration increased. The siphon rate and acetylcholinesterase activity showed that the filtration function decreased significantly as the MaE concentration increased. Increased activity of glutathione S-transferase and amylase in the digestive gland indicate that it is the major detoxification organ of C. fluminea. Increased vitellogenin concentration and enlarged oocytes in the gonad indicate that MaE may have an estrogenic effect on C. fluminea. This study demonstrates that cyanobacteria threat benthic bivalves by inducing oxidative stress, inhibiting filtering feeding system, and disturbing digestion system and reproduction potential of C. fluminea.

Research on risk precaution of intellectual property infringement in cross-border e-commerce

Cross-border e-commerce is one of the innovative applications of Internet technology in the field of foreign trade. In recent years, China's cross-border e-commerce business has developed rapidly, but it is also faced with the challenge of intellectual property infringement risk. This paper takes the intellectual property rights in China's cross-border e-commerce as the research object, analyzes the current situation and main types of intellectual property infringement risks, and sums up the reasons why China's International online trade enterprises frequently encounter intellectual property risks from the perspective of infringement. For example, the relevant laws and regulations, the supervision mechanism of export products need to be improved and perfected, and there are differences in the determination of intellectual property infringement liability in different countries. Based on this, this paper intends to put forward relevant improvement paths from the aspects of perfecting relevant laws and norms, strengthening the legal supervision of intellectual property rights, clarifying the imputation principle applicable to tort liability and increasing the intensity of compensation for intellectual property infringement damages, in order to promote the vigorous development of China's foreign trade industry.

Influence of subsidy policies against insurances on controlling the propagation of epidemic security risks in networks

Subsidies are used to further control the propagation of epidemic security risks as they offer users incentives to practice security investment behaviors. However, previously proposed subsidy policies have typically been studied without insurance, and it is still challenging to build effective subsidy strategies when users can transfer some of the infection loss to the insurer by purchasing insurance, because these external incentives may alter users' decisions to purchase insurance. To this end, we designed three subsidy policies in a scenario where purchasing insurance is one of the available strategies to users: under SPIns and SPInsp, the subsidies are used as the insurance funds and the risk precaution aspect of the insurance funds, respectively, and under SPInsd, a fraction of the subsidies are used to support some free-riding users with high node importance in their purchase of insurance, and the remaining subsidies are used as the precaution aspect of the insurance funds. The subsidy policies are studied with a formulated security investment game model on scale-free networks from the perspectives of the public and insurer. The results show that SPInsd can always work effectively and outperforms others in limiting the extent of an epidemic outbreak with similar or lower social costs, and without a reduction in profit for the insurer. More importantly, an interesting phenomenon emerges in the SPInsp scenario: under specific insurance parameters, the increase in subsidy funding has a negative impact on preventing the risk spread, leading to larger final epidemic sizes. In addition, the effectiveness of SPInsd on scale-free networks with larger average degree or network size and random networks are also studied. We anticipate this work can provide useful insights for policy makers with respect to design and implementation of optimal subsidy policies related to the control of epidemic security risks under an insurance scenario.

Reducing the Risk of Fall among Oncology Patients using Failure Modes and Effects Analysis.

This project aimed to mitigate the risk of falls among oncology patients using Failure Modes and Effects Analysis (FMEA) in the outpatient setting.<br /><br /><br /><br />Methods: The project was conducted within outpatient settings, specifically encompassing outpatient clinics, daycare, radiology and radiotherapy, and rehabilitation at the SQCCCRC. The project employed an observational analytical design to assess the fall risk assessment procedure in outpatient settings. The project integrated a 7-step procedure for conducting an FMEA methodology, including defining the system or process, identifying potential failure mode, evaluating the effects of each failure mode, Assigning severity, likelihood, and detection of occurrence ratings, and identifying and implement corrective actions. In addition, Risk Priority Numbers (RPNs) were used to identify the impact of the interventions in reducing the risk of patient fall assessment and management.<br /><br /><br /><br />Result: In the patient fall screening process, interventions yielded substantial reductions in RPNs for failure modes like "Wrong assessment" (57% decrease) and "Complex risk assessment scale" (63% decrease), addressing knowledge gaps and simplifying risk assessment. Similarly, the "Missed fall assessment" failure mode saw an impressive 80% reduction in RPN, rectifying unclear processes and knowledge gaps. In the Fall risk precaution measures process, interventions led to noteworthy RPN reductions, such as 80% for "Unclear fall precaution measures-responsibilities" and 57% for "Missed bracelets for high risk," demonstrating successful risk mitigation. Moreover, interventions in the Patient Education process achieved significant RPN reductions (57% and 55%) for "No/improper education" and "Unuse of educational material and resources," enhancing staff education and patient awareness. The total reduction in RPNs was 62% in all failure modes in the fall assessment and management process. <br /><br /><br /><br />Conclusion: Overall, FMEA is a valuable strategy for reducing fall risks among oncology patients, but its success depends on addressing these limitations and ensuring the thorough execution and maintenance of the identified corrective actions.

Perception and attitude of herb sellers towards Covid -19 Pandemic – a pilot study of FCT and its environs

The outbreak of the COVID-19 pandemic came along with a lot of challenges including the absence of precautionary measures towards the prevention of the disease observed in market places around FCT. Also, herbal medicine practitioners became first point of call by locals even in advent of the disease. The perception regarding COVID-19 among herbal medicine sellers in different parts of the F.C.T was studied. A cross-sectional study using semi-structured questionnaire; descriptive and inferential statistics was done. Association between variables using chi square test (x2) and logistic regression analysis was done (p-value ≤0.05). Respondents (87%) were aware of COVID-19. 41% thought the pandemic was an inflated event strengthened by symptoms of seasonal diseases. Respondents (70%) had no herbal drugs to manage COVID-19, 30% had herbs to manage the disease while 41% stated an increase in sales of herbs used to manage symptoms. Precautions were taken by 72% while 44% and 26% practiced handwashing and social distancing respectively. The contribution of wrong belief towards COVID-19 risk precaution measures has been reported. A significant relationship (x2 = 9.7) was observed between awareness of COVID-19 and the belief that it existed (p˂0.05). There is need to educate the people, especially the herb-sellers on COVID-19 and to also integrate them into public health related programs as they may be the only alternative to locals in advent of disease.

Factors affecting nurses' attitudes towards risks in the work environment: A cross-sectional study.

This study aimed to examine the factors affecting nurses' attitudes towards risks in the work environment. Nurses' attitudes towards work environment-associated risks affect both risk management and employee health. This descriptive study was conducted with 338 nurses working in a public hospital, university hospital and private hospital. Data were collected using the Personal Information Form and the Nurses' Attitudes Towards Work Environment Risks Scale. Nurses were found to have a positive attitude towards risk in the work environment. Regression analysis showed that nurses' attitudes towards risk was affected by institution, gender, access to unit-specific risk management training, past experiences of sharp penetrating tool injuries, acceptance of risks due to the belief that risks are unavoidable, exposure to violence from colleagues, exposure to biological hazards and neglect to take risk precautions. This study's results show that nurses' attitudes towards risk in the work environment are affected by both individual and organizational factors. This study's results can help institutions and nurse managers understand the factors affecting nurses' attitudes towards work-related risks, thereby allowing them to determine the primary strategies that may be used to address these factors.

Southeast Asian expert perceptions of solar radiation management techniques and carbon dioxide removal approaches: caution, ambivalence, risk precaution, and research directions

As the climate crisis intensifies in its impacts, discussions around the deployment of geoengineering solutions in case other interventions fail or prove insufficient have figured in research and have even been on the agenda of the United Nations. There have been calls for more investigation of geoengineering techniques to address the climate crisis. Yet, this response presents technological unknowns and economic, political, and ethical risks. Producing knowledge on these techniques has been pushed in many research institutes in the global North, especially in the United States, Europe, and Australia. Still, contributions from global South researchers, including those in Southeast Asia, remain scant. This paper describes the responses of seventeen climate and energy experts from southeast Asia on a purposively designed survey that collected expert opinions on two geoengineering techniques: solar radiation modification (SRM) and carbon dioxide removal (CDR), their risks, impacts, and governance as they pertain to their countries and region. Respondents showed ambivalence towards these techniques, with many supporting ‘natural’ CDR research and deployment while being cautious about ‘technological’ SRM and CDR research and deployment. Although respondents would welcome research on these technologies, especially their risks and impacts, they also identified critical barriers in research capacity development and funding availability.

Real Estate Markets and Lending: Does Local Growth Fuel Risk?

Real estate price growth affects credit risk for several reasons: it provides input for economic forecasts as it’s closely tied to economic growth; when used as collateral by banks, rising real estate prices may decrease both expected and actual losses; and banks may become less risk averse in lending practices in the presence of rising property prices. Therefore, we analyze these effects on loan portfolios’ estimated and realized risks on a local level. Using data of 390 German savings banks, however, we find that real estate prices have little or no impact on savings banks’ credit portfolio risk or risk precautions.

Potential of Selected Indian Herbs for COVID-19

Introduction: Many environmental risk factors are associated with some form of chronic inflammation. The spread of COVID-19 across the world has impacted every one of us. The first case of coronavirus was reported on 30 January 2020 in India originating from China. Study Area: India has a tremendous capacity to deal with the coronavirus outbreak because of its high immunity and climatic conditions. Maintaining social distancing and hand washing is not a sufficient step for preventing COVID-19. Indian system of traditional medicine has a potential worth to enhance immunity, which can resist a novel coronavirus. Material &amp; Methods: A detailed study was carried out by analyzing national and international scientific databases (PubMed, SciFinder, ScienceDirect, Scopus, and Web of Science, Mendeley), thesis, and recognized books. Only Indian herbs with high immunity resistant power were analyzed. Epidemiologic studies with information on COVID-19 risk factors and precautions also considered for study purposes. Results: Some herbs like Ocimum tenuiflorum (Tulsi), Glycyrrhiza glabra (Liquorice), Curcuma domestica Vahl (Turmeric), Tinospora cordifolia (Giloy), Withania somnifera (Ashwagandha), Cinnamon (Dalchini), Shoot of Triticumaestivum Linn. (Wheatgrass), Andrographis paniculata (Kalmegh), can help in boosting immunity for COVID-19 disease. Discussion: Despite the shreds of evidence for the efficacy of these herbs in treating coronavirus induced infections; the proper dose with ideal timing for such interventions needs to verify in clinical trials. Researchers must have to take the privilege to explore the potential of herbs to reduce such epidemics of environmental threats.

Risk regulation and precaution in Europe and the United States: the case of bioinvasion

The precautionary nature of risk regulation in the European Union (EU) and the United States (US) is an ongoing debate. Theoretical contentions over ‘who is more precautionary’ confirm that the degree of relative precaution may lead to different levels of protection, but also suggest that precaution needs to be evaluated against different parts of the regulatory process. This paper addresses a new case of transatlantic split which has occurred with the adoption of the EU regulation on alien invasive species. This regulation aims to drive important changes at the trade–environment nexus and reflects Europe’s integrated policy approach to environmental, health, and safety risks. We have carried out a comparative analysis by examining parts of the regulatory process. We argue that differences in legal and policy frameworks, risk assessment, and risk management structures have left the EU and the US wide apart as to their risk governance ambitions. The EU exhibits more precautionary approach with regard to these parts, as compared to the US. Our finding suggests that policy divergence, as reflected in this case, is true for both stringency and regulatory process, expanding literature discussions on precaution in these systems. Yet, with the EU’s regulation being relatively new, there are still implementation issues up for debate.

Internet financial risk management and control based on improved rough set algorithm

With the development of the Internet, Internet finance in new P2P modes will face a great many difficulties and opportunities; so, relevant risk early-warning models need to be researched and analyzed. The early-warning analysis will not only be helpful for P2P, the new mode, but will also be worth learning by the whole Internet financial industries, and there will be a particular demonstration effect. Deep researches have been made on Internet financial risk precautions mainly through analyzing and researching the risks in the leading P2P online debit and credit model within the scope of Internet finance; therefore, risk factors that influence the development of Internet finance are obtained. Next weighting KNN Internet financial risk management and control algorithm with the variable precision rough set is out forward. Training sets of different categories are divided into positive regions and boundary regions through the upper and lower approximation concept of variable precision rough set, thereby acquiring the affiliation regions of the samples based on the similarity between test samples and the sample center. In this way, the category of samples belonging to the positive region can be directly judged, and that of other regions can be judged through the KNN algorithm based on quantitative weighting. Experimental results have verified the effectiveness of the mentioned algorithm.

Risk of General Anesthesia in Pediatric Skin Procedures with Projection on Tumescent Anesthesia.

Background Uses of general anaesthesia in outpatient invasive procedures have increased, especially in dermatology. Being uncooperative, children often require general anaesthesia, since surgical skin operations are mostly painful. Aim The purpose of this study is to evaluate the safety, significant adverse events, and the complication rates related to general anaesthesia, when used among pediatric population undergoing skin procedures. Methods We conducted a first retrospective cohort study of patient chart review during the period from September 1, 2017 through September 2019. All patients admitted for pediatric skin procedures during this period have participated in our study. We reviewed selected charts to document any unexpected admissions, adverse events, or complications. Surgical outcomes and anaesthesia complications were reviewed by three anesthesiologists. We assessed inter-rater reliability. Results A total of 211 procedures were reported for 211 patients with 19 diagnoses. No adverse events related to anaesthesia were recognized, apart from minor complications noticed in twelve patients. The kappa value range is between 0.78 and 1.00 (95% C.I., 0.46809 to 1.00). Conclusion Dermatologist and pediatricians can safely do necessary procedures under general anaesthesia with the supervision of pediatric-trained anesthesiologists while considering other safety and risk precautions and the pediatric age group.

Suicide Risk Screening in Acute and Nonacute Settings

Practice Pointers| February 01 2020 Suicide Risk Screening in Acute and Nonacute Settings Crit Care Nurse (2020) 40 (1): 92. https://doi.org/10.4037/ccn2020375 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Cite Icon Cite Get Permissions Citation Suicide Risk Screening in Acute and Nonacute Settings. Crit Care Nurse 1 February 2020; 40 (1): 92. doi: https://doi.org/10.4037/ccn2020375 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentCritical Care Nurse Search Advanced Search The PHQ2 features 2 primary screening questions related to depression. A “no” answer to both questions would end the screening. However, these 2 questions are not sufficient for suicide risk assessment; they are simply the primary questions for the suicide risk screening. It is important to distinguish between a screening and an assessment. A “yes” answer to either question on the PHQ2 would point to the PHQ9 depression screening questions. The PHQ tools are validated for depression. Suicidality is 1 of the signs of depression. PHQ9 is used to screen for suicidal ideation. Currently, no tools can predict suicide; tools can only detect the risk for suicide. Therefore, early detection of the risk for suicide and prompt intervention are key to reducing incidents of suicide. Question 9 on the PHQ9 is specific for suicide ideation. Any answer other than “not at all” requires initiation of suicide risk precautions (providing immediate... You do not currently have access to this content.

Risk of general anesthesia in pediatric skin procedures: A retrospective cohort study

Introduction: The uses of general anesthesia in outpatient invasive procedures have increased, especially in dermatology. Being uncooperative, children often require general anesthesia since surgical skin operations are mostly painful. Purpose: The aim of this study is to evaluate the safety, significant adverse events, and the complication rates related to general anesthesia when used among pediatric population underwent skin procedures. Methods: A retrospective cohort study of a patient chart review from the period (September 1, 2017, to September 2019). All patients admitted for pediatric skin procedures during this period have participated in our study. We reviewed selected charts to document any unexpected admissions, adverse events, or complications. Surgical outcomes and anesthesia complications were reviewed by three anesthesiologists. We assessed inter-rater reliability. Results: A total of 211 procedures were reported for 211 patients with 19 diagnoses. No adverse events related to anesthesia were recognized, apart from minor complications noticed in 12 patients. Kappa value ranges between 0.78 and 1.00 (95% confidence interval, 0.46809–1.00). Conclusion: Dermatologists and pediatricians can safely do necessary procedures under general anesthesia with the supervision of pediatric-trained anesthesiologists while considering other safety and risk precautions and pediatric age group.

Prudent small celestial body landing strategy with risk precautions

In small body landing missions, the nominal landing scheme may turn out to be inapplicable in reality due to the limited prior information of the target and possible system errors after long-term operation. In this paper, a partial breakdown of the main thruster in the presence of large state deviations and complex terrain conditions at the landing site is considered. In order to ensure lander safety, a risk-precautionary landing strategy that identifies landing anomalies, generates onboard warnings, and plans an emergency transfer is proposed. First, lander safety is repetitively evaluated during descent through a computation of onboard deceleration capability and landing site safety. Upon a predicted landing risk, an emergency mode is activated. Three emergency modes are developed for the strategy, including an orbiting mode, a diverting mode, and a hovering mode. For each mode, a customized goal state is designated and a corresponding emergency transfer trajectory is generated in real-time. At last, an asteroid 433 Eros-based landing scenario is designed, and the effectiveness of the strategy is verified under three different thruster and terrain conditions.

疏浚底泥直接土地利用风险分析及控制措施

疏浚底泥直接土地利用风险分析及控制措施

Study on Risk Precaution Measures for LNG Fuel-powered Ship in Pontoon Filling Station

In recent years, with the adjustment of the national energy structure and the issuance of relevant guidance documents by the Ministry of Transport, China's Inland River LNG fuel-powered ships have developed rapidly, and LNG PONTOON filling stations have been successively constructed. However, China still lacks the safety of inland barge filling stations. Related procedures such as operations, this paper analyzes the related safety risks of the LNG inland barge refueling station, and proposes the safety management and technical measures that need to be taken when carrying out LNG refueling operations.

A Study on Risk Assessments of Assets Appraisal for New Energy Enterprises

Plenty of new energy enterprises are springing up under the circumstances of Lowcarbon economy (LCE) in China. Subsequently, more and more assets appraisals need to be done. This paper aims at establishing the risk assessment index system of new energy enterprises, relying on influence of various risk factors. After that, an empirical analysis on new energy enterprises is conducted through comprehensive evaluation methods of Analytical Hierarchy Process (AHP) and Fuzzy Comprehensive Evaluation (FCE). Finally, the evaluated results present pleasurable suggestions on risk precaution.

A Fuzzy Method for Assessing Eco-Environmental Disaster Risk Caused by Coalbed Methane in China

Based on an improved risk assessment index system, this paper constructs an eco-environmental disaster risk assessment model during coalbed methane industrialization development in China by using intuitionistic fuzzy sets to describe the uncertain risk information, and the transformed interval value of Mamdani intuitionistic fuzzy neural networks model. Then, the validity of the model is verified by simulation tests. Furthermore, the assessment results are compared with those obtained by fuzzy neural networks model. Results show that suggested model has multidimensional nonlinearity and global approximation characteristics. By the procedure of “fuzzification -fuzzy-rules - defuzzifier”, the output conversion from uncertainty quantitative indicators to accurate risk assessment values can be effectively realized. Compared with the fuzzy neural networks model, the suggested model has better accuracy and stability. The risk assessment value calculated by the suggested model fairly matches the expected one. The study supplies a decision support for routine supervision and risk precaution and management on one hand, and enriches the theoretical research of the eco-environmental risk assessment of coalbed methane industrialization development on the other hand.