• Title/Summary/Keyword: 누출 위험도

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Morbidity of Laparoscopic Assisted Gastrectomy for Early Gastric Cancer (조기 위암에서 복강경 보조 하 위 절제술 후 합병증 발생)

  • Choi, Ji-Eun;Jeong, Oh;Yook, Jeong-Hwan;Kim, Kab-Jung;Lim, Jung-Tack;Oh, Sung-Tae;Park, Gun-Choon;Kim, Byung-Sik
    • Journal of Gastric Cancer
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    • v.7 no.3
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    • pp.152-159
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    • 2007
  • Purpose: Recently, the use of laparoscopic assisted gastrectomy for early gastric cancer has been on the increase and the procedure has been quickly adopted by clincians. However, there are few reports regarding the safety and risk of this type of surgery. The aim of this study is to evaluate the morbidity and to verify the safety of laparoscopic assisted gastrectomy for early gastric cancer. Materials and Methods: A total of 376 patients that had undergone laparoscopic assisted gastrectomy for early gastric cancer between April 2004 and December 2006 were reviewed retrospectively. The clinicopathological characteristics, operative complications, and factors related to complications were evaluated. Results: The overall operative morbidity and mortality rates were 10.6% and 0%, intraoperative morbidity was 1.1% (4 of 376 patients) and post operative morbidity was 9.6% (36 of 376 patients). Most complications required no surgery except for an intestinal obstruction in two cases. Multivariate analysis of risk factors related to operative morbidity determined that age was an independent factor associated with morbidity (P=0.021). Conclusion: The complication rate of laparoscopic assisted gastrectomy is low and most complications can be managed by conservative methods rather than with surgery. There were no specific predicting factors for complications except old age. Laparoscopy is a technically feasible and acceptable surgical modality for early gastric cancer.

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Association of Hypercapnia in the First Week of Life with Severe Intraventricular Hemorrhage in the Ventilated Preterm Infants (기계적 환기 요법을 시행 받은 미숙아에서 고탄산혈증과 뇌실내 출혈의 발생과의 관계)

  • Kim, Jeong-Eun;Namgung, Ran;Park, Min-Soo;Park, Kook-In;Lee, Chul;Kim, Myung-Jun
    • Neonatal Medicine
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    • v.17 no.1
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    • pp.34-43
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    • 2010
  • Purpose : The aim of this study was to examine whether hypercapnia during the first seven days of life was associated with severe intraventricular hemorrhage (IVH) in preterm infants requiring mechanical ventilation. Methods : A matched pair analysis was performed for 19 preterm infants with severe IVH(grade$\geq$3) and 38 infants with no severe IVH (normal or grade 1), who required mechanical ventilation for more than seven days. The univariate and multivariate analysis of severe IVH with maximal and minimal $PaCO_2$, averag $PaCO_2$, SD of $PaCO_2$, and difference in the $PaCO_2$ were assessed. The major perinatal factors and maximal ventilator index (VI) were also compared. Results : Infants with severe IVH had a higher maximal $PaCO_2$ (86.1$\pm$18.4 mmHg vs. 60.1$\pm$ 11.6 mmHg, P <0.001) and mean $PaCO_2$ (47.5$\pm$5.6 mmHg vs. 41.2$\pm$6.3 mmHg, P=0.004) and a larger SD or difference in $PaCO_2$ (14.0$\pm$4.4 mmHg vs. 9.0$\pm$2.4 mmHg; 60.3$\pm$20.9 mmHg vs. 35.5$\pm$11.8 mmHg, P <0.001). However the minimal $PaCO_2$ values did not differ between the groups. Disseminated intravascular coagulation, pulmonary hemorrhage, and the air leak syndrome were more frequent in the IVH group than in the controls. The maximal VI on each day was higher in the IVH group. The multivariate logistic regression analysis after controlling for bleeding tendency showed that the air leak syndrome, maximal VI, and maximal $PaCO_2$ were independently associated with severe IVH [OR, 1.324 (95% CI, 1.011-1.733; P=0.041)]. Conclusion : Extreme hypercapnia was significantly associated with severe IVH in preterm infants, after adjustment for major perinatal risk factors. Frequent monitoring of the $PaCO_2$ may be important for early detection of inadvertent hypercapnia and prompt correction of high PaCOS levels.

Development and Field Test of a Smart-home Gas Safety Management System (스마트 홈 가스안전관리 시스템 개발 및 현장시험)

  • Park, Gyou-Tae;Kim, Eun-Jung;Kim, In-Chan;Kim, Hie-Sik
    • Journal of the Korean Institute of Gas
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    • v.16 no.6
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    • pp.128-135
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    • 2012
  • In this paper, we proposed a system and a scenario to raise efficiency of gas safety management by developing wireless ZigBee communication modules, smart-home gas safety appliances and the system suitable for gas safety. Our designed system consists of a micom gas meter, an automatic extinguisher, sensors, and a wall-pad. A micom-gas-meter monitors gas flow, gas pressure, and earthquake. An automatic fire extinguisher checks combustible gas leaks and temperature of $100^{\circ}C$(cut off) and $130^{\circ}C$(fire). Sensors measure smoke and CO gas. In our novel system, a micom-gas meter cut off inner valve with warnings, an automatic fire extinguisher cut off middle valve and spray extinguishing materials, and sensors generate signals when detecting smoke and CO and then take a next action. Gas safety appliances and sensors automatically takes measures, and transmit those information to a wall-pad. The wall-pad again transmits real time information to server. Users can check and manage gas safety situations by connecting BcN server through web or mobile application. We hereby devised scenarios for gas safety and risk management based on the smart, and demonstrated their efficiency through test applied to filed.

A Study of Java-based PKI System for Secure Authentication on Mobile Devices (모바일 단말기 상에서 안전한 인증을 위한 자바 기반의 PKI 시스템 연구)

  • Choi, Byeong-Seon;Kim, Sang-Kuk;Chae, Cheol-Joo;Lee, Jae-Kwang
    • The KIPS Transactions:PartC
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    • v.14C no.4
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    • pp.331-340
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    • 2007
  • Mobile network environments are the environments where mobile devices are distributed invisible in our daily lives so that we can conventionally use mobile services at my time and place. The fact that we can work with mobile devices regardless of time and place, however, means that we are also in security threat of leaking or forging the information. In particular, without solving privacy concern, the mobile network environments which serve convenience to use, harmonized without daily lives, on the contrary, will cause a serious malfunction of establishing mobile network surveillance infrastructure. On the other hand, as the mobile devices with various sizes and figures, public key cryptography techniques requiring heavy computation are difficult to be applied to the computational constrained mobile devices. In this paper, we propose efficient PKI-based user authentication and java-based cryptography module for the privacy-preserving in mobile network environments. Proposed system is support a authentication and digital signature to minimize encrypting and decrypting operation by compounding session key and public key based on Korean standard cryptography algorithm(SEED, KCDSA, HAS160) and certificate in mobile network environment. Also, it has been found that session key distribution and user authentication is safety done on PDA.

Induced Activity and Space Dose Distribution from Medical Linear Accelerator (의료용(醫療用) 선형가속기(線型加速器)에 의한 산난공간(散亂空間) 선량분포(線量分布)와 유도방사능(誘導放射能))

  • Chu, Sung-Sil;Park, Chang-Yun
    • Journal of Radiation Protection and Research
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    • v.11 no.1
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    • pp.51-56
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    • 1986
  • It is important to measure and protect from the radiation space dose and induced activity at the high energy medical linear accelerator facilities. These are to consider the additional risk to patients undergoing treatment, machine operators and staff members. Measurements of the space dose distribution and induced radioactivity at the 18 MeV medical linear accelerator facility in the Yonsei Cancer Center. 1. Exposure space dose for 300 rads monitor doses of 18 MeV electron are measured as 50 mR at 1 meter from patients. 2. Exposure space dose for 300 rads monitor doses of 10 MV X-ray are detected as 350 mR at 1 meter from phantom. 3. Induced radioactivity by photonuclear reaction was measured as 0.65 mR/hr from collimater after 30 Gy(3,000 rads) irradiated. 4. Analyzing the decay curves and energy spectrum of induced radioactivity, detected a few materials to be activated by photoneutron reaction, $^{65}Cu({\gamma}{\cdot}n)\;^{64}Cu,\;^{186}W({\gamma}{\cdot}n)\;^{185}W,\;^{181}Ta({\gamma}{\cdot}n)\;^{180}Ta,\;^{199}Au({\gamma}{\cdot}n)\;^{198}Au$.

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A Study of the Improvement Plan and Real Condition Estimation of Fire Protection Safety Management for Power Plants in Korea (국내발전소 소방안전관리 운영실태조사 및 개선방안에 관한 연구)

  • Kang, Gil-Soo;Choi, Jae-wook
    • Fire Science and Engineering
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    • v.31 no.2
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    • pp.61-73
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    • 2017
  • The Fukushima Nuclear Disaster in 2011 and California Power Failure in 2001 are examples of the importance of the power plant safety management that caused huge national loss with a power-related mass casualty incident. In a situation where humans cannot live without electricity, efforts to strengthen the systematic firefighting safety management in power plants that produce electricity with large amounts of hazardous materials as fuel, such as nuclear energy, coal and gas, are essential to protect life and prevent property loss and stable economic growth from fire explosion accident or radiation leak due to the negligence of safety management and natural disasters such as earthquakes, which has recently become an issue. This study examined the operating situation of firefighting safety management in power plants with firefighting officials employed by five power generation companies including Korea Southern Power Co., Ltd. and Korea Hydro & Nuclear Power Co. Ltd., which are in charge of the domestic power supply. As a result, for the systematic firefighting safety management of power plants, improvement plans were drawn, including the development of an effective business manual and a comprehensive management system, the substantiality of firefighting safety education, and the strengthening of seismic designs to prepare for earthquakes.

A Study on Contents for Safety Training of the Thermal Power Plant to be Applied by Story Viewing (스토리 뷰잉(Story-viewing)을 적용한 화력발전분야 안전교육 콘텐츠 연구)

  • Kim, Yoo-sik;Min, Seol-hui;Seong, Yun-hak;Park, Yeong-jae
    • Fire Science and Engineering
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    • v.30 no.3
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    • pp.62-66
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    • 2016
  • There have been happening small and big fires due to the various causes in the thermal power plants which are the high risk buildings with the high possibility of big sizes of accidents, so the people in the power plants distribute the workers "the site action manuals in thermal power plants" and try to minimize the rate of disasters like fires through the regular education and training. However, in the Five Thermal Power Plants in Korea, there are no the standard of "the site action manuals" and Furthermore, the present educational manuals are mostly the hard copies with poor readability. So the standardization of the manuals are definitely needed. Therefore, in this research, we proceed the standardization of the manuals for the five areas of the site action manual s in the thermal power plants which are oil fires, electric fires, building fires, facility fires and gas leaking reaction SOP to improve the reaction power on the disasters in the power plants which are the national significant infrastructures, thus by using the manual, we propose the safety education contents for the thermal power plants based on the visualization technology using story-viewing method to complement the hard copy type disaster manuals.

Development of On-axis Raman Lidar System for Remotely Measuring Hydrogen Gas at Long Distance (원거리 수소 가스 원격 계측을 위한 On-axis 라만 라이다 장치 개발)

  • Choi, In Young;Baik, Sung Hoon;Lim, Jae Young;Cha, Jung Ho;Kim, Jin Ho
    • Korean Journal of Optics and Photonics
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    • v.29 no.3
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    • pp.119-125
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    • 2018
  • Hydrogen gas is an important and promising energy resource that has no emissions of pollutants during power generation. However, hydrogen gas is very dangerous because it is colorless, odorless, highly flammable, and explosive at low concentration. Conventional techniques for hydrogen gas detection are very difficult for measuring the hydrogen gas distribution at long distances, because they sample the gas to measure its concentration. Raman lidar is one of the techniques for remotely detecting hydrogen gas and measuring the range of the hydrogen gas distribution. A Raman lidar system with an on-axis optical receiver was developed to improve the range of hydrogen gas detection at long distance. To verify the accuracy and improvement in the range of detecting the hydrogen gas, experiments measuring the hydrogen gas concentration are carried out using the developed on-axis Raman lidar system and a gas chamber, to prevent explosion of the hydrogen gas. As a result, our developed on-axis Raman lidar system can measure a minimum hydrogen gas concentration of 0.66 volume percent at a distance of 50 m.

Evaluation of the Actual Conditions for the Construction of a Firefighting Safety Management System in Domestic Power Plants (국내발전소 소방안전경영시스템구축을 위한 실태평가에 관한 연구)

  • Kang, Gil-Soo;Choi, Jae-wook
    • Fire Science and Engineering
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    • v.32 no.1
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    • pp.89-98
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    • 2018
  • Fire accidents in foreign countries, like the accident in a thermal power plant in Beijing, the accidents in domestic power plants, including Boryeong Power Plant in 2012 and Taean Power Plant in 2016, a disaster in a nuclear power plant in Fukushima in 2011 or the large-scale power failure in California in 2001 are safety accidents related to electric power, which caused losses in the people's stable lives and the countries. Electricity has an absolute impact on the people's life and the economy, so we can easily expect the serious situation affecting economic growth as well as direct damage to the protection of the people's lives and the losses of properties, if there are fire or explosion accidents or radioactive leak because of negligence in safety management, or problems because of natural disasters like an earthquake in power plants that generate electricity. In this study, it was drawn the improvement of the organizations exclusively in charge of firefighting, the operation of a program for the improvement of professional competency, the development of a customized firefighting management system for plants for systematic firefighting safety management and the improvement of the earthquake-proof correspondence system, which has recently become an issue, as measures for improvements through a survey of the actual conditions concerning the necessity of the construction of a firefighting safety management system for power plants with five power generation companies, including Korea Southern Power Co., Ltd., and the persons in charge of firefighting safety Korea Hydro & Nuclear Power Co., Ltd.

Risk Assessment and Safety Measures for Methanol Separation Process in BPA Plant (BPA 공장의 메탄올 분리공정에서 위험성 평가 및 안전대책)

  • Woo, In-Sung;Lee, Joong-Hee;Lee, In-Bok;Chon, Young-Woo;Park, Hee-Chul;Hwang, Seong-Min;Kim, Tae-Ok
    • Journal of the Korean Institute of Gas
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    • v.16 no.3
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    • pp.22-28
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    • 2012
  • For a methanol separation column of the BPA (Bisphenol A) plant, HAZOP (hazard and operability) assessment was performed and damage ranges were predicted from the accident scenarios for the fire and the explosion. As a result, the damage range of the jet fire was 20 m in the case of rupture of the discharge pipe (50 mm diameter) of safety valve, and that of the flash fire was 267 m in the case of catastrophic rupture. Also, the damage ranges of the unconfined vapor cloud explosion (UVCE) for the rupture of the discharge pipe and for the catastrophic rupture were 22 m and 542 m, respectively. For the worst case of release scenarios, safety measures were suggested as follows: the pressure instruments, which can detect abnormal rise of the internal pressure in the methanol separation column, should be installed by the 2 out of 3 voting method in the top section of the column. Through the detection, the instruments should simultaneously shut down the control and the emergency shut-off valves.