• Title/Summary/Keyword: 위험거리

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Usefulness of Abdominal Compressor Using Stereotactic Body Radiotherapy with Hepatocellular Carcinoma Patients (토모테라피를 이용한 간암환자의 정위적 방사선치료시 복부압박장치의 유용성 평가)

  • Woo, Joong-Yeol;Kim, Joo-Ho;Kim, Joon-Won;Baek, Jong-Geal;Park, Kwang-Soon;Lee, Jong-Min;Son, Dong-Min;Lee, Sang-Kyoo;Jeon, Byeong-Chul;Cho, Jeong-Hee
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.157-165
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    • 2012
  • Purpose: We evaluated usefulness of abdominal compressor for stereotactic body radiotherapy (SBRT) with unresectable hepatocellular carcinoma (HCC) patients and hepato-biliary cancer and metastatic liver cancer patients. Materials and Methods: From November 2011 to March 2012, we selected HCC patients who gained reduction of diaphragm movement >1 cm through abdominal compressor (diaphragm control, elekta, sweden) for HT (Hi-Art Tomotherapy, USA). We got planning computed tomography (CT) images and 4 dimensional (4D) images through 4D CT (somatom sensation, siemens, germany). The gross tumor volume (GTV) included a gross tumor and margins considering tumor movement. The planning target volume (PTV) included a 5 to 7 mm safety margin around GTV. We classified patients into two groups according to distance between tumor and organs at risk (OAR, stomach, duodenum, bowel). Patients with the distance more than 1 cm are classified as the 1st group and they received SBRT of 4 or 5 fractions. Patients with the distance less than 1 cm are classified as the 2nd group and they received tomotherapy of 20 fractions. Megavoltage computed tomography (MVCT) were performed 4 or 10 fractions. When we verify a MVCT fusion considering priority to liver than bone-technique. We sent MVCT images to Mim_vista (Mimsoftware, ver .5.4. USA) and we re-delineated stomach, duodenum and bowel to bowel_organ and delineated liver. First, we analyzed MVCT images to check the setup variation. Second we compared dose difference between tumor and OAR based on adaptive dose through adaptive planning station and Mim_vista. Results: Average setup variation from MVCT was $-0.66{\pm}1.53$ mm (left-right) $0.39{\pm}4.17$ mm (superior-inferior), $0.71{\pm}1.74$ mm (anterior-posterior), $-0.18{\pm}0.30$ degrees (roll). 1st group ($d{\geq}1$) and 2nd group (d<1) were similar to setup variation. 1st group ($d{\geq}1$) of $V_{diff3%}$ (volume of 3% difference of dose) of GTV through adaptive planing station was $0.78{\pm}0.05%$, PTV was $9.97{\pm}3.62%$, $V_{diff5%}$ was GTV 0.0%, PTV was $2.9{\pm}0.95%$, maximum dose difference rate of bowel_organ was $-6.85{\pm}1.11%$. 2nd Group (d<1) GTV of $V_{diff3%}$ was $1.62{\pm}0.55%$, PTV was $8.61{\pm}2.01%$, $V_{diff5%}$ of GTV was 0.0%, PTV was $5.33{\pm}2.32%$, maximum dose difference rate of bowel_organ was $28.33{\pm}24.41%$. Conclusion: Despite we saw diaphragm movement more than 5 mm with flouroscopy after use an abdominal compressor, average setup_variation from MVCT was less than 5 mm. Therefore, we could estimate the range of setup_error within a 5 mm. Target's dose difference rate of 1st group ($d{\geq}1$) and 2nd group (d<1) were similar, while 1st group ($d{\geq}1$) and 2nd group (d<1)'s bowel_organ's maximum dose difference rate's maximum difference was more than 35%, 1st group ($d{\geq}1$)'s bowel_organ's maximum dose difference rate was smaller than 2nd group (d<1). When applicating SBRT to HCC, abdominal compressor is useful to control diaphragm movement in selected patients with more than 1 cm bowel_organ distance.

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Study on the Installation warrants of staggered crosswalk traffic island on Urban Streets - Focusing on pedestrian safety and service level - (도시부가로 이단 횡단보도 교통섬 설치 준거에 관한 연구 - 보행자 안전과 서비스수준을 중심으로 -)

  • Shim, Kwan-Bo;Kim, Joong-Hyo;Park, Kyung-Woo;Ha, Dong-Ik
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.12 no.6
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    • pp.97-107
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    • 2013
  • On the Staggered Crosswalks, pedestrians cross the crosswalks two times. This method can reduce the cycle, the vehicle delay and the walking distance by increasing the major direction of green time. The safety of pedestrians is also effective. This study suggests the warrant of the facilities of island width and length etc. by considering the road structure and pedestrians. Also this study suggests the standard of the safety through the accident analysis of Staggered crosswalks and General Crosswalks. In the results, accident rate of the Staggered Crosswalks 18.3(100 million vehicle-km) was lower than the accident rate of the General Crosswalks 28.3(100million vehicle-km). By understanding the start point of crossing of the Staggered Crosswalks, the analysis of the location and types of accident suggests the safety zone(spare space). The setting warrants of Staggered Crosswalks are 4 lane over the road and the 2 meter over sidewalk width of island. The minimum length of the Pedestrian island was doubled compared to the crosswalks width. And the maximum length was set by considering the wait time of the pedestrians.

Geographic information system (GIS) analysis on the distribution of patients visiting at a dental college hospital: a pilot study (Geographic information system (GIS) 이용한 대학치과병원에 내원하는 환자들의 공간적 분포의 분석)

  • Joo, Hyun-Tae;Jeong, Byung-Joon;Cho, In-Woo;Shin, Hyun-Seung;Lim, Mi-Hwa;Park, Jung-Chul
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.4
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    • pp.283-293
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    • 2015
  • Purpose: The aims of this study are to analyze and to visualize distribution of patients visiting at a dental college hospital, using geographic information system (GIS). The visualized data can be utilized in patient care and treatment planning, ultimately leading to the assessment of risk evaluation and prevention of dental diseases. Materials and Methods: Patient information data was obtained from Dankook University Dental Hospital including the unit number, gender, date of birth, and address from 2007 to 2014. Patient distribution was visualized using GIS. Statistical analyses were performed using SAS 9.3 and ArcGIS 10.1. Five factors including proximity, accessibility, age, gender, and socioeconomic status were investigated as the explanatory variables of the patient distribution. Results: The visualized patient data showed a nationwide scale of the patient distribution. There was a little difference in characteristics for each department. As closer at Dankook University Dental Hospital, visitors increased. And it strongly showed that elderly patients in rural areas tend to visit more. Conclusion: The distribution of patients has been shown to be significantly affected by the proximity, accessibility, age, gender and socioeconomic status. The underlying reason remains to be further studied.

Caregiver Burden of Patients with Dementia and Day Care Center of Small Size Model within a Zone of Life (치매환자 부양자부담과 생활권 내 소규모 주·야간 돌봄 서비스 모델)

  • Na, Seung-kwon;Park, Eun-Ju
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.9 no.4
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    • pp.428-438
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    • 2016
  • The aim of this study, in order to reduce the support burden of dementia primary caregiver, within the framework of long-term care insurance system to present its founding model for the development of new services. Previous research as analytical materials and based on the CARE study between 2012 to 2013. Primary caregiver burden of patient are both physical, psychological and economic aspects as well as difficulties in many aspects and had influence on many factors such as age, care burden, economic, health, and social support. It also came high-risk primary caregiver suffer from depression. This primary caregiver to take advantage of the elderly long-term care insurance system implemented at the time of the institutional support necessary for since 2008, presented additional services in this study. Of increasing the small sizes day care center (tentative name) to open an as established in the settlements at a scale of less than nine, within 5 minutes from the residence, limited dementia by expertise in the disease home care services scale model of the current system service It was to improve the quality of existing shares, small group sizes for day care centers and community life apart.

Seismic Performance of Bridges with the Modeling of Expansion Rocker Bearings (라커베어링 모델에 따른 교량의 지진거동)

  • Choi, Eunsoo
    • Journal of Korean Society of Steel Construction
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    • v.14 no.6
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    • pp.755-763
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    • 2002
  • Multispan simply supported bridges and multispan continuous bridges take a large portion of bridges in Central and Southeastern United Sates. The superstructure of the bridges are supported by steel rocker bearings. In general, the rocker bearings are modeled with ideal rollers or Coulomb fricition in seismic analysis. However, the rocker bearings have rocking action on pintles after rolling some distance. This rocking action may have considerable effect on the seismic performance of bridges. This study compares the effect of expansion rocker bearings models on a multispan simply supported and a multispan continuous bridge. Since the ideal roller model produces larger responses than the rocking model, its use is undesirable. However, the fricition and hardening model does not have much difference from the responses of the rocking model. In addition, the use of the tow models is convenient in seismic analyses of bridges. Although the rocking model can obtain more exact responses, its behavior is complicated and it may induce the conversion problem in time history analysis because it includes the abrupt changing of stiffiness. The friction and hardening model of expansion rocker bearings is therefore recommended in sesismic analysis.

Development of Evaluation Model for Black Spot Improvement Priorities by using Emperical Bayes Method (EB기법을 이용한 사고잦은 곳 개선사업 우선순위 판정기법 개발)

  • Jeong, Seong-Bong;Hwang, Bo-Hui;Seong, Nak-Mun;Lee, Seon-Ha
    • Journal of Korean Society of Transportation
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    • v.27 no.3
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    • pp.81-90
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    • 2009
  • The safety management of a road network comprises four basic inter-related components:identification of sites(black spot) requiring safety investigation, diagnosis of safety problems, selection of feasible treatments for potential treatment candidates, and prioritization of treatments given limited budgets(Persaud, 2001). Identification process of selecting black spot is very important for efficient investigation of sites. In this study, the accident prediction model for EB method was developed by using accident data and geometric conditions of black spots selected from four-leg signalized intersections in In-cheon City for three years (2004-2006). In addition, by comparing the rank nomination technique using EB method to that by using accident counts, we managed to show the problems which the existing method have and the necessity for developing rational prediction model. As a result, in terms of total number of accidents, both the counts predicted by existing non-linear regression model and that by EB method have high good of fitness, but EB method, considering both the accident counts by sites and total number of accident, has better good of fitness than non-linear poison model. According to the result of the comparison of ranks nominated for treatment between two methods, the rank for treatment of almost sites does not change but SeoHae intersection and a few other intersections have significant changes in their rank. This shows that, with the technique proposed in the study, the RTM problem caused by using real accident counts can be overcome.

A Study on the Function of Dike of Above-ground Membrane type LNG Storage Tanks (지상식 멤브레인 LNG 저장탱크의 방류둑 기능 연구)

  • Lee Seung-Lim;Jo Ji-Hwan;Kwon Boo-kil
    • 한국가스학회:학술대회논문집
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    • 2003.10a
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    • pp.65-72
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    • 2003
  • 현행 가스법상 지상식 LNG 저장탱크에 있어서 일정 용량의 저장탱크 주위에는 액상의 가스가 누출된 경우에 그 유출을 방지할 수 있는 방류둑(Dike) 또는 이와 동등 이상의 효과가 있는 시설을 설치하도록 규정하고 있어, 실제로 모든 지상식 LNG 저장탱크에 대해서 별도의 방류둑 설치를 의무화하고 있다. 또한, 예외규정으로 국제기준(international codes and standards)에 의해 설계되는 저장탱크는 심의를 통해 방류둑 기능을 인정할 수 있도록 하고 있다. 외국의 경우 LNG 저장탱크는 일반적으로 자국내 법령보다는 국제기준에 의해 건설됨으로써 1차 탱크로부터 일정거리의 둘레에 방류둑이 필요한 단일방호식 저장탱크 이외에 이중방호식, 완전방호식(full-containment) 및 멤브레인식(membrane) 저장탱크의 경우 외부(콘크리트, 강재)탱크가 방류둑 기능을 가지고 있어 별도의 방류둑이 필요없는 구조로 규정하고 있다. 멤브레인 LNG 저장탱크의 경우 프랑스, 일본 및 한국이 설계기술을 보유하고 있고, 최근 프랑스 및 한국에서 별도의 방류둑 없는 지상식 멤브레인 저장탱크 건설이 추진되고 있으나 양국 모두 자국법의 방류둑 규정에 의해 건설의 장애요소로 작용하고 있다. 따라서 지상식 멤브레인 LNG 저장탱크의 방류둑 기능에 대한 각 국의 법령 및 기준을 조사하고, 방류둑 일체형 저장탱크(완전방호식 및 멤브레인 저장탱크)의 형식별 안전성 평가 자료를 비교 검토함으로써 방류둑 일체형 멤브레인 저장탱크의 국내 도입의 타당성을 검토하고자 하였다. 조사결과 유럽, 미국 및 일본에서는 이중벽 LNG 저장탱크의 경우 콘크리트 외부탱크가 방류둑 기능을 가지는 것으로 규정하고 있으며, 특히 EN 1473과 제정중인 prEN 265002에서는 멤브레인 저장탱크의 경우 내부 멤브레인 탱크 누출시 단열시스템과 함께 외부 콘크리트 탱크가 액밀성 및 기밀성을 동시에 가지는 것으로 별도의 방류둑이 불필요함을 규정하고 있다. 프랑스 및 일본의 방류둑 일체형 LNG 저장탱크에 대한 위험성 평가 결과를 검토한 결과 멤브레인 저장탱크와 완정방호식 저장탱크는 안전성 차원에서 거의 동일한 것으로 나타났다. 따라서 국내에서 개발한 지상식 멤브레인 LNG 저장탱크 설계모델에 대한 안전성 제고 및 안전성 평가 등을 통해 객관적인 안전성 근거가 확보된다면 동 탱크의 경우에도 완전방호식 LNG 저장탱크와 같이 외부콘크리트 저장탱크의 방류둑 기능인정이 가능할 것으로 판단된다.

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A Study on Improvement of Fire-fighter's outfits and fire-fighting scenarios for effective water-extinguishment on ship (효과적인 선상 수소화를 위한 소방원 장구 및 화재진압 시나리오 개선에 관한 연구)

  • Sim, Hyo-Sang;Park, Young-Soo;Ha, Won-Jae
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2016.05a
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    • pp.100-102
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    • 2016
  • Every crew are in great peril that they should put out a fire on board in person due to a property of ship isolated. Accordingly, it is essential to verify whether the fire-fighter's outfits and fire-fighting scenarios in accordance with present regulations are safe and effective actually. As a result of comparison between shore fire-fighter's outfits and fire-fighting scenarios and those on ship and statistics calculation of the place and frequency of the fire of actual ship, present limitations of fire suppression system and fire-fighter's outfits were proved. In addition, derive the distance to the place on ship that has highest frequency of fire occurrence from examining actual ship's drawings according to their description and size. Finally from experiments in more experimental groups by changing numbers of actual fire-fighters and environment and conduction of survey of a number of crew in active service on ship, the most effective fire-fighter's outfits system and fire-fighting scenarios will be derived.

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Earthquake-induced Liquefaction Areas and Safety Assessment of Facilities (지진으로 인한 액상화 지역 및 시설물 안정성 평가)

  • Jeon, Sang-Soo;Heo, DaeYang;Lee, Sang-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.133-143
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    • 2018
  • Liquefaction is one of secondary damages after earthquake and has been rarely reported until earthquake except Mw = 5.4 15 November 2017 Pohang earthquake in Korea. In recent years, Mw = 5.8 12 September 2016 Gyeongju earthquake and Mw = 5.4 15 November 2017 Pohang earthquake, which induced liquefaction, occurred in fault zone of Yangsan City located at south-eastern part of Korea. This explains that Korea is not safe against liquefaction induced by earthquake. In this study, the distance between the centroid of administrative district and the epicenter located at Yangsan fault, peak ground velocity (PGA) induced by both Mw = 5.0 and 6.5, and liquefaction potential index (LPI), which is calculated by using groundwater level and standard penetration test results of 274 in the area of Gimhae city located in adjacent to Nakdong river and across Yangsan fault, have been estimated and then kriging method using geographical information systems has been used to evaluate liquefaction effects on the damage of facilities. This study presents that Mw = 5.0 earthquake induces a small and low level of liquefaction resulting in slight damage of facilities but Mw = 6.5 earthquake induces a large and high level of liquefaction resulting in severe damage of facilities.

Numerical Analysis of Crash Impact Test for External Auxiliary Fuel Tank of Rotorcraft (회전익항공기용 외부 보조연료탱크 충돌충격시험 수치해석)

  • Kim, Hyun-Gi;Kim, Sungchan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.724-729
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    • 2017
  • The crashworthiness of the fuel tank of a rotorcraft is verified through the crash impact test. The crash impact test has a high risk of failure due to the application of an excessive load, which can seriously affect the overall development schedule of the aircraft. Therefore, a lot of effort has been made to minimize the possibility of failure in the actual test by carrying out a numerical analysis of the crash impact test of the fuel tank in the initial design stage. Recently, an external auxiliary fuel tank was added to increase the cruising distance. In this study, the numerical analysis results of the crash impact test based on several different shapes of the external auxiliary fuel tank are presented, in order to evaluate its crashworthiness. For the numerical analysis, smoothed particle hydrodynamics (SPH), which is one of the fluid-structure coupled analysis methods, is applied and the test conditions prescribed by US military standards are reflected in the analysis conditions. In addition, the material property data previously obtained by the specimen test of the actual fuel tank is applied to the numerical analysis. As a result, the equivalent stress of the fuel tank material itself and the metal fitting is provided and the possibility of acquiring data for designing the crash-worthiness of the external auxiliary fuel tank is evaluated by examining the behavior and working load of the internal mounted components.