• Title/Summary/Keyword: CM at Risk

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Evaluation of Capability for Practicing CM at Risk in Korea (국내 시공책임형 건설사업관리 수행을 위한 기업 역량 평가)

  • Ryu, HanGuk;Lee, Sangwon;Choi, Jaehyun
    • Korean Journal of Construction Engineering and Management
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    • v.21 no.2
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    • pp.79-87
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    • 2020
  • The Korean domestic construction management at risk (CMAR) market is in the process of completing the pilot project execution under the leadership of the Ministry of Land, Infrastructure and Transport as of December 2019. The government starts practicing CMAR an alternative delivery method widely in order to diversify delivery methods and enhance construction technology. The CMAR market is thus expected to grow. This study was conducted to improve CMAR firms' capability by developing self-assessment tools for them to evaluate current capability more effectively. As a result of defining standard core capability and additional elements categorized by project execution phase and management area, and performing evaluation from the CMAR project participants, it was found that the general project management capability in the pre-design and procurement phase and quality management area was lower compared to the construction phase and other areas. In addition, the capability of cost management area was lower in spite of its high importance. Communication and coordination, process optimization, and target values achievement were at the initial level of capability and continuous improvement was required.

A Study on the Status and Future Development of Construction Management of Jeonju World Cup Stadium (전주월드컵경기장의 건설사업관리 추진현황과 발전방향에 관한 연구)

  • In Chi-Sung;Jung Soon-Gil;Kim Tae-Sam;Kim Geun-Woo;Do Sang-Yeek
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.73-80
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    • 2001
  • Generally, construction management is classified into two categories in the construction industry; CM for fee and CM at risk, most project is executed by the construction supervision including construction management in CM for fee field in Korea. The division of work scope is complicated among construction manager(CMr) and difficult to implement the construction management efficiently by CMr. in this case. Therefore, it is desired to apply the specialized Project Management Information System(PMIS) systematically include construction management procedure. We propose the future development of construction management on construction site based on the analyzed problem with PMIS and guideline and CM concept on construction site, composition of CM procedure through this Jeonju World Cup Stadium CM project.

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Development of a Method for Improving the Electric Field Distribution in Patients Undergoing Tumor-Treating Fields Therapy

  • Sung, Jiwon;Seo, Jaehyeon;Jo, Yunhui;Yoon, Myonggeun;Hwang, Sang-Gu;Kim, Eun Ho
    • Journal of the Korean Physical Society
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    • v.73 no.10
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    • pp.1577-1583
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    • 2018
  • Tumor-treating fields therapy involves placing pads onto the patient's skin to create a low- intensity (1 - 3 V/cm), intermediate frequency (100 - 300 kHz), alternating electric field to treat cancerous tumors. This new treatment modality has been approved by the Food and Drug Administration in the USA to treat patients with both newly diagnosed and recurrent glioblastoma. To deliver the prescribed electric field intensity to the tumor while minimizing exposure of organs at risk, we developed an optimization method for the electric field distribution in the body and compared the electric field distribution in the body before and after application of this optimization algorithm. To determine the electric field distribution in the body before optimization, we applied the same electric potential to all pairs of electric pads located on opposite sides of models. We subsequently adjusted the intensity of the electric field to each pair of pads to optimize the electric field distribution in the body, resulting in the prescribed electric field intensity to the tumor while minimizing electric fields at organs at risk. A comparison of the electric field distribution within the body before and after optimization showed that application of the optimization algorithm delivered a therapeutically effective electric field to the tumor while minimizing the average and the maximum field strength applied to organs at risk. Use of this optimization algorithm when planning tumor-treating fields therapy should maintain or increase the intensity of the electric field applied to the tumor while minimizing the intensity of the electric field applied to organs at risk. This would enhance the effectiveness of tumor-treating fields therapy while reducing dangerous side effects.

Classification for Types of Damages Caused by Cold Stress at Different Young Spike Development Stages of Barley and Wheat (맥류의 유수발육기 저온장해유형과 피해시기 분류)

  • 구본철;박문웅;김기준;안종국;이춘우;윤의병
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.48 no.3
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    • pp.252-261
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    • 2003
  • Although the young spike of barley (Hordeum vulgare L.) or wheat (Triticum aestivum L.) is known as the most susceptible part to spring cold injury, the risk of cold injury is apt to be ignored in most breeding program due to the importance of early maturity. Based on these aspects, the types and inducing time, temperature conditions for induction and effects of cold injury on growth and yield in this study were investigated under greenhouse and field conditions through three years (1997-1999). In natural condition, low temperature around -2.4∼$-10.2^{\circ}C$ caused the death of plant. Several cold injury types such as partial degeneration of spike, partial discoloration of leaf, spike and awn, discoloration of culm and white spike were observed at low temperature around $-3.1^{\circ}C$. Low temperature around -2.4∼$-8.6^{\circ}C$ and 1.3-$7.6^{\circ}C$ caused degeneration and sterility of spike, respectively. Most materials were prepared to the spikelet foundation stage, spikelet differentiation stage, development stage of flower organ, booting stage and heading stage, which were known having risk for cold injury in field condition. Although most of the controlled stages were sensitive to the induced low temperature, booting stage was the most sensitive stage for cold injury. All of growth stages which were treated-heading stage, booting stage, development stage of flower organ, spikelet differentiation stage, spikelet foundation stage-were responded to low temperature treatment but the symptoms revealed were very specific according to the growth stages. Ears of plant in heading stage were discolored to white. Ears of plant in booting stage were degenerated in all or part of one. Plants in spikelet differentiation stage were sterile in all or part of one. When tried to detect the specific differences between normal and cold injured plants in appearance, spike length, distance between spike and flag leaf and the first internode length could be the critical points for occurrence of spike death caused by cold injury. In barley, the elongation of spike was stopped on 3.2cm after occurrence of spike degeneration, 4.7cm after occurrence of partial degeneration of spike, 5.0cm after occurrence of white spike. In wheat, it was stopped on 1.6cm after occurrence of stem death, 3.3cm after occurrence of spike degeneration, 8.3cm after occurrence of partial degeneration of spike, 8.1cm after occurrence of white spike, 7.5cm after partial discoloration of leaf and 9.3cm after partial discoloration of spike. The obtained results from low temperature treatment induced in growth chamber were similar to the field experiment, Beacuse the death of spikes was more when low temperature was treated two times than one times, the temperature should be upgrade to -3$^{\circ}C$ in order to get the same condition with field test.

Clinical Application of the Delayed Procedure in the Distally Based Sural Flap (원위기저비복피판에서 지연처치의 임상적 적용)

  • Yim, Hyung-Woo;Park, Yong-Joon
    • Archives of Plastic Surgery
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    • v.37 no.6
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    • pp.775-778
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    • 2010
  • Purpose: Reconstruction of soft tissue defects with osteomyelitis in the lower third of the leg represents a challenge to plastic surgeons. Moreover, it is more arduous in multimorbid patients. One excellent option for reconstruction of these defects is to use a delayed distally based sural flap. Methods: We successfully used delayed distally based sural flap with a two-step procedure. During the first operation, radical debridement and elevation of flap were performed. The raised flap was fixed again at the donor site. The delay period ranged from seven to ten days. Between August 2008 and July 2009, we underwent operations for five patients using this technique. The size of flap varied from $10{\times}6\;cm$ to $12{\times}14\;cm$. Results: All flaps successfully survived. Partial skin loss of the grafted site was seen in two patients but no further surgical procedure was required for wound healing. Complaints of hypoesthesia on the lateral part of the foot was observed. In a three month follow-up period, hypoesthesia was resolved spontaneously. Conclusion: Delayed procedure improves the viability of distally based sural flap in high risk, critically multimorbid patients. We recommend that, if a two-stage operative approach is required, the delayed procedure should be considered.

Estimation of the Optimum Installation Depth of Soil Moisture Sensor in an Automatic Subsurface Drip Irrigation System for Greenhouse Cucumber (시설오이 지중관비시 자동관수센서의 적정 매설깊이)

  • Lim, Tae-Jun;Kim, Ki-In;Park, Jin-Myeon;Noh, Jae-Seung
    • Korean Journal of Soil Science and Fertilizer
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    • v.46 no.2
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    • pp.99-104
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    • 2013
  • Vegetables production in greenhouse are typically intensely managed with high inputs of fertilizers and irrigation water, which increases the risk of ground-water nitrate contamination. In 2010 and 2011, a study was conducted to determine the appropriate depth of soil moisture sensor for automatic irrigation control to use water and nitrogen efficiently under subsurface drip irrigation (SDI) systems. The irrigation line for SDI placed 30 cm below soil surface and tensiometer was used as soil moisture sensor. Three tensiometer treatments placed at 10 (SDI-T10), 20 (SDI-T20) and 30 cm (SDI-T30) depths below soil surface under SDI. These are also compared to SUR-T20 treatment where tensiometer placed at 20 cm below soil surface under surface drip irrigation (SUR) systems. The growth of cucumber was not statistically different between SUR and SDI without SDI-T30 treatment. Fruit yields (Mg/ha) were 57.0 and 56.9 (SDI-T10), 56.0 and 60.5 (SDI-T20), 40.9 and 41.2 (SDI-T30) and 56.6 and 54.3 (SUR-T20) for 2010 and 2011, respectively. Slightly higher total yield was observed in tensiometer placed 20 cm below the soil surface, although no significant differences were found between SDI-T10 and SDI-T20 under SDI treatments. In addition, nitrogen application rates and daily irrigation rates were lowest in SDI-T20 compared with other SDIs and SUR treatments. Nitrogen and daily irrigation application under SDI-T20 was lower than that under SUR-T20 by 6.0%. These findings suggested tensiometer 20 cm depth under SDI systems was best for cucumber production in greenhouse.

Gastrointestinal Stromal Tumor of the Stomach Presenting as Multilobular with Diffuse Calcifications

  • Kim, Sae Hee;Lee, Moon-Soo;Cho, Byung Sun;Park, Joo-Seung;Han, Hyun-Young;Kang, Dong-Wook
    • Journal of Gastric Cancer
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    • v.16 no.1
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    • pp.58-62
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    • 2016
  • Gastrointestinal stromal tumors (GISTs) are the most common primary mesenchymal neoplasms of the gastrointestinal tract and usually appear as a well-circumscribed mass. However, it may be difficult to confirm the extent of the disease for some GISTs. A 70-year-old asymptomatic female presented for a regular physical exam. An esophagogastroduodenoscopy showed a 2.0 cm protruding mass on the gastric fundus. Endoscopic ultrasound revealed an ill-defined heterogenous hypoechoic lesion ($3.0{\times}1.5cm$). A computed tomography (CT) scan demonstrated a 4.5 cm multifocal calcified mass at the gastric body as well as at the gastric fundus. Laparoscopic gastric wedge resection was performed according to the extent of multifocal calcifications that are shown on the CT. Intraoperative specimen mammography and intraoperative biopsy might be helpful to obtain a tumor-free margin. Final pathologic diagnosis was an intermediate risk GIST in multilobular form. In patients with diffuse multifocal calcifications in the stomach, the possibility of GIST should be considered.

A case of malignant melanoma after repeated recurrent dysplastic nevi

  • Jeong, Dae Kyun;Bae, Yong Chan;Lee, So Jeong;Kim, Hoon Soo;Choi, Young Jin
    • Archives of Craniofacial Surgery
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    • v.20 no.4
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    • pp.260-264
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    • 2019
  • Dysplastic nevus is common and affects about 10% of the northern European-descendent population. Studies over the past several decades have identified dysplastic nevi as a risk factor for malignant melanoma. Furthermore, in rare cases, they confirmed that dysplastic nevi have progressed to melanoma. Cases in which dysplastic nevi progressed to malignant melanoma in multiple studies are not uncommon. A 35-year-old woman presented with the major symptom of multiple itchy brown nodules ($2.0cm{\times}1.3cm$) in the left cheek that had first appeared 20 years earlier. Complete excision was performed at the first visit; subsequent biopsy confirmed that they were dysplastic nevi. They recurred three times over 3 years at the same site, all of which were histologically diagnosed as dysplastic nevi. Five years after the final excision, a brownish nodule developed in the left cheek, with others at the left temporal region, right retroauricular region, and left shoulder at the same time. These lesions were histologically diagnosed as malignant melanoma. We experienced a case of malignant melanoma that occurred at the same site after three recurrences of dysplastic nevi. Although rare, the possibility of malignant melanoma should be considered in follow-ups in cases involving repeatedly recurrent dysplastic nevi.

A Study on Fusion Welding Strength of PE pipe (PE배관의 융착 강도에 관한 연구)

  • Jun, Hung-Won;Kim, Yong-Soo;Tae, Soon-Ho
    • Journal of the Korean Society of Safety
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    • v.17 no.2
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    • pp.16-21
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    • 2002
  • At present the Polyethylene piping, on supporting LNG is widely used because of it's disposition which are anti-corrosion flexible and so on. However, it has a few kinds of risk which are the possibility of piping leak, the character of easily corroded and so on. For giving solution, this study is intended to experiment the intension of the PE pipe after melted and when it is melting, the condition which are temperature and pressure is changed. the melting condition in temperature and pressure is adapted identically. After melting, it's joint is tested as intension. The result is that the effect of temperature in intension is more effective than pressure. In $210^{\circ}C$, $20kg/cm^{2}$ condition, the melting intension has the highest. Compare to the Butt melting joint and the Saddle melting joint, the former was $214kg/cm^{2}$ and the latter was $50kg/cm^{2}(bead\;2{\sim}3mm)$ and $73kg/cm^{2}(bead\;5{\sim}7mm)$. It means that the Butt melting method has more intensive than saddle. Consequently, the result shows that the liability and safety when pipe melting method is used will improve in pipe installation.

Biomechanical Analysis of Injury Factor According to the Change of Direction After Single-leg Landing

  • Kim, Jong-Bin;Park, Sang-Kyoon
    • Korean Journal of Applied Biomechanics
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    • v.26 no.4
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    • pp.433-441
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    • 2016
  • Objective: The purpose of this study was to understand the injury mechanism and to provide quantitative data to use in prevention or posture correction training by conducting kinematic and kinetic analyses of risk factors of lower extremity joint injury depending on the change of direction at different angles after a landing motion. Method: This study included 11 men in their twenties (age: $24.6{\pm}1.7years$, height: $176.6{\pm}4.4cm$, weight: $71.3{\pm}8.0kg$) who were right-leg dominant. By using seven infrared cameras (Oqus 300, Qualisys, Sweden), one force platform (AMTI, USA), and an accelerometer (Noraxon, USA), single-leg drop landing was performed at a height of 30 cm. The joint range of motion (ROM) of the lower extremity, peak joint moment, peak joint power, peak vertical ground reaction force (GRF), and peak vertical acceleration were measured. For statistical analysis, one-way repeated-measures analysis of variance was conducted at a significance level of ${\alpha}$ <.05. Results: Ankle and knee joint ROM in the sagittal plane significantly differed, respectively (F = 3.145, p = .024; F = 14.183, p = .000), depending on the change of direction. However, no significant differences were observed in the ROM of ankle and knee joint in the transverse plane. Significant differences in peak joint moment were also observed but no statistically significant differences were found in negative joint power between the conditions. Peak vertical GRF was high in landing (LAD) and after landing, left $45^{\circ}$ cutting (LLC), with a significant difference (F = 9.363, p = .000). The peak vertical acceleration was relatively high in LAD and LLC compared with other conditions, but the difference was not significant. Conclusion: We conclude that moving in the left direction may expose athletes to greater injury risk in terms of joint kinetics than moving in the right direction. However, further investigation of joint injury mechanisms in sports would be required to confirm these findings.