• 제목/요약/키워드: CM at Risk

검색결과 346건 처리시간 0.027초

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

  • 인치성;정순길;김태삼;김근우;도상익
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2001년도 학술대회지
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    • pp.73-80
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    • 2001
  • 일반적으로 건설사업관리는 발주자를 위한 방식과 시공자를 위한 방식으로 구분되고 있으나 현재 국내에서는 사업관리 기능을 포함한 감리를 중심으로 대부분의 프로젝트가 진행되고 있는 실정이다. 이로 인하여 사업참여자간의 업무관리가 복잡하고 감리자 및 건설사업관리자가 효율적인 사업관리업무를 수행하는데 어려움이 있다. 따라서 전문화되고 체계적인 사업관리절차를 포함한 통합사업관리시스템의 활용이 어느 때보다 절실히 요구된다. 본 연구에서는 전주월드컵경기장의 CM사례를 통해 현행 CM업무의 현장적용상의 문제점을 분석한 후 통합사업관리시스템과 CM의 발전방향을 구체적으로 제시하는 동시에 현장 CM에 대한 개념구축, CM업무 수행 지침서 작성 등의 현장 건설사업관리업무의 향후 발전방향을 제시하고자 한다.

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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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    • 제73권10호
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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.

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

  • 구본철;박문웅;김기준;안종국;이춘우;윤의병
    • 한국작물학회지
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    • 제48권3호
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    • pp.252-261
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    • 2003
  • 보리, 밀 품종의 조숙화와 온난한 겨울로 인하여 봄에 나타나는 저온장해가 최근에 자주 발생하는데 생육재생기 이후 발생하는 저온장해의 양상, 발생시기 및 증상을 구명하고자 자연조건과 저온항온기 그리고 포장의 비닐 피복을 이용한 저온처리시험을 실시한 결과를 보면 다음과 같다. 1. 저온장해중 줄기 고사는 -2.4∼$-10.2^{\circ}C$, 퇴화, 백수, 탈색등은 -2.4∼$-8.6^{\circ}C$,불임은 -1.3∼$-7.6^{\circ}C$의 저온에서 6-39시간 지속될 때 발생하였는데 특히 자연포장에서 많이 나타나는 저온장해는 불임과 퇴화로, 이의 유발온도는 -2.5∼$-3.0^{\circ}C$였다. 2. 보리, 밀 모두 수잉기에 불임이 많이 발생하였고 출수기, 영화분화기, 화기발육기 순으로 발생정도에 차이를 보였다 백수는 출수 전후 10일에 주로 발생하였으며 발생정도는 출수후 10일>출수기>수잉기 순이었다. 3. 유수퇴화는 출수기에 가장 많이 발생한 것으로 나타났고 수잉기, 화기발육기에도 많이 발생하였다. 부분희화도 수잉기에 많이 발생하였다. 포장에서는 영화분화기의 개체들에서도 많이 발생하였다. 4. 망 탈색은 주로 밀에서 발생하였는데 수잉기에 일부 발생하긴 했으나 출수기의 식물체에서 대부분이 발생하여 출수기에 주로 나타나는 장해라 할 수 있었다. 식물체 고사는 전 생육기에 걸쳐 발생하였고 가장 심한 피해는 출수기>수잉 >영화분화기>화기 발육기 순으로 발생한 것으로 나타났다. 5. 저온장해 발생지표로 유수장, 제1절간장, 지엽-이삭간 거리가 유용하였다. 유수장이 밀에서는 망 탈색시 9.0-9.8cm, 이삭 탈색시 7.5cm, 백수발생시 5.7-9.4cm, 이삭 퇴화시 0.2-9.2cm, 줄기고사시 0.3-3.8cm로 나타났고 보리에서는 백수발생시 평균 3.4-7.0cm, 부분퇴화가 4.2-5.2cm, 퇴화가 0.4-5.4cm, 줄기 고사가 0.4-0.6cm로 차이를 보였다. 제1절간장은 보리, 밀 각각 0.3-8.4cm, 0.2-24.2cm로 신장정도에서 저온에 따른 변이를 보였고, 지엽-이삭간 거리도 보리 -2.5∼-7.4cm, 밀 -0.6-11.5cm로 신장정도에 차이가 컸다.

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

  • 임형우;박용준
    • Archives of Plastic Surgery
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    • 제37권6호
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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.

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

  • 임태준;김기인;박진면;노재승
    • 한국토양비료학회지
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    • 제46권2호
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    • pp.99-104
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    • 2013
  • 시설오이 지중관비에서 지중 점적호스를 30 cm에 매설 시에 텐시오미터를 이용한 자동관수센서의 적정 깊이를 제시하고자 2010-2011년까지 2년간에 걸쳐서 조사하였다. 오이의 생육은 텐시오미터 30 cm 깊이에서 낮았으나 텐시오미터 10 및 20 cm에서는 유의성 있는 차이는 없었다. 1년 및 2년차 수량에서도 텐시오미터 30 cm에서 각각 40.9 및 41.2 $Mg\;ha^{-1}$로 가장 적은 생산량을 나타내었나, 텐시오미터 10 cm에서는 57.0 및 56.9 $Mg\;ha^{-1}$, 텐시오미터 20 cm에서는 56.0 및 60.5 $Mg\;ha^{-1}$로 처리간의 차이가 없이 동일한 수량을 나타내었다. 오이재배에서 한 작기 당 질소 및 일일 물 공급량은 63 $kg\;N\;ha^{-1}$의 질소와 1.3 $mm\;day^{-1}$로 물이 공급된 텐시오미터 20 cm 처리에서 질소 및 수분 이용효율이 높았다. 또한 토양깊이 0-30 cm에 대한 뿌리길이에서도 텐시오미터 20 cm에서 0.87 $cm\;cm^{-3}$으로 유의성은 없었지만 가장 높은 값을 나타내었다. 이러한 결과로부터 시설오이에서 지중 점적호스를 30 cm 깊이에 매설 시에 텐시오미터를 활용한 자동관수센서의 적정 깊이는 20 cm인 것으로 판단되었다.

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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    • 제16권1호
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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
    • 대한두개안면성형외과학회지
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    • 제20권4호
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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.

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

  • 전흥원;김용수;태순호
    • 한국안전학회지
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    • 제17권2호
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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
    • 한국운동역학회지
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    • 제26권4호
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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.

화재진압 중 소방관의 돌발 고위험상황 노출 경험과 개인보호구 개선요구사항 실태조사 (Requirements of Improvement on Personal Protective Equipment and Experiences Exposed to Accidently High Risk Circumstance while Firefighting: A Questionnaire Study)

  • 이효현;김시연;김도희;김도형;이주영
    • 한국생활환경학회지
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    • 제24권5호
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    • pp.549-561
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    • 2017
  • We conducted a nationalwide questionnaire to investigate accidental experiences and injuries at flashover or flame-fire for active firefighters in the line of duty. A total of 794 firefighters participated in this survey (764 males, 27 females, and 3 respondents; $39.2{\pm}8.4yr$ in age, $173.7{\pm}5.1cm$ in height, $73.4{\pm}8.6kg$ in body mass). The results showed that high risk circumstances the most frequently experienced while firefighting in Korea was flashover followed by backdraft, rollover and flameover. At the high risk circumstances the most frequently-experienced injuries were bruise, stabs and burns. Firefighters hoped to reduce the total mass of personal protective equipment (PPE), improve the mobility of the PPE and dexterity of protective gloves, so that they could escape from the high risk circumstances as fast as possible. In particular, requirements for improvement on protective gloves were greater than those on other PPE. The present study suggested that the need for improvements on the current firefighters' PPE to cope with emergency high risk situations in terms of PPE mass reduction and mobility.