• Korean Journal of Radiology
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• v.22 no.9
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• pp.1547-1554
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• 2021

Objective: We aimed to investigate whether repeated intravascular administration of iodinated contrast media (ICM) or gadolinium-based contrast agents (GBCAs) within a short interval was associated with an increased risk of post-contrast acute kidney injury (PC-AKI). Materials and Methods: This retrospective study included 300 patients (mean age ± standard deviation, 68.5 ± 8.1 years; 131 male and 169 female) who had undergone at least one ICM-enhanced perfusion brain CT scan, had their baseline and follow-up serum creatinine levels available, and had not undergone additional contrast-enhanced examinations 72 hours before and after a time window of interest were included. The study population was divided into three groups: single-dose group and groups of patients who had received multiple contrast administrations in the time window of interest with the minimum contrast repeat interval either within 4 hours (0-4-hour group) or between 4 to 48 hours (4-48-hour group). Multivariable logistic regression analysis was conducted to evaluate the association between AKI and repeated ICM administrations. A similar supplementary analysis was performed including both ICM and GBCA. Results: When ICM was only considered ignoring GBCA, among 300 patients, 207 patients received a single dose of ICM, 58 had repeated doses within 4 hours (0-4-hour group), and 35 patients had repeated doses between 4 to 48 hours (4-48-hour group). Most patients (> 95%) had a baseline estimated glomerular filtration rate (eGFR) of ≥ 30 mL/min/1.73 m². AKI occurred in 7.2%, 13.8%, and 8.6% of patients in the single-dose, 0-4-hour, and 4-48-hour groups, respectively. In the 0-4-hour and 4-48-hour groups, additional exposure to ICM was not associated with AKI after adjusting for comorbidities and nephrotoxic drugs (all p values > 0.05). Conclusion: Repeated intravascular administrations of ICM within a short interval did not increase the risk of AKI in our study patients suspected of acute stroke with a baseline eGFR of ≥ 30 mL/min/1.73 m².

• Korean Chemical Engineering Research
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• v.58 no.3
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• pp.493-497
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• 2020

Hazardous area classification is designed to prevent chemical plant explosions in advance. Generally, the duration of the explosive atmosphere is used for zone type classification. Herein, IEC code, a quantitative zone type classification methodology, was used to achieve Zone 2 NE, which indicates a practical non-explosion condition. This study analyzed the operating pressure of a vessel handling propane to achieve Zone 2 NE by applying the IEC code via MATLAB. The resulting zone type and hazardous area grades were compared with the results from other design standards, namely API and EI codes. According to the IEC code, the operating pressure of vessels handling propane should be between 101325-116560.59 Pa. In contrast, the zone type classification criteria used by API and EI codes are abstract. Therefore, since these codes could interpret excessively explosive atmospheres, care is required while using them for hazardous area classification design.

• Journal of the Korea Safety Management & Science
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• v.17 no.2
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• pp.35-45
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• 2015

Total industrial accident rate in Korea is facing a record 0.7% for 10 years since 2000. After entering the continuous versus 0.6% (0.69%) in 2010. In 2011, the decrease was reduced to 0.65%. Conversely In contrast to foreign workers' share has increased dramatically over 10 years since 2000 to 2010 are expected to be difficult in the accident rate of 0.5% for the entry. Despite the ongoing disaster reduction efforts to reduce disaster (share) of foreign workers has been increasing rapidly Survey, Whilst the provision of disaster prevention system status and problem analysis and identify measures that can be established through such disaster reduction measures are urgently needed.

• Safety and Health at Work
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• v.10 no.3
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• pp.389-392
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• 2019

When conducting an exposure assessment, the primary goal of the industrial hygienist is to fully characterize the worker's exposure during a work shift to compare it with an occupational exposure limit. This applies regardless of the duration of the work activity as an activity that is relatively short in duration can still present exposure in excess of the occupational exposure limit even when normalized over an 8-hr shift. This goal, however, is often impeded by the specification of a minimum sample volume in the published sampling method, which may prevent the sample from being collected or submitted for analysis. Removing the specification of minimum sample volume (or adjusting it from a requirement to a recommendation), in contrast, allows for a broader assessment of jobs that consist of short-duration and high-exposure activities and also eliminates the unnecessary practice of running sampling pumps in clean air to collect a specified, minimum volume.

• Safety and Health at Work
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• v.8 no.3
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• pp.318-321
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• 2017

This commentary presents the regulatory backgrounds and development of the national proficiency testing (PT) scheme on asbestos analysis in the Republic of Korea. Since 2009, under the amended Occupational Safety and Health Act, the survey of asbestos in buildings and clearance test of asbestos removal works have been mandated to be carried out by the laboratories designated by the Ministry of Employment and Labor (MOEL) in the Republic of Korea. To assess the performance of asbestos laboratories, a PT scheme on asbestos analysis was launched by the Korea Occupational Safety and Health Agency (KOSHA) on behalf of the MOEL in 2007. Participating laboratories are evaluated once a year for fiber counting and bulk asbestos analysis by phase contrast microscopy and polarized light microscopy, respectively. Currently, the number of laboratory enrollments is > 200, and the percentage of passed laboratories is > 90. The current status and several significant changes in operation, sample preparations, and statistics of assigning the reference values of the KOSHA PT scheme on asbestos analysis are presented. Critical retrospect based on the experiences of operating the KOSHA PT scheme suggests considerations for developing a new national PT scheme for asbestos analysis.

• Safety and Health at Work
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• v.7 no.2
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• pp.161-165
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• 2016

Background: Despite the declining trend of workplace accidents in Republic of Korea, its level is still quite high compared with that in other developed countries. Factors that are responsible for high workplace accidents have not been well documented in Republic of Korea. The main purpose of this paper is to estimate the effects of unions and health and safety committees on workplace accidents in Korean manufacturing firms. We also allow for the interactions between unions and health and safety committees in the analysis. The results obtained in this paper will not only contribute to the literature in this field, but might also be useful for employers and worker representatives who are trying to find an effective way to reduce workplace accidents. Methods: This paper utilizes the 2012 Occupational Safety and Health Trend Survey data, which is a unique data set providing information on workplace injuries and illness as well as other characteristics of participatory firms, representative of the manufacturing industry in Republic of Korea. Results: In estimating the effects of unions and health and safety committees, we build a negative binomial regression model in which the interactions between unions and health and safety committees are permissible in reducing workplace accidents. Conclusion: Health and safety committees were found to reduce the incidence of accidents whereas unionized establishments have higher incidence of accidents than nonunionized establishments. We also found that health and safety committees can more effectively reduce accidents in nonunionized establishments. By contrast, nonexclusive joint committees can more effectively reduce accidents in unionized establishments.

• The Plant Pathology Journal
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• v.26 no.4
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• pp.321-327
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• 2010

We performed diagnostic PCR assays and a phylogenetic analysis using partial sequences of TEF1 (translation elongation factor-1) to determine the trichothecene chemotypes and genetic diversity of F. graminearum isolates from maize and rice samples collected in 2009 in Korea. PCR using a species-specific primer set revealed a total of 324 isolates belonging to the putative F. graminearum species complex. PCR with trichothecene chemotypespecific primers revealed that the nivalenol (NIV) chemotype was predominant among the fungal isolates from rice (95%) in all provinces examined. In contrast, the predominant chemotype among the corn isolates varied according to region. The deoxynivalenol (DON) chemotype was found more frequently (66%) than the NIV chemotype in Gangwon Province, whereas the NIV chemotype (70%) was predominant in Chungbuk Province. Phylogenetic analysis showed that all DON isolates examined were clustered into lineage 7, while the NIV isolates resided within lineage 6 (F. asiaticum). Compared with previous studies, the lineage 6 isolates in rice have been predominantly maintained in southern provinces, while the dominance of lineage 7 in maize has been evident in Gangwon at a slightly reduced level.

• Nuclear Engineering and Technology
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• v.56 no.3
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• pp.949-958
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• 2024

In contrast to all-time flooded small modular reactor (SMR) systems, an in-kind flooding safety system (FSS) has been proposed as a passive safety system applicable to small modular reactors (SMRs) that adopt a metal containment vessel (MCV). Under transient conditions, the FSS can provide emergency cooling to dry reactor cavities and sustain long-term coolability using re-acquired evaporated steam in the reactor building on demand. When designing an FSS, the effect of the flooding flow area is vital as it affects the overall accident sequence and safety. Therefore, in this study, a MELCOR model of a reference SMR is developed and numerical analysis is performed under postulated accident scenarios. Without flooding, the MCV pressure of the reactor module exceeds the design pressure before core damage. To prevent core damage, an emergency flooding strategy is devised using various flow path parameters and requirements to ensure an adequate emergency coolant supply before the core damage is investigated. The results indicate that a flow area exceeding 0.02 m2 is required in the FSS to prevent MCV overpressure and core damage. This study is the first to report a strategic analysis for appropriately sizing an FSS flooding valve applicable to innovative SMRs.

• Journal of the Korea Institute of Building Construction
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• v.23 no.5
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• pp.639-650
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• 2023

In this research endeavor, we engaged with 70 construction safety specialists from established construction firms through surveys and interviews. The primary aim was to dissect and understand the weight and ramifications of specific cost items within the Occupational Safety and Health Management Funds(OSHMF) and Safety Management Expenses(SME). From our analysis, salient insights emerged. Within the realm of OSHMF, the cost items associated with safety facilities and the remunerations of safety managers were identified as paramount. It was observed that there are marked variations in the perceived significance and repercussions associated with diverse cost items of OSHMF. In stark contrast, when assessing the SME, the nuances in perceived weight and consequences of individual cost items were relatively muted, suggesting a more uniform viewpoint among the experts. Furthermore, our research probed the interrelationship between the significance and repercussions within OSHMF and SME domains. Notably, OSHMF manifested a positive linear relationship, suggesting that cost items of higher importance invariably had a more pronounced effect. On the other hand, the SME showcased a more subtle association, hinting at intricate underlying dynamics. The outcomes of this investigation are poised to offer instrumental guidance for enhancing safety protocols and diminishing accident occurrences in domestic construction undertakings.

• The Korean Journal of Pain
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• v.20 no.1
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• pp.26-30
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• 2007

Background: Epidural steroid injections (ESI) are a common treatment for spinal disorders. Previous research has shown that aspiration of the syringe is not a sensitive test for placement of an intravascular needle. Serious complications have been reported from injection of steroids and local anesthetics into the vascular space. In addition to safety concerns, the efficacy may decline with partial injection outside the desired epidural location. We hypothesized that incidence of vascular problems is increased in patients who undergo spine surgery compared with the patients who don't undergo spine surgery. We investigated the incidence of vascular problems during lumbosacral transforaminal ESI and we compared the difference of vascular problems between the patients who undergo spinal surgery and those patients who don't undergo spinal surgery. Methods: Two hundreds and three patients were consecutively recruited and they received 299 fluoroscopically guided lumbosacral transforaminal ESIs. Injection of contrast was performed under live dynamic fluoroscopy with using digital substraction analysis. The observed uptake pattern was classified into one of three categories: flashback, aspirated, and positive contrast with negative flashback and aspiration. Results: The vascular incidence rate was 20.4%. Transforaminal ESIs performed at S1 had avascular incidence rate of 27.8% compared with 17.7% for all the other lumbar injection sites. The sensitivity of spontaneous observation of blood in the needle hub or blood aspirate for predicting an intravascular injection in lumbar transforaminal ESIs was 70.4%. Conclusions: There is a high incidence of intravascular problems when performing transforaminal ESIs, and this is significantly increased in patients with previous spine surgery. Using a flash or blood aspiration to predict an intravascular injection is not sensitive therefore; a negative flash or aspiration is not reliable. Fluoroscopically guided procedures without contrast confirmation are prone to instill medications intravascularly. This finding confirms the need for not only fluoroscopic guidance, but also for contrast injection instillation when performing lumbosacral transforaminal ESIs, and especially for patients with previous spine surgery.