• 중환자간호학회지
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• 제14권1호
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• pp.28-39
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• 2021

Purpose : This study investigated the occurrence of postoperative ileus and its related factors in patients after spinal surgery. Methods : After a retrospective review of data from patients who underwent spinal surgery at a single hospital located in Busan from 2012 through 2016, a total of 253 patients were included. The subjects were divided into non-ileus and ileus groups. We compared patient-, surgery-, and postoperative hematological-related factors. Results : A total of 41 (16.2%) out of 253 patients experienced postoperative ileus. Data analysis revealed significant differences between the two groups in mean age (68.44 vs 60.50 years), occupation (9.8 vs 28.8%), cardiovascular comorbidity (63.4 vs 37.7%), approach of surgery (supine/prone: 29.3/70.7 vs 12.7/87.3%), duration of anesthesia (5.86 vs 4.43 hours), narcotic use (75.6 vs 56.6%), postoperative serum hemoglobin level (3 days: 10.81 vs 11.41 g/dL), postoperative serum protein (immediately/3 days: 5.30/5.43 vs 5.62/5.68 g/dL), postoperative albumin level (3 days: 3.17 vs 3.40 g/dL), postoperative C-reactive protein level (3 days: 11.44 vs 8.36 mg/dL), postoperative bed stabilization period (3.32 vs 2.50 days), and onset of bowel movement (2.59 vs 1.94 days). In multivariate logistic regression, age and time of anesthesia were independent risk factors of postoperative ileus. Conclusion : To detect ileus after spinal surgery early, nurse education is needed with intensive screening on advanced age, surgery-related factors, and postoperative hematological indices.

• 한국건설관리학회논문집
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• 제13권3호
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• pp.78-88
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• 2012

국내의 건설실패 관련 연구는 체계화된 실패정보 분류체계 및 실패정보의 활용을 위한 방안을 제시하는 것에 초점을 맞추고 있다. 그러나, 건설현장의 한정된 관리자가 건설실패를 유발하는 다양한 원인에 대한 예방대책을 수립하는 것은 한계가 있다. 따라서, 효율적인 건설실패 예방활동이 이루지기 위해서는 많은 실패원인에 대한 정량적 평가를 통해 우선순위를 정하여 효율적인 예방대책이 수립되어야 한다. 이에 본 연구는 정량적인 평가를 통해 실패를 유발하는 핵심관리요인을 도출 할 수 있도록 FMEA(Failure Mode and Effect Analysis) 기법을 활용한 건설실패 핵심관리요인 선정방법을 제시하고, 공동주택 골조공사를 대상으로 핵심관리요인을 분석하는 것을 목적으로 하였다. 이를 위해 FMEA 기법의 위험도를 실패 위험성과 예방성으로 구분하여 평가할 수 있도록 하였다. 본 연구에서 제시한 핵심관리요인 평가방법은 건설실패의 사전예방대책을 효율적으로 수립하는데 활용될 수 있으며, 향후 유사한 연구를 통해 프로젝트 수행 단계별 혹은 다양한 시설 및 공종에 대한 핵심관리요인을 도출하는데 활용될 수 있을 것으로 기대된다.

• 국제학술발표논문집
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• The 9th International Conference on Construction Engineering and Project Management
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• pp.83-90
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• 2022

Public-private partnerships (PPP) projects are becoming popular in both developed and developing countries due to their ability to access new financing sources and transfer certain project risks to the private sector. PPP has been an active research area where the concept of Critical Success Factors (CSF) is often discussed by researchers. This study aims to identify the CSFs for various PPP infrastructure projects that have been explored in previous CSF studies. This article reviewed the literature about CSF in PPP projects from the years 2002 to 2021, compared the findings of studies regarding the identified CSFs, and consolidated the CSFs that can be applied to various PPP infrastructure projects. The results showed that dominant research focused on general infrastructure, where CSFs can be applied to all infrastructure sectors rather than any specific sector. The most identified CSFs from the study are favorable and efficient legal frameworks, appropriate risk allocation and sharing, a robust and reliable private consortium, a competitive and transparent procurement process, and political support and stability. The findings from the study can provide an overview of CSFs that are relevant to specific PPP infrastructure sectors like building infrastructure, transportation, water, etc. as well as for general infrastructure. In addition, the results can also be used for further empirical analysis.

• Safety and Health at Work
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• 제12권4호
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• pp.496-504
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• 2021

Background: With the increasing demand for industrial robots and the "noncontact" trend, it is an appropriate point in time to examine whether risk assessments conducted for robot operations are performed effectively to identify and eliminate the risks of injury or harm to operators. This study discusses why robot accidents resulting in harm to operators occur repetitively despite implementing control measures and proposes corrective actions for risk assessments. Methods: This study collected 369 operator-injured robot accidents in Korea over the last decade and reconstructed them into the mechanism of injury, work being undertaken, and bodily location of the injury. Then, through the techniques of Systematic Cause Analysis Technique (SCAT) and Root Cause Analysis (RCA), this study analyzed the root and direct causes of robot accidents that had occurred. Causes identified included physical hazards and complex combinations of hazards, such as psychological, organizational, and systematic errors. The requirements of risk assessments regarding robot operations were examined, and three case studies of robot-involved tasks were investigated. The three assessments presented were: camera module processing, electrical discharge machining, and a panel-flipping robot installation. Results: After conducting RCA and comparing the three assessments, it was found that two-thirds of injury-occurring from robot accidents, causative factors included psychological and personal traits of robot operators. However, there were no evaluations of the identifications of personal aspects in the three assessment cases. Conclusion: Therefore, it was concluded that personal factors of operators, which had been overlooked in risk assessments so far, need to be included in future risk assessments on robot operations.

• Journal of Construction Engineering and Project Management
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• 제2권3호
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• pp.17-29
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• 2012

Delays are one of the biggest problems facing by the construction industry and they have significant financial and social impact in construction projects. The paper presents a framework of Delay Analysis System (DAS) with the aim of analysing the impact of delay factors in Libyan construction projects. The system has designed by integrating the possible delay factors, critical activities of a project using@risk simulator. A case study of building project was demonstrated to identify the impact of delays and the sensitivity of delay factor. The case study result showed that the project might be delayed by 97 to 103 days in comparison to the planned duration. The developed DAS is a tool for analysing and identify the impacts of delay factors and assist to construction manager to take necessary measure in reducing the delay impact. The paper provides a methodology for analysing the possible delay impact in a construction project and informing to construction manager in advance of the possible delay factors.

• Journal of the Korean Data and Information Science Society
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• 제24권3호
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• pp.557-569
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• 2013

국방연구개발사업의 성공을 위한 위험관리 활동은 프로젝트 전기간에 걸쳐 선제적이고 지속적으로 이루어져야 하며, 특히 위험요인을 중요도에 따라 우선순위를 선정하여 관리해야 한다. 본 연구에서는 델파이 기법으로 선정된 위험요인에 대해 요인분석을 통해 신뢰성 및 타당성을 검증하였으며, 계층분석방법 (AHP)으로 위험요인의 상대적 중요도를 구하여 우선순위를 정하고 국내 외 연구와 비교하였다. 연구결과 프로젝트 초기에 요구사항의 확정, 명확한 연구개발 범위, 타당한 완료일정, 필요한 자원의 확보가 아주 중요하고, 기존의 연구와는 달리 국방연구개발사업에서는 기술적인 요인들도 중요하게 고려해야 함을 알 수 있었다.

• 대한토목학회논문집
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• 제36권6호
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• pp.1153-1160
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• 2016

해외건설공사와 관련된 리스크에 대해서는 많은 연구들이 있었으나, 계약조건의 내용을 토대로 한 리스크 인자도출이나 분석은 없었다. 건설공사에서의 권리와 의무가 계약내용에 따라 발생한다는 가장 기본적인 사실을 고려할 때 계약적 권리와 의무를 규정하고 있는 계약조건의 내용에 따른 리스크의 인식과 대응은 해외건설공사의 성공적인 수행에 필수적인 요소이며 따라서 계약조건을 기반으로 한 리스크 인자도출은 중요하고도 핵심적인 가치를 가질 수 있는 것으로 판단되었다. 본 연구를 통해 계약시 유념하여야 할 핵심 계약적 리스크 인자들을 발굴함으로써 해외건설공사 입찰이나 계약시 많은 실무적인 도움을 줄 수 있을 것으로 기대한다.

• 중환자간호학회지
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• 제16권2호
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• pp.67-80
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• 2023

Purpose : The 2020 Dietary Guidelines Advisory Committee specifically noted that meal frequency is associated with risks for cardiovascular disease, type 2 diabetes, and all-cause mortality, although the current evidence on meal frequency is conflicting. As meal frequency itself is affected by various factors, the aim of the study was not only to examine its relationships with cardiometabolic risk but also to identify the mediating effects of dietary quality. Methods : This study used a descriptive correlational design. In all 8,141 healthy adults participated in the study. Measurements included meal frequency, cardiometabolic risk, and diet quality. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and process macro bootstrapping model 4. Results : The meal frequency was 3.52±0.61 times per day, the risk of cardiovascular metabolic diseases was 0.01±0.61 points, and the diet quality was 62.08±13.87 points. In mediation analysis, the effect of meal frequency on cardiometabolic risk score was completely mediated by diet quality. Conclusion : Improved diet quality in healthy adults should be considered when designing meal frequency interventions aimed at reducing their cardiometabolic risk, as the effect of meal frequency support on cardiometabolic risk was found to be mediated by diet quality.

• Structural Engineering and Mechanics
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• 제39권4호
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• pp.559-578
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• 2011

In regions of high seismic risk, high-strength concrete (HSC) columns of tall buildings are designed to be fully ductile during earthquake attack by providing substantial amount of confining steel within the critical region. However. in areas of low to moderate seismic risk, the same provision of confining steel is too conservative because of the reduced seismic demand. More critically, it causes problematic steel congestion in the beam-column joints and column critical region. This will eventually affect the quality of concrete placing owing to blockage. To relieve the problem, the confining steel in the critical region of HSC columns located in low to moderate seismicity regions can be suitably reduced, while maintaining a limited ductility level. Despite the advantage, there are still no guidelines developed for designing limited ductility HSC columns. In this paper, a formula for designing limited ductility HSC columns is presented. The validity of the formula was verified by testing half-scale HSC columns subjected to combined high-axial load and flexure, in which the confining steel was provided as per the proposed formula. From the test results, it is evident that the curvature ductility factors obtained for all these columns were about 10, which is the generally accepted level of limited ductility.

• Environmental Engineering Research
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• 제13권2호
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• pp.73-78
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• 2008

For a given soil-contaminated site, a level of soil contamination is characterized and decisions on risk may be made from the risk assessment. The study evaluated critical design factors for the determination of sample size in the sampling design plan and the assessment of soil contaminant- leaching to groundwater. Two variables, the minimum relative detectable difference (T) and coefficient of variation (CV) were evaluated for the sample size determination. The minimum number of samples can be appropriately determined by CV under a T value greater than or equal to 0.2. Soil-contaminant leaching to groundwater was evaluated by using the Soil Screening Level equation of U.S. Environmental Protection Agency and the Risk Based Screening Level equation of American Society for Testing and Materials, with the same input parameters. The groundwater concentrations estimated from soil contaminant concentrations were significantly affected by the Darcy velocity of groundwater and the organic content of soil.