• Title/Summary/Keyword: Emergency restoration operation

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Early Restoration of Hypoperfusion Confirmed by Perfusion Magnetic Resonance Image after Emergency Superficial Temporal Artery to Middle Cerebral Artery Anastomosis

  • Eun, Jin;Park, Ik Seong
    • Journal of Korean Neurosurgical Society
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    • v.65 no.6
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    • pp.816-824
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    • 2022
  • Objective : Emergency superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis in patients with large vessel occlusion who fails mechanical thrombectomy or does not become an indication due to over the time window can be done as an alternative for blood flow restoration. The authors planned this study to quantitatively measure the degree of improvement in cerebral perfusion flow using perfusion magnetic resonance imaging (MRI) after bypass surgery and to find out what factors are related to the outcome of the bypass surgery. Methods : For a total of 107 patients who underwent emergent STA-MCA bypass surgery with large vessel occlusion, the National Institute of Health stroke scale (NIHSS), modified Rankin score (mRS), infarction volume, and hypoperfusion area volume was calculated, the duration between symptom onset and reperfusion time, occlusion site and infarction type were analyzed. After emergency STA-MCA bypass, hypoperfusion area volume at post-operative 7 days was calculated and analyzed compared with pre-operative hypoperfusion area volume. The factors affecting the improvement of mRS were analyzed. The clinical status of patients who underwent emergency bypass was investigated by mRS and NIHSS before and after surgery, and changes in infarct volume, extent, degree of collateral circulation, and hypoperfusion area volume were measured using MRI and digital subtraction angiography (DSA). Results : The preoperative infarction volume was median 10 mL and the hypoperfusion area volume was median 101 mL. NIHSS was a median of 8 points, and the last normal to operation time was a median of 60.7 hours. STA patency was fair in 97.1% of patients at 6 months follow-up DSA and recanalization of the occluded vessel was confirmed at 26.5% of patients. Infarction volume significantly influenced the improvement of mRS (p=0.010) but preoperative hypoperfusion volume was not significantly influenced (p=0.192), and the infarction type showed marginal significance (p=0.0508). Preoperative NIHSS, initial mRS, occlusion vessel type, and last normal to operation time did not influence the improvement of mRS (p=0.272, 0.941, 0.354, and 0.391). Conclusion : In a patient who had an acute cerebral infarction due to large vessel occlusion with large ischemic penumbra but was unable to perform mechanical thrombectomy, STA-MCA bypass could be performed. By using time-to-peak images of perfusion MRI, it is possible to quickly and easily confirm that the brain tissue at risk is preserved and that the ischemic penumbra is recovered to a normal blood flow state.

Reinforcement Effect of Rapid Hardening Composite Mat for Protect Railway Slope in Operation (운영중인 철도비탈면 보호를 위한 초속경 복합매트 보강 효과)

  • Kang, Tae-Hee;Jung, Hyuk-Sang;Kim, Jin-Hwan;Back, In-Chul
    • Journal of the Korean Geosynthetics Society
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    • v.20 no.4
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    • pp.151-163
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    • 2021
  • This paper is dealt with railway slope stability for slope reinforcement using a geosynthetic concrete composite mat(GCCM). Recently, according to a change in weather caused by global warming, train operation has been restricted by the loss of backfill slope at the roadbed, which is consists of gravel, due to typhoons and heavy rainfall. In addition, the amount of damage is getting more significant than the cost of restoration, and the safety of workers is worried. In order to improve this limitation, a slope stability analysis was applied with a rapid hardening composite mat so that it can quickly secure a construction surface with increased workability and work stability and reduce maintenance costs by preventing re-loss in case of heavy rain and fundamentally blocking vegetation. As a result of the analysis, it was confirmed that the increase in safety factor was confirmed when the rapid harding composite mat was applied.

Analysis of Disaster Recovery System in Bank Industry (국내 금융권 재해복구시스템의 문제점 분석)

  • Kim Yong-soo;Baek Seung-Moon
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.2 s.34
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    • pp.223-229
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    • 2005
  • DRS (Disaster Recovery System) that was invested on a large-scale becomes obsolete when it is neglected for a certain Period of time. Also the DRS can not be accomplished through the duplicated computer systems. When a disaster happens, the normal operation is possible only if the processes that had been being done before the disaster recover without any loss. Therefore the DRS is not a IT project but needs an analysis of whole business Processes and business continuity plans. This paper analyze the present state of DRS of the domestic bank industry and suggests a remedy.

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A Case Study on the Implementation of Integrated Operation System of the Nakdong River Estuary Barrage Due to the Drainage Gate Extension (낙동강 하굿둑의 배수문 증설에 따른 통합운영시스템의 구축 사례에 대한 연구)

  • Kim, Seokju;Lim, Taesoo;Kim, Minsoo
    • The Journal of Society for e-Business Studies
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    • v.20 no.1
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    • pp.183-199
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    • 2015
  • Due to the Four Major Rivers Restoration Project, Nakdong River Estuary Barrage's designed flood quantity has been largely increased, and this has caused to construct several drainage gates at the right side of Eulsukdo island to secure the safety of downstream river area. For successful functioning of Nakdong River Estuary Barrage, such as flood control, disaster prevention, and the securing of sufficient water capacity, drainage gates at the both sides of island have to operate systematically and reliably. To manage this under restricted personnel and resources, we have implemented the IOS (Integrated Operation System) by integrating previous facilities and resources via information and communication technologies. The IOS has been designed to have higher availability and fault tolerance to function continuously even with the partial system's failure under the emergency situation like flood. Operators can use the system easily and acknowledge alarms of facilities through its IWS (Integrated Warning System) earlier. Preparing for Integrated Water Resources Management and Smart Water Grid, the architecture of IOS conformed to open system standards which will be helpful to link with the other systems easily.

What's the Disaster Recovery? Types and Preimpact Plan of Recovery (재난복구의 유형과 사전 계획에 대한 이론적 고찰: 미국의 재난복구를 중심으로)

  • Lee, Jae-Eun
    • The Journal of the Korea Contents Association
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    • v.11 no.10
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    • pp.267-273
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    • 2011
  • The purpose of this paper is to suggest the types of recovery activities and the major contents of preimpact recovery plan through theoretical review. Disaster recovery is to provide immediate support during the early recovery period necessary to return vital life support systems to minimum operation levels, and continuing to provide support until the community returns to normal. Disaster researchers distinguished 4 types in recovering from disaster as follows; an emergency period, a restoration period, a reconstruction period, and a developmental reconstruction period. And recovery measures are both short-term and long-term. Short-term measures are relief and rehabilitation and long-term measures include reconstruction. Finally, to design a preimpact recovery plan, we should define a disaster recovery organization that includes major stakeholders, identify the location of temporary housing, determine how to perform essential tasks, address the licensing and monitoring of contractors and retail price controls to ensure victims are not exploited, determine how recovery tasks will be carried out at historical sites, and recognize the recovery period as a unique time to enact policies for hazard mitigation and incorporate this objecive into the recovery planning process.

A Study on the Improvement of Operation Performance of Wet Bell Diving System in the Salvage Ship (고장 사례 분석을 통한 수중함용 디젤엔진 건전성에 관한 연구)

  • Choi, Woo-Suk;Min, Tae-Kyu;Kim, Byeong-Ho;Chang, Ho-Seong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.98-106
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    • 2020
  • This study examined the integrity of diesel engines for underwater vessels through failure analysis, analyzed the causes of abnormal diesel engine stoppage during building and examined the integrity of secondary damages. The diesel engine stoppage was analyzed by checking the temperature change of the piston before and after the abnormality and checking the damage. In addition, in order to analyze the secondary damage caused by the explosion, the tensile and compressive stresses transmitted to the crankshaft, the core part of the diesel engine, were calculated, and the stress distribution was examined through finite element analysis, but the crankshaft was designed by safety. It was confirmed that there was no damage to the crankcase even when the diesel engine was taken out of the ship and closely inspected. The integrity of the crank shaft was verified in advance for the occurrence of diesel engine emergency shutdown accidents through this research result. Therefore, the inspection and restoration were carried out to the minimum extent, and the quality of diesel engines was secured. This study is expected to be used as a reference for ensuring soundness in any future review of diesel engine quality problems.