• Title/Summary/Keyword: Operation Risk

Search Result 1,614, Processing Time 0.028 seconds

A Case Study of Nitrox Usage in Diving Operation of the Busan-Geoje Fixed Link Immersed Tunnel (거가대교 침매터널 잠수작업에서의 나이트록스 사용 사례 분석)

  • Woo, Dae-Hee;Kang, Sin-Young;Lee, Min-Gu
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.21 no.6
    • /
    • pp.790-797
    • /
    • 2015
  • This study tried to evaluate the safety and economical benefit of Nitrox-diving by comparing with Air diving. We used actual diving data which was recorded in construction site of the Busan-Geoje fixed link immersed tunnel in 2010. The study method was to assort and analyze the diving data by divers, depth, breathing air, and diving table. Furthermore, the study examined the possibility of outbreak decompression sickness by comparing Nitrox diving and Air diving in no-decompression limit time, decompression time, working time. As a result, this study confirms that if certain diver breathe Nitrox for diving and oxygen for decompression, not only the risk of decompression sickness could be minimized, but also duration of decompression could be shortened. Moreover, it was estimated that a remarkable difference(more than 3 times) between actual duration of underwater construction period and virtual construction period by using air. As a result, the study confirmed that Nitrox diving is more efficient and economical than Air diving in physically limited and hazardous diving environment.

Comparision of Risk Factors in Lung Cancer Surgery of Above 70-Year Old Patients (70세이상 환자에 대한 폐암 수술의 위험성 비교)

  • 장인석;심영목;김진국;김관민;유정우
    • Journal of Chest Surgery
    • /
    • v.32 no.1
    • /
    • pp.32-37
    • /
    • 1999
  • Background: Early detection and surgical resection offer the most advantage out of all cures for lung cancer. Elderly patients may fail to benefit maximally from these interventions because of their general condition and residual lung function. To study the impact of age on stages, histology, symptoms, and treatments of the patients with non-small cell lung cancer, we undertook a retrospective review. Material and Method : Two hundred eleven patients with non-small cell lung cancer were operated on at Samsung Seoul hospital between October 1994 and June 1997. Patients were arbitrarily arbitrarily by age less than 70 years(176 patients) and 70 years or more(35 patients), and their medical records were reviewed. Result: There were no differences in pathologic staging and diagnosis. But there were differences in surgical methods, complications, and mortality rates between the two groups. There were much more complications in the 70 years or more group(p=0.02). We chose less invasive surgical methods in the 70 years or more group. Conclusion: More complications were experienced in the 70 years or more group. Although thoracic operation imparts the greatest survival advantage, this benefit is diminished in elderly patients because of their high complications and mortality rate. We recommend serious consideration of surgical indications and operative methods.

  • PDF

The Clinical Results of Open Heart Surgery with Coronary Artery Bypass Grafting (관상동맥 우회로 조성수술을 병행한 개심수술의 임상성적)

  • 유경종;강면식
    • Journal of Chest Surgery
    • /
    • v.29 no.2
    • /
    • pp.171-176
    • /
    • 1996
  • From March, 1983 to June, 1994, twenty-two patients underwent coronary artery and combined operations. The ages of the patients ranged from 42 years to 72 years (mean 60.4$\pm$8.2 years). There were 17 male and 5 female patients. The left ventricular (LV) ejection fraction ranged from 25% to 65% (mean 46.9$\pm$14.2%). Nine patients had mechanical complication of myocardial infarction (MI), of which 5 were LV aneurysm, 3 ventricular septal defect and 1 mitral regurgitation. Nine patients had rheumatic valvular heart disease of whom 7 with aortic valve disease and 2 with mitral valve disease. Two other patients had left atrial thrombi, only one with atrial septal defect a d another with aneurysm of ascending aorta. An average of 2.1$\pm$1.0 bypasses was done, ranging from one to four. There were 3 postoperative complications; 2 perioperative MI and 1 leg wound infection. Among complicated patients, mortality was 1 patient (4.5%) due to low cardiac output syndrome after perioperative MI. With 3 to 136 months follow-up (mean 41.1$\pm$40.2 months), late mortality was 1 patient due to cerebral vascular accident. Among long-term survivors, all patients are in New York Heart Association functional class I or II. Although the number of patients was small, our surgical results were favorable. Therefore we think that coronary revascularization combined with heart operation does not increase the operative risk when associated coronary artery disease is present, and it reduces the occurrence of late death.

  • PDF

A Study on the Reliability Improvement Plan on Electric Leakage & Ground Fault of Low-voltage Electrical Line (저압전로의 누전.지락에 대한 신뢰성향상 방안에 관한 연구)

  • Kang, Kyung-Won;Yoon, Myung-O;Gu, Seon-Hwan;Song, Young-Joo
    • Fire Science and Engineering
    • /
    • v.25 no.6
    • /
    • pp.136-145
    • /
    • 2011
  • One of a large proportion among the causes of fire is electrical factors, and of fire by electric factors, the accident which accounted for over certain percentage is electric leakage and ground fault. In order to reduce the electric leakage and ground fault, the technical guidelines on the protection of ground fault in the low-voltage electrical line (KECG 1091-2011) was amended for reflecting recent international standard, IEC 60364-4-41, and new conservation methods, which improved the reliability by recovering the facility's all-time use operation and breakdown defect, was on the rise. Accordingly, in this paper, after grasping the fire's status for last 10 years and analyzing the risk of electrical fires, and as a way to improve the electric leakage and ground fault accident which accounted for more than certain percentage, the revision of KECG 1091-2011 will be reviewed. And then, after applying to the preventive conservation methods in order to enhance the protection reliability of electric leakage and ground fault detection, the problems at issue routine inspection scheme and durable years scheme in time-scheduled conservation method are listed, along with suggestion of the problem-solving scheme, and the leakage current integrated monitoring systems and digital electric leakage devices by status monitor conservation method will be proposed.

Structure Analysis of Ship′s Collision Causes using Fuzzy Structural Modeling (퍼지구조모델을 이용한 선박충돌사고 원인의 구조분석)

  • Yang, Won-Jae
    • Journal of Navigation and Port Research
    • /
    • v.27 no.2
    • /
    • pp.137-143
    • /
    • 2003
  • The prevention of marine accidents has been a important topic in marine society for long time, and various safety policies and countermeasures have been developed and applied to prevent those accidents. In spite of these efforts, however, significant marine accidents have taken place intermittently. Ship is being operated under a highly dynamic environments, and many factors are related with ship's collision, whose factors are interacting. So, the analysis on ship's collision causes are very important to prepare countermeasures which will ensure the safe navigation. This study analysed the ship's collision data over the past 10 years(1991-2000), which is compiled by Korea Marine Accidents Inquiry Agency. The analysis confirmed that‘ship's collision’is occurred most frequently and the cause is closely related with human factor. The main purpose of this study is to analyse human factor. For this, the structure of human factor is analysed by the questionnaire methodology. Marine experts were surveyed based on major elements that were extracted from the human factor affecting to ship's collision. FSM has been widely adopted in modeling a dynamic system which is composed of human factors. Then, the structure analysis on the causes of ship's collision using FSM are performed. This structure model could be used in understanding and verifying the procedure of real ship's collision. Furthermore it could be used as the model to prevent ship's collision and reduce marine accidents.

A study on the effect of entrepreneurship and CEO competency on management performance of SME managers in the service economy era (서비스경제시대 중소기업 경영자의 기업가지향성과 CEO역량이 경영성과에 미치는 영향 연구)

  • An, Sehong;Kim, Hyunsoo
    • Journal of Service Research and Studies
    • /
    • v.10 no.3
    • /
    • pp.81-101
    • /
    • 2020
  • Humanity has reached the age of service economy. A new economy requires new management. The chief executive of new management is the CEO. The results of management decision-making are reflected in the company's performance, and are the basis for future growth engines. This study empirically analyzed the effect of CEO competence, corporate orientation, and management performance of small and medium-sized mid-sized business managers on each other. In the study, a hypothesis was established between eight variables. In addition, the relationship between corporate orientation and CEO competency, which has not been studied, was also identified. Set personal effectiveness, willingness to innovate, opportunity recognition, information perception, relationship formation, business management, leadership, organizational culture, and human resource management as measures of CEO competency. After defining the operation in accordance with this study, the analysis was conducted. As a result of the analysis, corporate orientation did not produce a meaningful result in management performance. And CEO competency showed a positive (+) effect on management performance. It can be judged that the CEO variable, a management variable, had a positive effect on management performance. Also, there was a significant result in the relationship between corporate orientation and CEO competency. Innovativeness, initiative, and risk-taking have positive implications for CEO competency. Lastly, corporate orientation showed statistically significant results on management performance through the mediation of CEO competency. It is worth noting the results of this study in that the time of the study was the timing of the global pandemic (fendermic) of the COVID19 virus. In the future, in-depth research is needed on the relationship between CEO-related factors and management performance in a more changed economic environment.

The Effect of Opuntia humifusa Seed Extracts on Platelet Aggregation and Serum Lipid Level in Ovariectomized Rats (천년초 씨 추출물이 난소를 절제한 흰쥐의 혈소판 응집과 혈청 내 지질 조성에 미치는 영향)

  • Hwang, Hyun Jung;Kang, Min Sook;Kim, Bo Kyung;Jung, Bok-Mi;Kim, Mihyang
    • Journal of Life Science
    • /
    • v.22 no.12
    • /
    • pp.1680-1687
    • /
    • 2012
  • Postmenopausal women are at an increased risk of developing coronary artery disease, primarily due to dyslipidemia that accompanies the loss of estrogen secretion. This study was performed to investigate the effects of Opuntia humifusa seed extracts on blood flow and serum lipid level in ovariectomized rats. Twenty-eight 9-week old female Sprague-Dawley rats were randomly assigned to four groups as sham-operated rats (SHAM), ovariectomized rats (OVX-CON), and ovariectomized rats that were treated with Opuntia humifusa seed extracts (OVX-OHS 2% and OVX-OHS 6%). The diets were fed to the rats for 7 weeks after operation. Serum total cholesterol and triglyceride contents decreased in the SHAM group compared to the OVX-CON group. Seven weeks of feeding of Opuntia humifusa seed extracts resulted in significant (p<0.05) lowering of serum triglyceride and a decreasing tendency in total cholesterol levels. The level of HDL-cholesterol in serum increased significantly by feeding diets containing the 2% and 6% Opuntia humifusa seed hot-water extract (p<0.05). Blood passage times were shorter in the Opuntia humifusa seed extract-supplemented groups than in the untreated group (OVX-CON). The platelet aggregation ability was lower in groups treated with Opuntia humifusa seed extracts than in the OVX-CON group. These results suggest that Opuntia humifusa seed extracts may have benefits in improving metabolic syndrome in menopausal women.

Development of a Decision Making Model for Construction Management in LNG Plant Construction - Focused on Construction Stage - (LNG 공사의 건설사업관리 의사결정지원모델 개발 - 시공단계 중심 -)

  • Park, Hwan Pyo;Han, Jae Goo;Chin, Kyung Ho
    • Korean Journal of Construction Engineering and Management
    • /
    • v.15 no.3
    • /
    • pp.47-57
    • /
    • 2014
  • LNG plant projects tend to be implemented in overseas owing to its characteristics, so their project management scheme is somewhat different from those of general projects. Value chain in a LNG plant project includes exploration/production of gases, physical liquefaction/chemical conversion processes, transportation and storage. Key factors in the chain include liquefaction process (including ultra-low temperature liquefaction) to convert natural gas into liquid materials or fuel, and Front End Engineering Design (FEED) package, as well as Engineering, Procurement and Construction (EPC) technology comprising control, operation and construction. Success of a complex LNG plant project implemented in overseas depends on decision-making process in project management. Accordingly, to develop a decision-making model in of plant construction, the study extracted none factors in project management by EPC stage and assessed importance of each factor. The result showed that items in both project management and project risk management are important. Especially, the study developed a decision-making model in the construction stage of a LNG plant project based on the project management factors and importance assessment. The developed decision-making model would lay groundwork in building a decision-making system in construction stage of project management.

Development of Safety Management Information System for Gas Industries Using Database (데이터베이스를 이용한 가스산업시설의 안전관리정보시스템 구축)

  • Um Sung-In;Kim Sung-Bin;Kim Yun-Hwa;Baek Jong-Bae;Kim In-Won;Ko Jae-Wook
    • Journal of the Korean Institute of Gas
    • /
    • v.2 no.2
    • /
    • pp.48-54
    • /
    • 1998
  • In this study a computerized prototype system was developed with Safety Management Information System(SMIS version 1.0) as a main system and database as subsystems to handle information. Safety management information consists of management aspects and technical elements, but SMIS consists of 4 modules of technical elements to interrelate safety technologies closely. SMIS enables gas industries to manage process safety information effectively and to evaluate hazards. The results from SMIS can be used to the operation manual and the emergency plan. Data base consists of 3 modules of accident data, material data, and equipment data to support SMIS. Also, the case study results proved the usefulness of SMIS for searching and accumulating process safety data. Especially, MIS which has the database suggests a formal structure for scattered raw safety data in gas industries and brings reduction of man power and time.

  • PDF

Application of Modified Mupit for the Recurrent Vulva Cancer in Brachytherapy

  • Kim, Jong-Sik;Jung, Chun-Young;Oh, Dong-Gyoon;Song, Ki-Won;Park, Young-Hwan
    • 대한방사선치료학회:학술대회논문집
    • /
    • 2005.06a
    • /
    • pp.23-26
    • /
    • 2005
  • Introduction: To evaluate whether modified MUPIT applicator can effectively eradicate recurrent tumor in uterine cervix cancer and reduce rectal complication after complete radiation treatment. Methods and Materials: Modified MUPIT applicator basically consists of an acrylic cylinder with flexible brain applicator , an acrylic template with a predrilled array of holes that serve as guides for interstitial needles and interstitial needles. CT scan was performed to determine tumor volume and the position of interstitial needles. Modified MUPIT applicator was applied to patient in operation room and the accuracy for position of interstitial needles in tumor volume was confirmed by CTscan. Brachytherapy was delivered using modified MUPIT applicator and RALS (192-Ir HDR) after calculated computer planning by orthogonal film. The daily dose was 600cGy and the total dose was delivered 3000cGy in tumor volume by BID. Rectal dose was measured by TLD at 5 points so that evaluated the risk of rectal complication. Result: The application of modified MUPIT applicator improved dramatically dose distributions in tumor volume and follow-up of 3 month for this patient was clinically partial response without normal tissue complication, Rectal dose was measured 34.1cGy, 57.1cGy, 103.8cGy, 162.7cGy, 165.7cGy at each points, especially the rectal dose including previous EBRT and ICR was 34.1cGy, 57.1cGy Conclusion: Patients with locally recurrent tumor in uterine cervix cancer treated with modified MIUPIT applicator can expect reasonable rates of local control. The advantages of the system are the fixed geometry Provided by the template and cylinders, and improved dose distributions in irregular tumor volume without rectal complication

  • PDF