• Journal of Chest Surgery
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• v.35 no.11
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• pp.785-791
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• 2002

The results of reoperative valve replacement can be improved if appropriate analysis for the risk of reoperation was achieved. The purpose of our study was to analyze the results of reoperations for failure of bioprosthesis, and to define the risk factors in high-risk populations for reoperative procedures. Material and Method The series of 46 consecutive patients who had undergone first reoperative replacement for failed bioprosthesis between 1993 and 2001 were reviewed retrospectively. Mean age was 42 $\pm$ 12 years, mean body surface area was 1.52 $\pm$0.15 $m^2$. The reoperative procedure comprised of 36 MVR, 8 DVR, and 2 AVR. The first operation comprised of 2 DVR, 1 AVR, and 43 MVR. Factors which were choose to assess a predictor of results in reoperative valve replacement were sex, old age(＞60 years), early age at first operation(＜30 years), long interval between first and redo operation(.15years), poor NYHA functional class(＞3), LV dysfunction(LVEF＜45%), long operation time(＞8hours), endocarditis, combined procedures, and renal insufficiency, Result : Overall mortality was 4.3%(2 cases). The risk factors that influenced postoperative complications and unexpected postoperative results were lower ejection fraction(p＝0.012), older age(p＝0.045), endocarditis(p＝0.023), long operation time above 8 hours(p＝0.027). There was no statistically significant factor influencing hospital mortality. Conclusion : No factor influenced the mortality. Better results could be achieved if reoferation was performed carefully in poor left ventricular function, old aged patient, and with endocarditis. Effort to shorten the operation time would be helpful on postoperative results.

• Journal of the Korean Society of Safety
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• v.30 no.5
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• pp.123-130
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• 2015

Wolsong Unit 2,3&4 has been performing a containment integrity test during power operation. This test could impact to the safe operation during test. If an accident occurs during pressure dropping phase, reactor trip can be delayed because of the increased pressure difference which causes a time delay to reach the trip set-point. On the contrary, if an accident occurs during pressure increasing phase, reactor trip could be accelerated because the pressure difference to the trip set-point decrease. Point Lepreau nuclear power plant, which installed GCLMS (Gross Containment Leakage Monitoring System) in 1990, has discontinued the test since 1992 due to these adverse effects. Therefore, we evaluated the risk to obviate the GCLMS test based on PWR's ILRT (Integrated Leak Rate Test) extension methodologies. The results demonstrate that risk increase rate is not high in case of performing only ILRT test at every 5 years instead of doing GCLMS test at every 1.5 years. In addition, the result shows that GCLMS test can be removed on a risk-informed perspective since risk increasement is in acceptable area of regulatory acceptance criteria.

• Journal of Korean Society of Transportation
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• v.23 no.5 s.83
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• pp.27-34
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• 2005

To develop a crisis management for aviation safety, this study has defined crisis management includes risk management which is eliminates or lowers risks prior to accidents and emergency response after the accidents. A risk management model was developed through wide surveys for aviation hazards including aircraft operation, ATC, and airport operation, etc. The crisis management could not be effective by only using a pre-active risk management. It should also conduct using a pro-active response system. In addition, this study also suggested schemes of development for national emergency response through case studies of aircraft accidents.

• International Journal of Quality Innovation
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• v.7 no.2
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• pp.97-124
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• 2006

The purpose of this research is to create an expert risk-based piping system inspection model. The proposed system includes a risk-based piping inspection system and a piping inspection guideline system. The research procedure consists of three parts: the risk-based inspection model, the risk-based piping inspection model, and the piping inspection guideline system model. In this research procedure, a field plant visit is conducted to collect the related domestic information (Taiwan) and foreign standards and regulations for creating a strategic risk-based piping inspection and analysis system in accordance with the piping damage characteristics in the petrochemical industry. In accordance with various piping damage models and damage positions, petrochemical plants provide the optimal piping inspection planning tool for efficient piping risk prediction for enhancing plant operation safety.

• Toxicological Research
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• v.17
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• pp.323-327
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• 2001

March 19, 1999, the renovation qf the runway of the Bo-Fai ai1field in Hua Hin, Prachubk-erikhan, Thailand, unearthed chemicals which were left over from the project "anch Hand Operation" held during the Vietnam war era. The chemical mixtures were analyzed by the US EPA, the Department oj Medical Sciences (DMSc), Ministry oj Public Health (MoPH) and the Pollution Control Department (PCD), the Ministry oj Science Technology and Environment (MOSTE) of Thailand, The samples were found to contain several defoliants used in the operation. They were 2,4-D, 2,4,5-T, Dicamba, Cocydelic acid, and Dioxins. Due to the complexity of the issue, the multiplicity of possible health effects, and the socio-economic implications for imports and exports, the Thai Society of Toxicology submitted a proposal to request World Health Organization (WHO), Geneva. The assistance is for the area of chemical safety and called for immediate action to explore the magnitude qf risk involved with Dioxins. In this paper we present our approach to health risk assessment which takes into an account the epidemiological studies of high-risk group exposed to the Ranch Hand operation. Dioxins are endocrine disruption chemicals which public concerns are developed due to presumption that a hazard exists (www.eva.gov/dioxins/html) for which current methodologies are deemed insufficient. The recent concepts of how oxidative stress toxicants may affect health end points and biomarkers of exposure of exposed individuals are discussed. While research activities are undergoing, The Thai Society of Toxicology do not anticipate significant risk to local residents and the environment due to our concurrence with opinion from the international experts invited by the World Health Organization proposed to the local experts at a workshop in Bangkok.n Bangkok.

• Korean Journal of Construction Engineering and Management
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• v.22 no.6
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• pp.131-137
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• 2021

Since many resources are put into the work of changing the railway operation within limited time, it is important to have a specific work plan and safety management. For this reason, the work schedule is shared in advance, and parallel work is being carried out simultaneously by rail system, such as tracks, trolly wires, and signals. However, due to the nature of the transfer work, the work is carried out at night when the railway operation is finished, and many resources are put into the limited area of the operating line, so the risk of safety accidents and failure to change the operating line is recognized as high. Nevertheless, there is still not enough research done in korea regarding the operation line change construction. Therefore, this study is conducted a survey on the track exchange work of railroad for working people, and analyzed the results of the survey. Finally, a standard work process was suggested to reduce the risk of track exchange work.

• Journal of Navigation and Port Research
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• v.37 no.6
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• pp.709-718
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• 2013

In this study, AHP analysis was conducted through a survey that was organized by 9 job categories. The results show that sustainable operation risks have the highest priority level among all criteria with management interest having the highest priority level within sustainable operation risks related attributes. The most important risk attributes among stakeholder risks appeared to be asset security and cargo and conveyance security, with education and training being the most important among regulatory risks. Effective management and response to the risks from export controls on strategic trade require an understanding of supply chain security and compliance programs, effective training programs, investments for development of security systems that meet international standards. In addition, the government needs to focus on developing professionals and providing support for companies with compliance programs, working closely with businesses.

• International conference on construction engineering and project management
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• 2005.10a
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• pp.929-934
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• 2005

The complex and dynamic job nature and the ever-changing working environment of construction projects inevitably present uncertainties to construction operations. Identification, evaluation and control of uncertainties constitute main elements of risk management and critical tasks of project management in construction. This paper is focused on application of a simplified discrete-event simulation approach in management of schedule-overrun risks, each being the combination of the occurrence probability of an uncertain interruptive factor and its potential consequence in terms of time delay. A case study observed from a concreting operation in Hong Kong is converted into a simulation model and analyzed with an in-house-developed simulation package for demonstrating how the proposed approach can be implemented to manage multiple schedule-overrun risks on construction projects.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.31 no.1
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• pp.1-10
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• 2023

This study investigated the accident cases of the U.S. Air Force and the R.O.K. Army. It analyzed the accident factors of the unmanned aircraft system using case analysis on unmanned aircraft system operators of the R.O.K. Air Force. Following the analysis this paper suggested safety operation plans for the R.O.K. Air Force. The risk factors of unmanned aircraft system were summarized by collecting and analyzing accident cases of unmanned aircraft system by the U.S. Air Force, collecting and analyzing accident risk factors of RQ-4 operators of the R.O.K. Air Force. Through the analyzed risk factors, a safety operation plan for the semi-automatic unmanned aircraft system and the fully automatic unmanned aircraft system was presented.

• Archives of Plastic Surgery
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• v.32 no.4
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• pp.543-546
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• 2005

Pulmonary embolism is a one of the major cause of postoperative death. Surgery predisposes patients to pulmonary embolism, even as late as one month after the operation. The accurate detection of pulmonary embolism remains difficult, and the differential diagnosis is extensive. The prevention of pulmonary embolism is thus of paramount importance. We report a case of pulmonary embolism after coverage of pressure sore on the left ischium on the 8th day after operation. The patient was 60 years old, a severe smoker, in the high quantity of body mass index and had hypertension. The risk factors are 60 years of age or older who were in the highest quantity of body mass index. Heavy cigarette smoking and high blood pressure are also identified as risk factors. Plastic surgeons should keep the probability of pulmonary embolism development after operation in mind. When taking history, the risk factors should be checked certainly. The immobilization may explain the probability of pulmonary embolism development. Therefore absolute bed rest or positional maintenance should be avoided. Until recently, low molecular weight heparin has been used for preoperative prophylaxis. Plastic surgeons should be concerned in low molecular weight heparin for prophylaxis of the pulmonary embolism and study the indications and effectiveness in liposuction or abdominoplasty.