• 대한조선학회논문집
• /
• 제60권5호
• /
• pp.367-374
• /
• 2023

As the Fourth Industrial Revolution accelerating, countries worldwide are developing technologies to digitize and automate various industrial sectors. Building smart factories not only reduces costs through improved process productivity but also allows for preemptive identification and removal of risk factors through the practice of Health, Safety, and Environment (HSE) management, thereby reducing industrial accident risks. In this study, we visualized pressure, temperature, power, and wind speed data measured in real-time via a monitoring GUI, enabling field managers and workers to easily access related information. Through the work environment monitoring system developed in this study, it is possible to conduct economic analysis on per-unit basis, based on the digitization of production management elements and the tracking of required resources. By implementing HSE in shipyards, potential risk factors can be improved, and gas and electrical leaks can be identified, which are expected to reduce production costs.

• 대한영상의학회지
• /
• 제81권6호
• /
• pp.1389-1396
• /
• 2020

목적 본 연구의 목적은 경피적 폴리 카테터 삽입을 이용하여 수술 후 장 누출을 성공적으로 관리하기 위한 기술적 및 임상적 요인을 분석함에 있다. 대상과 방법 이번 후향적 연구에는 32명의 환자가 포함되었다. 수술 후 위장 누출은 컴퓨터단층촬영(CT)을 이용하여 진단되었고, 환자는 Jackson-Pratt 튜브 또는 이미지 유도 방법을 통해 경피적 경로로 누출 위치에 폴리 카테터 삽입을 시행 받았다. 성공은 합병증 없이 폴리 카테터를 성공적으로 제거한 것으로 정의하였고, 임상적 실패와 관련된 인자들에 대하여 분석하였다. 결과 모든 환자에서 경피성 폴리 카테터 배치는 합병증 없이 성공적으로 시행되었다. 폴리 카테터 삽입은 CT에서 누출이 확인된 후 중앙값 10일(범위, 1~68)째에 시행되었다. 임상적 성공은 32명의 환자 중 26명(81%)에서 달성되었다. 통계학적 분석에서, 임상적 실패에 대한 통계적으로 유의미한 위험 인자는 전신적 동반 질환(p < 0.001) 및 구강 섭취 실패(p = 0.015)였다. 결론 경피적 폴리 카테터 삽입은 수술 후 장 누출을 관리하기 위한 안전하고 효과적인 접근방법으로 간주될 수 있다. 폴리 카테터 배치 후, 전신적 동반 질환의 유무 및 성공적인 구강식이를 빠른 시일 내로 시작하는 것은 임상적으로 성공적인 회복에 중요한 요소이다.

• Journal of Korean Neurosurgical Society
• /
• 제39권5호
• /
• pp.335-339
• /
• 2006

Objective : The authors present eight cases of immediate post-operative epidural hematomas[EDHs] adjacent to the craniotomy site, describe clinical details of them, and discuss their pathogenesis. Methods : Medical records of eight cases were retrospectively reviewed and their clinical data, operation records, and radiological findings analyzed. Any risk factors of the EDHs were searched. Results : In 5 of 8 cases, adjacent EDHs developed after craniotomies for the surgical removal of brain tumors. Three cases of adjacent EDHs developed after a pterional approach and neck clipping of a ruptured anterior communicating artery aneurysm, a ventriculoperitoneal shunt, and a craniotomy for a post-traumatic EDH, respectively. In all eight cases, brain computed tomography[CT] scans checked immediately or a few hours after the surgery, revealed large EDHs adjacent to the previous craniotomy site, but there was no EDH beneath the previous craniotomy flap. After emergent surgical removal of the EDHs, 7 cases demonstrated good clinical outcomes, with one case yielding a poor result. Conclusion : Rapid drainage of a large volume of cerebrospinal fluid or intra-operative severe brain collapse may separate the dura from the calvarium and cause postoperative EDH adjacent to the previous craniotomy site. A high-pressure suction drain left in the epidural space may contribute to the pathogenesis. After the craniotomy for brain tumors or intracranial aneurysms, when remarkable brain collapse occurs, an immediate postoperative brain CT is mandatory to detect and adequately manage such unexpected events as adjacent EDHs.

• 한국임상수의학회지
• /
• 제26권5호
• /
• pp.463-466
• /
• 2009

A swine farm located in the Kyungpook province (designated as farm D that have been suffering from PED for several years was selected to study the etiology and the outbreak pattern of PED by clinical and laboratory examinations. Clinical examination indicated that sows exhibited signs of mastitis resulting in an inadequate transfer of lactogenic immunity against PEDV to newborn piglets. Furthermore, serological tests revealed that all sow groups and their piglets had low levels of anti-PEDV antibody. These data suggest that improper vaccination program has been indeed performed in this farm. Remarkably, despite no symptoms of PED in weaners, the presence of PEDV was identified by RT-PCR from fecal samples of weaning piglets, indicating persistent PEDV circulation in the herd. Based on these results, the following basic control schemes were executed for the control of PEDV circulation in the farm; a) A quick removal of affected pigs and disinfection of affected sheds. b) restructuring of vaccination program and employment of consultant. c) prompt treatment of mastitis and removal of poor lactogenic sows, and d) enhancement of biosecurity of farrowing house by acquisition of additional space. We evaluated risk factors and implementation of control measures in two months and were unable to found any case related to PEDV infection. Taken together, our data indicate that the method described above is effective for the control of PED outbreak in farm persistently suffering from PEDV infection.

• Journal of Korean Neurosurgical Society
• /
• 제42권2호
• /
• pp.89-91
• /
• 2007

Objective : Cranioplasty is necessary to repair the cranial defect, produced either by decompressive craniectomy or removal of the contaminated depressed skull fracture. Complications are relatively common after cranioplasty, being reported up to 23.6%. We examined the incidence and risk factors of infectious complications after cranioplasty during last 6 year period. Methods : From January 2000 to December 2005, 107 cranioplasties were performed in our institution. The infectious complications occurred in 17 cases that required the removal of the bone flap. We examined the age of the patients, causes of the skull defect, timing of the cranioplasty the size of the defect, and kinds of the cranioplasty material. The size of the skull defect was calculated by a formula, $3.14{\times}long\;axis\;{\times}short$ axis. The cranioplasty material was autogenous bone kept in a freezer in 74 patients, and polymethylmetacrylate in 33 patients. Statistical significance was tested using the chi-square test. Results : The infection occurred in 17 patients in 107 cranioplasties (15.9%). It occurred in 2 of 29 cases of less than $75\;cm^2$ defect (6.9%), and 6 in 54 cases of $75{\sim}125\;cm^2$ defect (11.1%). Also, it occurred in 9 of 24 cases of more than $125\;cm^2$ defect (37.5%). This difference was statistically significant (p <0.01). Conclusion : During the cranioplasty, special attention is required when the skull defect is large since the infection tends to occurr more commonly.

• 인간식물환경학회지
• /
• 제24권5호
• /
• pp.469-483
• /
• 2021

Background and objective: If the Nelumbo nucifera spreads in a wetland at a high density, it can have considerable positive and negative ecological effects on habitats. For this reason, it is necessary to precisely investigate the impacts of its rapid proliferation. This study was conducted to propose the distribution and management of N. nucifera, which can cause the degradation of wildlife habitats due to the rapid spread of internal and external environmental factors that may affect the Junam wetland ecosystem. Methods: For the investigation and analysis of physical and ecological characteristics, factors of the abiotic environment such as general weather conditions, topography and water depth structure, and soil and water quality analysis, and bioenvironment characteristics such as changes in the N. nucifera community distribution were evaluated. To assess whether the differences in the soil depth and physicochemical characteristics between the N. nucifera community and the aquatic plant community are statistically significant, a One-way ANOVA was executed. Results: N. nucifera was presumably introduced in approximately 2007 and observed at a prevalence of only 0.8% in 2009, but had expanded to 11.1% in 2014. After that, the area was increased to 19.3% in 2015 and 40.0% in 2017, about twice that of the previous survey year. The rapid diffusion of an N. nucifera colony can have adverse effects on wildlife habitats and biodiversity at Junam Wetland. To solve these problems, four management methods can be proposed; water level management, mowing management, installation of posts and removal of lotus roots. Control of the N. nucifera community using these methods was judged to be suitable for cutting and water level management when considering expansion rate, water level variation, and wildlife habitat impacts. Conclusion: As the biotic and abiotic environmental factors are different for each wetland, it is necessary to determine the timing and method of management through a detailed investigation.

• 대한치과마취과학회지
• /
• 제12권3호
• /
• pp.157-163
• /
• 2012

Background: The major goal of dental management before and after liver transplantation is the prevention of bacteremia from an oral source that could lead to systemic infection. However dental treatment in liver transplant patients have the risk of infection and bleeding. so it is needed special dental consideration. Methods: 42 liver transplant candidates who visited department of Advanced General Dentistry in Yonsei University College of dentistry from March 1, 2010 to February 29, 2012 were selected. The clinical data of those patients were analyzed; coagulation status such as PT, INR, aPTT, platelet count before and 6 months after liver transplantation, dental infectious foci, time interval between dental visit and operation date of liver transplantation. Results: Before liver transplant, the patient's PT and INR was prolonged, and the platelet count was lower than normal range. But 6 months later from liver transplantation, most of the figures turned into a normal range. The dental infection foci were chronic periodontitis, dental caries, chronic apical periodontitis, root rest et al but we did extraction of 6 root rest before liver transplantation and postponed other treatment after liver transplantation due to bleeding and infection risk of patients. Because of insufficient interval between dental visit and operation date, 64.3% of patients could not finish the dental treatment. Conclusions: The patients before liver transplantation have the risk of bleeding. The treatment of those patient should be removal of only factors that can cause dental infections after transplantation and other treatment must be postponed until the stable period of the transplant that patient's condition has improved.

• 대한치과교정학회지
• /
• 제54권2호
• /
• pp.79-88
• /
• 2024

Objective: Alveolar bone loss is a common adverse effect of intrusion treatment. Mandibular incisors are prone to dehiscence and fenestrations as they suffer from thinner alveolar bone thickness. Methods: Thirty skeletal class II patients treated with mandibular intrusion arch therapy were included in this study. Lateral cephalograms and cone-beam computed tomography images were taken before treatment (T1) and immediately after intrusion arch removal (T2) to evaluate the tooth displacement and the alveolar bone changes. Pearson's and Spearman's correlation was used to identify risk factors of alveolar bone loss during the intrusion treatment. Results: Deep overbite was successfully corrected (P < 0.05), accompanied by mandibular incisor proclination (P < 0.05). There were no statistically significant change in the true incisor intrusion (P > 0.05). The labial and lingual vertical alveolar bone levels showed a significant decrease (P < 0.05). The alveolar bone is thinning in the labial crestal area and lingual apical area (P < 0.05); accompanied by thickening in the labial apical area (P < 0.05). Proclined incisors, non-extraction treatment, and increased A point-nasion-B point (ANB) degree were positively correlated with alveolar bone loss. Conclusions: While the mandibular intrusion arch effectively corrected the deep overbite, it did cause some unwanted incisor labial tipping/flaring. During the intrusion treatment, the alveolar bone underwent corresponding changes, which was thinning in the labial crestal area and thickening in the labial apical area vice versa. And increased axis change of incisors, non-extraction treatment, and increased ANB were identified as risk factors for alveolar bone loss in patients with mandibular intrusion therapy.

• Archives of Plastic Surgery
• /
• 제41권6호
• /
• pp.734-739
• /
• 2014

Background Rupture is an important complication of breast implants. Before cohesive gel silicone implants, rupture rates of both saline and silicone breast implants were over 10%. Through an analysis of ruptured implants, we can determine the various factors related to ruptured implants. Methods We performed a retrospective review of 72 implants that were removed for implant rupture between 2005 and 2014 at a single institution. The following data were collected: type of implants (saline or silicone), duration of implantation, type of implant shell, degree of capsular contracture, associated symptoms, cause of rupture, diagnostic tools, and management. Results Forty-five Saline implants and 27 silicone implants were used. Rupture was diagnosed at a mean of 5.6 and 12 years after insertion of saline and silicone implants, respectively. There was no association between shell type and risk of rupture. Spontaneous was the most common reason for the rupture. Rupture management was implant change (39 case), microfat graft (2 case), removal only (14 case), and follow-up loss (17 case). Conclusions Saline implants have a shorter average duration of rupture, but diagnosis is easier and safer, leading to fewer complications. Previous-generation silicone implants required frequent follow-up observation, and it is recommended that they be changed to a cohesive gel implant before hidden rupture occurs.

• Archives of Plastic Surgery
• /
• 제41권4호
• /
• pp.414-417
• /
• 2014

Serratia marcescens (S. marcescens) emerged as an opportunist in the setting of immunodeficiency in the 1970s, when serious infections occurred in San Francisco hospitals after USA. Navy experiments had aerosolized the bacteria to study biologic warfare. We investigate the risks of S. marcescens in San Franciscans who undergo mastectomy with implant reconstruction. From 2007 to 2011, the senior author took breast capsule cultures for all patients at the time of tissue expander exchange/explant. Of the 142 women who had reconstruction, 23 had positive cultures. Only the two patients who were positive for S. marcescens developed clinical infections that required explantation. Both had postoperative chemotherapy with transient neutropenia, and both had close ties to San Francisco. Clinical signs of infection emerged for both patients months after initial surgery, despite having previously well healed incisions. Other patients were culture positive for Pseudomonas, Proteus, Enterococcus and MRSA and did not develop require explant. While the link between San Francisco and S. marcescens is controversial, a patient's geography is a simple screening tool when considering postoperative risks, especially in the immunocompromised. Closer monitoring for neutropenia during chemotherapy, and a lower threshold to administer S. marcescens targeted antibiotics may be warranted in these patients.