• Title/Summary/Keyword: Risk Events

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Development of Risk Assessment Models for the Level-Crossing Accidents (철도 건널목사고 위험도 평가 모델 개발)

  • Wang, Jong-Bae;Park, Chan-Woo;Choi, Don-Bum;Kim, Min-Soo
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.1524-1530
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    • 2008
  • Generally a road vehicle's wrong entry into level crossing gives rise to hazardous events, the eventual collision with a approaching train depends on the effective operation of safety barriers such a abnormal condition detecting or emergency braking. In this paper, the risk assessment models developed for the level-crossing accidents will be introduced. The definition of hazardous events and the related hazardous factors are identified by the review of the accident history and engineering interpretation of the accident behavior. A probability of the hazardous events will be evaluated by the FTA, which is based on the accident scenario. For the severity estimation, the critical factors which can effect on the consequence will be reviewed during the ETA. Finally, the number of casualty for the public(vehicle drivers) and the train passengers are converted into an equivalent fatality.

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A Study on Certification Requirements and Means of Compliance about In-Flight Smoke (비행 중인 항공기에 발생할 수 있는 연기에 대한 인증기준 및 적합성 입증방법)

  • Jeong, Bonggu;Jin, Yongkwon;Kim, Yougwang;Park, Guenyoung
    • Journal of Aerospace System Engineering
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    • v.1 no.4
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    • pp.7-12
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    • 2007
  • From the beginning of aviation history, in-flight smoke/fire events have been a serious issue. As aircraft are getting larger and are becoming more auto-piloted and aircraft systems are getting more complex, it is an increasing risk of in-flight smoke/fire accidents accompanied with fire events. Therefore, we review the statistics of fire/smoke accidents in order to enhance an understanding for risk of in-flight smoke events, and present the certification requirements for smoke per KAS Part 25. In addition, we provide acceptable methods of complying with related requirements, such as smoke detection test, smoke penetration test and smoke evacuation test.

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Impact of Time Interval between Index Event and Stenting on Periprocedural Risk in Patients with Symptomatic Carotid Stenosis

  • Han, Wonsuck;Hwang, Gyojun;Oh, Sung Han;Lee, Jong Joo;Kim, Mi Kyung;Chung, Bong Sub;Rhim, Jong Kook;Sheen, Seung Hun;Kim, Taehyung
    • Journal of Korean Neurosurgical Society
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    • v.63 no.5
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    • pp.598-606
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    • 2020
  • Objective : The purpose of this study was to evaluate the impact of time interval between index event and stenting on the periprocedural risk of stenting for symptomatic carotid stenosis and to determine the optimal timing of stenting. Methods : This retrospective study included 491 (322 symptomatic [65.6%] and 169 asymptomatic [34.4%]) patients undergoing carotid stenting. The symptomatic patients were categorized into Day 0-3, 4-7, 8-10, 11-14, 15-21, and >21 groups according to the time interval between index event and stenting. Periprocedural (≤30 days) risk for clinical (any neurological deterioration) and radiological (new infarction on postprocedural diffusion-weighted imaging) events of stenting in each time interval versus asymptomatic stenosis was calculated with logistic regression analysis adjusted for confounders, and provided as odds ratio (OR) and 95% confidence interval (CI). Results : Overall clinical event rate (4.3%) of stenting for symptomatic carotid stenosis was higher than that for asymptomatic stenosis (1.2%; OR, 3.979 [95% CI, 1.093-14.489]; p=0.036). Stenting in Day 0-3 (13.2%; OR, 10.997 [95% CI, 2.333-51.826]; p=0.002) and Day 4-7 (8.3%; OR, 6.775 [95% CI, 1.382-33.227]; p=0.018) was associated with high risk for clinical events. However, the clinical event rates in stenting after 7 days from index event (Day 8-10, 1.8%; Day 11-14, 2.5%; Day 15-21, 0%; Day >21, 2.9%) were not different from that in stenting for asymptomatic stenosis. Overall radiological event rate (55.6%) in symptomatic stenosis was also higher than that in asymptomatic stenosis (35.5%; OR, 2.274 [95% CI, 1.553-3.352]; p<0.001). The high risk for radiological events was maintained in all time intervals (Day 0-3 : 55.3%; OR, 2.224 [95% CI, 1.103-4.627]; p=0.026; Day 4-7 : 58.3%; OR, 2.543 [95% CI, 1.329-4.949]; p=0.005; Day 8-10 : 53.6%; OR, 2.096 [95% CI, 1.138-3.889]; p=0.018; Day 11-14 : 57.5%; OR, 2.458 [95% CI, 1.225-5.021]; p=0.012; Day 15-21 : 55.6%; OR, 2.271 [95% CI, 1.099-4.764]; p=0.028; Day >21 : 54.8%; OR, 2.203 [95% CI, 1.342-3.641]; p=0.002). Conclusion : This study showed that as stenting was delayed, the periprocedural risk for clinical events decreased. The clinical event risk was high only in stenting within 7 days and comparable with that for asymptomatic stenosis in stenting after 7 days from index event, although the radiological event risk was not affected by stenting timing. Therefore, our results suggest that delayed stenting after 7 days from symptom onset is a safe strategy for symptomatic stenosis.

TBM risk management system considering predicted ground condition ahead of tunnel face: methodology development and application (막장전방 예측기법에 근거한 TBM 터널의 리스크 관리 시스템 개발 및 현장적용)

  • Chung, Heeyoung;Park, Jeongjun;Lee, Kang-Hyun;Park, Jinho;Lee, In-Mo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.18 no.1
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    • pp.1-12
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    • 2016
  • When utilizing a Tunnel Boring Machine (TBM) for tunnelling work, unexpected ground conditions can be encountered that are not predicted in the design stage. These include fractured zones or mixed ground conditions that are likely to reduce the stability of TBM excavation, and result in considerable economic losses such as construction delays or increases in costs. Minimizing these potential risks during tunnel construction is therefore a crucial issue in any mechanized tunneling project. This paper proposed the potential risk events that may occur due to risky ground conditions. A resistivity survey is utilized to predict the risky ground conditions ahead of the tunnel face during construction. The potential risk events are then evaluated based on their occurrence probability and impact. A TBM risk management system that can suggest proper solution methods (measures) for potential risk events is also developed. Multi-Criterion Decision Making (MCDM) is utilized to determine the optimal solution method (optimal measure) to handle risk events. Lastly, an actual construction site, at which there was a risk event during Earth Pressure-Balance (EPB) Shield TBM construction, is analyzed to verify the efficacy of the proposed system.

Lemierre Syndrome in Adolescent with Active Ulcerative Colitis

  • Unic, Josipa;Kovacic, Matea;Jakovljevic, Gordana;Batos, Ana Tripalo;Grmoja, Tonci;Hojsak, Iva
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.3
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    • pp.214-217
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    • 2018
  • Inflammatory bowel disease (IBD) is a well-recognized risk factor for thrombotic events in adults but data on children are scarce. In the great majority of adult patients, thrombotic events are usually deep vein thrombosis and pulmonary embolism. Other sites such as jugular veins are extremely rare. We present a case of Lemierre syndrome in an adolescent girl with active ulcerative colitis and discuss possible risk factors. This is the first reported case of severe Lemierre syndrome with thrombus extension to cranial veins in a patient with ulcerative colitis. Early recognition of Lemierre syndrome in patients who present with rapidly worsening symptoms of neck pain, fever and signs of pharyngitis is imperative because it increases a chance of favorable prognosis. It is important for pediatricians treating IBD patients not to underestimate possible thrombotic events in children with IBD. Recognition of additional risk factors is crucial for prompt diagnosis and adequate treatment.

Effects of Asian dust storm events on daily mortality in Taipei, Taiwan

  • Yang Chun-Yuh
    • 대한예방의학회:학술대회논문집
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    • 2004.02a
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    • pp.33-48
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    • 2004
  • o Asia dust storm events could increase the risk of daily mortality in Taipei, although none of the associations were statistically significant, This study found greater specificity for associations with respiratory and circulatory deaths, and this increases the plausibility of a causal explanation.

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Review on the association between glucose control and mortaliy in diabetic patients (당뇨병에서 혈당조절과 사망률의 연구에 관한 소고)

  • Kahng, Hyun-Un
    • The Journal of the Korean life insurance medical association
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    • v.30 no.2
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    • pp.16-19
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    • 2011
  • In patents with diabetes, the higher the serum glucose level was, the more cardiovascular events and death were observed. But with a certain kind of group, to control glucose level tightly does not decrease the incidence of these events. Several studies show that intensive glucose control does not gain benefit in patient with long standing, uncontrolled diabetes, especially having previous cardiovascular events, while definitely preventing progression of newly onset of diabetic nephropathy. Whether intensive glucose control increases mortality in high risk group is obscure and needs more studies with longer observation time.

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Stressful Life Event, Close Relationship, Self-Esteem, and Depression in College Women

  • Kim, Su-Nah;Oh, In-Ohg
    • Journal of Korean Academy of Nursing
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    • v.29 no.5
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    • pp.1021-1029
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    • 1999
  • Koreans rarely complain of depression or other psychological problems because mental illness is viewed as a stigmatizing and threatening experience. This study examined the relationships among stressful life events, close relationships, self-esteem. and depression in 400 college women aged 18 to 30 years. Depression was positively related to stressful life events (r=.21, p=<.01). Depression and stressful life events were negatively associated with self-esteem (r=-.67; r=-.11, p<.01; p<.05 respectively). Close relationships with women and men friends were each negatively associated with depression (r=-.24; r=-.16, p<.01; p<.05). Close relationships with women and men friends were positively associated with self-esteem (r=.23; r=.20, p<.01). Forty nine percent of variance in depression rates in this sample was explained. After adjustment for degrees of freedom, a total of 49% of the variance in depression was explained by self-esteem and stressful life events. This investigation into the relationships among the variables influencing depression for college women is a critical issue as health professionals need to be aware that college women are at considerable risk for depression. Effective psychosocial interventions are those designed for specific populations to meet unique care needs and since young Korean women may be at considerable risk for depression.

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Comparative Analysis of the Seriousness of the Adverse Events and Risk of Targeted Therapy for Metastatic Renal Cell Carcinoma Among Medical Professionals (전이성신세포암 표적치료제의 부작용 심각도 및 위해에 대한 전문가그룹별 비교분석)

  • Park, Mi-Hae;Rhee, Jin-Nie;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.2
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    • pp.100-105
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    • 2011
  • The perception of the 20 adverse events of targeted therapy for metastatic renal cell carcinoma was compared among medical professionals. Thirty-seven oncologists, 167 nurses and 79 pharmacists participated in the survey, and the response rate was 61.9%, 98.2%, 84.9%, respectively. Results showed that the most serious adverse event was GI perforation (8.83 points, 10 being the most serious), whereas the least serious was anemia (5.32 points). There were significant differences among oncologists, nurses and pharmacists especially for the moderately-serious adverse event such as wound-healing complication and lymphopenia. Adverse Events Composite Score (AECS) for each targeted therapy was calculated by multiplying adverse event incidence rate and seriousness score. Sunitinib had the highest score at 6.86 point and bevacizumab had the lowest at 2.1. Among professional groups oncologists showed the lowest AECS, whereas nurses had the highest. The gap on the perception of the adverse events among medical professionals needs to be reduced to get better outcomes of medical therapies for cancer patients.

Classification of Hazard Events and Causes for Railway Fire Accident (열차 화재안전성 향상을 위한 위험사건 정의 및 원인분류 연구)

  • Kwak, Sang-Log;Wang, Jong-Bae;Park, Chan-Woo;Park, Joo-Nam
    • Proceedings of the KSR Conference
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    • 2007.05a
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    • pp.1163-1167
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    • 2007
  • Many railway safety measures are carried out after Daegue subway fire accident. Such as replacement of train interior material, fire extinguish and toxic gas evacuation facilities, exercise on emergency response, setting up of national safety management system, and safety technology research. But these safety measures are not considered by system safety due to lack of risk and hazard information. In order to assess fire risk on system level, we proposed hazard events and causes classification for railway fire accident risk analysis.

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