• 제목/요약/키워드: Risk Space

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Closure of Petersen's Space Lowers the Incidence of Gastric Food Retention after Distal Gastrectomy with Gastrojejunostomy in Gastric Cancer Patients

  • Lee, Jaewon;Ahn, Hye Seong;Han, Dong-Seok
    • Journal of Gastric Cancer
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    • 제21권3호
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    • pp.298-307
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    • 2021
  • Purpose: Delayed gastric emptying usually manifests as gastric food retention. This study aimed to evaluate the incidence of gastric food retention after distal gastrectomy with gastrojejunostomy in gastric cancer patients and identify the risk factors for its development. Materials and Methods: We retrospectively enrolled 245 patients who underwent distal gastrectomy with gastrojejunostomy for gastric cancer at Boramae Medical Center between March 2017 and December 2019. We analyzed the presence of gastric food residue via computed tomography (CT) scans at 3 and 12 months postoperatively and analyzed the risk factors that may influence the development of gastric food retention. Results: CT scans were performed on 235 patients at 3 months and on 217 patients at 12 months postoperatively. In the group that received closure of Petersen's space, the incidence of gastric food retention was significantly low as per the 3- and 12-month postoperative follow-up CT scans (P=0.028 and 0.003, respectively). In addition, hypertension was related to gastric food retention as per the 12-month postoperative follow-up CT scans (P=0.011). No other factors were related to the development of gastric food retention. In the multivariate analysis, non-closure of Petersen's space (hazard ratio [HR], 2.54; 95% confidence interval [CI], 1.20-5.38; P=0.010) was the only significant risk factor for gastric food retention at 3 months postoperatively, while non-closure of Petersen's space (HR, 2.81; 95% CI, 1.40-5.64; P=0.004) and hypertension (HR, 2.30; 95% CI, 1.14-4.63; P=0.020) were both significant risk factors for gastric food retention at 12 months postoperatively. Conclusions: Closure of Petersen's space has an effect on decrease the incidence of gastric food retention after distal gastrectomy with gastrojejunostomy in gastric cancer patients.

지하공간의 위험성 평가수법에 관한 연구 -지하가 화재, 폭발 방재 대책 중심으로- (A Study on the Risk Assessment Technique of the Underground Space -Focused on Prevention Policy of Fire and Explosion-)

  • 박종근;노삼규
    • 한국화재소방학회논문지
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    • 제15권4호
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    • pp.64-70
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    • 2001
  • 지하공간 중 지하가의 사고 ,사례와 문헌 연구 및 실태를 조사, 검토하고, 운영, 관리 단계에서 위험요인을 추출하여 화재 폭발 안전대책의 평가요소 및 위험성 평가수법을 제시하고자 한다. 또한, 지하가의 대규모화, 심층화, 복합화에 대한특성 항목을 분류하고 7가지 대책의 중요도를 제시하여 지하가 계획단계의 지표로 삼고자 한다.

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우주 발사체 추진기관 시스템에 대한 확률적 위험 분석 적용 (Application of Probabilistic Risk Assessment to Space Launch Vehicle Propulsion System)

  • 조상연;신명호;김용욱;오승협
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2006년도 제27회 추계학술대회논문집
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    • pp.71-74
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    • 2006
  • 본 논문은 미국의 우주개발과 함께 고안되어 여러 산업에 걸쳐 적용된 바 있는 확률적 위험 분석(probabilistic Risk Assessment; PRA) 기법의 역사와 내용을 소개하고 현재 항공우주연구연이 개발하고 있는 소형위성발사체(KSLV-I)의 추진기관에 대하여 그 흐름대로 적용하여 실제 기술적 위험 관리와 신뢰도 분석에 적용 가능함을 확인하고 한다.

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학령전기 아동의 과체중 및 비만 관련 위험요인: 생태학적 모델을 바탕으로 (Risk Factors for Overweight and Obesity of Korean Preschool Children: Based on the Ecological Model)

  • 라진숙;정연희
    • 한국보건간호학회지
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    • 제33권2호
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    • pp.175-187
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    • 2019
  • Purpose: The purpose of this study was to identify the potential risk factors - children's factors, parental factors, and familial-environmental factors - with respect to overweight and obesity in Korean preschool children. Methods: This study used a descriptive cross-sectional design and involved 264 pairs of mothers and preschool children aged 3-5 years (121 boys, 143 girls) attending daycare centers in C city. Multiple logistic regression analyses were used to identify significant risk factors for overweight and obesity in preschool children. Results: According to the multivariate logistic regression, family history of diabetes mellitus as children's factors, overweight or obesity of both parents as parental factors were significantly associated with an increased likelihood of overweight and obesity in preschool children. In addition, lack of community space for physical activity as familial-environmental factors was significantly associated with increased likelihood of overweight and obesity. Conclusions: Health care providers should concerned with the risk of overweight and obesity in children with high risk familial factors, such as family history of obesity and diabetes mellitus. Moreover, policies should be set in place to make sure communities include space that foster physical activity in young children.

도심지 대심도 터널에서의 리스크 평가 및 안전관리시스템 적용 (Application of risk evaluation and safety management system in urban deep tunnelling)

  • 문준식;전기찬;김영근
    • 한국터널지하공간학회 논문집
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    • 제24권6호
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    • pp.725-744
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    • 2022
  • 도심지에서의 교통인프라 개발이 활발해 지고, 대심도 지하터널을 이용한 도시의 기반시설 확충으로 인하여 도심지 구간에서 대심도 터널시공이 많이 이루어지고 있다. 이에 따라 대심도 터널시공으로 인한 터널안전 문제와 주변 지반 및 구조물의 안전 확보여부는 중요한 이슈가 되고 있으며, 터널시공에 앞서 대심도 터널공사에 따른 리스크를 분석하고 평가하여 리스크 관리를 반드시 수행하여야 한다. 본 연구에서는 대심도 터널과 도심지 터널이라는 특성을 반영하여 터널구간에 대하여 지반조사 자료, 설계 도서, 각종 사전 검토자료 및 시공계획 등을 바탕으로 수직구, 본선터널 및 대단면 터널 정거장 구간의 지하 안전성에 대한 주요 리스크를 분석하고 평가함으로서 수직구, 본선터널과 대단면 터널정거장 구간에 대한 안전리스크를 정량적으로 관리하고자 하였다. 본 연구는 도심지 대심도 터널공사에서 시공시 리스크와 안전 문제를 사전에 검토하는 경우 기본적인 기초 참고 자료로 활용될 수 있을 것으로 기대된다.

지하 발전소 환기설비에 대한 안전성 평가 (The Safety Assessment for Ventilation Facilities of Underground Power Plant)

  • 고원경;강승규;정영대;김영구
    • 한국연소학회:학술대회논문집
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    • 한국연소학회 2014년도 제49회 KOSCO SYMPOSIUM 초록집
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    • pp.331-332
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    • 2014
  • Underground power plant is required the strict safety management and safety assessment. Because it is the high risk of explosion by characteristic of enclosed space. In case gas leak of enclosed space, the ventilation facilities is very important in order to prevent explosion by the maintain less than the LEL(lower explosive limit). Thus, Through a safety assessment of ventilation volume is to reduce the risk for ventilation facilities in Underground power plant.

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Application of Bayesian Multilevel Space-Time Models to Study Relative Risk of Esophageal Cancer in Iran 2005-2007 at a County Level

  • Rastaghi, Sedigheh;Jafari-Koshki, Tohid;Mahaki, Behzad
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5787-5792
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    • 2015
  • Background: Reported age standardized incidence rates for esophageal cancer in Iran are 0.88 and 6.15 for females and males, at fifth and the eighth ranks, respectively, of cancers overall. The present study aimed to map relative risk using more realistic and less problematic methods than common estimators. Materials and Methods: In this ecological investigation, the studied population consisted of all esophageal cancer patients in Iran from 2005 to 2007. The Bayesian multilevel space-time model with three levels of county, province, and time was used to measure the relative risk of esophageal cancer. Analyses were conducted using R package INLA. Results: The total number of registered patients was 7,160. According to the results, the three-level model with adjustment for risk factors of physical activity and smoking had the best fit among all models. The overall temporal trend was significantly increasing. At county level, Ahar, Marand, Salmas, Bojnoord, Saghez, Sarakhs, Shahroud and Torbatejam had the highest relative risks. Physical activity was found to have significant direct association with risk of developing esophageal cancer. Conclusions: Given to great variation across geographical areas, many different factors affect the incidence of esophageal cancer. Conducting further studies at the individual level in areas with high incidence could provide more detailed information on risk factors of esophageal cancer.

정지궤도위성의 광학 관측데이터를 이용한 KARISMA의 정밀궤도결정 결과 분석 (Analysis of Precise Orbit Determination of the KARISMA Using Optical Tracking Data of a Geostationary Satellite)

  • 조동현;김해동;이상철
    • 한국항공우주학회지
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    • 제42권8호
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    • pp.661-673
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    • 2014
  • 본 논문에서는 한국항공우주연구원에서 개발한 우주파편 충돌위험 종합관리 시스템(KARISMA, KARI Collision Risk Management System)의 궤도결정 기능을 이용하여, 정지궤도위성의 광학 관측데이터에 기반한 정밀궤도결정을 수행하였다. 광학 관측데이터로는 정지궤도 위성 ARTEMIS에 대한 유럽우주기구(ESA, European Space Agency)의 실제 광학 관측데이터를 사용하였다. 동일한 관측데이터에 대해 유럽우주기구의 정밀궤도결정 시스템을 통해 얻은 궤도결정 결과와 비교했을 때 약 420 m 정도의 평균 위치오차가 있음을 확인하였다. 또한, 4일간의 광학 관측데이터를 바탕으로 얻은 궤도결정 결과를 이용하여 궤도예측을 수행하였으며, 유럽우주기구의 궤도결정 결과와 비교했을 때 3일 동안 대략 500~600 m 수준의 위치오차를 보였다. 이러한 결과들에 기반하여 KARISMA의 궤도결정 성능이 우주파편 충돌위험 분석을 위해 사용가능한 수준임을 확인할 수 있었다.