• 제목/요약/키워드: Risk transfer

검색결과 436건 처리시간 0.027초

Safety of a Single Venous Anastomosis in Anterolateral Thigh Free Flap for Extremity Reconstruction

  • Yu, Sang Soo;Shin, Hyun Woo;Cho, Pil Dong;Lee, Soo Hyang
    • Archives of Reconstructive Microsurgery
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    • 제24권1호
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    • pp.1-6
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    • 2015
  • Purpose: The main cause of flap loss in microsurgical tissue transfer is venous insufficiency. Whether or not multiple venous anastomoses prevents vascular thrombosis and reduces the risk of flap failure remains controversial. Some researchers are in favor of performing dual venous anastomoses, but the counterargument holds that performing a single venous anastomosis does provide advantages. Materials and Methods: We carried out a retrospective analysis of 15 cases of anterolateral thigh free flap for extremity reconstruction performed between January 2011 and December 2013. The patients were categorized into two groups: group A that received a single venous anastomosis and group B that received dual venous anastomoses. The time of the anastomosis, size of the flap, complications of the flap, and survival rate of each group were analyzed. Results: The total microsurgical time in the single venous anastomosis group ranged from 28 to 43 minutes (mean 35.9 minutes). The total time in the dual anastomoses group ranged from 50 to 64 minutes (mean 55.7 minutes). No statistically significant difference was found between the two groups with regards to postoperative complications and flap failure. Conclusion: Our study suggests that the use of a single venous anastomosis in the venous drainage of anterolateral thigh free flaps is a safe and feasible option for extremity reconstruction and provides shorter operative time and easy flap dissection.

Perioperative red blood cell transfusion in orofacial surgery

  • Park, So-Young;Seo, Kwang-Suk;Karm, Myong-Hwan
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권3호
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    • pp.163-181
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    • 2017
  • In the field of orofacial surgery, a red blood cell transfusion (RBCT) is occasionally required during double jaw and oral cancer surgery. However, the question remains whether the effect of RBCT during the perioperative period is beneficial or harmful. The answer to this question remains challenging. In the field of orofacial surgery, transfusion is performed for the purpose of oxygen transfer to hypoxic tissues and plasma volume expansion when there is bleeding. However, there are various risks, such as infectious complications (viral and bacterial), transfusion-related acute lung injury, ABO and non-ABO associated hemolytic transfusion reactions, febrile non-hemolytic transfusion reactions, transfusion associated graft-versus-host disease, transfusion associated circulatory overload, and hypersensitivity transfusion reaction including anaphylaxis and transfusion-related immune-modulation. Many studies and guidelines have suggested RBCT is considered when hemoglobin levels recorded are 7 g/dL for general patients and 8-9 g/dL for patients with cardiovascular disease or hemodynamically unstable patients. However, RBCT is occasionally an essential treatment during surgeries and it is often required in emergency cases. We need to comprehensively consider postoperative bleeding, different clinical situations, the level of intra- and postoperative patient monitoring, and various problems that may arise from a transfusion, in the perspective of patient safety. Since orofacial surgery has an especially high risk of bleeding due to the complex structures involved and the extensive vascular distribution, measures to prevent bleeding should be taken and the conditions for a transfusion should be optimized and appropriate in order to promote patient safety.

RAPD PCR에 의한 GM벼의 야생 근연종 벼로의 유전자 전이 분석법 (The Investigation of Gene Flows in Artificial Pollination between GM Rice and its Wild Relatives by RAPD Analysis)

  • 김윤식;김현순;정혁;전재흥
    • 한국자원식물학회지
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    • 제19권5호
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    • pp.612-616
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    • 2006
  • 최근 GMO 작물의 재배, 생산이 날로 늘어나며 GMO 작물이 환경에 미칠 수 있는 많은 가능성들이 대두되고 있다. 특히 GMO 작물과 야생종과의 자연교잡에 의한 유전자 전이로, 잡초화의 문제점이 제기되며 생태계의 변화 및 파괴의 위험성이 우려되고 있다. 본 실험에서는 GM벼와 야생 및 근연종 사이의 교잡가능성 및 유전자 전이율을 조사하기 위한 유전자 이동의 분석 체계를 확립하고자 하였다. 벼의 개화시기에 GM벼와 야생 및 근연종 간의 인공교배 후 수확한 교잡 추정 종자를 발아시켜서 제초제를 처리하여 교잡종자를 선별하였다. 또한 GM 벼 및 야생 근연종벼들 간의 RAPD PCR 분석을 통해 선별한 marker를 사용하여 낙동 교잡벼와 샤레 교잡벼가 GM 벼와 교배된 식물체임을 확인하였다. PCR 분석을 수행한 결과 GM벼에서 도입된 trehalose-6-phosphate phosphatase (TPP) 유전자와 선별marker로 사용된 bar유전자가 GM벼 뿐만 아니라 샤레 교잡벼에도 존재하였으며, 결과적으로 GM벼의 bar 및 tpp 유전자가 잡초성벼인 샤레 교잡벼에 전이되었음을 검증할 수 있었다.

Pearl Gourami (Trichogaster leeri)로부터 분리한 Iridovirus의 유전적 특성과 병원성 분석 (Genomic Characterization and Pathogenicity of Iridovirus Isolated from Pearl Gourami (Trichogaster leeri))

  • 김호열;정준범;전려진;윤소혜;조혜진;정현도
    • 한국해양바이오학회지
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    • 제1권3호
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    • pp.163-169
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    • 2006
  • 본 연구에서는 비장 내의 비대해진 세포 존재와 조직 괴사라는 병리조직학적 관찰에 의하여 우리 나라의 pearl gourami (Trichogaster leeri)에서 iridovirus에 의한 자연 감염이 나타남을 확인하였다. 이러한 iridovirus 감염을 더욱 정확하게 진단하기 위해서 iridovirus 감염 진단에 주로 사용되는 MCP와 ATPase gene 부위에서 2 primer sets를 제작하여 PCR을 실시한 결과, PCR 생성물은 기대한 size와 부합하게 나타났고, MCP gene 부위의 염기서열은 reference strain인 ISKNV와 매우 높은 유사성 (99.6%)을 보였다. 공격 실험을 통하여 pearl gourami에서 분리된 iridovirus의 병원성을 확인하였고, 무분별한 관상어 관리에 의하여 관상어로부터 양식어류에로의 질병 전이가 나타남으로서 일어날 수 있는 국내 양식 산업에 대한 위험성을 제시하였다.

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자동변속기용 임베디드 시스템 성능 시험을 위한 Hardware-in-the Loop 시뮬레이터 구축 (Development of Hardware-in-the-Loop Simulator for Testing Embedded System of Automatic Transmission)

  • 장인규;서인근;전재욱;황성호
    • 제어로봇시스템학회논문지
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    • 제14권3호
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    • pp.301-306
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    • 2008
  • Drivers are becoming more fatigued and uncomfortable with increase in traffic density, and this condition can lead to slower reaction time. Consequently, they may face the danger of traffic accidents due to their inability to cope with frequent gear shifting. To reduce this risk, some drivers prefer automatic transmission (AT) over manual transmission (MT). The AT offers more superior drivability and less shifting shock than the MT; therefore, the AT market share has been increasing. The AT is controlled by an electronic control unit (ECU), which provides better shifting performance. The transmission control unit (TCU) is a higher-value-added product, so the companies that have advanced technologies end to evade technology transfer. With more cars gradually using the ECU, the TCU is expected to be faster and more efficient for organic communication and arithmetic processing between the control systems than the l6-bit controller. In this paper, the model of an automatic transmission vehicle using MATLAB/Simulink is developed for the Hardware in-the-Loop (HIL) simulation with a 32-bit embedded system, and also the AT control logic for shifting is developed by using MATLAB/Simulink. The developed AT control logic, transformed automatically by real time workshop toolbox, is loaded to a 32-bit embedded system platform based on Freescale's MPC565. With both vehicle model and 32-bit embedded system platform, we make the HIL simulation system and HIL simulation of AT based on real time operating system (RTOS) is performed. According to the simulation results, the developed HIL simulator will be used for the performance test of embedded system for AT with low cost and effort.

B2B 전자무역대금결제시스템 비교.분석에 관한 연구 (A Comparison Analytical Study on the B2B Electronic Trade Settlement System)

  • 송용종
    • 경영과정보연구
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    • 제14권
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    • pp.151-180
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    • 2004
  • Owing to the digital revolution, Internet Commerce and Electronic commerce, revolutionize the way of doing business and making payment. The entrance of the Internet has a prominent for spread of Electronic Commerce and those phenomenons will result in paperless trading and cashless trade. By virtue of Internet, an increasing share of business transactions occurs online. Electronic payment is essential for the smooth progress of the electronic commerce as electronic payment plays the important role in the electronic commerce, that is, the value transfer restyling from the electronic commerce. Traditionally international settlement systems such as letters of credits, remittance and documentary collections operated as important and poplar method of payment, Now, information technology has made it possible to pay for the sale of goods and services over the internet. In international trade, there are service providers (bolero, TradeCard, BeXcom) to settle payment electronically through the Internet. The purpose of this study is to Conduct comparative analysis with approach manner functional respect systematic respect, role. It is shown which the Electronic payment system is better. In this study, the author attempts to find the problems is (bolero, TradeCard, BeXcom) and solutions in switching from the documentary payment system to the electronic one. This conclusion of this study can be summarized as followings. In resoect of the law, bolero should seek to prevert the users from being treated unfairly due to multilateral agreement on Rulebook. TradeCard, BeXcom do not have the proper law that users are governed. so far as the practice problems concerned, stability of computer's operation and security of message interchange should be warranted and improved continuously. Through the standardization of the electronic document and the development of software, the examination of the shipping occuments must be done automatically. Bolero should induce more banks to take part in Bolero, and make the carrier the cost and time in managing the traditional document which will be used for the time being. In respect of information technology and security, to deduce the risk in the electronic settlement system and positively uses the global authentication guideline(Identrus).

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체외 전기자극기가 심장에 미치는 영향의 분석 및 평가 (Analysis of an External Stimulator's Impact on the Heart)

  • 김문수;최성욱
    • 대한기계학회논문집B
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    • 제35권11호
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    • pp.1213-1217
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    • 2011
  • 의료용 자극기는 병원과 가정에서 환자의 통증 경감 및 재활 치료를 위해 사용되는 의료기기이다. 전기자극기의 자극 펄스가 심장에 유입되면 부정맥 및 심실세동 등의 심각한 부작용을 초래할 수 있다. 의료용 자극기에서 공급하는 자극 펄스의 전달 거리를 측정하고 심장이 전기 자극의 위험 범위 밖에 위치하도록 자극의 크기 및 자극 부위를 제한할 필요가 있다. 전기 자극기는 초당 60 회의 빈도로 0.001Joule 전기 펄스를 가하도록 설계되었다. 전기 자극기의 성능 및 인체에 미치는 영향을 측정하기 위해 생리 식염수를 이용한 생체 조직의 모델을 제작하였고, 이를 이용하여 거리에 따른 전기장의 감쇄 정도를 측정하였다. 본 연구에서 개발한 전기 자극기를 동물실험에 적용한 후 심장 주변에 전기자극을 가했을 때 심장에서 나타나는 위험요인을 관찰하고 직류전류가 흘렀을 때 심장에서 나타나는 현상과 비교하였다.

유자녀가구 유형별 빈곤의 사회경제적 특성연구: 남성한부모가구, 여성한부모가구, 양부모가구 비교분석 (Socioeconomic Characteristics of Poverty by Types of Household with Children: Comparing Male-headed, Female-headed, and Dual-parents Household)

  • 김학주
    • 한국인구학
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    • 제29권3호
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    • pp.73-87
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    • 2006
  • 본 연구는 유자녀가구를 가구주의 성별에 따라 남성한부모가구, 여성한부모가구, 양부모가구로 분류한 다음 가구유형별 경제적 빈곤실태를 비교하여 분석하였다. 그 결과, 한부모가구라 할지라도 가구주 성에 따라 이질적인 사회인구학적 특성이 발견되었다. 또한 여성한부모가구주들은 대졸 이상의 학력을 가진 경우에도 상대적 빈곤층에 속할 확률이 높았다. 이는 단순히 인적자본의 확충만으로는 이들 가구를 상대적 빈곤에서 벗어나게 하는 데 많은 제약이 있음을 의미한다. 다음으론 경제적으로 취약한 한부모가구들에서 이전소득보다는 가구주 근로소득의 절대적 비중이 크게 나타났다. 한부모가구의 빈곤탈출을 위한 제언은 다음과 같다. 첫째, 최저생계비 기준의 단순한 상향조정보다는 어린 자녀를 가진 한부모가족을 위한 직접적인 양육 및 주거비절감 대책이 요구된다. 둘째, 남성한부모가구의 경우에도 공적이전소득의 빈곤감소효과가 매우 적기 때문에 이에 대한 제도적 보완이 시급하다. 최저생계비 결정 및 집행과정에 있어서도 현재는 가구원 총수만이 고려되고 있으나, 사적이전소득의 격차와 기타 사회인구학적 특성의 차이를 고려하여 가구주의 성별, 자녀수, 자녀의 연령 등에 따라 차등화된 세부 기준에 따라 시행되는 편이 보다 합리적이다. 셋째, 저소득층 한부모가구주들을 대상으로 보다 나은 근로조건과 경제적 인센티브를 주는 근로연계형 복지제도와 대상자의 특성별 맞춤형 직업훈련 프로그램이 시행되어야 한다.

공동주택 외피의 열교영향을 고려한 상당열관류율 및 연간 에너지소비성능 평가 연구 (A study on the annual energy performance of apartment building with the equivalent U-value of envelope considering the effect of thermal bridges)

  • 김동수;윤종호;신우철;곽희열
    • KIEAE Journal
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    • 제12권3호
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    • pp.41-46
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    • 2012
  • The building envelope is important specially for saving energy consumption of residential buildings. but Apartment houses in Korea commonly have inside insulation system which have constantly arisen thermal bridges, the risk of heat loss, as a necessity. This study aims to evaluate integrated insulation performance according to the different shapes of external walls, adjacent to windows. The thermal performance analysis was carried out by Equivalent U-value and using the three-dimensional heat transfer computer simulation (TRISCO-RADCON), under nine different cases of comparing among three each of different bases(current standard model, 30percent energy saving model and 60percent energy saving model). The heating and the cooling load were also compared between two cases (standard U-value and Equivalent U-value) of three each of different bases, using the Building energy simulation which is based on DOE-2.1 analysis. As results, it turns out that if the Equivalent U-value is considered on the envelope analysis, the heat flow loss will be increasing more than the standard U-value, and if heat insulation property of the residential building reinforced rather than current, the rate of influences on the thermal bridges would be extremely expanded. In addition, it is shown that annual heating loads of the apartment house with applied Equivalent U-value substantially increased by more than 15 percent compared to those with the existing U-value, but annual cooling loads were negligibly affected.

대용량 무선전력전송 환경 유도현상 감쇄를 위한 차폐 특성 분석 (Analysis of Shielding Characteristics for Induction Phenomenon Attenuation of Large Capacity Wireless Power Transmission Environment)

  • 채동주;김영석;정진수;임현성;조성구;홍성준
    • 전기학회논문지
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    • 제66권12호
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    • pp.1844-1851
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    • 2017
  • As the capacity of the wireless power transmission increases, a higher supply current which may induce current in nearby conductive parts requires. Induced current may affect electric shock to the human body and malfunction of the electrical equipment. In order to prevent such induced phenomena as a risk factor, shielding is required between the source of the wireless power transmission and the conductive parts. The resonance frequency for the large capacity wireless power transmission has the wavelength of several hundred meters, so most environments are included in the near-field area. By wave impedance, the electric field has higher density in the near-field area and needs to be analyze for protecting. For this purpose, it is necessary to select a substance having a larger electric conductivity and optimized shielding structure. In this paper, an aluminum base shielding structure was presented to conduct experiments on thickness, position, and heat dissipation. In the 35 kW, 60 kHz environments, the optimized 5T Al base shielding structure attenuates the induced current to 43 %.