• Title/Summary/Keyword: Risk-Informed

Search Result 222, Processing Time 0.026 seconds

Prediction of Local Tumor Progression after Radiofrequency Ablation (RFA) of Hepatocellular Carcinoma by Assessment of Ablative Margin Using Pre-RFA MRI and Post-RFA CT Registration

  • Yoon, Jeong Hee;Lee, Jeong Min;Klotz, Ernst;Woo, Hyunsik;Yu, Mi Hye;Joo, Ijin;Lee, Eun Sun;Han, Joon Koo
    • Korean Journal of Radiology
    • /
    • v.19 no.6
    • /
    • pp.1053-1065
    • /
    • 2018
  • Objective: To evaluate the clinical impact of using registration software for ablative margin assessment on pre-radiofrequency ablation (RFA) magnetic resonance imaging (MRI) and post-RFA computed tomography (CT) compared with the conventional side-by-side MR-CT visual comparison. Materials and Methods: In this Institutional Review Board-approved prospective study, 68 patients with 88 hepatocellulcar carcinomas (HCCs) who had undergone pre-RFA MRI were enrolled. Informed consent was obtained from all patients. Pre-RFA MRI and post-RFA CT images were analyzed to evaluate the presence of a sufficient safety margin (${\geq}3mm$) in two separate sessions using either side-by-side visual comparison or non-rigid registration software. Patients with an insufficient ablative margin on either one or both methods underwent additional treatment depending on the technical feasibility and patient's condition. Then, ablative margins were re-assessed using both methods. Local tumor progression (LTP) rates were compared between the sufficient and insufficient margin groups in each method. Results: The two methods showed 14.8% (13/88) discordance in estimating sufficient ablative margins. On registration software-assisted inspection, patients with insufficient ablative margins showed a significantly higher 5-year LTP rate than those with sufficient ablative margins (66.7% vs. 27.0%, p = 0.004). However, classification by visual inspection alone did not reveal a significant difference in 5-year LTP between the two groups (28.6% vs. 30.5%, p = 0.79). Conclusion: Registration software provided better ablative margin assessment than did visual inspection in patients with HCCs who had undergone pre-RFA MRI and post-RFA CT for prediction of LTP after RFA and may provide more precise risk stratification of those who are treated with RFA.

Web Server Hacking and Security Risk using DNS Spoofing and Pharming combined Attack (DNS 스푸핑을 이용한 포털 해킹과 파밍의 위험성)

  • Choi, Jae-Won
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.23 no.11
    • /
    • pp.1451-1461
    • /
    • 2019
  • DNS spoofing is an attack in which an attacker intervenes in the communication between client and DNS server to deceive DNS server by responding to a fake IP address rather than actual IP address. It is possible to implement a pharming site that hacks user ID and password by duplicating web server's index page and simple web programming. In this paper we have studied web spoofing attack that combines DNS spoofing and pharming site implementation which leads to farming site. We have studied DNS spoofing attack method, procedure and farming site implementation method for portal server of this university. In the case of Kyungsung Portal, bypassing attack and hacking were possible even though the web server was SSL encrypted and secure authentication. Many web servers do not have security measures, and even web servers secured by SSL can be disabled. So it is necessary that these serious risks are to be informed and countermeasures are to be researched.

Synthesis of Evidence to Support EMS Personnel's Mental Health During Disease Outbreaks: A Scoping Review

  • Bronson B. Du;Sara Rezvani;Philip Bigelow;Behdin Nowrouzi-Kia;Veronique M. Boscart;Marcus Yung;Amin Yazdani
    • Safety and Health at Work
    • /
    • v.13 no.4
    • /
    • pp.379-386
    • /
    • 2022
  • Emergency medical services (EMS) personnel are at high risk for adverse mental health outcomes during disease outbreaks. To support the development of evidence-informed mitigation strategies, we conducted a scoping review to identify the extent of research pertaining to EMS personnel's mental health during disease outbreaks and summarized key factors associated with mental health outcomes. We systematically searched three databases for articles containing keywords within three concepts: EMS personnel, disease outbreaks, and mental health. We screened and retained original peer-reviewed articles that discussed, in English, EMS personnel's mental health during disease outbreaks. Where inferential statistics were reported, the associations between individual and work-related factors and mental health outcomes were synthesized. Twenty-five articles were eligible for data extraction. Our findings suggest that many of the contributing factors for adverse mental health outcomes are related to inadequacies in fulfilling EMS personnel's basic safety and informational needs. In preparation for future disease outbreaks, resources should be prioritized toward ensuring adequate provisions of personal protective equipment and infection prevention and control training. This scoping review serves as a launching pad for further research and intervention development.

A Study on the Significance of Unit Capacity Factor (Utilization Rate) of Nuclear Power Plants and Measures for Increasing (원전 이용률의 의의 및 증진방안 고찰)

  • Don Kug Lee;Chi Bum Bahn
    • Transactions of the Korean Society of Pressure Vessels and Piping
    • /
    • v.18 no.2
    • /
    • pp.87-100
    • /
    • 2022
  • Unit capacity factor (utilization rate) of nuclear power plants (NPPs) is an important performance indicator. Since the first commercial operation of Kori Unit 1 began in April 1978, the utilization rate of domestic NPPs has gradually increased, reaching 90% from the end of the 1990s. However, due to various issues such as the Fukushima accident in 2011, corrosion of the CLP, the utilization rate dropped to 65~80%. In the early 1980s, the utilization rate of the U.S. NPPs was around 60%. However, since 2004, it has been consistently maintained above 90%. Therefore, in this study, we first examined the causes of declining the utilization rate in domestic NPPs. Next, the significances of the utilization rates are reviewed in five aspects: investment capability, electricity rate, safety and export, etc., with discussion on the current status of the utilization rates in the U.S. Based on this, three key factors are derived as the reasons of the increasing: equipment reliability program, on-line maintenance and the pursuit of institutional rationality. And finally, by synthesizing above results, the measures for increasing the utilization rate of domestic NPPs are proposed in terms of equipment management, institutional improvements, and personnel resources.

A National Survey on the Prevalence and Risk Factors of Child Sexual Abuse (아동기 성학대 발생과 배경요인)

  • Han, In-Young;Lee, Yong-Woo;Yoo, Seo-Koo;Park, Myung-Sook;Kim, Jin-Sook
    • Korean Journal of Social Welfare
    • /
    • v.60 no.2
    • /
    • pp.131-153
    • /
    • 2008
  • Based upon the first national sample of adult men and women, the study aims to examine the prevalence of chid sexual abuse in Korea and factors related to the incidence of child sexual abuse. The results of the study show that 20.8% of the sample experienced one or more types of sexual abuse in their childhood, which indicates that Korean society is not any longer immune to child sexual abuse. With regard to how to cope with sexual abuse, "not informed to anyone and did not get any help at all" is the most major one for all types of sexual abuse. Even those who got help were reported to depend heavily upon private routes such as parents, relatives, or friends, indicating the urgency of establishing systematic intervention schemes for the problem. The results of a logistic regression analysis show that gender of the child, involvement in delinquent behaviors, economic status of the family, number of siblings, and residence in high-crime region are significantly related to the incidence of child sexual abuse. These results of the study would be expected to provide a useful guideline for developing policies or intervention programs aimed to prevent or address child sexual abuse.

  • PDF

Study on the Collision Avoidance Algorithm against Multiple Traffic Ships using Changeable Action Space Searching Method (가변공간 탐색법을 이용한 다중선박의 충돌회피 알고리즘에 관한 연구)

  • Son, N.S.;Furukawa, Y.;Kim, S.Y.;Kijima, K.
    • Journal of the Korean Society for Marine Environment & Energy
    • /
    • v.12 no.1
    • /
    • pp.15-22
    • /
    • 2009
  • Auto-navigation algorithm have been studied to avoid collision and grounding of a ship due to human error. There have been many research on collision avoidance algorithms but they have been validated little on the real coastal traffic situation. In this study, a Collision Avoidance algorithm is developed by using Fuzzy algorithm and the concept of Changeable Action Space Searching (CAS). In the first step, on a basis of collision risk calculated from fuzzy algorithm in the current time(t=to), alternative Action Space for collision avoidance is planned. In the second step, next alternative Action Space for collision avoidance in the future($t=to+{\Delta}t$) is corrected and re-planned with re-evaluated collision risk. In the third step, the safest and most effective course among Action Space is selected by using optimization method in real time. In this paper, the main features of the developed collision avoidance algorithm (CAS) are introduced. CAS is implemented in the ship-handling simulator of MOERI. The performance of CAS is tested on the situation of open sea with 3 traffic ships, whose position is assumed to be informed from AIS. Own-ship is fully autonomously navigated by autopilot including the collision avoidance algorithm, CAS. Experimental results show that own-ship can successfully avoid the collision against traffic ships and the calculated courses from CAS are reasonable.

  • PDF

Korean physicians' attitudes toward the prenatal screening for fetal aneuploidy and implementation of non-invasive prenatal testing with cell-free fetal DNA

  • Kim, Soo Hyun;Kim, Kun Woo;Han, You Jung;Lee, Seung Mi;Lee, Mi-Young;Shim, Jae-Yoon;Cho, Geum Joon;Lee, Joon Ho;Oh, Soo-young;Kwon, Han-Sung;Cha, Dong Hyun;Ryu, Hyun Mee
    • Journal of Genetic Medicine
    • /
    • v.15 no.2
    • /
    • pp.72-78
    • /
    • 2018
  • Purpose: Physicians' attitudes may have a strong influence on women's decision regarding prenatal screening options. The aim of this study is to assess the physicians' attitudes toward prenatal screening for fetal aneuploidy including non-invasive prenatal testing (NIPT) in South Korea. Materials and Methods: Questionnaires were distributed and collected at several obstetrics-gynecological conferences and meetings. The questionnaire included 31 multiple choice and 5 fill-in-the-blank questions. Seven questions requested physicians' demographic information, 17 questions requested information about the NIPT with cell-free fetal DNA, and 12 questions requested information about general prenatal screening practices. Results: Of the 203 obstetricians that completed the survey. In contrast with professional guidelines recommending the universal offering of aneuploidy screening, only 53.7% answered that prenatal aneuploidy testing (screening and/or invasive diagnostic testing) should be offered to all pregnant women. Physicians tended to have positive attitudes toward the clinical application of NIPT as both primary and secondary screening methods for patients at high-risk for fetal trisomy. However, for patients at average-risk for fetal trisomy, physicians tended to have positive attitudes only as a secondary screening method. Physicians with more knowledge about NIPT were found to tend to inform their patients that the detection rate of NIPT is higher. Conclusion: This is the first study to investigate expert opinion on prenatal screening in South Korea. Education of physicians is essential to ensure responsible patient counseling, informed consent, and appropriate management after NIPT.

Probabilistic Safety Assessment of Gas Plant Using Fault Tree-based Bayesian Network (고장수목 기반 베이지안 네트워크를 이용한 가스 플랜트 시스템의 확률론적 안전성 평가)

  • Se-Hyeok Lee;Changuk Mun;Sangki Park;Jeong-Rae Cho;Junho Song
    • Journal of the Computational Structural Engineering Institute of Korea
    • /
    • v.36 no.4
    • /
    • pp.273-282
    • /
    • 2023
  • Probabilistic safety assessment (PSA) has been widely used to evaluate the seismic risk of nuclear power plants (NPPs). However, studies on seismic PSA for process plants, such as gas plants, oil refineries, and chemical plants, have been scarce. This is because the major disasters to which these process plants are vulnerable include explosions, fires, and release (or dispersion) of toxic chemicals. However, seismic PSA is essential for the plants located in regions with significant earthquake risks. Seismic PSA entails probabilistic seismic hazard analysis (PSHA), event tree analysis (ETA), fault tree analysis (FTA), and fragility analysis for the structures and essential equipment items. Among those analyses, ETA can depict the accident sequence for core damage, which is the worst disaster and top event concerning NPPs. However, there is no general top event with regard to process plants. Therefore, PSA cannot be directly applied to process plants. Moreover, there is a paucity of studies on developing fragility curves for various equipment. This paper introduces PSA for gas plants based on FTA, which is then transformed into Bayesian network, that is, a probabilistic graph model that can aid risk-informed decision-making. Finally, the proposed method is applied to a gas plant, and several decision-making cases are demonstrated.

Study on the Appropriate Use of Weapons by Private Security Guards: Focusing on Public Crowded Places (민간 경비원(보안요원)의 정당한 무기사용 방안 연구: 다중이용시설을 중심으로)

  • Hangil Oh;Kyewon Ahn;Ye ji Na
    • Journal of the Society of Disaster Information
    • /
    • v.19 no.4
    • /
    • pp.936-949
    • /
    • 2023
  • On August 3, 2023, a brutal incident of unprovoked violence, termed as "Abnormal motivated crime," occurred in a multi-use facility, where retail and transportation facilities converge, near Seohyeon Station. The assailant drove onto the sidewalk, hitting pedestrians, and then entered a department store where a knife rampage ensued, resulting in a total of 14 victims. In the aftermath of this incident, numerous murder threats were posted on social media, causing widespread anxiety among the public. This fear was further exacerbated by the emergence of a "Terrorless.01ab.net" service. Purpose: This research aims to explore necessary institutional improvements for private security personnel who protect customers and employees in multi-use facilities, to enable them to perform their duties more effectively. Method: To assess the risk of Abnormal motivated crime, a time series analysis using the ARIMA model was conducted to analyze the domestic trends of such crimes. Additionally, Result: the study presents suggestions for improvements in the domestic security service law and emergency manuals for multi-use facilities. Conclusion: This is informed by a legal analysis of the indemnity rights for weapon use by private security guards abroad and their operational authority beyond weapon usage.

Development of Intelligent Database Program for PSI/ISI Data Management of Nuclear Power Plant (원자력발전소 PSI/ISI 데이터 관리를 위한 지능형 데이터 베이스 프로그램 개발)

  • Park, Un-Su;Park, Ik-Keun;Um, Byong-Guk;Park, Yun-Won;Kang, Suk-Chul
    • Journal of the Korean Society for Nondestructive Testing
    • /
    • v.18 no.5
    • /
    • pp.389-397
    • /
    • 1998
  • For an effective and efficient management of large amounts of preservice/inservice inspection(PSI/ISI) data in nuclear power plants, an intellegent Windows 95-based data management program was developed. This program enables the prompt extraction of previously conducted PSI/ISI conditions and results so that the time-consuming data management, painstaking data processing and analysis in the past are avoided. The program extracts, and the associated remedies. Furthermore, additional inspection data and comments can be easily added or deleted for subsequent PSI/ISI operation. Although the initial version of the program was applied to Kori nuclear power plant, this program can be equally applied to other nuclear power plant. And also this program can be used to offer the fundamental data for application of evaluation data related to fracture mechanics analysis(FMA), probabilistic reliability assessment(PRA) of PSI/ISI results, performance demonstration initiative(PDI) and risk-informed ISI based on probability of detection(POD) information of ultrasonic examination. Besides, the program can be further developed as a unique PSI/ISI data management expert system that can be apart of PSI/ISI data management expert system that can be a part of PSI/ISI Total Support System(TSS) for Korean nuclear power plants.

  • PDF