• Title/Summary/Keyword: assessment of safety

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Central Venous Catheterization before Versus after Computed Tomography in Hemodynamically Unstable Patients with Major Blunt Trauma: Clinical Characteristics and Factors for Decision Making

  • Kim, Ji Hun;Ha, Sang Ook;Park, Young Sun;Yi, Jeong Hyeon;Hur, Sun Beom;Lee, Ki Ho
    • Journal of Trauma and Injury
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    • v.31 no.3
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    • pp.135-142
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    • 2018
  • Purpose: When hemodynamically unstable patients with blunt major trauma arrive at the emergency department (ED), the safety of performing early whole-body computed tomography (WBCT) is concerning. Some clinicians perform central venous catheterization (CVC) before WBCT (pre-computed tomography [CT] group) for hemodynamic stabilization. However, as no study has reported the factors affecting this decision, we compared clinical characteristics and outcomes of the pre- and post-CT groups and determined factors affecting this decision. Methods: This retrospective study included 70 hemodynamically unstable patients with chest or/and abdominal blunt injury who underwent WBCT and CVC between March 2013 and November 2017. Results: Univariate analysis revealed that the injury severity score, intubation, pulse pressure, focused assessment with sonography in trauma positivity score, and pH were different between the pre-CT (34 patients, 48.6%) and post-CT (all, p<0.05) groups. Multivariate analysis revealed that injury severity score (ISS) and intubation were factors affecting the decision to perform CVC before CT (p=0.003 and p=0.043). Regarding clinical outcomes, the interval from ED arrival to CT (p=0.011) and definite bleeding control (p=0.038), and hospital and intensive care unit lengths of stay (p=0.018 and p=0.053) were longer in the pre-CT group than in the post-CT group. Although not significant, the pre-CT group had lower survival rates at 24 hours and 28 days than the post-CT group (p=0.168 and p=0.226). Conclusions: Clinicians have a tendency to perform CVC before CT in patients with blunt major trauma and high ISS and intubation.

A study on User Experience of Scooter-sharing System -Focused on Kickgoing and Lime- (전동킥보드 공유 서비스의 사용자 경험에 관한 고찰 -킥고잉과 라임을 중심으로-)

  • Lee, Ung-Yeol;Kim, Seung-In
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.425-431
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    • 2021
  • The purpose of this study is to compare and analyze leading brands of the scooter-sharing system market of Korea, KICKGOING and Lime, in terms of user experience, and to suggest the improvement direction of the applications and scooters of those two services. The assessment was conducted in such a way that the experimental group using scooter-sharing system over a certain frequency would choose the specific service they use most frequently, and complete a questionnaire: based on the reorganized version of the Peter Morville's Honeycomb Model. Based on the results of the experiment, We drew a conclusion that the services need to add navigation features in the application, to provide more simple procedures for reporting breakdown or accident and browsing insurance information, and to improve the user and pedestrian safety levels by gamification, et cetera. We expect this study to help the fast-growing smart mobility market and scooter-sharing systems that represent the market develop into a user-centered way.

Assessment of Covid-19 Response of the Medical Institutions Based on ISO Public Service Quality Management Framework (ISO 기반 공공서비스 품질관리 프레임워크를 바탕으로 한 의료기관의 COVID-19 대응 현황 평가)

  • Pyun, Jebum;Kim, Seungbeom
    • Journal of Korea Society of Industrial Information Systems
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    • v.25 no.6
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    • pp.69-84
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    • 2020
  • This study is conducted to improve the quality of healthcare services responding to COVID-19 by applying the public service quality management framework that is developed from ISO18091:2019 by the Ministry of the Interior and Safety of South Korea. The COVID-19 pandemic has been impacting the world since early 2020, and now in November 2020, it still has not been eliminated. The Korean medical institutions were able to prevent the spread of COVID-19 by agile test and strict cohort isolation. As a result, the so-called K-medical defense has achieved a positive reputation from around the world. In this study, we check and evaluate the current status of the COVID-19 response targeting some Korean hospitals by applying a quality control checklist based on the public service quality management framework. Status of 7 categories are analyzed based on the interview with 3 medical institutions. We also suggest improvements for better medical service quality in case of COVID-19 being prolonged.

Diffusion Characteristics of Iodide in a Domestic Bentonite of Korea (국산벤토나이트에서의 요오드이온의 확산특성)

  • Lee, J.O.;Cho, W.J.;Hahn, P.S.;Park, H.H.
    • Nuclear Engineering and Technology
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    • v.26 no.2
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    • pp.285-293
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    • 1994
  • The transport of radionuclides in a compacted bentonite is dominated by diffusion. Through-diffusion tests for iodide were performed to investigate the diffusion characteristics of anionic radionuclides in a domestic bentonite. The bentonite used was sampled from the southeastern area of Korea and the solution was synthetic groundwater spiked with a tracer of I -125(as Na$^{125}$ I). The dry densities of compacted bentonite were 1.2, 1.4, and 1.7 Mg/㎥. The apparent diffusion coefficients and the effective diffusion coefficients of the iodide decrease with increasing dry density. The values were from 3.80 to 7.12$\times$10$^{-11}$ $m^2$/s for the apparent diffusion coefficients and from 1.25 to 7.97$\times$10$^{-12}$ $m^2$/s for the effective diffusion coefficient, respectively. The experimental results also showed that the apparent diffusion coefficients depended on the pore structure of compacted bentonite and the effective diffusion coefficients were attributed to the pore structure and the effective porosity that represents the available pathway for the diffusional transport of iodide. The results obtained will be used as basic data for the safety assessment of a repository.

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Classification and consideration for the risk management in the planning phase of NPP decommissioning project

  • Gi-Lim Kim;Hyein Kim;Hyung-Woo Seo;Ji-Hwan Yu;Jin-Won Son
    • Nuclear Engineering and Technology
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    • v.54 no.12
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    • pp.4809-4818
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    • 2022
  • The decommissioning project of a nuclear facility is a large-scale process that is expected to take about 15 years or longer. The range of risks to be considered is large and complex, then, it is expected that various risks will arise in decision-making by area during the project. Therefore, in this study, the risk family derived from the Decommissioning Risk Management (DRiMa) project was reconstructed into a decommissioning project risk profile suitable for the Kori Unit 1. Two criteria of uncertainty and importance are considered in order to prioritize the selected 26 risks of decommissioning project. The uncertainty is scored according to the relevant laws and decommissioning plan preparation guidelines, and the project importance is scored according to the degree to which it primarily affects the triple constraints of the project. The results of risks are divided into high, medium, and low. Among them, 10 risks are identified as medium level and 16 risks are identified as low level. 10 risks, which are medium levels, are classified in five categories: End state of decommissioning project, Management of waste and materials, Decommissioning strategy and technology, Legal and regulatory framework, and Safety. This study is a preliminary assessment of the risk of the decommissioning project that could be considered in the preparation stage. Therefore, we expect that the project risks considered in this study can be used as an initial data for reevaluation by reflecting the detail project progress in future studies.

Performance Assessment of 3D Printed Mechanically Stabilized Earth Retaining Wall Backfilled with Recycling Soil (3D 프린팅 기술 기반 보강토 옹벽 순환토사 적용 뒤채움재의 성능 평가)

  • Kim, Jae-Hwan;Oh, Jeongho
    • Journal of the Korean Geotechnical Society
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    • v.40 no.2
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    • pp.81-93
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    • 2024
  • In Korea, numerous large-scale infrastructure construction projects and housing site developments are being undertaken. However, due to limited land availability, sourcing high-quality backfill materials that meet the standards for railroad and road embankment compaction and mechanically stabilized earth (MSE) retaining wall construction poses significant challenges. Concurrently, there has been an increase in structural failures of many MSE retaining walls, attributed primarily to reduced bearing capacity and impaired drainage performance, resulting from inadequate backfill compaction. This study aimed to analyze the structural performance and safety of an MSE retaining wall using recycled soil as backfill. We conducted small-scale model tests utilizing 3D printing technology combined with two-dimensional numerical analysis. The study quantitatively evaluated the MSE retaining wall's performance concerning the recycled soil mixing ratio and reinforcement installation methods. Furthermore, the utility of 3D printing was confirmed through the production of an experimental wall designed to facilitate easy reinforcement attachment, mirroring the conditions of actual MSE retaining wall construction.

Quantitative risk analysis of industial incidents occurring in trap boats (통발어선에서 발생하는 산업재해에 대한 정량적 위험성 분석)

  • Seung-Hyun LEE;Su-Hyung KIM;Kyung-Jin RYU;Yoo-Won LEE
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.60 no.2
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    • pp.161-169
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    • 2024
  • This study employs Bayesian network analysis to quantitatively evaluate the risk of incidents in trap boats, utilizing accident compensation approval data spanning from 2018 to 2022. With a dataset comprising 1,635 incidents, the analysis reveals a mortality risk of approximately 0.011 across the entire trap boat. The study significantly identifies variations in incident risks contingent upon fishing area and fishing processes. Specifically, incidents are approximately 1.22 times more likely to occur in coastal compared to offshore, and the risk during fishing processes outweighs that during maintenance operations by a factor of approximately 23.20. Furthermore, a detailed examination of incident types reveals varying incidence rates. Trip/slip incidents, for instance, are approximately 1.36 times more prevalent than bump/hit incidents, 1.58 times more than stuck incidents, and a substantial 5.17 times more than fall incidents. The study concludes by providing inferred mortality risks for 16 distinct scenarios, incorporating fishing areas, processes, and incident types. This foundational data offers a tailored approach to risk mitigation, enabling proactive measures suited to specific circumstances and occurrence types in the trap boat industry.

Acute toxicity and genotoxicity assessment of Ligigeopoong-san (이기거풍산의 급성독성 및 유전독성 평가)

  • Sung-Young Jo;Sung-Min Hwang;Su-Yeong Kim;Jun-Sub Kim;Kyeong-Wan Woo;Hyun-Woo Cho;Jong-Hyun Nho
    • The Journal of Korean Medicine
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    • v.45 no.3
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    • pp.40-53
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    • 2024
  • Objectives: This study aimed to investigate whether Ligigeopoong-san induces acute toxicity and genotoxicity Methods: Ligigeopoong-san contains the rhizome of Cnidium officinale MAKINO, an herb with potential teratogenicity. Teratogenicity is closely associated with genotoxicity. We analyzed whether Ligigeopoong-san induces acute toxicity and genotoxicity using various experimental models in accordance with Korean non-clinical test standards for pharmaceuticals and OECD test guidelines. Results : When Ligigeopoong-san was administered as a single dose to male and female rats, no toxic reactions, including organ damage, were observed at doses up to 2,500 mg/kg. In the bacterial reverse mutation test, no DNA mutations were detected at concentrations up to 5,000 ㎍/plate. In cell models, Ligigeopoong-san did not induce structural or numerical chromosomal aberrations at concentrations up to 2,000 ㎍/mL. Additionally, in animal studies, it did not cause bone marrow toxicity or form micronuclei in erythrocytes at doses up to 2,000 mg/kg. Conclusions : The experiments using various models demonstrated that Ligigeopoong-san did not induce acute toxicity or genotoxicity.

Assessment of Potential Radiation Dose Rates to Marine Organisms Around the Korean Peninsula

  • Lee, Dong-Myung;Lee, Jun-ho
    • Journal of Radiation Protection and Research
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    • v.41 no.1
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    • pp.1-6
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    • 2016
  • Background: It is very difficult to set a regulatory guidance or criteria for the protection of non-human species from the ionizing radiation, because there are no generally or internationally accepted methods for demonstrating the compliance with such criteria. It is needed that Korea develop the primary dose rate standards for the protection of both aquatic and terrestrial biota in the near future. Materials and Methods: The potential dose rates due to both external and internal radiation exposures to marine organisms such as plaice/flounder, gray mullet, and brown seaweed collected within territorial seas around the Korean Peninsula were estimated. Results and Discussion: The total dose rates to plaice/flounder, gray mullet and brown seaweed due to $^{40}K$, a primordial radionuclide in marine environment, were found to be 0.2%, 0.08% and 0.3% of approximately the values of the Derived Consideration Reference Levels (DCRLs, i.e. $1-10mGy{\cdot}d^{-1}$), respectively, as suggested by the International Commission on Radiological Protection (ICRP) publication 124. The total dose rates to marine fishes and brown seaweed due to anthropogenic radionuclides such as $^{90}Sr$, $^{137}Cs$ and $^{239+240}Pu$ were considered to be negligible compared to the total dose rate due to $^{40}K$. The external exposure to benthic fish due to all radionuclides was much higher than that of pelagic fish. Conclusion: From this study, it is recommended that the further study is required to develop a national regulatory guidance for the evaluation of doses to non-human species.

Credit Evaluation Model for Medical Venture Business By the Analytic Hierarchy Process (AHP를 이용한 의료기기 벤처기업의 신용평가모형)

  • Park, Cheol-Soo;Kim, Mahn-Sool
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.6 no.2
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    • pp.133-147
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    • 2011
  • This study presents the credit evaluation model for medical venture business which has been growing within the recent decade. We develop the model with two steps. At the first step, the evaluation indexes for each of the financial and non-financial factors of a firm are listed. At the second step, the weight for each index is measured by using the Analytic Hierarchy Process of Saaty(1980). The financial factors consists of 5 upper level indexes and 10 lower level indexes. The upper level indexes of the financial sector are profitability, safety, utilization, growth, and productivity. And the non-financial factors consists of 5 upper level indexes and 17 lower lever indexes. The upper level indexes in this sector are manager's competence, technical capability, marketability, business validity, and reliability. In order to get the empirical results for our model, we conduct the questionnaire survey targeting the credit assessment officers, who are practicing at the financial institutions or the credit guarantee company located within the Wonju Medical Devices Cluster.

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