• Investigative and Clinical Urology
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• 제59권6호
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• pp.371-375
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• 2018

Purpose: To compare patients with sepsis due to obstructive urolithiasis (Sep-OU) and underwent drainage by percutaneous nephrostomy (PCN) or a double-J (DJ)-ureteral stent and to identify predictive risk factors of DJ stent failure in these patients. Materials and Methods: We reviewed our records from January 2013 to July 2018 and identified 286 adult patients with Sep-OU out of which 36 had bilateral involvement, thus total 322 renal units were studied. Urologic residents in training carried out both ureteral stenting and PCN tube placement. Demographic data and stone characteristics were recorded along with Charlson comorbidity index. For predicting risk factors of DJ stent failure, those variables that had a p-value <0.1 in univariate analysis were combined in a multinomial regression analysis model. Results: The patients with PCN placement were significantly older than those with DJ stent placement (p=0.001) and also had significant number of units with multiple calculi (p=0.018). PCN was also placed more frequently in those patients with a upper ureteric calculi (p<0.05). On multinomial regression analysis multiple calculi (p=0.014; odds ratio [OR], 4.878; 95% confidence interval [CI], 1.377-17.276) and larger calculi size (p=0.040; OR, 0.974; 95% CI, 0.950-0.999) were the significant predictors of DJ stent failure. Conclusions: In patients with sepsis from obstructive urolithiasis due to larger and multiple calculi a PCN placement might be better suited although this data requires further prospective randomized studies to be extrapolated.

• 한국안전학회지
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• 제35권3호
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• pp.16-23
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• 2020

The use of construction machinery has been increasing every year due to the large scale, high-rise and lack of workers in construction work. On the other hand, deaths are on the rise every year due to inadequate risk management for construction machinery work. In addition, the number of deaths caused by the lack of signals or insufficient signals during construction machinery work is increasing rapidly, and it is deemed necessary to analyze the actual conditions and take countermeasures. Therefore this study has developed the Strength Risk Index (SRI) based on the Frequency Risk Index (FRI) and the 5W1H by analyzing in-depth deaths caused by construction machinery over the past five years. The risk index (RI) was assessed using the frequency and strength risk index derived to determine whether it is acceptable (acceptable risk < 0.25 ≦ unacceptable risk) and the risk assessment method for reducing risk was proposed by applying 3E (Engineering, Education, Enforcement) measures for each level of risk for unacceptable risk. It also proposed measures to improve the system, such as requirements for signal numbers, mandatory placement standards, and mandatory installation of side and rear monitoring cameras, as measures for accidents caused by failure to deploy signals or insufficient signals, which account for the highest proportion of deaths among construction machinery operators and workers.

• 대한치과교정학회지
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• 제29권3호
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• pp.361-374
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• 1999

구강내 고정식 교정장치의 장착으로 인해 치은염 및 치주염, 법랑질 탈회 및 치아 우식증, 치근 흡수, 치수변화 등 일시적 혹은 영구적 손상이 야기될 수 있다. 이러한 부작용발생의 원인으로 치태의 증가, 세균수의 증가와 조성의 변화등을 들 수 있고 이러한 변화는 치은의 염증과 탈회를 유발한다. 이에 본 연구는 한국인 고정식 교정장치 장착환자에서 장치장착 전후의 치태, 치은염 그리고 탈회의 변화를 시간에 따른 변화, 남녀간의 차이 그리고 좌.우 소구치 부위간의 차이를 통해 알아보고자 전신질환이 없고, 여자의 경우 초경이 지난 사람을 대상으로 대조군은 연세대학교 치과대학생 48명 (남자 26명, 여자 22명)과 실험군으로 고정식 교정장치로 치료할 환자 73명(남자 36명, 여자 37명)을 모두 잇솔질교육(TBI)을 실시한 후, 치태지수, 치은염지수 그리고 탈회 지수에 대하여 대조군은 3주 간격으로 2회를, 실험군은 최초측정을 하고 고정식 교정장치를 부착한 뒤 3주, 6주, 9주에 걸쳐 총 4회 측정을 실시하였다. 이상의 자료를 분석한 결과 다음과 같은 결론을 얻었다. 1. 치태지수(PI)는 고정식 교정장치 장착후 3주의 측정 이후 서서이 증가하였다. 2. 치은염지수(GI)는 고정식 교정장치 장착후 3주의 측정 이후 치태 지수의 증가보다 좀더 빠른 속도로 증가하였다. 3. 탈회는 3주와 6주 사이에서 발생하기 시작하며, 탈회지수(DI)는 처음과 비교하여 6주 측정시부터 증가하기 시작하였으나 통계적으로 유의한 차이를 발견할 수는 없었다. 4. 좌.우 소구치 부위의 비교에서는 실험군의 치태지수와 치은염지수에서 우측에서 높은 값을 보였다.우측간의 발생빈도는 구순열이 53.3:46.7, 구순치조열이 59.5:40.5, 구순구개열이 59.2:40.8 으로서 좌측의 발생빈도가 우측에 비해서 높았다. 3. 순구개열의 남:여 발생빈도는 구순열은 57.9:42.1, 구순치조열은 68.8:31.2, 구순구개열은 76.1:23.9 로서 남자의 발생빈도가 여자에 비해서 높았다. 그러나 구개열에서는 41.7:58.3으로서 여자의 발생빈도가 남자에 비해서 높게 나타났다. 4. 내원 환자를 연령군 별로 조사한 결과 7-12세 군이 $52\%$로서 압도적으로 많았고, 0-6세 군 ($20.4\%$), 13-18세 군($17.2\%$), 18세 이상 군 ($10.4\%$)의 순이었다. 5. 구순열의 봉합수술시기로는 0-3개월 군이 $60.3\%$로서 가장 많았고, 4-6개월 군이 $17.9\%$로 두 번째였다. 6. 구개열의 봉합수술시기로는 1-2세군이 $31.7\%$로 가장 많았고, 0-1세군은 $25.6\%$, 2-3세군이 $12.1\%$였다. 구개 및 상악 성장이 어느 정도 이루어진 5세 이상 군은 $11.6\%$를 차지하였다.7. 구순 반흔 제거수술시기로는 4-6세군 ($27.5\%$), 6-8세군 ($19.6\%$), 2-4세군 ($13.7\%$)이 $60\%$이상을 차지하여 초등학교 취학 전에 구순의 반흔을 제거하려

• 대한조선학회논문집
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• 제54권1호
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• pp.63-70
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• 2017

Release of hazardous and flammable gas is a significant contributor to risk. The ignition of flammable gas clouds can lead to explosion accidents in the offshore installations. A gas detector, which is one of active protect systems, brings the module into a safe state through emergency shut down processes and reduces the damage by eliminating the dangerous releases. It is critical to understand the gas release, the wind field, and the complex geometry of installations to determine gas detector placement. In this paper, the Gas detector Location Index (GLI) which is a novel index for optimal detector location determination to efficiently prevent explosion accident using probabilistic approach.

• 한국도로학회논문집
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• 제13권2호
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• pp.139-145
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• 2011

최근 10년간 전세계적으로 아스팔트 포장을 재활용하는 기술이 급속도로 확산되고 있으며 노후 아스팔트 포장을 폼드 아스팔트 또는 유화 아스팔트를 사용하여 현장에서 바로 100% 재활용하는 현장 상온 재생 아스팔트 포장기술이 다양하게 적용되고 있다. 특히, 아이오와 주에서는 교통량이 적은 지방도로에서 기존 포장의 수명을 연장 시켜주는 현장 상온 재생 아스팔트 공법을 많이 적용하고 있다. 일반적으로 현장 상온 재생 아스팔트 포장층은 수분의 침투나 교통하중으로부터 보호하거나 포장설계를 만족시키기 위해 가열 아스팔트 포장으로 덧씌우기를 한다. 일반적으로 현장 상온 재생 아스팔트 포장층 위에 가열 아스팔트 포장으로 덧씌우기 할 시기는 대부분에 감독자들은 일정한 양생기간 또는 최대 함수비에 근거하여 결정하고 있다. 따라서, 본 연구에서는 감독자가 최적에 덧씌우기 아스팔트 포장 시기를 결정할 수 있도록 현장 상온 재생 아스팔트 포장층의 현장 함수비를 간단하게 측정하여 덧씌우기 시기를 결정할 수 있는 수분 감소계수를 개발하는 것이다. 먼저, 현장 상온 재생 아스팔트 포장층의 함수비를 TDR 함수량계를 사용하여 측정하였고 현장 상온 재생 아스팔트 포장이 시공되는 기간 동안에 강우량, 대기온도, 습도, 바람속도 등 기상정보를 수집하였다. 마지막으로 현장 상온 재생 아스팔트 포장의 초기 함수비, 대기온도, 습도, 바람속도를 변수로 하는 수분 감소계수를 개발하였다. 실제 현장 상온 재생 아스팔트 포장에서 측정한 값을 사용하여 개발한 수분 감소계수는 감독자가 연속적으로 현장 상온 재생 아스팔트 포장층의 함수비를 측정하지 않고 최적의 덧씌우기 포장 시점을 결정할 수 있다.

• Journal of Periodontal and Implant Science
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• 제23권3호
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• pp.411-421
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• 1993

The purpose of this study was to assess the effect of polycaprolactone strip with minocycline on the periodontal pocket in humans and the various clinical parameters in rapidly progressive periodontitis. Nine patients with rapidly progressive periodontitis were selected for the study. They had not taken antibiotics for 6 months and had no history of dental treatment for 6 months before the study. They were in good general health. By the split-mouth method, patients received a supragingival scaling, experimental group (9sites) were subjected to subgingival placement of polycaprolactone strips(1 strip) containg 30% minocyclne and control group (9 site) were subjected to subgingival placement of not polycaprolactone strips(1 strip) containing 30 A Minocycline. Strips were replaced with freshly filled ones at 1 week and 2 week. All strips were removed from pockets at 3 week Clinical examination (plaque index, gingival index, probing pocket depth) and distribution on the bacteria morphology of subgingival plaque were monitored on baseline (0 week), 1, week, 2 week, 4 week and 8 week. The result were as follows : 1. Plaque index in experimental group was not significantly reduced during all weeks(P<0.05), but slightly reduced at 2, 4 and 8 weeks and that in control group was not significantly reduced during monitoring period. 2. Probing pocket depth was significantly reduced at 2, 4 and 8 weeks(P<0.05) in experimental group, but that in control group was not siginificantly changed during monitoring period. 3. Gingival index was significantly improved at 2, 4 and 8 weeks(P<0.05) in experimental group but that in control group was not significantly changed. 4. Percentage of cocci was significantly increased at 2, 4 and 8 weeks in experimental group but that in control group was not significantly changed. 5. Percentage of non-motile rods in both group were not significantly changed when compared with those of baseline(0 week) (P<0.05). 6. Percentage of motile rods was siginificantly reduced at 1, 2 and 4 weeks in experimental group (p<0.05) but that in control group was not significantly changed. 7. Percentage of spirochetes was siginificantly reduced during all weeks(P<0.05) but that in control group was not significantly changed. The result showed that polycaprolactone containing 30% minocycline effect the clinical index and bacterial morphotype.

• 제어로봇시스템학회논문지
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• 제15권6호
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• pp.581-589
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• 2009

In a two-inertia motor system with flexible shaft, a torsional vibration is often generated as a quick speed response is required. This vibration makes it difficult to achieve a quick response of speed and disturbance rejection. The objective of this paper is to provide a systematic analysis and design of the three kinds of speed controllers such as I-P, I-PD, and state feedback control by using the weighted ITAE performance index. Some simulation and experiment results verify the effectiveness of the proposed design.

• Journal of Electrical Engineering and Technology
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• 제4권3호
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• pp.310-314
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• 2009

This paper presents the improvement of the voltage profiles of power system networks by the inclusion of Unified Power Flow Controller (UPFC). The mathematical model of the UPFC is incorporated in the load flow algorithm and the L-index is calculated for the different values of the control parameter r $and{\gamma}$. The positioning of the UPFC device is changed to minimize the sum of the squares of the L-indices at all load buses. The test cases considered for the improvement of voltage profile with the WSCC 9-bus and IEEE 30 bus system. With the best position of UPFC along with the control parameters the improvement in voltage profile of the power system networks are obtained. The results obtained are quite encouraging compared with other techniques used to identify the best location of UPFC.

• 대한인간공학회지
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• 제17권2호
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• pp.33-48
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• 1998

This paper illustrates the application of Fuzzy Theory and Analytic Hierarchy Process(AHP) for developing Occupational Stress Index(OSI). The purpose of the OSI development is for future prediction and problem solving of prevailing occupational stress. In developing OSI, the concept of fuzzy set theory was introduced to determine the existence and level of perceived occupational stress instead of actually measuring the strain parameters. The AHP is adopted to collect different weighting factors, since there exist various perceptions and responses to the occupational stress by different individuals. The validation study revealed that the OSI is a reliable predictor of work-related accident and illness and the physiological health of employees. Creating preventive measures, such as early detection of stress, proper placement and promotion of employees, and job enlargement will be possible by using this OSI effectively.

• Journal of Korean Neurosurgical Society
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• 제60권5호
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• pp.604-609
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• 2017

Objective : An adjustable Ghajar guide is presented to improve the accuracy of the original Ghajar guide technique. The accuracy of the adjustable Ghajar guide technique is also investigated. Methods : The coronal adjustment angle from the orthogonal catheter trajectory at Kocher's point is determined based on coronal head images using an electronic picture archiving and communication system. For the adjustable Ghajar guide, a protractor is mounted on a C-shaped basal plate that is placed in contact with the margin of a burrhole, keeping the central $0^{\circ}$ line of the protractor orthogonal to the calvarial surface. A catheter guide, which is moved along the protractor and fixed at the pre-determined adjustment angle, is then used to guide the ventricular catheter into the frontal horn adjacent to the foramen of Monro. The adjustable Ghajar guide technique was applied to 20 patients, while a freehand technique based on the surface anatomy of the head was applied to another 47 patients. The accuracy of the ventricular catheter placement was then evaluated using postoperative computed tomography scans. Results : For the adjustable Ghajar guide technique (AGT) patients, the bicaudate index ranged from 0.23 to 0.33 ($mean{\pm}standard$ deviation [SD] : $0.27{\pm}0.03$) and the adjustment angle ranged from $0^{\circ}$ to $10^{\circ}$ ($mean{\pm}SD:5.2^{\circ}{\pm}3.2^{\circ}$). All the AGT patients experienced successful cerebrospinal fluid diversion with only one pass of the catheter. Optimal placement of the ventricular catheter in the ipsilateral frontal horn approximating the foramen of Monro (grade 1) was achieved in 19 patients (95.0%), while a suboptimal trajectory into a lateral corner of the frontal horn passing along a lateral wall of the frontal horn (grade 3) occurred in 1 patient (5.0%). Thus, the AGT patients experienced a significantly higher incidence of optimal catheter placement than the freehand catheterized patients (95.0% vs. 68.3%, p=0.024). Moreover, none of the AGT patients experienced any tract hemorrhages along the catheter or procedure-related complications. Conclusion : The proposed adjustable Ghajar guide technique, using angular adjustment in the coronal plane from the orthogonal trajectory at Kocher's point, facilitates accurate freehand placement of a ventricular catheter for hydrocephalic patients.