• Title/Summary/Keyword: residual risk

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복잡 심기형에서의 동맥 전환술에 대한 연구 (Arterial Switch Operation in Complex Congenital Heart Diseaes (Application, procedure analysis,risk assessment,and results))

  • 김용진
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.237-246
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    • 1995
  • Between March 1989 and December 1994, one-stage repair was performed for correction of the intracardiac malformations associated with aortic coarctation in 34 patients or interrupted aortic arch in 8 patients via median sternotomy. There were 26 male and 16 female patients, and their body weight ranged from 1.8 to 8 kg [mean weight, 4.0 1.4 kg . The age at the operation ranged from 7 days to 18 months [mean age, 3.1 $\pm$ 3.8 months . The repair of aortic coarctation or interrupted aortic arch was performed using extended end-to-end anastomosis in most of the patients [86%, 36/42 , and six patients underwent ductal tissue excision and patch aortoplasty. Intracardiac defects were corrected concomitantly through the right atrium unless the anatomy dictated otherwise. Obstructive outlet septum was resected whenever necessary. There were seven early deaths [16.8 % , and three late deaths with a mean follow-up period of 25 months [range from 1 to 65 months . Three patients were reoperated upon residual subaortic stenosis, stenosis at the RPA origin, and subacute bacterial endocarditis respectively. None showed any significant residual or anastomotic stenosis postoperatively. One stage repair of the aortic coarctation and interrupted aortic arch associated with intracardiac defect leaves no native coarctation shelf tissue or residual hypoplasia in the repaired segment, has low incidence of recurrent or residual stenosis, minimizes reoperation and incisions, and manages arch hypoplasia easily. We concluded that surgical results of one-stage repair for the intracardiac malformation associated with aortic coarctation or interrupted aortic arch are reasonable.

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Evaluation of APR1400 Steam Generator Tube-to-Tubesheet Contact Area Residual Stresses

  • KIPTISIA, Wycliffe Kiprotich;NAMGUNG, Ihn
    • 한국압력기기공학회 논문집
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    • 제15권1호
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    • pp.18-27
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    • 2019
  • The Advanced Power Reactor 1400 (APR1400) Steam Generator (SG) uses alloy 690 as a tube material and SA-508 Grade 3 Class 1 as a tubesheet material to form tube-to-tubesheet joint through hydraulic expansion process. In this paper, the residual stresses in the SG tube-to-tubesheet contact area was investigated by applying Model-Based System Engineering (MBSE) methodology and the V-model. The use of MBSE transform system description into diagrams which clearly describe the logical interaction between functions hence minimizes the risk of ambiguity. A theoretical and Finite Element Methodology (FEM) was used to assess and compare the residual stresses in the tube-to-tubesheet contact area. Additionally, the axial strength of the tube to tubesheet joint based on the pull-out force against the contact joint force was evaluated and recommended optimum autofrettage pressure to minimize residual stresses in the transition zone given. A single U-tube hole and tubesheet with ligament thickness was taken as a single cylinder and plane strain condition was assumed. An iterative method was used in FEM simulation to find the limit autofrettage pressure at which pull-out force and contact force are of the same magnitude. The joint contact force was estimated to be 20 times more than the pull-out force and the limit autofrettage pressure was estimated to be 141.85MPa.

폐쇄성해역에 있어서의 새로운 수질개선책에 관한 연구 (A Study on the New Method for Water-Purification in a Semi-enclosed Bay)

  • 국승기
    • 한국항만학회지
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    • 제12권1호
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    • pp.95-104
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    • 1998
  • Water pollution in a semi-enclosed sea area such as a bay due to stagnancy of water has been a serious water environmental problem. Recently, some kinds of new methods to activate the tidal exchange between an inner bay and an outer sea area by control of a tidal residual current have been proposed. However, these methods have several problems, that is, I). deterioration in a natural view due to building of huge structures, II). increase of risk of navigation in case of a submerged structure, III). limition of sea area where a tidal current can be controlled and IV). difficulty in removing those structures in case of occurrence of an unexpected impact on water environment. In this paper, a new method is proposed, which can solve all the above problems, to purify water quality in a semi-enclosed bay by creation and control of a pattern of a tidal residual current. The tidal residual current is controlled by unsymmetric structures, which change the properties of resistance according to the direction of flow, arranged on the sea bottom. In this study, several numerical and hydraulic experiments of tidal current and particle-tracking for various arrangements of bottom roughness in a semi-enclosed model bay were carried out. As a result of experiments, it becomes clear that it is possible to generate a new tidal residual current and to activate a tidal exchange by only operation of bottom roughness arrangement.

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AISI 9310강의 침탄열처리 경로가 조직 및 잔류응력 변화에 미치는 영향 (Effect of Carburizing Heat Treatment Process on Microstructure and Residual Stress Changes in AISI 9310 Steel.)

  • 정영철;배주현;박재만;오승준;성장현;노용식
    • 열처리공학회지
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    • 제37권3호
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    • pp.128-137
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    • 2024
  • In this study, the carburizing heat treatment process used in aircraft gear manufacturing was compared with the general carburizing heat treatment process using AISI 9310 steel. The process of carburizing followed by slow cooling, and then quenching after austenitizing(Process A) showed less compressive residual stress and less retained austenite in the surface layer compared to the process of quenching directly after carburizing(Process B). In prpcess B, there was a large amount of retained austenite when quenched immediately after carburization, and when treated with subzero, martensite rapidly increased and the compressive residual stress increased significantly, but at the same time, there is a risk of cracking due to severe expansion in volume. Therefore, in the case of aviation parts, it is believed that a step-by-step heat treatment cycle was adopted to ensure stability against heat treatment cracks. As a result of the final tempering after sub-zero treatment, the A process specimen showed a deeper effective case depth and HV700 depth and a higher hardness value above HV700 than the B process specimen.

모의실험을 통한 가산위험모형에 대한 적합도검정법들의 비교

  • 김진흠
    • Communications for Statistical Applications and Methods
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    • 제3권1호
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    • pp.61-71
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    • 1996
  • Kim and Song(1995)과 Kim and Lee(1996)는 하나의 이지공변량(binary covariate)을 갖는 가산위험모형(additive risk model)의 적합도검정법(goodness-of-fit test)을 제안했다. 전자는 모수의 가중추정량들의 차에 기초한 검정법이며 후자는 마팅게일잔차(martingale residual)에 기초한 검정법이다. 본 논문에서는 모의실험을 통하여 두 검정법을 비교하였다.

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군 식품 안전성 확보를 위한 농산물 잔류농약 위해도 평가 연구 (A Study on the Risk Assessment of Pesticide Residues of Agricultural to Ensure Military Food Safety)

  • 조성용;서준호
    • 한국산학기술학회논문지
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    • 제21권10호
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    • pp.137-143
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    • 2020
  • 본 연구에서는 군 식품의 안전성 확보를 위해 경인·강원 소재의 9개 업체에서 사용하는 총 36건의 농산물을 대상으로 잔류농약 모니터링 및 위해도 평가를 실시하였다. 대상 시료는 대두, 밀가루, 밀쌀, 건조양파, 냉동딸기, 양파, 녹색콩, 땅콩, 아몬드, 참깨, 팥, 황색콩, 흑색콩, 당근, 대파, 마늘, 쌀가루, 고춧가루였으며 총 142종의 농약에 대해 식품공전의 다종농약다성분 분석법에 따라 잔류농약을 분석하였다. 분석결과 36건의 농산물 중 7건에서 잔류농약이 검출되어 19.4 %의 검출률을 나타내었다. 땅콩, 대파, 고춧가루에서 단성분 잔류농약이 각 1건씩 검출되었으며 고추장 및 전투식량에 사용된 고춧가루에서 다성분 잔류농약이 20종 검출되었으나 전부 잔류허용기준치 미만으로 확인되었다. 또한 검출된 잔류농약 중 가장 높은 농도를 보인 Cypermethrin, Tebuconazole, EPN 3종의 농약에 대한 위해도 평가 결과 섭취허용량 대비 섭취추정량은 100 %이하로 안전한 수준으로 판단된다. 본 연구에서 20대 성인 남성 위주로 구성된 군 집단의 특성을 반영한 잔류농약 위해평가 연구가 처음으로 수행되었다면, 향후에는 위해물질 저감화 등 응용연구를 지속할 수 있을 것으로 기대한다.

악성 연부조직 종양에 대한 무계획적 절제술 후 잔여 종양의 영상학적 진단의 정확성과 임상적 위험인자 (Diagnostic Accuracy of Imaging Study and the Impact of Clinical Risk Factors on the Presence of Residual Tumor Following Unplanned Excision of Soft Tissue Sarcomas)

  • 오은선;서성욱;정정환
    • 대한정형외과학회지
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    • 제54권2호
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    • pp.150-156
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    • 2019
  • 목적: 악성 연부조직 종양에 대한 무계획적 절제술 후 잔여 종양의 영상학적 진단의 정확성과 임상적 위험인자를 파악하고자 하였다. 대상 및 방법: 2008년부터 2014년까지 무계획적 종양절제술을 시행 후 재절제술을 받은 98명을 대상으로 하여 분석하였다. 재수술 전 모든 환자의 환부를 조영 증강 자기공명영상(magnetic resonance imaging, MRI)을 이용해 영상의학적으로 평가하였으며 54명의 환자는 전신 양전자 방출 단층촬영(positron emission tomography [PET]/computed tomography)을 시행하였다. 모든 환자는 광범위 절제술 후 병리학적 검사를 시행하였다. 각 변수는 일변량 로지스틱 회귀와 다변량 로지스틱 회귀를 이용하여 분석하였다. 결과: 종양이 근막하에 위치한 경우 잔여 종양의 발생률이 높았다(odds ratio: 3.21, p=0.02, 95% confidence interval: 1.25-8.30). MRI는 잔여종양을 발견하는 데 높은 민감도를 보였다(sensitivity 0.79). 결론: 종양이 근막하에 위치한 경우에는 근막 상부에 위치한 경우보다 잔존암이 남을 가능성이 유의하게 높음을 알 수 있었고, MRI 및 PET 검사의 음성예측도가 매우 낮으므로 음성 판정이 나오더라도 이를 근거로 재수술을 시행하지 않는 것은 정당화될 수 없음을 알 수 있었다.

수입 농산물의 식품 안전성 관리 현황 (Food Safety Assurance of Imported Agricultural Products)

  • 오창환
    • 농촌의학ㆍ지역보건
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    • 제31권1호
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    • pp.63-79
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    • 2006
  • Korea's self-sufficient food ratio on a quantity basis remained a low 27.6 per cent for cereals in year 2004. Even the public auction of imported rice from the United States kicked off a couple of days ago to allow foreign rice to be sold directly to consumers on the Korea market for the first time. Therefore the safety of imported food must be a great concern of Korean consumers. All imported agricultural products are supposed to be quarantined for controlling the insect and inspected for the potent risk like residual pesticides, aflatoxin, sulfur dioxide and genetically modified. agricultural products. The 12 percent of agricultural products contained the insects detected by National Plant Quarantine was fumigated with methyl bromide or aluminum phosphide and entered the custom. The most large portion of violated agricultural products (24 cases in 2004) inspected by Korea Food and Drug Administration was dried herbal medicinal foods contaminated by sulfur dioxide which must be treated when they were dried in China. The second factor made the imported agricultural products to be criminals (19 cases in 2004) was residual pesticides. Genetically modified agricultural products like soybean and corn are under control by labelling in Korea. Genetically modified soybean and corn have been used for oil expression mostly. It is the time to set up realistic risk assessment system for our consumer with the pouring imported agricultural products.

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Management of Recurrent Paravalvular Leakage in a Very High-Risk Patient: A Case Report

  • Park, Sung Jun;Kim, Young Woong;Yoo, Jae Suk;Kim, Joon Bum;Lee, Jae Won
    • Journal of Chest Surgery
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    • 제48권1호
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    • pp.59-62
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    • 2015
  • Interventional device closure has emerged as a less invasive alternative to surgery in the management of paravalvular leakage. However, this procedure involves various problems such as a high probability of residual leakage or hemolysis. Here, we report a case of residual paravalvular leakage despite two attempts at interventional closure in a patient with a history of four previous mitral valve replacements. The fifth operation for the primary repair of paravalvular leakage was performed successfully. Careful evaluation before the procedure and specially designed devices are essential for the interventional treatment of paravalvular leakage. Surgery can be performed adequately in the management of paravalvular leakage even in high-risk patients.