• Title/Summary/Keyword: risk access

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High Lumbar Disc Herniation Treated with A Modified Posterolateral Approach - Case Report - (상위 요추간판 탈출증에 대한 후측방 접근술 - 증 례 보 고 -)

  • Hwang, Hyung Sik
    • Journal of Korean Neurosurgical Society
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    • v.30 no.1
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    • pp.114-117
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    • 2001
  • Generally, the posterolateral approach had been recommended in case of extraforaminal disc herniation or lateral stenosis but it has been speculated that this procedure may be feasible to posterolateral disc herniation at the high lumbar levels of the L1-L2 interspace. Topographically, a posterolateral approach should be able to access anteromedial side of the spinal canal without the risk of the bony instability and damage to the neural structures. During the past one year period, three patients with high lumbar discs at the L1-L2 level were treated by the modified posterolateral approach. This article describeds the details of this approach with pertinent literature review.

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Delayed Treatment of Iatrogenic Brachial Arteriovenous Fistula

  • Youn, Young-jin;Kim, Chang Wan;Park, Il Hwan;Byun, Chun Sung
    • Journal of Chest Surgery
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    • v.53 no.6
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    • pp.408-410
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    • 2020
  • Iatrogenic vascular injuries may occur during venipuncture, arterial cannulation, or catheterization procedures. Brachial arteriovenous fistula (AVF) resulting from antecubital vascular access is rare and develops slowly. We report the case of an 18-year-old man who had developed iatrogenic brachial AVF. He had a history of several venipunctures in the left arm at the age of 10 months. Doppler ultrasonography and computed tomographic angiography were used to establish a diagnosis of brachial AVF, and surgical correction of the AVF was performed. As our case indicates, delayed surgery can be considered as a treatment option and may be associated with a decreased risk of vascular complications in the management of iatrogenic brachial AVF in infants.

A Study on the Development of a Case-Based Credit Risk Management System of Korean Commercial Banks-Object-Oriented Approch (국내 금융기관의 사례기반 신용위험관리시스템의 개발에 관한 연구 - 객체지향적 접근)

  • 정철용
    • Korean Management Science Review
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    • v.15 no.1
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    • pp.137-148
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    • 1998
  • We proposed a framework for computer-supported credit evaluation systems for the effective management of credit risks in Korean commercial banks. Especially for medium and small sized companies, credit evaluators used to depend much on past experience rather than formalized principles and rules. Therefore, we applied case-based reasoning. The credit grade of a company is roughly determined by searching for alreadygraded similar companies in terms of usually accepted evaluation items. And then the grade is refined and adjusted by considering additional information about exceptional facts or by reflecting other evaluation results from different methods or techniques. Booch's object-oriented analysis and design method, Visual Basic 5.0 and MS Access 97 are used for the development of this prototype system.

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The Development of Cloud Computing-Based Integrated EHS Management System for the Construction Companies (클라우드 컴퓨팅 기반 건설사용 EHS 통합관리시스템 개발)

  • Seo, Kwang-Kyu
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.859-861
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    • 2010
  • The construction companies are facing potential EHS(Environment, Health & Safety) of major accidents to cause casualties or a financial loss and increasing social responsibility. So, they have to voluntarily accomplish the EHS management system rather than passively with regard to EHS regulation. In this study, the integrated EHS management system is developed based on cloud computing, and construction companies are to materialize self-regulation EHS process of construction workplace and to standardize the total EHS business process using the developed system. The proposed system also provides risk analysis, education/control and continuous improvement for EHS tasks and users can easily access the system on the web at a low price through cloud computing service. Eventually, the integrated system contributes to the managerial improvement by minimizing economic and physical loss caused by construction accidents.

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A Study on the Automated Design of Business Card for Personal Information Leakage Prevention Using IT-based Convergent Service

  • Park, Jong-Youel
    • International Journal of Internet, Broadcasting and Communication
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    • v.10 no.4
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    • pp.25-30
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    • 2018
  • When producing a business card, there is always a risk for exposing personal information as the information from the business card application is saved in the computer of the printing agency. The information that goes into the business card application file, such as name, mobile phone number, and e-mail address is not encrypted, which makes it easy to access. This study was conducted in order to find a way to automatize the business card application process by encrypting the information entered into the business card application file, simplifying the business card application process, minimizing the workload and by directly linking to the print shop to remove the print file after completing the printing of the business card.

AN EXPERIMENTAL STUDY ON THE CHANGE OF BONE MINERAL METABOLISM AFTER IRRADIATION (방사선조사가 골무기질함량에 미치는 영양에 관한 실험적 연구)

  • Chin Hae Yun;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.18 no.1
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    • pp.53-66
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    • 1988
  • Irradiation is widely used for the treatment of malignant diseases, and possibly cause the osteoporosis. The bone densitometry and bone scintigraphy are valuable when used to monitor the patients longitudinally to access the progression of osteoporosis and risk of osteoradionecrosis. To evaluate the osteoporosis after irradiation of cobalt-60 gamma ray on the lumbar spines of New Zealand white rabbits, bone densitometry by dual photon absortiometry and bone scintigraphy were performed weekly. The decrease of bone density began at the first week after irradiation, and were in the nadir at 4-6th week. The osteoblastic activity measured by bone scintigraphy decreased in the first week, and was in the nadir at 4-6th week. The severity of these changes were related to the radiation dose. In conclusion, the osteoporosis before presentation of the osteoradionecrosis can be developed at low dose irradiation and confirmed by bone densitometry, bone scanning, and histopathology.

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A Study on emergency equipments for accidents of rail infrastructure and rolling-stock (철도 시설 및 차량 분야 사고 발생에 따른 비상대응 설비 환경 분석 연구)

  • Yang, Doh-Chul;Seo, Young-Min
    • Proceedings of the KSR Conference
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    • 2007.11a
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    • pp.1817-1823
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    • 2007
  • In this study, we have studied rail infrastructure related to emergency action to manage the risk when emergency caused by faults of facility or rail vehicle during operation happens. Especially we have compared the effect of emergency action with examining the structure of vehicle, tunnel, bridge and access road, etc which are related to emergency action. Also, we have tried to analyze effects of radio and communication equipment, lifesaving and refuge which could be used for rolling stock, station, control room, tunnel, bridge and etc, and we have presented the way of reporting the emergency to the train driver or crew, control room, outside networks which could be used by passengers in vehicle, station, railroad line. Based on these, we have analyzed the conduct of emergency action in length of time when emergency happens in railway and high-speed railway, and studied the method of which passengers could be guided safely and escape from the scene of the accident.

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Horizontal submammary skin incision for median sternotomy (유방하 피부 횡절개를 이용한 정중흉골 절개술)

  • 공현우
    • Journal of Chest Surgery
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    • v.22 no.1
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    • pp.155-157
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    • 1989
  • Median sternotomy is the incision of choice to allow access to the anterior mediastinum, heart, or both lungs. The vertical skin incision generally gives a poor cosmetic result. In certain patients particularly those who are asymptomatic and undergoing short, low risk procedures, cosmetic considerations are of relatively greater importance. A bilateral horizontal submammary skin incision with dissection of a flap including the subcutaneous tissue and breast allows exposure of the sternum so that a median sternotomy can be performed. We have performed this incision in 12 patients undergoing open heart surgery. Although obtaining the usual midsternal exposure takes some extra time, results have shown the va1ue of this approach and its benefit to the patients.

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Health Disaster Preparedness System for Response to Newly Emerging Terrorism (신종 테러리즘 대응을 위한 보건방재체계의 현황)

  • Wang, Soon Joo
    • Journal of the Society of Disaster Information
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    • v.1 no.1
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    • pp.73-89
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    • 2005
  • The disaster preparedness system in Korea has been developed in spite of many obstacles, but there are still many problems for response to newly emerging terrorisms due to the existing problems of disaster response system. The newly emerging terrorism in 21th century like biochemical terrorism has made us focus on terrorism preparedness, but health and medical aspect of terrorism has been overlooked. The health disaster system is more necessary for 21th terrorism response as well as the disaster engineering, economic and administrative aspects. The disaster preparedness system for bioterrorism has been developed by Ministry of Health with syndromic surveillance system and no case has been found in Korea yet and the resources of personnel and equipment as decontamination system in medical facilities are lacking in case of chemical terrorism. So through the multiple access method reflecting the risk factors in real terrorism field and human based health disaster concept, the disaster preparedness and response system to make up for the weak point should be suggested.

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Anterior Cranial Fossa Dural Arteriovenous Fistulae Presenting as Subdural Hematoma

  • Choi, Hyuk-Jin;Cho, Chang-Won
    • Journal of Korean Neurosurgical Society
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    • v.47 no.2
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    • pp.155-157
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    • 2010
  • Anterior cranial fossa dural arteriovenous fistulae (DAVFs) are very rare and the bleeding rate is very high, especially in the presence of leptomeningeal draining vein and aneurysmal varix formation. A 85-year-old male patient presented with subdural hematoma (SDH). Magnetic resonance image (MRI) and transfemoral carotid angiography (TFCA) disclosed DAVF at the anterior cranial fossa with bilateral arterial feeders and leptomeningeal draining vein with varix formation. The lesion was treated by simple ligation of pial connecting vein using low frontal craniotomy. In comparison with DAVFs of the other sites, the anterior cranial fossa DAVF is difficult to manage by endovascular treatment due to not only the difficulty of transvenous access but the risk of visual impairment when using transarterial route. Surgical ligation of pial connecting vein is feasible and effective treatment.