• Journal of Chest Surgery
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• 제46권3호
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• pp.202-207
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• 2013

Background: The role of totally implantable central venous port (TICVP) system is increasing. Implantation performed by radiologist with ultrasound-guided access of vein and fluoroscope-guided positioning of catheter is widely accepted nowadays. In this article, we summarized our experience of TICVP system by surgeon and present the success and complication rate of this surgical method. Materials and Methods: Between March 2009 and December 2010, 245 ports were implanted in 242 patients by surgeon. These procedures were performed with one small skin incision and subcutaneous puncture of subclavian vein. Patient's profiles, indications of port system, early and delayed complications, and implanted period were evaluated. Results: There were 82 men and 160 women with mean age of 55.74. Port system was implanted on right chest in 203, and left chest in 42 patients. There was no intraoperative complication. Early complications occurred in 11 patients (4.49%) including malposition of catheter tip in 6, malfunction of catheter in 3, and port site infection in 2. Late complication occurred in 12 patients (4.90%). Conclusion: Surgical insertion of TICVP system with percutaneous subclavian venous access is safe procedures with lower complications. Careful insertion of system and skilled management would decrease complication incidence.

• 한국항해항만학회지
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• 제42권6호
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• pp.518-528
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• 2018

현대 사회에서의 항만공간은 과거와는 달리 단순히 항구로써의 기능만을 위한 공간이 아닌 주거, 레저, 관광 등 다양한 기능이 복합화 되고 있다. 그에 따라 더욱 많은 사람들이 밀집하는 공간으로 변모해 가고 있다. 반면 항만 공간은 지형적, 환경적 특성 상 재해에 취약한 공간이기도 하다. 하지만 아직까지 국내에서는 방재 도시계획이 명확히 자리 잡고 있는 실정이 아니다. 따라서 항만공간의 특성을 감안한 방재 도시계획을 강화하고, 이를 통해 안전성을 확보할 필요가 있다.

• Tuberculosis and Respiratory Diseases
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• 제87권2호
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• pp.194-199
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• 2024

Background: In recent years, medical thoracoscopy has been well established to play an important role in undiagnosed pleural effusion; however, this procedure is underutilized due to limited availability of the instruments it requires. This study analysed the outcome of single port rigid thoracoscopy in patients with undiagnosed pleural effusions. Methods: This study retrospectively analysed the outcomes of all patients with undiagnosed pleural effusion presenting to our centre between 2016 to 2020 who underwent single port rigid medical thoracoscopy as a diagnostic procedure. Results: In total, 92 patients underwent single port rigid medical thoracoscopy. The most common presenting symptom was shortness of breath. A majority of the patients had lymphocytic exudative pleural effusion. The average biopsy sample size was 18 mm, and no major complication was reported in any of the patients. Conclusion: Single port rigid thoracoscopy is a safe and well-tolerated procedure that yields a biopsy of a larger size with high diagnostic yield. Moreover, the low cost of the instruments required by this procedure makes it particularly suited for use in developing countries.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 1998년도 제 23회 정기총회 및 추계학술발표회
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• pp.11-25
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• 1998

Many Countries have made efforts to assist ships navigate accurately , safely and expeditiously for the safety control against increasing marine traffic , in their coastal waters. However, they are exposed in spite of these efforts,to risks of casulaties and marine polluation caused by traffic congestion when ships are navigating through waterways approaches to ports or harbors and in narrow fairways. Therefore, efficient control of VTS in Port is necessary nowadays to provide ships with necessary service , which interacts with shipping and organize the flow of traffic so as to maximize the efficiency of the port or harbor while minimizing the risk of accident and environmental pollution. Even though the navigation condition of ships is very inferior compared to other ports in Korea, such as the big difference between the ebb and flood tide, the frequent fog, the narrow fairway , the density of navigation traffic in Inchon Port is high and transportation quantity of dangerous cargoe increases gradually. In cosideration of the characteristics of natural circumstance and traffic circumstance the VTS established newly in Inchon port have to operate efficiently. The purpose of this study is to help efficient operation of VTS in Inchon port by accomplishing both the literature research and questionnaire survey. Questionnaire survey was read to the VTS personnel in Inchon Port and customer familiar to Inchon Port such as ship navigators, pilots, shipping companies and so on. Most of ship navigators who occupy half of the respondents are Korean Officer who had responded while they were calling at Inchon port. The conclusions and recommendations includes ; First, the service area should be extended over Designated area to provide the vessel with navigational assistance service regarding the information of traffic congestion area, fishing boat and small ship's activities. Second, the types of information service to be offered are ship's movement and weather condition inthe vicinity of the port and state of fairway in the approaching channel to thte fairway. Third, VTS personnel should be upgraded by the on-the-job training and continuous simulation training as well as supplement of the qualified personnel for VTS operation. Fourth , the Harbor Master System to be introduced for safe navigation and efficient port operation.

• 해양환경안전학회지
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• 제22권2호
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• pp.174-180
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• 2016

본 연구는 여수에서 출항하여 백도와 도서문화가 살아있는 거문도를 거쳐 제주 김녕항으로 이어지는 해양관광 크루즈 세일링 요트 항로를 제안하였다. 최근 해양레저 활성화에 비례하여 안전사고도 늘어나고 있으며, 세일링 요트의 특성을 고려한 안전항로 개척은 지역별, 해역별로 조사되어야 한다. 따라서 거문도의 사례를 통해 분석해 보면 해양문화의 소개, 국제요트대회유치, 다기능항으로 개발 등이 필요하고, 특히 해당 항로의 운항패턴과 밀집도 분석 등이 추가로 도출되어야 할 것이다. 이러한 정보는 세일링 요트의 운항 안전율을 높여 지역 관광산업에 도움이 될 것이다.

• 한국항해항만학회지
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• 제45권6호
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• pp.346-351
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• 2021

국토교통부에서 화물 차주의 과로, 과적, 과속을 근절하려는 목적으로, 2020년도부터 '화물자동차 안전운임제'가 시행 되었다. 컨테이너 및 BCT(시멘트) 품목의 '화물자동차 안전운임'은 금액이 구체화 되었고, 위반시 과태료를 부과하며 강제성 있게 시행되었으며, 2021년에는 각 항목별 조정율이 적용되어 보완되어가고 있지만, 일반형 화물자동차(카고) 및 철강재 품목의 '화물자동차 안전운송원가'는 아직 원가 구성 항목 및 금액이 논의 중이어서 권고 형태로만 적용 중이다. 본 연구는 일반형 화물자동차 최대적재량 톤수별 독차 운임에 대하여, 화물 운수 실무자들의 지불의사를 추정하는 것이 목적이다. 화주, 운수사(주선사, 운송사), 차주(지입, 개인)를 대상으로 조건부가치측정법(CVM) 중개방형 직접질문법으로 설문조사를 실시하였고, 각 응답자로부터 수집된 데이터를 활용하여, 토빗(Tobit) 회귀분석을 하였다. 분석을 통해 지불의사에 영향을 주는 유의 변수(현재 운송료 만족도 등)들을 확인하였다. 그리고 추정된 결과를 활용해 화물 운임의 평균값, 중앙치를 도출하여 화물차 톤수별 지불의사금액를 각각 확인하였다. 본 연구의 결과가 '화물자동차 안전운송원가' 심의·의결 기관인 '화물자동차 안전운임위원회'에 참고 자료로 활용되어, 제도가 원활하게 정착되어 도입 될 수 있기를 기대한다.

• 해양환경안전학회지
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• 제23권3호
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• pp.250-257
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• 2017

This paper investigates minimum safe distances relative to a ship's four cardinal sides, as perceived by Filipino navigators when encountering dangerous elements and in adverse weather conditions when maneuvering in and around harbors. It uses a descriptive research method in the form of a questionnaire survey for experienced Filipino navigators of various ranks. During the course of research, 71 responses were colleted and the resulting data is presented in graphical and tabulated forms. Statistical methods including Pearson-product moment correlations, Cronbach's Alpha and ANOVA were used to identify internal associations, consistencies and significances, respectively. It has been proven that there are no significant differences in minimum safe distances relative to a ship's four cardinal sides, whether maneuvering while approaching a port or within an inner harbor. This study has been deemed significant for training future navigators, managing traffic in fairways, and designing harbors and maneuvering areas in the approaches to ports, among other applications. This work can also be used as a preliminary study for comparison with the well known safe domains presently in use.

• 한국경영과학회:학술대회논문집
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• 한국경영과학회/대한산업공학회 2005년도 춘계공동학술대회 발표논문
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• pp.592-598
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• 2005

The port, differently from general working places, is a closed area required for security, customs, and quarantine procedures. The loading and unloading is being done differently by ports, cargoes, and ships. To do loading and unloading, a lot of equipment and different types of labor are required, which flow is complicated and safe management is essential. As above mentioned the port is very unique and very deteriorated working place in its working environment. The purpose of this study is to propose ways to reduce and prevent from port accidents. As first step to do this, we have collected 923 accidents happened at Incheon Port during the period of 1994 to 2003. We have thoroughly analyzed characteristics, harmfulness, and risk of the loading/unloading they have done, as well as the accident frequency and relationship between the accidents. As second step to further analyze, We have employed DMAIC technology, an advanced process of 6 sigma presently in spotlight as the best program for management innovation. This analysis results in recognition of important accident characteristics, causes and effects analysis, critical causes of accident, and suggestions to decrease accidents.

• 한국항해항만학회지
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• 제38권6호
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• pp.673-681
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• 2014

Due to the increased demand for safety and security requirements on the port infrastructure, the harbor tranquility is one of the important parameter in the mooring basin of harbor. It relates keenly to berthing/unberthing and cargo handling works but also it is an important indicator to get the minimum water area as the safe refuge. Hupo harbor is a national coastal harbor located in east coast of Korea and a development plan for a new marina near the entrance is being carried out including berth layouts, breakwater extensions, 300m marina berths, dredging and land reclamation works. The new plan will impact on calmness of the existing port. Therefore, it is necessary to analyze in complex the variation of wave height and direction caused by wave refraction, diffraction, shoaling and reflection from the incident waves from outside the harbor. In order to check the calmness inside a harbor, the numerical models are being used currently need fundamental reviews according to the difference of results which depend on their respective features. In this study, hence, it was introduced the validity of numerical models by comparing the computational results with the hydraulic model experiment. The current investigations contribute to the existing development recommendations and provide further solutions for port planning.

• International Journal of Naval Architecture and Ocean Engineering
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• 제13권1호
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• pp.306-320
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• 2021

To ensure safe port operations around the world, it is important to solve mooring problems. In particular, the many ports that face open seas have difficulties with long-period waves. As a countermeasure, the installation of a breakwater is proposed for mooring safety. However, this often cannot be put into practice because of financial issues. Instead, port terminals control berthing schedules with weather forecasting. However, mooring problems remain unsolved, because of inaccurate wave forecasting. To quantify the current situation, numerical simulations are presented with ship motions, fender deflections, and rope tensions. In addition, novel simulations for mooring ropes are proposed considering tension, friction, bending fatigue, and temperature. With this novel simulation, the optimal mooring method in terms of safety and economic efficiency was confirmed. In terms of safety, the optimal mooring method is verified to minimize dangerous mooring situations. Moreover, the optimal mooring method shows economic benefits and efficiency. It can help to reinforce the safety of port terminals and improve the efficiency of port operations.