• Proceedings of the Korean Society of Disaster Information Conference
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• 2022.10a
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• pp.185-186
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• 2022

2012년 9월부터 건설현장 위험성평가는 안전관리 업무로 의무화되었으나, 해당 근로자가 사전위험성을 추정하고 대책을 수립하여 재해예방 활동으로 연계되기에는 위험성평가 작성부터 어려움이 있다. 위험성평가 운영시스템 구축을 통해 건설현장 근로자가 해당작업의 위험요인 및 안전대책을 쉽게 파악할 수 있도록, 작업 공종 선택만으로 해당작업의 다양한 위험요인과 안전대책을 제시하고, 해당 공종에서 발생한 재해사례를 보여줌으로써 동종 재해 재발방지 대책수립이 가능하도록 시스템을 구축하였다. 이러한 위험성평가 활동의 효과분석을 위해 H건설사의 운영평가에서, 위험성평가 운영시스템 구축 이후 건설현장 근로자가 위험성평가 활용에 쉽게 접근할 수 있고 해당공정의 위험요인 추정 및 위험예방 대책 수립이 가능하게 되었으며, 평가기간 동안 재해율 감소에도 영향이 있는 것으로 분석되었다.

• Proceedings of the Korea Water Resources Association Conference
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• 2018.05a
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• pp.17-17
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• 2018

재난발생 위험은 불확실성을 내포하고 있으며, 이러한 불확실성 요인을 줄이고 사전에 소멸시키는 일은 매우 중요한 사항이 될 수 있다. 또한 재난관리 관점에서 그것이 발생했을 때 어떤 식으로 대응할지에 대한 과정이 체계적으로 갖추어져 있어야 하며, 복구 및 재발 방지를 위한 지속적인 노력이 수반될 필요성이 있다. 본 연구에서는 기후정보를 활용한 중장기 수문예측을 실시하고 통합홍수위험평가 시스템 구축을 통한 홍수위험도 분석을 실시하였다. 이를 위하여 우리나라 243개 지자체를 대상으로 홍수관련 위해성, 노출성, 취약성 자료를 수집하여 표준화하였으며, 전문가 Delphi-AHP 설문조사 분석을 통하여 가중치를 적용하고 위험도를 예측 평가하였다. 이러한 중장기 위험 예측 정보는 한 달 또는 수개월 전에 지자체 행정력을 집중 및 분산시키고, 수재해(홍수/가뭄 등) 위험관리 계획 수립이 가능하여 재난관리자에게 유용한 정보로 활용될 수 있을 것이다. 또한 재난의 생애주기(Life Cycle)별 예방, 대비, 대응, 복구 단계에 따라 사전과 사후에 가능한 주요 활동들을 구체화 할 수 있으며, 시간 스케일별 기후예측 정보를 활용한 재난관리 패러다임 전환과 골든타임 확보 등 수자원예측 분야 기술적 진보를 이룰 수 있을 것으로 기대한다. 향후 통계 역학 모형 기반 중 장기 예측 정보의 신뢰도가 향상 된다면 보다 다양한 분야 예측 정보 서비스 및 활용이 가능할 것이다.

• Journal of the Korean Society of Radiology
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• v.81 no.3
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• pp.620-631
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• 2020

Purpose We aimed to assess local tumor progression (LTP) rate and associated prognostic factors in 92 patients who underwent radiofrequency ablation (RFA) using saline-perfused electrodes to treat hepatocellular carcinoma (HCC) (≤ 5 cm). Materials and Methods Total 92 patients with 148 HCCs were treated with RFA using saline-perfused electrodes, from 2009 to 2015. We retrospectively evaluated technical success, technique efficacy, and LTP rates. Potential prognostic factors for LTP were perivascular tumor, subphrenic tumor, artificial ascites, tumor size (≥ 2 cm), and previous treatment of transarterial chemoembolization. Analysis was performed by lesion, rather than by person. Results During follow-up period from 1 to 97.4 months, total cumulative LTP rates were 7.9%, 11.4%, and 14.6% at 1, 3, and 5 years, respectively. These values were significantly higher in the perivascular (35.1%; p = 0.009) and subphrenic group (38.9%; p = 0.002) at 5-year. We did not observe any significant difference in LTP according to other prognostic factors (p > 0.05). Conclusion RFA with saline-perfused electrode is a safe and effective treatment modality for HCC (≤ 5 cm), with lower LTP rates. Nevertheless, perivascular and subphrenic HCCs demonstrated higher LTP rate than other sites. It is imperative to note that perivascular and subphrenic location of HCC are associated with a high risk of local recurrence, despite the use of saline-perfused electrodes.

• Journal of the Society of Disaster Information
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• v.18 no.4
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• pp.873-882
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• 2022

Purpose: The purpose of this paper is to analyze accidents and potential risks occurring at container terminals and to conduct on safety management plans tailored to container terminals. Method: A model for establishing a safety management plan is presented through a case study of container terminal risk assessment and literature analysis. Result: According to the 'Statistics of Accidents in the Harbor Handling Industry', 2,800 people were killed or injured during port work for 10 years from 2011 to 2021. This corresponds to an occupational accident rate of one person every 1.5 days. As a method of improving these accidents and disasters, a highly effective safety management plan should be established to prevent the recurrence of accidents in accordance with the Special Act on Port Safety. It is proposed to establish a safety management plan that reflects the risk assessment of container terminals, safety organization, safety budget, safety rules, and safety education.

• Journal of Navigation and Port Research
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• v.45 no.3
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• pp.109-116
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• 2021

The explosion of a chemical tanker ship during cargo transshipment via double-banking at Ulsan Port, resulted in major damage including fires involving nearby ships. As a follow-up measure to prevent the recurrence of similar accidents, the 'Safety Management of Dangerous Goods in Port' was established, and the designation of a transshipment pier for dangerous goods is required given the risk of explosion and the impact on major facilities in the port. This study evaluated the Fire & Explosion Index of major transshipment cargoes in Ulsan Port to design a transshipment pier based on the Explosion Risk Assessment. Based on the results of Fire & Explosion Index evaluation of styrene monomer and benzene, severe explosion risk was confirmed, and the exposure radius was calculated. Based on the results of the exposure radius, the risk range for each major pier was calculated, and 12 terminals were proposed as transshipment pier candidates considering port facilities, surrounding dangerous facilities, and residential aspects. Since the results of the study suggest transshipment piers based on the risk radius alone, maritime traffic safety, pier and mooring facilities, safety facilities and accessibility for emergency response should be considered comprehensively to designate actual transshipment piers.

• Clinical and Experimental Pediatrics
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• v.45 no.12
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• pp.1559-1570
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• 2002

Purpose : There has been no exact answer to the question of when to discontinue antiepileptic drugs(AEDs) in children with well-controlled epilepsy for a long period. This study is about the risk factors of relapse after withdrawal of AEDs in seizure(Sz)-free patients to show a guideline for discontinuation of AEDs. Methods : One hundred and sixty-nine children were diagnosed as epileptic at the Pediatric Dept. of Kyung-Hee Univ. between 1993 to 1998, in whom AEDs had been withdrawn after at least two years of Sz-free period. Univariate analysis using Kaplan-Meier survival analysis and multivariate analysis using Cox-proportional hazard model were performed for sixteen risk factors. Results : Forty-nine of the 169 patients(28.9%) had recurrence of Szs. The mean follow-up after withdrawal of AEDs was 4.1 years, mean treatment period was 4.1 years, and the mean Sz-free period was 3.3 years. Factors associated with an increased risk of relapse were young age at onset, symptomatic Sz, Sz type in West and Lennox-Gastaut syndrome, neurologic deficit, longer Sz-controlling period, shorter total treatment period, number of AEDs used(more than one drug), age at withdrawal of AEDs, and Sz-free period less than two years in univariate analysis using Kaplan-Meier mothod. From multivariate analysis, the factors indicating a significantly higher relapse risk were pre-treatment period after first Sz attack, Sz-controlling period, Sz-free period, number of AEDs used, neurologic abnormalities. Conclusion : For epileptic children who were Sz-free for more than two years, and were more than six-years-old, the discontinuation of AEDs should be considered positively, according to age of onset, Sz type, age at withdrawal of AEDs, total treatment period, Sz-controlling period, number of AEDs used, etiology, neurologic deficit, and the wishes of the patients and the their parents.

• Journal of the Korean Society of Radiology
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• v.84 no.3
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• pp.615-626
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• 2023

Purpose To assess the outcomes of single-stage surgery following fluoroscopic stent placement for malignant colorectal obstruction. Materials and Methods This retrospective study included 46 patients (28 male and 18 female; mean age, 67.2 years) who had undergone fluoroscopic stent placement followed by laparoscopic resection (n = 31) or open surgery (n = 15) for malignant colorectal obstruction. The surgical outcomes were analyzed and compared. After a mean follow-up of 38.9 months, the recurrence-free and overall survival were estimated, and prognostic factors were evaluated. Results The mean interval between stent placement and surgery was 10.2 days. Primary anastomosis was possible in all patients. The mean postoperative length of hospitalization was 11.0 days. Bowel perforation was detected in six patients (13.0%). During the follow-up, ten patients (21.7%) developed recurrence; these included five of the six patients with bowel perforation. Bowel perforation had a significant effect on recurrence-free survival (p = 0.010). Conclusion Single-stage surgery following fluoroscopic stent placement may be effective for treating malignant colorectal obstruction. Stent-related bowel perforation is a significant predictive factor for tumor recurrence.

• Journal of Digestive Cancer Research
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• v.8 no.2
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• pp.91-96
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• 2020

The effect of Helicobacter pylori (H. pylori) eradication on the development of metachronous recurrence after endoscopic resection (ER) of gastric adenoma is not well defined. The aim of this study was to assess the efficacy of H. pylori eradication after ER of gastric adenoma for the prevention of metachronous recurrence. A systematic literature review and meta-analysis were conducted using the databases Ovid-MEDLINE, EMBASE, Cochrane Library, KoreaMed, and KMBASE. Thus, a systematic review and meta-analysis was performed to investigate this relationship. Pooled risk ratio for metachronous gastric lesions with regard to H. pylori eradication was calculated, and heterogeneity was also measured. Five eligible studies were finally identified in systematic review, and included in meta-analysis. H. pylori eradication was associated with overall 55% lower odds of metachronous events (RR=0.55; 95 % CI 0.34-0.92). Based on the best available evidence, eradication of H. pylori can also provide protection against metachronous recurrence after ER of gastric adenoma.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2015.07a
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• pp.74-76
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• 2015

국내외 해사당국이 추진해온 해양사고 재발방지대책은 선박의 복원성 강화, 선원의 교육 훈련, 해상교통환경 개선 등이 주를 이루었다. 그러나 본 연구에서는 해양사고 통계분석을 바탕으로 선박 선원 교통환경에 대한 기존 정책의 정합성(整合性)을 종합적으로 검토하고 향후 운항자와 항행여건의 관계에 관한 인간공학적 접근이 필요함을 도출하였다. 이를 위해 교통이 밀집한 연안해역에서 인간이 느끼는 주관적 위험도를 객관적으로 평가하기 위한 수치모델의 개발 또는 개선 방안을 제시하였다.

• Proceedings of the Safety Management and Science Conference
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• 2004.11a
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• pp.7-20
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• 2004

RFID(Radio Frequency Identification)를 이용하면 제품에 대한 실시간 파악이 가능하다. RFID는 IT 산업의 대안으로 평가되고 있고, 생산물류 뿐만 아니라 SCM의 재고를 관리하는 데에 있어서도 재고통재 및 관리를 효율적으로 할 수 있다. 또한 품질보증의 기능을 하고 제품에 대한 로트 추적이나 생산과정을 파악할 수 있어 문제점에 대한 재발방지 및 개선에 대한 역할이 가능해 진다. 실시간으로 재고를 통제 및 관리함으로써 보다 효율적인 생산지시 시스템을 구축할 수 있다. 이외에도 IE분야인 공정관리, 작업관리, 설비관리, 유통관리, 유통관리 등에도 적용이 가능하며, 재해의 위험요소를 원천적으로 방지하는 RFID 안전시스템에도 적용할 수 있다. 본 연구는 RFID의 적용 및 활동방안 대해 연구를 통해 새로운 기술환경에서 IE 및 산업안전 분야 등에 활용하고 역할과 책임을 다하고자 하기 위함이다.