• 제목/요약/키워드: Dangerous Case

검색결과 351건 처리시간 0.025초

Sweet Bee Venom과 일반 봉약침 병행 시술 후 발생한 Anaphylaxis에 대한 증례보고 (The case report of an Anaphylaxis occurred when using Sweet Bee Venom and common Bee Venom at the same time)

  • 김채원;이연희;이광호
    • 대한약침학회지
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    • 제14권4호
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    • pp.59-61
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    • 2011
  • Objectives: The purpose of this case report are to introduce an Anaphylaxis occurred when using Sweet Bee Venom (SBV) and common Bee Venom (CBC) at the same time and a risk when used SBV and CBC together without skin test. Methods: A patient, an Anaphylaxis occurred when treated her with SBV and CBC at the same time without additional skin test, we observed the progress of the Anaphylaxis with care for her. Results & Conclusions: The Anaphylaxis in the patient was taken a turn for the better by emergency response. Based on this case, Sometimes the use of SBV and CBC at the same time without skin test can be dangerous, and to avoid the risk when used CBC together, in advance allergy test should be conducted.

Ship's Collision Avoidance Support System Using Fuzzy-CBR

  • Park, Gyei-Kark;Benedictos John Leslie RM.
    • 한국지능시스템학회논문지
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    • 제16권5호
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    • pp.635-641
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    • 2006
  • Ship's collision avoidance is a skill that masters of merchant marine vessels have acquired through years of experience and that makes them feel at ease to guide their ship out from danger quickly compared to inexperienced officers. Case based reasoning (CBR) uses the same technique in solving tasks that needs reference from variety of situations. CBR can render decision-making easier by retrieving past solutions from situations that are similar to the one at hand and make necessary adjustments in order to adapt them. In this paper, we propose to utilize the advantages of CBR in a support system for ship's collision avoidance while using fuzzy algorithm for its retrieval of similar navigational situations, stored in the casebase, thus avoiding the cumbersome tasks of creating a new solution each time a new situation is encountered. There will be two levels within the Fuzzy-CBR. The first level will identify the dangerous ships and infer the new case. The second level will retrieve cases from casebase and adapt the solution to solve for the output. While CBR's accuracy depends on the efficient retrieval of possible solutions to be adapted from stored cases, fuzzy algorithm will improve the effectiveness of solving the similarity to a new case at hand.

Building of Collision Avoidance Algorithm based on CBR

  • Park Gyei-Kark;Benedictos John Leslie RM
    • 한국지능시스템학회:학술대회논문집
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    • 한국퍼지및지능시스템학회 2006년도 추계학술대회 학술발표 논문집 제16권 제2호
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    • pp.39-44
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    • 2006
  • Ship's collision avoidance is a skill that masters of merchant marine vessels have acquired through years of experience and that makes them feel at ease to guide their ship out from danger quickly compared to inexperienced officers. Case based reasoning(CBR) uses the same technique in solving tasks that needs reference from variety of situations. CBR can render decision-making easier by retrieving past solutions from situations that are similar to the one at hand and make necessary adjustments in order to adapt them. In this paper, we propose to utilize the advantages of CBR in a support system for ship's collision avoidance while using fuzzy algorithm for its retrieval of similar navigational situations, stored in the casebase, thus avoiding the cumbersome tasks of creating a new solution each time a new situation is encountered. There will be two levels within the Fuzzy-CBR. The first level will identify the dangerous ships and index the new case. The second level will retrieve cases from casebase and adapt the solution to solve for the output. While CBR's accuracy depends on the efficient retrieval of possible solutions to be adapted from stored cases, fuzzy algorithm will improve the effectiveness of solving the similarity to a new case at hand.

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심낭압진이 동반된 관통성 및 비관통성 심장외상 - 7례 보고 및 임상분- (Penetrating and Nonpenetrating Cardiac Injuries Combined with Cardiac Tamponade. - Report of seven cases and Clinical analysis -)

  • 이만복
    • Journal of Chest Surgery
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    • 제22권4호
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    • pp.698-704
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    • 1989
  • We experienced the seven cases of penetrating and non-penetrating cardiac injuries combined with cardiac tamponade from June 1986 to June 1989 at Seoul and Chun-An Hospital of SOONCHUNHYANG medical college. The results were as follows. l. In sex distribution, 7 cases were male. In age distribution, The fourth decades occupied about 58 % of all cases. 2. In mode of injury, 4 cases were stab wounds, 1 case penetration by metallic fragment, 2 cases blunt chest trauma. 3. We routinely checked the CVP with subclavian vein catheterization in case of suspicious cardiac tamponade. Significant increments were showed in 4 cases. 4. Becks triad [low blood pressure, raised central venous pressure, distant heart sound] were recorded in 43 % of the cases with proven tamponades. 5. The sites of injury included RV in 4 cases, LV in 1 case, RA in 1 case and branch of RCA in 1 case. The RV injuries were the most common. 6. Coronary artery damage occurred in 2 cases. LADA was severed in 1 case combined with RV rupture and branch of RCA was torn 1 case. 7. Pericardiocentesis was performed 1 case at another hospital before referring to our hospital. We have never used the procedure because we think that it is potentially dangerous with no clear benefit. 8. Subxyphoid pericardial window was performed in 2 cases of severe cardiac tamponade. We have employed this method to stabilize the patients who had systolic hypotension. 9. Surgical approaches were performed with median sternotomy in 3 cases, thoracotomy in 4 cases. 10. We undertook the simple closure in 6 penetrating cardiac wounds. The removal of impacted metallic fragment was performed under the cardiopulmonary bypass. Simple ligation was performed in 2 cases of coronary artery severance 11. One patient with no sign of life was urgently intubated and undertaken an emergency room thoracotomy on the stretch car without antiseptic preparation. The cardiorrhaphy in 6 cases were performed in the operating theater 12. One patient undertaken emergency room thoracotomy did not survive due to refractory hypovolemic shock. But the remaining 6 patients recovered.

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시뮬레이션 데이터를 이용한 횡경사 각도 예측 방법 연구 (Study of the Heeling Angle Prediction by using Simulation Data)

  • 윤동협;박충환;임남균
    • 한국항해항만학회지
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    • 제43권4호
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    • pp.231-236
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    • 2019
  • 선박의 대형화, 고속화 및 선종의 다양화는 운송수단 중 해양 운송수단의 비중을 크게 증가시켰으나 동시에, 선박사고의 발생도 같이 증가 되었다. 선박사고의 발생은 생명과 재산의 손실뿐만 아니라 환경재해까지 일으키기 때문에 막대한 경제적, 환경적인 영향을 끼치게 된다. 특히, 여객선의 경우 인명의 피해가 크게 발생하기 때문에 선박사고를 예방하기 위한 방법들이 논의 되어 지고 있다. 본 연구에서는 여객선의 횡경사 각도를 바탕으로 전복의 위험까지 가게 되는 시간을 예측하여 위험시간에 도달하기 전에 인명을 대피할 수 있는 기초 자료를 제공하고자 하였다. 2012년~2016년 사이 침몰사고를 바탕으로 특정 시나리오를 설정하였으며, PRR1의 데이터를 MOSES V20을 이용하여 시뮬레이션을 수행하였다. 시뮬레이션 결과는 시간에 따른 횡경사 각도이며, 횡경사 에측을 위한 1차, 2차 방정식을 이용하여 시뮬레이션 결과와 비교하였다. 1차방정식의 경우 시뮬레이션 데이터가 선형적인 그래프를 나타내었기 때문에 낮은 오차율을 보이고 있으며, 2차방정식의 경우 초기에는 낮은 오차율을 보이고 있으나 추후 발생되는 각도에 대해서는 높은 오차율을 보이고 있었다.

식도천공에 대한 외과적 치료 (11례) (Surgical Management for Esophageal Perforation: A Report of Eleven Cases)

  • 이건우
    • Journal of Chest Surgery
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    • 제2권2호
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    • pp.147-154
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    • 1969
  • This is a report on a total of 11 cases of esophageal perforation in the department of thoracic surgery, Chonnam University Hospital during the period of 8 years from 1962 to 1969. They occurred by the following agents, that is,lye solution[7 cases], fish bone[2 cases]. compress air [one case], strong acid [one case]. The perforated portions of esophagus were cervical esophagus in 2 cases, upper third of esophagus in 5 cases, middle third of esophagus in 3 cases and lower third of esophagus [abdominal esophagus] in one case. 4 cases out of cases of esophageal perforation after ingestion of Lye solution were due to Bougination to improve esophageal stenosis: 2 cases occurred 2 months after ingestion of Lye solution and the remaining 2 cases, 2 to 3 weeks after Lye solution ingestion. Therefore, It is realized that Bougination for esephageal stricture by Lye solution is particularly dangerous. The complication after esophageal perforation were mediastinitis,[10 cases], right pyothorax with mediastinitis [8 cases], peritonitis [4 cases], esophago-bronchial fistula[one case]. Owing to the various complications above mentioned, surgical approach to esophageal perforation is accordingly complicated and a combination of more than two of the following different procedures were properly used case by case, that is. gastrostomy or jejunostomy for feeding and esophageal rest,thoracotomy and chest drainage, lung decortication for pyothorax, primary closure of compress air perforation and esophago-bronchial fistula, mediastinostomy, retrosternal esophagoplasty using right colon to Lye stricture etc. 5 cases[45. 5%] of 11 cases were expired and the rest of 6 cases[54.5%]were survived with complete accomplishment of surgical procedures and satisfactory healing in 4 cases and interruption of follow up in 2 cases because of poor economical condition of the patients.

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첨단센서 제어 기반 시약장 모니터링 시스템 (Advanced Sensor-based Control Reagent Cabinet Monitoring System)

  • 양새동;장재명;정회경
    • 한국정보통신학회논문지
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    • 제21권1호
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    • pp.199-204
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    • 2017
  • 최근 연구실 내의 시약장의 경우 센서를 통해 현재 내부 환경을 나타내기만 할 뿐 시약장 내부의 상태를 실시간으로 확인할 수 없다. 또한 시약장 내부에 이상상황 발생 시 사전에 발견하지 못할 경우 큰 사고가 발생할 수 있다. 이러한 문제점을 해결하고자 본 논문에서는 시약장과 ICT를 융합한 시약장 모니터링 시스템을 제안하였다. 실시간으로 측정된 센서의 데이터를 모니터를 통해 사용자에게 실시간으로 보여주고 데이터베이스에 저장한다. 또한 저장된 데이터를 활용하여 위험 상황 시 등록된 관리자에게 실시간으로 메시지를 전달하여 위험상황을 알려줄 수 있고 원격에서 확인, 제어할 수 있도록 한다. 이는 시약장 내부의 상태를 어디에서라도 제어 및 확인 할 수 있어 안전성을 향상 시킬 수 있을 것으로 사료된다.

사면붕괴 피해 예방을 위한 낙석신호등 설치 사례 연구 (A Case Study of the Rock-fall Signal Lamp System for Preventing the Damage at the Cut-Slopes)

  • 김승현;구호본;이종현;백용
    • 지질공학
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    • 제17권2호
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    • pp.253-261
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    • 2007
  • 집중강우에 의해 주로 발생되는 절토사면 붕괴는 인적, 물적 피해를 초래한다. 한국건설기술연구원은 예방 수단으로서 위험사면을 집중관리하고 있다. 지속적인 사면관리에도 불구하고 지구환경의 변화로 절토사면의 붕괴발생 빈도는 점차적으로 증가하고 있다. 이에 대책공법 적용이 어려운 절토사면에 대하여 상시계측시스템을 설치하고 있다. 상시계측시스템의 운용은 대인 대물 피해에 대한 조치로서 활용될 수 있으나, 강우시 절토사면의 붕괴 징후를 인지하더라도 관리자가 현장관리 작업을 수행함에 있어서 시공간적 제약으로 인한 한계가 있다. 낙석신호등은 상시계측시스템을 통하여 사면 위험 징후가 발견될 시, 도로이용자에게 낙석발생에 대한 위험을 주지시키고, 붕괴시 도로관리자의 현장 도착 전까지 자동적으로 또는 수동적으로 도로를 차단시킴으로서 사면붕괴에 의한 피해를 예방하는 관리시스템의 일종이다.

인적재난사고사례기반의 새로운 재난전조정보 등급판정 연구 (Developing an Intelligent System for the Analysis of Signs Of Disaster)

  • 이영재
    • 한국재난관리표준학회지
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    • 제4권2호
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    • pp.29-40
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    • 2011
  • 본 연구는 인적재난 분야에 다양한 재난전조자료를 수집 분석하여 재난 위험등급을 결정하는 의사결정체계를 구축할 목적으로 재난전조 정의, 재난전조정보를 분석하기 위한 분류체계, 재난전조정보 위험등급을 판단하기 위한 논리적 알고리즘, 대응 조치사항을 포함한 권고사항 등을 연구하였다. 본 연구에서 의사결정체계를 위해 적용된 온톨로지 기법은 기본요소들의 분류 및 3계층 속성 분류만을 도입하였고, 텍스트 마이닝 기법에서는 용어의 빈도수 분석 및 신뢰도 계산 부분을 도입하여 연관성 규칙의 기본구조를 밝혀냈다. 이 기본구조에 과거 재난사례를 적용하여 연관성 규칙을 생성하였으며, 새로운 재난전조정보와 비교하여 위험등급을 추론하는 사례기반추론 기법을 사용하였다. 본 연구에서 제시된 지능형 의사결정체계는 의사결정자가 재난전조정보를 바탕으로 위험등급을 결정하여 사전예방조치를 할 수 있도록 도와주며, 궁극적으로 재난발생 가능성을 줄일 수 있다.

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유해·위험물질 취급 화학실험실 관리 기준 정립 및 체계 개선에 관한 연구 (Study on Establishment of management standards of Chemistry laboratory handling harzadous substances and improvement of system)

  • 조남준;이만수
    • 대한안전경영과학회지
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    • 제18권4호
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    • pp.57-72
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    • 2016
  • There are more than 30,000 chemical substances handled in domestic university laboratories. Among them, hazardous materials are selected and managed as designated substances by the standards of 19 Ministries and 16 Acts. However, domestic safety-related laws and regulations are used to manage industrial risk factors based on industrial activities. In case of installing a university chemical laboratory in accordance with the installation standards applicable to general workplaces. It is not suitable to use as a laboratory installation standard that can be applied to a chemical laboratory installed at a university such as a problem occurs in applying to a university using a small quantity of dangerous substances in a small amount. In order to establish the laboratory structure and facility standards that are appropriate for the laboratory characteristics and apply systematic laboratory safety, the National Security Administration shall apply the special handling standard of chemical experiment to places where handling less than 30 times the designated quantity of chemical substances for chemical experiments. On August 2, 2016, the regulations for the enforcement of the Dangerous Goods Safety Management Act and the standards for the structure and facilities of the university chemical laboratory were enacted. In this study, we investigated the domestic chemical substances laws and regulations to determine the chemical substances that are over-regulated in the relevant laws, and define them as substances against accidents. The management criteria for the substances were analyzed. The R value for the designation of the designated quantity by the concept of the space in the management standard was calculated.