• Nuclear Engineering and Technology
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• 제53권3호
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• pp.967-973
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• 2021

In 2011, an earthquake and subsequent tsunami hit the Fukushima Daiichi Nuclear Power Plant, causing simultaneous accidents in several reactors. This accident shows us that if there are several reactors on site, the seismic risk to multiple units is important to consider, in addition to that to single units in isolation. When a seismic event occurs, a seismic-failure correlation exists between the nuclear power plant's structures, systems, and components (SSCs) due to their seismic-response and seismic-capacity correlations. Therefore, it is necessary to evaluate the multi-unit seismic risk by considering the SSCs' seismic-failure-correlation effect. In this study, a methodology is proposed to obtain the seismic-response-correlation coefficient between SSCs to calculate the risk to multi-unit facilities. This coefficient is calculated from a probabilistic multi-unit seismic-response analysis. The seismic-response and seismic-failure-correlation coefficients of the emergency diesel generators installed within the units are successfully derived via the proposed method. In addition, the distribution of the seismic-response-correlation coefficient was observed as a function of the distance between SSCs of various dynamic characteristics. It is demonstrated that the proposed methodology can reasonably derive the seismic-response-correlation coefficient between SSCs, which is the input data for multi-unit seismic probabilistic safety assessment.

• Korean Circulation Journal
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• 제52권9호
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• pp.659-679
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• 2022

Efforts to improve end-of-life (EOL) care have generally been focused on cancer patients, but high-quality EOL care is also important for patients with other serious medical illnesses including heart failure (HF). Recent HF guidelines offer more clinical considerations for palliative care including EOL care than ever before. Because HF patients can experience rapid, unexpected clinical deterioration or sudden death throughout the disease trajectory, choosing an appropriate time to discuss issues such as advance directives or hospice can be challenging in real clinical situations. Therefore, EOL issues should be discussed early. Conversations are important for understanding patient and family expectations and developing mutually agreed goals of care. In particular, high-quality communication with patient and family through a multidisciplinary team is necessary to define patient-centered goals of care and establish treatment based on goals. Control of symptoms such as dyspnea, pain, anxiety/depression, fatigue, nausea, anorexia, and altered mental status throughout the dying process is an important issue that is often overlooked. When quality-of-life outweighs expanding quantity-of-life, the transition to EOL care should be considered. Advanced care planning including resuscitation (i.e., do-not resuscitate order), device deactivation, site for last days and bereavement support for the family should focus on ensuring a good death and be reviewed regularly. It is essential to ensure that treatment for all HF patients incorporates discussions about the overall goals of care and individual patient preferences at both the EOL and sudden changes in health status. In this review, we focus on EOL care for end-stage HF patients.

• 지질공학
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• 제29권3호
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• pp.315-327
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• 2019

매립지 비탈면의 전단파괴 해석은 일반적으로 역해석 통한 파괴원호활동면을 추정하고 안전율을 산정한다. 그러나 현장 상황과 해석을 통해 산정된 원호파괴면 사이에는 서로 상이한 경우가 존재한다. 그래서 연구에서는 매립장에서 발생된 파괴면을 정확히 판정할 수 있는 근거가 될 수 있는 지반내 전단활동 파괴면의 위치를 파악하기 위하여 연구를 실시하였다. 이를 위해 콘관입시험, 시추조사, 연 X-선 영상 분석, 밀도검층, 초음파주사검층 등의 현장 및 실내실험을 실시하였다. 조사 결과 콘관입시험 결과로 부터 관입저항치, 간극수압, 비배수전단강도가 주변 구간에 비해 현저히 감소하는 특정 구간을 확인할 수 있었고 지반내의 전단파괴면으로 예측된다. 추가 확인을 위해 실시된 연 X-선 영상 판독 결과 예상 활동 지반층에서 층리가 교란된(경사진) 것으로 나타났다. 밀도검층과 초음파주사검층 결과에서도 유사하게 파괴면 위치에서 다른 위치와는 다른 경향을 보이는 구간을 확인하였다. 본 연구에서 사용된 방법으로 지반내 파괴면 추정이 가능함을 알 수 있었다.

• 터널과지하공간
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• 제9권4호
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• pp.288-295
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• 1999

지하 터널굴착으로 인하여 발생한 집중응력은 터널 주변의 암반에 변형이나 파괴를 쉽게 발생시킨다. 따라서 터널을 지하에 굴착할 경우에는 이러한 문제점들을 사전에 예측하는 것이 좋은데, 그 예측방법으로는 계측자료를 이용하는 방법과 컴퓨터 수치해석을 통한 방법이 있다. 본 논문은 후자의 방법을 이용하여 터널 굴착 후 터널 주변 암반에 나타나는 시간 경과에 따른 암반의 진행적 파괴 거동을 해석하였으며, 본 해석을 위해 반복(Iteration)기법을 Hoek-Brown이론과 접목하여 사용하였다. 또한, 터널 형상이 서로 다른 3가지 모델을 이용하여, 터널간 이격거리와 내공변위 그리고 집중 응력의 변화 양상 등을 검토하였으며, 본 연구의 결과를 국내에서 많이 사용하고 있는 Mohr-Coulomb 이론을 적용하였을 때 얻어지는 결과와 비교 분석하였다.

• Journal of Trauma and Injury
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• 제33권3호
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• pp.153-161
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• 2020

Purpose: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure and extremely time-dependent, and the proficiency of the physician is important. Due to a lack of REBOA education programs in Republic of Korea, few physicians have been trained in the procedure. In this study, we examined how REBOA education affects clinical outcomes in a single center. Methods: A retrospective study conducted from February 2017 to June 2020 at a regional trauma center. We collected data of patients who underwent REBOA and analyzed the factors that influenced the outcome. The patients were divided into the educated and non-educated groups (based on REBOA training received by their physicians), and the success and failure groups. Results: A total of 24 patients underwent REBOA during the study. There were eight patients in the success group and 16 patients in the failure group. There are no significant differences between the educated and non-educated groups in sex, age, ISS, shock, injury-to-REBOA time, injury mechanism, injury sites, arrest, access site, type of catheter, type of REBOA, target Zone, mortality, and the result of REBOA. The non-educated group had a higher risk for failure compared to the educated group in multivariate analysis (odds ratio [OR] 154.64, 95% confidence interval [CI] 1.11-22.60). Conclusions: Failure in REBOA is harmful to patients. The risk of failure is increased in the non-educated group. Physicians working in the trauma center or emergency department need to complete the REBOA education program.

• Radiation Oncology Journal
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• 제11권1호
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• pp.83-90
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• 1993

During the period from January, 1975, to June, 1989, one hundred patients with histopathologically proven polymorphic reticulosis in the upper respiratory tract were treated with radiation therapy and the analysis of treatmemt results was undertaken. One hundred patients (69 males, 31 females) with a mean age of 46 years (range 12-79 years) were presented. Nasal cavity was the most frequent site of involvement ($56{\%}$), and 44 cases had multifocal sites of involvement. The incidence of cervical lymph node metastasis at initial diagnosis was $24{\%}$. Staging was determined by Ann-Arbor classification, retrospectively. The number of patients of stage IE, IIE, IIIE and IVE were 35, 60, 1, and 4, respectively. The overall 5 year actuarial survival rates were $38.4{\%}$. The difference in 5 year survival rates between patients with stage IE and IIE, with solitary and multiple, with CR and PR after irradiation were significant statistically. For the analysis of failure patterns, failure sites include the following: local failure alone (30/55=$54.6{\%}$), systemic failure alone (9/55=$16.4{\%}$), both local and systemic failure (16/55=$29.0{\%}$). Retrograde slide review was available in 29 cases of PMR with respect to histopathologic bases, and immunohistochemical studies were performed using MT1 and DACO-UCHL-1 as T-cell markers, MB2 as a B-cell marker and alpha-1-antichymotrypsin as a histiocytic markers. All that 29 cases showed characteristic histologic features similar to those of peripheral T-cell lymphoma and showed positive reactio to the T-cell marker. These findings suggest strongly that quite a significant portion of PMR may be in fact T-cell lymphoma.

• 한국전산구조공학회논문집
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• 제27권3호
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• pp.163-172
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• 2014

일반교량 내진설계의 목적은 붕괴방지설계이고 도로교설계기준 내진설계편은 교량구조의 연성파괴메카니즘을 구성하는 설계방식을 제시하고 있다. 그러나 구조형식 또는 현장여건에 의해 연성파괴메카니즘을 구성하는 것이 비합리적인 경우 차선책으로 취성파괴메카니즘을 구성하여 붕괴방지설계를 수행할 수 있다. 연성파괴메카니즘을 구성하는 기존 설계방식과 함께 내진설계편은 연성도 내진설계를 부록으로 제시하고 있다. 연성도 내진설계는 철근콘크리트 교각으로 구성되는 교량에 적용하며 설계자가 하부구조의 소요응답수정계수를 결정하고 이로부터 심부구속철근을 설계하는 방식이다. 이 연구에서는 철근콘크리트 교각기둥과 강재받침으로 설계된 일반교량을 선정하여 기존 설계방식과 연성도 내진설계를 모두 적용한 결과로부터 차이점을 확인하고 설계자가 내진설계를 수행하는 과정에서 두 설계방식을 모두 고려하는 설계절차를 제안하였다.

• 대한안전경영과학회지
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• 제17권1호
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• pp.21-32
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• 2015

High rising of the buildings offers a number of risk factors than ever before with regard to fire prevention. Especially in the construction site of high-rise buildings, people waste golden-time during the evacuation because temporary fire fighting facilities are not installed and transferred to a large fire because of fire suppression failure. In this study, the researcher derives the problems of fire protection in high-rise buildings construction sites and proposed the measures in such the legal aspects as fire building construction code and etc. There are the legal improvements such as orders of construction suspension in the problems of fire safety, appointing fire safety manager, temporary fire protection installation standards, enhancing penalty provisions regarding the use of fire, operating self fire brigade, confirming on-site after completing fire-protection facalities, establishment or strengthening special fire-protection investigations.

• Journal of Chest Surgery
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• 제21권2호
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• pp.395-402
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• 1988

Increasing success in the management of patients with severe respiratory failure by mechanical respirators has produced iatrogenic tracheal stenosis. And the surgical management of these lesions have provided a major field for tracheal reconstructive surgery. Recently we have experienced three cases of postintubation tracheal stenosis between December, 1985 and October, 1987 and successfully performed circumferential resection and end to end anastomosis of the trachea. The lesion of the first case which was located in the subcricoid level was resected about 2cm length with cervical incision. And the lesion of the second case located at the cuff site was also resected about 2.5cm length with cervical and median sternotomy incision. Also the lesion of the third case located at the stoma site was resected about 1.8cm length with cervical incision. The postoperative courses were uneventful but there was extubation difficulty in the third case because of stupor mentality and problem of secretion excretion. So we have observed the postoperative course after T-tube insertion.

• Journal of Chest Surgery
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• 제27권12호
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• pp.1023-1026
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• 1994

We reviewed 10 cases of traumatic diaphragmatic injuries at Soonchunhyang University Gumi Hospital from January 1990 through April 1993. seven patients were male and three patients were female. The age distribution was ranged from 25 to 79 years, predominant 4th decades occurred in male. The traumatic diaphragmatic injuries were due to blunt trauma in 9 cases (traffic accident 7 and crash injury 2) and penetrating wound in 1 case (stab wound). The common symptom were dyspnea (60%), chest pain and abdominal pain in order frequency. In the blunt trauma and crash injury, te rupture site was all located in the left(9 cases). In the penetrating wound, the rupture site was located in the right(1 case). The surgical repair of 10 cases were performed with transthoracic approach in 9 cases and thoracoabodominal approach in 1 case. The postoperative mortality was 10% (1/10). The cause of death was multiple organ failure with pulmonary edema.