• Journal of Chest Surgery
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• v.24 no.1
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• pp.26-35
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• 1991

From January 1984 to June 1990, 188 patients have undergone cardiac valve replacement [114 MVR, 27 AVR, 47 Multiple valve replacement] with the St. Jude Medical prosthesis. The early mortality rate was 6.9%. The most common cause of early death was low output syndrome. There were no cases of valve-related early death. The risk factors for early death were advanced preoperative NYHA functional class [> IV], and prolonged ECC and ACC time. The 175 early survivors were followed-up for a total 372.7 patient-year over a period of 2 to 74 months [Mean $\pm$SD: 25.6$\pm$18.6 months]. During follow up, 12 patient died and late mortality rate was 6.9%. There were three valve-related late deaths: two were due to valve thrombosis and one was due to hemorrhage. Most late deaths [58%, 7/12] were from cardiac non-valvular causes. Valve-related complications occurred at a linearlized rate of 3.5% /pt-yr. Embolism occurred at a rate of 0.8% /pt-yr. There were three cases of valve thrombosis [0.8% /pt-yr: two fatal]. Hemorrhage due to anticoagulant occurred in 5 patients and a rate of 1.3% pt-yr [one fatal]. Five-year actuarial survival rate was 86.5 $\pm$5.1% and 97% of patient were in NYHA functional class I or II at three months postoperatively.

• Parasites, Hosts and Diseases
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• v.46 no.4
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• pp.261-263
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• 2008

Strongyloides stercoralis is a human intestinal parasite which may lead to complicated strongyloidiasis in immunocompromised. Here, a case of complicated strongyloidiasis in a patient with chronic lymphocytic leukemia is reported. Presence of numerous S. stercoralis larvae in feces and sputum confirmed the diagnosis of hyperinfection syndrome in this patient. Following recovery of filariform larvae from agar plate culture of the stool, the isolate was characterized for the ITS1 region of ribosomal DNA gene by nested-PCR and sequencing. Albendazole therapy did not have cure effects; and just at the beginning of taking ivermectin, the patient died. The most important clue to prevent such fatal consequences is early diagnosis and proper treatment.

• Journal of the Korea Institute of Building Construction
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• v.7 no.3
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• pp.115-122
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• 2007

As buildings become higher, larger, and more complex, safety issues for construction workers working at such environments become more important. We analyzed 83 critical accident cases reported to the KOSHA(Korea Occupational Safety & Health Agency) for construction cranes by types of cranes and by patterns of accidents and causes. There are more number of accidents related to mobile cranes than that related to tower cranes, but the numbers of dead were similar in both cases. The most dominant cause of crane accidents was "fall of materials". We also analyzed the cases of crane accidents using the FMEA(Failure Mode and Effect Analysis) in order to set up a priority for safety management and also to prioritize research and development items relating tower cranes. In the process, we tried to eliminate subjective indexes such as an expert group survey and use objective and quantitative indexes. As a result, it was found that critical crane accidents occurs most during the "lifting and translating" activity.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• v.1
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• pp.435-440
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• 2006

The Reduced Vertical Separation Minimum (RVSM), which is the reduced minimum from 2,000 ft to 1,000 ft at flight levels (FL) between 290 and FL410 inclusive, was implemented in 30 September 2005 within the Japanese domestic airspace. Prior to the implementation, safety assessment for the airspace in assumed RVSM environments was carried out. Some model parameter values of collision risk model were estimated using flight plan (progress) data and radar data. An estimate of vertical collision risk including operational risk was calculated using these together with given parameter values. The results obtained from this analysis are as follows. (1) Contribution of the vertical collision risk for the crossing routes is about 9 percents of the total technical risk. (2) The estimate of the collision risk is $4.1{\times}10^{-9}$ [fatal accidents / flight hour] and the value is smaller than a maximum allowable level of collision risk, i.e. $5{\times}10^{-9}$ [fatal accidents / flight hour], called the Target Level of Safety.

• Design & Manufacturing
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• v.11 no.3
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• pp.8-12
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• 2017

In general, metallic bio-materials is more widely used in solid tissue like bone or tooth than flexible tissue such as skin or muscle. Especially, Cobalt Chrome Molybdenum(Co-Cr-Mo), which is used in tooth surgery, has a great corrosion resistance. Because this bio-material is non-toxic in human body, and has a bio-compatibility that the vital reaction is not occurred with tissue in body. However the chemical reaction is occurred by fatal matter that deteriorate the property of material surface in conventional polishing, and it can affect to fatal disease in human body or decrease the material properties such as hardness, yield strength or bio-compatibility. This surface in poor condition can cause development of corrosion or bacteria. In this study, MR fluid polishing is used to minimize the scratch, pit or surface flaws generated in conventional polishing. Surface roughness is measured according to the polishing condition to obtain fine surface condition.

• Journal of the Korea Institute of Building Construction
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• v.14 no.5
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• pp.443-449
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• 2014

Although risk reduction of construction projects have been continued, the risk of fatal accident has been increased. The purpose of this paper is to reduce the cause of the essential risk factors. Questionnaire survey of construction companies in domestic was conducted and the Multiple Regression Analysis of statistics program was used to grasp effective factors among the risk factors of construction companies in domestic. Development of the essential risk factors and its application to projects could lead to improvements such as compression of network, reduction of cost, improvement of quality and reduction of safety accident.

• Journal of Chest Surgery
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• v.49 no.5
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• pp.387-391
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• 2016

The dehiscence of saphenous vein grafts (SVGs) is a rare, often fatal, complication of coronary artery bypass grafting (CABG). We present the case of a 57-year-old man who underwent hemiarch graft interposition and CABG for a Stanford type A aortic dissection. Five months after discharge, the patient developed streptococcal sepsis caused by a hemodialysis catheter. Complete rupture of the proximal anastomoses of the saphenous veins and containment by the obliterated pericardial cavity was observed 25 months after the initial operation. The patient was successfully treated surgically. This report describes a patient who developed potentially fatal dehiscence of SVGs secondary to infection and outlines preventive and management strategies for this complication.

• Journal of Preventive Medicine and Public Health
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• v.22 no.4 s.28
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• pp.454-465
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• 1989

In a small island community with a population of less than 100 residents, nine persons died and five experienced severe illnesses during the period from November 1986 to May 1988. Their initial symptoms were sore throat and fever. Renal failure and hepatitis developed within one week after the onset. Oral mucosal ulcer developed in some cases. After one week, progressive respiratory failure and dyspnea developed evidently and severe respiratory distress and hypoxia preceded those fatal cases. Chest X-ray findings revealed bilateral diffuse multiple cystic lesion with occasional multiple large emphysematous bullae. Based on these features paraquat poisoning was diagnosed and route of poisoning was investigated. In three sources of drinking water, trace amount of paraquat was detected in November 1988, six months after the incidence of recent fatal case. In November 1988, soybean sauces and soybean pastes from 12 households were found contaminated with high concentration of paraquat, the cause could not be identified. The possibility of the contamination of drinking water as the cause of this mass poisoning has been suggested.

• Safety and Health at Work
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• v.12 no.4
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• pp.505-510
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• 2021

Background: Factors related to root causes can cause commonly occurring accidents such as falls, slips, and jammed injuries. An important means of reducing the frequency of occupational accidents in small- to medium-sized enterprises (SMSEs) of South Korea is to perform intensity analysis of the root cause factors for accident prevention in the cause and effect model like decision models, epidemiological models, system models, human factors models, LCU (life change unit) models, and the domino theory. Especially intensity analysis in a robot system and smart technology as Industry 4.0 is very important in order to minimize the occupational accidents and fatal accident because of the complexity of accident factors. Methods: We have developed the modern cause and effect model that includes factors of root cause through statistical testing to minimize commonly occurring accidents and fatal accidents in SMSEs of South Korea and systematically proposed educational policies for accident prevention. Results: As a result, the consciousness factors among factors of root cause such as unconsciousness, disregard, ignorance, recklessness, and misjudgment had strong relationships with occupational accidents in South Korean SMSEs. Conclusion: We conclude that the educational policies necessary for minimizing these consciousness factors include continuous training procedures followed by periodic hands-on experience, along with perceptual and cognitive education related to occupational health and safety.

• Hip & pelvis
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• v.30 no.4
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• pp.197-201
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• 2018

In Western patient populations, the reported incidence of imaging-demonstrated deep vein thrombosis (DVT) after total hip arthroplasty (THA) is as high as 70% without prophylaxis. The reported rates of symptomatic pulmonary embolism (PE) after THA in recent studies range from 0.6% to 1.5%, and the risk of fatal PE ranges from 0.11% to 0.19% in the absence of prophylaxis. Predisposing factors to DVT in western patients include advanced age, previous venous insufficiency, osteoarthritis, obesity, hyperlipidemia, dietary and genetic factors. However, Asian patients who have undergone THA have a strikingly low prevalence of DVT and virtually no postoperative PE. Some authors suggest low clinical prothrombotic risk factors and the absence of some DVT-related genetic factors in Asian patient populations decrease the risk of DVT, PE or both. In Korea, the prevalence of DVT after THA without thromboprophylaxis have ranges from 6.8% to 43.8%, and asymptomatic PE have ranges from 0% to 12.9%; there have been only two reported cases of fatal PE. Deep-wound infections resulting from postoperative hematomas or prolonged wound drainage have been reported with routine thromboprophylaxis. The prevalence of DVT differs varies based on patient ethnicity. Guidelines for the use of thromboprophylaxis were altered and focus on the potential value of outcomes compared with possible complications (e.g., bleeding).