• 제목/요약/키워드: risk process

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Capsular Contracture after Breast Augmentation: An Update for Clinical Practice

  • Headon, Hannah;Kasem, Adbul;Mokbel, Kefah
    • Archives of Plastic Surgery
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    • 제42권5호
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    • pp.532-543
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    • 2015
  • Capsular contracture is the most common complication following implant based breast surgery and is one of the most common reasons for reoperation. Therefore, it is important to try and understand why this happens, and what can be done to reduce its incidence. A literature search using the MEDLINE database was conducted including search terms 'capsular contracture breast augmentation', 'capsular contracture pathogenesis', 'capsular contracture incidence', and 'capsular contracture management', which yielded 82 results which met inclusion criteria. Capsular contracture is caused by an excessive fibrotic reaction to a foreign body (the implant) and has an overall incidence of 10.6%. Risk factors that were identified included the use of smooth (vs. textured) implants, a subglandular (vs. submuscular) placement, use of a silicone (vs. saline) filled implant and previous radiotherapy to the breast. The standard management of capsular contracture is surgical via a capsulectomy or capsulotomy. Medical treatment using the off-label leukotriene receptor antagonist Zafirlukast has been reported to reduce severity and help prevent capsular contracture from forming, as has the use of acellular dermal matrices, botox and neopocket formation. However, nearly all therapeutic approaches are associated with a significant rate of recurrence. Capsular contracture is a multifactorial fibrotic process the precise cause of which is still unknown. The incidence of contracture developing is lower with the use of textured implants, submuscular placement and the use of polyurethane coated implants. Symptomatic capsular contracture is usually managed surgically, however recent research has focussed on preventing capsular contracture from occurring, or treating it with autologous fat transfer.

유럽연합, 미국, 한국 및 일본의 합성수지 용기.포장재에 대한 현행 이행실험 규정 비교 (Comparison of the Current Migration Testing Regulations for Plastic Containers and Packaging Materials in EU, USA and Korea or Japan)

  • 이근택;이창성
    • 한국포장학회지
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    • 제5권2호
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    • pp.42-58
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    • 1999
  • Packaging materials and articles that are used in food contact applications can transfer constituents in the foodstuffs. This kind of risk of possible health hazards to consumers has been generally recognized for a long time with the consequence of establishing corresponding food regulations in most developed countries. However, the language of these laws, their interpretation, and their level of enforcement vary from country to country. Accordingly, the actual migrating levels from packaging materials can be varied depending on the migration testing methods as prescribed in the national legislation in each countries. Therefore, there are needs of elimination of non-tariff trade barriers raised by sanitary and phytosanitary or technical measures under the Final Act of the UR Agreement. In this connection, the EU and USA are currently in an ongoing process of legislation harmonization to overcome potential barriers to free trade. In general, regulations governing component transfer in the USA are more complicated and comprehensive than similar regulations in Europe. In future, standard migration testing procedures for microwave heat susceptor materials and for the use of fatty food simulant should be established and also harmonized among countries. The objective of this investigation is to compare the current regulations for migration testing for plastic containers and packaging materials in USA, EU and Korea or Japan. For those regulations, Korean standards are required to be kept up with the international standards. By doing this, the related Korean regulation could be amended along with the worldwide progress for harmonization.

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Emerging Digital Technology as a Window of Opportunity and Technological Leapfrogging: Catch-up in Digital TV by the Korean Firms

  • Lee, Geun;Lim, Chai-Sung;Song, Wi-Chin
    • 기술경영경제학회:학술대회논문집
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    • 기술경영경제학회 2004년도 제24회 동계학술대회 논문집
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    • pp.288-315
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    • 2004
  • This paper has examined the leapfrogging thesis with the case of catch-up in digital TV by the Korean firms. Despite the disadvantages implied by the technological regime of digital TV and the risks facing early entrants in trajectory choice and initial market formation, the Korean firms had achieved a 'path-creating catch-up' in the sense they chose a different path from the Japanese forerunning firms. As they have been closely watching the technological trends and the standard setting process, there was less risk of choosing the right or wrong technological trajectory. Also, despite the lack of sufficient capability and core knowledge base, the Korean firms had some complementary asset, such as the experience of producing analogue TV, and were able to develop the prototype digital TV and the ASIC chips, given the accesses to the foreign knowledge via overseas R&D posts and acquisition of a foreign company. To secure the initial market size, the Korean targeted the US market from the beginning, and their sources for competitive advantages were the speedy setting up the production system for mass production of products at the initial stage. The initial failure of the Japanese firms and the success of the Korean firms do suggest that the period of paradigm shift, like this toward digital technology, can serve as a window of opportunity for late-comers while penalizing the forerunner.

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SWAT-CUP을 이용한 유출 및 유사모의 불확실성 분석 (Uncertainty Analysis on the Simulations of Runoff and Sediment Using SWAT-CUP)

  • 김민호;허태영;정세웅
    • 한국물환경학회지
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    • 제29권5호
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    • pp.681-690
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    • 2013
  • Watershed models have been increasingly used to support an integrated management of land and water, non-point source pollutants, and implement total daily maximum load policy. However, these models demand a great amount of input data, process parameters, a proper calibration, and sometimes result in significant uncertainty in the simulation results. For this reason, uncertainty analysis is necessary to minimize the risk in the use of the models for an important decision making. The objectives of this study were to evaluate three different uncertainty analysis algorithms (SUFI-2: Sequential Uncertainty Fitting-Ver.2, GLUE: Generalized Likelihood Uncertainty Estimation, ParaSol: Parameter Solution) that used to analyze the sensitivity of the SWAT(Soil and Water Assessment Tool) parameters and auto-calibration in a watershed, evaluate the uncertainties on the simulations of runoff and sediment load, and suggest alternatives to reduce the uncertainty. The results confirmed that the parameters which are most sensitive to runoff and sediment simulations were consistent in three algorithms although the order of importance is slightly different. In addition, there was no significant difference in the performance of auto-calibration results for runoff simulations. On the other hand, sediment calibration results showed less modeling efficiency compared to runoff simulations, which is probably due to the lack of measurement data. It is obvious that the parameter uncertainty in the sediment simulation is much grater than that in the runoff simulation. To decrease the uncertainty of SWAT simulations, it is recommended to estimate feasible ranges of model parameters, and obtain sufficient and reliable measurement data for the study site.

인적오류가 관여된 철도 사고의 체계적 분석을 위한 FRAM의 활용 (A FRAM-based Systemic Investigation of a Rail Accident Involving Human Errors)

  • 최은비;함동한
    • 대한안전경영과학회지
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    • 제22권1호
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    • pp.23-32
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    • 2020
  • There has been a significant decline in the number of rail accidents in Korea since system safety management activities were introduced. Nonetheless, analyzing and preventing human error-related accidents is still an important issue in railway industry. As a railway system is increasingly automated and intelligent, the mechanism and process of an accident occurrence are more and more complicated. It is now essential to consider a variety of factors and their intricate interactions in the analysis of rail accidents. However, it has proved that traditional accident models and methods based on a linear cause-effect relationship are inadequate to analyze and to assess accidents in complex systems such as railway systems. In order to supplement the limitations of traditional safety methods, recently some systemic safety models and methods have been developed. Of those, FRAM(Functional Resonance Analysis Method) has been recognized as one of the most useful methods for analyzing accidents in complex systems. It reflects the concepts of performance adjustment and performance variability in a system, which are fundamental to understanding the processes of an accident in complex systems. This study aims to apply FRAM to the analysis of a rail accident involving human errors, which occurred recently in South Korea. Through the application of FRAM, we found that it can be a useful alternative to traditional methods in the analysis and assessment of accidents in complex systems. In addition, it was also found that FRAM can help analysts understand the interactions between functional elements of a system in a systematic manner.

초음파 프로브에서 소자결함이 컬러 및 파워 도플러 영상에 미치는 영향 (The Impacts of Piezoelectric Elements' Defects On Color & Power Doppler Images)

  • 이경성
    • 대한방사선기술학회지:방사선기술과학
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    • 제38권4호
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    • pp.443-449
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    • 2015
  • 초음파 프로브는 초음파 진단기에서 성능 결함이 발생할 빈도가 매우 높으면서 도플러 영상에 미치는 영향이 크다. 본 연구는 초음파 프로브의 소자 결함이 파워 및 칼러 도플러 영상에 미치는 영향을 실험적으로 살펴 본 것이다. 실험 결과 초음파 프로브 소자 결함은 그 크기가 클수록 도플러 활동 소자군 중심부에 위치할수록 도플러 영상의 밝기 및 도플러 속도를 크게 감소시키는 것으로 나타났다. 컬러 및 파워 도플러 영상에서 소자 결함이 증가할수록 혈관의 주변 부위에서부터 혈관 플라그로 오인할 수 있는 허상이 생기고 있음을 보여 주었다. 따라서 소자결함이 의심될 때는 B-모드에서 확인과정이 필요하다. 이를 볼 때 초음파 검사에 있어서는 우선적으로 프로브에 관심을 가지고 지속적인 초음파프로브 QA가 중요하다.

Effectiveness of the Verif $EYE^{TM}$ machine -vision technology for complying with reducing microbial indicator counts on beef carcasses

  • Lee, Jeong-Ah;Kim, Sa-Hyun;Lee, Sang-Koan;Kim, Gi-Cheol;Oh, Hye-Won;Jung, Tae-Nam;Lee, Yang-Soo;Jung, Chang-Jin;Jang, Won-Hyuck
    • 한국동물위생학회지
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    • 제30권2호
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    • pp.191-196
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    • 2007
  • The slaughter process for cattle will inevitably transfer some bacteria onto the carcasses. The goal of food safety programs is to minimize and effectively remove this contamination. This study was attempted by the Verif $EYE^{TM}$ machine-vision technology that might be useful for reducing microbial indicator counts and could reduce the contamination chance of E coli O157:H7 and Salmonella spp on beef carcasses. For the evaluation of the effectiveness of the Verif $EYE^{TM}$ technology, 80 samples were examined by the inspection device over 15 days. On an examination of FDS-positive samples compared to negative controls from the same carcasses, aerobic plate counts were bigger than the negative control samples (5.26 vs 4.60 log). Enterobacteriaceae counts were greater on the positive samples than the corresponding negative control samples (2.07 vs 1.17log). There was a consistent correlation between samples detected by the Verif $EYE^{TM}$ system with detectable counts. For example, 100% of positive samples had detectable APC and 91.2% of positive samples had detectable TCC. Therefore, if areas detected as positive for contamination by the Verif $EYE^{TM}$ system were removed from the carcasses, significant sources of microbial contamination will be reduced for objective compliance with HACCP. This results suggest that the use of Verif $EYE^{TM}$ machine-vision technology might be useful for reducing microbial indicator counts (APC, TCC) and could help reduce the risk of presence of E coJi O157:H7 and Salmonella spp on Beef carcasses.

다기준 의사결정기법의 불확실성 분석기법을 이용한 기후변화 취약성에 대한 지역별 우선순위 결정 (Spatial prioritization of climate change vulnerability using uncertainty analysis of multi-criteria decision making method)

  • 송재열;정은성
    • 한국수자원학회논문집
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    • 제50권2호
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    • pp.121-128
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    • 2017
  • 본 연구는 강건성 지수와 불확실성 분석기법을 활용하여 기후변화 취약성 평가과정에서 발생하는 불확실성을 정량화하였다. 본 연구는 우리나라의 6개 광역시(부산, 대구, 인천, 광주, 대전, 울산)를 대상으로 다기준 의사결정기법 중 하나인 TOPSIS 기법을 이용하여 용수공급 취약성 순위를 산정하였다. 강건성 지수는 두 대상 도시의 순위가 가중치의 변화로 인해 순위역전현상이 발생할 수 있는 가능성을 정량화하고 불확실성 분석 기법은 두 도시 사이에 순위역전이 발생할 수 있는 가중치의 최소 변화량을 산정한다. 그 결과 인천과 대구는 용수공급 측면에서 취약한 것으로 나타났으며, 대구와 부산은 용수공급 취약성에 민감한 것으로 나타났다. 따라서 대구는 다른 대안에 비해 상대적으로 용수공급이 취약한 지역으로 나타났으나, 취약성에 민감하기 때문에 기후변화 적응대책 수립 및 시행을 통해 취약성이 크게 향상될 수 있을 것으로 판단된다. 본 연구는 기후변화와 용수공급 측면에서의 적응전략을 계획하고 수립하는데 있어서 우선적으로 고려해야하는 방향을 제안하는 데 사용될 수 있다.

시공간 복합 이벤트 처리의 확장을 통한 계층적 이벤트 설계 및 구현 (Design and Implementation of Event Hierarchy through Extended Spatio-Temporal Complex Event Processing)

  • 박예진;염재홍
    • 한국측량학회지
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    • 제30권6_1호
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    • pp.549-557
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    • 2012
  • 환경 오염, 질병과 같은 확산의 위험 정보가 높은 공간 현상들은 신속한 초기 대응이 필요하며 특히 확산의 주체가 되는 이동체 데이터에 대한 실시간 처리와 분석을 통해 확산 요인 이벤트를 감지해야 한다. 이러한 이벤트를 처리하고 분석하기 위해 시공간 복합 이벤트 처리(Spatial-Temporal Complex Event Processing)가 활용된다. 기존의 시공간 복합 이벤트 처리는 기본적인 공간 연산이 가능하나 복잡도가 높은 공간 상황을 감지하는 시공간 복합 이벤트 설계에 적용이 미흡하였다. 본 연구에서는 시공간 복합 이벤트 처리의 공간 연산의 확장을 가능케 하고 복합적인 이벤트 설계 과정에서 효율적으로 이벤트를 관리 하기 위해 계층적 시공간 복합 이벤트 설계를 제안하였다. 제안된 방법으로 축산 관련 차량들 중 구제역 확산과 관련된 차량을 감지하는 새로운 이벤트를 생성하는 실험을 진행하여 제안된 시공간 복합 이벤트 처리의 효용성을 입증하였다.

기후변화와 농업생산의 전망과 대책 (Climate Change and Coping with Vulnerability of Agricultural Productivity)

  • 윤성호;임정남;이정택;심교문;황규홍
    • 한국농림기상학회지
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    • 제3권4호
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    • pp.220-237
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    • 2001
  • Over the 20th century global temperature increase has been 0.6$^{\circ}C$. The globally averaged surface temperature is projected to increase by 1.4 to 5.8$^{\circ}C$ over the period 1990 to 2100. Nearly all land areas will have higher maximum temperature and minimum temperature, and fewer cold days and frost days. More intense precipitation events will take plate over many areas. Over most mid-latitude continental interiors will have increased summer continental drying and associated risk of drought. By 2100, if the annual surface temperature increase is 3.5$^{\circ}C$, we will have 15.9$^{\circ}C$ from 12.4$^{\circ}C$ at present. Also the annual precipitation will range 1,118-2,447 mm from 972-1,841 mm at present in Korea. Consequently the average crop periods for summer crops will be 250 days that prolonged 32 days than at present. In the case of gradual increase of global warming, an annual crop can be adapted to the changing climate through the selection of filial generations in breeding process. The perennial crops such as an apple should be shifted the chief producing place to northern or high latitude areas where below 13.5$^{\circ}C$ of the annual surface temperature. If global warming happens suddenly over the threshold atmospheric greenhouse gases, then all ecosystems will have tremendous disturbance. Agricultural land-use plan, which state that farmers decide what to plant, based on their climate-based advantages. Therefore, farmers will mitigate possible negative imparts associated with the climate change. The farmers will have application to use agricultural meteorological information system, and agricultural long-range weather forecast system for their agroecosystems management. The ideal types of crops under $CO_2$ increase and climate change conditions are considered that ecological characteristics need indispensable to accomplish the sustainable agriculture as the diversification of genetic resources from yield-oriented to biomass-oriented characteristics with higher potential of $CO_2$ absorption and primary production. In addition, a heat-and-cold tolerance, a pest resistance, an environmental adaptability, and production stability should be also incorporated collectively into integrated agroecosystem.

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