• 제목/요약/키워드: safe performance

검색결과 1,146건 처리시간 0.032초

Unexpected Complications and Safe Management in Laparoscopic Pancreaticoduodenectomy

  • Yuichi Nagakawa;Yatsuka Sahara;Yuichi Hosokawa;Chie Takishita;Tetsushi Nakajima;Yousuke Hijikata;Kazuhiko Kasuya;Kenji Katsumata;Akihiko Tsuchida
    • Journal of Digestive Cancer Research
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    • 제5권1호
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    • pp.23-27
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    • 2017
  • Although laparoscopic pancreaticoduodenectomy (LPD) is considered as minimally invasive surgery, an advanced level of laparoscopic skill is still required. LPD comprises various procedures including reconstruction. Therefore, establishment of a safe approach at each step is needed. Prevention of intraoperative bleeding is the most important factor in safe completion of LPD. The establishment of effective retraction methods is also important at each site to prevent vascular injury. I also recommend the "uncinate process first" approach during initial cases of LPD, in which the branches of the inferior pancreaticoduodenal artery are dissected first, at points where they enter the uncinate process. This approach is performed at the left side of the superior mesenteric artery (SMA) before isolating the pancreatic head from the right aspect of the SMA, which allows safe dissection without bleeding. Safe and reliable reconstruction is also important to prevent postoperative complications. Laparoscopic pancreatojejunostomy requires highly skilled suturing technique. Pancreatojejunostomy through a small abdominal incision, as in hybrid-LPD, facilitates reconstruction. In LPD, the surgical view is limited. Therefore, we must carefully verify the position of the pancreaticobiliary limb. A twisted mesentery may cause severe congestion of the pancreaticobiliary limb following reconstruction, resulting in severe complications. We must secure the appropriate position of the pancreaticobiliary limb before starting reconstruction. We describe the incidence of intraoperative and postoperative complications and appropriate technique for safe performance of LPD.

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선박의 출항통제기준 마련을 위한 내항성능 평가(I) (Evaluation of Seakeeping Performance for Regulation of Vessel Traffic Control(I))

  • 정창현;공길영
    • 한국항해항만학회지
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    • 제32권10호
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    • pp.785-791
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    • 2008
  • 최근 선박을 이용한 화물운송의 증대, 해양관광 및 레저 활동을 위한 연안 여객선의 운항 증가, 그리고 해양생태계 파괴와 사회적 문제로 확산된 서해안 기름유출 사고 등 해양에 대한 관심이 갈수록 고조되고 있는 상황에서 선박의 안전운항은 필수적인 요건이다. 이러한 상황에서 현재 운용되고 있는 선박의 출항통제기준에 대한 보다 정량적이고 객관적인 검토가 시급한 실정이다. 본 논문에서는 선박 운항 시 안전운항과 가장 밀접한 관련을 갖는 파랑을 분석하여, 우리나라 연안항로에 취항하고 있는 대표적인 선형의 여객선들을 대상으로 해상상태 및 선형에 따라 내항성능지표를 이용하여 선박의 항해안전성을 평가하였다. 이러한 결과는 선박출항통제 기준의 개선과 연안 여객선의 안전운항에 큰 도움이 될 것으로 판단된다.

수요응답형교통(DRT)의 활성화를 위한 중요도-실행도 분석 (Importance-Performance Analysis for Improving Demand Response Transport(DRT) System)

  • 장태연;김준성
    • 한국ITS학회 논문지
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    • 제17권3호
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    • pp.46-58
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    • 2018
  • 농어촌지역에서 수요응답형교통(demand response transport, DRT)이 정착하기 위해서는 수요부족의 문제가 있는 농어촌버스보다 긍정적 측면이 많아야 된다. 연구는 기존 농어촌버스와 DRT가 혼용 운행되고 있는 지역에서 DRT의 중요도와 실행도(importance- performance analysis, IPA)를 분석하고, 농어촌버스 만족도와의 관계성 분석하기 위해 IPA의 불일치 이론을 적용한다. IPA 결과로 가장 시급한 개선항목은 DRT 운행범위이며 환승위치, 환승시간, 환승거리, 정시도착, 안전운전, 운행시간, 차량수가 개선항목이다. 불일치이론 결과 농어촌버스와 비교하여 DRT 활성화를 위해서는 실행도보다 중요도가 큰 경우, 환승 편리성, 운행 시간 및 범위, 운행차량에 대해 실행도를 높인다. 실행도보다 중요도가 작은 경우 차량청결도, 안전운전, 운영자 친절, 환승요소, 운행요소, 요금은 지속적인 실행도가 유지되도록 한다.

Proposed Data-Driven Approach for Occupational Risk Management of Aircrew Fatigue

  • Seah, Benjamin Zhi Qiang;Gan, Wee Hoe;Wong, Sheau Hwa;Lim, Mei Ann;Goh, Poh Hui;Singh, Jarnail;Koh, David Soo Quee
    • Safety and Health at Work
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    • 제12권4호
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    • pp.462-470
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    • 2021
  • Background: Fatigue is pervasive, under-reported, and potentially deadly where flight operations are concerned. The aviation industry appears to lack a standardized, practical, and easily replicable protocol for fatigue risk assessment which can be consistently applied across operators. Aim: Our paper sought to present a framework, supported by real-world data with subjective and objective parameters, to monitor aircrew fatigue and performance, and to determine the safe crew configuration for commercial airline operations. Methods: Our protocol identified risk factors for fatigue-induced performance degradation as triggers for fatigue risk and performance assessment. Using both subjective and objective measurements of sleep, fatigue, and performance in the form of instruments such as the Karolinska Sleepiness Scale, Samn-Perelli Crew Status Check, Psychomotor Vigilance Task, sleep logs, and a wearable actigraph for sleep log correlation and sleep duration and quality charting, a workflow flagging fatigue-prone flight operations for risk mitigation was developed and trialed. Results: In an operational study aimed at occupational assessment of fatigue and performance in airline pilots on a three-men crew versus a four-men crew for a long-haul flight, we affirmed the technical feasibility of our proposed framework and approach, the validity of the battery of assessment instruments, and the meaningful interpretation of fatigue and work performance indicators to enable the formulation of safe work recommendations. Conclusion: A standardized occupational assessment protocol like ours is useful to achieve consistency and objectivity in the occupational assessment of fatigue and work performance.

The Effect of Train Motion on Current Collection in High-speed Train

  • Kim, Jung-Soo
    • International Journal of Safety
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    • 제5권1호
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    • pp.1-4
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    • 2006
  • The safety performance of the current collection system is evaluated by conducting a test run in which accelerometer and load cell signals are analyzed. It has been found that the current collection performance is strongly influenced by the train speed, with the major frequency components arising from the train traversing the span spacing and the 8.5 Hz component originating from the panhead resonance. The train acceleration is found to have significant influence on the span passing frequency but negligible effect on the resonant response.

연안 여객선의 내항성능 위험도를 이용한 항해 안전성 평가에 관한 연구 (Distribution Evaluation of the Ship's Navigational Safety Using Dangerousness on the Korean Coast)

  • 김철승;정창현;김순갑;공길영;설동일;이윤석
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2003년도 춘계학술발표회
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    • pp.31-40
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    • 2003
  • There are winds and waves in the sea, and they are changed frequently in accordance with the weather. By analyzing them which have the closest relation to the ship's safe voyage. evaluating the seakeeping performance and then taking a proper action, navigators should carry out safe navigation on the sea. A ship in seaways suffers continuous disturbances by irregular waves, and ship motions with irregular waves cannot be easily described as a system model which is adequate to a control system. But, in general, for seakeeping analysis, ship motions in irregular seas can be estimated by the superposition of the motion responses in regular wave components of the sea spectrum. After comparing and analyzing the winds and waves in major sea areas, this paper evaluates the navigational safety of ships on the Korean coast with potential dangerous seakeeping performance using the weather information provided by land. The conclusion is as follows : (1) It is possible that the safety of ships could be secured more accurately by evaluating the seakeeping performance of ships. (2) When the weather is bad, the departure of ships could be controlled by evaluating the navigational safety of ships. (3) When a ship is placed in commission in any area, this evaluation could be used to decide the type and size of ship in use.

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154kV 지중 케이블 보호장치의 성능평가 (Performance Estimation of Protector for 154 kV Underground Cable)

  • 조한구;이종혁;한세원;김석수
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2002년도 춘계학술대회 논문집 유기절연재료 전자세라믹 방전플라즈마 일렉트렛트 및 응용기술
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    • pp.127-131
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    • 2002
  • The surge protector is crucial power apparatus to guarantee the safe operation of power transmission of underground cable which can effectively restrain the overvoltage and inductive lightning stroke in power system. The surge protector is crucial power apparatus to guarantee the safe operation of power transmission of underground cable which can effectively restrain the overvoltage and inductive lightning stroke in power system. This paper described the results of a study on the performance for surge protector for underground cable. And, the performance of surge protector was evaluated through such as measurement of the reference voltage, residual voltage and impulse current etc. In results of surge protector, reference and residual voltage of ZnO element is 4.75 kV, 9.86 kV respectively. Also, In the impulse current test, thermal properties are good, despite of that polymeric housing of surge protector has thick structure. Therefore the developed surge protector is thought to apply for underground cable.

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확장된 Timed Petri Net을 이용한 통신 프로토콜의 성능분석 알고리즘 (An Improved Algorithm for Performance Evaluation of Communication Protocol Using Extended Timed Petri Nets)

  • 이철희;이상호;김홍식
    • 한국통신학회논문지
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    • 제14권3호
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    • pp.197-206
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    • 1989
  • 본 논문에서는 통신 프로토콜의 성능 분석을 위한 개선된 알고리즘을 제안한다. 이는 분산 시스템의 성능을 모델링하고 평가하는데 성공적으로 사용되어져 온 시간을 포함하는 확장된 Timed Petri Net 모델을 분석하는 알고리즘이다. 제안된 알고리즘은 일반적인 Timed Petir Net가 free-chioce 그리고 safe net 이라는 모델링의 제약을 완화하여, 제한적인 병행처리의 모델링을 허용한다. 그리고 Timed Reachability 그래프의 상태공간을 감소시키기 위해, 최다 수행규칙고 동시점화 트랜지션 집합을 이용한다. 알고리즘의 유용성 및 효율성을 보이기 위하여 Timed Reachability 그래프의 구성과 분석과정을 제시하고, 통신 프로토콜에 적용시켰다.

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환자의 유형을 고려한 종합 병원의 피난 절차 분석 모델에 관한 연구 (A Study on the Evacuation Procedure Analysis Model of General Hospital Considering Patients Types)

  • 이선영;권지훈
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제28권2호
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    • pp.7-16
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    • 2022
  • Purpose: This study aimed to present an analysis model evaluating evacuation performance considering patient types and procedural evacuation in the medical facility. The user group of the medical facility, including users challenged in evacuation behavior, entails the risk of many casualties. Therefore, it is necessary to plan an evacuation procedure that considers the evacuation characteristics of users. Methods: Through the review of precedent studies, the evacuation procedure of the medical facility, the classification of patient types, and the evacuation procedure was set as conditions and variables for the analysis. The result caused by a variety of conditions and variables were explored. Results: 1) The total evacuation completion time and congestion time were shortened at the procedural evacuation. Moreover, it derived many users from evacuating at the initial phase. 2) The proposed model can provide a basis for proposing a space planning direction that considers the possibility of not carrying out the evacuation plan. 3) It supports safe evacuation by identifying variables that reduce overcrowding by comparing the congestion time of overcrowded spaces. 4) The analysis model can identify the overcrowded space through the evacuation route and suggest the basis for architectural improvements that reduce overcrowding. Implications: The study results can be used to analyze the performance of evacuation procedures and support the establishment of evacuation procedures and building plans for safe evacuation for medical facilities.

Effect of different levels of protein concentrates supplementation on the growth performance, plasma amino acids profile and mTOR cascade genes expression in early-weaned yak calves

  • Peng, Q.H.;Khan, N.A.;Xue, B.;Yan, T.H.;Wang, Z.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제31권2호
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    • pp.218-224
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    • 2018
  • Objective: This study evaluated the effects of different levels of protein concentrate supplementation on the growth performance of yak calves, and correlated the growth rate to changes occurring in the plasma- amino acids, -insulin profile, and signaling activity of mammalian target of rapamycin (mTOR) cascade to characterize the mechanism through which the protein synthesis can be improved in early weaned yaks. Methods: For this study, 48 early (3 months old) weaned yak calves were selected, and assigned into four dietary treatments according to randomized complete block design. The four blocks were balanced for body weight and sex. The yaks were either grazed on natural pasture (control diet) in a single herd or the grazing yaks was supplemented with one of the three protein rich supplements containing low (17%; LP), medium (19%; MP), or high (21%; HP) levels of crude proteins for a period of 30 days. Results: Results showed that the average daily gain of calves increased (0.14 vs 0.23-0.26 kg; p<0.05) with protein concentrates supplementation. The concentration of plasma methionine increased (p<0.05; 8.6 vs $10.1-12.4{\mu}mol/L$), while those of serine and tyrosine did not change (p>0.05) when the grazing calves were supplemented with protein concentrates. Compared to control diet, the insulin level of calves increased (p<0.05; 1.86 vs $2.16-2.54{\mu}IU/mL$) with supplementation of protein concentrates. Addition of protein concentrates up-regulated (p<0.05) expression of mTOR-raptor, mammalian vacuolar protein sorting 34 homolog, the translational regulators eukaryotic translation initiation factor 4E binding protein 1, and S6 kinase 1 genes in both Longissimus dorsi and semitendinosus. In contrast, the expression of sequestosome 1 was down-regulated in the concentrate supplemented calves. Conclusion: Our results show that protein supplementation improves the growth performance of early weaned yak calves, and that plasma methionine and insulin concentrations were the key mediator for gene expression and protein deposition in the muscles.