• The Korean Journal of Emergency Medical Services
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• v.1 no.1
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• pp.100-111
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• 1997

This is the first Korea study to evaluate the effects od the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic informaion for the description of various factors to reduce the ambulance traffic accidents. The major insturment of this study were Krean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudes : driving courtesy, emotion, traffic law, speed, vehicle conditions, the use of drugs, high-risk behaviors, and human factors. To take the analysis of data, the total of 350 divers were investigated ambulance divers and others in Taejon City and others (6 City) from 1996. 1. July to 1996. 31. July. The data were analyzed by the descriptive statistics and the logistic regression - path analysis - with SPSS and SAS package program. The result are as follows : 1. There was desirable attitude group(16.2%) and undesirable attitude group(17.6%) on safety ambulance driving. 2. It have suggested that risk factors of ambulance traffic accidents much affected with emotion and speed control on safety ambulance driving < Y(Accdient) = -2.64 + 0.57 $X_1$ (Emotion Control) + 0.30 $X_2$(Seed control) + E > and motor traffic acident much affected with emotion control and high-risk behavior on safety driving < Y(Accident) = -1.11 + 0.33 $X_1$(Emotion Control) + 0.29 $X_2$(High-risk Behvior) + E > 4. The primary emphassis of ambulance drivers was make us realized that improthatnt factors on safety ambulance driving were 1)making way for emergent ambulance, 2)driver's career, 3)The ability of emergency medical technics, and the knowledge or under standing of ambulance way difficut(or easy) of accdess. 5. Almost 96.6% of respondents have agreed to necessity of emergency medical technics for ambulance drivers. 6. Almost 94.6% of respondents have consented to necessity of emergtency medical technicians for ambulance driving. 7. It have suggested that the proportion of traffic accident proportion by desitable attitude group(16.7%) was much less than that of undesirable attitude group(30.8%) on safety ambulance driving(P < 0.05)/Ps) Accidents are unplanned, unforesen incidents which can lead to harmful or unfortunate outcomes, Collisons are not accidents, since the basic cause of the majority of collisons invovles high-risk human behavior. Although there are many factors which contribute to accident causation, four basic factors seem to predominate in most traffic related situations. These four factors include: the human factor, the vehicle factor, the environmental factors and destination factor(Peto G. et al. 1995).

• Journal of Korea Water Resources Association
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• v.51 no.spc
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• pp.1127-1134
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• 2018

According to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC), climate change increases the frequency of abnormal weather phenomenon. As the frequency of abnormal weather phenomenon increases, frequency of disasters related to water resources such as floods and droughts also increases. Drought is the main factor that directly affects water supply. Recently, the intensity of drought and the frequency of drought occurrence have increased in Korea. So, there is a need for water resource securing technology for stable water supply. Korean Water Plan mentioned that water reserves concept is necessary for stable water supply. Most multi-purpose reservoirs in Korea have emergency storage in addition to conservation storage used for water supply. However, there is no clear use standard for emergency storage. This study investigated the use of reservoir reserves for stable water supply. In order to consider the climate change impact, the AR5-based hydrological scenario was used as inflow data for the reservoir simulation model. Reservoir simulations were carried out in accordance with the utilization conditions of emergency storage and water supply adjustment standard. The optimal reserves for each multi-purpose reservoirs was estimated using simulation results.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.10
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• pp.733-738
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• 2017

In this study, we selected chlorine, a typical toxic material used in many workplaces, as the leakage material, and through the analysis of alternative scenarios based on the meteorological conditions in the summer frequently encountered in accidents, we suggest ways to improve the (method of analysis/accident scenario modeling). The analysis of 296 chemical accidents from January 2014 to December 2016 found that the highest rate of occurrence was in summer, accounting for 35.81% of the total. According to the risk assessment, the influence range and number of inhabitants in the influence area were 712.4 m and 20,090 under the annual mean weather conditions and 796.2 m and 27,143 people under the summer mean weather conditions, respectively. This result implies that, under certain conditions, the range of impacts in the current alternative scenario is incomplete. Therefore, risk assessment systems need to be improved in order to take into consideration the characteristics of each chemical substance.

• Journal of Navigation and Port Research
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• v.39 no.3
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• pp.193-198
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• 2015

This research was conducted to provide an improvement plan concerning medical treatment on board and medical health care conditions for seafarers. 139 persons from government agencies and seafarer related organizations, who could influence the government's seafarers healthcare policy-making, were asked to fill in the questionnaire prepared for this research about their perceptive views on actual condition of health and disease management for seafarers. The results of the survey on seafarer's health care management conditions(p<0.01), health care manage ability(p<0.01), current radio emergency medical service policy(p<0.01), usefulness of on board medicine chest and medical equipment(p<0.05), and the system of the onboard medical care persons show the difference of perception level among the seafarer related organizations. But generally, the rate of negative responses was high. And this research suggests that there is an urgent need to provide portable health measurement equipment on board, reenforce regular medical examination and establish the seafarer's health promotion center for telemedicine and healthcare management(p<0.01) in order to improve the onboard medical treatment support system for healthcare of seafarers.

• Journal of the Korean Institute of Gas
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• v.22 no.2
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• pp.90-96
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• 2018

Design techniques for minimizing the damage caused by leakage of $H_2S$ gas, contained in natural gas and petroleum, have been widely studied abroad in chemical plants that purify and process natural gas and petroleum. However, there is no domestic engineering practice and regulation of $H_2S$. In accordance with the circumstances, this study proposes the quantitative criteria of process equipment to install $H_2S$ toxic gas detector as 500 ppm and explains the valid basis. The $H_2S$ gas dispersion radius up to IDLH 100 ppm is calculated by ALOHA under previous $H_2S$ gas leak accident scenario. The weather conditions of modeling include the conditions of Ulsan, Yeosu and Daesan, the three major petrochemical complexes in Korea. The long radius up to 100 ppm was derived in order of Ulsan, Daesan, Yeosu. For emergency safety the dispersion radius up to 100 ppm of the $H_2S$ gas obtained in this study should be extended to apply the additional $H_2S$ toxic gas detector, and local climate conditions should be considered.

• The Journal of the Korea Contents Association
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• v.19 no.11
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• pp.111-121
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• 2019

Recently, through the services that use drones at fire sites to deliver on-site and road conditions into the situation room and life-saving activities or the deliveries of first aid outfits at the accident scenes that are inaccessible to humans, there are more and more cases of dealing with emergency situations. Therefore, by studying the service design using drones in the initial stage of response to fires in dense residential areas, this study was intended to reify the service design area of the response stage, including the dispatch of fire sites and the fire suppression. To do this, through literature researches, research directions were explored by examining the concept and process review of service design, and by analyzing the application cases using service design. In order examine the validity of this study, a one-on-one interview was conducted to identify the use and problems of drones among incumbent firefighters, and identified the applicability of drones to fire sites by targeting drone experts. Field research was conducted to identify the location and distance of road conditions, site conditions, and 119 safety centers, by making Yongsan-gu, the most vulnerable area to fire in Seoul, as a research sample. And, among the methodologies of service design, Persona and Customer Journey Map were prepared and Insight was derived, by using virtual scenarios for the experience values and behavior analyses of the interested parties. Through these processes, this researcher intended to present the fire-response service design and help establish the direction of service design in the initial stages of fire in Korea.

• Journal of Korea Water Resources Association
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• v.39 no.5 s.166
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• pp.383-394
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• 2006

This study is for the inundation damage analysis caused by levee break, and for the applicability of GIS tool to make inundation map in the Jungrang stream basin which is one of the representative urbanized area in Korea. The FLDWAV was applied to the actual flood in 1998 to calibrate the parameters, and was used under the flood conditions of 100, 200 years and PMF for the analysis of inundation caused by the levee breach. As the conditions of the levee break, the duration of break(10, 30, 60 min), the width of break(10, 20, 30m) and the location of the break are considered. We found out that the range and the volume of the inundation are strongly influenced by the location of the levee break, the break width in order. And, we compared the two processes of making the inundation map using WMS and ArcView model. The Process 1 which use only WMS has the benefit by its simplicity but there could be considerable errors in making the inundation map, while Process 2 where the ArcView model is introduced to WMS has the capability of making detailed topography map but needs more process time. This study could contribute to levee breach flood analysis and making flood map to establish the EAP(Emergency Action Plan) in the urban basin.

• Korean Journal of Clinical Laboratory Science
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• v.37 no.2
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• pp.96-101
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• 2005

Status epilepticus is a medical emergency, so that rapid and vigorous treatment is required to prevent neuronal damage and systemic complication. Status epilepticus is generally defined as a continuous or intermittent seizure or an unconscious condition after the onset of seizure, lasting for 30 minutes or more. We report here the outcome of status epilepticus. We retrospectively reviewed medical record of 15 patients who were diagnosed with status epilepticus at the Asan Medical Center from January 2003 to February 2004. This outcome was evaluated considering various factors such as age of patients, history of seizures, neurologic impairment, etiology, mortality, return to baseline and initial electroencephalogram (EEG) findings. The range of age was between 1 to 79 years old and the longest duration of treatment was 118 days. Most patients were treated by using pentobarbital, midazolam, phenobarbital and other antiepileptic drugs. The overall mortality was 5 (33%) out of 15 patients. The mortality was related to etiology, underlying other medical conditions and initial EEG findings. 5 (55%) out of the 9 patients with acute etiology, 5 (71%) out of the 7 patients with a multifocal or burst-suppression EEG activity, and 3 (60%) out of the 5 patients with other medical disease were related to mortality. This data demonstrate high mortality due to status epilepticus. Mortality is related to etiology, other medical conditions and abnormalities on the initial EEG.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.28 no.5
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• pp.178-185
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• 2016

This study describes the analysis of a 20 MW chilled water plant used for the IT cooling of a recently constructed data center in Korea. The CFD model was developed with the aim of evaluating the impact of problems such as chiller failure on the water and air temperatures in the cooling system. The numerical model includes the chilled water hydraulic network and individual water-to-air CRAC units. The coupling between the IT server room air temperature levels and the cooling plant has enabled a full assessment of the cooling system design in response to system fault conditions to be performed. The paper examines an emergency situation involving the failure of the cooling plant, and shows how the inherent thermal inertia of the system along with additional inertia achieved through buffer systems allowed a suitable design to be achieved.

• Clinical and Experimental Pediatrics
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• v.54 no.5
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• pp.183-191
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• 2011

Although antenatal diagnostic technique has considerably improved, precise detection and proper management of the neonate with congenital heart disease (CHD) is always a great concern to pediatricians. Congenital cardiac malformations vary from benign to serious conditions such as complete transposition of the great arteries (TGA), critical pulmonary and aortic valvular stenosis/atresia, hypoplastic left heart syndrome (HLHS), obstructed total anomalous pulmonary venous return (TAPVR), which the baby needs immediate diagnosis and management for survival. Unfortunately, these life threatening heart diseases may not have obvious evidence early after birth, most of the clinical and physical findings are nonspecific and vague, which makes the diagnosis difficult. High index of suspicion and astute acumen are essential to decision making. When patent ductus arteriosus (PDA) is opened Widely, many serious malformations may not be noticed easily in the early life, but would progress as severe acidosis/shock/cyanosis or even death as PDA constricts after few hours to days. Ductus dependent congenital cardiac lesions can be divided into the ductus dependent systemic or pulmonary disease, but physiologically quite different from each other and treatment strategy has to be tailored to the clinical status and cardiac malformations. Inevitably early presentation is often regarded as a medical emergency. Differential diagnosis with inborn error metabolic disorders, neonatal sepsis, persistent pulmonary hypertension of the newborn (PPHN) and other pulmonary conditions are necessary. Urgent identification of the newborn at such high risk requires timely referral to a pediatric cardiologist, and timely intervention is the key in reducing mortality and morbidity. This following review deals with the clinical presentations, investigative modalities and approach to management of congenital cardiac malformations presenting in the early life.