• Journal of Radiation Protection and Research
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• 제41권3호
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• pp.301-309
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• 2016

Background: A contamination screening process for the local population in radiation emergencies is discussed. Materials and Methods: We present an overview of the relevant Korean governmental regulations that underpin the development of an effective response system. Moreover, case studies of foreign countries responding to mass casualties are presented, and indicate that responses should be able to handle a large demand for contamination screening of the local public as well as screening of the immediate victims of the incident. Results and Discussion: We propose operating procedures for an off-site contamination screening post operated by the local government for members of the public who have not been directly harmed in the accident. In order to devise screening categories, sorting strategies assessing contamination and exposure are discussed, as well as a psychological response system. Conclusion: This study will lead to the effective operation of contamination screening clinics if an accident occurs. Furthermore, the role of contamination screening clinics in the overall context of the radiation emergency treatment system should be clearly established.

• Journal of Chest Surgery
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• 제22권5호
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• pp.766-774
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• 1989

Four neonates with critical pulmonary outflow obstruction underwent emergency palliative operation between February 1988 and May 1989 at the department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital. There were three boys and one girl, the mean age was 12.25 days [ranging from 3 days to 26 days], and the mean body weight was 3,625 gm [ranging from 3,450 gm to 4,200 gm]. Two patients had severe pulmonic valvular stenosis with intact ventricular septum, a third had pulmonary atresia with intact ventricular septum, and another had pulmonary atresia with ventricular septal defect. All were cyanotic, showed arterial desaturation with metabolic acidosis, and had congestive heart failure. To relieve the pulmonary outflow tract obstruction, we performed transventricular pulmonary valvulotomy [Brock operation] with a mosquito clamp in all cases without extracorporeal circulation. Three patients survived the operation and showed satisfactory postoperative results. The patient who had pulmonary atresia with ventricular septal defect expired 5 days after surgery. We consider transventricular pulmonary valvulotomy [Brock operation] with a mosquito clamp as one of the preferable procedures for critical pulmonary outflow obstruction in the neonatal period.

• 한국방재안전학회논문집
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• 제5권1호
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• pp.7-12
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• 2012

본 연구에서는 홍수발생시 재해응급복구에 관한 장비조합의 적정성을 판단하고, 장비운용의 전문성을 가지고 있는 건설실무 인력자원을 활용하여 경제적이고 신속한 재해응급복구가 이루어질 수 있는 방안을 제시하였다. 홍수피해복구 과정에 대한 절차와 방법을 조사하여, 현행 대처과정에 대한 이해를 정리하였고 이에 대한 법적근거를 조사 분석하였다. 지금까지는 장비자원과 전문건설실무자원에 대한 효과적인 응급복구장비 투입과정에 대한 연구가 부족하여 응급복구시 비용의 과다지출 및 응급복구 지체상황이 발생하였다. 이에 따라 장비자원과 기술자원을 효과적으로 응급복구과정에 투입하여 개선된 경험적 사례를 정리하고 이론적 근거를 조사, 분석하여 향후 효과적인 홍수피해 응급복구가 지방자치단체에 이루어질 수 있도록 하는 방안을 제시하였다. 이를 위해 복구장비의 응급복구투입에 따른 우선순위를 결정하고, 필요한 장비가 효율적으로 활용되도록 재해지역의 이동거리와 연관성을 분석하여 활용방안을 제시하였으며, 이러한 전문 인력이 자치단체 산하의 지역자율방재단에서 적절한 기능을 할 수 있는 새로운 방안을 제시하였다.

• 시스템엔지니어링학술지
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• 제16권2호
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• pp.97-109
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• 2020

On March 11, 2011, an earthquake followed by a tsunami caused an extended station blackout (SBO) at the Fukushima Dai-ichi NPP Units. The accident was initiated by a total loss of both onsite and offsite electrical power resulting in the loss of the ultimate heat sink for several days, and a consequent core melt in some units where proper mitigation strategies could not be implemented in a timely fashion. To enhance the plant's coping capability, the Diverse and Flexible Strategies (FLEX) were proposed to append the Emergency Operation Procedures (EOPs) by relying on portable equipment as an additional line of defense. To assess the success window of FLEX strategies, all sources of uncertainties need to be considered, using a physics-based model or system code. This necessitates conducting a large number of simulations to reflect all potential variations in initial, boundary, and design conditions as well as thermophysical properties, empirical models, and scenario uncertainties. Alternatively, data-driven models may provide a fast tool to predict the success window of FLEX strategies given the underlying uncertainties. This paper explores the applicability of Artificial Intelligence (AI) to identify the success window of FLEX strategy for extended SBO. The developed model can be trained and validated using data produced by the lumped parameter thermal-hydraulic code, MARS-KS, as best estimate system code loosely coupled with Dakota for uncertainty quantification. A Systems Engineering (SE) approach is used to plan and manage the process of using AI to predict the success window of FLEX strategies under extended SBO conditions.

• 대한안전경영과학회지
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• 제17권2호
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• pp.67-78
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• 2015

The purpose of the establishment of corporation's Business Continuity Plan(BCP) is to maintain corporations' own business and establish the response plan in order to resume operation in a short time period when crisis situations occur due to natural disaster and human error. This study has presented all types of procedures and criteria which are needed to establish the airport crisis response system in order to maintain the business continuity by utilizing BCP technique. Basically the risk response procedures must be established in the process of (1) preparation stage, (2) plan development stage, (3) documentation stage, (4) test & maintenance stage. The guideline has been suggested that each stage must be carried out in the sequence of Policy & Planning Responsibility, Business Impact Analysis, Recovery Strategy & Plans, Emergency Plan & SOP, Training Awareness and Maintenance & Review

• 한국가스학회지
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• 제21권4호
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• pp.47-61
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• 2017

대규모 플랜트에서 조업자 안전훈련 모델의 전제조건은 조업에 관련된 다양한 위험의 상세분석 및 지식표현으로 얻어진 운영절차의 범용성과 정확성이다. 본 연구에서는 조업절차의 생성을 위해 인공지능 플래닝 기법을 고려하여 조업자의 일반행위와 조치행위 그리고 기술용어 등을 분류하고, 지식의 공유 및 재사용을 고려하여 플랜트의 운영과정과 관련된 조업행위 및 용어의 확장을 지식표현 온톨로지 형태로 정의하였다. 또한 조업의 일반적인 행위의 구체화를 위해 Hierarchical Task Network (HTN)기반의 행위계획을 적용하여 목표와 실행이 가능한 수준까지 분할하여 여러 상황에 따른 절차를 생성하도록 설계하였다. 이후 실제 보일러 설비의 사례연구를 통해 조업조건과 운전상태 그리고 장치들 간의 운전목적에 따라 구성설비의 역할을 분류하고, 비상정지절차를 생성하였으며, 제안한 방법의 실제 플랜트 적용 가능성을 확인하였다. 체계적인 지식표현에 기초한 지식베이스 구축은 일반적인 플랜트 운영절차 및 조업자 안전훈련 시나리오의 생성에도 활용이 가능할 것이며, 향후 자동생성 등에도 활용될 수 있을 것으로 판단된다.

• Archives of Plastic Surgery
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• 제49권3호
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• pp.310-314
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• 2022

The emergence of vaccines for coronavirus disease 2019 (COVID-19) raises risk of possible adverse events from interaction between the vaccines and facial aesthetic care. A 47-year-old female with no medical comorbidities visited our emergency room due to midface painful swelling after 3 hours following receiving the second dose of the messenger RNA BNT162b2 COVID-19 vaccine. About 14 years ago, she underwent nonsurgical augmentation on the nasojugal groove with a calcium hydroxylapatite dermal filler. We performed incision and drainage under general anesthesia on the next day. During operation, yellowish pus-like materials bulged out. After an operation, we performed a combination therapy with antibiotics and methylprednisolone. Her symptoms improved day by day after surgery, and then a complete recovery was achieved at 3 weeks after the treatment. In conclusion, providers of aesthetic procedures are to be aware of the potential risks of such vaccines for patients who already had or seek to receive dermal filler injections.

• 대한토목학회논문집
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• 제5권1호
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• pp.91-100
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• 1985

본(本) 연구(硏究)는 한강유역(漢江流域) 댐군(群)의 비상사태하(非常事態下)(큰 홍수파(洪水波) 유하시(流下時))에서의 수문조작(水門操作) 기준설정(基準設定)에 관한 것으로 얻어진 결과(結果)는 다음과 같다. 1) 수문조작(水門操作)을 저수위(貯水位)와 유입량(流入量)으로 실시(實施)할 수 있게끔 6개 댐(화천(華川), 춘천(春川), 소양강(昭陽江), 의암(衣岩), 청평(淸平), 인당(人堂)댐)에 대해 수문조작(水門操作) 기준(基準)을 수식화(數式化)하였다. 2) 수문(水門)의 개방면적(開放面積), 유입량(流入量), 저수위(貯水位), 방류량(放流量) 간의 다중회귀분석(多重回歸分析)에 의해서 얻어진 식(式)으로 홍수추적(洪水追跡)을 실시한 결과 그 적용가능성(適用可能性)을 확인(確認)하였다. 3) 본(本) 연구(硏究)에서 얻어진 수문조작(水門操作) 기준(基準)과 홍수추적방법(洪水追跡方法)을 사용(使用)하여 비상사태하(非常事態下)(큰 홍수파(洪水波) 유하시(流下時))에서의 각 댐을 검토(檢討)한 바, 모두 안전(安全)하였으나, 소양강(昭陽江), 의암(衣岩), 청평(淸平)댐만은 저수지(貯水池) 초기방류수위(初期放流水位)를 미리 저하(低下)시킨 상태(狀態)에서 수문조작(水門操作)이 이루어져야 할 것이다.

• Journal of Korean Neurosurgical Society
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• 제62권1호
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• pp.35-45
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• 2019

Objective : To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR). Methods : A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. After the retrospective review of all cases, the procedures were categorized into three subcategorical procedures : combined endovascular and surgical procedure, complementary rescue procedure during intervention and surgery, and frameless stereotaxic operation. Results : Forty-nine of 191 procedures were performed using hybrid techniques. Four cases of blood blister aneurysms and a ruptured posterior inferior cerebellar artery aneurysm were treated using bypass surgery and endovascular trapping. Eight cases of ruptured aneurysm with intracranial hemorrhage (ICH) were treated by partial embolization and surgical clipping. Six cases of ruptured arteriovenous malformation with ICH were treated by Onyx embolization of nidus and subsequent surgical removal of nidus and ICH. Two (5.4%) of the 37 cases of pre-mature rupture during clipping were secured by endovascular coil embolization. In one (0.8%) complicated case of 103 intra-arterial thrombectomy procedures, emergency surgical embolectomy with bypass surgery was performed. In 27 cases of ICH, frameless stereotaxic hematoma aspiration was performed using $XperGuide^{(R)}$ system (Philips Medical Systems, Best, the Netherlands). All procedures were performed in single sessions without any procedural complications. Conclusion : Hybrid OR with a fully equipped DSA system could provide precise and safe treatment strategies for cerebrovascular diseases. Especially, we could suggest a strategy to cope flexibly in complex lesions or unexpected situations in hybrid OR. CBCT with real-time navigation software could augment the usefulness of hybrid OR.

• 대한기관식도과학회지
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• 제5권1호
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• pp.30-35
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• 1999

Between 1994 to 1998, 7 patients had taken emergency operations by iatrogenic esophageal perforation. To evaluate patterns of injury, clinical presentation, and treatment options for patients, we reviewed all the 7 patients who had gotten transmural injury to the esophagus during dilatations or stenting procedures at our hospital. The primary diagnosis of the patients were as followings , two were achalagia and remaining five were corrosive esophageal strictures. Chest pain, fever, tachycardia were the early signs after esophageal perforation. The sites of perforation were thoracic esophagus in all cases and all of them underwent operation within 8 hours of initial injury. There were no postoperative mortality. Complications were developed three cases： stricture of anastomotic site, mediastinitis due to graft failure of colon and pleural empyema.