• Journal of Korean Neurosurgical Society
• /
• v.56 no.1
• /
• pp.42-47
• /
• 2014

Objective : Helicopter ambulance transport (HAT) is a highly resource-intensive facility that is a well-established part of the trauma transport system in many developed countries. Here, we review the benefit of HAT for neurosurgical patients in Korea. Methods : This retrospective study followed neurotrauma patients who were transferred by HAT to a single emergency trauma center over a period of 2 years. The clinical benefits of HAT were measured according to the necessity of emergency surgical intervention and the differences in the time taken to transport patients by ground ambulance transport (GAT) and HAT. Results : Ninety-nine patients were transferred to a single university hospital using HAT, of whom 32 were taken to the neurosurgery department. Of these 32 patients, 10 (31.3%) needed neurosurgical intervention, 14 (43.8%) needed non-neurosurgical intervention, 3 (9.4%) required both, and 11 (34.4%) did not require any intervention. The transfer time was faster using HAT than the estimated time needed for GAT, although for a relatively close distance (<50 km) without ground obstacles (mountain or sea) HAT did not improve transfer time. The cost comparison showed that HAT was more expensive than GAT (3,292,000 vs. 84,000 KRW, p<0.001). Conclusion : In this Korean-based study, we found that HAT has a clinical benefit for neurotrauma cases involving a transfer from a distant site or an isolated area. A more precise triage for using HAT should be considered to prevent overuse of this expensive transport method.

• Journal of Trauma and Injury
• /
• v.26 no.3
• /
• pp.248-251
• /
• 2013

Introduction: A post-traumatic mesenteric arteriovenous fistula (AVF) is extremely rare. Case Report: A previously healthy 26-year-old male was injured with an abdominal stab wound. Computed tomography (CT) showed liver injury, pancreas injury and a retropancreatic hematoma. We performed the hemostasis of the bleeding due to the liver injury, a distal pancreatectomy with splenectomy and evacuation of the retropancreatic hematoma. On the 5th postoperative day, an abdominal bruit and thrill was detected. CT and angiography showed an AVF between the superior mesenteric artery (SMA) and the inferior mesenteric vein with early enhancement of the portal vein (PV). The point of the AVF was about 4 cm from the SMA's orifice. After an emergent laparotomy and inframesocolic approach, the isolation of the SMA was performed by dissection and ligation of adjacent mesenteric tissues which was about 6 cm length from the nearby SMA orifice, preserving the major side branches of the SMA, because the exact point of the AVF could not be identified despite the shunt flow in the PV being audible during an intraoperative hand-held Doppler-shift measurement. After that, the shunt flow could not be detected by using an intraoperative hand-held Doppler-shift measuring device. CT two and a half months later showed no AVF. There were no major complications during a 19-month follow-up period. Conclusion: Early management of a post-traumatic mesenteric AVF is essential to avoid complications such as hemorrhage, congestive heart failure and portal hypertension.

• Fire Science and Engineering
• /
• v.27 no.5
• /
• pp.8-14
• /
• 2013

In the subway, various fires continue to take place across the world. In the Daegu subway accident in 2003, many people were damaged by shortened visibility range caused by toxic gas and smoke. This paper, assuming that a subway fire happens in the Mandeok Station of the subway system in Busan, analyzed different smoke-spreading situations depending on the ventilation situation at its platform (opening of the train doors, operation of ventilation facilities in the tunnel, and working of fire door), using FDS. The calculation proved that it would be more effective to secure evacuation route when the ventilation facilities of the tunnel are not operated, than when they are on. And, it was also found that the case where the doors of the platform to the escape route and only the platform-facing doors of the subway car on fire office are open would be more effective to ventilation than the case where all the doors are open. And, it was found to be important that the fire doors of the platform are working properly.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
• /
• v.24 no.2
• /
• pp.175-182
• /
• 2006

The efficient management for minimum losses and demage precautions of fragile region against coastal disasters such as seismic waves and seawater overflows is proceeding continually. This study is to analyze inundation trace and extract expected damage areas with historic records of tsunami using Geographic Information System. Creating a digital elevation model of the Mangsang and the Nobong region in the east coast, we marked inundation record of tsunami and forecasted the flood area with a seismic wave height between 3 m and 5 m. The inundation trace layers and the expected damage areas on the cadastral map layer were superimposed individually. Consequently, the range and lot numbers of inundation expected area were calculated and inundation areas of 5 m tsunami were increased by 2.8 times than 3 m tsunami in case of subject regions. Analyzed results are expected to use evacuation work in case of seismic waves and to predict the compensation of the damaged area. And this study is expected to use suitable countermeasure for prevention from natural disasters.

• Fire Science and Engineering
• /
• v.24 no.3
• /
• pp.58-65
• /
• 2010

The fire accidents having recently occurred are getting more and more larger and causing lots of damage in terms of property loss and casualties increase, so there is in need of technical fire safety development like comprehensive prevention solution in order to effectively prevent. Especially, the needing of new paradigm for advanced fire safe technology is gathering strength in high-rise modern building construction. Therefore, we want to find out on this paper what is a correlation between heat release rate measurement and smoke release volume by three parts of oxygen consumption calorimeter in bench scale calorimeter (cone calorimeter/ISO 5660/Avg.500Kw), Medium scale calorimeter (Room corner tester, Single burning Item/ISO 9750, EN 13823/Avg.3MW), and large scale calorimeter (Industry calorimeter/Avg. 10MW). Thus, Smoke detective of new paradigm devised by making use of a correlation between heat release and smoke production is to help reduce loss property and casualties. Ultimately, based on this theory, a new concept of fire alarm and evacuation system will be developed and expected to apply to a skyscraper.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.29 no.2
• /
• pp.210-216
• /
• 2002

Air abrasion technology can prepare enamel and dentin for bonding, similar to etching by acidic gels and solutions. Longer treatment can excavate pit and fissures, preparing the tooth for immediate placement of bonded resin materials. Although not appropriate for every clinical situation, the air abrasive technology minimizes heat, vibration and bone-conducted noise associated with conventional means of caries removal since the cutting is accomplished by air pressure. Also, patients treated with the air-abrasion technology rarely request anesthesia. Air abrasion technology was more effective in treating early carious lesions and stains compared to lesions where caries had already progressed to produce soft dentin and the strong air stream and noise caused by the evacuation system was a major discomfort to pediatric patients, and the experience and skillfulness of clinician should be required for accurate and proper tooth preparation.

• Fire Science and Engineering
• /
• v.30 no.5
• /
• pp.144-150
• /
• 2016

An apartment house with a pilotis that raises the architectural volume and provides a space for circulation is becoming popular. With the popularity of pilotis in apartment houses, people also have a keen interest in the potential fire risk at the pilotis. As residents can only access their apartment house through the pilotis, there is a risk to the occupants if there is fire there. Therefore, this study evaluated the pilotis fire cases of urban multifamily housing to conduct a Fire Dynamics Simulator (FDS) and Fire Evacuation Simulation (FES). Through these two simulation methods, it is possible to validate the riskiness of fire at an apartment with a pilotis. The study identified that the toxic gases and flame spread out to the pilotis within hundred seconds after ignition. In addition, the toxic gases and flame also reach the second floor within three seconds and the entire building within 735 seconds if the entrance doors at the pilotis are opened. On the other hand, the FES simulation results showed that it also takes about approximately 609 seconds to excavate from the apartment house with a pilotis. Therefore, this research shows that an apartment house with a pilotis can ensure the building occupants' lives and their safety if there is fire.

• Fire Science and Engineering
• /
• v.33 no.5
• /
• pp.103-108
• /
• 2019

The purpose of this study is to suggest the development direction of fire safety through the analysis of previous researches in the field of fire fighting. To this end, 929 papers published in the Journal of Korean Institute of Fire Science and Engineering have been sorted by field of study and analyzed for frequency. Accordingly, it was confirmed that researches were conducted in the order of fire chemistry and physics, detection and extinguishing system, fire safety design and management, evacuation and human behavior. In contrast, very little research has been conducted on human behavior, fire safety education, or training. This result is discussed in the article, and suggestions for future research objectives are made.

• Land and Housing Review
• /
• v.8 no.3
• /
• pp.161-169
• /
• 2017

In this study, sediment transfer and precipitation analysis of the test bed watershed was conducted through the model for the application and practical use of the urban sediment disaster prevention technology, and used this as an aid to design to secure reliability. In addition, conducted the test bed monitoring with the defense technology, analyzed the effect, and established the maintenance plan. Analyzed the change of soil deposition volume through arbitrary slope adjustment for the currently installed stormwater conduit of the test bed watershed. As a result, it is important to reduce the total sedimentation amount in the adjustment of the slope of the entire pipeline, but it is important that the sedimentation depth of each sediment does not rise to such a degree as to threaten the performance of the pipeline. Considering these matters, it is necessary to design the pipeline to prevent the clogging of the soil from the viewpoint of the reliability of the entire pipeline. The sediment disaster defense technology test bed is divided into a new city and an old city, and old city test bed is under construction. The result obtained through the monitoring of the test bed in the new city, sediment disasters such as debris can delay the time to reach the downtown area, and it is possible to secure the golden time, such as evacuation and rescue through the warning system. Also, the maintenance of the test bed application was suggested. Continuous and systematic monitoring is required for securing the reliability of element technology and successful commercialization.

• Toxicological Research
• /
• v.21 no.3
• /
• pp.241-247
• /
• 2005

HM10760 is a recombinant human erythropoietin that has beer developed as a drug for anemia. In this study, antigenic potential of HM10760 was examined by active systemic anaphylaxis in guinea pigs and passive cutaneous anaphylaxis in a guinea pig-guinea pig system. HM10760 was subcutaneously administered at 0, 2, and $20{\mu}g/kg$ and also as a suspension with adjuvant ($20{\mu}g/kg$ + FCA). Ovalbumin as a suspension with adjuvant was administered to induce positive control responses. In the active systemic anaphylaxis test, no symptoms except rubbing or licking nose and urination that were considered as physiological phenomena were observed at $0{\mu}g/kg$. Four of 5 animals at $2{\mu}g/kg$ and all the 5 animals at $20{\mu}g/kg$ showed cyanosis and lying on side. All animals in the adjuvant mixture group showed relatively mild symptoms such as rubbing or licking nose, urination, and evacuation. In the passive cutaneous anaphylaxis test, 0/5, 3/5, and 5/5 serum samples from the animals immunized with 0, 2, and $20{\mu}g/kg$, respectively, showed positive reactions against HM10760. All 5 sera collected from the animals immunized with an adjuvant mixture contained HM10760-specific antibodies. These results suggest HM10760 have antigenicity in guinea pigs.