• Title/Summary/Keyword: Emergency System

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Efficient Graph Construction and User Movement Path for Fast Inspection of Virus and Stable Management System

  • Kim, Jong-Hyun
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.8
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    • pp.135-142
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    • 2022
  • In this paper, we propose a graph-based user route control for rapidly conducting virus inspections in emergency situations (eg, COVID-19) and a framework that can simulate this on a city map. A* and navigation mesh data structures, which are widely used pathfinding algorithms in virtual environments, are effective when applied to CS(Computer science) problems that control Agents in virtual environments because they guide only a fixed static movement path. However, it is not enough to solve the problem by applying it to the real COVID-19 environment. In particular, there are many situations to consider, such as the actual road traffic situation, the size of the hospital, the number of patients moved, and the patient processing time, rather than using only a short distance to receive a fast virus inspection.

Delayed Sternal Closure Using a Vacuum-Assisted Closure System in Adult Cardiac Surgery

  • Hyun Ah Lim;Jinwon Shin;Min Seop Jo;Yong Jin Chang;Deog Gon Cho;Hyung Tae Sim
    • Journal of Chest Surgery
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    • v.56 no.3
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    • pp.206-212
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    • 2023
  • Background: Delayed sternal closure (DSC) is a useful option for patients with intractable bleeding and hemodynamic instability due to prolonged cardiopulmonary bypass and a preoperative bleeding tendency. Vacuum-assisted closure (VAC) has been widely used for sternal wound problems, but only rarely for DSC, and its efficacy for mediastinal drainage immediately after cardiac surgery has not been well established. Therefore, we evaluated the usefulness of DSC using VAC in adult cardiac surgery. Methods: We analyzed 33 patients who underwent DSC using VAC from January 2017 to July 2022. After packing sterile gauze around the heart surface and great vessels, VAC was applied directly without sternal self-retaining retractors and mediastinal drain tubes. Results: Twenty-one patients (63.6%) underwent emergency surgery for conditions including type A acute aortic dissection (n=13), and 8 patients (24.2%) received postoperative extracorporeal membrane oxygenation support. Intractable bleeding (n=25) was the most common reason for an open sternum. The median duration of open sternum was 2 days (interquartile range [25th-75th pertentiles], 2-3.25 days) and 9 patients underwent VAC application more than once. The overall in-hospital mortality rate was 27.3%. Superficial wound problems occurred in 10 patients (30.3%), and there were no deep sternal wound infections. Conclusion: For patients with an open sternum, VAC alone, which is effective for mediastinal drainage and cardiac decompression, had an acceptable superficial wound infection rate and no deep sternal wound infections. In adult cardiac surgery, DSC using VAC may be useful in patients with intractable bleeding or unstable hemodynamics with myocardial edema.

A Numerical Study on the Mitigation Effect of Water Curtain for SiCl4 Toxic Gas Release (SiCl4 누출 시 수막설비의 방재효과에 대한 수치 해석 연구)

  • Tae In Ryu;Eunmi Lee;Seungha Kim;Seong-mi Kang;Chang-hyun Shin;Seungbum Jo
    • Journal of the Korean Society of Safety
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    • v.38 no.3
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    • pp.43-50
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    • 2023
  • Silicone tetrachloride (SiCl4) leak accidents cause enormous human and environmental damage because it is highly toxic. Some handling facilities use water curtains to reduce the impact range of SiCl4. Although the water curtain is known as one of the most efficient technologies for post-release mitigation, its effect on reducing SiCl4 concentration needs to be investigated scientifically and quantitatively. In this study, three-dimensional computational fluid dynamics (CFD) was used to investigate the physical and chemical effects of water curtains as a release-mitigation system for SiCl4. SiCl4 is released and dispersed five seconds prior to the operation of the water curtain. Once the water curtain works, the SiCl4 reacts chemically with the water and its concentration decreases rapidly; it reaches an emergency response planning guidelines level 2 (ERPG-2) of 5 parts per million (ppm) at about 570 m. We observed, however, that the physical effect of water curtains on reducing SiCl4 concentration is insignificant when the chemical effect is eliminated. These results are crucial since they can be a scientific and quantitative basis for the 'technical guidelines for estimating the accident affected range'. In order to protect the public from chemical accidents, more toxic gas mitigation technologies need to be developed.

Noise and Room Acoustic Conditions in a Tertiary Referral Hospital, Seoul National University Hospital

  • Cho, Wan-Ho;Jeong, Cheol-Ho;Chang, Ji-Ho;Lee, Seong-Hyun;Park, Moo Kyun;Suh, Myung-Whan;Han, Jae Joon
    • Journal of Audiology & Otology
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    • v.23 no.2
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    • pp.76-82
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    • 2019
  • Background and Objectives: Noise levels and room acoustic parameters at a tertiary referral hospital, Seoul National University Hospital (SNUH) in Korea, are investigated. Materials and Methods: Through a questionnaire, acoustically problematic rooms are identified. Noise levels in emergency rooms (ERs) and intensive care units (ICUs) are measured over about three days. Acoustically critical and problematic rooms in the otolaryngology department are measured including examination rooms, operating rooms, nurse stations, receptions, and patient rooms. Results: The A-weighted equivalent noise level, LAeq, ranges from 54 to 56 dBA, which is at least 10 dB lower than the noise levels of 65 to 73 dBA measured in American ERs. In an ICU, the noise level for the first night was 66 dBA, which came down to 56 dBA for the next day. The noise levels during three different ear surgeries vary from 57 to 62 dBA, depending on the use of surgical drills and suctions. The noise levels in a patient room is found to be 47 dBA, while the nurse stations and the receptions have high noise levels up to 64 dBA. The reverberation times in an operation room, examination room, and single patient room are found to be below 0.6 s. Conclusions: At SNUH, the nurse stations and receptions were found to be quite noisy. The ERs were quieter than in the previous studies. The measured reverberation times seemed low enough but some other nurse stations and examination rooms were not satisfactory according to the questionnaire.

Prediction of radioactivity releases for a Long-Term Station Blackout event in the VVER-1200 nuclear reactor of Bangladesh

  • Shafiqul Islam Faisal ;Md Shafiqul Islam;Md Abdul Malek Soner
    • Nuclear Engineering and Technology
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    • v.55 no.2
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    • pp.696-706
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    • 2023
  • Consequences of an anticipated Beyond Design Basis Accident (BDBA) Long-Term Station Blackout (LTSBO) event with complete loss of grid power in the VVER-1200 reactor of Rooppur Nuclear Power Plant (NPP) of Unit-1 are assessed using the RASCAL 4.3 code. This study estimated the released radionuclides, received public radiological dose, and ground surface concentration considering 3 accident scenarios of International Nuclear and Radiological Event Scale (INES) level 7 and two meteorological conditions. Atmospheric transport, dispersion, and deposition processes of released radionuclides are simulated using a straight-line trajectory Gaussian plume model for short distances and a Gaussian puff model for long distances. Total Effective Dose Equivalent (TEDE) to the public within 40 km and radionuclides contribution for three-dose pathways of inhalation, cloudshine, and groundshine owing to airborne releases are evaluated considering with and without passive safety Emergency Core Cooling System (ECCS) in dry (winter) and wet (monsoon) seasons. Source term and their release rates are varied with the functional duration of passive safety ECCS. In three accident scenarios, the TEDE of 10 mSv and above are confined to 8 km and 2 km for the wet and dry seasons, respectively in the downwind direction. The groundshine dose is the most dominating in the wet season while the inhalation dose is in the dry season. Total received doses and surface concentration in the wet season near the plant are higher than those in the dry season due to the deposition effect of rain on the radioactive substances.

Remote digital monitoring during the retention phase of orthodontic treatment: A prospective feasibility study

  • Sangalli, Linda;Savoldi, Fabio;Dalessandri, Domenico;Visconti, Luca;Massetti, Francesca;Bonetti, Stefano
    • The korean journal of orthodontics
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    • v.52 no.2
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    • pp.123-130
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    • 2022
  • Objective: To evaluate if a remote digital monitoring system added at the end of orthodontic treatment could positively influence the retention phase by reducing the occurrence of misfit of removable appliances, number of emergency appointments (EA), and orthodontic relapse. Methods: Twenty-seven patients who completed active orthodontic treatment were divided into the study and control groups. In addition to the standard chairside follow-up appointments at month 1 (T1), month 3 (T2), month 6 (T3), the study group patients were monitored using Dental Monitoring® with monthly intra-oral scans. Occurrence of misfit of removable retainers, number of EAs, and intercanine width change were recorded for both groups. Differences in EAs and retainer fit were assessed using the chi-square test. Intra-group and inter-group differences in the intercanine width were assessed with Friedman test and Mann-Whitney U test, respectively (α = 0.05). Results: The study group showed a significantly lower occurrence of misfit of removable retainers (p = 0.027) compared to the control group. No significant inter- and intra-group difference was found in the EAs and intercanine width change at each time-point. Conclusions: Integrating remote monitoring systems, such as Dental Monitoring®, to the retention phase of the orthodontic treatment may lower the occurrence of misfit of removable retainers. However, a small sample size and a short observation period limit the strength of this evidence. These preliminary results tentatively suggest that remote monitoring technologies may be beneficial, especially during the COVID-19 pandemic, when the regularity of in-office visits might be disrupted.

Noise and Room Acoustic Conditions in a Tertiary Referral Hospital, Seoul National University Hospital

  • Cho, Wan-Ho;Jeong, Cheol-Ho;Chang, Ji-Ho;Lee, Seong-Hyun;Park, Moo Kyun;Suh, Myung-Whan;Han, Jae Joon
    • Korean Journal of Audiology
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    • v.23 no.2
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    • pp.76-82
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    • 2019
  • Background and Objectives: Noise levels and room acoustic parameters at a tertiary referral hospital, Seoul National University Hospital (SNUH) in Korea, are investigated. Materials and Methods: Through a questionnaire, acoustically problematic rooms are identified. Noise levels in emergency rooms (ERs) and intensive care units (ICUs) are measured over about three days. Acoustically critical and problematic rooms in the otolaryngology department are measured including examination rooms, operating rooms, nurse stations, receptions, and patient rooms. Results: The A-weighted equivalent noise level, LAeq, ranges from 54 to 56 dBA, which is at least 10 dB lower than the noise levels of 65 to 73 dBA measured in American ERs. In an ICU, the noise level for the first night was 66 dBA, which came down to 56 dBA for the next day. The noise levels during three different ear surgeries vary from 57 to 62 dBA, depending on the use of surgical drills and suctions. The noise levels in a patient room is found to be 47 dBA, while the nurse stations and the receptions have high noise levels up to 64 dBA. The reverberation times in an operation room, examination room, and single patient room are found to be below 0.6 s. Conclusions: At SNUH, the nurse stations and receptions were found to be quite noisy. The ERs were quieter than in the previous studies. The measured reverberation times seemed low enough but some other nurse stations and examination rooms were not satisfactory according to the questionnaire.

Applicability Evaluation of One- and Two-dimensional Flood Inundation Analysis Models to Establish an Emergency Action Plan for Agricultural Reservoirs (농업용저수지 EAP 수립을 위한 1·2차원 홍수범람해석모형의 적용성 평가)

  • Lee, Dae Eop;Kim, Jae Young;Lee, Gi Ha;Jung, Sung Ho;Yeon, Min Ho
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.351-351
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    • 2021
  • 저수지에 대한 비상대처계획수립은 최근 기상이변 등에 따른 대규모 호우가 빈번히 발생하고 있을 뿐만 아니라 세계 도처에서 대규모 지진 등으로 많은 인명과 재산 피해가 속출함에 따라 지진 및 이상홍수에 대한 저수지의 안정성 평가를 수행하고 저수지 지점에서 발생할 수 있는 천재지변 또는 예상치 못한 대규모 재해에 효율적으로 대처하기 위한 비상상황의 등급 및 위험수준을 체계적으로 판단하고 비상상황 가상 시나리오별 체계적 행동요령 및 대처계획을 수립하여 저수지 붕괴에 따른 대규모 홍수피해 예상지역 주민들의 신속한 대응으로 생명과 재산피해를 최소화하는데 목적이 있다. 현행 한국농어촌공사 및 지자체에서 수립하고 있는 30만 톤 이상 저수지에 대한 1차원 모형 기반의 EAP수립은 침수구역을 산정할 때 수치지도에 의한 단일 침수심 분석으로 실제 침수구역과는 많은 오류가 나타난다. 이는 침수구역 부정확에 따른 피해복구액 산정이 과다로 책정될 수 있고, 마지막으로 가장 중요한 비상대처계획 수립에 막대한 영향을 미친다. 이에 본 연구는 댐 붕괴에 대응하기 위한 EAP 수립 시 기본이 되는 홍수범람해석을 수행하고 1차원 및 2차원 모형의 결과검토를 통해 보다 효과적인 비상대처계획의 수립을 위한 방안을 제시하고자 하였다. 이를 위해 경천저수지 유역을 대상으로 가능최대강수량 조건 하에서 가능최대홍수량을 산정하고 DAMBRK 모형을 이용하여 댐 붕괴 모의를 위한 시나리오 구성 및 모의를 수행하였다. 이후 댐 붕괴 모의결과를 이용하여 WMS(Watershed Modeling System) 모형을 이용한 1차원 홍수범람해석과 FLUMEN(FLUvial Modeling ENgine) 모형을 이용한 2차원 홍수범람해석에 적용 후 각 결과를 비교·검토하였다.

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Study on the Prioritization of Management for Each Toxic Chemical Substance in Ansan Smart Hub. (안산스마트허브 유해화학물질별 관리우선순위 선정에 관한 연구)

  • Choi, Bong Seok;Sa, Jae-Hwan;Kim, Min Wook;Jeon, Eui Chan
    • Korean Journal of Hazardous Materials
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    • v.2 no.1
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    • pp.12-17
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    • 2014
  • With a rapid growth of domestic industry in korea, now about 25,000 kinds of chemicals are being distributed, and it has been known that just about 15% of them has toxic substances. Recently, South Koreans have an anxiety about the stability and accidents of chemicals because chemical accidents like Gumi hydrofluoric acid accident have occurred. The U.S. has adopted the systems like EPCRA (Emergency Planning and Community Right-to-Know Act), TRI (Toxic Release Inventory) and TSCA (Toxic Substances Control Act), and is also managing the hazardous chemicals by providing the information about them to its people and site workers. Japan's Ministry of Health, Labor and Welfare also has adopted J-CHECK system and is implementing it to let Japanese people know the information of safety of chemicals about REACH. However, the Korean government has a difficult situation to mediate the different idea with the Korean industry to make lower statute of Pre-legislation registration & evaluation of chemicals that will be implemented and Chemical Material Control Association that is being implemented. Especially city and country areas located in the industrial areas need political improvement focusing on vulnerable area through the check about current situation of hazardous chemicals of jurisdiction and management method, but the information about the management situation of small scale work places is insufficient. Therefore this study set up the urgent management area in Ansan Smart Hub through NFPA code according to the types of accident and dander characteristics of each chemical being used in the companies that have less than 50 workers and deal with chemicals located in Ansan Smart Hub in Gyeonggi-do.

A Study on the Reliability of Storage/Retrieval for Warehouse Layout Based on Shuttle Rack System (셔틀랙 기반 물류센터의 레이아웃별 반출입 신뢰성에 관한 연구)

  • Seung-Pil Lee;Hyeon-Soo Shin;Hwan-Seong Kim
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2021.11a
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    • pp.101-103
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    • 2021
  • With the rapid increase in the quantity of goods transported worldwide, companies are now started to show great interest in unmanned automated warehouses along with related research and development due to the increase of warehouse efficiency and reduction warehouse manpower. In a number of small warehouses, shuttle rack-based layouts that can handle inventory flow flexibly. However, the shuttle rack-based logistics center does not operate in case of emergency situations (faults, power outages, etc.), which seriously affects the efficiency and inventory management of the entire logistics center. Accordingly, in shuttle rack-based logistics center, we have classified various shuttle passages and RTV passages by layout and have analyzed its characteristics and types, along with derived reliability for each layout. The loading rate was also derived differently according to the number of passages, and have compared and analyzed reliability and loading rate for each layout.

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