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A Proposal on Evacuation Safety in Medical Welfare Facilities for the Elderly: Targeting the Goyang City (노인의료복지시설의 피난안전에 대한 제언: 고양시를 대상으로)

  • Jeong, Keesin
    • Fire Science and Engineering
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    • v.34 no.4
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    • pp.52-58
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    • 2020
  • The number of medical welfare facilities caring for the elderly with paralysis and dementia has been increasing rapidly because of the change in the way of supporting the elderly, stemming from an increase in the number of the elderly and working couples. These medical welfare facilities are usually installed all over the city and are gradually becoming high-rise. Few inmates are capable of making their own decisions in case of fire at night and when there are no escape routes such as ramps for evacuation, leading to massive casualties. This study aimed to identify problems in evacuation in the medical welfare facilities for the elderly in Goyang city. This city has the largest number of medical welfare facilities for the elderly per unit area. The following strategies could aid in better evacuation: secure ramps or bed escape elevators; the bedrooms of the inmates should have one-hour fire resistance; the stairs should have the structure of an enclosed stairway; the necessary apparatus for evacuation, such as an escape chute, should be installed; and, to conclude, a business agreement with neighboring agencies to help inmates escape during the fire. The state should implement necessary measures to protect the lives and property of the people. Rapid implementation of this proposal is necessary for the evacuation safety of an increasing number of medical welfare facilities for the elderly.

Analysis of Environmental Correlates with Walking among Older Urban Adults (도시 노인들의 걷기활동 참여에 영향을 주는 물리적 환경요인 분석)

  • Lee, Hyung-Sook;Ahn, Joon-Suk;Chun, Seung-Hoon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.2
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    • pp.65-72
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    • 2011
  • Since walking and physical activity are critical for older adults to maintain their health, it is important to provide neighborhood environments which encourage their walking in daily life. The purposes of the present study were to investigate walking activity patterns of older people in an urban setting and to identify environmental correlates with walking of older adults. This study examined spatial and temporal patterns of physical activities, environmental barriers and motivations, satisfaction levels and demands on the physical environment. In-depth interviews with older adults over age sixty residing in Seoul metropolitan areas revealed that most respondents have a positive perception on walking in daily life, and many of them walk regularly for their health. A primary purpose of walking for older adults was exercise for health rather than transportation. The study result demonstrated that parks and trails were the most preferred places for walking by older adults, and there is an association between frequency of walking participation and access or convenience to parks, traffic safety, and street lights. Most respondents were concerned about traffic safety when they walk in their neighborhoods due to traffic speeds and unsafe streets. Lack of separate sidewalks or benches, stairs and slopes were barriers to older adults' walking habits. This data suggests that the promotion of walking behavior among older adults, some level of public health action, and community support are needed to ensure safe physical environments within communities.

Microscopic Evacuation Simulation in Large-scale Buildings using EgresSIM (EgresSIM을 이용한 대형건축물의 미시적 대피시뮬레이션)

  • Kwak, Suyeong;Nam, Hyunwoo;Jun, Chulmin
    • Journal of the Korea Society for Simulation
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    • v.25 no.1
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    • pp.53-61
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    • 2016
  • This paper introduces 'EgresSIM', which is microscopic evacuation simulation software. EgresSIM developed in this paper is a three-dimensional (3D) pedestrian evacuation simulator based on the improved model advanced from the floor field model(FFM), a microscopic pedestrian model. This software can simulate large size buildings that consist of a number of floors, stairs, rooms, and exit doors. Moreover, this software can arrange several hundreds or thousands of pedestrians in indoor space and check their movements through the 3D viewer in real time, as well as produce detailed results about evacuation situations such as which paths are employed by individual pedestrians, how long does it takes to evacuate, and how many evacuees are gathered at each of the exit doors. Building data needed in the simulation are constructed as XML files according to pre-defined indoor data models and information of simulation results is also created as XML log files. A moving pattern of pedestrians can be represented in many ways by adjusting the sensitivity parameters of two walk models supported by EgresSIM. Thus, evacuation simulation can be done based on many assumptions of situations such as movement to the nearest exit door or blackout after outage.

The Effect of the Resistance Exercise Program on Daily Performance in Patients with Rheumatoid Arthritis (저항운동 프로그램이 류마티스 관절염 환자의 일상 활동 수행 능력에 미치는 효과)

  • Kil, Suk-Yong
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.221-237
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    • 1997
  • In an attempt to measure effects of the Programmed Resistance Exercise on the daily performance of patients with rheumatoid arthritis, a quasi-experiment ; non-synchronised control group pre-post-test, was carried out for 8 weeks : from June 3 to November 29, 1996. 25 for the experimental group and 26 for the control group were conveniently sampled among registered out-patients on rheumatoid arthritis clinic of Anam Hospital, Korea University Medical Center. The programmed experimental resistance exercises were carried out by the experimental group five times a week for eight weeks. Before and after experiments, level of functional task performance, functional disability, joint mobility, ESR, CRP, self-efficacy and family support were measured and statistically analysed. The results of the analysis of the effects on the Programmed Resistance Exercise are as follows : 1. A statistically significant post-test effects on functional task performance were revealed : 1) the experimental group climbed up and down the 10 steps of the stairs significantly faster than the control group(P=0.0001). 2) the experimental group walked 100 m significantly faster than the control group (P=0.0000). 3) After the experiment, the experimental group could sit down and get up from chairs with no armrest as low as 30cm, 40cm, 50cm on their on, with no assistance as opposed to the control group who could not sit down and get up from such low chairs (P=0.0084). 4) the experimental group lifted 0-15 kg object up to their own heights with no specific strain than the control group (P=0.0000). 2. A significant reduction in the functional disabilities was revealed in the experimental group(P=0.0017). 3. A notable incresement of the joint mobility was revealed in the experimental group. 4. A decrease in the ESR in both the experimental and the control groups was noticed, however, the difference was not statistically significant (P=0.9546). 5. The CRP of both the experimental and control groups decreased with no significant difference (P=0.6022). 6. The self-efficacy increased significantly in the experimental group(P=0.0042), however, no significant effect of self-efficacy on the actual practice of the program was noticed. 7. The family support revealed to be significantly higher in the experimental group (P=0.0013), however, the effect of the family support on actual practice of the program revealed not significant. Judging from the results of these experiments, the resistance exercise program not only improves the functional capacity of rheumatoid arthritis, but also diminishes their functional disabilities and has a great influence on increasing their joint mobility, self-efficacy, and family support. Concluding, in promoting the daily performance of rheumatoid arthritis, the resistance exercise program would be an appropriate nursing intervention.

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The Research on the effect of School Safety Management System on Accident in School -Based on study of high schools in Seoul- (학교사고에 영향을 미치는 학교안전 관리구조 실태 조사 -서울시 일부 고등학생을 대상으로-)

  • 박지은;이명선
    • Korean Journal of Health Education and Promotion
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    • v.19 no.2
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    • pp.57-72
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    • 2002
  • Students spend most of their time in school. Schools have the possibility of unanticipated accidents, however, and the rate of accidents in schools is increasing. The purpose of this study were to understand the accidents that arise in schools as well as the school safety management system and by analyzing affects that school safety management system has on accidents in schools, to come lip with a preventive plan. 906 high school sophomore students attending in Seoul were surveyed 1Tom November 12th to 23rd 2001. The results were following: 1. Students surveyed comprised of the following: Male 48.9%, Female 51.1% Public Schools 32.6%, Private Schools 67.4% Boys Schools 48.9%, Girls Schools 51.1% 2. In the past year, male students had more accidents(p〈.05) in school. 3. In examining students safety management control, 94.0% said that, there is an infirmary, there is a clear distinction between the playing fields and pathways(74.8%), and the chemicals in the labs are kept in a safe manner(77.2%). The above items were generally well maintained. However, the following recorded low scores. There are warning signs in hazardous places and facilities(30.5%), There is guiding principle to examine the safeness on a regular basis(24.9%), and There are slogans and posters preventing accidents(40.3%). 4. In examining the facilities of the schools that were surveyed, the majority answered, yes to the following. There are hazardous facilities or materials at school(62.9%), There are sharp edges in educational supplies and equipment(59.8%), There are nails or other components that are sticking out of desks and chairs(75.9%), There are slippery spots in the corridors and classrooms(69.3%), There are stones, scrap metal, broken glass, and trash on the playing fields(66.6%). Furthermore, the students surveyed said, yes to the following although in low percentages. The amount of sand on the playing fields is sufficient(49.1%), The soccer and basket goal posts are fastened (53.7%), There are safety bars on the windows of classrooms and corridors (27.4%), There are safety mats on the entrance to restrooms preventing slips (14.2%), The stairs have slip protection measures(49.1%). 5. In analyzing the affect that the school safety management system has on accidents in school, schools that had slogans and posters preventing accidents had a 50% less chance of accidents(p〈.05), schools with chemicals and equipment in the labs that were safely maintained had an 80% less probability of accidents(p〈.0l), and the schools that had sharp edges in the educational supplies and equipment had an 80% greater chance of accidents(p〈.01).

Functional Evaluation after Modified Brostrom Procedure with Suture Bridge Technique for Chronic Ankle Instability in Athletes (운동선수의 만성 발목관절 불안정성에서 교량형 봉합술을 이용한 변형 Brostrom 술식 후의 기능평가)

  • Park, Ji-Kang;Park, Kyoung-Jin;Cho, Byung-Ki;Im, Chae-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.3
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    • pp.108-114
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    • 2014
  • Purpose: Ligament reattachment technique using a suture anchor appears to show satisfactory functional outcomes and mechanical stability compared with conventional bone tunnel technique. This study was prospectively conducted in order to evaluate functional outcomes of modified Brostrom procedures using the suture bridge technique for chronic ankle instability in athletes. Materials and Methods: Twenty eight athletes under 30 years of age were followed for more than two years after undergoing the modified Brostrom procedure using the suture bridge technique. Functional evaluation consisted of the foot and ankle outcome score (FAOS), foot and ankle ability measure (FAAM) score. Range of motion and time to return to exercise were evaluated using a periodic questionnaire. Talar tilt angle and anterior talar translation were measured through stress radiographs for evaluation of mechanical stability. Results: FAOS improved significantly from preoperative mean 59.4 points to 91.4 points (p<0.001). Daily living and sport activity scores of FAAM improved significantly from preoperative mean 50.5, 32.5 points to 94.8, 87.3 points, respectively (p<0.001). Talar tilt angle and anterior talar translation improved significantly from preoperative mean $16.8^{\circ}$, 13.5 mm to $4.2^{\circ}$, 4.1 mm at final follow-up (p<0.001). Times to return to exercise were as follows: mean 10.2 weeks in jogging, 15.4 weeks in spurt running, 13.1 weeks in jumping, 11.5 weeks in walking on uneven ground, 9.1 weeks in standing on one leg, 7.2 weeks in tip-toeing gait, 8.4 weeks in squatting, and 10.6 weeks in descending stairs. Conclusion: Modified Brostrom procedure using the suture bridge technique showed satisfactory functional outcomes for chronic ankle instability in athletes. Optimal indication and cost-effectiveness of the suture bridge technique will be studied in the future.

Japanese Landscape Elements Found and Building Methodology of Sunam Temple (선암사에서 발견되는 일본정원요소와 작정기법연구)

  • Hong, Kwang-Pyo;Kim, In-Hye;Lee, Kyong-Bok;Lee, Hyuk-Jae
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.38 no.2
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    • pp.31-41
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    • 2020
  • Since its foundation in the unified Silla period, Sunam Temple in Jeollanam-do has well preserved its reputation as a representative temple in Honam. However, during the course of history as the temple went through many changes and development, much of its landscape identity were lost or damaged. At present, we found that some of distinctive features as traditional Korean temple are lost or damaged in Sunam temple and in some cases, Japanese style features were applied which calls for urgent restoration to the original landscape style. We found that vegetation pattern of Sunam temple was quite different from those of traditional Korean temples and garden components were rather similar to Japanese garden style. There are two reasons why these changes occurred to Sunam-temple. The first reason is changes made to the temple by Japanese people during the Japanese occupation period in Korea. The second is the renovation effort of the entire temple in 1976. The study aimed to examine landcape changes of Sunam temple in detail and understand Japanese style landscape components and methods applied to the Sunam temple to untimately understand landscape identity of Sunam temple. On-site research, literature research and interviews with monks were conducted and we found that Sunam-sa Temple was significantly influenced by the landscape style of Japan, and that more Japanese-style landscapes were produced while trying to hide these elements. However, this study was limited in understanding the very original landscape form of Sunam temple before the Japanese coloniral era.

Planning Evacuation Routes with Load Balancing in Indoor Building Environments (실내 빌딩 환경에서 부하 균등을 고려한 대피경로 산출)

  • Jang, Minsoo;Lim, Kyungshik
    • KIPS Transactions on Computer and Communication Systems
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    • v.5 no.7
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    • pp.159-172
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    • 2016
  • This paper presents a novel algorithm for searching evacuation paths in indoor disaster environments. The proposed method significantly improves the time complexity to find the paths to the evacuation exit by introducing a light-weight Disaster Evacuation Graph (DEG) for a building in terms of the size of the graph. With the DEG, the method also considers load balancing and bottleneck capacity of the paths to the evacuation exit simultaneously. The behavior of the algorithm consists of two phases: horizontal tiering (HT) and vertical tiering (VT). The HT phase finds a possible optimal path from anywhere of a specific floor to the evacuation stairs of the floor. Thus, after finishing the HT phases of all floors in parallel the VT phase begins to integrate all results from the previous HT phases to determine a evacuation path from anywhere of a floor to the safety zone of the building that could be the entrance or the roof of the building. It should be noted that the path produced by the algorithm. And, in order to define the range of graph to process, tiering scheme is used. In order to test the performance of the method, computing times and evacuation times are compared to the existing path searching algorithms. The result shows the proposed method is better than the existing algorithms in terms of the computing time and evacuation time. It is useful in a large-scale building to find the evacuation routes for evacuees quickly.

The Evaluation of UWB Wireless Communication Position Determination Function in an Enclosed Space for Fire Fighting (소방활동을 위한 밀폐공간 무선통신 측위성능 평가)

  • Kim, Dong-Hyun;Kim, Chung-Il
    • Fire Science and Engineering
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    • v.31 no.5
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    • pp.117-122
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    • 2017
  • The absence of fire fighters' connection to communication can bring about increased loss of life due to errors and delays in rescue and actions and danger to their own safety. Therefore, when communication infrastructure has been destroyed in an enclosed space, it is necessary to set up an emergency wire or wireless telecommunication environment to fire fighting and to secure safer environment to deal with the disaster by checking the location of fire fighters. In this research, for the establishment communication environment in an enclosed inside using Ultra-Wide Band (UWB) wireless communication network, the performance of communication position determination of a single UWB communication module was evaluated regarding 6 kinds of indoor surroundings. When the communication distance in an indoor environment of each 6 channels bandwidth of UWB communication frequency was measured, the results were as follows: the open space (Ave. 15.5 m, Max. 20 m), the corridor (Ave. 17.33 m, Max 20 m), inside retaining home furnishings (Ave. 15.3 m, Max. 20 m), vertical stairs (Ave. 4.33 m, Max. 6 m), horizontal space with a closed fire door (Ave. 6.5 m, Max. 17 m). It was also found out that the communication function and the distance function were best in the frequency range from 6489.6 to 1081.6 MHz by 7 Ch. Accordingly, the establishment of communication environment in an enclosed space is judged to be possible when UWB communication module is set up at 20 m apart and multiple channels are used.

Full Scale Testing of the Effect of Stairwell Pressurization on Pressure Differential and Flow Velocity

  • Son, Bong-Sae;Park, Kyung-Hwan;Chang, Young-Bae
    • Journal of the Korean Society of Hazard Mitigation
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    • v.11 no.3
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    • pp.83-89
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    • 2011
  • A series of full-scale testing was conducted to examine the effect of stairwell pressurization on the pressure differential between the stairwell and the auxiliary room and between the auxiliary room and the residence. Also, flow velocity profiles at open doors were measured. The building tested was a condominium that had twenty floors above the ground and two floors underground. For pressurization of the stairs, a blower was used to supply air into the stairwell at one location underground. Thirteen different cases were tested, and test variables included the number of floors with open doors and the flow rate of the air supply. When the doors on the first floor were open, the pressure differential between the stairwell and the auxiliary room was distributed almost uniformly except for locations near the first floor. When the flow rate was in the range of 180~270 CMM and the doors of one floor were open, the flow velocity could satisfy the requirement of fire safety standards and the stairwell pressure was positive at all levels. However, the minimum pressure requirement (10 Pa) could not always be satisfied. When doors on two floors were open, the flow velocity requirement could be satisfied by increasing the flow rate, but it was found impractical to satisfy the minimum pressure requirement without causing excessive pressure differential in the area near the blower.