• International Journal of High-Rise Buildings
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• v.9 no.4
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• pp.387-396
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• 2020

While tall buildings are an essential building type to accommodate an ever-growing urban population, as buildings become taller and taller, many design challenges arise. As floor spaces are repeated vertically, the occupants' natural horizontal circulation-based social interactions are limited. As buildings become ever taller, safe evacuation to the ground level becomes more challenging in emergencies. With respect to safety as well as serviceability, one of the most fundamental design challenges of exceedingly tall buildings is their structural systems that make the physical existence of tall buildings possible. While many different design solutions can be sought to resolve these issues as well as other design challenges of extremely tall buildings, this paper investigates the potential of conjoined towers to create more livable and sustainable vertical environments. Emphasis is placed on the social and structural capabilities of conjoined towers in providing enhanced social interactions and more efficient ultra-tall structures. The related brief history of conjoined towers is presented. To understand their current status, contemporary design practices of conjoined towers are discussed. Lastly, a new concept of superframed conjoined towers developed for exceedingly tall building complexes is introduced through design studies. Though envisioning future tall buildings is challenging, conjoined towers can be among the strong candidates toward more livable and sustainable vertical urbanism.

• Journal of Korean Public Health Nursing
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• v.36 no.1
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• pp.59-74
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• 2022

Purpose: This study aimed to identify the factors affecting the emergency response ability to develop an education program to strengthen the emergency response ability of caregivers having the highest probability of discovering emergency situations. Methods: This study is a descriptive research study conducted by 204 caregivers working in elderly care facilities and home care centers located in one area. The collected data were analyzed by independent t-test, one-way analysis of variance (ANOVA), Pearson's correlation, and multiple linear regression using the Statistical Package for the Social Sciences (SPSS) 25.0 statistical program. Results: First aid knowledge was related to work time (F=3.52, p=.008), number of care people (F=2.58, p=.038), workplace (F=6.76, p=.001), and self-efficacy (F=3.70, p=.026), and the ability to cope with emergency situations showed a statistically significant difference in education level (F=3.58, p=.015). There was a positive correlation between self-efficacy and emergency response ability (r=.179, p<.05), and the factors affecting emergency response ability were education level (β=-.164, p=.050), workplace (β=.290, p=.023), and self-efficacy (β=.103, p=.022). Conclusion : Factors influencing the improvement of caregivers' ability to cope with emergency situations, workplace, education level, and self-efficacy were found. Thus, it is suggested to develop and apply an emergency education program to increase self-efficacy and consider the workplace and educational level.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.21 no.9
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• pp.71-77
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• 2022

In times of war or emergencies, weapon systems, such as radars, must receive stable power. This can be achieved using improved onboard portable power systems made of steel containers. However, a breakdown can occur in the event of random vibration during transportation via a vehicle or train. Electrical-power shortages or restrictions pose a significant threat to security. In this study, Composite Wheeled Vehicle(CWV) data and rail cargo data with Acceleration Spectral Density(ASD), specified in MIL-STD-810H METHOD 514.8, were interpreted as input data of the three-axis random vibration method using ANSYS 19.2. Modal analysis was performed up to 500 Hz, and deformations in modes 1 to 117 were calculated to utilize all ASD data. The maximum equivalent stress in the three-axis direction was obtained using a random vibration analysis. Similarly, the margin of safety was calculated using the derived equivalent stress and material properties. Overall, the analysis verified that the portable container designed for the power supply system satisfied the required vibration demands.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.48 no.5
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• pp.318-325
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• 2022

Population aging and the usage of small devices in implant prosthetic procedures have led to many incidents of dental aspiration and ingestion. Various preventive measures have been introduced to prevent these accidents. However, accidents can occur at any time. Dental aspiration and ingestion lead to fatal consequences if the issue is not promptly and appropriately dealt with. Preparing a collaborative system for dealing with accidents before they occur can prevent further sequelae. This study involves ingestion and aspiration accidents that occurred during dental treatment: two ingestion cases and one aspiration case. All dental foreign bodies were removed according to the guidelines presented in our review. With the cooperation of other medical departments, the issues were quickly resolved. Simple and accurate protocols should be provided to all dentists and dental staff to respond to such dental emergencies. In addition, collaboration among other medical departments should be established before any accidental ingestion and aspiration events occur.

• Journal of Korean Public Health Nursing
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• v.35 no.3
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• pp.368-383
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• 2021

Purpose: The purpose of the study was to develop a smartphone app-based emergency coping education program to improve caregivers' emergency coping abilities and identify the program's effect on knowledge, attitudes and confidence in first aid. Methods: The study was conducted with 80 caregivers in elderly care facilities and home care centers. A total of 40 participants were assigned to experimental and control groups of caregivers working in elderly care facilities and home care centers using a nonequivalent control group pretest-posttest design. The data were analyzed using the 𝝌²-test and the independent t-test with the SPSS 25.0 program. Results: The experimental group had higher scores and a statistically significant increase in knowledge(t=6.26, p<.001), attitude(t=5.25, p<.001), confidence(t=3.38, p<.001) and emergency coping abilities(t=8.83, p<.001) was observed in comparison to the control group. Conclusion: The smartphone app-based emergency coping education program has proven the effectiveness of education by improving the ability of caregivers to cope with emergencies, suggesting the need to expand and apply it to more caregivers. In order to maximize the learning effect, app-based educational content should be developed in more diverse areas along with follow-up research with various education contents.

• International Journal of Internet, Broadcasting and Communication
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• v.14 no.1
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• pp.122-128
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• 2022

Minimization of human casualties in disaster situations is of paramount importance. In particular, if a marine disaster occurs, it can be directly connected to human casualties, so prompt action is needed. In the event of a marine disaster, the route and location of movement should be identified and life tubes should be used to float on the water. This paper designs and proposes an emergency IoT notification system that can quickly rescue drowning people. The maritime emergency IoT notification system consists of four main types. First, an emergency IoT device that detects the expansion of the life tube and delivers location and situation information to the emergency IoT notification server. Second, an emergency IoT web server that manages emergency information and provides notification. Third, a database server that stores and manages emergency IoT notification information. And finally, an emergency notification app that can receive and respond to emergency notification information. The emergency IoT device consists of a TPMS(Tube Pressure Monitoring System) device that checks the pressure value of the TPMS in real time and sends it to the IoT device, and an IoT device that sends the rescuer's voice information and emergency information to the emergency IoT server. Emergency information is delivered using the MQTT(Message Queuing Telemetry Transport) protocol, and voice information is delivered to the IoT server as HTTP FormData.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.15 no.12
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• pp.4400-4419
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• 2021

In the 4th Industrial Revolution, the healthcare industry is undergoing a paradigm shift from post-care and management systems based on diagnosis and treatment to disease prevention and management based on personal precision medicine. To optimize medical services for individual patients, an open ecosystem for the healthcare industry that allows the exchange and utilization of personal health records (PHRs) is required. However, under the current system of hospital-centered data management, it is difficult to implement the linking and sharing of PHRs in practice. To address this problem, in this study, we present the design and implementation of a patient-centered PHR platform using blockchain technology. This platform achieved transparency and reliability in information management by eliminating the risk of leakage and tampering/altering personal information, which could occur when using a PHR. In addition, the patient-consent system was applied to a PHR; thus, the patient acted as the user with ownership. The proposed blockchain-based PHR platform enables the integration of personal medical information with scattered distribution across multiple hospitals, and allows patients to freely use their health records in their daily lives and emergencies. The proposed platform is expected to serve as a stepping stone for patient-centered healthcare data management and utilization.

• Journal of Trauma and Injury
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• v.35 no.4
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• pp.261-267
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• 2022

Purpose: With the increasing number of polytrauma patients treated at high-level trauma centers, plastic surgery has entered the specialty of traumatology. Plastic surgeons specialize in the simultaneous surgical care of patients with facial or hand trauma and soft tissue injuries requiring microsurgery. The purpose of this study was to introduce the role of plastic surgery in a high-level trauma center. Methods: Between January 2020 and December 2020, 5,712 patients with traumatic injuries were admitted to the emergency department of a tertiary hospital. Of these 5,712 patients, 1,578 patients were hospitalized for surgical treatment and/or critical care. Among the 1,578 hospitalized trauma patients, 551 patients (35%) required at least one plastic surgery procedure. The patient variables included age, sex, etiology, the injured area, and injury characteristics. We also retrospectively investigated surgical data such as the duration of the operation, hospital stay, length of time from injury to surgery, and collaboration with other departments. Results: The most common injury referred to plastic surgery was facial trauma (41%), followed by hand trauma (36%), and soft tissue injuries requiring microsurgery in various parts of the body other than the hand (7%). The majority of facial and hand traumas were concomitant injuries. Sixteen percent of patients underwent collaborative surgical management for polytrauma involving both plastic surgery and another department. Conclusions: The role of plastic surgery in multidisciplinary teams at high-level trauma centers has become increasingly important. The results of this study may help in the development of multidisciplinary trauma team strategies and future workforce planning.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.17 no.4
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• pp.1049-1065
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• 2023

Recently, with the development of IoT, AI, and mobile terminals, medical information platforms are expanding. The medical information platform can determine a patient's emergency situation, and medical staff can easily access patient information through a mobile terminal. However, in the existing platform, emergency situation decision is delayed, and faster and stronger authentication is required in emergency situations. Therefore, we propose an edge computing-based medical information platform for automatic authentication using patient situations. We design an edge computing-based medical information platform architecture capable of rapid transmission of biometric data of IoT and quick emergency situation decision, and implement the platform data flow in emergency situations. Relying on this platform, we propose the automatic authentication using patient situations. The automatic authentication protects patient information through patient-centered authentication by using the patient's situation as an authentication factor, and enables quick authentication by automatically proceeding with mobile terminal authentication after user authentication in emergencies without user intervention. We compared the proposed platform with existing platforms to show that it can make quick and stable emergency decisions. In addition, comparing the automatic authentication with existing authentication showed that it is fast and protects medical information centered on patient situations in emergency situations.

• Nuclear Engineering and Technology
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• v.55 no.1
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• pp.261-269
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• 2023

During a nuclear power plant (NPP) accident, radioactive material may be released into the surrounding environment in the form of a radioactive plume. The behavior of the radioactive plume is influenced by meteorological factors such as wind direction and speed. If the residents are evacuated to a shelter in the direction of the flow of the radioactive plume, the radiation exposure of the residents may increase, contrary to the purpose of the evacuation. To avoid such an undesirable outcome, this paper applies a big data analysis to evaluate the suitability of the shelter locations near 5 NPPs in the Republic of Korea in terms of the seasonal wind direction frequency in those areas. To this end, the wind data measured around the NPPs from 2016 to 2020 were analyzed to derive the seasonal wind direction frequency using a big data analysis. These analyses results were then used to determine how many shelters around NPPs locate in areas with prevailing wind direction per season. Then, suggestions were made on the direction for residents not to evacuate, if possible, that is, the prevailing seasonal wind directions for 5 NPPs, depending on the season in which the accident occurs.