• Journal of Radiation Protection and Research
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• 제41권4호
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• pp.333-338
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• 2016

Background: In case of radiation emergencies, internal exposure monitoring for the members of public will be required to confirm internal contamination of each individual. In-vivo monitoring technique using portable gamma spectrometer can be easily applied for internal exposure monitoring in the vicinity of the on-site area. Materials and Methods: In this study, minimum detectable doses (MDDs) for $^{134}Cs$, $^{137}Cs$, and $^{131}I$ were calculated adjusting minimum detectable activities (MDAs) from 50 to 1,000 Bq to find out the optimal in-vivo counting condition. DCAL software was used to derive retention fraction of Cs and I isotopes in the whole body and thyroid, respectively. A minimum detect-able level was determined to set committed effective dose of 0.1 mSv for emergency response. Results and Discussion: We found that MDDs at each MDA increased along with the elapsed time. 1,000 Bq for $^{134}Cs$ and $^{137}Cs$, and 100 Bq for $^{131}I$ were suggested as optimal MDAs to provide in-vivo monitoring service in case of radiation emergencies. Conclusion: In-vivo monitoring program for emergency response should be designed to achieve the optimal MDA suggested from the present work. We expect that a reduction of counting time compared with routine monitoring program can achieve the high throughput system in case of radiation emergencies.

• Nuclear Engineering and Technology
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• 제53권3호
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• pp.825-832
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• 2021

A simulation-based approach is proposed to study the protective actions taken by residents during nuclear emergencies using cognitive findings. Human perception-based behaviors are not heavily incorporated in the evacuation study for nuclear emergencies despite their known importance. This study proposes a generic framework of perception-based behavior simulation, in accordance with the ecological concept of affordance theory and a formal representation of affordance-based finite state automata. Based on the generic framework, a simulation model is developed to allow an evacuee to perceive available actions and execute one of them according to Newton's laws of motion. The case of a shadow evacuation under nuclear emergency is utilized to demonstrate the applicability of the proposed framework. The illustrated planning algorithm enables residents to compute not only prior knowledge of the environmental map, but also the perception of dynamic surroundings, using widely observed heuristics. The simulation results show that the temporal and spatial dynamics of the evacuation behaviors can be analyzed based on individual perception of circumstances, while utilizing the findings in cognitive science under unavoidable data restriction of nuclear emergencies. The perception-based analysis of the proposed framework is expected to enhance nuclear safety technology by complementing macroscopic analyses for advanced protective measures.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권3호
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• pp.227-236
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• 2021

Background: Emergencies in outpatient clinics are rare. However, potentially catastrophic events can be challenging to manage due to a variety of factors, including limited equipment and staff. The purpose of this quality improvement project was to improve the staff knowledge and familiarity with critical performance elements for emergencies encountered in the setting of a periodontics clinic. Methods: Emergency cognitive aids tailored to the clinic's resources were created for anaphylaxis, airway obstruction, and sublingual hemorrhage. The project pre-post-test repeated measures design evaluated the effectiveness of cognitive aids using a combination of hands-on simulation, written knowledge assessments, and self-efficacy surveys. Training sessions and simulations were provided to the clinic's existing care teams made up of a periodontist and two dental assistants with an anesthetist who was present for simulations involving sedation. Due to the small sample size (N = 14) and non-normal distribution, all metrics were evaluated using non-parametric statistics. Results: Significant improvements were found in knowledge assessment (-2.310, P = 0.021) and self-efficacy (-2.486, P = 0.013) scores when retention after a training session before and after the introduction of cognitive aid was compared. The mean simulation scores and times improved steadily or reached maximum scores during the project progression. Conclusion: Training sessions before and after cognitive aid introduction were effective in improving knowledge, self-efficacy, and simulation performance. Future projects should focus on validating the process for creating contextualized cognitive aids and evaluating the effectiveness of these cognitive aids in larger samples.

• Nuclear Engineering and Technology
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• 제55권6호
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• pp.2246-2255
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• 2023

Evacuation time estimation (ETE) is crucial for the effective implementation of resident protection measures as well as planning, owing to its applicability to nuclear emergencies. However, as confirmed in the Fukushima case, the ETE performed by nuclear operators does not reflect behavioral features, exposing thus, gaps that are likely to appear in real-world situations. Existing research methods including surveys and interviews have limitations in extracting highly feasible behavioral features. To overcome these limitations, we propose a VR-based immersive experiment system. The VR system realistically simulates nuclear emergencies by structuring existing disasters and human decision processes in response to the disasters. Evacuation behavioral features were quantitatively extracted through the proposed experiment system, and this system was systematically verified by statistical analysis and a comparative study of experimental results based on previous research. In addition, as part of future work, an application method that can simulate multi-level evacuation dynamics was proposed. The proposed experiment system is significant in presenting an innovative methodology for quantitatively extracting human behavioral features that have not been comprehensively studied in evacuation. It is expected that more realistic evacuation behavioral features can be collected through additional experiments and studies of various evacuation factors in the future.

• 대한치과마취과학회:학술대회논문집
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• 대한치과마취과학회 2002년도 제2차 학술대회
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• pp.43-43
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• 2002

• 대한수의사회지
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• 제42권12호
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• pp.1103-1109
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• 2006

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2000년도 추계학술대회 논문집
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• pp.8-22
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• 2000

• 대한치과의사협회지
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• 제58권10호
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• pp.640-648
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• 2020

The aim of this article is to provide major announcements within the last decade or so about possible medical emergencies in dentistry. This would be helpful to improve the knowledge on first aid suitable for dental environment. Syncope was the most common medical emergencies in dentistry. Medical emergency situations can be divided into urgency and true emergency. Urgency situations can be solved well if proper treatment is taken. However, even in an urgency, if the correct treatment is not performed, it may soon turn into an emergency. With the joint efforts of the Korean Dental Anesthesiology Society and the Korean Cardiopulmonary Resuscitation Association, dental advanced life support (DALS) has been prepared since 2015. Through 17 training experiences until January 2020, scenarios and textbooks were developed. Dentists and dental care teams need to be prepared to strengthen their competence as professionals and to increase their team-level response capabilities..

• 한국의사학회지
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• 제21권2호
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• pp.67-77
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• 2008

救急醫學 was initiated with the emergence of mankind. 救急方 was written in the federal government and published in the state government taking orders from 世祖 to meet various needs; stabilization of public welfare, reinforcement of the royal authority, a need for a book for common use in the medical field, as well as pure interest in medicine coming from the king himself. 救急 includes not only emergencies but also rapid transitions of diseases encountered in everyday life. 救急方 successes the tradition of 鄕藥救急方 in that it helps anyone to appropriately treat emergencies. 救急簡易方, 救急易解方, and 諺解救急方 of later generations all were directly influenced by 救急方 and carried on the tradition of 救急.

• Journal of Dental Anesthesia and Pain Medicine
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• 제16권2호
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• pp.147-150
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• 2016

The prevalence of thyroid disease, particularly hyperthyroidism, has rapidly increased in Korea in the past 10 years. Therefore, it is important to consider the complete medical history including thyroid disease in patients under dental treatment. Both the drugs used for dental treatment and psychological symptoms associated with treatment can induce emergencies in hyperthyroid patients. This case report considers emergency situations during dental treatment for hyperthyroid patients, and discusses risk factors and related concerns.