• Nuclear Engineering and Technology
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• 제51권5호
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• pp.1297-1306
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• 2019

Probabilistic safety assessments (PSA) have been used for several decades to visualize the risk level of commercial nuclear power plants (NPPs). Since the role of a human reliability analysis (HRA) is to provide human error probabilities for safety critical tasks to support PSA, PSA quality is strongly affected by HRA quality. Therefore, it is important to understand the underlying limitations or problems of HRA techniques. For this reason, this study conducted a survey among 14 subject matter experts who represent the HRA community of domestic Korean NPPs. As a result, five significant HRA issues were identified: (1) providing a technical basis for the K-HRA (Korean HRA) method, and developing dedicated HRA methods applicable to (2) diverse external events to support Level 1 PSA, (3) digital environments, (4) mobile equipment, and (5) severe accident management guideline tasks to support Level 2 PSA. In addition, an HRA method to support multi-unit PSA was emphasized because it plays an important role in the evaluation of site risk, which is one of the hottest current issues. It is believed that creating such a catalog of prioritized issues will be a good indication of research direction to improve HRA and therefore PSA quality.

• Korean Journal of Radiology
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• 제20권1호
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• pp.148-157
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• 2019

Objective: To evaluate the current status of managing adverse reactions to iodinated contrast media (ICM) for computed tomography in referral hospitals in South Korea compared with hospitals in other countries. Materials and Methods: This survey investigation involved 59 Korean and 15 overseas hospitals using guideline-based questionnaires consisting of 24 items in 7 main categories related to managing adverse reactions to ICM. Results: Informed written consent with risk factor evaluation was appropriately performed in most of the Korean hospitals. There was considerable variability in assessing renal function across the hospitals; serum creatinine level was used as a reference in 76.4% of Korean hospitals. The Korean hospitals preferred a more stringent approach to determining normal renal function (p = 0.01), withholding metformin (p = 0.01), and fasting before ICM exposure (p < 0.001) compared with overseas hospitals. All the Korean hospitals had an emergency protocol and in-hospital system for adverse reactions to ICM. The Korean (87.7%) and overseas hospitals (100%) were similarly equipped with epinephrine (p = 0.332), but only 38.6% of Korean hospitals were equipped with a bronchodilator (p = 0.004). For patients with a previous hypersensitivity reaction to ICM, 62.3% of Korean hospitals pre-medicated with anti-histamine and corticosteroid according to the severity of the previous reaction, and changed the culprit ICM in 52.8%, while skin test was performed in 17%. Conclusion: In general, Korean referral hospitals were well-prepared regarding informed consent, protocol, and an in-hospital system for managing adverse reactions to ICM. Nevertheless, there was considerable variability in details and management, thus requiring standardization by reflecting current guidelines.

• 교육시설 논문지
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• 제25권1호
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• pp.3-12
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• 2018

Educational facilities are more uncertain about maintenance costs due to their comprehensive and long life-cycle compared to commercial buildings. In addition, maintenance of the existing post management system can not maintain the original function of education facilities continuously and economically. In order to overcome this problem, it is necessary to analyze the repair and replacement cost for the uncertainty factor in maintenance. This study propose a model to determine repair and maintenance cost and cycle of educational facility based on probabilistic estimation concept. For the analysis, Monte Carlo simulation, a probabilistic analysis method, was applied based on the repair and maintenance history data of the educational facilities in Florida. The results of this study can be used as a guideline for quantitative facility management and facility management research.

• 생물정신의학
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• 제30권1호
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• pp.7-16
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• 2023

Objectives This study aimed to review the Korean Constitution articles 14 and 20 of the "Law on suicide prevention" and investigate public perceptions of specific improvements to suicide prevention policies using results from the Korean 2018 National Survey on Suicide. Methods The questionnaire was designed to analyzing the act restricts sharing of patient information between hospitals, making it difficult to track suicide attempts. The questionnaire was also designed to suggest further medical and normative criteria for objective judgment of continuous follow-up utilizing suicide risk evaluations and proportional principle review that consider patients' and medical staff's basic rights. Results This study identified the result of the 1500 respondents, 79.1% believed that Korea should allow suicide prevention management to be implemented without requiring individual consent to protect suicide attempters. Conclusions According the results, I propose the following criteria for policy improvement: use of anonymized information and non-profit research for technical and ethical considerations, access to medical information only for therapeutic purposes, and use of surgical severity assessment criteria appropriate for Korea.

• Journal of Trauma and Injury
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• 제33권1호
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• pp.1-12
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• 2020

Purpose: Despite recent developments in the management of trauma patients in South Korea, a standardized system and guideline for trauma treatment are absent. Methods: Five guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation II instrument. Results: Restrictive volume replacement must be used for patients experiencing shock from trauma until hemostasis is achieved (1B). The target systolic pressure for fluid resuscitation should be 80-90 mmHg in hypovolemic shock patients (1C). For patients with head trauma, the target pressure for fluid resuscitation should be 100-110 mmHg (2C). Isotonic crystalloid fluid is recommended for initially treating traumatic hypovolemic shock patients (1A). Hypothermia should be prevented in patients with severe trauma, and if hypothermia occurs, the body temperature should be increased without delay (1B). Acidemia must be corrected with an appropriate means of treatment for hypovolemic trauma patients (1B). When a large amount of transfusion is required for trauma patients in hypovolemic shock, a massive transfusion protocol (MTP) should be used (1B). The decision to implement MTP should be made based on hemodynamic status and initial responses to fluid resuscitation, not only the patient's initial condition (1B). The ratio of plasma to red blood cell concentration should be at least 1:2 for trauma patients requiring massive transfusion (1B). When a trauma patient is in life-threatening hypovolemic shock, vasopressors can be administered in addition to fluids and blood products (1B). Early administration of tranexamic acid is recommended in trauma patients who are actively bleeding or at high risk of hemorrhage (1B). For hypovolemic patients with coagulopathy non-responsive to primary therapy, the use of fibrinogen concentrate, cryoprecipitate, or recombinant factor VIIa can be considered (2C). Conclusions: This research presents Korea's first clinical practice guideline for patients with traumatic shock. This guideline will be revised with updated research every 5 years.

• 방사성폐기물학회지
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• 제18권3호
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• pp.347-354
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• 2020

Site characterization for decommissioning Kori Unit 1 is ongoing in South Korea after 40 years of successful operation. Kori Unit 1's containment building is assumed to be mostly radioactively contaminated, and therefore radiation exposure management and detailed contamination investigation are required for decommissioning and dismantling it safely. In this study, site-specific Derived Concentration Guideline Levels (DCGLs) were derived using the residual radioactivity risk evaluation tool, RESRAD-BUILD code. A conceptual model of containment building for Kori Unit 1 was set up and limited occupational worker building inspection scenario was applied. Depending on the source location, the maximum contribution source and exposure pathway of each radionuclide were analyzed. The contribution of radionuclides to dose and exposure pathways, by source location, is expected to serve as basic data in the assessment criteria of survey areas and classification of impact areas during further decommissioning and decontamination of sites.

• Childhood Kidney Diseases
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• 제25권2호
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• pp.71-77
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• 2021

Childhood hypertension (HTN) has become a significant public health issue because of the increased risk of cardiovascular disease in adulthood. However, childhood HTN is underrecognized and underdiagnosed in clinical practice. The European Society of Hypertension in 2016 and the American Academy of Pediatrics (AAP) in 2017 published updated guidelines for the screening, prevention, and management of pediatric HTN. There were notable differences between the two guidelines as well as many similarities. The updated AAP guidelines have clarified and simplified the recommendations for screening, diagnosis, and treatment of childhood HTN based on current evidence. This review highlights the important developments in both guidelines, focusing on recent advances in the classification and treatment of childhood HTN.

• 한국신뢰성학회지:신뢰성응용연구
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• 제10권2호
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• pp.107-122
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• 2010

Functional safety is the part of the overall safety of a system that depends on the system or equipment operating correctly in response to its inputs, including the safe management of likely operator errors, hardware failures, systematic failures, and environmental changes. One of the essential concepts of functional safety is Safety Integrity Level(SIL). It is defined as a relative level of risk-reduction provided by a safety function, or to specify a target level of risk reduction. In this paper, each element of SIL assessment will be defined. Based on each element, specific process of SIL selection will be established by using flowchart. The flowchart provides a SIL assessment guideline for functional safety engineers. The proposed theory will be verified by applying to a oil refining plant for SIL assessment.

• 한국건설관리학회논문집
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• 제4권3호
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• pp.112-118
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• 2003

본 연구는 경영 및 환경 운영체계 구축에 필요한 이론적 논리와 기업의 사업수행에서 돌출 될 수 있는 경영 및 환경 의사결정 간섭인자의 효과적인 분석 방향을 제시하는데 목적이 있다. 의사결정 간섭인자는 손실감소 방법과 비용 면에서의 경영관리에 대한 경영자의 환경측면분석 방법에서 결정된다. 따라서, 환경측면분석의 효과를 경영 및 환경의사결정 모델을 통하여 제시하고, 사업의 수행과 자원의 흐름에 따른 환경친화적 요인의 선택에 필요한 경영 기술적 접근방법을 제시한다. 마지막으로 의사결정 요소에 대한 원칙적 한계 및 접근단계와 평가기준을 정립해보았다. 본 연구를 수행한 결과를 다음과 같이 요약해 본다. (1) 환경정책의 변화에 따른 경영결정 접근방법, (2) 목표의 운영과 개발방법, (3) 환경경영에 따른 성과와 개선치, (4) 환경과 경영의 통합의사결정 체계

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2007년도 정기학술발표대회 논문집
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• pp.54-59
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• 2007

현재까지 아파트 재건축사업은 추진 의사결정과 관련한 확정된 지표나 기준이 없이 막연한 수익성에 대한 기대를 토대로 시행되어 왔으며, 사업시행과정에서 직면하게 되는 제반 위험에 대해 경험적으로 대응하여 왔다. 재건축조합이나 시공예정회사들이 관리처분계획을 통해 수익성을 비롯한 사업추진 의사결정과 관련한 정보를 제공하고 있으나, 결정론적 분석을 통한 단순한 예측에 불과하여 재건축시행 과정상의 유동적인 상황에서 예측결과가 자주 변경됨에 따라 결과를 신뢰하기 어려운 한계를 갖고 있다. 따라서 본 연구는 재건축사업의 수익성에 영향을 미치는 변수들을 확률적으로 평가하여 수익과 위험을 동시에 분석하는 수익성예측모델을 개발하고, 사례연구를 통해 개발모델의 적합성을 검증하여 기존의 결정론적 접근방식이 갖는 한계를 극복하고자 한다.