In the event of a radiological emergency at a nuclear facility, the exchange of information on the accident situation is very important in the response process. For this reason, international organizations such as the IAEA and the EU operate systems to exchange information in the event of a radiological emergency. In south korea, the emergency response information exchange system (ERIX) developed by KINS is operated for use by the national radiological emergency response organization. The ERIX enables the exchange of emergency response information between organizations such as the government, nuclear operators, local authorities, KINS and KIRAMS. The KAERI has developed the KAERI emergency response information exchange system (KAERIX) for the exchange of accident information and emergency response information between the emergency response organizations of the KAERI in the event of a radiological emergency. This system is web-based using HTML, runs on internal network and is only available to KAERI staff. Recently, as the need for optimizing and upgrading KAERIX has arisen, improvements have been derived. The main improvement is optimizing KAERIX for Microsoft Edge to minimize errors. At present, it is optimized for Internet Explorer, but optimizing it for Microsoft Edge mode has become essential due to Microsoft discontinuing support for Internet Explorer. Another major improvement involves adding functions in ERIX to KAERIX, such as displaying the deletion/ correction status of input information and providing notifications for important information registration. Ultimately, KAERIX will be upgraded and optimized in 2024, reflecting improvements.

The nuclear licensee must ensure that the nuclear or radiological emergency preparedness and response organization is explicitly defined and staffed with adequate numbers of competent and assessed personnel for their roles. This paper describes the responsibilities of medical and support personnel for the medical action of casualties in the event of a radiological emergency at the KAERI. Currently, there is one medical personnel (nurse) in KAERI, and a total of eight medical support personnel are designated for medical response in the event of a radiological emergency. These medical support personnel are designated as one or two of the on-site response personnel at each nuclear facility, operating as a dedicated team of A, B (4 people each). In the event of a radiological emergency, not all medical support personnel are mobilized, but members of the dedicated medical team, which includes the medical support personnel of the nuclear facility where the accident has occurred, are summoned. Medical and support personnel will first gather in the onsite operational support center (OSC)/technical support center (TSC) to prepare and stand by for the medical response to injured when a radiological emergency is declared. They should take radiation protective measures, such as wearing radiation protective clothing and dosimeters, before entering the onsite of a radiological emergency, because injuries sustained during a radiological emergency may be associated with radioactive contamination. In the event of an injury, direct medical treatment such as checking the patient’s vitals, first aid, and decontamination will be carried out by medical personnel, while support personnel are mainly responsible for contacting the transfer hospital, reporting the patient’s condition, accompanying the ambulance, filling out the emergency medical treatment record, and supporting medical personnel. In order to respond appropriately to the occurrence of injuries, we regularly conduct emergency medical supplies education and medical training for medical support personnel to strengthen their capabilities.

In response to a regulatory mandate, all nuclear licensees are obligated to establish an information system that can provide essential information in the event of a radiation emergency by connecting the monitoring data of the Safety Parameter Display System (SPDS) or equivalent system to the Korea Institute of Nuclear Safety (KINS). Responding to this responsibility, the Korea Atomic Energy Research Institute (KAERI) has established the Safety Information Transmission System (SITS), which enables the collection and real-time monitoring of safety information. The KAERI monitors and collects safety information, which includes data from the HANARO Operation Work Station (OWS) and the HANARO & HANARO Fuel Fabrication Plant (HFFP) Radioactivity Monitoring System (RMS), and the Environmental Radiation Monitoring System (ERMS) & meteorological data. Currently, the transmission of this safety information to the AtomCARE server of the KINS takes place via the SITS server located in the Emergency Operations Facility (EOF). However, the multi-path of transmission through SITS has caused problems such as an increase in data transmission interruptions and errors, as well as delays in identifying the cause and implementing system recovery measures. To address these issues, a new VPN is currently being constructed on the servers of nuclear facilities that generate and manage safety information to establish a direct transmission system of safety information from each nuclear facility to the AtomCARE server. The establishment of a direct transmission system that eliminates unnecessary transit steps is expected to result in stable information transmission and minimize the frequency of data transmission interruptions. As of the improvement progress, a security review was conducted in the second and third quarters of 2022 to evaluate the security of newly introduced VPNs to the nuclear facility server, and based on the results of the review, security measures were strengthened. In the fourth quarter of 2022, the development of a direct transmission system for safety information began, and it is scheduled to be completed by the fourth quarter of 2023. The project includes the construction of the transmission system, system inspection, and comprehensive data stability testing. Afterward, the existing SITS located in the EOF will be renamed as the Safety Information Display System (SIDS), and there are plans to remove any unused servers and VPNs.

The purpose of this study is to evaluate the clinical and radiographic features of Bisphosphonate-related osteonecrosis of the jaws(BRONJ). The clinical and radiographic features of 27 patients diagnosed with BRONJ from 2008 to 2012 were evaluated on the basis of the charts and panoramic radiographs and cone beam computed tomographs. As for clinical features, the following contents were evaluated; type of dental treatments before occurrence of BRONJ, the cause of taking bisphosphonate medicine, undergoing dental treatment, interval between dental treatments and symptom expression. As for radiological features, location of BRONJ, size of bone destructions and sclerosing of the surrounding bone, locational relationship between mandibular canal and inferior border of bone destruction, and effect on the maxillary sinus. In clinical features, extraction was done in 18 patients(66.7%), as the most common dental treatment before occurrence of BRONJ. The most common cause of taking bisphosphonate medicine was osteoporosis(20 pateints, 70.4%). The patients treated during bisphosphonate administration was 17(63.0%). The interval between dental treatments and symptom in the most patients(14 patients, 51.8%) was within 1 month. In radiological features, sequestrum was seen in 11 patients(40.7%) and bony sclerosing in 15(55.6%). The mean width of sclerosing was 32.9±12.4mm and mean height 17.5±4.4mm. Bone destruction invaded to inferior border of mandibular canal in 88.2%(15 among 17 mandibles),. Maxillary sinusitis was diagnosed in 57.1% among the evaluated maxillae(4 among 11 maxillae). In diagnosing BRONJ, clinicians should be cautious about medical history of patients and have well-knowledge of radiographic features.