코로나19로 인해 야외활동 수요가 증가하면서 숲길에 대한 관심이 커지고 쾌적한 도시 생활환경의 중 요성이 주목되고 있다. 그러나 숲길을 이용하는 시민이 체감하는 도시 내 녹지비율은 부족한 상황이다. 본 연구는 도시숲길 개념을 정립하고 식생배치 기준과 노선·노면 구조 및 시공 요령을 마련해 도시숲길 조성 시 기초자료로 활용할 수 있는 도시숲길 조성 관리지침을 제시한다. 국내외 사례 조사 및 현장답 사, 도시숲길 관련 문헌을 검토한 후 도시숲길 기능과 유형을 분류하고 광주광역시를 예시로 도시숲길 노선을 적용했다. 도시숲길 노선은 주거지 연결형, 산림 및 하천 연결형, 도심 연결형으로 구분했다. 기 존 숲길을 적극적으로 활용하되 신규 노선이 필요한 구간은 기준에 따라 노선을 설치하여 숲길과 주거 지 간의 연결성을 강화하는 방안이 필요하다. 또한 도시숲길이 가로수를 포함한 도시숲과 차별되는 생 태·친환경 공간이자 생물 다양성을 확보하고 문화적 장소로서 역할과 기능을 하는 시공지침을 마련했 다. 이를 바탕으로 점적 차원의 녹지자원과 상호 연계하여 지역간 교류 및 경제 활성화를 더불어 시민이 실제로 체감하는 녹지의 비율이 늘어날 것이며, 효율적인 도시숲길 조성을 기대할 수 있다.

PURPOSES : Construction standards have resolved overlaps and conflicts between different standards and fields through the introduction of a code system. However, the sub-technical standards were established based on the construction standards at the time of their creation and have not been revised. This has resulted in poor integration and conflicts with revised construction standards, reducing their practical applicability in the construction field. Consequently, to enhance the practical applicability of sub-technical standards and ensure their integration with construction standards, this study aimed to devise technical guidelines for sub-technical standards. METHODS : A brainstorming session was conducted with field experts to evaluate the applicability and necessity of the currently distributed sub-technical standards in the field. Each sub-technical standard was reviewed to determine whether it should be retained or abolished. On the basis of the review results, this study developed a set of draft technical guidelines (Korean Design Standard Guideline (KDSG)/Korean Construction Specification Guideline (KCSG)) for the sub-technical standards that required retention. RESULTS : A comprehensive survey of sub-technical standards identified a total of 154 standards. Of these, 109 were deemed necessary to retain, whereas 45 were considered unnecessary to retain. Among the sub-technical standards requiring retention, 20 were selected for the development of technical guidelines based on their relevance and applicability to the construction standards. A draft of these technical guidelines was subsequently prepared. CONCLUSIONS : A plan was devised to assign technical guideline codes to 20 subordinate technical standards that were deemed consistent with the road construction standards (KDS/KCS 44 00 00). This approach can provide a foundation for reorganizing the system of road construction standards and subordinate technical standards, thereby enhancing their practical usability in the construction field.

Regulatory Guide (RG) 1.60 presents the response spectra for the seismic design, especially for the safe shutdown earthquake (SSE), of nuclear power plants. This guide is applicable to a two-step process involving the issuance of construction permits and operating licenses (10 CFR Part 50) as well as the issuance of combined construction and operating licenses (COLs), early site permits (ESPs), and standard plant design certifications (10 CFR Part 52) [1]. New reactor designs, however, require modified design response spectra (MDRS) by broadening the high-frequency range from design response spectra (DRS) in RG 1.60. In order to generate artificial time histories to meet the acceptable criteria described in NUREG-0800 [2], it9s necessary to develop the power spectral density of the MDRS. In this paper, we generate the artificial earthquake time histories of the MDRS for further research.

PURPOSES : This study aims to propose drone-command standard operating procedure (SOP) guidelines and Analyze their potential application to increase the use and utility of drones in urban disaster situations. Although the effectiveness and efficiency of obtaining disaster-situation information through drones have been verified by previous studies and practical experience, a survey of actual drone usability indicated a utilization rate of only approximately 4.13%. METHODS : To provide guidance for improving drone command SOPs, prior research and relevant literature were reviewed to identify commonalities between disaster-response command and control and drone use. A sample of 73 active-duty firefighters, including incident commanders (ICs) and drone pilots, were surveyed and interviewed. The data were analyzed and categorized to establish the reasons why drones are not actively used in urban disaster-response procedures. RESULTS : The primary reasons identified for not actively utilizing drones in urban disaster areas were the lack of a drone command and control system and the lack of clear criteria for when to use drones in disaster situations. In addition, many problems were found in drone-operation procedures, including emergency flight approval, securing takeoff and landing sites, and accident burden due to urban flight obstacles. To address the issues identified, standards were proposed for the type, size, and scope of urban disasters requiring drone response; for accident-prevention on basic missions and through flight safety procedures; and for installing a video transmission and reception system to easily share drone video information with ICs. CONCLUSIONS : Application of the drone-command SOP guidelines to actual urban disaster situations by disaster type will help to improve the efficiency of information acquisition and flight safety. This is expected to enable increased drone utilization. In future, extension of the research reported in this paper beyond the Seoul metropolitan area via additional follow-up studies has the potential to establish applicability of the proposed SOP guidelines to a wide variety of environments and organizational characteristics.

A checklist of dietary behavior items for the elderly was developed based on Korean dietary guidelines. First, a literature review was conducted, and 63 preliminary items, including 30 items on food intake, 12 on eating habits, and 21 on dietary culture, were obtained to evaluate the dietary guidelines. The preliminary items were evaluated by experts using Lawshe’s method to verify the content validity. They were then revised, resulting in 52 items: 25, 11, and 16 in the food intake, eating habits, and dietary culture domains, respectively. A face-to-face survey was conducted on 331 people over 65 years of age in the metropolitan area, and their one-day food intake was surveyed using a 24-hour recall method in August 2022. The 48 items, including 24, 11, and 13 items on food intake, eating habits, and dietary culture, respectively, correlated significantly with the evaluation indicators of nutrient intake, such as mean adequacy ratio, dietary diversity score, and nutrient intake density. These items were considered suitable for evaluating the elderly's compliance with dietary guidelines.

해양환경의 위험유해물질 배출규제는 주로 선박이나 해양시설 등으로부터의 오염규제에 한정되어 있기 때문에, 해안 인접 산업 시설들의 위험유해물질 배출 허용기준 및 배출 지침 수립 등의 해양배출제도의 수립 필요성이 제기되고 있다. 본 연구에서는 해양산업시 설의 위험유해물질 배출 허용기준 및 배출 지침 정보를 자세히 제공하고 있는 미국 환경보호청(US EPA)의 자료를 중심으로 허용기준 및 배출 지침 수립 등 배출 제도 체계를 소개하고 향후 국내 배출지침 적용에 대해 고찰했다.

대형액화천연가스(Liquefied Natural Gas, LNG)선이 연안 터미널에 정박할 경우 바람과 조류 등의 환경하중에 대응하여 안전을 확보할 수 있는 계류 안전을 위한 케이블 계류력 산정이 필요하다. 이에 기존의 주요 계류역(Mooring Force) 계산방법의 비교 및 분석을 수 행하였다. 비교 및 분석을 통해 석유회사국제해운포럼(Oil Companies International Marine Forum, OCIMF)의 계류설비지침에서 권고하는 계산 방법을 선정하였으며 이를 기반으로 본 논문에서는 실제 대형 LNG선에 적용하여 OCIMF 계류설비지침의 스펙트럼을 이용한 계류줄의 계 류력 계산 사례를 제시하였다. OCIMF 계류설비지침에 따른 스펙트럼으로 계산한 계류력은 환경 외력과 풍동 시험으로 계산한 바람저항 계수 기반 선박 환경 외력과 최대값에서 매우 유사한 결과값을 주는 것을 확인할 수 있었다. OCIMF 계류설비지침에 따른 스펙트럼으로 계산한 계류력에 대한 검증으로 전문 계류력 계산 소프트웨어인 OPTIMOOR 소프트웨어를 사용하여 결과를 비교하였으며 둘의 결과는 매 우 유사한 것을 확인하였다. OPTIMOOR를 사용할 경우에는 각각의 케이블의 인장력을 정밀하게 계산할 수 있어 경제적인 제약이 없을 때 적극적 사용이 추천된다. 결론적으로 OCIMF 계류설비지침에 따른 스펙트럼으로 계산한 계류력이 대형 LNG선의 계류력 계산에 적용함에 문제가 없음을 실제 계산 사례를 통해 검증할 수 있었다.

Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on indication for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.

In severe acute pancreatitis, accompanied by local complications such as acute peripancreatic fluid collection, pancreatic pseudocyst, acute necrotic collection and walled-off necrosis, the mortality rate is as high as 12-25%. In many cases, interventional procedure or surgical treatment are required at an appropriate time. Conservative treatment is considered for acute peripancreatic fluid collection. Endoscopic drainage could be considered preferentially for the treatment of pancreatic pseudocysts with clinical symptoms or complications. In the case of necrotizing pancreatitis, conservative treatment is preferred, but therapeutic intervention should be considered if infectious pancreatic necrosis with clinical deterioration is suspected. For therapeutic intervention, it is recommended to proceed with a step-up approach in which drainage is first performed and, if necessary, necrosectomy is performed. The optimal timing of intervention is considered 4 weeks after the onset of pancreatitis when necrosis become walled-off, but early drainage within 4 weeks can be considered depending on the patient's condition. This guideline provides an overview of current treatment strategies for local complications of acute pancreatitis.

Initial and convalescent treatment of acute pancreatitis (AP) is important in order to improve the prognosis and prevent the recurrence in the patients with AP. Initial intensive treatment includes fluid therapy, pain control, antimicrobial therapy, endoscopic retrograde cholangiopancreatography (ERCP), and nutritional support. Goal-directed therapy is recommended for fluid therapy, and the routine use of prophylactic antibiotics is not recommended. In acute gallstone pancreatitis, urgent ERCP should be performed only in patients with cholangitis or persistent cholestasis. Early oral feeding is advisable as tolerated and enteral feeding via nasogastric or nasojejunal tube appear comparable. In convalescent treatment, cholecystectomy during the initial admission is advisable for mild biliary pancreatitis with gallstone as possible, and treatment against alcohol dependence is considerable for recurrent acute alcoholic pancreatitis. In this review, we recommend practice guidelines for initial treatment, nutritional support, and convalescent treatment.

The severity of acute pancreatitis (AP) is classified into mild, moderately severe, and severe, considering the presence and duration of organ failure and local complications. Since patients with AP show a large difference in mortality and morbidity according to AP severity, evaluation of the severity of patients with AP in the early stage is important for predicting the prognosis and determining treatment plans including transfer to the intensive care unit or advanced facilities. In order to evaluate the initial severity of AP, it is necessary to confirm the presence of organ failure and objective evaluation using imaging or clinical examinations. In this guideline, it is recommended that evaluation using various severity indices such as bedside index for severity in acute pancreatitis (BISAP), systemic inflammatory response syndrome (SIRS), and acute physiology and chronic health evaluation (APACHE)-II scores be considered.

There is general acceptance that a diagnosis of acute pancreatitis requires two of the following three features: 1) epigastric or upper abdominal pain characteristic of acute pancreatitis, 2) serum amylase and/or lipase ≥3 times the upper limit of normal, and 3) characteristic findings of acute pancreatitis on abdominal images such as ultrasonography, computed tomography (CT) or magnetic resonance imaging. Other pancreatic diseases and acute abdomen have been ruled out before making a diagnosis of acute pancreatitis. Serum lipase may be more useful than serum amylase because serum lipase is thought to be more sensitive and specific than serum amylase in the diagnosis of acute pancreatitis. Contrast-enhanced CT scan is the best imaging technique to rule out the conditions that masquerade as acute pancreatitis, to diagnose the severity of acute pancreatitis, and to identify complications of pancreatitis. The etiology of acute pancreatitis should be made clear as soon as possible to decide treatment policy of acute pancreatitis or to prevent the recurrence of pancreatitis. The etiology of acute pancreatitis in an emergency situation should be assessed by clinical history, laboratory tests such as serum liver function tests, measurement of serum calcium and serum triglycerides and ultrasonography. A differentiation of gallstoneinduced acute pancreatitis should be given top priority in its etiologic diagnosis because early endoscopic retrograde cholangiopancreatography should be considered if a complication of cholangitis and a prolonged passage disorder of the biliary tract are suspected.

Acute pancreatitis can range from a mild, self-limiting disease that requires no more than supportive care to severe disease with life-threatening complications. Therefore, to provide a framework for clinicians to manage acute pancreatitis and to improve national health care, the Korean Pancreatobiliary Association (KPBA) established the first Korean guideline for the management of acute pancreatitis in 2013. However, many challenging issues exist, which sometimes lead to differences in practice between clinicians. Taking together the recent dramatic changes of latest knowledge and evidence newly obtained, the committee of the KPBA decided to perform an extensive revision of the guidelines. These revised guidelines were developed by using mainly Delphi methods, and the main topics of these guidelines fall under the following topics: 1) diagnosis, 2) severity assessment, 3) initial treatment, nutritional support, and convalescent treatment, 4) the treatment of local complication and necrotizing pancreatitis. The specific recommendations are presented with the quality of evidence and classification of recommendations.