선박이 부두에 안전하게 계류 및 예인하기 위해서는 관련 국제규정에 부합하는 설계를 해야 한다. 그러나 현재까지도 일부 소 형 조선소 및 설계 회사에서는 그 내용을 정확히 숙지하지 못하고 있는 경우가 많다. 따라서 본 논문에서는 예인 및 계류설비에 관한 국 제규정을 살펴보고, 최신 발효된 MEG4(Mooring equipment guideline 4) 기준에 만족하는 대표적인 계류 의장품인 볼라드(Bollard)와 쵸크 (Chock)를 개발하고자 한다. 볼라드는 계류 밧줄을 선체에 고박하기 위한 의장품이며, 일반적으로 2개의 기둥으로, 대부분은 8자 매듭 형 태로 사용하고 있다. 쵸크는 선외에서 선내로 들어오는 계류 밧줄의 방향을 전환하고, 밧줄의 손상을 방지하기 위하여 곡률을 갖는 주물 방식으로 제작한다. 이 두 가지 계류 의장품은 선박의 선수와 선미, 중앙부 측면에서 많이 사용되고 있다. 최근 컨테이너선 및 LNG 운반 선의 크기 증가로 인하여, 계류 밧줄 하중이 증가하고 있으며, 계류 의장품도 안전사용하중(Safe working load)이 변경되어야 한다. 본 연구 에서는 유한요소해석 모델링을 통한 허용응력 평가법 결과를 정리하고, 분석하였다. 추가적으로 비선형 붕괴 거동 평가를 통하여, 안전사 용하중 결정에 대한 검증을 수행하였고, 탄성영역 내 설계가 되었음을 확인하였다. 연구에서 제안하는 평가법 및 기준, 그리고 해석절차 는 향후 유사 의장품 개발 시 참조가 가능하다.

For the release of the nuclear power plant site after the decommissioning, a reliable exposure dose assessment considering the environmental impact of residual radionuclides is essentially required. In this study, the Derived Concentration Guideline Level (DCGL) for the hypothetically contaminated surface soil at the Wolsong nuclear power plant (NPP) unit 1 site was preliminarily calculated by using the RESRAD-OFFSITE computational code and compared with the other case studies. Moreover, radiation exposure dose for local residents and relevant exposure pathways were quantitatively analyzed based on the calculation model established through this work. For the target site modeling, the source term was determined by referring to the previous case studies regarding the nuclear power plant decommissioning, quantification analysis data of pressure tubes of Wolsong NPP unit 1, and radionuclide data estimated by using the MCNP/ORIGEN-2 code. In total, 14 different radioisotopes such as Ag-108m, C-14, Co-60, Cs-134/137, Fe-55, H-3, Nb-93m/94, Ni-63, Sb-125, Sn-121m, Sr-90, and Zr-93 were considered as target radionuclides. In addition, the geological structure model of the Wolsong NPP site was established based on the final safety analysis report of Wolsong NPP unit 1. The distribution coefficients (Kd) were taken from the JAEA-SDB to estimate the migration/retardation behavior of various radionuclides under the groundwater condition of the Wolsong NPP site. In the present work, the DCGL values were calculated according to the site release criterion of 0.1 mSv/yr, which indicates the radiation protection standard for the site release. Moreover, the exposure pathway and sensitivity analyses were conducted to assess the sensitive input parameters remarkably influencing the calculation result. For the evaluation of exposure dose for local residents, a site layout centered around Wolsong NPP unit 4, located in the closest proximity to the residents’ habitation area, was alternatively established and all potential exposure pathways were considered as a comprehensive resident farmer scenario. The results obtained from this study are expected to serve as a preliminary case study for the DCGL values regarding the surface soil at the Wolsong NPP unit 1 site and for evaluating the radiation exposure dose to local residents resulting from the residual radioactivity at the site after the decommissioning.

The Kori Unit 1 and Wolsong Units 1, commercial reactors in South Korea, were permanently shut down due to the expiration of their design lifetime. Therefore, nuclear power plants that have been permanently shut down must be dismantled, and the site must be finally released after removing the remaining radionuclides. Domestic regulatory standards for site remediation should not exceed 0.1 mSv per year based on effective dose. In addition, it is necessary to calculate the preliminary Derived Concentration Guideline Levels (DCGL) to prove that the conditions are met. Therefore, in this study, the input factor considering the geological characteristics of the site of Kori Unit 1 was investigated, and the preliminary Derived Concentration Guideline Levels were calculated and compared with the results of previous studies. As a result of comparative analysis, 60Co, 134Cs, and 137Cs, which are gamma-ray emitting radionuclides, had similar values to DCGL of previous studies A and B. However, 63Ni, a beta-rayemitting nuclide, was 5.94×104 Bq·g−1 in this study and 8.47×101 Bq·g−1in previous study B, resulting in a difference of about 700 times. In addition, in the case of 90Sr, this study and previous study A were derived similarly, but this study was 5.34×101 Bq·g−1 and previous study B was 1.18×10−1 Bq·g−1, resulting in a difference of about 450 times. This difference is judged to be because, unlike this study using only the industrial worker scenario, in the case of previous study B, the resident farmer scenario was mixed and used, which considers the internal exposure caused by ingestion of food produced in the contaminated area. In this study, it was confirmed that DCGL according to the change of geological factors of the site did not have a significant effect on gamma-ray-emitting nuclides. However, it was confirmed that considering the intake of food affects the DCGL of beta-ray-emitting nuclides. Therefore, there is a need to conduct future studies applying intake input factors that meet domestic conditions.

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.

증기운 폭발의 폭압을 예측하거나 위험성 분석을 위하여 다양한 폭압 산정법이 존재하지만 대표적으로 경험적 방법인 TNT 등가량 환산법과 멀티에너지법을 주로 사용한다. 멀티에너지법은 환경적 요인을 고려한 폭발강도계수를 사용한다. 본 연구에서는 문헌 분석 을 통하여 점화원 강도를 세분하고 강도분류를 확장하여 개선한 폭발강도계수 가이드라인을 제안하였다. 개선한 폭발강도계수 가이 드라인의 합리성 검증과 기존 Kinsella 가이드라인과의 비교를 위하여 실제 추정 폭압과 대조가 가능한 4가지의 증기운 폭발 사례를 적용하였다. 결과적으로 기존 Kinsella 가이드라인은 실제 추정 폭압에 비하여 광범위하거나 부정확한 폭압 산정 결과를 나타내는 것 으로 확인하였다. 반면, 개선한 폭발강도계수 가이드라인은 명확한 점화원의 강도 선정이 가능하고 분류의 확장을 통하여 더욱 세분 화된 계수 값의 선정이 가능함에 따라 실제 사례와 비교적 유사한 폭압 산정이 가능하다.

췌장고형종양의 초음파 내시경(endoscopic ultrasound, EUS) 유도하 조직 검사는 기술적 난이도가 높고 침습적이기 때문에 임상에서의 적절한 사용을 위해 엄격한 권고안을 필요로 한다. 이에 대한소화기내시경학회에서는 췌장고형종양의 초음파 내시경 유도하 조직 검사를 위한 임상진료지침을 개발하기 위해 진료지침 개발위원회를 발족하였다. 권고안의 등급과 개별 권고안의 근거 수준은 2014년 출판된 임상진료지침 개발을 위한 Minds Handbook에서 제시된 체계에 기반하여 평가하였다. 본 진료지침 개발위원회는 초음파 내시경 분야의 전문가 16인과 임상진료지침 개발방법론 전문가 1인으로 구성되었으며, 8개 분야에 걸쳐 총 12건의 근거 기반 권고안을 개발하여 췌장고형종양 진단 시 임상의들이 근거에 기반한 임상적 판단을 할 수 있도록 돕고자 하였다. 본 임상 진료지침은 췌장고형종양에서 초음파 내시경 유도하 조직 검사에 대해 다루고 있으며, 권고안에서는 해당 검사의 적응증, 진단 정확도를 최대화하기 위한 기술적 방법론(예: 바늘의 종류 및 직경의 적절한 선택, 충분한 바늘천자횟수, 조직 획득 기술적 방법론, 검체 처리 방법), 시술 관련 합병증, 그리고 숙련도와 교육에 관련된 문제들에 대해 다루고 있다. 본 진료지침은 외부 전문가의 검토를 거쳤으며, 원고작성 시점까지 보고된 가능한 모든 최신 근거들에 기반하여 최선의 진료 방법을 권고하고 있다. 그러나 모든 임상 상황에 본 진료지침을 일괄적으로 적용할 수는 없으며, 기관의 법적/행정적 상황 및 환자의 개별 임상적 상황과 해당 자원의 가용성 등을 고려하여야 한다. 추후 내시경적 기술의 발전과 이로 인한 변화, 임상에서의 최신 근거를 토대로 본 진료지침이 개정될 수 있다.

Unit 1 of the Kori Nuclear Power Plant (NPP) and Unit 1 of the Wolsong NPP are being prepared for decommissioning; their decommissioning is expected to generate large amounts of intermediate-level, low-level, and very low level Waste. Mixed waste containing both radioactive and hazardous substances is expected to be produced. Nevertheless, laws and regulations, such as the Korean Nuclear Safety Act and Waste Management Act, do not define clear regulatory guidelines for mixed waste. However, the United States has strictly enforced regulations on mixed waste, focusing on the human health and environmental effects of its hazardous components. The U.S. Nuclear Regulatory Commission and the U.S. Department of Energy regulate the radioactive components of mixed waste under the Atomic Energy Act. The U.S. Environmental Protection Agency regulates the hazardous waste component of mixed waste under the Resource Conservation and Recovery Act. In this study, the laws, regulations, and authorities pertaining to mixed waste in the United States are reviewed. Through comparison and analysis with waste management laws and regulations in Korea, a treatment direction for mixed waste is suggested. Such a treatment for mixed waste will increase the efficiency of managing mixed waste when decommissioning NPPs in the near future.

PURPOSES : Korea is extremely vulnerable to the effects of climate change and earthquakes. When disasters occur, road infrastructure becomes a vital carriageway for moving people, emergency resources, and rescue teams. By designating disaster response routes in advance, the effect of the disaster can be reduced by ensuring a secure and quick moving space for emergency resources and relief activities. However, Korea has not established disaster response routes yet. Thus, this paper aims to prescribe guidelines to select appropriate disaster response routes by using Space Syntax while assuming a flooding disaster, as they occur most frequently and cause the biggest damage in terms of the recovery cost. METHODS : Based on the literature review, there are various approaches to selecting disaster response routes such as vulnerability, reliability, and redundancy based analyses. This study adopts the vulnerability-based approach, where the most vulnerable sections of roadway are selected for the disaster response route. RESULTS: We successfully developed guidelines for selecting a disaster response route assuming a flooding disaster. CONCLUSIONS: The analysis of the disaster response route indicated that the pre-determined disaster response route could minimize the damage due to the disaster, as it provides basic mobility and facilitates the swift movement of refugees and rescue teams.

PURPOSES : With the recent change to domestic and overseas construction technologies, which led to the adoption and application of threedimensional building information management (BIM), a BIM output delivery operation system is needed for the civil engineering infrastructure category. This study analyzes the domestic and overseas BIM-order placement, BIM-related guidelines/guides, and the BIM output delivery system for the road construction project category to present guideline development measures for BIM output writing and delivery. METHODS: This study surveys and analyzes the domestic BIM-related research trends to examine the domestic-infrastructure BIM-order placement situations in public ordering agencies. Additionally, it analyzes the domestic BIM-related guides and guidelines and existing twodimensional electronic delivery systems and the domestic and overseas BIM output delivery systems. This study defines the guideline composition system and direction to present criteria for BIM output writing, delivery, management, and utilization in the road category. Furthermore, it presents guideline composition measures for BIM output writing and delivery to propose detailed criteria, output-list composition, and output inspection procedures. RESULTS : This study presented BIM output guideline development measures for planning BIM output writing and delivery and management/utilization measures in the road category. To that end, it determined the domestic and overseas BIM guide and guideline composition systems, BIM ordering criteria, BIM data writing and delivery criteria, BIM output management and utilization measures, and a common BIM output list to present suitable detailed criteria. CONCLUSIONS: This study sought to respond to changes to the domestic and overseas construction environment and to present output writing/delivery guidelines as activation measures supporting the adoption and application of BIM. To that end, we analyzed the domestic and overseas BIM guidelines and guides, task instructions, bid information, etc. to define the appropriate composition system and to give it direction. We defined the contents of tables and detailed descriptions to present guideline development measures for BIM output writing/delivery guidelines in the road category. This is expected to improve work efficiency for BIM and to enhance output quality and utilization. Furthermore, the adoption of BIM in the road category will provide an infrastructure environment with which to exchange BIM information with related agencies. We plant to further develop verification tools for the Ministry of Land, Infrastructure, and Transport's BIM model projects, for their output writing and delivery, and for an integrated BIM platform that will continue to improve the proposed criteria.