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Diagnostic Approach to a Patient with a Pleural Effusion Including Ultrasound-guided Paracentesis Performed by a Medical Resident (내과 전공의가 시행한 초음파 이용 흉수천자를 포함한 흉수의 진단적 접근)

  • Lee, Yun Young;Choi, Won Je;Yu, Chang Min;Suh, Seong O;Kim, Eun Sil;Ahn, Seok- in;Chung, Jun-Oh;Park, Sang Joon;Kim, Yun Kwon;Kim, Soyon;Kim, Young Jung;Lee, Se Han;Heo, Heon
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.6
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    • pp.439-444
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    • 2008
  • Background: A patient with a pleural effusion that is difficult to safely drain by a "blind" thoracentesis procedure is generally referred to a radiologist for ultrasound-guided thoracentesis. But such a referral increases the cost and the patient's inconvenience, and it causes delay in the diagnostic procedures. If ultrasound-guided thoracentesis is performed as a bedside procedure by a medical resident, then this will reduce the previously mentioned problems. So these patients with pleural effusions were treated by medical residents at our medical center, and the procedures included bedside ultrasound-guided thoracenteses. Methods: We studied 89 cases of pleural effusions from March 2003 to June 2005. A "blind" thoracentesis was performed if the amount of pleural effusion was moderate or large. Bedside ultrasound-guided thoracentesis was performed for small or loculated effusions or for the cases that failed with performing a "blind" thoracentesis. Results: "Blind" thoracenteses were performed in 79 cases that had a moderate or large amount of uncomplicated pleural effusions and the success rate was 93.7% (74/79 cases). Ultrasound-guided thoracentesis by the medical residents was performed in 15 cases and the success rate was 66.7% (10/15 cases). The 5 failedcases included all 3 cases with loculated effusions and 2 cases with a small amount of pleural effusion. All the failed cases were referred to one radiologist and they were then successfully treated. If we exclude the 3 cases with loculated pleural effusions, the success rate of ultrasound-guided thoracentesis by the medical residents increased up to 83% (10/12cases). Two cases of complications (1 pneumothorax, 1 hydrohemothorax) occurred during ultrasound-guided thoracentesis. Conclusion: Ultrasound-guided thoracentesis performed as a bedside procedure by a medical resident may be relatively effective and safe. If a patient has a loculated effusion, then it would be better to first refer the patient to a radiologist.

Risk Prediction and Analysis of Building Fires -Based on Property Damage and Occurrence of Fires- (건물별 화재 위험도 예측 및 분석: 재산 피해액과 화재 발생 여부를 바탕으로)

  • Lee, Ina;Oh, Hyung-Rok;Lee, Zoonky
    • The Journal of Bigdata
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    • v.6 no.1
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    • pp.133-144
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    • 2021
  • This paper derives the fire risk of buildings in Seoul through the prediction of property damage and the occurrence of fires. This study differs from prior research in that it utilizes variables that include not only a building's characteristics but also its affiliated administrative area as well as the accessibility of nearby fire-fighting facilities. We use Ensemble Voting techniques to merge different machine learning algorithms to predict property damage and fire occurrence, and to extract feature importance to produce fire risk. Fire risk prediction was made on 300 buildings in Seoul utilizing the established model, and it has been derived that with buildings at Level 1 for fire risks, there were a high number of households occupying the building, and the buildings had many factors that could contribute to increasing the size of the fire, including the lack of nearby fire-fighting facilities as well as the far location of the 119 Safety Center. On the other hand, in the case of Level 5 buildings, the number of buildings and businesses is large, but the 119 Safety Center in charge are located closest to the building, which can properly respond to fire.

Fire Occurrence Pattern Analysis and Fire Risk Calculation of Jinju City (진주시 화재발생 패턴분석과 위험등급 산출)

  • Bae, Gyu Han;Yoo, Hwan Hee
    • Journal of Korean Society for Geospatial Information Science
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    • v.22 no.4
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    • pp.151-157
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    • 2014
  • Diverse and complex facilities have been on the increase in urban areas in accordance with rapid urbanization. Along the lines of the increase in facilities, the risk of fire has increased. In particular, fire accidents as well as traffic accidents accounted for the highest rate in artificial disasters. Therefore, the National Fire Information Systems managed by the National Emergency Management Agency (NEMA) appeared for the effective fire management. The NEMA has provided the public with the Internet services regarding information about fire outbreak since 2007. This study acquired data from both NEMA and the Jinju City Fire Department. It constructed the fire data of Jinju City and calculated the change in spatial density targeting fire, occurred in Jinju city with a view to examining the fire risk of facilities by conducting a time series analysis on the trends of fire outbreak over a span of periods between 2007 and 2013. It also conducted an analysis of Moran's I, Getis-Ord Gi. Therefore, it came to select higher hot spots in terms of fire location and fire density. In addition, it attempted to calculate the levels of fire hazard by drawing up the matrix of personal injury and property damage, depending on facilities to present the methods, which can predict the risk of fire occurrence in urban areas.

A Study on Device Development for Electrical Fire Protection on Open Phase of Three-Phase Motor (3상 전동기 결상에 의한 전기화재 보호를 위한 장치 개발 연구)

  • Choi, Shin-Hyeong;Kwak, Dong-Kurl;Kim, Jin-Hwan
    • Fire Science and Engineering
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    • v.26 no.1
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    • pp.61-67
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    • 2012
  • In the three-phase power system using the three-phase motor, when any one-phase is open-phase, the unbalanced current flows and the single-phase power supplied by power supply produces overcurrent to motor coil. As a result, the enormous damage and electrical fire can be given to the power system. Recently, the thermal over-current relay (THR) or electronic motor protection relay (EMPR) is mostly used as the open-phase detection device of the three-phase motor. When the over-current or overheat of electric line is generated, it detects and operates circuit breaker, but there is the defect that the sensing speed is slow, the operation can be sometimes failed, and the precision is decreased. In order to improve these problems, this paper is proposed a new control circuit topology for openphase protection using semiconductor devices. Therefore, the proposed open-phase protection device (OPPD) enhances the sensing speed and precision, and has the advantage of simple fitting in the three-phase motor control panel in the field, as it manufactures into small size and light weight. As a result, the proposed OPPD protects the three-phase motor, minimizes the electrical fire from openphase, and contributes for the stable driving of the power system. The performance and confidence of the proposed OPPD is confirmed by a great variety of the experiments of operation characteristic.

The Evaluation of Musculoskeletal Symptom and Patient Transport Work of 119 EMTs by Ergonomics Tools (119구급대원의 근골격계 증상과 환자운반 작업의 인간공학적 평가)

  • Hong, Sung-Gi
    • Fire Science and Engineering
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    • v.28 no.4
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    • pp.81-88
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    • 2014
  • This study identified the complaint ratio of musculoskeletal symptom by 119 EMTs and investigated the work risk extent through ergonomics evaluation about the patient transport works, which cause work-related musculoskeletal disorders (WMSDs) to 119 EMTs. For this, the complaint ratio of musculoskeletal symptom utilized questionnaire tool based on KOSHA Code H-30-2008 and the risk extent about the patient transport work evaluated by using ergonomics evaluation tools such as OWAS, RULA and REBA. According to the study result, 60.9% of 119 EMTs experienced musculoskeletal symptom. Among them, the symptom on back was the most common (36.1%). The work, which mostly causes WMSDs, has been found as patient transport work (48.4%). Among the patient transport motion, loading/unloading of ambulance cot to/from ambulance and the lifting of patient by stretcher were OWAS risk-level 3 and RULA/REBA risk-level 3 to 4. Among the patient transport environment, carrying patient on stairway using emergency mini-stretcher, moving patient in vehicle using spine board and piggy-back carrying or cradle carrying patient on stairway or slope way were OWAS, RULA, REBA risk level 3 to 4. It is suggested that immediate improvement in work postures for these works should contribute to prevention against WMSDs to 119 EMTs.

An Experimental Study on the Effects of the Shape of a Drencher Head on the Characteristics of a Water Curtain (드렌처 헤드의 형상에 따른 수막특성에 관한 실험적 연구)

  • Lee, Seung-Chul;Kim, Bong-Jun;Lee, Jae-Ou;Park, Chung-Hwa;Hwang, Cheol-Hong
    • Fire Science and Engineering
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    • v.30 no.3
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    • pp.86-93
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    • 2016
  • The effects of the shape of a drencher head on the flow characteristics and radiation attenuation of a water curtain, in order to prevent a fire spread, were experimentally studied. The distance (h) between the orifice exit and deflector and the diameter of deflector (D) were varied as the shape factors of the head, with the same orifice diameter (d). It was found that an increase in h leads to an increase in the water flow rate and spray angle. However, the change in the spray angle decreases with increasing D. Increasing D brings about a subtle increase in the water flow rate and a significant decrease in the spray angle. A larger value of D makes it possible to produce a flatter pattern of the water curtain, but reduces the uniformity of the droplets inside the spray angle. The mean droplet diameter decreases significantly as the operating pressure increases. However, the variation in the shape of the drencher head does not significantly affect the change in the mean diameter at the same operating pressure. Finally, it was found that the radiation attenuation afforded by the water curtain at the same operating pressure was affected by water flow rate and droplet uniformity, which were determined by h and D, respectively.

A Study on Combustion Characteristics of Finishing Materials in Interior Decoration (실내장식물 인테리어마감재의 연소특성에 관한 연구)

  • Cho, Kwang-Hyun;Lee, Bong-Woo;Yun, Mung-Oh
    • Journal of the Korean Institute of Gas
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    • v.23 no.4
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    • pp.10-18
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    • 2019
  • The Interior finishing materials tried to evaluate the combustion characteristics and the dangerous characteristic of Floor finish and Wall finish. We often use, conducting the experiment ISO 5660-1, Cone Calorimeter method, and ISO-TR-9122 FT-IR. According to the result of Cone calorimeter experiment, the tile carpet FF3 of Floor material had the highest THR $74.6mj/m^2$ because of the highest risk, and the PHRR of FF1 was $726kW/m^2$, which was easy to bum. As a result FT-IR test, The CO, $CO_2$ ratio was 8,146 PPM for roll carpet FF1 than tile carpet FF2, FF3 5,996, 5,171 PPM, which was a carpet with a high toxicity risk. In the case of wall finishes, The MDF plate(WF3) was THR $86.7mj/m^2$ with a high risk, PHRR $384kW/m^2$ was easy to ignite and toxicity index was 5.5. The CO, $CO_2$ ratio was 1,340~8,596 PPM, But the WF4 was the most toxic with 8,596 PPM.

Effects of evacuation delay time and fire growth curve on quantitative risk for railway tunnel fire (철도터널 화재 시 피난개시시간지연 및 화재성장곡선이 정량적 위험도에 미치는 영향)

  • Ryu, Ji-Oh;Kim, Hyo-Gyu;Lee, Hoo-Young
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.20 no.5
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    • pp.809-822
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    • 2018
  • A quantitative risk assessment has been introduced to quantitatively evaluate fire risk as a means of performance based fire protection design in the design of railway tunnel disaster prevention facilities. However, there are insufficient studies to examine the effect of various risk factors on the risk. Therefore, in this study, the risk assessment was conducted on the model tunnel in order to examine the effects of the evacuation start time delay and the fire growth curve on the quantitative risk assessment. As a result of the analysis of the scenario, the fatalities occurred mainly when escapes in the same direction as the direction of the fire smoke movement. In addition, after the FED exceeded 0.3, the maximum fatalities occurred within 10 minutes. In the range of relatively low risk, distance between cross passages, evacuation delay time and fire growth curve were found to affect the risk, but they were found to have little effect on the condition that the risk reached the limit. Especially, in this study, it was evaluated that the evacuation delay time reduction, fire intensity and duration reduction effect were not observed when the distance between cross passages was more than 1500 m.

The Risk Assessment of the Fire Occurrence According to Urban Facilities in Jinju-si (진주시 도시시설물별 화재발생 위험도 평가)

  • Bae, Gyu Han;Won, Tae Hong;Yoo, Hwan Hee
    • Journal of Korean Society for Geospatial Information Science
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    • v.24 no.1
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    • pp.43-50
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    • 2016
  • Urbanization in Korea has increased significantly and subsequently, various facilities have been concentrated in urban areas at high speed in accordance with a growing urban population. Accordingly, damages have occurred due to a variety of disasters. In particular, fire damage among the social disasters caused the most severe damage in urban areas along with traffic accidents. 44,432 cases of fire occurred in 2015 in Korea. Due to these accidents, 253 were killed and property damage of 4,50 billion won was generated. However, despite the efforts to reduce a variety of damage, fire danger still remains high. In this regard, this study collected fire data, generated from 2007 to 2014 through the Jinju Fire Department and the National Fire Data System(NFDS) and calculated fire risk by analyzing the clustering of fire cases and facilities in Jinju-si based on the current DB of facilities, offered by the Ministry of Government Administration and Home Affairs. As a result, the risk ratings of fire occurrence were classified as four stages under the standards of the US Society of Fire Protection Engineers(SEPE). Business facilities, entertainment facilities, and automobile facilities were classified as the highest A grade, detached houses, Apartment houses, education facilities, sales facilities, accommodation, set of facilities, medical facilities, industrial facilities, and life service facilities were classified as U grade, and other facilities were classified as EU grade. Finally, hazardous production facilities were classified as BEU grade, the lowest grade. In addition, in the case of setting the standard with loss of life, the highest risk facility was the hazardous production facilities, while in the case of setting the standard with property damage, a set of facilities and industrial facilities showed the highest risk. In this regard, this study is expected to be effectively utilized to establish the fire reduction measures against facilities, distributed in urban space by calculating risk grades regarding the generation frequency, casualties, and property damage, through the classification of fire, occurred in the city, according to the facilities.

Research Trends on Mt. Baekdu Volcano - Is She Dormant or Active? - (백두산 화산 관련 연구 동향 - 휴화산/활화산 논쟁과 관련하여 -)

  • PARK, Kyeong
    • Journal of The Geomorphological Association of Korea
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    • v.20 no.4
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    • pp.117-131
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    • 2013
  • 2010 eruption of Eyjafjallajokull volcano in Iceland and 2011 Shinmoedake's eruption in Japan evoked concerns from researchers for the possibility of explosion of Baekdusan volcano after long dormancy (repose period). National Emergency Management Administration has tried to evaluate the vulnerability of volcanic disaster and to prepare response to the potential risk and to mitigate the damages from the volcanic eruption, but a few studies have focused on the activities of Baekdusan. This study aims to clarify what the criteria between dormant volcano and active volcano based on geomorphologists' and geologists' researches. Volcanic experts have made a criterion of activeness such as the evidence of volcanic eruption within 10,000 year before present. More rigorous criterion which was made in 1991 by Japanese Meteorological Administration was 2000 years B.P. Both Baekdusan and Hallasan satisfy two criteria, so it is necessary for us to monitor the activity of both volcanoes and to reflect the facts into the curriculum.