• Title/Summary/Keyword: 응급시설

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A Chronological Study on the Transformation and the Spatial Characteristics of Emergency department in the United States (미국의료시설 응급부의 시대적 변천과 공간적 특성에 관한 연구)

  • Lee, Sukyung;Choi, Yoonkyung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.3
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    • pp.17-27
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    • 2018
  • Purpose: This study aims to examine spatial characteristics of emergency department Chronologically through case studies; and to consider the social implication of these spatial changes. Methods: In this study, a total of eight emergency departments, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing case studies. Results: The spatial configuration of emergency department has been changed from five or more emergency department specialties to four or less specialties such as psychiatric, pediatrics, emergency, and trauma. In the case of care initiation area, the concentrated arrangement mode was switched from the distributed arrangement mode. The spatial maps indicate that it can be seen that the tree structure changes to an annular structure emphasizing the connection between the spaces in the emergency department. This shows that the space efficiency, safe, visual control and flexibility in the planning of the emergency department are important factors affecting the spatial structure of the emergency department. Implications: In the future, it is expected that Korean emergency department will be more focused on efficiency, safe, visual control, and flexibility in the planning as in the case studies of the United States.

Acute Gastric Dilatation in Rhesus (Macaca mulatta) and Cynomolgus (Macaca fascicularis) Monkeys (Rhesus 및 Cynomolgus 원숭이에서 급성위확장 증례)

  • Lee, Jae-Il;Kang, Byeong-Cheol
    • Journal of Veterinary Clinics
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    • v.25 no.4
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    • pp.314-316
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    • 2008
  • Acute gastric dilatation (AGD), one of the common causes of emergency occurs in macaca monkeys that are accommodated as laboratory-housed nonhuman primates. This report introduces some cases of occurrence in raising primates. The primates revealed an acute gastric dilatation, including the histories that were trained by monkey chair, anesthetized for the study or intact case. The clinical signs were comatose condition with sever abdominal distension, dehydration, cyanosis and apnea. One case died by deterioration of systemic body condition and performed necropsy. The other cases recovered from the AGD by the emergency treatment using the gastric tube and fluid therapy. Necropsy revealed the huge stomach filled with water, gas and ingesta. This report suggests that etiologic factors of AGD may include non-specific factors like these cases, with special emphasis on the incidence and management of AGD in nonhuman primates.

A Study on the Site Selection Process of Field Emergency Medical Facilities Based on Text Mining (텍스트마이닝 기반의 재난현장 응급의료시설 대상지선정 프로세스 연구)

  • Suh, Sangwook
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.2
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    • pp.27-36
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    • 2018
  • Purpose: In the case of mass disaster, the establishment of temporary medical facilities for the first aid and treatment is required for the stable accommodation of patients caused by the disaster. However, the criteria for decision making related to the deployment of field emergency medical facilities are not specified. So, The purpose of this study is to draw considerable factors needed for the deployment of field emergency medical facilities and to make proposal for site selection process of field emergency medical facilities on the basis of the factor. Methods: This study performs text mining of disaster-related laws, guidelines and documents to derive key factors affecting site selection, also proposes a decision making process and conducts virtual deployment to validate the process. Results: The key factors for the site selection derived as the size of the damage, the size of the DMAT inputs, the location of available place, and distance to the disaster base hospital. As a result of virtual deployment following proposed decision making process, It is confirmed that the site of field emergency medical facilities is changed depending on the type of disaster, even if the scope of the disaster damage was the same. Implications: The deployment of field emergency medical facilities requires a separate criteria for each type of disaster, not uniform, as a future research a quantitative approach of the criteria needs to be performed.

Disaster Management and Disaster Medical Improvement in Underground Space (서울시 지하공간 재난관리 및 재난의료 개선방안)

  • Bae, Yoonshin;Park, Jihye
    • Journal of the Society of Disaster Information
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    • v.7 no.2
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    • pp.110-122
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    • 2011
  • In this study, the disaster management and disaster medical improvement was described in underground space(specifically underground shopping center) in case of fire disaster occurred. Firstly, statue and system was discussed concerning building law, safety, fire services, refuge. The underground in Seoul management is classified as to space and form and management agent is different according to the type form. Because the difficulty of emergency rescue arises due to individual management system unified system needs to be established and improvement of facility management agent is necessary. For the patient to be transfer on the ground, corporation between command head quarter and emergency rescue team are essential. And disaster information and emergency medical information are also need to be considered. Therefore, effective countermeasures for emergency saving is urgent considering distribution of medical institution and medical treatment.

A Spatial Analysis about Arrival Delay and Dispatch Distribution of the 119 Rescue-Aid Service utilizing GIS - Gyeongsangbuk-Do Case Study - (GIS를 활용한 119 구조구급서비스의 도착지체 및 출동배치에 대한 공간분석 - 경상북도 사례 연구 -)

  • Oh, Chang-Seok;Lee, Seungwon;Lee, Inmook;Kho, Seung-Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.1D
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    • pp.13-22
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    • 2012
  • The 119 emergency rescue-aid service operated by Korean government is a very valuable in a society and its importance is growing in Korea as an aging society. Especially, the emergency vehicle's arrival time to accidents place is an important variable which affects initial emergency measure for patients and it depends on the road network attributes, such as emergency service station's location, accessibility to accidents place and so on. This study aims to analysis the emergency vehicles' arrival delay and the dispatch station in the viewpoint of efficiency utilizing the real rescue-aid activity data. We analyzed the dispatch distribution of the emergency rescue-aid service at first. And we analyzed high accident rate locations not involved in the fixed radius of rescue-aid service stations and display GIS map showing regions have been delayed. The input data of the road network speed is based on the KTDB (Korea Transportation Database) and historical rescue-aid data is from Gyeongsangbuk-do's fire service headquarters.

Development and Evaluation of a Dysphagia Assessment Tool and an Intervention Program for the Elderly in the Long-Term Care Facilities (노인요양시설 노인의 연하곤란 사정도구, 중재프로그램 개발 및 평가)

  • Kim, Chi-Young;Lee, Young-Mi;Ha, Eun-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.2
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    • pp.685-693
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    • 2012
  • The purpose of this study was to develop a dysphagia assessment tool and a intervention program for elderly in the long-term care facilities and to evaluate its effect. The dysphagia assessment tool consists of 20 items was developed through literature review, previous studies and discussion with nursing/medical members. The intervention program consisted of 72 items and participants for evaluation were 50 elders who were registered at long-term care facilities in 4 regions of Seoul. Collected data were analyzed using SPSS Statistics 18.0 and Spearman's Correlation, t-test, and $x^2$-test. After the application of the dysphagia assessment tool and intervention program, the weight in experimental group was increased (t=4.913, p=.000) and the total time of swallowing was reduced (t=-4.557, p=.000) than control group. These findings were statistically significant. Considering these results, by applying the dysphagia assessment tool and the intervention program, the lives of the elderly in long-term care facilities are expected to be improved and emergency situations such as aspiration pneumonia and asphyxia will be decreased.

Perceptions of the Security Management at Critical Facilities in South Korea: College students' attitudes toward increasing demand for security personnel and the alternatives to police (공공부문 정규직 전환 및 의무경찰제도 폐지에 따른 보안산업 변화에 대한 인식)

  • Wang, Sug-Won;Choi, Yeon-Jun
    • Korean Security Journal
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    • no.61
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    • pp.87-107
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    • 2019
  • With the government policy on converting contract workers to full-time employees, there have been significant changes about the security personnel at the nation's critical facilities, including the National Assembly Building and airports. Moreover, the scheduled disbandment of the conscripted police force in 2023 has raised concerns about security management at different government agencies. To examine the college students' perceptions on the possible alternatives to fill the expected security gap, 234 undergraduate students of security management and protection in the Seoul metropolitan region were surveyed. Particularly, a comparative analysis was conducted on the legal bases and supervision, the employment types and salaries, and the scopes of responsibility and authority of suggested alternatives were compared. The results showed that utilization of private police forces was thought to be the most effective option. Based on the research findings, the university departments should develop and maintain a quality curriculum to educate their students to be prepared security professionals with a focus on emergency response capabilities and martial arts, including the courses on private police law and emergency rescue and cardiopulmonary resuscitation (CPR).

Design Planning and Evaluation using Mock-up for the Short-term Temporary Housing (단기 임시주거를 위한 설계계획 및 목업을 통한 성능평가)

  • Lee, Won-Hak;Lee, Byung-Yun;Cho, Young-Jun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.609-616
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    • 2019
  • This paper proposes a design plan of short-term temporary housing for the victims by disaster. Also construction workability and residential environment evaluated by mock-up. In particular, in the event of a disaster, victims have lived the auditorium or gymnasium of the nearby school which is an emergency shelter. However, there was a problem of livability. Therefore, it is the purpose of study to provide temporary housing that resides within 30 days. For this purpose, a composite panel with light weight and insulation select to produce mock-up. The mock-up complete in about an hour. This is because it is made only of the composite panels. The composite panels confirm to be easy to load and construct. And mock-up evaluates insulation and waterproofing performance in the laboratory. As a result, Mock-up has insulation and waterproofing performance. This suggests an alternative to short -term temporary housing.

A comparative study on the Activating Factors of domestic and overseas scuba diving resorts using delphi method

  • Park, Sung-Soo
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.3
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    • pp.239-249
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    • 2022
  • This study aims to analyze and compare the activating factors of domestic and overseas scuba diving resorts. Our delphi survey was conducted three times in 30 experts who involved in operation and management including scuba diving resort management representative and training team leader. As a result of comparing the activating factors at domestic versus overseas, it was found that common important activating factors included expansion of convenient facilities at public diving places, installation of safety and medical facilities for divers, development of first aid system including AED and oxygen ventilator, requirement of convenient facilities such as water lift and toilet in diving boat, installation of diving boat screw safety system, local boat operation guideline, regular course training program for scuba diving, employment of professional scuba diving instructor and guide, communication and promotion through various SNS portals, promotion by divers' word of mouth, involvement in regional Diving Resort Association, involvement in Korean Diving Association, communication and mutual benefit with local fishing villages, and linkage policy with local tourism industry.

AED장착 자판기, 국내 도입해야 한다

  • 한국자동판매기공업협회
    • Vending industry
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    • v.8 no.3
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    • pp.80-86
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    • 2008
  • 자판기가 단순히 판매장비로만 역할을 한정해서는 안 된다. 자판기의 사회적 책임 측면에서 볼 때 '좋은 일'들을 하는데도 얼마든지 활용될 수 가 있다. 하고자 한다면 좋은 일에 쓰는 모금을 한다거나 유괴방지 및 범죄예방 시스템을 채택할 수 있다. 심지어는 사람의 생명까지 구해내는 역할을 할 수도 있다. 자판기에 AED (Automated External Defibrillator-일명 "심실제새동기"라고도 함. 이하 AED)를 부착하면 갑작스런 심장마비가 발생한 환자를 구해 낼 수 있다. 자판기의 사회적 책임강화에 산업의 미래를 걸고 있는 일본에서는 한창 AED 장착 자판기 보급을 늘리고 있다. 얼마 전까지만 해도 이런 일본의 사례를 남의 나라 얘기로 '강건너 불구경' 하듯 했던 게 사실이다. 그러나 국내도 최근 각 공공장소에 AED 보급 필요성이 높아지고 있다. 특히 응급의료에 관한 법률이 개정됨에 따라 다중이용시설에 대한 설치가 법제화가 된지라 AED설치가 늘고 있다. 이런 환경 변화는 자판기에 있어서도 좋은 기회이다. AED설치를 위해 별도의 공간을 할애할 필요가 없어 자판기에 장착하면 공간활용에 있어 제격이다. 게다가 자판기의 공공성을 강화할 수 있다는 점에서 도입 효과가 크다. 이런 점에서 볼 때 국내도 이제 AED 장착 자판기 보급을 서둘러야 할 시점이다. 일본도 하는데 우리가 못할 이유가 없다. 일본이 AED 장착 자판기를 늘리는 이면에는 산업계의 고도의 실익 계산도 깔려 있다. 국내도 AED 장착 자판기 보급을 늘려야하는 이유 및 시장 과제를 집중 분석해 봤다.

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