• Title/Summary/Keyword: ACLS

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A Study on the air traffic control system of Korea Light Aircraft Carrier (한국형 경항공모함 항공관제체계에 대한 연구)

  • Choi, Youn-chul;Jung, Yong-tae;Cho, Young-jin
    • Journal of Advanced Navigation Technology
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    • v.26 no.5
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    • pp.272-280
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    • 2022
  • An aircraft carrier is a combat ship that acts as an aircraft base at sea and performs combat through aircraft mounted as a military ship operating the aircraft. The Navy proposed a 40,000-ton light aircraft carrier operation plan that could be equipped with vertical takeoff and landing fighter jets and helicopters around 2033, and based on this, this study examined the operation of aircraft control equipment among the aviation support systems required for operating light aircraft carriers in Korea. PriFly, TWR's ILARTS, ILM for airspace control, ASR, PAR, LAAS or RNAV, PALS (JPALS) for access control are required as essential equipment, and communication network and SCATT-16 are required along with URN-25 TACAN, ICLS (El/Az), ACLS OLS, MOVAS, IFLOLS, etc. This study consists of two parts, and part 2 will describe a specific control method on an aircraft carrier.

Up-to-Date of Advanced Cardiovascular Life Support of American Heart Association (미국심장협회의 고급소생술의 최신 경향)

  • Karm, Myong-Hwan
    • The Journal of the Korean dental association
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    • v.58 no.10
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    • pp.649-655
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    • 2020
  • As a dentist, we should be prepared for emergencies that can occur at any time in dental practice. In addition, we must be able to provide first aid to patients with the latest knowledge when an emergency actually occurs. It has been revised every five years since the American Heart Association published advanced cardiovascular life support (ACLS) guidelines. The current final guideline is the 2015 version. It is expected that the 2020 version will be released around the winter of 2020. Therefore, at this point, the latest version (2015 ver.) will be important. Many changes were made from 1995 to 2015. I would like to summarize the parts of the revised parts that remain important.

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A Study on the Two-Phased Hybrid Neural Network Approach to an Effective Decision-Making (효과적인 의사결정을 위한 2단계 하이브리드 인공신경망 접근방법에 관한 연구)

  • Lee, Geon-Chang
    • Asia pacific journal of information systems
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    • v.5 no.1
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    • pp.36-51
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    • 1995
  • 본 논문에서는 비구조적인 의사결정문제를 효과적으로 해결하기 위하여 감독학습 인공신경망 모형과 비감독학습 인공신경망 모형을 결합한 하이브리드 인공신경망 모형인 HYNEN(HYbrid NEural Network) 모형을 제안한다. HYNEN모형은 주어진 자료를 클러스터화 하는 CNN(Clustering Neural Network)과 최종적인 출력을 제공하는 ONN(Output Neural Network)의 2단계로 구성되어 있다. 먼저 CNN에서는 주어진 자료로부터 적정한 퍼지규칙을 찾기 위하여 클러스터를 구성한다. 그리고 이러한 클러스터를 지식베이스로하여 ONN에서 최종적인 의사결정을 한다. CNN에서는 SOFM(Self Organizing Feature Map)과 LVQ(Learning Vector Quantization)를 클러스터를 만든 후 역전파학습 인공신경망 모형으로 이를 학습한다. ONN에서는 역전파학습 인공신경망 모형을 이용하여 각 클러스터의 내용을 학습한다. 제안된 HYNEN 모형을 우리나라 기업의 도산자료에 적용하여 그 결과를 다변량 판별분석법(MDA:Multivariate Discriminant Analysis)과 ACLS(Analog Concept Learning System) 퍼지 ARTMAP 그리고 기존의 역전파학습 인공신경망에 의한 실험결과와 비교하였다.

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Application of a Pediatric Advanced Life Support in the Situation of a Dental Treatment (치과진료 시 소아고급생명구조술의 적용)

  • Kim, Jongbin
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.538-544
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    • 2015
  • In a dental treatment, a dentist has to know the possibility to happen all kinds of the emergency and to prepare for managing that situation. Especially, the cardiac arrest is the most serious emergent problem. If the accident were happened, most dentists got embarrassed. The American Heart Association (AHA) is offering the Basic Life Support (BLS), Advanced Cardiopulmonary Life Support (ACLS) and Pediatric Advanced Life Support (PALS) programs for the healthcare who need to prepare the life threatening situation. The PALS is specialized to someone who participate in pediatric health-care field. This program is composed of three major emergency problems, such as respiratory emergencies, shock and cardiac arrests. The main concepts of the PALS are early recognition and systemic team approach. The purpose of this study was to introduce about PALS and to prepare response system for emergencies in the dental environment.

Design of RDBMS-based HDFS ACLs (RDBMS 기반 HDFS ACL 설계)

  • Son, Siwoon;Gil, Myeong-Seon;Moon, Yang-Sae;Nguyen, Minh Chau;Won, Hee-Sun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.04a
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    • pp.697-699
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    • 2015
  • 본 논문에서는 하둡의 인메모리 기반 ACL(access control list)을 RDBMS 기반으로 관리하도록 기존 하둡을 재설계하였다. 기존 하둡은 ACL을 인메모리에서 관리하기 때문에 대용량 ACL 정보를 관리함에 있어 메모리 오버헤드, ACL 정보 관리의 비효율성 등 몇 가지 문제가 발생할 수 있다. 본 논문에서는 ACL 관리에 RDBMS를 사용함으로써 메모리 크기에 종속되지 않으며, 외부 응용 프로그램에서도 쉽고 일관성있게 ACL 정보를 관리할 수 있다. 이 같은 결과에 따라, 본 논문은 빅데이터를 하둡에서 안정하게 관리할 수 있는 우수한 연구 설계 결과라 생각된다.

Cardiopulmonary Resuscitation and Pediatric Advanced Life Support for Pediatric Dentist (소아치과의사를 위한 심폐소생술과 소아고급생명구조술)

  • Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.243-255
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    • 2017
  • Cardiopulmonary resuscitation (CPR) is an emergency treatment that stimulates blood circulation and breathing when the function of the heart stops or stops breathing. CPR can be divided by basic life support (BLS) and advanced life support (ALS). BLS involves the use of chest compression to force the blood flow to the main organs, rescue breathing to improve the breathing to the respiratory failure patient and the use automated external defibrillator (AED). The categories of advanced life support include advanced cardiovascular life support (ACLS) for adult and pediatric advanced life support (PALS) for children. In the treatment of dental care for children, which is extremely difficult to deal with, and for a variety of reasons, the use of sedation is considered to treat the children who are unlikely to cooperate with dentistry. This is why there is an increasing possibility of an emergency situation involving cardiac arrest. PALS includes the BLS, and it presents a systematic algorithm to treat respiratory failure, shock and cardiogenic cardiac arrest. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is necessary to be able to immediately implement professional skills in emergency situations.

The Changes of Defibrillation Time Depending on the Manual External Defibrillator Device (제세동 시행도구에 따른 제세동 지연시간의 변화)

  • Park, Si-Eun;Shin, Dong-Min
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.1
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    • pp.81-90
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    • 2012
  • Objectives: This study is to research delay time comparison for later defibrillation after hands off according to the changes in defibrillation electrodes. Study purpose: In defibrillation treatment that is the only way for cardiac arrest by arrhythmia, it is to find defibrillator device which can minimize late defibrillation delay time after important affect of hands off. Study object and method: After hands off according to the defibrillator device, we collected total 40 people for emergency medicine doctor, internal medicine doctor, general surgeon, nurse, emergency medical technician who are working at 2 CN, CS University hospitals in Gwangju Jeollanamdo district to find out hand off shock interval(HOSI). We then researched their general properties like occupation sector, experiences in clinic, gender, completion of AHA ACLS-P training and more. Then 40 participants continued ventricular fibrillation cardiac arrest simulation training (using human-model mannequin) designed by researcher and performed their roles as defibrillation operator. Each of participant used manual paddle and performed 4 times of defibrillation (150J) during 8 minutes of CPR and in 8day, the defibrillator devices were replaced from manual paddle to self-adhesive electrodes pads and 4 times of defibrillation (150J) under same simulation condition as manual paddle were performed. Study result: In comparison for delay time of later defibrillation after hands off of manual paddle and self adhesive electrodes pad, the self adhesive electrodes pad ($7.0{\pm}0.5sec$) seemed to reduce delay time of later defibrillation significantly (p<0.05) compared to manual paddle ($10.0{\pm}0.9sec$). The self adhesive electrodes pad, according to the general properties of participants, had no particular change in delay time after later defibrillation for the statistics (p>0.05) but the manual paddle had statistically significant differences for the occupation sector, experiences in clinic and gender (p<0.05). Conclusion: In defibrillation, the self adhesive electrodes pad($7.0{\pm}0.5sec$) showed short HOSI compared to manual paddle ($10.0{\pm}0.9sec$) significantly (p<0.05) and it applied identically for both existence and non-existence of ACLS-P training completion, experiences in clinic, gender and occupation sector. The manual paddle had also significant difference in experiences in clinic and occupation sector (p<0.05). which means the effect on HOSI according to the job mastery. Therefore, if the clinic experience is short or in case for the occupations without frequent defibrillation treatment has a danger of lowering success rate for the defibrillation using manual paddle. Therefore, it is true that using self adhesive electrodes pad for defibrillation electrodes when performing manual defibrillation in pre-hospital as well as in-hospital steps can generally minimize delay time of later defibrillation after hands off.

ACLS Simulation Examination between Korean and American Paramedic students (한국과 미국 응급구조 학생간에 전문심장구조술 시뮬레이션 시험)

  • Lee, Christopher C.;Kim, Tae-Min
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.3
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    • pp.71-76
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    • 2009
  • 서론(Introduction) : 의학 시뮬레이션(medical simulation)은 교육생 학습과정에서 내재된 위험이 환자에게 가해짐 없이 교육생이 실제적인 환자 상황을 경험할 수 있게 하고 여러 다양한 임상내용이 포함한 상황에 적용될 수 있다. 시뮬레이션 기술의 사용은 의학교육(medical education), 인증서(certification), 면허교부(Licensure)와 의료의 질 형성에 큰 잠재력을 가지고 있다. 복강경 수술, 내시경검사, 전문심장구조술, 응급기도관리와 외상소생을 포함한 다양한 임상시술의 수행에서 시뮬레이션이 교육생의 술기를 달성하고, 측정하고, 유지하는 유효성을 증명하였다 컴퓨터로 조절되는 시뮬레이터는 맥박, 혈압, 호흡, 대화가 가능하고, 중증질환 또는 외상환자의 치료에 필요한 같은 인명구조 시술을 수행할 수 있다. 의학 시뮬레이션은 의사, 간호사, 응급구조사와 응급 진료를 필요로 하는 환자를 치료하는 사람에게 필요하다. 최신 전문심장구조술 과정수업은 전통적인 강의와 제한된 팀 상호작용이 포함된 이틀 과정이다. 우리는 비 영어권 국제 응급구조학생의 전문심장구조술 술기능력을 알아보고, 그것을 미국 응급구조학생과 비교하고자 한다. 목적(Objective) : 이 연구의 목적은 다양한 전문심장구조술 증례 시나리오를 가진 의학 시뮬레이터를 이용하여 미국과 한국의 응급구조 학생의 능력을 비교하는 것이다. 시행 장소(Site Location) : 이 연구는 한국 제주도에 위치한 제주한라대학 스토니브룩 응급의료교육원에서 진행되었다. 학생들의 평가는 스토니브룩에 위치한 스토니브룩 대학 의료원의 한 명의 평가자(Dr. lee)에 의해 수행되었다. 방법(Methods) : 15명의 한국 응급구조학생들은 세 팀으로 무작위로 선정하였다. 5명이 한 팀이 되어 같은 증례의 시나리오를 받았다. 세 가지 시나리오는 : 첫째, 천식지속상태(Status asthmaticus), 둘째, 긴장기흉을 동반한 만성폐쇄성폐질환(COPD with tension penumothorax) 그리고 마지막으로 메가코드(megacode)를 가진 심정지 이다. 세 팀을 각각 그리고 기본인명구조술(BLS)과 전문심장구조술(ACLS)과정을 마친 미국 응급구조학생들과 비교하였다. 15명의 미국 응급구조학생들 또한 세 팀으로 무작위로 선정하였다. 이 응급구조 학생들은 플러싱병원 의료원 소속으로 그곳에서 이 연구에 참여할 뿐만 아니라 지속적인 의학교육(CME)이수를 받았다. 이들에게도 같은 세 가지 증례의 시나리오가 주어졌고 Dr lee는 총 여섯 팀을 평가하였다(한국 세 팀과 미국 세팀). 결과(Results) : 양 국가의 모든 15명의 학생이 의학시뮬레이터를 사용하여 전문심장구조술 메가코드시험을 포함한 시험에 모두 통과하였다. 비록 학생들을 무작위로 세 팀으로 나누었지만 한 팀이 이 모든 세 증례에서 다른 팀보다 뛰어났다. 제주한라대학 2번 팀은 더 나은 기도관리, 리듬인식과 임상술기를 가진 모든 중요한 활동을 얻기에서 우수했다. 그들은 핵심요구사항을 90% 이상 충족시겼다. 한국의 2번팀(G2K)은 메가코드에서 기도개방, 호흡평가, 순환징후 그리고 흉부압박수와 같은 신체검진 술기에서도 탁월했다. 게다가 다른 팀과 비교 시 리듬인식, 약물지식과 임상술기에서도 높은 점수를 받았으며 2번팀(G2K)이 6팀 중에 가장 뛰어나게 역활수행을 하였다. 결론(Conclusion) : 이 비교 연구에서 한국학생과 미국학생간에 전문심장구조술 메가코드 시험의 통과율에는 차이가 없었다. 그러나 미국학생은 세 팀 사이에 더 적은 변이로 더 일괄된 점수를 받았다. 한국학생들도 모든 세 가지 증례를 통과하였지만 이 세 팀은 미국학생 팀보다 점수에서 더 큰 변이를 보였다.

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A Study on Logic Agents that Negotiate in Multi-Agent Systems (멀티 에이전트 시스템에서 협상하는 논리 에이전트에 관한 연구)

  • Lee, Myung-Jin;Han, Hyun-Kwan
    • Journal of the Korea Computer Industry Society
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    • v.5 no.9
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    • pp.1089-1094
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    • 2004
  • Agents in Mlulti-Agent Systems (MAS) should make use of a common Agent Communication Language (ACL) in order to negotiate with others, and conform to negotiation protocols that are designed to reach agreements. Therefore, agents must have suitable architectures that could cover above requirements. In this paper, we define an instructive ACL and compare it with other ACLs such as Foundation for Intelligent Physical Agents(FIPA) ACL and Knowledge Query Manipulation Language (KQML). In particular, we represent agents as logic programs with beliefs, desires, intentions and negotiation library. Finally, we show how the planner, which is in the negotiation library, provides plans of actions and updates agent's beliefs.

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A Analysis of Prehospital care on the patients Transported via 119System (119구급차로 이송된 환자의 병원 전 전문응급처치에 관한 조사)

  • Park, Jin-Ok;Lee, Kyoung-Hee;No, Sang-Gyun;Chei, Chung-Suk
    • The Korean Journal of Emergency Medical Services
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    • v.7 no.1
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    • pp.127-134
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    • 2003
  • An analysis was performed to evaluate the prehospital advanced emergency care in Emergency Medical Service system(EMS) through the review of the 119 transfort chart of 190 patients who visited to Jecheon Seoul hospital emergency center at Chungbuk Jecheon via 119 system during the period from October 2002 to September 2003. The results were obtained as follows: 1. Among 190 patients, male were 127(66.8%) and female were 63(33.2%) and nontraumatic patients were 81(42.6%) and traumatic patients were 109(57.4%). 2. The analysis of prehospital care by Emergency Medical Technician(EMT) revealed that Airway maintenance and keeping oral airway(37.7%), oxygen supply(75.9%), Tourniquett or MAST(18.9%), Immobilization of neck or spine(94.7%), Immobilization of extremities (51.4%), wound bandage and dressing(25.0%), BCLS(12.1%) and Application of AED(2 patients). 3. The analysis of prehospital care by EMT revealed prehospital care was limited to keep of intubation or LMA, medication and IV insertion, insertion of gastric tube and ACLS. 4. There was no case of the notification to medical institute or consultation to doctor.

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