• Journal of the Korean Society of Marine Environment & Safety
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• v.29 no.4
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• pp.316-324
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• 2023

During maritime distress, Korean Coast Guard investigates the current status of the distress, such as identifying search objects, to establish a search plan. The ship master is required to submit a report to the competent authority before departure, along with an identity list of the crew and passengers. As a list of the passengers on board is made manually, the waiting time becomes longer, and it is difficult to immediately identify these during maritime distress. The Ministry of Oceans and Fisheries has developed an app to make it easier to register for boarding, but it has been inactive for various reasons. Therefore, this study proposed a plan to improve it. By activating the mobile-phone boarding report system, it is possible to quickly secure the initial location and time of the person in water and provide mental relief to them by acknowledging the receipt of a distress report. In addition, using this information, it is possible to quickly rescue the affected person through public-private partnership.

• Journal of Navigation and Port Research
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• v.42 no.6
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• pp.406-414
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• 2018

The objective of this study was to analyze the effect of characteristics of maritime telemedicine (service quality, recognition or not of service, health counselling service experience or not) on seafarer's satisfaction, and also analyze the effect of seafarer's satisfaction on loyalty. This study's data was collected from the Research Report of Survey of telemedicine service subjects in 2017 conducted in the maritime telemedicine pilot project. However, only 103 seafarers who received maritime telemedicine (Tele-Monitering) services were analyzed statistically. The main results of this study were as follows. ⅰ) Better service quality led to higher levels of satisfaction, ii) High levels of seafarer's satisfaction led to high levels of loyalty, iii) Seafarers whose age is under 50 than 30 years old are less satisfied, ⅳ) In total boarding career, Seafarers with more than 5 years but less than 10 years were more satisfied than seafarers with less than 5 years, ⅴ) Seafarers with more than 10 years but less than 15 years were more satisfied than seafarers with less than 5 years, ⅵ) Seafarers with more than 15 years but less than 20 years were more satisfied than seafarers with less than 5 years, ⅶ) Also, Seafarers in excess of 20 years were more satisfied than seafarers with less than 5 years, In conclusion, ⅰ) Better service quality led to higher levels of satisfaction and loyalty. Accordingly, the improvement of service quality is not only an important factor in improving satisfaction and loyalty, but also plays an important role in forming a positive image of maritime telemedicine. ⅱ) Seafarers with younger age and lower overall total boarding career were more satisfied. It is believed that the seafarer who are willing to use telemedicine and who are willing to refer to others are young.

• Quality Improvement in Health Care
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• v.21 no.2
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• pp.12-24
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• 2015

Purpose: The need for the rapid evaluation and treatment of emergency department patients with major trauma is essential. A computerized physician order entry (CPOE) system can improve communication and provide immediate access to information with the goal of reducing ED time delays. The aim of this study was to report on the operation of a trauma CPOE program and demonstrate its usefulness by comparing time intervals from ED arrival to various evaluation steps before and after implementation of the program. Methods: This was a before-and-after observational study from a single emergency department at an academic center. The CPOE program was implemented for 6 months and compared with the data collected from the pre-CPOE implementation period. The efficacy of the program was assessed by comparing the time difference before and after CPOE implementation based on the following factors: total boarding time in ED, door-to-disposition decision time, door-to-blood-test report time, door-to-X-ray time, door-to-CT time, and door-to-transfusion time. Results: Over a period of 6 months, the CPOE was activated for a total of 17 patients. Total boarding time was reduced significantly after implementation [median, 641.5 minutes (IQR, 367.3-859.3) versus289.0 minutes (IQR, 140.0-508.0) for pre-CPOE vs. post-CPOE, respectively, p< 0.05). Time intervals for all evaluation steps were reduced after implementation of the program. The improvements in the door-to-blood-test and door-to-CT times were both statistically significant. Conclusion: This study demonstrated that a standard CPOE system can be successfully implemented and can reduce ED time delays in managing trauma patients.

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.2
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• pp.306-316
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• 2011

Purpose: The purpose of this study was to compare health promotion lifestyles of college nursing students between students who live with their parents and students who are self-boarders. Methods: The sample consisted of 375 college nursing students in C and S city. Self report questionnaires were used to measure the variables. In data analysis, the SPSSWIN 18.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis. Results: The mean score for Health Promotion Lifestyle in living with the parents group was significantly higher than that of the self-boarders group (t=-2.16, p=.031). In multiple regression, perceived health state, exercise frequency, self-rated knowledge about health, and grade were significant predictors of Health Promotion Lifestyle in college nursing students, explaining 26.3%. Conclusion: This study suggests that perceived health state, exercise frequency, and self-rated knowledge about health, and grade are significant influencing factors in Health Promotion Lifestyle in college nursing students. Therefore, strategies which improve these variables must be developed for college nursing students.

• International Journal of Safety
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• v.10 no.2
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• pp.21-26
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• 2011

In 2001, an independent official board was constituted in Japan to investigate aircraft and railway accidents. In the past 10 years, many accidents and serious incidents have been investigated and these official reports were published by the board, on which the author had sat for 9 years as boarding member. In the interim, there were several train disasters which mocked our trust in railways and also many apparent trivial incidents. In recent years, serious incidents, which a door of running rail cars opens suddenly with some trouble, happen 2 or 3 times in a year. For the past 10 years, such incidents have happened 14 times and 13 cases of them were closed by the board mentioned above. In these 13 cases, no one fell off the rail car, so that the death toll was none luckily. In this paper, these 13 serious incidents are picked up among all the reports published by the board and outlined using some tables. Especially, fall accidents of passengers are discussed mainly from the view point of impact force and duration time. Then, the equation of HIC (Head Injury Criteria) and the risk curves in terms of the HIC are dealt with properly.

• Pediatric Infection and Vaccine
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• v.27 no.3
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• pp.184-189
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• 2020

Lyme disease is a common vector-borne disease caused by Borrelia burgdorferi. Erythema migrans represents the most common manifestation during the early phase of this disease; however, systemic manifestations involving the nervous system, joints, or heart are known to occur. We report a case of Lyme disease accompanied by cardiac complications in a 13-year-old Korean male adolescent. The patient developed annular erythematous lesions on his lower extremities after a field trip during his visit to Connecticut, USA, for a boarding school camp, and his skin lesions were consistent with erythema migrans. Indirect immunofluorescence assay and Western blot analysis for Lyme immunoglobulin M showed positive results. Electrocardiography revealed a first-degree atrioventricular block, and he was diagnosed with Lyme carditis and received a 4-week course of oral doxycycline. Follow-up electrocardiography performed a week later revealed normal findings, and the patient showed an uneventful recovery. Lyme carditis often presents as an asymptomatic heart block that can progress to an advanced heart block; however, this condition is reversible with appropriate antibiotic treatment.

• The Korean Journal of Air & Space Law and Policy
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• v.31 no.1
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• pp.63-97
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• 2016

Ago the passenger who using a wheelchair was denied boarding from the airline. The ACT ON THE PROHIBITION OF DISCRIMINATION AGAINST DISABLED PERSONS prohibits discriminatory treatment of persons with disabilities in transportation. But there are situations that limits the movement on persons with reduced mobility. The international community promote to protect disabled persons and persons with reduced mobility against discrimination and to provide them with assistance when travelling by air. According to news report, the governing Council of the International Civil Aviation Organization (ICAO) has established new global core principles on air transport consumer protection. The principles cover three phases of a customer's experience: before, during and after travel, and will now be considered by ICAO's 191 Member States when they develop or review their applicable national regimes. The international community are recognizing that passengers can benefit from a competitive air transport sector, which offers more choice in fare-service trade-offs and which may encourage carriers to improve their offerings, passengers, including those with disabilities, can also benefit from consumer protection regimes. In accordance with these we will also be provided to regulations that can prevent and protect the air passenger. In this paper analyze the regulations of the international air passenger rights, point out the lack of policy.

• Journal of the Korean Society of Marine Environment & Safety
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• v.26 no.2
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• pp.163-174
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• 2020

Particulate matter levels are rapidly increasing daily, and this can affect human health. Therefore, air pollutant emissions from sea vessels require management. This study evaluates the status of air pollutants, focusing on air pollutant emissions from the vessels of the Korea Coast Guard (KCG), and proposes national management measures to reduce emissions. According to a report recently released (2018) by the National Institute of Environmental Research (NIER), emissions from vessels constituted 6.4 % of the total domestic emissions, including 13.1 % NO_x, 10.9 % SO_x, and 9.6 % particulate matter (PM10/PM2.5). Among the rates of pollutant emission from vessels, the emission rates of domestic and overseas cargo vessels were the highest (50.6 %); the ratio of fishing boats was 42.6 %. With respect to jurisdictional sea area, 44.1 % of the emissions are from the south sea, including the Busan and Ulsan ports, and 24.8 % of the emissions are from the west sea, including the Gwangyang and Yeosu ports. The KCG inspects boarding lines to manage emission conditions and regulate air pollutant emissions, but it takes time and effort to operate various discharge devices and measure fuel oil standards. In addition, owing to busy ship schedules, inspection documents are limited in terms of management. Therefore, to reduce the air pollutant emissions of such vessels, regulations will be strengthened to check for air pollutants, and a monitoring system based on actual field data using KCG patrol ships will be established, for each sea area, to manage the emissions of such vessels. Furthermore, there is a need for technological development and institutional support for the introduction of environmentally friendly vessels.