• Title/Summary/Keyword: Crisis Type

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Analysis of Characteristics of Thoracic Injury Patients and Nursing Interventions Using Nursing Intervention Classification by Emergency Room Type (응급실 유형에 따른 흉부외상환자의 특성과 간호중재분류체계를 활용한 간호중재 분석)

  • Kim, Kiung;Kim, Yunhee
    • Journal of Korean Biological Nursing Science
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    • v.23 no.4
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    • pp.257-266
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    • 2021
  • Purpose: The purpose of this study was to analyze the content of nursing interventions applied to patients with thoracic injury who visited a trauma emergency room (TER) or an emergency room (ER). Methods: Of 3,938 trauma patients admitted to this hospital between January 1, 2019 and December 31, 2020, 320 adult patients with thoracic injury (94 to TER, 226 to ER) who met the inclusion criteria were enrolled. Patients' data were acquired from their electronic medical records. General and clinical characteristics of these subjects along with nursing interventions were analyzed. Results: There were statistically significant differences in the length of stay, treatment outcome, and level of consciousness between thoracic injury patients who visited TER and ER. Average thoracic Abbreviated Injury Scale score and average Injury Severity Score of thoracic injury patients who visited TER were 3.13 and 13.54, respectively, which were significantly higher than those of patients who visited ER. The numbers of nursing actions applied was 4,819 for TER and 3,944 for ER, which were classified into five domains, 18 classes, and 56 interventions. The most domain of interventions carried out in both TER and ER was physiological: complex. Classes including Crisis management and Thermoregulation were not carried out in ER. On average, 16 more types of interventions were carried out in TER than in ER. Conclusion: This study demonstrated characteristics of thoracic injury patients and nursing interventions by emergency room type. Based on results of this study, standardized nursing interventions need be applied to thoracic injury patients visiting TER and ER.

A Study of the Evacuation Safety for Workers on the Theater Stage Plan Shapes

  • Yong-Gyu, Park;Heung-Sik, Woo
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.3
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    • pp.149-157
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    • 2023
  • The purpose of this study is to suggest that performers in the performing arts actively utilize the loading dock and stage door when evacuating from the stage space of a performance hall in a crisis situation. Therefore, first, we analyzed the system related to the performance hall's safety. The stage evacuation type was classified into A, B, C, and D forms by applying the building law audience evacuation standards. Second, statistical data were organized based on measurement data, and the characteristics of each form were summarized. Third, the network reliability measurement method was borrowed to evaluate the evacuation safety of the evacuation route in the stage space. We confirmed quantitatively that the direction of the loading dock direction and stage door direction on the stage is advantageous for evacuation. In this study, it was possible to distinguish the advantage of evacuation according to the type of evacuation, (A(0.1274)>B(0.1228).>.C(0.0487)) with A being the most advantageous. These results can be expected to improve the evacuation safety of the stage, and furthermore, they are expected to be used as basic data for stage evacuation.

Trends in disaster safety research in Korea: Focusing on the journal papers of the departments related to disaster prevention and safety engineering

  • Kim, Byungkyu;You, Beom-Jong;Shim, Hyoung-Seop
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.10
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    • pp.43-57
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    • 2022
  • In this paper, we propose a method of analyzing research papers published by researchers belonging to university departments in the field of disaster & safety for the scientometric analysis of the research status in the field of disaster safety. In order to conduct analysis research, the dataset constructed in previous studies was newly improved and utilized. In detail, for research papers of authors belonging to the disaster prevention and safety engineering type department of domestic universities, institution identification, cited journal identification of references, department type classification, disaster safety type classification, researcher major information, KSIC(Korean Standard Industrial Classification) mapping information was reflected in the experimental data. The proposed method has a difference from previous studies in the field of disaster & safety and data set based on related keyword searches. As a result of the analysis, the type and regional distribution of organizations belonging to the department of disaster prevention and safety engineering, the composition of co-authored department types, the researchers' majors, the status of disaster safety types and standard industry classification, the status of citations in academic journals, and major keywords were identified in detail. In addition, various co-occurrence networks were created and visualized for each analysis unit to identify key connections. The research results will be used to identify and recommend major organizations and information by disaster type for the establishment of an intelligent crisis warning system. In order to provide comprehensive and constant analysis information in the future, it is necessary to expand the analysis scope and automate the identification and classification process for data set construction.

A study on the development of a system for collecting and displaying disaster site information for disaster situation management : focusing on earthquakes (재난상황관리를 위한 재난현장정보 수집 및 표출시스템 개발 연구 : 지진을 중심으로)

  • Koo, Jee Hee;Song, Juil;Cho, Jung Yun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.1
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    • pp.31-40
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    • 2022
  • The importance of disaster management and response is emerging as various disasters such as COVID-19, torrential rains, and fires occur one after another. In addition, in order to respond efficiently throughout disaster response activities, it is necessary to quickly collect disaster site information and quickly check the site situation through photo and video information so that rapid disaster response can be achieved. In this study, essential information required for decision-making was derived by analyzing the essential activities of each disaster response stage, analyzing the crisis management standard manual and related laws for each disaster type, and daily comprehensive report. In addition, a list of information necessary to grasp the situation of the disaster site and grasp the status of real-time damage was derived to establish guidelines for collecting volatile disaster site information, and disaster situation information can be efficiently displayed through a spatial information-based display system. By presenting essential disaster management information to be collected first, the person in charge of collecting information can efficiently collect information, and the situation room in charge of disaster response decision-making is expected to enable more efficient disaster situation management by receiving only the necessary information.

A Diagnostic Algorithm after Newborn Screening for 21-hydroxylase Deficiency (선천성 부신 과형성증(21-hydroxylase 결핍)의 신생아 선별 검사 후 진단 알고리즘)

  • Cho, Sung Yoon;Ko, Jung Min;Lee, Kyung-A
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.2
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    • pp.70-78
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    • 2016
  • 21-hydroxylase deficiency (21-OHD), most common form of congenial adrenal hyperplasia, is categorized into classical forms, including the salt-wasting (SW) and the simple virilizing (SV) types, and nonclassical (NC) forms based on the severity of the disease. Newborn screening for 21-OHD has been performed in Korea since 2006. $17{\alpha}$-hydroxyprogesterone (17-OHP) is a marker for 21-OHD and is measured using a radioimmunoassay or a fluoroimmunoassay. Premature and low birth weight infants are likely to give false positive 17-OHP findings, therefore, cutoff values for these infants should be determined based on gestational weeks or birth weight. ACTH simulation test is helpful when the 17-OHP shows equivocal increase, and it is gold standard for diagnosis of NC type. Recently, liquid chromatography linked with tandem mass spectrometry was developed for rapid, highly specific, and sensitive analysis of multiple analytes. Molecular analysis of CYP21A2 is useful for confirming diagnosis of mild SV or NC type, predicting prognoses, and genetic counseling. In order to make newborn screening for 21-OHD more efficient, early detection of boy with SW type, early determination of girl with ambiguous genitalia, detection of NC type, and overcoming of false positive in premature and low birth weight infants should be considered. Above all, early treatment should be started when the patient is suspected as having 21- OHD clinically before confirming the diagnosis to prevent adrenal crisis. Here, author reviewed recent articles of guideline and proposed guideline for 21-OHD.

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Marine Finance and Port Logistics Industry's Development Schemes as a Creative-type Service Industry (해양금융과 항만물류산업의 발전방안 연구 -창조형 서비스산업을 근간으로-)

  • Gim, Jin-goo;Oh, Hak-Gyun;Lee, Jin-Joo
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2014.06a
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    • pp.183-185
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    • 2014
  • The purpose of this paper aims at contributing to the national economic development through global competitiveness enhancement by marine finance's hub and marine logistics cluster by finance specialization and finance support as a creative-type service industry in global shipping port logistics. This study adopted the integrated approach and applied it to policy implementation to achieve the effectiveness. Creative-type marine finance development stages as a tool of policy implementation and the guide line for the time of policy implementation are followed by Stage 1(Construction & Growth Policy) for 2013~2016, Stage 2(Forstering & Activation Policy) for 2017~2019) and Stage 3(Continuous Development Policy) after 2020 until its completion. Korea has the inferiority over the competitiveness in global marine finance and needs a strategic approach to secure the liquidity of marine finance; interim, Islamic finance has been come to the force as a new alternative in financial transaction being accompanied by a spot transaction since the crisis of global finance. In order to create a potential slack of Korea in marine finance practice, in addition, this study suggests a consortium with the circle of Islamic finance as a clue of an easier policy implementation at the beginning stage.

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Foundation of Management Innovation and a Success Model of Micro Enterprise by Increasing Entrepreneurship and Organization Relationship Analysis

  • Suh, Geun-Ha;Hong, Yong-Woong;Jin, Soon-Ae;Jo, Geum-Je
    • Journal of Distribution Science
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    • v.10 no.3
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    • pp.31-42
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    • 2012
  • After the rapidly changing business management environment and financial crisis, high prices and domestic recession in Korea posed threats to the business survival of small and medium enterprises (SMEs). This paper looks at the potential of micro business owners for sustainable development: those who have a spirit of entrepreneurship and the potential to be a hidden champion. Our study of micro business values uses structure equation modeling by LISREL. We have done so in order to understand the foundation of management innovation and success model of micro enterprise by increasing the entrepreneurship and management performance relationship analysis. A micro-enterprise is a type of small business, found only in Korea, often registered as having ten or fewer employees. We examine the successful type of hidden champions and the influence of entrepreneurship on start-ups in business. As compared to past research on the SME entrepreneurship, this study segments small businesses even further. Small business entrepreneurship was classified into three forms that are most appropriate for the Korean situation today: innovation, risk-taking, and pro-activeness. This research is meaningful as it is Korea's first empirical analysis on four business types: wholesale and retail sales, food and lodging business, service business, and manufacturing business. Thus far, research on small business entrepreneurship was carried out using small-scale investigative analysis. However, this research attempted to develop a model that can explain a cause-effect relation of the motivational level when it comes to the difference of entrepreneurship by each business type and small business start-up success factors. Various conceptual and operational definitions could be developed in a diverse and precise manner. Independent variables that are related to the success of small businesses can be developed additionally to examine the success factors related to the systematization in detailed manner. The research showed that the innovation, risk-taking and pro-activeness of the manifested difference in the degree of perception depending on the type of small businesses. Among the four business types, the ones that manifested the highest successful start-up rates were food, service, wholesale and retail sales and manufacturing. Results after conducting the regression analysis are shown on, which proves that the small business entrepreneurship exerts direct effect on the financial management performance of small businesses. In other words, small business entrepreneurship exerts a positive effect on the small business financial success and management performance. The R2 value is 0.61. It is possible to know that the perception of systematization and variables on attitude explains the 61% of the success for small self-employed businesses management performance. We define start-up key factors that are helpful to achieve internal growth of firms by finding business survival strategies. The results also focus on Korean government policy for micro enterprise and small business support.

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A Case of Glutaric Aciduria Type I with Macrocephaly (Glutaric Aciduria Type I 1례)

  • Shin, Woo Jong;Moon, Yeo Ok;Yoon, Hye Ran;Dong, Eun Sil;Ahn, Young Min
    • Clinical and Experimental Pediatrics
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    • v.46 no.3
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    • pp.295-301
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    • 2003
  • Glutaric aciduria type 1(GA1) is an autosomal recessive disorder of the lysine, hydroxylysine and tryptophan metabolism caused by the deficiency of mitochondrial glutaryl-CoA dehydrogenase. This disease is characterized by macrocephaly at birth or shortly after birth and various neurologic symptoms. Between the first weeks and the 4-5th year of life, intercurrent illness such as viral infections, gastroenteritis, or even routine immunizations can trigger acute encephalopathy, causing injury to caudate nucleus and putamen. But intellectual functions are well preserved until late in the disease course. We report a one-month-old male infant with macrocephaly and hypotonia. In brain MRI, there was frontotemporal atrophy(widening of sylvian cistern). In metabolic investigation, there were high glutarylcarnitine level in tandem mass spectrometry and high glutarate in urine organic acid analysis, GA1 was confirmed by absent glutaryl-CoA dehydrogenase activity in fibroblast culture. He was managed with lysine free milk and carnitine and riboflavin. He developed well without a metabolic crisis. If there is macrocephaly in an infant with neuroradiologic sign of frontotemporal atrophy, GA1 should have a high priority in the differential diagnosis. Because current therapy can prevent brain degeneration in more than 90% of affected infants who are treated prospectively, recognition of this disorder before the brain has been injured is essential for treatment.

The Effects of Work and Life Satisfaction on the Turnover Intention, and the Moderating Effects of Employment Type (일과 생활만족도가 이직의도에 미치는 영향과 고용형태의 조절효과 분석)

  • Lee, Soo-Ah;Kang, Soon-Hie
    • The Journal of the Korea Contents Association
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    • v.18 no.5
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    • pp.600-611
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    • 2018
  • This study analyzed the effects of wage workers' job satisfaction, life satisfaction on turnover intention, and moderating effect of employment type after the global financial crisis using Korean Labor and Income Panel Study data. As a result, we found that the higher the job satisfaction is, the lower the turnover intention. However, the higher the job satisfaction and life satisfaction are, the higher the turnover intention. This is because the more satisfied with the job environment, the higher the tendency to seek better job opportunities, or the change in occupational value that favored free work. The higher the age, the higher the educational level, and the regular jobs are, the turnover intention decreased. In addition, the interaction terms of job satisfaction, job environmental satisfaction, life satisfaction, and regular employment all showed a moderating effect of employment type. However, since the results of the relationship between job satisfaction, job environmental satisfaction, life satisfaction and turnover intention, and the moderating effect may be due to limitations of measurement variables, further study is needed.

Arterial Switch Operation for Transposition of G rest Arteries (대혈관전위증에 대한 동맥전환술)

  • 이호철;류한영
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.278-284
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    • 1996
  • Nine infants with transposition of great arteries have undergone arterial switch operation from May 1989 to May 1994 in the Department of Thoracic and Cardiovascular Surgery, Yeungnam University Hospital. Patients' age ranged from 3 days to 90 days, averaging 30$\pm$21 days. Diagnosis was made by two-dimensional echocardiography in all patients. Eight patients were diagnosed as transposition of great arteries with ventricular septal defect and one patient was a simple transposition of great arteries. Associated anomalies were patent ductus arteriosus (8), atrial septal defect (7) and coarctation of aorta(1). The anatomy of the coronary arteries were 7 (77 %) type A and 2 (23 %) type D according to the Yacoub classification. Pulmonary artery reconstruction was done according to Lecompte maneuver with tautologous pericardial patch in 8 patients. Overall operative mortality rate was 55% Left heart failure and pulmonary hypertensive crisis were the cause of death on postoperative 1~2 days in three patients, and two succumbed to death due to sepsis on postoperative 2~ 3 weeks. The mean follow-up period was mean 17 months. No patient had clinically significant postoperative aortic regurgitation and supravalvular pulmonary stenosis. The excessive use of inotropic support postoperatively was identified as a stastically significant risk factor following the arterial switch operation. But other variables such as low body weight, long cardiopulmonary bypass time, excessive hemodilution during cardiopulmonary bypass, hypothermia and volume loading were not significant risk factors.

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