• Title/Summary/Keyword: Emergency Behavior

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Effect of a Triage Education Program on Accuracy of Triage -Focused on 119 Emergency Medical Service Team- (중증도 분류 교육 프로그램이 중증도 분류 정확성에 미치는 효과 -119구급대원을 중심으로-)

  • KIM, YOUNG SEOK
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.1-7
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    • 2022
  • The study was conducted to determine the effectiveness of the triage training program utilizing pre-and post-training experiments designed for 119 emergency medical services teams. Objectives: This study evaluated the effectiveness of triage training programs on the accuracy of triage performed by 119 emergency medical services team staff who participated in the triage training program. Behavior: Participants in this study included 119 of the 166 EMS staff. In this program, a modified START triage consisting of a 20-minute theoretical presentation was presented to the participants. Data were analyzed using SPSS 21.0. Results: A significant increase in triage accuracy for 119 EMS teams(p<.001). And undertriage showed a significant decrease(p<.001). In addition, overtriage showed a decrease but was not statistically significant. Conclusions: The results obtained from this study showed that the triage training program was effective in improving the accuracy of the triage of multiple injury patients or disaster victims when presented to the 119 emergency medical services team. Therefore, these results suggest that it would be helpful to add triage training to the fire department's formal training program.

Unstable Operation of Francis Pump-Turbine at Runaway: Rigid and Elastic Water Column Oscillation Modes

  • Nicolet, Christophe;Alligne, Sebastien;Kawkabani, Basile;Simond, Jean-Jacques;Avellan, Francois
    • International Journal of Fluid Machinery and Systems
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    • v.2 no.4
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    • pp.324-333
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    • 2009
  • This paper presents a numerical simulation study of the transient behavior of a $2{\times}340MW$ pump-turbine power plant, where the results show an unstable behavior at runaway. First, the modeling of hydraulic components based on equivalent schemes is presented. Then, the 2 pump-turbine test case is presented. The transient behavior of the power plant is simulated for a case of emergency shutdown with servomotor failure on Unit 1. Unstable operation at runaway with a period of 15 seconds is properly simulated using a 1-dimensional approach. The simulation results points out a switch after 200 seconds of the unstable behavior between a period of oscillations initially of 15 seconds to a period of oscillation of 2.16 seconds corresponding to the hydraulic circuit first natural period. The pressure fluctuations related to both the rigid and elastic water column mode are presented for oscillation mode characterization. This phenomenon is described as a switch between a rigid and an elastic water column oscillation mode. The influence of the rotating inertia on the switch phenomenon is investigated through a parametric study.

A Study on Behavioral Factors for the Safely of Ambulance Driving (일부지역에서 구급차운전자의 구급차 안전운전 운행행태에 관한 연구)

  • Jo, Jeanman;Lee, Byung-Ju
    • The Korean Journal of Emergency Medical Services
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    • v.1 no.1
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    • pp.100-111
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    • 1997
  • This is the first Korea study to evaluate the effects od the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic informaion for the description of various factors to reduce the ambulance traffic accidents. The major insturment of this study were Krean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudes : driving courtesy, emotion, traffic law, speed, vehicle conditions, the use of drugs, high-risk behaviors, and human factors. To take the analysis of data, the total of 350 divers were investigated ambulance divers and others in Taejon City and others (6 City) from 1996. 1. July to 1996. 31. July. The data were analyzed by the descriptive statistics and the logistic regression - path analysis - with SPSS and SAS package program. The result are as follows : 1. There was desirable attitude group(16.2%) and undesirable attitude group(17.6%) on safety ambulance driving. 2. It have suggested that risk factors of ambulance traffic accidents much affected with emotion and speed control on safety ambulance driving < Y(Accdient) = -2.64 + 0.57 $X_1$ (Emotion Control) + 0.30 $X_2$(Seed control) + E > and motor traffic acident much affected with emotion control and high-risk behavior on safety driving < Y(Accident) = -1.11 + 0.33 $X_1$(Emotion Control) + 0.29 $X_2$(High-risk Behvior) + E > 4. The primary emphassis of ambulance drivers was make us realized that improthatnt factors on safety ambulance driving were 1)making way for emergent ambulance, 2)driver's career, 3)The ability of emergency medical technics, and the knowledge or under standing of ambulance way difficut(or easy) of accdess. 5. Almost 96.6% of respondents have agreed to necessity of emergency medical technics for ambulance drivers. 6. Almost 94.6% of respondents have consented to necessity of emergtency medical technicians for ambulance driving. 7. It have suggested that the proportion of traffic accident proportion by desitable attitude group(16.7%) was much less than that of undesirable attitude group(30.8%) on safety ambulance driving(P < 0.05)/Ps) Accidents are unplanned, unforesen incidents which can lead to harmful or unfortunate outcomes, Collisons are not accidents, since the basic cause of the majority of collisons invovles high-risk human behavior. Although there are many factors which contribute to accident causation, four basic factors seem to predominate in most traffic related situations. These four factors include: the human factor, the vehicle factor, the environmental factors and destination factor(Peto G. et al. 1995).

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A Study on Illness Behavior of Panic Disorder Patients (공황장애 환자의 질환행동에 관한 연구)

  • Kim, Sang-Soo;Je, Young-Myo;Kim, Sang-Yeop;Lee, Dae-Soo;Lee, Sung-Ho;Choi, Eun-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.104-119
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    • 1998
  • This study was conducted to determine the important factors in the illness behavior of panic disorder patients. And then, find the best ways to lead the patients who have recurrent panic attacks to the adequate therapeutic situations. We studied 53 patients diagnosed as panic disorder according to DSM-IV among the outpatients who had been followed up at Bong Seng Memorial Hospital for 6 Ms, from May 1997 to October 1997. To evaluate the illness behaviors, we designed a checklist including socio-demographic data, degree of subjective distress from medical and psychiatric treatment, panic symptoms, life events, places of help-seeking, Anxiety Sensitivity Index. Using the checklist, we had semistructured interviews with the panic disorder patients to elucidate their help-seeking behaviors from first panic attack to diagnosing as panic disorder. The results were as follows ; 1) After first panic attack, the patients initially sought help at 1) Emergency room 40%, 2) Rest &/or Personal emergency care 35%, 3) Pharmacy 10%, 4) Outpatient care at hospital 10%, 5) Oriental medicine 5%. 2) Considering the panic symptoms, derealization, paresthesia and the severity of panic symptoms were the most important factors affecting the patient's help-seeking behaviors who had experienced the first panic attack. 3) Most of all the patients (80%) were apt to visit the hospitals within 15 days after experiencing about 3 panic attacks. 4) Before diagnosed as panic disorder, the patients had visited 3-5 health care centers during about 1 year. 5) Primary care physicaians(for example, emergency care physicians, family doctors and internists) had the most important roles in treating or guiding the patients to the adequate therapeutic situations. From the above results, the authors propose that non-psychiatric physicians have to know the panic disorder or attacks exactly. When patients complaint sudden onset physical symptoms e.g. palpitation, dyspnea, dizziness or the cognitive symptoms like the fear of death or insanity, physicians should consider the possibility of panic attack and encourage the patients to be evaluated for psychiatric illness.

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President Park Chung-Hee's Greed for Dominance and Oppression during Yushin Regime: The National Council for Unification Subject, President's emergency rule, and Buma Uprising (유신체제시기 박정희 대통령의 집권욕과 폭압성: 통일주체국민회의·대통령긴급조치·부마항쟁)

  • Chung, Joo-Shin
    • Korea and Global Affairs
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    • v.1 no.2
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    • pp.33-84
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    • 2017
  • This study deals with President Park Chung-hee's greed for dominance and oppression during the Yushin Regime in the 1970's and consists of case studies related to anti-democracy of the National Council for Unification Subject, illegality of President's emergency rule and oppression in the process of putting down Buma Uprising. The National Council for Unification Subject was an organization for presidential selection and institutionalized by the enactment of Yushin constitution. Emergency rule was carried into effect as a means to repressing college students and forces out of office for the president's long-term seizure of power. And Buma Uprising rose against violence in resistance to the Yushin regime and president Park Chung-hee's greed for dominance and oppression. These case analyses applied the aspects of causal relationship(birth and fall of Yushin Regime), legal system(Yushin constitution and president's emergency rule) and behavior(President Park's greed for dominance and oppression) for this study. The National Council for Unification Subject institutionalized through Yushin constitution and the Yushin regime formed by emergency rule enabled President Park to cling to long-term seizure of power by means of greed for dominance and oppression. After all, his failure to keep the spirit of the time and stepping stone for democratic constitutional government triggered Buma Uprising, a kind of anti-Establishment movement, and caused the fall of the Yushin regime.

An analysis of behavioral characteristics in drivers in roll-over accident (전복사고 운전자를 대상으로 자동차 안전장치에 대한 행동특성 분석)

  • Lee, Hyo-Ju;Kim, Ho-Jung;Lee, Kang-Hyun;Lee, Myung-Lyeol;Choi, Hyo-Jueng
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7329-7334
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    • 2015
  • This is to analyze of driver behavioral and the accident characteristics in rollover. The study period was January 2011 to May 2014 and the subject of study was 102 person who were drivers visited the emergency room. Research tool includes a damage information of the vehicle, accident mechanism, damage to the patient clinical information with the injury data from the ROAD Traffic Authority. For data analysis, SPSS 18.0 was used for t-test, ANOVA and Chi-square test. Injury Severity Score average score according to the vehicle type is 6.00 points in the smaller vehicle, at high vehicle 11.78 points, from the other vehicle that showed 14.70 points. Significant differences between the three groups did not show (P=.267). Men did not use a seat belt significantly compared to women(P=.007). Vehicle type and weather, this was no correlation with whether or not use the seat belt(P=.755, P=.793). But showed a tendency to smaller size vehicles drivers do not use a seat belt, the weather could see a little more inclined to use a seat belt rather than a sunny day. Finally, in rollover accidents as in other types of accident it was confirmed that the seat belt has a great influence on the damage.

Analysis of driver behavior related to frontal vehicle collision direction (정면충돌의 충돌방향과 관련된 운전자의 행동분석)

  • Lee, Myung-Lyeol;Kim, Ho-Jung;Lee, Kang-Hyun;Kim, Sang-Chul;Lee, Hyo-Ju;Choi, Hyo-Jueng
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.530-537
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    • 2016
  • This study investigates frontal crashes, analyzes the driver's action related to the change of the collision direction and determines the severity of (bodily injury). This study was conducted from August, 2013, to January, 2014, and the data for the car damage and human body damage were collected by emergency medical teams. In terms of data collection, we collected the accident vehicle, crash direction, body damage, etc., based on the Korea In-depth Accident Study (KIDAS) and Injury Severity Score (ISS). We used Minitab 17 and SPSS 22.0 to do the frequency analysis and ANOVA. In the analysis results, the prevalence of frontal collisions was 55.8% and mostly occurred in the 12 o'clock direction. In the analysis of the frontal crash direction according to age, the average ages for the 11, 12 and 1 o'clock directions were $46.46{\pm}13.47$, $44.43{\pm}13.40$ and $52.46{\pm}12.04$, respectively, so the older age drivers had a high probability of the accident occurring in the 1 o'clock direction. In the analysis of men's frontal collision direction according to age, the average ages in the 11, 12 and 1 o'clock directions were $47.10{\pm}13.88$, $45.24{\pm}13.78$ and $55.73{\pm}13.38$, respectively, so older aged men had a high probability of having collisions in the 1 o'clock direction. However, the statistical analysis of the frontal crash direction according to age in women didn't show any meaningful trend. When comparing the ISS according to age of the men and women in the collision direction, the men were less likely to have a 12 o'clock collision when $ISS{\geq}9$ and more likely to have a 1 o'clock collision when ISS<9. As a result, frontal crashes are more likely to occur in the 12 o'clock direction and the ISS decreases because the likelihood of frontal crashes in the 1 o'clock direction increases with increasing age. Therefore, when men recognize that they are heading for a 12 o'clock direction collision, they try to steer to the left to reduce the body damage.

Transient heat transfer analysis using Galerkin finite element method for reinforced concrete slab exposed to high elevated temperature

  • Han, Byung-Chan;Kwon, Young-Jin;Lee, Byung-Jae;Kwon, Seung-Jun;Chae, Young-Suk
    • Computers and Concrete
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    • v.18 no.6
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    • pp.1097-1112
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    • 2016
  • Fire loading causes a critical collapse of RC (Reinforced Concrete) Structures since the embedded steels inside are relative week against high elevated temperature. Several numerical frameworks for fire resistance have been proposed, however they have limitations such as unstable convergence and long calculation period. In the work, 2-D nonlinear FE technique is proposed using Galerkin method for RC structures under fire loading. Closed-form element stiffness with a triangular element is adopted and verified with fire test on three RC slabs with different fire loading conditions. Several simulations are also performed considering fire loading conditions, water contents, and cover depth. The proposed numerical technique can handle time-dependent fire loading, convection, radiation, and material properties. The proposed technique can be improved through early-aged concrete behavior like moisture transport which varies with external temperature.

Meteorological Factors Associated with the Number of Emergency Room Patients with Wrist-Cutting Behavior (손목자해로 응급실에 내원한 환자수와 기후인자와의 관련성)

  • Han, Jae Hyun;Suh, Seung Wan;Cho, Gyu Chong;Kim, Jung Mi;Seo, Hong Taek;Jung, Yu Jin;Seong, Su Jeong;Hwang, Jae Yeon;Lee, Won Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.161-167
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    • 2020
  • Objectives : Although the seasonality of suicide is a well-known phenomenon, little is reported about the seasonality of non-suicidal self-injury. The purpose of this study was to identify the seasonality of wristcutting behavior and to examine its relationship with meteorological factors. Methods : To identify the presence of seasonality, we investigated whether there was a difference in the average number of visits per month to an emergency room (ER) of an urban hospital for 226 patients with wrist-cutting behavior enrolled between December 2014 and May 2019. To ascertain significant meteorological factors, we used the multiple Poisson regression using generalized additive model with time, monthly temperature, monthly sunshine hour, and atmospheric pressure in the prior month as explanatory variables. Results : In males, the average number of monthly visits to the ER for wrist cutting behavior differed by month and was the highest in September (male : p=0.048, female : p=0.21, total : p=0.28). As a result of multiple regression analysis, the average number of patients admitted to the ER for wrist cutting behavior was related to the interaction between atmospheric pressure in the prior month and temperature in males (p=0.010), and showed a positive correlation with sunlight in females [p=0.044, β=4.70×10-3, 95% CI=(1.19×10-4, 9.27×10-3)]. Conclusions : Wrist cutting behavior shows seasonality in male, which is associated with changes in meteorological variables.

Agent Based Framework for Energy Distribution and Qos in Wireless Sensor Networks (무선 센서 네트워크에서의 에너지 분산과 QoS를 고려한 에이전트 기반의 프레임워크)

  • Sin, Hong-Joong;Kim, Sung-Chun
    • The KIPS Transactions:PartC
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    • v.16C no.6
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    • pp.707-716
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    • 2009
  • Wireless Sensor Networks are consisted of sensor nodes that communicated with each other to transmit information. Because sensor nodes have physically many limits, wireless sensor networks are hard to adopt for traditional networks. Transmissions are consumed most energy of sensor nodes. That's why energy-efficient transmission techniques and QoS support techniques for different kind of data are most important in wireless sensor networks. The thesis proposes the agent based framework for energy distribution and QoS in wireless sensor networks. Agents have its own behavior policy by means of a gene, which is optimized by genetic operations. Agents behavior to distribute energy consumption over sensor nodes. Simulation results show that the enhanced framework extends the lifetime of sensor nodes. Successful transmission ratios of emergency data and non emergency data are increased by 27% and 14%, respectively. Also, the results demonstrate that Qos of networks are improved.