• Title/Summary/Keyword: Emergency Behavior

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Numerical Analysis and Laboratory Experiment of Rapid Restoration of Underground Cavity Using Expansive Material without Excavation (팽창재료를 이용한 지하공동의 비개착식 긴급복구 공법에 대한 실내실험 및 수치해석)

  • Lee, Kicheol;Choi, Byeon-Ghyun;Park, Jongho;Kim, Dongwook
    • Journal of the Korean Geosynthetics Society
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    • v.17 no.1
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    • pp.55-64
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    • 2018
  • The purpose of this study is to evaluate the suitability of emergency underground cavity restoration method filling cavity with expansive material based on numerical analysis. For the numerical analysis, experiments were conducted to evaluate properties of expansive material. Based on the measured expansion pressure of the expansive material from the experiment, behavior of underground cavity restoration with various cavity dimensions (variation of height and width of rectangular-shape cavity) was numerically assessed. As a result of analysis, the vertical displacements of the top and bottom of cavity were significantly influenced by the cavity width and lateral displacements of cavity sides were highly dependent on cavity height. These vertical and lateral displacements were increased with increasing expansion pressure of expansive material. Also, when the expansion pressure was applied, the vertical displacement of the upper surface layer of the road was less dependent on cavity height, and was greatly influenced by cavity width.

Systematic Evaluation of Fault Trees using Real-Time Model Checker (실시간 모델 체커를 이용한 풀트 트리의 체계적 검증)

  • 지은경;차성덕;손한성;유준범;구서룡;성풍현
    • Journal of KIISE:Software and Applications
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    • v.29 no.12
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    • pp.860-872
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    • 2002
  • Fault tree analysis is the most widely used saftly analysis technique in industry. However, the analysis is often applied manually, and there is no systematic and automated approach available to validate the analysis result. In this paper, we demonstrate that a real-time model checker UPPAAL is useful in formally specifying the required behavior of safety-critical software and to validate the accuracy of manually constructed fault trees. Functional requirements for emergency shutdown software for a nuclear power plant, named Wolsung SDS2, are used as an example. Fault trees were initially developed by a group of graduate students who possess detailed knowledge of Wolsung SDS2 and are familiar with safety analysis techniques including fault tree analysis. Functional requirements were manually translated in timed automata format accepted by UPPAAL, and the model checking was applied using property specifications to evaluate the correctness of the fault trees. Our application demonstrated that UPPAAL was able to detect subtle flaws or ambiguities present in fault trees. Therefore, we conclude that the proposed approach is useful in augmenting fault tree analysis.

Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest (심정지 현장 시뮬레이션에서 일반 간호사의 비기술적 술기와 심폐소생술 수행 간의 관계)

  • Kim, Eun Jung;Lee, Kyeong Ryong
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.146-155
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    • 2015
  • Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

Are Primary Health Care Workers Aware of Cervical Cancer Risk?

  • Can, Huseyin;Erdem, Ozgur;Oztekin, Coskun;Celik, Sercan Bulut;Onde, Mete;Celepkolu, Tahsin;Ongel, Kurtulus
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6669-6671
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    • 2014
  • Background: We here examined the awareness of female health employees (doctors, nurses, midwives) working in primary health care service about cervical cancer and its risk factors. Additionally attitude and behavior for gynecologic examination and pap smear screening wwere researched. Materials and Methods: This cross-sectional, descriptive study con cerned female health employees working at primary health care services in two southern cities of Turkey, over a four month period in 2013. Participants were recently or previously sexually active research was explained and verbal informed consent was obtained face to face. The questionnaire consisted of two parts; socio-demographic characteristics and level of knowledge about cervical cancer and its risk factors. Results: The average age of the participants (midwives 43.7%, n=143; nurses 40.4%, n=132; doctors 6.4%, n=21; emergency medical technicians and others, 9.5%, n=31; total, n=327) was $30.9{\pm}6.41$ years. 64.2% (n=210) were working in Diyarbakir and 35.8% (n=117) in Batman. A large proportion reported low knowledge and inadequate screening practice Conclusions: Health employees should be better informed about the importance of screening for cancers, given their preventive roles for the general population.

Perception of Patient Safety Risk Factors and Performance Level of Safety Care Activities among Hospital Nurses (환자안전 위험요인에 대한 병원간호사의 인식수준과 안전간호활동 수행정도)

  • Son, Young Shin;Lee, Young Whee;Kim, Young Shin;Song, Eun Jeong;Lee, Hye Ryun;Lee, Ju Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.190-200
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    • 2018
  • Purpose: The purpose of this study was to identify the level of perception of safety risk factors and the degree of performance of safety nursing activities in order to develop an education program to improve the safety of patients. Methods: The subjects were 217 nurses from 3 university hospitals in Incheon. Data were collected with structured questionnaires and analyzed using descriptive analysis, t-test, and ANOVA using SPSS 22.0. Results: The level of perception of patient's safety risk factors and safety care activities was 2.93 and 4.68, respectively. Perception of patient safety risk factors which belonging to the risk type of therapeutic devices, equipment, service and infrastructure all scored below average; also in addition, behavior, performance, and violence risk type and work system, information and communication risk type showed relatively low perception levels. Safety nursing activities showed a low level of performance in accurate communication among medical teams, management of fire and disaster, security management, use of restraints, identification of patients, and correct performance of operations and procedures. Conclusion: Based on these results, it is necessary to improve the safety of patients by taking proper management measures along with education.

Alteration of Plasma ${\beta}$-Nerve Growth Factor Concentration in Depressed Patients with Suicidal Attempt (자살을 시도한 우울증 환자에서 혈장 ${\beta}$-Nerve Growth Factor 농도의 변화)

  • Shim, Se-Hoon;Won, Seong-Doo;Lee, Bun-Hee;Han, Chang Su;Yang, Jong-Chul;Kwon, Young-Joon;Kim, Yong-Ku
    • Korean Journal of Biological Psychiatry
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    • v.13 no.2
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    • pp.95-102
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    • 2006
  • Object : Nerve growth factor(NGF) is a protein involved in neuronal survival and plasticity in the central nervous system, which might play an important role in stress, depression and suicide. This study was performed to determine whether there is an alteration in plasma NGF concentrations in depressed patients with suicidal attempt. Methods : The subjects were 32 depressed patients who attempted suicide and admitted in emergency room. Forty-four hospitalized non-suicidal depressive patients and the 30 normal controls were closely matched with the suicidal group in terms of age and sex. Individuals in all 3 groups were evaluated independently by a semi-structured interview for the purpose of establishing a DSM-IV criteria diagnosis. The severity of depressive symptoms was evaluated using Hamilton depression rating scale(HDRS). The severity of the suicidal behavior was evaluated by Weisman and Worden's risk-rescue rating(RRR) system and the Lethality Suicide Attempt Rating Scale(LSARS). Plasma NGF level was measured by the enzyme linked immunosorbent assay(ELISA) method. Results : There were no statistically significant differences of the plasma NGF levels among groups. LSARS and RRR did not reveal any significant correlation with ${\beta}$-NGF level in suicidal depressive patients. Conclusion : This study do not support an association between ${\beta}$-NGF and suicidal depression. However it is necessary to investigate this association through other route such as postmortem brain.

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The Relations of Socioeconomic Status to Health Status, Health Behaviors in the Elderly (노인들의 사회경제적 수준과 건강수준, 건강행태와의 관계)

  • Lee, Sok-Goo;Jeon, So-Youn
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.2
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    • pp.154-162
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    • 2005
  • Objectives: To analyze the relationships of socioeconomic status(SES) to health status and health behaviors in the elderly. Methods: Data were obtained from self-administered questionnaire of 4,587 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, socioeconomic status, health status (subjective health status, acute disease, admission experience, dental state, chronic disease etc.), activities of daily living (ADL), instrumental activities of daily living (IADL), and mini-mental state examination-Korean (MMSEK). Binary and multinominal logistic regression analyses were employed to analyze factors affecting on the socioeconomic status of the elderly. Results: With regard to the SES and health status, those with a low SES had poorer subjective health states and lower satisfaction about their physical health. Also, acute disease experiences, admission rates and tooth deciduation rates were higher in those of low SES. In the view of physical and cognitive functions, the ADL, IADL and MMSE-K scores were also lower in those of low SES. However, with regard to health behaviors, lower smoking and alcohol drinking rates were found in the low SES group, and a similar trend was shown with regular physical exercise, eating breakfast, and regular physical health check-up. From these findings, we surmise that those with low SES have a poorer health condition and less money to spend on health, therefore, they can not smoke or drink alcohol, exercise and or have a physical health check-up. Conclusion: This study suggests that socioeconomic status plays an important role in health behaviors and status of the elderly. Low socioeconomic status bring about unhealthy behavior and poor health status in the elderly. Therefore, more specific target oriented(esp. low SES persons) health promotion activities for the elderly are very important to improve not only their health status, but their health inequity also.

The Knowledge, Attitude and Practice of Blood Pressure Management from the Patient's Viewpoint: A Qualitative Study (고혈압 환자들의 관점에서 본 혈압관리에 대한 지식, 태도, 실천: 질적연구)

  • Lee, Sok-Goo;Jeon, So-Youn
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.4
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    • pp.255-264
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    • 2008
  • Objectives: This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

Development and Validation of a Survey Form for Adverse Events Associated with Acupuncture and Moxibustion (침구 치료 이상반응 설문지 개발과 타당도 평가)

  • Kim, Seoyeon;Lee, Jun-Hwan;Yook, Tae Han;Park, Jimin;Leem, Jungtae;Lee, Hyangsook
    • Korean Journal of Acupuncture
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    • v.32 no.4
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    • pp.177-189
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    • 2015
  • Objectives : To develop and validate a survey form for adverse events(AEs) associated with acupuncture and moxibustion treatment. Methods : The 1st version of a survey form consisting of 9 categories was developed and modified based on the analysis of questionnaires from previous studies on AEs. To evaluate content validity of the 1st version, a Delphi survey where experts in acupuncture and moxibustion, and research methodology were invited, was conducted alongside a separate content validity questionnaire. The content validity indices for each item and total scale were calculated as the proportion of the number of experts judging each item or scale valid to the number of total experts. Results : After the Delphi round 1, the content validity of 2 items and total scale was rated as inadequate. The 1st version was modified accordingly, and the 2nd version of the survey form was developed. The content validity of the 2nd version was assessed in the Delphi round 2 and the final version was completed after incorporating the expert comments. The final version consists of 13 questions regarding practitioner/patient information, condition/disease, intervention, treated body parts, safety issue and AE occurrence related with practitioner's behavior or instruments, AEs associated with treatment and emergency actions taken if necessary, time to AE occurrence, outcomes, serious AEs or death, and time to AE disappearance. Conclusions : This newly developed and validated survey form will serve to collect AEs associated with acupuncture and moxibustion treatments in Korea and contribute to establishing the evidence on safety of Korean acupuncture treatment.

Development of Checking System for Emergency using Behavior-based Object Detection (행동기반 사물 감지를 통한 위급상황 확인 시스템 개발)

  • Kim, MinJe;Koh, KyuHan;Jo, JaeChoon
    • Journal of Convergence for Information Technology
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    • v.10 no.6
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    • pp.140-146
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    • 2020
  • Since the current crime prevention systems have a standard mechanism that victims request for help by themselves or ask for help from a third party nearby, it is difficult to obtain appropriate help in situations where a prompt response is not possible. In this study, we proposed and developed an automatic rescue request model and system using Deep Learning and OpenCV. This study is based on the prerequisite that immediate and precise threat detection is essential to ensure the user's safety. We validated and verified that the system identified by more than 99% of the object's accuracy to ensure the user's safety, and it took only three seconds to complete all necessary algorithms. We plan to collect various types of threats and a large amount of data to reinforce the system's capabilities so that the system can recognize and deal with all dangerous situations, including various threats and unpredictable cases.