• Title/Summary/Keyword: Emergency Communication

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Nurses' Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest (심정지 초기 5분간 일반간호사의 심폐소생술 수행 분석: 현장 시뮬레이션을 이용하여)

  • Kim, Eun-Jung;Lee, Kyeong-Ryong;Lee, Myung-Hyun;Kim, Ji-Young
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.361-368
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    • 2012
  • Purpose: The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital. Methods: A descriptive study was conducted with 35 teams of 3 to 4 registered nurses each in a university hospital located in Seoul. A mannequin simulator was used to enact simulated cardiac arrest. Assessment included critical actions, time elapsed to initiation of critical actions, quality of cardiac compression, and teamwork which comprised leadership behavior and communication among team members. Results: Among the 35 teams, 54% recognized apnea, 43% determined pulselessness. Eighty percent of the teams compressed at an average elapsed time of $108{\pm}75$ seconds with 35%, 36%, and 67% mean rates of correct compression depth, rate, and placement, respectively. Thirty-seven percent of the teams defibrillated at $224{\pm}67$ seconds. Leadership behavior and communication among team members were absent in 63% and 69% of the teams, respectively. Conclusion: The skills of the nurses in this study cannot be considered adequate in terms of appropriate and timely actions required for resuscitation. Future resuscitation education should focus on improving the quality of cardiopulmonary resuscitation including team performance targeting the first responders of cardiac arrest.

3D Terrain Model Application for Explosion Assessment

  • Kim, Hyung-Seok;Chang, Eun-Mi;Kim, In-Won
    • 한국지역지리학회:학술대회
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    • 2009.08a
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    • pp.108-115
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    • 2009
  • An increase in oil and gas plants caused by development of process industry have brought into the increase in use of flammable and toxic materials in the complex process under high temperature and pressure. There is always possibility of fire and explosion of dangerous chemicals, which exist as raw materials, intermediates, and finished goods whether used or stored in the industrial plants. Since there is the need of efforts on disaster damage reduction or mitigation process, we have been conducting a research to relate explosion model on the background of real 3D terrain model. By predicting the extent of damage caused by recent disasters, we will be able to improve efficiency of recovery and, sure, to take preventive measure and emergency counterplan in response to unprepared disaster. For disaster damage prediction, it is general to conduct quantitative risk assessment, using engineering model for environmentaldescription of the target area. There are different engineering models, according to type of disaster, to be used for industry disaster such as UVCE (Unconfined Vapor Cloud Explosion), BLEVE (Boiling Liquid Evaporation Vapor Explosion), Fireball and so on, among them.we estimate explosion damage through UVCE model which is used in the event of explosion of high frequency and severe damage. When flammable gas in a tank is released to the air, firing it brings about explosion, then we can assess the effect of explosion. As 3D terrain information data is utilized to predict and estimate the extent of damage for each human and material. 3D terrain data with synthetic environment (SEDRIS) gives us more accurate damage prediction for industrial disaster and this research will show appropriate prediction results.

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Induction Motor Starting Characterization with Power Factor Correction Capacitors (역률개선 콘덴서를 이용한 유도전동기 기동특성 분석)

  • Son, Seok-Geum
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.10 no.3
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    • pp.206-212
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    • 2017
  • Induction motor torque is the reactive power is needed which corresponds to the exciting current to generate the magnetic flux as the product of current and flux. For use in the method of supplying the required reactive power to the induction motor power factor correction apparatus using a lot of ways to supply in place of the power supply side, when using a power factor compensation device can reduce the apparent power, the power factor can be improved. However, the distance to the emergency generator transformers or motors from the motor capacity is smaller but short and difficult to maneuver the theory and practice of the operating characteristics of the starting characteristics of the motor used a lot of large industrial plants were measured and analyzed. Therefore, this study investigated the motor starting Analysis and interpretation for the relationship with the large motor starting torque and speed during motor starting.

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.

Multi-Agent Systems: Effective Approach for Cancer Care Information Management

  • Mohammadzadeh, Niloofar;Safdari, Reza;Rahimi, Azin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7757-7759
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    • 2013
  • Physicians, in order to study the causes of cancer, detect cancer earlier, prevent or determine the effectiveness of treatment, and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive, and timely cancer data. The cancer care environment has become more complex because of the need for coordination and communication among health care professionals with different skills in a variety of roles and the existence of large amounts of data with various formats. The goals of health care systems in such a complex environment are correct health data management, providing appropriate information needs of users to enhance the integrity and quality of health care, timely access to accurate information and reducing medical errors. These roles in new systems with use of agents efficiently perform well. Because of the potential capability of agent systems to solve complex and dynamic health problems, health care system, in order to gain full advantage of E- health, steps must be taken to make use of this technology. Multi-agent systems have effective roles in health service quality improvement especially in telemedicine, emergency situations and management of chronic diseases such as cancer. In the design and implementation of agent based systems, planning items such as information confidentiality and privacy, architecture, communication standards, ethical and legal aspects, identification opportunities and barriers should be considered. It should be noted that usage of agent systems only with a technical view is associated with many problems such as lack of user acceptance. The aim of this commentary is to survey applications, opportunities and barriers of this new artificial intelligence tool for cancer care information as an approach to improve cancer care management.

The Role of the Medical Person in the Drama (드라마 <태양의 후예>를 통해 본 의료인의 역할)

  • Kim, Doo Ree;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.345-352
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    • 2017
  • The purpose of this study is to examine the role of medical practitioner in the medical field during the drama 'Descendants of the Sun'. The research design is a qualitative research to analyze the role of medical staff in medical field through drama. To collect this study data, we selected the communication scenes in the medical field in the 'Dawn of the Sun'. The collected data were analyzed by content analysis method. The study results are classified into four categories; 'decision making in emergency situations', 'cooperation among medical teams', 'support for patients', 'responsibility as a medical person / ethical dilemma'. This study has limitations in analyzing the role of medical staff by analyzing a drama. However, it is meaningful that the drama explored the role of the medical staff from the third party 's standpoint.

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.

Home Security System Based on IoT (IoT 기반 홈 보안 시스템)

  • Kim, Kang-Chul;Wang, Ding-Hua;Han, Seok-Bung
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.1
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    • pp.147-154
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    • 2017
  • This paper aims to build a home security system based on IoT to monitor a home on a mobile phone. The system consists of data gathering sensors, camera, gateway and Xively platform. The Raspberry Pi collects data from the three sensors and sends the data to Xively, and sends the video stream of home to a client in a smart phone through a internet. The servers are composed of Xively, socket server in Raspberry Pi and E-mail server in Google. The proposed system transmits e-mail, text message, and video stream when there are motion, fire, and gas leakage, and can control the gas valve through Raspberry Pi. The experimental results show that a user gets 'emergency E-mail' and text message and watches the video stream of the home through WIFI or LTE on a smart phone.

The Method of Force of Fire in High-Rise Building by Guide to the Fire Safety Concepts Tree: Focusing on Manually Fire Suppression Strategy (화재안전트리 이론에 따른 초고층건축물의 소방력 공급방안: 수동화재진압 전략을 중심으로)

  • Oh, Seong-Ju;Kong, Ha-Sung
    • Fire Science and Engineering
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    • v.34 no.1
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    • pp.79-88
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    • 2020
  • This study analyzes the issue of the supply of force of fire in the high-rise buildings, and proposes an efficient method to do so. The results are as follows. First, in terms of Detect fire, it is necessary to shorten force of fire supply time by diversifying fire alarms such as alarms, vibrations, and voices from outside, clarification of fire occurrence points, and marking of fire. Second, with regard to communication signals, strengthening the installation target of wireless communication auxiliary facilities, supplementing the installation of repeaters, and constructing a multicommunications network were proposed. Third, in terms of Decide action, it is necessary to supply firefighter and firefighting equipment with the method of crossing of a river in adjacent buildings. Fourth, in terms of Respond to site, helicopters and emergency elevators are used to assist in the supply of firefighting equipment using drones. Easy-to-break glass windows and identification marks are required in every floor. Finally, in terms of applying fire suppressants, water can be supplied by means of a helicopter adjacent to the structure.

DEVELOPMENT OF NEW TAXONOMY OF INAPPROPRIATE COMMUNICATION AND ITS APPLICATION TO OPERATING TEAMS IN NUCLEAR POWER PLANTS

  • Kim, Ar Ryum;Park, Jinkyun;Lee, Seung Woo;Jang, Inseok;Kang, Hyun Gook;Seong, Poong Hyun
    • Nuclear Engineering and Technology
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    • v.44 no.8
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    • pp.897-910
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    • 2012
  • Inappropriate communications can cause a lack of necessary information exchange between operators and lead to serious consequences in large process systems such as nuclear power plants (NPPs). In this regard, various kinds of taxonomies of inappropriate communications have been developed to prevent inappropriate communications. However, there seems to be difficult to identify inappropriate communications from verbal protocol data between operators. Because the existing taxonomies were developed for use in report analysis, there is a problem of 'uncertainty'. In consequence, this paper proposes a new taxonomy of inappropriate communications and provides some insights to prevent inappropriate communications. In order to develop the taxonomy, existing taxonomies for four industries from 1980 to 2010 were collected and a new taxonomy is developed based on the simplified one-way communication model. In addition, the ratio of inappropriate communications from 8 samples of audio-visual format verbal protocol data recorded during emergency training sessions by operating teams is compared with performance scores calculated based on the task analysis. As a result, inappropriate communications can be easily identified from the verbal protocol data using the suggested taxonomy, and teams with a higher ratio of inappropriate communications tend to have a lower performance score.