• Title/Summary/Keyword: Emergency Conditions

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Research on the development law of karst fissures and groundwater characteristic in Xintian County

  • Xin, Zhou;Tengfei, Yao;Can, Wang;Jian, Ou;Pengfei, Zheng;Kaihong, Chen;Xiting, Long
    • Membrane and Water Treatment
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    • v.13 no.6
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    • pp.303-312
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    • 2022
  • The natural hydrology and geological conditions of Xintian County was investigated, the development law of regional karst fissures was studied, the groundwater was collected and tested through a large-scale collection of groundwater to obtain the change law of chemical characteristics and water quality characteristics of groundwater, and the water quality evaluation was carried out for the regional karst groundwater in this paper. The results show that, the whole area is dominated by carbonate rock distribution areas, and the distribution of water systems is relatively developed. The strata are distributed from the Lower Paleozoic Cambrian to the Cenozoic Quaternary, and contain multiple first-order folds. The regional karst dynamic action is strong, and many tunnels or caves of different scales were shown, which are conducive to the enrichment of groundwater. Karst groundwater is neutral and alkaline water, the water is clear and transparent with good taste, and meets the national drinking water hygiene standards. The content of toxic trace elements and fluoride in the water source is generally lower than the limit value specified by the national standard and the accumulated toxic heavy metals is never found. The overall water quality is of good quality and suitable for the development and utilization of various purposes.

Long-Term Survival Benefit of the Bronchial Arterial Embolization for Patients Presenting with Non-Traumatic Hemoptysis in a District Emergency Center (권역 응급의료센터에 내원한 비외상성 객혈 환자에서 기관지 동맥 색전술의 장기 생존 효과)

  • Chon, Song Bin;Jung, Sung Koo;Kwak, Young Ho;Suh, Gil Joon;You, Eun Young;Shin, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.148-159
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    • 2004
  • Background : This study was conducted to evaluate the survival benefit of the bronchial arterial embolization (BAE) for patients presenting with non-traumatic hemoptysis. Methods : The clinical data were retrospectively collected from the medical records and the Order Communicating Systems (OCS). The information dealing with death was collected from national death certificates. After enrolled patients were divided with two group such as BAE group (patients who were managed with BAE) and non-BAE group (patients who were managed with conservative modality), the survival benefit of BAE was estimated during the observational period of 24 months through using the Kaplan-Meier survival graph and the Cox-proportional hazard regression analysis. Results : The number of total cases was 272. Of these, BAE group involved 63 and non-BAE group involved 209. 69 cases had the malignant pulmonary lesions, 149 cases had non-malignant chronic lung lesion such as the mycobacteria infection, fungus ball, or bronchiectasis (BE), and 54 cases had the other pathologic conditions. For each sub-groups such as 'malignant lung lesion' group, 'non-malignant chronic lung lesion' group as well as about all cases, the adjusted hazard ratios (HRs) of BAE for death was not significantly different compared to the conservative management. But the adjusted HRs as to underlying causes such as 'malignant lung lesion' group and 'the other conditions' group increased significantly compared to 'non-malignant chronic lung lesion' group. Conclusion : There was no significant survival benefit by BAE procedure on survival in patients presenting with non-traumatic hemoptysis.

A Real Situation Experimental Study on The Thermal Protection Performance of Firefighter Clothes and Gloves (소방방화복 및 소방장갑의 열 보호 성능에 대한 실제 화재 실험 연구)

  • Lee, Won Jae;Kang, Gu Hyun;Jang, Yong Soo;Kim, Wonhee;Choi, Hyun Young;Kim, Jae Guk;Kim, MinJi;Seo, Kyo;kim, Do hee;Lee, Joo-young;Choi, Jung Yoon
    • Journal of the Korean Burn Society
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    • v.21 no.1
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    • pp.17-21
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    • 2018
  • Purpose: This study aimed to evaluate the thermal protective function of firefighter clothes and gloves through real scale fire simulations. Methods: Firstly, the fire simulation by real scale flame was performed for firefighter clothes. A manikin equipped with firefighter clothes was directly exposed to flames which energy average is 84 Kw/m2. for 22 seconds. Heat flux gauges attached on the body measured surface temperature elevation. Secondly, we also performed the other fire simulation by hot plate exposure to firefighter gloves. Firefighter gloves with heat flux gauges exposed hot plate which temperature is 300℃ in both dry and moist conditions. Primary outcome was surface temperature change of manikin body (first simulation) and hand (second simulation) over times. Results: In the first flame simulation, the surface temperature of face and shoulders elevated more rapidly comparing with the other body surface area when initial period of flame shutter open. After 18sec of shutter open, the surface temperature of upper trunk elevated rapildy. After shutter closure, high surface temperature kept continuously on right side of face and left shoulder. In the second hot plate simulation, fingers and palms showed higher surface temperature than the other areas of hands in the both dry and wet conditions. Conclusion: This study suggests that the real scale flame enables firefighter clothes to lose their heat protective function suddenly after 18 seconds. Additionally, the protective function of firefighter gloves were relatively weaker in the palmar side of fingers than the other parts of hand. There should be additional study for evaluate thermal protection performance of firefighter clothes. And, further effort for reinforce palmar side of fingers of firefighter gloves should be done.

Which Laypersons Want Cardiopulmonary Resuscitation Education? (일반인의 심폐소생술 교육 희망에 대한 영향 요인 분석)

  • Kang, Kyung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.1
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    • pp.5-12
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    • 2006
  • Purpose: Few data exist regarding the cardiopulmonary resuscitation(CPR) education in relationship to characteristics of socio-economic status and health-medical conditions in Korea. The purpose of this study is to describe and analyze the characteristics of which laypersons want the CPR education. Methods: Based on a health survey of Incheon Metropolitan City adults(n=5,114), tests of the differences between the group that wants the CPR (n=1318) and the group that doesn't (n=3576), and a logistic regression analysis of two groups was performed on socio-economic status-gender, age, marital stats, education level, numbers of family members, and monthly household income-and health-medical conditions-diseases, accident experience, EMS(emergency medical system) experience, and health status. Results: Even the participation rate of the CPR education in Korea is only 4.3%, which is extremely lower than other developed countries, there are statistically significant differences between the group that wants the CPR and the group that doesn't on gender(p=0.005), age(p=0.000), education level(p=0.000), numbers of family members(p=0.000), monthly income(p=0.000). diseases(p=0.000). health status(p=0.042). Furthermore, age(OR: 1.025, p=0.000), education level(OR : 0.721, p=0.000), numbers of family members(OR: 0.809, p=0.000), and health status(OR: 1.077, p=0.000) are statistically significant factors on the wish for the CPR education. Conclusion: Accident and EMS experiences are not so much influential factors on that laypersons want the CPR education in Korea. Therefore, certain subgroups of laypersons such as high-risk patients and family members need targeted outreach programs in CPR education.

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Comparison between Self-esteem and Health Promotion Behavior of Health Department and Non-Health Department College Students - Focused on comparison between Emergency Medical Technology Department Students and Engineering College Students - (보건계열과 비보건계열 대학생의 자아존중감과 건강증진행위에 관한 비교 연구 - 응급구조과와 공과계열 학생 간 비교 -)

  • Chae, Min-Jeong;Choi, Gil-Soon
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.1
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    • pp.53-63
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    • 2012
  • Purpose: This study examines and compares the differences between self-esteem and health promotion behavior of health department and non-health department college students. Method: The research instruments were as follows : The first one is RSES developed by Rosenberg and translated into Korean by Jeon. The second one is HPLP developed by Walker et al, and including six subareas by Lee and modified to be suitable to Korean culture by Suh. Data were statistically analyzed with SPSS PC/12.0. Results : 1. Comparison of self-esteem had no significant difference(p=.190) and health promotion behaviors had significant differences(p=.000) between the two groups. 2. According to general characteristics and health-related characteristics, the differences of self-esteem in health department showed significant differences in grade(p=.020), sex(p=.000), age(p=.000), parents' economic conditions(p=.048), and smoking(p=.030) while non-health departments revealed significant differences in grade(p=.003), sex(p=.000), age(p=.000) and smoking(p=.001). 3. According to general characteristics and health-related characteristics, the differences of health promotion behaviors in health department showed significant differences in grade(p=.008), sex(p=.021), age(p=.000) and parents' economic conditions(p=.017) while non-health department revealed significant differences in sex(p=.000) and age(p=.000). 4. There were positive correlations between self-esteem, health promotion behaviors and subareas in health department (r=.422) and non-health department (r=.383). Conclusion: There were significant positive correlations between self-esteem and health promotion behaviors in health and non-health department college students. Therefore, health related programs should be developed to enhance self-esteem and health management by college students can influence themselves on self-esteem and health promotion behaviors.

Clinical characteristics of hereditary neuropathy with liability to pressure palsy presenting with monoparesis in the emergency department

  • Kim, Changho;Park, Jin-Sung
    • Journal of Yeungnam Medical Science
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    • v.37 no.4
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    • pp.341-344
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    • 2020
  • Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare neurological genetic disease caused by deletion of the peripheral myelin protein 22 gene and presents in childhood or young adulthood. We report four cases of HNPP with typical and rare presentations, reflecting the broad clinical spectrum of this disease. Two patients presented with mononeuropathies that are frequently observed in HNPP; the remaining two presented with bilateral neuropathy or mononeuropathy anatomically present in the deep layer. This reflects the broad clinical presentation of HNPP, and clinicians should differentiate these conditions in young patients with monoparesis or bilateral paresis. Although HNPP is currently untreatable, early diagnosis in the emergency department can lead to early detection, eventually resulting in less provocation and recurrence which may cause early motor nerve degeneration.

Analysis of the Electromagnetic Clutch for Emergency Power Generator (비상발전기용 전자클러치의 자계해석)

  • Jeon, Mun-Ho;Kim, Chang-Eob
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.25 no.4
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    • pp.111-116
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    • 2011
  • This paper deals with the electromagnetic clutch which stop the generator at emergency by using the engine power of generator. The electromagnetic field was analyzed using Flux-2d program with different conditions : voltage, air gap, coil locations. As a result, the maximum magnetic flux density of electromagnetic clutch occurred between the coil and wheel : 0.27[T], 0.41[T] at 12[V], 24[V]. The maximum flux density was at the center location of the coil.

A Study on the Estimation of the Number of Suitable Entrances for Emergency Evacuation Facilities through Modeling and Simulation (M&S를 통한 비상대피시설의 적정 출입구 개수 산정에 관한 연구)

  • Lee, Jeong-Moon;Roh, Jeong-Heon;Park, Young-Jun
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2019.05a
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    • pp.129-130
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    • 2019
  • In this research, we determine the proper number of entrances in the evacuation facilities for civil and military personnel. The current standards on the emergency evacuation facility only sets the number of possible evacuees and the according architectural floor area since the evacuation have been completed. However, other than static standards such as the floor area, there is needs to consider the dynamic standards along with allowable evacuation time such as the number of entrance, staircases and so on. Therefore, we need to consider the number of entrances and their location in order to account for the allowed evacuation time of particular number of people in a set area. The outcome could be contributed to the standards which should contain the dynamic conditions associated with evacuation.

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Epidemiologic Study of Poisoned Patients Who Presented to the Emergency Department of a High end Medical Facility in Seoul 1998~2009 (1998~2009 서울지역 일개 상급의료기관 응급센터에 내원한 중독환자의 역학적 고찰)

  • Lee, Jae-Hoon;Oh, Sang-Hoon;Park, Kyu-Nam;Youn, Chun-Song;Kim, Soo-Hyun;Jeong, Won-Jung;Kim, Han-Joon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.8 no.1
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    • pp.7-15
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    • 2010
  • Purpose: There are an insignificant number of studies done on the demographics of intoxication patients and on the characteristics of toxic exposure on a long term basis in Korea. The objective of our survey is to investigate the epidemiologic characteristics of intoxication in a metropolitan emergency department in order to more efficiently manage intoxication patients. Methods: We retrospectively reviewed the medical records of intoxication patients who visited the emergency department of a high end medical facility between January, 1998 and June, 2009. We investigated the trend of the substances people became intoxicated with during the study period and we analyzed the age, gender, year and distribution of patients and the outcome of the patients. Results: There were 1544 cases of intoxication during the study period, and the cases made up 0.37% of the total visitors to our emergency department, which is a high end medical facility located in the city. Most of the patients were female (70%) in their twenties and thirties. The most commonly ingested intoxication substances were sedatives, analgesics and pesticides. Unlike in the province, antidepressant abuse is on the rise while pesticide abuse is falling. The overall admission rate was 24.8% and the mortality rate was 1.6%. Pesticides intoxication was the most common cause of death (76%). Pesticides intoxication, a male gender and old age were the most significant fatality-related factors. Conclusion: We think that there is a need to investigate the actual conditions of drug intoxication in the city and prepare measures to prevent drug intoxication.

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A Study on Job Stress, Fatigue and Job Satisfaction of 119 Emergency Medical Technician (119구급대원의 업무스트레스와 피로 및 직무만족도에 관한 연구)

  • Park, Dae-Sung
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.71-86
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    • 2004
  • This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

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