• Title/Summary/Keyword: Emergency Recovery

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The Clinical Aspects of Wild Plant Poisoning (야생식물 중독의 임상 양상)

  • Ok, Taek-Gun;Park,, Chan-Woo;Cho, Jun-Hwi;Cheon, Seung-Whan;Lee, Seung-Young;Kim,, Sung-Eun;Choi, Ki-Hoon;Bae, Ji-Hoon;Seo, Jeong-Yeul;Ahn, Hee-Cheol;Ahn, Moo-Eob;Cho, Byung-Ryul;Kim,, Yong-Hoon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.3 no.2
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    • pp.79-85
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    • 2005
  • Purpose: With the recent boom in 'eating healthy', many adults are interested in dieting to prevent future diseases. However only well trained experts can distinguish between what are edible vegetables and herbs from their poisonous look-alikes. In cases where a patient unknowingly ingests a poisonous herb, is caught off guard by the poisonous side effects that occur because of their lack of knowledge of what they have ingested. This paper will focus on the need to educate the public about the risks involved with ingesting wild vegetables and herbs and study the emergency diagnosis and treatment of poisoned patients that enter the emergency room. Method: This study was done in the spring of 2004 (from March to May) in the Kangwon Young-Seo districts of Korea. 15 subjects used in this study, entered the emergency room showing signs of toxic symptoms. Data was collected by examining subject's records. Additional data was collected by collaborating with physicians in the hospital that diagnosed and treated the subjects. Identifying the poisonous vegetable or herb is the first step to proper diagnosis and treatment. Subjects admitted to the emergency room, underwent a battery of tests: laboratory examination, ECG, radiological exam and etc. Results: The demographics of the study encompassed subjects with the average age of $50{\pm}19$ years old. There were 10 men and 5 women. Common symptoms of this study included; gastrointestinal symptoms such as nausea, vomiting, epigastric pain and so on. In the case of Caltha palustris ingestion, additional symptoms were present; bradycardia and hypotension which lasted for a long time. While cases that ingested Scopolia parviflora had little effect on vital signs but manic episodes lasted for about three days. Veratrum patulum ingestion showed signs of bradycardia and hypotension but contrary to Caltha palustris recovery was shorten by treating with dopamine. However, dizziness, headache and paresthesia of the extremities continued for a long time. Finally Sium ninsi ingestion showed visual disturbance, paresthesia of the extremities, dizziness as their initial symptoms. Conclusion: The risks involved with ingesting wild plants without the proper knowledge can lead to serious side effects and steps need to be taken to educate the public. In addition, all emergency physicians need to have a working knowledge of the symptoms and signs associated with ingesting toxic wild plants and need to treat accordingly.

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Effects of Low-Dose Aspirin Therapy on Thermoregulation in Firefighters

  • McEntire, Serina J.;Reis, Steven E.;Suman, Oscar E.;Hostler, David
    • Safety and Health at Work
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    • v.6 no.3
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    • pp.256-262
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    • 2015
  • Background: Heart attack is the most common cause of line-of-duty death in the fire service. Daily aspirin therapy is a preventative measure used to reduce the morbidity of heart attacks but may decrease the ability to dissipate heat by reducing skin blood flow. Methods: In this double-blind, placebo-controlled, crossover study, firefighters were randomized to receive 14 days of therapy (81-mg aspirin or placebo) before performing treadmill exercise in thermal-protective clothing in a hot room [$38.8{\pm}2.1^{\circ}C$, $24.9{\pm}9.1%$ relative humidity (RH)]. Three weeks without therapy was provided before crossing to the other arm. Firefighters completed a baseline skin blood-flow assessment via laser Doppler flowmetry; skin was heated to $44^{\circ}C$ to achieve maximal cutaneous vasodilation. Skin blood flow was measured before and after exercise in a hot room, and at 0 minutes, 10 minutes, 20 minutes, and 30 minutes of recovery under temperature conditions ($25.3{\pm}1.2^{\circ}C$, $40.3{\pm}13.7%\;RH$). Platelet clotting time was assessed before drug administration, and before and after exercise. Results: Fifteen firefighters completed the study. Aspirin increased clotting time before and after exercise compared with placebo (p = 0.003). There were no differences in absolute skin blood flow between groups (p = 0.35). Following exercise, cutaneous vascular conductance (CVC) was $85{\pm}42%$ of maximum in the aspirin and $76{\pm}37%$ in the placebo groups. The percentage of maximal CVC did not differ by treatment before or after recovery. Neither maximal core body temperature nor heart rate responses to exercise differed between trials. Conclusion: There were no differences in skin blood flow during uncompensable heat stress following exercise after aspirin or placebo therapy.

Rapid Structural Safety Evaluation Method of Buildings using Unmanned Aerial Vehicle (SMART SKY EYE) (무인비행체를 이용한 건축물의 긴급 위험도 평가 기술 (SMART SKY EYE) 개발)

  • Jeong, Dong-Min;Lee, Jong-Hoon;Lee, Da-Hye;Ju, Young-Kyu
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.2
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    • pp.3-11
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    • 2019
  • The recent earthquake of Pohang (M5.4) and the Gyeongju earthquake (M5.8) suggested the possibility of a strong earthquake in Korea and reminded us that the Korea is no longer an earthquake-safe zone. In the disaster recovery stage in a disaster like an earthquake, the investigation of the damage situation and the safety assessment of the building serve to provide important information for the initial action such as establishment of the recovery strategy and rescue of the survivor. However, the research that depends on manpower can not cope with the difficulty of processing a large number of doses in a short time, and the expertise of the manpower must be taken into consideration, which may result in delayed initial action. In this study, we propose an rapid safety evaluation technique of building using unmanned aerial vehicle which evaluates the performance and safety of buildings by integrating conventional safety inspection method with unmanned aerial vehicle technology and developed evaluation method of each evaluation factor. In order to verify this, the buildings damaged by the earthquake in Pohang were checked and compared using this system. The results are consistent with the results of the existing emergency earthquake risk assessment. As a result, the possibility of checking the emergency safety using the unmanned aerial vehicle for the damaged structures in case of a large-scale disaster such as an earthquake was confirmed.

Feasibility Study on CLSM for Emergency Recovery of Landfill Bottom Ash (매립장 석탄회의 긴급복구용 CLSM으로 활용 가능성)

  • Ha-Seog Kim;Ki-Suk Kim
    • Land and Housing Review
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    • v.14 no.2
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    • pp.137-145
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    • 2023
  • In this study, the characteristics such as flowability, bleeding rate, and strength of the CLSM (Controlled Low Strength Material) according to physical properties such as particle size distribution and particulate content of the pond ash were investigated as part of the practical development of technology for CLSM using pond ash. As a result of analyzing the properties of the collected pond ash, it was found that the density and particle size distribution characteristics were different. And that the bleeding ratio did not satisfy the standard in the case of the specimen with a large amount of fly ash and a lot of addition of mixing water. As a result of the compressive strength test, the strength development of 0.5 MPa or more for four hours was found to be satisfactory for the specimens using hemihydrate gypsum with a unit binder amount of 200 or more, and the remaining gypsum showed poor strength development. Although it was determined that landfill coal ash can be used as a CLSM material, it is necessary to identify and apply the physical and chemical characteristics of coal ash buried in the ash treatment plant of each power generation company.

Influence of the Quality of Sleep on Stress and Job Satisfaction in Emergency Medical Workers (응급의료종사자의 수면의 질이 스트레스와 직무만족도에 미치는 영향)

  • Lim, Se-Young;Lee, Hyeon-Ji
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.322-333
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    • 2017
  • The purpose of this study was to examine the impact of the quality of life of emergency medical workers on their stress and job satisfaction. The subjects in this study were 209 selected emergency medical workers who worked shifts in the emergency medical centers of general hospitals located in two different provinces. A survey was conducted from March 1 to June 30, 2015. The collected data were analyzed by SPSS 20.0 for Windows usingfrequency analysis, factor analysis, Cronbach alpha coefficients, descriptive statistics, correlation analysis and multiple regression analysis. The findings of the study were as follows: First, the quality of life was correlated with stress and job satisfaction. Second, the quality of life was found to have affected the levels of physical and psychological stress(p<.001). Third, the quality of life was found to have exercised an influence on job satisfaction. Job satisfaction was under the significant influence of post-sleep recovery, difficulty in falling asleep, difficulty in getting up and difficulty in sleep maintenance. Fourth, psychological stress was found to have had a partial impact on job satisfaction(p<.01). Given the findings of this study, an appropriate increase in staffing and the guarantee of proper sleeping hours are necessary to improve the quality of sleep. Moreover, the development of programs that aim at relieving physical and psychological stress is required. Thus, various institutional measures should be taken to boost job satisfaction.

Relation between Serum S100β and Severity and Prognosis in Traumatic Brain Injury (외상성 뇌손상 환자에 있어서 S100β의 혈중 농도와 뇌손상의 정도 및 예후의 관계)

  • Kim, Oh Hyun;Lee, Kang Hyun;Yoon, Kap Jun;Park, Kyung Hye;Jang, Yong Su;Kim, Hyun;Hwang, Sung Oh
    • Journal of Trauma and Injury
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    • v.20 no.2
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    • pp.138-143
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    • 2007
  • Purpose: $S100{\beta}$, a marker of traumatic brain injury (TBI), has been increasingly focused upon during recent years. $S100{\beta}$, is easily measured not only in cerebrospinal fluid (CSF) but also in serum. After TBI, serum S 10019, has been found to be increased at an early stage. The purpose of this study was to evaluate the clinical correlations between serum $S100{\beta}$, and neurologic outcome, and severity in traumatic brain injury. Methods: From August 2006 to October 2006, we made a protocol and studied prospectively 42 patients who visited the emergency room with TBI. Venous blood samples for $S100{\beta}$, protein were taken within six hours after TBI and vital signs, as well as the Glasgow Coma Scale (GCS), were recorded. The final diagnosis and the severity were evaluated using the Abbreviated Injury Score (AIS), and the prognosis of the patients was evaluated using the Glasgow Outcome Score (GOS). Results: Thirty-eight patients showed a favorable prognosis (discharge, recovery, transfer), and four showed an unfavorable prognosis. Serum $S100{\beta}$, was higher in patients with an unfavorable prognosis than in patients with a favorable prognosis, and a significant difference existed between the two groups ($0.74{\pm}1.50\;{\mu}g/L$ vs $7.62{\pm}6.53\;{\mu}g/L$ P=0.002). A negative correlation existed between serum $S100{\beta}$, and the Revised Traumatic Score (R2=-0.34, P=0.03), and a positive correlation existed between serum $S100{\beta}$, and the Injury Severity Score (R2=0.33, P=0.03). Furthermore, the correlation between serum $S100{\beta}$, and the initial GCS and the GCS 24 hours after admission to the ER were negative (R2=-0.62, P<0.001; R2=-0.47, P=0.005). Regarding the GOS, the mean serum concentration of $S100{\beta}$, was $7.62\;{\ss}{\partial}/L$ (SD=${\pm}6.53$) in the expired patients, $1.15\;{\mu}g/L$ in the mildly disable patient, and $0.727\;{\mu}g/L$ (SD=${\pm}0.73$) in the recovered patients. These differences are statistically significant (p<0.001). Conclusion: In traumatic brain injury, a higher level of serum concentration of $S100{\beta}$, has a poor prognosis for neurologic outcome.

Evaluation of Total Loss of Feedwater Accident/Recovery Phase and Investigation of the Associated EOP (완전급수상실사고/복구과정의 평가와 관련비상운전절차의 검토)

  • Bang, Young-Seok;Seul, Kwang-Won;Kim, Hho-Jung
    • Nuclear Engineering and Technology
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    • v.25 no.1
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    • pp.37-50
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    • 1993
  • To evaluate the sequence of event and the Thermohydraulic behavior during total loss of feedwater accident and recovery procedure, a RELAP5/MOD3 calculation is performed and compared with the LOFT L9-l/L3-3 experiment. Also, the predictability of the code for the major Thermohydraulic phenomena following the accident is assessed. As a result, it is found that a pressure control using the spray until the time the water level reaches the top of the pressurizer, an overpressure protection by pressurizer PORV, a recovery of the secondary heat removal capability by refilling steam generator, and an effective cooldown by the continued natural circulation can be performed without core uncovery. It is also found that the plant-specific evaluation is necessary to confirm the effectiveness of the current symptom-oriented emergency operating procedure, especially in an overpressure protection performance and steam generator recovery performance.

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OPTIC NERVE INJURY DUE TO FACIAL FRACTURES (안면골 골절로 인한 시신경 손상)

  • Yang, Young-Cheol;Ryu, Soo-Jang;Kim, Jong-Bae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.4
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    • pp.428-437
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    • 1994
  • Optic nerve injury serious enough to result in blindness had been reported to occur in 3% of facial fractures. When blindness is immediate and complete, the prognosis for even partial recovery is poor. Progressive or incomplete visual loss may be ameliorated either by large dosage of steroid or by emergency optic nerve decompression, depending on the mechanism of injury, the degree of trauma to the optic canal, and the period of time that elapses between injury and medical intervention. We often miss initial assessment of visual function in management of facial fracture patients due to loss of consciousness, periorbital swelling and emergency situations. Delayed treatment of injuried optic nerve cause permanent blindness due to irreversible change of optic nerve. But by treating posttraumatic optic nerve injuries aggressively, usable vision can preserved in a number of patients. The following report concerns three who suffered visual loss due to optic nerve injury with no improvement after steroid therapy and/or optic nerve decompression surgery.

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A Study on Secure Routing using Secure Zone and Nodes Authentication in Wireless Ad Hoc Network (Wireless Ad Hoc Network에서 보안 영역과 노드 인증을 이용한 보안 라우팅 기법에 관한 연구)

  • Yang, Hwan Seok
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.10 no.3
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    • pp.161-169
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    • 2014
  • Wireless Ad Hoc Network is suitable for emergency situations such as and emergency, disaster recovery and war. That is, it has a characteristic that can build a network and use without help of any infrastructure. However, this characteristic is providing a cause of many security threats. In particular, routing attack is not applied the existing routing methods as it is and it is difficult to determine accurately whether nodes that participate in routing is malicious or not. The appropriate measure for this is necessary. In this paper, we propose a secure routing technique through a zone architecture-based node authentication in order to provide efficient routing between nodes. ZH node is elected for trust evaluation of the member nodes within each zone. The elected ZH node issues a certification of the member nodes and stores the information in ZMTT. The routing involvement of malicious nodes is blocked by limiting the transfer of data in the nodes which are not issued the certification. The superior performance of the proposed technique is confirmed through experiments.

Development of Stable Walking Robot for Accident Condition Monitoring on Uneven Floors in a Nuclear Power Plant

  • Kim, Jong Seog;Jang, You Hyun
    • Nuclear Engineering and Technology
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    • v.49 no.3
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    • pp.632-637
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    • 2017
  • Even though the potential for an accident in nuclear power plants is very low, multiple emergency plans are necessary because the impact of such an accident to the public is enormous. One of these emergency plans involves a robotic system for investigating accidents under conditions of high radiation and contaminated air. To develop a robot suitable for operation in a nuclear power plant, we focused on eliminating the three major obstacles that challenge robots in such conditions: the disconnection of radio communication, falling on uneven floors, and loss of localization. To solve the radio problem, a Wi-Fi extender was used in radio shadow areas. To reinforce the walking, we developed two- and four-leg convertible walking, a floor adaptive foot, a roly-poly defensive falling design, and automatic standing recovery after falling methods were developed. To allow the robot to determine its location in the containment building, a bar code landmark reading method was chosen. When a severe accident occurs, this robot will be useful for accident condition monitoring. We also anticipate the robot can serve as a workman aid in a high radiation area during normal operations.