• Nuclear Engineering and Technology
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• v.37 no.1
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• pp.118-126
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• 2005

While emergency operating procedures (EOPs) occupy an important role in the management of various abnormal situations in nuclear power plants (NPPs), current technology for the validation of EOPs still largely depends on manual review. A validation method for EOPs of NPPs is thus proposed based on dynamic multi-level flow modeling (MFM). The MFM modeling procedure and the EOP validation procedure are developed and provided in the paper. Application of the proposed method to EOPs of an actual NPP shows that the proposed method provides an efficient means of validating EOPs. It is also found that the information on state transitions in MFM models during the management of abnormal situations is also useful for further analysis on EOPs including their optimization.

• The Journal of the Korean dental association
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• v.38 no.7 s.374
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• pp.656-663
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• 2000

Recently dental emergency patients tend to increase and diversify because of increased living quality and acknowledgement of health care. We performed this study to understand the pattern of dental emergency and perform the adequate diagnosis and treatment. From August 1998 to July 1999, we inverstigated the rate of dental emergency, distribution according to disease pattern, monthly distribution, and types of emergency treatment from all the emergency patients that visited emergency medicine of Daejin Medical Center, Jesaeng Hospital. There were 266 dental patients(0.978%) from total 27,192 emergency patients. Types of emergency situations included lip lacerations, teeth fracture, teeth missing or avulsion, TMJ contusion, mandible fracture, tongue laceration, toothache, teeth luxation, and so forth. Dental emergency had highest frequency in July. The most common treatments included primary closure of soft tissue lacerations, fixations of luxated teeth and medications.

• Journal of The Korean Dental Society of Anesthesiology
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• v.14 no.1
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• pp.17-27
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• 2014

Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.

• Journal of Korean Society on Water Environment
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• v.23 no.1
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• pp.103-110
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• 2007

An efficient operational strategy using expert system for metro water supply systems in case of emergency situations is developed in this study. The emergency situations of the water supply systems are classified into three categories : pipeline system accident, machinery and electric facility accident and water quality accident. A PC-based expert system is developed using CLIPS for Seoul metro water supply system, Phase 1 & 2 system and Phase 3 & 4 system. Broad professional knowledges and experiences from the experts in the water supply systems have been collected systematically to construct the knowledge base. Decision-making in case of an emergency is based upon the professional knowledge so that a rational and efficient operational management can be available even in the absence of experienced expert. Especially the expert model developed in this study also provides a guide for pumping operation in case of pipeline accident to confirm that the proper pressure to all nodes in the system is supplied. The pipe network simulator KYPIPE has been consecutively executed by trial and error fashion for each pipeline in the system. The results from KYPIPE were included in the knowledge base to supplement the knowledge of the field engineers.

• The Korean Journal of Emergency Medical Services
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• v.24 no.2
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• pp.7-26
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• 2020

Purpose: This study aimed to identify the factors affecting the survival outcomes of out-of-hospital cardiac arrest based on the Sudden Cardiac Arrest Survey by the Korean Centers for Disease Control and Prevention from 2012 to 2016. Methods: Out of 84,776 cases, 57,104 cases of cardiac arrest were analyzed. To identify the factors that affect survival outcomes after a sudden cardiac arrest (SCA), we performed a logistic regression using SPSS. We also performed a multilevel analysis using SAS to determine whether the survival outcomes were affected by the socioeconomic level and health index of the communities. Results: When SCA was witnessed by someone, the possibility of discharge with survival outcomes increased by a factor of 4.54. If CPR was administered immediately in emergency situations, this possibility further increased. When defibrillation was performed before hospitalization, the possibility was increased by a factor of 10.31. The multilevel analysis reflected the personal and regional factors that had an impact on the survival outcomes. Conclusion: Because the initial response in SCA is crucial, a community response system is essential before hospitalization. It is necessary to actively publicize and educate the people because the their understanding, sympathy, and cooperation in emergency situations play a role in determining the survival outcomes of the patients.

• The Korean Journal of Food & Health Convergence
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• v.10 no.2
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• pp.19-25
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• 2024

This study surveyed 171 police officers working in Jeollabuk-do to investigate their first aid knowledge and the need for education. The results showed that the correct answer rate for first aid knowledge among police officers was 75.61 points out of a possible 100 points. Additionally, 98.8% of respondents indicated a need for first aid training, expressing a preference for 2-hour sessions integrated with their work education. There was a statistically significant difference in the correct answer rate for first aid knowledge based on education level and experience in emergency situations, but no significant difference in the need for education was observed across respondents. The significance of this research lies in its provision of foundational data for first aid education among police officers, which can be instrumental in developing training programs and policies aimed at enhancing their first aid capabilities. Specifically, the study contributes to improving the effectiveness of police officers' responses in emergency situations by offering concrete suggestions on the content, method, and duration of first aid training. These findings underscore the necessity and importance of providing comprehensive and effective first aid training not only to police officers but to all first responders, emphasizing that such training is crucial for ensuring public safety.

• Proceedings of the KSR Conference
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• 2008.06a
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• pp.2325-2331
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• 2008

This article is about a new law of railroad industry has come into effect in 2004 and that left the railroad company operated under the private system. Accordingly, it has to encounter a variety of managers on the railroad safety part too. Incheon Airport Railroad that was, from Incheon International Airport to Kimpo Airport, opened to traffic on the 23th March, 2007 as the first private railroad company in Korea. This railroad company is working hard to be a safe and convenient airport railroad. There is not operated an effective emergency response that the railroad company and the emergency response personnel without standard operation procedure, recently. The original emergency manual and the emergency procedure of the synthesized railroad safety development business. I am proposing to establish the emergency response scenario according to the different situations that the train operator.

• The Korean Journal of Emergency Medical Services
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• v.7 no.1
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• pp.109-118
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• 2003

With the rapid development of information and communication technology, a lot of multi-media learning programs are being developed and reported in the field of Emergency medicine both home and abroad. In this connection, this study was aimed at developing a foreign-body airway obstruction courseware in adults for EMT. The development period of CAI courseware lasted from May 2003 through November 2003. Among CAI courseware patterns, private instruction and repeat practice and simulation patterns were used as an instruction-learning strategy. The learning contents of the CAI courseware consisted of five chapters concerning (1) A relief of partial FBAO in the responsible victim, (2) A relief of complete FBAO in the responsible victim, (3) In case of unconsciousness in the responsible victim without removing all foreign body, (4) In case of consciousness in all victims after getting removed all foreign body and (5) A complete airway obstruction in victims without consciousness on the basis of assess responsiveness and the degree of airway obstruction. The way to use this courseware, with just a click on one specific chapter, was developed to proceed a course with progressive algorithm, a method of solving problems by choosing one between two situations. A characteristic of this CAI courseware is the enhanced efficiency of an instruction-learning method by providing an opportunity of choice based on situations in its effort to encourage learners to use a self-initiated learning method, not one-way method and to enhance problem solving skills among situations. Moreover, this courseware went through the diverse phases such as development, application, feedback in connection with learning process by practicing teachers, so that the courseware could be used frequently in the future. The contents of this courseware were written with the web, so that, if necessary, the contents could be continuously modified and complemented and handed out in the form of CD-ROM. This study indicates that the development of a variety of CAI courseware requires institutional and financial assistance and initiatives reflecting a reality in terms of learning process, technical assistance and resources.

• Child Health Nursing Research
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• v.16 no.4
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• pp.268-276
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• 2010

Purpose: The purpose of this study was to provide basic data to improve coping abilities of elementary school students in emergency situations. Method: The data were collected from 1633 3-6th grade elementary school students using a self-report questionnaire. Results: 1) The mean score for the coping ability of the students was low at .38(${\pm}.36$). 2) The mean scores for the 8 categories were, [Care for common symptoms], .54(${\pm}.48$), [Call for help & check], .47(${\pm}.43$), [Care for injury by heat cold & foreign body], .39(${\pm}.45$), [Care for tissue damage], .36(${\pm}.44$), [Offering help], .36(${\pm}.42$), [Rescue & escape], .31(${\pm}.51$), [Evacuation], .28(${\pm}.49$), and [Appropriate response for the situation], .27(${\pm}.43$). The mean scores for 2 areas were, 'Acting tips', .35(${\pm}.36$) and 'First aid', .42(${\pm}.40$). There were significant differences in coping ability according to students' gender (t=4.964, p<.001), and family type (t=-2.484, p=.013). 4) Among the categories, there were significant correlations between all 8 categories and significant correlation between 'Acting tips' and 'First aid' (r=.808, p<.001), 'Acting tips' and 'Coping ability' (r=.956, p<.001), and 'First aid' and 'Coping ability' (r=.946, p<.001). Conclusion: The findings indicate a need for programs to improve the coping ability of elementary school students in emergency situations.

• Child Health Nursing Research
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• v.15 no.3
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• pp.271-281
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• 2009

Purpose: This study was conducted to develop an instrument to measure coping in emergency situations. Methods: The process included construction of a conceptual framework, generation 60 primary items, verification of construct validity and extraction of final items. The.60 preliminary items were reviewed for content validity by seven experts and were tested to evaluate inter-item correlation coefficient by three groups of elementary school students. From November 1 to December 10, 2008, data were collected from 920 elementary school students according to residential characters (major city, small town, rural area). Item analysis, factor analysis with rotation Varimax and Cronbach's alpha were used to analyze the data. Results: 1) There were 45 items in the final instrument categorized into 8 factors. 2) The factors were labeled as "Call for help and check" (8 items), "Care for common symptoms" (6 items), "Appropriate response for the situation" (5 items), "Evacuation" (6 items), "Care for tissue damage" (8 items), "Care for injury by heat, cold or foreign body" (6 items), "Offer help" (4 items) and "Rescue & escape" (2 items). 3) Cumulative percent of variance was 53.10% and eigen values ranged from 1.04 to 13.38. 4) Cronbach's alpha for the total was .943 and ranged from .527 to .869. Conclusion: Validity and reliability of the scale are confirmed in this study showing its utility for measuring coping in emergency situations with elementary school students. Utilization of the scale will also contribute to designing appropriate coping education programs for elementary school students.