• 제목/요약/키워드: Emergency Status Condition

검색결과 53건 처리시간 0.025초

국내 공연장 안전관리 실태 및 개선 대책에 관한 연구 (Improving Current Status of Safety Management for Domestic Performance Theatre)

  • 갈원모
    • 대한안전경영과학회지
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    • 제10권3호
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    • pp.35-41
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    • 2008
  • It is a fact that domestic performance art has been sharply progressed but it is focused on only performance quality technique, not on safety of performers and the audience. It is a pity that people's effort to keep safe stage environment have not traced to innovative change, eventually leading to be forced to perform under hazardous condition. This study is to find out and identify that domestic regulation and accident cases are investigated and compared with cases of advanced countries, to verify that performer and the audience are main elements to develop performance art. And it is to show more effective safety measure after pointing out hazardous elements. Research change is limited to review only performance ones of all cultural facilities and to review accident cases from these places to show reasonable safety measures for stage facilities. Operation manager covers almost all of areas such as devices, management, despite a fact that they take charge of stage facilities, illumination, sounds, already. Some conclusions are as follows; 1) performance theatre-related regulations should be established again. domestic safety standards for performance theatre safety should be established. 2) characteristic and purpose of performance place should be clarified at the stage planning and design of them 3) operation expert performance place is required to be trained to cover emergency situation at any time.

의료필요를 고려한 의료이용의 형평성 분석 (Analysis of the Inequalities in Healthcare Service Usage Considering Healthcare Service Needs)

  • 이용재;이현옥;김형익
    • 한국콘텐츠학회논문지
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    • 제17권11호
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    • pp.435-445
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    • 2017
  • 본 연구는 단순 의료이용의 차이를 확인하거나 제한적인 의료필요와 의료이용지표를 활용하여 의료이용의 형평성을 연구한 선행연구의 한계를 극복하기 위하여 수행되었다. 구체적으로 의료필요지표로 활동제한여부, 만성질환이환여부와 수, 주관적 건강상태를 활용하였고 의료이용지표로 외래와 입원, 응급이용횟수와 진료비를 활용하였다. 아울러 의료필요를 고려한 의료이용의 형평성을 분석하기 위하여 집중지수와 집중곡선, Le Grand계수를 활용하였다. 주요 분석결과, 첫째 단순한 의료이용 집중정도로 볼 때 저소득층의 의료이용량이 고소득층에 비해서 많은 것이다. 특히, 저소득층 입원이용이 외래나 응급이용에 비해서 크게 많았다. 둘째, 저소득층에게 의료필요가 집중된 것으로 나타났다. 즉, 저소득층의 건강상태가 좋지 않은 것이다. 셋째, 의료필요를 고려한 의료이용의 형평성을 확인하기 위하여 Le Grand계수를 산출하였다. 의료필요를 고려하더라도 고소득층의 의료이용량이 많았다. 즉, 단순한 양적인 의료이용은 저소득층의 이용이 많았지만, 의료필요를 고려한 의료이용횟수는 고소득층이 많은 것이다. 또한, 전체진료비는 활동제한여부와 만성질환수를 고려했을 때는 고소득층의 의료이용이 많았으며 주관적 건강상태와 만성질환이환여부를 고려하였을 때는 저소득층의 의료이용이 많았다. 따라서 대체로 저소득층이 건강상태에 비해 의료이용을 충분히 하지 못하는 것을 알 수 있었다. 한편, 저소득층의 주관적 건강상태와 만성질환이환여부 관련 의료필요에 비해 의료비지출이 많았는데 이는 저소득층이 스스로의 건강상태와 만성질환이환에 대한 인식을 소극적으로 함으로써 의료필요가 과소평가된 것이 원인으로 사료된다.

치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로- (A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment)

  • 조인호
    • 의료법학
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    • 제9권1호
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    • pp.319-382
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    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

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HILS를 활용한 전투차량의 반능동 현수장치 적용에 관한 연구 (A Study on the Appication of Semi-Active Supension Units for a Combat Vehicle by Using HILS)

  • 김지웅;김문준;이은준;이경훈;우관제
    • 한국군사과학기술학회지
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    • 제13권6호
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    • pp.967-975
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    • 2010
  • There have been a lot of efforts on the improvement for the ride comfort and handling stability of the combat vehicles. Especially most of vehicles for military purpose have bad inertial condition and severe operating condition such as the rough road driving, and need a high mobility in the emergency status. It is necessary to apply the controlled suspension system in order to improve the vehicle mobile stability and ride comfort ability of crews. A feasibility study is performed on the application of the semi-active suspension system with a magneto-rheological controlled shock absorber for a $6{\times}6$ combat vehicle. First, the dynamic simulation model of the vehicle including the control model for the semi-active suspension system was executed. Based on this model, a hardware-in-the-loop simulation(HILS) system which has a semi-active suspension controller hardware was constructed. After full vehicle simulations were performed in virtual proving courses with this system, the semi-active suspension system was proven to give better ride comfort and handling stability in comparison with the conventional passive suspension system.

작업자의 안전관리를 위한 웨어러블 산소포화도 측정 플랫폼 (Wearable oxygen saturation measurement platform for worker safety management)

  • 이윤주;송재종;유선국
    • 스마트미디어저널
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    • 제11권9호
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    • pp.30-38
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    • 2022
  • 안전사고의 위험성이 상존하는 작업 현장에서 안전사고 발생 시 신속한 조치를 위해서는 생체 데이터를 실시간으로 파악하는 것이 중요하다. 그 중 혈중산소포화도는 인간이 생명을 유지하는 데 있어서 가장 중요한 요소이므로 작업자의 안전관리를 위한 선제 대응으로 상황에 따라서 실시간 산소포화도 측정과 모니터링이 필요하다. 건강 및 생명 위험 보호복을 착용한 작업자로부터 실시간 생체 신호를 수신하고, 외부 시스템에서 작업자의 위험 상태를 공유 및 분석함으로써 작업자의 현재 상태를 진단하고 작업자에게 발생할 수 있는 응급 상황에 효율적으로 대응할 수 있다. 본 논문에서는 사고 현장에서 응급 상황에 대처하기 위해 보호복 착용자의 유해 가스와 산소포화도 위험도를 실시간 모니터링할 수 있고, 착용자의 활동성과 안전성을 보장할 수 있는 웨어러블 산소포화도 측정 플랫폼 기술을 제안하였다. 추후 제안한 시스템의 결과를 통해 확인한 한계점을 극복하고, 움직임 보정 등 개선된 생체 데이터를 플랫폼에 적용한다면 유해 가스 환경뿐만 아니라 응급 환자를 대상으로 하는 병원이나 가정에서도 활용할 수 있을 것이라 기대한다.

전국의 대피시설 실태조사를 통한 민방위 대피시설 표준 정립 모델 구축 연구 (A Study on Civil Defense Evacuation Facilities)

  • 박남희;여욱현;김태환
    • 한국재난정보학회 논문집
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    • 제8권1호
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    • pp.56-70
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    • 2012
  • 현재 우리나라에 설치되어 있는 민방위 대피시설을 조사하여 그동안 시설 지정에 치우쳐왔던 민방위 대피시설 운영 실태를 파악할 필요가 있다. 본 연구의 목적은 현 민방위 대피시설에 대한 시설설비, 관리 등의 조사 및 문제점 분석을 통해 민방위대피시설의 실태를 분석하고 이를 바탕으로 민방위대피시설의 표준 정립모델을 구축하는 것이다. 본 연구의 결론은 다음과 같다. 첫째, 민방위 대피시설은 지역별로는 서울에 가장 많이 분포하고 있고, 시설별로는 아파트주차장의 빈도가 가장 높다. 둘째, 민방위 대피시설이 주기적으로 점검을 하고 있는 것으로 나타났으나 시설별 점검회수가 일정하지 않고 체계적인 점검이 이루어지고 있는 것으로 보기 어렵다. 셋째, 유선전화, CCTV, 이동통신설비, 방송설비 등 통신시설이 없는 대피시설이 많은 것으로 나타나 비상 상황시 외부와의 연락에 어려움이 예상된다. 넷째, 종합적으로 보면 현재 수도권 및 대도시 중심으로 2000년 이전에 건축되어 비교적 노후한 대피시설이 많은 것으로 보인다. 정립모델안은 위치, 규모, 수용인원, 인접시설과의 거리, 독립공간 유무, 개구부, 계단, 진입방식, 시설관리, 안내시설, 전기시설, 통신시설, 소방시설, 냉난방시설, 급배수시설, 위생시설 측면에서 필수 사항을 정리하였다.

Design and Evaluation of PMU Performance Measurement and GPS Monitoring System for Power Grid Stabilization

  • Yang, Sung-Hoon;Lee, Chang Bok;Lee, Young Kyu;Lee, Jong Koo
    • Journal of Positioning, Navigation, and Timing
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    • 제4권2호
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    • pp.67-72
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    • 2015
  • Power grid techniques are distributed over general power systems ranging from power stations to power transmission, power distribution, and users. To monitor and control the elements and performance of a power system in real time in the extensive area of power generation, power transmission, wide-area monitoring (WAM) and control techniques are required (Sattinger et al. 2007). Also, to efficiently operate a power grid, integrated techniques of information and communication technology are required for the application of communication network and relevant equipment, computing, and system control software. WAM should make a precise power grid measurement of more than once per cycle by time synchronization using GPS. By collecting the measurement values of a power grid from substations located at faraway regions through remote communication, the current status of the entire power grid system can be examined. However, for GPS that is used in general national industries, unexpected dangerous situations have occurred due to its deterioration and jamming. Currently, the power grid is based on a synchronization system using GPS. Thus, interruption of the time synchronization system of the power system due to the failure or abnormal condition of GPS would have enormous effects on each field such as economy, security, and the lives of the public due to the destruction of the synchronization system of the national power grid. Developed countries have an emergency substitute system in preparation for this abnormal situation of GPS. Therefore, in Korea, a system that is used to prepare for the interruption of GPS reception should also be established on a long-term basis; but prior to this, it is required that an evaluation technique for the time synchronization performance of a GPS receiver using an atomic clock within the power grid. In this study, a monitoring system of time synchronization based on GPS at a power grid was implemented, and the results were presented.

Results of Protocol-based Perioperative Management in Off-Pump Coronary Artery Bypass Grafting for Patients with Non-dialysis-dependent Chronic Kidney Disease

  • Kim, Jeong-Won;Sim, Hyung Tae;Yoo, Jae Suk;Kim, Dong Jin;Cho, Kwang Ree
    • Journal of Chest Surgery
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    • 제49권6호
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    • pp.427-434
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    • 2016
  • Background: Recent studies have demonstrated the benefits of off-pump coronary bypass grafting over the on-pump technique in patients with chronic kidney disease (CKD). To further reduce the risk of acute kidney injury and the need for renal replacement therapy, even in patients undergoing off-pump coronary artery bypass grafting, we adopted protocol-based perioperative management for patients with CKD. Methods: From December 2012 to March 2015, 265 patients underwent isolated off-pump coronary artery bypass grafting. To analyze renal function in a stable condition, we excluded 12 dialysis-dependent end stage renal failure and 10 emergency or urgent cases. Among the remaining 243 patients, 208 patients had normal kidney function (normal group), and 35 patients had CKD (CKD group). Minimizing contrast exposure, ensuring adequate hydration, using strict drug dosage adjustment, and optimizing hemodynamic status were key elements of the protocol for the CKD group. Results: The risk of acute kidney injury was about ${\times}3$ higher in the CKD group than in the normal group (p=0.01). Estimated glomerular filtration rates and serum creatinine levels deteriorated until the third postoperative day in the CKD group. However, by adopting protocol-based perioperative management, this transient renal dysfunction recovered to preoperative levels by the fifth postoperative day without requiring renal replacement therapy in all cases. Conclusion: Off-pump coronary bypass surgery combined with this protocol-based perioperative management strategy in patients with non-dialysis-dependent CKD could mostly be performed without renal replacement therapy.

스마트 폰 음성 인식 서비스의 상황별 만족도 조사 (Study on the Situational satisfaction survey of Smart Phone based on voice recognition technology)

  • 이윤정;김승인
    • 디지털융복합연구
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    • 제15권8호
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    • pp.351-357
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    • 2017
  • 본 연구는 스마트 폰 음성인식 서비스를 분석하고 음성인식 서비스의 상황별 만족도 조사를 통하여 사용자들의 기대요구와 만족도 간의 관련성을 분석하여 더 나은 음성인식 서비스 발전을 모색하고자 하였다. 1차로 문헌연구를 통하여 음성인식 서비스의 개념과 현황을 알아보고, 2차로 육하원칙을 기조로 한 설문지를 통해 설문 조사를 진행하였다. 그 결과, 사용자는 스마트 폰 음성인식 서비스를 전화를 걸 때에 가장 많이 사용하며, 주로 혼자 있을 때 사용하며 시간대는 대체로 평이하지만, 저녁 시간이 가장 많았다. 또한, 해당 서비스는 집에서 가장 많이 사용하며 손을 사용할 수 없을 때 서비스를 가장 많이 사용하는 것으로 나타났다. 이러한 상황별 다양한 결과를 통해 개인화 서비스, 조건 인식 기능, 위급 상황 자동인식, 음성으로 잠금 해제 등 다양한 방안을 도출할 수 있었다. 본 연구를 바탕으로 추후 국내 스마트 폰 음성인식 서비스 개선과 웨어러블 디바이스 개발을 위해 효과적으로 활용할 수 있을 것으로 기대한다.

고등학생의 자살위험성, 자아존중감 및 영적 안녕의 관계 (The Relationships among the Suicidal Risk, Self-Esteem, and Spiritual Well-being of High School Students)

  • 권영숙;박경민;김영아
    • 지역사회간호학회지
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    • 제17권1호
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    • pp.112-124
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    • 2006
  • Purpose: This study was carried out to investigate the relationships among suicidal risk, self-esteem, and spiritual well-being of high school students, and to provide basic data for developing suicide prevention programs. Method: The subjects of this study were 1.176 high school students from six academic high schools and two technical high schools in Daegu City. Data were collected from the 13th to the 25th of September 2004. The research tools were the Suicide Probability Scale developed by Go. Kim and Lee (2000), the Self-Esteem Inventory modified by Choi and Jeon (1993), and the tool of Spiritual Well-Being modified by Yoo (2002). Data were analyzed with SPSS Windows 11.0. Result: Variables that showed statistically significant difference in suicidal risk were school type, whether to have the best friends, the number of close friends, current relationship with close friends, experience of school violation, respect for the teacher, grades, financial condition, parents marital status, father's education level, mother's education level, home atmosphere, conversation with father, conversation with mother, smoking, drinking, experience of counseling for problems, whether to have physical illnesses, experience of thinking about suicide, experience of attempting suicide. Suicidal risk was in a significantly negative correlation with self-esteem and spiritual well-being. Conclusion: The researcher identified many different variables that affect the suicidal risk of high school students. Self-esteem and spiritual well-being were found to be in a significant correlation with suicidal risk. Therefore, the results of this study can be used as basic data and information for suicidal prevention programs.

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