• Title/Summary/Keyword: Emergency System

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Parishioner's role Expectations of Parish Nursing (한국 교인들의 목회간호 역할기대)

  • Kim, Chung-Nam;Kwon, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.231-244
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    • 2000
  • Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

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Preference-based Supply Chain Partner Selection Using Fuzzy Ontology (퍼지 온톨로지를 이용한 선호도 기반 공급사슬 파트너 선정)

  • Lee, Hae-Kyung;Ko, Chang-Seong;Kim, Tai-Oun
    • Journal of Intelligence and Information Systems
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    • v.17 no.1
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    • pp.37-52
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    • 2011
  • Supply chain management is a strategic thinking which enhances the value of supply chain and adapts more promptly for the changing environment. For the seamless partnership and value creation in supply chains, information and knowledge sharing and proper partner selection criteria must be applied. Thus, the partner selection criteria are critical to maintain product quality and reliability. Each part of a product is supplied by an appropriate supply partner. The criteria for selecting partners are technological capability, quality, price, consistency, etc. In reality, the criteria for partner selection may change according to the characteristics of the components. When the part is a core component, quality factor is the top priority compared to the price. For a standardized component, lower price has a higher priority. Sometimes, unexpected case occurs such as emergency order in which the preference may shift on the top. Thus, SCM partner selection criteria must be determined dynamically according to the characteristics of part and its context. The purpose of this research is to develop an OWL model for the supply chain partnership depending on its context and characteristics of the parts. The uncertainty of variable is tackled through fuzzy logic. The parts with preference of numerical value and context are represented using OWL. Part preference is converted into fuzzy membership function using fuzzy logic. For the ontology reasoning, SWRL (Semantic Web Rule Language) is applied. For the implementation of proposed model, starter motor of an automobile is adopted. After the fuzzy ontology is constructed, the process of selecting preference-based supply partner for each part is presented.

Risk Management for Ammonia Unloading and Storage Tank Facility (암모니아 입하 및 저장시설에서의 위험도 관리)

  • Jeong, Yun Seo;Woo, In Sung;Lim, Jong Woo
    • Journal of the Korean Institute of Gas
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    • v.21 no.5
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    • pp.95-103
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    • 2017
  • A lot of hazardous materials have been used for product processing and utility plant. Many accidents including toxic release, fire and explosions occur in the ammonia related facility and plant. Various safety and environment management program including PSM, SMS, ORA etc. are being implemented for risk management and accident prevention in the production industry. Also much study and research have been carried about risk assessment of accident scenario in the academic and research area. In this paper, firstly risk level was assessed by using a typically used KORA program and LOPA PFD method for the selected ammonia unloading and storage facility. And then risk reduction measures for the risk assessed facility were studied in 3 aspects and some measures were proposed. Those Risk Reduction measures are including a leak detection and emergency isolation, water spray, dilution tank, dike and trench, scattering protection in hardware impovement aspect, and a applicable risk criteria, conditional modifier for existing LOPA PFD, alternative supporting modeling program in risk estimation methodology aspect, and last RBPS(Risk Based Process Safety) program, re-doing of process hazard analysis, management system compliance audit in managerial activity aspect.

A Study on the Improvement of Survival Rate of the Passengers and Crews according to FDS Analysis (FDS 분석을 통한 승객 및 선원 생존율 향상에 대한 연구)

  • Kim, Won Ouk;Kim, Jong Su;Park, Woe Chul
    • Journal of Advanced Marine Engineering and Technology
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    • v.39 no.3
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    • pp.312-317
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    • 2015
  • Seafarers can confront to evacuate from the ship with many reasons such as collision, grounding and fire accident. It believes that evacuation time from ship is very important element in order to increase survival rate in the contingency circumstance, however narrow and complex structure of ship is one of obstacle element against prompt evacuation. Taking into consideration the unique structure of ship compared to the structure of other facilities, speed of fire propagation on board ship is faster than the same size of other type facilities. Therefore, measures to prompt evacuation are required. But it comes with the behavioral constraints of the crews and passengers of the nature of operating in a complex structure with narrow vessels. Therefore, in this study, we propose a formula to be analyzed by theoretical approach and simulation methods to improve the survival rate for the crew and passenger of the ship through the ship's structural modification. We analyzed the temperature rise and visibility which are the most influential effects on the life safety in the event of fire by using a three-dimensional analysis of sight-only program Fire Dynamic Simulator (FDS) as analytical tools.

A study on a survey of recognition level of oral health in elementary-school teachers in Jinhae city (진해시 초등학교 교사의 구강보건 인식도에 관한 조사연구)

  • Moon, Seon-Jeong;Kim, Nam-Song;Ha, Hun-Yong;Han, Yong Jae
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.2
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    • pp.283-295
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    • 2010
  • Objectives : It surveyed the recognition level of oral health in class teachers who have influence of students' oral health knowledges and behaviors in our country, developed a program available for supplementing reinforcement in school oral health education, and planned the knowledge contents necessary for school oral health education hereafter. Methods : To arrange the basic data necessary for school oral health program, it carried out questionnaire survey by personal self-administration targeting 460 teachers for 19 elementary schools where are located in Jinhae city from May 7, 2007 to June 13. The following conclusions were obtained. Results : 1. The path of acquiring oral health knowledge was shown the high frequency with 23.9% and 23.3%, respectively, through publicity brochure and dental clinic. As for the opinion about the aim of maintaining dental hygiene, the prevention of dental caries was the highest with 53.7%. 2. The opinion about which the regular visit to the dentist is very effective for preventing dental caries accounted for 56.7%. The opinions about which the limit to sugar intake and the use of dental floss are effective for preventing dental caries accounted for 52.2% and 46.3%, respectively. 3. The opinion about which the fluoridation beverage intake and the sealant are effective for preventing dental caries accounted for 33.9% and 33.0%, respectively. 4. The opinion about which the regular toothbrushing without toothpaste has a little effect and has no effect on preventing dental caries accounted for 42.6% and 38.5%, respectively. Conclusions : The elementary-school age period, which is the most core field out of the whole oral health, is the important period that is formed the basis of lifelong oral health care. It surveyed the recognition level of oral health in class teachers who are in charge of direct health care while making continuous life with students, and developed program available for supplementing reinforcement in school oral health education. Through this, there will be necessity for cultivating ability available for properly managing oral health for the whole life by allowing elementary-school students, who will be led to future adults' oral health, to be formed the attitudes toward the rationally oral health care.

Study of matching user operation name and operation classification code (ICD-9-CM) (Through OCS program use facilitation at operating room) (사용자 수술명과 수술분류 code (ICD-9-CM) 일치율 향상에 관한 연구 (수술실 OCS program 사용 활성화를 통하여))

  • Choi, Hyang-Ha;Kim, Mi-Young;Kim, Do-Jin;Yu, Ji-Won;Chang, Jung-Hwa;Park, Su-Jung;Park, Jae-Sung
    • Quality Improvement in Health Care
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    • v.12 no.1
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    • pp.104-112
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    • 2006
  • Background : The necessity of unify and standardize codes used at hospital has been emphasized since OCS (Order Communicating System) was adopted. Therefore, the purpose of this study were to standardize operation code by continuous training of the ICD-9-CM code that is used as standard code in OCS program at operating room. Method : In 400 operation data, operation code entered in OCS program at operating room was compared to operation name recorded in medical record. In addition, a matching rate between input data of operation code by medical record department and computing input data of operation code in 3,710 cases was compared for each department. User operation name and operation code were matched and major diagnosis by operation department and operation name were also matched. Results : User operation name was reflected in operation classification code in detail, and operation code entered on user was registered. Input rate and matching rate of operation code were gradually improved after improvement activity. In particular, a matching rate was high at ophthalmology where operation name is segmented. Plastic surgery and orthopedics with a lot of emergency operation and comprehensive operation name show low input rates. Conclusions : As the medical field makes progress in computerlization, awareness of information exchange and sharing becomes higher. Among codes to classified medical institution, codes related to surgical operation are all different by user of hospital and department. Computerlization and standardization is essential. And when efforts of standardization continue in alliance with individual hospital and institution, initiative of preparing medical policy data at a national level will be accelerated.

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A Study to Improve the Operation Criteria by Size of Ship in Ulsan Tank Terminal (울산항 위험물 취급부두의 선박크기별 운용기준 개선방안에 관한 연구)

  • Kim, Seungyeon;Kim, Jongsung;Kim, Youngdu;Lee, Yunsok
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.6
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    • pp.639-646
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    • 2016
  • In order to establish an operational standard based on ship size, this study considered a specific safety management plan for Ulsan along with international standards, analyzed the results of mooring safety assessment at four vulnerable piers and suggests cargo stoppage and emergency unberthing standards as follows. In accordance with ship characteristics, ships of less than 10,000 tons are recommended to limit their activities for wind speeds of 18-21 m/s and wave heights of 1.0-1.5 m. Ships from 10,000-50,000 tons are recommended to observe wind speeds of 17-20 m/s and wave heights of 1.2-1.5 m, while, ships of 50,000-100,000 tons are recommended wind speeds of 15-19 m/s and wave heights of 1.5 m. Ships of more than 100,000 tons are recommended wind speeds of 14-18 m/s and wave heights of 1.5 m.

A Study on the Improvement of Operation Performance of Wet Bell Diving System in the Salvage Ship (고장 사례 분석을 통한 수중함용 디젤엔진 건전성에 관한 연구)

  • Choi, Woo-Suk;Min, Tae-Kyu;Kim, Byeong-Ho;Chang, Ho-Seong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.98-106
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    • 2020
  • This study examined the integrity of diesel engines for underwater vessels through failure analysis, analyzed the causes of abnormal diesel engine stoppage during building and examined the integrity of secondary damages. The diesel engine stoppage was analyzed by checking the temperature change of the piston before and after the abnormality and checking the damage. In addition, in order to analyze the secondary damage caused by the explosion, the tensile and compressive stresses transmitted to the crankshaft, the core part of the diesel engine, were calculated, and the stress distribution was examined through finite element analysis, but the crankshaft was designed by safety. It was confirmed that there was no damage to the crankcase even when the diesel engine was taken out of the ship and closely inspected. The integrity of the crank shaft was verified in advance for the occurrence of diesel engine emergency shutdown accidents through this research result. Therefore, the inspection and restoration were carried out to the minimum extent, and the quality of diesel engines was secured. This study is expected to be used as a reference for ensuring soundness in any future review of diesel engine quality problems.

Research on the Actual Condition of the Group Homes for the Elderly Living Alone In Farming and Fishing Villages - With Focus on Demonstration Projects in the Chungnam Region - (농어촌 독거노인 공동생활주거 실태조사 연구 - 충남지역 시범사업을 중심으로 -)

  • Park, Heon-Choon;Kim, Seung-Keun;Park, Kwang-Bum
    • Journal of the Korean Institute of Rural Architecture
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    • v.13 no.2
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    • pp.1-8
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    • 2011
  • Due to rapid decrease in population of farming and fishing villages and drain of young rural manpower to the cities, aging is being intensified, and the conditions of housing and welfare of elderly households are inadequate. Currently, group home is being discussed as part of specialized housing and welfare support policy for the people in the vulnerable class with poor self-supporting abilities such as the aged living alone in farming and fishing villages, and aged farming and fishing households. So the purpose of this research is to present the basic data for proposing the policy of supplying group home through examining the realities of housing and welfare of the people in the vulnerable class in farming and fishing villages. Survey was conducted on the 4 regions -Cheonan-si, Gongju-si, Yesan-gun, and Seosan-si - whose apartments were all occupied by the residents among the group homes for the elderly living alone in Chungcheongnam-do and the following results were derived from the analysis on the data collected from the survey. First, great effects can be attained at small costs by reorganizing and utilizing the public facilities that are unused or little used and the existing houses that are exposed to risks due to improper maintenance. Second, it can be pointed out that the residential environment of the vulnerable members of society was improved without impairing the existing village landscape. Third, housing welfare was enhanced without investing a large sum of money and the system to promptly cope with negligent accidents and emergency can be built and operated. Fourth, the cases promoted to solve the problems of the poor, unhygienic, and unsafe housing of the elderly and the vulnerable members of society were very positive and well worthy of being presented as planning direction of future group homes in farming and fishing villages. Finally, if they are operated entirely for free, it will cause the lack of the sense of ownership and the problems in securing the budget, so the ways of paying minimum individual housing expenses should be examined. The alternatives of housing welfare for the vulnerable members of farming and fishing villages are needed and the ways of constructive planning and researches should be continuously made. Also, the government's support policy should be actively promoted.

Analysis of Serious Game Elements of the Contents for Smart Device Based First-Aid Education (스마트 기기 기반 응급 처치 교육 콘텐츠의 기능성 게임 요소 분석 연구)

  • Suh, Dong-hee
    • Cartoon and Animation Studies
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    • s.47
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    • pp.273-294
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    • 2017
  • Korea has suffered numerous casualties due to a lot of accidents caused by safety insufficiency in recent years. Therefore, safety education is more important than ever before, and 'how to educate with what contents' is an important subject. Especially, experience education is effective rather than theoretical education because of the nature of safety education. However, it is not easy to design and develop these safety education programs. There is not much opportunity to access first-aid training, which is a part of safety education, unless it is compulsory to learn through public institutions. As a result, program utilization on safety education in Korea is still insufficient to what it should be. With that taken into account, this study proposed an effective serious game with fun and immersion for medical first-aid education. To do this, we analyzed five medical games through 20 cases of first-aid applications and elicited five factors that enhance the usability of serious games. With an analysis of five medical games, we selected one game to borrow the game rules, and applied the elicited five elements in the forms of level-up structure, iterative learning, compensation outcomes, competition system, and information transfer. The proposed medical education functional games should have 1) a character that plays a role of a patient, 2) a narrative flow that shows the situation, 3) the user should judge the situation and induce first aid. 4) compensation, levels, and simple repetition should be designed, and 5) information should be shared with the others in the given community. The results of this study is believed to contribute to enhance the medical emergency education in Korea.