• Title/Summary/Keyword: Emergency System

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Risk Factors of Predicting Intensive Care unit Transfer in Deteriorating Ward Patients (병동 급성악화 환자의 중환자실 전동 위험요인 분석)

  • Lee, Ju-Ry
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.467-475
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    • 2021
  • Purpose: When a patient with acute deterioration occurs in a ward, the decision to transfer to intensive care unit (ICU) is critical to improve the patient's outcomes. However, when available ICU resources limited, it is difficult to determine which of the deteriorating ward patients to transfer to the ICU. Therefore the purpose of this study was to identify risk factors in predicting deteriorating ward patients transferred to intensive care unit (ICU). Methods: We reviewed retrospectively clinical data of 2,945 deteriorating ward patients who referred medical emergency team. Data were analyzed with multivariate logistic regression. Results: The solid cancer that diagnosed at hospitalization (odds ratio[OR] 0.39; 95% confidence interval [CI] 0.32-0.47), when the cause of deterioration was respiratory problem (1.51; 95% CI 1.17-1.95), high MEWS (1.22; 1.17-1.28) and SpO2/FiO2 score (2.41; 2.23-2.60) were predictive of ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.

Evaluation of the Standard Support Pattern in Large Section Tunnel by Numerical Analysis and Field Measurement (수치해석 및 현장계측에 의한 대단면 터널 표준지보패턴의 적정성 검증)

  • Byun, Yoseph;Chung, Sungrae;Song, Simyung;Chun, Byungsik;Park, Duhee
    • Journal of the Korean GEO-environmental Society
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    • v.12 no.7
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    • pp.5-12
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    • 2011
  • When choosing the support pattern of tunnel, the characteristics of rock are identified from the result of the surface geologic survey, boring, and geophysical prospecting and laboratory test. And a rock mass rating is classified and excavation method and standard support pattern are designed considering rock classification, domestic and international construction practices, numerical analysis. According to the revised design standard for tunnel, it was recommended to classify the rock mass rating for the design of tunnel into a rating based on RMR. If necessary, it proposed a flexible standard allowed applying more atomized the rock mass rating and Q-System. Also, the resonable verification of the support pattern must be accompanied because the factors affecting the structure and behavior of ground during the construction of tunnel are the main factors of uncertainty factors such as the nature of ground, ground water and the characteristics of structural materials. These days, such verification method is getting more specialized and diversified. In this study, the empirical method, numerical analysis and comparative analysis of in situ measurements were used to prove the reasonableness in the support pattern by RMR and Q-value on the Imha Dam emergency spillway.

A Study on Development of Damage Impact Distance Calculation Formula for Accident Response and Prevention in case of Leakage of Substances Prepared for Evacuation of Residents in Chungju (충주의 주민대피 대비물질 누출사고 시 사고대응·예방을 위한 피해영향거리 산정식 개발 연구)

  • Jeon, Byeong-Han;Kim, Hyun-Sub;Lee, Myeong-Ji;Yun, Jeong-Hyeon;Jung, Woong-Yul;Oh, Seung-Bo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.703-712
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    • 2021
  • In this study, a formula was derived to calculate the damage impact distance using the Chemical Accident Response Information System (CARIS) so that local governments can decide on the evacuation and notification of 13 types of substances. The National Institute of Chemical Safety selected 16 out of 97 types of accident preparedness substances in 2018 and called them residents' evacuation preparedness substances. In a chemical accident, local governments should prepare for resident notification, such as emergency disaster texts. Using the CARIS in Chungju, this study modeled the damage-affected distances of 13 types of substances for the evacuation of residents. Under all conditions, the coefficient of determination R2 was 0.99 or higher, representing a range of at least 0.9921 to a maximum 0.9999. The relative standard deviation between the damage impact distance obtained using the calculation formula, and the CARIS result was compared. The minimum separation distance was corrected considering the actual chemical accident response situation, and the range was found to be between 0.58 and 5.97%. The damage impact distance can be calculated at the site using the calculation formula derived from the research, and local governments can determine whether to evacuate or notify residents.

The Effects of 12-Week Training for the Physical Fitness and Cardiovascular Factors to Examine Physical Fitness on Firefighters Test-Taker (소방공무원 수험생의 체력검정을 위한 12주간 훈련이 체력요인, 심혈관계요인에 미치는 영향)

  • Lim, Youn-Sub;Park, Jin-Hong;Kim, Jong-Hyuck;Kim, In-Dong;Kim, Jae-Joong;Park, Jeong-Beom;Lee, Chae-Mun
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.111-126
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    • 2021
  • The purpose of this study was to investigate the effects of 12-week training on changes in physical fitness and cardiovascular factors for firefighters. For this purpose, 40 men in their 20s and 30s who agreed to participate voluntarily were recruited. They were divided into four groups: the firefighters' physical fitness test training group (hereinafter referred to as PT group), firefighters' physical fitness test and aerobic training group (hereinafter referred to as PT+AR group), firefighters' physical fitness test and both aerobic and anaerobic training group (hereinafter referred to as PT+CO group). Physical fitness factors (grip strength, back muscle strength, seated forward bend, standing long jump, sit-ups, 20-meter shuttle run), cardiovascular factors (total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, glucose, waist circumference, systolic blood pressure, diastolic blood pressure) and the relationship between Framingham Heart Risk Score and physical/cardiovascular factors were compared and analyzed, and the following conclusions were obtained. Aerobic training, anaerobic training, and combined training, including 12 weeks of firefighter physical examinations, all had positive effects on fitness and cardiovascular factors, which would be an appropriate way for firefighter examinees to improve physical strength and reduce the risk of cardiovascular disease.

An Analysis on Media Trends in Public Agency for Social Service Applying Text Mining (텍스트 마이닝을 적용한 사회서비스원 언론보도기사 분석)

  • Park, Hae-Keung;Youn, Ki-Hyok
    • Journal of Internet of Things and Convergence
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    • v.8 no.2
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    • pp.41-48
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    • 2022
  • This study tried to empirically explore which issues related to the social service agency for public(as below SSA), that is, social perceptions were formed, by using mess media related to the SSA. This study is meaningful in that it identifies the overall social perception and trend of SSA through public opinion. In order to extract media trend data, the search used the big data analysis system, Textom, to collect data from the representative portals Naver News and Daum News. The collected texts were 1,299 in 2020 and 1,410 in 2021, for a total of 2,709. As a result of the analysis, first, the most derived words in relation to the frequency of text appearance were 'SSA', 'establishment', and 'operation'. Second, as a result of the N-gram analysis, the pairs of words directly related to the SSA 'SSA and public', 'SSA and opening', 'SSA and launch', and 'SSA and Department Director', 'SSA and Staff', 'SSA and Caregiver' etc. Third, in the results of TF-IDF analysis and word network analysis, similar to the word occurrence frequency and N-gram results, 'establishment', 'operation', 'public', 'launch', 'provided', 'opened', ' 'Holding' and 'Care' were derived. Based on the above analysis results, it was suggested to strengthen the emergency care support group, to commercialize it in detail, and to stabilize jobs.

A Study on the Experience of Non-face-to-face Lecture by College Freshmen Using Focus Group Interview (포커스 그룹 인터뷰를 활용한 대학 신입생들의 비대면 강의 경험에 대한 연구)

  • Kang, Jin-Ho;Son, Sung-Min;Han, Sueng-Tae
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.397-408
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    • 2020
  • This study conducted a focus group interview with 15 college freshman from J college to find out their experiences in non-face-to-face lectures with COVID-19. The contents of the interview were recorded and conducted, and the meaning was analyzed according to the focus group interview procedure through repeated listening. Components were 'Operation of non-face-to-face lectures in unprepared situations', 'Loss of orientation in lectures and departure from learning', 'One way listening', 'The convenience of taking a lectures'. The experience of 'Operating non-face-to-face lectures in unprepared situations' included the start of mixed non-face-to-face lectures, cumbersome and inconvenient online systems, and the demand for tuition refunds. The experience of 'Loss of orientation in lectures and departure from learning' has experienced difficulty in concentrating on lectures, Deficiency in the degree of recognition of learning content, and burden of assignments and exams. The experience of 'One way listening' has experienced lack of interaction between professors and learners and non reflection of liveliness in the field. Finally, participants experienced satisfaction with being able to lectures and repeat lectures at anytime and anywhere they wanted with the convenience of taking lectures. Based on this study, participants called for improvements in the quality lecture contents and interaction between professors and learners, and it is thought that universities will need administrative and financial support and education design and system construction to construct high-quality lecture contents.

Study of Autonomous DRT(Demand Responsive Transit) UX Design Feature: Focusing on the Elderly (자율주행 DRT(수요응답형 교통) UX 디자인 특성 연구: 고령자를 중심으로)

  • Choi, Kyu-Han
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.705-712
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    • 2021
  • The purpose of this study is to propose the features of autonomous DRT UX design based on level 5 autonomous vehicle applicable in 2027. As the scope of the study, the system focused on the interaction between the elderly and the in/outside of the vehicle, and the level 5 autonomous vehicle was the subject of the study. As of 2021, the targets for application were set from 60s to 90s. This study is different from previous studies in that it is a study on the features of autonomous DRT UX design that derives practical insights through direct communication with the elderly. As a research method, autonomous vehicle and DRT were theoretically considered through literature research, and based on this, cases of autonomous vehicle and DRT were analyzed. As a case study, generalization was conducted through interviews with the elderly, test-drive of autonomous vehicle, video production, survey, and VR test-drive of autonomous vehicle for the elderly. Ten features of autonomous DRT UX design were derived through focus group interview(FGI), and the derived features were classified into reservation, get on, input, driving, emergency, and get off. Through this study, I hope that it will contribute to improving mobility of the elderly and further accelerate the practical use of autonomous DRT.

A Study on the Analysis of Korea's Library Policy and Performance to Establish Libraries' Role in Discovering Individuals' Potential (개인의 가능성을 발견하는 도서관 역할 정립을 위한 우리나라 도서관 정책 및 성과 분석 연구)

  • Younghee, Noh;Woojung, Kwak
    • Journal of the Korean Society for Library and Information Science
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    • v.56 no.4
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    • pp.285-307
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    • 2022
  • This study examines the policies currently announced in the "3rd Comprehensive Library Development Plan" in relation to the discovery of individuals' potential in libraries and analyzes the current status of the tasks promoted and executed by central administrative agencies and municipal and provincial libraries based on these policies. Based on the analysis results, this study presents the methods for libraries to play their role in discovering the potential of individuals in the future. According to the results of this study, due to the poor performance of libraries resulting from reduced in-person events because of library closures and the promotion of non-contact services such as humanities classes and cultural programs in response to COVID-19, it is necessary to establish systems to support emergency management and non-contact programs in response to COVID-19, as well as increase the budget for extending reading culture projects for underprivileged regions and people. In addition, it is necessary to discover quality long-term, non-contact programs, provide infrastructure for non-contact program operation, and develop guidelines. Second, it is observed that communication- and discussion-type social reading programs need to be promptly converted into and operated as online classes. Third, the study results confirm that it is necessary to prepare measures to reinforce external cooperation, such as improving the convenience of and accessibility to information use for users, conducting seminars between domestic and foreign councils, promoting one-stop data sharing systems, executing data digitalization, expanding library infrastructure in preparation for the post-COVID-19 era, and promoting public relations activities.

Establishment of Complex Disaster Scenario on the Utility Tunnel Study for Digital Twin System Application (디지털트윈 시스템 적용을 위한 공동구 복합재난 시나리오 구축)

  • Yon Ha Chung; So Dam Kim;Hyun Jeong Seo;Hojun Lee;Tae Jung Song
    • Journal of the Society of Disaster Information
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    • v.18 no.4
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    • pp.861-872
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    • 2022
  • The purpose of this study was to establish a complex disaster scenario that can comprehensively consider various disaster situations that may occur in the utility tunnel. Method: In order to comprehensively consider the correlation between disasters, a composite disaster scenario was derived from a combination of damage factors, respectively. A risk assessment was performed in order to derive the priorities of the scenarios. And based on the results, the priorities of complex disaster scenarios were set. Result: Based on the disaster cases in the utility tunnel, a plan was prepared for complex disaster scenarios centered on damage. A complex disaster scenario was specified using a semi-quantitative evaluation method for single and multiple disaster factors such as fire, flooding, and earthquake. Conclusion: The composite disaster scenario derived from this study can be used for the prevention and preparation of damage when the precursor symptoms of a disaster are detected. In addition, the results of this study are expected to be used as basic data for preparing strategic plans and preparing complex disaster response technologies to induce rapid response and recovery in case of emergency disasters.

The Direction of Neurosurgery to Overcome the Living with COVID-19 Era : The Possibility of Telemedicine in Neurosurgery

  • Min Ho Lee;Seu-Ryang Jang;Tae-Kyu Lee
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.573-581
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    • 2023
  • Objective : Due to the implementation of vaccinations and the development of therapeutic agents, the coronavirus disease 2019 (COVID-19) pandemic that started at the end of 2019 has entered a new phase. As a result, neurosurgeons should reconsider the way they treat their patients. As the COVID-19 situation prolongs, the change in neurosurgical emergency patients according to the number of confirmed cases is no longer clear. Outpatient treatment by telephone was permitted according to government policy. In addition, visits to caregivers in the intensive care unit were limited. Methods : The electronic medical records of patients who had been treated over the phone for a month (during April 2020, while the hospital was closing) were reviewed. Meanwhile, according to the limited visits to the intensive care unit, a video meeting was held with the caregivers. After the video meeting, satisfaction was evaluated using a questionnaire. Results : During April 2020, 1021 patients received non-face-to-face care over the telephone. Among the patients, no critical medical problem occurred due to non-face-to-face care. From July 2021 to December 2021, 321 patients were admitted to the neurosurgical intensive care unit and 107 patients (33.3%) including their caregivers agreed to video visits. Twice a week, advance notice was given that access would be made through a mobile device and the nurse explained to caregivers how to use the mobile device. The time for the video meeting was approximately 20 minutes per patient. Based on the questionnaire, 81 respondents (75.7%) answered that they agreed, and 26 respondents (24.3%) answered that they strongly agreed that was easy to communicate through video meetings. Fifty-two (48.6%) agreed and 55 (51.4%) strongly agreed that they were easy to understand the doctor's explanation. For overall satisfaction with this video meeting, three respondents (2.8%) gave 4/5 points and 95 respondents (88.8%) gave 5/5 points, and nine (8.4%) gave 3/5 points. Their reason was that there was not enough time. Conclusion : In situations where patient visits are limited, video meetings through a mobile device can provide sufficient satisfaction to caregivers. Telemedicine will likely become common in the near future. Health care professionals should prepare and respond to these needs and changes. Therefore, establishing a system with institutional support is necessary.