• 제목/요약/키워드: Golden hour

검색결과 16건 처리시간 0.018초

Analysis of external environmental factors affecting patient transport time

  • LEE, Hyeryeong;PARK, Sang Woong;YUN, Eunjeong;KIM, Dakyeong;CHOI, Hea Kyung
    • 식품보건융합연구
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    • 제8권6호
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    • pp.11-17
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    • 2022
  • Emergency transport is directly related to the life of the patient, and rapid transport to the hospital is crucial. However, external environmental factors such as traffic or weather, interfere with hospital transport. In this study, we investigated the external environment affecting hospital transport time. We examined the transfer time and patient treatment time of emergency patients in an area of northern Gyeonggi-do from 2018 to 2020. Diagnosis after arrival at the hospital was used, and on-site treatment time was measured from paramedic arrival time at the scene to departure. Furthermore, we examined whether there was a correlation between the time paramedics left the scene and hospital arrival time through the reason for the delay as recorded in the emergency log. Traffic jams had the greatest impact on patient transport, while transport delays occurred due to heavy rain, but not snow. Among injured patients, electrical accidents were the most problematic in terms of on-site treatment time. This was because a lot of first aid is needed in electrical accidents. It must be necessary to mobilize two ambulances in an emergency through the expansion of infrastructure, prepare a plan for rapid transport in heavy rain, and implement strong laws against transport obstruction.

심한 구역반사를 가진 성인환자에서 프로포폴 목표농도 주입법으로 시행한 깊은 진정 (Propofol Target Controlled Infusion (TCI) Sedation for Dental Treatment in the Exaggerated Gag Reflex Patient)

  • 신순영;차민주;서광석;김현정;이정만;장주혜
    • 대한치과마취과학회지
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    • 제12권2호
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    • pp.105-109
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    • 2012
  • The gag reflex is a physiological reaction, but, an exaggerated gag reflex can be a severe limitation not only to treat dental caries but also to do oral exam. Procedures such as surface anesthesia of the palate and pharyngeral area, sedation, or general anesthesia can be options as behavioral management. But, there are no golden rule for the sever gag reflex patients. We present a case report of propofol intravenous sedation using TCI pump for simple dental treatment. A 44-year-old man, who had past history of general anesthesia for dental treatment because of severe gag reflex, was scheduled intravenous sedation for simple dental treatment. After 8 hour fasting he entered the clinic for persons with disabilities. We explained about intravenous deep sedation and got informed consent. First, we kept intravenous catheter (22G) in the arm and started monitoring ECG, non-invasive blood pressure, pulse oximetry and end-tidal $CO_2$ through nasal cannula. We started propofol infusion with TCI pump at the target concentration of 3 mcg/ml. The patient became sedated, but he showed involuntary movement during dental treatment, so we increased the target concentration to 4 mcg/ml. We finished the dental treatment without complications during 30 min. And after 40 min recovery room stay he was discharged without any complications.

Natural Dyeing Using Tea Extract II - The Effect of Dyeing Condition on Dyeing Characteristics of Coffee Extract Dyed Silk Farbic-

  • Yoo, Hyun-Geun;Kim, Sin-Hee
    • 패션비즈니스
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    • 제10권3호
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    • pp.78-86
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    • 2006
  • Coffee extract dyeing on silk fabric using various mordanting agents at different mordanting condition was studied in our previous research. Coffee extract dyeing can exert beautiful colors and have several advantages over the conventional natural dyeing. Since most of natural dyes are expensive for mass production, strongly season and source dependent, and hard to store, and therefore, coffee waste was used as natural dye to create beautiful colors in this study. Coffee waste is inexpensive and easy to store, and provide a comparatively regular quality regardless of season and source. The effects of dyeing condition such as dyeing temperature, dyeing time, and liquor ratio on dyeing characteristics of silk fabrics were investigated. Coffee extract dyed silk showed brilliant colors, and the colors were different with the kind of mordant. Cu, Sn, and Al mordanted silks showed golden yellow with subtle change of hue and value, while Fe mordanted silk showed a brownish green color upon coffee extract dyeing. As the dyeing temperature increased, the dyeability generally increased in all mordanted silk fabrics except Fe mordanted silk until $45^{\circ}C$. The dyeing temperature did not affect the dyeability of Fe mordanted silk fabric. As the liquor ratio increased, the dyeability showed a gradual increase in all mordanted silk except Cu mordanted silk. Cu mordanted silk fabric showed an abrupt increase in dyeability at liquor ratio1:150. The dyeing time effect can be separated into 2 stages. During the initial half an hour, the dyeability did not change significantly, and then, increased after 45 min. dyeing time duration. A further increase in dyeing time after 45 min. did not affect the dyeing efficiency in all mordanted silk fabrics except the Cu mordanted.

Herbivory effects and growth rate of invasive species, Pomacea canaliculata on different macrophytes species

  • Ismail, Hasnun Nita;Anuar, Wan Nurul Hidayah Wan;Noor, Noormawaty Mohammad
    • Fisheries and Aquatic Sciences
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    • 제24권12호
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    • pp.415-427
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    • 2021
  • Wetland ecosystems act as natural freshwater purification systems, but their rich biodiversity is being threatened with the introduction of the non-native freshwater snail, Pomacea canaliculata. This study was conducted to measure the herbivory effects and growth rate of P. canaliculata on common macrophytes: Ipomoea aquatica, Ipomoea batatas, Pandanus amaryllifolius and Cucurma longa. In separate experiments, the macrophyte species were served as the snails' food as individual species and simultaneously. In the individual treatment, the growth pattern and rate were based on the snails' weight (mg/snail/day; n = 9) while the individual feeding consumption (mg/snail/day) was calculated from the leftover food. In the simultaneous treatment, the herbivory effects were evaluated as the feeding preference (%) from observations every two hours, while the total feeding consumption (mg) was calculated based on the food remaining after a 12-hour experiment (3 replicates: total n = 27). The results indicated that the growth pattern was significant for snails grazing on I. aquatica but not when other macrophyte species were eaten. The individual feeding consumption was higher when using I. aquatica than P. amaryllifolius but the growth rate for snails grazing on I. aquatica and P. amaryllifolius did not differ significantly. Meanwhile, the consumption of C. longa deterred the snails' growth rate. Although the snails consumed all the macrophytes in the individual experiment, when given the species simultaneously, the feeding preference and total feeding consumption were directed significantly more toward I. aquatica than P. amaryfollius and C. longa. We conclude that P. canaliculata is a generalist feeder given a limited choice of food but tends to show a strong feeding preference after being introduced to more food choices. These findings indicate that the introduction of P. canaliculata into wetland ecosystems may increase the herbivory effects on macrophytes, making these ecosystems vulnerable to the impact of eutrophication and biodiversity reduction.

작업현장의 안전을 위한 LoRa기반 통신의 음영지역 해소를 위한 연구 (A Study on Resolving Shadow Area of LoRa-based Communication for Workplace Safety)

  • 김승용;김동식;황인철;김경수;김경용
    • 한국재난정보학회 논문집
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    • 제16권2호
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    • pp.402-410
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    • 2020
  • 연구목적: 본 연구의 목적은 '스마트 안전관리 시스템'의 통신 음영지역을 해소하는 것이다. '스마트 안전관리 시스템'은 고위험 작업장(산업현장, 재난현장)에서 일하는 근로자의 실시간 데이터를 모니터링하고 중계할 수 있다. 데이터는 구조팀에게 구조작업 시 '골든 타임'을 제공한다. 연구방법: 이 연구에서 안전 태그는 사용자의 중계기 역할을 하도록 설계 및 구현되었다. 연구결과: 다시 말해, 안전 태그와 지휘부의 통신 구간에서 통신 음영이 생길 경우, 안전 태그는 해당 지역의 다른 안전 태그에 대한 중계기 역할을 한다. 결론: 이 연구는 개발한 안전 태그가 통신 음영지역이 있는 특정 건물에서 통신두절 문제가 해소되는지 테스트했다. 먼저, 안전 태그와 지휘부 단말기 사이에서 통신 음영지역을 확인했다. 동일한 상황에서 추가 안전 태그를 배포한 결과 통신 음영지역이 해소된 것으로 나타났다. 중계기 역할을 하는 안전 태그는 테스트 빌딩에서 최대 지하 3층 까지 통신 음영지역을 해소할 수 있었다.

다중 카메라 네트워크 가상의 관심선(Line of Interest)을 활용한 건물 내 재실자 인원 계수 방법론 개발 (Developing an Occupants Count Methodology in Buildings Using Virtual Lines of Interest in a Multi-Camera Network)

  • 천휘경;박찬혁;지석호;노명일
    • 대한토목학회논문집
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    • 제43권5호
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    • pp.667-674
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    • 2023
  • 건물에서 재난이 발생할경우, 건물 내 인원을 신속히 구조하여 사상자를 최소화하는 것은 단연 최우선순위가 된다. 이러한 구조활동을 위해서는 건물내 어디에 몇 명이 있는지를 알아야 하는데, 실시간으로 알기가 어렵다보니 주로 건물주나 경비원 등 관계자의 진술이나 층별 면적, 수용 인원과 같은 기초자료에 의존하는 실정이다. 따라서 빠르고 정확하게 재실인원 정보를 파악하여 현장에 대한 불확실성을 낮추고 골든타임내 효율적인 구조활동을 지원하는 것이 반드시 필요하다. 본 연구는 컴퓨터 비전 알고리즘을 활용하여 이미 건물에 설치되어 있는 여러대의 CCTV 가 촬영한 이미지 로부터 건물 위치별 재실인원을 계수하는 방법론을 제시한다. 계수 방법론은 (1)카메라별 관심선(LOI) 설정을 통한 다중카메라 네트워크 환경구축, (2)딥러닝을 활용한 모니터링 구역내 사람 탐지 및 추적, (3)다중 카메라 네트워크 환경을 고려한 인원 합산 세단계로 구성된다. 제안된 방법론은 5층 건물을 대상으로 세 개의 시간대 별로 수행된 현장 실험을 통해 검증되었다. 최종 결과는 89.9%의 정확도로 재실자를 인식하는 것으로 나타났으며, 층별, 구역별 합산결과도 93.1%, 93.3%의 정확도로 우수했다. 층별 평균MAE와 RMSE는 각각 0.178과 0.339이었다. 이 처럼 실시간으로 제공하는 건물내 재실자 정보는 초기 재난 대응단계에 신속하고 정확한 구조활동을 지원 할 수있다.