• Journal of Yeungnam Medical Science
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• v.36 no.3
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• pp.260-264
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• 2019

Pectus excavatum (PE) is known as one of the most common congenital deformities of the anterior chest wall. The Nuss procedure is an effective surgical therapy to correct PE. Here, we report a case of recurrent cardiac tamponade due to hemopericardium that occurred after 16 months following the Nuss procedure. The cause of recurrent hemopericardium was thought to be local, repetitive irritation of the pericardium by the Nuss steel bar. We should keep in mind that this serious complication can occur after the Nuss procedure, even in the late phase.

• Environmental Engineering Research
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• v.20 no.4
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• pp.356-362
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• 2015

Many burial sites were constructed in a short time to prevent the rapid spread of foot and mouth disease in infected livestock carcasses in Korea. More than 4,700 carcass burial sites were constructed in 2011. Approximately seven million poultry and 3.5 million livestock, including cattle and swine, were buried on farmland. Some burial sites were suspected of leachate leakage and were excavated and carcasses redisposed in a bioaugmentation process. This study performed interviews in order to understand the economic issues related to carcass burial and redisposal. The internal data from local government and the assumption data from online sites were analyzed to evaluate the costs; the focus was on burial site construction. The results showed that the local government paid $4.7 and $10.9 per carcass for traditional burial and redisposal. The comparable costs shown online were $4.5. This study found that the standard operating procedures should be carried out to reduce environmental impact and avoid additional costs. We estimated that the cost could be reduced by the advance preparations of materials against the emergency situations such as catastrophe of epidemics. In addition, the innovative technology for the stabilization of carcasses should be established through a future study.

• The Korean Journal of Emergency Medical Services
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• v.3 no.1
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• pp.7-19
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• 1999

Background : We are in the edge of some human made disasters such as hazardous materials and air pollution, for example, the world news reported that the city of Bhopal, India had serious victims related with a leaking out of the chemical materials, Methyl Isocyanate and many people in India were killed by. These situations many people who live in this world are world are worrying about are not others, but just ours and people consider about that kind of the disasters are the possible situation to happen to all the people. Therefore, we performed this basic study to recognize the risk of Methyl Isocyanate leak accident and to prepare local disaster plan with EMS system. Method : Trace 8.0, a simulation software made by the U.S. company Safer System was used as a tool to estimate the diffusion distance, area and its victims at the concentrations of 0.02ppm, 0.2ppm 5ppm respectively for an assumed B-city of 2 hundred thousands population count in which was presumed 500kg Methyl Isocyanate gas to leak out. Results : 1. During 1 hour, maximum diffusion distances of 0.02ppm 0.2ppm and 5ppm were 5.41km, 1.61km and 0.29km respectively on the plume impact. 2. Maximum population counts influenced by Methyl Isocyanate gas at the concentrations of 0.02ppm 0.2ppm and 5ppm were 40838, 4346 and 222 on the plume impact, while those were 138238, 17261 and 1588 on the vulnerability impact, respectively. 3. Therefore, 17261 persons must put on respiratory device and 138283 persons must be evacuated to safety place within 1 hour. Conclusions : Only small amount leak of Methyl Isocyanate may cause tremendous chemical disaster in urban area, so its disaster plan must be prepared with an accident simulation program and Material Safety Data Sheets(MSDS). Especially, nearby emergency center of an industrial complex must have a strong position about preparation of chemical disaster plan and perform a disaster dill of hazardous material accident annually.

• The Korean Journal of Emergency Medical Services
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• v.12 no.3
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• pp.99-113
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• 2008

In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control, education and activities.

• Fire Science and Engineering
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• v.31 no.6
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• pp.99-106
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• 2017

This research investigated the improvement plan for Korean Volunteer Fire Department through comparative consideration of overall operation system of Japanese and U.S. Volunteer Fire Department. For this, the researcher utilized descriptive approach according to documentary survey method including relevant academic essay, advanced research report, national institution publication, fire fighting-related books, textbook for new comers of Japanese fire department, and overseas training report, etc., and suggested an improvement plan for efficient operation of Korean Volunteer Fire Department. Research results are, first, enhance the community spirit of local community and establish of the status of Volunteer Fire Department. second, enlarge the scope of the work of Volunteer Fire Department to rescue, emergency medical services. third, organize task force team which is in charge of professional field education and training for Volunteer Fire Department. fourth, improve individual reward system and establishment of Volunteer Fire Department's identity and reinforce financial support. The researcher expects the research results can be utilized as the basic materials for the development of Korean Volunteer Fire Department, henceforth.

• Smart Structures and Systems
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• v.15 no.3
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• pp.523-541
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• 2015

Structural health monitoring of steel truss bridge based on changes in modal properties was investigated in this study. Vibration measurements with five sensors were conducted at an existing Warren truss bridge with partial fractures in diagonal members before and after an emergency repair work. Modal properties identified by the Eigensystem Realization Algorithm showed evidences of increases in modal damping due to the damage in diagonal member. In order to understand the dynamic behavior of the bridge and possible mechanism of those increases in modal damping, theoretical modal analysis was conducted with three dimensional frame models. It was found that vibrations of the main truss could be coupled internally with local vibrations of diagonal members and the degree of coupling could change with structural changes in diagonal members. Additional vibration measurements with fifteen sensors were then conducted so as to understand the consistency of those theoretical findings with the actual dynamic behavior. Modal properties experimentally identified showed that the damping change caused by the damage in diagonal member described above could have occurred in a diagonal-coupled mode. The results in this study imply that damages in diagonal members could be detected from changes in modal damping of diagonal-coupled modes.

• Journal of Positioning, Navigation, and Timing
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• v.8 no.3
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• pp.119-127
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• 2019

COsmicheskaya Sisteyama Poiska Avariynich Sudov Search and Rescue Satellite-Aided Tracking (COSPAS-SARSAT) is an international communication support program to perform search and rescue (SAR) operations in emergency situations by using satellite signals relayed from a beacon. The legacy COSPAS-SARSAT was originally composed of low altitude and geostationary Earth orbit satellites; thus, a limited number of directional dish antennas was sufficient to cover the limited number of visible satellites at the local user terminal. However, the second generation COSPAS-SARSAT newly added the medium Earth orbit satellites, e.g., Global Navigation Satellite Systems (GNSS) to the existing system, so that the number of visible satellites increase dramatically, and the system upgrade to cover all the visible satellites is foreseen. The additional use of planned Korea Positioning System (KPS) to existing GNSS is envisaged to provide a better performance of their SAR service. This paper presents the benefits of the additional use of KPS together with the phased array antennas at the local user terminal of the COSPAS-SARSAT. This is to effectively response to the increase of the number of visible satellites. Numerical simulation is included to evaluate the performance improvement of COSPAS-SARSAT in terms of the number of visible satellites, geometry between satellites and user, and position estimation accuracy.

• Fire Science and Engineering
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• v.27 no.4
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• pp.47-55
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• 2013

The importance of fire safety services has increased expanding its services into prevention of danger and the reinforcement of safety services. The purpose of this study is to suggest a way for effective safety service by surveying fire fighters and residents of Gyeonggi Province and examining theories of safety services and actual status of 119 safety units. This study suggests the use of social capital by local community, establishment of cooperation between organizations, supports by citizens, cooperative activities by organizations, difference between emergency report and non emergency report and social safety net role of safety fire services.

• The Korean Journal of Emergency Medical Services
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• v.27 no.1
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• pp.113-125
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• 2023

Purpose: This descriptive research study aimed to identify and strengthen the knowledge, attitudes, and performances related to first aid for patients with oral and maxillofacial trauma among 119 EMTs working at 119 safety centers and local stations in Jeollanam-do, South Korea. Methods: An online questionnaire was distributed among 144 119 EMTs working at fire stations in Jeollanam-do from August 1 to August 15, 2022. Results: The factors that influenced the knowledge of oral and maxillofacial trauma among the 119 EMTs included qualification (β=.113, p=.005) and performance (β=.837, p=.005), and those influential to attitudes were qualification (β=0.194, p=.005), ordinary interest (β=0.242, p=.005), and the need for education (β=.285, p=.005). The only factor that influenced the performance of first aid for patients with oral and maxillofacial trauma was knowledge (β=.900, p=.005). Conclusion: Considering the nature of first aid for patients with oral and maxillofacial trauma, it is necessary to organize practical knowledge and educational content tailored to the characteristics of each task. This should be simultaneously conducted with practice-oriented simulation education.

• Journal of Distribution Science
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• v.14 no.6
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• pp.89-98
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• 2016

Purpose - This article tackles risk communication issues and aims to address the characteristics of MERS risk information distribution in South Korea, and secondly to examine the communicative behavior of the public health authority in terms of the quality of communication strategies. Thirdly, the study attempts to figure out the risk communication to cope with MERS through the applications of SMCRE model in chronological order. We employ the social amplification of risk framework for analyzing the emergent public response as one of the main approaches. Research Design, Data and Methodology - The main framework of this study is theoretically based on the social amplification of risk, which describes signals about risk transmitted and processed by individuals and social groups. The model also reflects the interactions between social groups and institutes about disaster-related risk issues, which are potential amplifiers or attenuators of communication signals. S-M-C-R-E Model is methodologically employed to examine the social amplification for MERS risk information in each period, which we defined operationally. The proposed methodology allows the assessment of effectiveness and ineffectiveness on risk communication to be conceptualized as a countermeasure against disasters. The paper focuses on exploring how social risk amplification can be applied and organized in each stage. Results - The SMCRE model describes the exchange of risk information and is also applied to all forms of communication between stakeholders including public health authority, local government and media. Each factor of risk communication includes source, message, channel, receiver and effect. The results support that the effective risk communication involves not only the improved reliability of public health authority as a key factor of risk communication, but also a close cooperation and good collaboration with local governments. It does not seem to be possible that the government-initiated risk communication based on controllability and management cope effectively with infectious disease in early stage. The results of this study imply that the shared risks between local, regional and national authorities can enhance risk communication system. Conclusions - The study supports that the disparities in how disaster-related risk information is interpreted and coded, have made effective risk communication and public sense-making impeded. Our findings support a more communicative discussion about the role of risk information sharing between governments for the improvement of emergency management and underline the importance of social elements in the risk communication, such as relationship and trust building. Findings suggest that trust building between stakeholders could be added to help explain the processes of social amplification and attenuation of risk. It would be recommended that the continuous risk communication with all the involved stakeholders will be able to help national health promotion policy to be improved regarding emergency management. Furthermore, risk communication has to be a scientific approach for the communication pertaining to potentially sensitive or controversial situations with public concerns and low public trust.