• Child Health Nursing Research
• /
• v.14 no.2
• /
• pp.146-154
• /
• 2008

Purposes: The purposes of this study are to describe the health problems experienced by VLBW premature infants and their health care services utilization during the first year of life Method: Eighteen mothers of VLBW premature infants completed a survey questionnaire, asking socioeconomic/demographic information, health/developmental problems experienced by their infants, and their use of health care services. Results: Of the 18 infants, 78% experienced respiratory problems such as cold/running nose and wheezing during the first year and 33% experienced gastrointestinal problems such as vomiting, diarrhea and constipation. Twelve (67%) infants visited the emergency department at least one time and 10 infants (56%) were hospitalized at least once during their first year of age. Interestingly, infants without chronic lung disease visited the emergency department more than infants without chronic lung disease (p=.213). Infants living in non-disadvantaged neighborhoods were hospitalized more than infants living in disadvantaged neighborhoods (p=.000). Conclusions: Health care providers should initiate educating mothers, particularly those living in disadvantaged neighborhoods, about post-NICU discharge health care needs of their VLBW premature infants while their infants were still in the NICU so that unnecessary visits to the emergency department and rehospitalizations can be possibly prevented.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.21 no.4
• /
• pp.477-489
• /
• 2015

Purpose: The purpose of this study was to develop an instrument to assess emergency room nurses' knowledge and performance of triage nursing. Methods: The instrument was developed through the stages of conceptual construction, item development, and validity and reliability testing. For the validity and reliability testing, data collected from 48 emergency room nurses using questionnaires was analyzed through descriptive statistics, factor analysis, and reliability coefficients. Results: The knowledge part consisted of 30 items in nine areas, and its reliability was low (KR-20 =0.50). The correct-answer rate was 71.8%. The performance section derived from the factor analysis was composed of two factors with nine items in the triage domain and three factors with 12 items in the non triage domain. The explanatory powers of these factors for the domains were 66.1% and 70.4%, respectively. The overall reliability (Cronbach's ${\alpha}$) was .95, and the reliabilities for the two domains were .88 and .91, respectively. The nurses' mean performance level was 3.2(${\pm}0.45$). Conclusion: The specific contents of the triage nursing work were identified from the developed scale; further research is necessary to in order to develop a scale capable of higher reliability and validity.

• KSII Transactions on Internet and Information Systems (TIIS)
• /
• v.6 no.9
• /
• pp.2052-2072
• /
• 2012

Access control is an essential security component in protecting sensitive data and services from unauthorized access to the resources in mission-critical Cyber-Physical Systems (CPSs). CPSs are different from conventional information processing systems in such that they involve interactions between the cyber world and the physical world. Therefore, existing access control models cannot be used directly and even become disabled in an emergency situation. This paper proposes an adaptive Access Control model for Emergences (AC4E) for mission-critical CPSs. The principal aim of AC4E is to control the criticalities in these systems by executing corresponding responsive actions. AC4E not only provides the ability to control access to data and services in normal situations, but also grants the correct set of access privileges, at the correct time, to the correct set of subjects in emergency situations. It can facilitate adaptively responsive actions altering the privileges to specific subjects in a proactive manner without the need for any explicit access requests. A semiformal validation of the AC4E model is presented, with respect to responsiveness, correctness, safety, non-repudiation and concurrency, respectively. Then a case study is given to demonstrate how the AC4E model detects, responds, and controls the emergency events for a typical CPS adaptively in a proactive manner. Eventually, a wide set of simulations and performance comparisons of the proposed AC4E model are presented.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.11 no.2
• /
• pp.127-129
• /
• 2013

The imidazopyridine, zolpidem, a non-benzodiazepine hypnotic drug, is widely-prescribed for insomnia. It is regarded as a good alternative to benzodiazepine because of the reduced possibility for abuse and development of dependence. However, more recently, due to the reduced possibility for abuse and development of dependence, it is regarded as a good alternative to benzodiazepine. adverse effects of zolpidem have been recognized. The objective of this report is to provide information on the potential for occurrence of benzodiazepine-like withdrawal seizure in patients who chronically take zolpidem continually. We present and discuss a case of seizure after sudden interruption of the protracted use of an abusively high dose of zolpidem. Zolpidem may not be the ideal drug for longterm pharmacotherapeutic management of insomnia. Clinicians should administer zolpidem at a low-dose for a short period of time for prevention of drug abuse and dependence and the potential for occurrence of benzodiazepine- like withdrawal seizure.

• Journal of Internet Computing and Services
• /
• v.23 no.2
• /
• pp.37-44
• /
• 2022

With the outbreak of COVID-19, non-face-to-face activities such as remote learning and telecommuting have increased rapidly. As a result, the number of people staying at home and the number of hours spent inside the house have also increased since the pandemic. Our team had previously worked on methods for detecting abnormal conditions in a person's health in various circumstances within the house by converging single sensor-based algorithms. In our previous research, we installed IoT sensors indoors to detect people emergency situations requiring aids, the scope of detection was limited to indoor space due to the limitation in sensors. In this study, we have come up with a system that integrates our previous study with a new method for detecting abnormal conditions in outdoor environments using outdoor security cameras and wearable devices. The proposed system enables users to be notified of emergency situations in both indoor and outdoor areas and respond to them as quickly as possible.

• Journal of Trauma and Injury
• /
• v.33 no.1
• /
• pp.23-30
• /
• 2020

Purpose: Hemorrhagic shock is the leading cause of death in trauma patients worldwide. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique used to improve the hemodynamic stability of patients with traumatic shock and to temporarily control arterial hemorrhage. However, further research is required to determine whether REBOA with cardiopulmonary resuscitation (CPR) in near-arrest or arrest trauma patients can help resuscitation. We analyzed trauma patients who underwent REBOA according to their CPR status and evaluated the effects of REBOA in arrest situations. Methods: This study was a retrospective single-regional trauma center study conducted at a tertiary medical institution from February 2017 to November 2019. We evaluated the mortality of severely injured patients who underwent REBOA and analyzed the factors that influenced the outcome. Patients were divided into CPR and non-CPR groups. Results: We reviewed 1,596 trauma patients with shock, of whom 23 patients underwent REBOA (1.4%). Two patients were excluded due to failure and a repeated attempt of REBOA. The Glasgow Coma Scale score was lower in the CPR group than in the non-CPR group (p=0.009). Blood pressure readings at the emergency room were lower in the CPR group than in the non-CPR group, including systolic blood pressure (p=0.012), diastolic blood pressure (p=0.002), and mean arterial pressure (p=0.008). In addition, the mortality rate was higher in the CPR group (100%) than in the non-CPR group (50%) (p=0.012). The overall mortality rate was 76.2%. Conclusions: Our study suggests that if REBOA is deemed necessary in a timely manner, it is better to perform REBOA before an arrest occurs. Therefore, appropriate protocols, including pre-hospital REBOA, should be constructed to demonstrate the effectiveness of REBOA in reducing mortality in arrest or impending arrest patients.

• Journal of Trauma and Injury
• /
• v.18 no.2
• /
• pp.161-171
• /
• 2005

Background: The management of hepatic injuries has changed dramatically during the past two decade after the technologic breakthroughs in radiologic imaging techniques. Recently, the non-operative management of blunt hepatic trauma has become the standard of care in hemodynamically stable patients. We reviewed our experience of the non-operative management of blunt hepatic trauma. And the purpose of this study was to examine the prognostic factors and indicators affecting the decision for treatment modality of emergent hepatic trauma. Methods: The medical records of 84 patients who were treated for blunt hepatic injury at Masan Samsung Hospital from January 2002 to December 2003. The patients were divided two groups, non-operative(Non-OP) and operative(OP), according to the treatment modality. The two groups were compares for age, sex, mechanism of injury, grade of liver injury scale, combined injury, systolic blood pressure, pulse rate, hemoglobin, hematocrit, WBC count, S-GOT, S-GPT, ALP, transfusion amount during initial 24 hours, amount of infused crystalloid fluid, length of ICU stay, length of ward care, morbidity and mortality. The grade of the liver injury were determined by using the organ injury scale(OSI). Results: Among the 84 patients, 46 cases(54.8%) were managed non-surgically, and 3 cases of Non-OP group were treated by transarterial embolization. Between the two groups, there were significant difference in age, injury grade, combined injury, hemoglobin, hematocrit, initial systolic blood pressure, amount of infused crystalloid fluid, amount of transfusion during the first 24 hours, and length of ICU care, morbidity and mortality.(p<0.05) The overall mortality rate was 8.3%, but 2.2% mortality in the non-operative group. Conclusion: Non-operative management may be considered as a first choice in hemodynamic stable patients with blunt liver trauma. The reliable indicators affecting the treatment modality of blunt hepatic trauma were systolic BP, Hb, Hct, amount of infused crystalloid fluid, amount of transfusion during the first 24 hours, liver injury grade and combined injury. Strict selection of treatment madality and aggresive monitoring with intensive care unit were more important.

• Journal of Institute of Control, Robotics and Systems
• /
• v.12 no.7
• /
• pp.719-727
• /
• 2006

This paper proposes a new method to obtain a maximum allowable delay bound for a scheduling of networked discrete control systems and event-based scheduling method. The proposed method is formulated in terms of linear matrix inequalities and can give a much less conservative delay bound than the existing methods. A network scheduling method is presented based on the delay obtained through the proposed method, and it can adjust the sampling period to allocate same utilization to each control loop. The presented method can handle three types of data (sporadic, emergency data, periodic data and non real-time message) and guarantees real-time transmission of periodic and sporadic emergency data using modified EDF scheduling method.

• The Korean Journal of Emergency Medical Services
• /
• v.13 no.1
• /
• pp.87-96
• /
• 2009

Purpose : To grasp the mental burden for legal responsibility that rescue members have in the performance of job. Method : Questionnaire was presented to rescue members serving in 2 direct control safety centers of fire station located in Seoul, Daejon, Incheon, Kwangju, Busan, Daegu and Ulsan. Results : 1. Questioned whether they have mental burden for legal responsibility while performing job on the site, the rescue members responded : very burdensome in 38.0%, burdensome in 56.0%, moderate in 4.5%, not burdensome in 1.0%, no burden at all in 0.5%. 2. Questioned on the first aid treat for which they have the most mental burden, the rescue members responded : intubation into trachea laryngeal mask airway(LMA) in 40.4%, automatic external defibrillator in 16.3%, securing vein providing sap(medicine) in 10.8%, basic cardiopulmonary resuscitation in 7.2%, eliminating foreign matters inserted into body in 5.4%, stanching external bleeding and treating injury in 5.4%, fixing extremities and spine by using splint in 1.8%, measuring the symptom of vitality in 1.2%, providing oxygen in 0.0%. 3. Questioned whether experiencing legal problem or firm petition(complaint) raised by patient while serving as rescue members, they responded : experiencing a complaint in 41.6%, experiencing no complaint in 58.4%. Asked to indicate the stress level in the scale of which they suffered when lawsuit or firm petition was raised, 0(weak)-10(strong), they answered 8.8 in average. 4. Questioned whether 119 rescue members put the legal responsibility in case that they cause damage to patients intentionally in performing, they responded to the inquiry 3.66 in average(of 5.00). It represented meaningful differences (F=2.874, p=.024) whether they had license or not. 5. In future, legal action will raise against the rescue member by 99% because of people's rights improvement(63.1%), high expectations for the rescue system(29.5%), non-licensed rescue members(5.1%). Conclusion : It was found that the rescue members had severe mental burden for advanced life support which was investigated to have low enforcement rate in the preceding research, for instance, intubation into trachea securing vein management by using automatic external defibrillator. To improve the qualitative level of rescue service in the fire fighting, it may be required to construct the environment that eliminates the mental burden of rescue members for legal responsibility.

• Journal of Broadcast Engineering
• /
• v.12 no.3
• /
• pp.230-241
• /
• 2007

This paper presents the requirements analysis for the Terrestrial DMB Automatic Emergency Alert Service (AEAS) Standard. First, the basic concepts in disaster management and the AEAS system structure are presented as a background. Next, other emergency alert systems and the related standards are analyzed. We propose taxonomy to categorize the emergency alert systems and analyze the characteristics of each system. Next, we analyze advantages of T-DMB for the delivery medium of emergency alert message and problems to resolve for the enhanced performance. Finally, we propose service requirements which will achieve general/special-purpose, non-interrupting, location-adaptive, automatic, message delivery service. The paper will contribute as a guideline to the development for emergency alert service standards for other broadcasting media.