• Title/Summary/Keyword: Non-emergency

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The incidence of unexpected delays in uploading outside radiologic images in the transfer of patients with major trauma

  • Woo, Si Jun;Kim, Yong Oh;Kim, Hyung Il
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.92-98
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    • 2022
  • Purpose: Critically ill patients are frequently transferred from one point of care to a hospital that can provide a higher level of care. To achieve optimal treatment within the targeted window of time necessary for time-sensitive cases like major trauma, rapid transportation and decision making are essential. Transferred patients have often undergone radiologic imaging at the referring hospital. Examining these outside images is paramount. Therefore, this study was conducted to estimate the upload time of outside images. Methods: This retrospective study was conducted from January to April 2020. Patients transferred from other hospitals with digitally recorded CDs or DVDs of radiologic or diagnostic images were included. When the patients were registered at the emergency department reception desk, the digital images were transmitted to our picture archiving and communication system using transmission software. The time of upload and the numbers of digital images were recorded. The time interval from patient registration to the time of upload was calculated. Results: The median number of images was 688 in the trauma team activation (TTA) group (688 in the TTA group, 281 in the non-TTA trauma group, and 176 in the nontrauma group, respectively; P<0.001). The median upload time was 10 minutes. The longest upload time was 169 minutes. The upload time was more than 20 minutes in 12 cases (19.4%). Conclusions: Patients with major trauma bring more images than patients with other diseases. Unexpected delays (>20 minutes) were noted in approximately 20% of cases. It is necessary to minimize this time.

Research on depression and emergency detection model using smartphone sensors (스마트폰 센서를 통한 우울증 탐지 및 위급상황 탐지 모델 연구)

  • Mingeun Son;Gangpyo Lee;Jae Yong Park;Min Choi
    • Smart Media Journal
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    • v.12 no.3
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    • pp.9-18
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    • 2023
  • Due to the deepening of COVID-19, high-intensity social distancing has been prolonged and many social problems have been cured. In particular, physical and psychological isolation occurred due to the non-face-to-face system and a lot of damage occurred. The various social problems caused by Corona acted as severe stress for all those affected by Corona 19, and eventually acted as a factor threatening mental health such as depression. While the number of people suffering from mental illness is increasing, the actual use of mental health services is low. Therefore, it is necessary to establish a system for people suffering from mental health problems. Therefore, in this study, depression detection and emergency detection models were constructed based on sensor information using smartphones from depressed subjects and general subjects. For the detection of depression and emergencies, VAE, DAGMM, ECOD, COPOD, and LGBM algorithms were used. As a result of the study, the depression detection model had an F1 score of 0.93 and the emergency situation detection model had an F1 score of 0.99. direction.

A Study on the Elderly Households' Needs for Housing Modification (노인가구 특성에 따른 주거개조요구에 관한 연구)

  • Lee, Kwang-Soo;Park, Soo-Been
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2009.04a
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    • pp.278-283
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    • 2009
  • This study aims to figure out the old people's needs for modification of their housing to maintain an independent lifestyle despite their health status and living arrangements. The total of 438 residents take part in the questionnaire survey research through the quota sampling method grouped by age (60-64 group, 65-69 group, 70-74 group, and over 75 group), sex (male and female), and house type (apartment houses and others). The results are as follows. (1) The old people's most inspired modification needs in interior spaces are remodeling the heating controls in the living room and the bedroom, ventilation facilities and storage spaces in the kitchen, non-slip tile flooring and ventilation facilities in bathroom, an easy door-lock, non-slip tile flooring, a draft cut-off, and storage spaces in the entrance. Besides they require emergency alarm, easy door and window locks, fire and gas alarm, and furniture with easy handling. It is necessary to supply the aged with the appropriate heating controls for their sensitivity to heat, with enough storage spaces for the increased possessions, and with diverse safety systems reflected blunting of mobility and sensibility. (2) As they grow older, the aged require more remote controls and safety facilities such as emergency alarm, easy locks and furniture with distinguishable colors. Male elderly is more concerned with safety, while female elderly do with convenience due to their different time spending in the house. The elderly residents in the apartment houses require the heating controls, a draft cut-off, and storage space less than other types of houses. Thus modification of the heating controls, a draft cut-off, and storage space are regards as basic needs for the elderly residents in non-apartment houses.

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A Bathroom, Stairway and Entrance Design preferred by the Elderly in Daejeon City (대전시 노인의 욕실 및 이동공간 디자인에 대한 선호)

  • Rhee, Ji-Sook
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2003.11a
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    • pp.133-136
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    • 2003
  • This study was purposed of finding housing characteristics, especially bathroom and preferred by the Elderly in Daejeon City. Collected By housing expenses and an administrative district, the Elderly over 65 were interviewed by well-trained investigators and 583 case was analyzed through SPSS PC 10.0. The results of this study were as follows ; They have a little emphasized emergency bell and convenience of a balustrade and have layed stress on non-slip floor in bathroom and stairways. Non-slip floor was considered more important thing for safety by the elderly.

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An Experimental Study on Smoke Generation of Rubber Floor for Railway Vehicle (철도차량용 고무바닥재의 연기발생에 관한 실험적 연구)

  • Park, Young Ju
    • Journal of the Korean Society of Safety
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    • v.33 no.4
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    • pp.15-20
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    • 2018
  • In this study, we have performed the Cone Calorimeter test and Smoke density test in accordance with ISO 5660-1 and ASTM E662 respectively to check the smoke production characteristics of rubber flooring materials for railway vehicle. Early in the ASTM E662 test, more smoke was produced in the flame mode test than non-flame mode test, but later more smoke was produced in non-flame mode test. The correlation($R^2$) between TSR(Total Smoke Release) by ISO 5660-1 and Ds(Specific Optical Density) by ASTM E662 Flame mode was 0.782. The $R^2$ between TSR by ISO 5660-1 and Ds by ASTM E662 Non-flame was 0.930.

Meconium Peritonitis: A Rare Treatable Cause of Non-Immune Hydrops

  • Rajendran, Usha Devi;Govindarajan, Jeyanthi;Balakrishnan, Umamaheswari;Chandrasekaran, Ashok;Amboiram, Prakash
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.6
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    • pp.576-580
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    • 2019
  • Meconium peritonitis as a cause of non-immune hydrops in neonates is rarely reported. Here we report such a rare occurrence. In our case, a routine antenatal scan at 25 weeks revealed isolated ascites. By 31 weeks of gestation, all features of hydrops were observed in scans. However, antenatal workup for immune and non-immune hydrops was negative. Subsequently, a preterm hydropic female baby was delivered at 32 weeks. She required intubation and ventilator support. An X-ray revealed calcification in the abdomen suggestive of meconium peritonitis. Ultrasound showed gross ascites, a giant cyst compressing the inferior vena cava, and minimal bilateral pleural effusion. Emergency laparotomy revealed meconium pellets and perforation of the ileum. Double-barrel ileostomy was performed, and the edema resolved and activity improved. The baby was discharged after 3 weeks. Ileostomy closure was done at follow-up. The baby is growing well.

Use of Dynamic Reliability Method in Assessing Accident Management Strategy

  • Jae, Moosung
    • International Journal of Reliability and Applications
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    • v.2 no.1
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    • pp.27-36
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    • 2001
  • This Paper proposes a new methodology for assessing the reliability of an accident management, which Is based on the reliability physics and the scheme to generate dynamic event tree. The methodology consists of 3 main steps: screening; uncertainty propagation; and probability estimation. Sensitivity analysis is used for screening the variables of significance. Latin Hypercube sampling technique and MAAP code are used for uncertainty propagation, and the dynamic event tree generation method is used for the estimation of non-success probability of implementing an accident management strategy. This approach is applied in assessing the non-success probability of implementing a cavity flooding strategy, which is to supply water into the reactor cavity using emergency fire systems during the sequence of station blackout at the reference plant.

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Cardiac Arrest in Conjunction with Hypoglycemia in a Non-Diabetic Patient with Cerebral Infarction (당뇨병이 없는 뇌경색 환자에서 발생한 저혈당과 동반된 심정지)

  • Ko, Jeongmin;Lee, Ji-Yong
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.143-147
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    • 2018
  • Background: Hypoglycemia is uncommon in people without diabetes. There have been only a few reports of cardiac arrest in conjunction with hypoglycemia in non-diabetic patients. Case Report: A 66-year-old man visited the emergency room with dizziness. He was a chronic alcoholic. Laboratory test showed no evidence of diabetes mellitus. Brain magnetic resonance imaging revealed a left cerebellar infarction. Abdomen computed tomography demonstrated liver cirrhosis with minimal ascites. During his hospital stay, he consumed only a small amount of food because of nausea and headache. On hospital day 4, he had a cardiac arrest after two seizure episodes. His blood glucose was 10 mg/dL. The combination of liver cirrhosis, renal failure and poor oral intake was presumed to be the causes of the severe hypoglycemia. Conclusion: We report a rare case of cardiac arrest occurring in conjunction with severe hypoglycemia in a non-diabetic patient with cerebral infarction.

Torsion of a Myomatous Uterus in a Non-Gravid Female: A Case Report (비임신 여성에서의 자궁근종에 의한 자궁염전: 증례 보고)

  • Yuri Kim;Young Mi Ku;Yoo Dong Won
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.467-471
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    • 2023
  • The torsion of the uterus is a rare gynecological emergency. It occurs mainly in the gravid uterus and extremely rarely in the non-gravid uterus. In this article, we report a case of a torsion of non-gravid uterus accompanied by a huge intramural leiomyoma with focus on CT and MR imaging findings.

Clinical Analysis of the Pediatric Patients Seen in the Emergency Medical Center (응급의료센터 소아 환자들의 경향 분석)

  • Lee, Hee Jung;Park, So Yoon;Lee, Young Hwan;Do, Byung Soo;Lee, Sam Bum
    • Clinical and Experimental Pediatrics
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    • v.48 no.10
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    • pp.1061-1067
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    • 2005
  • Purpose : We studied a clinical analysis of pediatric patients who visited the emergency medical center of Yeungnam University Hospital to compare the characteristics of pediatric emergency patients after year 2000 with the previous studies. Methods : We reviewed 7,034 children under the age of 15 years who visited the emergency medical center of Yeungnam University Hospital during the 2 year period from January 2001 to December 2002, and then we performed a clinical and statistical analysis. We analyzed the pediatric patients according to gender, age, season, day of the week, time of the visit, the disease classification and the final disposition of the patients. Results : Among the patients who visited the emergency room, 15.6% of the total emergency patients were under the age of 15. The male to female ratio was 1.6 : 1. Among the 7,034 pediatric patients, the most common age group was between 1 year and under 3 years of age(26.9%). The peak seasonal incidence was early summer and spring, especially during June(11.2%) and May(10.6 %). The peak incidence day of the week was Sunday(24.8%) and the peak time when the emergency pediatric patients visited the emergency room was between 20 and 24 o'clock(28.8%). The distribution of diseases, according to ICD-10 system, were injury and poisoning(30.4%), diseases of the respiratory system(22.8%), and diseases of the digestive system(14.6%). 30% of total pediatric patients were admitted to the hospital. Conclusion : After year 2000, as compared with the previous studies, the proportions of emergency pediatric patients has decreased. The distribution of diseases was not much different from the previous studies and the proportions of non-urgent diseases, such as acute nasopharyngitis or acute gastroenteritis, were still high. These result have come about due to the declining birth rate and changes of the medical system in Korea.