• 제목/요약/키워드: Recovery support stage

검색결과 29건 처리시간 0.026초

Disaster Cooperation Strategies between North and South Korea based on Sendai Framework

  • CHOI, Junho;LEE, Dongkwan;CHOI, Choongik
    • The Journal of Asian Finance, Economics and Business
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    • 제7권6호
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    • pp.509-515
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    • 2020
  • TThe cooperation on disaster prevention between the two Koreas has been mostly focused on cooperation at the recovery stage, such as emergency relief supplies and equipment support. This study aims to articulate future practical development plans by analyzing disaster cooperation between North and South Korea in accordance with the changing paradigm of international disaster cooperation. Considering the specificity of inter-Korean cooperation, the Framework for Inter-Korean Disaster Prevention Cooperation was established centering on the Sendai Framework for Disaster Risk Reduction. The framework consists of understanding and sharing disaster risks, building back better, strengthening community resilience, and supporting regional disaster action plans for continuous action. Inter-Korean disaster prevention cooperation requires sharing information about North Korean disasters. It is necessary to accurately identify and support social vulnerability to North Korean disasters. Above all, it is supporting the development of disaster action plans from a humanitarian perspective needs. A medium-to-long term resilience reinforcement plan that North Korea can resolve on its own is also needed. Since North Korea is also deeply interested in international disaster cooperation, it should be based on the direction of the Sendai Framework. Considering the uniqueness of inter-Korean cooperation, a path for North Korea to actively participate in international disaster cooperation should be established.

이중철심을 이용한 병렬연결된 자기결합형 초전도한류기의 전류제한 및 회복특성 (Current Limiting and Recovery Characteristics of Two Magnetically Coupled Type SFCL with Two Coils Connected in Parallel Using Dual Iron Cores)

  • 고석철;임성훈
    • 한국산학기술학회논문지
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    • 제17권5호
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    • pp.717-722
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    • 2016
  • 본 논문은 고장발생 초기 고장전류의 크기에 따라 피크전류제한 기능을 갖도록 하나의 철심에 기존 1차 코일과 2차 코일이 병렬로 연결된 초전도 소자 1과 추가적인 철심을 사용하여 3차 권선에 초전도 소자 2가 연결된 자기결합형 초전도한류기를 제안하였다. 이중 철심을 이용하여 코일 1과 코일 2간 병렬로 연결한 자기결합형 초전도한류기가 고장발생시 피크전류를 초전도 소자 1만이 분담하는 것을 확인할 수 있었다. 그 이유는 초기 사고전류의 순간적인 요소가 커서 초전도 소자 1이 ?치되어 작동하였으나, 코일 3에 흐르는 전류가 임계전류를 초과하지 않았고, 이로 인해 초전도 소자 2가 ?치되어 작동하지 않았기 때문이다. 사고 시 피크전류를 순차적인 초전도 소자로 제한하기 위해서는 코일 1이 낮은 자기인덕턴스 값을 갖고 있으면서도 코일 2보다 코일 3이 보다 높은 자기인덕턴스 값을 갖도록 설계해야 할 것이다. 또한, 고장 발생 초기 사고전류의 크기를 결정하는 고장조건 중의 하나인 1차 코일과 2차 코일간의 권선비가 0.25일 때 두 SFCL의 전류제한 및 회복특성에 대한 검증을 선로단락실험을 통해 분석되었다. 이 단락실험의 분석결과, 가극결선인 경우가 감극결선한 경우보다도 전류제한 및 회복특성이 더욱 우수함을 확인할 수 있었다.

자세 조절 운동이 심장이식환자의 심박수 상승지연에 미치는 영향 -단일사례연구- (Effects of Postural Control Exercise on the Delayed Heart Rate Increase in Heart Transplant Patients -A Case Study-)

  • 최수홍;이상열
    • PNF and Movement
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    • 제16권2호
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    • pp.161-168
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    • 2018
  • Purpose: This study aimed to investigate the effects of postural control exercise on the delayed heart rate increase in heart transplant patients. Methods: The subject was a female heart transplant recipient who had a delayed increase in heart rate during exercise. The intensity of exercise was performed at MBorg level 4. The A-B-A' and A-B-A'-B' designs were used to identify the changes in heart rate during active-assisted exercise, lower limb postural control exercise, and upper limb postural control exercise. Experiments were performed for four weeks. The heart rates at pre- and post-exercise were compared, and the time to reach MBorg 4 was measured. Results: In the active-assisted exercise, the average heart rates at pre- and post-exercise and after 10 min of exercise were 88, 89, and 87.7 bpm, respectively. In the repetitive comparison of pre- and post-exercise in the lower limb postural control exercise, the difference in the mean heart rate was 3.5 and 3 bpm in stable support and 14 and 14.5 bpm in unstable support, respectively. In the repetitive comparison of pre- and post-exercise in the upper limb postural control exercise, the difference in the mean heart rate was 6 and 4 bpm in stable support and 4 and 4.5 bpm in unstable support. The time required to reach MBorg 4 was short when both the upper and lower postural control exercises were performed in an unstable state. Conclusion: We suggest that combining proper postural control exercise with strength exercise and aerobic exercise, among others, may be effective in rehabilitating patients in the recovery stage after a heart transplant.

여성 말기신부전 환자의 혈액투석 적응경험 (Adaptation Experience among Hemodialysis of Women with End-Stage Renal Disease)

  • 박의정;김영혜;손현미
    • 성인간호학회지
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    • 제27권5호
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    • pp.493-504
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    • 2015
  • Purpose: This study was a qualitative study to explore and understand the adaptation experiences of hemodialysis among women with End-Stage Renal Disease (ESRD) and to develop a substantive theory using the grounded theory method. Methods: Participants were 15 female patients who underwent hemodialysis for ESRD treatment from three general hospitals. The data were collected through in-depth individual interviews. Results: The adaptation experience of participants was emerged as a process of taking care and enduring. There were four adaptation stages as a negative, despair, receptive, and maintenance period in reference to hemodialysis. The causal conditions were a vague expectations of recovery and refusal to undergo hemodialysis. The core phenomenon was that of confinement to dialysis machine. The contextual conditions for this phenomenon were the loss of femininity. They used action/interaction strategies such as transition their life with a focus on hemodialysis, seeking information, and learning how to take care of their body. Through this process, they had a strong will to live or had sustained their life. Conclusion: These results indicate that there is a need for nurses to understand the different steps of adaptation experiences of the given patient population. It is necessary for nurses to support them to lead their life as much normal as possible and improve the adaptation experience of ESRD.

CBRN 위협에 대비한 사후관리체계 강화방안 (A Study on Strengthening Consequence Management System Against CBRN Threats)

  • 권혁신;곽민수;김관헌
    • 대한토목학회논문집
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    • 제40권4호
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    • pp.429-435
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    • 2020
  • 북한은 2017년 6차 핵실험 이후 스스로 핵 무력의 완성을 선언하였다. 한반도 비핵화를 위한 국내외의 노력에도 불구하고 그 해결전망은 밝지 않다. 북한의 WMD위협을 억제하기 위한 정치·외교적 노력과 함께 유사시 예상되는 '재앙적 상황'에 대비한 사후관리 능력의 강화가 요구된다. 이에 따라 본 연구는 CBRN 위협에 대비한 사후관리 강화방안을 제시하기 위해 수행되었다. 연구모델은 국가 차원의 재난관리 계획발전모델 중 미 국토안보부가 채택하여 활용 중인 THIRA 프로세스를 일부 보완하여 활용하였다. 한국의 사후관리 체계는 재난에 대비한 위험관리와 위기관리를 포괄한다. 이 체계는 전·평시 CBRN의 확산 또는 사용의 억제, 위협의 대응, 예상피해 최소화 등을 목적으로 민·관·군 통합방위작전의 형태로 수행된다. 예방단계에는 CBRN의 개념과 사후관리 절차를 국가관리체계 속에 반영, 통합경보체계의 보완, 대피시설의 준비 그리고 통합훈련체계의 구축 등이 요구된다. 대비단계에는 관련 법규와 매뉴얼의 정비, 정부 조직의 정비와 수행절차의 발전, 통합대응이 가능한 현장 지원체계의 구축, 그리고 주기적인 훈련 등이 필수적이다. 대응단계에는 응급처치와 구호를 위한 의료지원체계의 정상가동, 제염시설의 설치 및 운영, 그리고 피해평가 및 통제지침의 발전이 중요하다. 복구단계에서는 안정화 평가 기준 및 절차의 발전, 피해복구에 필요한 자원의 확보 및 운용, 그리고 지역방위군과 향토예비군, 민방위가 연계된 지역피해복구 역량 강화가 필요하다.

대퇴경부 골절 환자의 입원 생활 (The Hospital Life of the Patient with Femoral Neck Fracture)

  • 김경자;지성애
    • 간호행정학회지
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    • 제2권1호
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    • pp.35-56
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    • 1996
  • Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

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Clinical outcome of acute myocarditis in children according to treatment modalities

  • Kim, Hyun-Jung;Yoo, Gyeong-Hee;Kil, Hong-Ryang
    • Clinical and Experimental Pediatrics
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    • 제53권7호
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    • pp.745-752
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    • 2010
  • Purpose: There is currently little evidence to support intravenous immune globulin (IVIG) therapy for pediatric myocarditis. The purpose of our retrospective study was to assess the effects of IVIG therapy in patients with presumed myocarditis on survival and recovery of ventricular function and to determine the factors associated with its poor outcome. Methods: We reviewed all consecutive cases of patients with myocarditis with left ventricular dysfunction verified by echocardiogram who had visited 3 university hospitals between January 2000 and September 2009. These patients were divided into 2 groups. Group 1 consisted of 23 patients (69.6%) who received IVIG alone or IVIG in combination with steroids, and group 2 consisted of 10 patients (30.3%) who received neither IVIG nor other immunosuppressive agents. Clinical manifestations, laboratory results, echocardiographic findings, and outcomes were compared between these 2 groups. Results: One year after the initial presentation, the difference in the probability of survival did not show statistical significance in IVIGtreated patients ($P$=0.607). Of the echocardiographic parameters on admission, a shortening fraction of less than 15% was associated with unremitting cardiac failure. Furthermore, anemic patients were more likely to have elevated N-terminal fragment levels of the B-type natriuretic peptide (NT-proBNP) in the progressed group ($P$=0.036). Conclusion: There was no difference between the IVIG-treated patients and the control patients in the degree of recovery of left ventricular function and survival. Prospective, randomized, clinical studies are needed to elucidate the effects of IVIG treatment during the acute stage of myocarditis on ultimate outcomes.

전기-기계식 이식형 좌심실 보조 시스템의 개발 및 평가 (Development and Evaluation of a Novel Electro-mechanical Implantable Ventricular Assist System)

  • 조한상;김원곤;이원용;곽승민;김삼성;김재기;김준택;류문호;류은숙
    • 대한의용생체공학회:의공학회지
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    • 제22권4호
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    • pp.349-358
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    • 2001
  • A novel electro-mechanical implantable ventricular assist system is developed as a bridge to transplantation or recovery for patients with end-stage heart failure. The developed system is composed of an implanted blood pump, an external monitoring system which stores data, and a wearable system including a portable external driver and a portable power supply system. The blood pump is designed to be implanted into the left upper abdominal space and provides blood flow from the left ventricular apex to the aorta. The pulsatile blood flow is generated by a double cylindrical cam. There was mo excessive heat emission from the blood pump into the temperature-controlled chamber in the heat test and no stagnated flow within the blood sac by the observation in the flow visualization test. Animal experiments were performed using sheep and calves. The maximum assist flow rate reached 7.85L/min in the animal experiment. The evaluation results showed that the developed system was feasible for the implantable ventricular assist system. The long-term in vitro durability test and mid-term in vivo experiments are in progress and mow the modified next model is under development.

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소아암 환아와 가족에 대한 이해 (Understanding Pediatric Cancer Patients and Their Families)

  • 신민선
    • 호스피스학술지
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    • 제6권2호
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    • pp.1-9
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    • 2006
  • In this thesis, Chapter I Introduction suggested the necessity of this research and defined related terms, and Chapter II defined hospice for children and examined the symptoms of pediatric cancers as well as the general characteristics of pediatric cancer patients. In particular, we surveyed the physical condition, psychological and emotional condition, financial condition, environmental aspect, educational aspect and spiritual aspect of pediatric cancer patients’ families, investigated pediatric cancer patients’ parents and siblings with regard to their understanding of the pediatric cancer patients’ death, and lastly considered spiritual care. Chapter III presented summaries and conclusions. In their developmental stage, pediatric cancer patients lack abilities to express themselves and are highly dependent on their parents, so parents who take care of cancer children have to make hard decisions and cancer children’s families are heavily burdened by the situation of preparing their children’s death and sending them away while denying their death, and for this reason they need help from specialists. That is, for pediatric cancer patients, we need highly experienced pediatricians or nurses skilful in managing young terminal patients as well as hospice counseling and family counselors for consulting on family crises. In particular, there is a keen need of child life support specialists. In addition, clergymen’s help is critical for spiritual care to ease the fear and terror of the unknown world, fear of death, etc. Moreover, in order to prevent cancer children from failing to adjust themselves to school life or peer relation after recovery, hospice service should provide cancer children with opportunities to learn school curriculums and associate with friends.

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자율신경 기능 이상을 동반한 Guillain-Barre 증후군 1례 (Report on the Guillain-Barre Syndrome with Autonomic Dysfunction(1 Case))

  • 김동웅;신선호;조권일;신학수;한명아;최진영;최우정;양재훈;정용준;김관식
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.453-458
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    • 2001
  • Guillain-Barre syndrome, or acute inflammatory demyelinating Polyradiculoneuropathy, is frequently accompanied by cardiac and autonomic dysfunction. We report a patient who had tachycardia, orthostatic hypotension, hypertension, pronounced blood pressure fluctuations, abnormal sweating, constipation and urinary frequency as well as qudriparesis. We thought that the GBS was incurred by Damp-Heat, used Heat-Clearing and Dampness-Transforming decoction(Chongjoo-tang) in the early stage. In the later stage, fortifying the Spleen and Boosting Qi plus Supplementing the Kidney decoction(Palmultang+chongawon) was used to remove low back pain and boost recovery. The patient reached the nadir 14 days after onset. He became bed-bound and autonomic dysfunction was very severe. From 3rd week, abnormalities of autonomic function and paresis impoved gradually and he could walk above 5m without walker or equivalent support at the 5th week after onset.

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