• Title/Summary/Keyword: Simulated Emergency

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Factors related to ethical values among some paramedic students (응급구조(학)과 학생들의 윤리적 가치관 관련 요인)

  • Kim, Ye-Rim;Ryu, So-Yeon;Park, Jong;Han, Mi-Ah
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.2
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    • pp.103-117
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    • 2018
  • Purpose: This study was performed to investigate the level of ethical values and its related factors among some paramedic students. Methods: The subjects of this study were 480 paramedic students from five universities located in G-metropolitan city and J province. Data were collected using a self-administered questionnaire and analyzed using t-test, ANOVA, Pearson's correlations, and multiple regression analysis. Results: The mean scores of level of ethical values, academic self-efficacy and self-esteem were $3.70{\pm}0.45$, $3.15{\pm}0.42$ and $3.60{\pm}0.70$, respectively. In the correlation analysis, ethical value level was significantly positively correlated with self-esteem (r=.195, p< .001) and academic self-efficacy (r=.156, p= .001), of domains in academic self-efficacy, self-regulation efficacy (r=.230, p< .001) and confidence (r=.105, p= .022). In multiple regression analysis, self-esteem (${\beta}=.163$, p= .026), task ease preferences (${\beta}=-.350$, p< .001) and confidence (${\beta}=.403$, p< .001) were significantly related to ethical value levels. In addition, subjects willing to participate in the bioethics education showed higher relevance to ethical values than indifferent subjects (${\beta}=2.751$, p= .003). Conclusion: Concrete and systematic education will be needed in order to foster the establishment of ethical values of the paramedic students. Additionally, to fulfill their roles and obligations as emergency medical technicians, in the field, various educational curricula based on simulated cases in the university should be introduced.

Unstable Operation of Francis Pump-Turbine at Runaway: Rigid and Elastic Water Column Oscillation Modes

  • Nicolet, Christophe;Alligne, Sebastien;Kawkabani, Basile;Simond, Jean-Jacques;Avellan, Francois
    • International Journal of Fluid Machinery and Systems
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    • v.2 no.4
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    • pp.324-333
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    • 2009
  • This paper presents a numerical simulation study of the transient behavior of a $2{\times}340MW$ pump-turbine power plant, where the results show an unstable behavior at runaway. First, the modeling of hydraulic components based on equivalent schemes is presented. Then, the 2 pump-turbine test case is presented. The transient behavior of the power plant is simulated for a case of emergency shutdown with servomotor failure on Unit 1. Unstable operation at runaway with a period of 15 seconds is properly simulated using a 1-dimensional approach. The simulation results points out a switch after 200 seconds of the unstable behavior between a period of oscillations initially of 15 seconds to a period of oscillation of 2.16 seconds corresponding to the hydraulic circuit first natural period. The pressure fluctuations related to both the rigid and elastic water column mode are presented for oscillation mode characterization. This phenomenon is described as a switch between a rigid and an elastic water column oscillation mode. The influence of the rotating inertia on the switch phenomenon is investigated through a parametric study.

Seismic evaluation of Southern California embankment dam systems using finite element modeling

  • Kamalzare, Mehrad;Marquez, Hector;Zapata, Odalys
    • Geomechanics and Engineering
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    • v.31 no.3
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    • pp.319-328
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    • 2022
  • Ensuring the integrity of a country's infrastructure is necessary to protect surrounding communities in case of disaster. Embankment dam systems across the US are an essential component of infrastructure, referred to as lifeline structures. Embankment dams are crucial to the survival of life and if these structures were to fail, it is imperative that states be prepared. Southern California is particularly concerned with the stability of embankment dams due to the frequent seismic activity that occurs in the state. The purpose of this study was to create a numerical model of an existing embankment dam simulated under seismic loads using previously recorded data. The embankment dam that was studied in Los Angeles, California was outfitted with accelerometers provided by the California Strong Motion Instrumentation Program that have recorded strong motion data for decades and was processed by the Center for Engineering Strong Motion Data to be used in future engineering applications. The accelerometer data was then used to verify the numerical model that was created using finite element modeling software RS2. The results from this study showed Puddingstone Dam's simulated response was consistent with that experienced during previous earthquakes and therefore validated the predicted behavior from the numerical model. The study also identified areas of weakness and instability on the dam that posed the greatest risk for its failure. Following this study, the numerical model can now be used to predict the dam's response to future earthquakes, develop plans for its remediation, and for emergency response in case of disaster.

Nurses' Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest (심정지 초기 5분간 일반간호사의 심폐소생술 수행 분석: 현장 시뮬레이션을 이용하여)

  • Kim, Eun-Jung;Lee, Kyeong-Ryong;Lee, Myung-Hyun;Kim, Ji-Young
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.361-368
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    • 2012
  • Purpose: The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital. Methods: A descriptive study was conducted with 35 teams of 3 to 4 registered nurses each in a university hospital located in Seoul. A mannequin simulator was used to enact simulated cardiac arrest. Assessment included critical actions, time elapsed to initiation of critical actions, quality of cardiac compression, and teamwork which comprised leadership behavior and communication among team members. Results: Among the 35 teams, 54% recognized apnea, 43% determined pulselessness. Eighty percent of the teams compressed at an average elapsed time of $108{\pm}75$ seconds with 35%, 36%, and 67% mean rates of correct compression depth, rate, and placement, respectively. Thirty-seven percent of the teams defibrillated at $224{\pm}67$ seconds. Leadership behavior and communication among team members were absent in 63% and 69% of the teams, respectively. Conclusion: The skills of the nurses in this study cannot be considered adequate in terms of appropriate and timely actions required for resuscitation. Future resuscitation education should focus on improving the quality of cardiopulmonary resuscitation including team performance targeting the first responders of cardiac arrest.

Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest (심정지 현장 시뮬레이션에서 일반 간호사의 비기술적 술기와 심폐소생술 수행 간의 관계)

  • Kim, Eun Jung;Lee, Kyeong Ryong
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.146-155
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    • 2015
  • Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

A detector system for searching lost γ-ray source

  • Khan, Waseem;He, Chaohui;Cao, Yu;Khan, Rashid;Yang, Weitao
    • Nuclear Engineering and Technology
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    • v.52 no.7
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    • pp.1524-1531
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    • 2020
  • The aim of this work is to develop a Geiger-Muller (GM) detector system for robot to look for a radioactive source in case of a nuclear emergency or in a high radiation environment. In order to find a radiation source easily, a detector system, including 3 detectors, was designed to search γ-ray radiation sources autonomously. First, based on GEANT4 simulation, radiation dose rates in 3 Geiger-Muller (GM) counters were simulated at different source-detector distances, distances between detectors and angles. Various sensitivity analyses were performed experimentally to verify the simulated designed detector system. A mono-energetic 137Cs γ-ray source with energy 662 keV and activity of 1.11 GBq was used for the observation. The simulated results were compared with the experimental dose rate values and good agreements were obtained for various cases. Only based on the dose rates in three detectors, the radiation source with a specific source activity and angle was localized in the different location. A method was adopted with the measured dose rates and differences of distances to find the actual location of the lost γ-ray source. The corresponding angles of deviation and detection limits were calculated to determine the sensitivity and abilities of our designed detector system. The proposed system can be used to locate radiation sources in low and high radiation environments.

COMPARATIVE ANALYSIS OF STATION BLACKOUT ACCIDENT PROGRESSION IN TYPICAL PWR, BWR, AND PHWR

  • Park, Soo-Yong;Ahn, Kwang-Il
    • Nuclear Engineering and Technology
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    • v.44 no.3
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    • pp.311-322
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    • 2012
  • Since the crisis at the Fukushima plants, severe accident progression during a station blackout accident in nuclear power plants is recognized as a very important area for accident management and emergency planning. The purpose of this study is to investigate the comparative characteristics of anticipated severe accident progression among the three typical types of nuclear reactors. A station blackout scenario, where all off-site power is lost and the diesel generators fail, is simulated as an initiating event of a severe accident sequence. In this study a comparative analysis was performed for typical pressurized water reactor (PWR), boiling water reactor (BWR), and pressurized heavy water reactor (PHWR). The study includes the summarization of design differences that would impact severe accident progressions, thermal hydraulic/severe accident phenomenological analysis during a station blackout initiated-severe accident; and an investigation of the core damage process, both within the reactor vessel before it fails and in the containment afterwards, and the resultant impact on the containment.

Comparison of auxiliary Feedwater and EDRS Operation during Natural Circulation of MRX

  • Kim, Jae-Hak;Park, Goon-Cherl
    • Proceedings of the Korean Nuclear Society Conference
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    • 1997.05a
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    • pp.514-519
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    • 1997
  • The MRX is an integral type ship reactor with 100 MWt power, which is designed by Japan Atomic Energy Research Institute. It is characterized by integral type PWR, in-vessel type control roe drive mechanism, water-filled containment vessel and passive decay heat removal system. Marine reactor should have high passive safety. Therefore, in this study, we simulated the loss of flow accident to verify the passive decay heat removal by natural circulation using RETRAN-03 code. auxiliary feed water systems are used for decay heat removal mechanism and results are compared with the loss of flow accident analysis using emergency decay heat removal system by JAERI. Results are very similar to case of EDRS 1 loop operation in JAERI analysis and decay heat is successfully removed by natural circulation.

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A Study on the Sensor Node Based Wireless Network Communication System for Efficient EEG Transmission (효율적인 EEG 전송을 위한 센서노드기반의 무선통신시스템에 관한 연구)

  • Jo, Jun-Mo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.5
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    • pp.791-796
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    • 2013
  • Advent of the brain wave health care system is considered as an important issues in the industrial and research area in these days. It is necessary to detect EEG signals in real-time in order to support the medical emergency service for the epileptic or brain infarct patients. Since the efficient network support is an essential factor for the system, several topologies using sensor node based wireless body area network is suggested and simulated in this paper. Finally the Opnet simulation result is evaluated for the efficient topology of the body area network.

Dynamic Analysis of Sand-Clay Layered Ground Considering Viscous Effect of Clay

  • Kim, Yong-Seong
    • Journal of The Korean Society of Agricultural Engineers
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    • v.48 no.7
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    • pp.45-52
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    • 2006
  • A cyclic viscoelastic-viscoplastic constitutive model for clay is incorporated into an effective stress based seismic response analysis to describe viscous effect of clay layer to sand layer during earthquake. The seismic response against main shock of 1995 Hyogoken Nambu Earthquake is analyzed in the present study. Acceleration responses in both clay layer and just upper liquefiable sand layer are damped due to viscous effect of clay. A cyclic viscoelastic-viscoplastic constitutive model for clay was implemented into a FEM code, and $Newmark{\beta}$ method was employed for the time discretization in the finite element formulation. Seismic responses were simulated by numerical method with recorded data at Port Island, Kobe, Japan. As results of this study, it was found that a cyclic viscoelastic-viscoplastic constitutive model can give good description of dynamic behavior characteristics including viscoelastic effect.