• 한국응급구조학회지
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• 제24권2호
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• pp.99-109
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• 2020

Purpose: Alcohol intoxication is frequently observed in patients with brain hemorrhage. The purpose of this study was to determine whether intoxication affects the Korean Triage and Acuity Stage (KTAS) level and the emergency medical process in emergency departments. Methods: This study was a retrospective observational study enrolled 253 brain hemorrhage patients (47 of those intoxicated) who visited the emergency medical center on public EMS ambulance from January. 1, 2017 to April, 30, 2019. Data were collected through the electronic medical record (EMR). KTAS level and time to computerized tomography (CT) were compared to evaluate whether inebriation affects care and examination processes. All data were analyzed using SPSS program. Results: Of the 47 patients intoxicated patients, 85.1% were male, and 74.5% accompanied by trauma. Initial KTAS level showed significant differences (77.2%; p=.000) when the level 3,4 was not drunk. The average time taken from triage to CT scans showed a significant difference of 24.81±23.72 (min) when the drunken state was not 58.38±56.54 (min)(p=.000). Conclusion: In patients with brain hemorrhage admitted to ED from public EMS, undertriage and delay after initial assessment were detected in inebriated patients. Careful initial evaluation and prompt medical response should be considered for patients transported by EMS.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2009년도 춘계 종합학술대회 논문집
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• pp.1111-1117
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• 2009

응급의료의 수요와 요구의 급증으로 인해 더욱 혼잡한 환경과 폭력, 의료분쟁에 노출되어 있는 응급실 간호사는 누구나 불안을 경험한다. 이러한 불안은 부정적 생리 반응을 일으켜 직무수행도와 직무만족도를 저하시키는 중요한 요인이 되고 있으므로 응급실 간호사들의 불안을 완화시켜주기 위한 중재 환경이 절실히 필요하다. 본 논문은 음악 감상을 통한 음악 중재가 응급실 간호사들의 불안에 미치는 효과를 개선시키는 것을 보인 것이다. 음악으로는 대표적인 성악곡을 선택하였으며, 응급실 간호사의 불안과 활력징후에 미치는 음악 효과를 측정하기 위하여 불안 측정 도구로는 SAI(State Anxiety Inventory)를 활용하였다. 실험을 통해 성악을 통한 음악중재가 응급실 간호사의 불안을 감소시키고 활력징후를 안정화시킨다는 결과를 얻었다.

• Transactions on Electrical and Electronic Materials
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• 제8권6호
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• pp.293-298
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• 2007

The aged are faced with increasing risk for falls. The aged have more fragile bones than others. When falls occur, it is important to detect this emergency state because such events often lead to more serious illness or even death. A implementation of PDA system, for detection of emergency situation, was developed using 3-axis accelerometer in this paper as follows. The signals were acquired from the 3-axis accelerometer, and then transmitted to the PDA through a Bluetooth module. This system can classify human activity, and also detect an emergency state like falls. When the fall occurs, the system generates the alarm on the PDA. If a subject does not respond to the alarm, the system determines whether the current situation is an emergency state or not, and then sends some information to the emergency center in the case of an urgent situation. Three different studies were conducted on 12 experimental subjects, with results indicating a good accuracy. The first study was performed to detect the posture change of human daily activity. The second study was performed to detect the correct direction of fall. The third study was conducted to check the classification of the daily physical activity. Each test lasted at least 1 min. in the third study. The output of the acceleration signal was compared and evaluated by changing various postures after attaching a 3-axis accelerometer module on the chest. The newly developed system has some important features such as portability, convenience and low cost. One of the main advantages of this system is that it is available at home healthcare environment. Another important feature lies in its low cost of manufacture. The implemented system can detect the fall accurately, so it will be widely used in emergency situations.

• 한국전산유체공학회지
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• 제18권3호
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• pp.72-78
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• 2013

The turbulent flow behavior of air supply and exhaustion in the Shin-gum-ho subway station is analyzed for ordinary and emergency state. The depth of Shin-gum-ho station is 43.6m which consists of the island-type platform(8th floor in underground) and a two-story lobby (first & second floor in underground). An emergency stairway connects between the platform and the lobby. Ventilation operation mode for ordinary state is set up as a combination of air supply and exhaustion in the lobby and platform, while for emergency state it is set up as a full air supply in the lobby and a full exhaustion in the platform. The entire station is covered for simulation. The ventilation diffusers are modeled as 95 square shapes of $0.6m{\times}0.6m$ in the lobby and as 222 square shapes of $0.6m{\times}0.6m$ and 4 rectangular shapes of $1.2m{\times}0.8m$ in the platform. The total of 7.5million grids are generated and whole domain is divided to 22 blocks for MPI efficiency of calculation. Large eddy simulation(LES) is applied to solve the momentum equation and Smagorinsky model($C_s$=0.2) is used as SGS(subgrid scale) model. The time-averaged velocity fields are compared to experimental data and show a good agreement with it.

• International Journal of Quality Innovation
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• 제9권3호
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• pp.1-14
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• 2008

Patient satisfaction with the Emergency Department(ED) in a hospital is related to the length of stay, and especially to the amount of waiting time for medical treatments. ED overcrowding decreases quality and efficiency, therefore affecting hospitals' profitability. This paper presents a forecasting and simulation model for resource management of the ED at Moses H. Cone Memorial Hospital. A linear regression forecasting model is proposed to predict the number of ED patient arrivals, and then a simulation model is provided to estimate the length of stay of ED patients, system throughput, and the utilization of resources such as triage nurses, patient beds, registered nurses, and medical doctors. The near future load level of each resource is presented using the proposed models.

• ETRI Journal
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• 제33권1호
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• pp.18-26
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• 2011

The necessity for services of emergency communication systems to be uninterrupted and reliable has brought forward strict requirements for express software upgrades of base stations. Based on reconfigurability technology, this paper presents a protocol reconfiguration scheme for emergency communication base stations. By introducing the concept of 'local safe state,' the proposed scheme could make the updating and replacement of the protocol software flexible and maintain interactions during the updating procedure to achieve seamless system upgrades. Further, taking TETRA protocol stack and VxWorks operating system as an example, specific processes and realization methods of reconfiguration are proposed in this paper, along with the measurements of the factors impacting on the system performance. Simulation results show that, compared with traditional technology, the method proposed significantly improves the system efficiency and does not interrupt system services.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2004년도 Proceedings of ISRS 2004
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• pp.327-330
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• 2004

This research work is concerned with a location-based alert service in wireless communication network environment. The alert service automatically transfers alert message to subscriber in the disaster area. This research work deals with automatic alert services that automatically provide people in emergency area with the state of emergency. The alert service uses the mobile device to inform its urgency to the subscribers in its area. The location tracking service will give the list of people in emergency area. The all processes of this research work are followed as. First, when a disaster or a calamity comes in, an emergency management center receives the emergency to analyze its shape and size and to declare the place to 'the disaster area.' Secondly, then the center finds information of mobile device subscribers in the disaster area. Finally, the center automatically generates a shape of text or audio of alert message of the emergency to send the message to the subscribers in the disaster area. Our mobile automatic alert service proposed above is so efficient that the subscribers in disasters area may meet the emergency more efficiently and may save their own valuable lives and properties more safely.

• 성인간호학회지
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• 제20권3호
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• pp.500-511
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• 2008

Purpose: The purpose of this study was to examine the effects of music therapy on anxiety of patients in emergency room. Methods: The study was designed using a noneqivalent control group nonsynchronized design. For 20 minutes, the experimental group(22 patients) had listened to music and the control group(23 patients) had bed rest. A six-item state anxiety scale developed by Marteau and Bekker, which was based on Spielberger's State-Trait Anxiety Inventory, blood pressure and pulse rate were measured to all study participants before and after the intervention. The data was analyzed by the SPSS 12.0 program. Results: 1) The experimental group's state anxiety level were significantly lower than the control group's(t=2.220, p=.032). 2) There were no significant differences in both group's diastolic(t=-.495, p=.623) and systolic blood pressure(t=831, p=.411). 3) The experimental group's pulse rate was significantly lower than the control group's(t=2.363, p=.023). Conclusion: Music therapy may be applied as a nursing intervention to decrease anxiety in emergency room.

• Journal of Electrical Engineering and Technology
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• 제13권3호
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• pp.1079-1088
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• 2018

A line overload emergency control strategy based on the source-load synergy coefficient is proposed in this paper. First, the definition of the source-load synergy coefficient is introduced. When line overload is detected, the source-load branch synergy coefficient and source-load distribution synergy coefficient are calculated according to the real-time operation mode of the system. Second, the generator tripping and load shedding control node set is determined according to the source-load branch synergy coefficient. And then, according to the line overload condition, the control quantity of each control node is determined using the Double Fitness Particle Swarm Optimization (DFPSO), with minimum system economic loss as the objective function. Thus load shedding for the overloaded line could be realized. On this basis, in order to guarantee continuous and reliable power supply, on the condition that no new line overload is caused, some of the untripped generators are selected according to the source-load distribution synergy coefficient to increase power output. Thus power supply could be restored to some of the shedded loads, and the economic loss caused by emergency control could be minimized. Simulation tests on the IEEE 10-machine 39-bus system verify the effectiveness and feasibility of the proposed strategy.

• 간호행정학회지
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• 제6권3호
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• pp.375-388
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• 2000

This study was attempted to help in explore new direction about Clinical Classification System of the pediatric patients visiting emergency center. Data were collected from 276 patients who visited emergency center of E University Hospital during 3 months period form March 1, to May 31, 1999. The results were as follows: 1. Distribution of pediatric patients according to Clinical Classification System, class I(59.9%) topped followed by class II(23.9%), class III(14.1%), class IV(2.0%). Average score of pediatric patients according to Clinical Classification System showed class I.00, class II .02, class III .05, class IV .07. and total mean score of items lowed averaged .01. 2. With the resepect to the Clinical Classification System according to the pediatric patients visiting emergency center, there were stastically significant difference in visiting time($x^2=27.839$, P=.023), experience of admission($x^2=11.365$, p=.010), disease classification($x^2=89.998$, p=.000), state of airway patency($x^2=18.781$, p=.000), consciousness level($x^2=59.774$, p=.000), period of symptom manifestation($x^2=34.112$, p=.000), pediatric patients protector's thinking about pediatric patients state($x^2=49.998$, p=.000), treatment outcome($x^2=72.278$, p=.000), duration of stay at emergency center($x^2=103.062$, p=.000). 3. There were significant correlation between the state of pediatric patients and Clinical Classification System(r=.530, p=.000).