• Title/Summary/Keyword: State of Emergency

검색결과 461건 처리시간 0.023초

상급종합병원 서비스디자인 적용 단일 사례연구 -권역응급의료센터의 환자와 의료진 경험 데이터를 중심으로- (A case study on the application of service design in a tertiary care hospital - Focusing on patient and Medical staff experience data at a Regional emergency medical center -)

  • 최정민;안진호
    • 서비스연구
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    • 제13권4호
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    • pp.113-130
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    • 2023
  • 본 연구는 환자와 의료진의 경험을 중심으로 상급종합병원 권역응급의료센터의 서비스디자인을 적용한 단일 사례 연구이다. 서비스디자인 기법을 활용하여 의료 서비스 경험을 측정 및 개선하고, 그 효과를 검증하는 것을 목표로 한다. 환자와 의료진으로부터 심층적인 경험 데이터를 수집하기 위해 민족지학(ethnography)과 디자인 워크숍을 중심으로 한 질적 사례 연구를 진행했다. 이 연구는 응급 의료 서비스에서 직면한 문제에 특히 중점을 두고 환자와 의료진 간의 주요 경험 차이를 확인하였으며, 권역응급의료센터 환경의 복잡한 역학을 이해하기 위해 환자와 의료진 인터뷰, 디자인씽킹 워크숍을 통해 수집된 정성 데이터를 대해 종합적으로 분석하고 디자인에 반영했다.연구 결과, 환자와 의료진의 요구를 반영한 디자인 현황을 3가지 주요 측면인 소통 개선, 환자 흐름 관리, 환경 개선의 필요성이 강조되었으며, 환자와 의료진 두 그룹의 특정 요구 사항의 차이점을 분석하여 권역응급의료센터의 서비스 개선을 위해 디자인 주도의 실행 과정을 적용 할 수 있었다. 이 연구는 의료 분야에서 디자인의 역할과 중요성을 강조하며, 이론적인 연구와 실제 디자인 실행 간의 효율적인 방법을 제시하고 있다. 이를 통해 더욱 빠르고 효과적이며 만족도가 높은 의료 서비스 환경을 만드는 데 기여할 수 것이다. 그리고 서비스디자인이 환자와 의료진 모두의 만족을 위한 새로운 혁신 과정의 핵심으로 보는 새로운 계기가 되기를 기대한다.

충격하중에 의한 Jib Crane Post의 피로 수명 평가 (A Study on Fatigue Assessment of the Crane Post due to Vibration during the Emergency Stop)

  • 김극수;김노성
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2011년도 춘계학술대회 논문집
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    • pp.633-637
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    • 2011
  • 선박에 설치된 크레인은 일반적으로 기둥의 높이가 높고 상대적으로 가는 진동에 취약한 장비이다. 선박 크래인 운전중 비상사태가 발생하여 브레이크를 사용하면 갑작스러운 충격하중에 의해 크레인 포스트에 과도한 진동이 발생하기도 한다. 이러한 진동에 의한 크레인의 안전성을 평가하는 것이 본 연구의 목적이다. 본 연구에서는 크레인의 비상정지시 발생하는 충격력을 추정하고 이러한 충격력을 이용하여 크레인에서의 응답과 스트레스에 의한 피로수명을 예측하였다.

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GPS를 이용한 수송사고 조기경보시스템 개발(1단계 : 국내외 사례조사와 개발방법제시) (Development of Truck Shipment Incident Emergency Response System for Transporting Hazardous Materials Using GPS)

  • 오세창;조용성
    • 한국ITS학회 논문지
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    • 제1권1호
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    • pp.79-88
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    • 2002
  • 국가응급대응정보시스템(NERIS)개발의 일부인 수송안전정보부분은 최적수송경로제공시스템과 수송사고 조기경보시스템으로 구분된다. 본 연구는 조기경보시스템을 구축하기 위한 것으로 유해화학물질을 수송하는 차량에 대하여 수송시 차량의 위치 및 위험물의 상태를 실시간으로 모니터링 함으로써 수송시 발생할수 있는 유고에 따른 피해(화재, 폭발, 가스 유출 등)를 사전에 방지하거나 조기 감지하는 것을 목적으로 한다 이를 위해 조기경보시스템을 실시간 모니터링, 폭발 상황관리, 관련기관정보제공의 3가지 시나리오로 구분하고, 각각의 시나리오에 따른 기능적 요구사항과 아키텍쳐를 제시한다 총 3단계 연구중 1단계 결과로 실시간 유해물질 차량의 모니터링 시스템은 차량의 실시간 관리가 가능할 뿐 아니라 기타 특정 폐기물이나 건축 폐기물 등의 무단당치 및 폐기 등의 불법적인 행위에 대한 자동 단속 및 관리를 위한 지침으로 충분히 활용 가능할 것으로 판단되었다. 현재 시범 적용을 위해 위치검지 및 통신기술에 대한 비교 $\cdot$ 검토를 진행 중에 있으며, 향후 적절한 기술을 선정하여 1차적으로 수도권에 한하여 시범적용을 수행 할 예정이다.

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과하중 방지기의 전기체 구조시험 적용에 관한 연구

  • 김성찬;채동철;김성준;황인희
    • 항공우주기술
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    • 제2권2호
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    • pp.11-17
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    • 2003
  • 항공기 전기체 구조시험에 과하중 방지 밸브로 사용되는 미터-아웃방식의 유량제어 방법을 본 보고서로 소개하고자 한다. 전기체 구조시험에서는 여러 요인에 의해 비상시험 중지상태(덤프상태)가 발생하며, 이 상태가 되면 서보밸브의 전원이 차단되어 하중을 가하던 실린더의 양단에 외부조건에 따른 급격한 압력변화가 발생되고, 이 변화는 시험체에 과하중으로 가해진다. 본 연구에서는 덤프로 기인한 하중으로부터 시험체를 보호하기 위해 사용되는 오리피스 면적조절 기술에 대해 소개하였고 실제 시험에서 유압작동기의 덤프특성이 효과적으로 감소되고 있음을 확인하였다.

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농촌과 도시지역 노인약물중독환자의 응급처치와 약물중독안전관리에 대한 연구 (A Comparative Analysis of Elderly Intoxication Patient between Urban and Rural Area for the Safety Management and Emergency Care)

  • 임재동;조병준;성열훈;김선예
    • 대한안전경영과학회지
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    • 제12권1호
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    • pp.19-25
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    • 2010
  • To investigate acute drug intoxication trends in the elderly visited Emergency Medical Centers, Data was collected from the records of poisoning patients visited Five different Hospitals from January 1. 2007 to December 31. 2007. The analysis was conducted by using 135 cases of 624 cases. When considering only the elderly and making comparisons between the urban areas and the rural areas the following data was produced. In regard to patients with acute drug intoxication, the main substance of choice was pesticides. Cases of acute drug intoxication are definitely higher for those categorized as the rural elderly (75.0%) when compared with those categorized as the urban elderly (44.1%). The male to female ratio, those living together as a family, past suicide attempts, mental state and sobriety condition when they came, monthly distribution etc. between the two groups did not demonstrate a difference between them. In regard to reasons given for acute drug intoxication, suicide was the highest at 60.7% of the cases. When comparing accidental reasons for poisoning, the urban elderly, at 34.2% of their cases, were higher than in the rural elderly, at 23.7%. After first aid was administered, the admission rate was higher for the rural elderly (47.4%) than for the urban elderly (33.9%). This shows that the rural elderly have a more severe acute drug intoxication poisoning problem than the urban elderly do.

기능 안전성을 위한 대칭형 각도센서 보상기에 기반한 안전한 적응형 전조등 제어기의 설계 (Safe Adaptive Headlight Controller with Symmetric Angle Sensor Compensator for Functional Safety Requirement)

  • 윤지애;인멍디;안중현;조정훈;박대진
    • 대한임베디드공학회논문지
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    • 제10권5호
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    • pp.297-305
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    • 2015
  • AFLS (Adaptive front lighting System) is being applied to improve safety in driving automotive at night. Safe embedded system for controlling head-lamp has to be tightly designed by considering safety requirement of hardware-dependent software, which is embedded in automotive ECU(Electronic Control Unit) hardware under severe environmental noise. In this paper, we propose an adaptive headlight controller with newly-designed symmetric angle sensor compensator, which is integrated with ECU-based adaptive front light system. The proposed system, on which additional backup hardware and emergency control algorithm are integrated, effectively detects abnormal situation and restore safe status of controlling the light-angle in AFLS operations by comparing result in symmetric angle sensor. The controlled angle value is traced into internal memory in runtime and will be continuously compared with the pre-defined lookup table (LUT) with symmetric angle value, which is used in normal operation. The watch-dog concept, which is based on using angle sensor and control-value tracer, enables quick response to restore safe light-controlling state by performing the backup sequence in emergency situation.

국가대테러체제의 구축 및 발전방안 (Establishment of Korea National Counter-terrorism System and Development Plan)

  • 박준석
    • 시큐리티연구
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    • 제42호
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    • pp.229-249
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    • 2015
  • 탈냉전과 세계화의 추세로 테러리즘, 범죄, 환경재난, 인종갈등, 경제위기, 사이버테러, 질병, 에너지 등의 비안보적인 안보의 문제들이 인류와 국가를 위협하며 변화를 요구하고 있다. 또한 이 시대에 맞춰서 국가의 역할이 점차적으로 확대되면서 최대의 국가론이 부상하였다. 이처럼 현대사회는 복지국가의 실현이라는 목표 구현을 위하여 모든 국가가 '작은 정부론'에서 '큰 정부론'의 국가관으로 변화하게 된 것이다. 이와 같이 각종 범죄와 치안 유지 및 신종재난과 테러의 위협, 인간안보의 개념 등 외부의 침입뿐만 아니라 포괄적인 국민의 안전과 보호를 위해 안보의 개념을 종합적으로 넓게 해석해야 할 것 같다. 이러한 시대에 맞추어 국내적으로는 천안함, 연평도, 구제역, DDos 테러, 해적 피랍, 광우병, 조류독감 등과 남북관계의 인도적 지원과 남북 정상회담의 추진이 답보상태에 빠져 있다. 그에 따른 국가위기 대응체제와 종합적인 위기관리센터, 컨트롤 타워, 안보조직체계, 일반 국민들과의 협력기반, 법률적, 제도적 체제의 구축이 종합적으로 이루어져야 한다. 그에 따라 한국의 국가안보 및 테러, 위기관리 체계와 선진국인 미국 안보, 위기관리의 체제를 비교하여 앞으로 한국의 발전적인 국가안보 위기관리체제를 재정립하고 새로운 방향모색을 하고자 하는데 본 연구의 의의가 있다고 할 수 있다. 또한 각 정부부처의 다양한 법령과 행정조직이 제각각 분산되어 있어 통합적으로 효율적 기능을 발휘할 수 있는 상위법 제정, 가칭 테러방지법의 입법 제정이 필요하다고 사료된다.

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응급구조사 직무기술서 작성에 따른 일의 요소별 빈도 및 중요도 조사 연구 (Investigating Research on the Degree of Frequency and Importance of Tasks for Framing the EMTs Occupational Description)

  • 김태민;김효식;유순규
    • 한국응급구조학회지
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    • 제5권1호
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    • pp.199-212
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    • 2001
  • This research, aiming at analyzing the Emergency Medical Technicians' duties prior to establishing a baseline for question development in the national exams to qualify for the EMTs, investigated the importance and frequency per unit specified in the description with the EMTs to be subjects working on the task spot by means of questionnaires. The EMT duties were classified into 9 items like 1) the notification and response, 2) the scene size-up, 3) the patient assessment, 4) the emergency care, 5) the patient transport, 6) the duties at hospital clinics, 7) the operational management, 8) the receiving and responding to a call, 9) the self-development, and put the functional tasks into 52 items, describing the task elements into 177 items, and then questioned 112 EMTs working on the spot from July 21 through August 30, 2000, which showed the following results. 1) The distribution of subjects' career showed the highest rate with 33.9% for those who careered "less than a year", only 13.4% for those with more than 4 years and the highest rate with 43.8% for those who aged at 20-25. And 70.5% of all those who were questioned was the junior college graduates, 58.9% for those working at fire station and 29.5% working at hospital clinics. 2) Looking at the distribution of frequency and importance for each task element, questioning 'the patients main symptoms', 'accidental type', 'place of the patients identification' showed the highest rate in both frequency and importance in the field of "notification and response". 3) In the "scene size-up", identifying the patients showed the highest rate of frequency and importance, compared to other field of tasks, among which "identifying the patients' state" showed the highest rate of frequency (2.66) and importance (2.81). 4) In the "patient assessment", "identifying the patients" showed the high rate of frequency and importance in most elements of task, especially the importance showed the highest rate with 2.83 for the task of airway management and the cervical immobilization during "the primary assessment", and the frequency showed the highest rate for questioning the past case of the task of grasping the patients' history. 5) In the "emergency care", "the management of the heart attacked patients" and "the advanced cardiac life support" showed a high rate in the importance, whereas the frequency showed a very low rate. The high rate of frequency during the emergent task was the management of "musculoskeletal system injury patients" and of "the gastro-intestinal and urinary genital system injury patient support." In care of the patients with heart attack, the management of the airway showed the highest rate with 2.95, whereas the management of alcoholic abused patients and of dying patients, showed comparatively lower rate of assessment in the importance. The frequency of tasks showed the highest rate with 2.69 in the control of bleeding and the lowest with 0.47 in the management of abnormal delivery of child. 6) As to the patient transport, "the emergency transport" showed the highest rate with 2.74 and the unemergent transport with 2.55 in the importance, and the task importance at hospital showed the highest rate with 2.89 in managing the cardio-pulmonary resuscitation and with 2.60 in identifying the patient state. 7) Of all the tasks related with "operational task", the high importance was to "educate for the management of the first responder", but the frequency of tasks mostly showed a low rate and "receiving and responding to a call" showed relatively a high rate of importance and frequency. And related with "the self-development", "the health care management" and "the stress control" on working spot showed a high rate, but the frequency mostly showed a low rate.

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장애아 보육시설에서 근무하는 교사의 안전관리 및 응급처치 교육에 대한 지식과 수행정도 (The Teacher's Knowledge and Performance State of Safety Management and First-Aid Education at Daycare Center for Young Children with Disabilities)

  • 이효철;장용수;유병국
    • 한국응급구조학회지
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    • 제14권3호
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    • pp.57-69
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    • 2010
  • Purpose: This study aims to examine perceived safety management in teachers working for young children with disabilities, to grasp the state and problems of safety management and first-aid education at daycare center for young children with disabilities, and to provide basic materials to develop programs for safety management and first-aid education. Results: 1. For the perception items of accident possibility in daycare centers, career with more than 10 years had higher response in 'very high' and 'moderately high' than 'moderately or very low' and statistically significant difference was found(p < .05). 2. For the perception items of accident prevention in daycare centers, no teaches with at least college education thought that 'it was not possible to prevent' and most of them thought that 'it was totally possible to prevent' and statistically significant difference was found(p < .05). 3. For the performance level of safety management and first-aid items, forty and over(4.73) showed higher than age of 20-29(4.32) and 30-39 of age(4.26) and statistically significant difference was found(p < .05). 4. For the knowledge level of safety management and first aid items, the highest religion was found as Christian(16.96), followed by Catholic(15.33), Buddhism(14.91), and no religion(15.81) and statistically significant difference was found(p < .05). 5. For the items of confidence in safety management and first aid, performance level, and knowledge level, teachers who competed safety management and first-aid education( 4,48) had higher performance score than those who did not (4.17) and statistically significant difference was found(p < .05). 6. For the items of confidence in safety management and first aid, performance level, and knowledge level, teachers who competed first-aid education(2.77) had higher confidence than those who did not(2.35) and statistically significant difference was found(p < .05). Conclusion: The results suggest that safety management and first-aid education in teachers working for daycare center for young children with disabilities was closely correlated with knowledge and performance levels. Thus, it is necessary to provide continuous safety management and first-aid education for teachers working for day care center for young children with disabilities through regular in-service training. Also further research should be conducted with all subjects and various regions who contact with young children with disabilities.

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Symmetric dimethylarginine correlates with the urea, creatinine, potassium, and clinical scores in feline urethral obstructions

  • Jessica Cavalcante da Nobrega;Heloise Rangel Dinallo;Silvano Salgueiro Geraldes;Maria Gabriela Picelli de Azevedo;Reiner Silveira de Moraes;Suellen Rodrigues Maia;Fabiana Ferreira de Souza;Alessandra Melchert ;Henry David Mogollon Garcia;Raphael Lucio Andreatti Filho;Adriano Sakai Okamoto;Priscylla Tatiana Chalfun Guimaraes Okamoto
    • Journal of Veterinary Science
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    • 제25권2호
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    • pp.27.1-27.12
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    • 2024
  • Background: A urethral obstruction (UO) is an emergency commonly observed in male cats, which can result in significant clinical and laboratory alterations, leading to complications and death. Objectives: This study aimed to correlate symmetric dimethylarginine (SDMA) with the urea, creatinine, potassium, and bicarbonate levels in cats with UO. In addition, the correlation between clinical score and time of obstruction was evaluated. Methods: Thirty male cats were selected and allocated into a control group (CG, n = 13) and an obstruction group (OG, n = 17). The laboratory analyses were conducted before treatment (M0) and at different times after treatment (12 h [M12], 24 h [M24], and 48 h [M48]). Correlations were established between SDMA and creatinine, urea, bicarbonate, potassium, time of obstruction, and the clinical score. Results: A strong correlation (r > 0.6) was observed between SDMA and creatinine, urea, and potassium in the OG. Furthermore, there was substantial agreement (kappa value) between SDMA and creatinine at M24. A higher clinical score was associated with a longer time of obstruction. In the OG, at M48, the SDMA and creatinine levels were 50% and 41.2% higher, respectively. Conclusions: A correlation was observed between SDMA and creatinine in obstructed cats, and significant agreement between these values was observed 24 h after the unblocking treatment. A correlation among SDMA, urea, and potassium was observed. Approximately 9% more cats continued to have elevated SDMA levels after 48 h of treatment compared to creatinine. This suggests a slightly lower sensitivity of the latter biomarker but does not exclude the possibility of congruent and normalized values after a longer evaluation period.