• The Korean Journal of Emergency Medical Services
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• v.13 no.3
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• pp.5-17
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• 2009

Purpose : This study was to examine the knowledge and attitude about cardiopulmonary resuscitation(CPR) for nursing students, and to basic data with CPR education program for nursing student. Method : 128 nursing students filled out a self-administered questionnaires. The data were collected by CPR knowledge and attitude modified by the authors based on Kim's inventory (2008). Result : Nursing students weren't knowledgeable nor confident of CPR. But they had positive attitude about as a first responder. Conclusion : Intensive education by the level of knowledge should be provided for nursing students to master the knowhow of CPR, especially cardiac compression, and evaluation should be reinforced as well. And an education should be offered to enhance their confidence CPR performing CPR.

• Journal of the Korea Convergence Society
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• v.6 no.3
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• pp.1-12
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• 2015

The purpose of this study is to examine the structure of subjective cognition for first aid in persons taking first aid eduction. The perception of first aid styles were classified by using the PC QUANL program. Data were collected from March to July, 2010. As a result of the study, the cognition for first aid in persons taking first aid eduction can be classified into these four types: 'Time-oriented type', 'First responder-oriented type', 'Convergence education-oriented type', 'Lay person using-oriented type'. Therefore, in the field of first aid practice and education this study has provided practical guidelines helpful to nursing intervention and family-centered nursing by considering each character of the types centering on the relationship of lay person, and will be useful as basic data for relevant disciplines in education.

• Journal of Preventive Medicine and Public Health
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• v.38 no.4
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• pp.379-385
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• 2005

The impact of the next influenza pandemic is difficult to predict. It is dependent on how virulent the virus is, how rapidly it spreads from population to population, and the effectiveness of prevention and response efforts. Despite the uncertainty about the magnitude of the next pandemic, estimates of the health and economic impact remain important to aid public health policy decisions and guide pandemic planning for health and emergency sectors. Planning ahead in preparation for an influenza pandemic, with its potentially very high morbidity and mortality rates, is essential for hospital administrators and public health officials. The estimat ion of pandemic impact is based on the previous pandemics- we had experienced at least 3 pandemics in 20th century. But the epidemiologi cal characteristics - ie, start season, the impact of 1st wave, pathogenicity and virulence of the viruses and the primary victims of population were quite different from one another. I reviewed methodology for estimation and modelling of pandemic impact and described some nations's results using them in their national preparedness plans. And then I showed the estimates of pandemic influenza impact in Korea with FluSurge and FluAid. And, I described the results of pandemic modelling with parameters of 1918 pandemic for the shake of education and training of the first-line responder health officials to the epidemics. In preparing influenza pandemics, the simulation and modelling are the keys to reduce the uncertainty of the future and to make proper policies to manage and control the pandemics.

• Journal of the Korean Society of Safety
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• v.37 no.6
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• pp.158-165
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• 2022

Eco-friendly policies proposed by the government of The Republic of Korea have encouraged the use of eco-friendly vehicles. Hydrogen vehicles have exhibited the highest growth rate, although the current number of registered vehicles is low. In hydrogen vehicles, a thermally activated pressure relief device (TPRD) is installed to prevent explosions in the hydrogen gas cylinder. When discharged due to low ignition energy, hydrogen gas readily forms a jet flame. The risks induced by such jet flames were analyzed through a numerical analysis. Jet flames can activate TPRDs installed in nearby hydrogen gas cylinders. As a result, high-voltage cables exposed in the lower area of a vehicle can ignite within seconds. There was a 9.5-kW/m2 area around the vehicle (which can result in casualties) at a distance of ~5 m from the hydrogen gas cylinder, and a 37.5-kW/m2 area (which can cause significant damage) in the form of an inverted triangle toward the lower section of the vehicle. We believe that the risk factors analyzed herein should be considered for addressing accidents in hydrogen vehicles.

• Tuberculosis and Respiratory Diseases
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• v.71 no.4
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• pp.286-290
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• 2011

Although failure of epidermal growth factor receptor tyrosine kinase inhibitors (EGFR TKI) is generally believed to be associated with cross-resistance to other EGFR TKI, the benefit of administering erlotinib as a second EGFR TKI after resistance of gefitinib as the first TKI has been well known. However, good response to gefitinib after an initial response to erlotinib has been rare. We report that a 45-year-old woman (never smoked), with lung adenocarcinoma and EGFR mutation, showed an initial response to erlotinib, and then responded to gefitinib again.

• Journal of the Society of Disaster Information
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• v.5 no.2
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• pp.50-73
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• 2009

This paper is about the establishment of "Initial Response System." Initial response system is most important and should be treated urgently among all preparations for chemical terrorism. The objects of Initial response system are to protect civilians and the first responder who are exposed directly to chemical terrorism. Therefore, this paper suggests two main issues about Initial response system. One is to prepare immediate and exact information service system which assures the safety and survival of exposed people. The other is to build Scene Response System integrated with Command-Control Procedure for early finished situation. Compared to United States, overcoming the Chemical Terrorism requires to improve the contents of two categories: Counter Citizen Response part and Initial Scene Response part. For Counter citizen response part' s sake, the web-sites of Response leader agencies for searching information about chemical terrorism should be modified specifically. These web-sites have to be re-organized in detail. The existing Information service system which has been vaguely informed as "CBRNE Accident" needs to be divided as "CBRNE Accident" and "WMD terrorism." Further, each of them should be specialized in "Chemical', "Biological", and "Radiological" categories. There is a need to rearrange current Emergency Instruction for civilians against chemical terrorism in feasible way. At the same time, it should be applied consistently to all organizations through agreement between experts and related-organizations. For Initial Scene Response part's sake, "Initial scene response procedure (SOP)" and "Operational conception" should be produced through Simulated Exercises and workshops of all organizations related with initial response. These organizations have to cooperate with Ministry of Environment which is the main leader Agency as the center. Next, there is a need to develop a technology and Scene Response Equipments, and to standardize the response equipments which consider the capability of First Responders for chemical terrorism. Especially, improving capability of equipments is required to overcome the vulnerability of Scene Response Equipments.

• Clinical and Experimental Pediatrics
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• v.48 no.4
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• pp.416-424
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• 2005

Purpose : To find the risk factors associated with coronory artery lesions, non-responsiveness to intravenous immunoglobulin(IVIG) treatment, and recurrences in Kawasaki disease patients. Methods : We retrospectively analyzed 1,000 Kawasaki disease patients who were admitted to Yonsei University Medical Center from September 1990 to December 2003. We compared between responder and non-responder groups to IVIG treatment as well as between relapsed and non-relapsed groups, and as to the relapsed group, we also compared variables between patients in their first and second attack states. Finally, factors associated with longer-fever duration from disease onset were evaluated. Results : Longer fever durations before and after IVIG treatment, male sex, lower Hgb and Hct level, higher WBC count and segmented WBC proportion, and higher CRP and Harada's score were related with coronary artery lesions. Non-responsiveness was related to higher WBC count, segmented WBC proportion, CRP, SGPT, Harada's score, and pyuria. Moderate-to-severe coronary artery dilatations and recurrences were more commonly seen among the non-responder group. No significant predictive factors for recurrence were found. In the relapsed group, lower WBC count, CRP, and shorter fever duration from disease onset were observed in their second attack state. Fever duration from disease onset showed positive correlation with WBC count, CRP, and Harada's score and negative correlation with Hgb levels. Conclusion : Higher WBC count, CRP, and higher Harada's score were related to both higher incidences of coronary artery lesions and non-responsiveness to IVIG treatment, and these factors were also related with longer fever duration. Non-responders to IVIG treatment showed higher recurrence rate and more moderate-to-severe coronary artery dilatations than responders.

• Korean Journal of Health Education and Promotion
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• v.22 no.1
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• pp.147-160
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• 2005

The purpose of this study is to identify the nature of the patient service quality of health center, and based on that, to examine the relationship of health center visitor's perceived quality and overall satisfaction. Data were collected on the basis of 'the 3rd Regional Health Care Planning' operated by Rural Health Care Service Technology Aid Task-force Team(RHCSTAT), Ministry of Health and Welfare. Basically, the Manual of 3rd Regional Health Care Planning is composed of structure, process, and outcome measurement indicators. Of these indicators, 21 patient satisfaction questions as outcome indicators are used in this study. The samples are 3,530 patients who visited 80 health centers all of the nation. First, the reliability and validity of patient service quality items was evaluated. Second, the descriptive statistics of health service quality are calculated. Third, through the T-test and ANOVA, the differences of patient satisfaction by responder's general characteristics are compared. In final, to explore the relationship of service quality and overall satisfaction, multiple regression analysis was used. This study shows firstly, the dimension of patient service quality was categorized into 3 dimensions, that is, facilities and environment, staff kindness, and access convenience. Secondly, the reliability and validity of patient service quality items was satisfied. Thirdly, the mean score of staff kindness factors are high in contrast to the facilities and environment. And in regard to the overall satisfaction, the mean score is more higher in Daegu region, County type health center, male group, and upper 65 age group than comparison groups. Lastly, as a result of multiple regression analysis, the effect of patient's perceived service quality, especially, appropriateness of billing time(Beta=0.190) and of reservation time(Beta=0.132) are statistically significant(P<0.01). In conclusion, to satisfy the health need of community people and improve the service quality of the health center, the efforts for the access convenience might be needed. Additionally, the enlargement on health center space and supply of new medical equipment is urgent for the patient satisfaction.

• The Korean journal of internal medicine
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• v.39 no.2
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• pp.338-346
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• 2024

Background/Aims: Systemic lupus erythematosus (SLE) responder index (SRI)-4 response has been achieved with belimumab treatment in patients with moderate disease activity in cornerstone clinical trials and following studies. However, most studies involved patients treated with a mean prednisolone-equivalent dose of approximately 10 mg/d and focused on the steroid-sparing effect of belimumab. We aimed to identify the effect of belimumab in patients with mild-to-moderate SLE who were treated with low-dose or no corticosteroids. Methods: We retrospectively reviewed the electronic medical records of patients treated with belimumab for at least 6 months between May 2021 and June 2022. The primary endpoint was SRI-4 response at 6 months. Results: Thirty-one patients were included (13 low dose- and 18 steroid non-users). The mean age was 39.2 ± 11.4 years, and 90.3% of patients were female. The baseline Safety of Estrogens in Lupus Erythematosus National Assessment-Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) score was 6.0 (4.0-9.0). The primary endpoint was achieved in 32.3% (10/31) of patients. Significant improvements in anemia, C4 levels, and SELENA-SLEDAI score were observed during treatment. Univariate analysis showed that the baseline SELENA-SLEDAI and arthritis were significantly associated with SRI-4 response at 6 months, and only the SELENA-SLEDAI remained significant (p = 0.014) in multivariate analysis. Conclusions: This cohort study is the first to report the efficacy of belimumab after minimizing the effect of corticosteroids. Belimumab showed efficacy in improving the SELENA-SLEDAI score, anemia, and low C4 in patients who did not receive corticosteroids or received only low doses.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.27 no.1
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• pp.62-68
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• 2023

An aerial relay system utilizing an unmanned aerial vehicle(UAV) or drone is addressed for event-driven operations such as temporary communication services for disaster affected area, military and first responder support. UAV relay system (URS) targets to provide a reliable communication service to a remote user equipment or an operator, therefore, a fast UAV placement to guarantee a minimum quality of service(QoS) is important when an operation is requested. Researches on UAV utilization in communication systems mostly target to derive the optimal position of UAV to maximize the performance, however, fast deployment of UAV is much more important than optimal placement under emergency situations. To this end, this paper derives the feasible area for UAV placement, investigates the effect of performance requirements on that area, and suggests UAV placement to certainly guarantee the performance requirements. Simulation results demonstrate that the feasible area derived in this paper matches that obtained by an exhaustive search.