• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.4 no.1
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• pp.104-107
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• 2001

Intussusception is a frequent cause of bowel obstruction in the first five years of life and it is one of the most common surgical emergencies in infancy and early childhood. The age of five months child was administered in Department of Pediatrics of Chunchon Sacred Heart Hospital. His main symptoms were vomiting and high fever for three days. Abdominal sonography, air reduction and abdominal computerized tomography (CT) were performed and the conclusion of these study was intussusception due to cyst mass lesion; duplication cyst, mesenteric cyst or Meckel's diverticulum. He was transferred for operation. We had performed laparotomy for reduction of the intussusception. Operative findings revealed ileocolic type of intussusception due to cystic tumor on ileocecal valve that was invaginated into the cecum, and hyperplasia of the Peyer's patch were seen. But we failed manual reduction because of the tumor in the ileocecal area. So we had performed partial resection of the ileocecum. Diverticulum of the ileum was confirmed by pathologic examination. We experienced unusual cause of the intussusception. So we report this case with a review of the literatures.

• Journal of Home Health Care Nursing
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• v.18 no.2
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• pp.81-87
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• 2011

Purpose: The aim of this study was to estimate optimization model of stay time in EMC. Methods: Data were collected at an EMC in a hospital using medical records from June to August in 2007. The sample size was 8,378. The data were structured by stay time for doctor visit, decision making, and discharge from EMC. Descriptive statistics were used to find out general characteristics of patients. Average mean and quantile regression models were adopted to estimate optimized stay time in EMC. Results: The stay times in EMC were highly skewed and non-normal distributions. Therefore, average mean as an indicator of optimal stay time was not appropriate. The total stay time using conditional quantile regression model was estimated about 110 min, that was about 166 min shorter than estimated time using average mean. Conclusion: According to these results, we recommend to use a conditional quantile regression model to estimate optimal stay time in EMC. We suggest that this results will be used to develop a guideline to manage stay time more effectively in EMC.

• Journal of Radiation Protection and Research
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• v.20 no.2
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• pp.117-122
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• 1995

Meteorological Data Acquisition System (MDAS) and Meteorolocical Information Processing System (MIPS) have been developed for the measurement of the meteorological parameters at the Korea Atomic Energy Research Institute site. MIPS represents the measured meteorological data graphically on a computer screen. MDAS and MIPS are interfaced with real-time radiological dose assessment system (FADAS), which has been developed to rapidly assess the radiological consequences and to support decision-making under radiological emergencies.

• Child Health Nursing Research
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• v.15 no.3
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• pp.271-281
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• 2009

Purpose: This study was conducted to develop an instrument to measure coping in emergency situations. Methods: The process included construction of a conceptual framework, generation 60 primary items, verification of construct validity and extraction of final items. The.60 preliminary items were reviewed for content validity by seven experts and were tested to evaluate inter-item correlation coefficient by three groups of elementary school students. From November 1 to December 10, 2008, data were collected from 920 elementary school students according to residential characters (major city, small town, rural area). Item analysis, factor analysis with rotation Varimax and Cronbach's alpha were used to analyze the data. Results: 1) There were 45 items in the final instrument categorized into 8 factors. 2) The factors were labeled as "Call for help and check" (8 items), "Care for common symptoms" (6 items), "Appropriate response for the situation" (5 items), "Evacuation" (6 items), "Care for tissue damage" (8 items), "Care for injury by heat, cold or foreign body" (6 items), "Offer help" (4 items) and "Rescue & escape" (2 items). 3) Cumulative percent of variance was 53.10% and eigen values ranged from 1.04 to 13.38. 4) Cronbach's alpha for the total was .943 and ranged from .527 to .869. Conclusion: Validity and reliability of the scale are confirmed in this study showing its utility for measuring coping in emergency situations with elementary school students. Utilization of the scale will also contribute to designing appropriate coping education programs for elementary school students.

• Journal of the Korean Society of Marine Environment & Safety
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• v.18 no.1
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• pp.49-54
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• 2012

The purpose of this study is to define emergency response procedures by BDMS [Building Disaster Management System] when earthquake occurs on long-span bridge structures. The study is about developing a computer-based algorithm for various earthquake intensities that works with the System. Presently, long-span bridge disaster prevention relies on closed-system centered on human intervention alone. However, this study combines IT technology and internet-based open system creating a more practical system. Additionally, assigned duties and tasks are clearly defined to all personnel involved in various disaster situations using the Active Action Diagram(AAD) techniques. Also, the design of 3-dimensional view assists to determine the appropriate initial response in times of earthquake and other disasters. The combination of the existing manual emergency response procedures and the scenario-based (IT) response system being developed will create an efficiency and fast response actions in times of emergencies.

• Safety and Health at Work
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• v.5 no.3
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• pp.118-124
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• 2014

Background: Satisfactory completion of mine safety training is a prerequisite for being hired and for continued employment in the coal industry. Although training includes content to develop skills in a variety of mineworker competencies, research and recommendations continue to specify that specific limitations in the self-escape portion of training still exist and that mineworkers need to be better prepared to respond to emergencies that could occur in their mine. Ecological models are often used to inform the development of health promotion programs but have not been widely applied to occupational health and safety training programs. Methods: Nine mine safety trainers participated in in-depth semi-structured interviews. A theoretical analysis of the interviews was completed via an ecological lens. Each level of the social ecological model was used to examine factors that could be addressed both during and after mine safety training. Results: The analysis suggests that problems surrounding communication and collaboration, leadership development, and responsibility and accountability at different levels within the mining industry contribute to deficiencies in mineworkers' mastery and maintenance of skills. Conclusion: This study offers a new technique to identify limitations in safety training systems and processes. The analysis suggests that training should be developed and disseminated with consideration of various levels-individual, interpersonal, organizational, and community-to promote skills. If factors identified within and between levels are addressed, it may be easier to sustain mineworker competencies that are established during safety training.

• Journal of Korean Society for Geospatial Information Science
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• v.8 no.1 s.15
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• pp.97-103
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• 2000

The main purpose of 1-1-9 Caller Location Information System is to identify and display the precise location of emergency incidents such as natural or man - made fires, medical emergencies and accidents. The state - of- the - art technologies such as Am (Automatic Number Identification), GIS(Geographical Information System) and GPS (Global Positioning System) were applied and integrated in the system for efficient and effective location identification. It displays a radius of 25M, 50M and 100M on the map after location identification. The system can also provide the shortest path to an incident location from a fire station or a fire engine. In case of a fire breakout in or near a building, the attribute information of the building, called a building attribute card, is displayed along with the map location. The system then matches the information with the fire situation and sends an alert to a responsible fire station by phone or fax in order to help promptly react to the problem. An attribute card includes the critical information of a premise such as building's location, number of stories, floor plans, capacity, construction history, indoor fire detection and Prevention facilities, etc.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.34 no.6
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• pp.1937-1944
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• 2014

In recent years, common ducts have been installed and operated in the sidewalls of tunnels to prepare for emergencies in tunnel construction and maintenance. The installation of common ducts is done mainly by humans. Problems with cost increases are inherent in tunnel construction by humans due to the safety risks and the economic inefficiency of humans performing construction activities. Among the problems that arise are poor illumination due to the use of temporarily installed electricity, the risk of accidents due to the confined workspaces, and workers avoiding work tasks because of the poor environment in tunnel. Ideas for solving these problems were developed using a value engineering (VE) process, and mechanized construction was identified as a promising solution. To verify the effectiveness of mechanized construction of a common duct in tunnels, experimental construction work was carried out, and mechanized construction was proven to directly improve the constructability and economic efficiency of common duct construction. In addition, reducing human involvement in common duct construction in tunnels is expected to improve safety, and because of the continuous concrete placement technique used, the finish and appearance of the ductwork are improved.

• Journal of Korean Academy of Nursing
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• v.46 no.3
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• pp.463-474
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• 2016

Purpose: For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases. Methods: Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1. Results: The PCE group demonstrated significant improvements in knowledge (F=91.09, p<.001), self-efficacy (F=15.19, p<.001) and CPR skills and performance (F=8.10, p=.008), as well as significant differences over time (knowledge: F=364.25, p<.001; self-efficacy: F=1162.28, p<.001; CPR skills and performance: F=1798.81, p<.001). There were significant group-by-time interactions for knowledge (F=8.10, p=.001), self-efficacy (F=4.30, p =.019) and CPR skills and performance (F=4.81, p=.036) by repeated measures ANOVA. Conclusion: This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice.

• The Journal of Korean Academic Society of Nursing Education
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• v.24 no.4
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• pp.347-357
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• 2018

Purpose: The purpose of this study was to identify patient safety awareness and emergency response ability and affecting factors perceived by nursing homes and home visiting caregivers. Methods: This study was a descriptive study that conveniently extracts nursing caregivers who care for elderly patients in S and G provinces, Korea. Data collection was done by structural questionnaires from April to May 2018. A total of 204 responses consisting of 103 nursing homes and 101 home visiting caregivers were used for data analysis in SPSS Win 22.0. Results: Patient safety awareness and emergency response ability of nursing homes caregivers with each $4.24{\pm}0.50$, $74.26{\pm}09.57$ was each higher than that of the home visiting caregivers with $3.68{\pm}0.49$, $68.02{\pm}12.12$ (p<.001). The affecting factors of the patient safety awareness were working place, safety education, and daily average working hours with 12 or more (F = 27.30, p<.001) and that of emergency response ability were number of patients per personnel with 9 or more and emergency situation experience (F=14.00, p<.001). Conclusion: These results suggest that it is necessary to develop a safety education program that can share indirectly experience emergency situations that occur on the job site.