• Title/Summary/Keyword: emergency data

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Development of an Active Dry EEG Electrode Using an Impedance-Converting Circuit (임피던스 변환 회로를 이용한 건식능동뇌파전극 개발)

  • Ko, Deok-Won;Lee, Gwan-Taek;Kim, Sung-Min;Lee, Chany;Jung, Young-Jin;Im, Chang-Hwan;Jung, Ki-Young
    • Annals of Clinical Neurophysiology
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    • v.13 no.2
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    • pp.80-86
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    • 2011
  • Background: A dry-type electrode is an alternative to the conventional wet-type electrode, because it can be applied without any skin preparation, such as a conductive electrolyte. However, because a dry-type electrode without electrolyte has high electrode-to-skin impedance, an impedance-converting amplifier is typically used to minimize the distortion of the bioelectric signal. In this study, we developed an active dry electroencephalography (EEG) electrode using an impedance converter, and compared its performance with a conventional Ag/AgCl EEG electrode. Methods: We developed an active dry electrode with an impedance converter using a chopper-stabilized operational amplifier. Two electrodes, a conventional Ag/AgCl electrode and our active electrode, were used to acquire EEG signals simultaneously, and the performance was tested in terms of (1) the electrode impedance, (2) raw data quality, and (3) the robustness of any artifacts. Results: The contact impedance of the developed electrode was lower than that of the Ag/AgCl electrode ($0.3{\pm}0.1$ vs. $2.7{\pm}0.7\;k{\Omega}$, respectively). The EEG signal and power spectrum were similar for both electrodes. Additionally, our electrode had a lower 60-Hz component than the Ag/AgCl electrode (16.64 vs. 24.33 dB, respectively). The change in potential of the developed electrode with a physical stimulus was lower than for the Ag/AgCl electrode ($58.7{\pm}30.6$ vs. $81.0{\pm}19.1\;{\mu}V$, respectively), and the difference was close to statistical significance (P=0.07). Conclusions: Our electrode can be used to replace Ag/AgCl electrodes, when EEG recording is emergently required, such as in emergency rooms or in intensive care units.

The study on the maternal burden of caretaking, the support and educational need for the caretaking activities of the infants′ mother (영아어머니의 자녀돌봄의 부담감과 지지, 교육 및 상담요구에 관한 조사연구)

  • Han Kyung Ja
    • Child Health Nursing Research
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    • v.3 no.2
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    • pp.228-240
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    • 1997
  • It is important to asess the risk factors of parenting and provide early intervention for promotion of the maternal caretaking ability. The purpose of the study was to identify the maternal burden of caretaking, the supporting and the educational need for the caretaking activities of the mother of infant. Sixty three mothers of infants who visited the wellbaby clinic of S university hospital and one health center during the period of November 1st, to 30th in 1996 comprised the subjects of this study, Data were gathered through the instruments that were developed by researcher. Statistical analysis of this study was used ANOVA and Pearson correlation. The results were as follows : 1) The mean score of the maternal burden of caretaking was 22.06. The maternal burden of caretaking was significantly high in the mothers who had vaginal delivery compare with the mothers who had caeserean section and in the muthers who gave artificial feeding compare with the group of breast or mixed feeding. 2) The mean score of the support need for the caretaking activities was 30.69. The support need for the caretaking activities was significantly high in the mothers who had the second child, compare with the mothers who had first or third child. And the support need for the caretaking activities was significantly high in the mothers who had caretaking help compare with the mothers who had no caretaking help. The specific subjects of 'mother-infant interaction', 'immunization' and 'prevention of accident' on the support need for the caretaking activities were relatively high. 3) The mean score of the educational need of caretaking activities was 29.3. The educational need of caretaking activities was significantly high in the mother who had the second child compare with the mothers who had first or third child. And the educational need of caretaking activities was significantly high in the mothers who had caretaking help compare with the mothers who had no caretaking help. The specific subjects of 'mother-infant interaction', 'emergency care' and 'prevention of accident' on educational need of caretaking were relatively high. 4) The maternal burden of caretaking was not correlated with the support need or the educational need of caretaking activities. But the support need of caretaking activities was significantly correlated with the educational need of caretaking activities. 5) The support and educational need of caretaking activities were significantly high in the mothers who wanted home care for caretaking their infants. Through the study, it was found that there is considerable maternal burden of caretaking as well as the support and educational need on the caretaking activities in the mothers whose child is young. Therefore developing the systematic and effective program is needed to meet the mother's need. The results of this study will be useful resources to develop the program. On the other hand, it can be recommanded that home health care will be one of the approach to support the mothers caretaking activities.

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Comparative Experiments to Assess the Effects of Accumulator Nitrogen Injection on Passive Core Cooling During Small Break LOCA

  • Li, Yuquan;Hao, Botao;Zhong, Jia;Wang, Nan
    • Nuclear Engineering and Technology
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    • v.49 no.1
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    • pp.54-70
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    • 2017
  • The accumulator is a passive safety injection device for emergency core cooling systems. As an important safety feature for providing a high-speed injection flow to the core by compressed nitrogen gas pressure during a loss-of-coolant accident (LOCA), the accumulator injects its precharged nitrogen into the system after its coolant has been emptied. Attention has been drawn to the possible negative effects caused by such a nitrogen injection in passive safety nuclear power plants. Although some experimental work on the nitrogen injection has been done, there have been no comparative tests in which the effects on the system responses and the core safety have been clearly assessed. In this study, a new thermal hydraulic integral test facility-the advanced core-cooling mechanism experiment (ACME)-was designed and constructed to support the CAP1400 safety review. The ACME test facility was used to study the nitrogen injection effects on the system responses to the small break loss-of-coolant accident LOCA (SBLOCA) transient. Two comparison test groups-a 2-inch cold leg break and a double-ended direct-vessel-injection (DEDVI) line break-were conducted. Each group consists of a nitrogen injection test and a nitrogen isolation comparison test with the same break conditions. To assess the nitrogen injection effects, the experimental data that are representative of the system responses and the core safety were compared and analyzed. The results of the comparison show that the effects of nitrogen injection on system responses and core safety are significantly different between the 2-inch and DEDVI breaks. The mechanisms of the different effects on the transient were also investigated. The amount of nitrogen injected, along with its heat absorption, was likewise evaluated in order to assess its effect on the system depressurization process. The results of the comparison and analyses in this study are important for recognizing and understanding the potential negative effects on the passive core cooling performance caused by nitrogen injection during the SBLOCA transient.

Effects of community-based education and advocacy intervention on public awareness about the warning signs of stroke and the golden window of time (지역사회 교육홍보사업이 지역주민의 뇌졸중 경고증상 및 골든타임 인지도에 미치는 효과)

  • Lee, Young Hoon;Kim, Young Taek;Oh, Gyung Jae;Kim, Nam Ho;Cho, Kwang Ho;Park, Hyun Young;Lee, Hak Seung;Ha, Yeon Soo;Cheong, Jin-Sung;Park, Jin Ku;Lee, Kun Sei;Kim, Hee Sook
    • Korean Journal of Health Education and Promotion
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    • v.32 no.1
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    • pp.1-10
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    • 2015
  • Objectives: This study evaluated the effects and relevant factors of community-based education and advocacy intervention on stroke awareness among the general population. Methods: The study enrolled 505 community-dwelling adults aged 19 years or older who completed a survey before and after a community-based intervention held between May 2014 and December 2014. Trained staff collected data about knowledge of five stroke warning signs, emergency response, golden window of time (${\leq}3h$), and demographics. Results: After the intervention, public awareness of all five stroke warning signs increased significantly from 26.5% to 33.9% (p=0.011). Public awareness of the golden window of time also increased significantly from 70.1% in April 2014 to 75.8% in December 2014 (p=0.040). In a multivariate logistic regression analysis, older age, higher education level, and exposure to stroke-related public service announcements or educational materials were significant predictors of knowledge of all five warning signs for stroke. Conclusions: Comprehensive community-based intervention is effective for improving public awareness of the warning signs of stroke and the golden window of time.

Damage Analysis of Meteorological Disasters for Each District Considering the Characteristics of a District (지자체별 특성을 고려한 자연재해에 따른 피해유형 분석)

  • Jun, Hwan-Don;Park, Moo-Jong;Kim, Guen-Young
    • Journal of the Korean Society of Hazard Mitigation
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    • v.8 no.2
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    • pp.75-82
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    • 2008
  • Heavy rains and typhoons are the most critical meteorological disaster occurred in the Korean peninsular. Due to the global warming, the magnitude of heavy rains and typhoons is becoming heavier resulting in more damage annually. Therefore, it is required to establish a mitigation plan to reduce the damage from meteorological disasters. To do so, in general, it is better to establish a mitigation plan for each district considering the characteristics of a district than a single mitigation plan for the entire districts without considering the characteristics of an individual district. In this study, we provide fundamental data for establishing a mitigation plan from analysis considering the frequency and damage in monetary value by heavy rain and typhoon with the geological and social characteristics of districts. The annual damage reports published by the National Emergency Management Agency, dated from 1994 to 2003, are used for the analysis. The districts are classified into six categories by the geological and social characteristics. Also, the frequency and damage in monetary value are assessed for each district. Based on them, the damage degree by heavy rain and typhoon from 1st to 4th is assigned to each district. The assigned damage degree is, then, analyzed with geological and social characteristics of each district to show the status of damage by meteorological disasters on the district.

Test of a Model for the Structural Relationship of Participation Motivation to Flow Experience, Self-Achievement and Life Satisfaction in Windsurfers (윈드서핑 참여자들의 참가동기가 몰입경험, 자아성취감 및 생활만족도에 관한 구조적 관계 모형 검증)

  • Moon, Tae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.152-161
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    • 2017
  • The purpose of this study was to establish a model for the structural relationship between the participation motivation and flow experience, self-achievement and life satisfaction in windsurfers. The subjects in this study were 206 selected male and female adults who windsurfed on a beach in Yangyang-gun, Gangwon Province. The statistical packages SPSS 20.0 and AMOS 16.0 were used to conduct the statistical analysis of the collected data. First, the participation motivation of the windsurfers exercised a significant influence on their flow experience(t=18.156, p<.001). Second, the participation motivation of the windsurfers had a significant impact on their self-achievement(t=19.848, p<.001). Third, the participation motivation of the windsurfers affected their life satisfaction in a significant way(t=8.219, p<.001). Fourth, the flow experience of the windsurfers impacted on their self-achievement in a significant manner (t=9.769, p<.001). Fifth, the flow experience of the windsurfers had no significant impact on their life satisfaction(t=16.033, p<.001). Sixth, the self- achievement of the windsurfers didn't exert any significant influence on their life satisfaction(t=17.438, p<.001). The findings of this study can be used to help windsurfers improve their quality of life.

Estimation of the Relative Risk of the Elderly with Different Evacuation Velocity in a Toxic Gas Leakage Accident (독성물질 누출 시 대피 속도 차이에 따른 고령자의 상대적 위험도 산정)

  • Lee, H.T.;Kwak, J.;Park, J.;Ryu, J.;Lee, J.;Jung, Seungho
    • Journal of the Korean Society of Safety
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    • v.34 no.6
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    • pp.13-21
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    • 2019
  • Leakage accidents in businesses dealing with hazardous chemicals can have a great impact on the workers inside the workplace, as well as residents outside the workplace. In fact, there were cases where hazardous chemicals leaked from many businesses. As a result, the Chemicals Control Act(CCA) was enacted in 2015, the Ministry of Environment introduced an Off-site Risk Assessment(ORA). The purpose of the ORA is to secure safety from the installation of the design of the workplace facilities so that chemical accidents of hazardous chemical handling facilities do not cause human or physical damage outside the workplace. In general, the ORA qualitatively determines where a protected facility is within the scope of the accident scenario. However, elderly who belong to the sensitive group is more sensitive than the general group under the same chemical accident effect, and the extent of the damage is serious. According to data from the Korea National Statistic Office, the number of elderly people is expected to increase steadily. Therefore, a quantitative risk analysis considering the elderly is necessary as a result of a chemical accident. In this study, accident scenarios for 14 locations were set up to perform emergency evacuation due to toxic gas leakage of Cl2(Chlorine) and HF(Hydrogen Fluoride), and the effects of exposure were analyzed based on the evacuation velocity difference of age 20s and 60s. The ALOHA(Areal Locations of Hazardous Atmospheres) program was used to calculate the concentration for assessing the effects. The time of exposure to toxic gas was calculated based on the time it took for the evacuation to run from the start point to the desired point and a methodology was devised that could be applied to the risk calculation. As a result of the study, the relative risk of the elderly, the sensitive group, needs to be determined.

A study on the standard of effective fire facilities for the Atrium (아트리움 공간의 효과적인 방화설비 기준연구)

  • Choi, Don-Mook;Kim, Jae-Woon;Min, Se-Hong
    • Journal of Korean Institute of Fire Investigation
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    • v.6 no.1
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    • pp.49-66
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    • 2005
  • The purpose of this study is to present reference data to be considered in designing fur the fire safety of atrium buildings. This study deals with the characteristics of atrium buildings in the fire safety aspect, analysis of fire examples and foreign fire codes of atrium space. And con-crete factors to be consigning fur the fire facilities of atrium buildings are presented. Recently many atrium spaces have been built in Korea. They provide new experience of space with resident and pedestrians. However, because of the lack of knowledge in design principle and disaster prevention, large loss of lives is expected in an emergency situation. cion. Therefore safety ensuring from the case is urgently needed. The following is the summary on the standard of effective fire facilities for the atrium. 1. The smoke control. inside atrium must use the machine ventilation in the atrium. 2. It is desirable to divide the section between atrium and nearby living room by anti-smoke screen in order to prevent damage by smoke when fire break out. 3. It is desirable to instill an excellent fire detector like infrared light detector as a replacement of old one. 4. It is desirable to transfer from closed operating sprinkler to fire-cycle sprinkler equipment or ablative sprinkler when the height is lower than 20m.

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Clinical Analysis of Postoperative Acute Renal Failure in the Patients undergoing Cardiovascular Operation with CPB (개심술 후 발생한 급성 신부전의 임상적 고찰)

  • 편승환;노재욱;방정희;조광조;성시찬;우종수
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.494-501
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    • 1998
  • From May 1, 1993 to May 31 1995, the authers studied retrospectively 211 patients who underwent cardiovascular operation with cardiopulmonary bypass(CPB). Because we were interested in new development of ARF(prevalence, mortality rate, and main risk factors), we performed a multivariate statistical analysis about data of patients with preoperative serum creatinine values of less than 1.5 mg/dL. Normal renal function before operation(serum creatinine level less than 1.5 mg/dL) was registered in 198(74%) patients. Of these, 27(14%) patients showed postoperative renal complication, including 20(10%) patients classified as renal dysfunction(serum creatinine level between 1.5 and 2.5 mg/dL) and 7(4%) patients as acute renal failure(serum creatinine level higher than 2.5 mg/dL). The mortality rate was 5.8% in normal patients, 5% in patients with renal dysfunction, and 43% when acute renal failure developed(p=0.036). Indeed, the renal impairment proved to be an independent predictor of mortality(odd ratio 2.52∼11.25), along with cardiovascular(odd ratio 4.20) and respiratory(odd ratio 2.18) complications. Multivariate analysis identified the following variables as independent risk factors for postoperative renal impairment : advanced age(odd ratio 1), need for emergency operation(odd ratio 3.78), low-output syndrome(odd ratio 3.66), respiratory complication(odd ratio 1.30), need for deep hypothermic circulatory arrest(odd ratio 1.4). The 13 patients(7%) with preoperative renal failure showed a significantly higher morbidity and mortality rate than those without renal complications before operation. We concluded that the likelihood of severe renal complications is resonably low in the patients undergoing cardiac operation without preexisting renal dysfunction, but associated mortality remains high. A prominant role of hemodynamic factor in the development of postoperative acute renal failure must be recognized during preoperative, intraoperative, and postoperative periods.

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Prognosis and Clinical Outcome of Alcohol Withdrawal Syndrome in Trauma Patients (외상 환자에서 알코올 금단 증후군의 발생이 예후에 미치는 영향)

  • Oh, Dong Gil;Cho, Min Soo;Bae, Keum Seok;Kang, Sung Joon
    • Journal of Trauma and Injury
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    • v.21 no.2
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    • pp.115-119
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    • 2008
  • Purpose: Abrupt abstinence from alcohol in cause of chronic alcohol addiction can trigger alcohol withdrawal syndrome. The authors studied the effect of post-operative alcohol withdrawal syndrome in patients who require intensive care due to trauma. Methods: For the study group, we selected 70 patients who had undergone emergency surgery from May 2003 to March 2007 due to trauma and who had been treated with prophylactic thiamine. Data was collected retrospectively. We excluded those who extended their hospital stay for other than traumatic causes, those who died within 3 days of surgery after trauma, those who transferred to other institutions, and those who received a psychiatric diagnosis. Patient groups were determined by the existence or the non-existence of withdrawal syndrome. Age, sex, injury mechanism, mortality, complications, durations of hospital stay and intensive care, use of mechanical ventilator, and sedative use were investigated. A Chi-square test and The Mann-Whitney method were used for statistical analysis in this study. Results: Twenty-four (24) patients from the 58 who had an ISS of 16 or more showed alcohol withdrawal syndrome, and men were shown to be affected with the syndrome significantly more than women. Although ISS was higher in the group with alcohol withdrawal syndrome, statistically, the difference was not significant (P<0.08). The total hospital stay in the patient group with alcohol withdrawal syndrome was on average 10 days longer. However, the difference was not significant (P<0.054). The duration of intensive care in the patient group with alcohol withdrawal syndrome was significantly longer (P<0.029). The patients with alcohol withdrawal syndrome showed no significant difference in the duration of mechanical ventilator use (P<0.783), or in the duration of sedative use (P<0.284). Respiratory distress, pneumonia, upper airway infection, sepsis, acute renal failure, and mortality in the alcohol withdrawal syndrome group were investigated, but no statistically significant difference were noted. Conclusion: We found that the duration of intensive care in chronic alcohol abusers was longer due to the development of alcohol withdrawal syndrome. We also discovered that, when the patients overcame the symptoms of alcohol withdrawal syndrome after intensive care, no difference was found in the frequency of developing complications, the morbidity, and the mortality. Therefore, we conclude that intensive care in trauma patients who are chronic alcohol abusers decreases the incidence of complications found in patients with post-operative alcohol withdrawal syndrome and does not adversely impact the prognoses for those patients.