• Title/Summary/Keyword: emergency management

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Early Diagnosis and Treatment Strategies of Obesity Hypoventilation Syndrome (비만성 저환기 증후군의 조기 진단 및 치료 전략)

  • Hwan Hee Kim;Sang Haak Lee;Sei Won Kim
    • Sleep Medicine and Psychophysiology
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    • v.29 no.1
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    • pp.4-8
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    • 2022
  • Obesity hypoventilation syndrome (OHS) is defined as the triad of obesity (body mass index, [BMI] ≥ 30 kg/m2), daytime hypercapnia (PaCO2 ≥ 45 mm Hg), and sleep breathing disorder, after excluding other causes for hypoventilation. As the obese population increases worldwide, the prevalence of OHS is also on the rise. Patients with OHS have poor quality of life, high risk of frequent hospitalization and increased cardiopulmonary mortality. However, most patients with OHS remain undiagnosed and untreated. The diagnosis typically occurs during the 5th and 6th decades of life and frequently first diagnosed in emergency rooms as a result of acute-on-chronic hypercapnic respiratory failure. Due to the high mortality rate in patients with OHS who do not receive treatment or have developed respiratory failure, early recognition and effective treatment is essential for improving outcomes. Positive airway pressure (PAP) therapy including continuous PAP (CPAP) or noninvasive ventilation (NIV) is the primary management option for OHS. Changes in lifestyle, rehabilitation program, weight loss and bariatric surgery should be also considered.

Uncertainty Analysis based on LENS-GRM

  • Lee, Sang Hyup;Seong, Yeon Jeong;Park, KiDoo;Jung, Young Hun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2022.05a
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    • pp.208-208
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    • 2022
  • Recently, the frequency of abnormal weather due to complex factors such as global warming is increasing frequently. From the past rainfall patterns, it is evident that climate change is causing irregular rainfall patterns. This phenomenon causes difficulty in predicting rainfall and makes it difficult to prevent and cope with natural disasters, casuing human and property damages. Therefore, accurate rainfall estimation and rainfall occurrence time prediction could be one of the ways to prevent and mitigate damage caused by flood and drought disasters. However, rainfall prediction has a lot of uncertainty, so it is necessary to understand and reduce this uncertainty. In addition, when accurate rainfall prediction is applied to the rainfall-runoff model, the accuracy of the runoff prediction can be improved. In this regard, this study aims to increase the reliability of rainfall prediction by analyzing the uncertainty of the Korean rainfall ensemble prediction data and the outflow analysis model using the Limited Area ENsemble (LENS) and the Grid based Rainfall-runoff Model (GRM) models. First, the possibility of improving rainfall prediction ability is reviewed using the QM (Quantile Mapping) technique among the bias correction techniques. Then, the GRM parameter calibration was performed twice, and the likelihood-parameter applicability evaluation and uncertainty analysis were performed using R2, NSE, PBIAS, and Log-normal. The rainfall prediction data were applied to the rainfall-runoff model and evaluated before and after calibration. It is expected that more reliable flood prediction will be possible by reducing uncertainty in rainfall ensemble data when applying to the runoff model in selecting behavioral models for user uncertainty analysis. Also, it can be used as a basis of flood prediction research by integrating other parameters such as geological characteristics and rainfall events.

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Comparison of Endotracheal Intubation to Transfer - A Study of Simulation Using the SALT - (이송 중 기관내 삽관의 효율성 비교 - SALT를 이용한 시뮬레이션 연구 -)

  • Yun, Seong-Woo;Jung, Jun-Ho;Lee, Hyo-Ju;Choi, Mi-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.300-302
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    • 2022
  • The purpose of this study is to compare the speed, confidence, and ease of endotracheal intubation in a transfer posture by using the SALT(Supraglottic Airway Laryngopharyngeal Tube), and a direct laryngoscope to improve the ability to implement professional airway management. The subject of the study was an experimental study by a randomized crossover design, targeting 28 first-class emergency medical technicians working in J-do fire station, and the SPSS 20.0 version was used for data analysis. The endotracheal intubation by using SALT showed a significant difference in speed compared to endotracheal intubation by using a direct laryngoscope(p<.001), and also showed a significant difference in confidence and ease(p<.001). If it is transfer to endotracheal intubation by direct laryngoscope, or in the case of transfer patients, if SALT is used, safe and rapid intubation will be possible.

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Effect of Brussels Sprouts Extract on Inflammatory Cytokine Inhibition (방울양배추 추출물의 염증성 사이토카인 억제에 미치는 영향)

  • Jae-Hyeok Lee;Jeong-Sook Park
    • Journal of Industrial Convergence
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    • v.21 no.8
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    • pp.69-74
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    • 2023
  • This paper was conducted to examine the effect of Brussels Sprouts Extract on the inhibition of pro-inflammatory cytokines. The inflammatory response is manifested by mediators such as reactive oxygen species and inflammatory cytokines such as TNF-α, IL-1β, and IL-8. Therefore, this paper examined the toxicity to cells using the MTS assay, stimulated RAW264.7 macrophages with lipopolysaccharide (LPS), and stimulated reactive oxygen species such as NO and TNF-α, IL-1β, and IL-8. Inhibition of inflammatory cytokines after treatment with 10 mg/mL, 100 mg/mL, and 1000 mg/mL of Brussels Sprouts Extract was investigated. As a result of the experiment, Brussels Sprouts Extract inhibited NO production, TNF-α and IL-8 in a concentration-dependent manner without cytotoxicity, and showed significant inhibition especially at a concentration of 1000 mg/mL. Brussels Sprouts Extract, which inhibits the production of inflammatory cytokines, suggests the possibility of reducing inflammatory response and controlling inflammation, and can be seen as providing potential as a health functional food or prevention and treatment of inflammation.

A Study on the Reliability of Storage/Retrieval for Warehouse Layout Based on Shuttle Rack System (셔틀랙 기반 물류센터의 레이아웃별 반출입 신뢰성에 관한 연구)

  • Seung-Pil Lee;Hyeon-Soo Shin;Hwan-Seong Kim
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2021.11a
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    • pp.101-103
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    • 2021
  • With the rapid increase in the quantity of goods transported worldwide, companies are now started to show great interest in unmanned automated warehouses along with related research and development due to the increase of warehouse efficiency and reduction warehouse manpower. In a number of small warehouses, shuttle rack-based layouts that can handle inventory flow flexibly. However, the shuttle rack-based logistics center does not operate in case of emergency situations (faults, power outages, etc.), which seriously affects the efficiency and inventory management of the entire logistics center. Accordingly, in shuttle rack-based logistics center, we have classified various shuttle passages and RTV passages by layout and have analyzed its characteristics and types, along with derived reliability for each layout. The loading rate was also derived differently according to the number of passages, and have compared and analyzed reliability and loading rate for each layout.

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Vegetation Changes and Yields of Tall Fescue-based Mixture Pasture in the Central Region of South Korea

  • Jeong Sung Jung;Se Young Lee;Mirae Oh;Hyung Soo Park;Bae Hun Lee;Ki Choon Choi
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.43 no.4
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    • pp.199-205
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    • 2023
  • Pasture formation and management are crucial to avoid yield reduction. This experiment aimed to examine the effects of tall fescue-centered mixed-seeding combinations on yield and vegetation changes in perennial pastures in the central region for two years, from September 2020 to October 2022. The treatments were arranged in three replications in a randomized block design: control (C), tall fescue-based mixture-1 (T-1), and tall fescue-based mixture-2 (T-2). The tall fescue (TF), orchard grass (OG), perennial ryegrass (PRG), Kentucky bluegrass (KBG), and white clover (WC) were used. The emergency rate of grasses (70.0 to 73.3%) did not differ among mixed seeding combinations. Overwintering rates (81.7 to 83.3%) were similar among treatments. The plant height of grasses was similar at each harvest date, with the highest height (86.2 cm) recorded in the second harvest of the first year, followed by that (58.4 cm) in the third harvest of the first year; it was least (38.9 cm) in the fourth harvest of the second year. There was no significant difference in the dry matter yield of grasses among the mixed seeding combination treatments in the first, third, or fourth harvests of the first year (p>0.05). For second-year grasses, dry matter yield was not significantly different in harvest date among the treatments (p>0.05). Based on mixed seeding ratio, orchard grass showed the highest yield at 70% in the C treatment, followed by tall fescue at 80% and 60% in the T-1 and T-2 treatments, respectively, in the first harvest after seeding. There was no significant difference in feed value between treatments (p>0.05), but a significant difference was observed between the third and fourth harvest (p<0.05). Therefore, it indicated that it is important to create perennial pastures in the central region through mixed seeding combinations centered on tall fescue.

A study of the continuing education of 119 paramedics: Focusing on the Satisfaction and Educational needs of continuing education (119구급대원의 보수교육에 관한 연구 : 만족도 및 교육요구도를 중심으로)

  • Yeong-Ho Myoung;So-Eun Park;Byoung-Gil Yoon;Jung-Hee Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.237-244
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    • 2023
  • The aim of this study was to explore the satisfaction and needs of 119 paramedics with regard to continuing education and to develop and implement a continuing education program that can enhance their competence in accordance with the purpose of continuing education. The differences in satisfaction with continuing education according to general characteristics were significantly different depending on age, qualification, and clinical experience, and in terms of continuing education topic needs, 'Advanced Trauma Life Support' was the highest need among all groups, and additional desired continuing education topics were the management of mentally ill patients and various field case-based education, indicating a high preference for practical topics that are helpful in emergency patient care work. Therefore, it is believed that efforts should be made to improve the operation of continuing education from various angles, taking into account the general characteristics of continuing education recipients, and improving the quality of continuing education by reflecting the needs of continuing education recipients and selecting practical topics for continuing education.

Comparison of hybrid arch bar versus conventional arch bar for temporary maxillomandibular fixation during treatment of jaw fractures: a prospective comparative study

  • Samriddhi Burman;Santhosh Rao;Ankush Ankush;Nakul Uppal
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.6
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    • pp.332-338
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    • 2023
  • Objectives: This study aimed to compare the effectiveness of a hybrid arch bar (hAB) with the conventional Erich arch bar (EAB) for the management of jaw fractures, focusing on their use for temporary fixation in patients undergoing open reduction and internal fixation (ORIF). Materials and Methods: Patients presenting with maxillary and mandibular fractures at our institution were included in this prospective, comparative study. Placement time and ease of occlusal reproducibility were recorded intraoperatively for Group A (hAB patients) and Group B (EAB patients). The primary outcome was comparison of the postoperative stability of the two arch bars. Postoperative measurements also included mucosal overgrowth, screw loosening or wire retightening, and replacement rates. The data were tabulated and computed with a P<0.05 considered statistically significant. Results: The study included 41 patients. A statistically significant difference was observed in postoperative stability scores (3) between Group A and Group B (85.0% vs 9.5%, P=0.001). The mean placement time in Group A (23.3 minutes) significantly differed from that in Group B (86.4 minutes) (P<0.001). The ease of intraoperative occlusion was not different between the two groups (P=0.413). Mucosal overgrowth was observed in 75.0% of patients (15 of 20) in Group A. Conclusion: The hAB was superior to EAB in clinical efficiency, maxillomandibular fixation time reduction, stability, versatility, and safety. Despite temporary mucosal overgrowth, the benefits of hAB outweigh the disadvantages. The choice between hAB and EAB should be based on specific clinical requirements.

Influence of loading and unloading of hydraulic support on the caving property of top coal

  • Huayong Lv;Fei Liu;Xu Gao;Tao Zhou;Xiang Yuan
    • Steel and Composite Structures
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    • v.48 no.1
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    • pp.103-111
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    • 2023
  • The caving property of top coal is a key factor to the success of top coal caving mining. The influence law of cyclic loading and unloading of hydraulic support on top coal caving is of great significance to improve the recovery rate of top coal. The similar simulation methods were used to study the dynamic evolution of the top coal cracks under the multi-cycle action of the support, and the parameters of top coal cracks were analyzed quantitatively in this paper. The results show that the top coal cracks can be divided into horizontal cracks and vertical cracks under the cyclic loading and unloading of the support. With the increase of the times of the support cycles loading and unloading, the load on the support decreases, the fractal dimension of the cracks increases, the number and total length of the top coal cracks increases, and the top coal caving is getting better. With the increase of the times of multi-cycle loading and unloading, the fractal dimension, total crack length and crack rate of top coal show a trend of rapid increase first and then increase slowly. Both the total length of the top coal cracks and the crack rate basically show linear growth with the change of the fractal dimension. The top coal caving can be well improved and the coal resource recovery rate increased through the multi-cycle loading and unloading.

A Study on the Design of System Access Control Software For the Improvement of the Stability and Survivability of Naval Combat Management System

  • Jong-Hyeon Im
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.12
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    • pp.137-145
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    • 2023
  • In this paper, we propose system access control software that improves the survivability of the naval combat system while maintaining security and stability. The software was improved by improving the operating environment configuration and user authentication process of the system access control software that constitutes the naval combat system, defining the operating environment classification of the naval combat system, and applying a software parallel execution process considering the load rate. Through this, the waiting time required to configure the environment is shortened, providing rapid operation to the operator, and improving the fact that the naval combat system cannot be operated unless the environment configuration is completed even in emergency situations. In order to test the performance, a test environment was created by simulating the existing naval combat system, and the execution time for each operation category was measured and compared. Compared to the existing naval combat system, the execution time of the basic combat system was reduced by about 69.3%, the execution time of the combat system was reduced by about 54.9%, and the execution time of the integrated combat system was confirmed to be reduced by about 8.4%.