• Title/Summary/Keyword: emergent

Search Result 681, Processing Time 0.03 seconds

Severity of Emergency Patient classified by Triage System (중증도 분류체계를 이용한 중증도분류(Triage))

  • Bae, Jung-Hee;Sohn, Sue-Kyung
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.7 no.2
    • /
    • pp.264-274
    • /
    • 2001
  • About the patients who visited the emergency department of a hospital, investigative study was performed to assess and to classify them with triage tool, and to estimate the characteristics of them. 210 patients older than 15 years were investigated. Among them 11 patients who had responded inappropriately were excluded and remaining 210 patients were chosen as study subjects. Investigation had been performed for 30 days from Jan. 10, 2001 to Feb. 9, 2001. The triage tool was designed through the modification of triage tools developed by Kim and Choi. The data were analyzed with the SPSS program using mean, standard deviation, frequency, percentage, ANOVA and Scheffe's test. The results were as follows: 1. Of the characteristics of the study subjects, mean age of patients were 55.76 years and 70-79 years group which included 41 patients(20.6%) were most numerous. 101 (51.8%) patients visited emergency room by 119 emergency service and 91(45.7%) patients walked with assistance. 127 patients were cared in internal medicine department. 2. The distribution of triage scores were from minimum 6 points to maximum 18 points with mean $13.76{\pm}2.58$ points. 3. Triage scores had significant relationship with age(F=13.349,P=0.000), visiting method (F=8.832, P=0.000), walking status(F=28.185, p=0.000), care department(F=2.596, P=0.019), and preexisting disease(F=12.012, P=0.000). 4. After trage there were no urgent patient, 35 emergent patients(17.6%),109 subemergent patients(54.8%), and 55 nonemergent patients (27.6%). The result of emergency care were 80 admission(40.2%), 59 discharge (29.6%), 34 ICU admission(17.1%), 14 transfer to other hospital(7%), 10 operation (5%), and 2 death (2%). 5. About the time required for triage, mean duration to triage were $7.54{\pm}2.28$ mins in emergent patients, mean $7.23{\pm}2.50$ mins in subemergent patients and mean $6.49{\pm}2.19$ mins in nonemergent patients. There were no differences in duration to triage according to the severity of triage. 6. Time required in emergency treatment were mean $116.23{\pm}88.10$ in emergent patients mean $101.61{\pm}73.27$ in subemergent patients and mean $81.56{\pm}61.01$ in nonemergent patients. There were no significant difference among groups. This study depicted that triage scores were below the middle level and there were many geriatric patients in this hospital. Among the characteristics of patients, age, visiting method, walking status, care department, and accompanying disease could be data for triage of emergency patients. With triage score of a patient, the outcome of emergency care of a patient could be anticipated and this could be basal data in determining the priority of emergency nursing.

  • PDF

Analysis of Explanations and Examples of the Brønsted-Lowry Model Presented in Chemistry Textbooks Developed by 2009 Revised Curriculum (2009 개정교육과정의 화학교과서에 제시된 Brønsted-Lowry 모델에 관한 설명과 예시의 문제점 분석)

  • Choi, Hee;Park, Chul-Yong;Kim, Sungki;Paik, Seoung-Hey
    • Journal of the Korean Chemical Society
    • /
    • v.62 no.4
    • /
    • pp.279-287
    • /
    • 2018
  • In this study, we analyzed the explanations and examples of Brønsted-Lowry model in Chemistry I and Chemistry II textbooks of the 2009 revised curriculum. In particular, the definition of the Brønsted-Lowry model, the examples, and the content of experiments were analyzed by the process perspective of chemical equilibrium, emergent process. The analyzed textbooks were 4 kinds of Chemistry I textbooks and 4 kinds of Chemistry II textbooks in 2009 revision curriculum. As a result, Chemical I textbooks did not adequately show the chemical equilibrium viewpoint when explaining the Brønsted-Lowry model. In the Chemistry II textbooks, the examples of Brønsted-Lowry model were not present emergent process viewpoint, and those were described as sequential viewpoint of Arrhenius model. In addition, examples of experiments to demonstrate the Brønsted-Lowry model of Chemistry II textbooks were insufficient. The experimental examples related to the definition of acid bases were at the level of classification by the color change of indicators. The experimental examples for explaining the strength of acid and base were to compare current intensity or amount of hydrogen gas generated from the reaction with metal. In addition, all textbooks presented the state of aqueous solution when describing the Brønsted-Lowry model, causing problems with differentiation from the Arrhenius model. Therefore, it is necessary to develop examples of experiments to help students understand Brønsted-Lowry model by presenting acid and base reaction in the non-aqueous solution state.

Volcanic Processes of Dangsanbong Volcano, Cheju Island (제주도 당산봉 화산의 화산과정)

  • 황상구
    • The Journal of the Petrological Society of Korea
    • /
    • v.7 no.1
    • /
    • pp.1-14
    • /
    • 1998
  • Dangsanbong volcano, which is located on the coast of the western promontory of Cheju Island, occurs in such a regular pattern on the sequences which represent an excellent example of an eruptive cycle. The volcano comprises a horseshoe-shaped tuff cone and a younger nested cinder cone on the crater floor, which are overlain by a lava cap at the top of the cinder cone, and wide lava plateau in the moat between two cones and in the northern part. The volcanic sequences suggest volcanic processes that start with Surtseyan eruption, progress through Strombolian eruption and end with Hawaiian eruption, and then are followed by rock fall from sea cliff of the tuff cone and by air fall from another crater. It is thought that the eruptive environments of the tuff cone could be mainly emergent because the present cone is located on the coast, and standing body of sea water could play a great role. It is thought that the now emergent part of the tuff cone was costructed subaerially because there is no evidence of marine reworking. The emergent tuff cone is characterized by distinctive steam-explosivity that results primarily from a bulk interaction between rapidly ascending magma and external water. The sea water gets into the vent by flooding accross or through the top or breach of northern tephra cone. Dangsanbong tuff cone was constructed from Surtseyan eruption which went into with tephra finger jetting explosion in the early stage, late interspersed with continuous upruch activities, and from ultra-Surtseyan jetting explosions producting base surges in the last. When the enclosure of the vent by a long-lived tephra barrier would prevent the flooding and thus allow the vent to dry out, the phreatomagmatic activities ceased to transmit into magmatic activity of Strombolian eruption, which constructed a cinder cone on the crater floor of the tuff cone Strombolian eruption ceased when magma in the conduit gradually became depleted in gas. In the Dangsanbong volcano, the last magmatic activity was Hawaiian eruption which went into with foundation and effusion of basalt lava.

  • PDF

1D Numerical Model for Rivers Flows with Emergent Vegetations on Floodplains and Banks (정수식생이 존재하는 자연하도에서 1차원 수치모형)

  • Song, Ju-Il;Kim, Jong-Woo;Rim, Chang-Soo;Yoon, Sei-Eui
    • Journal of Korea Water Resources Association
    • /
    • v.44 no.1
    • /
    • pp.9-22
    • /
    • 2011
  • A 1D numerical model for steady flow, based on the energy equation, was developed for natural rivers with emergent vegetations on floodplains and banks. The friction slope was determined by the friction law of Darcy-Weisbach. The composite friction factor of the each cross section was calculated by considering bottom roughness of the main channel and the floodplains, the flow resistance of vegetations, the apparent shear stress and the flow resistance caused by the momentum transfer between vegetated areas and non-vegetated areas. The interface friction factor caused by flow interaction was calculated by empirical formulas of Mertens and Nuding. In order to verify the accuracy of the suggested model, water surface elevations were calculated by using imaginary compound channels and the results of calculations were compared with that of the HEC-RAS. The sensitivity analysis was performed to confirm changed friction factors by vegetations density etc. The suggested model was applied to the reach of the Enz River in Germany, and estimated water surface elevations of the Enz River were compared with measured water surface elevations. This model could acceptably compute not only water surface elevations with low discharge but also that with high discharge. So, the suggested model in this study verified the applicability in natural rivers with emergent vegetations.

Flexibility and Sequential Investment Analysis (융통성(融通性)과 순차적(順次的) 투자분석(投資分析))

  • Min, Gye-Ryo;Park, Gyeong-Su
    • Journal of Korean Institute of Industrial Engineers
    • /
    • v.5 no.2
    • /
    • pp.15-20
    • /
    • 1979
  • Information on the future availability of invested funds provides a decision maker with additional insight into the characteristics of alternatives in sequential investment analysis. The flexibilty to pursue newly emergent investment opportunities is an important property of decision alternatives that describes the future mobility of invested funds. The primary purpose of this paper is to propose a method for measuring flexibility using the concept of negative project balance with project abandonment option.

  • PDF

Combined Cervical Tracheoesophageal Injury by Penetrating Trauma - 2 Cases Reports - (경부 자상에 의한 기관 및 식도의 동시 절단 치험 2례)

  • 김택진
    • Journal of Chest Surgery
    • /
    • v.23 no.2
    • /
    • pp.382-385
    • /
    • 1990
  • In recent era, the incidence of combined injury of cervical trachea and esophagus by penetrating wound has been increased considerably. If initial operative repair is unsatisfied, devastating complications and even death may be considered. A 5 years old boy and 67 years old female were admitted to our department for deep cervical stab wounds. On exploration, cervical trachea and esophagus was nearly total transected anteroposteriorly. Emergent reconstructive surgery for trachea and esophagus had done. Postoperative course was uneventful without any complications.

  • PDF

철도차량의 비상제동거리 해석 시스템

  • 진원혁;이성창;김대은
    • Proceedings of the Korean Society of Precision Engineering Conference
    • /
    • 1995.10a
    • /
    • pp.747-750
    • /
    • 1995
  • As railway trains run faster high performance braking system are necessary because more energy needs to be dissipated due to increased kinetic energy. In this work a portable computer based prediction system for emergency braking distance has been developed. The algorithm for the system is based on braking theory and empirical results of actual braking test. The computer is connected to the sensors to measure the velocity and the braking pressure in real train. It is expected that this system will be utilized to predict emergency braking distance during actual operation of the train

  • PDF

Bronchial Rupture Caused by Trauma -Report of 3 Cases- (외상성 기관지 파열 -3례 보고-)

  • Lee, Jo-Han;Hong, Jong-Myeon;An, Jae-Ho
    • Journal of Chest Surgery
    • /
    • v.28 no.5
    • /
    • pp.513-517
    • /
    • 1995
  • The injuries to the bronchi have been reported with increasing frequencies. The most common cause of such injuries is compression or crushing chest trauma. Early diagnosis and emergent repair should be done for the good prognosis. We report 3 cases who had bronchial injuries after traffic accident. Our operative procedures were a primary bronchial repair for 17 months old boy, a pneumonectomy for delayed recognition and a bronchoplasty procedure 63 days after trauma. All these bronchial ruptures were successfully treated and discharged.

  • PDF

Controller Design for Cooperative Robots in Unknown Environments using a Genetic Programming (유전 프로그래밍을 이용한 미지의 환경에서 상호 협력하는 로봇 제어기의 설계)

  • 정일권;이주장
    • The Transactions of the Korean Institute of Electrical Engineers A
    • /
    • v.48 no.9
    • /
    • pp.1154-1160
    • /
    • 1999
  • A rule based controller is constructed for multiple robots accomplishing a given task in unknown environments by using genetic programming. The example task is playing a simplified soccer game, and the controller for robots that governs emergent cooperative behavior is successfully found using the proposed procedure A neural network controller constructed using the rule based controller is shown to be applicable in a more complex environment.

  • PDF