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Convergent Influence Effect on the High - Quality CPR of 119 Paramedics by Wearing Personal Protective Equipment by Level (구급대원의 수준별 개인용 보호구 착용에 따른 심폐소생술 품질에 미치는 융합적인 영향)

  • Shin, Dong-Min;Cho, Byung-Jun;Yang, Hyun-Mo;Jeon, Seong-Man;Han, Yong-Taek
    • Journal of the Korea Convergence Society
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    • v.11 no.4
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    • pp.71-78
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    • 2020
  • The purpose of this study is to investigate the effect of wearing clothes, Level B, and Level C PPE on normal CPR using mannequins. The paramedics who participated in this experiment were 20 paramedics with more than 5 years of experience in firefighting area C. It was found that chest compressions in the process that hand off time was 11.9 seconds in the uniform wearing group, 11.4 seconds in the level C PPE wearing group, and 13.1 seconds in the SCBA wearing group. In other words, wearing personal protective equipment prevents the movement of paramedics and uses compensatory movements, which may increase the difficulty of efficient first aid. If this situation persists, it may cause fatigue and damage to the body of paramedics. Rescue and paramedics should wear level personal protective equipment in case of emergencies and conduct rescue and CPR training.

Welder's Exposure to Airborne Hexavalent Chromium and Nickel during Arc Welding in a Shipyard (모 조선업체 아크 용접 작업자의 공기중 6가 크롬 및 니켈 노출에 관한 연구)

  • Shin, Yong Chul;Yi, Gwang Yong;Lee, Na Roo;Oh, Se Min;Kang, Seong Kyu;Moon, Young Hahn;Lee, Ki Ra
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.8 no.2
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    • pp.209-223
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    • 1998
  • The aim of this study was to evaluate welders' exposure to hexavalent chromium (Cr(VI)) and nickel (Ni) during welding operations in a Korean shipyard. The airborne Cr(VI) and Ni concentrations were measured during metal inert gas (MIG) welding on mild and stainless steel, and manual metal arc (MMA) welding on mild steel. The geometric mean (GM) of Cr(VI) concentrations inside the welding helmet during MIG welding on mild steel were $0.0018mg/m^3$ inside a ship section, and $0.0015-0.0026mg/m^3$ at the welding shops. All of the personal breathing zone air samples were below the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value ($TLV^{(R)}$) of $0.01mg/m^3$. Conversely, eighty-eight percent(21 of 24) of the personal breathing zone air samples exceeded the National Institute for Occupational Safety and Health (NIOSH) recommended exposure limit of $0.001mg/m^3$. Ni was not detected on 20 of 23 air samples collected during MIG welding on mild steel. The three Ni samples above the limit of detection ranged from 0.015 to $0.044mg/m^3$. The GM of Cr(VI) concentrations during MMA welding on mild steel were $0.0013mg/m^3$, but Ni was not detected in the air samples during this operation. It is assumed that the airborne Cr(VI) and Ni during mild steel welding were derived from the base metals which contained about 0.03% Cr and 0.03% Ni. The GM of airborne total Cr, Cr(VI) and Ni concentrations during MIG welding on stainless steel were 4.02, 0.13 and $0.86mg/m^3$, respectively, and the levels of Cr(VI) and Ni were above the ACGIH-$TLV^{(R)}$. Cr(VI) comprised about 35.5% of the total chromium(Cr) from MIG welding on mild steel, and about 8.4% of total Cr from MIG welding on stainless steel. The ratios of Cr(VI) to total Cr were significantly different among welding shops. It was concluded that welders were exposed to high levels of Cr(VI) and Ni during welding on stainless steel, and were exposed to low levels of Cr(VI) even during welding on mild steel.

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Analysis of the In-Patients Who were Admitted due to Bicycle Related Injuries (자전거 사고로 입원한 환자에 대한 분석)

  • Lee, Dong-Hoon;Kim, Byung-Kuk;Yoon, Hyung-Ku;Shin, Dong-Eun;Lee, In-Sung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.1
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    • pp.58-64
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    • 2010
  • Purpose: Bicycle riding is an increasingly popular sports and leisure activity in Korea. The aim of this study was to identify injury patterns of admitted patients who were injured from bicycle riding. Materials and Methods: This study examined 71 patients from Jan. 2008 to May 2009. There were 54 male and 17 female patients. We investigated the injured body parts, mechanisms of injury, location of injury, types of bicycles, purpose of bicycle riding, any concomitant luggage or passenger on rear seat, injury seasons and the helmet use. We analyzed the data using Injury Severity Score(ISS). Results: There were 11 cases of ISS 1, 41 cases of ISS 4, 2 cases of ISS 5, 13 cases of ISS 9, one case of ISS 13, two cases of ISS 16 and one case of ISS 29 among the 71 patients. 36 patients(50.7%) underwent surgery for upper and lower extremity injuries, two patients for vertebral body fractures, 8 patients for facial bone injuries and one patient for abdominal organ injury. There were 10 head injuries among whom three patients received treatment in ICU(4.2%). Conclusion: Bicycle riding can cause severe injuries with subsequent admission and major surgeries. Several measures including constructing more bicycle road, public campaign and wearing protective gears should be instituted.

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Measurement of Neuromagentic Evoked Fields Using Korean Magnetoencephalography system and Its Clinical Application (한국형 뇌자도 시스템을 이용한 유발 자계 측정 및 임상 응용)

  • Kim, Bong Soo;Chang, Won Seok;Hwang, Su-Jeong;Kim, Kiwoong;Kwon, Hyukchan;Yu, Kwon-Kyu;Kim, Jin-Mok;Lee, Yong-Ho;Chang, Jin Woo
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.10
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    • pp.213-220
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    • 2014
  • Korean magnetoencephalography (MEG) system had been developed and installed to hospital. The Korean MEG system contains helmet-shaped arrays of 152 first-order double relaxation oscillation SQUID (DROS) sensor. As a clinical application we have measured and analyzed evoked responses in patients with functional brain disease by outer stimulation as follows; 1) auditory evoked field in patients with hemifacial spasm, 2) somatosensory evoked fields in patients with tumor. We confirm that neuromagnetic data by Korean MEG system can provide useful information for pre-surgical planning or functional brain research.

A Study on The Costume of The Kory Dynasty(2) -See through by the human being on the Buddist Panting of Koryo Dynasty hang on the wall(2)-1 (고려시대 인물관련 제작물을 통해서 본 복식에 관한 연구(2) -고려시대 인물관련 제작불화중 '탱화'를 통해서 본 복식에 관한 연구(2)-$\circled1$ -남녀 왕실 귀족 및 관직자 복식을 주로하여-)

  • 임명미
    • Journal of the Korean Society of Costume
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    • v.22
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    • pp.205-224
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    • 1994
  • It was aimed to study the costume of Koryo dynasty based upon the thirty pictures of Bud-dha to hang on the wall among the existing Buddist paintings. The costume to study were made about 64 years during the King Chung-yol(1286) to the King Chung-jong(1350) which style was mostly related in Won Dynasty. 가) Men's wear ; 1. Hair style and hair dress ; Man tied up a top knot and they put on the hat such as a Kuan Kun and Mo. The young boys binds his hair up one, two, and three knot-s, and tied up with a hair ribbon, A kinds of Kuan-mo were Mine-lu-kuan Yuan-yu-kuan, Nong-kuan, Hae-chi-kuan Pok-du Yun-wha-kuan Yip-mo- and Tu-ku(Helmeto) 2. clothes ; 1) Colour of Koryo King's Mien-ku Kuan costume was not agree with blue and reddish black colour which was used in Yo, Song, Kum and Won Dynasty, however black and greenhish blue colour was agreed with. 2) The king wore T'ung-t'ien-kuan(Yuan-yu-kuan) and the government officials wore Chin-hien-kuan Hae-chi-kuan and Nong-kuan as a court dress. In general the king and the Crown Prince wore a hats which was used in T'ung-t'ien system however sometimes they wore small hats which was cited in literature. 3) Gate guard and upper garment wore colourful costume figured gold colour pattern which was distin-gtive costume system of Koryo. 4) A monk wore big sleeve long skirt big sleeve long jacket long skirt and shoulder scar-f full shoulder scarf or right hand shoulder opened scarf. 5) The Soldiers wore helmet shoulder or scarf pee-back hung-kap, pok-kap, yang-dan-g-kap we-yu-kap kun-kap, and boots and they carried arms. 6) The young boys wore scarf, loin cloth, long skirt, belt neckless, wan-silk, boots and foots wear and wristless. 나) Women's wear ; 1. Hair style and hairs and tied up with a hair ribbon and wore precious ston decorated hair dress wheel shape hair dress pan shaped head dress handkerchif covered hair dress decorated precious stone hair pin silk chippon made of head dress muf-fler shaped hairdress. Boots mocasin hae lee, suk and sandle wored as a shoes depends on the classes. They wore neckless, earing wres-tless and wan-pu-sik. 2. Closthe 1) High rank lade's wore un-kyun attached jacket and jacket sleeves decorated pleats and pleats decorated long skirt apron back apron knot belt, scarf this type is the same with Dang Dynasty five dynasty of china Song, Kum Won, Myung Dynasty and our cos-tume of Poe-hae, and Shilla Dynasty.

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A Study of Costumes lllustrated in the Ten folding screens on Queen Myong-hun's 70th Birthday Celebration(헌종왕후 칠순 진찬도병) and Described in the Prospectus of the Celebration Ceremony(신축진 찬의궤) (헌종왕후 칠순 신찬 10곡도병과 신축신찬의궤에 나타난 복식연구)

  • 유송옥
    • Journal of the Korean Society of Costume
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    • v.32
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    • pp.31-43
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    • 1997
  • The costumes on a royal ceremony and the changes thereafter during the Korea Empire(1897-1910) have been elucidated through the review on the paintings on Queen Myong-Hun's 70th birthday celebration and the prospectus of the ceremony. Queen Myong-Hyn wore ceremonial gown in deep blue with 51 embroidered phoenix on it. The deep blue color the royal color in the Korea Empire replaced former red color. Go-jong wore violet crown and ceremonial suit in gold color. Twenty one kinds of court dance were offered during the celebration ceremony. Costumes therein appear to have an order according to the role ofdancers. most female dancers(in 17 performances not else-where specified) wore a rather common cos-tume-flower cap outer silk garent in green hand veils in 5 colors silk skirt in red) embroidered silk belt in red and shoes in green. In Sun-you-ak two female lead dancers were red hat decorated with tiger whisker deep blue outer garment wide red belt silk boots in black bow and arrows on back and a sword and a whip in hands. In Choonaang-jon a fe-male solo dancer wore a silk outer garment in yellow silk skirt in red green lorum embroidered silk belt in red wrist band of gold embroidered red silk and 5 color hand veils. In Yon-wha-dae two young girl dancers wore lotus-form crown green outer garment wide pants in red silk red silk skirt red silk belt hand veils in jade color and silk shoes in deep red. In Moo-go 4 female dancers each wore long waist coat in blue red white and warm light green in addition to the above-mentioned common costume. In Gumkee-moo 4 female dancers wore hatlike wool helmet outer garment with narrow sleeve long silk waist coat in blue combat belt in deep blue silk and dance swords in both hands. In Youk-wha-dae 6 female dancers each wore a long waist cost in red deep blue violet pale pink green and jade color. Green color of outer garment in the above-mentioned common costume of female dancers appears intersting. Although the color was shown as yellow in the screen paintings actually it was green as evidenced by the prospectus of the celeebration ceremony.

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Main Features of Leather Armor from the Joseon Dynasty in the National Museum of Korea (국립중앙박물관 소장 조선시대 피갑(皮甲)의 특징에 관한 고찰)

  • Hwang, Jinyoung
    • Conservation Science in Museum
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    • v.20
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    • pp.61-76
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    • 2018
  • The National Museum of Korea conducted conservation treatmenton the armor in its collection for the purposes of public display and appropriate preservation. This was preceded by a literature study on the types and features of the armor in order to collect basic data for secure and accurate conservation treatment. The literature study found that during the Joseon dynasty, armor was named in reflection of precise details including the color, material, status of the wearer, and even the certain parts of a suit of armor. In general, the name of armor includes the details in the order of color, underlying textile, and scale material (e.g., iron, leather). The former part of the name presents the features of the garment and the latter part refers to the material of the scales or the status of the wearer. The study also found that main materials used in armor include textiles, leather, and metal, and armor can be classified by the materials of the scales-e.g., metal armor (鐵甲), leather armor (皮甲), paper armor (紙甲), paper-and-fabric armor (淹心甲), silk armor (緞甲). Joseon-period armor can also be classified into four types according to its structure and the method of wearing, and overcoat(袍)-style armor was the most widely used in the period following the Japanese Invasion of Joseon (1592-1598) through the late nineteenth~early twentieth century. Overcoat-style armor was commonly worn by infantry, and the four examples of armor with leather scales at the National Museum of Korea belong to this category.

Selective Beam Shielding Method of Gamma-Knife Unit Using Various Plugging Patterns (다양한 Plugging 형태를 이용한 감마나이프의 선택적 빔 차폐 방법)

  • Jang Geon Ho;Lim Young Jin;Shin Dong Oh;Choi Doo Ho;Hong Seong Eon;Leem Won
    • Radiation Oncology Journal
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    • v.11 no.2
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    • pp.439-448
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    • 1993
  • The B-type gamma knife unit was installed at Kyung-Hee University Hospital in March 1992. The selective beam plugging method can be used to reduce the low percentage isodose profiles of normal sensitive organ and to modify the isodose curves of treatment volume for better shaping of the target volume. For representing the changes of the low percentage isodose profiles, the variations of dose distribution for several cases were discussed in this paper. The film dosimetry was peformed for the evaluation of calculated isodose profiles predicted by KULA dose planning system. The results were verified by RFA-3 automatic densitometry. The clinical application of selective beam shielding method was peformed in 17 patients in 100 patients who have undergone gamma knife radiosurgery for a year. The calculated and the measured isodose profiles for the high percentage regions were well consistent with each other. When the target of pituitary tumor is macro-size, the selective beam shielding method is the most applicable method. When the target size, however, is small, the correct selection of the proper helmet size is very important. All patients were exposed almost about 3~12 Gy for brain stem, and 3~11.2 Gy for optic apparatus. It is recommended that the same or other plugging patterns with multiple isocenters should be used for protection of the radiosensitive normal structures with precise treatment of CNS lesions.

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What Can We Apply to Manage Acute Exacerbation of Chronic Obstructive Pulmonary Disease with Acute Respiratory Failure?

  • Kim, Deog Kyeom;Lee, Jungsil;Park, Ju-Hee;Yoo, Kwang Ha
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.2
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    • pp.99-105
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    • 2018
  • Acute exacerbation(s) of chronic obstructive pulmonary disease (AECOPD) tend to be critical and debilitating events leading to poorer outcomes in relation to chronic obstructive pulmonary disease (COPD) treatment modalities, and contribute to a higher and earlier mortality rate in COPD patients. Besides pro-active preventative measures intended to obviate acquisition of AECOPD, early recovery from severe AECOPD is an important issue in determining the long-term prognosis of patients diagnosed with COPD. Updated GOLD guidelines and recently published American Thoracic Society/European Respiratory Society clinical recommendations emphasize the importance of use of pharmacologic treatment including bronchodilators, systemic steroids and/or antibiotics. As a non-pharmacologic strategy to combat the effects of AECOPD, noninvasive ventilation (NIV) is recommended as the treatment of choice as this therapy is thought to be most effective in reducing intubation risk in patients diagnosed with AECOPD with acute respiratory failure. Recently, a few adjunctive modalities, including NIV with helmet and helium-oxygen mixture, have been tried in cases of AECOPD with respiratory failure. As yet, insufficient documentation exists to permit recommendation of this therapy without qualification. Although there are too few findings, as yet, to allow for regular andr routine application of those modalities in AECOPD, there is anecdotal evidence to indicate both mechanical and physiological benefits connected with this therapy. High-flow nasal cannula oxygen therapy is another supportive strategy which serves to improve the symptoms of hypoxic respiratory failure. The therapy also produced improvement in ventilatory variables, and it may be successfully applied in cases of hypercapnic respiratory failure. Extracorporeal carbon dioxide removal has been successfully attempted in cases of adult respiratory distress syndrome, with protective hypercapnic ventilatory strategy. Nowadays, it is reported that it was also effective in reducing intubation in AECOPD with hypercapnic respiratory failure. Despite the apparent need for more supporting evidence, efforts to improve efficacy of NIV have continued unabated. It is anticipated that these efforts will, over time, serve toprogressively decrease the risk of intubation and invasive mechanical ventilation in cases of AECOPD with acute respiratory failure.

A Landscape Possessor and Enjoyment of Jongho on the Mansutan River Traced by Stone Inscription and 'Jongho Eight Views' (바위글씨와 팔경으로 추적한 만수탄(萬水灘) 종호(鍾湖)의 경관 향유자와 풍류상)

  • Rho, Jae-Hyun;Kim, Hwa-Ok;Park, Yool-Jin;Kim, Hong-Gyun
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.38 no.1
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    • pp.53-66
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    • 2020
  • This study was attempted to seek the garden enjoyment of the Yang Un-geo etc., in the head house(宗宅) of Namwonyang's family and Jongho in Sunchang Gumiri through literature and field research. Admirers of Jongho were "six old Taoist hermit", including Cholo(楚老) Yang Un-geo(楊雲擧, 1613-1672) and Yangjindang Haman-ri, the author of Jongho-palgyeong, who was very close friends of Yang, as well as his son-in-law or out-law. Jonghojeong Pavilion, overland rock and nearby Takyeongjeong, which were built around a stone island shaped like a helmet, and a pool along the river, are known as 'Imcheonwonrim(林泉園林)' as the center of the custom that was conducted based on head house, which is up to 2km away from Jongho. Jongho-palgyeong is found to share the characteristics of Jeongja Palgyeong, which is based on Jonghoam, overland and Takyeongjeong, and the characteristics of the town's township of Namwonyang, Gumi-ri. The number of rock letters identified by the Mansutan members is a total of nine points, which clearly indicates that the scene was a scene where the custom of call to create poetry·fishing·playing musical instruments and drinking, as well as the scenery and landscape structure of the Jongho Palgyeong. Jongho Palgyeong, its customs and surrounding rock writing are highly suggestive and valid cultural views to remind or direct the old landscape of Mansutan Jongho and suggest to modern traditional landscapes as well as the "Noblesse oblige landscape enjoyment case."