• Title/Summary/Keyword: rescue the people

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Epidemiology and Outcomes of Traumatic Brain Injury in Elderly Population : A Multicenter Analysis Using Korean Neuro-Trauma Data Bank System 2010-2014

  • Eom, Ki Seong
    • Journal of Korean Neurosurgical Society
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    • v.62 no.2
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    • pp.243-255
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    • 2019
  • Objective : Although traumatic brain injury (TBI) occurs in people of all age groups, the elderly population is at a particular risk. The proportion of elderly population in the society is markedly increasing and Korea is one of the most rapidly aging societies. Here, we analyzed the data from 904 patients older over 65 years who were registered in the Korean Neuro-Trauma Data Bank System (KNTDBS). Methods : The Korean Society of Neurotraumatology recorded data from 20 institutions between September 2010 and March 2014. This retrospective study examined the clinical epidemiology, sex difference, outcome epidemiology, sociodemographic variables, and outcomes in the geriatric population related to TBI based on data from the KNTDBS. Results : The study included 540 men and 364 women. The age distributions in the male and female groups were statistically significantly different. The most common cause of trauma was a fall and diagnosis was acute subdural hematoma. The incidence was the highest in men aged 80-84 years and in women aged 75-79 years. The most common time of arrival to hospital after TBI was within 1 hour and 119 rescue team provided first aid earliest to patients with TBI. The mortality rate stratified according to the cause of trauma was significantly different, with mortality rates of 3.77% in fall and 11.65% in traffic accident. The mortality rates according the severity of brain injury, Glasgow Coma Scale score, and treatment were statistically significant. Conclusion : To our knowledge, this study is the first to focus on elderly patients with TBI in Korea and particularly investigate mortality and characteristics related to TBI-related death based on data from the KNTDBS. Although the study has some limitations, our results may be used to obtain useful information to study targeted prevention and more effective treatment options for older TBI patients and establish novel treatment guidelines and health polish for the geriatric population.

A Study on the Measures for Safety Management at the Coastal Sea Area in Korea (국내 연안해역 안전관리 방안에 관한 연구)

  • Chang, In-Shik
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.15 no.4
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    • pp.393-399
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    • 2009
  • Most of marine casualties occur at the coastal sea areas where maritime traffics are heavy and on the coastal regions such as the beaches and breakwaters, etc. where a lot of people visit. Recently, tile risk of casualties along the coasts has been on the increase due to the revitalization of marine leisure activities in Korea. However, the measures to prevent accidents along the coasts have not kept step with increasing rate of the accidents and the safety management system has not been organized. Recent marine casualties were analyzed to propose alternative measures for safety management to minimize marine casualties along the coasts. Comprehensive safety system and networks are necessary to be established and the integration and unification of the relevant authorities in charge should be accomplished in Korea. In rapid response to marine casualties, the search and rescue system should be established for the systematic and effective life-saving operations in Korean coastal areas.

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An Improvement of missing pet rescue system based on Smart Contract (스마트 컨트랙트 기반의 유실 애완동물 구조 시스템 개선)

  • Kwon, Hyeok-dong;Kim, Hyun-jun;Jang, Kyoung-bae;Seo, Hwa-jeong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.6
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    • pp.786-794
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    • 2020
  • For systematic pet management, the pet registration system has established. It makes the owner of the pet is given greater responsibility through the pet registration system but it also provided with welfare. One of the advantages of the pet registration system is that prepare system what return to owner quickly and safety through information inquiry when the pets are lost. But there are some conflict with the law in the information inquiry, so it occurs interfere the system. In this paper, we propose using the Smart Contract to finding the missing animal effectively. Proposed method discloses only the partially information. Thus it will be eliminated conflict parts, and increases the information accessibility to increase the number of people who can inquiry information. In addition, keeping the RFID inquired feature for compatible with the existing system. The smart contract querying enables quickly and precision access to information. Lastly, compare the proposed method with existing method to see the improvement.

A Study on the relevant laws and regulations for Operation Department of General Hospital in China (중국 종합병원 수술부 관련 법·제도에 관한 연구)

  • Lyu, Cheng;Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.39-46
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    • 2017
  • Purpose: Here is little information about China's operation department of general hospital in Korean medical architecture papers, which is inconvenient for scholars engaged in medical building research and comparison. Furthermore, Surgery is to provide patients with surgery and rescue sites, is an important technical department of the hospital, and then with the development of medical technology and people's trust in medical science, the role of the operating room will become increasingly important. Therefore, the purpose of this research is to analyze history, changes and definitions of the operating room and China's operation department of general hospital related laws and regulations for future research to provide effective analysis of data, and find shortcomings. Methods: This research was conducted according to the relevant laws, books, and papers of the operation department of Chinese general hospital. Results: At present hospital construction in China is in the period of rapid development and coupled with the growing medical technology, operating room layout and configuration is still in the continuous trial of continuous improvement stage. Overall, it requires more detailed guidelines to improve the quality of the operating room. Implications: Implications: It is expected that the research of this paper will provide an effective reference for the future research of the operation department of China General Hospital, which can promote and improve the work system of the operation department of China General Hospital.

Effects of Using a Mobile Phone on Postural Control (휴대전화 이용이 자세조절에 미치는 영향)

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.19 no.3
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    • pp.61-71
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    • 2012
  • In daily activities, people often perform two or more tasks simultaneously. This is referred to as dual-tasking or multi-tasking. The purpose of this study was to examine the effects of performing dual tasks while using a mobile phone on static and dynamic postural stability. Twenty-four subjects were asked to stand on a force plate and then instructed to perform a balance task only (BT), a balance task while listening to music (BTL), a balance task while talking on the mobile phone (BTT), and a balance task while sending text messages (BTS). We used the BioRescue$^{(R)}$ to measure postural sway and limit of stability for static and dynamic postural stability. Also the star excursion balance test (SEBT) was used to measure dynamic postural stability. A one-way ANOVA with repeated measures was used to compare the effects of the BT, BTL, BTT, and BTS. The Bonferroni's post hoc test was used to determine the differences among four tasks. Carrying out the BTS significantly decreased the limit of stability compared with carrying out the BT, BTL, and BTT (p<.05). In limit of stability, total surface area of BTT was more significantly decreased than that of BT and total surface area of BTS was more decreased than that of BT, BTL and BTT (p<.05). In the SEBT, the BTS displayed significantly smaller reach distance values compared with the BT or BTL (p<.05). These findings suggest that performing the balance task while sending text message on the mobile phone decreases dynamic postural stability, whereas performing the same task while listening to music using the mobile phone does not. Therefore, it requires more attention to maintain dynamic balance while sending text messages.

Benzoylaconine improves mitochondrial function in oxygen-glucose deprivation and reperfusion-induced cardiomyocyte injury by activation of the AMPK/PGC-1 axis

  • Chen, Leijie;Yan, Laixing;Zhang, Weiwei
    • The Korean Journal of Physiology and Pharmacology
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    • v.26 no.5
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    • pp.325-333
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    • 2022
  • Heart failure (HF) has become one of the severe public health problems. The detailed role of mitochondrial function in HF was still unclear. Benzoylaconine (BAC) is a traditional Chinese medicine, but its role in HF still needs to be explored. In this study, oxygen-glucose deprivation and reperfusion (OGD/R) was executed to mimic the injury of H9C2 cells in HF. The viability of H9C2 cells was assessed via MTT assay. OGD/R treatment markedly decreased the viability of H9C2 cells, but BAC treatment evidently increased the viability of OGD/R-treated H9C2 cells. The apoptosis of H9C2 was enhanced by OGD/R treatment but suppressed by BAC treatment. The mitochondrial membrane potential was evaluated via JC-1 assay. BAC improved the mitochondrial function and suppressed oxidative stress in OGD/R-treated H9C2 cells. Moreover, Western blot analysis revealed that the protein expression of p-AMPK and PGC-1α were reduced in OGD/R-treated H9C2 cells, which was reversed by BAC. Rescue assays indicated that AMPK attenuation reversed the BAC-mediated protective effect on OGD/R-treated cardiomyocytes. Moreover, BAC alleviated myocardial injury in vivo. In a word, BAC modulated the mitochondrial function in OGD/R-induced cardiomyocyte injury by activation of the AMPK/PGC-1 axis. The findings might provide support for the application of BAC in the treatment of HF.

The Application of Mission Command for the Korea Coast Guard (임무형 지휘의 해양경찰 적용에 관한 연구)

  • Moon, Joong-Sik;Cho, Jun-Eok
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.5
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    • pp.444-453
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    • 2016
  • In this study, I suggested 'Mission command' as the on-scene commander's leadership intended to save people's lives quickly and safely when occured marine accident. First, I considered the concepts and limitations, efforts to introduce and settle the mission command, discussed why the introduction of mission command for Korea Coast Guard, the scope and specific way when applied. Korea Coast Guard must apply the Mission command as the on-scene commander's leadership to achieve efficient rescue work at the scene of an accident, even for incidents that can-not be foreseen. However, mission command cannot be established overnight: long-term, systematic efforts to stably develop mission command at the organizational level are required. We will strive to apply mission command across all aspects of the system, including education, training, personnel, and procedures, equipping each component with the basic requirements for mission command.

The 2018 Fire department emergency medical technician survey (2018년 소방공무원 응급구조사 총조사)

  • Yun, Hyeongwan;Park, Jooho;Lee, Hyeongyeong;Han, Seungtae;Lee, Jeamin
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.145-162
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    • 2021
  • Purpose: The 2018 General survey of emergency assistance was conducted to examine the working conditions and welfare, including educational direction, interests, and awareness of work, of the fire department emergency medical technicians (EMT). This would be used as basic data for future policy directions. Methods: Among the fire-fighting officers in 16 cities nationwide, emergency rescue workers engaged in first-aid activities were targeted. With prior consent, a survey was conducted through electronic documents. Of the total 1,227 people, responses from 1,151 were finally analyzed, excluding 76 who did not respond appropriately. Results: The working conditions and welfare of 119 firefighters were moderate, but in the fields of education and interest, the learning according to the regulations was high. In particular, satisfaction with the scope of work was found to be below average. However, it was positive that it will play a role as a social safety net in the future and will converge with cutting-edge science. Conclusion: Although this study was a total investigation of the EMT survey, conducting an EMT survey on all fire fighters in Korea is difficult. Further research is needed, particularly on first-class emergency medical personnel who play a major role in 119 paramedics.

Comparison of triage and treatment results of abdominal pain patients of pre-hospital and in-hospital conditions (병원전과 병원내의 복통환자 중증도 분류 및 진료결과 비교)

  • Kim, Dong-Hyeon;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.1
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    • pp.7-22
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    • 2021
  • Purpose: This study aimed to identify the differences in pre-hospital and in-hospital triage (pre-hospital triage and KTAS(Korean Triage and Acuity Scale)) of patients with abdominal pain and the characteristics of high hospitalization probability in the treatment results. Methods: We analyzed 941 people who visited the area C emergency center for 2 years from January 2017 to December 2018. The collected data were analyzed using SPSS 26. Results: Among the transfer hospitals, 84.8% (798) of patients were selected by the 119 rescue service, and the most common diagnosis was simple abdominal pain (46.5%, 438 patients). A total of 50.7% (477) of patients classified as severe pre-hospital cases changed to mild in-hospital cases. There was a difference of 5.3% (50 cases) in cases where patients classified as mild pre-hospital were changed to severe in-hospital cases. The Kappa coefficient did not match with 0.04 (p=.051). Pre-hospital overtriage was 58.2% (548 cases), and 71.2% (670) of patients were discharged from the emergency room as a result of the treatment. Conclusion: The results of this study showed that pre-hospital and in-hospital triage were not consistent. The rates of pre-hospital overtriage were quite high. Most patients with abdominal pain were classified as mild cases, and pre-hospital triage classifiers should be trained to reduce errors in selecting transfer hospitals.

A Study on a Elevator Emergency Call Device System and Performance Evaluation based on ICT for Efficient Handling in Emergency Situation (위급상황 시 효율적인 대처를 위한 ICT 기반의 엘리베이터 비상통화장치 시스템 및 성능 비교 연구)

  • Jung, Se-Hoon;Park, Sung-Kyun;Park, Hong-Jun;So, Won-Ho;Park, Dong-Kook;Sim, Chun-Bo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.4
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    • pp.449-459
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    • 2015
  • A lot of people were trapped in elevators without power supply when BLACK-OUT situation occurred in 2011. The telephone network of control room connected to the elevators had problem operating poorly. In this paper we propose an ICT based elevator emergency call device prototype system and evaluate the performance of the system. The proposed system quickly responds in emergency situation to guarantee passenger safety. For the goal, firstly the system tries to connect to a control room. If it fails the system attempts to call numbers for emergency contact and a rescue team sequentially. The system is designed to quickly support emergency contact as well. Finally, the information of elevator failure is rapidly transferred to the failure process device by the proposed system.