• Fire Science and Engineering
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• v.32 no.3
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• pp.116-122
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• 2018

In Chemical, Biological, Radiological and Nuclear (CBRN) disaster, integrated and optimized equipment package including stretcher, isolation unit, patient monitoring and treatment equipment is essential to achieve proper treatment and prevent secondary contamination. The purpose of this study was to evaluate the efficiency and ease of use of integrated CBRN disaster equipment package for disaster medical response. This study was a randomized crossover study using a manikin simulation for emergency medical technitian (EMT). All participants used the existing devices and prototype of integrated CBRN disaster equipment package alternately. Efficiency was measured by time from vital sign change to detection or treatment application. Ease was use was measured by questionnaires for each patient monitor, stretcher care and isolation unit. 12 EMTs were enrolled. hypoxia-detection time of integrated equipment group was significantly shorter than existing equipment group (4.9 s (3.8-3.9) vs 3.5 s (2.5-3.9), p < 0.05). There was decreasing tendency of ECG change detection and facial mask oxygen supply but no statistical significance was observed. Overall satisfaction of patient monitoring device in integrated equipment group was significantly higher than existing devices (4(3.5-5) vs 3(3-3), p < 0.05). The use of integrated CBRN disaster equipment package shortened the hypoxia detection time and improved usability of vital sign monitor compared to existing devices.

• Journal of the Korean Society of Radiology
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• v.84 no.4
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• pp.891-899
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• 2023

Purpose To survey perceptions of certified physicians on the protocol of chest CT in patients with coronavirus (COVID-19) using a negative pressure isolation stretcher (NPIS). Materials and Methods This study collected questionnaire responses from a total of 27 certified physicians who had previously performed chest CT with NPIS in COVID-19 isolation hospitals. Results The nine surveyed hospitals performed an average of 116 chest CT examinations with NPIS each year. Of these, an average of 24 cases (21%) were contrast chest CT. Of the 9 pulmonologists we surveyed, 5 (56%) agreed that patients who showed abnormalities in serum D-dimer required contrast chest CT. All 9 surveyed radiologists agreed that the image quality of the chest CT with NPIS was sufficient for CT image interpretation regarding pneumonia or pulmonary embolism. Furthermore, in our 9 surveyed infectionologists, 5 (56%) agreed that a risk of secondary infection in the CT room after temporary opening of NPIS could be prevented through a process of disinfection. Conclusion Experienced physicians considered that the effects of NIPS on chest CT image quality was minimal in patients with COVID-19, and the risk of CT room contamination was easily controlled.

• Korean Journal of Optics and Photonics
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• v.11 no.6
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• pp.429-433
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• 2000

A study of the tunable fiber DFB laser using PZT-stretcher is presented. The device has an laser ocsillator by using a fiber Bragg grating at 1559.4 nm written directly into a 3-cm long $Er^{3+}$ doped fiber. Post UV-exposure method to provide the necessary phase shift is used for a single mode operation. The device shows the single mode operation of $230\muW$ output power and has a narrow linewidth of 35 kHz. The lasing wavelength of the laser can be tuned in a range of 3 nm by stretching the grating.rating.

• Journal of the Ergonomics Society of Korea
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• v.29 no.2
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• pp.211-216
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• 2010

Fire service personnel and ambulance paramedics suffer musculoskeletal disorders as they lift and carry patients while performing Emergency Medical Services (EMS). The objective of the current study was performed to examine the association between working environment and musculoskeletal disorders of 119 paramedics and to analysis the EMS activities for them through basic survey (including task characteristics, risk factors, symptoms and illnesses). Observational job analysis of EMS activities indicated the squatting posture during first-aid performed on floor and the abrupt use of force during carrying heavy load including stretcher with patients on as hazard factors, and excessive low back twisting and bending during stairway transfer was observed. In addition, work-physiological assessment revealed various but rather high lumbar muscle usage rate among the study subjects, being 14.6~32.8% compared with Maximum Voluntary Contraction (MVC) during patients transfer work. Resting heart rate showed 65/min, on the other hand, heart rate on mobilization indicated maximum 124~156/min. Therefore, the results of analysis to the EMS activities, rescuer activities and medical tasks were accompanied with high possibility of accident and musculoskeletal disorders. Also, EMS activities indicated high muscle fatigue and energy consumption, and accumulated muscle fatigue with during continued work.

• Journal of Families and Better Life
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• v.22 no.6 s.72
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• pp.1-11
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• 2004

The purpose of this study was to provide basic information about efficient space use in the dining and bathing area through the analysis of service flowing. Four researchers observed the service flowing and the using behavior at those areas. The results of the study were as follows: Dining service was proceeded as resident moving, waiting, meal serving, dining, moving and arranging in order. The waiting stage was one of the problematic processes since the staffs made the residents wait to) long at a fixed position. The program right before the meal serving will be helpful for reducing tediousness of the elderly residents. Another problem was that the area was not big enough for the meal sowing. The legal regulation Is needed to prescnbe for the size of dining area per resident. The flowing of bathing service was proceeded as staff preparation, moving, waiting, undressing, bathing, drying, dressing, moving and arranging in order. There were more problems in the dressing area than in the bathing area. The elderly with stretcher or wheelchairs had difficulty in entering the narrow doorway. The dressing area was so crowded with the staffs, undressed elderly, dressed elderly, and other laundries. The division of dressing and undressing area is required to avoid the confusion of the users in the area.

• Journal of Radiation Protection and Research
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• v.12 no.1
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• pp.12-25
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• 1987

A basic multichannel analyser (MCA) system have been designed and constructed with the successive approximation type ADC (Analog to Digital Converter). Linear Gate, window, and palse stretcher consist of mainly linear and logic IC's, and are properly combined together to achieve short dead time and good linearity of the system. ADC 1211 (analysing time: $120{\mu}sec$) and S-RAM (static random acess memory) 6264 are used in ADC module. Two 6264 memories are connected in parallel in order to-provide enough counting capacity ($2^{16}-1$). Interfaced microcomputer Apple II controls this system and analizes the counted data. The system is tested by input pulses between 0V to 10V from oscillator.

• Nuclear Engineering and Technology
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• v.37 no.3
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• pp.279-286
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• 2005

A prototype of a relativistic proton generation system, based on laser-induced plasma interaction, has been designed and fabricated. The system is composed of three major parts: a fs TW laser; a target chamber, including targets and controls; and a diagnostic system for charged particles and lasers. An Offner-type pulse stretcher for chirped pulse amplification (CPA) and eight pass pre-amplifier are installed. The main amplifier will be integrated with a new pumping laser. The design values of the laser at the first stage are 1 TW in power and 50 fs in pulse duration. We expect to generate protons with their maximum energy of approximately 3 MeV and the flux of at least $10^6$ per pulse using a 10 $\mu$m Al target. A prototype target chamber with eight 8-inch flanges, including target mounts, has been designed and fabricated. For laser diagnostics, an adaptive optics based on the Shack-Hartmann type, beam monitoring, and alignment system are all under development. For a charged particle, CR-39 detectors, a Thomson parabola spectrometer, and Si charged-particle detectors will be used for the density profile and energy spectrum. In this paper, we present the preliminary design for laser-induced proton generation. We also present plans for future work, as well as theoretical simulations.

• The Korean Journal of Emergency Medical Services
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• v.24 no.2
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• pp.39-50
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• 2020

Purpose: This study aimed to compare the effect of chest compression and the resulting ventilation volume in walking cardiopulmonary resuscitation (CPR), straddling CPR, and mechanical CPR while moving manikins to main stretchers. Methods: We compared the chest compressions in terms of compression depth, number of incomplete releases, complete release depth, compression rate, duration between peak time of previous compression and peak time of current compression, and respiration. We analyzed the compression comparatively with the ventilation volume in three different types of CPR. Results: The chest compression depth was significantly improved during straddling CPR as compared to walking CPR, during which women were unable to achieve sufficient chest compression depth. A constant chest compression depth was maintained during mechanical CPR. Conclusion: High-quality chest compressions were difficult to achieve in moving spaces. Further, walking CPR may be helpful in men, but straddling or applying automatic chest compressions in women would result in more effective CPR. Our findings demonstrate the limitations and trends in administering CPR in men and women, which may be useful in devising better education and training methods in the future.

• Journal of the Korean Society of Safety
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• v.29 no.4
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• pp.172-179
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• 2014

This research suggests that the regulation, design and improvement of domestic and international ambulances so that make the basis for the future ambulance in Korea. It is true that the diversification of current disasters, increasing elderly population, the increase in emergency patients, due to the lack of effective transfer system, emergency vehicle's performance problem, and the aging of ambulances cause have difficulty in providing effective emergency services in domestic country. Therefore, in order to improve the effectiveness of ambulance, the history of ambulance, other relevant provisions include international, design and directions to be improved were investigated, and also research directions of the ambulance are suggested in domestic country. In this research, suggests the following conclusions to improve domestic ambulance 1. Through standardization of the spacing and location of an ambulance is needed to maximize the treatment room. 2. The interior of the ambulance design for hygiene and infection control should be included. 3. Stretcher and equipment are designed to be fitted to each other should be standardized. 4. Especially during transfer maintain the road, noise, vibration, and shock-absorbing function to emphasize the importance. 5. The improvement of ergonomic design is necessary for the possibility of applying to many people.

• Geomechanics and Engineering
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• v.18 no.3
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• pp.277-289
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• 2019

In this study, an innovative anchoring approach has been developed dealing with all relevant aspects in consideration of previous works. An ultimate pulling force calculation of anchor is presented from a geotechnical point of view. The proposed umbrella anchor focuses not only on the friction resistance capacity, but also on the axial capacity of the composite end structure and the friction capacity occurring around the wedge. Even though the theoretical background is proposed, in-situ application requires high-level mechanical design. Hence, the required parts have been carefully improved and are composed of anchor body, anchor cap, connection brackets, cutter vanes, open-close ring, support elements and grouting system. Besides, stretcher element made of aramid fabric, interior grouting system, guide tube and cable-locking apparatus are the unique parts of this design. The production and placement steps of real sized anchors are explained in detail. Experimental results of 52 pullout tests on the weak dry soils and 12 in-situ tests inside natural soil indicate that the proposed approach is conservative and its peak pullout value is directly limited by a maximum strength of anchored soil layer if other failure possibilities are eliminated. Umbrella anchor is an alternative to conventional anchor applications used in all types of soils. It not only provides time and workmanship benefits, but also a high level of economic gain and safe design.