• Title/Summary/Keyword: 이송대

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The Effect Factors of Survival rate in the Patients with Cardiac Arrest (심정지 환자의 생존율에 미치는 영향요인)

  • Cho, Byung-Jun;Kim, Seon-Rye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.760-766
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    • 2014
  • This study was performed to determine the effect factors in the survival of cardiac arrest patients. This study involved 4,092 cardiac arrest patients of K province, who were transported by 119 during 2010. The data collection involved using 119 rescue daily reports, cardiopulmonary arrest patients emergency treatment detail reports and 119 paramedics survival data. In conclusion, 119 rescue's interventions in the patients with pre-hospital cardiac arrest have significantly increased survival rates. 119 rescue's interventions included early defibrillation, oxygen supply, airway open, and intravenous access affected significantly survival rate. Therefore there is need to increase 119 rescue's interventions performance to improve survival rate of cardiac arrest patients.

Out-of-Hospital Resuscitation of Cardiac Arrest by 119 Emergency Medical Service System (119구급대에 의해 소생한 병원 전 심장정지 환자 1례)

  • Yun, Hyeong-Wan;Lee, Jae-Min;Jung, Ji-Yeon
    • Fire Science and Engineering
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    • v.24 no.5
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    • pp.142-149
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    • 2010
  • The aim of this study was to report the out-of-hospital resuscitation of cardiac arrest along with literature consideration. CPR is technology of resuscitating patient by maintaining oxygen supply to organ, by preventing progression from clinical death to biological death, and by recovering heart beat and circulation, through circulatory support of mechanical ventilation. It is not what every patient with cardiac standstill is revived even if being implemented CPR. Patient's survival rate is decided by how quickly and correctly CPR was executed. A patient, who wasn't witnessed the cardiac arrest on the field, was performed 5-cycle CPR for 2 minutes on the field before being transferred to hospital, and was allowed to be used AED. A person, who was observed, is recommended to be used AED immediately, and then is said to be needed ACLS (advanced cardiac life support). In the Out-of-Hospital stage, it is rare in a case that 119 Emergency Medical Service System transfers by being ROSC and in a case of executing ACLS. Cardiac arrest was witnessed on the field, but CPR wasn't executed. First-aid staff executed CPR after arriving, and led to ROSC on the field with ACLS, there by having experienced 1 case of a patient's surviving to leave hospital by being ROSC on the field.

Combination Effects of Large Dam and Weirs on Downstream Habitat Structure: Case Study in the Tamjin River Basin, Korea (대형 댐과 농업용 보가 하류 서식처 특성에 미치는 영향 연구: 탐진강 유역을 대상으로)

  • Ock, Giyoung;Kang, Ji-Hyun;Park, Hyung-Geun;Kang, Dong-Won
    • Korean Journal of Environmental Biology
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    • v.36 no.4
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    • pp.638-646
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    • 2018
  • The purpose of this study was to investigate the long-term habitat morphological alteration resulting from a large dam and weirs in the Tamjin River. To achieve this, we carried out a hydrograph analysis and a substrate size distribution analysis. We also estimated the channel width, bar area and vegetation encroachment using aerial photographs taken before and after the construction of the dam and weirs. The result of the hydrological analysis showed that flooding downstream was greatly reduced with small peaks occurrence after the dam construction. Interestingly, normal hydrographs in the main channel appeared just after tributary conjunction. There was a similar pattern in the substrate size analysis. Despite coarsened substrate just downstream of the dam site, more sand appeared again after introduction of the tributary. However, there was an increase in the bar area downstream of the dam's channels with most bars covered with vegetation. The channel width increased at the upper area of weirs through impoundment, but decreased downstream because of vegetation encroachment. This study indicate that unregulated tributary plays an important role in restoring hydro-physical habitat conditions in mainstream channels below a large dam. However, numerous weirs could be a causal factor to accelerate habitat deterioration in the dam downstream channels.

A Study on the Factors of Safety Enhancement in Mass Casualty Incidents (다수 환자 발생 시 안전 증진 요인에 관한 연구)

  • Lee, Jeong-Hyeok;Park, Joung-Je;Kim, Bo-Kyun
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.229-240
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    • 2019
  • Korea is experiencing various disasters both natural and artificial. This study is descriptive research designed to examine the perception of the disaster response ability of fire-paramedics during the response stage of disaster management. The subjects of this study were EMT-P's who had more than 2 years of experience in the field at a fire station in G Province. The questionnaire, including the items for the sub-factors of the field response ability, were prepared and 161 final questionnaires were collected and analyzed with the SPSS program. The mean scores of triage ability, patient treatment ability, patient transfer ability, disaster support ability, and disaster response speed were 3.53, 3.68, 3.66, 2.95, and 3.44, respectively. As a result of multiple regression analysis, variables affecting the speed of disaster response were in the order of patient treatment ability, patient transfer ability, and disaster support ability. In conclusion, fire-paramedics will have to consider the ability to treat patients, transfer patients, and disaster support to improve disaster response speed, and, ultimately, disaster response guidelines should be developed to improve disaster response capabilities.

Analysis of characteristics of out-of-hospital cardiac arrest patients by region in Chungcheong buk-do (충청북도 내 지역별 병원 전 심장정지 환자의 특성에 대한 분석)

  • Seong Bin Im;Hyeon Mo Yang;Young Jae Kim
    • Smart Media Journal
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    • v.13 no.5
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    • pp.33-44
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    • 2024
  • Chungbuk has various regional characteristics in terms of population composition by region, industrial facilities, and distribution of emergency medical institutions. However, there are no studies yet that have analyzed regional characteristic factors related to the occurrence characteristics of cardiac arrest patients. Therefore, this study provided basic data to establish a response system for OHCA patients suitable for the characteristics of the Chungcheongbuk-do region by analyzing the characteristics of OHCA patients and the transfer status of 119 paramedics in Chungcheongbuk-do. This study is a retrospective study that analyzed 1,188 cardiac arrest patients transferred by ambulance based on raw data from the survey on acute cardiac arrest in Chungbuk (2020). There are a total of 11 emergency medical institutions in Chungbuk-do, which are concentrated in city-level areas, so the transfer time of patients to hospitals in county-level areas was delayed. In the county-level area, the frequency of dispatch of special paramedics was relatively small, and the frequency of administration of cardiac arrest drugs to help resuscitate cardiac arrest patients was also low. In conclusion, efforts should be made to improve accessibility of emergency medical services (deployment of emergency vehicles in marginal areas, proper placement of emergency medical institutions, etc.), to promote prevention of traumatic cardiac arrest patients, and to expand the scope of work to strengthen the first aid expertise of paramedics.

An Experimental Study of Sand Beach Profile Evolution under Regular Waves Corresponding to Storm and Normal Conditions (규칙파 조건에서의 사질해안 폭풍파와 평상파 단면변화 실험연구)

  • Choi, Junwoo;Roh, Min
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.37 no.2
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    • pp.333-342
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    • 2017
  • In order to understand the mechanism of the cross-shore evolution of storm (barred) and normal (nonbarred) profiles of a sandy beach, the vertically two-dimensional laboratory experiment was performed with a movable bed. The beach profiles and free surface motion were measured under monochromatic wave conditions evolving the storm and normal beach profiles. The observation was conducted in the surf zone during the alternation of the two wave conditions to reach its quasi-equilibrium state. The sandbar-crest and trough and the steep berm were evolved due to the plunging breakers in the storm case, and the bar-trough was decayed due to the spilling breakers in the normal case. From the measurements, it was found that the storm wave case was in an erosion state and the normal wave case was in an accretion state. The strong undertow, which is a dominant factor of the offshore migration mechanism, was developed in the storm wave case, and the weak undertow was developed in the normal wave case. The skewness and the asymmetry of the nonlinear wave motion, which is a dominant factor of the onshore migration mechanism, was measured similarly in both cases.

새 천년의 주거생활 문화

  • 박선희
    • Proceedings of the SOHE Conference
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    • 1999.10a
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    • pp.85-101
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    • 1999
  • 새천년에 대한 미래를 생각해보면 우리에게 회망과 동시에 웬지 모를 불안올 주기도 한다. 발전지향적으로 살아 온 우리 인간의 지혜로 말미암아 현대에 살고 있는 우리는 과 거 우리 조상 어느 시대 못지 않게 첨단 과학 기술의 혜택으로 물질적 풍요와 함께 사 상적으로도 신분계급이나 남녀문제나 이데올로기의 극심한 차별이 사라져가는 그야말 로 자유스러운 생활올 맛보고 있다. 그러나 한편으로는 이러한 혜택과 이익을 얻는 대 신 지나친 물질의 생산과 사용의 과다는 우리 환경을 파괴하고 나아가 정신적으로도 물질의 지배를 받게 되는 즉, 물질의 소유와 사용에 따른 삶과 사람의 평가가 횡행하 는 기이한 구조에 우리 자신도 모르는 사이에 말려 들어가 피폐된 정신환경의 진행을 우려하지 않올 수 없다. 누구든지 공감하는 이러한 부분이 아마도 다가올 21세기에 대 한 불안이 아닐까 생각한다. 우리의 주거생활도 반세기도 채 안되는 이 시점에 그동안 놀라운 변모를 거듭하여 비교적 선진국과 가까운 수준에 육박하고 있다. 그렇다면 지금 이 시점에서 다가올 주 생활에 대한 이야기는 잘못되어지는 불안을 막고 더 멋지고 쾌적한 주거환경올 창출하 여 주거의 질을 높히기 위한 선도적 쟁점이 되어야 할 것이다. 이러한 의미에서 본고 에서는 새천년의 주거생활문화에 대한 주제를 거시적이고 개념적인 정책적 내용보다는 생활과학의 한 맥락에서 미시적이고 구체적이며 실천지향적인 뜩변에서 나아가야 할 쟁점이 무엇인지를 함께 생각해 보고자 하며 학술 이론적 내용보다는 평이한 사례를 중심으로 함께 생각해 보고자 한다. 밝혀졌다. 그러나, 생산계획시스템에서 1주 간격으로 계획오더를 이송할 때는 Order Release 방법을 적용하여 작업현장에서의 평균 리드타임과 리드타임의 변동, 공정중재고가 줄어드는 결과를 보였고, 가동률 수준이 높을수록 ORR 방법간의 차이가 크게 나타났다. 그리고 부하평준화 기능은 Order Release 정책의 유효성에 별 영향을 주지 않는 것으로 나타났다. 결론적으로, Order Release 방법은 우선순위규칙간의 성능차이를 줄이거나, 대체할 수 통제 기법이라기보다는 우선순위규칙을 보완하여 공정중재고와 작업현장에서의 리드타임, 리드타임의 편차를 줄여주는 역할을 한다고 볼 수 있다. 그리고, 계획시스템이 존재하여 계획오더가 일정기간간격으로 이송되는 환경에서 특히 유용하다는 결론을 얻었다. 알 수 있었다. 것인데, 제조업에서의 심각한 고비용, 저효율 문제 를 해결하기 위해 필수적으로 도입해야만 하는 실정이다. 또한 소비자의 다양한 요구로 인 하여 제품의 종류와 사양면에서 심한 변동을 보이는 시장 수요에, 신속한 정보처리로 대응 하는데도 크게 기여하고 있다. 이에 본 연구에서는, 자동차 Job Shop의 동기화 생산방식을 지원하는 동기화 생산시스템의 구축 모델을 제시하고자 한다.과로 여겨지며, 또한 혈청중의 ALT, ALP 및 LDH활성을 유의성있게 감소시키므로서 감잎 phenolic compounds가 에탄올에 의한 간세포 손상에 대한 해독 및 보호작용이 있는 것으로 사료된다.반적으로 홍삼 제조시 내공의 발생은 제조공정에서 나타나는 경우가 많으며, 내백의 경

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Experimental Study on Reduction Effects of Non-Point Pollutants by Improvement of Infiltration Capacity of Soil Filter Strip (토양여과대의 침투능 향상을 통한 비점오염물질 저감 효과에 관한 실험적 연구)

  • Woo, Su-Hye;Choi, I-Song;Oh, Jong-Min
    • Korean Journal of Ecology and Environment
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    • v.40 no.2
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    • pp.264-272
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    • 2007
  • Runoff of non-point pollutants has affected bad influence to water quality of river as reaching within short time. For this reason, reducing them prior to reaching aquatic systems or treating them after collection from discharge process of pollutants are desirable for efficient treatment of pollutants. This study was carried out to develop an ecotechnological method to prevent further aggravation of water quality by non-point source through vegetation filter strips. This study has placed a focus on improving infiltration capacity of soil for the optimum condition of vegetation filter strips. Therefore, we used titled soil filter strips instead of vegetation filter strips in this study. The three types of soil tilter strips were used in a bench scale experiment before applying to the field. The reduction efficiency of pollutants in soil filter strips (SS $84.5{\sim}92.5%$, BOD $67.9{\sim}80.6%$, T-N $43.4{\sim}76.6%$, T-P $40.6{\sim}87.4%$, Cu $28.3{\sim}48.1%$ Fe $92.1{\sim}97.7%$, Pb $81.4{\sim}97.3%$) was much higher than that of the controled group. And non-point pollutants reduction efficiency by soil filter strip's forms was estimated to be distinguishing in order of bio material, mixture of sand and gravel and lastly the whole gravel. In the event, the whole reduction efficiency of pollutants on the soil filter strips disclosed good results.

A Study of Thermo-Mechanical Analysis for the Design of High Pressure Piping System for Natural Gas Fuel Vessel (천연가스 연료선박의 고압 이중 배관 설계를 위한 열-구조 해석에 관한 연구)

  • Park, Seong-Bo;Sim, Myung-Ji;Kim, Myung-Soo;Kim, Jeong-Hyeon;Lee, Jae-Myung
    • Journal of Advanced Marine Engineering and Technology
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    • v.39 no.4
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    • pp.425-431
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    • 2015
  • LNG (liquefied natural gas) is considered the best alternative eco-fuel, and many studies on the LNG fuel system have been performed to use LNG as the fuel for ships. For the LNG fuel supply system, natural gas transfers from the vaporizer to the engine in the gaseous state with a temperature of $50^{\circ}C$ and a pressure of 35MPa. Therefore, a structural safety evaluation of the double-walled pipelines considering thermal load is essential. In this article, an uniaxial tensile test for super duplex stainless steel, material for double-walled pipe, according to the annealing time was carried out to analyze the thermal effect. In addition, thermo-structural analysis of the high temperature-high pressure double-walled pipe with fixed supports that are now used widely was carried out to evaluate the structural safety. To minimize stress concentration of the connection point between the support and inner pipe, the shapes of the new type support that can slip through inner pipe were proposed, and the supports which has best structural performance was selected using the results from the thermo-structural analyses of new supports and an analysis of the whole double-walled pipeline was performed to ensure structural safety. These results can be used as a database for the design of double-walled pipelines and sliding support.

Stress Responses of Cultured Fishes Elicited by Water Level Reduction in Rearing Tank and Fish Transference during Selection Process (양식어류의 선별과정중 수심감소와 어류의 수조이동에 따른 스트레스 반응)

  • HUR Jun Wook;CHANG Young Jin;LIM Han Kyu;LEE Bok Kyu
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.34 no.5
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    • pp.465-472
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    • 2001
  • The effects of water level reduction in rearing tank and fish transference during fish selection process on the stress response (hematological factors, cortisol, glucose, lactic acid and osmolality) of tank-reared olive flounder Paralichthys olivaceus of large (FL), small (FS) and Japanese croaker, Nibea japonica (JC) were examined in running seawater culture system. The water level of rearing unit was lowered from 33 cm to 8 cm in the course of 2 minutes in the water level reduction experiment. The fish were removed from rearing tank (12 ton) to 450 L tank in 30 seconds after capture in the fish transference experiment, In water level reduction, the hematocrit of FL was significantly increased from $14.6\%$ at beginning to $23.5\%$ after 10 hours, However, it decreased to the value of beginning after 46 hours. Plasma cortisol concentration of FL was the highest concentration (13.7 ng/mL) after 22 hours, but it decreased to 4.0 ng/mL at the end of experiment. Cortisol concentration of FS did not show any significant difference during the experiment. The cortisol concentration of JC were significantly higher at 4 hours (282.3 ng/mL) and 22 hours (350.5 ng/mL), Glucose concentration of JC was the highest (138.0 mg/dL) at 22 hours. Lactic acid concentration was not different between experimental groups. In the fish transference experiment, red blood cell of FL was increased from $1.9\times10^6\;cell/{\mu}\;L\;to\;4.2\times10^6\;cell/{\mu}L$ in 24 hours. Blood hemoglobin of JC were significantly elevated in 24 hours. At 1 hour after transference, plasma cortisol concentrations in both fish species were increased to 95.3 ng/mL in FL and 175.5 ng/mL in JC. Glucose concentration of JC was increased to 132.5 mg/dL at 1 hour, 129.5 mg/dL at 3 hours after transference.

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