• Title, Summary, Keyword: 환자 격리

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An exploratory study on the development of a device for isolation unit in CBRNE disaster (CBRNE 재난 시 격리이송을 위한 장치 개발에 관한 탐색적 연구)

  • Ham, Seung Hee;Park, Namkwun;Yoon, Myong O
    • Journal of the Society of Disaster Information
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    • v.14 no.1
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    • pp.65-71
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    • 2018
  • In this study, it is aimed to prevent the spread of pollutants in the event of a major disaster caused by CBRNE accidents and attacks and build up system to provide optimal transport environment for each patient condition By identifying characteristics of existing products and make them immediately applicable in the field. The purpose of this study is suggesting essential consideration in both functional and performance in the development of the isolation unit. As a result of the study, it suggests (1) basic function, (2) efficient field utilization, (3) isolation unit interface and combination of modules in development of isolation unit.

Efficacy and Usability of Patient Isolation Transport Module for CBRN Disaster : A Manikin Simulation Study (특수재난 대응 환자 격리 이송 장비의 효율성 및 편의성 평가: 마네킹시뮬레이션 연구)

  • Kim, Ki-Hong;Hong, Ki-Jeong;Haam, Seung-Hee;Choi, Jin-Woo
    • 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.

A Study on the Self-Authentication Method in Home Quarantine Equipment (자가격리장치에서의 본인 인증 방법에 관한 연구)

  • Kim, Joon-bae;Kang, Moon-sung
    • Journal of Advanced Navigation Technology
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    • v.22 no.2
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    • pp.173-178
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    • 2018
  • In May 2015, the first case of Middle East Respiratory Syndrome occurred, leaving 186 patients, 38 deaths, and 16,693 quarantine patients. The government has carried out a monitoring of people in contact with the confirmed or suspected patients to prevent the spread of MERS infection. The management staff conducted monitoring of the quarantine subject twice a day during the 14-day period, to check compliance with isolation. However, as the number of people subject to isolation was increased explosively, such issues as the occurrence of residents occurred due to limitations of management personnel. Managers have also admitted that their home quarantine rules have become nominal when they checked the status of quarantine subject by using a call only two or three times a day, and that it is virtually impossible to control when the departees leave without permission. In this paper, home quarantine equipments and their means of authentication are proposed and verified. As a result of the verification, the proposed methods in this paper are expected to be used later as their own authentication method for home quarantine equipments.

Patient Management to Improve the Efficiency of Infectious U-MAS System Design (전염성 환자관리의 효율성을 개선하기 위한 U-MAS 시스템 설계)

  • Shin, Yoon-Hwan;Shin, Ye-Ho;Ryu, Keun-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.9
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    • pp.75-84
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    • 2009
  • In this paper, the EPC Network as the most important technologies in the field of applied technology research and special attention to the use of RFID to better manage the disease in infected U-MAS (U-Medical Administrative Services) system was designed. U-MAS system, the Center for Disease Control in the illness, depending on the type of isolate and treat infected patients, recovery, discharge, isolation wards and intensive italian to manage and increase efficiency, manual and use a simple computer program improve the qualify of the current level, using RFID tags to improve the management of the patient everything that a little more and be out of the isolation ward, if competent disease management districts, such as the location to respond more quickly to facilitate the purpose is to contribute to. First, EPC Network and related technology for mobile RFID systems and related technology research. U-MAS system design offers. If you take advantage of the proposed U-MAS system for monitoring infectious disease patients and patients in the isolation ward, when the unauthorized departure location to shorten the time it takes to improve the effectiveness of disease management and present the elected effects was.

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A Study on the Effective Half-life after the High Dose Radioactive Iodine (131I) Therapy for Thyroid Cancer Patients (갑상선암 환자에서 고용량 방사성요오드 치료 후 유효반감기에 대한 연구)

  • Kim, Seongcheol;Gwon, DaYeong;Kim, Yongmin
    • Journal of the Korean Society of Radiology
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    • v.11 no.7
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    • pp.597-603
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    • 2017
  • High-dose $^{131}I$ therapy has been generally carried out to remove remaining thyroid tissue or to cure metastasize lesion of patients who received full thyroidectomy due to differentiated thyroid cancers. In case high-dose $^{131}I$ therapy is carried out for a patient, the patient should be hospitalized being isolated for a certain period in order to restrict the amount of exposure to radiation of people at large from the patient within the limit of a level of radiation. Effective half-life is an important value to calculate how family members are exposed to radiation from a patient or to decide the period of isolation of the patient from the family members. Therefore, in this study we calculated the effective decay constant, effective half-life and period of isolation of high-dose $^{131}I$ therapy patient using NM670 SPECT/CT. As a result of carrying out this study, the effective half-life of high-dose $^{131}I$ therapy patients was derived and the time to reach the discharge level of 1.2 GBq was confirmed. When they were compared with each other in each of curative doses, the effective half-life did not have significant difference, but the time when the level of radiation remaining in the interior of the body to reach the criteria of isolation and discharge showed significant difference and it could be confirmed that the higher the curative dose the longer the period of isolation becomes. When the effective half-lives in each type of preparation were compared with each other, they did not show significant difference. However, When the times to reach the level of radiation that is the criteria of isolation and discharge in each type of preparations, they showed significant difference. The cause of the shortening of the isolation period for rhTSH patients group is decided to be low curative dose. Accordingly, if the current national health insurance (the insurance is applied to using of rhTSH in 3.7 GBq or lower) is maintained, while discerning them in each of types of preparation, we would be able to discharge patients at the time earlier than the current period of isolation (2 nights and 3 days).

Evaluation of Stability using Monte Carlo Simulation in 2 People Isolation Treatment Room of Radiation Iodine (몬테카를로 모의 모사를 이용한 방사성옥소 2인 치료병실의 안전성 평가)

  • Jang, Dong-Gun;Ko, Sung-Jin;Kim, Chang-Soo;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.385-390
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    • 2016
  • Radioactive iodine treatment that uses the 2 people isolation room is to cause unnecessary radiation exposure between patients. This research is to be tested safety of 2 people Isolation treatment room and dose-rate through conservative perspective except physiology characteristic and biology information on the assumption that patient have iodine without excretion in 2 people isolation treatment room. This research shows that 364 keV gamma rays emitted by the radioiodine was to determine that the air layer about 30 cm or lead shield 3 mm a half-layer. In addition, In addition, patients in the distance, and lead shielding, length of hospital stay (48 hours) for external radiation exposure that is received from the other patients, two of treatment as appears to be lower than the legal isolation standard dose less than 5 mSv isolation room effective analyzed that manageable.

Congenital Cystic Adenomatoid Malformation Associated with Extralobar Pulmonary Sequestration - A case report - (외엽형 폐격리증을 동반한 선천성 낭종성 신종양 기형 - 1례 보고 -)

  • Lee, Jae-Kwang;Kweon, Jong-Bum;Park, Kuhn;Kwack, Moon-Sub;Sim, Sung-Bo
    • Journal of Chest Surgery
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    • v.33 no.7
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    • pp.594-596
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    • 2000
  • Congenital cystic adenomatoid malformation and Extralobar Pulmonary sequestration are very rare congenital anomalies. We experienced a 4 year-old female patient who had Congenital cystic adenomatoid malformation in her lower lobe of left lung. We accidently found extralobar pulmonary sequestration associated with Congenital cystic adenomatoid malformation at operation field. The resection of the left lower lobe and the extralobar pulmonary sequestration were performed. The arterial supply of the extralobar pulmonary sequestration was one anomalous artery arised from the thoracic aorta. The Venous drainage of expralobar pulmonary sequestration was intercostal vein into the azygous vein. The patient was discharged without any problem.

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Extralobar Pulmonary Sequestration located in Right Oblique Fissure with Unusual Vascularture - A Case of Report - (우측 폐엽간에 위치한 비정상 혈관구조를 가진 외엽형 폐격리증 - 1례 보고 -)

  • 윤찬식;정재일;김재욱;윤영철;이홍섭;이혜경
    • Journal of Chest Surgery
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    • v.34 no.6
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    • pp.502-505
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    • 2001
  • Pulmonary sequestration is an abnormal lung tissue that does not communicate with tracheobronchial tree, and that receives blood supply from anomalous arteries. Pulmonary sequestration is divided into two anatomical forms, intralobar and extralobar. Extralobar pulmonary sequestration is usually located between the diaphragm and the lower lobe and has systemic arterial supply and venous drainage, and most patients are diagnosed in their infancy. We report an extralobar pulmonary sequestration located between the right upper lobe and the lower lobe in a 48-year-old female adult, which has anomalous blood supply from the right pulmonary artery and venous drainage directly into the left atrium.

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The Implementation and limits of Involuntary Detention of the Tuberculosis Prevention Act (결핵예방법의 격리명령의 실행과 한계에 관하여)

  • Kim, Jang Han
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.55-84
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    • 2015
  • The tuberculosis is the infectious disease. Generally, the active tuberculosis patient can infect the 10 persons for one year within the daily activities like casual conversation and singing together. The infectivity of tuberculosis can continue for a life time, and infected persons can remain at risk for developing active tuberculosis. To control this contagious disease, along with the active tuberculosis patients, non-infectious but non-compliant patients who can be infectious if their immune systems become impaired have to be managed. To control the non-complaint patients, medical treatment order should be combined with the public order. Because tuberculosis is the risk of community health, the human rights like liberty and freedom of movement can be restricted for public welfare under the article 37(2) of constitution. Even when such restriction is imposed, no essential aspect of the freedom or right shall be violated. The degree of restriction on the rights of citizens is different what methods are chosen to non-complaint patients. For example, under the directly observed therapy program, the patients and medical staffs make an appointment and meet to confirm the drug intakes according to the schedule, which is the medical treatment combined with the mildest public order. If the patients break the appointments or have the history of disobedient, the involuntary detention can obtain the legitimate cause. The Tuberculosis Prevention Act has the two step programs on this involuntary detention, The admission order (Article 15) is issued when the patients are infectious. The quarantine order (Artle 15-2) is issued when the patients are infectious and non-complaint. The legal criteria for involuntary detention are discussed and published through the international conventions and covenants. For example, World Health Organization had made guidance on human rights and involuntary detention for tuberculosis control. The restrictions should be carried out in accordance with the our law and in the legitimate objective of public interest. And the restriction should be based on scientific evidence and not imposed in an unreasonable or discriminatory manner. We define and adopt these international criteria under our constitution and legal system. Least restrictive alternative principle, proportionality principle and the individual evaluation methods are explained through the reviews of United States court decisions. Habeas Corpus Act is reviewed and adopted as the procedural due process to protect the patient rights as a citizen. Along with that, what conditions and facilities which are needed to performed quarantine order are discussed.

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