• Journal of The Korean Society of Clinical Toxicology
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• v.8 no.1
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• pp.7-15
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• 2010

Purpose: There are an insignificant number of studies done on the demographics of intoxication patients and on the characteristics of toxic exposure on a long term basis in Korea. The objective of our survey is to investigate the epidemiologic characteristics of intoxication in a metropolitan emergency department in order to more efficiently manage intoxication patients. Methods: We retrospectively reviewed the medical records of intoxication patients who visited the emergency department of a high end medical facility between January, 1998 and June, 2009. We investigated the trend of the substances people became intoxicated with during the study period and we analyzed the age, gender, year and distribution of patients and the outcome of the patients. Results: There were 1544 cases of intoxication during the study period, and the cases made up 0.37% of the total visitors to our emergency department, which is a high end medical facility located in the city. Most of the patients were female (70%) in their twenties and thirties. The most commonly ingested intoxication substances were sedatives, analgesics and pesticides. Unlike in the province, antidepressant abuse is on the rise while pesticide abuse is falling. The overall admission rate was 24.8% and the mortality rate was 1.6%. Pesticides intoxication was the most common cause of death (76%). Pesticides intoxication, a male gender and old age were the most significant fatality-related factors. Conclusion: We think that there is a need to investigate the actual conditions of drug intoxication in the city and prepare measures to prevent drug intoxication.

• The Korean Journal of Emergency Medical Services
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• v.8 no.1
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• pp.71-86
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• 2004

This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

• The Journal of Korea Robotics Society
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• v.3 no.3
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• pp.186-193
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• 2008

We propose a novel real-time obstacle avoidance method for rescue robots. This method, named the ELA(Emergency Level Around), permits the detection of unknown obstacles and avoids collisions while simultaneously steering the mobile robot toward safe position. In the ELA, we consider two sensor modules, PSD(Position Sensitive Detector) infrared sensors taking charge of obstacle detection in short distance and LMS(Laser Measurement System) in long distance respectively. Hence if a robot recognizes an obstacle ahead by PSD infrared sensors first, and judges impossibility to overcome the obstacle based on driving mode decision process, the order of priority is transferred to LMS which collects data of radial distance centered on the robot to avoid the confronted obstacle. After gathering radial information, the ELA algorithm estimates emergency level around a robot and generates a polar histogram based on the emergency level to judge where the optimal free space is. Finally, steering angle is determined to guarantee rotation to randomly direction as well as robot width for safe avoidance. Simulation results from wandering in closed local area which includes various obstacles and different conditions demonstrate the power of the ELA.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.12 no.6
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• pp.29-36
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• 2013

This study is the fundamental research to establish evacuation planning and to analyze evacuation planning characteristics in Gumi-city based on existing network and traffic characteristics data. Assuming an emergency situation, it compared with evacuation time estimates between using existing traffic signal system and proposed lane-based routing method through micro simulations. As a result, using existing traffic signal system could not affect the evacuation times in each level of emergency conditions. However this study found that proposed lane-based routing method is very effective to reduce an evacuation time compared with using existing traffic signal system. Also the proposed method is verified to reduce an evacuation time especially in extreme emergency circumstances.

• Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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• 2009.10a
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• pp.145-148
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• 2009

It is sharply decreasing from several hundred[lx] to 1.0[lx] when it turn on the emergency lamps. The sharply decreasing illuminance makes peoples to have dark adaptation for long time. And they were with fear and confused. It also causes secondary accidents by people who take a mistake. This paper studied the combination style emergency lighting fixture to improve a problem of dark adaptations. But it was made an assumption that same conditions of battery capacity and a number of emergency lamps.

• Journal of Korean Academy of Nursing
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• v.37 no.5
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• pp.762-771
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• 2007

Purpose: The purpose of this study was to identify the reactions of emergency department nurses to violence. Methods: Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty emergency department nurses classified 33 selected Q-statements into a normal distribution using a 9 point scale. The collected data was analyzed using the Quanl PC Program. Results: Three types of reactions to violence were identified. The first type(emotional and physical reactions) showed a sense of regret on the selection of an occupation and emotional and physical reactions such as anxiety, fear, depression, hopelessness, heart palpitations and trembling hands due to the violence. The second type(problem solving) actively coped to prevent the occurrence of violence, grasped the causes of violence and sought out a problem solving plan. The third type(anger reactions) felt a lot of anger against violence, and resented their reality of working under conditions of inadequately secured facilities and systems. Conclusion: The emotional and physical reactions type and the anger reactions type should be required to attend educational programs to improve attitudes and abilities to solve the problems in a more active and positive manner.

• Journal of The Korean Society of Clinical Toxicology
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• v.3 no.2
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• pp.126-129
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• 2005

Valproic acid (VPA) is used in the management of a variety of conditions including simple and complex absence seizure disorder. bipolar disorder, and migraine prophylaxis. Clinical manifestation of VPA overdose vary in severity from mild confusion and lethargy to severe coma and death. The treatment of VPA toxicity is mainly supportive. There is no specific antidote, nor are there specific guidelines for the management of VPA intoxication. Anecdotal reports describe the efficacy of naloxone and L-carnitine, but the data are insufficient to make strong conclusions. Various techniques of extracoporeal therapy for the management of VPA toxicity have been described, but none has prevailed as standard therapy. We report a patient with VPA overdose who was successfully treated with hemoperfusion with activated charcoal and L-carnitine. VPA levels of the patient was more than 1,000 ${\mu}g$/ml and was normalized after 3 times hemoperfusion. The patient was injected with L-carnitine by maximum 600 mg/kg/day for 5days without complications.

• The Korean Journal of Emergency Medical Services
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• v.20 no.2
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• pp.65-79
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• 2016

Purpose: This study was performed to evaluate the influence of field practice on subjective well-being and domains of life satisfaction in paramedic students. Methods: A self-reported questionnaire was completed by 143 paramedic students from March 5 to 31, 2016. The questionnaire consisted of subjective wellbeing, openness to experience, and domains of life satisfaction. The statistical analysis was done with SPSS/WIN 22.0. Results: The number of field practice had a lesser influence on degree of life satisfaction and positive emotions. Field practice did not influence negative emotions. Those who were open to experience tended to have higher degrees of personal satisfaction and competence irrespective of field practice. Conclusion: Openness to experience can enhance the life satisfaction and competence against the stressful conditions paramedic students experience in field practice.

• Health Policy and Management
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• v.31 no.4
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• pp.399-408
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• 2021

The emergency medical service system in Korea was built upon the Emergency Medical Service Act, 1995 to respond adequately to be much in demand for emergency medical services. In addition, the government recognized the importance of the trauma care system and set out to plan for the designation and establishment of the regional trauma center by 2012. This study aimed to investigate features of quality management and trauma fee schedule on better understanding of trauma care system. First, quality management of the regional trauma center has been implemented by several quality programs involved in quality assessment, committee on trauma quality management, and mortality and morbidity conference. Second, the trauma fee schedule has reflected a specific quality of severe traumatic conditions and added the result to it, which are graded A, B, and C according to quality assessment. Although the government has contributed to instituting a trauma quality assessment program and trauma fee schedule for the regional trauma center, it could not lead to such a fixed standard for quality management of them. Therefore, it will promote discussion on the sustainability of the regional trauma center that requires reducing preventable trauma death rate and the way to apply comprehensive quality management.

• Journal of the Korean Society of Industry Convergence
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• v.25 no.6_3
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• pp.1155-1163
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• 2022

This study proposes a technology to ensure the seismic stability of a 1,000 kW diesel engine-type emergency generator by applying a seismic isolated bed system. The technology allows the static analysis by making the first natural frequency of the installed entire emergency generator larger than the earthquake cutoff frequency of 33 Hz. First a three dimensional model for the generator was made with simplification for mode analysis. A new bed system with springs, shock absorbers, stoppers was then devised. Next, The mode analysis for the finite element model equipped by the bed system was performed. the 1^st natural frequency above 33 Hz, the seismic safety cutoff frequency, was calculated to be 152.92 Hz. Finally, based on the seismic stability theory, the von-Mises equivalent stresses derived by structural analysis under the Upset and Faulted conditions were 0.01603 Mpa, and 32.06 Mpa, respectively. so seismic stability was confirmed.