• Title/Summary/Keyword: Emergency Monitoring

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Effects of Uwhangchungsimwon(牛黃淸心元) on Cerebral Blood Flow and Systemic Blood Pressure in Humans (우황청심원이 정상인의 뇌혈류 및 혈압에 미치는 영향)

  • Kim, Young-Suk
    • The Journal of Internal Korean Medicine
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    • v.20 no.1
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    • pp.222-231
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    • 1999
  • Uwhangchungsimwon(UC) has been used in the treatment of a wide variety of conditions including stroke, hypertension, arteriosclerosis, autonomic imbalance, mental instablity, etc in Korean traditional hospitals, In particular it is often initialy chosen for emergency care of acute stroke. The aim of this study was to evaluate the effect of UC on cerebral hemodynamics. Using transcranial Doppler ultrasound, we studied changes of mean flow velocity and pulsatility index(PI) of middle cerebral arteries (MCAs) from 11 health young volunteers who were administrated with 1 pill UC and 11 health controls who were not. We obtained hypercapnia with breath-holding and evaluated cerebrovascular reactivity with breath-holding index(BHI). Systolic blood pressure, diastolic blood pressure, and heart rate were measured using ambulatory blood pressure monitoring(ABPM). In UC administration group, the evaluation was performed during basal condition. and repeated at 20, 40, and 60 min after administration. In controls, the evaluation was performed at corresponding time intervals. Mean flow velocity in middle cerebral artery, systolic blood pressure, diastolic blood pressure, and heart rate did not change during the observation period and were not different between these two groups. However, administration of UC was associated with decreases in PI by $3.6{\sim}12.4%$ in BHI by $17.9{\sim}24.8%$ compared with pre-administration period. Decreases in PI and BHI with UC were significantly different compared with control group (p<0.05). These results indicate that UC decreases PI and BHI in cerebral artery, which is due to a dilation of cerebral resistance vessels.

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A Study on the Hydrologic Decision-Making for Drought Management : 2. Decision-Making Method for Drought Management (가뭄관리를 위한 수문학적 의사결정에 관한 연구 : 2. 가뭄관리를 위한 의사결정 방법)

  • Kang, In-Joo;Yoon, Yong-Nam
    • Journal of Korea Water Resources Association
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    • v.35 no.5
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    • pp.597-609
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    • 2002
  • This study suggests a methodology of hydrologic decision making for the establishment of a standard of drought management from the drought analysis by the past drought history and for the drought monitoring and management according to drought processing. The construction and analysis of a decision tree diagram are performed and the step by step plan according to drought severity is suggested. Say, the decision tree diagram is constructed by the transition probability and quantity of monthly precipitation. Then the drought processing is investigated by the analysis of diagram and the 3-step of drought notice, drought warning, and emergency plan are established. The suggested methology in this study can be used for the other area and the decision tree diagram be used by changing the diagram according to the utilization purposes. Also, the choice of monthly PDSI class and precipitation analysis can be performed by the continuous data supplement. And so, a new standard value by the modified diagram is provided and the continuous drought management will be possible.

A Study on School Health Promotion Services (학교보건사업을 통한 건강증진 사업에 대한 연구)

  • Nam, Chul Hyun
    • Journal of the Korean Society of School Health
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    • v.10 no.2
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    • pp.193-211
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    • 1997
  • The study was designed to gain necessary basic data in order to grasp the health knowledge, attitude, and practice level of students and teachers of elementary, middle and high schools. This study was conducted through interviews of 3,400 students and 1,022 teachers attending 14 different schools large, middle and small cities and rural towns during a period of nine months (from Oct. 2 1995 to Jun. 30 1996). By the results of this study, the recommendations can be summarized as follows: 1. A school health development committee should be established of 10 members: school health related teachers (physical trainers, nurses, and teachers in charge of health), parents, persons related to health administration, local medical doctors, and student reprensentatives in order to support and immplement school health development plans. 2. Like advanced countries, a health class of 2~4 hours should beplaced in middle and high schools. A nurse majoring in health from a university should be the teacher. 3. A curriculum of health should contain the following: education on health, sex, alcohol, tabacco, the misuse of the drugs, the structure and function of human body, the growth of the body, mental health, safety and emergency care, the prevention of disease, proper eating habits and nutrition, daily health life, family health education, society health, community health, environmental pollution and individual responsibility. 4. Create a school health promotion center, with a nurse's office, and a sports center which has health machines (bars, aerobics, training, twist machine, belt massage, running machine, bench press, chest waist, hack hip extension machine) as well as a physical strength measuring machine (muscular strength, alertness, flexibility, endurance, lung functions and so on), so that the teaching staff and students can use them and train their bodies. 5. Through a refresher education program, urge teachers to understand school health promotion services. 6. Regulate a standard and establish a system of monitoring the physical enviroment of the school (the height of desks and chairs, illumination facilities, ventilation facilities, safe drinking water). 7. Create a check list of health to evaluate improvement.

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Relationships between Social Support & Social Network and Health Behavior (사회적 지지, 사회 조직망과 건강행태의 관련성)

  • Park, Jun;Kang, Gil-Won;Tak, Yang-Ju;Chang, Soung-Hoon;Lee, Kun-Sei;Kim, Hyeong-Su
    • Health Policy and Management
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    • v.21 no.4
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    • pp.493-510
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    • 2011
  • Objectives : This study aims to explore how social support and social network are related with health behavior. Methods : The target population was 12,449 people in Chungcheongbuk-do. The sample was accrued for the period of 3 months in 2008 by face to face interview of direct visiting from systematic sampling method. The instruments used in this study were social support, social network and health behavior. Results : There was significant difference in the level of social support and social network by sex, age, educational level, occupation, and monthly income(p<0.05). There was significant difference in the level of social support by alcohol drinking, physical exercise. There was significant difference in the level of social network by smoking, alcohol drinking, physical exercise, obesity(p<0.05). Multivarite analysis shows significant difference in the level of social instrumental support by smoking, physical exercise. It shows significant difference in the level of social emotional support by smoking. It also shows significant difference in the level of social network by smoking, physical exercise. Conclusion : These results suggest that social support and social network may be associated with health behavior. Because this study was cross sectional research, the order was not found between social support, social network and health behavior. Through a study on monitoring, we will obtain more information for relationship.

Analysis on the Characteristics and Product Trend of Wearable Smart Actuator (웨어러블 스마트 액추에이터의 특성과 제품동향 분석)

  • Lee, Hyewon;Suh, Sungeun;Roh, Jung-Sim
    • Journal of the Korean Society of Clothing and Textiles
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    • v.41 no.6
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    • pp.1022-1038
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    • 2017
  • Wearable smart products contributed to expand the concept of modern clothing in terms of closer communication between wearers and the surrounding environment. This study investigated the concept of wearable smart actuators and characteristics of actuating feedback. The representative product development trends over the past 10 years are examined based on the method of actuating feedback. A first keyword search from Naver and Google reused to select the final 58 products based on the second key keyword actuating feedback. The wearable smart actuator system works in a similar way to a human body system such as those of the information processing process. Actuating feedback is delivered directly to the user as the last signal of the system, which has visual, auditory and tactile feedback. It works in complex at the device to be delivered to the user. Actuator feedback is divided into three types of active and passive, depending on the user situation, the overall purpose of the product, the collected information, and the device dependency. Active actuating feedback determines and actuates the situation on behalf of the user when the user is in an emergency or a disability situation. Passive actuating feedback plays a role in environmental monitoring to help in a healthy daily life.

Heavy Snowfall Disaster Response using Multiple Satellite Imagery Information (다중 위성정보를 활용한 폭설재난 대응)

  • Kim, Seong Sam;Choi, Jae Won;Goo, Sin Hoi;Park, Young Jin
    • Journal of Korean Society for Geospatial Information Science
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    • v.20 no.4
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    • pp.135-143
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    • 2012
  • Remote sensing which observes repeatedly the whole Earth and GIS-based decision-making technology have been utilized widely in disaster management such as early warning monitoring, damage investigation, emergent rescue and response, rapid recovery etc. In addition, various countermeasures of national level to collect timely satellite imagery in emergency have been considered through the operation of a satellite with onboard multiple sensors as well as the practical joint use of satellite imagery by collaboration with space agencies of the world. In order to respond heavy snowfall disaster occurred on the east coast of the Korean Peninsula in February 2011, snow-covered regions were analyzed and detected in this study through NDSI(Normalized Difference Snow Index) considering reflectance of wavelength for MODIS sensor and change detection algorithm using satellite imagery collected from International Charter. We present the application case of National Disaster Management Institute(NDMI) which supported timely decision-making through GIS spatial analysis with various spatial data and snow cover map.

Perioperative red blood cell transfusion in orofacial surgery

  • Park, So-Young;Seo, Kwang-Suk;Karm, Myong-Hwan
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.3
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    • pp.163-181
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    • 2017
  • In the field of orofacial surgery, a red blood cell transfusion (RBCT) is occasionally required during double jaw and oral cancer surgery. However, the question remains whether the effect of RBCT during the perioperative period is beneficial or harmful. The answer to this question remains challenging. In the field of orofacial surgery, transfusion is performed for the purpose of oxygen transfer to hypoxic tissues and plasma volume expansion when there is bleeding. However, there are various risks, such as infectious complications (viral and bacterial), transfusion-related acute lung injury, ABO and non-ABO associated hemolytic transfusion reactions, febrile non-hemolytic transfusion reactions, transfusion associated graft-versus-host disease, transfusion associated circulatory overload, and hypersensitivity transfusion reaction including anaphylaxis and transfusion-related immune-modulation. Many studies and guidelines have suggested RBCT is considered when hemoglobin levels recorded are 7 g/dL for general patients and 8-9 g/dL for patients with cardiovascular disease or hemodynamically unstable patients. However, RBCT is occasionally an essential treatment during surgeries and it is often required in emergency cases. We need to comprehensively consider postoperative bleeding, different clinical situations, the level of intra- and postoperative patient monitoring, and various problems that may arise from a transfusion, in the perspective of patient safety. Since orofacial surgery has an especially high risk of bleeding due to the complex structures involved and the extensive vascular distribution, measures to prevent bleeding should be taken and the conditions for a transfusion should be optimized and appropriate in order to promote patient safety.

Path Analysis for Delirium on Patient Prognosis in Intensive Care Units (섬망이 중환자실 환자결과에 미치는 영향: 경로 분석)

  • Lee, Sunhee;Lee, Sun-Mi
    • Journal of Korean Academy of Nursing
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    • v.49 no.6
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    • pp.724-735
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    • 2019
  • Purpose: This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model. Methods: This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24. Results: In the final model, admission via emergency department (Β=.06, p=.019), age over 65 years (Β=.11, p=.001), unconsciousness (Β=.18, p=.001), dependent activities (Β=.12, p=.001), abnormal vital signs (Β=.12, p=.001), pressure ulcer risk (Β=.12, p=.001), enteral nutrition (Β=.12, p=.001), and use of restraint (Β=.30, p=.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (Β=.06, p=.038), hospital length of stay (Β=5.06, p=.010), and discharge to another facility (not home) (Β=.12, p=.001), also risk factors on delirium indirectly affected patient prognosis through delirium. Conclusion: The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.

Development of a Low-Power Standalone Heat Detector Using a Critical-Temperature Switch (임계온도스위치를 이용한 저전력 단독경보형 정온식 감지기 개발)

  • Jo, Sungwoo;Jung, Sun-Kyu;Son, Jimin;Kim, Hyun-Tak
    • Fire Science and Engineering
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    • v.33 no.4
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    • pp.70-76
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    • 2019
  • This paper reports development of a low-power standalone heat detector using a Critical-Temperature Switch. The Critical-Temperature Switch, which is a thermally sensitive and passive component whose resistance decreases significantly at 70 ℃ due to a metal-insulator transition, provides reliable temperature measurements. This digital-like behavior of the Critical-Temperature Switch can detect fires without a microcontroller, meaning that it can minimize the power consumption of the standalone heat detector. The experimental results showed that the standalone heat detector using the Critical-Temperature Switch complied with the Notification of the National Emergency Management Agency. Compared to conventional standalone heat detectors, only 70% of the power was consumed monitoring the fires.

Secure Authentication Protocol based on a Chameleon Hash Function for Ambient Living Assisted-Systems (전천 후 생활보조 시스템을 위한 카멜레온 해시 함수 기반의 안전한 인증 프로토콜)

  • Yi, Myung-Kyu;Choi, Hyunchul;Whangbo, Taeg-Keun
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.4
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    • pp.73-79
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    • 2020
  • Due to the rapidly ageing population and low birth rates, most countries have faced with the problems of an ageing population. As a result, research into aging and the means to support an aging population has therefore become a priority for many governments around the world. Ambient Assisted Living(AAL) approach is the way to guarantee better life conditions for the aged and for monitoring their health conditions by the development of innovative technologies and services. AAL technologies can provide more safety for the elderly, offering emergency response mechanisms and fall detection solutions. Since the information transmitted in AAL systems is very personal, however, the security and privacy of such data are becoming important issues that must be dealt with. In this paper, we propose a Chameleon hash-based secure authentication protocol for AAL systems. The proposed authentication protocol not only supports several important security requirements needed by the AAL systems, but can also withstand various types of attacks. In addition, the security analysis results show that the proposed authentication protocol is more efficient and secure than the existing authentication protocols.