• Title/Summary/Keyword: Emergency Recognition

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HUMAN-MACHINE INTERACTION IN NUCLEAR POWER PLANTS

  • YOSHIKAWA HIDEKAZU
    • Nuclear Engineering and Technology
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    • v.37 no.2
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    • pp.151-158
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    • 2005
  • Advanced nuclear power plants are generally large complex systems automated by computers. Whenever a rare plant emergency occurs the plant operators must cope with the emergency under severe mental stress without committing any fatal errors. Furthermore, The operators must train to improve and maintain their ability to cope with every conceivable situation, though it is almost impossible to be fully prepared for an infinite variety of situations. In view of the limited capability of operators in emergency situations, there has been a new approach to preventing the human error caused by improper human-machine interaction. The new approach has been triggered by the introduction of advanced information systems that help operators recognize and counteract plant emergencies. In this paper, the adverse effect of automation in human-machine systems is explained. The discussion then focuses on how to configure a joint human-machine system for ideal human-machine interaction. Finally, there is a new proposal on how to organize technologies that recognize the different states of such a joint human-machine system.

Interim Measures in Arbitration and Enforcement of Arbitral Awards in Korea and China

  • Jon, Woo-Jung
    • Journal of Arbitration Studies
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    • v.26 no.3
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    • pp.67-91
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    • 2016
  • In an era where the international investment and trade between Korea and China grow daily, the importance of international arbitration cannot be overstated. The Korean Arbitration Law was enacted with reference to the UNCITRAL Model Law. When the Chinese Arbitration Law was being enacted, the UNCITRAL Model Law was also referred to, but there are some discrepancies between the two. This article conducts comparative analysis based on the Korean and the Chinese Arbitration Laws, the Chinese Civil Procedure Law and the KCAB and the CIETAC arbitration rules. In order to adopt the UNCITRAL Model Law amended in 2006, Korea revised its Arbitration Law in 2016. The revised Law includes a more comprehensive legal regime regarding interim measures, emergency arbitrator, etc. In China, the enforcement of foreign-related arbitral awards and foreign arbitral awards is carried out mainly by intermediate people's courts. In China, the report system to the higher people's court for refusing the enforcement of foreign-related arbitral awards and for refusing the recognition or enforcement of foreign arbitral awards has the effect of safeguarding foreign-related arbitral awards and foreign arbitral awards in China. Both Korea and China joined the New York Convention, and domestic courts may refuse the recognition and enforcement of foreign arbitral awards according to the New York Convention.

Remote Monitoring of Patients and Emergency Notification System for U-Healthcare

  • Lee, Jun;Jang, Hyun-Se;Yang, Tae-Kyu;Seo, Yong-Ho
    • International journal of advanced smart convergence
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    • v.2 no.1
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    • pp.1-5
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    • 2013
  • This study proposes a remote monitoring of patients and emergency notification system with a camera and pulse wave sensor for U-Healthcare. The proposed system is a server client model based U-Healthcare system which consists of wireless clients that have micro-controller, embedded-board for patient status monitoring and a remote management server. The remote management server observes the change of pulse wave data individually in real-time sent from the clients that is to be remote-monitored based on the pulse wave data stored by users and divides them into caution section and emergency section. When the pulse wave data of a user enters an emergency situation, the administrator can make a decision based on the real-time image information and pulse rate variability. When the status of the monitored patient enters the emergency section, the proposed U-healthcare system notifies the administrator and relevant institutions. An experiment was conducted to demonstrate the pulse wave recognition of the proposed system.

Intention to Report Child Abuse of Emergency Room Nurse (응급실 간호사의 아동학대 신고의도)

  • Park, Hye Young;Choi, Eun Jung;Lee, Eun Nam
    • Journal of Korean Critical Care Nursing
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    • v.6 no.2
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    • pp.1-11
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    • 2013
  • Purpose: The purposes of this study were to examine a attitude, subjective norm, perceived behavior control, intention to report child abuse and to identify predictors of emergency room (ER) nurses' intention to report child abuse cases. Methods: A total of 364 nurses in ER participated in this study. Data were collected by self-administered questionnaire and analyzed with descriptive statistics, t-test or ANOVA, Pearson correlation, and stepwise multiple regression analysis. Results: 84.1 % of emergency room nurses reported feeling of obligation to report child abuse. Attitude, subjective norm, and perceived behavior control were positively correlated with intention to report child abuse. Intention to report child abuse was predicted by emergency room nurse's attitude, perceived behavior control, subjective norm, ER nurse career, and recognition as a reporting obligator. Conclusion: Child abuse education program should be developed to help ER nurses to report child abuse case and positive attitude toward reporting the cases.

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Comparison of satisfaction, interest, and experience awareness of 360° virtual reality video and first-person video in non-face-to-face practical lectures in medical emergency departments (응급구조학과 비대면 실습 강의에서 360° 가상현실 영상과 1인칭 시점 영상의 만족도, 흥미도, 경험인식 비교)

  • Lee, Hyo-Ju;Shin, Sang-Yol;Jung, Eun-Kyung
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.3
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    • pp.55-63
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    • 2020
  • Purpose: This study aimed to establish effective training strategies and methods by comparing the effects of 360° virtual reality video and first-person video in non-face-to-face practical lectures. Methods: This crossover study, implemented May 18-31, 2020, included 27 participants. We compared 360° virtual reality video and first-person video. SPSS version 25.0 was used for statistical analysis. Results: The 360° virtual reality video had a higher score of experience recognition (p=.039), vividness (p=.045), presence (p=.000), fantasy factor (p=.000) than the first-person video, but no significant difference was indicated for satisfaction (p=.348) or interest (p=.441). Conclusion: 360° virtual reality video and first-person video can be used as training alternatives to achieve the standard educational objectives in non-face-to-face practical lectures.

Emergency Medical Participants' recognition of The Emergency Medical Technicians' Job Awareness (응급실 내 의사와 간호사가 인식하는 병원 내 응급구조사의 업무인식도)

  • Bae, Ki-Sook;Han, Song-Yi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2908-2914
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    • 2013
  • This study investigated hospital EMT' scope of work perceived by emergency medical service providers by surveying 122 emergency medical service providers working at university hospitals in Daejeon and Chung-nam in order to provide basic materials for improving EMT' roles and legal regulations related to their works and enhancing the quality of emergency medical services. According to the results of this study was $3.23{\pm}0.67$ for the 40 items surveyed, which was somewhat higher than average. By area, job awareness was highest for trauma care, which was followed by hospital phase and breathing assistance, and lowest for medication. In order for emergency medical service providers to recognize hospital EMT' works, first of all, EMT need to carry out their jobs and roles faithfully. Therefore, educational institutions should provide substantial education programs. What is more, legally clear definitions should be made on the job of EMT, and campaigns and monitoring should be made continuously for EMT.

A Study on the Implementation of the Integrated Information System for Emergency Handling in Multi-modal Transfer Stations (복합형 환승센터에서의 상황대응을 위한 통합정보시스템 구축에 관한 연구)

  • Kim, Hyun-Tae;Han, Jeong-Hun;Jang, Bong-Seob;Kim, Hwang-Bae
    • Journal of Korean Society for Geospatial Information Science
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    • v.16 no.3
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    • pp.87-94
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    • 2008
  • In this study, deals with selection of monitoring objects to handle emergency cases of multi-modal transfer stations and information required for emergency surveillance, recognition, verification, propagation, processing and situation closing. Furthermore, this article suggests integrated management scheme for the above information and methods which offer appropriate information required for situation handling decisions at each stage of situation changes. The transfer station which consists of facilities, passengers, and transportations has limitations in required monitoring information. So, for the situation recognition and handling strategy, case-based reasoning of the expert system was used to apply experience, knowledge, and past cases of situation handling experts. The article also suggests methods to control facilities which are operated at transfer stations and these methods can minimize spatial confusions and damages at the emergency situation. The real time situation information will be shared by proper facility controls to support services from external institutions.

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A Study on the Analysis and Improvement methods of Emergency Medical Service Systems in Disaster Areas (재해현장에서의 응급의료체계에 대한 분석과 개선방안)

  • Choi, Keun Myung
    • The Korean Journal of Emergency Medical Services
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    • v.7 no.1
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    • pp.65-80
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    • 2003
  • Various disasters have been continuously occurred in Korea from 1990s to now. However, there is no substantial improvement against damages as compared with the past due to various reasons such as lack of fundamental recognition, ineffective response systems and widespread insensitivity to safety. More worse, new types of disasters have been frequently generated due to rapid changes in social structures and industrial development, unusual changes in weather and changes of international situations. These disasters request comprehensive countermeasures. In particular, while material damages by disasters can be recovered, the losses of precious lives cannot be recuperated in any ways. Thus, it is critical to set effective disaster medical plans. The first way to minimize damages by disasters is the prevention and the next is to set the disaster medical plans focusing on preliminarily activating the emergency medical system to rapidly rescue and take appropriate emergency medical services for casualties in the early stage when any disaster occurs. Nevertheless, no sufficient researches or references do not exist up to now. Even worse, effective emergency medical systems that play critical roles in increasing survival rates of casualties in actual disaster areas is not deployed. For the United States, the consistent countermeasure system is established in FEMA through a close cooperative system with relevant organizations for serious accidents including terrorists' attacks or natural disasters. For the emergency medical services in disasters, the disaster medical plan is set to cope with any disasters in perfect order by special area as operating the National Disaster Medical SystemESF#8 Role by FEMA. Accordingly, we need to set the extensive and integrated disaster prevention system for rapid and flexible operation against various kinds of serious accidents. This study identified overall problems in disaster control plans in Korea and suggested how to improve the emergency medical service system in disaster areas. Furthermore, it aims to prepare the basic data to set the effective emergency medical service plans when substantial casualties break out and more reasonable and systematic disaster control plans to cope with the future occurrence of serious disasters.

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Clinical features and risk factors for missed stroke team activation in cases of acute ischemic stroke in the emergency department

  • Byun, Young-Hoon;Hong, Sung-Youp;Woo, Seon-Hee;Kim, Hyun-Jeong;Jeong, Si-Kyoung
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.5
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    • pp.437-448
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    • 2018
  • Objective: Acute ischemic stroke (AIS) requires time-dependent reperfusion therapy, and early recognition of AIS is important to patient outcomes. This study was conducted to identify the clinical features and risk factors of AIS patients that are missed during the early stages of diagnosis. Methods: We retrospectively reviewed AIS patients admitted to a hospital through the emergency department. AIS patients were defined as ischemic stroke patients who visited the emergency department within 6 hours of symptom onset. Patients were classified into two groups: an activation group (A group), in which patients were identified as AIS and the stroke team was activated, and a non-activation group (NA group), for whom the stroke team was not activated. Results: The stroke team was activated for 213 of a total of 262 AIS patients (81.3%), while it was not activated for the remaining 49 (18.7%). The NA group was found to be younger, have lower initial National Institutes of Health Stroke Scale scores, lower incidence of previous hypertension, and a greater incidence of cerebellum and cardio-embolic infarcts than the A group. The chief complaints in the A group were traditional stroke symptoms, side weakness (61.0%), and speech disturbance (17.8%), whereas the NA group had non-traditional symptoms, dizziness (32.7%), and decreased levels of consciousness (22.4%). Independent factors associated with missed stroke team activation were nystagmus, nausea/vomiting, dizziness, gait disturbance, and general weakness. Conclusion: A high index of AIS suspicion is required to identify such patients with these findings. Education on focused neurological examinations and the development of clinical decision tools that could differentiate non-stroke and stroke are needed.

Spontaneously Healed Thyroid Cartilage Fracture with Displacement: Report of a Case (전위를 동반한 갑상연골 골절의 자연 치유 치험 1례)

  • Ryu, Hyun-Ho;Lee, Byung-Kook;Jeung, Kyung-Woon
    • Journal of Trauma and Injury
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    • v.23 no.1
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    • pp.53-55
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    • 2010
  • A thyroid cartilage fracture is a rare entity and can be overlooked easily. Such cases are difficult to diagnose, and assessment and treatment guidelines are difficult to determine. CT of the neck region may be useful when acute airway intervention is not required or when more information regarding the neck's anatomy is required for management decisions. We describe a case of a thyroid cartilage fracture with displacement. In the emergency department (ED), neck CT and fiberoptic nasopharyngoscopy were used to assess the status of the patient's (a male) vocal chords immediately. He remained unable to phonate continuously. After an immediate assessment, we decided to use steroid and conservative therapy. The patient had a good recovery and was without symptoms one month after injury. There is no question that early surgical repair of neck injuries affords the best results for airway and voice patency in most cases however, we suspect that surgical repair is not needed in all cases. Early recognition and an accurate therapy plan for a thyroid fracture with displacement are essential. Therefore, the emergency physician's immediate and careful decision based on endoscopy and neck CT is important for the patient's long-term recovery.