• 융합보안논문지
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• 제19권4호
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• pp.35-41
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• 2019

북한의 전략을 고려할 때, 개전 상황시 북한의 최우선 타격 목표는 공군을 무력화하는 공군 활주로일 가능성이 높다. 이에 대한 대응 방안으로 비상 활주로와 활주로 긴급 복구 작전이 있다. 하지만 비상 활주로는 주로 비상 착륙, 연료 공급, 재무장로 이용된다. 활주로 긴급 복구 작전도 북한의 위협적인 미사일 수준을 고려할 때 복구 시간 등 몇 가지 한계점이 있기에 활주로 폭파에 신속히 대응할 수가 없다. 본 연구에서는 먼저 북한의 미사일 위협 수준을 판단한다. 이후, 활주로 폭파의 차세대 대응방안인 이동식 활주로의 개념과 한계를 제시하며 기존 대응 방안과의 비교를 통해 이동식 활주로 도입의 필요성을 제시한다.

• 대한임상독성학회지
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• 제19권2호
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• pp.93-99
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• 2021

Purpose: Nutritional status and support in critically ill patients are important factors in determining patient recovery and prognosis. The aim of this study was to analyze the early nutritional status and the methods of nutritional support in critically ill patients with acute poisoning and to evaluate the effect of nutritional status on prognosis. Methods: A retrospective study was conducted in tertiary care teaching hospital from January 2018 to December 2020. in an emergency department of university hospital, 220 patients who were stayed more than 2 days of poisoning in intensive care unit were enrolled. Results: 155 (70.5%) of patients with acute poisoning had low-risk in nutritional risk screening (NRS). Patients with malignancy had higher NRS (low risk 5.2%, moderate risk 18.5%, high risk 13.2%, p=0.024). Patients of 91.4% supplied nutrition via oral route or enteral route. Parenteral route for starting method of nutritional support were higher in patients with acute poisoning of herbicide or pesticide (medicine 3.2%, herbicide 13.8%, pesticide 22.2%, p=0.000). In multivariate logistic regression analysis, herbicide or pesticide intoxication, higher risk in NRS and sequential organ failure assessment over 4.5 were affecting factor on poor recovery at discharge. Conclusion: NRS in patients intoxicated with herbicide or pesticide were higher than that in patients intoxicated with medicine intoxication. Enteral nutrition in patients intoxicated with herbicide or pesticide was less common. Initial NRS was correlated with recovery at discharge in patient with intoxication. It is expected to be helpful in finding patients with high-risk nutritional status in acute poisoning patients and establishing a treatment plan that can actively implement nutritional support.

• 의료법학
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• 제19권2호
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• pp.209-233
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• 2018

이 연구의 목적은 5년간(2012년~2016년) 응급실 도착 전 심정지 환자의 자발순환회복 여부를 파악하고, 이에 미치는 요인을 규명하기 위하여 시도하였다. 이 연구는 우리나라 전국을 대상으로 2012~2016년 '질병관리본부'에서 실시한 '급성심장정지조사 원시자료'를 주 자료로 사용하였다. 2012년부터 2016년 5년간의 국가 심장정지 조사 자료 중 심장정지 환자 136,212명을 분석 대상으로 하였다. 일반적 특성, 사회·인구학적 특성, 발생관련 특성에 따른 응급실 도착 전 자발순환 회복 여부를 파악하기 위해 교차분석을 하였고, 자발순환 회복 여부에 미치는 요인을 분석하고자 이분형 로지스틱 회귀분석을 실시하였다. 분석결과 응급실 도착 전 자발순환 회복 여부에 미치는 요인은 응급실 도착전 심폐소생술 지속 이송 여부, 응급실 도착 전 급성심장정지 목격 여부, 일반인 심폐소생술 시행 종류, 급성심장정지 발생 장소, 급성심장정지 발생 원인이었다(P<0.001, P<0.01). 그러므로, 심정지 환자의 자발순환 회복에 영향을 미치는 요인을 중심으로 체계적인 정부의 보건정책 시행과 대중적인 보건교육을 강화해야 할 것이다.

• Journal of Trauma and Injury
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• 제23권1호
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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.

• 대한임상독성학회지
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• 제8권1호
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• pp.37-42
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• 2010

Purpose: The purpose of this study was to determine the optimal length of time to observe patients with contrast media anaphylaxis in the Emergency Department. Methods: This study included the patients of all age groups who presented with anaphylaxis due to contrast media to the ED of Pusan National University Hospital from January 2006 to August 2009. The medical records were retrospectively reviewed. We analyzed the 100 patients who met the inclusion criteria. Their median age was 55 (46-62), and 38 out of the 100 patients (38%) were male. Results: The most common symptom of patients was urticaria. Corticosteroid and H1 antihistamine were given to most of the patients in the ED. All were discharged after observation in the ED and none were admitted to the ward. The average time from injection of the contrast media to the onset of symptom was 31 minutes (24-39) and the average time to symptom recovery was 127 minutes (89-188). The mean observation time in the ED was 93 minutes (59-153). Biphasic reactions were reported in only one case (1/100, 1%). Conclusion: These results suggest that patients who present with an anaphylactic reaction after radiologic studies that use intravenous contrast media can be safely discharged early from the ED because the symptom recovery time is not long and a biphasic reaction is rare.

• 방송공학회논문지
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• 제19권2호
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• pp.184-194
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• 2014

이동통신망을 이용한 재난경보의 신속한 방송을 위해 CBS 기능이 이용된다. 본 논문에서는 이 CBS 기능을 위한 동기식 협력통신 방식을 제안한다. 특히 고속 전송을 위한 동기 방식과 데이터 복구 기법을 제안한다. 고속 전송 환경에서의 동기를 위해 주기 전치부가 있는 프리엠블이 이용되며 데이터 복구를 위해 SC-FDE와 유사한 주파수 영역에서의 Alamouti 기법을 이용한다. 모의실험 결과는 제안된 방식이 CBS에 매우 적합함을 보여준다.

• 기본간호학회지
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• 제22권2호
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• pp.149-157
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• 2015

Purpose: The objectives of this study were to assess the influence of family presence in the PACU (Post Anesthesia Care Unit) on anxiety, emergency delirium, pain and length of stay in the recovery room for elderly patients undergoing surgery for which general anesthesia has been used. Methods: The study was a nonequivalent control group pre-post test design. Eighty elderly patients over 65 years who underwent surgery under general anesthesia were recruited. Forty were assigned to the experiment group, patients together with a family member and 40 to the control group, with no family member present. Patients' anxiety, emergency delirium, pain and length of time in the recovery room were evaluated at 10 minute and 30 minute after arrival in the PACU. Results: Patients with family members in the PACU showed significantly decreased levels of anxiety at 10 and 30 minutes and significantly lower levels of emergency delirium and pain at 30 minutes. However there was no difference between the 2 groups for length of time in the recovery room. Conclusion: The results of this study indicate that being with family members in the PACU after surgery under general anesthesia is effective for reducing elderly patients' anxiety, delirium and pain during time in the recovery room.

• 항공우주시스템공학회지
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• 제10권2호
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• pp.22-26
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• 2016

Whole airplane recovery parachute system(WARPS) is a auxiliary safety system to protect occupants in emergency situation where recovery to normal flight condition is impossible. In this paper, application and certification cases of WARPS for Part 23 small airplane is introduced and considerations in certification of the WARPS installed airplane are provided in terms of performance of parachute, function and operation, loads and strength and protection of occupants.

• 한국전자거래학회지
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• 제7권1호
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• pp.167-186
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• 2002

The encryption of a file on a PC before saving can maintain security of the file. However, if the key for the encrypted file is lost or damaged, the encrypted file can not be decrypted, resulting in serious economical loss to the user or the user group. In order to minimize the economical loss a secure and reliable key recovery technology is required. Presented in this paper is the development and evaluation of PKRS (PC based Key Recovery System) which supports encryption and decryption of file and recovery of the encrypted file in emergency. The encapsulating method, which attaches key recovery information to encrypted file, is applied to the PKRS. In addition, the PKRS is developed and evaluated according to the requirements of Requirements for Key Recovery Products proposed by NIST and requirements of Common Criteria 2.0 to prove the safety and reliability of the information security system. This system is applicable to a PC and can be further extended to internet or intranet environment information system where in encryption and recovery of file is possible.

• 한국응급구조학회지
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• 제25권1호
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• pp.205-221
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• 2021

Purpose: This paper is to determine whether automatic defibrillators (AEDs) deployed across communities make a contribution to prevent death in patients with acute cardiac arrest out-of-hospital. Methods: A total of 30,179 cases of cardiac arrest investigation data from the Korea Centers for Disease Control and Prevention was matched to those on emergency medical statistics drawn from annual report for the 2018 Central Emergency Medical Center, and statistics from the National Statistical Office in 2018. Results: Multiple logistic regression analyses revealed that availability of emergency medical resources across associated with different survival rates at emergency room after taking variability of the patient's personal characteristics and episodic situational characteristics held constant. The survival rate was 1.71 times higher for patients living in communities with more than 105 AEDs avaiable per 100,000 inhabitants than for those living in communities with less than 55 AEDs. Conclusion: The survival-related factors of patients with acute cardiac arrest that occurred out-of-hospital were found to be associated with patients' and episodic situational characteristics. The hospital stage were found to be associated with patients characteristics and episodic situational characteristics, The variability of AED available in a community has an impact on survival rate after emergency room treatment.