• Title/Summary/Keyword: Emergency service system

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Nephropathy related to computed tomography in emergency department patients with serum creatinine <1.5 mg/dL (정상 혈청 크레아티닌을 가진 응급실 환자에서의 조영제 연관 신증)

  • kim, Jong Ha;Park, Sin-Youl;Kim, Chong Gun
    • Journal of Yeungnam Medical Science
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    • v.32 no.2
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    • pp.90-97
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    • 2015
  • Background: Contrast-induced nephropathy (CIN) can cause serious adverse effects. To reduce the occurrence of CIN related computed tomography (CT) in emergency patients, we assessed the respective roles of serum creatinine (SCr) alone and estimated glomerular filtration rate (eGFR) as an early predictor for CIN related CT. Methods: For patients with SCr <1.5 mg/dL who underwent CT in emergency department (ED) between September 2012 and October 2013, we assessed the prevalence of CIN and its adverse effects. The Modification of Diet in Renal Disease Study (MDRD) and Cockcroft-Gault (CG) formula was used for the calculation of eGFR. Practical calculation was performed by electronic medical record (EMR) system for MDRD and internet calculating service for CG. And we investigated the prevalence of CIN in eGFR $<60mL/min/1.73m^2$ before CT. Results: A total of 1,555 patients were enrolled. The prevalence of CIN after CT was 4.6% and it showed correlation with renal deterioration, increased in-hospital mortality, and prolonged hospitalization. Despite baseline SCr <1.5 mg/dL, among enrolled patients, 11.3% as MDRD equation and 29.5% as CG formula were $<60mL/min/1.73m^2$ and in this condition, the prevalence of CIN was significantly high (odds ratio was 2.87 [1.64-5.02] as MDRD equation and 2.03 [1.26-3.29] as CG formula). Conclusion: Just SCr <1.5mg/dL was not appropriate to recognize preexisting renal insufficiency, but eGFR using MDRD equation was useful in predicting the risk of CIN related CT in ED. Using EMR, calculation of eGFR can be easier and more convenient.

Mobile Receiver Model for T-DMB Location Automatic Emergency Alert Service (T-DMB 국지적 자동재난경보방송 서비스를 위한 모바일 수신 모델)

  • Kwon, Seong-Geun;Jeon, Hee-Young;Lee, Suk-Hwan;Kwon, Ki-Ryong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.34 no.10A
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    • pp.796-806
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    • 2009
  • This paper presents the method of emergency warning system operation based on T-DMB and the design of T-DMB AEAS receiver model. The proposed receiver model compares the geographical location of emergency with the location of DMB transmitting station from T-DMB broadcasting signal and classifies the receiver location into alert region, neighboring region and non-alert region and transmits the emergency alert message according to each region. The geographical location of emergency can be obtained from FIG 5/2 EWS data field for AEAS message and the location of DMB transmitting station can be estimated from either the latitude and the longitude in main identifier and sub identifier in FIG 0/22 data filed for TII(Transmitter Identification Information) or TII distribution database. In our experiment, we implemented the proposed receiver model with display section, storage section, DMB module for receiving broadcasting signal and control section and performed test emergency alert broadcasting using T-DMB signal generator.

Emergency Service Restoration and Load Balancing in Distribution Networks Using Feeder Loadings Balance Index (피더부하 균등화지수를 이용한 배전계통의 긴급정전복구 및 부하균등화)

  • Choe, Sang-Yeol;Jeong, Ho-Seong;Sin, Myeong-Cheol
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.51 no.5
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    • pp.217-224
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    • 2002
  • This paper presents an algorithm to obtain an approximate optimal solution for the service restoration and load balancing of large scale radial distribution system in a real-time operation environment. Since the problem is formulated as a combinatorial optimization problem, it is difficult to solve a large-scale combinatorial optimization problem accurately within the reasonable computation time. Therefore, in order to find an approximate optimal solution quickly, the authors proposed an algorithm which combines optimization technique called cyclic best-first search with heuristic based feeder loadings balance index for computational efficiency and robust performance. To demonstrate the validity of the proposed algorithm, numerical calculations are carried out the KEPCO's 108 bus distribution system.

Indoor Location-based Emergency Call Service System for Ships using VLC Technology (가시광통신을 이용한 선박 내 위치 기반 응급호출 시스템)

  • Hong, Seung-Beom;Lee, Kyou-Ho
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.12
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    • pp.2836-2843
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    • 2015
  • Due to metallicity of materials, a vessel has a limitation to adopt RF-based wireless communication technologies for the inner communication means. Visible Light Communication(VLC) can be a sound alternative to dissolve such a limitation. Using a visual light as a transmission medium, VLC is free from radio interferences and restriction of radio usages which are typically related to RF-based wireless communications. In addition, VLC can not only require the facility cost relatively low because of being possibly converged with existing LED illumination, but also be harmless to the human body. This paper proposes an indoor location-based emergency call service system solution for ships using the VLC technology that supports 256Kbps data rate and 5m transmission distance. This paper presents real implementation and testing results of the solution which verifies the propriety of the proposal.

Prediction Table for Marine Traffic for Vessel Traffic Service Based on Cognitive Work Analysis

  • Kim, Joo-Sung;Jeong, Jung Sik;Park, Gyei-Kark
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.13 no.4
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    • pp.315-323
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    • 2013
  • Vessel Traffic Service (VTS) is being used at ports and in coastal areas of the world for preventing accidents and improving efficiency of the vessels at sea on the basis of "IMO RESOLUTION A.857 (20) on Guidelines for Vessel Traffic Services". Currently, VTS plays an important role in the prevention of maritime accidents, as ships are required to participate in the system. Ships are diversified and traffic situations in ports and coastal areas have become more complicated than before. The role of VTS operator (VTSO) has been enlarged because of these reasons, and VTSO is required to be clearly aware of maritime situations and take decisions in emergency situations. In this paper, we propose a prediction table to improve the work of VTSO through the Cognitive Work Analysis (CWA), which analyzes the VTS work very systematically. The required data were collected through interviews and observations of 14 VTSOs. The prediction tool supports decision-making in terms of a proactive measure for the prevention of maritime accidents.

Radiographic Status of the Visited Patients at University Hospital Emergency Room (한 대학병원 응급실 내원환자의 방사선촬영 실태)

  • Ahn, Byeoung-Ju
    • Journal of the Korean Society of Radiology
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    • v.5 no.2
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    • pp.81-92
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    • 2011
  • This study was carried out to improve service efficiency and to cope with a emergency situation in emergency radiography, through analysis of the radiographic distriution and literature cited about emergency care. Data collection of radiographic distribution was surveyed for 1270 emergency outpatients who visit during JAN, 2009at ER of the general hospital in Gwang city. The results is as follows : Emergency radiography rate of simple radiography was 56.6%, special radiography 2. 5%, CT 34.2%, and ultrasonography 6.7%, In simple radiography rate. a high rate was distributed on male(63.6%), thoracicsurgery part(90.0%), admission patient(77.9%), and long stayed patient at ER. In special raiography rate, a high rate was obsurved in urologic part(28.6%), and in CT rate, observed neurosurgerty part(49.2%) and neurologic part(36.7%). Ultrasonography rate was high for female(8.8%) and internal medicine part(15.9%). There are distributed regional radiography rate in radio-graphic type that chest(55.3%) is high in the simple radiography, urinary system(1.2%) in the special study, and brain(40.0%) in the CT. Regional radiography rate according to diagnostic department also was showed highly for head(64.6%) in neuro surgery, chest(90.0%) in thoracic surgery, abdomen(58.0%) in general surgery, spine(40.0%) in neuro surgery, and pelvis(15.9%), upper extrimity(20.5%), and lower extrimity(31.8%) in orthopedic surgery each. Mean radiographic case number per patient of simple radiography was sinificant on sex, age, transfer relation in both total and radiopraphic patients(p<0.05). Mean radiographic case number was highly distributed on male(2.2 case number) in sex, on thirties(2.7) in age, transferred patient(2.7) in patient type, and on nurosurgery(3.4) in diagnostic charged part. Total radiographic case number in regional party was highly distributed on chest(998 case number.) Considering the above results, emergency radiographer should take care of the elder patient in emergency radiography and get hold of injury mechanism to decrease possible secondary injury during radiography. Because of high radiography rate of urinary system in special study, related instrument. All radiographer who take charge emergency patient should cope with a emergency situation during radiography. Because head trauma patients is very important in patient care, especilly in CT at night, charged doctor should be always sitted with CT room and monitoring patient. Radiography was reqested by many diagnostic department in ER. Considering that rate of simple radiography is high, special room for emergency radiopraphy should be established in ER area, and the radioprapher of this room should be stationed radiologic technician who is career and can implement emergency patient care and The disposition of men which is appropriate with emergency patient increase is necessary.

The Improvement Measures for the Establishment of Emergency Management System in Private Security (위험사회의 전개에 따른 민간경비 산업의 대응과제 - 위기관리를 중심으로)

  • Park, Dong-Kyun
    • Korean Security Journal
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    • no.10
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    • pp.103-125
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    • 2005
  • Hazard are defined here as threat to life, well-being, material goods and environmental from the extremes of natural processes or technology. The challenges of natural and technology in increasing the exposure of people and property to risk pose a dilemma for any government seeking the fullest protection for its people and their property. As society progresses and as technology improves and becomes ever more intricate and far reaching, the human species is confronted with increasingly diverse and numerous catastrophic events. Not so infrequently, unfortunately, the impact of either a man-made or natural disaster is compounded by the fact that policy makers have neither prepared themselves or the public to respond appropriately to a disaster once the tragedy has struck. Many concerns have been raised for importance of emergency management after 1990's numerous urban disasters in Korea. Emergency management is the discipline and profession of applying science, technology, planning, and management to deal with extreme events that can injure or kill large numbers of people, cause extensive damage to property, and disrupt community life. When the primary function of private security is to protect lives and property of clients, emergency management should be included in the security service and many countermeasures should be carried out for that purpose. The purpose of this study is to establish ways and means needed to improve the private security emergency management system in Korea. This study is spilt into four chapters. Chapter I is the introduction part. Chapter II introduces the reader to a private security and emergency management theory, and Chapter III deals with the establishment of an effective emergency management system in Korea private security, Chapter IV is a conclusion. Policy makers and private security industry employers in Korea has not concerned with the importance of training and education by lack of recognition and has been passive about qualified guards. And the authorities supervising and the administrating the guards has not recognized the importance of private security and has neglected the training of the guards. In theses contexts, private security should develop and maintain a educational program of emergency management to meet their responsibilities to provide the protection and safety of the clients. Today's modern corporate security director, is, first of all, a competent, well-rounded business executive and, second, a 'service expert'. And, emergency management personnel in private security industry need continuous training.

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Learning from the USA's Single Emergency Number 911: Policy Implications for Korea (미국 긴급번호 911 운영시스템에 관한 연구: 긴급번호 실질적 통합을 위한 정책 시사점 제시 중심으로)

  • Kim, Hak-Kyong;Lee, Sung-Yong
    • Korean Security Journal
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    • no.43
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    • pp.67-97
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    • 2015
  • In Korea, a single emergency number, such as 911 of the USA and 999 of the UK, does not exist. This issue became highly controversial, when the Sewol Ferry Sinking disaster occurred last year. So, the Korean government has planned to adopt a single emergency number, integrating 112 of the Police, 119 of the Fire and Ambulance, 122 of the Korean Coast Guard, and many other emergency numbers. However, the integration plan recently proposed by the Ministry of Public Safety Security seems to be, what is called, a "partial integration model" which repeals the 122 number, but still maintains 112, 119, and 110 respectively. In this context, the study looks into USA's (diverse) 911 operating system, and subsequently tries to draw general features or characteristics. Further, the research attempts to derive policy implication from the general features. If the proposed partial integration model reflects the policy implications, the model can virtually operate like the 911 system -i.e. a single emergency number system - creating inter-operability between responding agencies such as police, fire, and ambulance, even though it is not a perfect integration model. The features drawn are (1) integration of emergency call-taking, (2) functional separation of call-taking and dispatching, (3) integration of physical facilities for call-taking and dispatching, and (4) professional call-takers and dispatchers. Moreover, the policy implications derived from the characteristics are (1) a user-friendly system - fast but accurate responses, (2) integrated responses to accidents, (3) professional call-taking and dispatching & objective and comprehensive risk assessment, and finally (4) active organizational learning in emergency call centers. Considering the policy implications, the following suggestions need to be applied to the current proposed plan: 1. Emergency services' systems should be tightly linked and connected in a systemic way so that they can communicate and exchange intelligence with one another. 2. Public safety answering points (call centers) of each emergency service should share their education and training modules, manuals, etc. Common training and manuals are also needed for inter-operability. 3. Personal management to enable-long term service in public safety answering points (call centers) should be established as one of the ways to promote professionalism.

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Smart Care System on a Small Boat for an Effective Emergency Service (효과적인 응급대응을 위한 소형선박의 위치기반 스마트케어시스템)

  • Shin, Dong-Young;Lee, Byung-Mun
    • The Journal of the Korea Contents Association
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    • v.12 no.8
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    • pp.59-68
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    • 2012
  • The existing ship monitoring system currently in use has a limitation, which is that it can only identify a boat's location for finding a safe harbor or give an answer to a rescue signal. In addition to this, it is very difficult to add an expensive, more effective monitoring system to small boats because of their small infrastructure in comparison with large boats. Therefore, this study suggests that a new model could be required to better cater to the needs of small boats. The 'Smart Care System', based on location, is better able to monitor the boat and the crew of small boats in comparison with the existing ship monitoring system. Using biomedical data transmission equipment, it is able to survey and send biomedical data so that it can continuously monitor the crew's health. The boat has an intelligent interface device, which has the functions of GPS and attitude sensors, and a web based management system. We have conducted three experiments for the assessment of this system. The experiment of biological data transmission had a success rate of 98 percent, and the tests conducted for recognizing emergency situations also had a 98 percent success rate. In conclusion we confirmed the efficiency of this system.

Development and Implementation of the Emergency Call Program for a Welfare for the Elderly (노인 복지를 위한 응급 상황 호출 프로그램의 개발 및 구현)

  • Kim, Jung-Hwan;Cho, Myeon-Gyun;Kim, Shik
    • IEMEK Journal of Embedded Systems and Applications
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    • v.8 no.2
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    • pp.79-85
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    • 2013
  • This paper proposes a system that utilizes USN(Ubiquitous Sensor Network), Bluetooth and smart phone to improve the function of senior houses. In typical approach, a system in a senior house either directly accesses the status of elderly people by its sensor or is alerted by elderly people who trigger an emergency bell, derive a decision and take an appropriate action. In addition, it is possible for a designated social worker to check the status of senior patients through monitoring system connected by UTP(Unshielded Uwisted Pair) cables, but the responsible person has to be present to monitor patients' status. However, the new system, suggested in this paper, embed Bluetooth function in a blood pressure gauge, thus the smart phone receives patients' health information such as blood pressure through Bluebooth, if any abnormal event occurs. Consequently, the smart phone sends SMS(Short Message Service) to a responsible social worker or a designated hospital. When this program in the paper becomes a reality, an unmanned system that is able to determine suitable actions for certain events will be established, even if a social worker were absence.