• Journal of Trauma and Injury
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• v.28 no.3
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• pp.158-169
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• 2015

Purpose: Frostbite can affect still soldiers. Initial clinical manifestations are similar for superficial and deep frostbite, so early treatment is identical. It is under-estimated by physicians. We try to identify the challenges of managing these complex tissue injuries. Methods: A retrospective analysis of 84 patients hospitalized at AFCH from 2009 to 2015 was conducted. We investigated differences of epidemiological characteristics, identification of soft tissue injury, treatment and complications between superficial (SF: 43; 51.2%) and deep (DF: 41; 48.8%) frostbite. Results: The major (94.0%) developed frostbite in dry circumstances (89.3%). Wet circumstances (66.7%) were more susceptible to DF rather than dry (46.7%). The 38 (45.2%) arrived to specialist within 7days. Most prone sites were feet, followed by hands. Toes had more deep injuries. DF presented more increased levels of ALT, CPK, CKMB, CRP. The bone scan of W+S+ was 48.3%, 87.1% and W+S- was 20.7%, 12.9%, respectively. The treatment resulted in improved or normalized perfusion scan with matching clinical improvement. It was a good tool to assess treatment response. Eighteen normal and 8 stenotic type of PCR resulted in normal with matching clinical improvement. One continuous obstructive waveform led to minor amputation. Twelve underwent both PCR and MRA. Among 6 normal PCR, 5 showed normal and one stenosis in MRA. All 5 stenosis and one obstruction showed the same findings in MRA. It was a good tool to evaluate vascular compromise. They were treated with rapid rewarming (11.6%, 22.0%), hydrotherapy (16.3%, 29.3%), respectively. Six (14.6%) underwent STSG, 2 (4.9%) had digital amputation in DF. Berasil, Ibuprofen, Trental were commonly administered. PGE1 was administered selectively for 6.8, 10.8 days, respectively. Raynaud's syndrome (16.3%), CRPS (4.7%), LOM (14.6%) and toe deformity (4.9%) were specific sequelae. Conclusion: We should recommend intensive foot care education, early rewarming and evacuation to specialized units. The bone scanning and PCR should allow for a more aggressive and active approach to the management of tissue viability.

• Geophysics and Geophysical Exploration
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• v.13 no.3
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• pp.295-300
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• 2010

Recently, many tsunamis triggered by impulsive undersea ground motions occurred in subduction zones around the Pacific Ocean area including the East Sea surrounded by Korea, Japan and Russia. The wave height of a tsunami may be in the order of several meters, while the wavelength can be up to 1,000 km in the ocean, where the average water depth is about 4 km. A tsunami could cause a severe coastal flooding and property damage not only at neighboring countries but also at distant countries. A fundamental and economic way to mitigate unusual tsunami attacks is to construct tsunami hazard maps along coastal areas vulnerable to tsunami flooding. These maps should be developed based on the historical tsunami events and projected scenarios. The map could be used to make evacuation plans in the event of a real tsunami assault.

• Journal of the Korean Society for Library and Information Science
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• v.15
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• pp.267-280
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• 1988

After the Koryo government moved to Kanghwado Island to escape the invading Mongols, Ch'oe I who was the government irstman ordered in 1239 the recarving of Nanmingchuan Huoshangsung Chengtao-ko (남명천화상송증도가) widely used by an adherent of Son Buddhism to gain a greater understanding of Son principles. Ch'oe I's postscript indicate that the original edition printed with metal type was no longer available and woodblocks were carved to produce facsimiles of that edition. It is assumed that the copies of the original edition were limited in number due to the primitiveness of printing skills and had either not been taken to Kanghwado Island in the flurry of evacuation or were almost all used up. Demand for the book seemed to have surged sharply due to need for spiritual solace during the period of invasion. It is believed that the original edition of Chengtao-ko was published with metal type in Kaegyong(개경), the capitial, before the government took refuge on Kanghwado Island. Two copies of the recarved woodblocks were recently found in the collectiion of Kim Chong-gyu(김종규). and Park Tong-sop (박동섭). It is presumed that one of the copies was recarved again the other one some time, But the carving of the woodblocks were very sophisticated and faithfully reproduced the characteristics of the original metal type edition; first, there were many slanted characters; second, the lines of the main text were not straight but wavy; third, no bottom stroke of any character overlaps the upper stroke of the following character; and fourth, the characters are relatively uniform in size and shape. The printing techniques reflected in the woodblock reproduction were much better than that at the end of the Koryo dynasty and the beginning of the Yi dynasty. It can be assumed that printing with official type had reached a high level of skill before the transfer to Kanghwado Island.

• Pediatric Infection and Vaccine
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• v.18 no.1
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• pp.97-102
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• 2011

The Multidrug-resistant Acinetobactor baumanii (MDRAB) is an opportunistic pathogen. Patients with long periods of hospital stay and/or under intensive care unit (ICU) receiving invasive management are more susceptible to this pathogen. In this report, four children with MDRAB infection are reviewed and described their clinical characteristics. There had been concurrent outbreaks of MDRAB infection in adult patients in the ICU at this period of time. The first child had received a craniotomy and epidural hematoma evacuation. The second child was admitted for status epilepticus with hydrocephalus. The third child had pneumonia with status epilepticus with hydrocephalus. The fourth child had poor activity due to hypoxic ischemic encephalopathy and convulsive disorder. Except the fourth child, all had not been exposed to carbapenem prior to infection of MDRAB. That imply the cause of MDRAB infections may be associated with invasive management and prolonged hospitalization together with the previous exposure to carbapenem in our cases. We would like to emphasize the importance and minimizing the spread of hospital infection in patients under prolonged intensive care management regardless of the use of carbapenem.

• Journal of the Korean Society of Safety
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• v.35 no.2
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• pp.84-93
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• 2020

In recent years, the scale of damage from disasters such as earthquakes and large-scale fires and floods that are occurring in Korea is increasing. Accordingly, interest in urban disaster prevention that combines living infrastructure such as roads and parks is boosting, and it is urgent to prepare measures to reduce the damage scale of local cities. The purpose of this study is to derive implications for disaster prevention measures in areas where disaster prevention safety of local cities is weak through examples of disaster prevention safety of local cities in case of disaster. To this end, this study analyzed the regional characteristics, current status, and disaster prevention problems of regional cities in Japan, and selected disaster-vulnerable areas, and considered the distance relationship between disaster prevention bases through road network analysis. In addition, road closure simulation using ArcGIS Network Analyst was conducted to analyze disaster prevention safety in the area. As a result, the situation of the village which has a high possibility of isolation by natural disasters was grasped in advance. Through this, the suburbs confirmed the necessity of supplementing the disaster prevention function through transportation maintenance such as forest roads, and it was found that the city needs to prepare a risk management system. Furthermore, this study suggests the need for research on areas with a high possibility of isolation, especially in areas where disaster prevention functions are weak in local cities in case of disaster, and shows countermeasures for disaster prevention measures and resident education.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.3
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• pp.424-435
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• 2012

Purpose: The purpose of this study was to investigate the disaster experience (accidents, education etc) and the concern for disaster preparedness of college students. Methods: This research design was a descriptive study. Data were collected from November 1, 2011 to December 30, 2011 and analyzed by the SPSS PASW statistics 18.0 program. Results: There were statistical significances in major (p<.050), grade(p<.001), and a completed disaster class(p<.001) between general characteristics and concern for disaster preparedness. The major disaster events that occurred from 2003 to 2010 in Korea were the 2007 Taean oil spill (85.4%), the 2003 Daegu subway fire (82.7%), and the 2008 Sungnyemun fire (62.9%). The possible disaster events in Korea were hurricanes, floods, fires (including wildfire), and the shutdown of communication lines. Subjects learned about cardiopulmonary resuscitation (18.2%), first aid for bleeding and fractures (17.8%), a fire drill (14.3%), and an escape drill for an earthquake (14.0%). They wanted to learn the fire drill (11.33%), the escape drill for an earthquake (9.7%), a war drill (9.0%), a disaster confrontation drill on the subway (8.6%), and a fire and explosion evacuation drill (8.4%). Half of subjects were not prepared with emergency supplies for disasters because they thought that a disaster would not occur. Conclusion: It is necessary to develop the disaster educational programs according to subject's demands in Korea.

• Journal of Korean Tunnelling and Underground Space Association
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• v.13 no.6
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• pp.451-462
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• 2011

The smoke control system plays the most important role in securing evacuation environment when a fire occurs in road tunnels. Smoke control methods in road tunnels are classified into two categories which are longitudinal ventilation system and transverse ventilation system. In this study it is intended to review the characteristics of smoke behavior by performing numerical analysis for calculating the optimal smoke exhaust air volume with scaled-model and simulation when a fire occurs in tunnels in which transverse ventilation is applied, and for obtaining the basic data required for the design of smoke exhaust systems by deriving optimal smoke exhaust operational conditions for various conditions. As a result of this study, when the critical velocity in the tunnel is 1.75 m/s and 2.5 m/s, the optimal smoke exhaust air volume has to be more than $173m^3/s$, $236m^3/s$ for the distance of the smoke moving which can limit the distance to 250 m. In addition, in case of uniform exhaust the generated smoke is effectively taken away if the two exhaust holes near the fire region are opened at the same time.

• Fire Science and Engineering
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• v.26 no.2
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• pp.59-68
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• 2012

Predicting occupants' behaviors from the start of the fire to egress and reducing the time required for such process are critical matters that can decide success and failure of safe egress. In this research, research literatures and theories and fire cases were compared and analyzed so as to prepare logical grounds that could predict the process of beginning egress. As a result of this research, there was a significant difference in the time elapsed until people start evacuating due to spatial positions and quarantine from the place from which the fire originated and their auditive and olfactory signs did not recognize the fire instantly and they showed a strong tendency to recognize the fire by visual sign, warning announcement for egress and notice by others. And the results also showed that only a very small minority of occupants evacuated as soon as they perceived the fire and that variation in the time elapsed until evacuation begun for occupants were wider as the size of building was bigger and that accommodations such as hotel had wider variation in the time elapsed regardless of the size of buildings.

• Journal of Korean Academy of Nursing
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• v.29 no.4
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• pp.817-828
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• 1999

This is a descriptive study on quality of life(QOL) and related factors of ostomates to provide a basic data for development of nursing interventions. The subjects were 110 ostomates who were members of the Daegu or Daejon branches of the Korean Ostomy Association. Data collection was performed between March 1st and April 6th, 1998. Measurements of QOL, self-care, family support, self-esteem, and hope were used as the study tools. Data were analyzed with the SAS program by using t-test, ANOVA Pearson correlation and stepwise multiple regression. The results are as follows : 1) The score on the QOL scale ranged from 97 to 226 with a mean of 164.53($\pm$28.29). 2) The score of QOL on the general and ostomate-related characteristics showed significant differences according to monthly income, monthly participation in ostomate meetings, combined treatments after operation, types of evacuation management, problems of ostomy, help in caring for the ostomy, length of time since ostomate surgery, and presence or absence of readmission after discharge. 3) There were significant positive correlations between quality of life and other factors : self-esteem(r＝0.7107, P＜0.001), hope(r＝0.6584, P＜0.001) family support(r＝0.6191, P＜0.001), perception of health condition(r＝0.6017, P＜0.001), and self-care (r＝0.2286, P＜0.05). 4) The variables that affected the quality of life of the subjects were self-esteem, level of family support, perception of health condition, monthly participation in ostomate meetings, combined treatments after operation, monthly income, level of hope, and age in that order. The variance of quality of life was $R^2$＝77.20 percent by calculating the sum of those variables. In conclusion, it is necessary for nursing intervention to promote self-esteem, family support, and hope in the care of ostomates in order to improve QOL.

• Fire Science and Engineering
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• v.30 no.4
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• pp.6-13
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• 2016

With regard to smoke control system, the design guidelines of smoke exhaust for accommodation and smoke control for evacuation stairs and vestibule has been proposed domestically, but after reviewing the applicability to modern buildings that tend to be larger, higher and complex, a smoke control system according to domestic design guidelines might have difficulty in securing the safety from smoke in a fire. Therefore, it is necessary to adopt the performance-based design of a smoke control system that can enhance the safety and integrate the smoke control functions and design depending on the characteristics of fire and building structure in the case of fire in a large, high-rise, and complex building. This study analyzed the domestic design guidelines of a smoke control system and this paper proposes the part requiring improvement, and examines the legal system and guidelines on performance-based design of smoke control system in foreign countries.