• The Korean Journal of Emergency Medical Services
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• v.24 no.2
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• pp.27-38
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• 2020

Purpose: Stroke is a time-sensitive disease that could have reduced complications and mortality with timely diagnosis and treatment. This study aimed to analyze the causes of delay in detecting the clinical signs and symptoms of stroke. Methods: This retrospective observational study analyzed the emergency medical services reports of suspected stroke patients with positive predictive values on the Cincinnati Prehospital Stroke Scale. The study was conducted in Daejeon, Republic of Korea from January 1, 2016 through December 31, 2017. Results: Prolonged prehospital time was associated with high blood pressure, history of cerebrovascular disease, and incidences during daily activities, and sleep. High blood pressure and complications from a previous stroke strongly associated with the prolonged stroke-detection phase (p<.05). Total prehospital time was shortened when patients had evident stroke symptoms, such as decreased level of consciousness, dysarthria, and hemiplegia (p<.05). There was no significant difference in gender or age as a factor that delayed the total prehospital time of the suspected stroke patients. Conclusion: Many patients did not recognize the early clinical symptoms and signs of a stroke. Furthermore, risk factors, such as high blood pressure and history of stroke, prolonged the total prehospital time. Therefore, we need targeted interventions that educate about warning symptoms of stroke, along with emphasis on the importance of emergency calls to substantially reduce the prehospital delays.

• Journal of the Korean Society of Safety
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• v.28 no.4
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• pp.1-7
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• 2013

Train accidents can be directly connected to fatal accidents-collision, derailment, Fire, railway crossing accidents-resulting in tremendous human casualties. First of all, the railway derailment is not only related to most of railway accidents but also it can lead to much more catastrophic accompanying train overtured than other factors. Therefore, it is most important factor to ensure railway safety. some foreign countries have applied to the detector machines(e.g., ultrasonic detector car, sleep mode, current detector, optical sensing, optical fiber). Since it was developed in order to prevent train from being derailed. In korea, the existing track method has been used to monitor rail condition using track circuit. However, we found out it impossible for Communication Based Train Control system(CBTC), recent technology to detect rail condition using balise(data transmission devices) without no track circuit. For this reason, it is needed instantly to develop real-time monitoring system used to detect broken rails. Firstly, this paper presents domestic and international statues analysis of rail breaks technology. Secondly, the composition and the characteristics of the real-time monitoring system. Finally, the evidence that this system could assumed the location and type of broken rails was proved by the experiment of prototype and operation line tests. We concluded that this system can detect rail break section in which error span exist within${\pm}1m$.