• Title/Summary/Keyword: safety life support

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General Radiography Imaging Usage and Effective Dose of Inpatients: Based on Data from Inpatients in 2018 (입원환자 일반촬영 이용량 및 피폭선량: 2018년 입원환자데이터)

  • Jong-Won Gil
    • Journal of radiological science and technology
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    • v.47 no.2
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    • pp.107-116
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    • 2024
  • In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00~58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.

A Study on the Recovery Process of Career Capital for Rehabilitation Protection Recipient (법무보호대상자의 진로자본 회복과정에 관한 연구)

  • Park, Hye-Gyeong;Han, Sun-Ok;Park, Si-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.400-413
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    • 2017
  • It is necessary for inmates released from prison to recover their career capital in order to function normally in society. Failure to adapt to the society may not only make them unhappy but could also aggravate social safety nets. Therefore, it is critical to examine the recovery of career capital. For this study, we conducted in-depth interviews of 10 rehabilitation recipients who were supported by Korea Rehabilitation Agency. For qualitative analysis, several career topics were analyzed, such as obstacles in recovering career capital, efforts in overcoming these obstacles, what is helpful for them to overcome the obstacles and what is required for them to adapt to the career life and others. Analysis results found that the rehabilitation beneficiaries suffered loses to their career capital due to their incarceration, suffered from the loss of pride and became despondent in the process of recovery of career capital due to the negative social perception toward their social self, fear of social stigma and devaluation of themselves. In addition, the fear of possible negative evaluation was a critical factor in making their social activities more challenging. Conversely, it was found that social support in the recovery process of career capital has a positive effect. In particular, emotional support from spouses, employers, family members and friends are the most positive factors. Concerning efforts at adapting to careers, it was found that an active, leading and positive attitude toward the career were critical, showing that positive evaluation and recognition in family and social relations and the experience of success in the career were positive elements in enhancing a sense of pride. In summary, it was found that in the recovery process of career capital, dysfunctional beliefs had a negative effect, while social support had a positive effect, on the recovery of career capital.

The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants (산모의 심장소리가 미숙아의 체중, 생리적 반응 및 행동상태에 미치는 효과)

  • Yeum, Mi-Kyung;Ahn, Young-Mee;Seo, Hwa-Sook;Jun, Yong-Hoon
    • Child Health Nursing Research
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    • v.16 no.3
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    • pp.211-219
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    • 2010
  • Purpose: The study was done to measure the effects of maternal heart sound on body weight, physiologic reactions (heart rate [HR] and cortisol) and behavioral states of preterm infants. Methods: Thirty-five preterm infants were recruited from a neonatal intensive care unit at a university hospital. Institutional Review Board approval and informed consent were obtained. The infants were assigned to an experimental group (n=18) with an auditory stimulation for 7 days of life, a continuous delivery of maternal heart sound using MP3 attached inside the incubator, or to a control (n=17) without any auditory stimulation. The outcome variables, daily variations in weight, HR and behavioral states, and differences in cortisol were analyzed. Results: There were differences in variations of daily weights (F=3.431, p=.011) and in cortisol (t=3.184, p=.006) between groups, but no difference in variations of daily HR (F=0.331, p=.933) and behavioral states (F=1.842, p=.323). Conclusion: The findings support the safety of continuous maternal heart sound as no changes in HR and behavioral states occurred, and the efficacy as weight increased and cortisol decreased. This auditory simulation may lead to more efficient utilization of energy in preterm infants by consistently providing familiar sounds from intrauterine life and blocking noxious sounds from NICU environments.

A Study on the Survival Kit Development Preparing the Civil Defense Situation (민방위 사태에 대비한 비상생활지원 키트 개발 연구)

  • Kim, Tae-Hwan;Park, Namhee;Yeo, Wookhyun
    • Journal of the Society of Disaster Information
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    • v.8 no.4
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    • pp.376-383
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    • 2012
  • The The purpose of this study is to develop survival kit prepared at the outbreak of the civil defense situation and to explore ways to ensure the safety and well-being of the people. Consider the civil defense shelters in a short two hours, from six days to live long, emergency life support food and other items needed for the basic right to life of the facility users. Minimum survival kit per capita personal weight 4.85kg, state and local governments (the government) is 2.65kg. They consists of a total of 26 items in eight categories such as food, clothing, CBR supplies, cold winter supplies, personal hygiene supplies, medicines, tools, communication supplies.

Analysis of the Difference on Elementary Students' School Adaptation and Academic Performance by Dependence on Smart Devices

  • Lee, KyungHee;Park, Hye-Young
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.4
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    • pp.213-221
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    • 2022
  • The purpose of this study is to find methods to prevent and improve smart device over-dependence problems by analyzing differences in school life adaptation and academic performance according to children's dependence on smart devices. For this, the data of fifth grade elementary school students in the 12th year were extracted and utilized from Panel Survey of Korean Children. The data were analyzed using non-hierarchical cluster(K-means) analysis, T-test, one-way ANOVA, and Scheffé tests. The results of this study are as follows. First, It has been shown that dependence on smart devices, school adaptation and academic performance have a negative correlation. Second, students in potential and high-risk groups who are highly dependent on smart devices have significantly lower school adaptation compared to those in the safety group. Third, high-risk students showed significantly lower academic performance compared to those in the potential risk group and general group. Based on these findings, it was suggested that for elementary school students who rely on smart devices, various learning support and national efforts such as counseling for school life adaptation are needed.

Current technologies, regulation, and future perspective of animal product analogs - A review

  • Seung Yun Lee;Da Young Lee;Jae Won Jeong;Jae Hyeon Kim;Seung Hyeon Yun;Ermie Jr. Mariano;Juhyun Lee;Sungkwon Park;Cheorun Jo;Sun Jin Hur
    • Animal Bioscience
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    • v.36 no.10
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    • pp.1465-1487
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    • 2023
  • The purpose of this study was to investigate the recent development of meat analog, industrialization, and the related legal changes worldwide. Summarizing the current status of the industrialization of meat analog, studies on plant-based meat, mycoprotein, and edible insects were mainly conducted to investigate their sensory properties (texture, taste, flavor, and color resembling meat), nutritional and safety evaluations, acquisition method of meat alternatives, and commercialization. Cultured meat is mainly studied for developing muscle satellite cell acquisition and support techniques or materials for the formation of structures. However, these technologies have not reached the level for active industrialization. Even though there are differences in the food categories and labeling between countries, it is common to cause confusion or to relay false information to consumers; therefore, it is important to provide accurate information. In this study, there were some differences in the food classification and food definition (labeling) contents for each country and state depending on the product shape or form, raw materials, and ingredients. Therefore, this study can provide information about the current research available on meat alternatives, improve regulation, and clarify laws related to the meat analog industry, which can potentially grow alongside the livestock industry.

Seismic Performance Management of Aged Road Facilities Using Deterministic Method vs. Probabilistic Method (확률론적 및 결정론적 방법을 이용한 노후도로시설물 내진성능관리)

  • Kim, Dong Joo;Choi, Ji Hye;Lee, Do Hyung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.40 no.5
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    • pp.455-463
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    • 2020
  • Road facilities with a service life of more than 30 years are expected to triple in the next ten years. The seismic performance of road facilities should be reviewed with consideration of the "Common Application of Seismic Design Standards" issued by Korea's Ministry of Public Administration and Security in 2017. These standards should be applied to all existing road facilities, including retrofitted or seismic-designed facilities, for evaluating seismic performance. In order to manage seismic performance for a large number of facilities, decision-support technology that can provide economic and reliable results is needed. However, the indices method currently used in Korea is a deterministic method, and the seismic performance of individual facilities is evaluated based on qualitative indices so that only retrofitting among road facilities is prioritized. In turn, with the indices method, it is difficult to support decisions other than the decision to prioritize retrofitting. Therefore, it is necessary to use the seismic risk assessment method to overcome such shortcomings and provide useful information such as direct loss, indirect socio-economic loss, and benefit of the investment.

A Study on the Utilization Plan of Drone Videos for Disaster Management (재난관리를 위한 드론 영상 활용방안에 관한 연구)

  • Cho, Jung-Yun;Song, Ju-Il;Jang, Cho-Rok;Jang, Moon-Yup
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.372-378
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    • 2020
  • Drones, which show strong growth in the fourth industry, are commonly used for disaster response. In the event of an actual disaster, local governments should carry out 13 cooperative functions to respond to the disaster, but there are difficulties in collecting on-site information in places where it is difficult for people to access or grasp the situation. Based on the 13 collaborative functions that are essential for operations in the event of a disaster, a utilization plan of highly utilized drones was derived. Through the analysis of overseas cases and drone utilization by each department, a total of 10 out of 13 collaborative functions of the Disaster and Safety Countermeasures Headquarters (disaster situation management, emergency life safety support, emergency recovery, disaster resource support, traffic measures, medical and quarantine services, disaster site environment maintenance, social order maintenance, search, rescue, and emergency) were derived. These results can enhance the efficiency of the disaster response by presenting a plan to utilize drone images for each function.

Inter-Facility Transport on Extracorporeal Life Support: Clinical Outcomes and Comparative Analysis with In-house Patients

  • Hong, Tae Hee;Lee, Heemoon;Jung, Jae Jun;Cho, Yang Hyun;Sung, Kiick;Yang, Ji-Hyuk;Lee, Young-Tak;Cho, Su Hyun
    • Journal of Chest Surgery
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    • v.50 no.5
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    • pp.363-370
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    • 2017
  • Background: Extracorporeal life support (ECLS) is widely used in refractory heart or lung failure, and the demand for inter-facility transportation on ECLS is expanding. However, little is known about post-transportation outcomes, the clinical safety of such transportation, or the characteristics of the transported patients. Methods: This was a retrospective review of a 3-year, single-institution experience with inter-facility ECLS transport, as well as a comparative analysis of clinical outcomes with those of in-house patients. We also analyzed the risk factors for hospital mortality in the entire ECLS population using univariate and multivariate analyses to investigate the effects of transport. Results: All 44 patients were safely transported without adverse events. The average travel distance was 178.7 km, with an average travel time of 74.0 minutes. Early survival of the transported group seemed to be better than that of the in-house group, but the difference was not statistically significant (70.5% vs. 56.6%, p=0.096). The incidence of complications was similar between the 2 groups, except for critical limb ischemia, which was significantly more common in the transported group than in the in-house group (25.0% vs. 8.1%, p=0.017). After adjusting for confounders, being part of the transported group was not a predictor of early death (adjusted odds ratio, 0.689; p=0.397). Conclusion: Transportation of patients on ECLS is relatively safe, and the clinical outcomes of transported patients are comparable to those of in-house ECLS patients. Although matched studies are required, our study demonstrates that transporting patients on ECLS did not increase their risk of hospital mortality after adjustment for other factors.

Analysis of Environmental Correlates with Walking among Older Urban Adults (도시 노인들의 걷기활동 참여에 영향을 주는 물리적 환경요인 분석)

  • Lee, Hyung-Sook;Ahn, Joon-Suk;Chun, Seung-Hoon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.2
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    • pp.65-72
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    • 2011
  • Since walking and physical activity are critical for older adults to maintain their health, it is important to provide neighborhood environments which encourage their walking in daily life. The purposes of the present study were to investigate walking activity patterns of older people in an urban setting and to identify environmental correlates with walking of older adults. This study examined spatial and temporal patterns of physical activities, environmental barriers and motivations, satisfaction levels and demands on the physical environment. In-depth interviews with older adults over age sixty residing in Seoul metropolitan areas revealed that most respondents have a positive perception on walking in daily life, and many of them walk regularly for their health. A primary purpose of walking for older adults was exercise for health rather than transportation. The study result demonstrated that parks and trails were the most preferred places for walking by older adults, and there is an association between frequency of walking participation and access or convenience to parks, traffic safety, and street lights. Most respondents were concerned about traffic safety when they walk in their neighborhoods due to traffic speeds and unsafe streets. Lack of separate sidewalks or benches, stairs and slopes were barriers to older adults' walking habits. This data suggests that the promotion of walking behavior among older adults, some level of public health action, and community support are needed to ensure safe physical environments within communities.