• Title/Summary/Keyword: stretcher

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A Study on the Deformation Behavior of the Segmental Grid Retaining Wall Using Scaled Model Tests (조립식 격자 옹벽의 변형거동에 관한 모형실험 연구)

  • Bae, Woo-Seok;Kwon, Young-Cheul;Kim, Jong-Woo
    • Tunnel and Underground Space
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    • v.17 no.5
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    • pp.350-359
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    • 2007
  • Most large cut slopes of open pit mines, roadways, and railways are steeply inclined and composed with rocks that do not contain soils. However, these rock slopes suffer both weathering and fragmentation. In the case of steep slopes, falling rock and collapse of a slope may often occur due to surface erosion. Cast-in place concrete and rubble work are the most widely used earth structure-based pressure supports that act as restraints against the collapse of the rock slope. In order to overcome the shortcomings of conventional retaining walls, a segmental grid retaining wall is being used with connects precasted segments to construct the wall. In this study, laboratory model test was conducted to estimate deformation behavior of segmental grid retaining wall with configuration of rear strecher, height and inclination of the wall. In order to examine the behavior characteristics of a segmental grid retaining wall, this research analyzes the aspects of spacial displacement through relative displacement according to change in the inclination of the wall. Also, the walls behavior according to the formation and status of the rear stretcher which serves the role of transferring the load from the header and the stretcher which make up the wall, the displacement of backfill materials in the wall, and the location of the maximum load were surveyed and the characteristics of displacement in the segmental grid retaining wall were observed. The test results of the segmental grid retaining wall showed that there was a sudden increase in failure load according to the decrease in the wall's height and the size of the in was greatly decreased. Furthermore, it revealed that with identical inclination and height, the structure of the rear stitcher did not greatly affect the starting point or size of maximum horizontal displacement, but rather had a stronger effect on the inclination of the wall.

Efficacy and Usability of Patient Isolation Transport Module for CBRN Disaster : A Manikin Simulation Study (특수재난 대응 환자 격리 이송 장비의 효율성 및 편의성 평가: 마네킹시뮬레이션 연구)

  • Kim, Ki-Hong;Hong, Ki-Jeong;Haam, Seung-Hee;Choi, Jin-Woo
    • Fire Science and Engineering
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    • v.32 no.3
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    • pp.116-122
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    • 2018
  • In Chemical, Biological, Radiological and Nuclear (CBRN) disaster, integrated and optimized equipment package including stretcher, isolation unit, patient monitoring and treatment equipment is essential to achieve proper treatment and prevent secondary contamination. The purpose of this study was to evaluate the efficiency and ease of use of integrated CBRN disaster equipment package for disaster medical response. This study was a randomized crossover study using a manikin simulation for emergency medical technitian (EMT). All participants used the existing devices and prototype of integrated CBRN disaster equipment package alternately. Efficiency was measured by time from vital sign change to detection or treatment application. Ease was use was measured by questionnaires for each patient monitor, stretcher care and isolation unit. 12 EMTs were enrolled. hypoxia-detection time of integrated equipment group was significantly shorter than existing equipment group (4.9 s (3.8-3.9) vs 3.5 s (2.5-3.9), p < 0.05). There was decreasing tendency of ECG change detection and facial mask oxygen supply but no statistical significance was observed. Overall satisfaction of patient monitoring device in integrated equipment group was significantly higher than existing devices (4(3.5-5) vs 3(3-3), p < 0.05). The use of integrated CBRN disaster equipment package shortened the hypoxia detection time and improved usability of vital sign monitor compared to existing devices.

Expert Opinion Questionnaire About Chest CT Scan Using A Negative Pressure Isolation Strecher in COVID-19 Patients: Image Quality and Infection Risk (COVID-19 환자에서 음압격리들것을 이용한 흉부 CT 검사에 대한 전문가 의견 설문: 영상품질과 감염위험)

  • Kwang Nam Jin;Bo Da Nam;Jaemin Shin;Sung Ho Hwang
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.891-899
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    • 2023
  • Purpose To survey perceptions of certified physicians on the protocol of chest CT in patients with coronavirus (COVID-19) using a negative pressure isolation stretcher (NPIS). Materials and Methods This study collected questionnaire responses from a total of 27 certified physicians who had previously performed chest CT with NPIS in COVID-19 isolation hospitals. Results The nine surveyed hospitals performed an average of 116 chest CT examinations with NPIS each year. Of these, an average of 24 cases (21%) were contrast chest CT. Of the 9 pulmonologists we surveyed, 5 (56%) agreed that patients who showed abnormalities in serum D-dimer required contrast chest CT. All 9 surveyed radiologists agreed that the image quality of the chest CT with NPIS was sufficient for CT image interpretation regarding pneumonia or pulmonary embolism. Furthermore, in our 9 surveyed infectionologists, 5 (56%) agreed that a risk of secondary infection in the CT room after temporary opening of NPIS could be prevented through a process of disinfection. Conclusion Experienced physicians considered that the effects of NIPS on chest CT image quality was minimal in patients with COVID-19, and the risk of CT room contamination was easily controlled.

Tunable Er$^{3+}$ dopsd Fier DFB Laser (파장 가변 어븀 첨가 광섬유 DFB 레이저)

  • Yoon, Hong;Cho, Kyu-Man;Lee, Sang-Bae;Kim, Sang-Hyuk;Choi, Sang-Sam
    • Korean Journal of Optics and Photonics
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    • v.11 no.6
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    • pp.429-433
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    • 2000
  • A study of the tunable fiber DFB laser using PZT-stretcher is presented. The device has an laser ocsillator by using a fiber Bragg grating at 1559.4 nm written directly into a 3-cm long $Er^{3+}$ doped fiber. Post UV-exposure method to provide the necessary phase shift is used for a single mode operation. The device shows the single mode operation of $230\muW$ output power and has a narrow linewidth of 35 kHz. The lasing wavelength of the laser can be tuned in a range of 3 nm by stretching the grating.rating.

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A Survey of Musculoskeletal Symptoms & Risk Factors for the 119 Emergency Medical Services (EMS) Activities (119 구급대원 구급활동의 근골격계 증상 및 위험실태)

  • Kim, Day-Sung;Moon, Myung-Kug;Kim, Kyoo-Sang
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.2
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    • pp.211-216
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    • 2010
  • Fire service personnel and ambulance paramedics suffer musculoskeletal disorders as they lift and carry patients while performing Emergency Medical Services (EMS). The objective of the current study was performed to examine the association between working environment and musculoskeletal disorders of 119 paramedics and to analysis the EMS activities for them through basic survey (including task characteristics, risk factors, symptoms and illnesses). Observational job analysis of EMS activities indicated the squatting posture during first-aid performed on floor and the abrupt use of force during carrying heavy load including stretcher with patients on as hazard factors, and excessive low back twisting and bending during stairway transfer was observed. In addition, work-physiological assessment revealed various but rather high lumbar muscle usage rate among the study subjects, being 14.6~32.8% compared with Maximum Voluntary Contraction (MVC) during patients transfer work. Resting heart rate showed 65/min, on the other hand, heart rate on mobilization indicated maximum 124~156/min. Therefore, the results of analysis to the EMS activities, rescuer activities and medical tasks were accompanied with high possibility of accident and musculoskeletal disorders. Also, EMS activities indicated high muscle fatigue and energy consumption, and accumulated muscle fatigue with during continued work.

Daily Living Service Flowing in Skilled Nursing Facilities for the Elderly -Focused on Dining and Bathing Area- (노인전문요양시설의 일상생활 지원 서비스 작업흐름 분석 -식사 및 목욕공간을 중심으로 -)

  • Lee Min Ah
    • Journal of Families and Better Life
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    • v.22 no.6 s.72
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    • pp.1-11
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    • 2004
  • The purpose of this study was to provide basic information about efficient space use in the dining and bathing area through the analysis of service flowing. Four researchers observed the service flowing and the using behavior at those areas. The results of the study were as follows: Dining service was proceeded as resident moving, waiting, meal serving, dining, moving and arranging in order. The waiting stage was one of the problematic processes since the staffs made the residents wait to) long at a fixed position. The program right before the meal serving will be helpful for reducing tediousness of the elderly residents. Another problem was that the area was not big enough for the meal sowing. The legal regulation Is needed to prescnbe for the size of dining area per resident. The flowing of bathing service was proceeded as staff preparation, moving, waiting, undressing, bathing, drying, dressing, moving and arranging in order. There were more problems in the dressing area than in the bathing area. The elderly with stretcher or wheelchairs had difficulty in entering the narrow doorway. The dressing area was so crowded with the staffs, undressed elderly, dressed elderly, and other laundries. The division of dressing and undressing area is required to avoid the confusion of the users in the area.

Construction of Multichannel Analyser with Successive Approximation Type ADC (방사선 에너지 분석을 위한 MCA시스템 제작에 관한 연구)

  • Yook, Chong-Chul;Oh, Byung-Hoon;Kim, Young-Gyoon
    • Journal of Radiation Protection and Research
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    • v.12 no.1
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    • pp.12-25
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    • 1987
  • A basic multichannel analyser (MCA) system have been designed and constructed with the successive approximation type ADC (Analog to Digital Converter). Linear Gate, window, and palse stretcher consist of mainly linear and logic IC's, and are properly combined together to achieve short dead time and good linearity of the system. ADC 1211 (analysing time: $120{\mu}sec$) and S-RAM (static random acess memory) 6264 are used in ADC module. Two 6264 memories are connected in parallel in order to-provide enough counting capacity ($2^{16}-1$). Interfaced microcomputer Apple II controls this system and analizes the counted data. The system is tested by input pulses between 0V to 10V from oscillator.

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RESEARCH ON LASER-ACCELERATED PROTON GENERATION AT KAERI

  • PARK SEONG HEE;LEE KITAE;CHA YOUNG HO;JEONG YOUNG UK;BAIK SUNG HOON;YOO BYUNG DUK
    • Nuclear Engineering and Technology
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    • v.37 no.3
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    • pp.279-286
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    • 2005
  • A prototype of a relativistic proton generation system, based on laser-induced plasma interaction, has been designed and fabricated. The system is composed of three major parts: a fs TW laser; a target chamber, including targets and controls; and a diagnostic system for charged particles and lasers. An Offner-type pulse stretcher for chirped pulse amplification (CPA) and eight pass pre-amplifier are installed. The main amplifier will be integrated with a new pumping laser. The design values of the laser at the first stage are 1 TW in power and 50 fs in pulse duration. We expect to generate protons with their maximum energy of approximately 3 MeV and the flux of at least $10^6$ per pulse using a 10 $\mu$m Al target. A prototype target chamber with eight 8-inch flanges, including target mounts, has been designed and fabricated. For laser diagnostics, an adaptive optics based on the Shack-Hartmann type, beam monitoring, and alignment system are all under development. For a charged particle, CR-39 detectors, a Thomson parabola spectrometer, and Si charged-particle detectors will be used for the density profile and energy spectrum. In this paper, we present the preliminary design for laser-induced proton generation. We also present plans for future work, as well as theoretical simulations.

Analysis of cardiopulmonary resuscitation during main stretcher transport - A manikin study - (이동 중 주들것에서 심폐소생술 분석)

  • Roh, Sang-Gyun
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.2
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    • pp.39-50
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    • 2020
  • Purpose: This study aimed to compare the effect of chest compression and the resulting ventilation volume in walking cardiopulmonary resuscitation (CPR), straddling CPR, and mechanical CPR while moving manikins to main stretchers. Methods: We compared the chest compressions in terms of compression depth, number of incomplete releases, complete release depth, compression rate, duration between peak time of previous compression and peak time of current compression, and respiration. We analyzed the compression comparatively with the ventilation volume in three different types of CPR. Results: The chest compression depth was significantly improved during straddling CPR as compared to walking CPR, during which women were unable to achieve sufficient chest compression depth. A constant chest compression depth was maintained during mechanical CPR. Conclusion: High-quality chest compressions were difficult to achieve in moving spaces. Further, walking CPR may be helpful in men, but straddling or applying automatic chest compressions in women would result in more effective CPR. Our findings demonstrate the limitations and trends in administering CPR in men and women, which may be useful in devising better education and training methods in the future.

An Investigation of the Regulation, Design and Improvement of Domestic and International Ambulances (국내·외 구급차 규정, 디자인 및 개선에 관한 조사연구)

  • Shin, Dong-Min;Kim, Seung-Yong;Han, Yong-Taek
    • Journal of the Korean Society of Safety
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    • v.29 no.4
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    • pp.172-179
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    • 2014
  • This research suggests that the regulation, design and improvement of domestic and international ambulances so that make the basis for the future ambulance in Korea. It is true that the diversification of current disasters, increasing elderly population, the increase in emergency patients, due to the lack of effective transfer system, emergency vehicle's performance problem, and the aging of ambulances cause have difficulty in providing effective emergency services in domestic country. Therefore, in order to improve the effectiveness of ambulance, the history of ambulance, other relevant provisions include international, design and directions to be improved were investigated, and also research directions of the ambulance are suggested in domestic country. In this research, suggests the following conclusions to improve domestic ambulance 1. Through standardization of the spacing and location of an ambulance is needed to maximize the treatment room. 2. The interior of the ambulance design for hygiene and infection control should be included. 3. Stretcher and equipment are designed to be fitted to each other should be standardized. 4. Especially during transfer maintain the road, noise, vibration, and shock-absorbing function to emphasize the importance. 5. The improvement of ergonomic design is necessary for the possibility of applying to many people.