• Title/Summary/Keyword: ED-Guideline

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A Study on an acceptance of CDC guideline on practical emergency department planning -Focusing on comparison CDC guideline to Emergency Medical Service Act- (응급실에서의 감염관리 표준지침의 반영에 관한 연구 -응급실에서의 감염관리 표준지침과 응급의료에 관한 법률의 반영 비교를 중심으로-)

  • Yoon, Hyung Jin;Oh, Joon-Gul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7237-7243
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    • 2015
  • Korea Centers for Disease Control and Prevention(CDC) has been provided not only manual of managing infectious patient but also functional requirement of space in emergency department(ED) by distributing "Guideline for infection control in emergency department(GICED)" in 2009. To understand how much the guideline enforces its functional requirement on ED planning practice, it is compared to Emergency Medical Service Act(EMSA) a basic standard for ED planning. As a result, it is clear that those have different focal point in functional program and don't share infection control issue. By reviewing target hospitals' EDs opened around 2009, all ED have satisfied with the EMSA requirement but guideline. Those are selectively adapted infection control related spaces CDC guideline suggested regardless of open year so that target EDs are not to be influenced by the guideline. This research can support as a reference research when the EMSA are going to be reinforced by infection contol issue.

Establishment of Safe Management Guideline Based on Uptake Pattern of Pesticide Residue from Soil by Radish (토양잔류 농약의 무 흡수양상 및 토양 안전관리기준 설정)

  • Hwang, Jeong-In;Kwak, Se-Yeon;Lee, Sang-Hyeob;Kang, Min-Su;Ryu, Jun-Sang;Kang, Ja-Gun;Jung, Hye-Hyeon;Hong, Sung-Hyeon;Kim, Jang-Eok
    • Korean Journal of Environmental Agriculture
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    • v.35 no.4
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    • pp.278-285
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    • 2016
  • BACKGROUND: Uptake patterns of ${\alpha}$-, ${\beta}$-isomers and sulfate metabolite of endosulfan (ED) by radishes grown in treated soils with ED concentrations of 2 and 10 mg/kg were investigated to establish soil management guidelines for ensuring the safety of radishes from ED residues. METHODS AND RESULTS: All samples of soils and radish plants separated into shoot and root parts were analyzed for ED residues using a gas-chromatography mass spectrophotometer, and the results were used to calculate the bioconcentration factor (BCF), indicating the ratio of ED concentrations between radishes and soils. During the experimental period, uptake and distribution rates of ED-sulfate in radishes were the highest, followed by ${\alpha}$- and ${\beta}$-ED. The BCF values to initial ED concentrations in soils were greater for root parts (0.0077 to 0.2345) than for shoot parts (0.0002 to 0.0429) and used to obtain regression equations by time. Long-term BCFs estimated by the obtained equations ($R^2$ of 0.86 to 1.00) were evaluated with the maximum residue limit (0.1 mg/kg) of ED for radishes, in order to suggest safe management guidelines of ED for radish-cultivating soils. CONCLUSION: Suggested guidelines showed the significant dependency on duration for radish cultivation and exposed concentration of ED in soil.

AP224 based Feature Translation from 3D CAD through STEP Part111 (3차원 CAD에서 STEP Part111을 통한 AP224 특징형상 데이터 번역)

  • Kim, J.H.
    • Korean Journal of Computational Design and Engineering
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    • v.11 no.4
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    • pp.303-314
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    • 2006
  • The exchange of CAD (Computer Aided Design) models between different CAD systems and to downstream applications such as manufacturing has become very important to modem industry. One serious current issue is that the process cannot automatically import existing 3-D solid models in a variety of commercial CAD formats into the process without manually re-mastering the model in current standard including "SIEP AP(Application Protocol) 203 Edition 1" To fully integrate technical data from the design agency to the shop floor, design intent and validated 3D geometry of feature based parametric CAD model should be brought into the standardized processes. To overcome this limitation, AP203 Edition 2 (Ed.2) and its related STEP parts such as Part55, Part108, Part109, Part111 and Part112 are starting to be available to handle this problem. The features in Part111 are harmonized with the machining features available in AP224. This paper is focused on two mapping technologies: CAD to Part111 mapping and Pat111 to AP224 mapping including case studios and it will provide the guideline about what should be done next in the AP203 Ed.2 to AP224 mapping. The final goal of this project is to integrate technical data from CAD to AP224 based manufacturing information through AP203 Ed.2.

A Study on the Evaluation of Patient Dose in Interventional Radiology (중재적방사선검사에서 환자 피폭선량에 관한 연구)

  • Park, Hyung-Sin;Lim, Cheong-Hwan;Kang, Byung-Sam;You, In-Gyu;Jung, Hong-Ryang
    • Journal of radiological science and technology
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    • v.35 no.4
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    • pp.299-308
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    • 2012
  • To perform patient dose surveys in major interventional radiography procedures as a mean of inter-institutional comparison and of establishing reference dose levels with the ultimate goal of optimizing patient doses in the field of interventional radiography. We reviewed international patient dose survey data in the literature and measured patient dose in major interventional radiography procedures (TACE, AVF, PTBD, TFCA, GDC embolization). ESD(Entrance Skin Dose) was measured using TLD chips attached to the patient skin and ED(Effective Dose) was calculated using angiography unit-derived DAP. A survey of patient dose in interventional radiography procedures were also performed with a questionnaire for interventional radiologists and we proposed a guideline for optimizing patient doses in the field of interventional radiology. The patient dose survey data in interventional radiography procedures were very rare in literature compared with those in diagnostic radiography procedures. In TACE, the mean ED was 25.43 mSv and the mean ESD was 511.75 mGy. The mean ED of TACE was not high, but the cumulative dose should be checked, due to longer procedure TACE. In TFCA, the mean ED was 22.6 mSv and it was relatively high compared with data of other countries. In GDC embolization, the mean ED was not available, because GDC embolization was performed with old Image-Intensifier-type unit and there has no unit-installed ionization chamber. Also, the mean ESD of GDC embolization was up to 2,264 mGy and further studies are needed to calculate the net ED of GDC embolization. Patient dose occurred during interventional radiography procedures are high related with the difficulty of the procedure, fluoroscopy time, the number of angiographies and the treatment protocol. Therefore, continuous education and efforts should be made to optimize the patient dose in the field of interventional radiology.

Design of 2MW Nacelle Cover and Support Structure (2MW 너셀 커버 및 지지 구조물 설계)

  • Hong, Hyeok-Soo;Bang, Jo-Hyug;Park, Jin-Il;Ryu, Ji-Yune;Kim, Doo-Hoon
    • 한국신재생에너지학회:학술대회논문집
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    • 2007.11a
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    • pp.331-334
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    • 2007
  • Wind turbine is composed by 3 major parts, rotor ass'y, nacelle ass'y and tower. There are two major point in nacelle cover analysis one is nacelle cover itself the other is cover support structure. Both of them are required strength proof with light weight. For the design of structure, the loads are calculated according to GL wind guideline Ed. 2003 and by the commercial F.E. codes,

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Analysis and Design of 750kW Nacelle Cover (750kW 나셀커버 구조해석 및 설계)

  • Park, Jae-Hyun;Bang, Jo-Hyug;Park, Jin-Il;Ryu, Ji-Yune
    • 한국신재생에너지학회:학술대회논문집
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    • 2008.10a
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    • pp.295-298
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    • 2008
  • The major function of the nacelle cover is protecting the inside equipments. Therefore, it is required not only sufficient strength and stability but also light weight. In this paper, design loads are calculated according to the GL Wind guideline Ed. 2003. To ensure the structural safety, a composite structure is selected. The structural design is processed by two steps which are preliminary design and detail design. In the preliminary design step, a structural analysis is performed with initial thickness, 5mm. As reviewing above analysis results, weak regions of the nacelle cover reinforced using the spar cap structure which is same as the blade structure. In the analysis model, the support structure is connected with the nacelle cover and analyzed its structural safety at the same time.

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A Comparative Study on the Landscape Color Perception according to Existence of Energy Business in Rural Areas (농촌의 에너지사업 유무에 따른 경관색채 인식 비교연구)

  • Kim, Eun-Ja;Han, Chae-Won;Choi, Jin-Ah;Kwon, Soon-Chan
    • Journal of Agricultural Extension & Community Development
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    • v.24 no.2
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    • pp.127-142
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    • 2017
  • Recently, the rapidly growing new generation of renewable energy projects has emerged as an artificial building that creates a mix of natural environments and disruption to the environment. It serves as a quality inhibitor for rural landscapes and implies the absence of favorable rural landscape. Therefore, the study looked at the color scheme of residents, visitors, and experts in the village, which changed the color of the landscape, and analyzed the color scheme of residents, visitors, and experts. In order to do so, the village was divided into three types and conducted a survey by the general public and experts. In the case of the survey, residents of the three districts (Yeoju, Dam yang, Jeju) were surveyed for 210 residents, and the survey conducted a survey and analysis of 30 people in the area. As a result, both the general public and experts recognized the color change in the energy business, which resulted in the identification of associations and colors of the village. In addition, the recognition and satisfaction of the current situation showed that the education programs for the public were more important than the professionals, as the public show ed low levels of public awareness. Based on this research, we expect to be able to utilize the plan as a guideline for the project of installing solar panels, which is expected to be implemented in the beginning of the project, and can be used as a guideline for the establishment of the solar panels.

Factors affecting Diabetic Eye disease and Kidney disease Screening in Diabetic Patients (당뇨병 환자의 당뇨성 안질환 및 신장질환 합병증 검사 수검 여부에 영향을 주는 요인)

  • Kang, Jeong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.226-235
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    • 2020
  • This study was undertaken to investigate factors that affect the assessment of complications in diabetic eye and kidney diseases. Data was obtained from the National Community Health Survey, 2017. The subjects included were 25,829 respondents who had been diagnosed with diabetes. Logistic regression analysis was applied to determine the factors affecting associated diabetic eye disease (fundus examination) and kidney disease (microalbuminuria examination) complications. The diabetic eye disease complication rate was 35.6%, and diabetic kidney disease complication rate was 39.8%. Complications arising due to diabetes were determined to be 35.6% for eye diseases and 39.8% for kidney related diseases. Ed. Notes: The original sentence is not very lucid. I have suggested an alternate edit. I leave it to the author's discretion to accept or reject the same. Please delete whichever sentence is not suitable. Walking activity (OR=1.03, OR=1.02), hemoglobin A1c (HbA1c) recognition (OR=2.33, OR=2.33), blood glucose level recognition (OR=1.61, OR=1.71), diabetes drug therapy (OR=2.67, OR=3.05), and diabetic management education (OR=1.45, OR=1.47) were more likely to be evaluated for eye and kidney disease complications. Our results indicate that to increase the rate of screening for diabetic complications, it is necessary to develop a diabetes management system that includes the type and timing of diabetic complications, as well as different promotional methods that recognize HbA1C and blood glucose levels. Ed. Notes: Do you mean 'screening' methods? Please revise appropriately, if required. In addition, it is essential to develop a guideline for the management of diabetes mellitus, and to incorporate a screening test for diabetic complications in the national screening system.

A Study on the Improvement and Application of KDC 6th ed. for Classifying the Children's Books (어린이도서 분류를 위한 KDC 6판 개선 및 적용 방안에 관한 연구)

  • Oh, Young-ok;Lee, Mi-hwa
    • Journal of Korean Library and Information Science Society
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    • v.50 no.1
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    • pp.105-124
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    • 2019
  • This study was to suggest the improvement and the application of KDC 6 for classifying children's books by the literature review and survey. First, it was suggested to shorten the classification numbers by the divisions and subdivisions and to expand the classification numbers by sub-subdivisions according to the library-specific classification policy, using the subject statistics of the children's books held by 20 public libraries affiliated in Seoul Metropolitan Office of Education and representative C libraries. Second, the knowledge picture books and the fairy tales were suggested to be classified according to its subject, and the fairy tales in each country were suggested to be classified by adding sub-subdivisions and genre subdivisions. Third, it was suggested to shelve by collection and location codes that were distinguished by the ages and the reading level for user, to prepare a standard guideline for shelving, and to implement the regular user education about the classification system. This study could contribute to the development of the KDC abridged version for children's books in the future.

Factors Affecting the Survivals of Out-of-hospital Cardiac Arrests by 119 Fire Service (119구급대원의 심폐소생술 성적 분석 - 병원전 심정지를 중심으로 -)

  • Kang, Byung-Woo
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.111-128
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    • 2005
  • Background: Cardiac arrest is one of the most critical diseases which can likely lead to severe cerebral disability or brain death when the cases can not recover their circulation within 10 minutes. Saving out-of-hospital cardiac arrest cases is a recent concern in Korea. Resuscitation has become an important multidisciplinary branch of medicine, demanding a spectrum of skills and attracting a plethora of specialities and organizations. The best survival can be achieved if all the following links have been optimized : rapid access, and early CPR, defibrillation and ACLS, Since the "Utstein Style" was advocated in 1991, many reports about out-of-hospital cardiac arrest have been published based on this guideline. These differences prevent valid inter-hospital and international comparisons. However, it is not known how effective resuscitation has become to the patients. In other words, there are no guidelines for reviewing, reporting, and conducting research on resuscitation in Korea. This dissertation aims to provide the basic data for a unified reporting guideline of resuscitation in Korea and evaluating the out-of-hospital factors associated with survival discharge of out-of-hospital cardiac arrest. Methods: As for this study, uses the collected data about Out-of-hospital cardiac arrests at 4 area, from January, 2005 to April. 2005. With a retrospective study, 174 cases were analyzed. The data was recorded based on the Out-of-Hospital Utstein Style. Results: Resuscitation was performed on 174 out-of-hospital cardiac arrest cases at the 4 area 14 patients(8.1%) recovered their spontaneous circulation. Overall, the ROSC of the out-of-hospital cardiac arrest patients was 8.1%, which was poorer than that of western countries. Gender distribution was 50 females(28.7%) and 124 males(71.3%), approximately twice as many males as females. ROSC of witnessed arrests was found out to be 97.7%. The ratio of the witnessed arrest groups showed higher results than that of unwitnessed arrest groups in the above-examined cases. Cardiac etiology consisted of cardiac(33.5%), non-cardiac(45.7%), trauma(20.1%), and unknown(6.0%). Cardiac was the best performance. Initial rhythm showed Ventricular Tachycardia/pulseless Ventricular Fibrillation in 8 patients(6.0%), asystole in 100(75.2%) and unknown in 25(18.8%). The results of the Ventricular Tachycardia/pulseless Ventricular Fibrillation showed higher results than the others cases, The proportion of the cardiogenic cause was 33.5%, which was only half of western countries. Ventricular Tachycardia/pulseless Ventricular Fibrillation is relatively rare. These differences were due to the prevalent pattern of Out-of-hospital cardiac arrest as well as prematurity of the EMSS. Bystander CPR was practiced on 13 patients(7.52%). ROSC was shown in 46.2% cases. CPR by EMT was carried out on 167 cases(96.5%). ACLS by EMf was rare. From collapse, 4 cases(2.6%) arrived to ED within 6 minutes. 13 (8.6%) within 10 minutes, and 49(32.5%) over 31 minutes. The sooner the patients arrived, the greater the ratio of ROSC and discharged alive became, and the same with collapse time to ROSC. As the results of the logistic regression analysis, ROSC was found out to be highly influenced by the time of ED arrival from collapse and Ventricular Tachycardia/pulseless Ventricular Fibrillation. Therefore, the ratio of ROSC depends on not any single factor but various intervention factors. Conclusion: This dissertation presents the following suggestions and directions of the study hereafter. First, the first step for a chain of survival should be taken to activate EMSS early with a phone as soon as cardiac arrests are witnessed. Second, it is keenly needed that emergency medical technicians should be increased through emergency education for living. Third, it is necessary to establish the emergency transportation system. Fourth, most of the Koreans have little understanding of EMT and the present operation systems have many problems, which should be fundamentally changed. Fifth, it is required to have an active medical control over Out-of-hospital CPR, And proper psychological supports should be given not only to patients themselves and their family but also individuals who are engaged in emergency situation. Finally, through studies hereafter on nationwide, comprehensive, and standard forms, it is needed to examine into the biological figures of human body, causes and trends of cardiac arrests, and then, to enhance the survival rate of Out-of-hospital cardiac arrests. Korean guidelines for Cardiopulmonary resuscitation need to be made.

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