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      • KCI등재

        구급차의 종류 및 주행속도에 따른 흉부압박법의 성공률에 대한 연구

        임경수,인요한,황성오 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

        Chest compressions performed in a controlled environment can generate adequate coronary perfusion pressure, but compression is frequently inadequate even when CPR is performed under optimal circumstances, In Korea the average highway of road is narrow and curved more than in other countries, and the back-space in ambulance of Korea is limited to perform CPR. As a result, the CPR in a moving ambulance is no effective in Korea. We studied the effectiveness of chest compression in a moving ambulance by the use of a CPR manikin(Skillmeter Resusci Annie, Laerdal company). The ambulance was driven without a warming siren with obeying all the traffic signals and rules. Eight emergency physicians performed a total of 8 sessions of 2 minutes of continuous chest compression on the manikin in the ambulance(Van-type). They did the same thing in truck-type ambulance. We compared the results between small ambulance(Van type) and large ambulance(Truck type). To compare the effectiveness of manual and mechanical cardiac massage, the mechanical cardiac resuscitator(Thumper: Michigan company) was used. The success rate of manual CPR in a constant speed was not different between the Van-type ambulance and Truck-type ambulance(p>0.05), but mean percentage of correct compression by mechanical chest compressor showed 100%(p=0.004). The success rate of manual CPR in driving at downtown was 67.4± 15.7 in Van-type ambulance, but that was 93.4 ± 5.2 in Truck-type ambulance(p=0.007). These results demonstrate that the performance of manual chest compression in a moving ambulance(Van type) is suboptimal. As the patient care area in the Van-type ambulance is much more spacious than that of the Truck-type ambulance, the diminution of compression efficacy in the smaller ambulance is consistent with the assumption that space is the most important factor in the ability to perform adequate CPR in a moving ambulance. Although the results were good in a truck-type ambulance, chest compression was performed for only 2 minutes. It is difficult for one person to deliver manual chest compression in a moving ambulance for a long period. Mechanical chest compression may be employed where manual compression is technically difficult to perform.

      • 國産 火藥類의 種類에 따른 發破 振動値의 比較

        林漢旭,金雄秀,李慶雲 江原大學校 産業技術硏究所 1985 産業技術硏究 Vol.5 No.-

        The blast-induced ground vibrations is one of the most important factors which is considered to design blasting patterns in urban excavation. To compare with vibration level of different explosives, peak particle velocity of each explosive was measured. The results are summerized as follows. 1. Among the three kinds of explosives, the largest vibration was obtained from the gelatine dynamite, while the smallest was blasting of ammonium nitrate. 2. The vibration levels of ammonim nitrate and slurry explosive were smaller about 35%, 20% respectively than that of gelatine dynamite.

      • KCI등재

        응급환자의 중증도 분류를 위한 지표의 개발 : Triage Score와 Modified Triage Score NEW METHODS TO TRIAGE ALL EMERGENCY PATIENTS

        임경수,홍은석,김선만,황성오 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

        Up to now, triage system for all emergent patients, which can be used fast and conviently according to their severity has not been developed yet. For the triage of trauma patient, emergency medical technicians and emergency medical doctors are commonly using R.T.S. (Revised Trauma Score). The R.T.S. consists of GCS(Glasgow coma scale), systolic blood, pressure and respiration rate per minute. But it is difficult for emergency medical technicians to calculate GCS in the prehospital because of its complexity and need for more time. Therefore we develop the Triage Score by remodelling the R.T.S. by replacing GCS with AVPU scale and systolic blood pressure that is under 49 mmHg after adding 1-49 mmHg with 0 mmHg and respiration rate per minute that is under 5/min after adding 1-5/min with 0/min. We stuied the significance and the possible triage application of Triage Score in traumatic emergency patients. For nontraumatic emergency patients, we develop the Modified Triage Score to triage the cardiovascular emergencies by adding the item of chest pain to Triage Score. A prospective study was carried out on 530 patients from March 1 to 31 1996. There were 210 trauma patients and 320 nontraumatic emergency patients and the result shows as follows. For trauma patients, there was linear correlation between R.T.S. and Triage Score(R²=0.965). Comparison analysis between high risk group (admission+death patients) and low risk group(discharge patients) of nontraumatic emergency patients by using Modified Triage Score is statistically significant(P<0,001) The cardiovascular emergencies could not categorized as urgency by Triage Score, but that was possible by application of Modified Triage Score. In conclusion, we can triage the injured patients effectively by Triage Score and the nontraumatic emergency patients including emergency cardiovascular disease can be categorized as urgency by applying the Modified Triage Score.

      • 주택시장에의 정부개입 : Usefulness and Limit of Marxist Approach 마르크스적 접근의 유용성과 한계

        임경수 聖潔敎神學大學校 社會科學硏究所 1998 社會科學硏究 Vol.5 No.1

        AbstractThe objective of this study is to review on the government intervention to the housing market with reference to Marxism in housing theories, and to obtain implications for Korea housing policy. In order to improve the Korea housing policy, Korea government needs to empower for improvement of housing condition of the urban poor. Furthermore, Korea government needs to establish the code for housing right as a human basic right and social right. Finally, Korea government needs to enlarge social housing for the non-ownership in the urban poor.

      • KCI등재

        한국판 섬망 평가 척도-98(K-DRS-98)의 표준화 연구

        임경옥,김수영,이양현,이선우,김정란 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6

        Objective : This study was conducted to develop and to validate the Korean version of Delirium Rating Scale-Revised-98(K-DRS-98), which is a scale for diagnosing delirium and evaluating its severity. Method : After developing the K-DRS-98, 102 patients were rated by it among 4 diagnostic groups, such as delirium (N=25), dementia (N=27), schizophrenia (N=25) and others (N=25). To test for reliability, K-DRS-98 was independently administered by two psychiatrist. To test for validity, Korean version of Mini-Mental State Examination (MMSE-K) and Clinical Global Impression (CGI) were administered simultaneously. Statistical analysis was done with SPSS window version 12 package and statistical significance was p<0.05. Result : Intemal consistencies (Cronbach α) of two raters were 0.867 and 0.858, respectively. Inter-rater reliability (κ) was 0.893 for severity items of K-DRS-98 and κ value of diagnosis items was 0.969. In Delirium group, Pearson correlation Coefficients (r) of K-DRS-98 were -0.682 for MMSE-K and 0.667 for CGI. In comparison Delirium group with Others, ANOVA post hoc multiple comparison LSD was statistically significant (p<0.001). The cutoff score to diagnosis of delirium can be recommended 16 for seventy items and 21.5 for total score, respectively. Conclusion : The K-DRS-98 was showed good reliability and validity for the assessment of delirium. The K-DRS-98 is an easy and useful tool for diagnosing delirium and assessing its severity.

      • KCI등재

        공동주택 주호 내부구성재의 내용연한 및 수선주기 설정연구

        임석호,황은경,이강희,김수암 대한건축학회 2003 대한건축학회논문집 Vol.19 No.3

        In case of an apartment house, the application of LC(Life Circle) design that considers remodeling and reconstruction when the a house reaches a certain time after its erection needs to be reviewed for longevity from time series life perspectives that set up a period of durability for components and maintains and improves their performances through systematic replacement and repair. Apartment houses are constructed with parts of different sizes and life. It is important to manufacture materials and components with high durability. However, more importantly, well-thought-out and systematic plans are needed between parts with a space module and a life module and construction space. Hence, this research sought to investigation of the expected service life of parts or members according to repair or replacement cycles with social and functional aspects, considering the establishment of housing parts hierarchy through the analysis of expected service life. Consequently, the establishment of the repair cycle and estimation of the service life of housing parts have the remodeling in place in the frontline construction business and cut cost on remodeling, thus activating remodeling.

      • KCI등재
      • KCI등재

        다발성 외상환자에서 필수적 단순 방사선검사의 의의

        임경수,황성오,임종천,이부수,이강현,이진웅 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

        In the guidelines of Advanced Trauma Life Support(ATLS), essential plane roentgenograms (chest AP vIew, cervical spine lateral view and pelvis AP view) are recommanded when primary survey and resuscitation phase are finished in care of multiple injured patients. A prospective study was carried on 376 multiple trauma patients who admitted to Wonju Christian Hospital from July, 1995 to October. We analyzed clinical significance of essential X-ray in multiple trauma patients, and classified the patients by their status of mentality. The one is alert group when their Glasgow Coma Scale(GCS) is over 13 point, the other is disoriented mentality group when their GCS are below 12 point. The alert group was redivided by presence of clnical symptoms and/or signs, and clinical significances of essential X-ray were analyzed. Among the 376 patients, 330 patients are alert group that their GCS score is over 13 point and 46 patients are disoriented group who's GCS were below 12 point. The detection rate of abnormality in essential X-ray is higher in disoriented group than alert group(cervical-spine lateral view : 13.5% vs 3.0% cheat AP view : 0.4%, pelvis AP view : 0%). This study suggests that their are no needs of taking essential X-ray in patients who is alert in mental state and have no clinical symptoms and/or signs.

      • 속성 퇴비화에 관한 연구

        임채규,박경수,김홍섭,노영복 조선대학교 기초과학연구소 1988 自然科學硏究 Vol.11 No.1

        This experiment was conducted to fine out the rapid composting method and the effects microorganism agent. The results were summarilized as follows; 1. Each temperatures of every composts highest rised at the 5 days during the experiment composting. 2. Composting temperature of the more 60℃ was killed the harmful lavar and pathogenic microorganisms. 3. The lowest C/N ratio was No.2, among the each treatments. 4. C/N ratio of the each treatments were same results of the general compost C/N ratio. 5. The synthesized of these results were recognized the effects of microorganism agent and the each treatments were showed the more rapid composting then general compost.

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