• Journal of the Korea Society of Computer and Information
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• v.16 no.12
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• pp.265-271
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• 2011

High-quality customized services demand was growing due to the increase of aging, extremely nuclear family, disaster vulnerable of society. Ambulance service is required of fast and professional rescue and emergency service because of preventable death rate such as acute diseases, cerebral and cardiovascular diseases, suicides, etc. was higher than in developed countries. First aid will be available using patients information when emergency occurs, before arriving at the hospital. And emergency department is equipped with that patient care can be prepared in advance, increase the efficiency of emergency care. We received a variety of complex emergency call using high social awareness of 119 number and propose an efficient emergency medical service advancement strategy building an integrated response system with relevant organization.

• Fire Science and Engineering
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• v.28 no.1
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• pp.71-78
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• 2014

Complex ethical issues of Emergency Medical Techinician (EMT) out-of hospital emergency medical scene and the ER (Emergency Room) behaviors were studied. The survey was conducted by 500 EMT group members working in the field of ambulance work and general hospital and it was about their work ethics, discussions and solutions about the transferred patients, and ethics regarding Do Not Attempt Resuscitate (DNAR). The survey includes work ethics, awareness about the target job, a discussion on the transfer of patients, measures, and deathbed. Discussions about the patient's condition and diagnosis results were majorly absent during patient transportation at the emergency care scene. More than 90% of emergency care transfer were inappropriate. Sometimes, EMT working in the field facing morally unethical problems beyond their responsibility. When EMT, who can not make death diagnosis, received deathbed related DNAR issues, they gone through severe ethical conflicts. The institutional support and therapy for EMT was weak. In Korea, especially in the accident site, ethical issues education is more needed than DNAR prevalence of education and guidance. If ethics training and guidance are given to EMT, a lot of moral errors in the field can be resolved.

• The Korean Journal of Emergency Medical Services
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• v.26 no.3
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• pp.93-104
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• 2022

Purpose: This study examined the correlation between satisfaction with major, academic self-efficacy, and academic persistence with the general characteristics of students in a health-related field, to determine factors that affect academic persistence. Methods: The study was conducted on third- and fourth-grade health-field students at Daejion. The questionnaire consisted of a self-report, and a URL was sent by text message to students who agreed to participate after reading the purpose and necessity of the study. Results: Major satisfaction was 4.23 on average, academic self-efficacy was 4.15, and academic continuity was 4.25. Grade and school life satisfaction were the factors correlated with a significant difference in academic persistence. Significant positive correlations were seen between satisfaction with major (r=.637, p<.001) and academic self-efficacy (r=.563, p<.001); higher major satisfaction and academic self-efficacy led to higher academic persistence. Conclusion: A more systematic management approach needs to be conducted by developing active learning participation and applying customized counseling management and support programs by grade to improve the academic self-efficacy and academic persistence of students in health-related fields.

• The Korean Journal of Emergency Medical Services
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• v.13 no.3
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• pp.71-76
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• 2009

서론(Introduction) : 의학 시뮬레이션(medical simulation)은 교육생 학습과정에서 내재된 위험이 환자에게 가해짐 없이 교육생이 실제적인 환자 상황을 경험할 수 있게 하고 여러 다양한 임상내용이 포함한 상황에 적용될 수 있다. 시뮬레이션 기술의 사용은 의학교육(medical education), 인증서(certification), 면허교부(Licensure)와 의료의 질 형성에 큰 잠재력을 가지고 있다. 복강경 수술, 내시경검사, 전문심장구조술, 응급기도관리와 외상소생을 포함한 다양한 임상시술의 수행에서 시뮬레이션이 교육생의 술기를 달성하고, 측정하고, 유지하는 유효성을 증명하였다 컴퓨터로 조절되는 시뮬레이터는 맥박, 혈압, 호흡, 대화가 가능하고, 중증질환 또는 외상환자의 치료에 필요한 같은 인명구조 시술을 수행할 수 있다. 의학 시뮬레이션은 의사, 간호사, 응급구조사와 응급 진료를 필요로 하는 환자를 치료하는 사람에게 필요하다. 최신 전문심장구조술 과정수업은 전통적인 강의와 제한된 팀 상호작용이 포함된 이틀 과정이다. 우리는 비 영어권 국제 응급구조학생의 전문심장구조술 술기능력을 알아보고, 그것을 미국 응급구조학생과 비교하고자 한다. 목적(Objective) : 이 연구의 목적은 다양한 전문심장구조술 증례 시나리오를 가진 의학 시뮬레이터를 이용하여 미국과 한국의 응급구조 학생의 능력을 비교하는 것이다. 시행 장소(Site Location) : 이 연구는 한국 제주도에 위치한 제주한라대학 스토니브룩 응급의료교육원에서 진행되었다. 학생들의 평가는 스토니브룩에 위치한 스토니브룩 대학 의료원의 한 명의 평가자(Dr. lee)에 의해 수행되었다. 방법(Methods) : 15명의 한국 응급구조학생들은 세 팀으로 무작위로 선정하였다. 5명이 한 팀이 되어 같은 증례의 시나리오를 받았다. 세 가지 시나리오는 : 첫째, 천식지속상태(Status asthmaticus), 둘째, 긴장기흉을 동반한 만성폐쇄성폐질환(COPD with tension penumothorax) 그리고 마지막으로 메가코드(megacode)를 가진 심정지 이다. 세 팀을 각각 그리고 기본인명구조술(BLS)과 전문심장구조술(ACLS)과정을 마친 미국 응급구조학생들과 비교하였다. 15명의 미국 응급구조학생들 또한 세 팀으로 무작위로 선정하였다. 이 응급구조 학생들은 플러싱병원 의료원 소속으로 그곳에서 이 연구에 참여할 뿐만 아니라 지속적인 의학교육(CME)이수를 받았다. 이들에게도 같은 세 가지 증례의 시나리오가 주어졌고 Dr lee는 총 여섯 팀을 평가하였다(한국 세 팀과 미국 세팀). 결과(Results) : 양 국가의 모든 15명의 학생이 의학시뮬레이터를 사용하여 전문심장구조술 메가코드시험을 포함한 시험에 모두 통과하였다. 비록 학생들을 무작위로 세 팀으로 나누었지만 한 팀이 이 모든 세 증례에서 다른 팀보다 뛰어났다. 제주한라대학 2번 팀은 더 나은 기도관리, 리듬인식과 임상술기를 가진 모든 중요한 활동을 얻기에서 우수했다. 그들은 핵심요구사항을 90% 이상 충족시겼다. 한국의 2번팀(G2K)은 메가코드에서 기도개방, 호흡평가, 순환징후 그리고 흉부압박수와 같은 신체검진 술기에서도 탁월했다. 게다가 다른 팀과 비교 시 리듬인식, 약물지식과 임상술기에서도 높은 점수를 받았으며 2번팀(G2K)이 6팀 중에 가장 뛰어나게 역활수행을 하였다. 결론(Conclusion) : 이 비교 연구에서 한국학생과 미국학생간에 전문심장구조술 메가코드 시험의 통과율에는 차이가 없었다. 그러나 미국학생은 세 팀 사이에 더 적은 변이로 더 일괄된 점수를 받았다. 한국학생들도 모든 세 가지 증례를 통과하였지만 이 세 팀은 미국학생 팀보다 점수에서 더 큰 변이를 보였다.

• The Korean Journal of Emergency Medical Services
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• v.8 no.1
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• pp.169-178
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• 2004

본 연구의 목적은 응급구조사들이 긴 척추고정판을 이용하여 환자를 들어 올리는 3가지 다른 자세와 다른 3가지 부하 조건을 이용하여, 요추 4번과 5번의 압축력, 전단응력 그리고 합력의 변화를 동역학적 모델을 제시하기 위한 분석이다. 연구방법 : 36명의 남자가 본 연구의 실험에 자발적으로 동원되었으며, 나이는 평균 21.42세이고, 신장은 평균 174.05cm이며, 체중은 평균 78.05kg이다. 이 실험에서 부하 조건은 50, 70, 90kg이고, 들어 올리는 높이는 지상에서부터 95cm 이었으며, 들어 올리는 동안의 회전고리는 110cm이었다. 운동현상학적 자료는 2-D ProReflex Motion Capture Camera을 이용하였으며, sampling rate는 60Hz로 하였다. 결과 및 논의 : 동역학적 데이터 자료를 근거로 한 본 연구의 결론은 다음과 같다. Lunge 자세기술에서 전단응력과 합력 등이 최소의 stress로 요추 4번 5번에 미치는 것으로 나타났다. 그러나 Lunge 기술에서 압축력은 약간 증가되는 것으로 나타났다. 이 연구에서 Stooped 자세기술에서는 아주 큰 전단응력과 합력 등이 요추 4번, 5번 관절에 넓게 작용하는 것으로 나타났으며, 이는 들어 올리는 동작을 할 때 상해의 원인이 된다고 사료된다. 특히 응급구조사들이 들것을 들어 올릴 때 너무 큰 전단응력이 요추 4번, 5번 관절에 작용을 하면 비정상적으로 병리학상 또는 해부학상 신체적변화가 온다고 해석할 수 있다. 그래서 응급구조사들에게 들것을 들어올리는 stooped 자세는 아주 크고 많은 합력 작용하기 때문에 권고될만한 기술이 아니라고 해석 된다. Squat 자세에서 중간 정도의 압축력, 전단응력 그리고 합력이 작용된다. 만약 응급구조사가 전단응력 그리고 합력이 요추에 미치는 영향이 가장 걱정된다면, lunge 자세가 두 가지 힘을 줄여줄 수 있다고 사료된다. 마지막으로 응급구조사가 들것을 들어올리는 데는 squat 자세 기술이 가장 좋다고 사료 된다.

• The Journal of the Convergence on Culture Technology
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• v.2 no.2
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• pp.51-63
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• 2016

The aim of this study was to investigate medical expenses and productivity lost costs associated with medical use of arthropathy disease. For this study, Using by Korea Medical pannel 5434 family and 15872 people in 2012, the enrolled 19-year-old arthropathy were considered and 1370 people were analyzed. Research Method was medical management calculation formular. Emergency medical using cost was 42,128,870 won per year, productivity lost costs was 98,640,000 won per year. Admission medical using times were 4.79, medical cost was 42,128,870 won, productivity lost cost was 945,036,820 won. Out patient clinic using time per year were 12.7, medical cost was 42,128,870 won, productivity lost cost was 91,252,728,000 won. According to this study, athropathy disease could affect to medical cost increasing and productivity decreasing, therefore I suggest that exercise and management for decreasing athropathy disease.

• Journal of the Korean Association of Geographic Information Studies
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• v.10 no.1
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• pp.113-123
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• 2007

This study analyzed the appropriateness of the spatial distribution of fire stations and emergency medical facilities, the main providers of emergency medical care, in Busan. The area over which the 119 emergency medical services were situated in relation to the dispatch and transport of urgent rescue services was examined. Addresses of patients requiring 119 emergency services were obtained and stored as individual units so that they could be analyzed in a Geographic Information System(GIS). The time taken by emergency services to reach patients and transport them to a hospital or other facility was measured in seconds. By inputting additional information such as the location of the 119 dispatch centers, jurisdictions, and emergency medical facilities, the GIS allowed for analyses not only of the temporal but also the spatial aspects of emergency medical services. The results showed that of 16 Gu/Gun and 226 Eup/Myen/Dong in the Busan area, only 41% of Busan's emergency medical services could respond to and transport patients within five minutes. In all districts, most emergency medical services were provided within five to ten minutes. However, the pattern of hospital use to transfer patients to hospitals was inefficient. Based on the temporal and spatial distributions of fire stations and emergency medical agencies, and on their dispatch and transport times, this study sets out and compares ideal dispatch and transportation patterns for the efficient use of Busan's emergency medical services and resources.

• Child Health Nursing Research
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• v.19 no.3
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• pp.168-176
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• 2013

Purpose: This study was conducted to examine the effects of case-based learning on the coping ability of daycare center teachers in emergency situations. In the study knowledge of emergency treatment methods, attitude, intention and ability to perform CPR between were examined in an experimental group (daycare center teachers who participated in the small groups discussing case studies and comparing them with their own experience) and a control group. Methods: The study was designed using a nonequivalent control group pretest-posttest design. Sixty-four teachers were recruited from 40 child daycare centers in S city located in J province. Thirty-three teachers were assigned to experimental group and participated in the case-based small group learning. The data were analyzed using the SPSS 18.0 program to perform ${\chi}^2$-test, Pearson correlation coefficients and t-test. Results: The experimental group showed significantly higher posttest scores in knowledge, attitude, intention, and performance ability than those of the control group. Conclusion: The study results indicate that case-based small group learning on coping ability in emergency situation is effective in increasing knowledge, attitude, intention, and performance ability for daycare center teachers.

• The Journal of the Korea Contents Association
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• v.16 no.7
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• pp.651-658
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• 2016

As three sides of Korea are surrounded by the sea and it is geographically located at an intersect point for continental and maritime climate, the climate crisis and global warming factors that lead to large-scale natural disasters such as typhoons, floods, and tsunami as well as disasters and damage to humans are increasing due to rapid urbanization and industrialization. Therefore, this study measured the ability of people to cope with disaster in students studying emergency rescue who will play a central role in safety and casualty control in disaster areas in order to figure out the factors that will influence their overall ability. As a result, the following things were discovered: Those who had the experience of listening to information on how to cope in a disaster scored significantly higher in disaster coping scores than those who did not. In comparison with subjects who responded that they were not satisfied with their emergency rescue training at school, those who responded that they were satisfied with their education scored significantly higher in their disaster coping scores. In comparison with subjects who responded negatively to the questions on experience in emergency rescue training as an extracurricular program, those who responded affirmatively to the questions were evaluated as significantly higher in their disaster coping scores. This study suggests that specific strategies can be taken and are needed to improve the ability to cope with disasters in students who are studying emergency rescue.

• Proceedings of the Korea Information Processing Society Conference
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• 2015.10a
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• pp.1345-1347
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• 2015

본 논문에서는 응급상황이 신고되는 상황에서 수보자에게 전달되는 신고자의 주변음향신호로부터 신고자의 주변상황을 추정하기 위하여 음향의 주파수적 특성 및 변화특성의 모델링 성능이 뛰어난 Gabor 필터뱅크 기반의 특징벡터 추출 기술 및 분류 성능이 뛰어난 심화신경망을 도입한다. 제안하는 Gabor 필터뱅크 기반의 특징벡터 추출 기법은 비음성 구간 검출기를 통하여 음성/비음성을 구분한 후에 비음성 구간에서 23차의 Mel-filter bank 계수를 추출한 후에 이로부터 Gabor 필터를 이용하여 주변상황 추정을 위한 특징벡터를 추출하고, 이로부터 학습된 심화신경망을 통하여 신고자의 장소적 정보를 추정한다. 제안된 기법은 여러 가지 시나리오 환경에서 평가되었으며, 우수한 분류성능을 보였다.