• Title/Summary/Keyword: 응급대처

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A Design and Implementation of Physiological Data Measurement System using Ubiquitous Sensor Network (유비쿼터스 센서 네트워크를 이용한 생리학적 데이터 측정 시스템의 설계 및 구현)

  • Min, Gyeong-Woo;Seo, Jung-Hee;Park, Hung-Bog
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.05a
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    • pp.852-855
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    • 2010
  • Based on the rapid development of the computer network technology, the ubiquitous sensor network (USN) was developed to enable us to have access to the communication environment anywhere and anytime without the need for recognizing computers or networks. Moreover, with the increasingly high interest on individual health, the USN technology is being applied to diverse sectors for healthcare and disease prevention. In this paper, a system was designed and implemented using the USN-based RF communication for doctors and nurses who care patients in the hospital to easily measure and control the physiological data on blood pressure and blood sugar. In addition, a database was designed using MS SQL database to store and manage the blood pressure and blood sugar data, which were passively or actively measured from patients. Using the results of this study, the physiological data of patients can be managed in real time and emergency situation can be instantly addressed. It is expected that the healthcare service can be improved and the paradigm of healthcare service environment can be changed.

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The Relation between the Problem Solving Ability and Satisfaction on Clinical Practice of Dental Hygiene Students (일부 치과위생사의 응급처치 지식, 수행자신감과 대처능력과의 관계)

  • Lim, Hee-Jung
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.2
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    • pp.97-105
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    • 2017
  • Objectives: The purpose of this study is to investigate the knowledge, confidence and coping ability about emergency treatment, and the impact of right knowledge and confidence in practice on coping ability in part of dental hygienists. In addition, we suggest emergency treatment knowledge for develop substantive education program applicable to clinical as required data. Methods: This subjects were 259 dental hygienists working in dental setting Seoul, Gyeonggi-do from June 5 to July 20, 2016. We analyzed the data with frequency analysis, descriptive statistics, t-test, one-way ANOVA, pearson correlation coefficient, regression analysis by using SPSS. Results: Emergencies experienced by a dental hygienist in dental practice were fainting, local anesthetic allergies, and seizures. As a result of comparing the first aid knowledge, self-confidence, coping ability according to general characteristics of the study subjects, university graduation was higher than college and 3~5 years of working experience showed higher self confidence(F=3.837, p=0.023). The performance of self confidence and coping ability according to the characteristics of first aid showed high results in first aid training and dental hygienist having CPR license. Based on multiple regression analysis, confidence about emergency treatment is the biggest impact on coping ability(p<0.05). Conclusions: Dental hygienists need to develop and provide programs that can improve the ability of dental hygienists to respond appropriately and promptly in case of emergencies by recognizing the importance of first aid through conservative education.

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Implementation of Maritime Telemedicine System Using Android (안드로이드를 이용한 해양원격진료시스템 구현)

  • Lee, Ho-Tae;Kim, Byoung-Chul
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.6
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    • pp.221-228
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    • 2018
  • The purpose of this study is to design and implement a maritime telemedicine system to provide the best medical service for patients who rescue and happens in sailing ship. For this purpose, INMARSAT and MVAST, which are necessary communication channels for maritime telemedicine, were examined and diversity in maritime communication path was suggested. It was implemented to enable maritime telemedicine by linking smart devices and medical devices for physical examination. The marine telemedicine system adopts the HTTP communication protocol to configure the web server and process the client request. The patient's chart information was entered using an application for AndroidPad and the patient was diagnosed using Bluetooth electronic stethoscope for diagnosis. This system enables appropriate medical treatment to emergency patients at maritime, which ultimately can improve medical services. It is expected to be a more effective medical support system through linkage with various medical equipment.

Block Media Communication System for Implementation of a Communication Network in Welding Workplaces (용접 작업장 통신네트워크 구축을 위한 블록매체통신시스템)

  • Kim, Hyun Sik;Kang, Seog Geun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.4
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    • pp.556-561
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    • 2022
  • In this paper, we present a block media communication (BMC) system which employs powerline communication to the equipments used in the welding process for ship-assembly and uses metal block as a communication medium. Inductive couplers are installed on digital feeder and pin jig. Information signal is added to the current generated by the welding gun, and applied to the block. When the welding operation starts, information generated in the field is transmitted to the monitoring server in real-time. The field test on the BMC system confirms that the transmitted data are correctly received at the server. Since the proposed system can be built without any changes to the existing welding process, it is helpful to increase competitiveness of the shipbuilding industry through smart factory of shipyards. It is also possible to quickly respond to emergency situations that may occur to workers in an electromagnetic wave shielding environment or a closed space, the effect of preventing industrial accidents will be great.

Role Based Smart Health Service Access Control in F2C environment (F2C 환경에서 역할 기반 스마트 헬스 서비스 접근 제어)

  • Mi Sun Kim;Kyung Woo Park;Jae Hyun Seo
    • Smart Media Journal
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    • v.12 no.7
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    • pp.27-42
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    • 2023
  • The development of cloud services and IoT technology has radically changed the cloud environment, and has evolved into a new concept called fog computing and F2C (fog-to-cloud). However, as heterogeneous cloud/fog layers are integrated, problems of access control and security management for end users and edge devices may occur. In this paper, an F2C-based IoT smart health monitoring system architecture was designed to operate a medical information service that can quickly respond to medical emergencies. In addition, a role-based service access control technology was proposed to enhance the security of user's personal health information and sensor information during service interoperability. Through simulation, it was shown that role-based access control is achieved by sharing role registration and user role token issuance information through blockchain. End users can receive services from the device with the fastest response time, and by performing service access control according to roles, direct access to data can be minimized and security for personal information can be enhanced.

Study on the direction of serious contents design for training skills in U-healthcare: Focused on elderly learners (U-헬스케어를 위한 학습용 기능성콘텐츠 설계방향 : 노인 대상자를 중심으로)

  • Ha, Dong-One;Lee, Chang-Jo
    • Journal of Korea Society of Industrial Information Systems
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    • v.15 no.3
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    • pp.23-32
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    • 2010
  • U-healthcare provides people with many conveniences and keeps their health. As facility centered medical environment is being changed to patient centered one, however, various problems are emerging. These problems range from institutional problems to technological, producer related, and user related ones. The researcher took interested in problems originating from users, in particular, elderly patients and guardians taking care of an elderly patient. The main focus of this study is the direction of serious contents design for training skills in HMI of U-healthcare equipment and developing emergency coping abilities. In this study, I started from research on elderly cognitive psychology and elders' motor reactions and interconnected the characteristics of various digital content forms. The results of this study are expected to be useful for the rapidly expanding elderly population and in the U-healthcare industry.

The need to introduce a Common Operating Picture(COP) for disaster response in the event of a disaster (재난발생시 재난대응을 위한 공통작전상황도(COP) 도입 필요성)

  • Cho, Jung Yun;Song, Ju Il;Jang, Cho-Rok;Jang, Mun-Yeop
    • Proceedings of the Korea Water Resources Association Conference
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    • 2020.06a
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    • pp.358-358
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    • 2020
  • 2016년 경주지진, 2018년 밀양 세종병원 화재사고, 2019년 강원도 동해안 산불, 2020년 코로나바이러스감염증-19 재난까지 매년 다양한 유형의 재난이 발생하면서 재난대응에 대한 관심 역시 커지고 있다. 정부는 물론 각 지자체에서 재난유형별로 재난대응 매뉴얼에 따라 체계적으로 해당 재난에 대한 대응을 실시하고 있으나 중앙 상황실과 현장 간 소통의 어려움, 의사결정의 지연 등으로 인해 신속한 대응방안 수립 및 피해상황 파악에 있어서 미흡한 대처를 보여주어 질타를 받기도 하였다. 본 연구에서는 중앙 상황실과 현장 간의 원활한 소통과 재난으로 발생한 피해현황 및 응급복구 계획 등을 신속하게 수립할 수 있도록 군부대에서 사용하고 있는 공통작전상황도(Common Operating Picture, 이하 COP)의 개념을 재난대응 체계에 도입하여 제시하고자 한다. 공통작전상황도는 미군이 군사적인 대응을 위하여 정보공유 차원에서 처음으로 사용되었으며, 미국연방재난관리청(Federal Emergency Management Agency, 이하 FEMA)이 현재 재난상활 발생 시 의사결정을 지원하기 위한 시스템으로 개발하여 활용하고 있다. 이를 구성하는 요소들은 재난발생시 가장 기초적인 정보(신고사항, 기상정보, 시민제보 등) 뿐 만 아니라 현장에 관한 정보(구체적인 대응상황, 요구사항 등)까지 다루어지고 있으며, 결국 공통작전상황도는 이를 모두 관리할 수 있는 하나의 통합플랫폼이라 할 수 있다. 따라서 본 연구에서는 재난상황에서 공통작전상황도를 활용한 해외사례 분석과 국내 도입 시각 재난유형별로 공통작전상황도에 필요한 정보요소들을 1차적으로 확인함으로써 새로운 재난대응 시스템의 필요함을 강조하고자 한다.

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The Patient Recognition, Acceptability and Evaluation of Feasibility for Day Surgery (종합병원 일부 입원환자의 당일수술에 대한 태도와 당일수술 적용 가능성 평가)

  • Beak, Young-Ran;Lee, Kyeong-Soo;Kim, Seok-Beom;Kang, Pock-Soo;Kang, Young-Ah
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.3
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    • pp.334-342
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    • 2000
  • Objectives . This study was conducted in order to investigate the degree of recognition, acceptability, and altitude towards day surgery of patients who were hospitalized with diseases that were candidates for day surgery; in order to analyze the average length of stay for treatment of the ailments; and to analyze the percentage of patients who could be discharged on the same day after the surgery ,using the post-anesthesia discharge scoring system. Methods : Data was collected between February 1 and March 31, 1999 from 353 patients who received surgery for cataract, adenoid hypertrophy, inguinal hernia, strabismus, ptosis, cholelithiasis, hemorrhoid, or anal fistula, at a general hospital in Daegu city. The patients were interviewed and surveyed by a post-anesthesia discharge scoring system(PADS) in order to collect data on patient condition such as vital signs, activity and mental status, pain, nausea and vomiting, surgical bleeding, intake and output after the surgery. Results : Among the 353 patients, 52.7% were after of the day surgery and 52.7% were interested in day surgery. Of the respondents, 43.1% said 'my ailment was not serious and the surgery was simple' and 30.4% said 'according to my condition rest at home was desirable' as the reasons for wanting day surgery Alternatively, 56.5% of those declining day surgery said the 'uncertainty of staying home' was the reason. The greatest concern in discharging within 24 hours after surgery was a post-op emergency situation. On the other hand, the shortened hospitalization was the largest advantage of day surgery with 39.1% responding this way, followed by the savings in hospitalization costs (25.8%) and emotional stability (13.7%). The majority of those surveyed (47.6%) believed that discharge should be determined within 1-2 days after the surgery. The average hospital stay was 3.1 days for dischargeable ailments. Pain (45.6%), nausea and vomiting (10.5%), and headache (7.9%) were the common symptoms following surgery. The percentage of patients who were able to be discharged within 24 hours after surgery revealed 95.2% were dischargeable after approximately 3 hours, 99.2% dischargeable after 12 hours, and 100% dischargeable after 24 hours. Conclusions : According to the PADS score, the cataract extract and strabismus correction patients were eligible for day surgery and the further evaluation concerning the reason for delayed recovery of the other diseases is needed.

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Survey of Sedation Practices by Pediatric Dentists (소아치과의사의 진정법 사용에 대한 실태조사)

  • Yang, Yeonmi;Shin, Teojeon;Yoo, Seunghoon;Choi, Seongchul;Kim, Jiyeon;Jeong, Taesung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.3
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    • pp.257-265
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    • 2014
  • The aim of this study was to establish the appropriate guidelines in the sedation techniques and to organize the continuing education programs for the sedation in future under the direction of Committee on Sedation, Education and Research under the Korean Academy of Pediatric Dentistry(KAPD). The surveys on the sedation technique were performed on 111 organizations which practices the sedation and responded to the survey via online and e-mail by February 2014. The collected survey were analyzed. The purpose of sedation was mainly to manage the children's behavior and its uses were primarily on 3~4 years old children. The most frequent duration of treatment was 1~2 hours to treat both maxillary and mandible. The preferred dosages of sedative drugs were chloral hydrate(CH) 50~70 mg/kg, hydorxyzine(Hx) 1~2 mg/kg, and intramuscular midazolam(Mida IM) 0.1~0.2 mg/kg. The preferred combination of the sedative drugs were CH + Hx + $N_2O/O_2$(67.6%), CH + Hx + Mida submucosal administration (SM) + $N_2O/O_2$(29.7%), and Mida IM + $N_2O/O_2$(23.4%). The administration of additional sedatives was carried out at 48%, mainly using Midazolam. 87.5% of the respondents experienced the adverse effects of the sedation such as vomiting/retching, agitation during recovery, subclinical respiratory depression, staggering, and etc. Among them, only 20% periodically retrain the emergency management protocol. About the discharge criteria for patients after the sedation, the respondents either showed a lack of clear criteria or did not follow the recommended discharge criteria. 86% of the respondents expressed the interests in taking a course on the sedation and they wanted to learn mostly about the sedation-related emergency management, the safe dosage of the sedative drugs, and etc. The use of sedation in pediatric dentistry must be consider a patient's safety as top priority and each dentist must show the evidence of sound practices for the prevention of any possible medical errors. Therefore, KAPD must establish the proper sedation guidelines and it needs to provide the systematic technical training program of sedation-related emergency management for pediatric dentists.

Agents Used for Pediatric Dental Sedation (소아치과 진정법에 사용되는 약제)

  • Kim, Jiyeon;Jeong, Taesung;Yang, Yeonmi;Yoo, Seunghoon;Choi, Sungchul;Shin, Teojeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.109-116
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    • 2016
  • Sedation is an indispensable part of contemporary pediatric dentistry. The Korean Academy of Pediatric Dentistry (KAPD) organized the dental sedation committee to help members perform safer and more effective sedation. The committee surveyed 111 members who practice dental sedation to figure out the present state of sedation in 2014. According to the survey, 86% of the respondents indicated that they were interested in continuing education of sedation. The most interesting topic was sedation related emergency management, followed by safe dosages of sedative drugs. However, it is not realistic to establish the recommended dosages as a guideline since the selection of agents and dosages depend on various factors. In order to provide successful sedation, pediatric dentist should make an individual sedation plan for each procedure. It is important to understand not only the properties of each sedative, but also interactions with other drugs. This article reviews useful information of commonly used agents for dental sedation and summarizes the recommended dosages from the Physicians' Desk Reference (PDR) and some famous pediatric dentistry textbooks.