• Title/Summary/Keyword: 응급의료기관

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Demands for Health Education through Internet in Middle and High School Students (중.고등학교 학생들의 인터넷을 이용한 보건교육 요구도)

  • Kang, Pock-Soo;Choi, Yeun-Hwa;Lee, Kyeong-Soo;Hwang, Tae-Yoon
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.23-39
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    • 2004
  • Background: It is important to provide health education to students to ensure a healthy life. Using the internet for health education may be a way to overcome the practical barriers to health education such as time and content. This study was conducted to investigate the demands for health education using the internet. Subjects and methods: Six hundreds and twenty-four and male female students in middle and high schools, who lived on Gyeongju-si and Seongju-gun in Gyeongsangbuk-do province, were interviewed by means of structured questionnaires, from March 5 to March 28, 2003. Results: More than 90% of the subjects had their own computers, and nearly 38% of those possessing their own computers had accessed internet sites related to health and medicine. Middle school students and in particular, female students were more desirous for health education through e-mail. Regarding content, the three major topics which the respondents wanted to learn about were healthy lifestyles, growth and development, and disease prevention. In terms of the interval for providing educational materials, over half of the students wanted information once a week. Most of the students wanted to have the quantity of the material be one page. In addition, there were numerous additional topics requested by the students such as sleep and health, contraception and family planning, safety education, cancer prevention, emotional instability of juveniles, the utilization of medical care facilities, stress management, etc. Conclusion: The students had a desire for health education through the use of e-mail, and methods and materials should be developed for appropriate health education using the internet.

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Research of Acute Poisoning on a Local Emergency Medical Facility in an Urban-Rural Area (일개 도농복합지역 지역응급의료기관 환자의 급성 중독 실태)

  • Choi, Hyo-Sun;Choi, Dai-Hai;Lee, Kwan
    • Journal of agricultural medicine and community health
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    • v.33 no.2
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    • pp.193-203
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    • 2008
  • Objectives: The aim of this study was to investigate the characteristics of acute poisoning cases admitted to a local emergency department in an urban-rural area. Methods: This retrospective study included all patients with acute poisoning who admitted the emergency department between June 2004 and May 2005. We analyzed the medical records for etiological and demographical characteristics of the acutely poisoned patients. Results: There were 155(1.0%) poisoning cases among 15,457 admitted to the emergency department. Of the admitted cases, 51.0% were female and 49.0% male. The poisoning made a peak in the age range of 30-39 and over 60. The seasonal distribution in poisoning patients suggested a peak in spring(38.1%) and summer(24.5%). The majority of exposures(95.5%) occurred in patient's home, 81.8% were deliberate. The most common agents of acute poisoning in deliberate causes were drugs(p<0.01). All of deliberate cases were suicidal attempts. The most common poisoning cases were pesticides in male, but in female were medications(p<0.01). Overall mortality rate of total cases were 12.9%. The overall mortality rate was higher in male(p<0.05), increasing age(p<0.05) and intentional ingestion(p<0.05), pesticides poisoning(p<0.05). Conclusions: The study forms a foundation for future work on poisoning epidemiology which hopefully will facilitate the allocation of preventive services in order to reduce the incidence as well as morbidity and mortality of toxic exposures.

A Study on Improvement of Disaster Response System in the Firefighting Organization - Focused on Landslide Case in Sinbuk-eup, Chuncheon-city - (소방의 재난대응체계 개선방안에 관한 연구 - 춘천시 신북읍 산사태 대응사례를 중심으로 -)

  • Ko, Gi-Bong;Lee, Si-Young;Chae, Jin
    • Fire Science and Engineering
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    • v.26 no.2
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    • pp.17-31
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    • 2012
  • Regarding the landslide that took place around 00:08 on July 27, 2011, in a village in the city of Chuncheon (Sanjidanggol, Majeoksan, Cheonjeon-ri, Sinbuk-eup, Chuncheon-city, Gangwon-province), this paper surveyed fire-fighting officers who were injected into the site to rescue the disaster, thereby determining the problems surrounding the initial fire-fighting response and improvement measures. As a result, specialist education of volunteer fire-fighters and utilization, improvement measures included the early response ability enhancement of and cooperation between relevant agencies, the strengthening of specialist education about landslide response, the strengthening of situation management and field command system, the installation and operation of speedy field emergency infirmary, the operation of an appropriate volunteer waiting facility, the operation of an appropriate control lines, appropriate control of media, a sufficient securing of individuals' rescue equipment and fuel for heavy equipment, the provision of sufficient portable radios and chargers, the securing of fire-fighting budget thereof.

Real Time Image Acquisition System using a Image Intensifier and Position Error Verification (영상증배관을 이용한 실시간 영상획득시스템과 위치오차검증)

  • Lee, Dong-Hoon;Kim, Nam-Hoon;Jeong, Jong-Beom
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.4
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    • pp.331-338
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    • 2017
  • In this study, a portable x-ray generator was manufactured and a real-time image acquisition system was constructed using the image intensifier from the generated generator. We have developed a real - time position error verification system that can verify whether the artificial joint position is different from the initial image from the acquired image. The template image of the region of interest is extracted from the reference image using the pattern matching technique and compared with the image to be compared. As a result, It is shown that real - time position error verification is achieved by displaying the difference angle. This system is portable type, has a self-shielding facility, and the output of the irradiation device can be manufactured in a small size of 1kw and can be used as a portable type. In case of emergency patients in the non-destructive field for industrial use, It has proved effective for use in small areas such as feet.

A Comparative Study on 1D and 2D Hydraulic Analysis Model for Emergency Action Plan (비상대처계획 활용을 위한 1차원 및 2차원 수리해석모형의 비교 검토 연구)

  • Kim, Tae Hyung;Kim, Ji Sung;Lee, Young Gon;Kwak, Jae Won;Choi, Kyu Hyun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.350-350
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    • 2016
  • 댐 및 저수지 시설물의 붕괴에 대비하기 위한 댐 붕괴 비상대처계획 수립은 대규모 인명 또는 재산의 피해를 예방하기 위한 중요한 비구조적 대책중의 하나이다. 특히 대규모 댐붕괴로 인한 재난 발생시 국민의 생명과 재산 피해를 최소화하기 위해 댐 시설물의 관리주체 및 유관기관은 발생가능한 비상상황을 미리 예측하고, 대응조치를 신속하고 효율적으로 집행해야 한다. 댐 붕괴 비상대처계획 수립을 위해 가장 중요한 사항은 댐 붕괴 위험도를 파악하고, 발생가능한 여러 시나리오에 따른 댐 하류부의 피해정도를 예측하는 일이다. 댐 붕괴 비상대처계획 시 작성되는 홍수범람 지도는 댐 붕괴사고가 발생했을 때 주민대피계획 및 위험지역 교통통제, 응급의료활동 및 생필품 공급 등, 비상대처계획 수립을 위한 가장 기본적인 자료가 된다. 현재 우리나라는 댐 붕괴 비상대처계획 수립을 위해 1차원 또는 2차원 수리해석 모형을 이용하여 홍수범람지도를 작성하고 있다. 전체적인 비상대처 계획도 작성을 위해 댐 붕괴로 인한 홍수파 해석이 가능한 1차원 수리해석 모형을 주로 이용하지만, 홍수파가 전파되는 하류부의 지형학적 특성상 2차원 해석이 필요한 지역에 대해 2차원 수리해석 모형을 이용하여 추가의 검토가 이루어지고 있다. 본 연구에서는 비상대처계획시 동시에 활용되는 1차원 수리해석 모형과 2차원 수리해석 모형의 특성을 각각 분석하고, 시범지역의 가상 댐 붕괴사상에 대해 적용함으로써, 각 모형의 장단점과 적용성에 대한 비교 검토 연구를 수행하였다. 낙동강유역내 위치한 다목적댐에 대해 1차원 및 2차원 붕괴모의를 실시하였으며, 여러 시나리오에 대해 1차원 모형과 2차원 모형 각각에 대해 동일하게 적용함으로써 두 모형의 모의 결과에 대한 비교 분석을 실시하였다. 본 연구를 통해 비상 대처계획 수립을 위한 홍수범람지도 작성 시 1차원 모형과 2차원 모형의 장점을 각각 반영할 수 있도록 홍수범람지도를 효율적이고 정확하게 작성하기 위한 제언을 제시하고자 하였다.

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The Effect Nursing Organizational Culture on the Quality of Nursing Service: Mediating Effect of Work Engagement (간호사가 지각하는 간호조직문화가 간호서비스의 질에 미치는 영향: 직무열의의 매개효과를 중심으로)

  • Hong, Eun-Jeong
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.31-40
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    • 2022
  • This study is a descriptive research study to confirm the mediating effect of job engagement on the relationship between the nursing organizational culture and the quality of nursing service perceived by nurses. The research subjects and data were collected from June 1 to June 7, 2022, and 215 nurses working at hospital-level or higher medical institutions recruited through the online community for nurses. As a result of the study, Relation orientated culture(Z=3.88, p<.001) and Task orientated culture(Z=3.16, p=.001) affected the quality of nursing service, and it was found that job engagement fully mediating effect. Hierarchical orientated culture (Z=2.39, p=.017) affected the quality of nursing service, and it was found that job engagement had a partial mediating effect. Therefore, in order to improve the quality of nursing services, it is necessary and to promote work engagement by forming a culture to establish a trust relationship among members based on the order and procedure for safety in nursing sites that require rapid and accurate response in emergency situations and performing tasks efficiently to achieve organizational goals.

The Comparison of Effectiveness in Prehospital Protocol Education on CardioPulmonary Resuscitation (심폐소생술에 대한 현장업무 프로토콜 교육 효과 비교)

  • Shin, Sang-Yol;Jung, Ji-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3418-3426
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    • 2009
  • The purpose of this study was to investigate the feasibility of field operation protocol for cardiopulmonary resuscitation(CPR) in person with non-traumatic arrest. This study was performed from May 1 through June 27, 2008, and subjects were 150 students who are attending the department of Emergency Medical Service in J and K universities which located in Jeollabuk-do and Jeollanam-do areas. Practical conformance was verified using by nonequivalent control group pretest-posttest design. This study divided into two groups; experimental group that employed field operation protocol and control group that applied conventional CPR protocol, and comparative analyzed statistically the necessary time of the items of each protocol. The results indicated that each performance time of 18 items was reduced over 3 seconds except 5 items(assessment of consciousness, airway control, two times of artificial respiration, check of circulation, and five cycles of CPR). And time of 6 items(intubation, peripheral intravenous line, reassessment of consciousness, pupil reaction, carotid artery pulse, and vital sign) was minimized more than 60 seconds, and total performing time was shortened 110.85 seconds. The results suggested that total performing time in pre and post test where the protocol was applied for two groups showed a statistically significant decrease(t=-6.580, p=.000). Consequently, field operation protocol for cardiopulmonary resuscitation(CPR) in person with non-traumatic arrest will be a available manual which support prompt and accurate decision making, and improve emergency medical service.

A study on the school health education curriculum development focused on the health education course in primary school (국민학교 보건교육 교과과정의 개선방안에 대한 연구)

  • Kim, Hwa-Joong;Lee, In-Sook
    • Journal of the Korean Society of School Health
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    • v.5 no.1
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    • pp.36-63
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    • 1992
  • The purpose of this study was development of school health education curriculum in primary school based on analysis of the textbooks published in 1991. 1) The health education curriculum in primary school consisted of four major components such as health education aspects of the healthful school environments, health education aspects of school health services, health education course, and health instruction in related subjects. However, health instruction taught by physical education, biology, and other health related subjects was not systematic organization for health care. 2) A considerable amount of health knowledge and attitude, and some health practices was learned as the result of experiences in other courses, where there was little or no reference to health. It must be developed health edcation course separated from health related subjects. 3) Direct health insruction was represented by the health education course. The health education courses must be considered to be heart of the school health education curriculum. 4) The health education course developed by this study was consisted of eight health units and problems in the early elementary grade or health classes in the higher years. 5) The health education course developed by this study provided the opportunity for acquring new knowledge, attitude, and practice, for discarding the unhealtful attitude and strengthening the healthful attitude and practices of primary school students.

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Five Year Experience of Preexposure and Postexposure Rabies Prophylaxis in Korean Children at the National Medical Center (소아청소년에서 공수병 예방접종 및 교상 후 조치 현황: 최근 5년간 국립중앙의료원에서의 경험)

  • Noh, Jin Chul;Park, Hyang Mi;Park, Jong Hyun;Won, Youn Kyung;Lee, Chang Hyu;Kim, Jae Yoon
    • Pediatric Infection and Vaccine
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    • v.20 no.1
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    • pp.9-16
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    • 2013
  • Purpose : This study aims to investigate preexposure prophylaxis and postexposure prophylaxis of rabies that the National Medical Center (NMC) handled and to check whether appropriate measures were performed according to the recent domestic and overseas guidelines after animal bites. Methods : This study surveyed 41 people who were 18 years or under and received preexposure and postexposure prophylaxis of rabies at the NMC from November 2006 to December 2011. Their medical records were reviewed for their age, gender, the reason for preexposure prophylaxis, the body sites of animal bite, the kind of the animal that bit children, the region where the biting occurred and rabies vaccination and inoculation of immunoglobulin. Results : Eleven children took rabies vaccination for preexposure prophylaxis and 30 children received post exposure prophylaxis of rabies. Of patients who were bitten by unvaccinated animals including wild animals or by animals which were not certain to be vaccinated, 50% (13 of 26 children) received postexposure prophylaxis, while 75% (3 of 4 children) of patients who were bitten by vaccinated animals received postexposure prophylaxis of rabies. Ten of 30 bitten patients knew whether or not the biting animals had received rabies vaccination. Of them, four people (40%) were bitten by animals which had received rabies vaccination. Conclusion : To prevent the occurrence of rabies, people and health care providers need to correctly understand latest guideline for rabies preexposure and postexposure prophylaxis and the information for bitten patient, biting animal and area at bitten by animal should be accurately recorded.

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Predictive factors for severe infection among febrile infants younger than three months of age (발열을 주소로 내원한 3개월 미만의 영아에서 중증 감염의 예측 인자)

  • Cho, Eun-Young;Song, Hwa;Kim, Ae-Suk;Lee, Sun-Ju;Lee, Dong-Seok;Kim, Doo-Kwun;Choi, Sung-Min;Lee, Kwan;Park, Byoung-Chan
    • Clinical and Experimental Pediatrics
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    • v.52 no.8
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    • pp.898-903
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    • 2009
  • Purpose : This study investigated the predictive factors for identifying infection-prone febrile infants younger than three months. Methods : We conducted a retrospective study of 167 infants younger than three months with an axillary temperature >$38^{\circ}C$ who were hospitalized between 2006 and 2008. If they met any of the following criteria, positive blood culture, CSF WBC ${\geq}11/mm^3$ or positive CSF culture, urinalysis WBC ${\geq}6$/HPF and positive urine culture, WBC ${\geq}6$/HPF on microscopic stool examination or positive stool culture, they were considered at high risk for severe infection. Infants with focal infection, respiratory infection or antibiotic administration prior to admission to the hospital were excluded. We evaluated the symptoms, physical examination findings, laboratory data, and the clinical course between the high risk and low risk groups for severe infection. Results : The high-risk group included 77(46.1%) infants, and the most common diagnosis was urinary tract infection (51.9%). Factors, such as male sex, ESR and CRP were statistically different between the two groups. But, a multilinear regression analysis for severe infection showed that male and ESR factors are significant. Conclusion : We did not find the distinguishing symptoms and laboratory findings for identifying severe infection-prone febrile infants younger than three months. However, the high-risk group was male and ESR-dominated, and these can possibly be used as predictive factors for severe infection.