• Title/Summary/Keyword: 응급의료 서비스

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A Study on Real-time Streaming System Using the Dual-Streaming Technique (듀얼 스트리밍 기법을 활용한 실시간 스트리밍 시스템)

  • Ban, Tae-Hak;Kim, Eung-Yeol;Yang, Xitong;Kim, Ho-Sung;Jung, Hoe-Kyung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.791-793
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    • 2015
  • Recently, UCC (User Created Contents) and VoD (Video on Demand), and multimedia content are growing, IP-TV, Smart TV, OHTV (Open Hybrid TV) various services such as multi platform (Multi-platform) environment, services and QoS issues. To solve this problem, the network efficiently, and improve the quality of content is necessary for the system. In this paper, the network of channels State and transmission of multimedia data based on dynamic resource usage, TCP and UDP, Adaptive dual-streaming system used for design and analysis. In addition, the existing TCP and UDP streaming system using a single protocol for analysis and verification of the effectiveness of the difference between and. This is a disaster, and medical/first aid system will be utilized in the field of feed, are ubiquitous.

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The effects of out of hospital ACLS simulation training on the paramedic's duty ability (구급대원의 전문심장소생술 시뮬레이션훈련이 직무수행융합능력에 미치는 영향)

  • Park, Yoo-Na;Cho, Byung-Jun;Kim, Gyoung-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.4
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    • pp.99-106
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    • 2019
  • The purpose of this study is to analyze the effects of the simulation-based professional cardiac resuscitation training on the performance of professional cardiac resuscitation performed by paramedics in the pre-hospital stage and to provide basic data for effective cardiac resuscitation. This study is an experimental study of the design before and after the control of non-equality. The subjects of this study were 16 newly recruited paramedics from K firefighting school. The simulation training program and evaluation papers used as the evaluation tool were reviewed and commented by 6 ACLS simulation experts (2 emergency medical doctor, 2 emergency medical professors, 2 KALS instructors)Respectively. The training consisted of 30 minutes of theory and 150 minutes of practical training. The lecturer first demonstrated for 5 minutes, and after training by individual debriefing after individual training, individual and team education was conducted The evaluation scale was given a 5 - point Likert scale. The SPSS 22.0 program for Windows was used. The general characteristics of the subjects were analyzed for frequency, the examination of homogeneity between the experimental group and the control group wasfulfilled by t test, and the difference test between the groups of the two groups was performed using the paired t-test. The homogeneity test was able to confirm the homogeneity between experimental group and control group. In the evaluation of six ACLS techniques, it was proven that the experimental group that received the simulation training had better performance in all aspects than the non - training control group. The following are the technical items to be performed. 1. Electrocardiogram 2. Specialized instrument 3. Treatment of fluid 4. Leadership and teamwork 5. Medical guidance 6. Evaluation during transfer. It was proved that paramedics who received simulation training were improved on their job performance ability than general lecture and training group. Therefore, if simulation training and education are applied to a student in the synthetic course or an emergency resident who is engaged in clinical practice, he / she will be able to perform his / her duties more proficiently. It is expected that emergency services provided to patients with cardiac arrest will be improved.

Factors Related to the Disability of Stroke Patients in Gyeongju, Korea (경주지역 뇌졸중 환자들의 장애정도와 관련요인)

  • Kang, Min-Soo;Jo, Min-Woo;Lim, Hyun-Sul;Kim, Sang-Kyu
    • Journal of agricultural medicine and community health
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    • v.35 no.4
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    • pp.405-416
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    • 2010
  • Objectives: This study was conducted to evaluate factors related to the degree of disability of stroke patients in a rural community. Methods: The study subjects included 641 patients selected from 975 stroke patients over the age of 50 with brain lesion-related disabilities living in Gyeongju, Korea, an urban-rural consolidated community. The data were obtained by interviews from July to October 2008. The subjects were divided into a seriously disabled group (1st and 2nd disability grade) and mildly disabled group (3th, 4th, 5th and 6th disability grade) by degree of disability according to registered disability grade. The collected data were analyzed using the SPSS 14.0 statistical package. Results: The study subjects included 379 males (59.1%) and 262 females (40.9%), and most patients were in their 70s (256 cases, 39.9%). The seriously disabled group included 287 patients (44.8%) and the mildly disabled group included 354 persons (55.2%). Age, prehospital delayed time and number of related chronic diseases were risk factors for serious disability (p<0.05). Conclusions: Our results indicate that the degree of disability can be reduced by decreasing prehospital delayed time. We suggest that education of high risk groups and establishment of emergency services as well as a transport system for stroke patients are required to reduce the degree of disability due to stroke.

Study about the relationship between Chief complaint of pure death patients using medical record information (의무기록 정보를 활용한 순사망환자 주호소 증상과 진단명과의 연관성에 관한연구)

  • Kim, Yong-Ha;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.407-414
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    • 2015
  • This study was executed to be used as the basic data for the improvement of hospital therapy by analyzing the characteristic of principal diagnosis of pure death patients. 428 pure death patients were selected as study subjects out of 1992 dead patients at K university hospital in Daejeon city for three years in 2011, 2012, 2013, and chi-squared test and fisher's correct tests and canonical correlation analysis were used as analysis methods. In the analysis results about general characteristic and top 4 canonical correlation analysis, pneumonia(J18) of organism unspecified and toxic action(T60) of pesticide showed significant results among the principal diagnosis. In the pneumonia of organism unspecified(J18), significant results were identified with the order of car insurance, ages from 15 to 29, health insurance and medical benefits, and in the toxic action of pesticide(T60), significant results were identified with the order of health insurance, medical benefits, car insurance, ages from 45 to 59, Sejong Chungnam. In conclusion, in order to reduce the death of elderly population, quality improvement in medical service and establishment of emergency medical service delivery system are very important to reduce pure death patients.

An Empirical Study on Importance of Evaluation Factors for Improvement of Fire Emergency Medical Service (소방응급의료서비스 향상을 위한 평가요인의 중요도에 관한 실증적 연구)

  • Hwang, Dong-Wan;Kwon, Young-Hee;Kim, Jeon-Soo;Kang, Yun-Jin;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.16 no.4
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    • pp.71-80
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    • 2014
  • This study is performed to determine the priorites of the evaluation factors for the improvement of fire emergency medical service by increasing it's efficiency to protect the people's lives effectively, and by recognizing it's mid-long term development. Based on the output of the analysis, the critical evaluation factors of the fire emergency medical services to be improved shall be identified, and shall be intended to use strategically for increasing the efficiency of all the activity in the EMT service, and also for providing the basic date to product and manage the good quality services. To calculate the priority of the evaluation factor for each level as shown on this study, AHP(anaysis hierarchy process) with pairwise comparison method is applied. According to the priority analysis for the evaluation factors in main category (evaluation zone), 'medical service professional aspect' is recognized as highest one, and 'service infrastructure aspect', 'service management aspect' are indicated in order. According to the priority analysis for the evaluation factors in evaluation index, 'professional personal arrangement' in the service infrastructure aspect, 'appropriateness and timeliness of emergency medical care' in the medical service professional aspect, and 'clinical training' in the service management aspect are respectively recognized as most important factors.

Study on Wireless Body Area Network System Design Based on Transmission Rate (전송률을 고려한 WBAN 시스템 설계에 관한 연구)

  • Park, Joo-Hee
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.12
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    • pp.121-129
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    • 2012
  • In this paper, we proposed WBAN system model to management an application that requires low rate data transfer in IEEE 802.15.4. We have to use different wireless sensor network technology to transfer different date rate and emergency message in medical application service. A suitable system model for WBAN and a WBAN MAC protocol in order to solve these existing system problems are proposed. Firstly, the priority queuing was applied to contention access period, and the system model which could guarantee transmission of a MAC command frame was proposed. Secondly, the MAC frame was newly defined to use the system model which was proposed above. Thirdly, WBAN CSMA/CA back-off algorithm based on data transmission rate was proposed to enhance data throughput and transmission probability of the data frame which does not have priority in the proposed WBAN system. The proposed algorithm is designed to be variable CSMA/CA algorithm parameter, depending on data rate. For the evaluation of WBAN CSMA/CA algorithm, we used Castalia. As a result of the simulation, it is found that the proposed system model can not only relieve loads of data processing, but also probability of collision was decreased.

A Study on the Emergency Medical Service Demand and Fire Service Force (구급서비스 수요와 소방력에 관한 연구)

  • Kim, Jin-Dong;Shin, Sang-Yol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4485-4491
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    • 2013
  • This study was to investigate emergency medical service demands, fire service force of local governments, and relationship between these two factors for developing effective prehospital emergency medical services. For this, this study was measured the ratio of the number of patients transported and residents, ambulances and residents, patients transported and ambulance workers of 16 local governments. And then examined hypotheses. Data were collected from 2000 year to 2010 year. This study results indicated that average number of patients transported are significant differences not only between metropolitan district and general district, but also between capital area and non-capital area. And this study indicated that the fire service force are significant differences not only between metropolitan district and general district, but also between capital area and non-capital area. Also, the numbers of patients transported per ambulance, and the numbers of patients transported per ambulance worker were significant by regional groups. The number of patients transported per ambulance was a significant difference between the first half and the second half, but there was not a significant different the number of patients transported between the first half and the second half.

A Survey of Cancer Patients Who Visited Emergency Room (일 대학병원 응급실에 내원한 암 환자 실태)

  • Yang, Sun-Ae;Cho, Ok-Hee;Yoo, Yang-Sook
    • Journal of Hospice and Palliative Care
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    • v.12 no.4
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    • pp.228-233
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    • 2009
  • Purpose: The purpose of this study was to retrospectively examine the factors and characteristics of cancer patients who visited the emergency room, as well as to offer some educational materials for to manage acute symptoms. Methods: Data for this study were selected from the period of January to December, 2006. A total of 564 patients were examined using the tool which we developed by ourselves for the study. The collected data were analyzed using the SAS program for frequencies and percentage. Results: As for disease-related characteristics of the subjects, 28.9% of them had gastric and colorectal cancer; 66.9% were in stage 4; 51.6% had been in chemotherapy prior to visiting the emergency room; and 82.5% had their anticancer drug administrated average 1~5 times. As for the characteristics in regard to visit the emergency room, 62.9% were admitted to hospital within 2 weeks of being treated. As for chief complaints for visiting the emergency room, the worst symptom was pain, followed by symptoms such as gastro-intestinal symptoms, respiratory symptoms, high fever, and weakness. As for the disease-related symptoms, the worst symptom that gastric, colorectal, pancreatic, liver and gallbladder cancer patients complained of was pain, high fever for lymphoma patients was respiratory symptoms for lung cancer patients, and gastrointestinal symptoms for head and neck cancer and other patients. Conclusion: Therefore, according to their need and background, an individualized consultation and teaching program should be provided to cancer patients.

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The propriety of Spatial Arrangement Condition of 119 Emergency Medical Service - Mainly Around H Town Area, Countrysid of Y city - (119지역대의 공간적 배치 현황의 적절성 -Y시 H면 지역을 중심으로-)

  • Yun, Jong-Geun;Choi, Kyu-Chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.11
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    • pp.374-380
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    • 2017
  • In this study, we analyzed the situation of the 119 emergency medical service zone of H town, countryside of Y city from January 1st, 2015 to December 31st, 2016 and then, on the basis of this analysis, we investigated the present condition of the patient-transportation service of the 119 emergency medical service to provide the basic data in order for patients to use the emergency medical service more efficiently. We analyzed the data with SPSS 21.0 using frequency analysis and, after positioning the virtual 119 emergency medical service, we analyzed the data of the transportation time and transportation distance by using GIS. The results of this study show that the use of the 119 emergency medical service for people over 65 years old represents approximately 57% of the total number of patients transported, The average distance and time of the real moving reaction are 6.41 km and 11.86 min, respectively. The distance and time from the pick-up location to the hospital are 18.24 km and 21.52 min, respectively. Given the present position of the 119 emergency medical service, the results of this analysis using GPS show that the (average) distance and time from the 119 emergency medical service to Jang * Ri town are 9.12 km and 12 min, and the (average) total distance and time to arrive at the hospital after the emergency medical service picks up the patient are 36.83 km and 62 min, respectively. In the case of the virtual emergency medical service, the total distance and time required to arrive at the hospital after the emergency medical service picks up the patient are 27.71km and 50min, respectively. The results of this study showed that the present position of the 119 emergency service does not provide the optimum distance and time from the patient's location to the hospital. Therefore, we consider that the repositioning of the 119 emergency medical center is necessary, in order to reduce the time required for the emergency medical service to move to the patient's location and then bring the patient to the hospital.

Factors Related to Emergency Department Healthcare Providers' Attitudes towards End-of-Life Care (응급실 의료진의 임종 돌봄태도에 미치는 영향 요인)

  • Nam, Keumhee;Lee, Juhee;Cho, Eunhee;Kim, Changoh
    • Journal of Hospice and Palliative Care
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    • v.19 no.1
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    • pp.11-25
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    • 2016
  • Purpose: The purpose of this study was to determine the factors that influence healthcare providers' attitude towards end-of-life care (EOLC) in the emergency department (ED) in hospital settings. Methods: From June 1 through June 30, 2014, a descriptive correlational study was performed with 41 doctors and 105 nurses stationed in the ED. Results: According to a regression model on the factors affecting healthcare providers' professional attitude towards EOLC, 28.1% of variance (F=15.185, P=0.000) was explained by awareness of death, gender and personal attitude towards EOLC. And 34.1% of the healthcare providers' personal attitude was related with awareness of death, experience of hospice education, occupations and professional attitude towards EOLC. Conclusion: This study demonstrated that attitude towards EOLC was influenced by awareness of death and personal characteristics. Healthcare providers in the ED should be provided with tailored training to improve their understanding of death. Also an educational program should be developed and provided to ED healthcare providers to improve their awareness of death.