• Title/Summary/Keyword: 응급 상황

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Willingness to Perform Cardiopulmonary Resuscitation (CPR) in Emergency Situation: Convergence factor in Undergraduate Nursing Students (간호대학생의 심폐소생술 수행의도에 영향을 미치는 융합적 요인)

  • Kim, Sun Kyung;Kim, Sun-Ae;Kim, Jong-Im;Park, Mi-Hyeon
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.311-318
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    • 2018
  • The purpose of this study was to investigate the correlation between basic self - confidence and CPR - related factors and to investigate factors affecting CPR intention in nursing college students. Data were collected between January to March, 2018. Using SPSS(ver, 24.0), independent t-test, Pearson's correlation and logistic regression were used for the statistical analysis. Among the variables related to cardiopulmonary resuscitation, there was a high correlation (r = .575~.738). In the case of AED use, there was a low correlation with self-confidence of core nursing skills, CPR confidence, proficiency, and self-efficacy (r = .163~.301). A moderate correlation (r = .415~453) was found between the variables related to core nursing skills and CPR related variabls. Logistic regression analysis showed that CPR Self-efficacy (OR=1.22, 95% CI: 1.07~1.38), and AED application Competency (OR=1.72, 95% CI: 1.09~2.75) are effect factors. Since there is a correlation with AED, which is the main tool in CPR, it is necessary to include not only the self - efficacy but also the use of AED which is closely related to CPR in the actual situation as an essential element of education.

Shielding Effect according to the Direction of Control Room Door Opening during Radiography (방사선촬영 중 제어실 문의 열린 방향에 따른 차폐효과)

  • Choi, Weon-Keun;Kim, Jung-Hoon;Kang, Bo-Sun;Bae, Seok-Hwan;Lim, Chang-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.9
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    • pp.3347-3352
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    • 2010
  • It is recommended that the door of control room is closed during radiography to protect a radiologic technologist. However, for those patients such as of emergency or pediatrics, the door must be kept open unavoidably to apply immediate medical administration and treatment on the potential case of emergency which could be happened through the course of radiography. In addition, it could be efficient by reducing patients waiting time when the door is open for a general case. This study was conducted to evaluate practical exposure rate to a radiologic technologist when the door is open during the radiography, and to find out the ways to minimize radiation exposure and to increase the efficiency simultaneously. Measuring practical exposure rate was fulfilled with glass dosimeter, and it was 2.02 mGy/week at the location of radiologic technologist under the condition that the door is open during the radiography, which was about 2.3 times higher than the 100 mR/week. It means that the considerable amount of scattered rays through the door opening, and increase exposure rate at the radiologic technologist. Hence we confirmed that a radiologic technologist probably overexposed if the door is open during the radiography. It was also confirmed by the Monte Carlo simulation that the exposure rate could be reduced up to approximately 1/100 by change only the door opening direction. In conclusion, since the proper door opening direction provides same shielding effect whether it is open or close, the door opening direction need to be considered when it is installed at radiography facilities.

Nursery Teachers' Knowledge, Attitude and Performance Ability in CardioPulmonary Resuscitation (보육교사의 심폐소생술에 대한 지식, 태도와 수행능력)

  • Yang, Yun Jeong;Kwon, In Soo
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.304-313
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    • 2014
  • Purpose: This study was done to identify the level of knowledge, attitude and performance ability in CardioPulmonary Resuscitation (CPR) and provided data for the development of an education program to improve CPR performance ability of nursery teachers. Methods: The participants were 220 nursery teachers working in daycare centers in A city located in G province. Data were collected during July, 2013. Results: The mean scores were 45.88 of 100 for knowledge, 3.69 of 5 for attitude, 2.65 of 5 for performance ability. There were significant differences in knowledge and performance ability according to education experience. There were positive correlations between knowledge and performance ability, and between attitude and performance ability. Factors affecting CPR performance ability were knowledge (${\beta}=.133$), attitude (${\beta}=.327$), and education in CPR (${\beta}=.343$). These factors explained 29.4% of the variance in CPR performance ability. Conclusion: Results indicate that nursery teachers' knowledge, attitude and CPR performance ability were not sufficient enough to perform accurate CPR in an emergency. Therefore, to improve performance ability of nursery teachers to carry out CPR in a cardiac arrest emergency of a child, educational strategies that focus on increasing knowledge and attitude need to be developed.

Patient's Right of Self-determination and Informed Refusal: Case Comments (환자 자기결정권과 충분한 정보에 근거한 치료거부(informed refusal): 판례 연구)

  • Bae, Hyuna
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.105-138
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    • 2017
  • This is case comments of several representative legal cases regarding self- determination right of patient. In a case in which an intoxicated patient attempted suicide refusing treatment, the Supreme Court ruled that the medical team's respect for the patient's decision was an act of malpractice, and that in particular medical situations (medical emergencies) the physician's duty to preserve life supersedes the patient's rights to autonomy. Afterwards, at the request of the patient's family, and considering the patient's condition (irrecoverable death stage, etc.) consistent with a persistent vegetative state, the Supreme Court deduced the patient's intention and decide to withdraw life-sustaining treatment. More recently, regarding patients who refuse blood transfusions or other necessary treatment due to religious beliefs, the Supreme Court established a standard of judgment that can be seen as conferring equal value to the physician's duty to respect patient autonomy and to preserve life. An empirical study of legal precedent with regard to cases in which the physician's duty to preserve life conflicts with the patient's autonomy, grounded in respect for human dignity, can reveal how the Court's perspective has reflected the role of the patient as a decision-making subject and ways of respecting autonomy in Korean society, and how the Court's stance has changed alongside changing societal beliefs. The Court has shifted from judging the right to life as the foremost value and prioritizing this over the patient's autonomy, to beginning to at least consider the patient's formally stated or deducible wishes when withholding or withdrawing treatment, and to considering exercises of self determination right based on religious belief or certain other justifications with informed refusal. This will have a substantial impact on medical community going forward, and provide implicit and explicit guidance for physicians who are practicing medicine within this environment.

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A Study on the Utilization Plan of Drone Videos for Disaster Management (재난관리를 위한 드론 영상 활용방안에 관한 연구)

  • Cho, Jung-Yun;Song, Ju-Il;Jang, Cho-Rok;Jang, Moon-Yup
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.372-378
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    • 2020
  • Drones, which show strong growth in the fourth industry, are commonly used for disaster response. In the event of an actual disaster, local governments should carry out 13 cooperative functions to respond to the disaster, but there are difficulties in collecting on-site information in places where it is difficult for people to access or grasp the situation. Based on the 13 collaborative functions that are essential for operations in the event of a disaster, a utilization plan of highly utilized drones was derived. Through the analysis of overseas cases and drone utilization by each department, a total of 10 out of 13 collaborative functions of the Disaster and Safety Countermeasures Headquarters (disaster situation management, emergency life safety support, emergency recovery, disaster resource support, traffic measures, medical and quarantine services, disaster site environment maintenance, social order maintenance, search, rescue, and emergency) were derived. These results can enhance the efficiency of the disaster response by presenting a plan to utilize drone images for each function.

A Study on development of general hospital security service (종합병원 경비업무의 발전방안에 관한 연구)

  • Ha, Jeong-Hun
    • Korean Security Journal
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    • no.53
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    • pp.187-208
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    • 2017
  • The purpose of this study is to find the development of the general hospital security business plan based on the problem that guards are now aware of general hospital security service. To achieve the purpose of this study, the interview was conducted by interviewing interviews with nine field specialists who are currently engaged in the hospital for more than six years. The guard who perform general hospital security service proposed a development plan of general hospital security services as follows. First, the security guards at the General Hospital must complete a new education program suitable for the nature of the workplace. Second, the job training of the comprehensive hospital guard service is also needed to improve the quality of the program in accordance with the actual situation. Third, general hospital security guards should be provided with CS training, CPR and use of defibrillators, etc., and how to respond to infectious diseases. Fourth, there should be a detailed description of the extent to which aggregations and violent acts at the General Hospital should be addressed. Fifth, the Security Association needs to develop active programs for security guards and various efforts to improve the security of hospitals. Sixth, it is necessary to change the recognition of general hospital' security services, and the form of direct employment is required rather than the subcontract contract.

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Principal Component analysis based Ambulatory monitoring of elderly (주성분 분석 기반의 노약자 응급 모니터링)

  • Sharma, Annapurna;Lee, Hoon-Jae;Chung, Wan-Young
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.12 no.11
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    • pp.2105-2110
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    • 2008
  • Embedding the compact wearable units to monitor the health status of a person has been analysed as a convenient solution for the home health care. This paper presents a method to detect fall from the other activities of daily living and also to classify those activities. This kind of ambulatory monitoring of the elderly and people with limited mobility can not only provide their general health status but also alarms whenever an emergency such as fall or gait has been occurred and a help is needed. A timely assistance in such a situation can reduce the loss of life. This work shows a detailed analysis of the data received from a chest worn sensor unit embedding a 3-axis accelerometer and depicts which features are important for the classification of human activities. How to arrange and reduce the features to a new feature set so that it can be classified using a simple classifier and also improving the classification resolution. Principal component analysis (PCA) has been used for modifying the feature set and afterwards for reducing the size of the same. Finally a Neural network classifier has been used to analyse the classification accuracies. The accuracy for detection of fall events was found to be 86%. The overall accuracy for the classification of Activities or daily living (ADL) and fall was around 94%.

Deep Learning Description Language for Referring to Analysis Model Based on Trusted Deep Learning (신뢰성있는 딥러닝 기반 분석 모델을 참조하기 위한 딥러닝 기술 언어)

  • Mun, Jong Hyeok;Kim, Do Hyung;Choi, Jong Sun;Choi, Jae Young
    • KIPS Transactions on Software and Data Engineering
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    • v.10 no.4
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    • pp.133-142
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    • 2021
  • With the recent advancements of deep learning, companies such as smart home, healthcare, and intelligent transportation systems are utilizing its functionality to provide high-quality services for vehicle detection, emergency situation detection, and controlling energy consumption. To provide reliable services in such sensitive systems, deep learning models are required to have high accuracy. In order to develop a deep learning model for analyzing previously mentioned services, developers should utilize the state of the art deep learning models that have already been verified for higher accuracy. The developers can verify the accuracy of the referenced model by validating the model on the dataset. For this validation, the developer needs structural information to document and apply deep learning models, including metadata such as learning dataset, network architecture, and development environments. In this paper, we propose a description language that represents the network architecture of the deep learning model along with its metadata that are necessary to develop a deep learning model. Through the proposed description language, developers can easily verify the accuracy of the referenced deep learning model. Our experiments demonstrate the application scenario of a deep learning description document that focuses on the license plate recognition for the detection of illegally parked vehicles.

A Study on the Experience of Non-face-to-face Lecture by College Freshmen Using Focus Group Interview (포커스 그룹 인터뷰를 활용한 대학 신입생들의 비대면 강의 경험에 대한 연구)

  • Kang, Jin-Ho;Son, Sung-Min;Han, Sueng-Tae
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.397-408
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    • 2020
  • This study conducted a focus group interview with 15 college freshman from J college to find out their experiences in non-face-to-face lectures with COVID-19. The contents of the interview were recorded and conducted, and the meaning was analyzed according to the focus group interview procedure through repeated listening. Components were 'Operation of non-face-to-face lectures in unprepared situations', 'Loss of orientation in lectures and departure from learning', 'One way listening', 'The convenience of taking a lectures'. The experience of 'Operating non-face-to-face lectures in unprepared situations' included the start of mixed non-face-to-face lectures, cumbersome and inconvenient online systems, and the demand for tuition refunds. The experience of 'Loss of orientation in lectures and departure from learning' has experienced difficulty in concentrating on lectures, Deficiency in the degree of recognition of learning content, and burden of assignments and exams. The experience of 'One way listening' has experienced lack of interaction between professors and learners and non reflection of liveliness in the field. Finally, participants experienced satisfaction with being able to lectures and repeat lectures at anytime and anywhere they wanted with the convenience of taking lectures. Based on this study, participants called for improvements in the quality lecture contents and interaction between professors and learners, and it is thought that universities will need administrative and financial support and education design and system construction to construct high-quality lecture contents.

Design of Low-cost Automated Ventilator Using AMBU-bag (암부백을 이용한 저가형 자동 인공호흡기 설계 및 제작)

  • Shin, Hee-Bin;Lee, Hyo-Kyeong;Oh, Ga-Young
    • Journal of Appropriate Technology
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    • v.7 no.1
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    • pp.51-58
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    • 2021
  • This study proposes the design and implementation of a low-cost emergency ventilator which can be helpful during the COVID-19 pandemic where the supply of automatic ventilators is not smooth compared with the urgent demand worldwide. Easy implementation and lower price were made possible by using AMBU-bag and off-the-shelf embedded micro-controller board. Moreover, while 3D printing is used by companies and experts around the world to build prototype hardware, materials which are readily available from surrounding environments so that people in countries where it is difficult to access many advanced technologies could manufacture the system. The design features AMBU-bag automation, not use 3D printing, and it can contrl speed. By allowing speed control, ventilation can be performed according to the conditions of the patient being used. A complementary point in the study is that it is difficult to fix the start point of the wiper motor used first. A method for complementing this is a method for replacing the brush DC motor with a position feedback function. Secondly, the AMBU-bag may wear out in the long-term process of compressing the AMBU-bag because the arm and the fixing frame are made of wood. To complement this, the part of fixing frame and arm parts that the AMBU-bag touches need to be wrapped in a material such as silicon to minimize friction.