• Title/Summary/Keyword: 응급 서비스

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Impact of Response to Violence and Resilience to Burnout in Emergency Department Nurses (응급실 간호사의 폭력경험에 대한 반응, 회복탄력성이 소진에 미치는 영향)

  • Hwang, Su Yeon;Han, Ji Young
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.303-312
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    • 2018
  • Purpose: The purpose of this study was to identify the relationship between response to violence, resilience and burnout and to investigate the factors that affect burnout in emergency room nurses. Methods: Data from 237 nurses in 15 emergency rooms were collected using a structured questionnaire. Data were analyzed using SPSS 23.0, and the analyses included descriptive statistics, t-test, Mann-Whitney test, ANOVA, Kruskall Wallis test, Pearson correlation, and hierarchical multiple regression. Results: Burnout was positively correlated with response to violence and negatively correlated with resilience in emergency room nurses. Response to violence (${\beta}=.466$, p<.001), resilience (${\beta}=-.308$, p<.001), and religion (${\beta}=-.131$, p=.011) were significant predictors of burnout, and they explained 39.9% of emergency room nurses' burnout. Conclusion: Response to violence and resilience were identified as significant factors affecting burnout in emergency room nurses. Therefore, it is necessary to develop strategies to cope effectively with violence and to develop programs that can strengthen resilience.

Development of Activity States Classifier Using Perceptron Algorithm (퍼셉트론 알고리즘을 이용한 활동상태 분류기법 개발)

  • So, Ji-Eun;Noh, Yun-Hong;Hwang, Gi-Hyun;Jeong, Do-Un
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.05a
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    • pp.360-364
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    • 2009
  • 현대사회는 인구의 고령화에 따른 노인인구의 증가 및 만성질환자의 증가에 따른 의료수요 급증이 예상되고 있다. 하지만 현재의 의료서비스 인프라는 증가하는 의료수요를 충족하기에는 역부족이 따르며, 이러한 문제점을 해결하기위해 정보통신기술과 헬스케어기술이 결합된 유비쿼터스 헬스케어기술이 부각되고 있다. 본 연구에서는 일상생활 중 움직임에 따른 활동 상태를 판별하여 운동량의 모니터링을 통한 건강관리뿐만 아니라 낙상 등과 같은 응급상황의 모니터링이 가능한 시스템을 구현하고자 하였다. 이를 위하여 3축 가속도센서를 이용하여 인체의 움직임에 따른 활동 가속도 신호를 계측할 수 있는 센서 및 시스템을 구현하였다. 또한 계측된 센서신호를 PC또는 휴대용 단말기로 무선전송하기위하여 무선센서네트워크 기술을 적용한 데이터 전송시스템을 구현하였다. 계측된 가속도 신호로부터 활동 상태를 판별하기위해 다층 퍼셉트론 알고리즘을 적용한 분류알고리즘을 제안하였으며, 분류알고리즘의 성능평가를 통해 실제 활동상태 모니터링에 적용 가능함을 확인하였다.

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Development a Distributed Power Information System Based on Event using XML (XML을 이용한 이벤트 기반 분산 전력 정보 시스템 개발)

  • Kim, Jung-Sook
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.8
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    • pp.89-96
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    • 2009
  • In the future energy environment, a power information system will meet the real-time capability to process the emergency events, unexpected blackouts or over-load, and the high performance to provide the consumer service events such as remote meter reading. In addition to, it must have facility which is able to process a large information occurred on system effectively. In this paper, we developed a distributed power information system based on event with metadata processing technique which was both load balancing and decreased hot spot using XML that was efficient for information exchange. In order to experiment, we made a reduced future power system with controling power device using wireless communications and we could do experiments through it.

Remote treatment and patient monitoring using Arduino (아두이노를 활용한 원격진료 및 환자모니터링)

  • Choi, Duk-Kyu;Woo, Sang-Min;Kim, Han-Ho;An, Su-ho;Son, Seung-Soo;Jun, Eun-Hak;Kim, Dae-Young
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.309-310
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    • 2022
  • 코로나19 팬데믹을 계기로 원격의료의 수요가 폭발하여 비대면 진료가 가능하도록 법률을 개정하려는 추세에 필요한 서비스로 시간과 비용이 없고, 거리 두기 단계 상향등으로 병원에 방문하지 못하는 환자가 늘어나고 있다. 하지만 시중에 건강상태를 확인할수 있는 장비를 판매하지만 전문적인 지식이 없는 일반인은 정확하게 결과를 알 수 없고 한가지의 검사만 측정이 가능하기 때문에 검사결과를 확인하고 싶으면 병원을 방문해야한다. 본 논문은 전문적인 지식이 없는 일반인도 자신의 건강상태를 확인가능하게 하기 위해 심박, 심전도, 산소포화도, 체온센서의 측정값을 그래프로 표현한 후 검사결과를 토대로 의사와 원격진료가 가능하여 병원을 방문하지 않고 의사와 상담 및 진료가 가능하다. 병원에 입원이 불가능한 환자일 경우 산소포화도 측정값이 95%미만이면 산소공급 즉 응급처치가 가능하다.

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Implementation of a Realtime Wireless Remote Control and Monitoring Systems (실시간 무선 원격 제어 및 모니터링 시스템의 구현)

  • Seong, Hae-Kyung;Lee, Moon-Goo
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.47 no.6
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    • pp.93-102
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    • 2010
  • Existing web based information service system solutions show limitations in mobile information services, as well as problems such as uncertain error messages, and difficulty providing swift assistance or real time emergency support. In order to solve these deficiencies, a realtime wireless remote control system has been designed and implemented in this thesis, which is capable of managing and monitoring remote systems using mobile communication devices (Mobile Phone, PDA, Smart Phone) for realtime control. Proposed systems are applied at remote places, for instance 'office building', and a nursery school like 'kindergarten'. In the case of implemented at office building, it can be managing and controlling at real time all sorts of the sensor information that are installed at office building system environment through wire(web environment) or wireless(mobile device). In the other case at kindergarten system that are providing the real-time wireless remote control and monitoring system can be monitoring activity of kindergarten children with a mobile phone of authentication user. The security functions of proposed systems include mobile device user authentication and target system access control. The proposed systems allow real-time user authentication function and system access control function that improve the security of resource administrators and mobile device users, and provides not only uninterrupted services, but also real time mobile service environments.

119 Rescuers' image of Citizens (일반시민의 119구급대원에 대한 이미지)

  • Uhm, Dong-Choon;Kim, Jin-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2259-2266
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    • 2012
  • This study was analyzed the 119 rescuers' image of citizens to provide a fundamental material to improve 119 rescuers' image effectively. This research design was a descriptive study. Data were collected from November 9, 2011 to December 9, 2011, and analyzed by SPSS PASW statistics 18.0 program. Among the 4 subcategories of the image, occupational image was found the highest value($3.17{\pm}0.36$), and the social image($2.81{\pm}0.48$) was found the lowest. There were statistical different between age($p$ <.001), occupation($p$ <.001), whether or not the emergency first response education is completed($p$ <.05), and whether or not 119 emergency service is received($p$ <.05). In the result of multivariate regression analysis, adjusted $R^2$ value was 0.120. The model fit 12.0%. Occupation (students, housewives and office workers) and those who completed emergency first response education were showed a positive image of 119 rescuers. There is a need to compare and analyze the image of 119 rescuers in accordance with whether or not 119 emergency service is received and the satisfaction with the emergency service under the control of the general characteristics(sex, age, occupation, economic level, etc.) of subjects.

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.

Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction (급성심근경색 환자의 증상 발현 후 골든타임내 응급의료센터 도착율 및 지연에 관련된 요인)

  • Ahn, Hye Mi;Kim, Hyeongsu;Lee, Kun Sei;Lee, Jung Hyun;Jeong, Hyo Seon;Chang, Soung Hoon;Lee, Kyeong Ryong;Kim, Sung Hea;Shin, Eun Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.804-812
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    • 2016
  • Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI). Methods: Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour. Results: After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation. Conclusion: Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center directly should be implemented for patients and/or caregivers.

Edge to Edge Model and Delay Performance Evaluation for Autonomous Driving (자율 주행을 위한 Edge to Edge 모델 및 지연 성능 평가)

  • Cho, Moon Ki;Bae, Kyoung Yul
    • Journal of Intelligence and Information Systems
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    • v.27 no.1
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    • pp.191-207
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    • 2021
  • Up to this day, mobile communications have evolved rapidly over the decades, mainly focusing on speed-up to meet the growing data demands of 2G to 5G. And with the start of the 5G era, efforts are being made to provide such various services to customers, as IoT, V2X, robots, artificial intelligence, augmented virtual reality, and smart cities, which are expected to change the environment of our lives and industries as a whole. In a bid to provide those services, on top of high speed data, reduced latency and reliability are critical for real-time services. Thus, 5G has paved the way for service delivery through maximum speed of 20Gbps, a delay of 1ms, and a connecting device of 106/㎢ In particular, in intelligent traffic control systems and services using various vehicle-based Vehicle to X (V2X), such as traffic control, in addition to high-speed data speed, reduction of delay and reliability for real-time services are very important. 5G communication uses high frequencies of 3.5Ghz and 28Ghz. These high-frequency waves can go with high-speed thanks to their straightness while their short wavelength and small diffraction angle limit their reach to distance and prevent them from penetrating walls, causing restrictions on their use indoors. Therefore, under existing networks it's difficult to overcome these constraints. The underlying centralized SDN also has a limited capability in offering delay-sensitive services because communication with many nodes creates overload in its processing. Basically, SDN, which means a structure that separates signals from the control plane from packets in the data plane, requires control of the delay-related tree structure available in the event of an emergency during autonomous driving. In these scenarios, the network architecture that handles in-vehicle information is a major variable of delay. Since SDNs in general centralized structures are difficult to meet the desired delay level, studies on the optimal size of SDNs for information processing should be conducted. Thus, SDNs need to be separated on a certain scale and construct a new type of network, which can efficiently respond to dynamically changing traffic and provide high-quality, flexible services. Moreover, the structure of these networks is closely related to ultra-low latency, high confidence, and hyper-connectivity and should be based on a new form of split SDN rather than an existing centralized SDN structure, even in the case of the worst condition. And in these SDN structural networks, where automobiles pass through small 5G cells very quickly, the information change cycle, round trip delay (RTD), and the data processing time of SDN are highly correlated with the delay. Of these, RDT is not a significant factor because it has sufficient speed and less than 1 ms of delay, but the information change cycle and data processing time of SDN are factors that greatly affect the delay. Especially, in an emergency of self-driving environment linked to an ITS(Intelligent Traffic System) that requires low latency and high reliability, information should be transmitted and processed very quickly. That is a case in point where delay plays a very sensitive role. In this paper, we study the SDN architecture in emergencies during autonomous driving and conduct analysis through simulation of the correlation with the cell layer in which the vehicle should request relevant information according to the information flow. For simulation: As the Data Rate of 5G is high enough, we can assume the information for neighbor vehicle support to the car without errors. Furthermore, we assumed 5G small cells within 50 ~ 250 m in cell radius, and the maximum speed of the vehicle was considered as a 30km ~ 200 km/hour in order to examine the network architecture to minimize the delay.

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.