• Title/Summary/Keyword: Advanced life-support

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A study of the continuing education of 119 paramedics: Focusing on the Satisfaction and Educational needs of continuing education (119구급대원의 보수교육에 관한 연구 : 만족도 및 교육요구도를 중심으로)

  • Yeong-Ho Myoung;So-Eun Park;Byoung-Gil Yoon;Jung-Hee Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.237-244
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    • 2023
  • The aim of this study was to explore the satisfaction and needs of 119 paramedics with regard to continuing education and to develop and implement a continuing education program that can enhance their competence in accordance with the purpose of continuing education. The differences in satisfaction with continuing education according to general characteristics were significantly different depending on age, qualification, and clinical experience, and in terms of continuing education topic needs, 'Advanced Trauma Life Support' was the highest need among all groups, and additional desired continuing education topics were the management of mentally ill patients and various field case-based education, indicating a high preference for practical topics that are helpful in emergency patient care work. Therefore, it is believed that efforts should be made to improve the operation of continuing education from various angles, taking into account the general characteristics of continuing education recipients, and improving the quality of continuing education by reflecting the needs of continuing education recipients and selecting practical topics for continuing education.

A Study on Identifying and Utilizing PID-Based Research Entity at a National Level (국가 차원의 PID 기반 연구 개체의 식별 및 활용에 관한 연구)

  • Gyuhwan Kim
    • Journal of Korean Library and Information Science Society
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    • v.55 no.1
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    • pp.215-237
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    • 2024
  • This study proposes a selection plan for research entities and PIDs and a strategy for building and operating a PID consortium based on a survey of advanced cases of research entities and PID operations in major countries such as the United Kingdom, Germany, Canada, Japan, China, and Australia. The criteria for selecting research entities and PIDs are 'research life cycle' and 'PID infrastructure maturity'. Based on the two selection criteria, it is proposed to prioritize research entity-PID pairs such as 'Researcher-ORCID', 'Publication-DOI', 'Data-DOI', 'Institution-ROR', 'Grant-DOI', and 'Project-RAiD' and expand to other research entities and PIDs in the emerging stage. The strategy for establishing and operating a PID consortium should encourage the participation of various PID stakeholders, identify the latest trends through collaborative networks with domestic and international PID organizations, lead education and outreach activities to raise awareness and increase utilization of PID, and secure policy support and financial stability. This is expected to lay the foundation for domestic research entities to gain visibility and accessibility at the global level.

Profiling Approach for the Choice between Speculation and Postponement Strategy in Supply Chain Management (공급사슬관리의 예측전략과 지연전략 선택을 위한 프로파일링 접근법)

  • Kang, Sung-Wook;Kim, Gyu-Bae
    • Journal of Distribution Science
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    • v.12 no.4
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    • pp.47-54
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    • 2014
  • Purpose - The postponement strategy, which delays the form, place, and production of products as late as possible, has been widely considered as a competitive supply chain management scheme in an era of mass customization and modular manufacturing. An interesting business phenomenon is that not all manufacturing/logistics firms choose the postponement strategy. Given that postponement is a counter-measure to speculation, which has some advantages under certain environments, the current imprudent inclination toward the postponement strategy may cause firms to lose the potential of the speculation strategy, an alternative strategy in supply chain management. Building on the logistics and manufacturing literature, this study examines characteristics of two contrasting strategies, postponement and speculation, and major factors favoring each strategy. Research design, data, and methodology - We apply the profiling approach to two business cases, HP printer and LG mobile phone. The profiling approach is a method of choosing a particular strategy aligned with environmental factors. While various approaches have been used to check the fit between a business strategy and environmental factors, the literature on manufacturing strategy and logistics has commonly adopted the profiling approach. Major factors used in profiling variables are derived from the literature. Two samples, HP printer and LG mobile phone, are selected, because they represent major characteristics appropriate for each strategy. The profiling is based on data from semi-organized interviews with managers. Results - The profiling approach shows that the postponement strategy is a suitable one for HP printers. Most factors, such as product life cycle, large production volume, low-price, product value, and monetary density, support delaying end products until as late as possible. Despite some exceptions, such as delivery time and economy of scale, our analysis states that the overall profile of HP printer is favorable for the postponement strategy. On the other hand, LG mobile phone may adapt the speculation strategy. Although it has large production volume and low delivery frequency, most characteristics support the speculation strategy for this product. An interesting finding is that, despite common perception that advanced technology products such as mobile telephones favor the postponement strategy, profiling proposes the speculation strategy for this product. Conclusions - Our analysis shows that speculation is not the universal option for supply chain management, and that, when choosing a specific strategy, one should consider many factors simultaneously. A major implication of our work is to emphasize the role of environmental factors such as supply chain variables in choosing an inventory strategy, and the importance of fit rather than solely strategic orientation. A theoretical contribution is to demonstrate the benefit of the simultaneous consideration of business variables in choosing specific strategies. For practitioners, our work leads us to consider the existence and the potential of speculation as a counter-measure to postponement. In addition, the comprehensive framework in this research may be instantly used in examining a practical strategy.

The Design Group Communications Management for Groupware Environment (공동작업환경을위한 그룹통신관리방식 설계)

  • Gung, Sang-Hwan;Gu, Yeon-Seol
    • The Transactions of the Korea Information Processing Society
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    • v.3 no.1
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    • pp.127-143
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    • 1996
  • Advanced countries are very active in deploying the National Information I infrastructure which provides universal service to promise fruitful quality of futuree life. Even in the distributed environment, we can closely converse, work together, and share information in a very convenient way. This is actually enabled with the help of groupware technology, which are currently focused and researched in a larger popularity. The aim of this study is to design a portable pack for group communications management to support the development of groupware application. In the paper we begin with technical survey, continue to build our own model for group communications man agement, and design its architecture and procedure. We also suggest group addressing mechanism under Internet environment such as how to create IP multicast address and IP port number dynamically and as a globally unique value for the communication session, with the help of the hierarchical and distributed address managers. We also indicate the reliable data transmission services to remedy the unreliable feature of the UDP multicast services, and finally the architecture/ applied to support the practical applications is briefly discussed for verification of the designed concept.

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A case of lethal kwashiorkor caused by feeding only with cereal grain (미음 수유만으로 발생한 치명적인 Kwashiorkor 1례)

  • Lee, Hyun Ju;Km, Kyung Hye;Park, Hye Jin;Lee, Kye Hyang;Lee, Gyeong Hoon;Choi, Eun Jin;Kim, Jin Kyung;Chung, Hai Lee;Kim, Woo Taek
    • Clinical and Experimental Pediatrics
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    • v.51 no.3
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    • pp.329-334
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    • 2008
  • Kwashiorkor is a syndrome of severe protein malnutrition, which manifests itself in hypoalbuminemia, diarrhea, dermatitis, and edema. It can be life-threatening due to associated immune deficiency and an increased susceptibility to infections. Kwashiorkor should be treated early with nutritional support and the control of infection. Dilated cardiomyopathy may develop during the treatment and in such cases a poor prognosis is expected. Kwashiorkor has been known as a common disease of poor countries. To date, in fact, there has been no report of kwashiorkor leading to death in technically advanced countries. We here report a fatal case of a baby girl admitted with kwashiorkor. She had been fed only with cereal grain mixed with juice, without any protein supplement, for 2 months. This diet was deficient not because of poverty, but due to the illiteracy of her parents. The patient suffered from diarrhea, whole body edema, hypothermia, and dermatitis. Laboratory findings revealed an immune-deficient state featuring leukopenia and decreased immunoglobulin. Blood and urine cultures revealed Alcaligenes Xylosoxidans growth. The patient was fed frequent small amounts of protein-containing formula and intravenous albumin and micronutrients were administered for nutritional support. She was also treated with intravenous immunoglobulin and antibiotics in order to control infection. Nevertheless, she developed dilated cardiomyopathy and multi-organ failure and died. We review this case in light of the literature.

Out-of-Hospital Resuscitation of Cardiac Arrest by 119 Emergency Medical Service System (119구급대에 의해 소생한 병원 전 심장정지 환자 1례)

  • Yun, Hyeong-Wan;Lee, Jae-Min;Jung, Ji-Yeon
    • Fire Science and Engineering
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    • v.24 no.5
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    • pp.142-149
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    • 2010
  • The aim of this study was to report the out-of-hospital resuscitation of cardiac arrest along with literature consideration. CPR is technology of resuscitating patient by maintaining oxygen supply to organ, by preventing progression from clinical death to biological death, and by recovering heart beat and circulation, through circulatory support of mechanical ventilation. It is not what every patient with cardiac standstill is revived even if being implemented CPR. Patient's survival rate is decided by how quickly and correctly CPR was executed. A patient, who wasn't witnessed the cardiac arrest on the field, was performed 5-cycle CPR for 2 minutes on the field before being transferred to hospital, and was allowed to be used AED. A person, who was observed, is recommended to be used AED immediately, and then is said to be needed ACLS (advanced cardiac life support). In the Out-of-Hospital stage, it is rare in a case that 119 Emergency Medical Service System transfers by being ROSC and in a case of executing ACLS. Cardiac arrest was witnessed on the field, but CPR wasn't executed. First-aid staff executed CPR after arriving, and led to ROSC on the field with ACLS, there by having experienced 1 case of a patient's surviving to leave hospital by being ROSC on the field.

Removal Characteristics of Dichloroacetic Acid at Different Catalyst Media with Advanced Oxidation Process Using Ozone/Catalyst (담지체를 달리한 오존/촉매 AOP공정에서 디클로로아세트산의 제거 특성)

  • Park, Jin Do;Lee, Hak Sung
    • Applied Chemistry for Engineering
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    • v.20 no.1
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    • pp.87-93
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    • 2009
  • Pd/activated carbon (Pd/AC) and Pd/alumina (Pd/AO) catalysts were prepared by the impregnation of palladium into activated carbon and alumina. The catalytic characteristics according to the kinds of support materials were compared. The decomposition efficiencies of ozone according to kinds of support materials are about the same when these were compared by adding 10 g of catalysts into the water saturated with ozone. The decomposition efficiencies and the oxidation characteristics (TOC, $COD_{Cr}$) of dichloroacetic acid were compared with the ozone only process and the catalytic ozonations using Pd/activated carbon and Pd/alumina catalysts. The decomposition efficiencies of dichloroacetic acid by catalytic ozonations were better than the one by ozone only process, but there was slight difference of the one between Pd/activated carbon and Pd/alumina catalyst. The decomposition efficiency of dichloroacetic acid was increased with increasing ozone dose at a constant concentration of dichloroacetic acid, but the one was little increased with increasing ozone dose at more than 1.0 L/min of ozone dose. It was seemed that the bicarbonate and the chloric ion formed throughout the decomposition of dichloroacetic acid acted as the scavenger of hydroxyl radical.

A Study on the case of Application of Women's Personnel in the New Zealand Defence Force (뉴질랜드 군 여성인력의 활용과 우리 군에 주는 시사점)

  • In-Chan Kim;Jong-Hoon Kim;Jun-Hak Sim;Kang-Hee Lee;Sang-Keun Cho;Sang-Hyuk Park;Myung-Sook Hong
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.415-419
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    • 2023
  • The New Zealand Defence Force (NZDF) began using female manpower from World War II. After making various efforts to secure excellent manpower, the proportion of female manpower has risen to 24%, higher than that of Britain, the United States, Canada and Australia, which have a longer history of female military personnel than New Zealand. This is the result of NZDF efforts to open combat roles to women and allow female personnel to advance to high-ranking military positions such as generals and consular officers. In addition, policy alternatives to address women's realistic concerns such as pregnancy and childbirth, childcare, and vertical organizational culture were presented. In particular, Operation "Respect" was implemented to overcome the problem of not leaving or joining the army due to inappropriate sexual behavior and bullying. The operation respect established the role of the leader, emphasized the support of the victim, and accumulated data of the accident to prevent similar accidents. In addition, through the "Wāhine Toa" program, excellent female manpower could be introduced into the military through customized support considering the military life cycle (attract-recruit-retain-advance) of female personnel. South Korea is also considering expanding the ratio and role of female manpower as one of the ways to overcome the shortage of troops and leap into an advanced science and technology group. Implications were derived from the use of female manpower in the NZDF and the direction in which the Korean military should proceed was considered.

Four strategic approaches to the national nature restoration plan for achieving carbon neutrality and national environment recovery (탄소중립 및 국토환경 회복을 위한 녹색복원 종합계획의 4가지 전략적 접근)

  • Son, Seung-Woo;Lee, Sang-Hyuk;Kim, Byung-Suk;Lee, Gil-Sang;Choi, Hee-Sun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.27 no.2
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    • pp.1-16
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    • 2024
  • To achieve carbon neutrality and restore the national environment, there is growing interest in policies to transform national land areas into green space, such as expanding nature-based solutions, increasing biodiversity, and improving ecosystem service functions. In addition to complying with international agreements such as the United Nations Framework Convention on Climate Change and the Convention on Biological Diversity, it is necessary to expand green spaces to achieve the 2050 Carbon Neutrality goal, which can be achieved by restoring the damaged land in an ecological way. However, it is challenging to implement green restoration in a systematic and active way due to conflicts of interest among landowners and lack of institutional support and advanced technology. Therefore, this study aims to develop a strategy to expand green restoration and implement it smoothly and systematically. This study examined the current status of green restoration in South Korea by investigating green restoration laws and systems and overseas trends, and by surveying the perceptions of 1,000 people selected from a pool of the public. The results of this study show that it is difficult to implement the green restoration efficiently because the laws related to restoration are scattered. According to the relevant legal plans, the perception and direction of restoration is to pursue a sustainable national land environment, allow people to benefit from nature, improve the quality of life, and nurture related industries and human resources. In the international community, it is mentioned that green restoration contributes to achieving the 2050 Carbon Neutrality goal, revitalizing green industries, developing and applying advanced technologies, maintaining consistency in restoration-related policies, expanding citizens' access to green spaces, and adopting nature-based solutions. Both experts and the public are aware of the seriousness of the damage to the natural environment and prefer restoration with human use rather than focusing on natural recovery. It is expected that this study will contribute to the future direction of green restoration and the implementation of tasks for the sustainable restoration of the national land environment and the zero-carbon era.

A Study on the Method of Legislation on Withholding or Withdrawing of LST -In relation to the introduction of adult guardianship- (연명치료 중단의 입법화 방안에 관한 연구 - 성년후견제도의 도입과 관련하여 -)

  • Lee, Eun-Young
    • The Korean Society of Law and Medicine
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    • v.10 no.2
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    • pp.203-249
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    • 2009
  • It is the so-called Shinchon Severance Hospital Case brought to an end by the decision of the Supreme Court that opened the real discourse of withholding or withdrawing of LST (Life-Sustaining Treatment) in the legal profession as well as medical profession in Korea. Everyone has sympathy with the validity and necessity of legal regulation on withdrawing-including withholding-of LST save the requirements & procedure of withdrawing of LST. In this situation, the legislative bill of amendment to the Korean Civil Law introducing of adult guardianship was pre-announced by the Ministry of Justice on September 18th 2009. The adult guardianship is a guardianship system that supports an mentally handicapped adult to deal with his affairs by support of a guardian. The object of adult guardianship includes affairs of body or well-being as well as property of adult wards. In particular, affairs of medical matters are of importance in the duty and authority of adult guardians. So, the introduction of adult guardianship is of much importance de lege lata as well as de lege ferena in the discussion of withdrawing of LST as a medical treatment. Since the legislation on withdrawing of LST intents to protect the right of death with dignity on the basis of patients' autonomy, the ratio legis of withdrawing of LST is variant from that of adult guardianship. In this context, it seems reasonable to legislate the withdrawing of LST separately from the adultguardianship. In the meantime, the adult guardianship of the legislative bill of amendment to the Korean Civil Law is related to the withdrawing of LST, since the main purpose of adult guardianship is to protect patients' quality of lives and to regulate guardianship contracts based on patients' autonomy. In that context, it seems reasonable to incorporate the legislation of withdrawing of LST into the adult guardianship system. In the latter case, it is not easy to adopt the withdrawing of LST into the legislative bill of the Korean Civil Law for the bill is pre-announced already as previously stated. However, the legislation of withdrawing of LST is not inferior to the legislation of adult guardianship as a matter of urgency. Moreover, it is likely that the legislative bill of Amendment to the Korean Civil Law generates discrepancies in interpretation of the requirements & procedure of withdrawing of LST as the amended German Civil Law did. In short, it is desirable for the legislator to revise the legislative bill despite delay.

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