• 제목/요약/키워드: Care manager

검색결과 197건 처리시간 0.023초

다중이용시설에서의 AED에 관한 지식 및 운영실태에 관한 연구 - 광주광역시 중심으로 - (Knowledge and Current Status about AED in the Public Facilities - Focused on the Gwangju City -)

  • 박시구;박창현;채민정
    • 한국응급구조학회지
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    • 제14권3호
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    • pp.13-28
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    • 2010
  • Purpose: In this study, we investigated the better application of the law which is about the AED installation and more effective ways of emergency medical care system, to understand the law and to research the current condition of public facilities which belong to local governments, and to seize the aspect of safety guards who currently work in order to provide the installation of AED in the public facilities and to provide more efficient emergency medical service with the effectuation of the immunity law of the good intention of first-aid treatment. Methods: In Gwang-ju, 234 public facilities have been identified by 31 December, 2008. With the exception of the duplication, we researched 158 facilities and received the answers from 95 of them. Results: In the research, 53% of them have had internal emergency first-aid education, and 55% of them didn't have this education and a CPR education manual, and 30% of the facilities even didn't know how to connect with the manager of the company for the first-aid department. On the other hand, most of them were highly interested in CPR and AED education on the ratio of 91% and 93%. 88% of them have been trained about first-aid, 51% of them haven't been retrained, 17% have never been trained. so, the reality of emergency system at public facilities is serious. 78% of them knew they are working at public facilities, though 49% of them didn't know about AED installation. 57% of them didn't know the fact there is the immunity law related with good intentions for first-aid treatment. 63% of the facilities have security guards, and 30% of them didn't answer the questions. Also, many of them agreed to the opinion that all employees should have first-aid training. At representative survey report of participator of public-facility, emergency treatment is 61%, 16% of patients calling. Accordingly they importantly think better doing an on-site first-aid than evacuating the patient. And the rates show that 57% of them answerers tend to call Fire-Office(119) for evacuating the patients, and 28% of them EMIC(1339) for the first-aid. Conclusions: In this study, we are suggest to improve the details of the efficient operations and management after the grasp of the uninstallation, indifference, and unreliable conditions of AED. 1) Need a publicity of AED install cognition which is an emergency medical instrument at public facilities. 2) Arrangement of safety agents at facilities and concerns about them for good management from the parties concerned. 3) Need a designation of legal details according to the decision of the AED installation and the standard of the AED installation. 4) Training about first-aid of safety guards and the persons concerned in the facilities should be practiced participation with the positive and through this, first-aid treatment could be done by anyone who knows the immunity law related to medical emergency. 5) The brochures for the potential users and the results form practicing the instructions need to be improved in many ways through recording the emergency cases that have happened.

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제왕절개 환자에서 적극적 가온 요법의 효과: 체계적 문헌고찰 및 메타분석 (Effectiveness of Active Warming Intervention for Women Undergoing Cesarean Section: A Systematic Review and Meta-analysis)

  • 최정은;김미선;송진란
    • 기본간호학회지
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    • 제24권3호
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    • pp.167-180
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    • 2017
  • Purpose: The aim of this study was to synthesize the best available evidence for active warming interventions during cesarean section. Methods: A database search was done for randomized controlled trials utilizing active warming interventions. Maternal temperature, shivering and neonatal temperature were evaluated as outcome variables. Data were analyzed using Cochrane Review Manager software Version 5.3. Results: Thirteen studies including 1306 patients were reviewed. The degree of lowering of maternal temperature decreased in the warmed fluids (MD 0.51; p=.004) and warming mattress interventions (MD 0.22; p<.001) compared with control groups. Incidence of shivering was also lower in the active warming group (OR 0.55; p=.003). There was no statistically significant difference in maternal temperature with a forced air warming intervention (MD 0.64; p=.15) or in neonatal temperature (MD 0.12; p=.26). Conclusion: Findings show that with warmed fluids and warming mattresses applied during cesarean sections maternal temperature decline was reduced and also the incidence of shivering declined, but no significant effect was observed for forced air warming interventions. These findings provide a basis for developing a warming guideline for women having a cesarean section and will help to improve the quality of care for cesarean section patients.

동영상 분석을 통한 실시간 포장 손상 탐지 및 알림 서비스 (Real-Time Pavement Damage Detection Based on Video Analysis and Notification Service)

  • 박주영;이희순;강경태;김병회
    • 정보과학회 컴퓨팅의 실제 논문지
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    • 제24권2호
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    • pp.59-66
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    • 2018
  • 본 논문에서는 주행 중 가속도 센서와 카메라로부터 데이터를 실시간으로 수집, 분석하여 자동으로 도로 포장의 다양한 손상을 탐지하는 시스템을 제안한다. 제안하는 시스템은 도로의 포장 손상을 탐지하는 즉시 해당 이미지와 가속도 신호, GPS좌표를 도로관리자에게 전송하며 이를 서버에도 전송하여 데이터베이스에 이력화한다. 이를 통해, 도로 포장 손상 탐지 시스템은 도로관리자로 하여금 1) 신속, 정확, 편리하게 도로의 상태를 관리할 수 있게 하며, 2) 다양한 종류의 도로 포장 손상을 조기에 발견하여 관리할 수 있도록 하며, 3) 도로의 포장 손상을 추적 관리할 수 있도록 한다. 결과적으로, 제안하는 시스템은 10번의 고속도로 주행 실증 평가에서 평균 100 km/h로 주행 중 74%의 민감도와 84%의 정밀도로 도로 포장의 손상을 탐지하여 그 유효성이 입증되었다.

한국 표준직업분류에 따른 근로자의 구강기능문제 (A Study on Workers' Oral Function Problem According to Korean Standard Classification of Occupations)

  • 주온주;김인자
    • 한국융합학회논문지
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    • 제11권6호
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    • pp.341-347
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    • 2020
  • 본 연구는 한국 표준직업분류에 따른 근로자의 구강기능문제를 파악하고 근로자들이 집단구강건강관리사업의 혜택을 받을 수 있도록 산업안전보건법의 개정을 촉구하기 위한 근거자료로 제공하고자 시행하였다. 국민건강영양조사 제7기 원시자료(1차,2차)를 이용하여 만 19세 이상 한국 표준직업분류에 따른 근로자를 대상으로 씹기문제와 말하기문제를 조사한 결과 한국 표준직업분류에 따른 근로자의 유형과 씹기문제, 말하기문제의 연관성이 확인되었다(p<0.05). 이에 근로자의 구강건강을 향상시키기 위해서는 집단구강건강관리사업이 실행되어야 하며 집단구강건강관리사업의 주최가 될 전문성을 갖춘 전문보건의료관리자를 채용할 수 있도록 산업안전보건법이 개정되어야 할 것이다.

거주성 관점의 미국 이재민 임시대피시설 공간계획 관련 지침분석 (Analysis of the Space Planning Guidance about the Temporary Shelter Emphasizing Habitability for Disaster Victims in U.S.)

  • 김미경;최선미;최유라
    • 한국실내디자인학회논문집
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    • 제26권5호
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    • pp.42-51
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    • 2017
  • The purpose of this study was to analyze the information about the disaster temporary shelter space planning guidance described in the U.S. shelter guidelines in terms of the habitability for disaster victims and to address the implications and potential impacts of its findings for the improvement of the shelter design standards and guidelines in Korea. The researchers reviewed four federal and non-governmental organization shelter field and design guidelines and attributes regarding the shelter space planning were classified in accordance with four habitability categories: Safety, Health, Convenience, and Comfort. Three major findings emerged from this study: 1)A total of 72 items about the shelter space planning were extracted from guidelines, and the majority of items are concerned with dormitory areas and sanitary spaces. Other items were about accessibility, children respite care area, signage, health service areas, food preparation and serving areas, parking and drop-off areas, registration and waiting areas, shelter manager and staff areas, lounge and storage areas, and household pets area. 2)Most of these items are strongly related to the convenience category(66.7%), followed by comfort(40.3%), safety(30.6%), and health(25.0%). 3)The habitability of the disaster temporary shelter can be established with considerations on the needs of disaster victims and vulnerable people, minimum occupancy space per person, separate sanitary spaces for the privacy, safe and convenient access routes to the shelter, and the provision of children areas for safety and comfort. The study findings will contribute to the development of the disaster shelter guidelines in Korea by suggesting shelter space planning indicators related to the habitability for the governmental and non-governmental organizations' immediate and systematic responses to the disaster.

아동 감염성 질환관리에 대한 보육교사의 역할인식, 지식, 실천 자신감 및 교육요구도 (Child Daycare Teachers' Role Perception, Knowledge, Self-confidence and Educational Needs Regarding Infectious Disease Management in Children)

  • 백성희;김진선
    • 한국콘텐츠학회논문지
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    • 제17권7호
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    • pp.253-264
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    • 2017
  • 본 연구는 보육시설 아동의 감염성 질환관리에 대한 보육교사의 역할인식, 지식, 실천 자신감 및 교육요구도를 알아보고, 이들 변수간의 관련성을 파악하기 위한 상관관계연구이다. 연구 대상자는 보육교사 180명이었다. 연구대상자의 78.9%는 감염성 질환관리에 대한 교육 경험이 없었으며, 감염성 질환관리에 대한 지식 정답률은 52.3%, 실천 자신감은 낮았다. 그러나 감염성 질환관리에 대한 역할인식은 전반적으로 높았으며, 감염성 질환관리에 대한 교육요구도는 높았다. 감염예방을 위한 손씻기 및 위생관리법, 감염성 질환차단방법, 감염성 질환별 관리 및 간호법, 감염성 질환별 증상에 대한 교육요구도가 높았다. 대상자들의 역할인식은 그들의 지식과 교육요구도와 유의한 상관관계가 있었다. 보육교사 대상 감염성 질환 예방 및 관리를 위한 교육 프로그램의 개발, 적용 및 평가가 요구된다. 특히 보육교사들의 감염성 질환관리에 대한 역할인식을 향상시키기 위한 노력이 요구된다.

자동차 자가진단과 디지털 홈 네트워크 가전제어를 위한 임베디드 리눅스 시스템 (Embedded Linux System for Car Self-Care-Control and Digital Home Network Appliance Control System)

  • 김국세;방선광;허진;안성수;이준
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2007년도 춘계종합학술대회
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    • pp.690-694
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    • 2007
  • 본 논문은 Wibro 시대를 맞아 차량내에서 인터넷이 가능하고 다양해지는 자동차 시스템에 적응하고 사용자가 자동차를 스스로 진단하고 이상이 생겼을 때 스스로 판단하여 자동차 정비소에 갔을 때 정확한 판단을 하여 신속하게 처리 할 수 있게 해 주며 자동차에 대해서 잘 모르는 운전자에게 정확한 정보를 제공한다. 주행 중에 자가 진단을 위해 임베디드 리눅스 시스템을 구축하고 자동차 와 진단 시스템의 통신을 위해 CAN과 RS232 통신을 통해 임베디드 리눅스 시스템과 통신을 한다. 또한 Wibro 시대를 맞아 디지털 흠 네트워크 가전들을 내장된 무선 네트워크와 ZigBee 시스템을 통해 언제 어디서나 웹을 통해 접근, 컨트롤 하는 임베디드 리눅스 시스템을 구축한다. 본 임베디드 리눅스 시스템은 초 경량화와 가격대비 성능 및 사용자 UI에 맞춰 시스템 구성하여 안정되고 호환성 높은 시스템을 구축한다. 그리고 미디어 플레이와 웹서버를 포팅하여 사용자 어플리케이션을 제공한다.

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다문화가족의 결혼생활 관련요인 분석 - 용산구 다문화가족 사례연구를 중심으로 - (The Study on the Marital Life Factors for the Multi-Culture Families - Focused on the Case Study of Multi-Culture Family in Yongsan-Gu -)

  • 정미선;계선자;강혜경
    • 가족자원경영과 정책
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    • 제13권3호
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    • pp.31-57
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    • 2009
  • The purpose of this study is to determine what factors affect the marital life of multicultural families. In-depth interviews were conducted with 15 immigrated females and their husbands living in Yongsan-Gu, Seoul, Korea, by open-ended questionnaire. The interviews took place on September 11, 2008, and October 11, 2008. The major findings can be summarized as follows: Through the content analysis of the informants' responses, three major factors were found to influence the successful adjustment of the married female immigrants: personal factors, familial support, and social support systems. Among the personal factors, the self-esteem of the married couples is relatively high. However, the factor of the economic living conditions of the multicultural families indicates some difficulty. Finally, considering the level of self-development of the female immigrants' husbands, an older husband was viewed more negatively than a younger one. In terms of familial support, the most important factor affecting the adjustment of a foreign wife is the trust of her husband and her relationship with the husband's family. Accordingly, educational programs are necessary to promote multicultural understanding and the couples' relations. In social support systems, the female immigrants experienced neglect, as far as multicultural prejudice in society. Therefore, in order to revitalize the self-esteem of immigrants, we need to reach out to multicultural families. The center for support of multicultural families provides opportunities to find training, upgrade education for employment, and expand their social network. In addition, it is necessary for the national public relations industry to recognize improvements regarding the adjustment of multicultural families.

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A Novel Transmission Scheme for Compressed Health Data Using ISO/IEEE11073-20601

  • Kim, Sang-Kon;Kim, Tae-Kon;Lee, Hyungkeun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제11권12호
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    • pp.5855-5877
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    • 2017
  • In view of personal health and disease management based on cost effective healthcare services, there is a growing need for real-time monitoring services. The electrocardiogram (ECG) signal is one of the most important of health information and real-time monitoring of the ECG can provide an efficient way to cope with emergency situations, as well as assist in everyday health care. In this system, it is essential to continuously collect and transmit large amount of ECG data within a given time and provide maximum user convenience at the same time. When considering limited wireless capacity and unstable channel conditions, appropriate signal processing and transmission techniques such as compression are required. However, ISO/IEEE 11073 standards for interoperability between personal health devices cannot properly support compressed data transmission. Therefore, in the present study, the problems for handling compressed data are specified and new extended agent and manager are proposed to address the problems while maintaining compatibility with existing devices. Extended devices have two PM-stores enabling compression and a novel transmission scheme. A variety of compression techniques can be applied; in this paper, discrete cosine transformation (DCT) is used. And the priority of information after DCT compression enables new transmission techniques for performance improvement. The performance of the compressed signal and the original uncompressed signal transmitted over the noisy channel are compared in terms of percent root mean square difference (PRD) using our simulation results. Our transmission scheme shows a better performance and complies with 11073 standards.

Effects of Lumbar Mobilization for Lower Limb Strength in Healthy Individuals: A Protocol for Systematic Review and Meta-Analysis

  • Choi, Wansuk;Choi, Taeseok;An, Hojung;Kim, Jisung;Heo, Seoyoon
    • 국제물리치료학회지
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    • 제11권2호
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    • pp.2096-2101
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    • 2020
  • Background: The effect of mobilization on lumbar back pain has been fully described in several clinical aspects, but evidence for muscle strength would be still less clear. Objective: To assess the effect of lumbar mobilization on lower limb strength in healthy individuals. Methods and Analysis: Healthy people aged 18-65 will be included regardless of race or sex. Original peer-reviewed primary reporting randomized controlled trials (RCTs) will be included. Electronic databases, such as MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Pedro, CINAHL, ClinicalTrials.gov will be searched from inception until July 30. Only studies published in English will be included in this review. Two reviewers will complete the screening for eligibility independently, and the other two reviewers will also complete the risks of data extraction and bias assessment independently. Lower Limb strength will be assessed as primary outcome, and particular intervention or participant characteristics will be assessed as the secondary outcomes. Meta-analysis will be conducted using Review Manager 5.3.3, and evidence level will be assessed using the method for Grading of Recommendations Assessment, Development and Evaluation. Outcomes will be presented as the weighted mean difference or standardized mean difference with 95% CI. If I2 ≤ 50%, P>.1, the fixed effect model will be used, otherwise, random-effects model will be used. Ethics and dissemination: This review might not be necessary ethical approval because it does not require individual patient's data; these findings will be published in conference presentations or peer-reviewed journal articles. PROSPERO registration number: CRD42020150144.