• Journal of Trauma and Injury
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• 제34권2호
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• pp.87-97
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• 2021

Purpose: This study examined emergency medical service (EMS) transportation patterns for adult trauma patients before and after establishing a level 1 regional trauma center (RTC) and to evaluate the transportation approach after prehospital severity screening. Methods: This was a retrospective observational study of trauma patients aged ≥18 years admitted via EMS to the emergency department or a level 1 RTC, 1 year before to 3 years after RTC establishment. Patients with an Injury Severity Score (ISS) in the patient registration system were selected. Analyses were performed to determine transportation pattern changes by comparing patients pre- and post-RTC establishment and by yearly comparisons over the 4-year study period using the Mann-Whitney U test and chi-square test. Results: Overall, 3,587 patients were included. The mean ISS was higher in the post-RTC group (n=2,693; 10.63±8.90, median 9.00) than in the pre-RTC group (n=894; 9.44±8.20, median 8.00; p<0.001). The mean transportation distance (9.84±13.71, median 5.80 vs. 13.12±16.15 km, median 6.00; p<0.001) was longer in the post-RTC group than in the pre-RTC group. Furthermore, proportionally fewer patients were transported from an area in the same city as the RTC after establishment (86.1% vs. 78.3%; p<0.001). Yearly comparisons revealed a gradually increasing trend in the hospital death rate (ptrend=0.031). Conclusions: After establishing a level 1 RTC, the EMS transportation of severe trauma patients increased gradually along with the long-distance transportation of minor trauma patients. Therefore, improved prehospital EMS trauma severity assessments and level 1 RTC involvement in patient classification in the prehospital phase are necessary.

• 기본간호학회지
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• 제15권4호
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• pp.504-512
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• 2008

Purpose: The purpose of this study was to identify the effects of self foot reflexology on depression, sleep, and low back pain in elderly women. Method: The study was one group pre-posttest design. Data collection was done from December 2007 to January 2008 in D city. The participants were 47 women (65 years of age and over). After two weeks of reflexology education, the women did foot reflexology themselves for approximately 40 minutes, five times a week for four weeks. To verify the effects of foot reflexology, the scores for depression, sleep, and LBP were measured at baseline, after 4 weeks of self-treatment. Repeated measure ANOVA with the SPSS WIN 14.0 program were used to analyze the data. Results: There were significant differences in depression, sleep, and LBP between baseline, after 4 weeks of self-treatment. Conclusion: These findings suggest that self foot reflexology could be utilized as an effective nursing intervention for improving depression, sleep, and LBP in elderly women.

• 한국직업건강간호학회지
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• 제19권2호
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• pp.223-235
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• 2010

Purpose: This study was done to investigate the prevalence of job stress and musculoskeletal symptoms, and to identify the factors that affect work-related musculoskeletal symptoms of the 119 Emergency medical technicians (EMT). Method: From August 26 to September 10, 2010, the data were obtained from 456 EMT working in Daejeon city or Choongnam province. For data analysis, descriptive statistics and multiple logistic regression were performed using SAS version 9.1. Results: Physical environment, job demand, interpersonal conflict, and occupational climate were stressful to 119 EMT. The prevalence of musculoskeletal symptoms of female EMT was higher than those of the male EMT's. After gender and age were adjusted, there ware significant relationships between musculoskeletal symptoms and some risk factors including occupational class, hours of intensive musculoskeletal use, previous injury or work-related injury, physical burden, and job stress. Overall, a higher degree of job stress increased musculoskeletal symptoms. Conclusion: Job stress is a major cause of musculoskeletal symptoms. To prevent and manage musculoskeletal disease of 119 EMT, there is a need to develop a management program for musculoskeletal symptoms to reduce occupational stress, considering gender differences.

• 정보과학회 컴퓨팅의 실제 논문지
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• 제22권6호
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• pp.253-267
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• 2016

세계 주요 도시는 대중교통이 가지고 있는 문제를 보완하기 위해 공공 대여 자전거 시스템을 운영하고 있다. 대전시에서 최근에 대여 이력 데이터를 공개하여 새로운 분석 가능성을 열었다. 본 연구는 시각화를 이용해서 데이터의 의미를 파악할 수 있는 분석 방법을 제안한다. 실험 결과 이용률에 따른 정류장의 위치적 특징을 발견하였고, 시간/요일/월에 따라서 달라지는 자전거 이용 패턴을 알 수 있었다. 한편 이동 경로 분석을 통해서 정류장간 이용 패턴을 발견하였으며, 각 정류장별 목적지 비율 분석을 통해 이용 목적을 파악할 수 있었다. 이러한 데이터를 기반으로 대전시 공공 대여 자전거 시스템 발전 방향을 제시한다.

• 한국간호교육학회지
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• 제14권1호
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• pp.138-146
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• 2008

Purpose: The first responder's role during a cardiac arrest scene is to initiate CPR. The AHA has recognized and included the first responder's role for improving the survival rate of cardiac arrest patients. Health personnel working in nursing, emergency care, dental hygiene, radiology, and ocular optics frequently confront sudden cardiac arrest while working. This study was to identify the relationship between the educational experience and recognition with the level of knowledge about CPR for college students. Method: Five hundred forty college students enrolled in the department of nursing science, radiological technology, ocular optics, emergency medical technician, or dental hygiene in Daejeon city were surveyed. The tool used was CPR knowledge developed by the authors based on a literature review including 2005 AHA's CPR guideline. Result: The higher educational experience of CPR was, the higher the level of knowledge. The knowledge of the students in nursing or emergency medical technician was higher than students in dental hygiene, radiology, and ocular optics. Conclusion: CPR class should be included in the curriculum for college students in order to improve their accuracy as a first responder to cardiac arresting patients.

• 지역사회간호학회지
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• 제12권1호
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• pp.202-213
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• 2001

This study was conducted to identify the changes of the relationship among general characteristics, self-efficacy. and self-care of the hypertensives in rural area. For this purpose, self-regulation program was carried at two Community Health Practitioner Post located in the suburbs of Daejeon City from September to November. 1999. Data were analyzed with non-parametric statistics, t-test, pearson correlation. The results were as follows; 1. The level of self-care was significantly different according to sex, status of smoking, and the level of self-efficacy of non-smoker was significantly higher than smoker. 2. After self-regulation program, there were significant positive relationship among self-efficacy, self-care, internal locus control, and negative relationship between perceived barrier and self-care. From these results, it can be concluded that the self-regulation program is an effective nursing strategy to promote self-care performance of hypertensives in rural area, and this program can be recommended for the management of hypertensives.

• 한국응급구조학회지
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• 제25권3호
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• pp.189-200
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• 2021

Purpose: We aimed to provide effective emergency medical services (EMS) response strategies for coping with high acuity patients during the pandemic by analyzing the influence of the COVID-19 and social distancing on EMS. Methods: In this retrospective observational study, we analyzed the distribution of high acuity patients transported by Daejeon 1-1-9 EMS during the COVID-19 pandemic period, between February 1, 2020 and October 31, 2020 and the same period in 2019, as well as the level 3 social distancing enforced period, between July 27, 2020 and October 31, 2020. Results: The EMS dispatches decreased by 17% during the observed COVID-19 pandemic period compared to the same period in 2019. The number of cases with cardiac arrest and positive prehospital stroke scale rose by (p<.001). Patients with cardiac arrest, trauma, and positive prehospital stroke scale increased by during the level 3 social distancing period. Conclusion: Unlike the decreased EMS call volume and patient transports during the COVID-19 pandemic, cardiac arrest cases and the severity of high acuity patients tended to increase. We suggest that EMS systems should contrive a response strategy considering the collateral effect of major epidemics on the incidence rate of high acuity patients.

• 한국보건간호학회지
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• 제32권3호
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• pp.400-410
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• 2018

Purpose: This study was conducted in order to investigate the relations between knowledge, awareness, and performance of standard precautions among nursing college students. Methods: The participants were 167 students in D city. Data were collected from April 16, 2018 to May 4, 2018 using a questionnaire. Data analysis was performed using the SPSS/WIN program 22.0 using t-test, Pearson's correlation analysis, and Multiple linear regression analysis. Results: Mean knowledge, awareness, and performance of standard precaution scores 19.02, 4.77 and 4.75 awareness was found to positively affect the performance of standard precautiosns. Conclusion: To improve hospital infection control, a customized infection control program should be developed for nursing students by surveying level of knowledge of standard precautions, to select risk groups and to gradually improve knowledge, awareness and performance.

• 한국산학기술학회논문지
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• 제13권7호
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• pp.3224-3231
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• 2012

통합적이고 객관화된 도시압축성 평가방법에 대한 연구가 필요하다. 이를 위하여 압축도시(compact city)와 관련된 문헌 등 선행연구를 통하여 도시압축성 평가요소를 추출하였다. 이렇게 설정된 평가요소는 전문가조사를 통한 객관화 과정과 AHP계층구조모형을 통하여 평가요소별로 가중치를 결정한다. 이러한 평가분석의 틀을 토대로 우리나라 6대 광역시의 도시압축성을 평가하고 표준점수(z-score)화하여 상대적인 차이를 분석하고자 하였다. 이러한 분석결과는 압축도시에 대한 정책 결정에 필요한 기본 자료로서 구도심의 도시재생 등 압축도시계획에 활용될 수 있을 것이다.

• 한국주거학회논문집
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• 제14권5호
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• pp.129-140
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• 2003

The purpose of this study is to provide the feasibility of apartment remodeling types in DaeJeon City. This study was conducted by survey for the residents' perceptions of the apartment remodeling. In addition, this study estimated the cost according to remodeling types by comparing it with that other apartments in DaeJeon City. By doing so, this study evaluated the feasibility of remodeling. The results of this study are as follows: 1. Not only the level of the residents' perception but also the intention of apartment remodeling was high. 2. The cost of remodeling was similar to that of residents had answered at questionaire. Thus, the remodeling cost proven to be very reasonable. 3. The cost of horizontally expanding remodeling type was cheaper than that of moving within the same apartment complex or into the new apartment. The cost of others (duplex, expansion or reduction of household) are cheaper that of moving. But one of the difficulties in carrying out these types lies in the fact that the remodeling should be performed in the apartment complex or building. Accordingly, this study proposes that horizontally expanding remodeling type is more feasible in DaeJeon City.