• 제목/요약/키워드: Disaster Medicine

검색결과 133건 처리시간 0.034초

재난트라우마에 대한 이침의 활용 - NADA 프로토콜의 소개 (Ear Acupuncture Treatment for Disaster-Related Trauma: Introduction of the National Acupuncture Detoxification Association (NADA) Protocol)

  • 김다운;김상호
    • 동의신경정신과학회지
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    • 제31권3호
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    • pp.157-168
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    • 2020
  • The number of disasters caused by natural or human-made events such as earthquakes, tsunamis, floods, typhoons, industrial disasters, and the recent outbreak of COVID-19 has increased and the damage caused by such disasters is increasing every year. Disasters can cause physical destruction and also have unexpected psychological impacts, such as post-traumatic stress disorder (PTSD). Ear acupuncture is a treatment modality that can be helpful for both physical and mental health problems. Since ear acupuncture is a cost-effective, flexible, and safe treatment tool, it has the potential to provide medical assistance in disasters. The National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol, originally developed for addiction treatment, has been used for mental illness and behavioral symptoms in both community health settings and in a variety of disaster, terror, and refugee settings. In this review, we introduced the NADA protocol, including its history, features, training, clinical evidence, and cases in disaster settings, suggesting that the NADA protocol could be utilized as a disaster medical support model in Korean medicine.

국가재난의료매뉴얼의 개발 (Development of the Disaster Medical Manual in Korea)

  • 왕순주
    • 한국방재안전학회논문집
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    • 제9권1호
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    • pp.39-45
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    • 2016
  • 세월호 참사 등 각종 재난에 있어 재난의료대응체계의 문제점이 노출되었는데, 이 중 현장응급의료지원팀의 현장대응 불가, 현장에서의 소방, 의료진의 협업 곤란, 현장의료지원 및 부상자의 수용, 진료를 위한 체계적이고 세부적인 매뉴얼 미비가 중요한 사항이었다. 따라서 2014년 5월부터 중앙응급의료센터 내 재난응급의료상황실 설치 운용에 따른 기존의 비공식적으로 흩어져 있던 재난의료대응 매뉴얼 수집, 수정 및 이에 대한 교육이 필요한 상황이 되었으며, 재난응급의료상황실을 중심으로 한 재난 초기 의료대응체계를 확립할 필요성이 대두되었다. 중앙응급의료센터의 재난의료대응 개선 방안은 신속대응반 중심의 빠른 출동 체계 수립이나, 실제 적용할 체계가 미흡하여, 2014년 2월 응급의료법 개정 시행규칙에 따라 국가와 지자체에 재난대응 매뉴얼을 개발하고 기본안을 마련하기로 하여, 본 연구진은 학술적, 실무적으로 적절한 국가재난의료 매뉴얼을 국내 최초로 개발하였으며, 이를 훈련 및 시뮬레이션을 통하여 적용하였고 그 과정을 정리 분석하였다.

Proteomic analyses reveal that ginsenoside Rg3(S) partially reverses cellular senescence in human dermal fibroblasts by inducing peroxiredoxin

  • Jang, Ik-Soon;Jo, Eunbi;Park, Soo Jung;Baek, Su Jeong;Hwang, In-Hu;Kang, Hyun Mi;Lee, Je-Ho;Kwon, Joseph;Son, Junik;Kwon, Ho Jeong;Choi, Jong-Soon
    • Journal of Ginseng Research
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    • 제44권1호
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    • pp.50-57
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    • 2020
  • Background: The cellular senescence of primary cultured cells is an irreversible process characterized by growth arrest. Restoration of senescence by ginsenosides has not been explored so far. Rg3(S) treatment markedly decreased senescence-associated β-galactosidase activity and intracellular reactive oxygen species levels in senescent human dermal fibroblasts (HDFs). However, the underlying mechanism of this effect of Rg3(S) on the senescent HDFs remains unknown. Methods: We performed a label-free quantitative proteomics to identify the altered proteins in Rg3(S)-treated senescent HDFs. Upregulated proteins induced by Rg3(S) were validated by real-time polymerase chain reaction and immunoblot analyses. Results: Finally, 157 human proteins were identified, and variable peroxiredoxin (PRDX) isotypes were highly implicated by network analyses. Among them, the mitochondrial PRDX3 was transcriptionally and translationally increased in response to Rg3(S) treatment in senescent HDFs in a time-dependent manner. Conclusion: Our proteomic approach provides insights into the partial reversing effect of Rg3 on senescent HDFs through induction of antioxidant enzymes, particularly PRDX3.

국내 간호사의 재난간호 역량: 주제범위 문헌고찰 (The Competency in Disaster Nursing of Korean Nurses: Scoping Review)

  • 이은자;양정은
    • 동서간호학연구지
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    • 제27권2호
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    • pp.153-165
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    • 2021
  • Purpose: The aim of study was to identify ranges of Korean nurses' competency in disaster nursing. Methods: A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from four databases: RISS, ScienceON, EBSCO Discovery Service, and CINAHL. In this review, key words were 'disaster', 'nurs*', 'competenc*', 'ability' and 'preparedness'. Inclusion and exclusion criteria were identified as strategies to use in this review. The inclusion criteria for this review focused on the following: Korean nurse, articles related to disaster nursing competency, peer-review articles published in the full text in Korean and English. Review articles were excluded. Results: Nineteen studies were eligible for result extraction. A total of 10 categories of disaster nursing competency were identified: Knowledge of disaster nursing, crisis management, disaster preparation, information collection and sharing, nursing record and document management, communication, disaster plan, nursing activities in disaster response, infection management, and chemical, biological, radiation, nuclear, and explosive management. Conclusion: It is necessary to distinguish between Korean nurses' common disaster nursing competency, professional disaster nursing competency, and disaster nursing competency required in nursing practice. Therefore, future research will be needed to explore and describe disaster nursing competency.

감염병 재난관리에서 근로자의 재난안전관리 인식이 지방정부와 기업의 재난관리 역량 및 성과에 미치는 영향에 대한 연구: 자동차 제조업 종사자를 중심으로 (The Role of Workers' Awareness of Disaster Safety Management and Disaster Management Capabilities of Companies and Governments for Infectious Disease Disaster Management: Focused on Workers in the Automobile Manufacturing Industry)

  • 황보한;이창율;김하경;김병권
    • 한국재난정보학회 논문집
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    • 제19권3호
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    • pp.451-470
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    • 2023
  • 연구목적: COVID-19가 2019년 12월에 중국에서 처음 발견된 이후 전 세계로 빠르게 확산되면서, 개인의 생활뿐만 아니라 기업과 국가에도 심각한 경제적·사회적 문제를 야기하였다. 개인, 기업, 정부 모두는 COVID-19의 확산을 방지하기 위하여 다양한 노력을 하였다. 감염병에 대응하고 관리하기 위해서는 개인, 기업, 정부 모두의 역할이 중요하나 선행연구에서는 부분적으로만 연구를 진행하였다. 따라서 본 연구에서는 감염병 재난관리 대응에서 성과를 내기 위해 개인, 기업, 정부의 역할에 대해 종합적으로 연구를 진행하였으며, 감염병 재난관리에 대한 근로자의 인식과 정부 및 기업 역량이 재난대응 성과에 미치는 영향을 파악하고자 하였다. 연구방법: 설문조사는 울산, 경주, 양산지역의 자동차 제조업 종사자를 대상으로 실시하였고, 분석은 빈도분석, 요인분석, 상관관계분석, 회귀분석을 실시하였다. 연구결과: 근로자 인식은 재난관리성과 뿐만 아니라 정부역량과 기업역량 모두에 긍정적인 영향을 주는 것으로 나타났다. 또한 정부역량과 기업역량은 재난관리성과에 긍정적인 영향을 주었다. 결론: 본 연구의 결과는 재난대응 성과를 달성하기 위해서는 근로자의 인식뿐만 아니라 정부와 기업의 역량이 중요함을 밝혔다는 점에서 의미를 가진다. 뿐만 아니라 근로자들은 정부와 기업에서 주어지는 교육과 참여의 기회를 잘 활용하고 근로자가 할 수 있는 범사회적인 노력을 기울여야 할 것이다.

보건의료관점에서 본 국가재난안전관리 체계 및 대책 (A brief review of national management system in public health and medical aspect)

  • 김지희;이시영
    • 한국방재학회:학술대회논문집
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    • 한국방재학회 2008년도 정기총회 및 학술발표대회
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    • pp.375-376
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    • 2008
  • Recently the increase of natural disaster and man-made disaster, newly emerging infectious diseases and bioterrorism attack changed the world in many aspects. So the Ministry of Health and Welfare and other related agencies are trying to solve the problems with disasters. We discussed these problems in the following eleven categories. (1) emergency medicine (2) communicable disease control, (3) food safety control, (4) public facilities safety, (5) social welfare facilities safety, (6) bioterrorism control, (7) geriatric health care, (8) insurance support, (9) overseas disaster victim support, (10) national organization protection, (11) fire fighter safety in forest fire. Through the reviews on the various kinds of disaster, we proposed the disaster control measure for the near future.

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응급의학은 어떤 의학분야이며 그 미래는? (What is Emergency Medicine and Its Agenda for Future)

  • 도병수;이삼범
    • Journal of Yeungnam Medical Science
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    • 제19권2호
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    • pp.92-98
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    • 2002
  • Emergency medicine(EM) is the specialty of evaluating, stabilizing and initiating treatment for patients with life or limb-threatening illnesses or injuries. Techniques unique to the specialty of EM are the triage systems, quick stabilization methods, and emergency surgery procedures. The field of EM encompasses areas such as emergency department management, disaster planning and management, the management of emergency medical service(EMS) systems, research into such areas as brain and heart resuscitation, trauma and disaster management, survival medicine, and environmental emergencies(cold and heat injuries, poisioning, decompression sickness and barotrauma). Today, in addition to providing emergency care, the emergency specialists have moral and legal obligations to assess and report probable cases of child and spouse abuse, sexual assault, and alcohol and drug abuse. Future, the EM should provide surveillance, identification, intervention, and evaluation of injury and disease, therefore EM will remain as a key component of evolving community health care system.

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Frontal Alpha Asymmetry, Heart Rate Variability, and Positive Resources in Bereaved Family Members with Suicidal Ideation after the Sewol Ferry Disaster

  • Jang, Kuk-In;Lee, Sangmin;Lee, Seung-Hwan;Chae, Jeong-Ho
    • Psychiatry investigation
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    • 제15권12호
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    • pp.1168-1173
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    • 2018
  • Objective After the Sewol ferry disaster, bereavement with suicidal ideation was a critical mental health problem that was accompanied by various neuropsychological symptoms. This study examined the frontal alpha asymmetry (FAA), heart rate variability (HRV), and several psychological symptoms in bereaved family members (BFM) after the Sewol ferry disaster. Methods Eighty-three BFM after the Sewol ferry disaster were recruited. We assessed FAA, HRV, and psychological symptoms, including depression, post-traumatic stress, post-traumatic growth factor, anxiety, grief, and positive resources, between BFM with the presence and absence of current suicidal ideation. Results Compared to BFM without suicidal ideation, BFM with suicidal ideation showed a higher FAA with right dominance. Significant differences in psychological symptoms were observed between the groups. In BFM with suicidal ideation, the low: high frequency (LF:HF) ratio correlated with social resources and support. Conclusion The FAA and LF:HF ratio may be biomarkers that represent the pathological conditions of BFM with suicidal ideation. If researched further, they may shed light on the interaction between bereavement with suicidal ideation and social resources for therapeutic intervention.

Disaster Assessment and Mitigation Planning: A Humanitarian Logistics Based Approach

  • Das, Kanchan;Lashkari, R.S.;Biswas, N.
    • Industrial Engineering and Management Systems
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    • 제12권4호
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    • pp.336-350
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    • 2013
  • This paper proposes a mathematical modeling-based approach for assessing disaster effects and selecting suitable mitigation alternatives to provide humanitarian relief (HR) supplies, shelter, rescue services, and long-term services after a disaster event. Mitigation steps, such as arrangement of shelter and providing HR items (food, water, medicine, etc.) are the immediate requirements after a disaster. Since governments and non-governmental organizations (NGOs) providing humanitarian aid need to know the requirements of relief supplies and resources for collecting relief supplies, organizing and initiating mitigation steps, a quick assessment of the requirements is the precondition for effective disaster management. Based on satellite images from weather forecasting channels, an area/dimension of the disaster-affected zones and the extent of the overall damage may often be obtained. The proposed approach then estimates the requirements for HR supplies, supporting resources, and rescue services using the census and other government data. It then determines reliable transportation routes, optimum collection and distribution centers, alternatives for resource support, rescue services, and long-term help needed for the disaster-affected zones. A numerical example illustrates the applicability of the model in disaster mitigation planning.