• Title/Summary/Keyword: EMT

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Trends in research on the image of emergency medical technicians in Korea (국내 응급구조사 이미지에 대한 연구동향 고찰)

  • Min-Ju Kang
    • The Korean Journal of Emergency Medical Services
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    • v.27 no.1
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    • pp.71-77
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    • 2023
  • Purpose: This study aimed to analyze the research trends on the image of emergency medical technicians (EMTs) in studies published in Korean journals. Methods: Electronic databases were searched, including RISS, KMbase, and KCI. Eight studies from 21 references screened were included in the analysis. Results: The number of studies related to the image of EMTs is severely lacking. The research methods and participants are limited to questionnaire surveys and EMT students, respectively. In addition, most of the studies used modified tools developed for image measurement of other occupations. Conclusion: Image research for EMTs should include various methods and participants. Standardized measurement tool development and image-related research should be steadily conducted.

AMPK-induced mitochondrial biogenesis decelerates retinal pigment epithelial cell degeneration under nutrient starvation

  • Yujin Park;Yeeun Jeong;Sumin Son;Dong-Eun Kim
    • BMB Reports
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    • v.56 no.2
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    • pp.84-89
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    • 2023
  • The implications of nutrient starvation due to aging on the degeneration of the retinal pigment epithelium (RPE) is yet to be fully explored. We examined the involvement of AMPK activation in mitochondrial homeostasis and its relationship with the maintenance of a healthy mitochondrial population and epithelial characteristics of RPE cells under nutrient starvation. Nutrient starvation induced mitochondrial senescence, which led to the accumulation of reactive oxygen species (ROS) in RPE cells. As nutrient starvation persisted, RPE cells underwent pathological epithelial-mesenchymal transition (EMT) via the upregulation of TWIST1, a transcription regulator which is activated by ROS-induced NF-κB signaling. Enhanced activation of AMPK with metformin decelerated mitochondrial senescence and EMT progression through mitochondrial biogenesis, primed by activation of PGC1-α. Thus, by facilitating mitochondrial biogenesis, AMPK protects RPE cells from the loss of epithelial integrity due to the accumulation of ROS in senescent mitochondria under nutrient starvation.

Improvement Device on Scope of Practice of Paramedic in the Emergency Medical Service's Act (응급의료에관한법률에 따른 1급 응급구조사 업무범위의 개선방안)

  • Koh, Jae-Moon;Kim, Jin-Hwoi;Jo, Jean-Man
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.3
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    • pp.17-30
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    • 2007
  • Accidents occur frequently and that the date of the emergency situation and the people a good quality of life to actively respond to the emergency scene in the line of business activities and given their lives silently. 1st EMT's is currently the most jobs in the ability to work within a hospital that can be verified by expanding employment opportunities than the rate of youth unemployment and a sharp alleviate part of the current emergency medical institution performing the duties within the contents of this communication in a Emergency patients reflected in the rates for schools that can be revitalized as part of the emergency medical system(part of the emergency medical workers) for the completion of the law concerning emergency care, if you want the current laws and enforcement rules are to be improving. Under the current provisions in law concerning emergency care, and enforceable rules on enforcement issues and identify practical issues for consideration and improvements to enumerate the reasons for the demotion, the following conclusions can be sure until they improve. In addition, the National Assembly recently passed a bill AED use, and enforceable rules to enforce party that can teach AED necessarily a grade, including 1st EMT's to protect people's lives and to actively deal with the emergency situation so that it can be. Resolving these issues in the country where the emergency medical system can create a foundation for the advancement of emergency patients can get a good length of life, opens.

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Analysis of Elementary Mathematics Textbooks Based on the Perspective of Constructivism Knowledge -with Focus on the Number and Operation Contents in 1st and 2nd Grades (구성주의 지식관이란 관점에서 초등학교 수학교과서 분석 -1학년과 2학년 수와 연산 영역을 중심으로-)

  • Lee, Boo-Da;Kim, Jin-Ho
    • Journal of the Korean School Mathematics Society
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    • v.13 no.3
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    • pp.415-442
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    • 2010
  • If the philosophy of the curriculum is changed when the curriculum is revised, discussion about knowledge viewpoints in the changed philosophy is needed. The purpose of this thesis is to analyze elementary mathematics textbooks(EMT) based on the perspective of constructivism knowledge as basic philosophy of the 7th curriculum and the 2007 revised curriculum and to present aim of textbooks development through the results. According to the results, the number and operation units of 1st and 2nd grades of EMT compiled according to the 7th curriculum and the 2007 revised curriculum didn't reflect the perspective of constructivism knowledge as the philosophy of the curriculum. From the analysis, EMT were not composed so as to agree the perspective of constructivism knowledge that emphasize concepts, conceptua1 principles, variety, integration.

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A Study on Projection of Demand and Supply for Paramedic in the Emergency Medical Services Act (1급응급구조사의 수급에 관한 연구 -응급의료에관한법률을 중심으로-)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.7 no.1
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    • pp.55-64
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    • 2003
  • The purposes of this study which was conducted by applying three projection formulae to the data from admission quota for paramedic of the Ministry of Education & Human Resources Development the number of ambulances the number of emergency medical centers of the Ministry of Health & Welfare and rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board were to find out demand and supply of paramedic from 2002 to 2045 and to expand scope of practice of paramedic in Korea. The conclusions from this study were summarized as follows; (1) The simple formulae derived from the projection formula of the Economic Planning Board were applied under the present Emergency Medical Services Act including qualifying over 3-years experienced EMT-Basic for paramedic examinee, stationing paramedic or EMT-Basic or physician or nurse per ambulance, stationing paramedic or EMT-Basic per emergency medical center and under the amended Emergency Medical Services Act including qualifying only paramedic graduate for paramedic examinee, stationing 4.5 paramedics per ambulance, stationing 10 to 2 paramedics per emergency medical center. (2) It was estimated that on the American basis of 5.6 EMTs per 10,000 in 1996, the number of paramedics under the present act will reach the basis before 2020, the number of paramedics under the amended act will reach the basis about 2040. (3) It was estimated that on the basis of 22,000 paramedics demanded from the number of ambulances, the number of emergency medical centers in 2001, the number of paramedics under the present act will reach the basis before 2015, the number of paramedics under the amended act will reach the basis about 2030. (4) There was relationship between requirements for emergency medical centers scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic including EMD, instructor, teacher of safety. (5) This study which includes only expanded scope of practice of paramedic and projection for paramedic in the act needs complementary studies such as decision-making process in health manpower policy and so on.

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Clinical Practice Satisfaction in the Department of Emergency Medical Service Students (응급구조과 학생의 임상실습 만족도)

  • Choi, Sung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.2
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    • pp.759-767
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    • 2013
  • This study analysed Emergency Medical Technology(EMT) students' satisfaction in clinical practice. It was discovered that satisfaction was a means of 3.61(${\pm}0.70$) and the factor which had a significant influence on satisfaction was desired job area (F=3.98, p=0.004). The factors which were significant to satisfaction were practice beginning grade(t=0.43, p=0.038), period of practice(F=2.82, p=0.025), and departments(F=11.81, p=0.000) In respect to significant positive correlations between practice procedures and satisfaction, observation frequency (r=0.221, p=0.000) and practice frequency(r=0.170, p=0.002) had significantly positive correlations with satisfaction. Based on the results above, it is suggested that to enhance EMT students' satisfaction in clinical practice, students should have clear points of view on their job and practice beginning grade and practice period should be properly considered according to characteristics of students. Also, effective practice programs which carefully consider peculiarity of Emergency Medical Technology should be developed further.

Comparison study of satisfaction levels on Field Practice of EMT college students by 5 Practice Fields (응급구조학생들의 실습대상지별 현장실습만족도 비교)

  • Park, Jeong-Mi;Kim, Sun-Sim
    • The Korean Journal of Emergency Medical Services
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    • v.2 no.1
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    • pp.7-25
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    • 1998
  • It was enacted 'Emergency Medical Act' in January, 1994 and while it was established the emergency medical department in college providing the agenda and curriculum about EMT but not detailed and the regulation relative to the application of a low on the emergency medical act in 1995. The purpose of this study was to provide basic development of information for the development of field practice discipline and to Improve for the appropriateness and the effectiveness of the field practice though comparison study of satisfaction levels on field practice of E.M.T college students by 5 practice fields. The subjects were EMT college students who had practiced from June first to July 11, 1998, at the fire department and 4 departments (emergency dept., delivery dept., operating dept., and intensive care unit.) in the hospital. The data were collected by Questionnaire from september 7 to 10, 1998. The data were analyzed by percentage, mean, T-test, F-test using SAS program, The result were as follow; 1. Mean satisfaction level of 5 departments was to be low as 2.863 of a total score 5,0. 2. Comparing with other departments, emergency dept. and fire dept. were 3.198, 3.109 respectively revealed to be high (mean=2,863), 3. In field content and environment, emergency dept. is the most satisfactory place(3.480, 3,686) respectively, in practice teaching, fire dept was the most satisfactory place(3,567). 4, Satisfaction level according to the 4 variables (religion vs fire dept. practice, motivation vs intensive care unit practice, place of emergency dept. field vs emergency dept. practice, practice problem vs emergency dept. practice) revealed significant differences. There were a lot of problems that we have to improve and correct the field practice curriculum. Though this study, we could guess what the practical matters were.

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Comparative Study on Attitudes toward the Disabled person of University Students (대학생의 신체 장애인에 대한 인식과 태도 비교 연구)

  • Kim, Mi-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.2
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    • pp.5-14
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    • 2006
  • The purpose of this study was supply basic information and positive attitude needed to understand the disabled person through the analysing EMT Dept. student reaction on the disabled person. The subjects for this study were 251 students from G-college in In-Cheon City. The subjects were separated as the EMT dept. students and general dept student. The instrument used for this study were Lazer. Bonett and Granaff(1973). The scale of attitude on the disabled person. Data were analyzed by use of two-sample t-test and correlation coefficient with SAS program. Results are as follows ; 1. Frist, the EMT Dept. students showed more positive and optimistic attitude on the disabled person as safety prevention with their family life and safety prevention with first impression, but the general dept. student showed more positive and optimistic attitude on the disabled person as safety prevention with their self-consciousness, safety prevention with operative capacity, safety prevention with social life and safety prevention with school life. 2. Second, on attitude of 1 or 2 grade, first grade showed more positive and optimistic attitude on the disabled person as safety prevention with self-consciousness and safety prevention with operative capacity. Second grade showed more positive and optimistic attitude on the disabled person as safety prevention with social life, safety prevention with family life and safety prevention with school life. and first impression. But disabled person as safety prevention with self-consciousness, safety prevention with operative capacity, safety prevention with social life, safety prevention with school life and first impression. 3. Third, in interrelation effect analysing each section department and grade. They showed and interrelated more positive and optimistic attitude on the disabled person as safety prevention with their social life and first impression. As a results, it is important to understand disabled person whose physical condition. Especially, this study suggests to need to endeavor safety prevention for disabled person.

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Comparative Proteomic Profiling of Pancreatic Ductal Adenocarcinoma Cell Lines

  • Kim, Yikwon;Han, Dohyun;Min, Hophil;Jin, Jonghwa;Yi, Eugene C.;Kim, Youngsoo
    • Molecules and Cells
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    • v.37 no.12
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    • pp.888-898
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    • 2014
  • Pancreatic cancer is one of the most fatal cancers and is associated with limited diagnostic and therapeutic modalities. Currently, gemcitabine is the only effective drug and represents the preferred first-line treatment for chemotherapy. However, a high level of intrinsic or acquired resistance of pancreatic cancer to gemcitabine can contribute to the failure of gemcitabine treatment. To investigate the underlying molecular mechanisms for gemcitabine resistance in pancreatic cancer, we performed label-free quantification of protein expression in intrinsic gemcitabine-resistant and -sensitive human pancreatic adenocarcinoma cell lines using our improved proteomic strategy, combined with filter-aided sample preparation, single-shot liquid chromatography-mass spectrometry, enhanced spectral counting, and a statistical method based on a power law global error model. We identified 1931 proteins and quantified 787 differentially expressed proteins in the BxPC3, PANC-1, and HPDE cell lines. Bioinformatics analysis identified 15 epithelial to mesenchymal transition (EMT) markers and 13 EMT-related proteins that were closely associated with drug resistance were differentially expressed. Interestingly, 8 of these proteins were involved in glutathione and cysteine/methionine metabolism. These results suggest that proteins related to the EMT and glutathione metabolism play important roles in the development of intrinsic gemcitabine resistance by pancreatic cancer cell lines.

Mechanism of Fatty Acid Synthase in Drug Tolerance Related to Epithelial-mesenchymal Transition of Breast Cancer

  • Li, Jun-Qin;Xue, Hui;Zhou, Lan;Dong, Li-Hua;Wei, Da-Peng;Li, Hua
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7617-7623
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    • 2014
  • Objective: The mechanism of action of fatty acid synthase (FASN) in drug tolerance of breast cancer cells with epithelial-mesenchymal transition (EMT) features was investigated. Methods: The breast cancer cell line MCF-7-MEK5 with stably occurring EMT and tumour necrosis factor-${\alpha}$ (TNF-${\alpha}$) tolerance was used as the experimental model, whereas MCF-7 acted as the control. Tumour cells were implanted into nude mice for in vivo analysis, and cerulenin was used as a FASN inhibitor. RT-PCR, real-time quantitative PCR and Western blot were employed to detect the expression of FASN, TNFR-1, TNFR-2, Wnt-1, ${\beta}$-catenin and cytC at the RNA and protein levels. Results: Compared with MCF-7, TNFR-1 expression in MCF-7-MEK5 was slightly changed, TNFR-2 was decreased, and FASN, Wnt-1, ${\beta}$-catenin and cytC were increased. The expression of Wnt-1 and ${\beta}$-catenin in MCF-7-MEK5 decreased after cerulenin treatment, whereas cytC expression increased. Conclusions: The important function of FASN in the drug tolerance of breast cancer may be due to the following mechanisms: FASN downregulated TNFR-2 expression through lipid rafts to make the cells less sensitive to TNF-${\alpha}$, and simultaneously activated the Wnt-$1/{\beta}$-catenin signalling pathway. Thus, cytC expression increased, which provided cells with anti-apoptotic capacity and induced drug tolerance.