• Title/Summary/Keyword: Emergency service

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Comparison of the Effects of CPR Training using Little Anne, BRAYDEN and HeartiSense (Little Anne, BRAYDEN, HeartiSense를 이용한 심폐소생술 교육효과 비교)

  • Kim, in-Hyeon;Choi, Uk-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.11
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    • pp.290-296
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    • 2017
  • Purpose: The purpose of this study was to compare the effects of CPR training according to the mannequin used for CPR training using Little $Anne^{(R)}$, $BRAYDEN^{(R)}$, and $HeartiSense^{(R)}$. Method: Research subjects were 90 firefighters who were not paramedics. They were divided into three groups, A, B, and C. Theoretical education was conducted for 50 minutes, and practical education was conducted in groups of three for 50 minutes, using Little $Anne^{(R)}$ for 30 people in Group A; $BRAYDEN^{(R)}$ for 30 people in Group B; and $HeartiSense^{(R)}$ for 30 people in Group C. The results of CPR were printed out using Resusci Anne $SkillReporter^{(R)}$, and the subjects were asked to fill in a questionnaire. Results: The following significant differences were noted: satisfaction index according to the mannequin, $x^2=81.050$, p<.000; reason for satisfaction, $x^2=91.050$, p<.000; ratio of accurate chest compression, F=5.087, p<.004; and ratio of accurate ventilation, F=10.54, p<.000. Conclusion: For the subjects who require accurate and efficient CPR training, it is judged that a mannequin that provides information to allow corrections in real-time would be effective, and have a high educational effect.

A Study on the Nursing Profession as Stipulated by Health & Medical Laws of Korea (우리나라 보건의료법령에 명시된 간호에 관한 연구)

  • Kim, Eun-Young
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.116-132
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    • 1997
  • The purpose of the study is to find out how laws related to the nursing profession can be improved by analyzing the rules and regulations concerning nursing. Furthermore, to help settle legal matters in the process of doing nursing work. The data used for the study are the Health and Medical Act, the Maternal and Child Health Act, the School Health Act, the Special Act for Health and Medical Service in Rural Areas, the Industrial Health & Safety Act and the Notice on Nursing Professional Courses analyzed by age and content. The results of the study are as follows : First, basic nursing practice includes 'nursing care for recuperation and assistance in medical treatment and in special areas including the pre-vention of disease, maintenance of health, control of environment, and other therapeutic activities. It is suggested that the phrase 'assistance in medical treatment' should be eliminated as it limits the basic nursing practice to the assistance of the medical treatment. Second, Article 56 of the Health & Medical Act prescribes a special nurse but it does not prescribe a specific job. Accordingly, the new provison concerning the specific jobs of a special nurse should be added or a job guide should be inseated. Third, it is prescribed that those who have completed the training course after obtaining a license are qualified to be a midwife, a special nurse and a nurse practitioner working in special areas. However, school nurses, occupational health nurses and maternal and health workers are required to obtain a nurse license, but not to take an additional training course. Nurses working in special areas should be legally recognized as nurse specialists. The regulations to control various qualification standards consistently should be established. Fourth, the qualifications and types of nurses by area prescribed by Article 54 of the Health and Medical Act are not consistent with those of special nurses as recognized by affiliated organizations of the Korean Nurse Association and some hospitals. Accordingly, the qualifications and types of special nurses should be adjusted in consideration of special nurses. Fifth, as Article 16, Paragraph 2 of the Health and Medical Act does not prescribe the type and scope of first - aid treatment that nurses can provide, the first-aid treatment of nurses might be considered as an unlicensed practice. The specific regulations regarding these matters should be established. Sixth, the contents of the nursing record, which are prescribed by Article 21 of the Health and Medical Act as a duty, include 1) matters concerning body temperature, pulse, breath and blood pressure 2) matters concerning drug prescription 3) matters concerning input and output 4) matters concerning the treatment and nursing care (Article 17 of the Enforcement Regulations, Health and Medical Act). However, these matters are limited to basic nursing care and assistance in medical treatment. The new recording methods on nursing process are suggested to be adopted legally. Seventh, the prescription right entrusted to nurses which are prescribed by the School Health Act, the Special Act on Health and Medical Service for Rural Areas, and the Industrial Health and Safety Act are not consistent with the rights of nurses as prescribed by the Health and Medical Act. New regulations prescribing the partial right for medical treatment entrusted to nurses in consideration of the restraint of time and place in emergency situations should be established.

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Performance Evaluation of V2X Communication System Under a High-Speed Driving (고속 주행 환경에서의 V2X 통신 성능 측정 시스템)

  • Kang, Bo-young;Bae, Jeongkyu;Seo, Woo-Chang;Park, Jong Woo;Yang, EunJu;Seo, Dae-Wha
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.42 no.5
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    • pp.1069-1076
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    • 2017
  • C-ITS(Cooperative-Intelligent Transportation System) provides services that require strict real-time such as forward collision warning, road safety service and emergency stop. WAVE(Wireless Access in Vehicular Environments), a core technology of C-ITS, is a technology designed for high-speed driving. However, in order to provide stable communication service by applying to real road environment, various performance tests of real vehicular environment are required. In the real road environment, WAVE communication performance is influenced by the surrounding environment such as moving vehicle, road shape and topography. Especially, when the vehicle is moving at high speed, the traveling position according to the speed of the vehicle, The surrounding environment changes rapidly. Such changes are factors affecting the communication performance, therefore a system and methods for analyzing them are needed. In this paper, we propose the configuration and test method of an effective performance evaluation system under high-speed driving and describe the results of analyzing the communication performance based on the data measured through the actual vehicle test.

Study on Development Method for Galileo/SAR Ground System in Korea (국내의 갈릴레오 탐색구조 지상시스템 개발 방안에 관한 연구)

  • Ju, In-Won;Lee, Sang-Uk;Kim, Jae-Hun
    • Journal of Satellite, Information and Communications
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    • v.2 no.1
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    • pp.35-40
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    • 2007
  • COSPAS-SARSAT is the search and rescue system for providing a distress alarm and a position identification using an international satellite and ground facilities. Aviators, mariners and land users worldwide are equipped with COSPAS-SARSAT distress beacons, which could help save their in emergency situations anywhere in the world. As the existing COSPAS-SARSAT system is generally operated by LEO(Low-altitude Earth Orbit) Satellite System, the time from the distress beacon to the rescue is more than 1 hour with average and the accuracy of the distress location is about 5 Km. Therefore, in order to overcome this problem, the development for the next generation SAR(search and rescue) system which uses the MEO(middle-altitude Earth Orbit) satellites is going on the Galileo project. EU is developing this project for the full operation capability in 2011, and this project will have SAR payloads and support to the Search and Rescue service-herein called SAR/Galileo. SAR/Galileo will have the performance of a few meter accuracy, within 10 minutes to rescue from reception of distress messages, and Return Link Service(from the SAR operator to the distress emitting beacon), thereby facilitating more efficient rescue operations and helping to reduce the rate of false alerts. As the disaster is larger every year, the ground station, MEOLUT for next generation ASR/Galileo is urgently needed for the lifesaving for the larger disaster, the research for beacon and the ground station such as MEOLUT for introducing the next generation SAR/Galileo in Korea is very timely and is important. This paper presents the procedures and the strategies for the participation, the area to develop reasonably, and the propulsion organization for developing the SAR/Galileo ground system in Korea.

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Demonstration Project on Utilization of Telephone Consulting and Telemedicine System for Home Health Care of the Elderly (노인건강상담전화 운용과 가정간호사업 활성화를 위한 원격의료 시범사업)

  • 김정은;박현애
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.576-590
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    • 1996
  • Advanced countries such as the USA and Japan are eagerly seeking ways to improve health and welfare of the elderly. One of the services is home health care service using the telephone. Various types of services using the telephone have been developed, improved and are being utilized ranging from the basic consulting to emergency response systems in the area of health care for the elderly. A demonstration project was launched to study the feasibility of a consulting system and telemedicine for the elderly using the public phone system in Korea. For this project, a gathering site for the elderly was selected and those who visited this place were interviewed to find out what kinds of services they wanted and what kind of system they needed to provide the required services. Based on the users' requests and the surrounding environment, a telephone consulting facility was established at the Research Institute of Nursing Science at Seoul National University and consulting personnel was recruited, trained and posted at the center. An Application program for home health care nurses to use when they visited the patients at their homes was developed. This system operates on a notebook Computer and allows nurses to communicate with a doctor at a local hospital through a modem and telecommunication line. These systems were implemented for three months and problems which developed during operation of the systems were identified and progressively modified. Through system evaluation, it was found that a consulting system using phone service will be an invaluable system for the welfare of the elderly in the future. But in order to meet the elderly's need, more services than mere consultation are needed. That is, communication with physicians and hospitals are needed. Thus, when there is any need for physicians' attention, physicians or hospitals should be contacted directly. Similarly for telemedicine, when the home health care nurse visits elderly patients she can assess the patient's problem and provide nursing care, access a physician or hospital to refer her patient to or consult directly using the telecommunication the system. The above mentioned system is a basic form of futuristic telemedicine for the elderly and those who have chronic disease problems. This kind of system will be of great value when it is used on the national information super-highways in the future. In order to get to that stage, of course, this project needs great improvement in the technical, academic, and legal aspects.

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Study about the relationship between Chief complaint of pure death patients using medical record information (의무기록 정보를 활용한 순사망환자 주호소 증상과 진단명과의 연관성에 관한연구)

  • Kim, Yong-Ha;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.407-414
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    • 2015
  • This study was executed to be used as the basic data for the improvement of hospital therapy by analyzing the characteristic of principal diagnosis of pure death patients. 428 pure death patients were selected as study subjects out of 1992 dead patients at K university hospital in Daejeon city for three years in 2011, 2012, 2013, and chi-squared test and fisher's correct tests and canonical correlation analysis were used as analysis methods. In the analysis results about general characteristic and top 4 canonical correlation analysis, pneumonia(J18) of organism unspecified and toxic action(T60) of pesticide showed significant results among the principal diagnosis. In the pneumonia of organism unspecified(J18), significant results were identified with the order of car insurance, ages from 15 to 29, health insurance and medical benefits, and in the toxic action of pesticide(T60), significant results were identified with the order of health insurance, medical benefits, car insurance, ages from 45 to 59, Sejong Chungnam. In conclusion, in order to reduce the death of elderly population, quality improvement in medical service and establishment of emergency medical service delivery system are very important to reduce pure death patients.

A Study on the Development of Cyberpolice Volunteer System Using the Collective Intellectual Network (집단지성 네트워크형 사이버폴리스 자원봉사시스템 구축에 관한 연구)

  • Kim, Doo-Hyun;Park, Sung-Joon;Na, Gi-Sung
    • Korean Security Journal
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    • no.61
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    • pp.59-85
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    • 2019
  • In the reality that the boundary between the real world and the virtual world disappears with the 4th Industrial Revolution, cyber crimes that occur beyond time and space have clear limitations in fulfilling their duties only with the police force of government organizations established under the real law system. The research method of this thesis is based on the literature research and the experience of security work. The purpose of this paper is to establish a social system where collective intelligence of each social field can participate voluntarily to respond to cyber crimes occurring beyond the time and space before the law and institutionalization. In addition, the social system in which collective intelligence in each social sector can participate voluntarily was established to define crime types in cyberspace in real time and to prevent crimes defined by the people themselves and the counter-measures had been proposed in order to form social consensus. First, it is necessary to establish a collective intelligent network-type cyberpolice volunteer system. The organization consists of professors of security and security related departments at universities nationwide, retired public officials from the National Intelligence Service, the National Police Agency, and the National Emergency Management Agency, security companies and the organizations, civilian investigators, security & guard, firefighting, police, transportation, intelligence, security, national security, and research experts. Second, private sector regulation should be established newly under the Security Business Act. Third, the safety guard of the collective intelligent cyberpolice volunteer system for the stability of the people's lives should strengthen volunteer work. Fourth, research lessons and legal countermeasures against cybercrime in advanced countries should be introduced. Fifth, the Act on the Protection of Personal Information, the Act on Promotion of Information and Communication Network Utilization and Information Protection, the Act on the Utilization and Protection of Credit Information, and the Special Act on the Materials and Parts Industry should be amended. Sixth, police officers should develop cybercrime awareness skills for proactive prevention activities.

Analysis of Glyphosate and Glufosinate in Animal Feeds using LC-MS/MS (LC-MS/MS를 이용한 동물 사료 내 글라이포세이트 및 글루포시네이트 분석)

  • Lee, Ji-Su;Kim, Wanseo;Yang, Heedeuk;Park, Na-Youn;Jung, Woong;Kim, Junghoan;Kho, Younglim
    • Journal of the Korean Chemical Society
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    • v.63 no.5
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    • pp.342-345
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    • 2019
  • The standards for the contents of glyphosate and glufosinate in foods are specific and well categorized. However, the standard of content in animal feeds is relatively inadequate and the classification is insufficient. There is also constant debate about the risk of glyphosate and glufosinate to human health, but the risk to animals has not been well studied. In this study, we established an analytical method in feeds that is estimated to be the path for animals to ingest glyphosate. The solvent extraction was carried out using 25% methanol. After centrifugation, samples were purified using solid phase extraction (SPE) and quantitatively analysed using LC-MS/MS after concentrated. Assessment of validation was conducted through detection limits, accuracy, and precision tests. The detection limits for the established method were 1.8 of ${\mu}g/kg$ of glufosinate and $2.4{\mu}g/kg$ of glyphosate. Accuracy was ranged from 94.4% to 103.4% and precision was range from 1.5% to 7.2%. Glufosinate was detected in one sample ($ND{\sim}8.8{\mu}g/kg$) and glyphosate was detected in all but one sample ($ND{\sim}337.0{\mu}g/kg$) by applying the analytical method to animal feeds (n=13).

An Analysis of Dwelling Environment of Public Retirement(Silver) Housing Based on Post Occupancy Evaluation (거주 후 평가(P.O.E)에 의한 공공실버주택의 거주환경 분석)

  • Bak, Da-Hye;Kim, Young-Hwa;Lee, Sang-Hong
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.12
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    • pp.65-76
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    • 2018
  • Due to the rapid demographic and structural changes, Korea has faced a variety of social issues and quickly entered the aged society since the 2000s. In order deal with this reality, diverse types of welfare policies are emerging in the society as a whole. The government began to supply domestic public silver housing in 2016 to provide against the quickly growing aged society and now, the government is planning to supply approximately 50,000 housing by 2022 for quantitative growth of aged society, by selecting 1st and 2nd designated areas for the project additionally. This public retirement(silver) housing combines 'space' with 'service'. The lower floors are a public silver welfare Facilities and the upper floors are a housing spaces. This type of housing is to deal with requirements of rental housing residents by combining physical space with supporting service. Based on barrier-free design, the complex and unit house have safety handles and alarm bells in the bathroom, undulating washstands, bathroom sliding doors, corridor safety handles, and emergency safety exit lamps in each housing unit so the aged and the disabled can use easily and conveniently. Also, hand rails are installed and stepped pulleys are removed to promote convenience. Currently, the government is planning to increase the supply, focusing on low-income groups, such as beneficiaries of national basic livelihood and the working poor. Recognizing that the public retirement(silver) housing project is at its early stage, this study examined satisfaction, based on evaluations of real residents. This study aimed to obtain more empirical research data and apply them to public retirement(silver) house space analysis. For analysis, this study targeted Wirye public retirement(silver) housing and Magnolia public retirement(silver) housing that are in operation, and literature review, previous research review, and field survey were conducted to examine the present state. Using the questionnaires consisting of four large classification items; Block Layout, Housing Unit, Welfare Facilities, and Barrier-free Design, and sub-details, a survey was conducted to analyze residents' satisfaction. In conclusion, it is anticipated that this study would serve as basic research data about public retirement(silver) housing to increase continuously in future by analyzing public retirement(silver) housing spaces, on the basis of the analyzed data.

Effectiveness and patient satisfaction of dental emergencies in Pitié Salpêtrière Hospital, Paris, during the COVID 19 pandemic

  • Rodriguez, Isabelle;Zaluski, Daniel;Jodelet, Pierre Alain;Lescaille, Geraldine;Toledo, Rafael;Boucher, Yves
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.4
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    • pp.255-266
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    • 2022
  • Background: A previous study reported the effectiveness and patient satisfaction in the dental emergency unit (DEU) of the Pitie Salpetrière Hospital in Paris before coronavirus disease 2019 (COVID-19). The same methodology was used during the COVID-19 pandemic to compare pain, anxiety, and patient satisfaction during the two periods. Methods: This prospective study was conducted in 2020 (NCT04354272) on adult patients. Data were collected on day zero (D0) on site and then by phone during the daytime on day one (D1), day three (D3), and day seven (D7). The primary objective was to assess the pain intensity at D1. Secondary objectives were to assess pain intensity at D3 and D7, anxiety intensity at D1, D3, and D7, and patient satisfaction. Patients were evaluated on a 0-10 numeric scale on D1, D3, and D7; mean scores were compared with non-parametric statistics (ANOVA, Dunn's). Results: A total of 445 patients were given the opportunity to participate in the study, and 370 patients consented. Seventy-one were lost during follow-up. Ultimately, 299 patients completed all the questionnaires and were included in the analysis. In the final sample (60% men, 40% women, aged 39 ± 14 years), 94% had health insurance. The mean pain scores were: D0, 6.1 ± 0.14; D1, 3.29 ± 0.16; D3, 2.08 ± 0.16; and D7, 1.07 ± 0.35. This indicates a significant decrease of 46%, 67%, and 82% at D1, D3, and D7, respectively, when compared to D0 (P < 0.0001). The mean anxiety scores were D0, 4.7 ± 0.19; D1, 2.6 ± 0.16; D3, 1.9 ± 0.61; and D7, 1.4 ± 0.15. This decrease was significant between D0 and D7 (ANOVA, P < 0.001). Perception of general health improved between D1 and D7. The overall satisfaction was 9.3 ± 0.06. Conclusion: DEU enabled a significant reduction in pain and anxiety with high overall satisfaction during COVID-19, which was very similar to levels observed pre-COVID-19 pandemic.