• 한국응급구조학회지
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• 제2권1호
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• pp.58-72
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• 1998

This study is implemented in the Department of Emergency Medical Technology of the Cheju Halla College in to evaluate behavioral changes in the recognition of the importance of the first aid, coping ability in the field, and competence of the first aid skills after taking the in-service program. The in-service program was hold from December 14 to December 22, 1998 under the title of "1998 First Aid and Emergency Rescue Training" for 176 drivers. The Questionnaire was distributed to 176 drivers, among them, 88 drivers took in-service program and 88 ones did not. After the data analysis, following conclusions we re made. 1. There are no significant statistical differences among demographic factors such as the level of education, age, career, and marital state of the subjects in the recognition of the importance of the first aid and competence of the first aid skills. 2. The drivers, who were the in-service program, significantly higher score in educated in represented all the area of recognition of the importance of first aid than non-educated drivers. 3. The drivers, who were educated in the in-service program, showed also significantly high score in competence of the first aid skills. According to the conclusions, there were significant change made In the recognition of the importance of the first aid and competence of the first aid skills after the in-service program. Therefore, nationwide emergency training program should be considered to improve emergency care ability of the nation. To make the program more effective for drivers, the in-service program should be required to newly licensed drivers during orientations or licence issuing.

• Journal of Preventive Medicine and Public Health
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• 제37권3호
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• pp.267-273
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• 2004

Objectives : This study was aimed at investigating the medical service utilization pattern of patients who use public medical aid compared to those who have health insurance. Methods : We selected every patient between the age of 18 and 69 who used public medical aid from January 1, 1999, to December 31, 2001, in Gwangju metropolitan city, South Korea. For comparison, a list of patients with health insurance was gathered for same period. Then the medical records of those who had been hospitalized for acute appendicitis were selected among both groups. Of those records, we compared the number of cases of ruptured appendicitis to cases of whole acute appendicitis in both groups. Regarding coding for ruptured appendicitis, International Classification of Diseases - 10 (ICD-10) was used. Multiple logistic regression was used as a statistical tool to determine the effectiveness of risk factors. Results : Even after adjusting for risk factors, such as age and sex, the proportion of perforation of acute appendicitis among public medical aid patients was found to be significantly higher than among insured patients. Conclusions : This comparative study on ruptured appendicitis among public medical aid patients and insured patients, indicates that the proportion of perforation of acute appendicitis could be an index showing that these types of patients utilize medical services differently than insured patients. We know that when abdominal pain is not properly treated at the outset, it easily develops into ruptured appendicitis complicated with peritonitis. Considering this data analysis, we guess the public medical aid system to have significant problem with medical accessibility. So additional and systematic research on the pattern of utilization of medical services of public medical aid patients is needed.

• 한국응급구조학회지
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• 제9권1호
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• pp.111-119
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• 2005

Glucose is the most importantenergy source in the central nervous system. Because the central nervous system cannot synthesize or store glucose. low blood glucose even for a short period results in no functionally normal activity of the brain. In addition, continuous low blood glucosecan cause irreversible brain damage and brain death. Therefore, the current status of emergency care by first aid staffs during transfer of patients with hypoglycemia has been investigated in this study, 114 patients who have visited the hospital using 119 Emergency Medical Service from January 1, 2004 till December, 2004 and shown blood glucose of 2.8 mmol/L and less on arrival have been involved. In case of nurses, assistant nurses, first aid staffs receiving first aid training and second-class emergency medical technicians(EMTs), they provided basic life support (BLS). In case of first-class EMTs, they measured blood sugar and then they orally administered glucose to conscious patients or provided simple first aids and prompt transfer for unconscious patients. As a result of analysis, it is suggested that first aid retraining is required.

• 한국응급구조학회지
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• 제14권1호
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• pp.19-29
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• 2010

Purpose : This study was conducted to examine the degree of recognition of safety education and its execution for child-care teachers at daycare center for the disabled children in Jeollanam-do. Ninety six child care teachers filled out the questionnaire and the results were as follows. Results : 1. The possibility of accident prevention by the day care teachers was a little higher in case of nearby education institution. The most appropriate period of safety education was within one month. 2. Majority of child care teachers had received safety and first-aid educations before and the education was done for less than 2 hours. 3. The best educational method was practice-centered education of off-duty time. The contents of first-aid education were bleeding, fall, shock, and burn. 4. The education material and book should be available to the teachers when they need the knowledge. 5. By the annual schedule, safety education should be conducted and provided to the parents. Conclusion : This study suggested that reinforcement of contents related to emergency situation and actual first-aid as well as theory education in the process of parent and teacher education should be conducted on the basis of information of general conditions related to safety and first-aid education at the daycare center for the disabled children.

• 산경연구논집
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• 제13권11호
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• pp.1-10
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• 2022

Purpose: This study measures the influence of facilitating conditions on employees' attitudes towards the adoption of big data analytics by selected medical aid organizations in Durban. In the health care sector, there are various sources of big data such as patients' medical records, medical examination results, and pharmacy prescriptions. Several organizations take the benefits of big data to improve their performance and productivity. Research design, data, and methodology: A survey research strategy was conducted on some selected medical aid organizations. A non-probability sampling and the purposive sampling technique were adopted in this study. The collected data was analysed using version 23 of Statistical Package for Social Science (SPSS) Results: the results show that the "facilitating conditions" have a positive influence on employees' attitudes in the adoption of big data analytics Conclusions: The findings of this study provide empirical and scientific contributions of the facilitating conditions issues regarding employee attitudes toward big data analytics adoption. The findings of this study will add to the body of knowledge in this field and raise awareness, which will spur further research, particularly in developing countries.

• 한국간호교육학회지
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• 제2권
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• pp.32-55
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• 1996

It was enacted 'Emergency Medical Act' in January, 1994 beginning the emergency medical service system from 1982, and while it was established the emergency medical department in junior college providing the detailed agenda about emergency medical technician and the regulation relative to the application of a law on the emergency medical act in 1995, the fire school and the National Medical Center are enforced the curriculum. It is very important subject faced for the construction of emergency medical system to produce a number of emergency medical technicians to be sufficient to the role of emergency aid. In this study it is analysed the training curriculum for the emergency medical technician and presented the improvement plans. 1. Though it needs the qualification level of first and second class in the selection process, the more important thing needs the detailed qualification level by term of one's service and the skills of business accomplishment. 2. In the examination management, (1) written examination is composed of the questions to understand how much faithfully they carry out the practical business as the emergency medical technicians, (2) it is added practical examination as the item to appraise the situation disposal ability. 3. It is necessary to prescribe the activity in the medical institution and ambulance arrangement through the development of 'Business Treatment Guide'. 4. For the regional balanced disposition of emergency medical personnel it is selected balanceably the educational institution by eight medical service areas, and considering the characteristics of region it is necessary to manage, in the practical business training course, another special course such as the mountains medical aid and sea medical aid. 5. In the period of education the first class needs the practical business training period of a certain period after passing examination, and the second class needs the extension of the period. 6. As the problems to improve in the curriculum [1] in the first class course (1) intensification of practical educaiton (2) reinforcement of curriculum (3) the development of standardized curriculum etc., [2] in the second class course (1) varieties of curriculum (2) intensification of basic first aid treatment education.

• 디지털융복합연구
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• 제15권7호
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• pp.259-269
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• 2017

본 연구는 의료급여 사례관리의 중재방법별 접근횟수에 따른 효과를 분석함으로써 의료급여 사례관리 중재의 발전을 모색하고자 하였으며, 2010년 3개의 시 군 구에서 고위험군 564명을 대상으로 실시된 사례관리 이차자료 분석연구이다. 중재방법별 접근횟수에 따른 사례관리 전 후 점수는 방문의 경우 자가건강관리능력과 합리적 의료이용에서 유의한 차이를 보였고, 전화는 자가건강관리능력에서, 우편은 건강 삶의 질, 자가건강관리능력, 합리적 의료이용에서 유의한 차이가 있었다. 중재방법별 접근횟수에 따른 의료이용은 방문과 우편이 총급여일수에서 유의한 차이를 보였다. 중재방법별 접근횟수와 사례관리 점수 간의 상관관계에서는 방문이 자가건강관리능력과 음의 관계를, 전화는 합리적 의료이용, 우편은 사례관리 점수 전 영역, 내소는 건강 삶의 질 영역과 양의 관계로 나타났다. 중재방법별 접근횟수와 의료이용 간의 상관관계에서 방문과 자원연계는 총 급여일수와 음의 관계가 있는 것으로 나타났다. 의료급여 과다이용 수급자의 건강 삶의 질 향상과 적정의료이용을 도모하기 위해서는 사례관리 중재방법별 효율적인 접근횟수를 고려하여 사례관리를 실시하는 것이 필요하다.

• 한국응급구조학회지
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• 제11권3호
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• pp.175-189
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• 2007

Background and Purpose : Higher grade students in elementary schools are most adequate subjects for first aid training. The purpose of this study was to assess first aid education and needs of higher grade students in elementary schools. Method : The subjects of this study were 183 higher grade students from 8 elementary schools. Data were collected by the questionnaire during the period from March 19 to April 13, 2007. The data were analyzed through frequency, Cronbach's ${\alpha}$, Independent Two samples t-test, One Way ANOVA by SPSS win 12.0. Result : 1. It showed that 78.1%(143 persons) of sujects answered that they learned first aid. 65% of sujects learned in the school(65%). 61.2% of sujects were taught by health teachers. 36.7%(67 person) of subjects was educated using practice with demonstration including lecture. Learned contents were action at emergency(50.8%), CPR(36.6%), splint (33.9%). 2. It showed that 90.2%(165 persons) of subjects answered that first aid and CPR education are necessary. Also 74.9%(137 persons) of subjects answered that will be educated first aid and CPR if opportunities is given. The 53.3%(73 persons) of subjects wanted teaching method using practice with demonstration including lecture. 3. The total mean showed $2.29{\pm}.48$ in needs of first aid education by 3 points Likert scale. Needs of first aid education was ranked Heimlich maneuver($2.41{\pm}.65$), splint and bandaging($2.38{\pm}.59$). Priority of intensive training showed patient assessment(38.0%) and CPR(19.7%) in first, splint and bandging(22.6%), CPR(21.9%) and Heimlich maneuver(21.9%) in second. 4. The needs assessment of first aid education showed statistically significant differences according to teaching method(F = 2.563, p = .025), education necessity yes or no(F = 2.474, p = .015), attending future education yes or no(F = 2.253, p = .026). Conclusion : These results suggest that First aid education for higher grade students in elementary schools must be consisted of most adequate content and method based on current education condition and needs assessment.

• International Journal of Internet, Broadcasting and Communication
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• 제9권2호
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• pp.58-63
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• 2017

The sound we hear is transmitted through the atmosphere. However, both the sound we want to hear and the surrounding sound are mixed, and noise is generated, and the sound is not clearly transmitted due to factors such as distance. In particular, in closed spaces like buildings, it is often difficult to hear sounds from outside because of the sound of reflection. People with hearing impairments, such as the elderly and the deaf, have a hard time hearing the sounds they want to hear. Thus, we are developing a hearing aid that can detect radio waves. To this end, we propose the development of a hearing aid that uses FM radio and Bluetooth. These devices are expected to be useful not only for the elderly and the deaf but also in situations where information is transmitted to a large number of people, such as students and tourists, in a large space. The main purpose of this device is to enable users to hear sound correctly without blind spots.

• 대한간호학회지
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• 제42권7호
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• pp.928-935
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• 2012

Purpose: The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling. Methods: Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis. Results: Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization. Conclusion: The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/or promotion of community awareness.