• Title/Summary/Keyword: National Aid

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응급현장에서 산소 인공호흡법 교육의 필요성 (The Necessity of Education on Medical Oxygen Respiration First Aid)

  • 강용수;조진만;이태용
    • 한국응급구조학회지
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    • 제12권1호
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    • pp.43-52
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    • 2008
  • I studied and analyzed current status about the necessity of Medical Oxygen Respiration First Aid when we perform first aid at emergency locations. As immediate and efficient first aid methods it is necessary to be able to use medical oxygen respiration equipments. I presented the basic data to develop and standardize education system on medical oxygen respiration first aid. Among those who were working at emergency locations in Korea from September 15th, 2005 to September 30th, 2005, I performed a survey on a professional group of 75 people and a non-professional group of 132 people. The results of the survey are summarized as follows. 1) There was difference between the professional group and the non-professional group on recognition about whether general public can perform medical oxygen respiration first aid(p<0.05). 2) On the necessity of medical oxygen respiration first aid, 93.2% of the total answered it is necessary and 6.8% answered it is unnecessary, so both groups thought it is very necessary(p>0.05). 3) On the importance of medical oxygen respiration first aid, 95.2% of the total answered it is important and 4.8% answered it is unimportant, so both groups thought it is very important(p>0.05). 4) On correspondence on necessity and importance of medical oxygen respiration first aid, there was a difference in thoughts between the professional group and the non-professional group(p<0.05). 5) On the necessity of education on medical oxygen respiration first aid, 98.1% of the total answered it is necessary and 1.9% answered it is unnecessary, so both groups thought it is very necessary(p>0.05).

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저혈당환자 이송 시 구급대원의 응급처치 현황분석 - 전남대학교병원 응급의료센터를 중심으로 - (Analysis of current status of emergency careby first aid staffs during transfer of patients with hypoglycemia - Focused on the Emergency Center of Chonnam National University Hospital -)

  • 윤종근
    • 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.

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적응 궤환 제거가 강조된 보청기 알고리즘과 하드웨어 모듈 개발 (Developments of A Hearing Aid Algorithm with Emphasis on Adaptive Feedback Cancellation and Hardware Module)

  • 정선용;지윤상;김인영;박영철;김남균;이상민
    • 대한의용생체공학회:의공학회지
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    • 제27권5호
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    • pp.282-290
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    • 2006
  • We have developed a multi band digital hearing aid algorithm emphasizing feedback cancellation and a hardware module to evaluate the performance of our algorithm. The hearing aids should be able to compensate for individual hearing loss characteristics of hearing impaired person. Thus hearing aids need the function of multi-bands amplification and the capabilities of feedback cancellation that can remove howling caused by acoustic feedback. In this paper, we proposed a digital hearing aid algorithm which has multi-bands compensation using modified discrete cosine transform (MDCT) and can efficiently remove acoustic feedbacks. Moreover, we have developed digital hearing aid hardware module, which can evaluate hearing aid algorithms in real time operation. The developed algorithm and hardware module were verified through computer simulation and clinical tests. Through operational experiments, good performances in real time operation environment and an efficient howling cancellation were also observed. The developed hardware module can operate in stable condition and it is expected to become a good hardware platform for developing hearing aid algorithms.

장기입원 의료급여 환자의 재원일수에 미치는 영향요인: 요양병원 입원유형 중심으로 (Factors Affecting the Length of Stay of Long-Stay Medical Aid Inpatients in Korea: Focused on Hospitalization Types in Long-Term Care Hospitals)

  • 윤은지;이요셉;홍미영;박미숙
    • 보건행정학회지
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    • 제31권2호
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    • pp.173-179
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    • 2021
  • Background: In Korea, the length of stay and medical expenses incurred by medical aid patients are increasing at a rate faster than the national health insurance. Therefore, there is a need to create a management strategy for each type of hospitalization to manage the length of stay of medical aid patients. Methods: The study used data from the 2019 National Health Insurance Claims. We analyzed the factors that affect the length of stay for 186,576 medical aid patients who were hospitalized for more than 31 days, with a focus on the type of hospitalization in long-term care hospitals. Results: The study found a significant correlation between gender, age, medical aid type, chronic disease ratio, long-term care hospital patient classification, and hospitalization type variables as factors that affect the length of hospital stay. The analysis of the differences in the length of stay for each type of hospitalization showed that the average length of stay is 291.4 days for type 1, 192.9 days for type 2, and 157.0 days for type 3, and that the difference is significant (p<0.0001). When type 3 was 0, type 1 significantly increased by 99.4 days, and type 2 by 36.6 days (p<0.0001). Conclusion: A model that can comprehensively view factors, such as provider factors and institutional factors, needs to be designed. In addition, to reduce long stays for medical aid patients, a mechanism to establish an early discharge plan should be prepared and concerns about underutilization should be simultaneously addressed.

Influence of age and type of feed ingredients on apparent and standardized ileal amino acid digestibility in broiler chickens

  • Su Hyun, An;Changsu, Kong
    • Journal of Animal Science and Technology
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    • 제64권4호
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    • pp.740-751
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    • 2022
  • Two experiments were conducted to determine the effects of bird age on apparent ileal digestibility (AID) and standardized ileal digestibility (SID) of amino acids (AA) for 10-d-old Experiment (Exp. 1) and 22-d-old (Exp. 2) male broilers. This study investigated the effects of different broiler ages and feed ingredients on AID and SID of AA in corn and soybean meal (SBM). Four hundred and eighty (age = 7 d; initial body weight [BW] = 173.4 ± 12.65 g) and 192 (age = 18 d; initial BW = 772.2 ± 62.13 g) birds were allocated to three dietary treatments in a randomized complete block design with eight replicate cages per treatment. Two diets were formulated based on corn or SBM as the sole source of AA in the diet. A nitrogen-free diet was also formulated to measure basal endogenous losses of AA. Experimental diets were given for 3 and 4 days in Exps. 1 and 2, respectively. An interaction was observed (p < 0.05) between the age of birds and the type of ingredient for the AID of most AA, except for methionine, valine, cysteine (Cys), and tyrosine; however, the effects of age and type of ingredients were diminished in the SID of AA, except for histidine, isoleucine, leucine (Leu), phenylalanine, alanine (Ala), and glutamic acid (Glu). The AID of AA, except for Leu and Cys and the SID of AA, except for Leu, Ala, Glu, and Pro in SBM were greater (p < 0.05) than in corn. As the age of birds increased from 10 to 22 d, digestibility of all AA increased (p < 0.05), regardless of the expression of AA digestibility (i.e., AID and SID). In conclusion, the AID and SID of AA in both corn and SBM increased with increasing age, and the AID and SID of AA in SBM were greater than in corn.

Differences in the Survival of Gastric Cancer Patients after Gastrectomy according to the Medical Insurance Status

  • Jang, Jae Seong;Shin, Dong Gue;Cho, Hye Min;Kwon, Yujin;Cho, Dong Hui;Lee, Kyung Bok;Park, Sang Soo;Yoon, Jin;Jang, Yong Seog;Kim, Il Myung
    • Journal of Gastric Cancer
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    • 제13권4호
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    • pp.247-254
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    • 2013
  • Purpose: In Korea, the entire population must enroll in the national health insurance system, and those who are classified as having a lower socioeconomic status are supported by the medical aid system. The aim of this study was to evaluate the association of the medical insurance status of gastric cancer patients with their survival after gastrectomy. Materials and Methods: A total of 247 patients who underwent surgical treatment for gastric cancer between January 1999 and December 2010 at the Seoul Medical Center were evaluated. Based on their medical insurance status, the patients were classified into two groups: the national health insurance registered group (n=183), and the medical aid covered group (n=64). The survival rates were calculated using the Kaplan-Meier method. Results: The median postoperative duration of hospitalization was longer in the medical aid covered group and postoperative morbidity and mortality were higher in the medical aid group than in the national health insurance registered group (P<0.05). The overall 5-year survival rate was 43.9% in the medical aid covered group and 64.3% in the national health insurance registered group (P=0.001). Conclusions: The medical insurance status reflects the socioeconomic status of a patient and can influence the overall survival of gastric cancer patients. A more sophisticated analysis of the difference in the survival time between gastric cancer patients based on their socioeconomic status is necessary.

임업 사고 응급대응체계의 개선방안에 관한 연구 (A Study on Improvement of Emergency Medical System for forestry accident)

  • 남기훈;박영수;김광일;조구현;이은재;백승안
    • 한국산업융합학회 논문집
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    • 제22권6호
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    • pp.665-671
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    • 2019
  • The estimated on-site accident rate in Forestry is relatively high. According to statistics of the accident, in the recent 5 years, from 2014 to 2018, forestry accidents have resulted in 98% of injuries and 87% of fatalities. Especially, there are significant geographical constraints to access to the scene in case of an accident. Even though the capacity of first aid capacity is notably emphasized its importance to minimize the scale of damages, the relevant employees have been educated only basic first aid, which is not considered circumstances or geographic limitations, by Occupation Safety and Health Acts. Therefore, the purpose of this study is to derive a direction for a forest emergency service system to increase forestry workers' survival and prevent secondary injury through securing 'Golden Time.' This study conducts analyzing relevant laws and regulations in domestic and international settings as well as looking at several concerned accident cases. The outcome of analysis presents an issue regarding the implementation of onsite first aid in forestry and existing risk factors depending on the working process. Finally, we suggest two ways to improve the forest emergency service that are 1) an appropriate curriculum and kit for forest first aid; and 2) a system for emergency transfer through sharing information between National Fire Agency (NFA) and emergency medical service center, and emergency and rescue mission using helicopter from NFA and Korea Forest Service.

폐광지역 개발 지원사업의 경제성 제고를 위한 정책 방안 -강원남부 폐광지역의 경제적 파급효과 분석을 중심으로- (A Policy Plan for Promoting the Economic Efficiency of the Development Aid Project on the Closed Mine -Focused on the Analysis of Economic Spreading Effect upon the Southern Part of Closed Mine in Gangwon Province-)

  • 유원근;최호영
    • 한국산학기술학회논문지
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    • 제12권1호
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    • pp.151-159
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    • 2011
  • 본 논문은 폐광지역에 대한 개발 지원사업의 경제적 성과를 분석하고 향후 폐광지역의 자립적 성장을 이끌어 낼 수 있는 대체산업을 발굴하기 위한 정책적 대안을 제시하는 데 목적을 둔다. 2001년부터 2010년간 전개된 폐광지역 개발 지원사업에도 불구하고 경제적 성과는 미흡한 것으로 나타났다. 개발 지원사업의 내용과 규모에서 낙후지역의 자립적 경제구조의 성립에 한계를 가질 수밖에 없는 지역적 여건을 극복하기 위해서는 지역의 특성을 감안한 전략적 재원의 배분과 체계적인 지원체계를 구축하는 것이 중요하다.

일부 군인들의 치아외상에 대한 태도와 응급처치 교육필요성과의 관련성 (Relation of necessity of the first aid education and attitude about traumatic dental injuries in some military men)

  • 김윤정;김선영;신동민
    • 한국치위생학회지
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    • 제13권1호
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    • pp.122-128
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    • 2013
  • Objectives : The purpose of this study was to investigate the traumatic injuries by first aid education and mouth protector in some military men. Methods : Among 195 military men, a total of 164 military men filled out the self-administered questionnaire and the return rate was 84.1%. The data were evaluated statistically using chi-square analysis. Results : 81.5% of respondents agreed that first aid education is necessary and 48.2% of respondents agreed that mouth protector of is necessary. In managing tooth fracture, subluxation, and avulsion, the military men answered the necessity of the first aid education revealed 87.2%, 86.8%, and 91.5%, respectively. The questions in managing tooth fracture, subluxation showed that mouth protector is necessary 56.3%, 49.0% respectively. In managing tooth fracture with reattachment, the necessity of the first aid education showed 88.9%. Conclusions : In order to get the knowledge about emergency treatment of traumatic injuries in military men, it is necessary to develop the professional education program for the dental hygiene personnel.

A New Hearing Aid Algorithm for Speech Discrimination using ICA and Multi-band Loudness Compensation

  • Lee Sangmin;Won Jong Ho;Park Hyung Min;Hong Sung Hwa;Kim In Young;Kim Sun I.
    • 대한의용생체공학회:의공학회지
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    • 제26권3호
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    • pp.177-184
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    • 2005
  • In this paper, we proposed a new hearing aid algorithm to improve SNR(signal to noise ratio) of noisy speech signal and speech perception. The proposed hearing aid algorithm is a multi-band loudness compensation based independent component analysis (ICA). The proposed algorithm was compared with a conventional spectral subtraction algorithm on behind-the-ear type hearing aid. The proposed algorithm successfully separated a target speech signal from background noise and from a mixture of the speech signals. The algorithms were compared each other by means of SNR. The average improvement of SNR by ICA based algorithm was 16.64dB, whereas spectral subtraction algorithm was 8.67dB. From the clinical tests, we concluded that our proposed algorithm would help hearing aid user to hear clearly a target speech in noisy conditions.