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Development and validation of a three-person cardiopulmonary resuscitation protocol (3인 CPR 프로토콜 개발 및 타당도 검증)

  • Han, Seung-Woo;Kang, Min-Ju;Park, Ju-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.1
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    • pp.139-150
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    • 2022
  • Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

Daily Life Satisfaction in Asia: A Cross-National Survey in Twelve Societies

  • Inoguchi, Takashi;Basanez, Miguel;Kubota, Yuichi;Cho, Sung Kyum;Kheokao, Jantima;Krirkgulthorn, Tassanee;Yingrengreung, Siritorn;Chung, Robert;Cheong, Angus Weng Hin;Sandoval, Gerardo A. Jay;Deshmukh, Yashwant;Shaw, Kanyika;Yu, Ching-Hsin;Zhou, Baohua;Idid, Syed Arabi Bin Syed Abdullah;Gilani, Ijaz Shaffi;Gilani, Bilal I.
    • Asian Journal for Public Opinion Research
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    • v.1 no.3
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    • pp.153-202
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    • 2014
  • Aside from political leaders' popularity rates and the stock exchange index of business firms, ordinary people are highly interested in aspects of daily life, such as housing, income, health, family, food, human relations and work. Cross-national opinion polls on daily-life satisfaction were carried out in Japan, South Korea, Thailand, Hong Kong, Macao, the Philippines, India, Myanmar, Taiwan, China, Malaysia and Pakistan in the fall of 2013 and winter 2014. The percent difference index (PDI) is formulated as the sum of two positive responses (satisfied and somewhat satisfied) minus the sum of two negative responses (dissatisfied and somewhat dissatisfied). Percent difference indices are given according to society and daily-life aspects. For our analysis to go beneath national average and to go beyond national borders, two lines of analysis are carried out. First, the distance between the level of satisfaction of the top and bottom quartiles is given for each society and according to each of the daily-life aspects. Second, the regional sum of satisfaction of the top quartiles and bottom quartiles are shown crossed by daily-life aspects. In this article we confine ourselves to preliminary comparative description and analysis. More solid and deep comparisons will be carried out by local polling leaders of 12 Asian societies in the succeeding issue of the Asian Journal of Public Opinion Research. Nevertheless, two key threads stand out from this preliminary comparisons. First, social relations (family and human relations) stand out as most satisfied aspects of life in most of twelve societies. Second, the need to go beneath national averages and beyond national borders in analyzing cross-national surveys is confirmed. The comparability and validity of cross-national surveys with varying sampling method and survey mode are briefly discussed toward the end of the article.

The Japan Health Physics Society Guideline on Dose Monitoring for the Lens of the Eye

  • Yokoyama, Sumi;Tsujimura, Norio;Hashimoto, Makoto;Yoshitomi, Hiroshi;Kato, Masahiro;Kurosawa, Tadahiro;Tatsuzaki, Hideo;Sekiguchi, Hiroshi;Koguchi, Yasuhiro;Ono, Koji;Akiyoshi, Masahumi;Kunugita, Naoki;Natsuhori, Masahiro;Natsume, Yoshinori;Nabatame, Kuniaki;Kawashima, Tsunenori;Takagi, Shunji;Ohno, Kazuko;Iwai, Satoshi
    • Journal of Radiation Protection and Research
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    • v.47 no.1
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    • pp.1-7
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    • 2022
  • Background: In Japan, new regulations that revise the dose limit for the lens of the eye (hereafter the lens), operational quantities, and measurement positions for the lens dose were enforced in April 2021. Based on the international safety standards, national guidelines, the results of the Radiation Safety Research Promotion Fund of the Nuclear Regulation Authority, and other studies, the Working Group of Radiation Protection Standardization Committee, the Japan Health Physics Society (JHPS) developed a guideline for radiation dose monitoring for the lens. Materials and Methods: The Working Group of the JHPS discussed the criteria of non-uniform exposure and the management criteria set not to exceed the dose limit for the lens. Results and Discussion: In July 2020, the JHPS guideline was published. The guideline consists of three parts: main text, explanations, and 26 examples. In the questions, the corresponding answers were prepared, and specific examples were provided to enable similar cases to be addressed. Conclusion: With the development of the guideline on radiation dose monitoring of the lens, radiation managers and workers will be able to smoothly comply with revised regulations and optimize radiation protection.

Design of The Patient Monitoring System based on Wearable Device for Multi-biosignal Measurement (다중 생체신호 측정 웨어러블 디바이스 기반 환자 모니터링 시스템 설계)

  • Lee, Minhye;Chung, Gisoo;Jeong, Dongmyong
    • Journal of the Institute of Electronics and Information Engineers
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    • v.54 no.7
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    • pp.103-109
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    • 2017
  • In order to apply the patient monitoring system to the hospital field, it is necessary to be able to measure and analysis data the major bio-signals that are basically covered by the existing patient monitoring system. We have implemented a wearable device and the patient monitoring system for measuring ECG and oxygen saturation. The implemented system transmits the measured bio-signal to the server on the nursing station via Bluetooth. It is represented by graph waveforms and numerical values that can be checked by the medical staff in the patient monitoring system. The validity of this system is verified by comparing the data collected through the designed system with the data obtained from the conventional equipment.

A Chronological Study on the Transformation and the Spatial Characteristics of Inpatient Care Facilities in the United States (미국의료시설 병동부의 시대적 변천과 공간적 특성에 관한 연구)

  • Lee, Sukyung;Choi, Yoonkyung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.57-69
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    • 2017
  • Purpose: This study aims to emphasize interrelation between healthcare policies, design standards and hospital architecture of the United States since 1950s; to examine spatial characteristics of inpatient care facilities through case studies; and to consider the social implication of these spatial changes. Methods: In this study, reviewing the overall healthcare system, design standards and inpatient care facilities of the United States since 1950s, a total of five inpatient care facilities, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing five case studies. Results: The distance between the nursing station, the support service, and inpatient room were getting closer. The spatial structure of inpatient care facilities is transformed from tree structures to annular tree structures. This result shows that the efficiency between patient, staff and support service is higher and the depth of the spaces is getting deeper, which indicates that efficiency for improving healthcare quality affect the spatial structure of inpatient care facilities. Implications: In the future, if Korea's health policy is changed to a demand-oriented health care policy, this conclusion predicts medical planning of hospital will be focused on the efficiency.

A Study on the Space Composition for Department of Kidney Dialysis in Regional Public Hospital(1) (지역거점 공공병원의 인공신장부 공간구성에 관한 연구(1))

  • Chai, Choul Gyun;Park, Kyeong Hyeon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.2
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    • pp.31-38
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    • 2022
  • Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

A Study of the Development of a Korea Wind Chill Temperature Index (II) - A Preliminary Study of the Development of the Korea Wind Chill Temperature Index - (한국형 체감온도지수 개발연구(II) - 체감온도지수 개발을 위한 예비실험 -)

  • Park, Jong-Kil;Jung, Woo-Sik;Kim, Byung-Soo;Yoon, Sook-Hee;Lee, Jong-Tae;Nam, Jae-Cheol;Ryoo, Sang-Boom;Kim, Eun-Byul;Park, Gil-Un;Song, Jeong-Hui
    • Journal of the Korean earth science society
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    • v.28 no.7
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    • pp.891-902
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    • 2007
  • This paper aims to develop a Korea wind chill temperature index using an experimental method. For this, the researchers carried out a preliminary experiment in order to of for provisions necessary for the selection and safety of test participants, accuracy of experiment, and readiness for various situations that may occur during experiment. The researchers also investigated test subjects' safety and experiment conditions in which wind speed changes from calm condition into strong wind speed condition under the constant air temperature of $5^{\circ}C$. The results of this study are as follows. With regard to the variation of facial skin temperature such as forehead, cheek, nose, and chin, the skin temperature of cheek closely appears to depend on the change of air temperature and wind speed, exhibit a stable variation trend of skin temperature, and indicate the lowest temperature than any other facial parts. The skin temperature of women tends to be more sensitive than that of man and the skin temperature of human tends to decrease at weak wind speed under constant air temperature. It was also found that it is not necessary to take the influence of standard wind speed into consideration when a wind chill index is developed.

Effects of Some Management Factors on Milk Production in First-calf Heifers

  • Broucek, J.;Arave, C.W.;Kisac, P.;Mihina, S.;Flak, P.;Uhrincat, M.;Hanus, A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.19 no.5
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    • pp.672-678
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    • 2006
  • The objective of this study was to investigate whether milk performance is impacted by the housing of heifers from the second to the seventh day of life, the method of feeding milk from the second week of life to weaning, the sire lineage and by the season of birth and season of calving. From 32 Holstein heifer-calves, which spent their first day of life in a loose housing maternity pen with their mother, 19 heifers were randomly placed in hutches (IH), and 13 stayed in a loose housing maternity pen (MP). At the seventh day IH heifers were assigned to one of two treatments, 10 heifers were randomly taken from IH and relocated to a loose housing pen with an automatic feeding station (AD), 9 calves stayed in hutches with bucket drinking (BD). MP heifers were moved to a group pen with nursing cows (UD). All animals were weaned at the age of 8 weeks (56 days) and kept in group pens. After calving, they were in free-stall housing. Trial cows were divided according to the sire, season of birth and calving. The five-factorial ANOVA revealed that among all the factors taken into account in this study, only sire lineage and season of birth had significant effects. The production of milk, FCM and protein were higher in the MP group than in the IH group. The UD group tended to have the highest production of milk, FCM, protein, lactose, SNF and total solids (TS) and the AD group the lowest. The content of fat and TS were highest in the AD group. Effects of the sire were significant for average daily gains (ADG) from birth to weaning ($0.55{\pm}0.03kg$, p<0.05), contents of fat ($3.81{\pm}0.08%$, p<0.05), protein ($3.13{\pm}0.02%$, p<0.05), and TS ($12.67{\pm}0.12%$, p<0.05). In the season of birth evaluation, statistical difference was found only in the content of protein ($3.13{\pm}0.13%$, p<0.05). Cows born in March-May had the highest % protein and cows born in June-August the lowest ($3.21{\pm}0.04$ vs. $3.06{\pm}0.05%$). Dairy cows born and subsequently calving in December-February had the highest production of milk, protein and TS, and dairy cows born in June-August the lowest. FCM and fat yields were highest in the group born in September-November and lowest in the group born in June-August.

A study on Supply Extension Device of AED (AED의 보급 확대 방안에 관한 연구)

  • Koh, Jae-Moon;Kim, Young-Ho;Han, Sang-Hak
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.147-168
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    • 2005
  • It examined the doubt point which AED motive relates until now, the AED should have bought a life how, present address of our country site pre-hospital care, comparison it tried to observe the advanced nation instance back. Gist of this research the AED important cold region once compared to informed to how many cardiac arrest patient, against him the what kind of preparation wanted informing the necessary cold region. It soaks simultaneously but the AED motive is widely supplied distant in future and it is generality and it is feeble but it wanted doing one morning. The habit difference of an American who does of course meat diet mainly and a Korean is many and it compares in the United States and the cardiac arrest patient comparison occurs holds a point few. To become Western anger but and be caused by with thin dietary life, stanching bleeding cung, with the fact that the heart attack is increasing rapidly with the hyperextension. It is a talk which anyone it knows all. The major league most Choi huy Sub in condition will catch the ball which floats and the multi co-player and to collide when falling down, the medical device which is committed with emergency aid is AED motive. From the United States subway station and the shopping which are a public place on the baseball field outside the jar which it will drive, the museum and the school, easily there is it will be able to discover the AED from the court of justice back. The Pittsburg university the students per the individual $30 the core phyey were receiving the smallness lifestyle alcoholic beverage and a AED motive actual training with mercy of degree. From the United States distant in future the AED motive is sold even from the retail store and. From our country like this plan government offices temporary disposal education from from 119 fire fighters emergency structure company in fire fighting government employee and nursing must magnify a former enterprise rainy spell in summer multi temporary disposal education with the head which it will burn with the head. This plan in early rising will be able to become fixed in Korea it forecasts with the fact that. The research which it sees it leads and like the United States to some day become fixed even from our country to believe and suspicion it is not and in the people in approach ease one AED supply plan fire fighting government employees stand in the first and feed with the fact that must be positive at this enterprise they become.

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Conclusions and Suggestions on Low-Dose and Low-Dose Rate Radiation Risk Estimation Methodology

  • Sakai, Kazuo;Yamada, Yutaka;Yoshida, Kazuo;Yoshinaga, Shinji;Sato, Kaoru;Ogata, Hiromitsu;Iwasaki, Toshiyasu;Kudo, Shin'ichi;Asada, Yasuki;Kawaguchi, Isao;Haeno, Hiroshi;Sasaki, Michiya
    • Journal of Radiation Protection and Research
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    • v.46 no.1
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    • pp.14-23
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    • 2021
  • Background: For radiological protection and control, the International Commission on Radiological Protection (ICRP) provides the nominal risk coefficients related to radiation exposure, which can be extrapolated using the excess relative risk and excess absolute risk obtained from the Life Span Study of atomic bomb survivors in Hiroshima and Nagasaki with the dose and dose-rate effectiveness factor (DDREF). Materials and Methods: Since it is impossible to directly estimate the radiation risk at doses less than approximately 100 mSv only from epidemiological knowledge and data, support from radiation biology is absolutely imperative, and thus, several national and international bodies have advocated the importance of bridging knowledge between biology and epidemiology. Because of the accident at the Tokyo Electric Power Company (TEPCO)'s Fukushima Daiichi Nuclear Power Station in 2011, the exposure of the public to radiation has become a major concern and it was considered that the estimation of radiation risk should be more realistic to cope with the prevailing radiation exposure situation. Results and Discussion: To discuss the issues from wide aspects related to radiological protection, and to realize bridging knowledge between biology and epidemiology, we have established a research group to develop low-dose and low-dose-rate radiation risk estimation methodology, with the permission of the Japan Health Physics Society. Conclusion: The aim of the research group was to clarify the current situation and issues related to the risk estimation of low-dose and low-dose-rate radiation exposure from the viewpoints of different research fields, such as epidemiology, biology, modeling, and dosimetry, to identify a future strategy and roadmap to elucidate a more realistic estimation of risk against low-dose and low-dose-rate radiation exposure.