• 제목/요약/키워드: One-way emergency

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응급처치 및 심폐소생술 교육이 소외계층 청소년의 자아효능감과 사회공헌도에 미치는 효과 (Effect of first aid and cardiopulmonary resuscitation education on self-efficacy and social contribution of disadvantaged youth)

  • 이효철;정현민
    • 한국응급구조학회지
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    • 제18권3호
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    • pp.37-51
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    • 2014
  • Purpose: This study aimed to evaluate the educational experience, re-demand, pre-post self-efficacy, subjective social contribution of disadvantaged youth after first-aid and cardiopulmonary resuscitation (CPR) education. Methods: The subjects in this study were 967 disadvantaged youth from the general population. Data analyzed were frequency, percentage, and results of the $x^2=test$, t = test, one-way analysis of variance, and Pearson correlation by using the SPSS 18.0 statistical program. Results: Of the subjects, 51.7% had educational experiences, mostly less than 1 year. First-aid and CPR education improved self-efficacy. In particular, a higher the self-efficacy resulted in a higher subjective social contribution. Conclusion: This study showed that first aid and CPR education positively affected the self-efficacy, and awareness of social contribution in disadvantaged youth. Therefore, appropriate first aid and CPR education program for disadvantaged youth is beneficial.

일 지역 대학생의 암에 대한 지식, 태도 및 국민 암 예방 10대 수칙 건강행위 (Evaluating knowledge, attitudes and health behavior regarding cancer among college students based on 10 national cancer prevention recommendations)

  • 이영아
    • 한국응급구조학회지
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    • 제23권2호
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    • pp.125-138
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    • 2019
  • Purpose: This study aimed to assess college students' knowledge, attitude, and health behavior regarding cancer based on 10 national cancer prevention recommendations and to examine the relation between these variables. Methods: The participants were 189 college students in J city. Data were collected with a questionnaire consisting of items on cancer-related knowledge, attitude toward cancer, and implementation of 10 national recommendations on cancer. The data were analyzed using independent two-sample t-test, one-way analysis of variance, $Scheff{\acute{e}}$ multiple comparison test, Pearson's correlation coefficients, and multiple regression(stepwise) analysis with SPSS/WIN 21.0 program (IBM, Armonk, NY, USA). Results: The mean scores for knowledge, attitude, and health behavior were 23.83 points (out of a possible 32), 33.10 points (out of possible 50), respectively. Attitude was positively correlated with health behavior and accounted for 37.7% of cancer prevention health behavior. Conclusion: The findings of this study suggest that the related factors should be considered in the development and implementation of systemic education programs that can encourage and promote cancer prevention health behavior among college students.

Older Adults' Perceptions of Age-friendliness with an Emphasis on Community Supports and Health Services in a City in South Korea

  • Lee, Chi-Young;Cho, Belong;Cho, Youngtae;Park, Yeon-Hwan
    • 지역사회간호학회지
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    • 제30권2호
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    • pp.234-242
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    • 2019
  • Purpose: This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives. Methods: 166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses. Results: emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services. Conclusion: Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.

Watch Out for the Early Killers: Imaging Diagnosis of Thoracic Trauma

  • Yon-Cheong Wong;Li-Jen Wang;Rathachai Kaewlai;Cheng-Hsien Wu
    • Korean Journal of Radiology
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    • 제24권8호
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    • pp.752-760
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    • 2023
  • Radiologists and trauma surgeons should monitor for early killers among patients with thoracic trauma, such as tension pneumothorax, tracheobronchial injuries, flail chest, aortic injury, mediastinal hematomas, and severe pulmonary parenchymal injury. With the advent of cutting-edge technology, rapid volumetric computed tomography of the chest has become the most definitive diagnostic tool for establishing or excluding thoracic trauma. With the notion of "time is life" at emergency settings, radiologists must find ways to shorten the turnaround time of reports. One way to interpret chest findings is to use a systemic approach, as advocated in this study. Our interpretation of chest findings for thoracic trauma follows the acronym "ABC-Please" in which "A" stands for abnormal air, "B" stands for abnormal bones, "C" stands for abnormal cardiovascular system, and "P" in "Please" stands for abnormal pulmonary parenchyma and vessels. In the future, utilizing an artificial intelligence software can be an alternative, which can highlight significant findings as "warm zones" on the heatmap and can re-prioritize important examinations at the top of the reading list for radiologists to expedite the final reports.

119 구급대원의 임파워먼트와 직무만족과의 관계 (The Relationship Between the Empowerment and the Job Satisfaction of 119 Emergency Medical Technician)

  • 한송이
    • 한국응급구조학회지
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    • 제14권1호
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    • pp.47-63
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    • 2010
  • Objective : The objective of this study was to survey the job-related empowerment and job satisfaction of 119 emergency medical technicians provide emergency patients with first aid, to examine the correlation between their empowerment and job satisfaction, and to provide basic materials for developing programs to enhance 119 emergency medical technicians' empowerment and job satisfaction. Methods : The survey was conducted with 249 119 emergency medical technicians working at fire stations in an area of Gyeonggi-do during the period from June 26 to August 21, 2009. Using SPSS 14.0 program, we obtained frequencies percentages, means, and standard deviations, and performed independent two sample t-test, one way ANOVA, and Pearson correlation analysis, and Cronbach's ${\alpha}$. Results : 1) The mean score of the subjects' empowerment was 3.32, and that of their job satisfaction was 2.94. 2) As to difference according to general characteristics, no statistically significant difference was observed in empowerment but job satisfaction was statistically significantly different according to gender(t = 2.296, p = .023). 3) As to difference according to job related characteristics, empowerment was significantly different according to license type(F = 3.767, p = .011), and job satisfaction was statistically significantly different according to position(t = 3.222, p = .042), fire fighting experience(t = 2.689, p = .035), and first aid experience(t = 3.991, p = .007). 4) Empowerment was in a positive correlation with job satisfaction(r = .502, p = .000) in general, and by the sub areas of job satisfaction, the correlation with empowerment was high in order of job itself(r = .695, p = .000), interaction area(r = .493, p = .000), organizational demand area(r = .328, p = .000), working condition area(r = .153, p = .015), and wage area(r = .137, p = .031). By the sub areas of empowerment, the correlation with job satisfaction was high in order of significance(r = .424, p = .000), influence(r = .397, p = .000), competence(r = .372, p = .000), and self determination(r = .259, p = .000). Conclusion : The 119 emergency medical technicians' empowerment was in a high correlation with their job satisfaction, and had a strong effect on it. This suggests that 119 emergency medical technicians' job performance can be enhanced by improving their empowerment. These results are expected to be useful in making human resource management plans to enhance 119 emergency medical technicians' job satisfaction by empowering them.

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병원 간호사의 환경문제 인식, 친환경 태도, 친환경 간호수행 (Environmental problem awareness, eco-friendly attitude and eco-friendly nursing practice in hospital nurses)

  • 서영숙;김지희;최혜경
    • 디지털융복합연구
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    • 제13권12호
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    • pp.303-311
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    • 2015
  • 본 연구의 목적은 환경문제 인식, 친환경 태도, 친환경 간호수행의 상관관계를 알고자 하는데 있다. 191명의 병원 간호사가 2012년 10월부터 11월까지 자기기입식 설문을 작성하였으며, 자료 분석은 t-test, one way ANOVA, Pearson 상관관계, multiple regression analysis를 사용하였다. 설문은 환경문제인식, 친환경태도, 친환경보건 관리로 구성되었고, 환경문제인식 (r=.46, p<.001), 친환경태도 (r=.36, p<.001), 친환경 보건관리 사이에 양의 상관관계가 있었다. 변수들에 대한 설명력은 35.0%였다. 본 연구를 통해 국내 병원 간호사의 환경문제와 친환경태도에 대한 인식도를 향상시킬 필요가 있음을 증명하였다. 본 연구 결과를 통해 병원 간호사의 친환경 간호수행을 향상시키기 위한 병원 내 친환경 프로그램 개발 연구를 제언한다.

혈역학적으로 불안정한 골반골 골절 환자에서 골반골 골절 소견과 혈관조영술 소견의 비교 (Comparisons of Fracture Types and Pelvic Angiographic Findings in Hemodynamically Unstable Pelvic Bone Fracture)

  • 이권일;이강현;강성찬;박승민;장용수;신태용;황성오;김현
    • Journal of Trauma and Injury
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    • 제20권1호
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    • pp.26-32
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    • 2007
  • Purpose: Hemorrhagic shock is the leading cause of death in patients with pelvic bone fractures. The majority of blood loss is due to injured pelvic arteries and retroperitoneal veins and to bleeding from the fracture site itself. Pelvic angiography and embolization of injured vessels is an effective way to control continuous bleeding. However, identifying the bleeding focus in hemodynamically unstable patients before diagnostic intervention is difficult. The purpose of this study was to determine the correlation between fracture patterns in hemodynamically unstable patients with pelvic fractures and later pelvic angiography findings. Methods: We performed a retrospective study of 21 hemodynamically unstable patients with pelvic fractures admitted to our emergency department between April 2001 to April 2006. All 21 patients underwent pelvic angiography. Pelvic fractures were assessed according to the Tile's classification and the degree of injury was assessed using the Injury Severity Score (ISS) and Revised Trauma Score (RTS). The hemodynamic status of the patients was defined using vital signs, base excess, and blood lactate. Fracture patterns were compared with hemodynamic status and angiography findings. Results: In the 5year study period, 21 hemodynamically unstable pelvic bone fracture patients were admitted; ten were men (47.6%), and 11 were women (52.4%). The mean age was 41.1 years (range: ${\pm}20.1$). Of the 21 embolization was performed in 6 patient (28.6%): 1 patient of the 5 unstable pelvic bone fracture patients (20%), and 5 patients of 16 the stable pelvic bone fracture patients (31.3%). There were no significant differences between the RTS (p=0.587) and embolization rate (p=0.774) for either the stable patients or the unstable patients. Patients with arterial injury on angiography had a lower RTS compared with patients without arterial injury but there was no significant difference in ISS between the two groups. The angiographic injured sites were five internal femoral arteries and one external femoral artery. Conclusion: The findings in this study suggest that the pelvic fracture pattern in hemodynamically unstable patients with pelvic fractures does not correlate with pelvic angiography findings.

응급구조과 학생들의 커뮤니케이션 능력과 협동학습과의 관계 (The Relationship between Communication and Cooperative Learning)

  • 정명애;박성덕
    • 한국응급구조학회지
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    • 제15권1호
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    • pp.101-114
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    • 2011
  • Purpose : This study was performed to examine study on the relationship between communication ability and teamwork competency of EMT students. Method : The results were based on the revised questionnaires, which can be applicable to EMT from the using questionnaires by Canary et $al^{10)}$ and $Bu^{11)}$, with a sample of 163 students consisting of 55 first, 48 second and third 60, conducted on October 10, 2008. Data were analyzed using SPSS 14.0 in terms of means, $x^2-test$, standard deviation, one way ANOVA, and correlation. Results : The communication competency was statistically significantly different between three groups. In the area of adaptability, there were statistically significant difference between three groups. In the area of effectiveness, there were no statistically significant difference between three groups. In the area of appropriateness, there were statistically significant difference between three groups. The cooperative learning was statistically significant difference between three groups. In the area of team conversation, there were statistically significant difference between three groups. In the area of cooperation and collision management, there were statistically significant difference between three groups. In the area of cooperation and collision management team decision making, there were statistically significant difference between three groups. As a results of correlation analysis, there was correlation of communication and cooperative learning. Conclusion : This results showed that education of communication and cooperative learning must be instructed to EMT students. Consequently, It is necessary to make a further application tool of EMT.

소방대원의 성격유형, 스트레스 및 직무만족의 관계에 관한 연구 (A study on relationship of Personality type, Stress, and Job Satisfaction in some firefighters)

  • 오진환;이인수
    • 한국응급구조학회지
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    • 제10권3호
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    • pp.71-85
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    • 2006
  • Purpose: The purpose of this study is to investigate the relationship among the variables, personality type, stress, and job satisfaction in firefighters. Methods: The questionnaire research was conducted for field service firefighters who work in two cities for the period of June 20, 2005 through July 20, 2005. A total number of 308 data were used for this analysis. For analysis of the data, the SPSSWIN 10.0 program was used to analyze descriptive statistics, correlation analysis, t-test and one-way ANOVA. Results: The mean score of subjects' stress was 3.30 and the mean score of job satisfaction was 2.86. There were significant differences on stress and job satisfaction by general characteristics. Stress was significantly differed by field of working. Job satisfaction was significantly differed by marital status and field of working. Also, there were significant differences on stress and job satisfaction by characteristics related to working. Stress was significantly differed by sleeping time at night shift, witness their superior's or companion's death or injury, and a threat to death or injury. Job satisfaction was significantly differed by an aptitude for field of working and wish to change the field of working. But there was no significant differences on stress and job satisfaction by personality type. There was statistically significant negative correlation between stress and job satisfaction. Conclusion: Strategies that can decrease their stress need to be developed to increase job satisfaction.

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RF-CBTC 시스템에서 무선통신 커버리지 이중화를 통한 통신 안정성 확보 (The Way to Ensure Safety of Communication by Means of Redundancy of Wireless Communication Coverage in RF-CBTC System)

  • 박주연;양희준;강덕원;이종성
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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    • pp.3104-3110
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    • 2011
  • This paper describes how to ensure safety of train by guaranteeing stable and continuous communication in RF-CBTC. CBTC System uses the wireless communication between onboard and wayside so that safety of wireless communication is the most important. Losing the position of train causes vital problem of train service. By losing the position of train, the other trains are blocked in the block and the train move by emergency mode so headway and safety cannot guaranteed. Therefore, safety is ensured by redundancy of wireless equipment. One of the ways to make redundancy is redundancy of equipment. However, the redundancy of equipment spends a lot of money to avoid interference in limited place like underground. Continuous communication is guaranteed by means of redundancy of wireless communication coverage to solve the problems even though one of the equipment is broken.

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