• Title/Summary/Keyword: Paramedicine

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Work-Related Musculoskeletal Disorders in Iranian Dentists: A Systematic Review and Meta-analysis

  • ZakerJafari, Hamid Reza;YektaKooshali, Mohammad Hossein
    • Safety and Health at Work
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    • v.9 no.1
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    • pp.1-9
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    • 2018
  • Background: Work-related musculoskeletal disorders are the most important problems among professions particularly, dentists. This study was conducted to determine the prevalence of musculoskeletal disorders in various parts of the body in Iranian dentists by using systematic review and meta-analysis. Methods: This systematic review and meta-analysis was based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and searching in national databases such as SID, Magiran, Irandoc, IranMedex, and Medlib, and international databases such as MedLine, Web of Sciences, Scopus, PubMed, ScienceDirect, Cochrane, Embase, Springer, Wiley Online Library, Ebsco, CEBM, and Google Scholar search engine which were published by January 1, 2017. Researched keywords were in Persian and their standard English equivalents were in accordance with their MeSH. The obtained documents were analyzed using Comprehensive Meta-analysis version 2. Results: According to 23 studies through 2,531 Iranian dentists which took part in this study, prevalence of skeletal disorders in Iranian dentists has been 17.6% [confidence interval (CI) 95%:11.7-25.5] in knees, 33.2% (CI 95%:24.1-43.8) in shoulders, 33.4% (CI 95%: 26.8-40.8) in the thorax, 51.9% (CI 95%:46.7-57.2) in necks, 33.7% (CI 95%:28.2-39.6) in wrists/hands, 12.9% (CI 95%:7.7-20.6) in elbows, 37.3% (CI 95%: 31.5-43.5) in lower back, 11.9% (CI 95%:8.7-16.1) in thighs, 12.9% (CI 95%:3.8-36) in the foot, and 10.5% (CI 95%:7-15.4) in legs. Conclusion: Considering the high prevalence of musculoskeletal disorders in Iranian dentists, ergonomics should be included as a lesson in preclinic and also, reeducation courses for ergonomics basics should be executed for graduate dentists.

Analysis of Bystander Cardiopulmonary Resuscitation and Public Access Defibrillation Utilization -Convergence Study based on the Data of Daegu - (목격자에 의해 시행된 심폐소생술 및 자동심장충격기 시행률 분석 -대구광역시 자료기반 법률 및 지침 고찰을 통한 융합연구-)

  • Park, Si-Eun
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.265-274
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    • 2022
  • This study was conducted on 3,418 cases of cardiopulmonary arrest patients' detailed status table (2020, raw data) collected in 2020. Also, it is a retrospective narrative research that investigates and examines related laws and guidelines. The main findings are as follows. First, the implementation rate of 'bystander CPR' was 30.66% (1047 cases) and it was a remarkable result. It can be inferred the quality of the relevant laws and guidelines. Second, 'Public access defibrillation (shock)' accounted for only 0.10%(5 cases). it is considered that the relevant laws and guidelines are weighted towards 'stock and obligation.' Strategic differentiation of response by region is needed. Third, out-of-hospital cardiac arrest occurred at house was 71.97%(2,640 cases). To operate the 'special ambulance team' efficiently, it is necessary to analyze regional data more closely and develop an efficient strategy in the future.

Effects of Horsetail, Alfalfa, Ortie, Chêne and Aleppo oak as Potential Hemostatic Agents on Laboratory Coagulation Tests

  • Sina Ahmadianfar;Nahid Mehrabi;Saeed Mohammadi;Ali Sobhanizadeh;Alireza Moradabadi;Ali Noroozi-Aghideh
    • Natural Product Sciences
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    • v.29 no.1
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    • pp.42-49
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    • 2023
  • This study investigated the effect of ethanol extracts of horsetail, alfalfa, ortie, chêne and aleppo oak on blood coagulation in vitro. Extraction was performed by the maceration method. Extracts were mixed with platelet and plasma, then prothrombin time (PT), activated partial thromboplastin time (APTT) and platelet aggregation tests were conducted. Alfalfa extract had a dose-dependent effect on the PT. Ortie, and horsetail, reduced the PT significantly compared to control group. Alfalfa, horsetail, and ortie reduced the APTT, but their effect was insignificant compared to the control group. The pooled extract showed the highest effect compared to the single extracts in a dose-dependent manner. Horsetail and alfalfa induced platelet aggregation in response to arachidonic acid but not in response to collagen. In the case of ortie, no aggregation occurred regarding the arachidonic acid, and incomplete was observed in response to collagen. Interestingly, blood clotting occurred immediately after adding the chêne, aleppo oak and the pooled extract, and therefore platelet poor plasma (PPP) and platelet rich plasma (PRP) became jelly. Generally, chêne and aleppo oak, as well as pooled extract, were more effective in inducing both primary and secondary coagulation pathways via shortening the PT and APTT, and induction of platelet aggregation.

Comparison of resource allocation criteria and status of 119 emergency medical services in South Korea and Japan: exploring optimal resource allocation strategies for regional EMS (한국과 일본의 119구급자원 배치 기준 및 현황 비교: 지역별 119구급자원의 적정 배치 방안 모색을 중심으로)

  • Hyeji Kwon;Hyungsub Kim;Youngjeon Shin
    • The Korean Journal of Emergency Medical Services
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    • v.27 no.2
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    • pp.91-111
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    • 2023
  • Purpose: This study aims to compare 119 emergency medical services (EMS) in South Korea and Japan to provide essential data for EMS improvement in South Korea. Methods: Recent data and regulations on firefighting and EMS in South Korea and Japan were analyzed and compared. Results: South Korea follows a centralized approach to EMS, whereas Japan operates with autonomous bodies that establish their own criteria. Japan considers more regional variables than South Korea. In South Korea, there are shortages in fire station deployment among the 119 emergency medical resources in certain regions, leading to significant regional disparities. South Korea has a larger population served by its 119 emergency medical resources with a higher workload and dispatch numbers than Japan. The percentage of non-transported patients among the total number of dispatches was higher in South Korea. Conclusion: Increasing the number of medical professionals and ambulances per population to the level of Japan to reflect local conditions and include various underlying variables such as daytime population, aging, and emergency dispatch conditions in the deployment of 119 emergency resources, and to reduce the deployment gap between regions, will contribute to improving the performance of the South Korea EMS system.

The Effects of the senior staff's transformational and transactional leadership on life satisfaction for the 119 ambulance workers

  • BYUNG-JUN CHO;IL-SOON CHOI;TAE-HYUN LEE
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.7
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    • pp.121-129
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    • 2023
  • This study analyzed 247 data surveyed on 119 ambulance workers 268 in a G-Do. The variance of the multiple regression model on the effect of independent variables on life satisfaction factors was statistically significant. And transformational leadership is an independent variable that significantly affects life satisfaction factors. However, there is a slight difference in the perception of transactional satisfaction factors (p=.051) was not statistically significant, so the second research question raised in this study was rejected. Based on the results of this study, transformational leadership should be centered on improving 119 paramedics' life satisfaction in the relationship between the direct effects of leadership variables related to 119 paramedics' life satisfaction. By doing so, 119 paramedics' life satisfaction will increase and the ultimate improvement in the quality of first aid at the emergency site will be achieved by providing a foothold to demonstrate the potential capabilities of 119 paramedics. In addition, 119 paramedics need to recognize and promote the importance of life satisfaction recognized in their daily lives and workplaces, creating an environment that can demonstrate transformative leadership by carefully caring for 119 center heads, team leaders, and field seniors.

The Impact of Five Personality Traits and Stress Coping Methods of Paramedic Students Who Experienced Emergency Room Practice on Clinical Practice Stress (응급실 실습을 경험한 응급구조학 전공 학생의 5요인 성격특성, 스트레스 대처방식이 임상실습스트레스에 미치는 영향)

  • Jun-Ho Jung
    • The Korean Journal of Emergency Medical Services
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    • v.27 no.3
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    • pp.71-83
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    • 2023
  • Purpose: The purpose of this study is to investigate the impact of paramedic students' five-factor personality characteristics and stress coping behavior on the stress of emergency room practice. Methods: This study conducted a survey targeting 2 grade - 4 grade paramedic students who had experience practice at emergency room at N University and B University located in Cheonan, South Chungcheong Province. Results: 'Agreeableness' was the highest at 33.88±6.31 and 'Neuroticism' was the lowest at 27.82±7.43. Among stress coping methods, 'active coping' was higher at 3.39 than 'passive coping' at 3.21, and the subarea with the highest score was 'wishful coping'. When looking at clinical practice stress by sub-domain, 'practical training environment' was the highest at 2.96, and 'interpersonal conflict' was the lowest at 2.14. There was a negative correlation between clinical practice stress and friendliness (r=-.220, p=.014) and a positive correlation with active coping (r=.210, p=.019). The influential factors were friendliness (β=-.267) and active coping (β=.258). Conclusion: The paramedic students who participated in this study showed a high level of agreeableness among the five personality traits and used a active coping style to cope with stress. Agreeableness has been shown to lower clinical practice stress, and active coping is classified as the most appropriate coping style, so research is needed to guide people to utilize friendliness and active coping well.

A study of the continuing education of 119 paramedics: Focusing on the Satisfaction and Educational needs of continuing education (119구급대원의 보수교육에 관한 연구 : 만족도 및 교육요구도를 중심으로)

  • Yeong-Ho Myoung;So-Eun Park;Byoung-Gil Yoon;Jung-Hee Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.237-244
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    • 2023
  • The aim of this study was to explore the satisfaction and needs of 119 paramedics with regard to continuing education and to develop and implement a continuing education program that can enhance their competence in accordance with the purpose of continuing education. The differences in satisfaction with continuing education according to general characteristics were significantly different depending on age, qualification, and clinical experience, and in terms of continuing education topic needs, 'Advanced Trauma Life Support' was the highest need among all groups, and additional desired continuing education topics were the management of mentally ill patients and various field case-based education, indicating a high preference for practical topics that are helpful in emergency patient care work. Therefore, it is believed that efforts should be made to improve the operation of continuing education from various angles, taking into account the general characteristics of continuing education recipients, and improving the quality of continuing education by reflecting the needs of continuing education recipients and selecting practical topics for continuing education.

Comparison of CPR Results And Muscle Fatigue According to Chest Compression Performer's Own Breathing Method

  • Jun-Ho Jung
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.12
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    • pp.175-182
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    • 2023
  • In this paper, we propose a study compared and analyzed the CPR results and muscle fatigue of the three groups. There is a group that counts loudly when compressing the mannequin's chest (Group A), a group that breathes autonomously without counting (Group B), and a group that breathes abdominally without counting (Group C). Twelve people were assigned to each group, and after performing chest compressions for 5 minutes, the results of CPR were analyzed using a program connected to the mannequin, and the muscle fatigue of the performers was analyzed using wireless electromyography. The most efficient method was found to be group B. If we only look at the speed and depth of compression within the normal range, Group C would be more efficient, but Group B showed significantly lower muscle fatigue, and Group A did not reach the normal range in depth of chest compression and muscle fatigue was the highest. Group B was also found to be the most accurate in hand positioning accuracy, and was also found to be the most efficient in maintaining concentration on chest compressions.

Resistance Activity of Kyung-Ok-Ko on Thermal Stress in C. elegans (경옥고(瓊玉膏)의 열 스트레스에 의한 피부노화 억제 활성)

  • Won-Seok Jung;Sung-Young Cho;Hyun-Woo Cho;Hee-Woon Lee;Young‐IL Jeong;Hee-Taek Kim;Young-Bob Yu
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.1
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    • pp.17-28
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    • 2024
  • Objectives : This study was conducted to reveal the scientific mechanism of the anti-skin aging activity of Kyung-Ok-Ko(KOK), which is highly useful as a Korean traditional medicine and functional food. Methods : The skin wrinkle and aging inhibitory activity of KOK was confirmed through in vitro experiments of human dermal fibroblast neonatal cell(HDFn) and in vivo of C. elegans, and hairless mouse(SKH-1). Results : The amount of the C-terminus of the collagen precursor in the HDFn cell culture medium treated with KOK using an enzymes-linked immunoassay kit. The group treated with KOK 200㎍/㎖ was a 28.3% increase of collagen precursor compared to the control group. KOK showed inhibitory activity of MMP-1 compared to the control group at a concentration of 200㎍/㎖. In addition, KOK 200㎍/㎖ showed significant inhibitory activity of thermal stress and an oxidative stress compared to the control group in C. elegans. Furthermore, KOK showed a concentration-dependent(100mg/kg and 500mg/kg) anti-wrinkle formation effect in UV-irradiated hairless mouse(SKH-1). Additionally, when KOK was administered to UV-irradiated hairless mice, an increase in procollagen -1 and -3 genes expression was observed, and mmp-1 and mmp-9 genes, which increase collagen decomposition, decreased with the administration of KOK. Conclusions : The skin aging inhibition mechanism of Kyung-Ok-Ko(KOK) is presumed to be achieved through suppressing thermal stress and oxidative stress, suppressing mmp-1 and mmp-9 genes, and increasing procollagen-1 and procollagen-3.

Chemical accident response competencies and educational needs of 119 EMTs (119 구급대원의 화학사고 대응역량 및 교육요구도)

  • Myeong-Hui Park;Seung-Eun Han
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.1
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    • pp.7-19
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    • 2024
  • Purpose: This study aimed to evaluate and assess the response capabilities and educational needs of 119 emergency medical technicians (EMTs) in chemical accidents. Methods: A self-reported questionnaire was completed by 167 119 EMTs between December 1st and December 31, 2023. The questionnaire comprised 8 questions on general characteristics, 2 on chemical accidents experienced by the participants, 29 on response capabilities, and 15 on educational needs. Data analysis was performed using t-tests, analysis of variance, Duncan's test for post-hoc analysis, and Pearson's correlation coefficient, using SPSS 27.0. Results: The participants scored 2.69 points on response capacity to chemical accidents. The EMT-Paramedics scored high in 'patient triage,' 'patient treatment,' 'patient transport,' and 'collaborative support' (F=3.924, p=.010; F=5.843, p=.001; F=3.698, p=.013; F=5.272, p=.002), followed by educational experience (t=-4.962, p<.001; t=-2.685, p=.008; t=-3.455, p=.001; t=-3.593, p<.001; t=-3.034, p=.003). The participants scored 4.19 points on educational needs, with high scores for 'patients treatment and transport' (4.280.93). The scores for 'patient triage competency', and 'patient triage' (r=.169, p=.024) correlated positively. Furthermore, the scores for 'patient treatment competency' and all sub-factors of educational needs (r=.185, p=.013; r=.215, p=.004; r=.199, p=.008; r=.190, p=.011; r=.197, p=.008) correlated positively. Conclusion: To strengthen the response capabilities of 119 EMTs, it is imperative to develop an educational program that focuses on first-aid responses.