• 제목/요약/키워드: Security Treatment

검색결과 291건 처리시간 0.031초

부자재 종류가 친환경적 사축퇴비화에 미치는 영향 (Influences of Bulking Materials on Sustainable Livestock Mortality Composting)

  • 원승건;박지영;조원실;곽정훈;최동윤;안희권;라창식
    • Journal of Animal Science and Technology
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    • 제55권5호
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    • pp.483-488
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    • 2013
  • 본 연구에서는 환경친화적 사축퇴비화 기술을 개발할 목적으로 부자재의 종류별 사축퇴비화 특성을 파악하였다. 부자재로는 사축발생 현장에서 쉽게 구할 수 있는 퇴비, 돈분, 톱밥, 왕겨를 대상으로 실험하였으며 다공성관을 이용한 자연통기형 방법을 고안하여 사용하였다. 실험실 규모의 사축퇴비화 시스템은 100 mm 스티로폼을 이용하여 제작 (W36 ${\times}$ L60 ${\times}$ H26 cm) 하였으며 자연송풍은 바닥을 통해 이루어지도록 고안하였다. 모든 실험은 4처리 (퇴비, 돈분+퇴비, 톱밥, 왕겨) 3반복으로 수행하였으며 퇴비화기간은 40일이었다. 사축퇴비화 과정중의 침출수 발생패턴과 양을 보면 퇴비와 톱밥을 부자재로 사용한 경우에는 침출수가 전혀 발생하지 않았던 반면 돈분+퇴비 및 왕겨를 부자재로 이용한 경우에는 침출수가 발생하였다. 침출수 발생은 퇴비화 초기에 집중되었으며 배출된 침출수의 양은 돈분+퇴비의 경우 18ml/kg-mortality, 왕겨의 경우에는 8.2ml/kg-mortality 이었다. 침출수로 배출되는 오염물질의 양은 왕겨를 부자재로 사용 시 사체 kg당 1.91mg의 $NH_4$-N와 2.22 mg의 TOCs가 발생하였고, 퇴비와 분뇨를 혼합하여 부자재로 사용할 때에는 사체 kg 당 38.65 mg의 $NH_4$-N와 0.70mg의 TOCs가 발생하였다. 고안된 퇴비화 시스템에서의 악취발생 정도를 알기 위해 사축퇴비화 과정 중의 DMDS 발생을 조사한 결과 사축분해 정도와 관계없이 평균적으로 매우 낮은 발생을 보였는데 이는 상층에 위치한 완숙퇴비가 바이오필터의 역할을 담당했기 때문으로 판단되었다. 사축분해율은 퇴비, 돈분+퇴비, 톱밥, 왕겨구에서 각각 25.3, 25.8, 13.5, 14.5% 수준으로 퇴비 및 돈분+퇴비구의 사축분해율이 톱밥이나 왕겨구에 비해 유의적으로 높았다 (p<0.05). 또한 퇴비나 돈분을 혼합하여 부자재로 이용한 처리구에서만 $55^{\circ}C$ 이상으로 충분한 열이 발생하여 1주일 정도 유지된 것으로 나타나 부자재를 단독으로 사용하는 것은 생물학적 안정성측면에서 바람직하지 않은 것으로 판단되었다.

국내 선형가속기의 포괄적인 품질관리체계에 대한 제언 (Suggestion for Comprehensive Quality Assurance of Medical Linear Accelerator in Korea)

  • 최상현;박동욱;김금배;김동욱;이재기;신동오
    • 한국의학물리학회지:의학물리
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    • 제26권4호
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    • pp.294-303
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    • 2015
  • 미국의학물리학회는 포괄적인 방사선치료기기의 품질관리를 위한 작업그룹(Task Group: TG) 40 보고서를 1994년 발표한 이후로 세기조절방사선치료, 정위적방사선치료, 및 영상유도방사선치료 등의 고정밀 방사선치료를 포함한 선형가속기에 대한 품질관리를 권고하기 위해 2010년에 AAPM TG-142를 발간하였다. 그리고 최근 국내에서도 최신 치료기법에 대한 품질관리의 필요성에 따라 원자력안전위원회는 원자력안전위원회고시 제2015-005호 "의료분야의 방사선안전관리에 관한 기술기준"을 발표하였다. 원자력안전위원회고시에는 각 의료기관에서 품질관리전문인력을 두어 품질관리 조직 및 직무, 품질관리에 필요한 장비, 품질관리 방법/주기/관리오차 및 관리오차 초과 시 조치방법 등에 대한 내용이 포함된 품질관리절차서를 수립하고 품질관리를 수행하도록 규정되어 있다. 이에 따라 의료기관에서는 3차원 입체조형방사선치료, 세기조절방사선치료, 정위적방사선치료 등과 같은 방사선치료유형별(Non-IMRT, IMRT, SRS/SBRT)로 방사선치료기기에 맞는 품질관리 항목, 주기 및 관리오차를 설정하고, 적절한 품질관리 장비 등을 사용하여 기관의 실정에 맞게 품질관리를 수행하여야 한다. 그러나 국내에는 선형가속기의 체계적인 품질관리를 구축할 수 있는 지침서나 학회 보고서 등이 미비하여 현재 각 의료기관별로 각기 다른 품질관리의 항목, 주기 및 관리오차를 설정하여 품질관리를 수행하고 있는 실정이다. 그러므로 본 논문에서는 방사선치료의 안전성 및 정확성을 확보하기 위해 원자력안전위원회 고시 및 TG-142에 기반한 국내 실정에 적합한 선형가속기에 대한 품질관리체계 구축 방안 등을 제안하였다. 제안된 선형가속기에 대한 품질관리 체계는 다른 고정밀 방사선치료기기 등의 품질관리 체계 구축에도 도움이 될 것으로 사료된다.

소방공무원의 직무질환에 관한 연구 (A Study on Occupational Diseases of Fire Officials)

  • 조광래
    • 시큐리티연구
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    • 제61호
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    • pp.109-135
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    • 2019
  • 본 연구는 소방공무원의 직무질환(진료건수)에 대한 시계열 분석 등 기술적 탐색 연구를 진행하는데 그 목적이 있다. 구체적인 연구결과는 다음과 같다. 첫째, 소방공무원의 직무질환에 대한 평균추이는 ① 내과 질병은 12월이 9.24%로 가장 높고, 2월이 7.76%로 가장 낮고, ② 이비인후과 질병은 12월이 9.29%로 가장 높고, 8월이 6.74%로 가장 낮으며, ③ 피부과 질병은 7월이 10.03%로 가장 높고, 1월과 2월이 7.35%로 가장 낮고, ④ 외과 질병은 11월이 10.38%로 가장 높고, 2월이 5.62%로 가장 낮으며, ⑤ 정형외과 질병은 3월이 9.69%로 가장 높고, 11월이 7.52%로 가장 낮고, ⑥ 신경외과 질병은 4월이 9.33%로 가장 높고, 2월이 6.82%로 가장 낮으며, ⑦ 재활의학과 질병은 12월이 9.47%로 가장 높고, 10월이 7.06%로 가장 낮고, ⑧ 정신건강의학과 질병은 12월이 9.93%로 가장 높고, 5월이 6.51%로 가장 낮은 것으로 나타났다. 둘째, 소방공무원의 직무질환에 대한 계절분해는 ① 내과 질병은 1.075(S) × 189.355(T·C) × 1.174(R) = 238.975(F), ② 이비인후과 질병은 1.023(S) × 69.605(T·C) × 1.040(R) = 74.000(F), ③ 피부과 질병은 1.002(S) × 73.088(T·C) × 0.874(R) = 64.000(F), ④ 외과 질병은 1.099(S) × 27.229(T·C) × 0.669(R) = 20.000(F), ⑤ 정형외과 질병은 1.115(S) × 73.182(T·C) × 1.213(R) = 99.000(F), ⑥ 신경외과 질병은 0.993(S) × 27.836(T·C) × 1.303(R) = 36.000(F), ⑦ 재활의학과 질병은 1.029(S) × 62.417(T·C) × 1.152(R) = 74.000(F), ⑧ 정신건강의학과 질병은 1.210(S) × 8.781(T·C) × 1.035(R) = 11.000(F) 등으로 나타났다.

가미창백산(加味蒼栢散)이 Carrageenan유발 동물모델 관절염의 소염, 진통, 해열 및 면역에 미치는 영향 (Effects of Gamichangbaek-san(Jiaweichangbai-san) on Anti-inflammatory, Analgesic, Anti-febrile Activities and Immune Responses in Carrageenan-induced Arthritic Animals)

  • 한영규;박영회;금동호;이명종
    • 한방재활의학과학회지
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    • 제15권1호
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    • pp.127-141
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    • 2005
  • Objectives : This study was performed to investigate the effects of Gamichangbaek-san(Jiaweichangbai-san) on anti-inflammatory, analgesic, anti-febrile and immune response on the arthritis of carrageenan-induced animals. Methods and Materials : Rats were classified into control and sample groups which are 7 individuals each for the experiments about anti-inflammatory and anti-febrile. Each of the 7 mice were classified into normal, control, sample groups for the analgesic experiments. Gamichangbai-san(Jiaweichangbai-san) was administered to sample group and normal saline was administered to normal and control groups. Arthritis was induced by injection of 1% carrageenan $0.1m{\ell}$ and Gamichangbaek-san(Jiaweichangbai-san) was administered after 30 minutes. The change of edema in Carrageenan-induced Arthritic Rats' Paws was measured after 1 hour and 5 hours from the injection of carraqeenan with Plethysmometer(7150, UGO BASILE, ltaly) by Winter' method. WBC, Lymphocyte and ESR were measured by heart puncture and CD4+ T cell, CD8+ T cell and CD4+/CD8+ T cell ratio were measured from the spleen tissue. Writhing syndrom was measured with Tail flick unit(UGO BASILE, Italy) in the experiments conducted to check the analgesic activity. The temperature of the paws of carrageenan-induced arthritic rats was measured by Laser thermometer. Rectal temperature was measured by Yeast's method in anti-febrile experiments. Immune response was measured by CD4+, CD8+ T cell ratio and CD4+/CD8+ T cell ratio. Results : 1. It was recognized that Gamichangbaek-san(Jiaweichangbai-san) decreased the increase rate of Paw Edema effectively with statistical significance. 2. It was recognized that Gamichangbaek-san(Jiaweichangbai-san) decreased WBC, Lymphocyte and ESR with statistically high significance. 3. It was recognized that Gamichangbaek-san(Jiaweichangbai-san) did not show significant analgesic effect, but the Pressure pain threshold of the paws was increased with statistical significance. 4. It was recognized that Gamichangbaek-san(Jiaweichangbai-san) decreased rectal temperature effectively and had an anti-febrile effect about the febrile of a joint with statistical significance. 5. It was recognized that Gamichangbaek-san(Jiaweichangbai-san) increased CD4+ T cell ratio with statistically high significance and increased CD+8 T cell ratio with statistical non significance but increased CD4+/CD8+ T cell ratio effectively with statistical significance, too. Conclusions : According to the above results, it can be concluded Gamichangbaek-san(Jiaweichangbai-san) showed the treatment effects on the artificial arthritis resulted from carageenan in rats and it is suggested that more interest and study in the security for the clinical use were needed.

119 소방헬기 이용 활성화를 위한 발전방안 (The Developmental Device for 119 fire fighting helicopter use activations)

  • 고재문;김태민;김효식;이영아
    • 한국응급구조학회지
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    • 제11권3호
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    • pp.93-109
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    • 2007
  • The pre-hospital care in site transportation care and site care will be divided, it will follow in site or evacuation it will enforce it will can evacuate in condition of the emergency patient of like this at the initial stage and emergency care from inside fire fighting helicopter back transfer means and the manpower security of the specialty emergency necessary personnel(nursing and 1st EMT's) as the medical treatment agency and modernization of first aid equipment necessity inside American securing and fire fighting helicopter and specialty first aid packet won about lower the emergency care which is appropriate cannot become accomplished are the actual condition in total lack of emergency care equipment. Consequently craving augmentation, in order to be adapted with the handling kind transfer whose specialty and is appropriate and present time of rapid increase and the citizen of emergency demand by fire fighting helicopter simplicity transfer compared to it is a condition where the countermeasure preparation is earnest. Must expand emergency care equipment first even in fire fighting helicopter and 1st EMT's which it follows in him become arrangement and quickly the execution and specialty temporary disposal(ALS) must be enforced a temporary disposal and must buy the life which is. Also it gets by experience a helicopter induction outline, a radio communication method and the patient helicopter on-board hour attention point back various attention fact back with the body and when where it stands but accurately there must be it will be able to induce the helicopter. Also every manuals anger it does a helicopter transfer method and the emergency care method back and that all processes must do fixed form anger, it becomes feed. Also it related with a helicopter transfer even from the relationship agency many research to lead, difference of the advanced foreign nation and the maximum it is the actual condition where the medical emergency system construction which it reduces is earnestly demanded. Also with emergency structure(crane) it confronts to an aviation transfer even from the establishment college and education it leads intensively and 1st EMT's of the good quality which relates with an aviation structure expects is cultivate at all.

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뇌졸중 환자의 재원 적절성 평가에 관한 연구 (A Study on Evaluation of the Appropriateness of Hospitalization for Patients with Stroke)

  • 최은미;유인숙
    • 디지털융복합연구
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    • 제10권3호
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    • pp.233-240
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    • 2012
  • 본 연구는 뇌졸중 환자의 입원 및 재원적절성에 영향을 미치는 요인을 파악함으로써 효율적인 병상이용과 질적인 의료서비스를 제공하고 불필요한 병상 이용을 줄여 급성기 치료가 꼭 필요한 대상자들이 즉시 병원을 이용할 수 있도록 도움을 주고자 하였다. 연구대상자는 일개 종합병원의 신경과에서 퇴원한 뇌졸중 환자로 의료보장별 의료 적절성을 파악하기 위해 최근 약 4년 동안인 2006년 3월 l일부터 2010년 10월 31일까지 총 154명의 대상자를 선정하였다. 연구방법은 입원 및 재원적절성을 평가하기 위해 적절성 평가지침(AEP)을 이용하여 의무기록을 분석하였고, 수집된 자료는 SPSS 12.0을 이용하여 전산처리하였다. 이상의 결과를 근거로 입원적절성을 높이고 재원기간을 단축시킨다면 재원적절성도 높아질 것이라는 결론을 얻게 된다. 또한 재원기간이 재원적절성에 영향을 미치는 것으로 조사되었기에 재원기간이 길어질수록 병상 회전율을 감소시키는 요인으로 영향을 미치게 되므로 적절한 시기에 퇴원이 이루어질 수 있도록 의료기관 내에서의 질 향상 전담팀을 구성하여 각 질환군에 따른 재원기간에 대한 적절성 평가 및 관리가 이루어져야 한다. 궁극적으로 뇌졸중 환자의 급성치료가 끝나면 즉시 재활치료 및 장기요양관리가 이루어질 수 있도록 장기요양시설 확충과 같은 정부의 뒷받침으로 불필요한 재원기간을 줄여갈 수 있는 것이다.

병원구매업무에 있어서의 전자상거래 도입에 관한 연구 - 구매부서 관리자의 인식도를 중심으로 - (A Study on the Introduction of Electronic Commerce for Purchasing Section in Hospitals - Focused on the Understanding of Purchasing Managers -)

  • 황은범;남상요;하호욱;이창은
    • 한국병원경영학회지
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    • 제6권3호
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    • pp.69-89
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    • 2001
  • This study is focused that the electronic commerce(EC) on the purchasing section may improve the efficiency and transparency of the hospitals management. After reviewing the purchasing activity of hospitals, I study the introduction, expected effects, and problems of EC. So, I am going to provide basic information for activating EC. The samples are managers of 170 hospitals, which are located on Seoul. As a result of collection this survey, I analyze 79 hospitals. For data analysis, I use $X^2$-test and ANOVA for purchasing management and the relevance of EC according to the level of care. The results of this study are 1. The problems on the management of purchasing section are: firstly, they don't have sufficient time to study market. Secondly, it is difficult to find competitive suppliers. And, lastly, they cannot gather a lot of information about the price of products. 2. There are many answers of the needs on the introduction of B2B. However, some hospitals think they don't need it. But, the most answers are that the EC will be settled within 4 years. So, we can realize that these hospitals are getting interested on the EC. On the other hand, I find that they prefer outside EC companies for the introduction of EC. 3. On the expected effects on EC, first is the effectiveness of the market survey. The next is to collect information of adequate price of products owing to clear transaction, find easier new suppliers and gather useful data. 4. On the external problems of the introduction of EC, there is low credibility related to the security and the weakness of suppliers' information system. Especially, on the Real Transaction Price Payment system, the bigger bed size, the higher understanding on these problems. On the internal problems of the introduction of EC, first is the burden of the introduction of EC and operating cost. Especially, on the burden of the disclosure of revenue source, the smaller bed size, the higher understanding on this problem So, this is a point which deserves my attention statistically. However, this shows relatively little understanding about incomplete the standard of product category and the weak information system of hospital. Through this study, I am going to suggest 3 points for the activation of the introduction of EC on hospitals. 1. The reform of the Real Transaction Price Payment System on medical supplies and materials for medical treatment 2. The establishment of the standard of product category 3. The promotion of information system based on network.

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영유소아기 가정사고의 원인과 예방에 관한 연구 (A Study on Home Accidents of Preschool Children (from 1 to 6) in Korea and Prevention Measures)

  • 변수자
    • 대한간호학회지
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    • 제4권1호
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    • pp.107-120
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    • 1974
  • Necessity and purpose of this study: In a large number of countries it has been founded that children′s domestic accidents are at great risk year by year In the United States, they publish detailed accident statistics at regular intervals. In Korea. there have been just a few studies on Accidents-At-Home of preschool children. But it can not be said that there have been any systematic statistics about this area. and any study accounting for the relations of home accidents and preschool: children in detail, Therefore, the purpose of this thesis was focused on the inquire of these relations so as to make a little contribution to Korean preschool children′s health and security measures. So, the detail-purposes are to study following questions and to testify following hypothesis. Prob. 1. What the types of accidents of Preschool children, where the place accidents occurred\ulcorner Prob. 2. What the cause of accidents and, the main factors of the cause\ulcorner Prob. 3. How about the number of their children. the disparity of age among their children and mother′s age in each case of accidents\ulcorner hypothesis 1. There will be differences in the density of protection of parents according to the number of their children. hypothesis 2, There will be differences in accident-types and first-aid methods according to parents socio-economic background. Method; This study employed the interviewing survey method, in which 130 preschool children ware random.sampled, who visit hospital to have medical care. These children (from 1 to 6 years olds) were selected at the emergency room of five hospitals in Seoul (Hosp: Severance, Woosok, Medical Center, Hanyang Medical College Hospital and Seoul Medical Col1age Hospital during study-period (from Aug. to Oct, 1973). Four head nurses in above Hospitals were employed as accident members for this study. Concerning research analysis, the method of hypothesis verifying is used. Conclusion: As two American experts on this subject. Dr, Raymond Neuter and Mr. Ross Mc Garland have drawn attention to "minor epidemics of accidents" that could be avoided by fairly simple measures. preschool children′s accidents could be avoided by parents fair attentions. In other words, one of the most common causes of preschool children′s accidents derived from their parent′s inattention. Therefore, one important task on this subject is to instruct the parents fairly about the children′s accidents. Many accidents could be avoided by the exorcist of a little self-discipline. Also, as much the prevention of accidents is important, as the first-aid Is Important and necessary at the case of the accidents. So, the methods of proper first-aid treatment must be emphasized, and must be taught in school, especially in girls school. And there could be other means available for prevention of accidents. Firstly, the public authorities can take legal measures. More stringent safety standards can be made enforceable by law. Building materials and equipment for domestic us: ought to meat minimum safety criteria at all times. Next the public itself has to understand the seriousness of the problem, and here the dissemination of information is of great importance. All mass media should be brought into play to promote greater public awareness of the question. At last, it will be needed to obtain more detailed epidemiological data through additional surveys and statistics after this study.

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암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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제주도 119구조·구급대의 활성화 및 전문화 방안 (A Study on the Activation·Specification of 119 Rescue & Care in JeJu)

  • 고재문;김태민;김효식;이영아
    • 한국응급구조학회지
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    • 제6권1호
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    • pp.153-168
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    • 2002
  • Since 1992, conventional fire fighting businesses have been converted into a metropolitan autonomous fire fighting system to be ready for a variety of disasters. However, the corresponding investment has been overlapped due to the non-integration of businesses to prevent any potential disasters, and a series of collaborative systems have been not functioning so well. In the meantime, our fire fighting sector has been trying to set up its own clean and faithful position by abolishing any inconvenient system or outsourcing private sectors, and expanded its work scope from conventional fire fighting even to rescue and emergency works. While focusing on handling disaster, the fire fighting sector has been widely trusted and reliable throughtout our nation. Moreover, our fire fighting sector has secured nation wide mobile organizations, technical personnel by field, special equipments and independent communication network. In addition, the fire fighting sector has knowledges, expertise and capabilities required for managing disasters, while in charge of almost every disaster management works including fire, explosion, collapse, disaster and flood. It becomes an organization for comprehensive disaster management under an absolute national trust, which is based on the system for prevention, preparation and countermeasure against a variety of disasters. Thus, our fire fighting sector must make many efforts and try to modernize conventional education and training. The ways to facilitate rescue and emergency works may include the nurture of technical fire fighting personnel along with modernized equipments, the reinforcement of rescue and emergency education, the facilitation of operating civil defense corps, the facilitation of operating volunteer fire fighting corps, the better arrangement of 119 briefing room for public healthcare in provincial offices, the sterilization of rescue instruments and equipments the better repair education for emergency rescue member, the establishment of regional emergency assistant system and the expansion of fire fighting personnel and equipments. In terms of reinforcing the functions and services of rescue 119 and emergency corps, we must review the following considerations: Building up security system along with operational expansion, building up a system for emergency medical treatment, building up a comprehensive information management system for rescue and emergency, constructing a provincial safety museum and so forth. For the ways to better the works of rescue 119 we can review the following considerations : Improving the education for fire fighting training corps under Jeju Provincial Fire and Disaster Management Department, providing rescue members with more opportunities for clinical practices, enhancing the morale of rescue members, installing a comprehensive briefing room for emergency rescue members, building up medical networks along with reasonable policies for information service, operating the consulting system for rescue 119 and so on. If these requirements are met, it is expected that the fire fighting departments in Jeju province can cope with every accident and disaster a little more rapidly and quickly in compliance with local needs, so that they can keep their own position as a public fire fighting organization which may be trusted by the public.

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