• Title/Summary/Keyword: Technician

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An Analysis of Prehospital Care for Major Trauma Patients depending on the number of 119 Ambulance Crews (119 구급대 편성 인원에 따른 중증외상환자의 병원 전 응급처치 실태 분석)

  • Kim, Jong-Ho;Lee, Hyo-Ju;Lim, Yong-Deok;Han, In-Deuk;Lee, Jae-Gook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.500-506
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    • 2018
  • This study analyzed current prehospital emergency care for severe trauma patients administered by different number of 119 EMS (emergency medical services) teams. Out of 1,067 severe trauma patients transferred by 119 EMS teams in J province from January 1st to December 31st 2015, 438 were evaluated in this study. IBM SPSS Statistics 21.0 was used to analyze collected data. The number of patients with severe trauma during the period of study was higher in male with two and three ambulance crews of 119 EMS teams with 242 patients (70.6%) and 66 patients (69.5%) respectively. The percentage of transfers made to local emergency medical centers was highest in those two groups, being 44.0% (151 patients) and 49.5% (47 patients), respectively. Total time spent at the scene did not differ between ambulance crews of two and three, nor did the frequency of practicing advanced airway management and IV (intravenous) cannulation, or the success rate of IV cannulation (p=0.253, p=0.362, p=1.000). Overall, the results indicated that merely increasing the number of paramedics does not improve the quality of prehospital care for severe trauma patients. Measures such as securing professional paramedics, simplifying direct medical oversights, activating indirect medical oversights, and expanding the legally allowed work scope are required.

A Study on the Responsibility for a Barge's Safety Management in a Marine Construction (해상공사에 투입된 부선의 안전관리 책임에 대한 연구)

  • Jang, Yeong-Jun
    • Journal of Navigation and Port Research
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    • v.39 no.1
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    • pp.37-43
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    • 2015
  • At marine construction sites, there are problems with regard to dispute on the responsibility of safety management of chartered barge and its legal issues. In general, demise charter with crew is used for barge charterparty which is committed to the marine construction. Although Chapter 5 of the Korean Commercial Act enact provisions regulating a Time Chargerparty and a Bareboat Charterparty, it is difficult to clarify where the responsibility lies with regard to the safety control of the chartered barge. For this reason, disputes on accountability arise when accident occurs in effect. As a result, parties of the charterparty shift the responsibility on each other and there is increased risk for occurrence of similar accidents. There is no legally required qualification for a head of barge workers who is in charge of barge management. It is not possible to demand the head of barge workers to take charge of tasks which requires professional judgment as a marine technician considering his daily work scope. Furthermore, the barge committed to the marine construction as a form of bareboat charter or equipment charterage is an object which should be managed by safety supervisor of the charterer's marine construction. The charterer bears a duty to manage the safety of the barge. Therefore, the charterer is generally liable for the damage incurred in the course of using the chartered barge.

Analysis of the commercial diving national qualification system for the introduction of a diving supervisor (잠수기능장 제도 신설을 위한 산업 잠수 국가자격체계 분석)

  • Sim, Kyoung-Bo;Cha, Joo-Hong;Kang, Sin-Young
    • Journal of Advanced Marine Engineering and Technology
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    • v.40 no.7
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    • pp.655-662
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    • 2016
  • This study proposes that a diving supervisor, who can perform the role of both a field manager and a supervisor, be introduced in the national qualification system. The goal was achieved by surveying the general status of the commercial diving sector, including the statistics of an underwater construction company, commercial diving equipment operation condition, diver working hours, diver supply and demand status, and underwater construction market size. The national qualification and national competency standard (NCS) systems were also analyzed to deduce the role definition and work scope of the diving supervisor. Consequently, the following proposition is made: the diving supervisor should be an "on-site manager with the highest job skill in the commercial diving field, who can perform the on-site process management as well as guide, supervise, and educate project participants and serve as an intermediary between the contractor and the workers." The responsibilities of the diving supervisor are proposed to include "diving planning and operation of the diving team," "diving with surface-supplied air and mixed-gas diving system," "chamber operation," "underwater construction," and "ship salvage." The persistent issues in commercial diving sectors, such as diver career development, management, and worker supervision, are expected to be largely resolved with the introduction of this qualification.

An Analysis Study on stress factor of Emergency medical Students during preparing Examination for Korea Registered licence (국시를 앞둔 응급구조과 학생의 스트레스 영향 요인에 관한 연구)

  • Jung, Ji-Yeon;Yun, Jong-Geun;Oh, Jin-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.194-200
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    • 2012
  • The purpose of this study was to analyze the factors on stresses to Emergency Rescue students' who have national examination ahead. In this descriptive research, 87 3rd-degree-Emergency Rescue students from K city were selected. Collected data was analyzed by using the SPSS PC program for descriptive data, t-test, ANOVA and Pearson's Correlation. In result, stress factors are categorized by curriculum($3.67{\pm}.74$), homework ($3.39{\pm}.93$), environment($3.37{\pm}.93$), examination($3.35{\pm}.74$), employment($3.04{\pm}.75$) and total mean was ($3.36{\pm}.59$). The way to adjust stresses characterized by long-term($3.14{\pm}.54$) and short-term($2.55{\pm}.44$), also the short-term is used more than the other ways. The significant differences between general characteristics and stress factor were gender(t=4.466, p=.040), grade(F=2.53, p=.047). In the correlations between categories of the stress factor and stress degree, the examination(r=.81, p=.000), curriculum(r=.66, p=.000), homework(r=.80, p=.000), environment (r=.74, p=.000), and employment(r=.62, p=.000) were significant. In conclusion, it is needed to study for managing stress according to various subjects.

The Relationship between Advanced Airway Management and Self-Efficacy by Level 1 Emergency Medical Technicians(EMT) in 119 Emergency Medical Service (119구급대 1급 응급구조사의 전문기도유지술과 자기효능감과의 관계)

  • Jeong, Beom-Jun;Choi, Sung-Soo;Yun, Seong-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1709-1717
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    • 2013
  • This study was to identify the frequency and related factors of advanced airway management for patients with cardiac arrest by the Level 1 emergency medical technicians in the 119 Emergency medical service. 95 level-1 medical technicians belonging to Gwangju Fire Service Headquarter were surveyed with structured questionnaire composed of general and job-related characteristics, self-efficacy, barrier factors to performing the advanced airway for patients with cardiac arrest. From January 1, 2010 to June 30, 2011, data obtained from the Gwangju Fire Service Headquarter by performance of advanced airway. Self-efficacy toward the necessity of advanced airway revealed positive correlation with self-confidence. The barrier factor to advanced airway performance had negative correlation with the frequency of performance. The most important factor of advanced airway performance was necessity and self-efficacy. In conclusion, it is necessary to develop the field-based practice education program and to improve self-efficacy.

Influence of Education and Knowledge Levels of Stroke Patients on Level of Subjective Perception in 119 Emergency Medical Technicians (119구급대원들의 뇌졸중 환자에 대한 교육 및 지식수준이 주관적 인식수준에 미치는 영향)

  • Choi, Mi-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.39-50
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    • 2020
  • This study examined the effect of 119 emergency medical technicians' education over one year on the stroke knowledge and subjective perception of stroke care. A survey was conducted from February 17 through July 31, 2018, on 196 men and women who worked as 119 emergency medical technicians in G-do, C-do, and the provinces. The collected data was analyzed by SPSS 20.0 version for Windows. The findings of the study were as follows. First, the general characteristics of the 119 emergency medical technicians were found to have affected their stroke education and their need for professional education, awareness levels of knowledge concerning stroke and their subjective awareness levels of stroke patient care. Second, one-year education for the 119 emergency medical technicians was found to have impacted on their stroke knowledge and subjective awareness levels concerning care for stroke patients. Third, the knowledge of the 119 emergency medical technicians on stroke was found to have influenced their subjective awareness levels of stroke patient care. Therefore, the results suggested that regular education and proper management to improve their knowledge on stroke and subjective awareness.

The Route of Administration of $PGF_2\alpha$ Affects Estrous Synchronization and the Subsequent Pregnancy Rate ($PGF_2\alpha$의 투여부위가 젖소의 발정동기화율 및 수태율에 미치는 영향)

  • ;C. N. Lee
    • Korean Journal of Animal Reproduction
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    • v.26 no.1
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    • pp.69-72
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    • 2002
  • Two trials were conducted in a commercial dairy on heifer synchronization with PGF$_2$$\alpha$. Animals showing estrous following the first injection were bred and animals not showing estrus were given the second injection 10 days later. In the first trial, the injection routes were rump and rump. In the second trial, the injection routes were rump and shoulder. Estrous detection were performed from 24 h after injection. Animals were bred by the same technician. In the first trial, the response rate for the first injection was 51.4% and the subsequent pregnancy rate of these animals was 60.0%. The response rate in the second injection was 57.1% and the pregnancy rate was 50.0%. In the second trial, the response rate in the first injection on the rump was 48.7% and the subsequent pregnancy rate was 70.6%. The second injection was given on the shoulder and the response rate was 60.0% and the subsequent pregnancy rate was 25.0%. The data suggest that the route of PGF$_2$$\alpha$ administration was critical to achieve success in estrous synchronization and pregnancy rates.

The Distribution and Patient Care in Radiography for Emergency Outpatients (응급환자의 방사선영상검사 분포 및 Patient Care)

  • Lee, Hwan-Hyung;Kang, Won-Han
    • Journal of radiological science and technology
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    • v.19 no.1
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    • pp.55-74
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    • 1996
  • This study was carried out to improve service efficiency and to cope with a emergency situation in emergency radiography, through analysis of the radiographic distribution and literature cited about emergency care. Data collection of radiographic distribution was surveyed for 761 emergency outpatients who visit during JAN, 1994 at ER of the general hospital in Pusan city. The results is as follows: Emergency radiography rate of simple radiography was 61.1 %, special radiography 2.5 %, CT 12.6 %, and ultrasonography 6.7 %. In simple radiography rate, a high rate was distributed on male(63.6 %), thoracicsurgery part(90.0%), admission patient(74.9 %), and long stayed patient at ER. In special raiography rate, a high rate was observed in urologic part(28.6%), and in CT rate, observed neurosurgery part(49.2 %) and neurologic part(36.7%). Ultrasonography rate was high for female(8.8 %) and internal medicine part(15.9 %). There are distributed regional radiography rate in radiographic type that chest(55.3 %) is high in the simple radiography, urinary system(1.2%) in the special study, and brain(40.0 %) in the CT. Regional radiography rate according to diagnostic department also was showed highly for head(64.6%) in neurosurgery, chest(90.0%) in thoracic-surgery, abdomen(58.0%) in general-surgery, spine (40.0% ) in neuro-surgery, and pelvis(15.9%), upper extrimity(20.5%), and lower extrimity(31.8%) in orthopedic-surgery each. Mean radiographic case number per patient of simple radiography was sinificant on sex, age, transfer relation in both total and radiographic patients(p<0.05). Mean radiographic case number was highly distributed on male(2.2 case number) in sex, on thirties(2.7) in age, transfered patient(2.7) in patient type, and on neurosurgery(3.4) in diagnostic charged part. Total radiographic case number in regional part was highly distributed on chest(499 case number). Considering the above results, emergency radiographer should take care of the elder patient in emergency radiography and get hold of injury mechanism to decrease possible secondary injury during radiography. Because of high radiography rate of urinary system in special study, radiographer should know well about dealing with contrastmedia administration and related instrument. All radiographer who take charge emergency patient should cope with a emergency situation during radiography, Because head trauma patients is very important in patient care, especilly in CT at night, charged doctor should be always silted with CT room and monitoring-patient. Radiography was reqested by many diagnostic department in ER. Considering that rate of simple radiography is high, special room for emergency radiography should be established in ER area, and the radiographer of this room should be stationed radiologic technician who is career and can implement emergency patient care.

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A Study on the Continuing Education of Radiologic Technologists : Focused on Current Status and Satisfaction of Continuing Education (방사선사의 보수교육에 관한 연구 : 보수교육 현황 및 만족도를 중심으로)

  • Min, Hye-Lim;Choi, In-Seok;Nam, So-Ra;Kim, Hyun-Ji;Yoon, Yong-Su;Her, Jae;Han, Seong-Gyu;Kim, Jung-Min;Ahn, Duck-Sun
    • Journal of radiological science and technology
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    • v.37 no.2
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    • pp.75-84
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    • 2014
  • In this study, we surveyed the current status, satisfaction and demand of radiologic technologist continuing education for 93 radiologic technologists who participated in the continuing education. To understand the current status and general evaluation and to find out the improvement direction, survey was conducted on 3 categories: participation, satisfaction and demand of continuing education. In addition, we analyzed the continuing education implementation status and the management system by collecting related regulations. As a result, the education completion rates of radiologic technologists from 2010 to 2012 were respectively 42.6%, 43.4% and 34.2%; the rates were similar to other medical technician's average education completion rates. According to the survey, in case of participation, the most frequent answer was 'more than five times less than 10 times per year' with 48.4% and in satisfaction section, the most common answer was 'Average(3)' with 34.4%. In demand of continuing education section, 32.8% of the respondents chose 'Clinical skill training in major field'. In the results of this research, continuing education needs to be managed in the direction of helping radiologists improve their personal ability and self development. Furthermore, to meet the demand of radiologists, the quality of continuing education should be improved to satisfy the educatee.

Producing True Orthophoto Using Multi-Dimensional Spatial Information (다차원공간정보를 이용한 실감정사영상 제작 방안)

  • Lee, Hyun-Jik
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.26 no.3
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    • pp.241-253
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    • 2008
  • Recently, it is appearing that new paradigm of urban planning that ubiquitous concept such as the u-City, uECO-City is introduced while is rising necessity about third dimensional geo-spatial information of high quality for urban area. Orthophoto can manufacture by expense and time that is less easily than digital map using personal computer even if is not highly technician and according as position relation between manmade feature and natural feature is equal, can get information of distance, angle, horizontal and vertical position coordinate of topographic, area etc.. directly through orthophoto. Also, visual effect is good that orthophoto is expressed by image and interpretation is easy to detailed part of topographic. Manufacture and practical use are consisting in various field, for it is having advantage that can recognize information effectively than digital map. Therefore, this study presents a way of generating a detailed DSM for producing a true-orthphoto of the urban area, and this study also presents a way to produce an optimum true-orthophoto for an urban area by investigating through experiment the optimum variable for the geometric and radiometric correction of the orthophoto. This study also examined the potentials of the thesis by building a 3-dimensional city model of the model region with the above thesis on optimum generating method.