• 제목/요약/키워드: The quality of rescue

검색결과 72건 처리시간 0.029초

소아 심폐소생술 중 새로운 가슴압박 방법의 효율성 비교 (Comparison of Efficiency of New Chest Compression Methods in Pediatric CPR)

  • 윤성우
    • 한국정보통신학회논문지
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    • 제26권9호
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    • pp.1392-1398
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    • 2022
  • 이 연구는 소아 심폐소생술 중 새로운 가슴압박 방법을 활용했을 때, 가슴압박의 질을 비교하여 효과적인 심폐소생술을 할 수 있도록 하고자 시행되었다. 무작위 교차방법(Randomized Crossover Design)에 의한 실험 연구로 BLS Health Care-Provider 자격을 이수한 28명의 응급구조사를 대상으로 가슴압박 시행 시 깊이, 속도, 압박 대 이완의 비율, 용이성, 안정감 등을 측정하였다. 수집된 자료는 SPSS Ver. 23.0 for Win 통계프로그램을 이용하여 분석하였다. 본 연구의 결과 를 종합해 보면, 소아 심폐소생술에서 가슴압박 시행 시 새로운 가슴압박법을 이용한다면 가슴압박의 질적 지표가 향상되었음을 알 수 있었다. 기존의 방법을 고수하는 것도 좋지만 새로운 가슴압박 방법을 통해 다양한 연령대와 환경요소에 대한 추가적인 연구를 바탕으로 임상적 활용의 가능성을 확인하는 것이 필요할 것이다.

병원 외 심정지 환자에서 119 구급대원의 전문기도유지술 시행에 영향을 미치는 요인 (Factors associated with advanced airway management while performing cardiopulmonary resuscitation for out-of-hospital cardiac arrest patients by 119 EMT)

  • 서아람;김대희
    • 한국응급구조학회지
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    • 제23권1호
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    • pp.157-163
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    • 2019
  • Purpose: Advanced airway maintenance improves the quality of cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) patients. In this study, we evaluate the factors associated with advanced airway management while performing CPR for out-of-hospital cardiac arrest patients by 119 emergency medical technicians (EMTs). Methods: The observational analysis method was used ro retrospectively collect data from 119 rescue run sheets. This study was conducted in a fire station in Seoul, Korea. The subjects of this study were defined as OHCA patients who received CPR from July 2016 to June 2018. We divided the subjects into two groups according to whether advanced airway maintenance was performed or not, and then compared and analyzed both groups. We performed logistic regression analyses for characteristics that differed significantly between groups. Results: Out of 188 OHCA patients, 146 (77.7%) had received advanced airway management. Statistically significant differences in the logistic analysis were found regarding the total number of EMT professionals (adjusted odds ration [aOR]: 1.955; 95% confidence interval [CI]: 1.227-3.115; p=0.005) and scene-time (aOR:1.119;95%CI:1.019-1.228;p=0.019). Conclusion: Advanced airway maintenance while performing CPR for OHCA patients by EMT associated primarily with ensuring an adequate numbers of EMT professionals and sufficient scene time.

병원 전 응급의료종사자의 감염관리 실태 연구 - 전북지역 중심으로 - (A Study on the Actual Profile of Emergency Medical Personnel's Pre-admission Infection Control - Based on Jeollabuk-do provincial area -)

  • 신상열;정태오
    • 한국응급구조학회지
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    • 제11권2호
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    • pp.19-27
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    • 2007
  • Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.

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XSLT를 이용한 B2B 기반의 통합형 e-Catalog 변환 및 관리 시스템 구현 (The Implementation of Integrated e-Catalog Transformation and Management System based on B2B using XSLT)

  • 김명진;김윤기;최일선;정회경
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2003년도 추계종합학술대회
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    • pp.496-499
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    • 2003
  • 기업과 기업(B2B)간 또는 기업과 소비자(B2C)간의 전자 상거래를 위하여 상품 및 서비스에 대한 정보를 전자적인 형태로 교환하기 위한 전자 문서를 e-Catalog라고 하며, 전자 상거래에 이용되는 e-Catalog는 무한한 인터넷 공간에서 효과적으로 기업의 상품 및 제품의 특성을 잘 표현할 수 있는 중요한 요소이다. 하지만 전자 상거래에 사용되고 있는 e-Catalog 시스템은 명확한 개념과 일관된 구성요소 등이 없고 서로 상이한 시스템을 구축하고 있으며 이로 인해 e-Catalog 정보를 교환 및 거래에 사용할 수 없는 단점이 있다. 이에 본 논문에서는 이기종 시스템에서 상호 운용성을 증대시키기 위하여 XML Schema를 이용하여 통합적으로 상품 정보를 처리 할 수 있는 e-Catalog문서 구조를 정의하였다. 또한 XML로 정의된 e-Catalog 문서를 XSLT를 이용하여 다른 구조의 e-Catalog 문서로 변환하고 관리할 수 있는 통합형 e-Catalog 시스템을 설계 및 구현하였다.

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XSLT를 이용한 B2B 기반의 통합형 e-Catalog 변환 및 관리 시스템 구현 (The Implementation of Integrated e-Catalog Transformation and Management System based on B2B using XSLT)

  • 김윤기;김창수;정회경
    • 한국정보통신학회논문지
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    • 제7권7호
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    • pp.1582-1589
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    • 2003
  • 기업과 기업(B2B)간 또는 기업과 소비자(B2C)간의 전자 상거래를 위하여 상품 및 서비스에 대한 정보를 전자적인 형태로 교환하기 위한 전자 문서를 e-Catalog라고 하며, 전자 상거래에 이용되는 e-Catalog는 무한한 인터넷 공간에서 효과적으로 기업의 상품 및 제품의 특성을 잘 표현할 수 있는 중요한 요소이다. 하지만 전자 상거래에 사용되고 있는 e-Catalog 시스템은 명확한 개념과 일관된 구성요소 등이 없고 서로 상이한 시스템을 구축하고 있으며 이로인해 e-Catalog 정보를 교환 및 거래에 사용할 수 없는 단점이 있다. 이에 본 논문에서는 이기종 시스템에서 상호 운용성을 증대시키기 위하여 XML Schema를 이용하여 통합적으로 상품 정보를 처리 할 수 있는 e-Catalog 문서 구조를 정의하였다. 또한 XML로 정의된 e-Catalog 문서를 XSLT를 이용하여 다른 구조의 e-Catalog 문서로 변환하고 관리할 수 있는 통합형 e-Catalog 시스템을 설계 및 구현하였다.

상하악 대구치 부위에서 넓은 직경 임플란트의 생존율에 대한 후향적 연구 (Retrospective Study of Wide-Diameter Implants in Maxillary & Mandibular Molar regions)

  • 박경아;정철웅;류경호;박광범;김영준
    • Journal of Periodontal and Implant Science
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    • 제37권4호
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    • pp.825-838
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    • 2007
  • Endosseous implants are used in the treatment of various types of tooth loss, and numerous long-term studies have demonstrated the excellent reliability of this method of treatment. However, the increase of implant failure are associated with inadequate quality and/or height of bone. At the end of the 1980s, Wide(>3.75mm) implants were initially used for managing these difficult bone situations. The recommended indications for its use included poor bone quality, inadequate bone height. immediate placement in fresh extraction sockets, and immediate replacement of failed implants. At the 2000s, wider implants(6.0mm and 6.5mm) were used in a few studies. Although good clinical outcomes have been reported in recent years, there is still a controversy on this topic. Therefore, the purpose of this study was to estimate the survival rate of wide implants($6.0{\sim}8.0mm$) in molar regions, evaluating the clinical outcome. In this study, 1135 RBM surfaced wide implants($Rescue^{TM}$, MEGAZEN Co., Korea/595 maxillary, 540 mandibular) were placed in 650 patients(403 male, 247 female/age mean: $51.2{\pm}11.1$ years, range 20 to 83 years). Of the total, 68.3% were used to treat fully or partially edentulous situations, including single-tooth losses and 31.7% were placed immediately after teeth extraction or removal of failed implants, of which all were in the molar regions. Implant diameter and length ranged from 6.0 to 8.0mm and from 5.0 to 10.0mm respectively. The implants were followed for up to 42 months (mean: $14.6{\pm}9.5$ months). Of 1135 placed implants, 58 implants were lost. Among them, 53 implants were lost within 12 months after implant placement. The survival rate was 93.6% in the maxilla and 96.3% in the mandible, yielding an overall survival rate of 94.9%, for up to 42 months. As the result of Cox regression model, prosthetic type, sinus graft, and patient gender have an statistical significance on the implant survival rate in this study. This study suggests that the use of wide implants($6.0{\sim}8.0mm$) would provide a predictable treatment alternative in posterior areas.

인간 난관 상피세포와의 공동배양이 생쥐와 인간수정란의 체외발달에 미치는 영향에 관한 연구 (Early Mouse and Human Embryonic Development in vitro by Co-culture with Human Oviduct Epithelial Cells)

  • 고정재;정미경;도병록;엄기붕;윤태기;차광열
    • Clinical and Experimental Reproductive Medicine
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    • 제19권2호
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    • pp.133-141
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    • 1992
  • We examined effects of co-culture with human oviduct epithelial cells (HOEC) on the development of mouse and human embryos from early embryonic· stage to late morula or blastocyst stage (LM or B). In human, embryos were transferred and pregnancy rate was investigated. The HOEC, collected from surgically removed fallopian tube, were cultured in medium-199 supplemented with 20 % fetal cord serum (FCS). The HOEC were characterized by using immunocytochemical staining with anticytokeratin antibody and then used for cultures of mouse and human embryos. Results obtained from co-culture system were as follows. Development rate of mouse embryos was improved by co-culture system at late developmental stage (p<0.025). Human supernumerary embryos remained after transfer, unsuitable for freezing because of their poor quality, were co-cultured for 72hrs. Co-culture (78.79%) or conditioned medium (78.26%) system improved the developmemt rate, significantly, in comparision with control (11.11%)(p<0.00l). Co-cultured (85.71%) human zygotes for 24hrs showed the better development rate in comparision with control (50.00%) (p<0.01). When we transferred embryos cultured with the HOEC to patients, we obtained one pregnancy. Co-cultured human zygotes for 24hrs showed the better quality and viability for the replacement in comparision with control (p<0.01). In addition, improved pregnancy rate was obtained. Our results suggest that the co-culture system can rescue early degenerating embryos by improving early development and yield a resonable number of blastocyst for the appropriate replacement. The effect provided by cultured HOEC is not species specific for the development of embryos and it can be used to overcome in vitro blocks for the development. And also the co-culture system offers the possibility to freeze embryos at blastocyst stage which is more sucessful stage for the freezing. The HOEC monolayer may provide some stimulus via specific factor, which is unknown, to the development of embryos. Our results showed that the co-culture system with HOEC can be an alternative to conventional culture system.

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설비공학 분야의 최근 연구 동향 : 2010년 학회지 논문에 대한 종합적 고찰 (Recent Progress in Air-Conditioning and Refrigeration Research : A Review of Papers Published in the Korean Journal of Air-Conditioning and Refrigeration Engineering in 2010)

  • 한화택;이대영;김서영;최종민;김수민;권영철;백용규
    • 설비공학논문집
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    • 제23권6호
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    • pp.449-469
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    • 2011
  • This article reviews the papers published in the Korean Journal of Air-Conditioning and Refrigerating Engineering during 2010. It is intended to understand the status of current research in the areas of heating, cooling, ventilation, sanitation, and indoor environments of buildings and plant facilities. Conclusions are as follows. (1) Research trends of thermal and fluid engineering have been surveyed as groups of general thermal and fluid flow, fluid machinery, and new and renewable energy. Various topics were presented in the field of general thermal and fluid flow. Research issues mainly focused on the thermal reliability of axial fan and compressor in the field of fluid machinery. Studies on the design of ground source heat pump systems and solar chemical reactors were executed in the field of new and renewable energy. (2) Research works on heat transfer area have been reviewed in the categories of heat transfer characteristics and industrial heat exchangers. Researches on heat transfer characteristics included heat transfer in thermoelectric cooling/power generation systems, combined heat and power systems, carbon nano fluid with PVP, channel filled with metal foam and smoke ventilation in a rescue station of a railroad tunnel. Also the studies on flow boiling of R123/oil mixture in a plain tube bundle and R410A charge amount in an air cooled mini-channel condenser were reported. In the area of industrial heat exchangers, researches on plate heat exchanger, shell and tube heat exchanger, enthalpy exchanger, micro channel PCHE were performed. (2) Research works on heat transfer area have been reviewed in the categories of heat transfer characteristics and industrial heat exchangers. Researches on heat transfer characteristics included heat transfer in thermoelectric cooling/power generation systems, combined heat and power systems, carbon nano fluid with PVP, channel filled with metal foam and smoke ventilation in a rescue station of a railroad tunnel. Also the studies on flow boiling of R123/oil mixture in a plain tube bundle and R410A charge amount in an air cooled mini-channel condenser were reported. In the area of industrial heat exchangers, researches on plate heat exchanger, shell and tube heat exchanger, enthalpy exchanger, micro channel PCHE were performed. (3) Refrigeration systems with alternative refrigerants such as hydrocarbons, mixed refrigerants, and CO2 were studied. Performance improvement of refrigeration systems are tried applying various ideas of refrigerant subcooling, dual evaporator with hot gas bypass control and feedforward control. The hybrid solar systems combining the solar collection devices with absorption chillers or compression heat pumps are simulated and studied experimentally as well to improve the understanding and the feasibility for actual applications. (4) Research trend in the field of mechanical building facilities has been found to be mainly focused on field applications rather than performance improvements. Various studies on heating and cooling systems, HVAC facilities, indoor air environments and energy resources were carried to improve the maintenance and management of building service equipments. In the field of heating and cooling systems, papers on a transformer cooling system, a combined heat and power, a slab thermal storage and a heat pump were reported. In the field of HVAC facilities, papers on a cooling load, an ondol and a drying were presented. Also, studies on HVAC systems using unutilized indoor air environments and energy resources such as air curtains, bioviolence, cleanrooms, ventilation, district heating, landfill gas were studied. (5) In the field of architectural environment and energy, studies of various purposes were conducted such as indoor environment, building energy, renewable energy and green building. In particular, renewable energy and building energy-related researches have mainly been studied reflecting the global interest. In addition, many researches which related the domestic green building certification of school building were performed to improve the indoor environment of school.

The Effect of Glasthma Syrup in Asthma: a study protocol for a triple-blind randomized controlled trial

  • Derakhshan, Ali Reza;Saeidinejat, Shahin;Khadem-Rezaiyan, Majid;Asnaashari, Amir-Mohammad-Hashem;Mirsadraee, Majid;Salari, Roshanak;Jabbari-Azad, Farahzad;Jalali, Shima;Jalali, Shabnam
    • 대한약침학회지
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    • 제25권3호
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    • pp.233-241
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    • 2022
  • Objectives: Asthma is a chronic disease, and the demand for herbal medicines in this field has increased in recent years. The new findings highlight the role of the gut-lung axis in the pathophysiology of asthma. Hence, this study will evaluate the safety and efficacy of Glasthma syrup, an herbal formula based on Persian medicine, in improving asthma and regulating intestinal permeability. The formula consists of five herbal ingredients that have anti-inflammatory effects on the respiratory tract, also known as gut tonics. Methods: The study will be conducted as a placebo-controlled, triple-blind, randomized trial. It will consist of a 4-week intervention followed by a 4-week follow-up period. The target sample size is 20 patients with moderate asthma aged 18 to 60 years. Eligible participants will be randomly assigned to either the experimental group or the control group in equal numbers. Patients in the experimental group will take Glasthma syrup (7.5 mL, twice a day), while patients in the control group will take a matching placebo. Both groups will receive a 4-week combination of a long-acting beta2 agonist and a leukotriene modulator as standard of care. Inhaled corticosteroids can be used as rescue medication as needed. Results: The primary outcomes are asthma symptom scale, lung function, and intestinal permeability. Secondary outcomes include quality of life, symptom recurrence rates, and blood tests. A safety assessment will also be conducted during the trial. Conclusion: In this trial, the effects of Glasthma syrup in patients with moderate asthma will be examined. The study will also assess the effects of the formulation on the gut-lung axis by simultaneously monitoring the gut permeability index, asthma symptoms, and lung function.

임대차 분쟁의 조정과 중재에 관한 연구 (A Study on the Mediation and Arbitration of Lease Dispute)

  • 남선모
    • 한국중재학회지:중재연구
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    • 제25권4호
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    • pp.119-136
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    • 2015
  • The contracting parties must be provided a litigation scheme in order to resolve a dispute. This means taking advantage of effective measures for mediation or arbitration. A lease transaction is likely to occur mainly after a dispute. It is necessary to take the appropriate measures in advance. In general, when a variety of contracts are created, conflicts arise and disputes have to be resolved through mediation and arbitration documents, and adjustment or intervention is called for. Arbitration system is a system that is established based on the trust of the arbitral tribunal. For such system, quality education for enhancing professionalism required of the arbitrator is important. A party responding to an arbitration agreement presents a problem. The current system must ensure that there are no disadvantaged parties. However, a party must depend on an arbitration agreement that is part of the law rescue system. A litigation support by the local Bar Association must be carried out. It should be notified of the contents of the contract to select a strategy that will best resolve the conflict. In the case of lease transactions, there is a need to create a scheme to make a standard agreement that inserts an arbitration clause. Lease sale and purchase agreement or lease agreement is a form of contract that has been frequently used. Here, the arbitration agreement clause for a lawyer that will serve as arbitrator should be inserted. It is a scheme that can be activated for individuals in poor areas. In addition, it is possible to see it taking a scheme to take advantage of the lawyer system for the future of the town. The Attorney System of a town is a system that the Korean Bar Association, Legal Department has put in place since 2013. If a real estate trade dispute occurs, the role of the intermediary attorney should be to carry out his duties efficiently. In the case of real estate transaction conflicts, the lawyer of the village should be registered as the arbitrator. It is important to establish a basis of regulations through this type of real estate transaction accident analysis. Before proceeding with various adjustment systems, it is desirable to expand the arbitration region. Now we need a realtor amendment. It is the part where fragmentation of intermediary qualification is required, along with the eligibility of a subdivision.