• Journal of Advanced Navigation Technology
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• v.15 no.4
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• pp.646-654
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• 2011

Recently, the task in which the number of people of the emergency medical technician whom it boards the ambulance is unreasonably insufficient and in which the fire fighter one person gets in the ambulance and which transfers the patient comes into question often. When the emergency patient is generated, it has to transfer to the special hospital in which above anything else, the measure which is quick and exact is needed and where there is the medical device which is suitable for particularly, the patient. This paper implementations the emergency medical system by the smart phone. The implemented system monitors the heart beat of the patient the monitoring among the patient transport with the real-time type. It can grasp the medical history information of the patient, and etc. in the past. And the system provides the emergency hospital which the patient requires and the pre-hospital phase provides the environment in which the disposition which is quick and efficient is possible to the emergency patient.

• Journal of the Korea Society of Computer and Information
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• v.23 no.10
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• pp.151-156
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• 2018

The purpose of this study was to find more effective method through comparison of manual chest compression and chest compression using $AutoPulse^{TM}$ device in pre-hospital simulation cardiac arrest. In order to achieve the purpose of the study, ambulance workers did two different style CPR in pre-hospital simulation cardiac arrest. Data analyzed by T test and ANOVA. Findings of this study are as follows. Firstly, manual chest compression is more effective than chest compression using $AutoPulse^{TM}$ device on scene. Secondly, chest compression using $AutoPulse^{TM}$ device is more effective manual chest compression in ambulance and in elevator. In conclusion, these findings provide strong evidence for the importance of hands off time and stable CPR before hospital arrival in explaining patient's prognosis. Therefore, strategies to conduct precise hands off time and stable CPR are needed to improve patient's prognosis.

• The Transactions of the Korean Institute of Electrical Engineers D
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• v.52 no.8
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• pp.443-451
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• 2003

Many attempts have been made for the health and lives of patients at a remote site. but little attention has been given to emergency system using wireless or other intelligent networks. In this paper, shown is a remote emergency system which can be used in an ambulance. It possibly gives a great help to the patients who may lose their lives, in other words, gives pre-hospital cure to them being sent to the hospital. Doctors or specialists are able to give a quick help which may give a new life to patients. This system deal with very important patient's data-ECG, SpO$_2$, blood pressure, biomedical signal data etc. - as other emergency system. A good performance better than other system is many but shortly spoken as follows. First, this system is user friendly system activated in windows 2000 environment. Second, MPEG4 and ECG data sent to the other station for specilists can give a pre-hospital cure to patients in advance. Third, there exist effective algorithms to operate this system. Fourth, this system has been made with software mostly, so this system can be easily embedded in IBM compatible computer. In addition to this performance, for the better and reliable system, various tests were proceeded and recursively tested. Tests were made in EV-DO wireless network and Local Area Network. This mobile-fixed remote emergency system using wireless network like EV-DO network will give a great usage to needed area.

• Journal of Veterinary Science
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• v.19 no.6
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• pp.725-734
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• 2018

Ovaries of 21 bitches presented with gynecopathies were surgically removed and histologically examined. Standard histological, as well as immunohistochemical, classification of 193 cystic structures resulted in the classification of 72 cysts of subsurface epithelial structures (SES), 61 follicular cysts (FCs), 38 cystic rete ovarii (CRO), 13 lutein cysts (LCs), and 9 non-classifiable cysts (NCCs). In addition to the histological classification, results were interpreted according to subject medical history, clinical examination outcome, and macroscopic observations during ovariohysterectomy. Dogs with ovarian cysts (OCs) and associated reproductive perturbations were mostly nulliparous, of large breed, and had an average of $9.5{\pm}3$ years. Prolonged or shortened inter-estrus intervals of past heats, however, seemed to be relatively low-risk factors for the development of OCs in dogs. Furthermore, we provide histological observations of a rarely seen canine LC including a degenerated oocyte in the central cavity.

• The Korean Journal of Emergency Medical Services
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• v.13 no.3
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• pp.77-90
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• 2009

Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.

• Journal of The Korean Society of Emergency Medicine
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• v.29 no.5
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• pp.408-414
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• 2018

Objective: Patients with low acuity who need hospitalization may be at risk if they do not receive proper treatment in overcrowded emergency rooms. This study was conducted to investigate factors affecting the hospitalization of patients with low acuity of Korean Triage and Acuity Scale (KTAS). Methods: This study was a retrospective chart review analysis of patients aged 15 years or older who had triaged as KTAS 4 and 5 grades when visiting a local emergency medical center from January 1, 2016 to December 31, 2017. Multivariate logistic analysis was performed to analyze the effects of age, sex, reasons for visiting, visiting route, ambulance utilization, KTAS grade and major category on patient admission. Results: A total of 10,540 patients were enrolled and the odds ratio (OR) increased with age from those aged over 34 years (P<0.001). Patients that triaged as KTAS grade 5 (adjusted OR, 1.57; 95% confidence interval [CI], 1.36-1.82), had a condition caused by disease (adjusted OR, 2.31; 95% CI, 2.00-2.68), and visited by using an ambulance (public: adjusted OR, 1.05; 95% CI, 0.91-1.22; private: adjusted OR, 4.60; 95% CI, 3.85-5.49) were more likely to be hospitalized. Individuals in the "general" major category were more likely to be hospitalized than those falling into other major categories (P<0.001). Conclusion: The factors influencing the hospitalization of patients with low acuity were age, reasons for visiting, visiting route, ambulance utilization, KTAS grade and major category on patient admission.

• Journal of the Korean Association of Geographic Information Studies
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• v.27 no.1
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• pp.41-51
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• 2024

If an underground accident occurs, the cause must be quickly identified and human and material damage reduced. The Underground Accident Investigation Committee is responsible for identifying the causes of accidents and preparing response plans to prevent similar accidents from occurring in the future. The law stipulates that the Underground Accident Investigation Committee can operate from a minimum of 6 months to a maximum of 9 months after an accident occurs. However, the operation schedule of the Underground Accident Investigation Committee seems difficult to cite the accident investigation report to the construction project currently in progress at the same time project. In this study, the Underground Accident Investigation Committee seeks to establish a strategy for developing technology that can shorten data collection and analysis, which previously took 3 months, to less than 1 month. As a result of the research, five areas of technology development identified, ground data collection and transmission technology, ground safety data generation technology, digital twin-based underground safety analysis and visualization technology, digital twin-based geo-ambulance construction and operation technology, and digital twin-based geo-ambulance standardization and legal system. research was able to be conducted. If the proposed technology is developed, it is expected to contribute to reducing accident scenes through faster decision making than before.

• 정보보호뉴스
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• s.136
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• pp.48-51
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• 2009

금년 들어 미국의 신용카드 결제처리업체인 하트랜드 시스템즈(Heartland Payment Systems)에서 사상 최악의 신용카드 정보 유출 사건이 발생했으며, 이로 인한 금융 피해금액이 수억 달러에 이를 것으로 추산되고 있다. 이 회사는 매달 1억건에 달하는 신용카드 거래를 처리한다고 하니 그 유출된 개인 금융정보의 양은 상상을 초월할 것으로 보인다. 이렇게 유출된 정보는 카드복제, 신용도용 등 쉽게 예상할 수 있는 범죄 이외에도 어떠한 형태의 범죄로 당사자들에게 피해가 되돌아 올 지는 가늠하기 어렵다. 최근 국내에서 발생한 일련의 개인정보 유출사건과 마찬가지로 정보화와 개인정보보호 문제에 경종을 울리는 또 하나의 사건이라 하겠다.

• Fire Science and Engineering
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• v.28 no.3
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• pp.80-86
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• 2014

Based on 2009 Korea Health Panel, this study investigated socio-economic and clinical characteristics associated with emergency medical transport use, and analyzed a simple predictive model of emergency medical transport use. Analysis results were summarized as follows: First, emergency medical transports such as 119 ambulance were more used than private cars, taxis, or walk-in. Second, between a user group and a non-user group of emergency medical transports, there were statistically significant differences in age, the level of education, family composition, house type, household income, the relationship with the head of household, insurance types, the presence of handicap, the presence of chronic disease, reasons to emergency medical service use, and treatment after emergency medical service completed. Third, age, household income, the presence of handicap, reasons to emergency medical service use, and treatment after emergency medical service completed were statistically significant predictors associated with emergency medical transports use. To improve emergency medical service system, the characteristics and predictors associated with emergency medical transports are more concerned.

• Journal of the Korea Safety Management & Science
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• v.15 no.4
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• pp.113-121
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• 2013

The rate that women's EMTs(emergency medical technicians) in fire department occupy is increasing, but my general plan is aimed at suggesting the improving plan for the working environment of women's EMTs paying attention to the duty stresses of increasing women's EMTs, because improvement for the working environment of women's EMTs is being proceeded slowly. I suggested my improving plan for solving the working stress on the basis of a survey of the Recognition against women's EMTs as follows. Firstly, I suggested that physical strength of women's EMTs should be managed well continually via program establishment and a defined evaluation not only by employing a professional person in charge for physical strength in firehouse, but also by replenishing the suitable number for the urgent mobilization. Secondly, I suggested that the suitable number for the urgent mobilization should be increased to 3 including an ambulance driver. Thirdly, I suggested necessity such as the fruitful education and the creation of circumstances that can focus on education for improving participation rate, development of various new educational program, incentive program and penalty. finally, I suggested the fact that is related to the actual re-amendment of the concerned law and ordinance such as not only the smooth treatment of penalty for a traffic signal violation of ambulance and the legal remedy system due to aggravation of a patient's condition during a first-aid course, but also workshop and meeting among the periodical EMTs and administration of special therapy program and sufficient recess.