• 한국응급구조학회지
• /
• 제7권1호
• /
• pp.55-64
• /
• 2003

The purposes of this study which was conducted by applying three projection formulae to the data from admission quota for paramedic of the Ministry of Education & Human Resources Development the number of ambulances the number of emergency medical centers of the Ministry of Health & Welfare and rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board were to find out demand and supply of paramedic from 2002 to 2045 and to expand scope of practice of paramedic in Korea. The conclusions from this study were summarized as follows; (1) The simple formulae derived from the projection formula of the Economic Planning Board were applied under the present Emergency Medical Services Act including qualifying over 3-years experienced EMT-Basic for paramedic examinee, stationing paramedic or EMT-Basic or physician or nurse per ambulance, stationing paramedic or EMT-Basic per emergency medical center and under the amended Emergency Medical Services Act including qualifying only paramedic graduate for paramedic examinee, stationing 4.5 paramedics per ambulance, stationing 10 to 2 paramedics per emergency medical center. (2) It was estimated that on the American basis of 5.6 EMTs per 10,000 in 1996, the number of paramedics under the present act will reach the basis before 2020, the number of paramedics under the amended act will reach the basis about 2040. (3) It was estimated that on the basis of 22,000 paramedics demanded from the number of ambulances, the number of emergency medical centers in 2001, the number of paramedics under the present act will reach the basis before 2015, the number of paramedics under the amended act will reach the basis about 2030. (4) There was relationship between requirements for emergency medical centers scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic including EMD, instructor, teacher of safety. (5) This study which includes only expanded scope of practice of paramedic and projection for paramedic in the act needs complementary studies such as decision-making process in health manpower policy and so on.

• Archives of Plastic Surgery
• /
• 제36권3호
• /
• pp.299-305
• /
• 2009

Purpose: Recently, the incidence of malignant melanoma has been steadily increasing. Malignant melanoma is already known to have poorer prognosis than other primary skin cancers. Despite the poor prognosis, it is relatively less known to the public so that a number of patients visit hospital carrying advanced stage tumor. Yet, extensive study about malignant melanoma is currently insufficient, and specific guidelines and statistical figures in Korea are almost inexistent. Therefore, authors reviewed patients with malignant melanoma who have visited our hospital for last 14 years. Methods: Between January 1994 and January 2008, 62 patients were diagnosed with malignant melanoma at our hospital. A retrospective study was performed with data from patients' charts and biopsy results. Annual incidence, mean age of onset, gender, tumor location, tumor thickness, pathologic ulceration, clinicopathologic subtype, and clinical AJCC stage were evaluated. Analysis of factors associated with survival were performed using the Cox proportional hazard model. Kaplan - Meier method was used to generate survival curves. Results: Clinicopathologic features of 62 patients (32 male, 30 female) with average age of 57 years were evaluated. Most lesions were found in lower limb, and the most common subtype was acral lentiginous melanoma. We could also find that age, tumor thickness, and clinical stage were the only significant prognostic factors. Conclusion: Clinicopathologic features of malignant melanoma were analyzed in this study, but the result is not ready to be generalized because the number of cases is too small. Further study must be performed to report clinical guidelines for prognosis and treatment for malignant melanoma patients in Korea.

• Journal of Chest Surgery
• /
• 제48권5호
• /
• pp.311-317
• /
• 2015

Background: Robotic surgery is an alternative to minimally invasive surgery. The aim of this study was to report on current trends in robotic thoracic and cardiovascular surgical techniques in Korea. Methods: Data from the National Evidence-based Healthcare Collaborating Agency (NECA) between January 2006 and June 2012 were used in this study, including a total of 932 cases of robotic surgeries reported to NECA. The annual trends in the case volume, indications for robotic surgery, and distribution by hospitals and surgeons were analyzed in this study. Results: Of the 932 cases, 591 (63%) were thoracic operations and 340 (37%) were cardiac operations. The case number increased explosively in 2007 and 2008. However, the rate of increase regained a steady state after 2011. The main indications for robotic thoracic surgery were pulmonary disease (n=271, 46%), esophageal disease (n=199, 34%), and mediastinal disease (n=117, 20%). The main indications for robotic cardiac surgery were valvular heart disease (n=228, 67%), atrial septal defect (n=79, 23%), and cardiac myxoma (n=27, 8%). Robotic thoracic and cardiovascular surgeries were performed in 19 hospitals. Three large volume hospitals performed 94% of the case volume of robotic cardiac surgery and 74% of robotic thoracic surgery. Centralization of robotic operation was significantly (p<0.0001) more common in cardiac surgery than in thoracic surgery. A total of 39 surgeons performed robotic surgeries. However, only 27% of cardiac surgeons and 23% of thoracic surgeons performed more than 10 cases of robotic surgery. Conclusion: Trend analysis of robotic and cardiovascular operations demonstrated a gradual increase in the surgical volume in Korea. Meanwhile, centralization of surgical cases toward specific surgeons in specific hospitals was observed.

• Wind and Structures
• /
• 제3권3호
• /
• pp.143-158
• /
• 2000

This report presents the findings of a one-year monitoring effort to empirically characterize and evaluate the nature of near-ground winds for structural engineering purposes. The current wind engineering practice in the United States does not explicitly consider certain important near-ground wind characteristics in typical rough terrain conditions and the possible effect on efficient design of low-rise structures, such as homes and other light-frame buildings that comprise most of the building population. Therefore, near ground wind data was collected for the purpose of comparing actual near-ground wind characteristics to the current U.S. wind engineering practice. The study provides data depicting variability of wind speeds, wind velocity profiles for a major thunderstorm event and a northeaster, and the influence of thunderstorms on annual extreme wind speeds at various heights above ground in a typical rough environment. Data showing the decrease in the power law exponent with increasing wind speed is also presented. It is demonstrated that near-ground wind speeds (i.e., less than 10 m above ground) are likely to be over-estimated in the current design practice by as much as 20 percent which may result in wind load over-estimate of about 50% for low-rise buildings in typical rough terrain. The importance of thunderstorm wind profiles on determination of design wind speeds and building loads (particularly for buildings substantially taller than 10 m) is also discussed. Recommendations are given for possible improvements to the current design practice in the United States with respect to low-rise buildings in rough terrain and for the need to study the impact of thunderstorm gust profile shapes on extreme value wind speed estimates and building loads.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권6호
• /
• pp.2695-2698
• /
• 2012

Introduction: Design and implementation of screening programs in each country must be based on epidemiological data. Despite the relatively high incidence of CRC, there is no nationwide comprehensive program for screening in Iran. This study was designed to investigate national CRC data and help to determine guidelines for screening. Methods: Incidence data used in this study were obtained from Iranian annual of National Cancer Registration report. Age standardized rates (ASR)were calculated using world standard population and were categorized by age, sex, anatomic subsite and morphology of tumor. Data were analyzed using SPSS.V.13 and Open Source Epidemiologic Statistics for Public Health software (OpenEpi v.2.3.1). Results: A quarter of cases were less than 50 years of age. The majority of tumors were detected in the colon. The overall ASR in the four years period was 38.0 per 100000 and was higher for men compared women (P<0.05). Incidence rate of colorectal cancer increased with age. Conclusion: Results of present study indicated that incidence of colorectal cancer is relatively high in Iran. Incidence of CRC in people under 50 years and in rectum were reported higher than other countries that related etiologic factors should be investigate in further studies. According to the increasing of ASR after age 50 years, it seems that onset of screening at age 50 would be appropriate.

• 한국방재학회 논문집
• /
• 제7권5호
• /
• pp.119-127
• /
• 2007

본 연구에서는 지역별 재해 발생 위험과 피해규모를 재해연보상의 다양한 유형으로 재구성하고 시설물별 재해 저감능력 및 예방정도를 평가할 수 있는 지표를 개발하였다. 각 지표는 기상학적, 수문학적 취약성과 재해 발생 확률과 같은 내용을 포함하고 있다. 이러한 내용을 GIS 기반의 DB 시스템으로 구축하여 시설물별 저감능력 대비 피해규모를 매칭하여 지역안전도를 진단하였다. 개발된 안전도 지표는 지역의 인명을 보호하고, 피해를 감소하며, 방재 시설물을 보호하는 내용을 담고 있다. 또한 재해 유형별 피해유형분석을 GIS 기반의 자료를 이용하여 시행하였다.

• 한국콘텐츠학회논문지
• /
• 제9권10호
• /
• pp.258-267
• /
• 2009

이 연구는 GIS 방법론을 적용하여 병원의 적지평가 모형을 개발하며, 그리고 모형에서 계산된 적지점수와 병원의 성과변수(환자 수) 간의 관계를 분석하였다. 대전광역시에 있는 7개 병원급 의료기관을 대상으로 연구를 진행하였으며, 적지평가 모형은 의료서비스에 영향을 미치는 인구 사회 경제학적 요인을 반영하여 구축하였다. 적지평가 인자의 주제도(Thematic Map) 생성을 위해 1:25,000 축척의 수치도면으로 구축된 행정구역도, 도로망 지도를 이용하였으며, 대전광역시 각 구에서 발간된 2004년 통계자료집을 이용하여 동별로 자료를 DB화하였다. 병원을 중심으로 한 버퍼링(0.5km, 1.0km, 1.5km 그리고 2.0km) 변화에 따른 병원별 적지점수와 병원에 온 병상 당 입원환자와 외래환자 수와의 관계를 분석하였다. 병원의 성과지표로 사용된 환자 수 지표와 병원의 적지점수 간의 상관관계의 크기는 버퍼링 크기에 따라 차이가 있었으며, 0.5km의 버퍼링을 사용하였을 때에는 적지점수와 환자 수 사이에 양(+)의 관계를 보였지만, 그 이상에서는 음(-)의 관계를 보였다. 이러한 결과는 병원급 의료기관은 평가점수가 높은 지역에 가까이 위치한 병원일수록 성과가 높을 수 있다는 것을 제시하고 있다.

• Journal of Nutrition and Health
• /
• 제45권1호
• /
• pp.64-79
• /
• 2012

The purpose of this study was to compare differences in role conflict, self efficacy, job satisfaction, and job involvement perceived by school nutrition teachers and dietitians. A total of 335 female school nutrition teachers and dietitians from Incheon area were surveyed by a self-report questionnaire in November 2010. Collected data were processed using SPSS 15.0. The reliability of the questionnaire was tested and differences between the two groups were analyzed using the Student's t-test, the chi-square test, and a two-way analysis of variance (ANOVA). The job satisfaction level of nutrition teachers was higher than that of dietitians. The effect of role conflict and job satisfaction for nutrition teachers and dietitians was different according to age. In addition, self-efficacy, job satisfaction, and job involvement of nutrition teachers and dietitians were influenced by their annual salaries. The frequency of meals served also affected role conflict, job satisfaction, and job involvement of the nutrition teachers and dietitians, and the effect of job involvement by the nutrition teachers and dietitians was different according to meal service type. Therefore, it is necessary to establish strategies for resolving role conflicts among school foodservice specialists and improve their self-efficacy for enhancing consumer's satisfaction with the general quality of school food service. These efforts may contribute to job satisfaction and job involvement of food service specialists and ultimately to the productivity of food service and the establishment of food service specialist roles.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권7호
• /
• pp.2757-2761
• /
• 2015

Background: Stomach cancer is the fourth most common cancer and the second leading cause of cancer-related death through the world. It is predicted that the number of new cancer cases will be more than 15 million cases by 2020. Regarding the lack of studies on this topic in the country, we have thoroughly examined the patho-epidemiology of stomach cancer in Iran. Materials and Methods: In this cross- sectional study data were collected retrospectively reviewing all new stomach cancer patients in Cancer Registry Center report of health deputy for Iran during a 6-year period (2003-2008). The study also examined the morphology of common stomach cancers. Trends in incidence and morphology underwent joinpoint regression analysis. Results: During the six-year period, a total of 35,171 cases of stomach cancer were registered. Average age standardized rate for females and males were equal to 7.1 and 15.1 per 100,000 persons, respectively. Most common histological type was adenocarcinoma, NOS with 21,980 cases (62.50%). The annual percentage change (APC) in age-standardized incidence rate (per 100,000) was increase in both females and males at 11.1 (CI: 4.3 to 18.3) and 9.2 (CI: 5.2 to 13.4), respectively. Conclusions: According to our results, the incidence of gastric cancer is increasing in Iran, so further epidemiological studies into the etiology and early detection are essential.

• 한국ITS학회 논문지
• /
• 제17권4호
• /
• pp.41-53
• /
• 2018

본 연구는 도로교통량통계연보에서 제시하고 있는 고속도로 교통량을 보정하기 위해 측정오차를 최소화하면서 TCS 교통량과 교통량 균형을 만족시키는 최적화 모형을 개발하였다. 이를 위해 본 연구에서 구축한 모형을 실제교통량과 비교 검증하였다. 모형 검증 결과, 교통량 균형에 만족하도록 측정교통량을 보정할 경우, 보정교통량은 측정교통량에 비해 실제교통량과의 차이가 적은 것으로 나타났다. 경부고속도로 40개 구간에 적용 결과, 전체 구간에 대한 측정교통량은 -8.1%~9.6% 보정되었으며, 보정된 교통량만큼 측정오차가 감소하는 것으로 나타났다. 본 연구는 고속도로의 규모와 역할이 증대되고 있는 가운데 고속도로 측정교통량의 정확성을 향상시켰다는 점에서 의미가 있다.