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여성 구급대원의 현장 스트레스 경감방안 모색에 관한 연구 (A Study on Searching for Reduction of Women EMTs's Stress)

  • 공하성;이란희;이성철
    • 대한안전경영과학회지
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    • 제15권4호
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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.

태음인(太陰人) 병증(病證) 진단 알고리즘 개발 연구 (The Study on the Development of Diagnosis Algorithm of Taeeumin Symptomology)

  • 신승원;이의주;고병희;이준희
    • 사상체질의학회지
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    • 제24권4호
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    • pp.28-39
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    • 2012
  • Objectives : This study is aimed to develop the algorithm to diagnose Taeeumin's symptomology, by the method of literature research on Sasang Constitutional Medicine. Methods : Applying the sequential differentiations of Taeeumin's symptomology, or exterior-interior disease differentiation, favorable-unfavorable pattern differentiation, and mild-severe-dangerous-urgent pattern differentiation, "Donguisusebowon" and related literatures have been reviewed. Results and Conclusions : 1) 1st step: Taeeumin's exterior pattern and interior pattern are differentiated by the indexes of whole-body cold or heat pattern, sweating, and facial complexion. 2) 2nd step: The favorable pattern of the Taeeumin's exterior disease can be detected by indexes of the existence of fever, generalized pain while the unfavorable one by indexes of the abnormal condition of digestion and feces, and fearful throbbing. The favorable pattern of the Taeeumin's interior disease can be diagnosed based on indexes of eye pain, dry nose, dry throat, and heat symptoms that occur in various parts of the body, while the unfavorable one by indexes of thirsty, urination, feces and specific symptoms which can be induced by dryness. And in the both unfavorable patterns the dark complexion on the faces is revealed. 3) 3rd step: The mild-severe patterns of the favorably exterior disease are differentiated in terms of the condition of fever, while the mild-severe patterns of the favorably interior disease are in differentiated based on whether abnormal symptoms are revealed in the gastrointestinal tract. Both of the unfavorably dangerous-urgent patterns in exterior and interior diseases are differentiated by the symptoms such as tinnitus, dim vision, weakness of legs and back pain, and lack of strength in legs and thighs.

일개지역 고령자의 요실금의 유병률, 지식 및 배뇨특성 (Prevalence of Urinary Incontinence and Other Urologic Symptoms in a Community Residing Elderly People)

  • 김증임
    • 대한간호학회지
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    • 제32권1호
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    • pp.28-39
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    • 2002
  • The purpose of this study was to measure the prevalence of urinary incontinence (UI), urologic symptoms, chronic health problems they have, and to explore whether the differences in incidence of UI ware by age, sex, voiding pattern, and chronic health problems. Method: 298 subject were selected, age range from 60 to 94 years residing in one city, in republic of Korea. Data was collected presence of UI, urologic symptoms, chronic health problems, knowledge, and the discomfort with incontinent. Collected data was analyzed with frequency, percentage, t-test, and $\chi$2-test. Result: The results of this study are as follows: 1. Mean age was 71.4 years. Prevalent rate of UI was 17.0%, woman showed more than man. 2. UI incidence was significant in age (t=7.84, p=.000), sex ($\chi$2 =9.47, p=.002), and voiding frequency ($\chi$2=18.34, p=.000). Also, UI incidence was significant relationship with chronic health problem of heart disease ($\chi$2 =10.65, p=0.001), hypertension ($\chi$2=4.04, p= 0.046) and respiratory problem ($\chi$2=9.67, p=0.002). 3. The UI was grouped into urgent incontinence (45%), stress incontinence (33%), and combined (22%). UI occurred during the daytime 48% and 17% at night. 4. Only 9.8 % of the UI seek advice and/or treatment for their symptoms, almost 90 % remained untreated due to lack of knowledge or improper information. 5. The discomforts due to their UI was no significant difference in their condition, the urgent use of the rest room, leaking urine, and nocturia. Conclusion: This study suggests that 1 year and 3 year follow-up study is needed to compare health status of UI. Also suggests intervention study for urologic discomfort of incontinent and behavioral education for the elderly are needed.

병원직원의 의료시장개방에 대한 인식조사 (Study on Hospital Staff's Recognition toward Opening of Medical Services Market)

  • 류향진;유승흠;박은철;김정인;손태용
    • 한국병원경영학회지
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    • 제11권3호
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    • pp.56-72
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    • 2006
  • This study aims to deal with hospital staff's recognition on the opening of the medical services market, their attitude to the opening - agreement and disagreement, and their intention to use a foreign hospital or to consult its doctors again. It was conducted for 450 employees of one university hospital located in Gyeonggi Province, Korea with systemized questionnaires. The main results of this study are as follows: First, Medical technicians showed the highest level recognition on the opening of the medical services market. Second, The percentage of agreement to the opening was the highest for medical technicians and lowest for doctors while that of agreement was the highest for doctors and lowest for nurses. For residents, among doctors, the percentage of disagreement was the lower than that of agreement. Third, the intention to use a foreign hospital and to consult its doctor again was the lowest for medical engineers and the highest for doctors. Fourth, The most urgent task for local hospitals to accomplish in response to the opening was the improvement of the diagnosis and treatment technologies for nurses, and the improvement of the service provided by the hospital staff for the others. For doctors, in particular, the improvement of the diagnosis and treatment technologies was just the fourth urgent task. In conclusion, the result varies to the type of occupation. Apparent difference was found for doctors, in particular, that seem to be directly affected by the opening of medical services market. Local hospitals and doctors, therefore, should make efforts together to improve the diagnosis and treatment technologies. All the hospital employees of every type of occupation, meanwhile, need to prepare for the opening with medical service of improved quality.

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동북아시아 4개국의 양.한방 의료협진체계 비교 (A comparative Study on the Combined Oriental and Western Medicine(COWM) in Four Northeast Countries)

  • 문옥륜;김은영;신은영;김혜영;천희란
    • 보건행정학회지
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    • 제13권2호
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    • pp.1-22
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    • 2003
  • Since 1990s, the use of Complementary and Alternative Medicine(CAM) has been rising rapidly all of the world. In 1983, WHO recommended that the traditional medicine actively be utilized. At the end of 20th century, as chronic and intractable diseases increased in western countries, traditional medicine has attracted considerable attention. COWM shows possibilities of new approaches for these intractable diseases. Thus, we try to show our proper approach of COWM through the international comparative study. In order to fulfill the objectives, we applied the following methodology: 1) Literature review on previous study, 2) Local survey using self-administered questionnaire, and 3) FGI(Focus Group Interview) with local experts. The results were as follows : Three Asian countries, China, Korea and Taiwan, are very active in implementing COWM policy. Japan, however, has independent system of unified medicine. In regards to the combined care policy and system, China has the most advanced COWM system among four countries. In respect to combined care education, it is needed to increase the COWM education contents and the amount of cross educational curriculum. Based on the current COWM system, Chinese, Japanese and Taiwanese doctors can prescribe both oriental and western drugs. But, Korean medical law prohibits western doctors and oriental doctors from prescribing the counterpart´s medicine. So, the revision of current medical law is urgent for COWM in Korea. And when it comes to patient satisfaction, more than fifty percent responded positively in China, Korea and Taiwan. To achieve the goal of COWM ; 1) mutual understanding and recognition of COWM is essential. 2) institutional and legal support system for COWM is desperately urgent. 3) possible international collaboration and cooperation should be sought to untangle these complex cultural dilemmas.

분산 컴퓨팅 환경에서 실시간 메시지 통신을 위한 TTP/C 프로토콜 (A Protocol of TTP/C(timed token protocol with concession) for Real-Time Messages in Distributed Computing Environment)

  • 오성흔;최중섭;양승민
    • 한국정보과학회논문지:시스템및이론
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    • 제27권5호
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    • pp.518-528
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    • 2000
  • 분산 실시간 시스템에서의 노드간 주고 받는 메시지는 크게 동기적 메시지와 바동기적 메시지로 나눌 수 있다. 동기적 메시지는 샘플링된 음성이나 화상 데이타와 같이 주기적으로 발생되는 메시지로 전달시간 제약을 가지므로 종단간 마감시간을 보장해 주어야 한다. 비동기적 메시지는 비주기적인 메시지로 일정하지 않게 발생하며 일반적으로 전달 시간 제약사항이 엄격하지 않다. 본 논문에서는 분산 환경에서 동적으로 발생하는 동기적 메시지에 대해 높은 마감시간 보장성을 제공 하는 실시간 프로토콜 TTP/C(timed token protocol with concession)을 제안한다. TTP/C는 비동기적 메시지나 긴급하지 않은 동기적 메시지의 전송 대역폭을 양보함으로써 긴급한 동기적 메시지의 마감시간 을 보장한다. 또한 TTP/C는 노드에서 전송되는 동기적 메시지의 발생시간이 주기와 다르게 일정치 않더 라도 높은 보장성을 갖는다. 모의 실험을 통하여 TTP/C가 기존의 TTP에 비해 동기적 메시지의 마감시간 보장성에 대해 높은 성능 향상을 가져옴을 보인다.

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디지털 증거의 긴급한 보전을 위한 법제 개선 연구 (A Study on Improving the Legal System for the Expedited Preservation of Digital Evidence)

  • 노소형;지성우
    • 한국IT서비스학회지
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    • 제19권3호
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    • pp.57-73
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    • 2020
  • The proportion of digital evidence in criminal cases has increased, while at the same time, the spread of the Internet has made it easy to delete information that is stored in another place and thus, the Internet is being used to delete online criminal evidence. To respond quickly and effectively to cybercrime, 29 countries signed the Convention on Cybercrime in 2001 through the Council of Europe. Article 16 of the Convention relates to the expedited preservation of stored computer data and requires signatories to adopt legislative measures to enable its competent authorities to order expeditious preservation of specified computer data where there are grounds to believe that the data is particularly vulnerable to loss or modification. More than 60 countries have joined the Convention since 2001 and have made efforts to improve their legal system in line with it. The United States legislated 18 U.S.C. § 2703(f) to preserve electronic evidence pending the issuance of a court order. The German Code of Criminal Procedure §§ 94~95 allows prosecution authorities to seize evidence or issue production orders without court control in urgent circumstances. A custodian shall be obliged to surrender evidence upon a request that evidence be preserved, and non-compliance results in punishment. Japan legislated the Criminal Procedure Act § 197(3) and (4) to establish a legal base for requesting that electronic records that are stored by an ISP not be deleted. The Korean Criminal Procedure Act § 184 outlines procedures for the preservation of evidence but does not adequately address the expeditious preservation of digital evidence that may be vulnerable to deletion. This paper analyzes nine considerations, including request subjects, requirements, and cost reimbursement to establish directions to improve the legal system for the expedited preservation of digital evidence. A new method to preserve online digital evidence in urgent cases is necessary.

소양인(少陽人) 병증(病證) 진단 알고리즘 개발 연구 (Study on the Development of Diagnosis Algorithm of Soyangin Symptomatology)

  • 신승원;이의주;고병희;이준희
    • 사상체질의학회지
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    • 제23권3호
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    • pp.294-303
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    • 2011
  • 1. Objectives: The purpose of this study is to develop the algorithm, which can help clinicians diagnose Soyangin's symptomatology, based on the indexes for energy and fluid and those for nutrient material. 2. Methods: The items of "Donguisusebowon(東醫壽世保元)" were analysed to figure out the inevitable and sequential indexes of Soyangin's symptomatology diagnosis, in order of exterior-interior pattern differentiation, favorable-unfavorable pattern differentiation, and mild-severe-dangerous-urgent pattern differentiation. 3. Results and Conclusions: 1) 1st step: Soyangin's exterior pattern and interior pattern are differentiated in terms of heat and cold, respectively. Aversion to cold and feces are used to confirm the difference. 2) 2nd step: The existence of diarrhea is used to find out that an exterior pattern is with or without favor, while the indexes of back cold, skinniness of thigh-knee and turbid urine are used to identify an interior pattern with or without favor. 3) 3rd step: The favorably exterior-heat pattern can be either mild or severe by the indexes of stuffiness/rigidity/pain below the heart and digestion, while the unfavorably exterior-heat pattern can be either dangerous or urgent by the ones of cold-heat and specific pain. And, the favorably interior-cold pattern can be either mild or severe mainly by feces and subsidiarily by delirious speech and digestion, while the unfavorably interior-cold pattern can be either mild or severe by afternoon tidal fever and vomiting.

75톤급 액체로켓엔진 연소기 시험설비 기본설계 (Preliminary Design of Test Facility for 75 tonf Class Liquid Rocket Engine Combustor)

  • 임병직;김종규;이광진;김문기;안규복;강동혁;서성현;한영민;최환석
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2009년도 제33회 추계학술대회논문집
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    • pp.353-358
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    • 2009
  • 75톤급 액체로켓엔진의 성공적인 개발을 위해서는 각 구성품에 대한 다수의 시험이 수행되어야 하며 이러한 상황은 연소기에서도 동일하다. 하지만 한국항공우주연구원에서 운용 중인 시험설비는 75톤급 연소기를 정상 추력으로 수행하기에는 부족하다. 연소기 개발 시험에 접어들기 이전에 시험설비는 준비가 되어야 하기 때문에 시험설비의 구축이 급박하다. 본 논문에서는 이와 같은 긴급한 필요성으로 수행한 75톤급 액체로켓엔진 연소기 시험설비의 기본설계 내용을 기술한다.

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초동수사역량 강화방안에 관한 연구 (A Study on The Reinforcement Measures of First Investigation Capability)

  • 박형식;박호정
    • 융합보안논문지
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    • 제14권6_2호
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    • pp.83-88
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    • 2014
  • 초동수사란 사건발생의 초기에 행하는 긴급한 수사 활동이다. 초동수사가 잘못되면 사건이 영원히 미궁에 빠지거나 많은 증거가 사라져버리게 된다. 따라서 초동수사가 잘못되면 많은 인력과 예산을 낭비하거나 또 다른 피해자가 발생하게 되는 것이다. 초동수사는 범죄현장을 중심으로 한 수사와 피해자중심수사 그리고 피해품 중심 수사 등이 있다. 현장중심 수사는 범죄현장주변에서 유류품의 발견, 범행일시의 확정, 참고인의 발견, 지리감 등을 파악하는 수사 활동이다. 피해자 중심수사는 피해자의 인적사항, 피해자 및 가족의 생활상태, 재산상태, 교우관계, 가정 내부사정 등을 파악하여 범인을 검거하는 수사방법이다. 피해품 중심수사는 범죄피해품의 소재 이동경로를 추적하여 범인을 검거하는 방법이다. 경찰의 초동수사역량을 강화하기 위해서는 초동수사에 대한 교육을 강화하고, FTX(현장훈련)를 지속적으로 실시하여야 할 것이다. 그리고 초동수사매뉴얼을 제작하여 활용하여야 하며, 사건분석시스템을 구축할 필요가 있다. 또한 과학수사기법의 개발과 국민의 협조가 필요하다. 앞으로는 사건에 대한 초동수사부터 철저히 하여 국민에게 믿음을 줄 수 있는 경찰이 되어야 할 것이다.