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Analysis on prehospital care of emergency labor pain, vaginal bleeding and sexual assault patients by 119 emergency medical technicians (진통 분만, 질출혈과 성폭행 환자에 대한 119구급대원의 병원전 응급처치 분석)

  • Baek, Mi-Lye
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.2
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    • pp.9-20
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    • 2013
  • Purpose: The purpose of this study is to provide basic data to improve prehospital emergency care for patients with labor pain, vaginal bleeding and rape experience by analyzing the reports of 119 emergency medical technicians. Methods: Data were prehospital reports of 190 patients having chief complaints of labor pain, vaginal bleeding and rape in Chungcheongnam-do from January 1, 2012 to December 31, 2012. Data were analyzed using SPSS 21.0 descriptive statistics and $x^2$-test. Results: From the 190 cases of labor pain, vaginal bleeding and rape, labor pain accounted for 57.9% including 75.5% of normal delivery; vaginal bleeding accounted for 35.8% including 26.5% of postpartum hemorrhage; and rape victims accounted for 6.3%. Cases with more than one vital sign accounted for 94.2%, but cases without primary assessment of the obstetrics and gynaecology accounted for 38.4% from gestation weeks, 78.0% from parity, and 87.4% from history taking relating to event. Patient care including emotional support was the first priority care accounted for 78.4% and 60% of care was keeping the patients warm. Conclusion : In order to handle various emergency situations properly, the records must be supplemented by obstetrical and gynaecological rape checklist and rape victims supporting system should be established.

Defibrillator(AED) in prehospital care (병원전 처치에서 자동제세동기의 사용)

  • Koh, Bong-Yeun
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.25-32
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    • 2005
  • Purpose: There has been an increase in the number of prehospital cardiac arrests due to increases in both cardiovascular diseases and the average age of the population, We performed this study to identify the proper resuscitation technique and AED to be used to increase the survival rate in prehospital cardiac arrest. Methods: We studied 57 victims with prehospilal cardiac arrest by EMT's Reports form January to December, 2004. Results: Fifty-seven of 92 victims were trasported with ECG in prehospital cardiac arrest. Ventricular fibrillation(VF)/ ventricular tachycardia was 56.2%, asystole was 33,3%, and pulseless electrical activity(PEA.) was 10.5% in initial rhythm analysis, There weren't attempt CPR in 14.0%. Twenty of the 32(62.5%) were shocked by AED for the adequacy method. There were no statistical differences the transportation time. Conclusion: With the increase in cardiovascular disease and old age, the number out-of-hospital cardiac arrests has risen accordingly. However, there were lack of CPR by bystander, defibrillation, advanced cardiac life support(ACLS) in prehospital stage. To improve the adequancy of basic life support and to increase the performance of ACLS, especially AED, we must create challenges to develop new protocols in prehospital care.

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A Study on Adolescents' Violence against Parents - With Home Environment - (청소년의 부모폭력에 관한 연구 - 가정환경과 관련하여 -)

  • Jun, Hee-Jung;Chi, Young-Sook
    • Journal of the Korean Home Economics Association
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    • v.37 no.6
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    • pp.123-138
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    • 1999
  • The purpose of this study was to find out whether home environmental variables had a greater effect on adolescents' violence against parents. The results of self-reporting questionnaires are as follows ; The victims of violence are mainly mothers. The socio-economic status didn't influence on the degree of violence against parents. The adolescents of the extreme family type used more serious violent behavior. The higher the degree of observed and experienced violence is, the higher the degree of violence against parents. Also, the higher the degree of home education is, the lower the degree of violence against parents. Of all variables, the observed violence and structure-environmental variables account for 37.6% of adolescents' violence against parents. The results of in-depth interview showed that birth-order didn't affect violence against parents. The victims of violence were mainly stepmothers and stepfathers. These parents' educational attitudes were disagreement in parents, seriously inflicted corporal punishment and were indifferent to adolescent. Also, interviewed adolescents were observed and experienced violence in home and used violence against others.

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Second Primary Malignant Neoplasms: A Clinicopathological Analysis from a Cancer Centre in India

  • Hulikal, Narendra;Ray, Satadru;Thomas, Joseph;Fernandes, Donald J.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6087-6091
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    • 2012
  • Context: Patients diagnosed with a cancer have a life time risk of developing another de novo malignancy depending on various inherited, environmental and iatrogenic risk factors. Of late the detection of new primary has increased mainly due to refinement in both diagnostic and treatment modalities. Cancer victims are surviving longer and thus are more likely to develop a new metachronous malignancy. Aims: To report our observed trend of increase in prevalence of both synchronous and metachronous second malignant neoplasms among cancer victims and to review the relevant literature. Settings and Design: A hospital based retrospective collection of prospective data of patients diagnosed with second denovo malignancy. Materials and Method: The study was conducted over a 5 year period from July 2008 to June 2012. All patients diagnosed with a histologically proven second malignancy as per Warren Gate's criteria were included. Various details regarding sex, age at presentation, synchronous or metachronous, treatment and outcome were recorded. Conclusions: The occurrence of multiple primary malignancies is not rare. Awareness of the possibility alerts the clinician in evaluation of patients with a known malignancy presenting with unusual sites of metastasis. Individualizing the treatment according to the stages of the primaries will result in durable cancer control particularly in synchronous double malignancy.

Development of a Robotic System for Searching Human Victims in Disasters (재난 인명 탐색을 위한 로봇 시스템 개발)

  • Kang, Jong-Kyu;Lee, Geun-Hyung;Lee, Sung-Uk;Seo, Yong-Chil;Choi, Chang-Hwan;Jung, Seung-Ho;Kim, Seung-Ho;Jeong, Kyung-Min
    • Journal of Institute of Control, Robotics and Systems
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    • v.13 no.2
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    • pp.114-120
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    • 2007
  • This paper introduces a mobile robotic system being developed for urban search and rescue. In order to search human victims in narrow spaces, we developed two types of serially linked mobile robots, named KAEROT-Centipede and KAEROT-SnakeTV1, that can climb over large vertical steps or travel inside narrow vertical pipes. To send such mobile robots to the disaster areas coping with large obstacles, we also developed a assistant mobile robot, named KAEROT-QuadTrack, that has 4 articulated track modules. This paper describes the mechanical structure and control architecture of the serially linked mobile robots and the supporting configuration for torque reduction of the assistant mobile robot during spinning motion that usually requires large driving torque. The experimental results show that such robotic systems have good mobility over the various terrains in disaster areas.

Sexual Harassment of Nurses in Long-term Care Hospitals (노인요양병원 간호사의 성희롱 경험 실태)

  • Park, Gong-Ju;Jung, Hyang-Mi;Kim, Mee-Kyung
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.95-107
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    • 2014
  • This study is a descriptive research to investigate the actual conditions under which nurses working in long-term care hospitals are sexually harassed and situations in which sexual harassment occurs and to determine victims' coping methods after being sexually harassed. The period of data collection was from May 13, 2013 to June 14 and the research subjects were 113 nurses working in 10 long-term care hospitals in Busan assigned by convenience sampling. The results showed that sexual harassment of nurses mostly occurred as follows: visual harassment, which involved the perpetrators looking inappropriately at nurses; physical harassment, which involved intentional touching or leaning into the body; and verbal harassment, which involved making sexual jokes and remarks. The development of a prevention program for sexual harassment targeting patients and nurses in long-term care hospitals should be required to enable victims to perceive and efficiently cope with sexual harassment.

A Study on the Plan for the Recycled Use of Temporary Housing applied 3R Concept (3R 개념을 적용한 임시주거의 재사용 활용방안에 관한 연구)

  • Kim, Eun-Young;Wang, Woo-Chul;Lim, Seok-Ho;Hwang, Eun-Kyoung
    • Journal of the Korean housing association
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    • v.26 no.5
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    • pp.1-8
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    • 2015
  • In South Korea, a certain number of temporary housings are pre-produced and stored in a warehouse, which are later relocated and installed in the areas damaged by disasters. Through the supply of temporary housings upon the occurrence of a disaster, disaster victims are able to rapidly go back to their everyday lives, and the social confusion formed after the occurrence of a disaster is reduced. Although temporary housings can be used for various purposes, they are currently being used only for helping disaster victims and are thus facing the difficulty of continuing technology development due to their low marketability. To increase the use of temporary housings, this study was conducted to formulate a plan for the recycled use of temporary housings in non-disaster situations. This study intended to open wide the possibility of operating temporary housings regardless of the type, period, and scale of the disaster, and to propose a plan for the reuse of temporary housings in non-disaster situations.

A Study on the Importance of Safety Measurement Based on the Analysis of the Factors Leading to Serious Accidents Related to Chemical Industries (화학 관련 산업의 중대 재해 원인분석을 통한 안전관리 중요성에 관한 연구)

  • An, Hyung Hwan
    • Journal of the Korean Institute of Gas
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    • v.19 no.1
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    • pp.45-50
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    • 2015
  • This study is an analysis of characteristics and the causes of serious accidents in chemical industry. The statistical analysis was focused on preventive facilities, equipment failures, accident materials and instabilities of workers and employment type. First, it showed that the highest number of the victims of accidents were involved in the industry of chemical materials and chemical products among the investigation of the manufactural industries. Also, particularly, they were investigated to be focused on the occurrence of the serious accidents in preventive facilities. Secondly, the most of the victims of serious accidents were found out not to be temporary or part-time worker but regular workers and most of the accidents occur in the form of big accidents involving more than 4 workers.

A Study on the Safety Improvement Methodology of Lifts using Chi-Square Statistics (사고분석 및 카이제곱 통계량을 이용한 승강기 안전성제고 방안)

  • Kwon, Soon-Keol;Kim, Chang-Eun
    • Journal of the Korean Society of Safety
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    • v.30 no.6
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    • pp.156-163
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    • 2015
  • The number of the lifts installed and used in Korea totals up to 526,676 units as of the end of December 2014, due to the development and urbanization of this country. Since the lift is one of the convenience facilities and especially a kind of essential transportation facilities used by a majority of passengers everyday, it is necessarily required to manage the lift safety. Therefore, this study aims to determine the 5 factors(kinds of lifts, ages of victims, causes of accidents, seasons in accidents, usages of buildings) affecting the types(caught in, trip over, falling, collision) and the injury levels(death, serious injury, minor injury) of the lift accidents based on the analysis of the total victims of 1,514 people due to the 1,146 accidents which have occurred for the past 15 years, and to find the frequency and ratio of each factor in the accidents, and to make a correlation among the factors. As the result of the analysis, it shows that there exists a statistically significant correlation among the factors.

Disaster Preparation of Visiting Nurses in Public Health Centers (보건소 방문간호사의 재난대비 및 재난간호핵심능력 영향요인)

  • Uhm, Dongchoon;Park, Youngim;Oh, Hyunjin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.2
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    • pp.240-249
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    • 2016
  • Purpose: The purpose of this study was to identify the factors influencing personal disaster preparation and disaster nursing core competency among visiting nurses in public health centers. Methods: A descriptive survey study was adopted. A convenience sample was taken from 277 subjects in three regions. Data were analyzed by descriptive statistics, t-test, ANOVA, correlation, Pearson correlation coefficient and multiple regression. Results: The mean personal disaster preparation and disaster nursing core competency scores were 11.13 and 76.87, respectively. Personal disaster preparation was statistically significant by experience of disaster victims and disaster management guideline. Disaster nursing core competency was statistically significant by participation in future disaster recovery. As a result of multiple regression analysis, personal disaster preparation accounted for 14.9 of the variance by experience of disaster victims and disaster management guidelines; disaster nursing core competency accounted for 8.9 of the variance by perception of disaster nursing. Conclusion: Although visiting nurses are ill-prepared for disaster, global natural and man-made disasters can occur regardless of time and place. Disaster education and training should therefore be included in nurses' fundamental education.