• Journal of agricultural medicine and community health
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• v.38 no.2
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• pp.130-141
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• 2013

Objectives: The purpose of this study was to reconsider the necessity of stroke-related educational programs by investigating early symptoms of stroke that emergency medical technicians (EMTs) may experience. Methods: An interview survey was carried out, targeting all EMTs 298 people who were working at 119 fire safety centers and local units in Jeollabuk-do province, from April 1 to 30, 2011. An interviewer administered questionnaire was used to obtain data on ETMs' demographic characteristics, educational level on stroke, and awareness level about early symptoms of stroke and treatment-related characteristics of stroke patients. Results: The results showed that 63.2% of those surveyed had completed the required educational programs on stroke during the past year. The level of awareness about early symptoms of stroke and assessment of stroke patients' condition was relatively high for women, those who were 30 years under, low position people, emergency service practitioners, emergency medical technicians, and people who have completed education, respectively. It was also turned out that 82.8% of those surveyed took stroke patients to the nearest hospitals first so that they could receive appropriate treatment. The level of awareness about early symptoms of stroke and assessment of stroke patients' condition in people who have completed education were higher than non-complete. The level of awareness about early symptoms of stroke was positively correlated with confidence, satisfaction and appropriateness in treatment of stroke patients. Conclusions: These results strongly suggest that it is necessary to operate specialized educational programs to enhance EMTs' appropriate awareness of the early symptoms of stroke and assessment of stroke patient's condition.

• Journal of the Korean Applied Science and Technology
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• v.38 no.6
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• pp.1577-1586
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• 2021

The purpose of this study was to evaluate the effects of debriefing for meaning learning on critical thinking ability, problem-solving ability, communication abilit of nursing students. A nonequivalent control group pretest-posttest design was used in this study. And the subjects were 73 students in D city, including 38 students in experimental group and 35 students in control group. The result critical thinking ability (t=-3.144, p=.002), problem-solving ability (t=-3.248, p=.002), and critical communication ability (t=-4.051, p=<.001) improved more significantly in the experimental group, compared with the control group. Therefor debriefing for meaning learning on nursing students' was effective education method on critical thinking skills, problem-solving skills, communication skills.

• The Journal of the Korea Contents Association
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• v.12 no.10
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• pp.376-384
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• 2012

The purpose of this study is to enhance the satisfaction of paramedics on the refreshment training by identifying the status and requests of 389 Grade I and II paramedics who participated in refreshment training and providing appropriate training according to job requirements, and to provide basic materials for the effective operation. From the study, in 'Status and Difference of Refreshment Training of Grade I and II Paramedics', statistically significant items were found to be 'Satisfaction level of Refreshment Training'(p=0.002), 'Training should be separated according to qualifications.'(p=0.000),'Refreshment training registration fee was appropriate.'(p=0.027), 'Necessity level of evaluation after the refreshment training'(p=0.007). The most appropriate theme for refreshment training' was found to be ALS among Grade I (42.3%) and Grade II (31.1%), but it was not statistically significant (p=0.224). In 'Refreshment Training Enhancement Requirements', both Grade I (29.5%) and Grade II (31.2%) paramedics wanted 'qualitative enhancement of contents' most, which was not statistically significant (p=0.664). Additionally, 'the most appropriate theme for refreshment training' was found to be ALS in 'hospitals' (46.3%) and 'non-hospitals' (28.6), and comparing to 'hospitals' 'non-hospitals' showed approximately 12% higher requirements on 'Laws and the latest medical information'. According to results, it is recommended to separate training for Grade I and Grade II paramedics and reflect requests of the field to refreshment training so as to enhance the quality and satisfaction of refreshment training.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.4
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• pp.710-717
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• 2016

This study was progessed from March 3, 2015 to March 31 for purpose of evaluating the effects of the trauma-patient practice education using simulation on knowledge, satisfaction and problem-solving in paramedic students. To closely examine the adequacy of education for paramedic students in one university, a comparison was made by dividing 28 male and female students into two groups of experimental group with 14 students and control group with 14 students. The experimental group was carried out the practice education of the trauma-patient simulation using simulator. The control group was conducted the theoretical and practical education through a traditional instructor-led class. As a result of the research, the experimental group can be known to be significantly higher(t=2.09, p<.05) than the control group in the post-knowledge survey and satisfaction following the development in each educational method for 4 weeks. Also, in consequence of the variable-based correlation in the sub-factors of satisfaction, a correlation was shown between interest and clinical help or between interest and problem-solving ability(p<.05, p<.01). Based on the results of this study, it is considered that the simulation practice education in the emergency department is demanded and that the practice education will need to be continuously applied through developing a proper scenario.

• Journal of the Health Care and Life Science
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• v.11 no.1
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• pp.87-96
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• 2023

This descriptive research study aims to identify the importance and satisfaction of new advanced safety education and marine telemedicine service, and to identify the priority of educational needs for trainees who have received advanced safety reeducation. Data from 190 trainees who conducted advanced safety retraining at the MarineCom were used for the study. As a result of the study, the vital sign measurement method was selected as the top priority for the new advanced safety education, and the nervous system, circulatory system, and surgical system were selected as the top priority for the educational need by type of marine telemedicine guidance. These results suggest that there was a high demand for education on vital sign measurement methods in order to determine the appropriate first aid by grasping the overall condition of the patient in the event of an emergency. Working and monotonous daily life acted as a cause of mental and physical stress, so the incidence of patients in the nervous system, circulatory system, and surgical system was high, and compared to other systems, it was judged that the demand for education was high because the patient was related to life.

• Journal of Yeungnam Medical Science
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• v.16 no.2
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• pp.283-295
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• 1999

Background: Patients with acute non-traumatic chest pain are among the most challenging patients for care by emergency physicians, so the correct diagnosis and triage of patients with chest pain in the emergency department(ED) becomes important. To avoid discharging patients with acute myocardial infarction(AMI) without medical care, most emergency physicians attempt to admit almost all patients with acute chest pain and order many laboratory tests for the patients. But in practice, many patients with non-cardiac pain can be discharged with simple tests and treatment. These patients occupy expensive intensive care beds, substantially increasing financial cost and time of stay at ED for the diagnosis and treatment of myocardial ischemia and AMI. Despite vigorous efforts to identify patients with ischemic heart disease, approximately 2% to 5% of patients presented to the ED with AMI and chest pain are inadvertently discharged. If the cause for the chest pain is known, rapid and accurate diagnosis can be implemented, preventing wastes in time and money and inadvertent discharge. Methods and Results: The medical records of 488 patients from Jan. 1 to Dec. 31, 1997 were reviewed. There were 320(angina pectoris 140, AMI 128) cases of cardiac diseases, and 168(atypical chest pain 56, pneumothorax 47) cases of non-cardiac diseases. The number of associated symptoms were $1.1{\pm}0.9$ in non-cardiac diseases, $1.4{\pm}1.1$ in cardiac diseases and $1.7{\pm}1.1$ in AMI(p<0.05). In laboratory finding the sensitivity of electrocardiography(EKG) was 96.1%, while the sensitivity of myoglobin test ranked 45.1%. Admission rate was 71.6% in for cardiac diseases and 50.6% for non-cardiac diseases(p<0.01). Mortality rate was 8.8% in all cases, 13.8% in cardiac diseases, 0.6% in non-cardiac diseases, and 28.1% especially in AMI. Conclusion: In conclusion, all emergency physicians should have thorough knowledge of the clinical characteristics of the diseases which cause non-traumatic chest pain, because a patient with any of these life-threatening diseases would require immediate treatment. Detailed history on the patient should be taken and physical examination performed. Then, the most simple diagnostic approach should be used to make an early diagnosis and to provide treatment.

• Journal of Digital Contents Society
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• v.11 no.2
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• pp.277-282
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• 2010

In this paper, the wireless transmission module is developed to transmit oxygen saturation(SpO2) signal, acquired from bio-signal measuring module, to PC. This wireless transmission module is designed with closed type protocol instead of open type protocol such as a zigbee or a bluetooth, considering of the security of personal medical informations. The display software is also developed to display transmitted SpO2 signals by various type data and graph without information loss for a emergency transfer.

• Proceedings of the Korean Society of Computer Information Conference
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• 2009.01a
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• pp.451-454
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• 2009

현재와 미래 정보통신 기술의 눈부신 발달에 따라 흥 네트워킹 산업의 발전과 에너지 시장 환경의 변화가 소비자 중심으로 이루어지고 있는 향후 미래 디지털 사회에서는 부하관리와, 정전이나 과부하같은 응급 상황을 대처할 수 있는 지능형 에너지 관리 시스템 개발이 필요하다. 따라서 많은 인공지능 기법을 이용해 에너지 관리 시스템 개발이 진행중이다. 그러나 대부분의 시스템은 에너지 관리 시스템에서 발생되는 대용량의 정보들을 고려하여 개발한 시스템은 거의 이루어지고 있지 않다. 이에 본 논문에서는 지능형 실시간 에이전트를 이용해 정기적으로 에너지 정보를 요구하는 이벤트와 비정기적으로 데이터를 요구하는 이벤트 및 계절별, 시간대별 및 요일별등으로 나누어, 요구되는 에너지 정보를 보다 효율적으로 처리할 수 있는 가법을 적용한 지능형 원격 에너지 관리 시스템을 설계하고 개발하였다.

• The Journal of the Korea Contents Association
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• v.17 no.11
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• pp.435-445
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• 2017

This study was conducted to overcome the limitations of prior research on the equity of medical care performed by identifying simple differences in the use of medical care or using limited medical needs and medical utilization indicators. Specifically, we used activity limits, chronic diseases, and subjective health status as medical needs, and used outpatient, inpatient, and emergency services as medical uses. In addition, we used concentration index, concentration curve, and Le Grand factor to analyze the equity of medical use considering medical needs. The main results are as follows. First, the amount of medical care for the low-income class is higher than that of the high-income class when considering the concentration of medical use. In particular, the number of hospitalization days for low-income households and hospitalization fees were higher than the fees of outpatient medical consultation and emergency room usage. Second, medical needs were concentrated in the low income class. In other words, low-income group is not as healthy as the high-income group. Third, the Le Grand factor was calculated in order to confirm the fairness of the medical uses considering the medical needs. Even if medical needs are taken into consideration, the high-income earners will have a large amount of medical care. In addition, when considering the limitation of activity and the number of chronic diseases, the medical use of the high income class was more frequent. However, when the subjective health condition and the chronic illness were considered, medical use of the low income class was more frequent. This may be due to the underestimation of the medical needs of the low-income earners by neglecting their own health status and perception of chronic diseases.

• Clinical and Experimental Pediatrics
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• v.49 no.8
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• pp.839-844
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• 2006

Purpose : We studied clinical patterns of the febrile infants and children presenting to the Pediatric Emergency Department(ED) in the general pediatric population. Method : We analyzed 1,764 infants and children who had a history of measured body temperature of $38.3^{\circ}C$ or higher, before or after arrival at Pediatric ED of Ilsan Paik Hospital from September 2004 to August 2005. We analyzed their clinical patterns, such as the frequency of febrile illness, age distribution, monthly distribution, diagnosis. Result : The frequency of the febrile illness at Pediatirc ED was 19.9 percent (1,764/8,881 cases). The percentage of admission into hospital was 26.4 percent. The most common age group presenting to Pediatric ED with febrile illness was the 12-23 months group(22.8 percent) followed by the 4-11 months group and the 2 years group. In May, the most numerous patients presented to the Pediatric ED with febrile illness. The frequency of febrile illness was significant higher in the 'Spring & Summer group' compared to the 'Autumn & Winter group'. The ratio of male to femal was 1.4:1. The most common diagnosis was acute pharyngitis(42.5 percent), followed by acute gastroenteritis (15.3 percent), pneumonia(7.0 percent). Conclusion : The frequency of the febrile illness at Pediatirc ED was 19.9 percent. The most numerous patients visited Pediatric ED in May. And, the most common age group was 12-23 months. The proportion of non-urgent disease, such as acute pharyngitis, acute gastroenteritis, acute nasopharyngitis and acute bronchitis, was high. There is a need to educate parents and improve the medical system in Korea.