• Title/Summary/Keyword: 소생자

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Epidemiological Investigation on an Outbreak of Enterotoxigenic E. coli among the Baseball Club Students of High School in Ulsan City, 2014 (2014년 울산시 일개 고등학교 야구부원들에서 발생한 장독소생성대장균의 유행에 관한 역학조사)

  • Kang, Young-Eun;Lim, Hyun-Sul;Lee, Kwan;Kim, Byung-Seok
    • Journal of agricultural medicine and community health
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    • v.40 no.2
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    • pp.53-61
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    • 2015
  • Objectives: An outbreak of food poisoning occurred among the baseball club students at a high school in Ulsan city in 2014. An epidemiological investigation was carried out to examine the infection source and the transmission route of pathogen, and to prevent a recurrence. Methods: A questionnaire survey was conducted for 26 male students and 2 food handlers. Rectal swabs were examined in 7 students and the 2 food handlers, and an environmental investigation was performed. A retrospective cohort study was used to evaluate the association between risk factors and disease. Results: The attack rate was 35.7% (10 persons/28 persons) from June 9 to 14, and Enterotoxigenic E. coli ST/LT was isolated from 7 among 28 persons. The study revealed that no food was a significant risk factor for the outbreak. There were no connection between environmental factors and the outbreak. Conclusions: The major risk factors for this outbreak were presumed to be the contaminated ice cube and ice making machines and eating ice cube from the machines. More strict personal and environmental hygiene need to be enforced to prevent such outbreaks.

A Phenomenological Case Study about the Experience of Committing Suicide's Families (자살자 가족들의 경험에 대한 현상학적 사례연구)

  • Lee, Keun-Moo;Kim, Jin-Sook
    • Korean Journal of Social Welfare
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    • v.62 no.2
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    • pp.109-134
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    • 2010
  • This study is about the experience of committing suicide's family and the purpose of study is to understand the essential structure of their life experience and to erect the grounded data for the restoration of committing suicide's families. The research was conducted by phenomenological case their family by suicide participated to study data were collected by in-depth interview. The authors interpreted the data in terms of Van-Menen's analysis framework. The result as follows: The essential themes of participant 1 were "digging seclusion site", "whirling around cryptograph" and participant 2 were "resuscitational catastrophe", "sowing seed on destroyed land", and participant 3 were "living Anonymous", "pumping priming water", and participant 4 was "taking on the burden of tragedy", and participant 5 was "stopen life time". The typical theme was "living person's life is died person's remaining category".

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Comparison of Ventilation Effects by Mask Type for Proper Health Care of Respiratory Emergency Patients (호흡응급환자의 적절한 헬스케어를 위한 마스크 유형별 환기효과 비교)

  • Kim, Tae-Hyun;Park, Si-Eun
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.477-485
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    • 2020
  • This study is a random allocation similar experimental study to compare and analyze the difference in BVM (Bag-Valve-Mask) ventilation volume according to the characteristics of the rescuer's hand and the type of mask using a standardized mannequin. To this end, the Basic Life Resuscitation Education Center of D University in gwangju. Recruiting 39 students who have completed the basic resuscitation course for emergency medical personnel and the Korean-style specialized cardiac rescue course, In addition to measuring the physical characteristics of the hand, the average amount of ventilation per minute using a bag-mask was measured and analyzed. As a result, the type of mask that was not most affected by the characteristics of the hand and provided adequate Minute Ventilation was the soft type (tube, silicone) mask. On the other hard (tube, silicone) masks were found to be unsuitable for general use as they were greatly affected by the characteristics of workers' hands. COVID-19 is currently increasing the risk of transmission to paramedics and patients. Considering this situation, the universal use of a semi-permanent hard-type mask, which is disadvantageous not only for preventing infection but also for proper ventilation, should be avoided. In addition to the ease of use, it should be actively utilized in the field by supplying a soft type mask that can provide stable ventilation even with 'predominance recognition' and proper ventilation.

건강과 자연농업-제236호

  • Korea Organic Farming Association
    • THE HEALTH and ORGANIC FARMING
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    • no.236
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    • pp.1-12
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    • 2007
  • 유기농업연수교육에 등록자 대거몰려/제주도지부 정기총회개최/우리의 산야초-얼레지/과수 양분의 저장과 집적부위 및 저장시기의 이해가 중요 2-3/제주특별자치도 친환경육성위원회 구성/<암을 이기는 음식>(1) 현미콩밥/인도에 부는 '유기농 붐'/미국 친환경 꽃 시장 2012년 600% 성장 예상/"친환경유기농업 육성정책"의 성공조건/고추 흰가루병/에너지순환과 토양관리/작물건전생육에 토양개량이 무엇보다 중요/친환경농산물 인증제도 개선 내용/'06 유기농인상 연구.지도자상 수상/벼 멀칭재배의 이론과 기술/만물이 소생하는 봄!!! 무엇을 파종할 것인가?!/친환경농업 연수교육/기후 온난화에 철저한 대비를/유기질비료의 이해

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Development of Learning Program using Chinese Whispers Game(Broken Telephone Game) for Systematic Assessment and Reporting of Patients and Exploration on Learners' Experiences (속삭임게임을 활용한 체계적 환자사정 및 보고 교육프로그램의 개발 및 학습자 경험탐색)

  • Jung, Hyun-Jung
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.143-153
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    • 2019
  • In order to save lives by recognizing the deteriorating changes of the patients, patient's assessment and reporting should be foundation, but this task is mainly delegated to nursing students or inexperienced nurses. A whisper game is a game in which the first person whisper selects a word, phrase or sentence and delivers it to the team member and finally confirms how many original message have changed during the transmit process. The purpose of this study was to develop a whisper game program to transmit the information of the children included in the DVD using in the pediatric advanced life support process. After four times of games, the experiences of 31 nursing students in the fourth grade were explored by analyzing the reflective journal. The results of the study showed three themes: learning motivation, metacognitive ability, and situated contextual learning. Repeated practice through a whisper game is expected to be widely used because it has been identified as a fresh and interesting learning method that enables nursing students to metacognize the process of assessing patients and conveying information in the contextual situation.

Development of cardiopulmonary resuscitation nursing education program of web-based instruction (웹 기반의 심폐소생술 간호교육 프로그램 개발)

  • Sin, Hae-Won;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.4 no.1
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    • pp.25-39
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    • 2002
  • The purpose of this study is to develop and evaluate a web-based instruction Program(WBI) to help nurses improving their knowledge and skill of cardiopulmonary resuscitation. Using the model of web-based instruction(WBI) program designed by Rhu(1999), this study was carried out during February-April 2002 in five different steps; analysis, design, data collection and reconstruction, programming and publishing, and evaluation. The results of the study were as follows; 1) The goal of this program was focused on improving accuracy of knowledge and skills of cardiopulmonary resuscitation. The program texts consists of the concepts and importances of cardiopulmonary resuscitation(CPR), basic life support(BLS), advanced cardiac life support(ACLS), treatment of CPR, nursing care after CPR treatment. And in the file making step, photographs, drawings and image files were collected and edited by web-editor(Namo), scanner and Adobe photoshop program. Then, the files were modified and posted on the web by file transfer protocol(FTP). Finally, the program was demonstrated and once again revised by the result, and then completed. 2) For the evaluation of the program, 36 nurses who in K university hospital located in D city, and related questionnaire were distributed to them as well. Higher scores were given by the nurses in its learning contents with $4.2{\pm}.67$, and in its structuring and interaction of the program with $4.0{\pm}.79$, and also in its satisfactory of the program with $4.2{\pm}.58$ respectively. In conclusion, if the contents of this WBI educational program upgrade further based upon analysis and applying of the results the program evaluation, it is considered as an effective tool to implement for continuing education as life-long educational system for nurse.

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Study for Improving military cardiopulmonary resuscitation quality and resuscitation training by combining feedback device and debriefing (피드백 장치와 디브리핑을 통한 군 심폐소생술의 질과 교육훈련 향상 연구)

  • Moon, Soo-Jae;Cho, Byung-Jun
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.235-236
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    • 2014
  • 군의 교육훈련간 디브리핑과 피드백 장치 활용을 통한 심폐소생술 교육방법을 적용하여 보다 효과적인 교육 방법을 확인하고 심폐소생술 수행 전 후 피로도를 검사하여 심폐소생술 술기가 숙달된 인원과 숙달되지 않은 인원의 피로도 차이를 분석함으로써 심폐소생술 교육프로그램의 기초자료를 제공하고자 한다. 현재 야전에서 응급처치교육을 받은 적이 없는 비 의무병인자로 전투병 생존법 교육 소집 대상자 중 참여 희망자 50명을 대상으로 하였다. 연구방법은 3가지 교육방법(디브리핑, 피드백장치, 디브리핑과 피드백장치 조합) 을 적용한 3개의 그룹에서 1,2,3차의 평가와 전체 디브리핑을 통해 심폐소생술 수행능력의 질적 향상에 미치는 영향과 동일 대상 중 희망자 20명에 한하여 심폐소생술 수행(5분) 전 후 혈중 젖산 농도 측정 및 주관적인 문답(1~10점)을 통해 심폐소생술 수행에 따른 피로도 실험을 진행하였다. 3가지 교육방법에 따른 심폐소생술수행능력 향상은 모든 그룹에서 유의하였으며(p<.001), 그룹별 심폐소생술 수행능력 향상효과의 차이는 디브리핑과 피드백장치를 조합하여 적용한 그룹에서 유의하게 높았다(p<.01). 심폐소생술 수행능력이 숙달되기 전 후의 피로도에 대해서는 본인이 느끼는 피로도는 유의한 차이는 없었으나 혈중 젖산농도에 따른 피로도는 유의한 차이로 전보다 후가 낮아졌다(p<.01).

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Influences of hands-only cardiopulmonary resuscitation on lumbar muscle tone, stiffness, and fatigue in emergency medical technicians (가슴압박소생술이 구조자의 허리근육의 근긴장도, 경직, 피로에 미치는 영향)

  • Wang, Joong-San;Shin, Sang-Yol
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.3
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    • pp.79-87
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    • 2020
  • Purpose: This study sought to determine how the act of performing cardiopulmonary resuscitation (CPR) affects the rescuer's muscle tone, stiffness, and fatigue in the lumbar region. Methods: The research subjects were 30 healthy men in their twenties in possession of a Basic Life Support (BLS) provider certificate. In this study, the CPR rescuer's muscle tone and stiffness in the upper and lower lumbar regions were measured in the resting position, starting position, and position after 10 min. Their level of fatigue was measured before and after performing CPR. Results: Muscle tone and stiffness in the upper and lower lumbar regions of the research subjects significantly increased throughout the CPR process and lasted up to 10 min after the process (p<.001). The subjects' fatigue also significantly increased post-CPR (p<.001). Conclusion: This study suggests that performing CPR creates muscular and physiological stress, fatigue, and ultimately, lower back pain.

Information System Research for Safe Transportation in the era of Pandemic Infectious Disease (팬데믹 감염병 시대에 안전이송을 위한 정보시스템 연구)

  • Kim, Seung-Yong;Hwang, In-Cheol;Kim, Dong-Sik
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2022.10a
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    • pp.335-336
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    • 2022
  • 연구목적: 감염병 유행시 감염병 의심 환자의 구급활동을 위해 출동한 소방대원의 안전을 확보하고, 현장에서 수집된 정보를 바탕으로 지역별 감염병 의심환자 발생 현황을 파악하여 현장 통제 및 지원이 가능한 소방 감염병 관리 시스템을 개발하고자 한다. 연구방법: 감염병 의심 환자를 분류할 수 있는 스마트폰 앱을 개발하여 감염병 의심 여부를 확인하고, 감염병 의심 환자로부터 감염을 방지하기 위해 환자 식별용 NFC태그를 1회용 형태로 개발한다. 현장에서 입력되는 감염병 의심 응급환자 관련 데이터를 수집하고 분석할 수 있는 관리 시스템을 개발하여 해당 업무 관련자에게 제공하여 감염병 의심 응급환자의 이송을 개선하는지 평가한다. 연구결과: 실험결과 스마트폰 앱에 구현된 알고리듬을 통해 감염병 의심 여부를 판단할 수 있었으며, 적정 이송병원으로 이송함으로써 재이송 비율히 현저히 감소되었다. 결론: 본 연구를 통해 응급의료 서비스에 ICT 기술을 적용하여 응급의료 서비스를 개선할 수 있는 가능성을 확인하였으며 특히 감염병 의심환자에 대한 적정병원 이송으로 이송시간 단축 및 응급환자의 소생률 향상과 함께 구급대원의 안전을 적극적으로 확보할 수 있을 것으로 기대된다.

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Ethical Attitudes according to Education and Clinical Experience of Do-Not-Resuscitate (DNR) (심폐소생술금지 교육 및 임상 경험에 따른 윤리적 태도)

  • Kae, Young Ae;Lee, Mi Yeon;Park, Jin Sook;Kim, Hyo Joo;Jung, Tae Youn;Jang, Bo Young;Kim, Yoon Jeong;Koo, Dong-Hoe
    • Journal of Hospice and Palliative Care
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    • v.18 no.3
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    • pp.208-218
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    • 2015
  • Purpose: Although a Do-Not-Resuscitate (DNR) order is widely in use, it is one of the challenging issues in end-of-life care. This study was conducted to investigate attitudes toward DNR according to education and clinical experience. Methods: Data were collected using a structured questionnaire comprising 30 items in a tertiary hospital in Seoul, Korea. Results: Participants were 238 nurses and 72 physicians. Most participants (99%) agreed to the necessity of DNR for reasons such as dignified death (52%), irreversible medical condition (23%) and patients' autonomy in decision making (19%). Among all, 33% participants had received education about DNR and 87% had DNR experience. According to participants' clinical DNR experience, their attitudes toward DNR significantly differed in terms of the necessity of DNR, timing of the DNR consent and post-DNR treatments including antibiotics. However, when participants were grouped by the level of DNR education, no significant difference was observed except in the timing of the DNR consent. Conclusion: This study suggests that the attitudes toward DNR were more affected by clinical experience of DNR rather than education. Therefore, DNR education programs should involve clinical settings.