• Title/Summary/Keyword: 응급상황관리

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Implementation of a Realtime Wireless Remote Control and Monitoring Systems (실시간 무선 원격 제어 및 모니터링 시스템의 구현)

  • Seong, Hae-Kyung;Lee, Moon-Goo
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.47 no.6
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    • pp.93-102
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    • 2010
  • Existing web based information service system solutions show limitations in mobile information services, as well as problems such as uncertain error messages, and difficulty providing swift assistance or real time emergency support. In order to solve these deficiencies, a realtime wireless remote control system has been designed and implemented in this thesis, which is capable of managing and monitoring remote systems using mobile communication devices (Mobile Phone, PDA, Smart Phone) for realtime control. Proposed systems are applied at remote places, for instance 'office building', and a nursery school like 'kindergarten'. In the case of implemented at office building, it can be managing and controlling at real time all sorts of the sensor information that are installed at office building system environment through wire(web environment) or wireless(mobile device). In the other case at kindergarten system that are providing the real-time wireless remote control and monitoring system can be monitoring activity of kindergarten children with a mobile phone of authentication user. The security functions of proposed systems include mobile device user authentication and target system access control. The proposed systems allow real-time user authentication function and system access control function that improve the security of resource administrators and mobile device users, and provides not only uninterrupted services, but also real time mobile service environments.

PDA Transmission of Medical Images by CDMA (CDMA에 의한 의료영상의 PDA전송)

  • Lee, Myong-Ho;Lim, Jae-Dong;Ahn, Bung-Ju;Lee, Hwun-Jae;Lee, Sang-Bock
    • Journal of the Korean Society of Radiology
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    • v.1 no.2
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    • pp.13-22
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    • 2007
  • The purpose of this study was to survey a development of the wireless transmission system of medical images for ubiquitous medicine. There have been many changes in medical equipments and medical record medical treatment and medical record within hospital and PACS(Picture Archiving Communication System) which is picture management system for patients can be typical cases. It is difficult to use these automated medical systems unless they are within hospital and in case of rapid image reading in the emergency cases or in absence of doctor, it is difficult to perform it immediately. The present study implemented an image transmission system using CDMA connection so that images in the server can be viewed at any time and in any place. Remote wireless diagnosis based on medical images using PDA is applicable to medical areas that require mobility, and the use of PDA can be an ideal alternative for point of care. The use of PDA enables prompt and accurate access to digital medical images, which in turn reduces medical accidents and improves the quality of medical services through high productivity and efficiency of medical practitioners' works. It also enables quick response to patients' demands and high-quality medical services and, consequently, patients' high satisfaction.

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ESG Management Strategy and Performance Management Plan Suitable for Social Welfare Institutions : Centered on Cheonan City Social Welfare Foundation (사회복지기관에 적합한 ESG경영 전략도출 및 성과관리방안 : 천안시사회복지재단을 중심으로)

  • Hwang, Kyoo-il
    • Journal of Venture Innovation
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    • v.6 no.3
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    • pp.165-184
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    • 2023
  • Since municipal welfare institutions operate for different purposes from general companies or public enterprises, ESG practice items and model construction should be conducted through various and comprehensive social welfare studies. Since there are not many studies available in domestic welfare institutions yet and there are no suitable ESG management utilization indicators, the Cheonan Welfare Foundation's strategy and management strategy system were established to spread the model to other welfare institutions and become a leading foundation through education and training. The foundation and front-line welfare institutions selected issues identification and key issues through the foundation's empirical analysis and criticality analysis, focusing on understanding ESG management and ways to establish a practice model that positively affects institutional image and business performance. Based on this, the promotion system was examined by establishing a performance management plan after deriving appropriate strategies and establishing a strategic system for social welfare institutions. Environmental and social responsibility, transparent management, safety management system establishment, emergency and prevention, user (customer) satisfaction system establishment, anti-corruption prevention and integrity ethics monitoring and evaluation, responsible supply chains, and community contribution programs. This study attempted to specifically present efforts to settle ESG management through the consideration of the Cheonan Welfare Foundation. Therefore, it is considered to be useful data for developing ESG management by referring to the systematic development process of the Cheonan City Restoration Foundation to develop ESG measurement indicators.

Physical Activity Lectures' Perceptions of Coaching Knowledge and University Curriculum (스포츠지도자의 전문지식 중요도와 교육 정도)

  • Kim, Yoonhee
    • 한국체육학회지인문사회과학편
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    • v.57 no.1
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    • pp.135-149
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    • 2018
  • The aim of this study was to determine importance of coaching knowledge and university curriculum from the perspectives of physical activity lectures. This study focused on importance of knowledge on physical activity education, experiences of teaching methods classes and training programs, comparative importance of coaching knowledge and university education, perceived difficulties in coaching and solutions, and coaching related knowledge needed to learn in their university training. Data were collected from 112 physical activity lectures working in commercial, community, and school settings. Results from qualitative and quantitative data revealed that they perceived knowledge of sport pedagogy very important when coaching their classes or members. While they took fewer coaching methods classes in their universities, their experiences from the classes were helpful in coaching. The differences between perceived importance and the level of education were greater in the areas including consultation of members, management of membership, and communication with members. They tried to solve difficulties by themselves or wanted to discuss with colleagues and employers. If possible they also wanted to seek educational consulting. In order to acquire adequate coaching knowledge the lectures need to received systematic training regarding sports skills teaching methods, theories and practices of various sports, and planning of sports skills coaching while they were in university programs.

An Efficient Future Indexing Technique for the Moving Object Location Prediction System (이동 객체 위치 예측 시스템을 위한 효율적인 미래 인덱싱 기법)

  • Lee, Kang-Joon;Kim, Joung-Joon;Han, Ki-Joon
    • 한국공간정보시스템학회:학술대회논문집
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    • 2007.06a
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    • pp.3-8
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    • 2007
  • 최근 도로 네트워크 환경에서 이동 객체 위치 정보를 관리하고 이동 객체의 미래 위치를 예측하는 이동 객체 위치 예측 시스템의 필요성이 나날이 증가되고 있다. 이동 객체위치 예측 시스템은 교통 관제 및 다양한 응급 상황 시 이동 객체의 미래 위치를 신속히 예측하기 위해 사용되며, 보다 편리한 위치 기반 서비스의 제공을 가능하게 해준다. 이러한 시스템을 위한 대부분의 미래 인덱싱 기법은 일반적으로 이동 객체의 미래 위치 예측을 위해 과거 이동 궤적을 이용하고 있다. 그러나, 수많은 이동 객체의 과거 이동 궤적 관리가 어렵고, 실시간으로 변화하는 이동 객체의 미래 궤적을 반영하기 위한 방대한 미래 인덱스의 갱신 요청으로 인해 인덱스 유지 비용이 증가하여 미래 위치 질의 요청에 대한 신속한 처리 성능이 떨어지게 된다. 따라서 본 논문에서는 이동 객체 위치 예측 시스템에서 방대한 이동 객체의 과거 이동 궤적으로부터 효율적으로 미래 위치를 예측하기 위해 셀 기반의 미래 인덱싱 방법인 PFCT-Tree(Probability Future Cell Trajectory-Tree)를 제시한다. PFCT-Tree는 방대한 과거 이동 궤적을 셀 단위로 재구성하여 인덱스 크기를 줄이고, 셀 내부 경험치를 기반으로 장기간 질의 시 빠른 미래 위치를 예측할 수 있다. 또한 신속한 미래 이동 궤적의 갱신 속도를 향상시키기 위해 미래 시간을 미래 궤적과 분리하여 인덱싱함으로써 위치 예측 오류로 인한 미래 인덱스 갱신 비용을 최소화 할 수 있다. 마지막으로 실험을 통해 도로 네트워크 환경에서 PFCT-Tree가 기존 인덱싱 기법들보다 갱신 및 검색 성능이 우수함도 입증하였다.ential oil (Bergamot, Grapefruit, Lemon, Petigrain)은 농도 의존적으로 ROS 생성을 증가시켰다. 이상의 결과를 종합하여 볼 때 citrus essential oil은 MSH에 의한 melanin 생성을 억제하는 것으로 보아 미백제로서의 개발 가능성이 있는 것으로 사료된다.가 사용될 수 있음을 제시한다.찍 발견되어 크기는 작았으며, 육안적으로 폴립의 Yamada 형태의 분류는 II, III의 형태를 띠고 있었다.EX>로 한반도 후기 백악기의 고지자기극$(Lat./Long.=70.9^{\circ}N/215.4^{\circ}E,\;A_{95}=5.3^{\circ})$의 위치와 유사하므로 암석의 생성 시기는 후기 백악기로 판단하였다. 한편 함평분지에 분포하는 백악기 화산암류에서는 한 개의 정자화 방향과 두 개의 역자화 방향이 확인되었다. 이들 특성잔류자화 방향은 백악기 화산암 형성 당시 암석에 기록된 성분으로써 당시 지구자기장의 상태를 기록한 것으로 해석하였으며, 이중 정자화 방향을 함평분지 화산암의 대표 방향으로 채택하였다 함평분지 화산암의 고지자기 극의 위치는 정자극의 경우는 $Lat./Long.=70.2^{\circ}N/199.5^{\circ}E,\;(K=18.1,\;A_{95}=9.6^{\circ})$ 이며 역자극의 경우는 $Lat./Long.=65.5^{\circ}S/251.3^{\circ}E,\;(K=7.1,\;A_{95}=20.7^{\circ})$이다. 이중 정자극의 위치는 한반도의 후기 백악기극의 위치와 통계적으로 동일한 것으로 나타나 함평분지 화산암

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A Study on the Continuous Use of Hospital Information Seeking Applications (병원정보탐색 어플리케이션의 지속적 이용에 관한 연구)

  • Jang, Jeong In;Yi, Yong Jeong
    • Journal of the Korean Society for information Management
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    • v.38 no.1
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    • pp.243-262
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    • 2021
  • The present study aims to identify the factors that affect the continuous use and discontinuance of the hospital information seeking applications(hospital apps thereafter) by employing the post acceptance model. The surveys were conducted with people who used the hospital apps from October 11 to 18, 2019. Researchers collected 125 valid data and analyzed them by using the structural equation model. The study found that the satisfaction and confirmation of expectation for the hospital apps users had significant effects on intention for continuous use and perceived usefulness, respectively. However, the perceived usefulness did not have a significant effect on the intention for continue use. The present study has identified the variables that influence the continuous use of these innovative technologies. The findings of the study confirmed the post acceptance model by observing the adoption and use of the hospital apps and extended the literature of the post acceptance model by discussing the unique characteristics of the hospital apps that satisfy the urgent help-seekers under emergency situations or the information needs emphasizing promptness. In addition, based on the benefits and limitations of hospital apps reported by consumers, the study provided practical implications for designing more user-friendly apps to hospital app developers or managers.

A Patient with Propionic Acidemia with a Novel mutation who was Successfully Managed by Home Care-Based Fluid Therapy (가정 간호를 통한 수액 치료로 성공적으로 관리된 새로운 변이를 가진 프로피오닌산혈증 1례)

  • Yang, Aram;Nam, Soon Young;Kim, Jinsup;Kim, Hyun-young;Park, Hyung-Doo;Jin, Dong-Kyu;Cho, Sung Yoon
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.1
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    • pp.52-56
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    • 2016
  • Propionic acidemia (PA) is a rare autosomal recessive metabolic disease caused by the deficiency of propionyl-CoA carboxylase (PCC). PA affects the catabolism of branched chain amino acid and oddchain fatty acid then results in accumulation of propionic acid and other metabolites in plasma and urine. Catabolic stress such as infection, illness or any stress can precipitate cause acute metabolic decompensation, especially in the first years of life. Acute metabolic decompensation commonly calls for emergency treatment or admission and if the patient is in a serious condition, it can lead to coma or death. But frequent admissions or visiting the emergency room are much burden to the patients and their kins. And we experienced the propionic academia with a confirmed novel mutation and the patient suffered from frequent admission and visiting the emergency room. So, we tried the regular home carebased fluid therapy after securing a central venous line. Finally, we succeeded in preventing frequent admissions resulted from acute metabolic decompensation and could contribute to relieving the burden to the patient and their family.

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NEED FOR DEVELOPMENT OF HOME HEALTH NURSING PROGRAM IN KOREA (가정 간호 사업에 관한 연구)

  • Ruth M. Virginia;Moon Jung Soon
    • Journal of Korean Public Health Nursing
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    • v.5 no.1
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    • pp.53-69
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    • 1991
  • 가정간호사업 도입에 대한 대상자의 필요성에 대한 인식을 알아보고자, 1988년 7월 1일부터 동년 8월말까지 서울시내 5개 대학병원에서 퇴원하는 환자 390명과 환자 보호자 380명, 주민 780명, 총 1550명을 대상으로 조사한 결과 다음과 같은 결론을 얻었다. 1. $81\%$의 대상자가 가정간호 사업 도입이 필요하다고 한 반면 $7.5\%$는 필요 없다고 하였으며, $11.5\%$는 잘 모르겠다고 하였다. 필요성 인식 율은 주민이 $83\%$, 환자보호자가 $79\%$, 환자가 $78\%$로서 세 집단 간에 유의한 차이 가 있었다. (P<.01). 인구학적 변수별로 보았을 때, 교육수준과 가정수입에 따라 인식 율에는 유의한 차이가 있어서 (P<.001, P<.01), 교육수준이 높을수록, 수입이 많을수록 높았다. 2. 필요성 인식 율은 가정간호사업 이용의사에 따라서도 유의한 차이가 있어서 (P<.001), 이용의사가 많은 군이 인식 율도 높았다. 3. 환자들의 필요성 인식 율은 퇴원시기에 대한 의견과 병원비 지출액에 따라 유의한 차이가 있어서 (P<.05, P<.02), 퇴원시기가 적절하다는 군이 부적절, 하다는 군보다, 또한 병원비 지출액이 적을수록 인식 율이 높았다. 진단명에 따라서는 피부 및 피하조직 진환$(100\%)$, 임신 및 출산에 관련된 합병증$(90\%)$, 신경 및 감각기계 질환$(85\%)$, 부상 및 중독$(83\%)$, 신생물$(79\%)$, 등에서 필요성 인식 율이 높았다. 4. 가정간호사업 이용에 대한 대상자의 의견을 $47.8\%$가 이용할 의사가 있었고, $49.9\%$는 상황에 따라 결정하겠다고 하였으며, $3.2\%$는 이용하지 않겠다고 응답하였다. 인구학적 변수별로 보았을 때, 연령별로는 노년층, 성별로는 남성이, 교육수준은 낮은 군이, 의료보험을 가진 군이 이용할 의사가 많았으며, 통계적으로 유의한 차이가 있었다. (P<.01, p<.001, p<01, p<.01). 5. 환자들의 가정간호사업 이용 의사는 퇴원시의 상태에 따라서 유의한 차이가 있어서 (P<.02), 상태 가 입원 시와 변화가 없거나 악화된 군이 이용할 의사가 많았다. 진단별로는 내분비계 질환$(63\%)$, 신생물$(57\%)$, 혈액 및 조혈기능 장애$(55\%)$, 부상 및 중독$(55\%)$, 등이 이용할 의사가 많았다. 6. 대상자들이 가정간호사업의 장점으로 생각하는 것은 환자의 심리적 안정$(66\%)$, 시간 절약$(57\%)$, 가족의 편이$(57\%)$, 환자 간호에 대해 배운다$(53\%)$, 질병 과정을 배운다$(51\%)$ 등이었다. 7. 대상자들이 가정간호사업의 단점으로 생각하는 것은 응급시에 대처하기가 어렵다$(49\%)$, 환자가 불안해 할 것이다$(41\%)$ 가정환경이 환장에게 부적합하다$(43\%)$ 등이었다. 8. 가정간호사업에서 수용할 수 있는 간호 업무로$50\%$ 이상의 대상자가 지정한 것은 활력징후측정, 경구 및 비경구 투약, 운동과 휴식지도, 개인 위생관리, 보건교육, 정신 심리 간호 등이었다. 9. 가정간호사업에 대한 지불방법은 $32.9\%$가 제공된 업무에 따라 지불해야 한다는 의견으로 가장 많았다.

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DENTAL TREATMENT OF THE PATIENT WITH AUTISM AND HEMOPHILIA A UNDER GENERAL ANESTHESIA A CASE REPORT (자폐증상이 있는 혈우병 A 환아의 전신 마취를 통한 치과적 치험례)

  • Park, Kyeong-Sun;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.593-600
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    • 1996
  • This case report is a treatment of patient with hemophilia A and autism. The patient's chief complaint was treatment of dental caries on entire dentition and he has an impacted mesiodens located on the apex of the upper right primary central incisor. The patient was consulted with pediatrician and anesthetist about the detailed discussion of the complexities of hemorrhagic disorder. Because he had some problems of behavior management and bleeding, the treatment was done under the gerneral anesthesia. The following results were obtained. 1. Consult with the patient's physician and hematologist about the replacement therapy and bleeding tendency. 2. For the severe hemophiliac child who requires extensive or surgical treatment, general anesthesia may be indicated for the comprehensive care. 3. For the hemophiliac child who has a behavior management problem due to autism and other defects, general anesthesia may be considerable. 4. Care must be taken during dental procedures not to causing a bleeding. 5. Local hemostatic methods must be acquired for the emergency state. 6. Neve prescribe aspirin or non-steroidal anti-inflammatory drugs such as ibuprofen, indomethacin, and phenylbutazone. These drugs affect platelet aggregation and exaggerate the bleeding defect. 7. Do not be afraid of hemophiliac patient, and never compromise quality of dental care.

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Role of Korean Society of Pediatric Infectious Disease during the Middle East Respiratory Syndrome (MERS) Outbreak in Korea, 2015 (2015년 우리나라에서 발생한 중동호흡기증후군과 대한소아감염학회의 역할)

  • Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.136-142
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    • 2015
  • The Korean Society of Pediatric Infectious Diseases (KSPID) has participated in the task force team consisting of government authorities as well as civil medical experts and facilities to block the spread of Middle East Respiratory Syndrome in 2015. KSPID posted the "Middle East Respiratory Syndrome (MERS) Pop-up" in the homepage of The Korean Pediatric Society and The Korean Society of Pediatric Infectious Diseases. KSPID also released the "Guidelines for testing for MERS in children and adolescents" and the "Instructions for the Operation of National Safe Hospital" for children and adolescents in a timely manner. Such actions were aimed to prevent unnecessary anxieties, studies and isolation of pediatric patients with respiratory symptoms and signs caused by other common microbial etiologies as being suspected for MERS patients. This strategy relieved the doctors and parents from unnecessary fear and prevented the loss of unnecessary health care costs, and has proven to be a well-judged guideline and management protocol as evaluated after the final end of MERS outbreak. KSPID and its members should support the presence of pediatric infectious disease (PID) specialists in every medium size hospitals in Korea by developing the need for consultation fees for PID consultation in the hospital based practice and promoting the potential for cost savings related to prevention of health care associated infections and optimal prescription of antimicrobial agents. KSPID and its members need to approach and develop a communication plan to political decision makers to demonstrate and convince them of the importance of a PID specialist service.