• 제목/요약/키워드: EMSS

검색결과 13건 처리시간 0.019초

대형화재에 대비한 응급의료체계에 관한 분석과 개선방안 (A Study on the Analysis and Improvement methods of Emergency Medical Service Systems for Large Scaled Fire)

  • 이마리아
    • 한국응급구조학회지
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    • 제11권1호
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    • pp.41-52
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    • 2007
  • In Korea, Crowds, as well as more complex and larger structures, have been caused more victims in the event of fire. In that situation, EMSS should have done triage the patients according to their severity in the field, treat with standard guidelines as like advanced burn life support and transfer to appropriate facility. But in many cases, they didn't practice like that. The purpose of this study is to give basic data for proper emergency medical services by analysing EMSS of large scaled fire in Korea and suggesting some improvement methods. The improvment methods are like this ; First, developing of protocols about burn patient is needed for EMT and dispatcher. Second, Legal approval for advanced treatment is needed for EMT. Third, Fire-helicoptors are needed in Daejeon and Jeju. And Emergency Medical Helicoptors are needed in EMSS. Forth, more advanced emergency medical centers of burn must be established. Sixth, more pocket-mask and burn sheet are needed for 119 rescuer. Finally, building owners must change inflammable materials as non-inflammable materials and educate fire-prevention and first-aid to employees.

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병역판정검사를 위해 일 대학병원 정신건강의학과에 내원한 환자들의 초기 부적응 스키마와 관련 인지 기능 특성 (Characteristics of Early Maladaptive Schemas and Associated Cognitive Functions in Visitors to the Psychiatric Department in a University Hospital for Military Designation Process)

  • 정연재;이승재
    • 대한불안의학회지
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    • 제15권2호
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    • pp.68-76
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    • 2019
  • Objective : The goal of this study was to investigate the characteristics of early maladaptive schemas (EMSs), and associated neurocognitive functions as seen in visitors for military designation process. Methods : This retrospective study included 111 males aged 18 to 24 years among three groups: 41 visitors for military designation process (VMD), 21 patients with obsessive-compulsive disorder (OCD), and 49 healthy subjects. We collected the results of the Young Schema Questionnaire, Symptom Checklist-90-Revised, three neurocognitive tests as well as their clinicodemographic data. We analyzed the differences in EMSs between these three groups, and the correlations among the identified EMSs and neurocognitive performances within the VMD group. Results : Compared with both the OCD and healthy groups, the evaluation of the VMD group showed significantly higher scores in mistrust/abuse (F=6.4, p=0.002), vulnerability to harm (F=6.6, p<0.0001) and negativity/pessimism schema (F=7.3, p<0.0001), even when controlling for depression scores and levels of education. These three schemas also exhibited significant negative correlations with the score of Stroop test with r ranging from -0.34 to -0.44. Conclusion : These findings suggest that people who are likely to have difficulties adjusting to living in a military life may have psychological vulnerabilities related to certain EMSs. Further studies are warranted to test the clinical potentials of these findings, such as a treatment target and a predictor factor.

광주광역시 응급의료체계 개선에 관한 연구 (A Study on Improvement of Emergency Medical Service System in Kwangju)

  • 이영현
    • 한국응급구조학회지
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    • 제9권2호
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    • pp.29-38
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    • 2005
  • The purpose of this study was to provide the basic data for improvement of Emergency Medical Service System in Kwangju. The EMSS can be defined as the complete chain of human and physical resources that provides patient care in cases of sudden illness and injury. To provide effective emergency care through the EMSS in a region, the issue of training especially as it relates to EMT in EMSS delivery is more important than emergency medical equipment and facilities for pre-hospital emergency care. The transport of emergency medical patients carried out almost by 119 Emergency Medical Services. But out of all the employees at 119 EMS only 19.0% have graduated with a major in Emergency Medical Technology. It would seem prudent then that the graduates of EMT programs should gradually replace employees working at 119 EMS that do not have an EMT degree to ensure the best possible pre-hospital care for emergency medical patients. Therefore it can be expected that in the future there should an enormous demand for qualified EMT professionals to meet the growing needs for a superior level of emergency medical care for civilian.

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중소 금형업체 협업지원을 위한 핵심 제조역량 평가 모델 개발 (Assessment Model of Core Manufacturability to Promote Collaboration of Small and Medium Sized Mold Companies)

  • 신문수;이상일;류광열;주재구
    • 산업공학
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    • 제25권1호
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    • pp.52-63
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    • 2012
  • Up-to-date enlargement of the scale of global outsourcing has brought about the need of systematic and efficient tools for competitive supplier discovery located in various areas. A web-based business supporting system, referred to as Excellent Manufacturer Scouting System(EMSS), is being developed to serve core business functions including supplier discovery, negotiation, and collaboration between overseas buyers and domestic suppliers throughout the process of supply chain formation. In this paper, a supplier assessment model devoted to evaluation of core manufacturing capability is proposed by targeting small and medium sized mold companies. The assessment model will eventually be loaded to EMSS. Even if many well-designed models for supplier assessment have been presented in literature, most of them limit the evaluation criteria to somewhat general information on a given supplier, such as cost, delivery time, quality, rather than core manufacturing capability itself. This research is pioneering work on supplier assessment from the viewpoint of manufacturability. The proposed assessment model classifies assessment indices into six criteria, which have been drawn by intensive survey and analysis of the mold industry. Actual assessment indices for each criterion are also presented along with an exemplary evaluation result.

재난발생 시 일반응급의료체계에 관한 연구 (A Study for General Emergency Medical Service Systems in Disaster)

  • 이마리아
    • 한국응급구조학회지
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    • 제10권1호
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    • pp.23-39
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    • 2006
  • In Korea, There are many disasters, like the collapse of Sampung department store, the strike of severe typhoon 'Rusa' and the subway tragedy in Taegu, because of global warming, urbanization, high-density and high-rise of buildings. So, the government made 'The Framework Act' on the safe and management of disaster and 'The National Emergency Management Agency' was established. But emergency medical service systems in Korea is not growing so much. The purpose of this research is to give basic data for the development of emergency medical service systems in Disaster by comparing of disaster management systems and emergency medical systems among the nations of the world, analysing emergency medical systems in disaster in Korea and suggesting some improvement methods. The improvment methods are like this ; First, establishing the National Disaster Medical System in Korea, making the good triage by EMT, expansion of EMT's working area, developing protocols and framing of medical director increasing the working force of EMT, broad inner cavity of ambulance for treatment of patientent, supplement of professional equipments, active using of helicopters are needed in prehospital are. Second, equal establishment of emergency medical center and increase of working force of emergency medical team are needed in hospital area. Finally, enforcement of the dispatcher's qualification, smooth communication among EMSS systems and actualization of medical direction through screen are needed in the Telecommunication system.

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응급의료센터에서의 처방전달시스템(OCS) 사용 실태 및 평가 (Status of the Use and Assessment of Order-Communicating System(OCS) in Emergency Care Center)

  • 이삼범;정준영;도병수
    • Journal of Yeungnam Medical Science
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    • 제14권1호
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    • pp.85-93
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    • 1997
  • 병원정보시스템은 현재 의료기관에서 다방면의 목적 및 용도로 사용을 하고 있으며 그 유용성이 널리 알려졌다. 또한 일부 의료기관에서는 처방전달시스템(OCS)을 사용함으로써 병원업무의 획일화, 간편성, 연속성, 효율성 등을 높히고 있으며 사용자들이 매우 편리하게 활용을 하고 있는 추세이다. 한편 응급의료센터에서도 이런 시스템의 도입으로 진료업무 및 간호업무, 원무업무 등에서 간편하게 사용을 할 수 있으며 업무시간 단축 및 경제성, 효율성을 높힐 수 있다고 사료되며 이를 위한 프로그램 개발 및 보완을 위해 많은 노력을 하고 있다. 영남대학교의료원 응급의료센터에서도 적극적으로 OCS를 도입하여 사용을 함으로써 그 효용성을 알 수가 있었고 사용자에 대한 면담조사 결과에서 나타난 바와 같이 몇몇 수정, 보완을 하고 사용자의 적극적인 노력과 훈련이 계속되면 더욱 발전된 OCS를 구축할 수 있을 것으로 기대하며 향후 더욱 편리하고 유용한 시스템의 개발과 보급으로 타 의료기관의 응급의료센터와도 호환을 할 수 있고 환자정보교환 등을 가능케 하여 응급의료체계 구축과 확립에 이바지할 수 있을 것으로 사료된다.

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한국에서의 응급의료헬기 운영과 운항안전 (EMS Helicopter Operation and Flight Safety in Korea)

  • 최연철
    • 한국항공운항학회지
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    • 제19권4호
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    • pp.117-122
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    • 2011
  • EMSS is the organic system offering quick and efficient transfer and treatment for those who need an emergency service. For EMS aviation operation is the important transportation for the common benefits. There are several types of aviation operation. Among the different types of the operations, helicopter operation is very common because it is free from any locations. Notwithstanding the benefit, various types of EMS helicopter accidents and incidents are occurred because of its poor operation condition. In South Korea, even though so much effort was put to decrease the accidents rates, there are still many accidents happening by fire helicopters and the forest service helicopters. Therefore, in order to regularize the EMSH operation, measures for the aviation safety have to be prepared. This research is, related to the EMSH, focused on the suggestion of safety measure for the EMSH in Korea based on the accidents analysis in various countries.

A Performance Analysis of TMN Systems Using Models of Networks of Queues, Jackson's Theorem, and Simulation

  • Hwang, Young-Ha;Chung, Sang-Wook;Lee, Gil-Haeng;Kim, Young-Il
    • ETRI Journal
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    • 제24권5호
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    • pp.381-390
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    • 2002
  • We analyze the performance of a telecommunications management network (TMN) system using models of networks of queues, Jackson's theorem, and simulation. TMN systems for managing public asynchronous transfer mode (ATM) networks generally have a four-level hierarchical structure consisting of a network management system, a few element management systems (EMSs), and several pairs of agents and ATM switches. We construct a Jackson's queuing network and present formulae to calculate its performance measures: distributions of queue lengths and waiting times, mean message response time, and maximum throughput. We perform a numerical analysis and a simulation analysis and compare the results.

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대표근육 자극을 통한 EMS 기반 역감 제어방법론 제안 (EMS based Force Feedback Methodology through Major Muscle Group Activation)

  • 김효민;권재성;오용환;양우성
    • 로봇학회논문지
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    • 제12권3호
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    • pp.270-278
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    • 2017
  • The electrical muscle stimulator (EMS) based human machine interface (HMI) free to mechanical constraint and muscle fatigue problems are proposed for force feedback in a virtual reality. The device was designed to provide force feedback up to 4.8 N and 2.6 N each to the thumb and forefingers. The main objective of the HMI is to make unnecessary mechanical structures to attach on the hand or fingers. It employs custom EMSs and an interface arranged in the forearm. In this work, major muscle groups such as extensor pollicis brevis (EPB), extensor indicis proprius (EIP), flexor pollicis longus (FPL) and flexor digitorum profundus (FDP) are selected for efficient force feedback and controlled individually. For this, a human muscular-skeletal analysis was performed and verified. The validity of the proposed multi-channel EMS based HMI was evaluated thorough various experiments with ten human subjects, interacting with a virtual environment.

Effects of System Quality and Information Quality on the Use and Job Performance of an Enterprise Mobility Solution for a Mobile Office with a Consideration of Task Mobility and Task Interdependence as Control Variables

  • Yim, Sunjip;Shin, Minsoo
    • Asia pacific journal of information systems
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    • 제24권2호
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    • pp.115-140
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    • 2014
  • In a dynamic business environment, the enterprise mobility solution for a mobile office (EMS) has been adopted to increase the competitive edge of organizations. By using an EMS, performance is expected to be enhanced. However, the related literature has paid little interest to the impact of system quality in an EMS on the information quality produced by the system. On the basis of socio-technical theory, we posited that the system quality in an EMS influences information quality. In addition, we investigated the relationships between the above two qualities, use and job performance by considering task mobility and task inter-dependence as control variables. Survey respondents were from many industries using EMSs. The result of structural equation modeling shows that system quality positively affects information quality, and other relationships in the model are proven statistically significant. We also found that system quality has stronger impacts on use and job performance than information quality does in EMS. However, system quality does not affect use in case both task mobility and task inter-dependence exist. The theoretical and practical implications of the result are discussed in the paper.