• Journal of Korean Society of Rural Planning
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• v.24 no.4
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• pp.147-155
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• 2018

The purpose of this study was to identify vulnerable area of emergency medical care. In the existing method, the emergency medical vulnerable area is set as an area that can not reach the emergency room within 30 minutes. In this study, we set up an area that can not reach within 30 minutes including the accessibility of 119 emergency center. To accomplish this, we obtained information on emergency room and 119 emergency center through Open API and constructed road network using digital map to perform accessibility analysis. As a result, 509 emergency room are located nationwide, 78.0% of them are concentrated in the region, 1,820 emergency center are located, and 61.0% of them are located in rural areas. The average access time from the center of the village to the emergency room was analyzed as 15.3 minutes, and the average access time considering the 119 emergency center was 21.8 minutes, 6.5 minutes more. As a result of considering the accessibility of 119 emergency center, vulnerable areas increased by 2.5 times, vulnerable population increased by 2.0 times, and calculating emergency medical care vulnerable areas, which account for more than 30% of the urban unit population, it was analyzed that it increased from 17 to 34 cities As a further study, it will be necessary to continuously monitor and research the real-time traffic information, medical personnel, medical field, and ambulance information to reflect the reality and to diagnose emergency medical care in the future.

• The Korean Journal of Emergency Medical Services
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• v.22 no.1
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• pp.21-34
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• 2018

Purpose: The purpose of this study was to investigate the influencing factors of prevention practices against infection exposure among emergency medical technicians (EMTs) in emergency rooms. Methods: A self-reported questionnaire was filled out by 100 EMTs in emergency rooms from June 1 to August 31, 2017. The questionnaire consisted of items concerning the defensive environment for the prevention of infection exposure, perception of preventive behavior, and degree of performance of preventive actions against infection based on a five-point Likert scale. Data were analyzed by descriptive statistics, ${\chi}^2$ test, ANOVA, Pearson's correlation coefficients, and linear regression. Results: The defensive environment for the prevention of infection exposure was 4.12. The perception of preventive action was 4.71, and the degree of performance of preventive actions against infection was 4.54. There was a significant relationship between the degree of performance of preventive actions against infectious exposures and the degree of perception of preventive behavior(r=.506, p=.01) and prevention of infectious exposure(r=.506, p=.01). The protective environment(B=.360, t=3.236, p=.002) and perceived level (B=.904, t=4.662, p=.000) were influenced by the degree of prevention of infection exposure. Conclusion: It is important to manage the protection environment for infection exposure prevention and to enhance the awareness of infection prevention actions against infection exposure among the EMTs in emergency rooms.

• The Journal of the Korea Contents Association
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• v.22 no.9
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• pp.678-688
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• 2022

This study was conducted with the purpose of examining the direct effect of daily life restrictions on the behavior of people with physical disabilities who are easily exposed to 'disaster inequality' on emergency behavior, and comprehensively examining the mediating effect of depression and residential environment in this relationship. For this purpose, a total of 803 persons with physical disabilities aged 20 years or older were analyzed among the panels of the second year(2019) of the Panel Survey for People with Disabilities. As a result of the analysis, first, the daily life restriction of the physically disabled had a positive(+) effect on depression, a negative(-) effect on the residential environment and emergency behavior and depression had a negative(-) effect on the emergency behavior. The residential environment had a positive(+) effect on behavior in case of emergency. Second, it was found that depression and residential environment had a mediating effect between daily life restrictions and emergency behavior of the physically handicapped. In other words, it suggests that the living environment and depression can play an important role in the effect of daily life restrictions on the behavior in case of an emergency. Based on the analysis results, the implications of the study were suggested.

• Health Policy and Management
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• v.31 no.1
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• pp.24-34
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• 2021

Background: The purpose of this study is to identify factors that affect work dissatisfaction and turnover intention for dedicated nurses working in emergency departments of vulnerable areas of health care. The purpose of this study is to identify risk factors related to the working environment that influence job dissatisfaction and intention to turnover among dedicated nurses working in emergency rooms in areas of medical vulnerability. Methods: We conducted a survey of nurses working in emergency rooms in vulnerable areas of medical care, and the survey was conducted for two consecutive years. A logistic regression analysis was performed with the working environment variable as the independent variable and the work environment dissatisfaction and turnover intention as dependent variables, respectively. Results: The variables that significantly affected both dissatisfactions with the working environment and turnover intention at the current institution were age, overlapping work in other departments, and the total work experience of nurses. Annual salary, the average number of double-duty (continuous work) per month, type of work, and work experience of nurses at the current institution had a significant effect only on dissatisfaction with the working environment. Conclusion: The results of this study are thought to be of great help if the government takes reference when establishing medical policies in vulnerable areas in the future.

• Journal of the Korea Society of Computer and Information
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• v.28 no.10
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• pp.155-161
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• 2023

In this paper, we present a WebRTC-based emergency video call system structure that builds a service system in a constant monitoring environment to increase the usability and stability of elevator emergency call devices. The proposed system provides a smooth call environment between the emergency call system in the elevator and maintenance managers in case of an emergency, performs rapid response processing to elevator emergency calls through monitoring of the target elevator, and handles any emergency calls that may occur in the physical space of the elevator. The purpose is to build an environment that can implement low-latency, real-time video call services of voice and video by overcoming the physical constraints required for video calls. To this end, we have established a service environment based on OpenAPI, which is currently used in various fields and its performance has been proven, and provides video calls and emergency situation dissemination through rapid messaging by providing low-latency call quality. The presented system structure will be able to provide a basis for expanding various functions and constructing a reliable service environment and intelligent model for the elevator system through combination with the elevator control panel and various devices.

• The Korean Journal of Emergency Medical Services
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• v.7 no.1
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• pp.119-126
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• 2003

The results of analyzing the questionnaires with 119 emergency staffs working in Gwangju and Jeonnam region are as follows. 1. The whole stress score was mean 2.94 and the degree of stress from personal relationship was highest as 3.22. 2. There were significant differences in possession of qualification related to public health and medical treatment (F=3.090, p=.030) in service factors, total career of emergency staffs (F=2.979, p=.023) in working environment factors, age (F=2.835, p=.042) and sex (F=2.375, p=.019) in social position factors, possession of medical qualification (F=3.995, p=.010) and household account burden (F=2.777, p=.045) in personal relationship factors. 3. There were correlations (p=.475) between working environment factors and social position (p<0.01) and correlations (p=.508) between working environment factors and personal relationship factors (p<0.01). There was correlation (p=.415) between social position and personal relationship factors(p<0.01). More concrete research that examines whether current fire station operation system is desirable or not by comparing the degree of stress of the whole 119 emergency staffs in Korea is needed and it is considered that real allowance level should be secured to reduce their stresses and facility and guarantee system to satisfy their demands for welfare are required.

• Journal of Korean Academy of Nursing
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• v.26 no.1
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• pp.194-222
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• 1996

Various accidents and injuries are currently occurring in Korea at increasingly high rates. Good quality emergency care service is urgently needed to cope with these various forms of accidents and injuries. In order to develop a sound emergency care system, there need to be a plan to educate and train professionals specifically in emergency care. One solution for the on going problem would be to educate and train emergency clinical nurse specialists. This study on a strategy for curriculum development for emergency clinical nurse specialist was based on the following five content areas, developed from literature related to the curriculum of emergency nursing and emergency care situation : 1. Nurses working in the emergency rooms of three university hospitals were analyzed for six days to identify categories of nursing activities. 2. Two hundreds and eleven nurses working in the emergency rooms of 12 university hospitals were surveyed to identify needs for educational content that should be included in a curriculum for the clinical nurse specialist. 3. Examination of the environment in which emergency management was provided. 4. Identification of characteristics of patients in the emergency room. 5. The role of emergency clinical nurse specialist was identified through literature, recent data, and research materials. The following curriculum was formulated using the above mentioned process. 1. The philosophy of education for emergency clinical nurse specialist was established through a realistic philosophical framework. In this frame, client, environment, health, nursing, and learning have been defined. 2. The purpose of education is framed on individual development, social structure, nursing process and responsibility along with the role and function of the emergency clinical nurse specialist. 3. The central theme was based on human, environment, health and nursing. 4. The elements of structure in the curriculum content were divided to include two major threads, I, e., vertical and horizontal : The vertical thread to consist of the client, life cycle, education, research, leadership and consultation, and the horizontal thread to consist of level of nursing (prevention to rehabilitation), and health to illness based on the health care system developed by Betty Neuman system model. 5. Behavioral objectives for education were structured according to the emergency clinical nurse specialist role and function as a master degree prepared in various emergency settings. 6. The content of the curriculum consisted of three core courses(9 credits), five major courses(15 credits), six elective courses(12 credits) and six prerequisite courses (12 credits). Thus 48 credits are required. Recommendations : 1. To promote tile quality of the emergency care system, the number of emergency professionals, has to be expanded. Further the role and function of the emergency clinical nurse specialist needs to be specified in both the medical law and the Nursing Practice Act. 2. In order to upgrade the qualification of emergency clinical nurse specialists, the course should be given as part of the graduate Program. 3. Certification should be issued through the Korean Nurses Association.

• Journal of Institute of Control, Robotics and Systems
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• v.16 no.12
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• pp.1143-1149
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• 2010

Because the noise is the main cause for decreasing the performance at speech recognition, the place or environment is very important in speech recognition. To improve the speech recognition performance in the real situations where various extraneous noises are abundant, a novel combination of FIR and Wiener filters is proposed and experimented. The combination resulted in improved accuracy and reduced processing time, enabling fast analysis and response in emergency situations. Usually, there are many dangerous situations in our city life, so for the smarter city it is necessary to detect many types of sound in various environment. Therefore this paper is about how to detect many types of sound in real city, especially on CCTV. This paper is for implementing the smarter city by detecting many types of sounds and filtering one of the emergency sound in this sound stream. And then it can be possible to handle with the emergency or dangerous situation.

• The Korean Journal of Emergency Medical Services
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• v.7 no.1
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• pp.5-28
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• 2003

The purpose of this study which was conducted by framing of standardized advanced emergency care instructor qualification course outline and training competent instructor Course development based on following educational principle and it would be expected more improved aspect. Advanced Emergency care Instructor Qualification Course Development (1) based on advanced emergency care instructor job analysis and paramedic job description. (2) Learning of emergency care instructor qualification course is continuous. It is important to begin at the learner's level of knowledge and to relate new learning to information the learner needs. (3) Learning of emergency care instructor qualification course is purposeful and must make sense to the learner. Progress in learning must make sense to the learner. Progress in learning must be constantly appraised through feedback. The purpose of learning BLS information and skills must be kept in sharp focus. (4) Learning involves as many senses as possible. The more stimulating a learner activity is to the senses, the longer the information will be retained. Conservative figures indicate that 75% of what is heard is for-gotten after 2 days. It has been said that learners remember (5) Learning activities must be appropriate for the emergency situation through the PBL educational method. In BLS lecture skill learning, the greatest proportion of class time should be spent in manikin practice, using performance sheets as a learning tool or guide. (6) Learning must be stimulating. Instructors can motivate learners by helping them achieve higher levels of proficiency and encouraging other levels of course completion, such as instructor and instructor trainer. (7) Learning is affected by the physical and social environment. The physical environment should be conducive to both the kind of learning taking place and the activities used for learning. Advanced emergency care instructor qualification course organized educational psychology, educational methodology I,II,III, educational material making skill, lecture & conversational skill, BLS theory & pratice lecture skill, minic lecture designed PBL module. test of minic lecture & pratice lecture skill. Advanced emergency care instructor qualification course continued to active instructor training and motivated to active EMS system.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2018.05a
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• pp.200-202
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• 2018

Emergency care provides primary care and stability for the patient in the early stages. It saves a patient's life and minimizes the risk until that treated in a hospital. In the recent years, An attempts have been made to convergence medical technology and IT technology to overcome the limitations of temporal, spatial, and medical technology applications. In this study, we established an environment for emergency information services. The developed smart application for emergency rescue activities support can easily identify emergency situation and First Aid. Then, it can be transmitted to a remote medical guidance doctor so that emergency treatment and hospital response can be performed quickly.