• Title/Summary/Keyword: Emergency Service

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The Effects of Lumbar Stabilization Exercise on Pain-related Functions of Industrial Workers with Chronic Low Back Pain and Lumbar Instability (요부안정화운동이 요부불안정성을 가진 산업체 만성요통환자의 통증관련 기능에 미치는 효과)

  • Jung, Dae-In;Ko, Dae-Sik
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.479-486
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    • 2017
  • The purpose of this study is to investigate the effects of lumbar stabilization exercise on pain-related function of industrial workers with chronic low back pain and lumbar instability. 20 industrial workers with chronic low back pain were divided into two groups, control group(n=10) and experimental group(n=10). Back muscle strength, flexibility, and balance ability were measured to assess physical functions, and visual analog scale(VAS) was used to evaluate pain levels. In both groups, back muscle strength and balance ability increased significantly, and pain levels decreased significantly. In comparison between the groups, the experimental group compared to the control group showed significant improvement in balance ability and significant diminishment in pain levels. In conclusion, the lumbar stabilization exercise has positive effects on industrial workers with lumbar instability and chronic low back pain by improving balance ability and reducing pain.

Development of Case Review Form for Detecting Adverse Events (위해사건 확인을 위한 증례검토지 개발)

  • Ock, Min-su;Lee, Sang-il;Kim, Yoon;Lee, Jae-ho;Lee, Jin-yong;Jo, Min-woo;Kim, Seon-ha;Son, Woo-seung;Kim, Hyun-joo
    • Quality Improvement in Health Care
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    • v.21 no.1
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    • pp.66-76
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    • 2015
  • Objectives: The purpose of this study is to develop a case review form for detecting adverse events through a medical records review in hospitalized patients in South Korea. Methods: To develop the case review form, several literatures were reviewed, first. Through the clinical expert meeting, screening criteria were selected and case review form was developed. Result: The Korean version of case review form consisted of the review form-1 for adverse event screening and form-2 for adverse event identification. The applied methodology for the case review form is determined according to the previous studies. For example, the method used in the first stage review is nurse review. Furthermore, the National Coordinating Council for Medication Errors Reporting and Prevention index is used to categorize disability, and a scale of 1 to 6 was used in the causation scores and preventability scores, respectively. Through the clinical expert meeting, a total of 41 screening criteria were selected. Conclusion: The Korean specific case review form was developed for detecting adverse events in hospitalized patients. The results from this study can be used in a large-scale study regarding the nationwide incidence of adverse events.

The Effective Policy for the Establishment of Disaster Management System in Korea (우리나라의 효과적(效果的)인 재난관리체제(災難管理體制) 구책방안(構策方案)에 관한 연구(硏究))

  • Park, Dong-Kyun
    • Korean Security Journal
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    • no.3
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    • pp.83-116
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    • 2000
  • Many concerns have been raised for importance of disaster management after 1990's numerous urban disasters in Korea. When the primary function of government is to protect lives and property of citizens, disaster management should be included in the mainstream of public administration and many hazard countermeasures should be carried out for that purpose. The principal purpose of this research is to establish ways and means needed to improve the disaster management system in Korea. This paper is split into five chapters. Chapter I is the introduction part. Chapter II introduces the reader to a disaster management theory, and deals with various disaster management systems of foreign countries such as the U.S.A. and Japan, Chapter III describes and characterizes the Korea's current disaster management system. The Korean disaster management system has been reestablished through the enactment of the Disaster Management Act of 1995 and the full revision of Natural Hazards Management Act of 1995 after series of catastrophic man-made disasters since 1993. Chapter IV is devoted to the establishment of an effective disaster management system in Korea. In this chapter, I discusses measures needed to improve the quality of CDMB(Central Disaster Management Bureau)'s service to the people. I strongly reemphasize the effectiveness of a comprehensive risk-based, all-hazard national emergency management system that addresses preparedness, mitigation, response, and recovery. To that end the Administration should develop legislation, new policies, and organizational plans to invigorate the agency with a refocussed mission. Chapter V is a conclusion. As the demand for citizens'welfare has been continuously increased in the localization, the importance of disaster management is emerging subject in the public sector. The disaster management carries out complicated affairs and manages diverse objects, the cooperation/connection system of the central-local government and citizens, and non-governmental organization should be established.

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Diagnosis of Health Problems in School Children Through the Analysis of Daily Health Records (양호일지를 이용한 학생보건진단)

  • Chang, Chang-Gok;Choi, Youn-Kyoung
    • Journal of the Korean Society of School Health
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    • v.9 no.2
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    • pp.197-204
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    • 1996
  • Based generally on the socio-economic status of the surrounding areas of Seoul daily health records from 6 randomly sampled primary schools were analyzed to evaluate the health problems of school children in 1992. Diseases were classified into 11 categories according to ICD-9. The mean number of visits to health care rooms during school per student was 0.95 during 215 school days from February to December in 1992 and the mean number of daily visits was 10.12. Female students visited health rooms more frequently than male students. The total spell base incidence rate was 947.3 per 1,000 students in a year; the incident rate from digestive diseases was 342.1; from injuries it was 333.6; and from respiratory diseases, it was 243.9. 85% of all diseases were from trauma, gastric symtoms, and common colds. The most frequent diseases for male students resulted from trauma and for female students from gastric symtoms. The average incident rate was highest in the Kangnam area, and the lowest in the Kangbuk area and this result is statistically significant. The incident rates of 5th and 6th graders were significantly higher than the rest. Emergency cases refered to hospital were 140(1.07%), and drugs used for treatment consisted of digestives, drugs for common colds, analgesics and antipyretics, eye drops, and external ointments for trauma. In conclusion the above results suggest that the school health service program and health education program should be based on the health status of school children.

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Behavior Patterns of Health Care Utilization in Terminal Cancer Patients (말기암 환자들의 의료이용행태)

  • Han, Tae-Hyung;Cho, Byung-Jin;Shin, Baek-Hyo
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.101-107
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    • 1999
  • Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

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A Three-Tier BGP Backup Routing (3단 BGP 백업 라우팅)

  • Suh, Chang-Jin
    • Journal of KIISE:Information Networking
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    • v.32 no.6
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    • pp.745-752
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    • 2005
  • BGP is a unique routing protocol in broadband internet. It chooses routing paths considering internet hierarchy and local policies. As BGP routers selectively bypass routing information to a subset of neighboring BGP routers, connectivity by way of a series of links between source and destination nodes does not mean reachability of routing information of the two. In emergency when BGP routers or links over wide range are not available, BGP routers have to use links that are not normally used to keep reachability. This paper listed out the requirements for BGP backup routing and proposed a routing solution that hides most demerits in currently published ones. The proposed backup operates in three tiers according to network damage. Under this rule, BGP routers use tier-0 routing paths at normal. If networks are impaired, they choose tier-1 paths. If networks are seriously damaged, tier-2 paths are allowed to use. Also this paper proves that the proposed backup guarantees stability and safeness. As results, the proposed backup is very adaptive to light network damages as well as serious ones and provides strong routing reachability at all times.

Impact of Stress on Physical and Temporomandibular Joint Symptoms in Health-Related Majoring students (보건계열 대학생의 스트레스가 신체적 증상 및 턱관절증상에 미치는 영향)

  • Kim, Jin-Uk;Hong, Min-Hee;Kim, Yoon-Shin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.4919-4926
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    • 2013
  • The purpose of this study was to examine the stress of health-related majoring students on their physical and temporomandibular joint symptoms. The subjects were 283 college students in Chungcheongnam-do province from September 1 to November 30, 2012. The data were analyzed using SPSS 18.0(SPSS 18.0 K for window, SPSS Inc, USA) with the level of significance as 0.05. The findings of the study were as follows: There were significant differences among the university students in stress according to age, academic year, smoking and snack intake. Significant differences were found in digestive symptoms according to gender, academic year, drinking and snack intake, and there were significant differences in temporomandibular joint symptoms. Stress had a significant correlation to physical symptoms and temporomandibular joint symptoms. As for the influence of stress on physical symptoms and temporomanbular joint symptoms. In this study, how to help college students to relieve stress in a sound manner, to promote their physical, mental and oral health and ultimately to lead a sound college life should carefully be considered.

A Study on the Design of CBRN Response Training Program in Korea Using Activity-Action Diagram Method (Activity-Action Diagram 기법을 활용한 한국형 화생방 교육훈련 프로그램 설계에 관한 연구)

  • Ham, Eun-Gu;Kim, Tae-Hwan
    • Journal of the Society of Disaster Information
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    • v.10 no.1
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    • pp.159-169
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    • 2014
  • The development of science and technology to accompany the convenience of civilization but in addition to nuclear, gas, explosion, accident and spill all over the world with the possibility of a chemical or biological terrorism response efforts collectively as a response to the urgent task of a nation. In this study major economies such as the U.S. and Canada analyzed to investigate the CBRN training programs to fit the reality in Korea CBRN training programs were developed. also the development of training programs to CBRN Korean Activity-Action Diagram technique utilized by CBRN scenarios corresponding to each event needs to be taken when the Activity is defined by its detailed definition of corrective actions for the CBRN Activity to define context-sensitive actions in particular to enable the functionality of the structure in case of CBRN emergency initial response was to establish education and training programs.

Influencing Factors to Preference of Medical Tourism Products of Japanese Tourists (일본인 관광객의 의료관광상품 선호도 영향요인 분석)

  • Yoon, Seong-Yong;Lee, Jae-Gook;Ryu, See-Won
    • Korea Journal of Hospital Management
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    • v.15 no.4
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    • pp.165-190
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    • 2010
  • Objectives : This study was supposed to investigate factors which influence to preference of medical tourism products of Japanese tourists in Seoul, Korea. Methods : Data were collected from 228 Japanese tourists who visited' Seoul Center for Culture & Tourism' in Myeong-dong, Seoul, Korea. We measured factors which influence to preference for medical tourism. The data were analyzed by T-test, ANOVA, and multiple regression analysis. Results : The major findings were as follows ; Japanese tourists preferred medical products in the order of skin care, oriental medicine treatment, health screening, and scaling & teeth whitening. They considered technical level of medical staff most importantly, followed by safety of medical products, communication during diagnosis and treatment, follow-up service, modernization of medical facilities and equipment, and the reasonable medical expenses. Japanese tourists' preferred medical institutions in the order of a university hospital, a specialty clinic, a special hospital, They said they intend to pay 50,000 to 150,000 yen for medical tourism. The preference to medical tourism products are that single women group in their twenties and thirties for skin care, married people group aged over thirties preferred oriental medicine treatment, and married men aged over forties and high income earners favored health screening. Conclusions : It should be considered carefully that the preference exists on some factors especially for Japanese tourist. Further research about preference on medical tourism products for tourists from the other countries is required appropriately to fulfill the needs.

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A Study on the Standard Preparation for Cab Design of EMU with the 180km/h of Maximum Speed (180km/h급 간선형 전기동차 운전실 설계기준 마련 연구)

  • Lhim, Jea-Eun;Jung, Do-Won;Kim, Chi-Tae
    • Proceedings of the KSR Conference
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    • 2009.05a
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    • pp.1229-1234
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    • 2009
  • The rolling stocks of KORAIL are KTX, Saemaulho Multiple Unit(PP), New Electrical Locomotive(DL), Electrical Locomotive(EL), Diesel Locomotive, Metropolitan Commuter Train(CDC), VVVF and Resistance Controlled Multiple Unit, etc. EMU with the maximum speed of 150km/h is under the test run at the moment. Electrical Multiple Units for mainlines with 180km/h speed are supposed to be introduced as a substitute for Saemaulho Multiple Unit which is scheduled to be out of service. But the specification standard for the control board design of train driver's cab does not exist and there is no a study for layout and type of controlling device with driver's ergonomical approach. That's why the types of controller and operating are different from rolling stocks, which has high possibility of driver's human error and needs education whenever a new car comes in. Based on the opinion poll of drivers, design specification of safety engineering and ergonomics for controlling devices and safety facilities can improve exact control for devices and deal quickly with an emergency so as to improve rolling stock safety and operational efficiency.

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