• The Korean Journal of Pain
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• v.32 no.2
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• pp.69-78
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• 2019

Pain therapy often entails gastrointestinal adverse events. While opioids are effective drugs for pain relief, the incidence of opioid-induced constipation (OIC) varies greatly from 15% to as high as 81%. This can lead to a significant impairment in quality of life, often resulting in discontinuation of opioid therapy. In this regard, a good doctor-patient relationship is especially pivotal when initiating opioid therapy. In addition to a detailed history of bowel habits, patient education regarding the possible gastrointestinal side effects of the drugs is crucial. In addition, the bowel function must be regularly evaluated for the entire duration of treatment with opioids. Furthermore, if the patient has preexisting constipation that is well under control, continuation of that treatment is important. In the absence of such history, general recommendations should include sufficient fluid intake, physical activity, and regular intake of dietary fiber. In patients of OIC with ongoing opioid therapy, the necessity of opioid use should be critically reevaluated in terms of an with acceptable quality of life, particularly in cases of non-cancer pain. If opioids must be continued, lowering the dose may help, as well as changing the type of opioid. If these measures do not suffice, the next step for persistent OIC is the administration of laxatives. If these are ineffective as well, treatment with peripherally active ${\mu}$-opioid receptor antagonists should be considered. Enemas and irrigation are emergency measures, often used as a last resort.

• Journal of the Korean Society of Food Culture
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• v.22 no.5
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• pp.556-574
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• 2007

`Kyukonyoram Dyusikbang` is an old cooking book hand-written in Korean by unknown writer, housed in Shinam-mungo of the Korea university. This book introduces Tojungbigyul and Dyusikbang(the part about food), and explains in detail how to handle emergency cases at home, take care of women who deliver a baby and give it name and so on. It can be summarized as follows. (1) 29 'Koi's seem to keep unexpected accidents and encourage people to enjoy stable life at home. (2) In this book are not only 27 ways of how to make liquors but also ways of how to cook dishes using 12 kinds of food with cold water and one kind of rice cakes. (3) It says good yeast is critical for good quality liquors and also emphasizes the. taste of good 'Jang' to enhance the taste of other food and the importance of having basic food materials and spices at home. (4) It describes in detail the day of good or ill luck while mentioning how to name a baby. It can be seen that there were somethings that were considered especially important such as the process of making Jang, the day of placing the rooftop, or the good or ill luck of people.

• The Korean Journal of Emergency Medical Services
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• v.11 no.3
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• pp.81-92
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• 2007

The main purpose of this study was to survey baby-sitters who have experienced safety accidents of children ; the causes of safety accidents, wounded parts of the body caused by safety accidents and how to handle emergency situation. The research participants consisted of 31 baby-sitters who have experienced safety accidents of children and have been participating in Baby-Sitter Programs at S university, in Suwon Kyunggi Province. The data were collected from June 13th to July 4th, 2007 using open questionnaires on semi-structure. The data were analyzed using a SPSS PC+ statistical program. The results of this study were as follows ; First, according to the general demographics, it has indicated that 32.2% of baby-sitters who participated in this research are mostly the age group of between 41 and 50years old. And 48.3% of baby-sitters are graduated from high school. In addition, 83.9% of baby-sitters go married and 41.9% of them have only one child. Second, in terms of experiences about baby-sitting, 51.6% of baby-sitters mostly do their jobs in the afternoon. They usually cared 1 or 2years old babies in the afternoon time. 48.3% of baby-sitters experienced baby-sitting for less than 6months. And the financial support was the main reason why they decided to do baby-sitting jobs. Third, the causes of safety accidents while caring children, included 'falling down(22.6%)', 'baby-walker(19.4%)'. Also, it was found that 61.3% of children who had accidents were male. When safety accidents occurred, the baby-sitters had been doing 'feeding milk(29.1%)', 'going out(16.1%)' and 'self-care(16.1%)'. Also, it has shown that the accidents mostly occurred in the afternoon(64.5%). Fourth, the parts of the injuries in safety accidents, predominantly involved the parts of arms(38.7%), legs(25.8%) and head and neck(12.8%). In conclusion, this research was intended to provide the basic data in safety accidents of children who were cared by baby-sitters. In the further research, it is suggested that studying for safety accidents of children and safety education programs for baby-sitters should be necessary.

• Journal of the Korea Society of Computer and Information
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• v.25 no.10
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• pp.159-168
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• 2020

The purpose of this study is to confirm the general characteristics of 119 paramedics who are treating early emergency patients and to confirm the relationship between job stress and job satisfaction and to examine the effect of stress on satisfaction, a questionnaire survey was conducted on 365 paramedics in four Chungcheong provinces. The reliability of the job stress tool was Cronbach α = .87. The job satisfaction tool was Cronbach α = .84. The collected data were analyzed by SPSS WIN 18.0 program. There were differences among the sub - variables of general characteristics, but the general characteristics excluding academic ability were less correlated with job stress, and job satisfaction was higher when the subjects' age, number of dispatches and field hours were smaller. Job stress was found to be low when stress was high on first aid, dispatch, transport, medical guidance, conflicts and emergencies excluding partners. To reduce job stress of 119 paramedics, it is recommended to provide institutional support and education to improve the ability to recruit new emergency personnel and to provide emergency medical care and guidance because of diversification of dispatch methods and appropriate stress management.

• Child Health Nursing Research
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• v.21 no.2
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• pp.98-106
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• 2015

Purpose: This study was done to develop and evaluate an algorithm-based simulation scenario for emergency measures for high-risk newborns presenting with apnea. Methods: A one shot case study design was used to evaluate the algorithm-based simulation scenario. Effects of the developed simulation scenario were evaluated using the Simulation Effectiveness Tool (SET) and the Lasater Clinical Judgement Rubric (LCJR). From March to November 137 senior nursing students completed the simulation using this scenario. Results: The eight-frame simulation scenario was developed based on the Neonatal Resuscitation Program (NRP) and the nursing clinical judgment process. After use of the scenario, overall scores for SET and LCJR were 21.0 out of 26.0 and 32.4 out of 44.0 respectively. There were no significant differences in scores according to general characteristics. Positive correlation coefficients were identified among overall and subcategories of SET and LCJR. In addition, students provided positive feedback on the simulation experience. Conclusion: Considering that nursing students have limited access to high-risk newborns during their clinical experience and that newborns presenting apnea are common in the neonatal intensive care unit, the simulation scenario developed in this study is expected to provide nursing students with more opportunities to practice emergency measures for high-risk newborns.

• Clinical and Experimental Pediatrics
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• v.51 no.10
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• pp.1058-1064
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• 2008

Purpose : This study aimed to assess current knowledge of and training experiences with the intraosseous (IO) line among emergency medicine (EM) and pediatric residents who care for critically ill children and to evaluate the educational effectiveness of the IO line workshop. Methods : During May and June 2008, a workshops on IO line insertion was held for EM and pediatric residents. The workshop comprised a 45-min lecture and a 15-min hands-on session. A semi-drill type EZ-IO machine was used for education. Self-assessment questionnaires gauged residents knowledge of and experiences with IO line insertion or bone marrow (BM) examination and their confidence with IO line insertion before and after the workshop. Performance tests were completed for skill evaluation. Results : Forty-five pediatric residents and 22 EM residents participated in the workshop. The pre-educational questionnaire revealed that EM residents had more educational experience in IO line insertion than pediatric residents (P<0.001), while pediatric residents reported more experience in BM examination (P<0.001). The post-educational questionnaire showed a statistically significant higher percentage of correct answers (P<0.001). Although the pediatric residents inserted an IO line more quickly (P=0.001), most residents (88.7%) succeeded in IO line insertion on their first attempt; there was no difference in the groups success rates. Both groups showed higher confidence in performing IO line insertion after training (P<0.001). Conclusion : Observed educational effectiveness in both knowledge and confidence of IO line insertion skill suggest educational opportunities for pediatric and EM residents should be increased.

• International Journal of Advanced Culture Technology
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• v.12 no.3
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• pp.37-46
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• 2024

This study was designed to identify factors affecting polyclinic (clinical practice) during COVID-19. Fourth-year medical students at K Medical University in Daejeon, South Korea were recruited, and 64 medical students ultimately agreed to participate in a survey about polyclinics in a regional emergency center over 4 weeks. Satisfy answers for 5^th grade and 6^th grade was 15 (53.6%) and 13 (46.4%) respectively. Dissatisfy answers of observation of the ICU for 5^th grade and 6^th grade was 10 (27.8%) and 26 (72.2%) respectively. Thus, there were more satisfy answers in 5^th grade and less satisfy answers in 6^th grade(p<0.05). Based on the results of confirming significance for regression coefficient, several factors influencing the polyclinic were identified, and the following categories showed statistical significance (p<0.05): for 6^th grade, satisfy answers of the clinic hours showed 3.656 times more than dissatisfy answers, exempt from the operation room showed 21.596 times more than dissatisfy answers, observation of the intensive unit care (ICU) showed 0.054 times less than dissatisfy answers, and cares of the COVID-19 patients showed 6.962 times more than dissatisfy answers. We suggest that hybrid or virtual medical education such as the polyclinic utilizing standardized patients (SP) or augmented reality (AR) technologies at the virtual hospital or the real hospital. More medical students would be encouraged to participate the problem-based learning (PBL) or team-based learning (TBL) in so-called 'hybrid or virtual' polyclinic.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.157-174
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• 2010

Purpose: This study aims to develop, verify, and suggest outcome indicators for advanced practice nurses (APNs) in order to clarify their usefulness. Methods: To develop outcome indicators, the following methods were applied: reviewing literature intended to identify preliminary outcome indicators; surveying outcome indicators currently used for APNs and collecting the opinions from representatives of the professionals in clinical practice; verifying the content validity of preliminary outcome indicators by professionals and verifying the preliminary outcome indicators with 252 APNs. Results: Suggested outcome indicators are categorized into 84 items in total. Of these, the number of outcome indicators commonly appearing across disciplines was 18, mostly related to satisfaction and education. A majority of other outcome indictors exhibiting high relevance to individual disciplines are associated with care, including critical care (19 items), oncologic care (9 items) and emergency care (10 items). Conclusion: As the outcome indicators identified in this study are available to demonstrate the usefulness of APNs, it is recommended that future studies need to select and use appropriate outcome indicators according to characteristics and conditions of the discipline under examination. In addition, it is necessary to validate whether the suggested outcome indicators reflect adequately the practices of APNs.

• Fire Science and Engineering
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• v.29 no.3
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• pp.70-80
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• 2015

This research was conducted to improve the image of female emergency workers in a fire service organization by studying the perception trends of the increasing number of female paramedics. This human resource can be utilized more effectively by using the study results as baseline data. We conducted a survey from May 1 to June 30, 2013. The survey was analyzed using Q methodology and the program QUANL. For the Q sample, 31 emergency rescue paramedic students who had experienced ambulance field education were selected. As a result, four types of female paramedics were found; "superwoman," "hero" (who pushes against limits of stamina), "delicate guardian angel," and "skillful desk worker." The explanation powers were as follows: type I: 42.2%; type II: 4.8%; type III: 4%; and type IV: 3.6%. The sum of the figures explained 54.7% of the total variables. Generally, the students recognized female paramedics as professionals, but physical strength, baby care, and caring were considered as burdens. This requires changes in the organization's perception of female paramedics and an institutional strategy.

• The Korean Journal of Emergency Medical Services
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• v.7 no.1
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• pp.213-234
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• 2003

The purposes of this study which was done by questionnaire survey and case study of First Aid Certification Program in Seoul Health College were to analyze results and effects of the college financial support program from Ministry of Education & Human Resources Development. The significant 164 data were collected from 300 professors in 8 colleges having the Department of Emergency Care from Oct. 1, 2002 to Dec. 31, 2002 and analyzed using SPSS in terms of t-test, ANOVA, Pearson's correlation coefficient and so on. The conclusions and suggestions from this study were summarized as follows; (1) Degree of acknowledgement about aims, contents, results of the college financial support program was above the middle(participants 4.21, non-participants 3.63) and higher relation than the others in case of participants(r:0.32 p<0.001), planning team(r:0.22 p<0.05). (2) Degree of acknowledgement about improvement of curriculum & educational facilities through the program was above the middle and higher relation than the others in case of participants. (3) Degree of acknowledgement about positive influence on acquirement rate of certification(licence) & job through the program was above the middle and performance & adaptation at work place was higher relation than the others in case of participants. (4) Degree of acknowledgement about positive influence on improvement of learning of student's major through the program was above the middle and higher relation than the others in case of participants. (5) The respondents thought that the program had a negative influence on professor's educational activities & research such as study 40.4%, lecture 23.1%, student guidance 12.5%. (6) When the program was administered by planning team, there were difficulties such as execution of budget 42.1%, cooperation with companies 17.1%, cooperation among program teams 11.8%, when it was administered by non-planning team there were difficulties such as execution of budget 45.5%, cooperation among departments 22.7%, cooperation with companies 13.6%. (7) Because it was too short to execute the budget, the ministry have to select proposed programs before the next school year. (8) This program should be changed temporary, insufficient support into consecutive, sufficient support for more characterization & specialization of the college which has a long-term developmental plan & vision.