• Quality Improvement in Health Care
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• v.25 no.2
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• pp.16-25
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• 2019

Purpose:The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance. Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions. Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions. Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

• Journal of the Korean Solar Energy Society
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• v.27 no.3
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• pp.161-167
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• 2007

Zero Energy Multi-House(ZeMH) signifies a residential building which can be self sufficient with just new and renewable energy resources without the aid of any existing fossil fuel. For success of ZeMH, various innovative energy technologies Including passive and active systems should be well integrated with a systematic design approach. The first step for ZeMH is definitely to minimize the conventional heating and cooling loads over 50% with major energy conservation measure and passive solar features which are mainly related to building design components such as super-insulation, super window, including infiltration and ventilation issues. The purpose of this study is to analyze the thermal effect of various building design components in the early design of ZeMH. The process of the study is presented in the following. 1) selection reference model for simulation 2) verification of reference model with computer simulation program(ESP-r 9.0). 3) analysis of effect according to insulation-thickness, kinds of windows, rate of infiltration. and The simulation results indicate that almost 50% savings of conventional heating load in multi-house can be achieved with the optimum design of building components such as super insulation, super window, infiltration, ventilation.

• Fire Science and Engineering
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• v.22 no.3
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• pp.293-299
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• 2008

From January, 2004 to July, 2007, 97 patients were diagnosed with Acute coronary syndrome(ACS) in Emergency Medical Center in Jecheon City in Korea. Among 97 patients, the prehospital assessment rates were as follows ; blood pressure check(27.80%, pulse rate check(33.0%), respiration check(23.7%). In hospital emergency care, oxygen supply was 52.6%, absolute bed rest was 12.4%, electrocardiogram(EKG) check was 4.1%, and nitroglycerin and intravenous fluid therapy was 0%. Therefore, ACS patients have not received sufficient prehospital cares till now. In order to improve the proficiency of the first aid emergency medical technicians(EMTs), it is necessary to provide the continuing On-the-job training(OJT) programs for prehospital emergency care.

• Journal of Digital Convergence
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• v.6 no.2
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• pp.127-134
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• 2008

The aim of this study is to show that using a Web-Based Instruction system is a better method to help counteract deficient teaching, learning conditions and facilities thus improving the students' interest, understanding, participation and skill development in Physical Education. The key findings of this study are as follows; The first advantage of using this system is that the theory of Softball is explained with the use of pictures rather than text, thus improving the students' understanding. The second is the method in which practical skills are explained and demonstrated. Action image sequences are used as opposed to the old method of using stationary pictures. This means that the learners can clearly see and understand why and, more importantly, how to use these skills. The third advantage is the technique used to teach the application of these skills. Using active rather than passive learning and thus engaging the student encourages improved participation and learning. The fourth advantage comes in evaluation: both subjective and objective questions are asked in theoretical evaluation, and the teachers can evaluate the students' understanding and skill development by filming their actual Softball games. The final advantage is the use of Self-Directed Learning to aid learners' development of understanding of the lesson content as interactions between teachers and learners are constructe

• The Korean Journal of Emergency Medical Services
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• v.17 no.3
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• pp.149-168
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• 2013

Purpose: The purpose of this study is to develop a safety health education program for the upper graders of elementary school children and to evaluate the program. Methods: The study was designed for learner centered safety education and heath education based on a theory of lifelong education. After a model development of the program was set up, five major units were selected after five stages of program planning, design, acting, evaluation and feedback: school safety, traffic safety, home safety, life safety, and first-aid. Twenty things were selected as what to teach, and a lesson plan of 12 sessions was mapped out by arranging what to teach. The subjects in this study were 114 elementary school students who were in five different sixth-grade classes. Each class received education for five days, in four sessions each, according to the program. Results: The learners showed improvement in safety consciousness, safety knowledge, self-efficacy and safety behavior after they received education according to the safety health education program, and they expressed a lot of satisfaction with the program. Conclusion: It is important to develop the lifelong education for safety health education for the elementary school children.

• Journal of the Ergonomics Society of Korea
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• v.29 no.2
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• pp.211-216
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• 2010

Fire service personnel and ambulance paramedics suffer musculoskeletal disorders as they lift and carry patients while performing Emergency Medical Services (EMS). The objective of the current study was performed to examine the association between working environment and musculoskeletal disorders of 119 paramedics and to analysis the EMS activities for them through basic survey (including task characteristics, risk factors, symptoms and illnesses). Observational job analysis of EMS activities indicated the squatting posture during first-aid performed on floor and the abrupt use of force during carrying heavy load including stretcher with patients on as hazard factors, and excessive low back twisting and bending during stairway transfer was observed. In addition, work-physiological assessment revealed various but rather high lumbar muscle usage rate among the study subjects, being 14.6~32.8% compared with Maximum Voluntary Contraction (MVC) during patients transfer work. Resting heart rate showed 65/min, on the other hand, heart rate on mobilization indicated maximum 124~156/min. Therefore, the results of analysis to the EMS activities, rescuer activities and medical tasks were accompanied with high possibility of accident and musculoskeletal disorders. Also, EMS activities indicated high muscle fatigue and energy consumption, and accumulated muscle fatigue with during continued work.

• The Korean Journal of Emergency Medical Services
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• v.18 no.2
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• pp.45-58
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• 2014

Purpose: This study aimed to investigate the level of knowledge and education regarding basic life support (BLS) among scuba divers. Methods: Data collected from 125 scuba divers in Jeju-do were subjected to frequency, t-test, ANOVA, and Chi-square analyses using the SPSS 18.0 program. Results: 42.1% of the subjects was trained BLS for more than an hour less than 4 hours, and 52.6% of the subjects was trained BLS for less than 3 months in scuba diving institutions. Statistically significant difference was observed in the competence for performing cardiopulmonary resuscitation during BLS education according to gender and age further regarding the necessity of BLS education, significant difference was observed with respect to age, job, academic background, monthly income, and participation period of scuba divers. The divers wished to learn cardiopulmonary resuscitation (72.8%), medical first aid (8.0%), and measures to be taken in cases of trauma (8.0%). The knowledge score for BLS among scuba divers was significantly different depending on the gender, age, marital status and frequency of participation. Conclusion: It is necessary to develop and implement a safety education program for scuba divers.

• Journal of Korean Public Health Nursing
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• v.33 no.3
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• pp.420-432
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• 2019

Purpose: This study examined the relationships among disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency among nursing students by identifying the predictors of disaster nursing competency. Methods: The study participants were 306 nursing students in the nursing departments of 3 universities located in G City and J Province. The data was analyzed using descriptive statistics, t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis. Results: The participants' scores for disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency were 5.41±1.68, 4.29±0.46, and 2.84±0.78, respectively. Disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency exhibited positive correlations. The factors influencing disaster nursing competency among nursing students included disaster nursing knowledge, disaster preparedness attitudes, year level, disaster training experience, first-aid training experience, disaster area experience, medical service experience, and disaster severity awareness. These variables explained 17% of the variance in disaster nursing competency. Conclusion: Disaster nursing knowledge and disaster preparedness attitudes was positively related to disaster nursing competency. The findings of this study indicate that it is important to develop and apply education programs aimed at increasing disaster nursing knowledge and enhancing disaster preparedness attitudes among nursing students to improve nursing students' disaster nursing competency.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.11 no.1
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• pp.40-45
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• 2007

In this paper, aim to suggest the medical information wireless transmission system to provide the mobility of medical service by means of wireless area network which makes it possible, home or at a long range, to check and oversee the state of patients, and to can out a simulation. The proposed method converts medical information to digital data in an emergency and sends them to mobile terminals such as PDAs to make possible swift first aid. The simulation took advantage of the OFDM transmission method based on IEEE 802.1la in order to send reliable medical information in mobile wireless channel environment, and analyzed the system performance by applying convolution encoding to transmit reliable information in AWGN and 3-ray mobile multipath fading channel environment.

• Safety and Health at Work
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• v.13 no.1
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• pp.32-39
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• 2022

Background: Industrial accidents can determine the overall level and quality of the work environment in industries and companies that contribute to national economic development. Korea has transformed the country from an international aid recipient to a donor country, but it has ranked first among the Organisation for Economic Co-operation and Development member countries in the number of fatal industrial accidents. Little has been known about the policy effects in terms of the workers' insurance for their industrial accidents and rehabilitation. This study raises two research questions about the influence of workers' personal characteristics and vocational rehabilitation services on their return to workplaces. Methods: The study implements weighted logistic regression analysis using propensity score matching. This research utilizes the relevant dataset (3,924 persons) of Korea's industrial accident and insurance. Results: The findings show that the level of workers' awareness of health recovery and their counseling for rehabilitation by physicians had positive effects on their return to work. Environmental factors such as workers' job stability at the time of industrial accidents and the temporal effects of industrial accidents (e.g., the level of disability, their age) had negative impacts on their return to work. Conclusions: These findings have policy implications that the concentration of rehabilitation services for patients who have been mildly affected by industrial accidents would be effective in the short and medium term. The findings also highlight the necessity of ongoing policies about workers' vocational recovery with concrete evidence about policy impacts.