• Title/Summary/Keyword: Medical Non-Commissioned officer

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A Study on the Development Plan to quickly respond to a national emergency rescue Medical Non-Commissioned officer workforce - Focusing on the Educational Programs Connecting Academy to Army which Reflects the Site Needs - (국가비상사태에 신속히 대응 할 수 있는 응급구조 의무부사관인력 양성 발전방안 연구 - 현장 Needs를 반영한 학·군 연계 교육프로그램을 중심으로 -)

  • LEE, Chang Hun;Bok, Hye Jeong
    • Convergence Security Journal
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    • v.16 no.3_1
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    • pp.37-45
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    • 2016
  • Targeting 80 medical Non-Commissioned officer working in the army and 80 students studying in the quickly respond to a national emergency rescue Medical Non-Commissioned officer, this study found out the abilities and knowledge that are required to Duringa national emergency to respond quickly Medical Non-Commissioned officer, set the types of training talented individuals to equip them with necessary qualifications, established educational goal and selected core tasks, and developed field-centered education process through the process for deducing subjects.

Analgesic Effects of Electroacupuncture, Warm Needling and Radio Frequency Warm Needling on Surgical Ankle Sprain Model in Rats (흰쥐의 발목염좌에 대한 전침, 온침 및 고주파온침 자극별 진통 효과의 비교)

  • Yang, Seung-Bum;Kim, Min-Su;Choi, Suck-Jun;Kim, Jae-Hyo
    • Korean Journal of Acupuncture
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    • v.32 no.1
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    • pp.20-29
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    • 2015
  • Objectives : The objectives of this study is to compare the effects of electroacupuncture(EA), warm needling(WN) and Radio Frequency warm needling(RFWN) stimulations on the acupoints at the artificially damaged ankles of Sprague-Dawley rats, which could be classified as the Grade 3. Methods : The foot weight bearing force ratio(FWBFR) of ankle sprain was measured first at 24 hours after without any other stimulations. Pain Recovery Index(PRI) represents the analgesic level, and modified Pain Recovery Index(mPRI) shows the accumulated recovery level. PRI was measured at 2 hours after each stimulus on GB34, GB39 and GB42, and mPRI was during 7 days. Results : EA stimulation of GB34 and GB39 acupoint in grade 3 ankle sprain showed a marked analgesic and recovery effect. RFWN of GB42 exhibited significant analgesic and pain recovery effect. RFWN of GB34 resulted in pain recovery effect but not analgesic effects, and RFWN of GB39 resulted in analgesic effect 2 hours after but not pain recovery. However, WN did not affect the pain recovery among three acupoints at all. Conclusions : In the Grade 3 ankle sprain model, the difference of analgesic effects were explained by the acupoints and the stimulation methods according to the accumulated recovery effects during 7 days. It is insufficient to determine that a certain acupoint has a specific analgesic effect depending on the stimulation method by the results of this study. Therefore, the effects of each stimulation on the acupoints in any other meridians at the sprained ankle should be compared and analyzed.

A Study for Changes of Blood Pressure and Heart Rate by Acupressure to Acupoints in Rat Model of Hemorrhagic Shock (출혈성 쇼크 흰쥐 모델에서 경혈 지압이 혈압과 심박수 변화에 미치는 영향)

  • Yang, Seung-Bum;Byun, Sin-Kyu;Kim, Jae-Hyo
    • Korean Journal of Acupuncture
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    • v.33 no.2
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    • pp.58-66
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    • 2016
  • Objectives : In order to find a possible non-invasive manipulation tool for maintenance of the cardiovascular functions in hemorrhagic shock, this study was aimed at evaluating effects of acupoints acupressure on the changes in blood pressure and heart rate from an animal model of hemorrhagic shock. Methods : In adult Sprague-Dawley rats, hemorrhagic shock was induced by a withdrawal of arterial blood from the femoral artery with volume of 0.8 ml per 100 g of body weight using peristaltic syringe pump. We applied the acupressure with a pressure oscillator to tail as a control and 2 different acupoints of sobu(HT8), youngchun(KI1) under 3 different conditions : 1) normal arterial blood pressure without bleeding, 2) at the beginning of bleeding, and finally 3) hemorrhagic shock. Results : Under normal arterial blood pressure without hemorrhage, there was a significant increase in systolic and diastolic blood pressures by the acupressure to the tail, HT8 and especially KI1 for 30 sec compared with before acupressure. Under hemorrhagic shock condition, the tail acupressure had minimal changes in cardiovascular parameters. Either the HT8 or KI1 acupressure resulted in a significant increase in arterial pressure but did not heart rate. At the beginning of bleeding, tail acupressure failed to change the reduction of arterial pressure and heart rate. However, there was a significant increase in blood pressure and heart rate following either the HT8 or especially KI1 acupressure. Conclusions : HT8 and KI1 acupressure affected cardiovascular signs but tail acupressure did not in rat model of hemorrhagic shock. These experimental data suggest that a acupressure with a pressure oscillator to HT8 or KI1 can be one of alternative emergency manipulations to ameliorate compromised cardiovascular functions under hemorrhagic shock condition.

Effects of 60 Minutes Cardiopulmonary Resuscitation on Blood Lactic Acid Concentration, Heart Rate, and Rating of Perceived Exertion in Rescuers

  • Han, Seung-Eun;Ahn, Hee-Jeong;Shim, Gyu-Sik;Bang, Sung-Hwan;Song, Hyo-Suk
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.8
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    • pp.195-202
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    • 2022
  • In this study, when cardiopulmonary resuscitation continued for a long time, the rescuer's blood lactic acid concentration, heart rate, and rating of perceived exertion were measured to identify the change in the rescuer's fatigue. Data collection was conducted from July 5 to July 9, 2021, with a total of 24 students, 12 students department of special warfare medical non-commissioned officer, and 12 students department of emergency medical technology at D University, undergoing a two-person alternative chest compression resuscitation for 60 minutes. As a result of the study, the rescuer's blood lactic acid concentration, heart rate, rating of perceived exertion, and chest compression speed were significantly changed according to the duration of CPR (p<.001, p<.001, p<.001, p<.001). blood lactic acid concentrations at every measurement cycle (30 minutes, 40 minutes, 50 minutes, 60 minutes) showed a significant positive correlation with heart rate (r=.696, p<.001, r=.672, p<.001, r=.709, p<.001, r=.782, p<.001), there was also a significant positive correlation with the rating of perceived exertion (r=.476, p<).05, r=.426, p<.05, r=.470, p<.05, r=.470, p<.05). Therefore, monitoring the fatigue of rescuers using heart rate and rating of perceived exertion will be useful for maintaining high-quality chest compression in situations where cardiopulmonary resuscitation is required for a long time.

Infection control awareness and practice for clothing management in 119 emergency medical technicians (구급대원의 의복관리를 위한 감염관리 인지도와 수행도)

  • Jeong, Ji-Yeon;Jeong, Eun-Kyung;Yun, Hyeong-Wan
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.2
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    • pp.21-33
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    • 2014
  • Purpose: A descriptive study design was used to investigate infection management awareness and infection management performance for clothing management in 119 emergency medical technicians (EMTs). Method: 188 paramedics and basic EMTs completed questionnaires between March 1 and April 30, 2013 in Jeollabuk-do. Results: Participants' average score for infection control awareness was 2.69 and that for performance was 1.58, with the differences being statistically significant (t = 931.455, p = .003). Participants' general characteristics resulted in differences in infection management performance. Women (1.63) have scored higher than men (1.28), and the difference was statistically significant (t = 11.174, p = .001). Participants who had clinical experience (1.63) had higher scores than participants who did have clinical experience before (1.53) and, again, the difference was significant (t = 7.167, p = .009). Conclusion: Education program for infection management is need to be developed for more effective infection management.

Effects of a violent experience and job stress on burnout in female 119 emergency medical technicians (여성 119구급대원의 폭력경험과 직무스트레스가 소진에 미치는 영향)

  • Jung, Hwa-Yoon;Song, Hyo-Suk;Bang, Sung-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.3
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    • pp.135-143
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    • 2019
  • Purpose: The purpose of this study was to determine the effect of a violent experience and job stress on burnout and to investigate the factors that affect burnout in female 119 emergency medical technicians. Methods: Data from 189 female EMTs were collected using a structured questionnaire. The data were analyzed using SPSS 23.0. The analyses included descriptive statistics, independent t-tests, analysis of variance, Scheffe test, Pearson's correlation coefficient, and multiple linear regression. Results: Burnout was positively correlated with a violent experience in female 119 EMTs. Violent experience (β=.39, p<.001) were a significant predictor of burnout in 15.2% of female 119 EMTs. Conclusion: A violent experience is identified as a significant factor affecting burnout in female 119 EMTs. Therefore, it is necessary to impart education to female 119 EMTs on effectively coping with violence.

Effects of gum elastic bougie in intubation with difficult airway (마네킹을 이용한 어려운 기도에서 부지 기관 내 삽관의 효과)

  • Shim, Gyu-Sik;Bang, Sung-Hwan;Ahn, Hee-Jeong
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.2
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    • pp.123-131
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    • 2020
  • Purpose: This study aimed to find out the effectiveness of gum elastic bougies for intubation in comparison to stylet according to airway type using a manikin. Methods: The study subjects were 52 paramedic students who intubated using a Macintosh laryngoscope and compared stylet and gum elastic bougie use in a 7.5 mmID endotracheal tube, on a manikin with either normal or difficult airway. Difficult airway was made Philadelphia neck collar. Collected data included intubation time, accuracy and ease of intubation, later analyzed by frequency analysis, descriptive analysis, independent t-test, chi square test, paired t-test, and McNemar test using SPSS Statistics 18.0. Results: There was a significant difference in intubation time according to intubation device and airway type (p=.000). There was no significant difference in accuracy of intubation according to intubation device or airway type (normal airway p=1.000, difficult airway p=.052). There was a significant difference in ease of intubation scale according to intubation device and airway type (p=.000, p=.000). Conclusion: Based on the speed and ease of intubation, gum elastic bougie is recommended for intubation in patients with difficult airways such as those with cervical injury.

Comparison of knowledge level of triage in 119 EMTs (119 구급대원의 중증도 분류 지식 정도 및 교육 전·후 비교)

  • Lee, Hyo-Ju;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.1
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    • pp.43-54
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    • 2014
  • Purpose : The purpose of this study was to provide appropriate direction for triage education by investigating the knowledge level of triage in 119 EMTs before and after the triage education. Methods : The questionnaire was filled out by newly assigned 33 EMTs in the fire service academy in I metropolitan city from November 1, 2013. The data were analyzed using SPSS WIN 21.0 program. Results : The lowest knowledge level by 119 triage was the potential emergency related question, but that by case-based triage was the semi-emergency related questions. The knowledge score by case-based triage before education was 51.14 points. This was lower than knowledge score by 119 triage, that is, 75.70 points. After education, the knowledge level by 119 triage was significantly improved(p =.000). However, there was no significant difference in the knowledge level by case-based triage(p =.236). Conclusion : It is necessary to provide systematic and periodic education and training for 119 EMTs toward triage to improve triage accuracy and efficient circulation of the emergency medical service system. Especially, it is very important to provide case-based triage education for field application.

Relationship among Quality Management Activities, Organizational Learning and Firm Performance: with a Focus on Manufacturing Corporations (품질경영활동, 조직학습, 기업성과의 관계: 제조기업을 중심으로)

  • Kim, Yeong-Seob;Na, Sang-Gyun
    • Journal of the Korea Safety Management & Science
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    • v.14 no.2
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    • pp.193-204
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    • 2012
  • This paper deals with an empirical analysis of the structural relationship among the factors such as quality management activities, organizational learning and firm performance of manufacturing corporations. The findings of the analysis are expected to make lots of contribution to manufacturing corporations establishing strategies for quality management activities and organizational learning. From the analysis, following conclusions and suggestions could be drawn: First, an analysis of the relationship between quality management activities and organizational learning showed that most activities of quality management turned out to exercise great influence upon the factors of organizational learning. This means that the activities of quality management will prompt the members of an organization to actively engage in learning activities individually, by team and organizationally, motivating them to spread such activities across the whole organization, leading ultimately to fundamental renovation of the very organization. Second, from an analysis of the relationship between organizational learning and firm performance, that is, financial and non-financial performances of a company, it was found that most factors of organizational learning have tremendous impact upon financial and non-financial performances of the company. Such result implies that decision and management of the things to be performed in the process of organizational performances are essential to determining firm performance because firm performance depend largely on the outcomes of organizational learning.

Radiation Perception Analysis of Air Force Manpower Resources (공군 인력자원의 방사선 인식도 분석)

  • Jeong, Eun-Seok;Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.463-470
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    • 2022
  • The purpose of this study was to investigate the perception of Air Force human resources (Civilian defense manpower, Officer, Noncommissioned officer, Solder) for the radiation perception. The subjects were 259 men and women who visited at the Aerospace Medical Center. As for the method, a survey study was conducted using a questionnaire with a total of 14 questions about radiation perception (risk, benefit, management). For statistical analysis, an independent sample T-test and one-way analysis of variance (ANOVA) were used to compare the average of confirm a significant difference among groups. The correlations between variables were tested with Pearson and Spearman correlation coefficients. As a result, in the air force human resources, perception of radiation risk of females had a significantly higher awareness than male. Radiation benefits had a significantly higher awareness among married people, military officers, officers, and non-commissioned officers. Radiation control was significantly higher in men, married men, and those with more than 16 years of military experience.