A Study on the Introduction and Use of ICT-EMS by Chungbuk Paramedics: Qualitative Research Using Semi-Structured Interviews: Semi-Structured Interviews for the Introduction of ICT-EMS

최선행,박세진,김유나,최은경,공소연,김상철 (사)위기관리이론과실천 2024 Journal of Safety and Crisis Management Vol.14 No.3

This study investigates the deployment and utilization of Information and Communication Technology-enabled Emergency Medical Services (ICT-EMS) in North Chungcheong Province, South Korea, with an emphasis on community-level intervention. This study analyzed the impact of this system on patient transfer efficiency and hospital selection processes using semi-structured interviews. Interviews with sixteen participants reveal strengths such as enhanced record-keeping and improved data accessibility, particularly beneficial during mass casualty incidents. However, technical issues, manpower shortages, and environmental challenges pose significant hurdles. Despite these challenges, ongoing enhancements aim to streamline the system and expand its coverage. The study provides valuable insights into the integration of technology in emergency response systems, emphasizing the need for continued improvements to optimize efficiency and effectiveness. Future research should explore broader evaluations and stakeholder perspectives to further enhance ICT-EMS implementation.

정상 성인에서 IOS검사의 재현성과 예측치

최선행,정영희,고동희,정수영,원종욱,박중원,홍천수 대한내과학회 2005 대한내과학회 추계학술대회 Vol.2005 No.1

연령표준화 유병율비(SPR)를 통한 사업장 건강진단

이의철,김용규,최선행,이경진 대한직업환경의학회 2016 대한직업환경의학회 학술대회 논문집 Vol.2016 No.11

이주 노동자들의 생물학적 노출 지표와 건강 실태 : 2005년 특수건강진단 결과 자료 토대

송윤희,김규상,이선웅,최선행 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.2

목적: 이 연구의 목적은 2005년 특수건강진단 자료를 이용하여 이주 노동자들의 유해 요인 노출 실태와 일반 적인 건강 실태를 국내 노동자와 비교하여 파악하고자 하였다. 방법: 2005년 특수건강진단 자료 중 이주 노동자 25,086명의 자료와 같은 해 경인지역 3개 기관에서 특수 건강진단을 시행한 국내 노동자 19,616명의 자료를 이용하여,생물학적 노출지표와 몇 가지 주요 임상 검사 결과를 국내 노동자와 이주노동자로 나누어 비교 분석하였다. 동칠한 표본의 비교를 위해 이주 노동자 자료에서 경인 지역의 동일 3개 기관의 결과만을 선발하여 비교하고(국내 19,616명,이주 1,886명), 전체 대상으로 확장하여서 비교하였으며 (국내 19,616명,이주 19.616명), 마지막으로 동일 업종, 3년 미만 근로기간, 50인 미만 규모로 제한하여 비교하였다(국내 2,910명,이주 노동자10,022명) 임상 검사는 3개 기관의 20대와 30대만을 선발하여 비교하였다. 결과: 동질 표본의 비교에서 혈중 납은 국내 6.09 μg/dl. 이주 8.37μg/L로 혈중 카드뮴은 국내 0.29 μg/dl, 이주 0.36μg/L로 나와 국내 노동자에 비해 이주 노동자들이 더 높게 나왔다. 하지만 유기용제의 생물학적 노출지표는 반대로 국내 노동자에게서 더 높게 나왔다. 주요 임상 검사 결과로는 간 수치 중 AST/ ALT가 국내 8.1/6.8%, 이주 5.7/5.4%로 국내 노동자들이 더 간 건강이 좋지 않은 것으로 나왔고 빈혈은 국내 9.0%,이주11.0%로 이주 노동자에게서 그 유병율이 더 높게 나왔다. 결론: 이주 노동자들이 국내 노동자들에 비해서 중금속에 한한 더 열악한 작업환경에 근무하고 있다는 것을 유추해 볼 수 있었다. 하지만 유기용제의 노출 지표에 대해서는 명확한 해석을 하기 어려웠으며 이에 대해서는 추후 더욱 체계화된 연구가 필요할 것으로 판단된다. Objectives: To investigate the general health status and seventy of exposure to hazardous agents - with a focus on heavy metals - of migrant workers utilizing the 2005 Special Health Examination data. Methods: With data from the 2005 Special Health Examination, we examined the biologic exposure indices and several major clinical exam items of 25,086 migrant workers in the whole country in comparison with those of 19,616 native Korean workers in Kyunggi-do province. Of these we chose homogeneous samples from the same 3 health service centers in Kyunggi-do. (native workers: 19,616, migrant workers: 1,886)to be more precise. Results: The results from the samples of the 3 centers were as follows. Blood lead (natives: 6.09 μg/dl, migrants: 8.37 μg/L) and cadmium (natives: 0.29 μg/dl, migrants: 0.36 μg/L) were higher in the migrant workers than in the native Korean workers, whereas the biologic exposure indices of organic solvents were higher in the native workers. As for major clinical exam items, the liver battery was worse in the natives with incidence of abnormal AST/ALT level (natives: 8.1/6.8% migrants: 5.7/5.4%, p-va1ue<0.01 for AST). Anemia was more prevalent in the migrant workers (natives: 9.0% migrants: 11.0%, p-va1ue<0.05). Conclusions: Migrant workers in Korea are more frequently or more severely exposed to a hazardous working environment containing heavy metals. However, we were not able to explain the results for the exposure indices or organic solvents, and such an explanation will require further study in the future.

휴대전화를 통한 Alerting Call이 중증 응급환자 진료에 미치는 영향

김건배,이신호,박원녕,최선행,구홍두 대한응급의학회 2008 大韓應急醫學會誌 Vol.19 No.5

Purpose: The overcrowding of the ECC (Emergency Care Center) is a significant problem for most general hospitals. This overcrowding can be a potential cause of undesirable outcomes in critically ill patients. The purpose of this study was to evaluate the effect of an alerting call, with a cellular phone, before the presentation of critically ill patients in overcrowded emergency care centers. Methods: One hundred and two patients with cardiac arrest, altered mental status, dyspnea, and chest pain were brought to the emergency care center by 119 EMS (Emergency Medical Transport System) from July 2007 to August 2007 and March 2008 to April 2008 and were enrolled in this study. The EMS made 39 alerting calls with a cellular phone before arrival to the ECC. Each alerting call was answered by the senior resident emergency physician over a 24 hour period. We prospectively reviewed the data and compared the cases with an alerting call to those without such a call. Results: Thirty-nine (38%) patients arrived at the ECC with an alerting call and 63 (62%) without one. The general characteristics between the two groups were not different. The mean duration for the initiation of care for the patients with a cardiac arrest, with an alerting call, was faster than for those who arrived without an alerting call; the difference in the start of compressions was significant (p=0.006). For patients with altered mental status, all variables studied showed a significant statistical difference (p<0.001) between the two study groups. For acute dyspnea and chest pain, the first set of vital signs (p=0.004) and the ABG (p=0.001) were significantly different between the two groups. The mean time to the initiation of care was faster for the patients with an alerting call than for those without an alerting call. Conclusion: The initiation of care in critically ill patients was significantly faster with a cellular phone alerting call before the patient’s arrival to the ECC. Therefore, an alerting call from the 119 EMS to the ECC appears to improve the time to initiating emergency care of critically ill patients in the ECC.

택시 운전사와 버스 운전사 간의 근골격계 증상 관련요인 비교

박장미,이정배,곽우석,최선행,이헌진,김치년,노재훈,원종욱 대한산업의학회 2008 대한직업환경의학회 학술대회 논문집 Vol.41 No.-

사업장의 효율적인 보건관리업무 개선방안

원종욱,이명숙,황정호,최숙경,임종한,안연순,이신영,최선행,곽우석,심규진,박형성,이헌진 대한산업의학회 2008 대한직업환경의학회 학술대회 논문집 Vol.41 No.-

제조업 근로자들의 Bisphenol A 노출, 대사효소 유전자다형성 및 대사산물과의 상관성

고상백,박준호,윤주송,오성수,장세진,최선행,차봉석 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.2

목적: 이 연구는 일부 제조업 근로자를 대상으로 Bisphenol A의 노출실태를 파악하고 대사효소의 유전적 다형성에 따른 대사산물의 상관성을 파악하고자 하였다. 방법: 연구대상자는 제조업에 종사하는 근로자를 대상 으로 하였다. 연구대상자는 총 104명으로 노출군 64명과 대조군 40명을 대상으로 하였다. 연령,보호구 작용 여부,흡연습관,음주여부 등에 대하여 설문조사를 시행하였다. 시료채취는 오후에 하였으며 뇨중 BPA는 뇨중 크레아티닌으로 보정하여 측정하였다. 대사효소의 유전자 다형성은 혈액의 백혈구로부터 DNA를 추출하여 제한 효소 절단 단편 다형성 (restriction fragment length polymorphism, RFLP)법으로 검사하였다. 결과: 노출군의 작업 중 BPA 농도는 최소 34.22 ng/mg이었고‘ 최대 221. 20 ng/mg이었다. 뇨중 BPA 농도는 대조군보다 노출군에서 유의하게 높았다. CYP1A1, CYP2E1의 유전자 다형성에 따라 뇨중 BPA 농도에는 차이가 없었다. 그러나 UGT1A6의 경우에는 유의한 차이를 보였다. 뇨중 BPA에 대한 다중회귀분석에서는 기중 BPA 농도, UGT1A6, 보호구착용,작업장소가 유의한 변수였다. 결론: 뇨중 BPA 농도는 작업중 노출되는 BPA 농도에 영향을 받으며,UGTIA6에 의해 대사되는 것으로 판단된다. Objectives: To examine bisphenol A (BPA) exposure with subjects in the manufacturing industry and to determine its correlation with metabolites according to genetic polymorphism of metabolic enzymes. Methods: The study subjects comprised 104 workers in the manufacturing industry, 64 and 40 in the exposed and control groups, respectively. The questionnaire variablesincluded age, use of protective equipment, smoking habit and alcohol intake. Their urine sarrples were collected in the afternoon and urinary BPA concentration was measured by revising with the urinary creatinine concentration. The genetic polymorphism of the metabolic enzymes was examined by using restriction fragment length polymorphism (RFLP) after extracting DNA from leucocytes. Results: The minimum and maximum BPA level of the exposed group during working time was 34.22 and 221.20 ng/mg, respectively. The urinary BPA concentration was significantly higher in the exposed groups than in the control group. There was no significant difference in the urinary BPA level according to genetic polymorphism of CYP1A1 and CYP2E1, but UGT1A6 showed a significant difference. In multiple regression analysis on the urinary and airborne BPA levels, UGT1A6, use of protective equipments and workplaces were significant variables. Conclusions: The urinary BPA concentration was affected by the levels to which workers were exposed during their working time and was considered to be metabolized by UGT1A6.

구조방정식 모형을 이용한 사회적 지지가 직무스트레스와 사회심리적 스트레스에 미치는 영향 분석

고동희(Dong-Hee Koh),한순실(Sun-Sil Han),김형렬(Hyoung-Ryoul Kim),장세진(Sei-Jin Chang),최선행(Sun-Haeng Choi),원종욱(Jong-Uk Won),노재훈(Jae-Hoon Roh) 대한직업환경의학회 2005 대한직업환경의학회지 Vol.17 No.2