http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
응급의료 전용헬기와 지상 앰뷸런스를 이용한 병원 간 이송에서 외상 환자의 예후 비교
강경국 ( Kyeong Guk Kang ),조진성 ( Jin Seong Cho ),김진주 ( Jin Ju Kim ),임용수 ( Yong Su Lim ),박원빈 ( Won Bin Park ),양혁준 ( Hyuk Jun Yang ),이근 ( Geun Lee ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Purpose: To improve outcome of severe trauma patient, the shortening of transport time is needed. Although helicopter emergency medical services (HEMS) is still a subject of debate, it must also be considered for trauma system. The aim of this study is to assess whether transport method (HEMS versus ground EMS) is associated with outcome among inter-hospital transport. Methods: All trauma patients transported to regional emergency center by either HEMS or ground EMS from September 2011 to September 2014. We have classified patients according to two groups by transport method. Age younger than 15 years and self-discharged patients were excluded. Results: A total of 427 patients were available for analysis during this period. 60 patients were transported by HEMS and 367 patients were transported by ground EMS. HEMS group had higher mortality than ground EMS group (23.3% vs 3.5%; p<0.001), and included more patients with excess mortality ratio adjusted injury severity score (EMR-ISS) above 25 (91.7% vs 48.8%; p<0.001). In the multivariable regression analysis, HEMS was not associated with improved outcome compared with ground EMS, but only EMR-ISS was associated with a mortality of patients (odds ratio, 1.06; 95% confidence interval, 1.04-1.09). Conclusion: In this study, helicopter emergency medical services transport was not associated with a decreased of mortality among the trauma patients who inter-hospital transported to the regional emergency center. [ J Trauma Inj 2015; 28: 108-114 ]
강경하(Kyeong Ha Kang),정호근(Ho Gun Jung),박흥규(Heung Gyu Park),이민수(Min Soo Lee) 한국농촌지도학회 2001 농촌지도와 개발 Vol.8 No.2
The consulting industry had enjoyed growth rates over the past 20 years which show no signs of slowing in their momentum. Since 1995, it began to discuss institutionalization of consulting in the agricultural sector in Korea. Rural Development Adminstration has launched farm management consulting project by means of benchmarking for farming innovation in 1988, which consists of establishing consulting team, developing standard diagnosis form of sixty crops and materials, training consultants, having various public realtions, and making information systems. Until October, 2001, sixty seven thousands of farmers have benefited on this project. It is now appreciated as a alternative for new agricultural extension approach. Analyzing the changes of farm management practice level through consulting shows improvement, which data have been stored in web database. It is expected that farm management consulting project be main stream of agricultural extension in this country.