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디지털 시대 농촌지도 방법의 효율화 방안 - 지도매체로서의 인터넷 방송의 활용 구상을 중심으로 -
성종환(Jong Hwan Sung),정환모(Han Mo Chung) 한국농촌지도학회 2000 농촌지도와 개발 Vol.7 No.2
Agricultural extension services in Korea need to build new extension system to cope with the digital age and especially with shortage of extension educators which has been originated from the changing status from central to local government. The new trends including development of multi-media, wide-spreading of internet, and advent of internet broadcasting are offering the opportunities for new agricultural extension service. Utilization of agricultural internet broadcasting could be a new alternative for enhancing the efficiency of agricultural extension services. Agricultural Internet broadcasting could support decision making of farmers by forwarding unique agricultural data which have been collected, compiled and processed by the Rural Development Administration. Farmers will be able to search useful agricultural data through agricultural Internet broadcasting for more efficient farm management and marketing farm products. Agricultural Internet broadcasting could utilize more prompt and abundant agricultural technology and management data compiled by the Rural Development Administration, and through this process, agricultural Internet broadcasting could compensate the shortage of extension manpower. Through feedback process of agricultural Internet broadcasting. farmers will be able to communicate more efficiently with extension educators to increase agricultural production and income. Agricultural Internet broadcasting could be an alternative to prevent farmers from being shunned in the information-based society.
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구급일지를 통한 병원 전 환잔 분류 및 처치의 적절성 평가 연구
민순식,김재광,이근,박철완,양혁준,류일,현성열,이훈규,정환모,김윤 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4
Background: Recently, patients' demands for emergency medicine are increasing, and most of prehospital medical care, including basic life support, cardiopulmonary resuscitation and triage, are provided by paramedics or emergency medical technicians. Evaluation of the adequacy of prehospital management and triage has become important for improving the quality and the effectiveness of the emergency medical system. Methods: The 202 patients who were transferred by ambulance with paramedics, nurses, or emergency medical technicians to the Emergency Department in Gil Medical Center from July 1, 1999, to September 31, 1999, were enrolled. This study was conducted prospectively by using the emergency physician,s log and newly devised protocols recorded by paramedics or nurses. Results: 1) Male to female ratio was 1: 0.8, and the peak age of the patients were the 4th(18.8%) and 6th decade(15.3%). 2) Of the 202 patients, 84 patients were transferred for trauma and 118 for medical problems. The mean transfer time was 6±1.73 minutes. 3) The validities of prehospital triage and decisions using the trauma severity measure and the disease severity measure, were 33.3% in trauma patients and 57.6% in medical patients.4) The results for the adequacy rate in prehospital management analyzed by using the rate of necessity of treatment. performance of treatment, and adequate treatment were as follows: oxygen supply.38.1/41.6/93.8 ; wound dressing. 19.3/71.8/92.9 ; immobilization of the cervical spine, 15.8/56.3/92.9 ; application of a spinal board. 12.9/42.3/72.7 ; application of a splint, 9.9/50.0/60.0 ; manual maintenance of an airway. 9.9/55.0/63.6 ; and CPR, 4.5/66.7/0. 5) Kind of ALS(Advanced Life Support) were not conducted(peripheral IV, EKG. intubation, medical administration. defibrillation, pacing). The rates of necessity of treatment were as follows: peripheral IV, 40.6%; ECG monitoring, 23.3% ; endotracheal intubation, 8.9% ; medical administration, 8.9% ; defibrillation. 3.5%; and pacing. 1.5% Conclusion: The adequacy of prehospital triage and decisions using trauma and disease severity measures was relatively low. To improve the adequacy of BLS(Basic Life Support) and to increase the performance of ALS(Advanced Life Support), we must create challenges to develop new protocols and to supplement new equipment.
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