• Title/Summary/Keyword: 의료비 통계

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The Implementation Status of Dental Treatment Infection Control Standards of Dental Hygienists (치과위생사의 치과진료 감염방지기준에 관한 연구)

  • Yoo, Ha-Na;Kang, Kyung-Hee
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.649-656
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    • 2013
  • This study was conducted to find out about the implementation status of dental treatment infection control standards of dental hygienists. The subjects of research were the dental hygienists working at dentist offices in Chungnam, Cheonan-si using self-input method from July 25th, 2012 to August 1st 2012. The collected data was analyzed after computerized statistical processing using SPSS 18.0. For hepatitis B vaccination, the results were high with 75.0% of answers being 'yes' or auto-active immunity, but for the latest hepatitis vaccination period showed highest results in '5 years or more ago' with 48.0%. Although 93.0% answered that vaccination was important, the percentage of replies that they had vaccination education was relatively low with 41.0%. For the use of personal protection tools the use of protective goggles was low compared to the use of masks and medical gloves. The percentage of subjects that answered that they always wash their hands before treatment was relatively low with 56.0% compared to 82.0% of subjects that answered that they always washed their hands after treatment. Dental treatment equipment washing before sterilization, use of packing and re-sterilization of tools with damaged packing showed high results for 'yes', but the ratio of subjects that answered 'no' to water line management was low with 39%.

Development of Qualitative Evaluation of Medical Radiation Protective Apron (의료 방사선 방호용 앞치마의 정성적 평가법 개발)

  • Lim, Hui-Gyeom;Kim, Sang-Hyun;Kim, Tae-Hyung;So, Woon Young;Lee, Tae Hui;Kim, Seung Chul;Kim, Jin-Tae
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.453-460
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    • 2017
  • This study proposes effective quality control and maintenance method by developing a new qualitative evaluation method of apron for medical radiation protection. As an experimental material, one of 0.45 mm lead and 100 of 0.45 mm Pb aprons were used and irradiated under the conditions of a tube voltage of 75 kVp and a tube current of 12.5 mAs to obtain an image. and using the Image J program, PSNR values were compared and analyzed. The results showed that there were 40 aprons (less than 11dB), 55 aprons (less than 11dB, less than 30dB), and 5 aprons (30dB or more). In addition, the dose showed a normal distribution for the apron, and 5 aprons with PSNR less than 11dB and 30dB or more were selected and divided into 8 zones, and these groups were statistically significant.

A Study of Perceptions among Middle-aged and Older Koreans about Dying Well: Focusing on Typology (중노년층의 좋은 죽음에 대한 인식: 유형화를 중심으로)

  • Lee, Sunhee;Chung, Kyunghee
    • 한국노년학
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    • v.39 no.2
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    • pp.305-323
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    • 2019
  • In recognition of the increasing social attention paid to the notion of how to die well, this study explored what it is that middle-aged and older Koreans think of as "dying well." Specifically, it was aimed at classifying the perceptions people middle-aged and older have regarding dying well. To this end, we used data from the National Survey on Well-Dying, which was conducted in 2018 by the Korea Institute for Health and Social Affairs, and employed Latent Class Analysis. The demographic characteristics of each of the classified subgroups were identified through technical statistics. The types identified were multilayered depending on the imminence of death, perspectives of the last stages before dying, and the meaning of death in the context of social relationships. These types differed according to gender and subjective health conditions. Based on our findings in this study, we put forward policy suggestions about awareness improvement of personal and social levels, promoting on comprehensive death preparation, providing a system to reduce the cost of medical and nursing expense at the end of one's life, promoting of the right to self-determination regarding death, raising social attention to groups that are least prepared for dying well.

Predictors of Failed Closure of Patent Ductus Arteriosus with the First Course of Indomethacin in Preterm Infants (미숙아 동맥관 개존에서 인도메타신 1차 투여 후 폐쇄 실패의 예측 인자)

  • Lee, Mong-Young;Lim, Dong-Hee;Park, Kyu-Hee;Ha, Gi-Su;Lee, Jang-Hoon;Choi, Byung-Min;Hong, Young-Sook;Yoo, Kee-Hwan;Lee, Joo-Won
    • Neonatal Medicine
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    • v.17 no.1
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    • pp.75-83
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    • 2010
  • Purpose : This study was performed to determine the predictors of failed closure of a patent ductus arteriosus (PDA) following the first course of indomethacin in symptomatic preterm infants. Methods : Forty three of 43 preterm infants, admitted to the neonatal intensive care unit diagnosed with PDA and treated with indomethacin at the Korea University Medical Center between January 1990 and October 2007, ware studied. The perinatal risk factors affecting the failed closure of PDA were retrospectively assessed. Results : The failed PDA closure group included 16 (37%) out of 43 infants three of whom underwent surgery. The closure group included 27 (63%) out of 43 infants. In the failed closure group, the Apgar scores (1 min, 5 min) were significantly higher (P<0.05) and antenatal steroid administration was significantly lower (P<0.05). In addition, dopamine administration was significantly lower (P<0.05) and the mean postnatal age at diagnosis was significantly lower (P<0.05). Multiple logistic regression for the prediction of failed PDA closure found only antenatal steroid administration (OR 0.092, CI 0,010-0.826, P=0.0331) as an associated factor. Conclusion : In patients with antenatal steroid administration the failed PDA closure rate was significantly lower. Therefore, antenatal steroid administration can be considered as an important factor for the closure of PDA in preterm pregnancies.

A Study on Method for Screening of Hypercalciuria in Children (소아에서 소변 Na/K 비를 통한 칼슘 배설량 예측)

  • Ko Han Seong;Choi Jeong Hoon;Choi Byoung Min;Yoo Kee Hwan;Hong Young Sook;Lee Joo Won;Kim Soon Kyum
    • Childhood Kidney Diseases
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    • v.4 no.1
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    • pp.11-16
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    • 2000
  • Purpose. Urinary calcium excretion using a 24-hr urine colledtion has been used for the diagnosis of hypercalciuria up to now. But It takes a lot of time and costs much. We have investigated on a more simple method for screening of hypercalciuria in children. Methods: We had retrospectively analyzed sodium, potassium, calcium and creatinine in spot urine of eighty-four patients with urinary symptoms from May 1998 to July 1998 in Korea university Guro hospital and compared the urinary Ca/Cr ratio with the Nin ratio. Using a urinary Nan ratio >2.68 as a cutoff value in predicting the occurrence of hypercalciuria, we measured its sensitivity, specificity, positive predictive value and the negative predictive value. Results: A direct relationship was found between urinary Na/K and Ca/Cr ratio (r=0.496, P<0.001, Ca/Cr : Na/K x 0.0167+0.061). Using a urinary Na/K ratio >2.68 as a cutoff value in predicting the occurrence of hypercalciuria, its sensitivity was found to be $100\%$ and its specificity $54.5\%$. The positive predictive value was $37.5\%$ and the negative predictive value $100\%$. Conclusions : Spot urine Na/K ratio is a valuable test for the screening of hypercalciuria in children.

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Evaluation of quantitative on T-spine exhalation technique and T-spine breathing technique of natural breathing (T-spine exhalation technique과 자연스런 호흡 상태에서 촬영하는 T-spine breathing technique의 정량적 평가)

  • Son, Soon-Yong;Choi, Kwan-Woo;Min, Jung-Whan;Son, Jin-Hyun;Kim, Ki-Won;Jung, Jae-Hong;Jeong, Hoi-Woun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4429-4436
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    • 2013
  • Measurements of CNR(Contrast to Noise Ratio) and SNR(Signal to Noise Ratio) of T-spine breathing technique (TBT) using spontaneous breathing and T-spine exhalation technique (TET) with full exhalation were carried out, and with which the more appropriate method was suggested. Both TBT and TET were examined in a sample of fifty-three patients who visit to our hospital for spinal disease from June 2012 to November 2012. All images were evaluated with CNR measured from the differences between the mean pixels and contrast density as setting ROI of spinous process, pedicle, vertebral body, intervertebral foramen, and intervertebral disk using Image J. SNR was measured with the mean pixels and the standard deviation as setting ROI of vertebral body using Image J. In CNR comparison and SNR comparison of TET and TBT, TBT was indicated as excellent in ROI of pedicle, vertebral body, intervertebral foramen and intervertebral disk, and statistical analysis were significant(p<.01). As TBT indicated excellent images compared to the existing T-spine lateral radiography, T-spine lateral radiography would be reestablished and significant as applying to various medical institutions.

The Association Between Working Overtime and Job Performance for Dental Hygienists (치과위생사의 야간진료와 직무성과의 관련성)

  • Mi-Sook Yoon;Young-Eun Kim;Han-A Cho
    • Journal of Korean Dental Hygiene Science
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    • v.7 no.1
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    • pp.39-52
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    • 2024
  • Background: Dental hygienists provide direct dental care in the closest proximity to the patient, and each practice requires a high level of focus and concentration. These skills are an important human resource that can impact the quality of dental care services. Since more than half of dental clinics provide as overtime work in addition to regular hours, this study aims to determine the association between working overtime and job performance for dental hygienists. Methods: The study was conducted using a combination of online and in-person surveys via Google Forms among 131 employed dental hygienists. The survey consisted of 7 questions on demographic and work characteristics, 16 questions on characteristics related to overtime and the effect of overtime on job security, health, and life, and 10 questions on job performance, for a total of 33 questions. Chi-square analysis and independent samples t-test were used to identify the characteristics of demographic and work characteristics, and descriptive statistics analysis was used for the characteristics of overtime. Independent samples t-test was used to test the difference in the mean of job performance according to whether or not they worked overtime, and linear regression analysis was used to show the association of working overtime and job performance. Results: The study found that 71% of dental clinics worked overtime. The average number of overtime per week was once (78.5%), and the most common problems with overtime were fatigue (52.7%) and lack of personal and leisure time (41.9%). The appropriate number of overtime per week considered by dental hygienists was once a week, which was confirmed to be 94.6%. When comparing job performance by overtime status, those who worked overtime were 3.38 points higher than those who did not (35.45 vs. 32.07). Multiple linear regression analysis of the association of working overtime night and job performance showed that a one-unit increase in worked overtime was associated with a statistically significant increase in job performance of about 3.1 (p<0.01). Conclusion: Working overtime was found to have a positive effect on job performance among dental hygienists. Therefore, as a way to improve the working environment, providing appropriate compensation or welfare for overtime can reduce the negative aspects of overtime and turn it into a positive influence on job performance. This could ultimately raise awareness of the dental hygienist as a professional and effect the efficiency of dental care services.

The Impact of Interdisciplinary Education on Technology and Society over Engineering Identities in Male and Female Students (기술과 사회에 관한 융합교육이 남녀학생의 공학 정체성에 미치는 영향)

  • Kim, Hyomin;Kim, Ji-Hyung;Kim, Jeongyeon;Kim, Gi-Jeong;Lim, Do-Yeon;Song, Sungsoo
    • Journal of Engineering Education Research
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    • v.17 no.6
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    • pp.69-76
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    • 2014
  • This paper examined the influence of interdisciplinary education on technology and society over engineering identities of male and female students. For this purpose, we analyzed survey and essays of UNIST students who took the course of in 2013. Favorable feeling toward engineers, satisfaction with future career as engineers, positive regards of engineers' contribution to society increased to a statistically significant level within the group of female students who took the course. Interestingly, male students also formed more positive engineering identities after taking the course. Gender difference in engineering identities, which was statistically significant within the control group of non-takers, disappeared within students who took the course. Both male and female students learned to perceive engineering as a goal-oriented and contextualized exercises that can materialize new social values. In conclusion, interdisciplinary education on technology and society can make positive impacts on students' formation of engineering identities and sense of commitment.

The Household Characteristics and Underage Children's Dental Clinic Use - Focusing on the Mother's Characteristics - (가구특성과 미성년 자녀의 치과이용 - 모의 특성을 중심으로 -)

  • Kim, Jung-wook;Bae, Ho-Joong
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.121-140
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    • 2017
  • The purpose of this study was to use the Korea Health Panel to determine how the mother's characteristic and household characteristic variables were associated with dental clinic use of children in childhood and adolescence. The logistic regression analysis found that mother's education level was statistically significantly positively correlated with underage child's dental clinic use and children in single-parent family were less likely to use a dental clinic than those in two-parent family. As for dental clinic use by diseases, the higher level of mother's education, the more likely to use a dental clinic due to dental caries and children in single-parent family were less likely to use a dental clinic due to dental caries than those in two-parent family. No difference in dental clinic use due to tooth extraction was found by any of mother's characteristics or household characteristics, probably because age has an absolute impact during the period between milk teeth and permanent teeth. Lastly, mother's education level and household income were significantly positively correlated with dental clinic use due to orthodontics. On the basis of these results, it is necessary to develop a customized strategy reflecting children's growth stages and household characteristics in making a plan for promoting oral health of children and adolescents.

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Current State and Needs of Continuing Education for Emergency Medical Technicians (응급구조사 보수교육 실태와 요구도)

  • Bae, Ki-Sook;Kim, Jin-Hue;Kim, Ja-Young
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.376-384
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    • 2012
  • The purpose of this study is to enhance the satisfaction of paramedics on the refreshment training by identifying the status and requests of 389 Grade I and II paramedics who participated in refreshment training and providing appropriate training according to job requirements, and to provide basic materials for the effective operation. From the study, in 'Status and Difference of Refreshment Training of Grade I and II Paramedics', statistically significant items were found to be 'Satisfaction level of Refreshment Training'(p=0.002), 'Training should be separated according to qualifications.'(p=0.000),'Refreshment training registration fee was appropriate.'(p=0.027), 'Necessity level of evaluation after the refreshment training'(p=0.007). The most appropriate theme for refreshment training' was found to be ALS among Grade I (42.3%) and Grade II (31.1%), but it was not statistically significant (p=0.224). In 'Refreshment Training Enhancement Requirements', both Grade I (29.5%) and Grade II (31.2%) paramedics wanted 'qualitative enhancement of contents' most, which was not statistically significant (p=0.664). Additionally, 'the most appropriate theme for refreshment training' was found to be ALS in 'hospitals' (46.3%) and 'non-hospitals' (28.6), and comparing to 'hospitals' 'non-hospitals' showed approximately 12% higher requirements on 'Laws and the latest medical information'. According to results, it is recommended to separate training for Grade I and Grade II paramedics and reflect requests of the field to refreshment training so as to enhance the quality and satisfaction of refreshment training.