• Title/Summary/Keyword: 진료 기록

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A Study on Clinical Records of Queen Inmok (조선 인목왕후의 진료 기록 연구 - 『조선왕조실록』과 『승정원일기』를 중심으로 -)

  • Kim, Minseon;Ha, Donglim;Kim, Namil
    • The Journal of Korean Medical History
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    • v.32 no.2
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    • pp.91-104
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    • 2019
  • In this paper, the clinical records of Queen Inmok has been studied and the impact of historical events on her life has been analyzed. This paper has extracted her medical records during King Seonjo's and King Injo's period from the Annals and the Daily Records of Royal Secretariat of Joseon Dynasty, and then contemplated their medical implications consulting Donguibogam as a primary reference. Queen Inmok had been yang deficiency after national mourning. But suffering a series of misfortunes, she was ill with fire-heat (火熱) syndrome and finally passed away suffering from high fever, frequent diarrhea and profuse sweating. At that time, practitioners abused cold therapy following Jin Yuan Sia Jia (金元四大家), so they missed Queen Inmok's yang deficiency.

Privacy Information Protection Model in e-Healthcare Environment (e-Healthcare 환경 내 개인정보 보호 모델)

  • Kim, Kyong-Jin;Hong, Seng-Phil
    • Journal of Internet Computing and Services
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    • v.10 no.2
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    • pp.29-40
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    • 2009
  • The development of information technology such as the internet has brought about rapidly changes the old medical technology, e-Healthcare has been to raise social issue. The e-Healthcare which new turning point of paradigm in the medical information develops the medical policy in Korea and the technology, the prospective of reverse engineering in internet environment is incurring problems such as distribution of critical information and invasion and infringement of privacy, etc. In this research, we suggest the Role Based Access Control System, HPIP-e-Healthcare Privacy Information Protection, for solving above problem. The HPIP is composed 4 mechanisms such as Consolidate User Identity, Hospital Authorization, Medical Record Access Control, Patient Diagnosis and we are also prototyping the HPIP for feasible approach in the real computing environment.

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Implemental Model of Customer Relationship Management System for Oriental Hospital Using Customer Segmentation (고객세분화를 통한 한방병원 고객관계관리 시스템 구축모형)

  • Ahn, Yo-Chan
    • Journal of Korea Society of Industrial Information Systems
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    • v.15 no.5
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    • pp.79-87
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    • 2010
  • This paper is proposed that implemental model of customer relationship management system for oriental hospital is designed by customer segmentation using personal information and medical record of outpatients in existing integrated medical information system database. Proposed model can be practical model at once, because it can construct by partial modification of existing medical information system without additional information technology and infrastructure. And, if we use the proper variable and method of customer segmentation according to marketing strategy, it can be flexible customer relationship management system not only improvement of customer satisfaction but also various marketing supports.

Evaluation of Dental Hygienist Job Validity according to Judgment Standard of Medical Practice in Medical Law (의료행위 기준에 따른 치과위생사 직무 타당도 평가)

  • Bae, Soo-Myoung;Shin, Sun-Jung;Lee, Hyo-Jin;Shin, Bo-Mi
    • Journal of dental hygiene science
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    • v.18 no.6
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    • pp.357-366
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    • 2018
  • The purpose of this study was to evaluate the validity of dental hygienist job according to judgment standard of medical practice in medical law. In this study, we conducted a self-administered questionnaire survey to evaluate the validity of dental hygienist job for 12 professors of dental college in Gangneung-Wonju National University from November 10 to 20, 2017. We investigated whether the dental hygienist job conforms to the three criteria of medical practice such as disease prevention and treatment, patient care, and health hazard. The response rates were scored and classified into four categories according to the final score. As a result of this study, dental hygienist job are classified into four categories according to judgment standard of medical practice. The higher the level of the category, the higher the degree of difficulty, and the higher the level of expertise and skills required. More than 50% of respondents answered that measuring the gingival pocket, bleeding on probing, professional tooth cleaning, oral health education, counseling after dental treatment are all three criteria for medical treatment. And these were classified into Level 4 group which requires the difficulty and expertise in the final score 4.3. It is necessary to develop and utilize standardized guidelines on the level of knowledge, education, and qualification standards required for dental practice in order to effectively allocate work among the dental personnel while ensuring the health rights of patients in the dental clinic field in Korea. In addition, there is a need to evaluate the various aspects of cost effectiveness, dental health service productivity, and health promotion contribution to dental hygienist jobs, And based on this evidence, it is necessary to continue to expand and adjust the dental hygienist job and to reorganize the dental workforce system.

The Dental Biofilm Reduction Effect & Control Difficulty Level of University Students through Dental Biofilm Control Program (일부 대학생에서 치면세균막 관리 프로그램에 의한 치면세균막 감소 효과 및 관리 난이도)

  • Choi, Ha-Na;Lim, Soon-Ryun;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.12 no.1
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    • pp.39-44
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    • 2012
  • For the purpose of examining the dental biofilm reduction effect and control difficulty level through a dental biofilm control program in this study, the total of 131 medical records (82.9%) were used for the final analysis upon excluding the records that were not suitable for this study among the records of 158 persons for the medical records of clinical hygiene case reports that were submitted from 2006 to 2011 by students at the Department of Dental Hygiene at N University located in Chungnam region. The result of examining the dental biofilm reduction effect according to the visit number when conducting a dental biofilm control program showed that the dental biofilm index reduced meaningfully as the visit number increased. However, in the case of those that visited for 7 sessions, the level of reduction was not statistically meaningful. For the purpose of comparing the dental biofilm index mean per area of teeth during the final session visit of dental biofilm control program, the area of teeth was classified into labial/buccal surface, lingual/palatal surface and proximal surface, and the dental biofilm index of lingual/palatal surface was the highest with 26.5%. The result of measuring the dental biofilm of maxilla/mandible revealed meaningful differences between the dental biofilm index of maxilla and mandible. The result of analyzing the dental biofilm index of labial/buccal surface, lingual/palatal surface and proximal surface revealed meaingful differences among the dental biofilm index of labial/ buccal surface, lingual/palatal surface and proximal surface.

ASSESSMENT OF DENTAL ANXIETY IN THE CHILD PATIENT BY THEIR DRAWINGS (환아의 그림을 통한 치과치료시 불안도 평가)

  • Choi, Seo-Jung;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.354-362
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    • 2003
  • The aim of the present study was to establish validity for Dental Anxiety Scale in children by their drawings. Dental treatment was provied for 35 children in the ages of 4 to 8, using the quadrant approach. The children's anxiety arising during dental treatment was measured by Modified Sheskin's Criteria(Dental Anxiety Scale, DAS). After reliability analysis of Dental Anxiety Score, it was compared with Faces Pain Scale and was tested for their correlation. Thereafter the several factors having an effect on Dental Anxiety Scale were examined. A significant correlation(r=0.2610) was found between the two scales and Dental Anxiety Scale was high significantly in 4-6 score of Faces Pain Scale. The findings suggested that the Dental Anxiety Scale is a valid means of assessing child dental anxiety status in a clinical context and the Dental Anxiety Scale can be affected by 'Age', 'Gender' and 'Reaction in the past'.

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Relationship Between Orthodontic Root Resorption and Asthma, Allergy, and Psychological Stress (교정치료와 관련된 치근흡수와 천식, 앨러지 및 심리적 스트레스와의 상관성에 관한 연구)

  • Shim, Youn-Soo;Davidovitch, Ze'ev
    • Journal of dental hygiene science
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    • v.3 no.1
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    • pp.33-38
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    • 2003
  • One aspect of undesirable outcomes in orthodontic treatment includes excessive resorption of dental roots with mechanotherapy. The aim of this study is to demonstrate whether diseases affecting the immune system adversely are prevalent in orthodontic patients who manifest excessive resorption of dental roots with orthodontic tooth movement. The records of 51 orthodontic patients (25 males and 26 females, $16.1{\pm}3.3$ yr old) and 51 pair-matched controls ($1.5.4{\pm}4.1$ yr old) were analyzed retrospectively. The pretreatment questionnaires and the treatment records disclosed that the incidence of asthma, allergy, and signs indicative of psychological stress, was significantly higher in the root resorption cohort. The immune system is either altered or adversely affected in all these conditions. Since the progenitors of osteoclasts and odontoclasts are derived from mononucleated cells of monocyte and macrophage lineage, which are prominent cellular members of the immune system, the study leaded to the conclusion that excessive root resorption may occur in orthodontic patients who are psychologically stressed, or who have asthma and allergy, or any other conditions that may adversely affect and modify the immune system, and a careful examination and interpretation of a patient's medical history may be beneficial to both patient and practioner.

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Association between Candidiasis and Early Childhood Caries : Analysis Using Healthcare Big Data (보건의료 빅데이터를 이용한 유아기 우식증과 칸디다증의 연관성 분석)

  • Kim, Chorok;Song, Jihyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.4
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    • pp.359-367
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    • 2020
  • The aim of this study was to identify the association between candidiasis and early childhood caries and to investigate whether the experience of candidiasis or oral candidiasis before age 1 can be considered as a risk factor for early childhood caries. The database used in this study was provided by Health Insurance Review and Assessment Service. Medical records of children born from January 2010 to December 2012 were obtained, and those without dental records were excluded. Subjects were divided into several groups based on the experience of candidiasis or oral candidiasis before age 6: candidiasis group and non-candidiasis group; oral candidiasis group and non-oral candidiasis group. Another categorization was done according to the experience of candidiasis or oral candidiasis before age 1. The incidence rate of early childhood caries in each group were compared. The prevalence of dental caries in children who have been diagnosed with candidiasis or oral candidiasis before age 6 was significantly different from those who have not experienced candidiasis. Similarly, children who have suffered from candidiasis or oral candidiasis before age 1 had significantly different incidence of caries from the children without candidiasis experience.

TF-IDF Based Association Rule Analysis System for Medical Data (의료 정보 추출을 위한 TF-IDF 기반의 연관규칙 분석 시스템)

  • Park, Hosik;Lee, Minsu;Hwang, Sungjin;Oh, Sangyoon
    • KIPS Transactions on Software and Data Engineering
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    • v.5 no.3
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    • pp.145-154
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    • 2016
  • Because of the recent interest in the u-Health and development of IT technology, a need of utilizing a medical information data has been increased. Among previous studies that utilize various data mining algorithms for processing medical information data, there are studies of association rule analysis. In the studies, an association between the symptoms with specified diseases is the target to discover, however, infrequent terms which can be important information for a disease diagnosis are not considered in most cases. In this paper, we proposed a new association rule mining system considering the importance of each term using TF-IDF weight to consider infrequent but important items. In addition, the proposed system can predict candidate diagnoses from medical text records using term similarity analysis based on medical ontology.

Prediction of Life-expectancy for Patients with Hepatocellular Carcinoma Based on Prognostic Factors (간암 환자에서 예후인자를 통한 생존기간의 예측)

  • Yeom, Chang-Hwan;Shim, Jae-Yong;Lee, Hye-Ree;Hong, Young-Sun
    • Journal of Hospice and Palliative Care
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    • v.1 no.1
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    • pp.30-38
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    • 1998
  • Background : Hepatocellular carcinomoma is the 3rd most common malignancy and the 2nd most common cause of death in Korea. The prediction of life-expectancy in terminal cancer patients is a major problem for patients, families, and physicians. We would like to investigate the prognostic factors of hepatocellular carcinoma, and therefore contribute to the prediction of the survival time of patients with hepatocellular carcinoma. Methods : A total of 91 patients(male 73, female 18) with hepatocellular carcinoma who were admitted to the hospital between January and lune 1995 were entered into the study, and data were collected prospectively on 28 clinical parameters through medical obligation record. We surveyed an obligation and local district office records, and confirmed the surivival of patients till July, 1996. Using Cox-proportional hazard model, give the significant variables related to survival. These determined prognostic factors. Life regressional analysis was used, there were calculated predicted survival day based on combinations of the significant prognostic factors. Results : 1) Out of 91 patients, 73 were male, and 18 were female. The mean age was $56.7{\pm}10.6$ ears. During the study, except for 16 patients who could not follow up, out of 75 patients, the number of deaths was 57(76%) and the number of survivals was 18(24%). 2) Out of the 28 clinical parameters, the prognostic factors related to reduced survival rate were prothrombin time<40%(relative risk:10.8), weight loss(RR:4.4), past history of hypertension (RR:3.2), ascites(RR:2.8), hypocalcemia(RR:2.5)(P<0.001). 3) Out of five factors, the survival day is 1.7 in all of five, $4.2{\sim}10.0$ in four, $10.4{\sim}41.9$ in three, $29.5{\sim}118.1$ in two, $124.0{\sim}296.6$ in one, 724.0 in none. Conclusion : In hepatocellular carcinoma we found that the prognostic factors related to reduce survival rate were prolonged prothrombin time(<40%), weight loss, past history of hypertension, ascites, and hypocalcemia(<8.7mg/dl). The five prognostic factors enabled the prediction of life-expectancy in patients with hepatocellular carcinoma and may assist in managing patients with hepatocellular carcinomal.

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