• Title/Summary/Keyword: 진료 기록

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Study of Concordance Rate to Measure Symptoms in Interanl Researchers (중풍변증 진료기록부 및 변증지표 측정에 관한 내부연구자간 일치도 연구)

  • Kang, Byung-Kab;Go, Ho-Yeon;Kim, Joong-Kil;Kim, Bo-Young;Ko, Mi-Mi;Kang, Kyung-Won;Yu, Byeong-Chan;Seol, In-Chan;Lee, In;Jo, Hyun-Kyung;Choi, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1728-1731
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    • 2006
  • To develop the Korean Standard Differentiation of the Symptoms and sings, We investigate concordance rate of symptoms between Korean Medicine Doctors. Two Korean medicine doctor surveyed symptoms with the Korean Standard Differentiation of the symptoms and sings for the Stroke(KSDS) case report form in stroke patients within 1 month of onset. The concordance rate of inspection, auscultation and olfaction, inquiry, and pulse feeling and palpitation are respectively 0.79, 0.90, 0.91,0.80. The study of inspection, pulse feeling and palpitation will be continued to evaluate concordance rate.

Retrospective Medical Record Analysis on Frequent Disease of Collaboration: A Pilot Study (다빈도 협진 질환의 후향적 진료기록 분석 연구 : 예비연구)

  • Gong, Na-gyeong;Lee, Hyeon-joo;Lee, Chan;Hwang, Jin-seub;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.563-571
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    • 2021
  • Objectives: This pilot study aimed to confirm the possibility of applying our design to the main study, a retrospective medical record analysis of the diseases which have most frequently been treated with collaborations of Korean and Western medicine, and to identify what corrections and statistical models are needed to conduct the main study. Methods: Data were collected from a case report form developed for patients who received treatment in the medical institutions. Appropriate statistical techniques, like Propensity Score (PS) and Generalized Estimation Equation (GEE) models, were used to compare the indicators of collaboration and non-collaboration groups for patients in comparable diseases. Results: Using PS matching for each M and S disease group, the indicators were compared by balancing the collaboration and non-collaboration group, and the GEE models compared indicators between groups in each disease over follow-up. Through this process we identified two limitations, insufficient samples and a large deviation of the follow-up period. Conclusion: This pilot study confirmed that the study design and case report form are applicable. The main study will be conducted by collecting sufficient samples and reflecting deviation of follow-up period.

A Study on Characteristics of Motorcycle Accident among Korean Elderly using Medical Record Information (의무기록 정보를 활용한 노인 오토바이 운수사고의 특성에 관한 연구)

  • Hye-Rang Kim;Moo-Sik Lee;Arma Park;Kwang-Hwan Kim
    • Journal of Digital Convergence
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    • v.21 no.2
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    • pp.17-25
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    • 2023
  • The purpose of this study was to analyze the characteristics of elderly motorcycle accidents according to data from elderly inpatients to prepare prevention measures for the elderly against injury in motorcycle accidents. Chi-squared test, independent sample t-test, and canonical correlation analysis were performed on the Korea Disease Control and Prevention Agency's National Hospital Discharge In-depth Injury Survey data from 2015 to 2019, from which the records of 1,384 elderly inpatients hospitalized because of motorcycle accidents were obtained. intracranial injury(S06) was the most common care and treatment characteristic for both age groups. The most frequent injury site was the head and neck, and the most frequent injury type was a fracture. The above findings show that prevention education and policy formulation at the national level are necessary to identify and manage the factors of elderly motorcycle accidents. This study provides basic data for developing measures and policies to prevent and reduce injuries, making it significant for public health causes.

Analyses of Security Issues and Vulnerability for Healthcare System For Under Internet of Things (사물인터넷과 융합한 헬스케어 시스템에서의 보안 이슈 및 취약점 분석)

  • Jung Tae Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.699-706
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    • 2023
  • Recently, the 4 generation industry revolution is developed with advanced and combined with a variety of new technologies. Conventional healthcare system is applied with IoT application. It provides many advantages with mobility and swift data transfers to patient and doctor. In despite of these kinds of advantages, it occurred security issues between basic devices and protocols in their applications. Especially, internet of things have restricted and limited resources such as small memory capacity, low capability of computing power, etc. Therefore, we can not utilize conventional mechanism. In this paper, we analyzed attacks and vulnerability in terms of security issues. To analyze security structure, features, demands and requirements, we solve the methods to be reduced security issues.

Privacy Preserving Techniques for Deep Learning in Multi-Party System (멀티 파티 시스템에서 딥러닝을 위한 프라이버시 보존 기술)

  • Hye-Kyeong Ko
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.647-654
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    • 2023
  • Deep Learning is a useful method for classifying and recognizing complex data such as images and text, and the accuracy of the deep learning method is the basis for making artificial intelligence-based services on the Internet useful. However, the vast amount of user da vita used for training in deep learning has led to privacy violation problems, and it is worried that companies that have collected personal and sensitive data of users, such as photographs and voices, own the data indefinitely. Users cannot delete their data and cannot limit the purpose of use. For example, data owners such as medical institutions that want to apply deep learning technology to patients' medical records cannot share patient data because of privacy and confidentiality issues, making it difficult to benefit from deep learning technology. In this paper, we have designed a privacy preservation technique-applied deep learning technique that allows multiple workers to use a neural network model jointly, without sharing input datasets, in multi-party system. We proposed a method that can selectively share small subsets using an optimization algorithm based on modified stochastic gradient descent, confirming that it could facilitate training with increased learning accuracy while protecting private information.

Data Efficient Image Classification for Retinal Disease Diagnosis (데이터 효율적 이미지 분류를 통한 안질환 진단)

  • Honggu Kang;Huigyu Yang;Moonseong Kim;Hyunseung Choo
    • Journal of Internet Computing and Services
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    • v.25 no.3
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    • pp.19-25
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    • 2024
  • The worldwide aging population trend is causing an increase in the incidence of major retinal diseases that can lead to blindness, including glaucoma, cataract, and macular degeneration. In the field of ophthalmology, there is a focused interest in diagnosing diseases that are difficult to prevent in order to reduce the rate of blindness. This study proposes a deep learning approach to accurately diagnose ocular diseases in fundus photographs using less data than traditional methods. For this, Convolutional Neural Network (CNN) models capable of effective learning with limited data were selected to classify Conventional Fundus Images (CFI) from various ocular disease patients. The chosen CNN models demonstrated exceptional performance, achieving high Accuracy, Precision, Recall, and F1-score values. This approach reduces manual analysis by ophthalmologists, shortens consultation times, and provides consistent diagnostic results, making it an efficient and accurate diagnostic tool in the medical field.

Treatment Outcome and Prognosis of the Outpatients with Orofacial Pain (구강안면통증 환자의 치료결과와 예후에 관한 연구)

  • Choi, Sea-Hun;Kim, Ki-Suk;Kim, Mee-Eun;Lee, Dong-Ju;Jin, Sang-Bae
    • Journal of Oral Medicine and Pain
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    • v.31 no.2
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    • pp.155-165
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    • 2006
  • The purpose of this study was to evaluate treatment outcome and prognosis of the patients with orofacial pain disorders who visited for treatment in the Department of Oral Medicine, Dankook University Dental Hospital from January 2002 to December 2004. Orofacial pain disorders were categorized into TMD(myogenous, arthrogenous and muscle-joint combined TMDs), neuropathic pain disorder, oral soft tissue disease and complex condition simultaneously having more and two aforementioned categories and treatment period, method and treatment outcome were evaluated. The results of this study were as follows; 1. Average longevity of treatment period was the longest in the neuropathic pain, followed by soft tissue disease, complex conditions, arthrogenous TMD, muscle-joint combined TMD and myogenous TMD in order. 2. When treatment methods were largely categorized into pharmacologic, physical and oral appliance therapy, pharmacologic therapy was used the most frequently for the patients with neuropathic pain or oral soft tissue diseases, oral appliance therapy for those with arthrogenous TMD and physical therapy for those with myogenous TMD. 3. Of physical therapeutic methods used in our clinic, EAST and microwave was employed the most frequently in the patients with myogenous TMD, ultrasound for those with arthogenous TMD and LLLT for those with neuropathic pain or oral soft tissue disease. 4. In comparison with change of pain after treatment, there existed a tendency that pain from neuropathic pain disorders persisted while pain from TMD was getting better or totally disappeared. 5. Concerning the change of mouth opening range in the TMD subgroups, there was no significant difference among the subgroups but significant difference existed among opening ranges, indicating comfortable maximum mouth opening increased the most following treatment. Improvement of active range of mouth opening was the most considerable in those with disc displacement without reduction. It can be said on the basis of the findings from this study that various treatments currently used for the orofacial pain showed good results with TMD in regards with pain control and improvement of function, suggestive of favorable prognosis, while neuropathic pain or soft tissue disease was the clinical conditions difficult to resolve, requiring a long and persistent treatment.

A STUDY ON THE CHARACTERISTICS OF SEDATED PEDIATRIC DENTAL PATIENTS AND THEIR PARENTS VISITING KANGNUNG NATIONAL UNIVERSITY DENTAL HOSPITAL (강릉대학교치과병원 소아치과에 내원한 진정치료환아와 보호자의 특성에 대한 연구)

  • Kim, Ji-Hun;Seo, Hyun-Woo;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.459-473
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    • 2004
  • Recently, many children have been treated under sedation in the department of pediatric dentistry of the dental hospital of Kangnung National University, and sedation cases are increasing gradually. So, in this study. the author analyzed and studied about the characteristics of sedated pediatric dental patients and their parents with patient chart and questionnaire at first visit, from 1999 to 2002 for the purpose of making pediatric dental treatment plan more effective and the improvement of behavior management for better pediatric dentistry. The results were follows : 1. The number of total pediatric and sedative patients increased from 1999 to 2002. 2. The sedated pediatric dental patients were younger than total pediatric dental patients(p<0.001). 3. In visit frequency per month, the sedated patients showed higher percentage on March, July, November contrast to non-sedated patients(p<0.001). 4. In parental occupation, there was a significant difference between sedated patients and non-sedated patients(p<0.001). 5. Caries treatment rather than preventive care or orthodontic treatment, was primarily composed of chief complaint of sedated patients(p<0.001). 6. The sedated patients showed worse response to previous treatment than non-sedated patients, and their parents also expected worse response contrast to non-sedated patients (p>0.001). 7. The patients who were introduced, occupied 31.2% of sedated pediatric dental patients and referral by the dentist were composed of the highest percentage(58.3%). 8. In case of uncooperative child at conventional behavior management, the parents of sedated pediatric dental patients prefered to sedation(50.9%). while the parents of non-sedated patients prefered to physical restraint(54.6%) (p<0.001).

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A retrospective statistical analysis of dental implants (치과 임플란트 환자의 통계 분석에 관한 후향적 연구)

  • Zhao, Chun-Ri;Cho, In-Ho;Moon, Eun-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.3
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    • pp.266-272
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    • 2009
  • Statement of problem: The number of edentulous patients is increasing due to an aging society, which leads to increased demands and interests on implant restorations. Implant restorations are an effective treatment method for both complete and partially edentulous patients, and the success rate has been reported to be high. But because of the increased use of implants in various situations have resulted in frequent reports of failures on implant restorations. Various efforts to overcome these failures have been made. Purpose: The aim of this study was to investigate the statistic survival rate of dental implants on patients who were treated at Dankook University Dental Hospital during the past 10 years based on their charts. Materials and methods :The research was made for two different periods of time; The first investigation was for patients from August, 1998 to August, 2003 and the second was for patients from September, 2003 to April, 2007. Information on the number of implants placed, the location and distribution of implants, the duration between the first and second surgery, and the survival rate of implants were investigated from the patients'charts. Results: 1. According to the first investigation, 1680 implants were placed on 612 patients and the second investigation showed 2438 implants placed on 933 patients. Thus a total of 4118 implants on 1545 patients. 2. Among the 1545 patients, 884 patients were male (57.2 %) and 661 patients were female (42.8%). Out of 4118 implants, 1739 implants (42.2%) were placed on the maxilla, and 2379 implants (57.8%) on the mandible. Implants were placed most frequently in the posterior region of the mandible. A total of 2043 implants (53.2%) were placed in this region. 3. According to the first investigation, 57 out of 1680, implants failed, while from the second investigation, 17 out of 2438 implants were reported as failure. In total, 74 implants failed, which results in a 98.2% survival rate. 4. The average duration between the first and the second surgeries in maxillas decreased from 7.4 months to 6.8 months. The duration also decreased from 5.6 months to 5.0 months in mandibles. Conclusion: As shown in the results, the number of placed implants and the survival rate of implants were higher in the second investigation than that of the first investigation. And the time spent after the first surgery to the second surgery was less in the second investigation. Consequently, it can be presumed that the demand and consumption of dental implants as well as the survival rate will increase in the future.

The Experience of Medical Conflict and the Educational Needs of Dental Hygienists (치과위생사의 의료분쟁과 관련한 경험 및 교육 요구도 조사)

  • Yang, Eun Mi;Park, Sang Jun;Kim, Hye-Jin
    • Journal of dental hygiene science
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    • v.15 no.3
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    • pp.361-368
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    • 2015
  • The study was conducted to provide data for the development of effective medical conflict prevention programs for dental hygiene by analyzing the dental experience conflicts. A self-administered questionnaire survey was conducted targeting dental hygienists who were performing dental assistance at university hospital, dental hospital and dental clinic in Busan and Gyeongnam regions from April 1 to 30, 2014. Collected questionnaires of 212 dental hygienists were then analyzed with IBM SPSS Statistics ver. 20.0 program. A total of 59.4% had experienced complaints, discontents and medical disputes and 24% of these had experienced a legal trouble developed from such and 95.3% were anxious and doubtful about a possible future medical dispute to some degree. Patient complaints, complaints of non-medical issues raised by 24.3% was the most common, notices, maps and descriptions in relation to the issues raised by 14.4%, is related to the impression issue was raised in the order of 13.5%. Occurrence of disputes did not show a significant difference by place of work, however, a possibility of development of dispute into a legal proceeding showed a significant difference depending on service career and it was investigated that the experienced group feels more pressures with regard to a medical dispute according to their experience of such. All respondents said that education on a prevention and countermeasures of medical disputes is necessary. Understanding of dental hygienists on medical related laws regarding the scope of duty is required to be enhanced and, in order to do so, opportunities to receive an education with regard to a prevention and countermeasures of medical disputes are to be expanded.