• Title/Summary/Keyword: 진료 형태

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A Study on the Design of DICOM Integration Engine in the Ubiquitous Computing Environments (유비쿼터스 컴퓨팅 환경에서의 DICOM 설계에 대한 연구)

  • Im, In-Chul;Ha, An-Rye;Kim, Chang-Soo;Hwang, In-Chul;Ok, Chi-Sang
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.307-315
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    • 2005
  • In the ubiquitous computing environments, ICT industries of current society are developed in enormous growth. Medicine or patients with mobile devices can access at any time, any place. The medical procedures at the patient bedside are out of the scope of current systems, which means that patient record and image data access during the medical visit or the execution, recording and confirmation of the medicine prescriptions, still do not enjoy computerized support. Today, the exchange of medical images and clinical information is well defined by DICOM and HL7 standards. The DICOM independent terminal equipment image access system was developed in which a DICOM Engine acts as the gateway between a PACS DB and user's terminal. Implementation system is compatible with most currently available Integration system models. This paper presents a software technology where the medical and nursing staff will be equipped with any device connected by wire and wireless to a central server that provides access to the electronic patient records and that will actively inform about tasks pending distribution. The prototype described in this article implements a medical images and structured reports server that makes the search and recovery of data stored in the DICOM standard possible.

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Implant overdenture of mandible with severe unilateral atrophy: Report of two cases (심한 편측 하악 치조골 흡수를 보이는 환자에서의 임플란트 피개의치 수복 증례)

  • Kim, So-Yeun;Kwon, Eun-Young;Jung, Kyoung-Hwa;Jeon, Hye-Mi;Baek, Young-Jae;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.271-279
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    • 2019
  • There are several unfavorable conditions regarding alveolar bone condition that may compromise the denture patient's satisfaction. Chewing efficiency may not be satisfactory when alveolar bone is deficient, and the denture stability could hardly be achieved when alveolar bone shape is irregular. Implant overdenture can be useful to provide satisfactory denture experience compared to conventional denture. The attachment for implant overdenture can be classified into bar attachment and solitary attachment. When the positions of the implants are in the mandibular anterior region, bar attachment may be favorable to obtain a rigid support of the entire denture. When implants are distributed both on anterior and posterior region, a solitary attachment could be considered for ease of removal and maintenance. This report presents implant overdenture cases with the patients that had unilateral mandibular alveolar bone atrophy conditions. Different abutments were chosen based on the individual patient's mandibular alveolar bone condition and the treatments were successful in terms of patient satisfaction.

What would we meet for the implant dentistry: A Case Report (임플란트를 하면서 만나게 되는 문제들: 증례보고)

  • Lee, Jung-Sam
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.1
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    • pp.49-67
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    • 2015
  • Since the implant became the important treatment modality in dentistry, the research and clinical effort to mimic natural tooth appearance have been pursued. While the rehabilitation of mastication and occlusal appearance was focused in the past, more esthetic and functional restoration was preferred recently. To fulfill this demand, the clinicians should consider the axial contour, papilla space, subgingival appearance, as well as the shape of occlusal surface. In the surgery part, there have been significant advances in the adequate formation of bone and soft tissue through the careful reflection on the surgery time and incision. When the dentist has good knowledge about this aspect and passion for the final product, he or she can acquire better results.

A Study on the Activity Limitation Realities Caused by Oral Disease in Some University Students (일부 대학생의 구강질환으로 인한 활동제한실태 연구)

  • Ji, Min-Gyeong
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.2
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    • pp.371-378
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    • 2013
  • This study was attempted in order to offer basic data for enhancing oral health by surveying the activity limitation realities caused by oral disease in university students and then by analyzing its relevant factors. As a result of research, university students' activity limitation experience rate accounted for 24.1%. The average number of activity limitation days stood at 0.44 day. Matters related to university students' activity limitation included housing type as for socio-demographic characteristics, and busyness in daily life, difficulty for supplying school expenses, temporal burden given using dental treatment, and difficulty for transportation given using dental treatment as for individual characteristics. In case of feeling difficulty for raising school expenses, the possibility was indicated to be high in activity limitation experience, illness experience, experience of having trouble in performing schoolwork, and schoolwork loss experience. Also, in case of feeling difficulty for transportation given using dental treatment, the possibility was indicated to be high in experiencing a trouble in performing schoolwork and a loss of schoolwork. Accordingly, a national interest and support are earnestly demanded in order to establish the more systematized oral health level and to increase oral health promotion.

Factors Affecting on Medical Satisfaction in Multicultural Members (다문화 구성원의 의료만족도에 영향을 미치는 요인)

  • Ahn, Seong sin;Jang, Mi-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.199-209
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    • 2020
  • This study was a descriptive study performed to identify factors affecting medical satisfaction in multicultural members. The survey participants were 301 multicultural members in A city. The data were analyzed using descriptive statistics and Independent t-tests, One-way ANOVA, and Stepwise multiple regression analysis with the SPSS 14.0 program. Stepwise multiple regression analysis revealed that the predictors of satisfaction among the medical staff were satisfaction with age and health insurance, which accounted for 28% of all variance. Predictors of satisfaction with the medical environment were age and jobs, which accounted for 17% of all variance. Predictors of satisfaction with medical expenses were multicultural form, educational level, and jobs, which accounted for 33% of all variance. These results suggest that we need to develop and implement strategies and programs that can enhance satisfaction with medical use among multicultural members.

Informally Patients Prediction Model of Admission Patients (입원환자 데이터를 이용한 예약부도환자 이탈방지 모형 연구)

  • Kim, Eun-Yeob;Ham, Sung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3465-3472
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    • 2009
  • The aims of this study is to medical record data warehouse which had been collected from hospital information systems. continuous patient 2,118 60.5%, informally patient 1,385 39.5%. In using survival factors sex, age, area, insurance, admission-course, medical treatment, out-patient lesson, out-patient form, conference diagnosis, operation, cancer, medical reservation. As a result of making a predictive modeling using the logistic regression, the fitness of the predictive modeling of informally patient was 66.0% and neural network, the predictive was 66.72% and CHAID, the predictive was 63.25%, which is a data mining. The expected modeling of the informally patients, the hospital through the continuous patient management and trust of hospital.

A Study on the Change of Form Type in General Hospital (국내 종합병원의 형태 유형 변화에 관한 연구)

  • Kim, Eun-Seok;Yang, Nae-Won
    • Korean Institute of Interior Design Journal
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    • v.23 no.6
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    • pp.195-203
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    • 2014
  • This study selects factors affecting form type of hospital architecture by considering studies and references on hospital architecture type in korea and other countries in general. Also this study classifies general hospitals chronologically and analyzes type change of general hospitals in relation with periodic change of healthcare environment. Through this, this study aims to analyze chronological change of general hospitals' form type and provide the current of hospital architecture's general type. The form type classification of this study is classification according to the form of ward, classification according to the relationship between ward and D.T.D(Diagnostic and Treatment department), classification according to the relationship between O.P.D(Out Patient department) and D.T.D, classification according to the rate of centralization, classification according to the circulation system. The form type of ward changed from plate type to tower type, and the circulation system of ward changed from middle corridor to double corridor, the number of Team Nursing chaged from 1 to 2 in 1990. On the other hand the chage of others classifications took place from 1990' to 2010'. It is judged that this overall change is appeared by a change from an inpatien-oriented system to an outpatient-oriented system followed by an increase in number of outpatients, an increase in amenities in ground floor and adoption of healing environment for patients and visitors.

MULTIDISCIPLINARY APPROACH FOR THE DENTAL TREATMENT OF A PATIENT HAVING TRACHEOSTOMY TUBE (기관내삽관을 가진 장애환자의 치과치료를 위한 협의 진료)

  • Cha, Yoon-Sun;Kim, Ji-Hun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.38-42
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    • 2014
  • A tracheostomy tube serves as airway management for patients whose respiration is impeded due to inflammation, tumor, or traumatic events. If the patients who have tracheostomy tube, visit dental clinic for dental treatments, we should consider the underlying general condition of patients and then make treatment plans according to their state. A 22-Year old male patient, who had tracheostomy tube on his neck, came to our department for comprehensive dental treatment. Mild mental retardation was observed and he was taking anti-convulsant drugs for the prevention of epileptic seizure. Multiple advanced dental caries, hopeless teeth, and impacted third molars were also observed by clinical and radiographic examination. Due to the risk of epileptic seizure and low cooperativity to tolerate the treatment, general anesthesia was recommended by physician, and the anti-convulsant drug was administrated during procedure. In this case, we aimed to report the multidisciplinary approach for the dental treatment of patient having a tracheostomy tube.

Design of Middleware for Integration Repository of XML-based Bio and Medical Information (XML 기반의 바이오 및 임상정보 통합 저장소를 위한 미들웨어의 설계)

  • Jeong, Jong-Il;Yu, Wee-Hyuk;Lee, Tae-Heon;Shin, Dong-Kyoo;Shin, Dong-Il
    • Proceedings of the Korea Information Processing Society Conference
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    • 2005.05a
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    • pp.63-66
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    • 2005
  • 최근 환자중심의 진료환경 구축을 통한 진료의 질적인 향상을 위해 바이오 및 임상정보 통합의 필요성이 점차 커지고 있다. 따라서 기존의 폐쇄적인 의료시스템들을 개방적인 시스템으로 전환하고 각 시스템간에 정보를 교환하고 공유하기 위해 HL7 등의 표준들이 급속히 확산되고 있다. 그러나 HL7 은 임상문서 교환을 위한 유연성있는 표준이지만 시스템에 의존적인 형태의 메시지는 이질적인 시스템간의 정보교환에는 부적합하다. 따라서 HL7 표준중 XML 기반의 임상기록 저장 구조인 CDA 를 이용하여 환자의 임상정보가 통일되고 통합될 필요성이 있으며 본 논문은 새로운 CDA 를 지원하기 위해 바이오 및 임상정보를 통합하고 통합된 정보를 통합저장소에 저장하는 기능과 시스템 간 자료전송 그리고 외부의 응용프로그램을 통한 통합저장소의 접근제어 기능을 수행하는 미들 웨어를 설계한다.

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STUDY ON CHILDREN'S PREFERENCE TOWARD ATTIRE OF DENTIST AND DENTAL HYGIENIST (어린이가 선호하는 치과 의료진의 복장에 대한 연구)

  • Nam, Jeong-Ran;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.2
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    • pp.175-188
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    • 2009
  • The purpose of this study was to find a method for improving children's preferences during dental treatment in relation to dentist's attire. For this study, 650 children asked to participate in a survey about the attire of the dentists. The results of the survey were as follows: 1. The survey found that gowns were preferred to ordinary clothes for both male and female dentists, 67.7 to 87.6% for male and 59.2 to 75.9% for female dentists. 2. For male dentists, the typical long white gown was the most preferred style, followed by a long gown, and a short jacket type, and then a short operating gown. 3. For female dentist, the typical long white gown was also most preferred, followed by a long gown, a short jacket type, and then a short operating gown. 4. For dental hygienists, the most preferred attire style was a two-piece wear with pants, followed by one-piece, skirt suit, shirts with cartoon characters, and apron. However, the difference among these attires was insignificant 5. White was the preferred color for gown. 6. Children prefer gown with no-pattern.

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