• 대한안전경영과학회지
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• 제15권2호
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• pp.243-253
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• 2013

This research paper introduces the application and implementation of medical decision metrics that classifies medical decision-making into four different metrics using statistical diagnostic tools, such as confusion matrix, normal distribution, Bayesian prediction and Receiver Operating Curve(ROC). In this study, the metrics are developed based on cross-section study, cohort study and case-control study done by systematic literature review and reformulated the structure of type I error, type II error, confidence level and power of detection. The study proposed implementation strategies for 10 quality improvement activities via 14 medical decision metrics which consider specificity and sensitivity in terms of ${\alpha}$ and ${\beta}$. Examples of ROC implication are depicted in this paper with a useful guidelines to implement a continuous quality improvement, not only in a variable acceptance sampling in Quality Control(QC) but also in a supplier grading score chart in Supplier Chain Management(SCM) quality. This research paper is the first to apply and implement medical decision-making tools as quality improvement activities. These proposed models will help quality practitioners to enhance the process and product quality level.

• International Journal of Knowledge Content Development & Technology
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• 제9권2호
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• pp.45-64
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• 2019

This study examined the perception and use of web 2.0 applications for academic purposes by medical students of Ambrose Alli University, Ekpoma. The objective was to investigate the medical students' perceptions of web 2.0 applications, web 2.0 tools use, extent of use, perception and purpose for using web 2.0 applications. Descriptive survey method was used for this study. The total population of this study was 3670 and the sample size was 367 representing 10% of the study. The purposive sampling technique was adopted, and the instrument used for this study was questionnaire, a total of 367 copies were administered and 321 were found useful for the study. Percentage means and standard deviation on table and chart were used to analyze the data collected using Statistical Package for the Social Sciences (SPSS) software. Findings showed that the perception of web 2.0 applications of medical students AAU was positive and few of web 2.0 applications were used for academic purposes. It was recommended in the study that medical students should be provided with the facilities in a format more familiar to them and used by most of them and institutions need to equip the learning process with the needed facilities which will be of utmost benefit even for future purposes.

• Parasites, Hosts and Diseases
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• 제57권4호
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• pp.411-416
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• 2019

To analyze the clinical and endoscopic features of colonic anisakiasis. A retrospective chart review of 20 patients with colonic anisakiasis, who were diagnosed by colonoscopy at 8 hospitals between January 2002 and December 2011, was performed. Patients' mean age was $53.6{\pm}10.74years$. Seventy percent patients were men. Acute abdominal pain was a common symptom that mostly developed within 48 hr after the ingestion of raw fish, and which lasted for 1-28 days. Sixty percent patients had ingested raw fish before the diagnosis of colonic anisakiasis and 40% patients were incidentally found to have colonic anisakiasis during the screening colonoscopies. Leukocytosis and eosinophilia were each found in 20% of the patients. In all patients who underwent colonoscopy, the worms were removed with biopsy forceps, except in 1 case, and a definite diagnosis of anisakiasis was made. In some cases of colonic anisakiasis, colonoscopy may be helpful in the diagnosis and treatment to avoid surgical intervention.

• 대한의료기공학회지
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• 제23권1호
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• pp.1-9
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• 2024

Objective : This report is to introduce the clinical application of Whidam's Su-Gi therapy to shoulder pain. Methods : Whidam's Su-Gi therapy for shoulder pain first identifies for red flags in order to select a person to be treated in korean medicine. After performing shoulder joint mobility evaluation and Su-Gi treatment, determine the disadvantage, and determine the mobility evaluation and Su-Gi treatment route of the shoulder, the shoulder blade, and cervical vertebrae. The advantage and pain are evaluated by a manual exercise test. After performing Su-Gi therapy according to the evaluation at each stage, pain and dysfunction are reevaluated to check the negative and proceed to the next step. Conclusions : The clinical application of Whidam's Su-Gi therapy to shoulder pain was organized around the correlation between the shoulder joint, the shoulder, the shoulder blade, and cervical vertebrae, and a medical flow chart was constructed away from the listed description method.

• Radiation Oncology Journal
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• 제18권1호
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• pp.67-72
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• 2000

목적 : 방사선치료 기록의 전산화를 통하여 "paperiess" 환경을 이룩하고 원활한 방사선치료의 흐름에 도움을 주기 위 함. 대상 및 방법 : 삼성서울병원의 병원 정보 시스템과 네트워크를 통하여 통합 방사선 관리 시스템(Comprehensive Radiation Oncology Management System:C-ROMS)을 구축하였다. C-ROMS의 한 부분인 디지털 화상 병력 시스템(digital image chart: DIC)과 디지털 방사선치료 기록 시스템(digital radiotherapy record system: DRRS)을 개발하였다. DIC와 DRRS는 Deiphi 프로그래밍 언어에 의해서 개발되었고 windows 95 환경에서 구동이 되며 과내 23대의 개인용 컴퓨터를 근거리 통신망으로 연결하여 사용하고 있으며 전송 속도는 10 Mbps (megabit per second)이다. DIC와DRRS은 1998년 12월부터 1999년 12월까지 2,556명의 환자에서 사용하였다. 결과 : lU년 2월부터 1999년 12월까지 2,556명의 환자에서 IS,732개의 이미지를 파일로 저장하여 DIC에 이용하였다. 1998년 12월부터 DRRS를 이용하여 120명의 환자에서 종래의 치료 기록지를 대체해서 DRRS에 의존하여 방사선치료 및 치료 중 환자 관리를 이룩할 수 있었다. 치료 완료 후에는 규격화된 치료 기록지를 인쇄해서 보관하고 방사선치료 중 "Paperless" 환경을 이룩함으로써 환자의 원활한 치료 및 자료의 보관이 용이하게 되었다. 결론: DIC와 DRRS를 이용하여 치료기록의 전산화와 데이터베이스 구축하였으며 기존의 방사선치료 기록지를 디지털화 하여서 "paperless" 환경의 치료에 기여하였다.

• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2001년도 봄 학술발표논문집 Vol.28 No.1 (A)
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• pp.685-687
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• 2001

본 논문은 IIS 4.0 웹서버상에서는 ASP와 SQL을 연동한 웹프로그래밍을 통하여 효율적인 자료처리와 환자와 의사간의 on-line 상담, 그리고 off-line 상에서의 진료와 환자가 지정한 약사로의 처방전 전송 및 조제, 그리고 진료데이터의 저장 및 검색으로 인한 반영구적인 진료데이터저장 등 3자(환자, 의사, 약사)간의 상호대화형 원격진료 시스템구현에 대한 내용이다. 또한 본 시스템은 인터넷 기반에서의 3차(환자, 의사, 약사)간의 효율적인 진료와 빠른 처리를 위한 전자진료 차트 및 자료처리에 관한 내용을 제시하고 있다.

• 응용통계연구
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• 제30권3호
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• pp.487-501
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• 2017

최근 산업의 생산공정에서는 머신비전시스템을 통하여 제품의 품질특성치에 대한 정보를 이미지 데이터로 제공하는 경우가 많다. 따라서 산업과 의학 현장에서 이미지 데이터의 모니터링을 위해 관리도 절차의 필요성이 많이 대두되고 있다. 이미지 데이터를 모니터링하는 관리도 절차는 전통적으로 사용하는 관리도 절차와 유사한 점도 있지만, 데이터의 구조를 비롯하여 각 이미지에서 ROI를 설정하여 관리도 절차를 적용하는 등 서로 다른 점도 많이 있다. 이 논문에서는 생산공정에서 제공되는 이미지 데이터에 대해 관리도를 사용하는 절차를 소개하고, 이미지 또는 ROI 크기의 확대와 축소가 제품의 이상원인을 탐지하는데 어떠한 영향이 주는지를 모의실험을 통하여 알아보았고 각 관리도의 성능 또한 비교하였다.

• 성인간호학회지
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• 제18권4호
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• pp.533-542
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• 2006

Purpose: The purposes of this study were to investigate medical records and to develop care records for management of patients with chest pain in the emergency department. Method: Retrospective review of the 42 medical chart of patients presented to the emergency department with chest pain were used. The collected data were analyzed with a frequency of items in the medical records. Results: In a frequency analysis of recorded items for doctors' chest pain assessment during history taking, the history/risk factors was the highest rank. The following ranks were 'commenced with when/timing, extra symptoms, place, nature, stay/radiate, alleviate/aggravate, intensity' in sequence. In a frequency of recorded items in nurse's progress notes according to nursing actions, the 'checking/monitoring' was the highest rank. The following ranks were 'performing, administering/injecting, referring/arranging, testing, preparing/catheterizing, teaching/informing' in sequence. Chest pain care records for the emergency department was designed, based upon data analysis and literature review. Conclusion: The designed records can be a rapid and effective approach tool for assessment and recording of patients with chest pain. Further research is necessary for evaluating the designed chest pain care records.

• 한방안이비인후피부과학회지
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• 제30권2호
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• pp.19-37
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• 2017

Objectives : The study designed to analyze annual, seasonal tendency of outpatients in ophthalmology & otolaryngology & dermatology clinic of Korean Medical hospital from 2012 to 2016. Methods : We investigated annual, seasonal population-social characteristics such as sex or age, departmental characteristics such as ophthalmology, otolaryngology, dermatology, many others, main diagnosis, cost characteristics of treatment period and frequency of treatment those who were received treatment as outpatients in Dunsan Korean Medical Hospital ophthalmology & otolaryngology & dermatology clinic from March 2012 to March 2016. The data was obtained from EMR chart, and statistical analysis was performed using SPSS 19.0. Results : We analyzed population-social characteristics, utilization of new patients in the year, in the season, and we obtained various results. Conclusions : In the analysis of annual, seasonal utilization patterns that outpatients offered in ophthalmology & otolaryngology & dermatology clinic of Korean Medical hospital from 2012 to 2016, the report draws 3 different conclusions.

• 대한두개안면성형외과학회지
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• 제24권4호
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• pp.159-166
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• 2023

Background: Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure. Methods: This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021. Results: During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery. Conclusion: Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned.