• 제목/요약/키워드: Medicine Code

검색결과 307건 처리시간 0.023초

국가노출감시체계 구축을 위한 작업환경측정과 특수건강진단 자료의 노출 정보 입력 실태 평가 (Evaluation of the Input Status of Exposure-related Information of Working Environment Monitoring Database and Special Health Examination Database for the Construction of a National Exposure Surveillance System)

  • 최상준;고동희;박주현;박동욱;김환철;임대성;성예지;고경윤;임지선;서회경
    • 한국산업보건학회지
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    • 제32권3호
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    • pp.231-241
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    • 2022
  • Objectives: The purpose of this study is to evaluate the input status of exposure-related information in the working environment monitoring database (WEMD) and special health examination database (SHED) for the construction of a national exposure surveillance system. Methods: The industrial and process code input status of WEMD and SHED for 21 carcinogens from 2014 to 2016 was compared. Data from workers who performed both work environment monitoring and special health examinations in 2019 and 2020 were extracted and the actual status of input of industrial and process codes was analyzed. We also investigated the cause of input errors through a focus group interview with 12 data input specialists. Results: As a result of analyzing WMED and SHED for 21 carcinogens, the five-digit industrial code matching rate was low at 53.5% and the process code matching rate was 19% or less. Among the data that simultaneously conducted work environment monitoring and special health examination in 2019 and 2020, the process code matching rate was very low at 18.1% and 5.2%, respectively. The main causes of exposure-related data input errors were the difference between the WEMD and SHED process code input systems from 2020, the number of standard process and job codes being too large, and the inefficiency of the standard code search system. Conclusions: In order to use WEMD and SHED as a national surveillance system, it is necessary to simplify the number of standard code input codes and improve the search system efficiency.

개정 정신건강복지법상 비자의입원 규제에 대한 입법론적 고찰 - 민법 제947조의2 제2항의 검토를 겸하여 - (A Reform Proposal of Involuntary Commitment Law Under the Revised Mental Health Act of 2016 - as well as of Article 947-2 (2) of Civil Code -)

  • 이동진
    • 의료법학
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    • 제19권2호
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    • pp.99-137
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    • 2018
  • 정신보건법은 1995년 제정되어 2016년 정신건강복지법으로 전면개정되었다. 일련의 개정을 통하여 기왕에 제기되어온 문제 중 상당 부분이 해결되기는 하였으나, 기존의 틀을 유지한 채 대증요법으로 일관한 결과 문제 해결의 방법이 다소 거칠고, 그로 인한 부작용도 우려된다. 이 글에서는 이러한 관점에서 우리 법의 기본 틀이 어디에서 왔고, 그 근본적인 한계는 무엇이며, 비교법적 관점에서 대안과 바람직한 개선 방향은 어떠한 지를 검토하였다. 나아가 이와 체계적으로 관련되어있는 민법상 피성년후견인 입원절차(제947조의2)에 관하여도 살펴보았다.

프랑스 원격의료 법제에 관한 고찰 (A Study on the Legislation of Telemedicine in France)

  • 정관선
    • 의료법학
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    • 제23권2호
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    • pp.141-169
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    • 2022
  • 우리나라는 의료법 제34조에서 의료인 간 원격의료를 규정하고 있다. 따라서 원칙적으로 의료인과 환자 사이의 원격의료는 인정되지 않는다. 그러나 코로나19 팬데믹 이후 원격의료의 필요성에 대한 요구가 증대되었고, 다른 한편으로 원격의료의 경험이 축적되면서 의료계의 강경한 반대입장에도 변화가 감지되고 있다. 본고에서는 의료인-환자간 원격의료를 전제로 한 원격의료법제에 참고가 될 수 있는 프랑스의 원격의료법제를 중심으로 고찰하였다. 프랑스는 「공중보건법전(Code de la santé publique)」을 통해 원격의료의 개념, 유형 및 원격의료 수행 조건을 규정하고 있다. 특히 원격의료는 대면진료와 번갈아 가며 수행되어야 한다는 원칙 및 원격의료 비용과 의료수가, 원격의료장비 지원 등 원격의료 수행에 관한 세부내용을 의료계와 건강보험기구가 체결한 협약을 통해 규정하고 있는 점으로부터 우리법제에 대한 시사점을 제시하였다.

Association of Lower Socioeconomic Status and SARS-CoV-2 Positivity in Los Angeles, California

  • Allan-Blitz, Lao-Tzu;Goldbeck, Cameron;Hertlein, Fred;Turner, Isaac;Klausner, Jeffrey D.
    • Journal of Preventive Medicine and Public Health
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    • 제54권3호
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    • pp.161-165
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    • 2021
  • Objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads heterogeneously, disproportionately impacting poor and minority communities. The relationship between poverty and race is complex, with a diverse set of structural and systemic factors driving higher rates of poverty among minority populations. The factors that specifically contribute to the disproportionate rates of SARS-CoV-2 infection, however, are not clearly understood. Methods: We evaluated SARS-CoV-2 test results from community-based testing sites in Los Angeles, California, between June and December, 2020. We used tester zip code data to link those results with United States Census report data on average annual household income, rates of healthcare coverage, and employment status by zip code. Results: We analyzed 2 141 127 SARS-CoV-2 test results, of which 245 154 (11.4%) were positive. Multivariable modeling showed a higher likelihood of SARS-CoV-2 test positivity among Hispanic communities than among other races. We found an increased risk for SARS-CoV-2 positivity among individuals from zip codes with an average annual household income

요통 환자의 치료행태 및 변증에 관한 단면조사 연구 (Cross-sectional Study of Therapy Type and Pattern Identification in Lumbago Patients)

  • 고호연;고연석;이정한;정원석;신병철;차윤엽;안민윤;선승호;전찬용;장보형;송윤경;고성규
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.177-184
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    • 2013
  • Objectives Lumbago is very common symptoms and many lumbago patients visited Korean Medicine clinic to cure lumbago. But It is not studied therapy type and pattern identification in lumbago patients. This study aim to survey therapy type and pattern identification in lumbago patients. Methods We collected data of 755 patients treated to cure lumbago in Korean Medicine Hospital from 1, Jan. to 31, Dec., 2012. The therapy variable are acupuncture, herbal acupuncture, physical therapy, Chuna Tx, herbal medicine, cupping and moxibustion. Demographic variable are age, gender, district, medical insurance code, and etc. Results 1) We collected data of 755 lumbago patients in 5 Korean medical Hospitals. 2) Age, district, insurance code, diseases were statistically significant by pattern identification. 3) Therapy types of lumbago patients were different by pattern identification. Conclusions In lumbago patients, therapy type and herbal medicine were different by Pattern identification. In the future, it is needed prospective and large scale database for pattern identification in lumbago patients.

고전 자료 디지털화사업에서의 신출한자 처리 개선방안 (Improvement plan for 'Newly found ideographs(新出漢字)' in the digitalizing business of the old Korean documents)

  • 이정화
    • 한국한의학연구원논문집
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    • 제10권1호
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    • pp.1-14
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    • 2004
  • As entering the information age of the 21st century, Korea is actively processing many digitalizing businesses related to information source of the Korean academic science at the government level based on the Korean advanced digital technologies, which makes them more evolved through the internet networks in Korea. The definition of 'Newly found ideographs(新出漢字)' are made by researching and extracting from the old Chinese documents through the digitalizing process and they are not registered yet among the block of Unicode & extended Chinese characters those are existent international standard. Presently Korea is in the middle of brisk developing computerized old documents in the huge scale. Meanwhile, the international standard of Chinese characters in mostly Asian countries where using them is processing and developing by IRG. Therefore, Korean processing works is very important which are included extracting precisely 'Newly found ideographs' founded from building its database, organizing as an international standard code, submitting the International organization and finally registering as the best standard code.

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A Study on Trouble Management and Necessity for Preventive Check in PACS

  • Son, Gi-Gyeong;Sung, Dong-Wook;Shin, Jin-Ho;Jeong, Jae-Ho;Kang, Hee-Doo
    • 대한디지털의료영상학회논문지
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    • 제8권1호
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    • pp.39-43
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    • 2006
  • PACS has been run at the Kyung Hee University Medical Center since 2001, and the installation and operation of PACS have contributed to automation and quantification of center's medical environment. In order to classify tile annual number of trouble cases processed by PACS, the authorshave made a classification code system which enabled detailed statistical processes for each section. Such process method has not only shown the management efficiency to trouble management of PACS, but also raised the interests in frequently occurring troubles, and enabled the prediction of troubles that may occur hereafter. Predictable troubles lead to preventive check, and this has direct effects on medical treatment and the hospital administration. The authors intend to arouse the necessity of preventive check of PACS by analyzing trouble management processes for the last 1 year.

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데이터마이닝 기법을 이용한 건강보험공단의 수술 통계량 근사치 추정 -허니아 수술을 중심으로- (Estimation of a Nationwide Statistics of Hernia Operation Applying Data Mining Technique to the National Health Insurance Database)

  • 강성홍;서숙경;양영자;이애경;배종면
    • Journal of Preventive Medicine and Public Health
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    • 제39권5호
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    • pp.433-437
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    • 2006
  • Objectives: The aim of this study is to develop a methodology for estimating a nationwide statistic for hernia operations with using the claim database of the Korea Health Insurance Cooperation (KHIC). Methods: According to the insurance claim procedures, the claim database was divided into the electronic data interchange database (EDI_DB) and the sheet database (Paper_DB). Although the EDI_DB has operation and management codes showing the facts and kinds of operations, the Paper_DB doesn't. Using the hernia matched management code in the EDI_DB, the cases of hernia surgery were extracted. For drawing the potential cases from the Paper_DB, which doesn't have the code, the predictive model was developed using the data mining technique called SEMMA. The claim sheets of the cases that showed a predictive probability of an operation over the threshold, as was decided by the ROC curve, were identified in order to get the positive predictive value as an index of usefulness for the predictive model. Results: Of the claim databases in 2004, 14,386 cases had hernia related management codes with using the EDI system. For fitting the models with applying the data mining technique, logistic regression was chosen rather than the neural network method or the decision tree method. From the Paper_DB, 1,019 cases were extracted as potential cases. Direct review of the sheets of the extracted cases showed that the positive predictive value was 95.3%. Conclusions: The results suggested that applying the data mining technique to the claim database in the KHIC for estimating the nationwide surgical statistics would be useful from the aspect of execution and cost-effectiveness.

혈액 은행 전산 처리 프로그램의 개발 (The Development of Blood Bank Management Program)

  • 김종원;이승국;한규섭;김진규;조한익;김상인
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1989년도 춘계학술대회
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    • pp.75-76
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    • 1989
  • The blood bank is a field of clinical pathology which requires the most accuratemaintenanceofrecording. Because the mistake in it is directly related to a patient's life. So, the computerization of the blood bank is urgent to maintain a log blook arid to compare the patient's current data with past result. We developed the blood bank management program using 32 bit minicomputer. This is composed of 4 parts; a management of routine test result, special test result, the blood issue and statistics. The management of routine test result handles the patient's information and blood typing and compares above results with the past one of same patient. The management of special test result are for special immunohematologic tests like an irregular antibody, Coombs' test, and etc. Blood issue part records the type of the blood bag, component, and the name of issuer. Statistic part are made to get statistics of each day and each month by the blood type, and the type the blood component. The program is secured by the maintenance of operator's operation history and thu provision of the security code to each operator, without which no one can enter the system and after the content. So the stability and reliability of the data is obtained. This program will be upgraded for bar-code using system in the near future.

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