• Title/Summary/Keyword: Referral

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Fidelity analysis of Patient's Referral Letters delivered to the Department of Conservative Dentistry in a Dental University Hospital (치과대학병원 치과보존과로 전달된 진료 의뢰서의 충실도 분석)

  • Jeon, Su-Jin;Hwang, Soo-Jeong;Seo, Min-Seock
    • The Journal of the Korean dental association
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    • v.57 no.8
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    • pp.428-436
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    • 2019
  • In cases of a patient referral, the general dentist should communicate the patient's dental information as clearly as possible to the specialist to whom he/she is referring his/her patient. For this reason, it is necessary to write a referral letter in an accurate and complete manner. The purpose of this study is to analyze the referral letters of patients who are referred to the department of conservative dentistry in a dental university hospital. From January, 2017 to December, 2018, we gathered the information of the patients who were referred to the department of conservative dentistry in a dental university hospital with referral letter. We evaluated the fidelity of a total of 750 referral letters and recorded the information of the referral dentist and the dental clinic. The relationship between each item and fidelity was analyzed using SPSS 18.0 program. The analysis of the contents of the referral letters yielded the following results: The fidelity of the referral letter was higher when the patient was referred during the root canal treatment, or when there was a root canal filling or when there was pain during chewing. The fidelity of referral letter was low in cases where the referring clinic is close to and has cooperative relationship with dental university hospital. Among the factors affecting the fidelity, the year of graduation of the referral dentist was the most influential. This study confirmed the fact that the clinical practice of writing patient referral letters still leaves much to be desired. In order to solve this problem, it is necessary to create more clear and standardized guidelines for writing referral letters.

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Postpartum Uterine Prolapse in a Bitch (분만 후 발생한 자궁탈 증례)

  • Kim, Hye-Jin;Kim, Hyun-Wook;Choi, Ji-Hye;Jang, Jae-Young;Choi, Hee-Yeon;Seo, Jee-Min;Lee, Min-Jung;Kim, Tae-Eun;Lee, Byeong-Chun
    • Journal of Veterinary Clinics
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    • v.25 no.1
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    • pp.37-39
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    • 2008
  • A 2-year-old, intact female, mixed breed dog with depression, anorexia, poor mothering, and uterine prolapse was referred to the Haemaru Referral Animal Hospital. The prolapse(Y-shaped uterus) was detected on the fifth day of normal parturition(eight live pups). Depending on physical examination, bilateral uterine horns and uterine body were prolapsed into the vagina. The ovariohysterectomy was performed after the uterus with manual reduction through the vulva. In this case, uterine prolaspe was occurred in a primiparous bitch has been through normal parturition.

The Impact of Referral to Mental Health Services on Suicide Death Risk in Adolescent Suicide Survivors

  • Kim, Joonbeom;Hong, Sung Hee;Hong, Hyun Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.4
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    • pp.177-184
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    • 2020
  • Objectives: This study aims to examine the effect of adolescent suicide survivors' experience on suicide death risk, and the effect of referral to mental health services (hereafter referral) in this regard. Methods: This study used the data of 878 suicide-deceased and suicide-attempted adolescents aged 8-19 years, managed by the Suicide and School Mental Health Institute from 2016 to 2018. Results: Regression analysis for main effects showed that although suicide experience had no direct effect on suicide death, non-referral status was associated with a greater risk of death by suicide. While the "non-suicide survivor with non-referral" and "suicide survivor with non-referral" groups showed 1.87 [adjusted odds ratio=1.87, 95% confidence interval (CI)=1.21-2.89] and 4.59 (adjusted odds ratio=4.59, 95% CI=2.02-10.42) times higher odds of suicide death, respectively, the "suicide survivor with referral" group showed no difference compared to the "non-suicide survivor with referral" group. Conclusion: From these findings, there is a need to strengthen referral to mental health services and apply complicated grief treatment to improve the mental health of adolescent suicide survivors.

Prevalence of referral reasons and clinical symptoms for endodontic referrals

  • Kim, Seonah
    • Restorative Dentistry and Endodontics
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    • v.39 no.3
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    • pp.210-214
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    • 2014
  • Objectives: To investigate the prevalence of different primary reasons for endodontic referrals and the clinical symptoms of the referred cases. Materials and Methods: Clinical data of total endodontic treatment cases (1,014 teeth) including endodontic referral cases (224 teeth) between January 1, 2010 and December 31, 2012, at Kangdong Sacred Heart Hospital, were investigated retrospectively. The one major reason for referral, the clinical symptoms, and the resulting treatment procedures of referral cases were recorded. The percentages of clinical symptoms of the endodontic referral cases and the total endodontic treatment cases were compared by ${\chi}^2$ test for each symptom. Results: Persistent pain was the most frequent reason for endodontic referral (29.5%), followed by presence of gingival swelling and sinus tract (24.1%), and apical radiolucency (12.9%). Referrals in cases involving endodontic difficulties such as canal calcification, broken instruments, post, perforation, and resorption were less than 5.0%, respectively. The percentages of four major clinical symptoms of pain, apical radiolucency, previous endodontic treatment, and gingival swelling and sinus tract were significantly higher in the endodontic referral cases than those in the total endodontic cases (p = 0.001). Among the included referral cases, 72.8% were treated with nonsurgical endodontic treatment only. Teeth other than the referred teeth were diagnosed as the origin of the problem in 5.8% of the referrals. Conclusions: The high prevalence of pain, apical radiolucency, previous treatment, and gingival swelling and sinus tract in endodontic referral cases suggest that these symptoms may be what general practitioners consider to be difficult and refer to endodontists.