• Title/Summary/Keyword: Referral

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Sterile Panniculitis in a Maltese Dog

  • Hwang, Mee-Na;Lee, Jae-Hee;Han, Man-Gil;Suk, Joo-Yeun;Gwon, Ryu-Hee;Jung, In-Sung
    • Proceedings of the Korean Society of Veterinary Clinics Conference
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    • 2007.05a
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    • pp.109-109
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    • 2007
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Gallbladder rupture by gallbladder mucoceles in 3 dogs (개에서 담낭 점액낭종에 의한 담낭 파열 3례)

  • Choi, Jihye;Kim, Hyunwook;Ban, Hyunjung;Kim, Jinkyung;Jang, Jaeyoung;Kim, Hyejin;Seo, Jeemin;Lee, Minjung;Yoon, Junghee
    • Korean Journal of Veterinary Research
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    • v.47 no.1
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    • pp.131-134
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    • 2007
  • In 3 dogs with gallbladder mucocele, rupture of gallbladder was diagnosed and treated. Althoughthe diagnosis of gallbladder is challenging due to non-specific clinical signs and physical examinationfindings, mucoceles are ultrasonographically characterized by the appearance of the stellate or finely striatedbile paterns and difer from biliary sludge by the absence of gravity dependent bile movement. In thiscase, gallbladder rupture caused by mucocele can be diagnosed based on not only above characteristicsbut secondary lesion such as ascites around gallbladder and swollen hyperechoic mesentery.

The Effect of Customer Orientation on Perceived Referral Risk and Referral Intention (보험 영업사원의 고객지향성이 지각된 소개위험과 추천의도에 미치는 영향: 고객성향의 조절효과를 중심으로)

  • Kim, Dong-Hyun;Cha, Jae-Bin;Park, Chan-Wook
    • Journal of Distribution Science
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    • v.15 no.7
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    • pp.61-71
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    • 2017
  • Purpose - This study empirically analyzed the effect of the customer orientation in Insurance Salespersons on the perceived referral risk and referral intention. In the empirical study, we try to provide suggestions for reducing the perceived referral risk of customer oriented selling activities and improving the referral intentions according to customers' tendencies. Research design, data, and methodology - Data collection was conducted through the convenience sampling method for customers who had insurance coverage for about two months from March to May 2015. A total of 700 copies were distributed and 670 copies (95.7% recovery) were collected. Finally, 661 copies were used for final analysis. With the IBM PASW 22.0 statistical program. The interaction effect for the hypothesis test was generated by multiplying the average centralized independent variable and the control variable, and the average centralization variable was used to minimize the multi-collinearity problem of the interaction effect between the independent variable and the control variables. Results - Hypothesis 1 was adopted because the effect of customer-oriented selling activities on perceived referral risk were significantly negative. The effect of customer orientation on perceived referral risk is affected by innovative tendency, risk-taking tendency, and interpersonal tendency Interaction effect was observed. Therefore, Hypothesis 2-2, Hypothesis 2-3, Hypothesis 2-4 were adopted. The effect of customer-oriented selling activities on referral intention was significantly positive, and Hypothesis 3 was adopted. The effect of customer orientation was influenced by the interaction effect of innovative tendency. Therefore, only Hypothesis 4-2 was adopted. Finally, the effect of perceived referral risk on referral intention was significantly negative and hypothesis 5 was adopted. Conclusions - This study suggests that it is important for the salespeople to grasp the customers' propensity in consideration of the perceived referral risk and referral intention according to the moderating effect of customer orientation. In this study, we showed that customer-oriented selling activities positively influence referral intention by inducing perceived referral risk in customers with stronger risk-taking tendencies. It is thought that it will be an important basic data in designing a customer's selling strategy or conducting selling activities.

A Case of End-On Colostomy in a Dog Suffering from Dyschezia

  • Yeon-Jung Hong;Hyung-Kyu Chae;Sung-Jun Yoon;Kyoung-In Shin;Hyun-Min Hwang;Ju-Yeon Jung;Seongjin Yun;Byeong-Jun Jang;Oh-Kyeong Kweon
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.384-389
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    • 2022
  • A 12-year-old Shetland sheepdog with dyschezia was presented to the clinic. Dyschezia was considered to have been caused by rectal stricture due to a perianal mass containing the distal colon, rectum, and anus. Considering the histological findings and gross appearance of the perianal mass, an aggressive form of adenocarcinoma was diagnosed and a poor prognosis was expected. An endon colostomy was successfully performed to improve quality of life, which had been decreased by the dyschezia. Postoperative fecal evacuation was well-managed by the owner using a disposable colostomy bag in addition to a previously reported flange and drainable pouch. The dog survived for three months and had a satisfactory quality of life. Surgery and postoperative management in such cases will be helpful in the treatment of defecation disorders in animals.

Survey of Doctors' Role Expectation and Patients Satisfaction with Referral Centers (의료협력센터에 대한 개원의 역할기대와 환자 만족도 조사)

  • Han, Sun-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.1
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    • pp.74-81
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    • 2007
  • Purpose: This study focuses on doctors' role expectation and patients satisfaction with the referral centers to get necessary basic Method: There were 495 subjects in this study. 245 of them were doctors working in the 397 clinics and hospitals which have made contracts with the referral center in Y General Hospital located in J city, and 250 were patients who had been treated in it. The data were collected from Sep. 25 to Oct. 21, in 2006. Data analysis was processed with SPSS/WIN 14.0 electronically. Results: Concluding cooperative treaties with other clinics and hospitals, doctors expect the following effects: First, the improvement of the treatment quality of patients. The patients satisfaction ranking order for using referral centers is as follows: kindness of the staff, treatment reservation, doctor's satisfying explanation. providing one-stop service, reduction of waiting time for treatment, evasion of repetitive tests. Conclusion: Referral centers should provide various services totally and actively which reflect the role expectation and satisfaction of doctors and patients altogether.

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Cutaneous Liposarcoma in a Mongrel Dog

  • Lee, Jae-Hee;Hwang, Mee-Na;Han, Man-Gil;Jang, Se-Ung;Hong, Yeun-Jung;Lee, Gi-Jong;Jung, In-Sung
    • Proceedings of the Korean Society of Veterinary Clinics Conference
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    • 2007.05a
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    • pp.110-110
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    • 2007
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A Study on the Design of Referral System based on HL7 (HL7 기반의 Referral System 설계에 관한 연구)

  • 박주희;오영환
    • Proceedings of the IEEK Conference
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    • 2003.11c
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    • pp.386-390
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    • 2003
  • There is still lack of a convenient system that connect referring physicians to the information system of referral hospitals. In this paper, We proposed to implemented Referral system based on HL7 for exchange and sharing of clinical information. The Present implementation is based on HL7 v.2.4 using XML.

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Caudal occipital malformation syndrome in 10 dogs (개의 후두골 이형성 증후군 10례)

  • Choi, Ji-hye;Kim, Hye-jin;Kim, Hyun-wook;Lee, Eun-chang;Jang, Jae-young;Ban, Hyun-jung;Kim, Jin-kyung;Yoon, Junghee
    • Korean Journal of Veterinary Research
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    • v.46 no.4
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    • pp.399-403
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    • 2006
  • Caudal occipital malformation syndrome (COMS) is relatively common disease which occurs at craniocervical junction. It has been known that this syndrome was developed mainly in Cavalier King Charles spaniels, but these days there are a lot of case reports about COMS in other small breed dogs. In this report, COMS was diagnosed in ten dogs presented to Haemaru Referral Animal Hospital using MRI examination from January 2005 to April 2006. These cases were also investigated about concurrent diseases and syringomyelia was the most common type of complication, but clinical signs were nonspecific. COMS could be controlled by medical therapy with corticosteroid except cases with concurrent meningitis. It is considered that the present report could provide information regarding imaging and clinical features of COMS such as concurrent diseases, clinical signs, and prognosis in small animal practice despite of limited case numbers.

Radiopaque markers and hydrogram in feline alimentary lymphoma

  • Choi, Jihye;Lee, Jinsoo;Jang, Jaeyoung;Choi, Heeyeon;Seo, Jimin;Lee, Minjung;Kim, Hyunwook
    • Korean Journal of Veterinary Research
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    • v.52 no.2
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    • pp.147-151
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    • 2012
  • Radiography, ultrasonography with hydrogram, and contrast studies using radiopaque markers were applied to evaluate alimentary lymphoma in two cats. The hydrogram facilitated the differentiation of pseudo-thickening from true wall thickening, and enabled an evaluation of wall layering and lymph nodes. In case 1, mechanical obstruction of the duodenum was confirmed with barium-impregnated polyethylene spheres (BIPS), a radiopaque marker; however, results obtained in case 2 were not as definitive. We expect that hydrograms and BIPS can be used as valuable alternative methods to evaluate the gastrointestinal (GI) tract although further studies in cases involving GI tumors are needed.

The effect of operating the referral center on the Length of stay of transferred inpatients in a tertiary medical center (진료의뢰센터 운영이 전원환자의 재원일수에 미치는 영향 - 일개 3차 의료기관 진료의뢰센터 경유 환자를 중심으로 -)

  • Cho, Sang-Ok;Park, Eun-Cheol;Son, Tae-Yong;Kang, Hee-Chung;Yu, Seung-Hum
    • Korea Journal of Hospital Management
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    • v.10 no.3
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    • pp.67-84
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    • 2005
  • To compare differences of LOS between the group of inpatients via referral centers(the referral group) and the group of inpatients via different routes (the general group) and analyze factors which determine the difference. The 9,484 cases of newly inpatients of Mar., Jun., Sep., Dec. of year 2003 were used for the data. We calculate the Case-mix index of length of stay($CMI_{LOS}$) to compare LOS adjusted with the disease as the ratio of a patient' LOS to all patients' average LOS by 21 classification diagnosis group. We conducted t-test to compare differences of $CMI_{LOS}$ between two groups and multiple regression to analyze factors determining the difference. $CMI_{LOS}$ was 0.94 in the referral group, which was smaller than 1.01 in the general group. LOS was 7.5days in the referral group, which was 0.6day shorter than that in the general group. Multiple regression also showed that $CMI_{LOS}$ was smaller in the referral group than in the general group after controlling patients' general characteristics, diagnostic information variables. The referral centers can be said to playa role in decreasing LOS. We suggest that variety of depth studies on referral centers should be continued at the strategic level of hospital management using additional medical informations.

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