• 제목/요약/키워드: Satisfactory medical use

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계층별 한방의료 이용 실태에 관한 연구 (A Study on the Patient's Attitude of Korean Medicine by Social Classes)

  • 이한울;정명수;이기남
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.71-86
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    • 2007
  • This study aims at looking into the use of oriental medical services in treating disease and patient's attitude of oriental medicine by social classes. The first to be explored through this study is medical accessibility, classifying them by age, gender and job. Second is to examine kinds of oriental medical services and expenses incurred in treating the disease. Third is to compare satisfaction for the services offered and investigate into relations between disease and oriental medicine through cross-analysis by class, and provide fundamental materials for enhancing accessibility to oriental medical centers for treating chronic diseases. The 1,376 households for the period of time from Apr. to Jun. 2005, were asked to answer to the questionnaires offered. The conclusion from the survey can be summarized as follows. Medical services for the onset of disease were less offered to females, older group, low schooling, and low-income bracket. It is attributable to an economic cause, in both genders. The in- and outpatients' rate were found higher in groups of female, older age, low-income and blue-color workers. Use of oriental medical centers were higher in outpatients than inpatients probably for low-income brackets were less frequently put on regular physical checkups, more exposing to diseases. Each hospitalization was found over six days longer in average; 19.7 days for oriental medical hospitals, 12.5 for hospitals. The hospital charges that patients should pay for one hospitalization showed 909,000 won in oriental medical hospitals, much higher than 518,000 won in hospitals. Outpatients were also found to pay more for oriental medical services; 55,000 won for oriental medical hospitals, 19,000 for hospitals. As to outpatients' satisfaction, oriental medical hospitals were generally found to be a little more satisfactory than general hospitals; 11.2% of respondents answered Very Satisfactory. Satisfaction to services offered to outpatients showed 82.2% of respondents responded to Over Satisfactory for herb clinics, 76% for general hospitals. For future intention to use oriental medical services, females, over 51 years old, lower education and income, and blue color workers showed more intention to use them. To be more competitive in treating chronic diseases, it is necessary that oriental medical services become more accessible through extending its coverage of insurance into more medical herbs and their prepared packs, as well as mapping out extensive publicity strategies to make known to the public about high efficacy of medical herbs and their safety.

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암치료를 위한 고주파 온열장치의 개발과 가온특성 (Thermal Distribution and Development of RF Hyperthermia for Cancer Treatment)

  • 추성실;김귀언
    • 대한의용생체공학회:의공학회지
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    • 제8권1호
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    • pp.63-68
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    • 1987
  • The biological effects for the use of hypertherinla to treat malignant tumors has been well studied and encouraging clinical results have been reported. However, the engineering and technical aspects of hyperthermia for the deepseated tumors has not been satisfactory. We have developed the FF capacitive hyperthermia device(GHT RF8)by cooporation with Yonsei Cancer Center and Green Cross Medical Equipment Corporation. It was composed with 8.10 MHz RF generator, capacitive electrode, matching system, cooling system, temperature measuring thermocouples and control PC computer. We have measured the temperature and thermal distribution in agar phantom, animals and human tumors.

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치위생과 학생들의 보건의료 정보화에 대한 태도 (Attitude toward medical health information in the dental hygiene students)

  • 이성숙
    • 한국치위생학회지
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    • 제15권6호
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    • pp.1027-1032
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    • 2015
  • Objectives: The purpose of the study is to investigate the attitude toward medical health information in the dental hygiene students. Methods: The subjects were 370 dental hygiene college students in the metropolitan area. A self-reported questionnaire was completed by 350 students from March 2 to May, 3, 2014. Except 20 incomplete answers, data were analyzed by frequency analysis, t-test, and one-way ANOVA using SPSS 12.0 program. The questionnaire consisted of general characteristics of the subjects, satisfaction of internet use, and attitude toward medical health information. Results: Most of the students had personal computers and they did not receive computer education. The students used internet in the variety of the fields. Satisfaction level was 3.28 by 5 point Likert scale. The attitude toward medical health information was 3.20. They would not use computer if possible, and the score was 3.50 points that was the highest mark. There was no statistically significant difference in medical health information by the general characteristics of the subjects. Conclusions: The attitude toward medical health information was not fully satisfactory in many fields. The curriculum for the dental hygiene must include step-by-step computer course and the computer education must provide the diverse educational opportunities for the students.

의료급여수급권자의 의료이용 만족에 영향을 미치는 요인에 대한 연구(선택병의원제도 도입 이후를 중심으로) (A Study on Influential Factors on Satisfaction with the Use of Medical Services by the Qualified Recipients of Medical Aid(focusing on the period after the introduction of the selected medical center system))

  • 이진우;양세이;김광환
    • 디지털융복합연구
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    • 제12권3호
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    • pp.289-297
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    • 2014
  • 본 연구는 선택병의원제도 이후 변수들을 이용하여 의료급여수급권자의 의료이용 만족에 대하여 살펴보면서 지속적으로 수급권자의 의료이용 만족 및 건강증진을 향상시킬 수 있는 기초자료를 제공하는 데 그 의의가 있다. 조사기간은 2013년 8월 16일부터 8월23일까지이며, 결론적으로 선택병의원제도 실시 후 의료급여 수급권자의 의료이용 만족을 향상 시킬 수 있도록 하기 위해서는 의료수급권자의 의료서비스의 효과 및 미 충족 의료 욕구에 대한 보다 충분하고 정밀한 파악하는 것이 무엇보다 중요하며, 적정한 의료이용 도모를 위해 효과적인 의료접근성 파악, 행정절차의 비효율성 극복, 적정진료 보장으로 인한 합리적인 의료전달체계 확립 및 건강관리의 향상을 위해 의료기관의 적극적인 협조 및 정부의 다양한 정책 대안이 필요하다.

의학전문사서의 정보이용행위에 관한 연구 (A Study on the Information Searching Behavior of MEDLINE Retrieval in Medical Librarian)

  • 이진영;정상경
    • 한국도서관정보학회지
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    • 제30권2호
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    • pp.123-153
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    • 1999
  • 본 연구는 기존의 CD-ROM 데이터베이스 탐색형태에 관한 연구를 기초로 의학도서관에서 사용하고 있는 온라인 MEDLINE을 검색하는데 있어 연구자들이 정보이용을 보다 효율적으로 제공할 수 있는 방안을 모색하는데 그 목적이 있다. 의학도서관에서의 MEDLINE 탐색형태를 조사하기 위하여 정보이용 행태에 관한 문헌조사와 실태조사를 설문지 조사방법으로 60개 의학도서관을 대상으로 의학전문사서의 정보이용 행태를 추출하였다.

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산모 영상감시 겸용 중앙집중식 태아 전자감시 시스템의 개발 및 임상적 응용 (Development and Clinical Application of Central Fetal Monitoring System with Visual Maternal Monitoring function based on Personal Computer)

  • 전병문;이희철;윤흥준;양승인;김용만;이인식;김영탁;김암;남주현;목정은
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1993년도 추계학술대회
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    • pp.40-43
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    • 1993
  • Electronic fetal monitoring system is an easier ar d usual method in various prenatal and labor period fetal surveilence methods currently in use. But there haven't been enough cases of using the central monitoring system despite the fact that the bedside fetal monitoring system have already been widely in use in Korea as an essential medical equipment item. We have developed more efficient central fetal monitoring system based on the personal computer with the visual maternal monotoring device using infrared camera which processes the signals from existing bedside fetal monitoring systems such as H/P's 8040 series. And we have performed the clinical application on 41 pregnant women and the results were satisfactory. In conclusion, more efficient and familial fetal monitoring is possible with our PC based central fetal monitoring system which provides the medical personnel with the view of a selected pregnant woman on the same screen where the electronic waveforms and data are displayed.

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Accessory penis: A rare method of peno-urethral separation of sexual function and voiding following successful complex hypospadias reconstruction with a free ileum flap

  • Elia, Rossella;Pafitanis, Georgios;Ciudad, Pedro;Chen, Hung-Chi
    • Archives of Plastic Surgery
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    • 제46권4호
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    • pp.381-385
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    • 2019
  • Hypospadias is a congenital malformation of the male genitalia. The reconstructive objectives are to obtain voiding with laminar flow and satisfactory sexual function. Several urethroplasty techniques have been described, but for perineal or revisional cases no single technique has shown robust success. In this study, we describe the expanded use of intestinal flaps for urethral reconstruction and report a peculiar request from a patient to undergo peno-urethral separation after successful hypospadias repair with a free ileum flap. A 51-year-old male patient with perineal hypospadias underwent several urethral reconstructive procedures with poor outcomes. A free ileum flap was attempted as a substitute for the urethra. Following successful reconstruction, separation of the neo-urethra (ileum) from the penile body was performed to address the patient's sexual expectations. A free ileum flap proved to be a reliable urethral substitute in perineal hypospadias reconstruction, with a successful outcome. The peno-urethral separation with the creation of an "accessory penis," however peculiar, optimized the results in terms of both sexual and urinary function. Anatomical restoration of the urethra and patient-reported expectations are the key to successful hypospadias reconstructive procedures. Sexual function outcomes and the patient's perception of success should not be underestimated, even when urinary function has been restored.

Extracting gall bladders from ultrasound images

  • Kim, Hyoung-Seop;Ishikawa, Seiji;Kato, Kiyoshi;Tsukuda, Masaaki;Matsuoka, Jun-nosuke
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1995년도 Proceedings of the Korea Automation Control Conference, 10th (KACC); Seoul, Korea; 23-25 Oct. 1995
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    • pp.248-251
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    • 1995
  • Nowadays, the internal images of a human body can be easily provided by the ultrasound imaging, the X-ray CT, or the MRI device, among which the ultrasound imaging device has good resolution for soft tissues of a human body compared with the other devices. Furthermore, the use of ultrasound imaging devices will increase in future especially in the obstetrics, territory, since it does not give harm to the human body. Although several techniques have been investigated until now in order to extract organs from ultrasound images, very few of them have achieved satisfactory results because of low contrast and high noise nature of images. This paper proposes a technique for automatic extraction of the gall bladder area from ultrasound images. The proposed technique first extracts a small reliable area of a gall bladder from an ultrasound image employing smoothing, binarization, expanding and shrinking, and labeling, and then expands the area referring to the binarized version of the original image. The technique is examined its performance by real ultrasound images of a gall bladder and satisfactory results are obtained. Some problems to be solved are discussed finally.

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Tandem High-dose Chemotherapy and Autologous Stem Cell Transplantation in Children with Brain Tumors : Review of Single Center Experience

  • Sung, Ki Woong;Lim, Do Hoon;Shin, Hyung Jin
    • Journal of Korean Neurosurgical Society
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    • 제61권3호
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    • pp.393-401
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    • 2018
  • The prognosis of brain tumors in children has improved for last a few decades. However, the prognosis remains dismal in patients with recurrent brain tumors. The outcome for infants and young children in whom the use of radiotherapy (RT) is very limited because of unacceptable long-term adverse effect of RT remains poor. The prognosis is also not satisfactory when a large residual tumor remains after surgery or when leptomeningeal seeding is present at diagnosis. In this context, a strategy using high-dose chemotherapy and autologous stem cell transplantation (HDCT/auto-SCT) has been explored to improve the prognosis of recurrent or high-risk brain tumors. This strategy is based on the hypothesis that chemotherapy dose escalation might result in improvement in survival rates. Recently, the efficacy of tandem HDCT/auto-SCT has been evaluated in further improving the outcome. This strategy is based on the hypothesis that further dose escalation might result in further improvement in survival rates. At present, the number of studies employing tandem HDCT/auto-SCT for brain tumors is limited. However, results of these pilot studies suggest that tandem HDCT/auto-SCT may further improve the outcome. In this review, we will summarize our single center experience with tandem HDCT/auto-SCT for recurrent or high-risk brain tumors.

사선골절단술에 의한 하악 전돌증의 치험례 (A Case of Mandibular Prognathism Treated by Oblique Osteotomy)

  • 최목균;배창;이봉원
    • 대한치과의사협회지
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    • 제17권2호통권117호
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    • pp.129-135
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    • 1979
  • This 27 year-old male patient had severe mandibular prognathism (right and left mesio-occlusion were 0.4㎝ and 1.2㎝ , respectively). He had good oral health relatively exception of missing teeth. We examined all of his oral and skeletal status with full mouth x-ray taking, study model, and cephalogram. His general condition was good but above examination indicated the surgical operation for the mandibular prognathism. His laboratory tests were within normal limits. We determined surgical operation which was done by extraoral approach bilaterally. Incisions were made bilaterally 1.5㎝ beneath the inferior border of the mandible in the selected area and then the inferior border of the ascending rami was exposed. Retracting the periosteum to the lingual and buccal a slight amount, the cut in the bone was performed by use of bone drill. Avoiding T.M.J. troubles, the proximal segmant was not fixed to anterior segment, being in overlapping state buccally, in order to expect a natural healing by the environmental muscles and ligaments. We had immobilization with intermaxillary fixation by using the multiple Stout's method. He was discharged 17 days after operation. His general condition and operation results were good and satisfactory.

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