• 제목/요약/키워드: service of records center

검색결과 145건 처리시간 0.029초

Complex regional pain syndrome in the young male population: a retrospective study of 200 Korean young male patients

  • Lee, Ho-Jin;Lee, Chang-Soon;Yoo, Yongjae;Noh, Jae Mun;Yu, Je Hyuk;Kim, Yong-Chul;Moon, Jee Youn
    • The Korean Journal of Pain
    • /
    • 제32권4호
    • /
    • pp.292-300
    • /
    • 2019
  • Background: The aim of this study was to investigate the clinical characteristics of complex regional pain syndrome (CRPS) in young male patients in South Korea, especially focusing on the association with military service. Methods: From January 2007 to May 2017, we investigated the electronic medical records of 430 consecutive patients, aged 18 to 30 years, who visited Seoul National University Hospital Pain Center, with a suspected diagnosis of CRPS at the initial visit. The following patient details were available for analysis: demographic and disease-related variables, relevance to military service, medications, and the treatment modalities received. Results: Out of 430 patients, 245 (57.0%) were diagnosed with CRPS, of which, 200 were male patients and 45 were female patients. Of the male patients, 95 (47.5%) developed CRPS during military service. CRPS during military service was more likely to result from sprain/strain, and the incidence of CRPS was significantly higher in the lower extremities in patients from the military service group than in those from the non-military service group. During the follow-up period, 37.9% of male CRPS patients (n = 61/161) were treated successfully. Patients with moderate to severe initial pain intensity, and diagnosed during their military service, showed better outcomes. Conclusions: Our results demonstrated that manifestation of CRPS in the young Korean population was more common in male and among those male CRPS patients, about half the cases developed during the military service period.

대도시 보건소 동단위 방문간호 대상자의 군분류 및 표준 방문간호서비스 경로 개발을 위한 기초연구 (A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center)

  • 황라일;유호신;석민현;진달래
    • 지역사회간호학회지
    • /
    • 제16권4호
    • /
    • pp.381-391
    • /
    • 2005
  • Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

  • PDF

노린재류의 알에 기생하는 Trissolcus 속(벌목: 납작먹좀벌과)의 숙주 (Host Records of Trissolcus (Hymenoptera: Platygasteridae: Telenominae) Parasitizing Eggs of Stink Bugs in Korea)

  • 김경용;최덕수;최준열;홍기정
    • 한국응용곤충학회지
    • /
    • 제56권1호
    • /
    • pp.87-92
    • /
    • 2017
  • 납작먹좀벌과(Platygasteridae)의 큰검정알벌속(Trissolcus)에 속하는 T. japonicus (Ashmead) (썩덩큰검정알벌, 신칭)이 과수원에서 과일에 심한 피해를 일으키는 해충인 썩덩나무노린재의 알에 기생하는 것으로 확인되었고, 생물적 방제인자로써 가능성이 기대된다. 또한 천마큰검정 알벌(T. itoi Ryu)이 북쪽비단노린재 알을, 검은다리큰검정알벌(T. nigripedius Nakagawa)이 알락수염노린재 알을 숙주로 각각 기생하는 것이 확인되었다. 동정을 위한 진단형질 및 영상자료와 한국에 분포하는 큰검정알벌속(Trissolcus)의 종들에 관한 숙주목록을 제공하였다.

Cloud and Fog Computing Amalgamation for Data Agitation and Guard Intensification in Health Care Applications

  • L. Arulmozhiselvan;E. Uma
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • 제18권3호
    • /
    • pp.685-703
    • /
    • 2024
  • Cloud computing provides each consumer with a large-scale computing tool. Different Cyber Attacks can potentially target cloud computing systems, as most cloud computing systems offer services to many people who are not known to be trustworthy. Therefore, to protect that Virtual Machine from threats, a cloud computing system must incorporate some security monitoring framework. There is a tradeoff between the security level of the security system and the performance of the system in this scenario. If strong security is needed, then the service of stronger security using more rules or patterns is provided, since it needs much more computing resources. A new way of security system is introduced in this work in cloud environments to the VM on account of resources allocated to customers are ease. The main spike of Fog computing is part of the cloud server's work in the ongoing study tells the step-by-step cloud server to change the tremendous measurement of information because the endeavor apps are relocated to the cloud to keep the framework cost. The cloud server is devouring and changing a huge measure of information step by step to reduce complications. The Medical Data Health-Care (MDHC) records are stored in Cloud datacenters and Fog layer based on the guard intensity and the key is provoked for ingress the file. The monitoring center sustains the Activity Log, Risk Table, and Health Records. Cloud computing and Fog computing were combined in this paper to review data movement and safe information about MDHC.

산업장 여성 근로자의 빈혈에 영향을 미치는 요인 분석 -환자-대조군 연구- (An Analysis of the Factors Affecting Anemia in the Female Industrial Workers -Case-Control Study-)

  • 박명호;김용준
    • Journal of Preventive Medicine and Public Health
    • /
    • 제22권2호
    • /
    • pp.181-188
    • /
    • 1989
  • In this study an attempt was made to determine the factors affecting anemia in female industrial workers. The population was identified through the records of screening examinations given by Kosin Medical Center to the industrial workers in Sasang Industrial Complex during the period from March 1987 to October 1988. One hundred twenty eight cases were selected from the records screening examination of 155 anemic patients. A case-control study was carried out using matched 128 anemic cases and 128 non-anemic workers who were selected by simple random sampling. Age was matched, and their occupational history, general characteristics, physical characteristics and health status were analyzed. The results were; 1. In the anemic group, educational level was lower, and the frequencies of irregular menstruation and poor appetite were higher than in the control group but these differences were statistically not significant. 2. The percentage of workers working with organic solvents, working hours and years of service (total years exposed to organic solvents) were significantly higher in the anemic group than those in the control group. 3. A career exposed to organic solvents was more influential factor affecting anemia in the female industrial workers rather than menstruation amount of other factors, and it was statistically significant.

  • PDF

주기적인 생리변수 측정과 전자건강설문을 이용한 재택건강관리서비스 (Home Health Care Service Using Routine Vital Sign Checkup and Electronic Health Questionnaires)

  • 박승훈;우응제;이광호;김종철
    • 대한의용생체공학회:의공학회지
    • /
    • 제22권5호
    • /
    • pp.469-477
    • /
    • 2001
  • 본 논문은 가정에 있는 만성질환자, 퇴원한 환자 및 자신의 건강을 염려하는 정상인 등을 대상으로 매일 측정한 심전도. 혈압. 혈중 산소 포화농도 등과 같은 생리변수와 건강 설문에 대한 응답을 분석하여 건강상태를 지속적으로 파악하고, 비정상적인 상태가 발견될 경우에는 의사가 정확히 확인하여 필요한 조치를 조언하는 재택건강관리서비스에 대해서 기술하고 있다 재택건강관리서비스를 위해서 가입자는 재택건강관리단말기와 인터넷에 연결된 PC를 가정에 구비하여야 한다. 관제센터는 의사와 가입자의 기본정보와 가입자의 건강정보를 저장하기 위한 데이터베이스 시스템, 생체신호와 건강설문을 분석하여 현재상태의 비정상여부를 판단하는 건강상태자동평가시스템, 가입자와 의사들이 웹 브라우저를 사용하여 원하는 건강정보를 데이터베이스에서 검색, 조회하고. 그 내용을 수정. 편집하여 저장할 수 있는 웹 기반 건강정보관리시스템이 필요하다. 또한, 공중전화망 및 무선통신망을 이용한 음성 및 문자 전송과 인터넷을 이용한 전자우편에 의해 의사의 소견을 가입자에게 전달하는 통합 메시징 시스템 (UMS). 종합검진센터에서 의사가 검사결과와 문진 결과를 입력하기 위한 정보입력 PC. 병원에서 의사가 가입자의 정보를 조회하거나 정밀진단결과를 입력하기 위한 인터넷 PC 등이 설치되어야 한다. 일반에게 이러한 서비스를 널리 보급하기 위해서는, 생리변수들의 무구속 및 무자각 측정기술과 지능적인 건강평가 알고리즘의 개발에 대한 연구가 계속 수행되어야 할 것이다.

  • PDF

몽골과 한국 전통의학의 비교 연구 (A Comparative Study of Mongolian and Korean Traditional Medicine)

  • 오양가빌렉;하원배;금지혜;이정한
    • 한방재활의학과학회지
    • /
    • 제31권4호
    • /
    • pp.87-103
    • /
    • 2021
  • Objectives The purpose of this study was to investigate the development process and describe the diagnosis methods, theories and treatments of Mongolian traditional medicine and Korean traditional medicine through literature records and prior studies. Methods Literature records and previous studies on traditional medicine of both countries were collected through various sites in Mongolia (Esan, Mongoliajol, Kok, Yumpu, Scribd, Science and Technology Foundation [STF]) and Korea (Koreanstudies Information Service System [KISS], Korea Institute of Science and Technology Information [KISTI], National Digital Science Library [NDSL], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS]). Also the English database was searched through PubMed. In the case of Mongolian traditional medicine, medical books published in Mongolia were mainly referenced and used for research. Results Studying the development process, basic concepts and the system of diagnosis and treatment of the two traditional medicine, several commonalities and differences were revealed. Conclusions This study showed that the scope of diagnosis methods between Mongolian and Korean traditional medicine were slightly different, and that the medical terminology for the diagnosis method had slightly different contents from each other. Although there were many similarities in treatments of Mongolian and Korean traditional medicine, the Chuna therapy is found in Korean traditional medicine only. The basic theories constituting traditional medicine were the same, but the five-element theory used by the two countries differs in the following two factors. Mongolia uses elements of air and space as the theory of five elements, while Korea uses elements of wood and iron.

민간기업을 위한 물리적 기후리스크 추정 연구 (Estimation of Physical Climate Risk for Private Companies)

  • 최용상;유창현;공민정;조민정;정해수;이윤경;박선기;안명환;황재학;김성주
    • 대기
    • /
    • 제34권1호
    • /
    • pp.1-21
    • /
    • 2024
  • Private companies are increasingly required to take more substantial actions on climate change. This study introduces the principle and cases of climate (physical) risk estimation for 11 private companies in Korea. Climate risk is defined as the product of three major determinants: hazard, exposure, and vulnerability. Hazard is the intensity or frequency of weather phenomena that can cause disasters. Vulnerability can be reflected in the function that explains the relationship between past weather records and loss records. The final climate risk is calculated by multiplying the function by the exposure, which is defined as the area or value of the target area exposed to the climate. Future climate risk is estimated by applying future exposure to estimated future hazard using climate model scenarios or statistical trends based on weather data. The estimated climate risks are developed into three types according to the demand of private companies: i) climate risk for financial portfolio management, ii) climate risk for port logistics management, iii) climate risk for supply chain management. We hope that this study will contribute to the establishment of the climate risk management system in the Korean industrial sector as a whole.

공적 가족사업역사 아카이브 구축을 위한 기초 연구 (A Study on the Implementation of Official Family-related Service History Archives in Korea)

  • 김경아;박미석;강복정;이영호;최새은;전지원;김미영
    • 가족자원경영과 정책
    • /
    • 제24권3호
    • /
    • pp.79-102
    • /
    • 2020
  • This study aims to provide basic resources for the construction of the archives on the official family service history in Korea. The study collected records of family policies and official family service from 1948 to 2019 and thereafter attempted to classify the official family service. In addition, experts were consulted to diagnose compliance with research contents and directions, investigate priorities of the family policies, and provide opinions on the elements of each process of archiving. The results of this study were as follows. First, there were five areas of concern to be considered in the process of establishing an archive of official family services: concept, scope, collection, arrangement, preservation, and utilization. Second, the findings suggest which processes are critical to developing a sustainable and systematic archive system for the official family service history. The construction of the archives will provide a platform for understanding the contents of integrated family policies and inform the direction of future family policies in Korea. In addition, these archives will be an important factor in building a solid Korean national identity.

Assessing Reliability of Medical Record Reviews for the Detection of Hospital Adverse Events

  • Ock, Minsu;Lee, Sang-il;Jo, Min-Woo;Lee, Jin Yong;Kim, Seon-Ha
    • Journal of Preventive Medicine and Public Health
    • /
    • 제48권5호
    • /
    • pp.239-248
    • /
    • 2015
  • Objectives: The purpose of this study was to assess the inter-rater reliability and intra-rater reliability of medical record review for the detection of hospital adverse events. Methods: We conducted two stages retrospective medical records review of a random sample of 96 patients from one acute-care general hospital. The first stage was an explicit patient record review by two nurses to detect the presence of 41 screening criteria (SC). The second stage was an implicit structured review by two physicians to identify the occurrence of adverse events from the positive cases on the SC. The inter-rater reliability of two nurses and that of two physicians were assessed. The intra-rater reliability was also evaluated by using test-retest method at approximately two weeks later. Results: In 84.2% of the patient medical records, the nurses agreed as to the necessity for the second stage review (kappa, 0.68; 95% confidence interval [CI], 0.54 to 0.83). In 93.0% of the patient medical records screened by nurses, the physicians agreed about the absence or presence of adverse events (kappa, 0.71; 95% CI, 0.44 to 0.97). When assessing intra-rater reliability, the kappa indices of two nurses were 0.54 (95% CI, 0.31 to 0.77) and 0.67 (95% CI, 0.47 to 0.87), whereas those of two physicians were 0.87 (95% CI, 0.62 to 1.00) and 0.37 (95% CI, -0.16 to 0.89). Conclusions: In this study, the medical record review for detecting adverse events showed intermediate to good level of inter-rater and intra-rater reliability. Well organized training program for reviewers and clearly defining SC are required to get more reliable results in the hospital adverse event study.