• Title/Summary/Keyword: 국립의료원

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회원작품

  • Korea Institute of Registered Architects
    • Korean Architects
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    • no.6 s.183
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    • pp.3-14
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    • 1984
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The Monthly Statistics of Medicare Dental Patients in ratio of Total Number of Patients treated by the Dental Department in the National Medical Center(A Report Problems with Special Reference to Medical Insurance Charge) (국립의료원 치과에 래원한 환자중 의료보험환자가 전체가 외래환자에 차지하는 비율의 월별 통계 및 그에 따르는 문제점(의로보험수가를 중심으로))

  • Choi, Koo-Young
    • The Journal of the Korean dental association
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    • v.17 no.11 s.126
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    • pp.845-847
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    • 1979
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A Case of Epithelial-Myoepithelial Carcinoma of Parotid Gland and Analysis of 33 Cases Reported in Korea (이하선의 상피-근상피 암종 1례와 국내에 보고된 33건의 증례 분석)

  • Kim, Ji Won;Kim, Min Soo;Kim, Bo Sung;Kim, Seong Dong
    • Korean Journal of Head & Neck Oncology
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    • v.37 no.2
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    • pp.61-65
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    • 2021
  • Epithelial-myoepithelial carcinoma is rare, low-grade malignant neoplasm that compromises approximately 1% of all salivary gland neoplasms. We reported a 68-year-old woman with epithelial-myoepithelial carcinoma in the parotid gland. We analyzed demographic and clinicopathological characteristics of salivary gland epithelial-myoepithelial carcinoma which has been reported in 33 cases in Korea from 1992 to 2017, and compared this result to overseas retrospective cohort studies. There was no significance in terms of mean age at diagnosis, the predominance of females, low frequency in regional lymph nodes, and distant metastasis between the two groups. However, T classification and AJCC stage at diagnosis in domestic cases are more advanced than those of overseas cases. Although the recurrence rate in domestic cases has been reported lower than that of overseas, further study may be needed considering that the follow-up period after treatment is short in domestic cases.

Trend of Emergency Department Visits for Elderly Patients with Chronic Diseases : 2014-2019 (만성질환을 동반한 노인 응급환자 추이: 2014-2019)

  • Lee, Myoung-Hwa;Kim, Ji-Yeon;Huh, Young-Jin;Oh, Mi-Ra
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.183-190
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    • 2021
  • The purpose of this study was to determine the change trend of emergency department visits among elderly patients with chronic diseases. Using the National Emergency Department Information System data, from January 1, 2014 to December 31, 2019, the selected patient data were evaluated for the emergency department discharge main diagnosis codes for eight chronic diseases. The incidence of elderly chronic diseases, emergency department visits, and admission rates were analyzed. Since 2014, there has been a consistent increase in the number of elderly patients visiting the emergency department, especially among those aged over 85 years. The number of emergency department visits among the elderly chronically ill patients also increased, with a significant increase in ischemic heart disease and arthrosis cases. Furthermore, there was a significant difference in the number of chronically ill patients in each year from 2014-2019 (P<0.001). With respect to the trend of admission rates to the emergency department by chronic disease, most diseases showed an increasing trend (P<0.001). however, hyperlipidemia showed a continuous decreasing trend in all age groups since 2014 (P<0.001). Among the elderly chronically ill patients, a greater increase in the admission rate following emergency department visits was noted in those over 85 years of age, with a significant difference in all diseases, except for hyperlipidemia, hypertension, and tuberculosis (P<0.001). As the aging population grows, the emergency department admission rates among the elderly chronically ill patients will rise rapidly. This could create issues with respect to the use and consumption of emergency medical resources. Hence, it is necessary to manage chronic diseases effectively in the elderly.

Bibliometric Analysis of the Effect of Acupuncture on Cancer Pain in the Last 20 Years (최근 20년간 침의 암성통증에 대한 효과 연구의 계량서지학적 분석)

  • Park, Han-song;Lee, Do-eun;Ha, Ji-su;Seo, Ho-seok;Kim, Jin-won
    • The Journal of Internal Korean Medicine
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    • v.42 no.3
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    • pp.279-292
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    • 2021
  • Objectives: Analyze papers on the effect of acupuncture on cancer pain from a macroscopic point of view, suggesting global trends and future research directions to promote acupuncture treatment for cancer pain. Methods: By filtering the papers searched for (acupuncture) AND (cancer pain) in the Web of Science database, 351 papers were selected and analyzed by year, field, journal, institution, author, and keyword. Results: Most papers were published in 2020, and research was active in the field of complementary and alternative medicine. Research on the effects of acupuncture in cancer pain has been active in cancer centers and university hospitals, research has been active in various countries. The most frequently mentioned keywords in the titles and abstracts were acupuncture, pain, and quality of life. The latest top 5 keywords were inhibitor-induced arthralgia, acupuncture therapy, risk factors, opioids, and recovery. Conclusions: Acupuncture treatment has the potential to reduce pain and improve quality of life in cancer patients, and it should be actively studied in the future.

Comparison of the Presence of Multiple Chronic Diseases Older Adults Transferred from Long-term Care Hospitals to Emergency Departments (요양병원에서 응급실로 전입된 노인의 복합만성질환 유무 비교)

  • Huh, Young-Jin;Kim, Ji-Yeon;Lee, Myoung-Hwa;Oh, Mi-Ra
    • Journal of Convergence for Information Technology
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    • v.11 no.6
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    • pp.154-161
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    • 2021
  • This study analyzed the characteristics of the presence of multiple chronic diseases (MCDs) in older adults who transferred from long-term care hospitals (LTCHs) to emergency departments (EDs). According to the data from the national emergency department information system from January 1, to December 31, 2019, the number of older adults transferred from LTCHs to the ED due to chronic diseases was 13,608. Among those who MCDs, 79.9% were over 75 years old, and 74.0% were hospitalized for MCDs. The length of stay in the ED differed according to the presence of MCDs (P<0.001). As for the prevalence of MCDs, the odds ratio (OR) of the ED and in the hospitalized patients was high in Gwangju (OR 8.899 vs. 8.142) and Jeonbuk (OR 13.865 vs. 10.676). As described above, the characteristics of patients regarding the presence of MCDs varied according to age and region.

Systematic Review of Korean Qualitative Researches on the Experience of Natural Disaster Survivors (자연재난 피해자 경험에 대한 국내 질적 연구의 체계적 문헌고찰)

  • Lee, Do-Eun;Park, Han-Song;Kim, Sang-Ho;Seo, Joo-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.32 no.1
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    • pp.39-53
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    • 2021
  • Objectives: To analyze the reports of qualitative research about natural disasters in Korea. Methods: Nine published qualitative research studies were selected for the analysis. The selected reports were analyzed by Consolidated Criteria for Reporting Qualitative Research (COREQ), a reporting guideline for qualitative research. In addition, each subject of the study was qualitatively synthesized. Results: In the quality assessment using COREQ, detailed information about the researchers were insufficient. The results of the studies were integrated into six themes: "Disaster experience", "Disaster damage", "Dealing with disasters", "Disaster compensation issues", "Arbitration Resources", and "Post-disaster change". Conclusions: In further qualitative research on natural disasters, it is necessary to report the research according to the COREQ checklist. Based on the results of this study, continuous attention and research are needed to explore the areas of Korean medicine care in the event of a disaster.

A Case Study of Combined Korean Medicine Treatment of Paraplegia Diagnosed as Spinal Cord Infarction (척수경색 환자의 보행불가 증상에 대한 한의복합치료 1례)

  • Hyun-seo Park;Sun-joong Kim;Ji-su Ha;Jin-won Kim
    • The Journal of Internal Korean Medicine
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    • v.45 no.1
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    • pp.75-86
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    • 2024
  • Spinal cord infarction is one of the rare strokes with no clear signs of serious nerve damage or after-effects. This study reports on the effectiveness of a combined treatment of Korean medicine and acupuncture on bilateral paraplegia, dysuria, and constipation in a patient with sudden-onset spinal cord infarction. An 84-year-old male patient was diagnosed with spinal cord infarction in August 2022. After diagnosis by whole spine MRI, he received treatment for two months at another hospital, but the improvement was insignificant. He then received Korean medicine treatment, and during this period, his lower extremity manual muscle test grade improved from 3 to 4 and his modified Rivermead mobility index score increased by 13 points, compared with hospitalization. Dysuria improved with acupuncture, and constipation improved with herbal medicine treatment. A combination of herbal medicine and acupuncture can be used to treat paraplegia, dysuria, and constipation caused by spinal cord infarction.