• Title/Summary/Keyword: 권유의사

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Chemotherapy of Head & Neck Lymphoma (두경부 림프종의 화학요법)

  • Lee S.J.
    • Korean Journal of Head & Neck Oncology
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    • v.11 no.1
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    • pp.86-92
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    • 1995
  • 두경부 림프종은 두경부 림프절에 발생하는 호지킨씨병과 림프절외 림프종이 주종인 비호지킨 림프종 두종류가 있으며 이들 모두 완치율이 매우 높은 암종에 속하므로 병리학적 진단 후 정확한 병기분류를 위하여 권유되고 있는 검사들을 빠짐없이 실시하여야 된다. 조직학적 분류 및 병기가 결정된 후 내과종양의와 치료방사선의사 사이에 충분한 의 견교환을 거쳐 일차치료에 의한 근치를 유도키 위해 최선의 치료를 선택 실시함이 두경부 림프종 치료의 원칙이다.

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Decision-making process and satisfaction of pregnant women for delivery method (임산부의 분만방법 결정과정과 만족도)

  • Jun, Hae-Ri;Park, Jung-Han;Park, Soon-Woo;Huh, Chang-Kyu;Hwang, Soon-Gu
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.4 s.63
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    • pp.751-769
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    • 1998
  • This study was conducted to assess the attitude of pregnant women toward delivery method, understanding of the reason for determining her own delivery method, participation in decision-making process and satisfaction with delivery method after labor. Study subjects were 693 pregnant women who had visited obstetric clinic for prenatal care in the last month of pregnancy in one general hospital and one obstetrics-gynecology specialty hospital in Taegu city from February 1 to March 31 in 1998. A questionnaire was administered before and after labor and a telephone interview was done one month after labor. Proportion of women who had health education and/or counselling about delivery method during prenatal care was 24.0% and this proportion was higher for women who had previous c-section(35.5%) than others. Women thought vaginal delivery is better than c-section for both maternal and baby's health regardless of previous delivery method. About 90% of primipara and multiparous women who had previous vaginal delivery wanted vaginal delivery for the index birth, while 85.6% of multiparous women who had previous c-section wanted repeat c-section. Reasons for choosing c-section in pregnant women who preferred vaginal delivery before labor were recommendation of doctors(81.9%), recommendation of husband (0.8%), agreement between doctor and pregnant woman(4.7%), and mother's demand (12.6%). Reasons for choosing vaginal delivery were mother's demand(30.6%) and no indication for c-section(67.2%). Reasons for choosing c-section in pregnant women who preferred c-section before labor were recommendation of doctors(76.2%), mother's demand(20.0%), recommendation of husband(1.3%), and agreement between doctor and pregnant woman(2.5%). Of the pregnant women who had c-section, by doctor's recommendation, the proportion of women who had heard detailed explanation about reason for c-section by doctor was 55.1%. Mother's statement about the reason for c-section was consistent with the medical record in 75.9% . However, over 5% points disparities were shown between mother's statement and medical record in cases of the repeat c-section and mother's demand. In primipara and multiparous women who had previous vaginal delivery, the delivery method for index birth had statistically significant association with the preference of delivery method before labor(p<0.05). All of the women who had previous c-section had delivered the index baby by c-section. Among mothers who had delivered the index baby vaginally, 84.9% of them were satisfied with their delivery method immediately after labor and 85.1% at 1 month after labor. However, mothers who had c-section stated that they are satisfied with c-section in 44.6% immediately after labor and 42.0% at 1 month after labor. Preferred delivery method for the next birth had statistically significant association with delivery method for the index birth both immediately after labor and in 1 month after labor. The proportion of mothers who prefer vaginal delivery for the next birth increased with the degree of satisfaction with the vaginal delivery for the index birth but the proportion of mothers who prefer c-section for the next birth was high and they did not change significantly with the degree of satisfaction with the c-section for the index birth. These results suggest that the current high technology-based, physician-centered prenatal and partritional cares need to be reoriented to the basic preventive and promotive technology-based, and mother-fetus-centered care. It is also suggested that active involvement of pregnant woman in decision-making process for the delivery method will increase the rate of vaginal birth after c-section and decrease c-section rate and improve the degree of maternal satisfaction after delivery.

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Factors upon revisit and intention of recommendation for dental care service (치과의료 재이용 및 권유의사 관련 요인)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.317-326
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    • 2012
  • Objectives : This study aims to examine satisfaction of dental treatment and revisit and intention of recommendation to dental patients and to supply as a basic resource for dental management improvement. Methods : 645 dental patients to dental hospitals in G City were subjects of this study. 27 dental hospitals were randomly chosen per 5 or 6 in 5 Districts. The intention of the survey was explained to 645 patients and it was agreed to have questionnaire survey. Questionnaire survey was carried out for 2 weeks in April 2011. Total 593 were used for the analysis except for insufficient answer sheets. The analysis was executed by using SPSS 18.0 and the results are as follows. Results : 1. The highest figures are as follows: female was 53.29% in sex, 20-29 age group was 44.52%, graduates of university were 38.62%, students were 28.50%, monthly family income with 300-399 million won was 31.70%. As to the treatment, dental caries were highest with 46.21% followed by scaling with 40.81%. As to the number of visit, 39.80% were over 5 times, and as to the opportunity to use, 29.34% answered it because it is close to home. 2. As to satisfaction, male was 4.15, over 60years old was 4.58, self-employed was 4.33, friendship with dentist as opportunity to use was 4.37. And as to revisit intention, over 60 years old was 4.60, over postgraduate in education level was 4.38, self-employed was 4.43, over 5 times visit was 4.32, and fame as opportunity to use was 4.39 which were the highest. As to the intention of recommendation to others, female was 4.24, over 60 years old was 4.65, self-employed was 4.36, friendship with dentist as opportunity was 4.43 which were the highest and showed significant differences (p<0.05). 3. As to patient satisfaction, there were strong relevance between revisit intention and intention of recommendation with 0.769 and 0.744 respectively. And, as to revisit intention, it had significant relation with revisit intention with 0.791. 4. The explanatory power of the regression analysis on the factors affecting revisit intention was 61.20%. The revisit intention was high when the satisfaction of dental hospital was high (${\beta}$=0.767, p<0.001), the number of visit (${\beta}$=0.026, p<0.01), reason for a visit (${\beta}$=0.070, p<0.01), education level (${\beta}$=-0.063, p<0.05) and occupation (${\beta}$=0.078, p<0.05). 5. The explanatory power of the regression analysis on the factors affecting intention of recommendation was 59.9%. The intention was taken patients satisfaction(${\beta}$=0.601, p<0.001), dental hygienist's kindness (${\beta}$=0.218, p<0.001), female (${\beta}$=0.079, p<0.05), reason for a visit(${\beta}$=-0.059, p<0.05), dissatisfaction treat(${\beta}$=0.084, p<0.05), dentist's kindness (${\beta}$=-0.080, p<0.05), age (${\beta}$=0.054, p<0.05). Conclusions : To improve revisit rate of patients, the refurbishing hospital facility, treatment and kindness of dental hygienists and satisfaction of treatment must be improved. And it also needs to accept complaint from female patients in a positive manner, and understand and correct complaints actively from the perspective of patients.

Factors Affecting the Satisfaction Level of Orthodontic Patients with Dental Service (교정환자의 치과의료서비스 만족도에 영향을 미치는 요인)

  • Lee, Ka-Yean
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.1-8
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    • 2009
  • The purpose of this study was to examine the satisfaction level of orthodontic patients with medical service in a bid to provide information on the diverse needs of orthodontic patients and the improvement of the competitiveness of dental institutions. The subjects in this study were 226 orthodontic patients who visited Y and B dentist's offices respectively located in Busan and Daegu. A survey was conducted from December 3 to 20, 2008, and SPSSWIN 14.0 program was utilized to analyze the collected data. The findings of the study were as follows: 1. As to the reason why they chose the dentist's offices, the greatest group made that choice through the recommendation of people around them(50.7%). Approximately half them(47.8%) tended to talk about grievances when they had any, and the greatest group(58.3%) expected to have a regular set of teeth when they received orthodontic treatment (58.3%). And the largest group(80.9%) expected that treatment to improve their oral health a lot. The greatest group(70.6%) wanted to receive whitening treatment after completing orthodontic treatment. 2. As to factors significantly affecting their satisfaction level with treatment service, satisfaction level with the employees(dental hygienists) had the most significant impact, followed by satisfaction with amenities, medical fee, dentists and friendliness. 3. Their satisfaction level with medical fee exerted the most influence on intention of Recommendation offices they visited to others, followed by satisfaction with dentists and employees(dental hygienists).

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A Study on the Factors that Influence Consumers when Purchasing or Renting Hanbok (소비자가 한복구매 및 대여시 중점을 두는 요인에 관한 연구)

  • You, Hyo Soon;Jung, Mi Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.74-79
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    • 2013
  • The purpose of this study is to identify the factors that influence consumers when they purchase or rent Hanbok. We investigated the factors which affect consumers buying Hanbok, out of expectation that the rising interest in Hanbok caused by diversification of design and other various reasons would have a positive impact on purchases. Reflecting the increase of consumers renting Hanbok in the study, we also analyzed the factors that have an influence on rentals and compared the determinants of purchasing Hanbok and that of renting it. It turned out that consumers are mainly influenced by design, popular colors they prefer, and recommendation of clerks or friends. Through the comparison, we discovered that the purchasing group is more influenced by design while the renting group is more influenced by recommendation of friends and clerks. This result suggests that it would be an effective marketing strategy for shops to strengthen competitiveness by diversifing design of Hanbok, and for rental shops to do so by placing professional salesperson.

Effects of Recommendation Selling in Family Restaurants on Customer Attitudes, Customer Satisfaction, Customer Purchase Decision Making (패밀리 레스토랑의 메뉴 권유 판매가 고객 태도, 만족, 구매 의사 결정에 미치는 영향)

  • Lee, Yeon-Jung;Ju, Hyun-Sik
    • Culinary science and hospitality research
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    • v.12 no.2 s.29
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    • pp.73-87
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    • 2006
  • The purpose of this study is to investigate if recommendation selling (methods of recommendation selling, a key word used for recommendation, and employee attitude) influences the customers' menu decision. The results of the study are as follows: 'Menu picture' and 'explanation by word' among the tools used by employees for recommendation were found to influence customers' menu decision. The words such as 'new menu' and 'special only today' used by employees for recommendation were found to influence customers' menu decision. Employees' attitude elements such as 'interesting explanation', 'dressed up tidy', 'strong intention', and 'patience' were found to influence customer's menu decision. 'Recommendation selling' in the food and beverage industry means 'employees help customers make a good decision on food and beverage service'. This study makes an important contribution to the food industry in terms of providing substantial marketing strategies.

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축주교육을 통한 예방진료의 실천과 병원의 성장

  • 유형규
    • Journal of the korean veterinary medical association
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    • v.28 no.8
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    • pp.470-475
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    • 1992
  • 개업수의사로서 실천할 수 있는 예방의학 1. 효과적인 예방주사접종과 정확한 주사간격(예방주사접종일이 되면 축주에게 전화나 엽서로 시기가 되었음을 알려준다.) 2. 영양교육과 grooming 상담을 통한 건강상태 개선과 관계되는 처방약품 또는 양질의 용품판매 3. 비상/상비약품 필요성 인식과 판매, 건강유지를 위한 영양제의 계속적인 필요성 강조로 축주의 영양관리에 대한 인식개선 4. 1년에 2회, 분변검사를 통한 정기적인 기생충 r제와 일단 감염시 2회 치료와 효과확인 5. 구강검사를 통한 제질병의 발견과 치아검사의 필요성강조 및 치아건강 관련제품 사용권장 6. 각 품종별 특이한 질병의 설명과 예방을 한 검사(X-ray, 병리검사)의 추천과 결과에 따라 진행방지 방법이나 수술/치료 권유 7. 적극적인 진료자세-예)종양의 보다 세밀한 검사와 치료로 전이예방

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Clinical use of 3D printer (3D 프린터의 임상적 활용)

  • Lee, Sang-Yub
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.2
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    • pp.59-70
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    • 2021
  • The inflow of digital systems into the dental field has had a great impact on dentists and dental technicians. and it brought improved accuracy, convenience, and work efficiency than before. However, digital doesn't solve everything, and it certainly has limitations. Therefore, it is recommended that clinicians clearly understand the strengths and weaknesses of the traditional method and the digital method and design their own workflow that harmonizes the two methods. In this part, I introduce how I use and apply 3D printers in clinical field.

A Study on The Factors Influencing the Decision to Get Implant Treatment at Dental Clinic (치과의원에서 임플란트 치료 결정에 영향을 미치는 요인에 관한 연구)

  • Oh, Hye-Young;Jin, Ki-Nam
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.85-91
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    • 2012
  • The purpose of this study was to examine the factors influencing the decision to get implant treatment at dental clinic. The subjects in this study were 321 patients at dental hospitals and clinics. Andersen model in which predisposing variables, enabling variables and need variables were suggested as independent variables was used. The implant decision making was selected as a dependent variable in the model. Using logistic regression analysis, we found statistically significant effects of three independent variables: 1) class, 2) satisfaction with the facility; 3) familiarity with others received implant treatment. Those with the middle or high class background were more likely to take implant treatment. Those who were satisfied with clinic facility were more likely to take implant treatment. Those who were familiar with others received implant treatment were more likely to take implant treatment. This result implies the importance of opinion of others were received the same treatment. Hence viral marketing effort is required even in dental care field.

Physical activity, social support and participation of women knowledge about cervical cancer screening, the screening attitude multiplicative influence of cervical cancer screening (신체활동 참여 청년기 여성의 자궁경부암 검진에 대한 사회적지지, 지식과 태도가 검진 의도에 미치는 영향)

  • Ko, Yun-Hwa
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.439-449
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    • 2016
  • The purpose of this study was to examine the psychological factors affecting cervical cancer screening intention focused on college women including graduate students. A total of 281 college women students were analyzed. The major results of this study indicate that positive attitude toward cervical cancer screening through social support(family and friend), doctor and nurse support were essential to improve cervical cancer screening intention of college women.