• Title/Summary/Keyword: 의뢰

Search Result 1,105, Processing Time 0.031 seconds

The Analysis of Patients in Oral Medicine and the Evaluation of Oral Medicine as a Special Field (내원경로 분석을 통한 전문과목으로서의 구강내과의 역할)

  • Chung, Tae-Yong;Ryu, Ji-Won;Kang, Jin-Kyu;Ahn, Hyung-Joon;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
    • /
    • v.30 no.4
    • /
    • pp.391-400
    • /
    • 2005
  • Special Practitioner exists based on the need for special fields that are required to manage difficult patients with specialized skills distinguished from General practitioner. The purpose of dental specialist system is to manage patients who are not treatable by general practitioner by training doctors specializing in one specific field, thereby, enhancing health of the public. Oral Medicine deals with orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. In these days, living environments of city life bring about increase in stress which ultimately lead to increase in prevalence of temporomandibular disorder, oral soft tissue disease, neuropathies such as trigeminal neuralgia, and hence, the number of patients seeking help of those symptoms tend to increase. The purpose of this study was to analyze the rate of referrals and the routes of patients seeking help by investigating 3,707 patients who visited Department of Oral Medicine, College of Dentistry, Yonsei University, from August, 2004 to April, 2005. The results were as follows: 1. The types of disease referred to the Department of Oral Medicine were orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. 2. The rate of referrals was 58.51% which implies that more than half of the patients visiting the Department of Oral Medicine were referred. 3. The types of institution which made referrals were analyzed, and as a result, dental clinics made most of the referrals with the rate of 83.23%, while that from medical or oriental medical institutions was 16.78%. 4. Among the patients who visited the Department of Oral Medicine on their own, 30.52% gained the information about the Department of Oral Medicine from internet and mass media, and from neighbors. From the above results, most of the patients visiting the Department of Oral Medicine were found to be referred not only from the field of dentistry but also from the field of medicine. These suggest that Oral Medicine manages patients who are not treatable by general dental practitioners, and medical specialists tend to cooperate with the Department of Oral Medicine to manage diseases associated with Oral Medicine. Therefore, the role of Oral Medicine can be considered to be important as a special field, and the results of this study should be considered when working out a policy of Dental specialist system on demand and supply of residents in the future.

The Rate of Diagnostic Agreement and Concordance Ratings on Psychiatric Recommendation in Consulted Delirious Cases (자문의뢰된 섬망환자에 대한 진단 일치율과 정신과 의견의 반영도)

  • Oh, Eung-Seok;Nam, Jung-Hyun;Kim, Seok-Hyeon;Park, Yong-Chon;Kim, Sung-Mok
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.9 no.2
    • /
    • pp.174-181
    • /
    • 2001
  • Objectives : The author investigated the rate of diagnostic agreement between consultants and consultees and concordance ratings on the consultees' recommendation to examine the interactive collaborativeness and find the factors that influence the reflectiveness on treatment. Methods : The subjects were 54 patients with delirium selected from 583 cases referred from other departments who were admitted to Hanyang University Kuri Hospital from July 1, 1995 to Dec. 31, 1997. The information on demographic data, diagnostic impression, symptoms, management before consultation, psychiatric recommendation, management after consultation, diagnoses at the referring departments and the psychiatric department on delirium was obtained by medical records and consultation papers retrospectively. The reflectiveness of the psychiatric recommendation was divided into complete concordance, partial concordance, and nonconcordance and among them the complete and partial concordance were considered for concordance. The reflectiveness was compared among all the departments and between medical unit and surgery unit. Results: The rate of diagnostic agreement on the cause of delirium was highest(85.7%) in organic brain syndrome and lowest in general medical condition(0%). There was no statistically significant differences between medical unit and surgery unit. Neither differences were there among all the departments. In comparing symptoms affecting the reflectiveness, it was 73.5% in impulsive and aggressive behavioral changes, whereas 40.0% in behavioral changes. Reflectiveness of psychiatric recommendation showed higher scores in the case of behavioral changes. The cases of sleep problem showed higher scores of reflectiveness. When these two symptoms of behavioral change and sleep problem were compared as one factor, the results suggested that there were significant differences. The cases with both two symptoms showed 80% in reflectiveness, and the cases with only one symptom or no symptoms showed 44.8% in reflectiveness. There were no statistical significances between concordance ratings and symptoms such as disturbance of consciousness, disorientation, and hallucination that cannot be easily evaluated at the referring departments. Conclusions : The rate of diagnostic agreement on the cause of delirium was highest in the case of organic brain syndrome in which lesions can be easily recognized. The factors that influence the reflectiveness of psychiatric recommendation were behavior changes and sleep disorders in the symptoms of evaluated cases.

  • PDF

TEACHERS' PERCEPTIONS OF MENTAL HEALTH PROBLEMS IN STUDENTS AND PSYCHIATRIC CONSULTATIONS (학생들의 정신건강문제와 정신과 의뢰에 대한 교사의 인식도 조사)

  • Kwak, Young-Sook;Chun, Ja-Sung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.9 no.1
    • /
    • pp.82-90
    • /
    • 1998
  • This study is attempted to examine Korean teachers’ perceptions of mental health problems in students and their attitudes towards psychiatric consultations through a questionnaire survey. The results of this study are as follows. 1) Teachers thought that 5.3% of their students had mental health problems, 1.9% of students required psychiatric evaluation, and 1.2% of students were referred or recommended psychiatric evaluation by their teachers. 2) The most frequent mental health problems in students discovered by teachers were distractibility and inattention, lack of academic skills, and language difficulties in elementary schools;distractibility and inattention, conduct problems, and lack of academic skills in middle schools;and conduct problems, distractibility and inattention, physical symptoms, and substance abuse in high schools. 3) Teachers thought the mental health problems in students were caused by the family environment, psychological factors, the educational system, and a lack of mental health services. 4) Teachers desired smaller classes, improvement of the school environment, more time, regular mental health education, a special program for students with mental health problems, and the counseling staffs or consultants for the school mental health. 5) Teachers consulted with other teachers, the parents of the students, the counseling teachers, the health care teachers, the counseling institutes, the psychiatric clinics, and the principals in descending order to handle the hard case problems. The frequent reasons for failing in psychiatric consultations were the prejudice of parents against psychiatric services, the teachers’ sense of superiority in dealing with the problems of students, the prejudice of teachers themselves against psychiatric practice, and inaccessible professional consultation. 6) About 20.4% of teachers reported they had proposed psychiatric consultations or had recommended their students to receive psychiatric evaluations.

  • PDF

음성총괄평가

  • 정옥란
    • Proceedings of the KSLP Conference
    • /
    • 1994.06a
    • /
    • pp.101-109
    • /
    • 1994
  • 정상음성이란 개인의 음성 매개변수(vocal parameter), 즉 음도(pitch), 강도(loudness), 음질(quality), 유동성(flexibility) 등이 그 사람의 성, 연령, 환경, 체구 등에 적합한 음성을 말한다. 비정상적인 음성을 가진 음성자애 환자의 의뢰는 이비인후과 전문의에 의해 이루어지는 경우가 많고, 이 외에도 가족, 주변인, 환자의 교사 등에 의해 그리고 때때로 자가의뢰를 해오는 환자도 있다. (중략)

  • PDF

KRISS 진공재료의 탈기체 측정장치 소개 및 시험의뢰된 재료 분포에 산업체 경향

  • Seong, Dae-Jin;Im, In-Tae;Sin, Yong-Hyeon
    • Proceedings of the Korean Vacuum Society Conference
    • /
    • 2011.08a
    • /
    • pp.103-103
    • /
    • 2011
  • 고진공의 바이러스격인 탈기체의 속성과 KRISS에서 보유중인 탈기체의 측정장치들의 각 특징들을 소개한다. 또한 산업체에서 시험 의뢰한 재료 종류 분석을 통해 산업체의 동향을 간접적으로 제시한다.

  • PDF

A Provable Entrusted undeniable signature (안전성이 증명된 의뢰 undeniable signature)

  • 박성준;김성덕;원동호
    • Proceedings of the Korea Institutes of Information Security and Cryptology Conference
    • /
    • 1994.11a
    • /
    • pp.45-50
    • /
    • 1994
  • 대화형 영지식 증명시스템을 사용하여 D. Chaum의 undeniable signature에 대한 거짓말 탐지기 기능 문제를 해결한 안전성이 증명된 의뢰 undeniable signature 방식을 제안한다. 제안한 방식의 안전성은 영지식 대화형 증명시스템과 고차잉여류 문제에 기반을 두고 있다.

  • PDF

A CLINICAL STUDY OF CHILD AND ADOLESCENT PSYCHIATRIC CONSULTATION IN A GENERAL HOSPITAL (종합병원 소아정신과에 자문의뢰된 환아에 대한 임상적 고찰)

  • Kim Yeoung-Rang;Hong Sungdo D.;Lee Sang-Sin;Lim Seong Hu;Park Jeoung Hwan
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.16 no.1
    • /
    • pp.72-78
    • /
    • 2005
  • Objectives : This study is to investigate the clinical characteristics of psychiatric consultation for children and adolescents in a general hospital. Methods : Hospital records of 302 children and adolescents who were referred for psychiatric consultation in a general hospital over 4 years were reviewed and analyzed. Results : The mean referral rate for psychiatric consultation for school age children and adolescents was $2.15\%$. While more girls were referred in middle and high school age group, more boys were referred in pre-school age group. Fifty percent of the consultation was requested from department of internal medicine and pediatrics. Main reason for requesting psychiatric consultation was fur the assessment of the patients from psychiatric point of view $(31.1\%)$, followed by the management of depression $(11.6\%)$ and anxiety $(11.3\%)$. Most frequently rendered psychiatric services for the treatment was psychosocial education and supportive therapy $(21.2\%)$. Conclusion : There are differences in clinical nature of psychiatric consultation and referral patterns between adult patients and child and adolescent patients. Future research is needed to strengthen the services for child and adolescent psychiatric consultation.

  • PDF

Lens shielding block 제작시 업무개선에 관한 고찰

  • 차우정;조현상;김영곤;김종식;박영환
    • The Journal of Korean Society for Radiation Therapy
    • /
    • v.14 no.1
    • /
    • pp.95-99
    • /
    • 2002
  • I. 목적 : 결막 림프종 환자의 전자선 치료를 위해 Lens shielding block의 제작시 외부 의뢰 제작과 SMC 자체 제작의 장${\cdot}$단점을 비교해보고 제작 과정에 있어 업무의 효율성을 평가하고자 한다. II. 대상 및 방법: Lens shielding block의 제작시 외부의뢰제작과정과 자체 제작 과정을 비교하여 업무의 효율성, 인력의 변화 및 두방법의 장?단점을 분석하였다. 모의치료후 두 방법의 제작 시간을 비교하였으며, 재료의 차이점과 이용방법을 비교하여 개선된 사항을 알아보았다. III. 결과 : Lens shielding block의 자체 제작시 치료 시작시기는 모의치료 실시 후 7일에서 3일로 단축되어 업무의 효율성과 그에 따른 환자의 불편함이 줄어들게 되었다. 또한, 외부의뢰 제작 과정에서 실시되었던 치과와 치과 기공실에 의뢰하던 과정이 없어지고 과내 모의치료실과 공작실에서 작업하게 되어 모든 작업을 과내에서 일률적으로 실시할 수 있게 되었다. 또한, 모의치료를 실시하면서 실시간으로 shielding block을 수정 할 수 있어 정확성이 재고되었고, 반복되는 제작 작업으로 인해 제작 공정이 보편화되고, 손쉬어졌으며, 재료 활용의 효율성이 증대되었다. IV. 결론 : Lens shieiding block의 자체 제작으로 시간이 단축되어 업무의 효율성이 증대되었고 그에 따른 인력소모와 환자의 불편함이 줄어들게 되었으며, 제작자가 모의치료를 통해 바로 block의 오차를 수정할 수 있어 치료의 안정성 및 정확성이 높아졌으므로 결론적으로 의료의 질 개선과 서비스 향상이 이루어졌다.

  • PDF

Effects of Artists' Death and Trade Frequency on Art Forgery (작가의 사망여부와 거래빈도가 미술품 위작에 미치는 영향)

  • Kim, Na-Won;Shin, Hyung-Deok;Chung, Taeyoung
    • The Journal of the Korea Contents Association
    • /
    • v.15 no.4
    • /
    • pp.97-103
    • /
    • 2015
  • This paper empirically investigated the factors that may affect art forgery, using 5,130 authentication request data drawn from Korean Art Appraisal Board (KAAB) during 2003 and 2012. Living status of artists and trade frequency of artworks of the artists were considered as explanatory variables that may affect authentication requests and forgery ratio. We found that artists' death has significantly positive impacts on both authentication requests and forgery ratio, while trade frequency of artworks of the artists has the impact only on authentication requests. These results imply that art forgery may have multidimensional characteristics.

PSYCHIATRIC CONSULTATION IN A CHILDREN'S HOSPITAL (소아병원에서의 정신과 자문)

  • Lee, Young-Sik;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.1 no.1
    • /
    • pp.108-116
    • /
    • 1990
  • Child Psychiatric consultations on 92 patients hospitalized at the Seoul National Childrens Hospistal were analyzed retrospectively. The main referral sources were Pedictrics(77.2%), Neurosurgery(8.91%) and Orthopedics(3.96%) Consultation rate was 0.81% for the Hospital, 1.41% for Department of Pediatrics, 3.54% for Neurosurgery and 0.3% for the other department were made for the differential diagnosis raher than for the treatment or intervention. The diagnosis of referred patients were somatoform disorder(25%), organic mental disorder(18.5%), developmental disorder(14.1), conduct disorder(6.5%), anxiety disorder(6.5%).

  • PDF