• 제목/요약/키워드: 진료실

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Need Assessment for Enlargement of Oriental Medical Care Service Room in Rural Community Health Center (농촌지역 보건소 한방진료실 확대설치 요구도 및 관련요인 - 일개 군 보건소 한방진료실 내소자를 대상으로 -)

  • Kim, Dae-Feel;Song, Mi-Sook;Song, Hyun-Jong
    • Journal of agricultural medicine and community health
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    • v.28 no.1
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    • pp.39-51
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    • 2003
  • Objectives: The oriental medical care has been getting popular in community health centers because of uniqueness, changing of disease patterns, and increasing of elderly population. From 1998, oriental medical doctors has been working in several rural community health centers for their military obligations. At this point of time, it is necessary to evaluate the oriental public health doctors system. This study was performed to investigate the utilization patterns, the degree of satisfactions, needs of oriental medical care service provided by community health center in a designated Gun area. This study focused on the need for extending over Myun area of community health center's oriental medical care services. Methods: Person-to-person interview survey method through a structured questionnaire was done by a personnel at a oriental medical care service room in a Gun community health center. The major statistical method used for the analysis were the t-test, ANOVA, and logistic analysis. Results: The total number of responded subjects in this study was 163 residents. Among these 65.0% were aged 61 or over, and only 13.5% recognized themselves were healthy. 73.7% of the respondents demanded establishment of more oriental medical care services provided by community health center to other Myun area. Factors affecting the need for enlargement of oriental medical care service room were education level, subjective awareness of access to community health center, and cost satisfaction of oriental medical service provided by community health center. Thus, a resident who had graduation of middle school achievement or above(OR=3.35), had a long way to center(OR=2.47), satisfied with oriental medical service cost(OR=2.78) had demonstrated increased chance of need by logistic regression analysis.

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The Design and Implementation of Smart Clinic Reservation System Using AIoT (AIoT를 이용한 스마트 진료실 예약 시스템의 설계 및 구현)

  • Jun-Hyeog Choi;Key-Won Kim;Myung-Sook Park
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2024.01a
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    • pp.199-201
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    • 2024
  • 최근 병원에서는 빅데이터, 지능형 사물인터넷(AIoT) 등 인공지능 기반 기술들을 활용하여 환자 진료 및 치료 영역은 물론 의료산업 및 의료 시설 등과 관련된 다양한 영역에서의 활용방안을 모색하고 있다. 지능형 사물인터넷(AIoT, Internet of Things)은 AI와 IoT의 기술적인 결합으로 산업의 혁신을 가져와 국가 전체의 생산성을 높일 수 있을 뿐만 아니라 삶의 질의 변화는 물론 병원의 의료 환경에 있어서도 많은 파급 효과를 가져다 줄 것으로 예상하고 있다. 본 논문에서는 병원의 효율적인 공간관리를 위한 AIoT 기반의 가변 스마트 진료실 예약 시스템에 대한 설계 및 구현을 통하여 병원의 주요 자산인 공간이라는 개념을 효율적으로 이용하고 병원 내 소통과 협업을 위한 유연한 진료 환경을 제공함으로서 병원의 규모와 진료 전문성에 맞추어진 가변적 공간 기능을 통해 병원의 경쟁력을 높이는 것을 그 목적으로 하고 있다.

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스트레스 없는 인상 채득

  • Lee, Seung Kyu
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.1
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    • pp.24-38
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    • 2017
  • Prosthetics procedures in dental clinics 1) Tooth preparation 2) Temporary restoration 3) Post and core 4) Impression 5) Cementation of final prosthesis The final step in the prosthodontic procedure is the fitting of the final prosthesis to the patient's abutment with an exact fit and occlusal relationship. By the way, this final prosthesis is not made in the clinic but is made in the dental lab and comes to the clinic with some time difference. In the clinic, the only medium to deliver the patient's oral information to the dental laboratory is the impression. However, many errors occur in this process. Dentists and dental technicians should try to identify the cause and make an accurate prosthesis to reduce this error.

Effect of quaternary ammonium compounds on microbial contamination levels in dental clinics (치과 진료실의 미생물 오염도에 대한 4차 암모늄 화합물의 효과)

  • Baik, Sae Yun;Park, YounJung;Choi, Seung Ho;Kim, Hee Jae;Kim, Seong Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.1
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    • pp.55-60
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    • 2020
  • The aim of this study was to investigate the change of microbial contamination levels in the different areas and at the different time points after application of a quaternary ammonium compound (QAC) that has mechanical antimicrobial effect. The microbial contamination levels were measured in three different areas; unit chair handle, spit sink area and hand piece holder at different time points using adenosine triphosphate (ATP) monitoring system and ATP surface test kit. Hand piece holder showed the highest level of microbial contamination. In most of the clinics, QAC significantly reduced the levels of microbial contamination, and maintained antimicrobial activity for 4 to 6 months. QAC may be used effectively in dental clinics due to the duration of antimicrobial effect and the minimal exposure of chemicals and further studies are needed with large sample size.

The effort and agony of dental laboratory for the balanced proportions of dental prosthesis. (보철물의 균형감을 위한 lab side의 고민과 노력)

  • Lee, Seung Sub;Pea, Young Hwan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.75-83
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    • 2020
  • For the successful prosthetics treatment, the collaboration starting from the initial stage between dental clinic and laboratory is important. However, the collaboration can't persist all the processes, giving the ideal shape to prosthetics is one of the responsible part of dental laboratory. I'm going to explain how to access dental technician to case in restricted circumstance.

Study on Companion Dog Practice and Management System on Animal Hospital in Seoul City (서울시내 동물병원의 애완견 진료와 관리시스템에 관한 연구)

  • Kang, Dong-Joon;Chung, Byung-Hyun;Heo, Jung;Kang, Chung-Boo
    • Journal of agriculture & life science
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    • v.43 no.2
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    • pp.39-46
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    • 2009
  • Ten animal hospitals in Seoul were selected, and of which 41,305 practice in total for recent 1 year were analyzed based on international classification of disease(ICD) of WHO. Of the entire practice, prophylaxis cases accounted for 42.2%. Of the 9,376 cases of internal diseases, digestive system diseases accounted for 4,957 cases(52.9%), respiratory system diseases 1,776 cases(18.9%), circulatory system diseases 1,239 cases(13.2%), and neoplasms diseases 413 cases(4.4%), respectively. In the estate investment expenses, to be specific, rental guarantee deposit accounted for about 50% of the entire estate cost, foregift(48%), and monthly rent(2%). Dividing the income of animal hospitals into medical service, articles selling, and pet-dog beauty, medical service accounted for 71.6% of the entire sales, selling of articles 16.7%, and pet-dog beauty 11.6%. Publicity work for the animal hospital was done mostly through web sites on internet(47%), then through local advertising papers(23.5%), and through bulletins and telemarketing(11.8%). Manpower of the animal hospitals in this study was mostly composed of veterinarians(45.5%) up to about half of the entire staffs, while there was no veterinary technician who had specialized education in that area.

The Number and Distribution of Bacteria falling in the Air of Dental Clinics (치과의원 공기중의 공중낙하세균수와 세균분포)

  • Jang, Gye-won;Kang, Yong-ju
    • Journal of dental hygiene science
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    • v.4 no.1
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    • pp.7-11
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    • 2004
  • The purpose of this study was to investigate the distribution of microorganisms and the degree of contamination in the air of the dental clinics and to offer basic data as to the contamination of medical equipment and the prevention of the clinics. With this in mind, the researcher gathered air samples from the waiting rooms and medical offices of nine dental clinics in the city of J, South Korea with the use of a method of natural inattention and an air sampler and cultivated the samples on the plain table and drew from it bacteria falling and separated and sorted out the colony with the help of ATB and detected the distribution of the germs. The results are following, The number of bacteria falling in the air of the dental clinics was less than 10(CFU/Plate) with the exception of one dental clinic. This implies that they fit in with standards for hygiene. The number of bacteria falling in the air of the medical offices was less than 10(CFU/Plate) with the exception of one dental clinic. This implies that they fit in with standards for hygiene. The survey on the detection of staph. aureus reveals that all the dental clinics with the exception of B dental clinic proving to be positive had non-pathogenic staphylococci detected. The survey on the detection of pathogenic gram negative bacilli indicates that all the dental clinics but one were none detected. The survey on the distribution of germs shows that germs in 7 out of 9 dental clinics were none detected, and that they in four out of 9 waiting rooms were none detected. All the germs detected in the others were mostly non-pathogenic. The study shows that all the subject dental clinics but one were hygienically controlled and that there was a difference in accordance with cleaning and sterilization. This means that dental clinics should be equipped with systematic programs for cleaning and sterilization designed to prevent infection.

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Computer-guided implant surgery and immediate provisionalization by chair-side CAD-CAM: A case report (진료실 CAD-CAM에 의한 컴퓨터 가이드 임플란트 수술과 즉시 임시보철치료: 증례보고)

  • Hyun, Sang Woo;Lee, sungbok Richard;Lee, Suk Won;Cho, Young Eun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.478-486
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    • 2021
  • This report demonstrates a method of generating a chair-side and computer-aided template for implant surgery based on the Top-Down and restoration-driven concept. Compared to the traditional CAD-CAM process which requires multiple steps to be taken between dental clinic and laboratory, this alternative procedure, VARO guide system (VARO Guide, CAD, Pre-Guide, VARO-mill, NeoBiotech, Seoul, South Korea) enables accurate and patient-friendly implant surgery as well as immediate provisional restoration in a single visit. First, bite-registration at centric jaw relation and CBCT were taken using the Pre-Guide. The CBCT data was then reorganized directly through the chair-side CAD, and we could determine the most appropriate 3-dimensional position of implant. The STL file was extracted and put into the chair-side CAM (VARO-mill) to fabricate a VARO. This surgical guide allowed the implants to be accurately positioned into the planned sites within an hour.

Dental Treatment for Handicapped Patients in Day Care Units: 2 Years' Experience at Seoul National University Dental Hospital (서울대학교 치과병원 장애인 진료실의 외래마취 하 치과치료)

  • Park, Chang-Joo;Yum, Kwang-Won;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.2 no.1 s.2
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    • pp.21-26
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    • 2002
  • 연구배경: 장애인의 치과치료는 일반인의 치과치료와는 달리 많은 문제점들을 가지고 있다. 이러한 장애인 환자의 치과치료를 위하여 서울대학교 치과병원에서는 치과마취과를 중심으로 임상 각과가 협진하여 외래마취 기반 하에 1999년부터 장애인 진료실을 운영하고 있다. 이번 연구에서는 서울대학교 치과병원 장애인 진료실의 치료방법을 소개하고 그 동안 치료받은 장애인 환자들의 자료를 바탕으로 마취과적인 특징을 분석하였다. 방법: 2001년 1월부터 2002년 5월까지 치료받은 총 54명의 장애인 환자들의 치료기록지와 마취, 그리고 회복실 기록지를 검토하였다. 환자의 성별, 나이, 전신질환, 수술 전 시행된 검사, 치료에 참여한 협진과, 마취 유도제와 유지제, 총 마취시간과 회복실 체류시간, 그리고 회복실에서 관찰된 합병증을 조사하였다. 결과: 총 54명의 환자들을 대상으로 58건 치과치료가 시행되었다. 한 건의 의식진정 법을 제외하고는 모두 전신마취 하에서 치과치료가 시행되었다. 마취유도제는 thiopental sodium, 근이완제는 vecuronium과 succinylcholine가 가장 많이 사용되었으며 마취 유지를 위해서는 enflurane과 isoflurane의 흡입마취제를 이용하거나 TCI를 이용한 propofol 지속정주를 이용하였다. 총 마취지속시간은 $160.2{\pm}55.5$분이었으며 회복실에서의 체류시간은 $132.8{\pm}50.1$분, 그리고 완전한 회복을 확인하기 위해 병동에 단기 입원시킨 소아환자에서는 $58.7{\pm}16.8$분이었다. 회복실에서 심각한 합병증은 발생하지 않았다. 지속적인 감시를 위하여 4명의 환자가 입원을 권유받았으나 특별한 합병증 없이 다음 날 퇴원하였다. 결론: 서울대학교 치과병원 장애인 진료실은 외래마취에 대한 기존의 연구들보다 긴 마취시간과 회복실 체류시간을 보였다. 그러나 별다른 합병증 없이 일회 방문으로 장애인 환자들에게 필요한 치과치료를 모두 제공할 수 있었다.

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