• Title/Summary/Keyword: 진료실

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A qualitative study on dental clinical assistance work performed in dental clinics - Focusing on nursing assistant - (치과진료실에서 수행되는 치과진료 협조업무에 대한 질적연구 - 간호조무사를 중심으로 -)

  • Sun-Hwa Hong;Sang-Eun Moon;Ga-Hye Seo
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.6
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    • pp.563-572
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    • 2022
  • Objectives: The purpose of this study is to provide basic data for elucidating the clinical experiences of nursing assistants working at dental clinics and for establishing the bases necessary for building a safe working environment for the staff at dental clinics. Methods: From March 28 to August 20, 2022, the study conducted in-depth interviews with nursing assistants working with dental hygienists in dental clinics. The collected data were analyzed using the phenomenological method. Results: The study analyzed the meanings associated with the dental clinical assistance work experiences of nursing assistants in dental clinics. A total of 98 semantic words and 9 sub-categories were extracted, which were ultimately categorized into 4 central meanings: 'imperfect reality', 'work without boundaries', 'putting oneself in someone else's shoes', and 'symbiosis'. Conclusions: The nursing assistants were exposed to an environment where they needed to perform delegated treatment procedures even when they lacked dental work competency. They recognized their gaps in learning and the necessity for designated roles as clinical assistants. Thus, it is necessary to review the allocation and expansion of the work roles of dental practitioners based on the practical and rational realities in dental practice.

Internal Changes and Countermeasure for Performance Improvement by Separation of Prescribing and Dispensing Practice in Health Center (의약분업(醫藥分業) 실시(實施)에 따른 보건소(保健所)의 내부변화(內部變化)와 업무개선방안(業務改善方案))

  • Jeong, Myeong-Sun;Kam, Sin;Kim, Tae-Woong
    • Journal of agricultural medicine and community health
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    • v.26 no.1
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    • pp.19-35
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    • 2001
  • This study was conducted to investigate the internal changes and the countermeasure for performance improvement by Separation of Prescribing and Dispensing Practice (SPDP) in Health Center. Data were collected from two sources: Performance report before and after SPDP of 25 Health Centers in Kyongsangbuk-do and 6 Health Centers in Daegu-City and self-administerd questionnaire survey of 221 officials at health center. The results of this study were summarized as follows: Twenty-four health centers(77.4%) of 31 health centers took convenience measures for medical treatment of citizens and convenience measures were getting map of pharmacy, improvement of health center interior, introduction of order communication system in order. After the SPDP in health centers, 19.4% of health centers increased doctors and 25.8% decreased pharmacists. 58.1% of health centers showed that number of medical treatments were decreased. 96.4%, 80.6% 80.6% 96.7% of health centers showed that number of prescriptions, total medical treatment expenses, amounts paid by the insureds and the expenses to purchase drugs, respectively, were decreased. More than fifty percent(54.2%) of health centers responded that the relative importance of health works increased compared to medical treatments after the SPDP, and number of patients decreased compared to those in before the SPDP. And there was a drastic reduction in number of prescriptions, total medical treatment expenses, amounts paid by insureds, the expenses to purchase drugs after the SPDP. Above fifty percent(57.6%) of officers at health center responded that the function of medical treatment should be reduced after the SPDP. Fields requested improvement in health centers were 'development of heath works contents'(62.4%), 'rearrangement of health center personnel'(51.6%), 'priority setting for health works'(48.4%), 'restructuring the organization'(36.2%), 'quality impro­vement for medical services'(32.1%), 'replaning the budgets'(23.1%) in order. And to better the image of health centers, health center officers replied that 'health information management'(60.7%), 'public relations for health center'(15.8%), 'kindness of health center officers'(15.3%) were necessary in order. Health center officers suggested that 'vaccination program', 'health promotion', 'maternal and children health', 'communicable disease management', 'community health planning' were relatively important works, in order, performed by health center after SPDP. In the future, medical services in health centers should be cut down with a momentum of the SPDP so that health centers might reestablish their functions and roles as public health organizations, but quality of medical services must be improved. Also health centers should pay attention to residents for improving health through 'vaccination program', 'health promotion', 'mother-children health', 'acute and chronic communicable disease management', 'community health planning', 'oral health', 'chronic degenerative disease management', etc. And there should be a differentiation of relative importance between health promotion services and medical treatment services by character of areas(metropolitan, city, county).

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PIERRE ROBIN SEQUENCE: A CASE REPORT AND REVIEW OF THE LITERATURE (Pierre Robin Sequence 환아의 증례보고)

  • Lee, Jung-Eun;Song, Je-Seon;Kim, Seong-Oh;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.5 no.2
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    • pp.92-95
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    • 2009
  • In 1923, Pierre Robin, a French stomatologist, first reported the association of micrognathia with glossoptosis. As more than 80% of all Pierre Robin cases accompanied with other syndrome such as Stickler syndrome, velocardiofacial syndrome, fetal alcohol syndrome, Treacher Collins syndrome, etc, it is called Pierre Robin sequence(PRS). PRS is described in the literature as a triad of anomalies characterized by micrognathia, glossoptosis and cleft palate. Clinically, the triad consists of airway obstruction and feeding difficulty, which are more frequent and severe in the neonatal period. In this case, a 14-month old boy with PRS was referred to the department of pediatric dentistry, Yonsei university dental hospital, who resolved airway obstruction by lateral positioning and feeding problem by percutaneous endocutaneous gastrotomy insertion. PRS is a developmental disorder as well as an anatomic obstructive disorder, therefore it should be dealt with by a multidisciplinary team.

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Analysis on Relevant Factors in Knowledge and Practice for Infection Prevention of some Dental Hygiene Students in Busan (부산지역 일부 치위생과 학생의 감염방지를 위한 지식과 실천도에 관한 분석)

  • Kim, Hye-Young;Nam, Seoul-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.295-302
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    • 2013
  • The aim of this study was to make the infection control strictly from the school and to apply the infection control practice in dental clinic. It is asis on surveying the awareness attitude practice for the infection control when practicing the scaling to target the students in dental hygienics, preliminary dental hygienists who will ecome the main agents of the infection control in dental clinic and y diagnosing how much the knowledge and practice for the infection control are kept in a school. As a result of the present status on the current infection prevention, 55.0% of the total didn't perform it and 45.0% performed in case of the vaccination of type infection, and 88.6% asked a patient about the condition of the systemic disease when practicing the scaling, and as a result on the education for the infection prevention, most of the preventive aspect was also performed well ecause 91.6% was performing.

Design of Security Agent System to Provide Ubiquitous Service (유비쿼터스 서비스를 위한 보안 에이전트 시스템 설계)

  • Kim, Seok-Soo;Park, Gil-Cheol;Song, Jae-Gu
    • Convergence Security Journal
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    • v.7 no.2
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    • pp.101-106
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    • 2007
  • Recently, Ubiquitous innovation is being promoted so that they can support the uHealthcare provide management to human's health. It is thus necessary to conduct such research on the medical care environment where there is a high demand for utilization of status information. In the current situation, there is a lack of research on measures of security processing and monitoring patient status information produced from rapid growth of infra within Medical environment. This study suggests a solution of using RFID to gather patient information such as inpatient information, location of treatment room, progress of patient, humidity, temperature, and diagnostic status, after which the information are protect and processed using security level method.

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A Development of Service of optimizing hospital waiting-time Based On IOT (IOT 병원 대기시간 최적화 서비스 개발)

  • Kim, Seonkwang;Choi, Yunjun;Im, Seong-Min;Yang, Deok-Gyu;Bang, Seon-Hui;Jhang, Seongtae;Her, Sungmin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.11a
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    • pp.1106-1108
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    • 2017
  • 현재 규모가 작은 이름바 '동네 병원'에서는 환자관리의 어려움과 동네 병원의 특성상 병원 자체적인 예약 서비스를 실시하지 않는 병원이 많다. 또한 환자는 기다리는 환자들이 많은 시간에 방문하는 경우, 병원 안에서 자신의 순번을 마냥 기다리는 경우가 빈번하게 발생한다. 이와 같은 불편들 때문에 간호사는 고객에게 간호업무 이외에도 정신적인 서비스를 제공해야 하며, 환자들은 자신의 순번이 오기만을 하염없이 기다리는 등의 불필요한 시간 소모가 크고 자신의 앞에 대기하고있는 환자가 많으면 병원이 어수선하고 앉을 자리조차 없이 서서 기다리는 경우도 허다하다. 이런 불편함들을 조금이나마 해결해주고자 본 논문에서는 저전력 블루투스 (BLE) 기술 기반의 비콘(Beacon)을 활용하여 스마트폰을 이용해 병원 내부적인 예약 서비스가 없어도 자체적인 예약 서비스와 이용자가 스마트폰을 가지고 병원에 들어가기만 해도 자동으로 병원 진료접수를 진행하고 이를 효과적으로 관리할 수 있는 사물인터넷 기반 병원 대기시간 최적화 서비스와 그 핵심 알고리즘을 제안한다. 이를 이용하면 간호사는 이전보다 간호업무에 더 집중할 수 있게 되고, 환자는 북적거리는 병원 대기실에 앉아서 기다리지 않고 실외로 나가 자신의 업무를 보고 진료시간에 맞춰서 돌아와 진료를 받는 '사람이 많아도 한적해 보이는 스마트 병원'을 만들 수 있을 것이라 본다.

A Study on the Correlation of Dental Anxiety Based on Dental Fear Scale (DFS) (치과불안척도(DFS)에 근거한 치과공포 연관성 연구)

  • Shin, Jae-Won;Kim, Sun-Il
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.28 no.1
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    • pp.54-60
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    • 2019
  • Objective: Dental fear is a feeling of anxiety and fear without intervention during a dental visit, mainly due to past negative dental treatment experiences, and in adults, despite the recognition of the need for dental treatment, it can lead to avoidance of dental treatment, which may cause deterioration of oral health. Therefore, this study was conducted to measure dental fear and anxiety level in some adults, and to identify related factors and their causes. Methods: This study used Kleinknecht's Dental Fear Survey scale and the SPSS 21 program (IBM SPSS Statistics 21) was used for analysis. Result: When the dental fear was the higher, the "access to the dental clinic" was found to be the highest, followed by "sitting in dental unit chair" and "smell of dental clinic" in that order. Conclusions: Dentists and dental hygienists should be able to understand the fear, anxiety, and concerns of the dentist office and to find various ways to provide systematic medical services.

COMPARATIVE STUDY OF SEVERAL TYPE PULSE OXIMETER AND OXYGEN SATURATION EXTRACTED FROM THEM (다종의 Pulse Oximeter에서 측정된 산소 분압도의 차이와 상호 비교 결과에 대한 보고)

  • Yoo, Seung-Hoon;Kim, Eung-Hak;Kwon, Soon-Won;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.494-498
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    • 2000
  • A major concern in pediatric dentistry is maximizing risk management through optimal monitoring of respiratory function during sedation techniques, and Pulse Oximeter is one of the most popular devices for these purpose. Pulse Oximeter is non-invasive device for detecting the sensitive fraction between the saturated & desaturated hemoglobin. Several Studies proved that there is no significant difference between the $SpO_2$ and $SaO_2$. In this article, We examined three Pulse Oximeter $(3300MX^{(R)},\;OX90^{(R)},\;BPM200^{(R)})$. The Pulse Oximeter using shorter pulse beat averaging showed more sensitive reaction to the statue of the patient and lower saturation data. We compared pair of Pulse Oximeter applied to one patient at one time. and $BPM200^{(R)}$(using shorter pulse beat averaging) showed statistically low saturation.

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Development of antibiotic prescription guidelines for antibiotic prescription quality management (항생제 처방 질 관리를 위한 항생제 처방 지침의 개발)

  • Kim, Hyesung;Oh, Jeongkyu
    • Journal of Korean Academy of Dental Administration
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    • v.5 no.1
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    • pp.45-54
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    • 2017
  • The purpose of this article is to cope with the abuse of antibiotics in the clinic, to determine the necessity of antibiotic administration, to share information on the selection and proper use of appropriate antibiotics, and to increase the appropriateness of antibiotic prescription through continuous monitoring. In line with the latest research and guidelines trends of various agencies, we will supplement the antibiotic prescription guidelines and use them for the treatment in Apple Tree Dental Hospital. Specially, by history taking and the penicillin allergy test, amoxicillin is prescribed as a primary selective antibiotic for 1 day. The complaints and treatment effects of the first antibiotic should be evaluated at the next visit. If the primary antibiotic was ineffective, we replaced it with a broad-spectrum antibiotic. If there was no improvement in symptoms, the patient would be referred to upper grade hospital. The staff of the Apple Tree Dental Hospital regularly monitored and educated antibiotic prescriptions. The current guidelines should be supplemented continually and positively affect the abuse of antibiotics and the habit of dental practice.

The Effect of Preoperative Guidance and Operating Room Environment Experience Using Virtual Reality on Satisfaction with Preoperative Information and Anxiety Reduction (가상현실을 이용한 수술 전 안내 및 수술실 환경 체험이 수술 전 정보만족도와 불안 감소에 미치는 효과)

  • Oh, In Ohg;Baek, Eunjeong;Jeong, Jiyun;Choi, Eunyoung;Kim, Jong-Hee;Kim, Chihyang
    • Journal of East-West Nursing Research
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    • v.30 no.1
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    • pp.51-59
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    • 2024
  • Purpose: The purpose of this study was to determine the effect of preoperative guidance and operating room environment experience using virtual reality on increasing satisfaction with information and reducing anxiety in preoperative patients undergoing general anesthesia and local anesthesia. Methods: A non-equivalent control group quasi-experimental design was employed. The participants were 80 surgical patients from 4 wards (40 experimental group and 40 control group) of the general hospital located in Gyeonggi-do. Data collection was conducted from June to November 2023 after completing the control group survey in January 2023. Data were analyzed using Chi-square, t-test, and Mann-Whitney U test using SPSS 23.0 program. Results: Satisfaction with preoperative information was higher in the experimental group than that of the control group. Additionally, anxiety related to surgery in the experimental group was significantly lower than that of the control group. The preoperative state anxiety score in the experimental group was not significantly lower than that of the control group. Conclusions: These results suggest that providing patient education and information using virtual reality technology can not only alleviate patients' anxiety related to surgery, but also have the potential to be used as an effective intervention to improve positive patient experiences.