• Journal of Korean society of Dental Hygiene
• /
• v.20 no.4
• /
• pp.469-478
• /
• 2020

Objectives: The aim of this study was to investigate the impact of oral hygiene education provided by dental hygienists in patients with dental implants. Methods: Data were obtained from a survey that involved 300 patients who had one or more dental implants. Based on the calculated sample size (n = 274), 300 questionnaires were used for further analyses. Results: The patients who received oral hygiene education had higher levels of satisfaction after dental implant surgery (p<0.05). Patients who had repeated educational sessions, in the form of interactive or hands-on sessions or lectures, with continuous feedback had higher scores for oral hygiene maintenance (p<0.05). Conclusions: This study indicated that patients who received oral hygiene education, in the form of interactive or hands-on sessions or lectures, with continuous post-educational feedback were better at maintaining oral hygiene.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.6 no.2 s.11
• /
• pp.82-88
• /
• 2006

Background: The number of patients with disabilities who require general anesthesia for dental treatment is increasing. Methods: We reviewed the cases of 538 patients with disabilities who underwent outpatient general anesthesia for dental treatment at the clinic for the disabled in Seoul national university dental hospital according to the types of disabilities and comprehensive treatments. Results: The patients mean age was 17.4 years and fifty-eight percent of the patients had epilepsy, autism, mental retardation and cerebral palsy. About twenty-five percent of the patients were medically compromised such as brain disease, heart disease and genetic problem. In 142 cases, more than two dentists from the clinical departments systemically co-worked to provide the patients with comprehensive treatment as accurately and quickly as possible under general anesthesia. Conclusions: The number of medically compromised patients was high and the system of comprehensive dental treatment was well run.

• The Journal of the Korean dental association
• /
• v.53 no.8
• /
• pp.530-537
• /
• 2015

Conceptually, the emergency is classified as an urgency and an emergency. The Urgency is not immediately life threatening, but could become so if not resolved promptly. So, it requires prompt patient care same as in the emergency situation. However, the emergency is immediately life threatening and requires immediate action, such as calling 119 and basic life support. Most medical emergencies in the dental clinic cases are urgencies. The incidence of true emergencies is approximately 1/1,000,000. Adequate managing medical urgencies are important because the chance of encountering medical emergencies in the dental clinic is high and higher these days especially because of rapidly aging Korean society. Many dentists indicate that many dentists feel difficulties to recognize and treat medical problems. This paper reviews the concept of medical emergencies and how to cope with commonly occurring urgencies in the dental clinic such as loss of consciousness, hypoglycemia, hyperventilation syndrome. The best treatment for medical urgencies and emergencies in the dental clinic is prevention. Also, it is required to make preparation for emergency situations such as CPR education for dentists and being well-acquainted with equipment and drugs for the emergency care as well as to systemic medical evaluation, patient monitoring, and sedations for controlling patient's anxiety and pain. In this paper, simple algorithms based on guidelines for common urgencies in the dental clinic are suggested. In conclusion, every dentist has competencies to do the urgency care adequately and basic life support. Also, advanced cardiac life support is strongly recommended when sedation is performed in the clinic.

• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1977.06a
• /
• pp.3.3-3
• /
• 1977

For a year from Jan. 1976 to Dec. 1976, the authors have performed the clinical observation in accordance with audiometric test and clinical findings of 43 cases (male 25: female 18) who were diagnosed of diabetes mellitus in diabetic clinic of our hospital. The results are as follows; 1) Eight of 43 cases reveal hearing impairment, and almostly abrupt drop or descending in hearing types. 2) The incidence of hearing impairment is higher in middle and older age group. 3) Hearing impairment has not related to duration of the disease but blood sugar level and total serum cholesterol level in some extent. 4) The incidence of hearing impairment is higher in cases accompanied by complications such as retinopathy, hypertension, neuropathy etc. 5) In etiology of hearing impairment, multiple factors seem to be concerned.

• Journal of Korean society of Dental Hygiene
• /
• v.11 no.3
• /
• pp.405-417
• /
• 2011

Objectives : A precedent research has documented that indoor air pollution is closely associated with increased the risk of symptom and decreased in job satisfaction. This study was conducted in an effort to assess the relationship of indoor air quality to self-perceived symptom and satisfied with working environment. Methods : This research is based on self-filling survey which 393 dental hygienists who work in seoul and Jeon-nam area participated on October 2010 through January 2011. This survey was compared and analyzed about the level of satisfaction and subjective symptom by the indoor air quality that dental office's working environment. Results : The result of satisfaction degree of hospital working environment was pretty low about office air. Most people mentioned that they were sore and dull all over the back, shoulder, and neck. Also, they were drowsy and exhausted in work place. Conclusions : In conclusion, it is need to improve their quality of life and mental health by developing proper air conditioning system and using one in their work place.

• Journal of Internet Computing and Services
• /
• v.10 no.2
• /
• pp.29-40
• /
• 2009

The development of information technology such as the internet has brought about rapidly changes the old medical technology, e-Healthcare has been to raise social issue. The e-Healthcare which new turning point of paradigm in the medical information develops the medical policy in Korea and the technology, the prospective of reverse engineering in internet environment is incurring problems such as distribution of critical information and invasion and infringement of privacy, etc. In this research, we suggest the Role Based Access Control System, HPIP-e-Healthcare Privacy Information Protection, for solving above problem. The HPIP is composed 4 mechanisms such as Consolidate User Identity, Hospital Authorization, Medical Record Access Control, Patient Diagnosis and we are also prototyping the HPIP for feasible approach in the real computing environment.

• Journal of Korean Academic Society of Home Health Care Nursing
• /
• v.26 no.2
• /
• pp.145-154
• /
• 2019

Purpose: This study was conducted to identify and analyze organizational commitment, patient safety culture, and patient safety nursing activities on patient safety in public hospitals. Methods: The data were collected from 190 nurses in 6 public hospitals within the Gyeonggi region and were analyzed using SPSS 23.0 for descriptive statistics and multiple regression. Results: Patient safety nursing activity was positively correlated with the number of participants in patient safety training programs, organizational commitment, and patient safety culture awareness. Patient safety culture awareness was positively correlated with the number of participants in patient safety training programs and organizational commitment. Organizational commitment was positively correlated with age and total work experience. Factors affecting patient safety activities, frequency of patient safety training, and patient safety culture awareness were significant influencing factors with an explanatory power of 30.1%. Conclusion: In order to increase patient safety nursing activities in public hospitals, systematic patient safety training policies are required. In addition, diverse interventions are required to increase organizational commitment.

• Quality Improvement in Health Care
• /
• v.27 no.2
• /
• pp.45-56
• /
• 2021

Purpose: Repeated hospitalization could be a proxy of unnecessary or preventive admission in South Korea where barriers to hospitalization are relatively low. This study aimed to estimate the current status of repeated hospitalization due to ambulatory care sensitive conditions (ACSC) in South Korea. Methods: Using the National Health Information Database, repeated hospitalization databases were constructed in units of episodes for patients who had been admitted more than twice between January 2017 and December 2018. The number of hospitalizations, total in-hospital days, and total medical expenditure were calculated and compared by patient characteristics in both of the entire patient group and the ACSC patient group. Results: Of total hospitalization episodes, 26.6% reported repeated admission, and 6.7% of repeated hospitalization was due to ACSC. A total of 183,110 patients with ACSC had been admitted an average of 2.9 times and spent an average of KRW5,630,118. In other words, KRW1,309 billion had been spent for repeated hospitalization due to ACSC. The scale of medical expenditure was relatively large in the highest and lowest socioeconomic status. Conclusion: Repeated hospitalization for ACSC can be considered a simple and intuitive indicator when assessing unnecessary hospitalizations or evaluating healthcare policy.

• Proceedings of the Korean Society of Computer Information Conference
• /
• 2024.01a
• /
• pp.273-274
• /
• 2024

최근 저출산 문제로 인한 노동인구의 감소로 노동력이 감소하며 인건비가 증대되고, 의료 기술의 발달과 고령화로 인해 병실의 수용 인원이 증가했다. 특히 중환자, 거동이 불편한 환자, 노인 환자와 같은 간병인의 도움과 의료 종사자의 지속적인 진료의 필요성이 증대되고 있다. 환자의 상태를 일정 시간마다 확인해야 하는 불편함, 간병인 고용의 필요로 기본적인 병원비와 인건비가 증가되고, 의료업계 종사자들의 부담도 늘어나는 추세이다. 따라서 이러한 문제를 해결하기 위해 중앙 관제실에서 환자의 상태를 실시간으로 확인하고 자동으로 병실을 관리하는 시스템을 도입하고자 한다. 정보를 실시간으로 전달함으로써 의료진의 부담을 줄이고 위기 상황에 즉각적으로 대응하며, 자동 병실 환경관리와 환자 편의를 위한 의료 환경을 지원하는 시스템을 제안한다.

• Journal of Oral Medicine and Pain
• /
• v.35 no.4
• /
• pp.265-273
• /
• 2010

Understanding patients' expectation for health visits and providing appropriate care may increase patients' satisfaction with health care, leading to more positive treatment outcome. The study aimed to investigate expectations of the patients with temporomandibular disorders (TMD) at their first visit to university-based orofacial pain clinic and to evaluate any relation with duration of pain, presence of previous treatment, pain severity and pain interference. Inclusion criterion was patients aged over and 18 years old and diagnosed as TMD during 3 months' period from Aug to Nov 2010. They were asked to complete the questionnaires for patients' expectation and the Brief Pain Inventory (BPI) at waiting room prior to consultation. 322 TMD patients participated in the study(M:F=1:1.5, mean age=36 years old). The study indicated that the most important top 3 expectations were 'cure of pain', 'understanding their problem' and 'doctor-patient communication' in order. This finding was not affected by gender, duration and previous treatment history but affected by sub-category of TMD and BPI pain severity and pain interference. 'Pain relief' and 'understanding their problems' were relatively highlighted in the patients with muscle disorders and combination (joint-muscle) disorders of TMD than those with joint disorders who wanted communication and further investigation relatively more (p=0.000). While expectation for pain relief was expected more with increase of pain severity and interference, patients with mild level of pain severity and interference expected communication and further investigation relatively more (p=0.000, 0.017, respectively). Based on the results of the study, though pain relief was the primary concern for TMD patients suffering from pain, their satisfaction with care may be increased by explanation for etiology and mechanism of TMD to make them understand their problems better and doctor-patient communication and collaborative decision-making for treatment. Importance of patient-centered consultations and availability of written material or web sites for patient information should be stressed out.