• Title/Summary/Keyword: 진료실

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Relationship Between Presence of Dental Clinics in Public Health Facilities and Oral Health Conditions of Local Elderly People (농촌지역 보건기관 치과진료실 유무와 인근 노인의 구강보건실태 관련성)

  • Jeong, Kyung-Shin;Na, Baeg-Ju;Kim, Eun-Sim
    • Journal of agricultural medicine and community health
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    • v.40 no.4
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    • pp.193-205
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    • 2015
  • Objectives: This study was conducted to find the relationship between oral health conditions of elderly people and closures of public dental health clinics in rural areas. Methods: Oral examinations and surveys were conducted in 2011 from May 11 through November 4 on 383 seniors over 65-years and under 74 years old. Results: The results of this study were as follows: 1. The results of comparative analysis of the usage behaviors of health clinics of subjects in relation to the closures of public dental clinics within the area showed that the usage level and frequency of public health agencies in areas with public dental clinics were high, and that the trend of influence on personal oral health conditions and improvement in prevention was high. When compared to 3 years ago, there was an 11.6 percentage point reduction in areas without public dental clinics (24.4%) compared to areas with public dental clinics (12.8%). 2. The results of comparative analysis of the oral health conditions and behaviors of subjects in relation to the closures of public dental clinics showed that the level of dental caries was high in areas with no public dental clinics, and the number of toothbrush usage and oral health supplemental product usage were shown to be high in areas with public dental clinics. Conclusion: The closures of public dental clinics were found to affect oral health behavior and conditions of elderly people in rural areas.

A study on the state of infection control in dental clinic (치과진료실에서의 감염관리 실태 조사)

  • Kim, Kyung-Mi;Jung, Jae-Yeon;Hwang, Yoon-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.3
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    • pp.213-230
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    • 2007
  • The purpose of this study was to examine the state of infection control provided to members of Korean Dental Hygienists Association. The subjects in this study were dental hygienists who attended a symposium on July 1. 2006. after a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. Possession of disinfection room was being(72.7%), and person of infection control was zero(52.9%). Number of sterilizer was one(62.2%). 2. As a repetition choice, type of sterilizer was autoclave(97.9%), UV sterilizer(67.4%) and EO gas sterilizer(21.4%). As a repetition choice, infection materials was ethanol(84.1%). 3. Water tube of unit and chair was using of sterilized water(42.9%). Sterilizing of compressed air was no(69.0%). 4. Re-using of disposal was not using(62.5%), re-using disposal was suction tip(28.2%)(repetition choice) 5. In sterilization of instruments, hand-piece was every using time(28.4%), and reamer-file, bur, mirror, pincette, explorer, hand scaler and ultrasonic scaler were high in every using time. 6. Individual protection was high of using, cleaning of hands before treatment was every treatment(87.0%). Type of soap was liquid type in dental clinic(48.2%), infection soap in dental hospital(41.2%) and solid soap in public health center(50.6%). Answered that they need regular oral health education, and 82.9% respondents answered that they need oral health technicians in school. And 87.8% respondents needed individual oral health education for the benefit of better oral health.

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Synergistic Antibacterial Activity of Fig (Ficus carica) Leaves Extract Against Clinical Isolates of Methicillin-resistant Staphylococcus aureus (병원내에서 분리된 메티실린내성 황색포도상구균에 대한 무화과잎 추출물의 항미생물효과)

  • Lee, Young-Soo;Cha, Jeong-Dan
    • Microbiology and Biotechnology Letters
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    • v.38 no.4
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    • pp.405-413
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    • 2010
  • Fig (Ficus carica L.) belongs to the mulberry tree (Moraceae) which is one of the oldest fruits in the world. It has been used as a digestion promoter and a cure for ulcerative inflammation and eruption in Korea. The present study investigated the antimicrobial activity of methanol (MeOH) extract of fig leaves against methicillin-resistant Staphylococcus aureus (MRSA) isolated in clinic. The MeOH extract (MICs, 2.5 to 20 mg/mL; MBCs, 5 to 20 mg/mL) was demonstrated as antibacterial activity in isolates MRSA 1-20. The administration of the MeOH extract in combination with oxacillin or ampicillin induced a reduction of ${\geq}$4-8-fold in all tested bacteria, which was considered to be synergistic based on a FICI of ${\leq}$0.375-0.5. Furthermore, time-kill study was found that a combination of MeOH extract with oxacillin or ampicillin produced a more rapid decrease in the concentration of bacteria CFU/mL than MeOH extract alone. The results suggest that fig leaves could be employed as a natural antibacterial agent in MRSA infection care products.

Design of Personal Information Security Model in U-Healthcare Service Environment (유헬스케어 서비스 환경 내 개인정보 보호 모델 설계)

  • Lee, Bong-Keun;Jeong, Yoon-Su;Lee, Sang-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.11
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    • pp.189-200
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    • 2011
  • With rapid development and contribution of IT technology IT fushion healthcare service which is a form of future care has been changed a lot. Specially, as IT technology unites with healthcare, because delicate personal medical information is exposed and user's privacy is invaded, we need preperation. In this paper, u-healthcare service model which can manage patient's ID information as user's condition and access level is proposed to protect user's privacy. The proposed model is distinguished by identification, certification of hospital, access control of medical record, and diagnosis of patient to utilize it efficiently in real life. Also, it prevents leak of medical record and invasion of privacy by others by adapting user's ID as divided by user's security level and authority to protect privacy on user's information shared by hospitals.

Augmented Reality-based Surgical Nursing Practice Application Development and Evaluation (증강현실 기반의 수술간호 실습교육 애플리케이션 개발 및 평가)

  • Ko, Jung-Yon;Jung, Ae-Ri
    • Journal of Convergence for Information Technology
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    • v.11 no.2
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    • pp.47-56
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    • 2021
  • The purpose of this research was to develop an augmented reality-based surgical nursing practice education application. The research proceeded in ADDIE order of analysis, design, development, implementation, and evaluation stages. In the analysis phase, we analyzed the surgical nursing learning needs of the expert group and nursing student group. As a result of the analysis, the demand for surgical instruments was generally high. We selected 51 surgical instruments of the 7 categories most frequently used in the operating room based on the needs, and produced them as AR Book. The augmented reality application was created based on the Unity 3D engine, and the application was built with Android OS so that the target person could use it. Expert assessment of application for augmented reality-based surgical nursing practice education application showed 73.4±4.3 out of 80. This study is significant in the part that first developed a new method of learning tools for surgical instruments. We determined that an augmented reality-based application has reality, portability, accessibility and simplicity.

The Relation of Korean Medicine Services Use on the All-cause Mortality and Incidence of Parkinson's disease and Elderly Patients with Chronic Disease in Korea (국내 만성질환 노인환자의 한의과 진료서비스 이용과 사망률 및 파킨슨병 발생률의 관계연구)

  • Woo, Yeonju
    • Journal of Society of Preventive Korean Medicine
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    • v.25 no.3
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    • pp.25-37
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    • 2021
  • Objectives : To investigate the effectiveness of Korean Medicine services use on the all-cause mortality and incidence of Parkinson's disease(PD) in elderly patients with chronic disease based on the National Health Insurance Service Corhort Database (elderly), called as the NHIS-senior. Methods : This study was a retrospective cohort analysis conducted using the NHIS-senior. Patients with chronic diseases over 65 years old who were not diagnosed PD during 2007-2009 were identified. The case group was defined as patients who used both Korean Medicine and Western Medicine services and the control group consisted of patients who used Western Medicine service only. The all-cause mortality and incidence of PD was analyzed using the Cox proportional hazard model after a propensity score matching(PSM) with a 1:1 ratio. Results : After PSM, the cohort included 47,546 subjects (23,773 in the case group, 23,773 in the control group). Sex, age, comorbidity, severity of disability, and neurology medical service utilization were adjusted in both groups. The mortality was 0.668 times (95% C.I.: 0.646-0.690) lower in the case group than the control group, which was statistically significant (p<0.001). The incidence of PD was 1.051 times (95% C.I.: 0.962-1.148) higher in the case group than the control group, which was not statistically significant(p=0.272). Conclusion : It was not obvious that the use of both Korean Medicine service and Western Medicine services for prevention of PD is benefitial than using only Western Medicine. But it would be possible that using both Korean Medicine and Western Medicine services decreases the mortality than using Western Medicine alone.

Factors Influencing Safe Nursing Activities of Public Hospital Nurses (공공병원 간호사의 안전간호활동에 미치는 영향 요인)

  • Lee, Ok Kil;Jeong, Suyong
    • Journal of muscle and joint health
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    • v.28 no.3
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    • pp.283-292
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    • 2021
  • Purpose: In this descriptive study, we aimed to identify factors influencing safe nursing activities of nurses working at public hospitals. Methods: We collected data in March 2021 through an online survey. The subjects were 199 nurses who had worked for at least six months at public hospitals. The self-reported questionnaire consisted of items pertaining to safe nursing activities, perception of patient safety culture, and the general characteristics of the subjects. To examine the differences in the safe nursing activities and perception of patient safety culture by general characteristics, we employed a t-test and ANOVA. We conducted a multiple linear regression analysis to explore the factors affecting safe nursing activities. Results: The mean score for safe nursing activity was 4.59±0.39. Perception of patient safety culture and age group were found to be the main factors affecting the safe nursing activities of nurses working at public hospitals (F=17.24, p<.001, Adj. R2=.40). When the score for perception of patient safety culture increased by 1 point, the score for safe nursing activities increased by 0.58 points. In addition, the score for safe nursing activity in the 40s age group was 0.16 points higher than for those in the 20s age group. Conclusion: Effective management and leadership in public hospitals is needed to improve the culture of patient safety at various levels so as to ensure safe nursing activities.

Oral Bacterial Genetic Testing using Big Data

  • Hee-Sun, Woo
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.3
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    • pp.111-117
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    • 2023
  • The oral cavity is a window into the health of the whole body and a gateway for many harmful bacteria. It is a very important part of our body. The biggest advantage of genetic testing is that it can systematically prevent and manage diseases by examining bacteria in the oral cavity and predicting systemic diseases that may occur in our body through big data AI algorithm analysis. Therefore, in this paper, the researcher's family conducts genetic testing directly to derive the results. In this study, in November 2022, 4 family members of the researcher listened to a prior explanation from 1 dentist and 1 dental hygienist at J Dental Clinic, a preventive dental clinic located in Seoul, and after filling out the consent form, oral examination and genetic testing were performed. Genetic testing was performed with Dr.*** for adults and He***** products for middle and elementary school students. Genetic testing, which is currently being conducted in Korea, has the advantage that subjects can access it relatively easily without drawing blood, but it also has limitations such as time and cost. Nevertheless, I think it is a part to be highly evaluated in that systemic diseases can be predicted through oral microorganisms.

Consistency of Student Self-Assessment of Role Play Using the Syndrome Differentiation-Based Clinical Performance Examination Scenario and Improvement Measures (변증(辨證) 기반 진료수행시험(CPX) 시나리오를 이용한 역할극에 대한 학생 자가 평가의 일치도와 개선 방안)

  • Jo, Hak-Jun;Jo, Na-young;Park, Jeong-Su
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.2
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    • pp.37-53
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    • 2022
  • Objectives : This study analyzed the concordance between student self-assessment and peer-evaluation in a role play using the Clinical Performance Examination (CPX) scenario developed based on Korean medical syndrome differentiation. Methods : The subjects of this study are first-year-students majoring in Korean Medicine. The role play based on clinical case was performed in the class of Korean Medicine Classics. Feedback on clinical skill competency got through student self-assessment and peer-evaluation, and this study was compared and analyzed of result. Results : A simple comparison of the results of self-assessment and peer-evaluation in the evaluation results of clinical skill competency may appear to be consistent. However, it was not statistically significant. It is necessary to enhance the discriminative ability in the evaluation of clinical skill competency. It will be possible to improve a bit by relatively increasing the weight of the scores on the items that students expect to respond differently among the evaluation items. In addition, in order to dramatically improve the systemicity and reliability of the evaluation of clinical skill competency itself, it is necessary to introduce the Introduction to Clinical Traditional Korean Medicine (ICTKM) course. Conclusions : Student's self-assessment and peer-evaluation as feedback on clinical skill competency are suitable for the purpose of education and training. However, the reliability of the evaluation was not statistically significant.

The Role and Policy of Korean Medicine Doctor for the Prevention and Management of Infectious Diseases: A Mixed-Methods Approach (감염병 예방 및 관리를 위한 한의사의 역할과 정책적 과제: 혼합연구방법론을 적용하여)

  • Juchul Kim;Heasun Chun;HeeJung Lee;Jungtae Leem
    • The Journal of Korean Medicine
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    • v.44 no.2
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    • pp.45-59
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    • 2023
  • Objectives: This study investigated the role of Korean medicine doctors in the national quarantine system and the status of their duties through questionnaire surveys and in-depth interviews with Korean medicine staff who participated in COVID-19 work. Methods: We developed a questionnaire survey to investigate the status and perception of Korean medicine doctors' participation in responding to infectious diseases, and the results were derived by conducting frequency analysis and T-test using SPSS program. The measurement variables of this study were the status of COVID-19 related work participation and perception of Korean medicine doctors' role in infectious diseases, and the maximum significance level was 0.05. Results: There were 300 respondents to the survey, and as for the COVID-19 related work, Korean medicine treatment for COVID-19 patients accounted for the most(52.7%), and various preventive and treatment tasks such as epidemiological investigations and specimen collection were conducted. Conclusion: According to this study, it was confirmed that there are sufficient legal and administrative grounds for Korean medicine doctors to perform specimen collection and epidemiological investigations. Therefore, it is necessary to prepare a policy framework to solidify the status of Korean medicine doctors in national infectious diseases in the future.