• Title/Summary/Keyword: 진료 형태

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Esthetic restoration using Noritake powder through communication with the dental clinic (진료실과의 소통과 Noritake powder를 이용한 심미보철제작)

  • Hwang, Boah
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.2
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    • pp.105-115
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    • 2018
  • Not to recreate the final prosthesis is the shortest way to get a successful outcome. In the case of an aesthetic prosthesis, it is important not only the condition of the oral cavity but also the whole harmony in the face such as the interpupillary line and the smile line. But the dental technician creates the prosthesis only based on the oral model. So if you want to prevent the failure of the prosthesis due to discordance with the face, it is a good idea to use patient's facial photography and provisional restorations to reproduce facial features, shapes and aesthetics before switching to a final prosthesis. To prevent the failure of the final prosthesis, it is important to communicate among the patient, the technician and the doctor according to the model diagnosis, facial and oral photos. Then all the technicians will get satisfactory results. In addition, the technician have to understand the form of natural teeth, to analyze and reproduce colors, and to understand materials in order to produce a successful aesthetic prosthesis. From now on, I will explain two parts. At first, the communication in the dental office for the successful production of aesthetic prosthesis through the clinical case. And the second, my opinion for the successful aesthetic prosthesis.

The Segmentation of Teeth in CT Images by Adaptive Optimal Threshold (적응 최적 임계화 방법의 CT영상에서의 치아 분리)

  • 허훈;채옥삼
    • Proceedings of the Korea Multimedia Society Conference
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    • 2002.11b
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    • pp.89-92
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    • 2002
  • CT영상으로 골조직이나 특정 기관의 3차원 모델을 재구성하는 연구는 큰 진전을 이루어 현재는 진료나 치료계획 수립에 없어서는 안될 중요한 역할을 하고 있다. 그러나 기존의 방법으로는 교정이나 시술 시뮬레이션을 위해서는 치조골과 치아를 개별적으로 분리해서 모델링해야하는 치과분야의 요구를 만족시키는 데는 어려움이 있다. 치아와 치조골의 경계를 정확하게 분리하여 개별적으로 조작이 가능한 치아모델을 생성하기 위해서는 슬라스별로 두 영역을 분리할 수 있는 최적의 임계치가 결정되어야 한다. 본 연구에서는 좁은 간격으로 촬영한 연속적인 CT영상 슬라이스들 사이에서 치아들의 형태와 임계값이 점진적으로 변하는 성질을 이용하여 각 슬라스별로 최적의 임계치를 결정하여 치아영역을 분리하는 적응적인 최적 임계화 방안을 제안한다.

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Education Perspective (간호원의 위치에 대한 역사적 고찰 : 교육부문)

  • Han Y.B
    • The Korean Nurse
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    • v.22 no.3 s.121
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    • pp.56-60
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    • 1983
  • 오늘날 건강은 생존하는 모든 인간이 지녀야 할 기본권리로 인정되고 있다. 국민의 복지향상이 없는 경제 발전은 국제사회에서도 신망을 얻지 못하는 현대사회에서 국민의 건강수준은 그 사회전체의 문명척도를 의미하는 것이기 때문에 세계 어느곳에서나 인간의 복지 향상과 인권옹호를 위해 여러 가지 형태로 건강사업을 추진하고 있다. 따라서 간호인력은 건강 사업을 수행하는데 있어서 중추적 역할을 하기 때문에 그 교육은 그 어느때 보다도 중요한 과제로 대두 되었다. 간호교육 이념 정립과 제도의 개선을 위해 간호협회와 학계에서는 꾸준한 연구를 계속하여 정책 수립에 반영해왔다. 지금까지의 진료 중심의 간호에서 건강증심의 간호역할로의 전환기에 있음을 인식할 때 바람직한 변화가 올 수 있도록 교육 목표를 설정하는 일에 앞서 간호교육의 역사적 배경과 현재 우리가 처해있는 사회적 위치를 올바로 파악하는 일은 매우 중요하다고 본다.

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A Study on Design of Site utilizing Video and Audio (동영상을 활용한 의료사이트 설계 및 구현)

  • 이호택;정명희;홍의석
    • Proceedings of the Korea Multimedia Society Conference
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    • 2001.06a
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    • pp.312-316
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    • 2001
  • 인터넷의 보급과 네트웍기술의 발달은 실생활과 사회 전반에 걸쳐 많은 변화를 가져오고 있고 시공간에 제작이 많았던 의료분야 역시 이러한 변화를 적극 수용하여 다양한 양질의 서비스를 제공하고자 노력하고 있다. 본 논문에서는 단순한 의료정보 제공 및 건강 상담 차원을 넘어 고혈압이나 당뇨 같이 지속적으로 의사 관찰이 필요한 만성질환의 진료를 지원하는 새로운 형태의 의료 사이트가 제시되어 있다. 환자 자신은 건강 상태를 스스로 관리하고 그 정보를 주치의와 공유함으로서 의사는 온라인 상에서도 환자를 항상 모니터링할 수 있고 특정 전문 분야에 관련된 회사들간 네트워크를 구현하여 새로운 의학 정보 공유 및 상호 컨설팅이 가능하고 공유된 전문 정보를 바탕으로 지역별로 환자가 의료혜택을 고르게 받을 수 있도록 유도하고 있다. 구축한 사이트는 전문적인 정보제공 이외에도 그래프가 포함된 전자차트 기능과 의사소통의 한계성을 극복하고 의료 상담의 정확성을 기하기 위한 동영상 게시판 등 멀티미디어 기능을 강화시켰다.

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A Study on the Spatial Characteristics of Waiting Areas in General Hospital - focusing on the behavior of out-patient - (종합병원 외래진료부의 대기공간 구성에 관한 연구 - 외래 이용환자의 대기형태를 중심으로 -)

  • 노윤희
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 1999.04a
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    • pp.45-48
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    • 1999
  • The objective of this study is to introduce the spatial characteristics and the better arrangement of waiting areas in general hospital on comprehensing the patient's behavior as patient call-system and spatial characteristics is characteristics is changed. That is for improvement in the circumstance of waiting area more important than before, and for the patient satisfaction and patient's affirmative judgement of hospital quality by offering the convenience. Through this study, the way of improvement for waiting area can be suggested such as the beeper system, the restructuring of program information, the multiple aim space without hospital program, the reform of the seat's arrayal, the waiting area with conveniency.

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The Impact of OHIP Level on Degree of Patients' Knowledge about Dental Hygiene (환자의 치위생학적 지식 및 실천 정도가 구강건강영향지수(OHIP)에 미치는 영향)

  • Kim, Gi-Ug;Min, Kyong-Jin
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.5-8
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    • 2009
  • 이 연구는 환자의 치위생학적 지식 및 실천 정도가 구강건강과 관련된 삶의 질에 미치는 영향을 측정하고자 평가도구중 하나인 구강건강 영향지수(OHIP)를 사용하여 평가하였다. 그 결과 예방적인 지식이나 일상에서 매일 사용하는 구강용품지식 및 사용방법 지식이 높아야 주관적으로 느끼는 삶의 질이 높게 나타났다. 그리고 진료 형태별 지식과 같이 경험으로 습득한 지식은 높을수록 주관적으로 느끼는 삶의질이 낮게 나타났다. 반면 심미치료중의 하나인 미백치료지식은 높을수록 주관적으로 느끼는 삶의 질이 높게 나타났다. 즉 예방적이고 심미적인 지식이 구강건강영향지수에 영향을 미치는 것으로 분석된다.

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OCS in Client-Server Environment (클라이언트/서버 환경의 처방전달시스템)

  • 사재학;남인길
    • Journal of Korea Society of Industrial Information Systems
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    • v.4 no.1
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    • pp.28-33
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    • 1999
  • Currently, the existing order communication softwares are composed of database management characterized packages. Each indivisual module of the software is developer based on the text type environment which is inner data-process centered Therefore, actually these types of softwares do not consider the variety of the strange situation and the operating condition in real medical sites properly. In this paper, as integrating or distributing the computing system procedures as the common and particular field of the classified task group, we developed the system which simplifies the correction and the transplantation due to the variety of the order type and commucation processing.

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A Study on Schema Document Generation based on CCR for PHR Service (PHR서비스를 위한 CCR기반 스키마 문서 생성에 관한 연구)

  • Yang, Won-jong;Park, Seok-Cheon;Shim, Woo-hoo
    • Annual Conference of KIPS
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    • 2012.04a
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    • pp.1388-1391
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    • 2012
  • PHR(Personal Health Record)은 다양한 의료기관으로부터 제공되는 개인의 진료정보와 개인 스스로 기록한 건강기록을 통합적이고 포괄적인 관점에서 바라본 개인의 평생건강기록과 그 기록을 관리할 수 있는 도구들을 의미한다. 이러한 PHR 서비스를 제공하기 위해서는 다양한 의료정보시스템에 대한 연동이 필요하다. 그러나 기존의 의료정보시스템은 개발한 회사에 따라서 각기 다른 형태의 데이터베이스 구조를 갖고 있어서 PHR 서비스를 위한 연동이 용이하지 않다. 따라서 본 논문에서는 이에 대한 해결 방안으로서 의료정보 표준의 하나인 CCR 기반으로 한 XML 스키마 형식의 문서를 생성하기 위해 CCR구조 및 스키마를 분석하고 설계 방법을 제안한다.

The Effect of the Degree of Competition of the Hospital Market Regions on Clinic's Rate of Antibiotics Prescription (병원시장지역 내 경쟁 정도가 의원급 의료기관의 항생제 처방률에 미치는 영향)

  • Jo, Changik;Lim, Jae-Young;Lee, Soo Yeon
    • KDI Journal of Economic Policy
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    • v.30 no.2
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    • pp.129-155
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    • 2008
  • The rate of antibiotics prescription for an acute airway infection significantly varies depending upon the diagnosis type, specialty, and the location of the hospital along with many other related factors. The objective of this study is to empirically investigate the possible relationship between the antibiotics prescription rates for an acute airway infection and the degree of competition in the hospital market regions of mainly the providers of primary medical care services such as clinics, internal medicines, pediatrics and otorhinolaryngology department. Using the data from Health Insurance Review and Assessment Service (HIRA) regarding the hospitals' antibiotics prescription rates for the acute airway infection and controlling for selected variables of demand and supply sectors, this study tries to figure out that the degree of competition in the hospital market, regardless of what type of competition indexes we employed, has a statistically significant effect on the variations of antibiotics prescription rate of the clinics in local areas. This result implies that as an economic consideration itself, the change in the degree of competition in the hospital market can play a crucial role influencing the treatment behaviors of the medical doctors. More specifically, this study reveals that as the degree of competition increases the antibiotics prescription rate goes up. This result means that if the market becomes more competitive in a specific region so that it might cause a reduction in doctor's income, doctors with rational decision-making process, recognize that the benefit created from inducing patients' seemingly unnecessary demand for medical care (income effect) would be higher than the costs associated with sustaining their targeted income (substitution effect). It is because that the doctors are more likely to prescribe antibiotics which create relatively higher margins than other medical care services in order to sustain their targeted income when the hospital market competition becomes tighter. Even though this study empirically confirms that antibiotics prescription can be affected by the economic incentives, it still raises following issues as limitations of the study: first issue is about the representativeness of the hospital regions segregated for this study, which might be weak in explaining whether these regions are mutually exclusive in reality. Patients actually consider the quality of services, transportation cost, time costs, and any other related factors choosing the doctors or hospitals, and in that sense, this study rules out 'border-crossing' in using the medical care services. Second issue arises in capturing the data of antibiotics prescription rate. Since we use the average rate for each medical institution, we cannot figure out the average rate for each patient so that we are not able to control for the variation of patients' medical conditions. It is because of the unavailability of data regarding each patient's medical condition from HIRA. Thirdly, since this study mainly analyzes the medical institutions providing primary care such as clinics, internal medicines, pediatrics, and otorhinolaryngology department, it is skeptical of whether those institutions can represent the hospital market in respective regions and truly reflect the degree of competition. It needs to extend the study areas and disease types as well as any micro data for future studies.

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Attitudes of Physician, Nurse and Patient towards Physician's and Nurse's Uniform (의사와 간호사의 복장에 대한 의사, 간호사 및 환자의 견해)

  • Jung, Youn-Heui;Kim, Seok-Beam;Kang, Pock-Soo
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.324-346
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    • 1996
  • A survey was conducted to study attitudes of physician, nurse and patient towards physician's and nurse's uniform, from March 1 to March 31, 1996. The study population was 130 physicians and 147 nurses engaged in Yeungnam University Medical Center and 211 inpatients of Yeungnam University Medical Center. A questionnaire method was used to collect data. The following are summaries of findings: In the respect of physician's uniform, both physicians and nurses preferred other type of gown to the traditional coat-typed one and especially, nurses preferred more than physicians. Patients showed no difference in the preference of the traditional one and other form of gown as a whole but those who had higher educational level preferred other form of gown(p<0.01). Regarding the color of physician's gown, 73.6% of physicians and nurses liked white color, and 86.3% of the patients also liked the white color. Male physicians preferred the white color more than female physicians and nurses(p<0.01). Patients showed no meaningful difference for the color. The opinion of insisting on wearing a necktie when physician see patients was given by male physicians, physicians of fifty or more, physicians working in the field of medicine and professors, which showed significantly higher percentage than other groups(p<0.01). In the group of patiens, the same opinion was given by female, the group of sixty or more, the group of elementary school graduates or less and people residing in other cities and counties more than male, the group of other ages, the group of having higher educational level and people of Taegu city(p<0.01). It tended to agree wearing casual wear of physician during the working time of weekend and holiday as a whole. Younger physicians showed significantly higher preference for it(p<0.05). Regarding the nurse's uniform, both physicians and nurses preferred trousers, and 96% of the nurses did. Especially, nurses who were forty years old or more and who served at outpatient department and administrative and aid parts expressed 100 percent partiality to trousers. For the patients, those who had lower educational level preferred skirt and those who had higher educational level preferred trousers. As to the color of nurse's gown, 46.7% of the physicians and nurses liked white color. The physicians preferred white and nurses preferred other color(p<0.01). Of the patients, 79.1% liked white color. Regarding the wearing cap, 95.9% of the nurses replied it didn't have to wear the cap. The nurses who were fifty or more and who served at outpatient department and special parts gave whole answers of not having to wear the cap. On the other hand, 77.7% of the patients answered nurse had to wear the cap. From the above findings, it would be advisable to give a change to the forms and colors of the gowns to match with the trend and sense of the time instead of insisting on the traditional typical ones.

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