• Title/Summary/Keyword: 환자 선호도

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The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study (음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향 : 단일대상 연구)

  • Lee, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.2
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    • pp.67-75
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    • 2013
  • Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

Design of Automated Negotiation Scheduling System for Medical Services (의료서비스를 위한 자동협상 스케줄링 시스템 설계)

  • Kim, Kyoung-Hwan
    • Journal of Internet Computing and Services
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    • v.9 no.3
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    • pp.59-67
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    • 2008
  • New system solves scheduling problem in medical services. The existing scheduling system by FCFS is for a hospital but new system expresses the condition of a hospital and the profit of separate system's parties by the automated negotiation. This system expresses user preference time as a priority number and is designed that the schedule is changed according to the priority number with a negotiation strategy for a patient. And a hospital makes a schedule according to the policy. The system supports customer satisfaction in medical services by considering not only equipment efficiency but also the patent waiting time unlike the existing system considering the idle time for a equipment.

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A Study on Information Need and Use Behavior of Doctors (의사들의 정보요구 및 이용행태에 관한 연구)

  • Hong, Ki-Sun
    • Journal of Korean Library and Information Science Society
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    • v.39 no.1
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    • pp.33-50
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    • 2008
  • The purpose of this study is to provide for efficient health information service which doctors may use for their better medical practice and scientific research. 177 doctors were surveyed from December 3 to December 21th in 2007. This study mentioned activities of information need and use that were evaluated by information gathering methods used, information source, frequency of use, and degree of satisfaction toward library services. Doctors showed that they need information mainly to know the recent research results in their interesting subject field and to treat a patient. Doctors trended to obtain information through internet search because easy access and easy use, accuracy and up to dateness of information use. Doctors trended to seek information mainly through library, but they showed relatively low frequency of library use because they do not know how to use it.

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The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study (음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향: 단일대상 연구)

  • Lee, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.57-65
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    • 2013
  • Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

Meniscus Allograft Transplantation; Surgical method (동종 반월상 연골 이식술의 술기)

  • Lee, B.S.;Chung, J.W.;Bin, Seong-Il
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.3
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    • pp.175-179
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    • 2010
  • 동종 반월상 연골 이식술은 불가피하게 반월상 연골이 소실된 환자에서 증상을 호전을 위한 매우 효과적인 치료이다. 관절연골의 보호 효과 등 장기적인 결과에 대해서는 아직까지는 많은 연구가 필요한 상태이지만, 이러한 환자에서 반월상 연골의 기능을 회복시키기 대안이 많아 점차 널리 시행되는 추세이다. 이식된 반월상 연골이 제 기능을 하기 위해서는 적절한 수술방법을 통하여 반월상 연골 이식물을 정확한 위치에 이식을 하는 것은 필수적일 것이다. 여러 저자들 마다 서로 다른 다양한 반월상 연골 이식술의 방법들을 사용하고 있지만, 어떤 방법을 선택하던지 간에 이식된 반월상 연골의 전각 및 후각을 해부학적인 위치에 견고하게 고정을 하는 것이 매우 중요하다. 술자의 선호도에 따라 다양한 방법중의 하나를 선택을 할 수 있지만, 어떤 방법이든 수술 술기상의 어려움이 있으므로, 철저한 준비와 노력이 필요할 것이다. 본 종설에서는 반월상 연골 이식술 중 개방적 방법에 대한 간단한 소개와 함께 저자들이 사용하는 관절경을 이용한 수술방법을 정리하였다.

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Reproductive Factor and Food Intake Pattern Influencing on the Breast Cancer Risk in Daegu${\cdot}$Gyungbuk Area, Korea (대구${\cdot}$경북지역 유방암 위험에 영향 미치는 생식적 요인 및 식품섭취 패턴)

  • Lee, Eun-Ju;Suh, Su-Won;Lee, Won-Kee;Lee, Hye-Sung
    • Journal of Nutrition and Health
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    • v.40 no.4
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    • pp.334-346
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    • 2007
  • The present study examined the reproductive factors and food intake pattern which influence on the breast cancer risk in Daegu${\cdot}$Gyungbuk area. The case subjects were 103 patients newly diagnosed as breast cancer at Kyungpook National University Hospital. The control subjects were 159 healthy women selected by frequency matching of age and menopausal status in the same community. The survey was conducted by individual interviews using questionnaires which include general and reproductive characteristics, dietary habits, and food frequency. The odds ratios were calculated by using unconditional logistic regression after adjusting for confounding variables. The mean age of the subjects was 50 yrs, and mean body mass index was significantly high in the patient group than in the control. The patient group had a significantly higher familial history of breast cancer and a significantly shorter breast-feeding period compared to the control group. It has been found no significant relationship between extrinsic hormone use such as oral contraceptives or estrogen replacement therapy and breast cancer risk. In regard of food habits, a high preference for the cooking method of steaming rather than frying, panbroiling or roasting was significantly associated with lower relative risk of breast cancer. The higher intake frequencies of fruits for all subjects, and seaweeds only for postmenopausal subjects were related with a significantly lower relative risk of breast cancer. The results of the study suggest that the possible risk factors for the breast cancer occurrence include high BMI, family history, less breast feeding experience, preference for the cooking method of frying, and less consumption of fruits and seaweeds. This study provides an useful data for nutrition education to prevent breast cancer for the residents in Daegu${\cdot}$Gyungbuk area.

Status of Mixed Grain Diet by People with Diabetes in Jeollabuk-do and Sensory Evaluation of Different Composition of Mixed Grains (전라북도 지역 당뇨환자의 잡곡밥 섭취 실태 및 혼합비를 달리한 잡곡밥의 관능검사)

  • Jung, Eun-Sun;Shin, Dong-Hwa;Doo, Jae-Kyun;Chae, Soo-Wan;Kim, Young-Soo;Park, Young-Min
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.7
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    • pp.1049-1055
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    • 2010
  • This study investigated the status of mixed grain diet by 68 people with diabetes living in Jeollabuk-do and performed sensory evaluation of different composition of mixed grains to improve the sensory characteristics based on the investigation. BMI of all subjects were measured and found that 61.7% were overweight. 94.1% of them ate mixed grains and females ate more mixed grains than males (p<0.05). Most males and females answered that they ate mixed grains for their health. Females added more mixed grains than males (p<0.01). More females (47.1%) than males said they would continue to eat mixed grains (p<0.05). 59% of them said they had eaten mixed grains for more than 3 years. 46.0% of them said they purchased mixed grains at a small mart near their houses. The mostly added grain to rice was black soybean (76.5%). RMGD-50 is composed of six mixed grains excluding nonglutinous rice and has the mixing rate of 50%. RMGD-40 has the mixing rate of 40%. Sensory evaluation was performed and RMGD-50 got lower score ($3.33{\pm}0.68$, $3.50{\pm}0.81$) than RMGD-40 in the appearances and color. RMGD-40 with Control 1 that includes more glutinous grains and Control 2 that is polished rice were compared. RMGD-40 got lower score than Control 1 in its appearances, smell and color, although there wasn't a meaningful difference. For the people with diabetes who are accustomed to mixed grains, the polished rice got the lowest score in moisture amount, gumminess and overall taste ($3.26{\pm}0.82$, $3.48{\pm}0.85$, $3.19{\pm}0.70$). It showed meaningful difference from RMGD-40 and Control 1 (p<0.01). Consequently people with diabetes preferred mixed grains that include more glutinous grains that have lower mixed ratio. So it is necessary to educate the people with diabetes about eating grains for better blood sugar management. Continual study and development of mixed grains that can help people with diabetes to control their blood sugar are necessary.

Assessment of the Quality of Esophago-gastric Anastomosis by Endoscopic Examination -Cervical Versus Intrathoracic Anastomosis- (내시경을 통한 식도-위 문합술의 질 평가-경부와 흉부 문합의 비교-)

  • Shim, Jae-Hoon;Kim, Hyun-Koo;Baek, Man-Jong;Kim, Hark-Jei;Choi, Young-Ho
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.920-926
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    • 2006
  • Background: Mortality and morbidity of anastomotic complications after esophagectomy have gradually decreased in recent years. However, swallowing difficulties and reflux symptoms after esophagogastrostomy continue to be a burden jeopardizing the quality of life. In the present study, we evaluated the quality of esophagogastrostomy by analyzing anastomotic stenosis and reflux esophagitis. Material and Method: A retrospective analysis was made in 74 patients who underwent esophagogastrostomy after esophagectomy by one surgeon between January 1995 and December 2004. 53 patients of them received endoscopic examination during follow-up($29{\pm}23.6$ months, range $5{\sim}111$ months). Reflux esophagitis and stenosis at anastomostic site were analyzed according to the techniques and locations of esophagogastrostomy. Result: The median age at the time of repair was $60.3{\pm}8.87$ years(range $39{\sim}81$ years). 23 patients received a hand-sewn esophagogastric anastomosis and 30 patients a circular stapled one. There was no significant statistical difference in terms of anastomotic stenosis(p=0.64) and reflux esophagitis(p=0.41) between the two groups. Cervical anastomosis was peformed in 26 patients and intrathoracic anastomosis in 27 patients. No significant statistical difference in anastomotic stenosis between the two groups was found(p=0.44), but reflux esophagitis was noted in 3 patients in the cervical anastomosis group and 14 patients in the intrathoracic anastomosis group(p=0.003). Conclusion: Cervical anastomosis was supposed to have a better quality of esophagogastrostomy by lowering the risk of reflux esophagitis. In the future, the comprehensive study including a patient's subjective symptom and Barrett's metaplasia should be performed in larger cases.

Pediatrician Perspectives on the Evaluation and Treatment of Acute Gastrointestinal Infections, Jeonbuk, South Korea, 2002 (전라북도 소아과 개원의의 급성 위장염 환자에 대한 인식 조사)

  • Lim, So Hee;Koe, Yang Sim;Jo, Dae Sun;Lee, Sin Jae;Hwang, Pyoung Han;Kilgore, P.;Nyhambat, B.;Kim, Jung Soo
    • Clinical and Experimental Pediatrics
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    • v.46 no.12
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    • pp.1217-1223
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    • 2003
  • Purpose : This study was conducted to assess clinical practices related to the evaluation and treatment of patients with acute gastrointestinal infection(AGI) in infants and children. This survey also evaluated the current opinion regarding the use of rotavirus vaccine. Methods : This survey was conducted using a self-administered questionnaire provided to 82 pediatricians in private clinics of Jeonbuk province. From April to June, 2002, 63 of 82 pediatricians(76.8 %) responded to the survey. Results : The annual proportion of patients with AGI was 13%. The highest proportion of patients with diarrhea were reported for the months of October through December. For the treatment of diarrhea, pediatricians preferred to prescribe lactobacillus products, oral rehydration solution, enzyme products, anti-emetics, anti-diarrheal formula, nothing by mouth(NPO) and bowel movement inhibitors in descending order of frequency. Most pediatricians(79.4%) prescribed antibiotics in less than 20% of patients with AGI. Amoxicillin was the most commonly prescribed antibiotics followed by trimethoprim/sulfamethoxazole(TMP/SMX) and amoxicillin/clavulanate. Clinical manifestations that pediatricians considered as important factors in prescribing antibiotics were bloody diarrhea, mucoid diarrhea, high fever, persisting disease and abdominal pain. Diagnostic procedures that pediatricians preferred for AGI patients were stool examination(rotavirus antigen, RBC, WBC), abdominal X-ray, and serum electrolytes. Pediatricians had a strong interest in rotavirus vaccine(71.4%). Conclusion : Acute gastrointestinal illness remains a common problem, especially during the winter months in Korea. AGI manifesting as watery diarrhea is appropriately treated with commonly available agents but pediatricians appear ready to consider additional approaches to decrease the sizable disease burden of AGI among children in Korea.

Survey study on the Preference of Dental Medical Personnel for Dental CAD/CAM Milling Machines (치과용 CAD/CAM 밀링기에 대한 치과의료종사자들의 선호도 조사)

  • Song, Eun Sung;Kim, Bongju;Lim, Young-Joon;Lee, Jun Jae
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.188-198
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    • 2018
  • Purpose: Recently, according to the development of digital technology, computer aided design/computer aided manufacture (CAD/CAM) system is widely used for fabrication of various dental prostheses in the field of dentistry. This study aims to survey the present state and awareness of CAD/CAM system on domestic dental field, and to supply the advice for the application of the new system. Materials and methods: In this questionnaire survey was conducted for a total of 298 dentists, dental hygienist and dental technicians of the whole country including the dental hospital of Seoul National University for two months from November to December, 2016 through mail. Results: The most important purpose to consider when purchasing a dental CAD/CAM milling machine were the performance of the milling machine (64.43%) and the use of milling machine was the highest with 49.33% of manufacturing for dental prosthesis and customized implant abutment. In addition, more than 60% of respondents answered positively about the purchase of new milling machine if the CAD/CAM milling machine was improved to satisfactory performance. Conclusion: This survey results show that the improved CAD/CAM milling machine would be play an important role in the dental industry in preparation for digitization and the 4th industrial revolution.