• Title/Summary/Keyword: Medical charge

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Considerations for the Introduction and Operation of an Integrated Curriculum in Traditional Korean Medicine Education (한의학교육에서 통합교육과정의 도입과 운영을 위한 고려 사항)

  • Jo, Hak-Jun;Min, Sung-Ho
    • The Journal of Korean Medical History
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    • v.34 no.2
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    • pp.45-63
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    • 2021
  • This study considers the stages of curriculum development for the integrated curriculum of Pusan National University Graduate School & Hospital of Korean Medicine, and specifically the KAS2021 (announced in 2019), improvement measures for the curriculum of the College of Traditional Korean Medicine, and the case of the College of Medicine. The introduction of integrated curriculum in the College of Traditional Korean Medicine starts from the members (doers)' agreement. In the process of development, the organization that represents the members, the organization that sets up a goal and designs the curriculum, and the organization that executes them should fulfill their own roles. The stage of development and operation should have the support system for manpower, institution, administration, and finance. The curriculum (draft) should be concrete enough to be operated in reality. For the smooth operation of integrated education, it is necessary to secure more full-time teachers than before, and it is also necessary to have an organization fully in charge of monitoring and improving the operation. For the introduction and operation of integrated curriculum in Traditional Korean Medicine education, the members' agreement, institutional change, support system, and the cultivation of manpower for the operation/evaluation/development of curriculum should be considered.

Development of Monitor Chamber Prototype and Basic Performance Testing (모니터 전리함 시작품 개발과 기초 성능 평가)

  • Lee, Mujin;Lim, Heuijin;Lee, Manwoo;Yi, Jungyu;Rhee, Dong Joo;Kang, Sang Koo;Jeong, Dong Hyeok
    • Progress in Medical Physics
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    • v.26 no.2
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    • pp.99-105
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    • 2015
  • The monitor chamber is a real time dosimetry device for the measurement and the control of radiation beam intensity of the linac system. The monitor chamber prototype was developed for monitoring and controlling radiation beam from the linac based radiation generator. The thin flexible printed circuit boards were used for electrodes of the two independent plane-parallel ionization chambers to minimize the attenuation of radiation beam. The dosimetric characteristics, saturation and linearity of the measured charge, were experimentally evaluated with the Co-60 gamma rays. The performance of the developed monitor chamber prototype was in an acceptable range and this study shows the possibility of the further development of the chamber with additional functions.

A Comparison of Preceptors' and New Graduate Nurses' Perception of Teaching Effectiveness (신규간호사와 프리셉터가 인지하는 프리셉터의 교수효율성 비교)

  • Kim, Ji-Yang;Kim, Young-Sun;Kim, Chun-Sill;Park, Hyun-Sook;Sin, Mi-Young;Yun, Yeon-Sook;Jo, Yu-Sook;Park, Mi-Mi;Yoo, Moon-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.2
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    • pp.193-202
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    • 2009
  • Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception ($4.07{\pm}.44$) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors ($3.57{\pm}.37$). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

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Web Based Tele-Medicine System including Security Scheme (웹기반 원격진료시스템에서 암호화인증방식이 적용된 회원관리기법)

  • Kim, Seok-Soo
    • Convergence Security Journal
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    • v.5 no.1
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    • pp.19-27
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    • 2005
  • This paper presents the content regarding electronic medical examination chart and data processing for efficient medical examination and fast treatment by realizing remote medical examination system of mutual conversation type among 3 parties(patient, doctor, pharmacist) on internet base, and establishment of database enabled system integration for efficient data processing in both on-line and off-line mode by interconnecting ASP and SQL on IIS 4.0 web server, consultation between patient and doctor, medical examination on off-line mode, transmission of prescription sheet to the pharmacist designated by patient, preparation of medicine, semieternal storage of medical examination data owing to storage and check of medical examination data, more accurate medical examination and prescription using this medical examination data by patient and doctor, and so on. And, data processing between doctor and pharmacist is differently performed based on class such as general member and charge member, and service access right pursuant to this is endowed, so that certification of each member must follow by all means.

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Design and 3D-printing of titanium bone implants: brief review of approach and clinical cases

  • Popov Jr, Vladimir V.;Muller-Kamskii, Gary;Kovalevsky, Aleksey;Dzhenzhera, Georgy;Strokin, Evgeny;Kolomiets, Anastasia;Ramon, Jean
    • Biomedical Engineering Letters
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    • v.8 no.4
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    • pp.337-344
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    • 2018
  • Additive manufacturing (AM) is an alternative metal fabrication technology. The outstanding advantage of AM (3D-printing, direct manufacturing), is the ability to form shapes that cannot be formed with any other traditional technology. 3D-printing began as a new method of prototyping in plastics. Nowadays, AM in metals allows to realize not only net-shape geometry, but also high fatigue strength and corrosion resistant parts. This success of AM in metals enables new applications of the technology in important fields, such as production of medical implants. The 3D-printing of medical implants is an extremely rapidly developing application. The success of this development lies in the fact that patient-specific implants can promote patient recovery, as often it is the only alternative to amputation. The production of AM implants provides a relatively fast and effective solution for complex surgical cases. However, there are still numerous challenging open issues in medical 3D-printing. The goal of the current research review is to explain the whole technological and design chain of bio-medical bone implant production from the computed tomography that is performed by the surgeon, to conversion to a computer aided drawing file, to production of implants, including the necessary post-processing procedures and certification. The current work presents examples that were produced by joint work of Polygon Medical Engineering, Russia and by TechMed, the AM Center of Israel Institute of Metals. Polygon provided 3D-planning and 3D-modelling specifically for the implants production. TechMed were in charge of the optimization of models and they manufactured the implants by Electron-Beam Melting ($EBM^{(R)}$), using an Arcam $EBM^{(R)}$ A2X machine.

Development of CT/MRI based GUI Software for 3D Printer Application (3차원 프린터 응용을 위한 CT/MRI-영상 기반 GUI소프트웨어 개발)

  • Jung, Young-Jin
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.451-456
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    • 2018
  • During last a decade, there has been increased demand for 3D-printed medical devices with significant improvement of 3D-Printer (also known as Additive. Manufacturing AM), which depend upon human body features. Especially, demand for personalized medical material is highly growing with being super-aged society. In this study, 3D-reconstructed 3D mesh image from CT/MRI-images is demonstrated to analyse each patients' personalized anatomical features by using in house, then to be able to manufacture its counterpart. Developed software is distributed free of charge, letting various researcher identify biological feature for each areas.

A Clinical Study on 4 Cases of Tremor Patients with Scalp Acupuncture Therapy and Oriental Medical Treatment (두침(頭鍼)을 병행한 한방치료(韓方治療)를 통한 진전(振顫) 환자(患者) 4례(例)에 대한 증례 보고)

  • Lim, Jung-Hwa;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.181-190
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    • 2004
  • Tremor is the common symptom clinically and often be continuous with the brain cortex function. Scalp Acupuncture was designed by connecting the Meridian theory with brain cortex functional theory. We carried out four patients with tremor. We operated Scalp Acupuncture on the chorea-tremor area in connection with precentral gyrus which is in charge of the motion of the opposite part of body about 20 minutes. Herbal medication and the other oriental medical treatments were performed. After our treatments, tremor and some other symptoms were improved.

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Design of Medical Record Algorithms

  • So Yo-Hwan;Kim Seok-Soo
    • International Journal of Contents
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    • v.1 no.2
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    • pp.18-21
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    • 2005
  • The following suggested algorithm is completed care report for the family medical history. Rn=$U\;Pnj+U\;Dn^i$ : (j=1,2,...,j), (i=1,2,...,i), (n=1,2,...,n) The Rn(completed care report) integrates comprehensive patients reports ranging from patient $P^2\;to\;P^j$ including $P^1$ (oneself) with the doctors' care reports up to the care No. no by i number of doctors ($D^1$ =doctor in charge, $D^{2,3...i}$=doctors on corporation program.) This approach, since a participation in a family membership effectuates all of family members, can minimize the membership fees, thus enabling inter-family health care on a home doctor basis.

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Job Satisfaction and Organizational Commitment of Quality Improvement Coordinators in General Hospitals (종합병원 질향상 사업 담당자의 직무만족과 조직몰입에 관한 연구)

  • Park, Mi Hyun;Cho, Woohyun;Seo, Yong-Joon;Lee, Sunhee
    • Quality Improvement in Health Care
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    • v.5 no.2
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    • pp.278-294
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    • 1998
  • This study was planned to provide basic data for activating quality improvement by genera hospital with more than 400 beds across the country, of which 65 coordinators answered. Main results of the study are as follows.. 1. Job satisfaction and organizational commitment by individual characteristics were compared. It was revealed that the sense of self-efficacy was related to job satisfaction positively. But job satisfaction and organizational commitment by locus of control showed no significant difference. 2. In terms of the characteristics of QI activities, the active participation of QI coordinators in QI planning process and smooth communication among hospital staffs were showed positive relationship to job satisfaction significantly. 3. Also support system was proposed as most significant variable related to the job satisfaction and the organizational commitment of QI coordinators. Especially support to QI activities by CEO's, seniors, and other hospital staff was a factor to enhance the job satisfaction and organizational commitment of QI coordinators. 4. In the aspect of organizational culture, culture which were tendency to be recognized high autonomy in their work and organizational identity strongly and to operate reasonable compensation system were related to job satisfaction and organizational commitment positively. The more formalized climate, supportive communication, cooperative teamwork and promoting creative/risk take behavior, it showed the higher organizational commitment. 5. For the aspect of QI job characteristics, QI coordinators' job satisfaction was high when QI office was arranged for independent department which was exclusively in charge of QI activities and their role is exclusively in charge of QI. It can be concluded that organizational support in the aspect of relation and finance and efforts of encouraging their motivation and providing on the job training program are need.

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Operation Fee and Insurance Charge of Hallux Valgus Surgery (무지 외반증의 수술비 및 보험)

  • Song, Ha-Heon;Shim, Dae-Moo;Kim, Dong-Churl;Kweon, Seok-Hyun;Kim, Jong-Yun
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.238-241
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    • 2006
  • Purpose: The purpose of this study was to figure out the appropriate and systemic insurance charge for the hallux valgus operations. Materials and Methods: 5 Hospitals for hallux valgus operations were analyzed how they have been charging the national health insurance corporation for their operation fees and how to use the estimated guide and authoritive interpretation through the guide book of health insurance medical treatment grant expense and the guide book of Health insurance medical treatment. Results: There are nothing for guiding principle of hallux valgus operations in both books but a guide of Mcbride operation which is approved 'JA-93-KA and JA-31' for operation fee. So majority of hospitals have charged operation fee depending on their own interpretations they like. According to the guide books, there was a authoritive interpretation that simultaneous operation of osteotomy and tendon transfer for cerebral palsy and flat foot can be eatimated as 'osteotomy+JA-93-NA'. Conclusion: Distal soft tissue procedure should be approved as 'JA-93-NAx100%+JA-31x50%' according to the the estimated guide and authoritive interpretation if transected adductor hllucis is transfered to first metatarsal head. So distal chevron osteotomy could be 'JA-30-1-RAx100%+JA-31x50%', proximal metatarsal osteotomy could be 'JA- 93-NAx100%+JA-31-50%+JA-30-1-RAx50%', first metatarsocuneiform joint arthrodesis could be 'JA-93-NAx100%+ JA-31x50%+JA-73-RAx50%'.

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