• Title/Summary/Keyword: Medical chart

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Effectiveness of Additional Administration of a Banha-sasim-tang Formulation to Patients with Gastrointestinal Symptoms (KCD K-code) Not Improved by Western Medicines: A Retrospective Chart Review (합성의약품으로 호전되지 않은 소화기 증상 환자(KCD K-코드)에 대한 반하사심탕 제제 병용의 효과 : 후향적 차트 분석)

  • Kim, Cheol-hyun;Kim, Kwangho;Lee, Young-ung;Kang, Sunny;Kang, Geonhui
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1349-1355
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    • 2021
  • Objectives: The aim of this study was to evaluate the effectiveness of additional administration of Banha-sasim-tang formulation to patients with gastrointestinal symptoms that did not improve with Western medicines. Methods: The patients who met the inclusion and exclusion criteria were analyzed retrospectively. A paired t-test was performed on the Nepean Dyspepsia Index-Korean version (NDI-K) scores before and after administering the Banha-sasim-tang formulation. Results: A total of 27 subjects were included. The mean duration of taking the Banha-sasim-tang formulation was 15.6±3.1 days. The most commonly used Western medicine before taking the Banha-sasim-tang formulation was rebamipide. The means of the NDI-K score were 57.4±21.8 before administering Banha-sasim-tang formulation and 34.9±16.5 after administration, and the difference was statistically significant (p<0.0001). No serious side effects were encountered while taking the Banha-sasim-tang formulation. Conclusions: For patients whose gastrointestinal symptoms do not improve with Western medicines, additional administration of Banha-sasim-tang formulation may be an option. However, as this study is a retrospective chart review, prospective, large-scale, double-blind studies are needed in the future.

Statistical Process Analysis of Medical Incidents

  • Suzuki, Norio;Kirihara, Sojiro;Ootaki, Atsushi;Kitajima, Masanori;Nakamura, Shinobu
    • International Journal of Quality Innovation
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    • v.2 no.2
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    • pp.127-135
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    • 2001
  • Personnel engaged in the medical field have implemented continual improvement by team activities in an effort to construct a system that reduces the risks involved in medical care. Knowledge in total quality management (TQM), especially statistical quality control (SQC) developed for industry, seems to be applicable to medical care. This paper describes the application of SQC to continual improvement in medical care.

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Fuzzy Inference in Medical Diagnosis

  • Kim, Soon-Ki
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 1995.10b
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    • pp.92-97
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    • 1995
  • In medical diagnostic process we are dealing with the preliminary diagnosis based on the interview chart. We will quantify the qualitative information of a patient by dual scaling and establish both prototypes of fuzzy diagnostic sets and the fuzzy linear regressions. Its utility is shown in the diagnosis of headache and CAFDDH.

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Intelligence Type Electronic Medical Examination Chart and Data Treatment of Cyber Doctor to Interconnect ASP and SQL (ASP와 SQL을 연동한 사이버닥터의 지능형 전자진료차트와 데이터처리)

  • Kim Seok-Soo
    • Journal of Digital Contents Society
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    • v.4 no.1
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    • pp.57-66
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    • 2003
  • This paper presents the content regarding electronic medical examination chart and data treatment for efficient medical examination and prompt treatment by realizing mutual conversation type remote medical examination system among 3 parties(patient, doctor, pharmacist) on internet base. This is an intelligence type remote medical examination system for both on-line and off-line mode to transcend time and space on the web being participated by anybody, which is cheap type to solve problems in existing remote medical examination system such as high price based on hardware, incompatibility, and so on. By interconnecting ASP and SQL on IIS 4.0 web server, database enables system integration for efficient data processing, on-line consultation between patient and doctor, medical examination on off-line, transmission of medical prescription to pharmacist designated by patient and preparation of medicine, semi-eternal storage of medical examination data owing to storage and search of medical examination data, exact medical examination and prescription using this medical examination data by patient and doctor, and so on.

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A Headache Diagnosis Method Using an Aggregate Operator

  • Ahn, Jeong-Yong;Choi, Kyung-Ho;Park, Jeong-Hyun
    • Communications for Statistical Applications and Methods
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    • v.19 no.3
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    • pp.359-365
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    • 2012
  • The fuzzy set framework has a number of properties that make it suitable to formulize uncertain information in medical diagnosis. This study introduces a fuzzy diagnostic method based on the interval-valued interview chart and the interval-valued intuitionistic fuzzy weighted arithmetic average(IIFWAA) operator. An issue in the use of the IIFWAA operator is to determine the weights. In this study, we propose the occurrence information of symptoms as the weights. An illustrative example is provided to demonstrate its practicality and effectiveness.

Design and Development of Patient-aware System using Mobile Device (모바일 기기를 이용한 환자 자동인식 시스템의 설계 및 구현)

  • Lim, Jae-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.8 no.6
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    • pp.1496-1504
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    • 2007
  • The purpose of this paper, as a part of healthcare research, is to design and development Patient-aware System that will support EMR(Electronic Medical Record) in hospital. A mobile device-based system that can use database of existing EMR, replace existing paper-type chart, and identify patient fast and correctly was developed. To identify patient, RFID(Radio Frequency Identification) was used, and through interworking RFID and the system, it is possible to identify patient automatically. The developed system was tested in the test bed, and the possibility of faster diagnosis and treatment than existing paper-type chart was tested.

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A study of statistical techniques for clinical data about cerebrovascular diseases (중풍임상자료(中風臨床資料)에 대한 통계적(統計的) 분석방법연구(分析方法硏究))

  • Kang, Hyo-Shin;Kwon, Young-Kyu;Park, Chang-Gook;Shin, Yang-Kyu;Kim, Sang-Chul
    • The Journal of Korean Medicine
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    • v.17 no.1 s.31
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    • pp.302-328
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    • 1996
  • I . Objective and significance of the study To design a data acquisition chart, which facilitates data collection and analysis. The chart is also useful for solving problems that arise from personal variations in clinical symptoms and filling the knowledge base of an expert system. II. Content and scope 1. Collect the diagnosis knowledge of cerebrovacular diseases from doctors and analyze it. 2. Design a data acquisition chart. 3. Compare ODS and doctors with respect to their diagnosis results 4. Select patients who are determined to suffer from cerebrovascular diseases using CT(computed tomographic) scan, collect clinical data from them. III. Results and Application The chart be used for data collection and analysis in different medical hospitals, The results of data analysis facilitates collecting clinical data about other diseases and implementing the knowledge base. Also, the collected data serves as a tool for medical education, and cooperative diagnosis of oriental and western medical doctors.

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Pop-up Chart for Managing CRRT Improves the Quality of CRRT Care (전자의무기록 팝업차트를 활용한 CRRT 관리의 질향상 활동)

  • Go, Su-Ryeong;Lee, An-Na;Kim, Ki-Pyo;Chin, Ho-Jun;Na, Ki-Young;Chae, Dong-Wan;Kim, Se-Joong
    • Quality Improvement in Health Care
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    • v.25 no.1
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    • pp.43-51
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    • 2019
  • Purpose: The time lag between the decision to initiate continuous renal replacement therapy (CRRT) and its actual initiation remains a major barrier in our intensive care units. We developed a CRRT pop-up chart on EMR for managing CRRT machines. Methods: This study measured time interval between the decision to prepare the CRRT machine and the actual use of the machine before and after using a CRRT pop-up chart. This study conducted a questionnaire of the medical staff to assess the changes in the quality of CRRT preparation. Results: A total of 95 patients on CRRT is analyzed. The time to find an available CRRT machine is decreased by 24.6%. The time to move a CRRT machine to the patient's bedside is decreased by 55.8%. Medical surveys of 44 nurses gave the following results. 1) The time to apprehend machines for 1 to 3 minutes is improved from 29.5% to 81.8%, and the time to apprehend machines over 3 minutes is decreased from 70.5% to 18.2%. 2) The number (6-all) of known machine locations is improved from 22.7% to 63.4%. 3) Interruption of a nurse's work due to telephone calls asking for the possession of movable CRRT equipment also is improved. Scores of 1-4 are improved from 15.9% to 41%. Scores of 5-7 are reduced from 52% to 15.9%. Conclusions: CRRT pop-up chart is shortened the time lag of CRRT machine preparation, reduced the nurse's phone workload and helped to improve the quality of CRRT care.

A Survey on the Complications Associated with Acupotomy in a Single Korean Medicine Clinic (일개한의의료기관에서 시행한 침도치료 시술 후 이상반응에 대한 설문조사)

  • Jung, Sehun;Woo, Jongwon;Chae, Hyocheong;Oh, Kichang;Choi, Soyoun;Lee, Joohyun;Kang, Kyungho;Chu, Hongmin;Ryu, Myungseok
    • Korean Journal of Acupuncture
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    • v.37 no.4
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    • pp.253-261
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    • 2020
  • Objectives : This study aimed to evaluate adverse outcome associated with acupotomy and compare it with that of acupuncture. Methods : We retrospectively analyzed the chart records of 71 patients who received acupotomy at Daemyung Korean medical clinic from January 7, 2020 to March 6, 2020. We divided the acupotomy treatment area into 10, including the head, hand, chest, knees, shoulders, low back, neck, upper extremities, thighs, and feet. Furthermore, we investigated the adverse effect of acupotomy on those areas after treatment. Data were analyzed using descriptive statistics, and frequency analysis. Results : 'Bruise of specific region' accounted for the largest portion with 29 cases, followed by 24 cases of 'feeling tired and sleepy' and 17 cases of 'itch'. There were 16 cases of 'sustained pain' at the area of treatment, 11 cases of 'fatigue', 5 cases of 'swelling', 5 cases of 'dizziness', 4 cases of 'hematoma'. There were 3 cases of 'vertigo' and 2 cases of 'parathesia' and 'wide bruises', 'headache', 'gastric discomfort', 'bleeding', and 'skin rash' each. There was one case each that experienced 'unclear pronunciation', 'nausea', 'abnormal sweating', 'vomiting' and 'emotional/psychological reactions'. Conclusions : Adverse outcomes associated with acupotomy were mostly 'bruise of specific region', 'feeling tired and sleepy', 'itch', 'sustatained pain', and 'fatigue'. However, no adverse outcome or irreversible damage that have a serious effect on the body were observed.

Evaluation of the Modulation Transfer Function for Computed Tomography by Using American Association Physics Medicine Phantom (컴퓨터단층검사에서 AAPM Phantom을 이용한 변조전달함수 평가)

  • Kim, Ki-Won;Choi, Kwan-Woo;Jeong, Hoi-Woun;Jang, Seo-Goo;Kwon, Kyung-Tae;Son, Soon-Yong;Son, Jin-Hyun;Min, Jung-Whan
    • Journal of radiological science and technology
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    • v.39 no.2
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    • pp.193-198
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    • 2016
  • In clinical computed tomography (CT), regular quality assurance (QA) has been required. This study is to evaluate the MTF for analyzing the spatial resolution using AAPM phantom in CT exam. The dual source somatom definition flash (siemens healthcare, forchheim, Germany), the brilliance 64 (philips medical system Netherlands) and aquilion 64 (toshiba medical system, Japan) were used in this study. The quantitative evaluation was performed using the image J (wayne rasband national institutes of health, USA) and chart method which is measurement of modulation transfer function (MTF). In MTF evaluation, the spatial frequencies corresponding to the 50% MTF for the CT systems were 0.58, 0.28, and $0.59mm^{-1}$, respectively and the 10% MTF for the CT systems were 1.63, 0.89, and $1.21mm^{-1}$, respectively. This study could evaluate the characteristic of spatial resolution of MTF using chart method, suggesting the quantitative evaluation method using the data.