• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2017년도 추계학술대회
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• pp.552-555
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• 2017

빅데이타의 활용과 개인정보보호의 균형점을 찾기 위해 등장한 것이 비식별화이다. 특히 다양한 준식별자 정보 및 민감정보를 처리하는 의료분야에서는 EMR 및 음성, 카카오톡과 같은 의료 상담, SNS 등의 자료 사용을 위해서는 반드시 비식별화를 하여야 한다. 하지만 이를 위한 독립된 의료정보 보호법 및 비식별화를 위한 법제화도 되어 있지 않는 상황이다. 따라서 본 연구에서 국내외 개인정보 비식별화 현황, 의료정보 비식별화 현황 및 사례 그리고 의료정보 보호와 비식별화를 위한 해결과제와 이슈를 제시한다.

• 농촌의학ㆍ지역보건
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• 제32권2호
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• pp.75-86
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• 2007

Objectives: The research was aimed at analyzing the contents of university intranet for systematically execution of the healthy information provision and healthy consultation services from 2000 January to 2004 December. Methods: We have analyzed 300(28.3%) the instances of accomplished health consultation cases from the whole 1,059 instances which were the replied in a university intranet. Results: According to the contents of health consultation in ICPC code, a general symptom 91 cases(30.3%) was most, muscle-skeletal system 44 cases(14.7%), and digestive system 43 cases(14.3%) in order of cases of health counselling. The symptoms and complaint with 155 cases(51.7%) were most in the distribution of the health counselling contents by 17 charter of ICPC. The most common reason of counselling by 17 charter of ICPC were as follows; questions about the symptom and diagnosis(118 cases, 39.3%), the preventive and treatment methods(91 cases, 30.0%), and medical fee(20cases, 6.7%) in order. We mainly answer on the content of health counselling were as follows; make an offer of medical information and knowledge(48.3%), recommend visit clinic or hospital(23.7%), guide to treatment(12.7%), and so on. Conclusions: This research showed that the program of health counselling may not meet completely the high quality and adequate distribution of health counselling by the intranet in a university by content analysis. The finding suggests that health counselling by intranet in a university may be used to supplement of systemic improvement on the intranet Q/A format from current lack of essential health information and security for the quality of the health counselling.

• 한국병원경영학회지
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• 제25권4호
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• pp.13-28
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• 2020

Purposes: The purpose of this study is to analyze the institutional and personal factors that affect the medical utilization of patients transferred to tertiary medical institutions. Methodology: We retrospectively analyzed the 2 weeks electronic medical records of 1,556 patients, who were referred to the tertiary hospital, from June 15 to 26, 2015. The patient's personal characteristics, referral hospital, referral path, medical experiences and expenses were analyzed for 6 months after the patient's first visit. Findings: The largest proportion (848; 54.5%) of referrals was referred from primary clinic but the referrals of the same tertiary hospital level were one in seven (228; 14.7%) of the patients. Most patients (1,401; 90%) were referred from the clinics and hospitals directly and only one in ten (155; 10%) of the patients utilized the medical referral center. Patients who had been referred from tertiary care institutions had significantly higher medical costs than those referred to primary care (7,560,000 vs 2,333,000 won). The institutional factors including the numbers of visits to outpatient clinic, previous history of hospitalization and operation, consultation to other medical departments and hospitalization fee significantly influenced on medical utility pattern. Personal factors including patient's medical diagnosis and department of disease have a highly correlation with patient's referrals. Practical implications: The medical utilization of medical expenses and experiences is influenced by institutional and individual factors, and it is important to establish a referral system considering the institutional factors of the type of referral hospital.

• 한국융합학회논문지
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• 제1권1호
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• pp.31-39
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• 2010

이 연구의 목적은 2007년 대전시 보건소 금연 클리닉 이용자 중 금연 성공자와 금연 실패자의 일반적 특성과 흡연특성, 금연특성, 그리고 중재요인 등을 분석하여 금연 성공에 영향을 미치는 요인을 알아보고자 했다. 2007년 대전시 보건소 금연 클리닉에 등록된 2,125명을 분석하였다. 참가자의 특성파악을 위한 빈도분석과 특성에 따른 금연성공률의 유의성 검증을 위한 $X^2$-검정, 그리고 각각의 특성이 금연성공률에 미치는 영향력을 파악하기 위해 로지스틱 회귀분석을 시행하였다. 6개월간의 전체 금연 성공률은 39.8% 이었다. 금연 성공 집단에서 남자가 여자보다 더 높은 성공률을 보였다. 또 65세 이상인 집단이 40세 미만인 집단보다 더 금연 성공률이 높았다. 중구보건소가 다른 곳에 비해 높은 금연성공률을 보였다. 금연 성공률에 영향을 미치는 요인에 대한 로지스틱 회귀분석은 나이, 보건소, 2단계 니코틴 패치, 총 상담횟수와 유의성을 보였다. 금연성공률에 대한 총 상담횟수는 다른 유의성 있는 요인보다 높은 비차비를 보였다. 따라서 우리는 총 상담횟수가 금연 성공률과 높은 연관을 가지며 상담이 금연클리닉에서 중요한 역할을 할 것이다.

• 동의신경정신과학회지
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• 제18권3호
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• pp.97-112
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• 2007

Objectives : This study aimed for desirable cure through the investigation of The Patient-Doctor Relationship in Eastern Medicine. Methods : Research materials is data of the patient the doctor and the Patient-Doctor Relationship in Eastern Medicine bibliography except medical theory and clinical contents. Results and Conclusion :. 1. Relatively the doctor's position origin from exorcist has it over patient's that. 2. In spite of clinical doctor, Confucian physician have Confucianism and the ethics so they set The Patient-Doctor Relationship in Eastern Medicine essentially. 3. Each of doctor(the doctor-doctor relationship) emphasize the partnership in the Patient-Doctor Relationship. 4. Patient's choice for doctor is source of the Patient-Doctor Relationship basically and the choice are prudent. 5. The patient must carry into practice psychological and body medical affairs related to health preserving 6. For desirable Patient-Doctor Relationship, doctor's inquire is considered with temper and circumstance and a consultation room are also required stability. 7. Poor Patient-Doctor Relationship are come about when patient is not trust doctor, patient is not follow doctor's order and doctor's indifference to patient.

• 대한소아치과학회지
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• 제21권2호
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• pp.605-610
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• 1994

Resricted opening of the mouth in children can be derived from a variety af extra and intra articular causes. A 5-year-old female patient with an elongated right coronoid process and with congenital missing teeth came to clinic for wearing of esthetic denture. A proper medical consultation and laboratory test had done for assessment a systemic syndrome related to her dental anomalies. The result was that her systemic findings dindn't accord specific signs and symptoms of Hallermann-Streiff syndrome. Unilateral coronoidectomy was fulfilled to improve mouth opening and subsequently endodontic and restorative procedure. Maxillary partial denture was delivered for esthetic problem. The periodic recall medical/dental check-up are recommended.

• 정신신체의학
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• 제1권1호
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• pp.92-97
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• 1993

Successful management of mental symptoms requires proper diagnostic tools and comprehensive treatment including psychotherapy, physical therapy and psychopharmacotherapy. For this purpose. valid and reliable diagnostic instruments need to be developed. and the data regarding various treatment methods in medical and psychiatric comorbid conditions should be available. Because mental symptoms originate from various aspects of biological, psychological and social factors. each aspect may have slightly different therapeutic goal. Alterations in pharmacokinetics and pharmacodynamics of medically ill and/or old patients may complicate the treatment outcomes. Best psychopharmacological treatment needs to be elaborated in various states. Mental symptoms of the medically ill patients may be treated more effectively with an eclectic approach.

• Korean Journal of Acupuncture
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• 제21권2호
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• pp.193-195
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• 2004

Objective : In March 2004, the second Informal Consultation Meeting on Development of International Standard of Acupuncture Point Locations was held in Beijing, China. Methods: Thirteen experts from WHO, Korea, China, and Japan attended the meeting, and they discussed the problems to establish an international standard of acupuncture point locations for education, research and quality of acupuncture treatment. Results and Conclusions : Based on the fundamental principles of respecting and reality, they recommended to determined the location of acupuncture points in the way of combining documentary analysis, clinical practices and factual measurements.

• Journal of Preventive Medicine and Public Health
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• 제40권2호
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• pp.122-129
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• 2007

During the last decade, genomic cohort study has been developed in many countries by linking health data and genetic data in stored samples. Genomic cohort study is expected to find key genetic components that contribute to common diseases, thereby promising great advance in genome medicine. While many countries endeavor to build biobank systems, biobank-based genome research has raised important ethical concerns including genetic privacy, confidentiality, discrimination, and informed consent. Informed consent for biobank poses an important question: whether true informed consent is possible in population-based genomic cohort research where the nature of future studies is unforeseeable when consent is obtained. Due to the sensitive character of genetic information, protecting privacy and keeping confidentiality become important topics. To minimize ethical problems and achieve scientific goals to its maximum degree, each country strives to build population-based genomic cohort research project, by organizing public consultation, trying public and expert consensus in research, and providing safeguards to protect privacy and confidentiality.

• 대한족부족관절학회지
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• 제25권2호
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• pp.72-75
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• 2021

The incidence of Achilles tendon rupture is increasing as more people participate in sports and physical activities. However, whether to treat a complete rupture of the Achilles tendon, conservatively or operatively, is still controversial. Current studies show that the nonoperative treatment of acute Achilles tendon rupture with short-term immobilization for up to two weeks and subsequent accelerated functional rehabilitation with protected weight-bearing results in similar functional outcomes and re-rupture rates compared to those treated surgically. Also, nonoperative treatment does not risk any surgical morbidity such as wound problems, infection, and nerve injury. Therefore, the treatment options for acute Achilles tendon rupture should be carefully chosen in consultation with patients regarding possible clinical outcomes and complications of both treatment options.