• 제목/요약/키워드: Medical organization

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Perspectives on Clinical Informatics: Integrating Large-Scale Clinical, Genomic, and Health Information for Clinical Care

  • Choi, In Young;Kim, Tae-Min;Kim, Myung Shin;Mun, Seong K.;Chung, Yeun-Jun
    • Genomics & Informatics
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    • 제11권4호
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    • pp.186-190
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    • 2013
  • The advances in electronic medical records (EMRs) and bioinformatics (BI) represent two significant trends in healthcare. The widespread adoption of EMR systems and the completion of the Human Genome Project developed the technologies for data acquisition, analysis, and visualization in two different domains. The massive amount of data from both clinical and biology domains is expected to provide personalized, preventive, and predictive healthcare services in the near future. The integrated use of EMR and BI data needs to consider four key informatics areas: data modeling, analytics, standardization, and privacy. Bioclinical data warehouses integrating heterogeneous patient-related clinical or omics data should be considered. The representative standardization effort by the Clinical Bioinformatics Ontology (CBO) aims to provide uniquely identified concepts to include molecular pathology terminologies. Since individual genome data are easily used to predict current and future health status, different safeguards to ensure confidentiality should be considered. In this paper, we focused on the informatics aspects of integrating the EMR community and BI community by identifying opportunities, challenges, and approaches to provide the best possible care service for our patients and the population.

서울특별시 개원 치과의사의 의료사고 및 분쟁의 유형과 대책에 관한 연구(2004년) (Study on Types and Counterplans of Medical Accident Experienced by Dentists in Seoul(2004))

  • 윤정아;강진규;안형준;최종훈;김종열
    • Journal of Oral Medicine and Pain
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    • 제30권2호
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    • pp.163-199
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    • 2005
  • 치의학계에서는 의료사고를 일으킬만한 중환자나 응급환자의 빈도가 상대적으로 낮아 의료분쟁에 휘말리는 경우가 적었기 때문에, 이에 대하여 비교적 안전지대로 인식되어 왔다. 그러나 요즈음은 남의 일로 보아 넘기기에는 어려울 정도로 의료분쟁이 증가하고 있다. 이런 연유로 최근에 이르러서는 비교적 다양한 의료사고와 분쟁에 관한 연구가 이루어지고 있으며, 적당한 대처를 위하여 관련된 사항을 분석하고 있으나, 자료가 부족한 실정이다. 본 연구는 2004년 현재 서울시치과의사회 소속 개원치과의사 3684명중, 설문지가 회수된 1882명을 연구대상으로 하며, 치과의사를 대상으로 하는 의료배상책임보험이 시행되고 있는 최근의 개원 치과에서 일어나는 의료사고 및 분쟁의 실태와, 일반적인 치과의사들의 의식을 분석하고, 전체적인 흐름을 파악하여 향후대책의 자료를 제시하는 것을 연구목적으로 한 것으로 다음과 같은 결과를 얻었다. 1. 응답자의 98.47%가 향후 의료사고 및 분쟁 발생에 대한 의구심을 가졌다. 2. 응답자의 27.42%가 의료분쟁을 경험하였으며, 전공의 수련여부와 의료분쟁 경험률 사이에는 유의한 차이가 나타나지 않았다. 3. 의료사고 중 치주.보존 관련 사고가 20.50%로 가장 높았으며, 임프란트 관련사고도 6.17%로 나타났다. 4. 응답자의 43.02%만이 치료 전 충분히 설명을 하였으며, 환자의 정확한 동의없이 치료를 시작하는 경우도 25.90%로 나타났다. 5. 설명 및 동의를 시행하지 않아 의료분쟁이 발생한 것은 16.55%이며, 의무기록 관련자료가 부족하여 문제해결에 어려움을 당한 경우는 10.26%로 나타났다. 6. 응급조치를 시행할 수 있다고 생각하는 경우는 49.73%였으며, 이중 정확한 지식을 갖춘 경우는 23.60%로 나타났다. 7. 의료분쟁 발생시 88.09%가 치과의사에게 조언을 구하였으며, 또한 단체로는 구치과의사회에 주로 자문을 구했다. 8. 의료분쟁과 관련하여 소비자보호원으로부터 자료 제출 요구를 받은 경우는 5.26%로 나타났으며, 이들 중 75.61%는 이에 성실히 대응하였다. 9. 의료분쟁을 해결한 후 83.63%는 비교적 안정적인 심리상태를 회복하였다. 10. 응답자의 99.46%가 의료분쟁처리기구가 필요하다고 느꼈으며, 78.58%는 매우 시급하다고 생각하였다. 11. 66.70%의 치과의사가 의료분쟁 경험이 없이도 의료배상책임보험에 가입하였다. 그러나 응답자의 73.36%는 이 상품에 대하여 잘 몰랐으며, 가입자의 93.36%는 분쟁처리과정을 잘 알지 못했다. 12. 79.00%의 응답자가 의료배상책임보험에 가입한 후에는 의료분쟁이 발생하여도 당황스러우나 가입 이전보다는 비교적 안심할 수 있다고 느끼고 있었다. 13. 의료배상책임보험에 의한 분쟁의 해결시 치과의사는 71.92%가 보통이상으로 만족하였으나, 환자는 35.61%만이 만족하였다. 14. 의료배상책임보험의 보완점으로 53.22%가 분쟁의 신속한 해결을 위해서 보험사, 의사, 환자 모두가 합의 유도에 동참해야 한다고 생각하였으며, 또 29.08%의 응답자가 합의과정에서 환자측의 업무방해를 보험사에서 방어해 주기를 바라고 있었다. 이상의 결과들을 볼 때 증가하는 의료분쟁에 대한 인식을 제고하고 이에 대한 교육 및 해결 장치의 보완이 필요할 것으로 사료된다.

Improving Public Medical and Social Services Market Management: Application of Information Technologies

  • Barzylovych, Anastasiia;Malinina, Olena;Gnyloskurenko, Ganna;Borysiuk, Iryna;Yuriy, Rayisa
    • International Journal of Computer Science & Network Security
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    • 제21권7호
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    • pp.257-266
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    • 2021
  • This article examines the features of improving the public management of the market of medical and social services using information technology to improve the efficiency of public activity in modern conditions. The interpretation of the essence of the categories "information technologies" and "information support" is analyzed. The importance of the organization of information support of public authorities in the insurance of the state apparatus of information management for the adoption and solution of state issues of the market of medical and social services has been studied. Issues and system of information support of public management of the market of medical and social services are considered. The stages of the ICT implementation process in the market of medical and social services are described. The tools of state regulation in the market of medical and social services and the introduction of targeted programs for the development of the social sphere and health care are highlighted. Recommendations for improvement are formulated public management of the market of medical services and social way introduction of ICT tools, which provide for the implementation of a set of measures aimed at intellectualizing the entire system public data management spheres. The necessity of development of innovative tools of public management of the market of medical and social services of Ukraine for the purpose of working out of strategies of increase of quality of medical and social services in the XXI century is substantiated. A number of benefits from the implementation of an effective process of application of information support of public management of the market of medical and social services to ensure the efficiency of public authorities of Ukraine. It is proposed to create a "Department of information support of self-government" and electronic health care system (e-Health) to improve the management decision-making process, which will provide an opportunity to accumulate, process, analyze, and as a result, get the expected effect in the form of balanced management decisions by public authorities of Ukraine.

일본 노인보건시설의 공간구성과 유형화에 관한 연구 (A Study on the Space Organizational and Classification of Health Facilities for the Elderly in Japan)

  • 김수이아;김태일
    • 한국실내디자인학회논문집
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    • 제15권6호
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    • pp.178-187
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    • 2006
  • The purpose of this study was analyze the space organizational characteristics of heath facilities for the elderly in Japan, in order to refer them in establishing the planning direction in Korea. Therefore the 79 architectural drawings, which was gathered through mailed self-reported questionnaires in Japan and standard of heath facilities for the elderly have been analysed for this study. The results of the study were following: The spatial composition was categorized into living space, public use space, nursing, medical treatment, management, provision, and home assistance, and daycare. Moreover, coupling method of respective space was diversity according to inmate satisfaction measurement and form of service. In order to do that, this study has classified type of health facilities into 6 types on the basis of the space of position and space organization characteristics. Therefore study shows the functional relationships of spaces, the proportions of departmental areas in each type.

간호사가 인지하는 병원 간호조직의 핵심성공요인 (The Critical Success Factors of Nursing Organizations Perceived by Nurses in a Hospital)

  • 강경화
    • 간호행정학회지
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    • 제10권3호
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    • pp.365-373
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    • 2004
  • Purpose: This study was designed to describe the Critical Success Factors (CSF) of nursing organization perceived by hospital nurses. Method: Data was collected from 12 nurses who were working in the university affiliated medical center in Seoul using interview. To analyze data, content analysis was done. Results: The Critical Success Factors (CSF) of nursing organizations perceived by hospital nurses was classified into 5 categories. The 5 categories (the expectation of nurses' clients, The awareness economic value that nurses perform work, efficient nurses' work process, attractive nurses' work conditions, nurses' grow into professional) include 21 themes and 53 significant statements. Conclusions: The result of this study may be helpful in the strategic performance management of nursing organizations.

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Gamma Ray Shielding Study of Barium-Bismuth-Borosilicate Glasses as Transparent Shielding Materials using MCNP-4C Code, XCOM Program, and Available Experimental Data

  • Bagheri, Reza;Moghaddam, Alireza Khorrami;Yousefnia, Hassan
    • Nuclear Engineering and Technology
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    • 제49권1호
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    • pp.216-223
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    • 2017
  • In this work, linear and mass attenuation coefficients, effective atomic number and electron density, mean free paths, and half value layer and $10^{th}$ value layer values of barium-bismuth-borosilicate glasses were obtained for 662 keV, 1,173 keV, and 1,332 keV gamma ray energies using MCNP-4C code and XCOM program. Then obtained data were compared with available experimental data. The MCNP-4C code and XCOM program results were in good agreement with the experimental data. Barium-bismuth-borosilicate glasses have good gamma ray shielding properties from the shielding point of view.

기능적 자기공명영상을 이용한 뇌활성화 연구 (Neuroactivation studies using Functional Brain MRI)

  • 정경호
    • 대한핵의학회지
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    • 제37권1호
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    • pp.63-72
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    • 2003
  • Functional MRI (fMRI) provides an indirect mapping of cerebral activity, based on the detection of the local blood flow and oxygenation changes following neuronal activity (Blood Oxygenation Level Dependent). fMRI allows us to study noninvasively the normal and pathological aspects of functional cortical organization. Each fMRI study compares two different states of activity. Echo-Planar Imaging is the technique that makes it possible to study the whole brain at a rapid pace. Activation maps are calculated from a statistical analysis of the local signal changes. fMRI is now becoming an essential tool in the neurofunctional evaluation of normal volunteers and many neurological patients as well as the reference method to image normal or pathologic functional brain organization.

Modern Technologies of Personnel Management in the Conditions of Digital Economy Development

  • Boikivska, Galyna;Mokhonko, Ganna;Andrushkiv, Roman;Lytvynova, Larysa;Guk, Olga
    • International Journal of Computer Science & Network Security
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    • 제22권2호
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    • pp.283-289
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    • 2022
  • The main purpose of the study is to determine the main aspects of the introduction of modern technologies in the personnel management system in the context of the development of the digital economy. The human factor is one of the most important resources of any organization, which has a significant impact on the success of its activities. It is people who are the source of advantages that provide the company with victory in the competition. Therefore, the primary task of the organization's management should be the formation of effective personnel management systems. As a result, the main features of the introduction of modern technologies into the personnel management system in the context of the development of the digital economy were identified.

Tissue Specific Expression Levels of Apoptosis Involved Genes Have Correlations with Codon and Amino Acid Usage

  • Hajjari, Mohammadreza;Sadeghi, Iman;Salavaty, Abbas;Nasiri, Habib;Birgani, Maryam Tahmasebi
    • Genomics & Informatics
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    • 제14권4호
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    • pp.234-240
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    • 2016
  • Different mechanisms, including transcriptional and post transcriptional processes, regulate tissue specific expression of genes. In this study, we report differences in gene/protein compositional features between apoptosis involved genes selectively expressed in human tissues. We found some correlations between codon/amino acid usage and tissue specific expression level of genes. The findings can be significant for understanding the translational selection on these features. The selection may play an important role in the differentiation of human tissues and can be considered for future studies in diagnosis of some diseases such as cancer.

수기요법(手技療法)의 계통과 국내 수기요법 연구현황

  • 권휘근;나삼식;이기남
    • 대한의료기공학회지
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    • 제12권1호
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    • pp.50-77
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    • 2011
  • The social demand of manipulative therapy has increased. but the concept, terminology, classification and system of manipulative therapy is unclear. Therefore, academic organization on manipulative therapy is needed. The aim of this study is overview the evolution of manipulative therapy and based on this, we will find out how manipulative therapy is studied in South Korea. Manipulative therapy reflects medical knowledge and trends at the time. Historically people who work as key roles in evolution of manupulative therapy are Hippocrates, Claudius Galen, Acicenna(Ibn Sīnā), Ambroise Paré, Andreas Vesalius, Pehr Henrik Ling, Florence Nightingale, Andrew Taylor Still, Daniel David Palmer, James Beaver Mennell, James Henry Cyriax, Robin Mckenzie, Freddy Kaltenborn, Brian R Mulligan, George Goodheart, Mikao Usui, Wilhelm Reich, Ida Rolf. As the result of articles search, Massage, Chiropractics, acupressure(acupuncture), Chuna, osteopathy, reflexology, CST, Mulligan techniques, Dongbang whalbub, Kaltenborn-Evjenth orthopedic manual therapy are major subject that studied in South Korea.