• 제목/요약/키워드: Medical using

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과체 토법을 병용한 한방치료의 비정형안면통 치험 2례 (Two Cases of Atypical Facial Pain Using Orental Medical Treatment with Melonis Calyx Vomiting Therapy)

  • 김태연;이창원;강주영;김창환
    • 한방안이비인후피부과학회지
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    • 제27권4호
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    • pp.189-199
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    • 2014
  • Objective : The purpose of this study is to report the efficacy of using oriental medical treatment(herb-medicine, acupuncture) with Melonix Calyx Vomiting Therapy for atypical facial pain. Methods : We experienced two cases of atypical facial pain treated with oriental medical treatment(herb-medicine, acupuncture) and Melonix Calyx Vomiting Therapy(MCVT). MCVT is a traditional treatment, which induces vomiting by eating Melonix Calyx powder with water. To evaluate the results of this treatment, we used the Visual Analogue Scale(VAS) and Pain Rating Scale(PRS). Result : After using MCVT with oriental medical treatment, VAS, PRS and clinical symptoms of 2 patients were improved remarkably. Conclusion : This study suggests that using MCVT with oriental medical treatment is effective on atypical facial pain.

의료 화상 정보 시스템의 설계 및 구현 (Design and Implementation of Medical Image Information System)

  • 지은미;권용무
    • 대한의용생체공학회:의공학회지
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    • 제15권2호
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    • pp.121-128
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    • 1994
  • In this paper, MIlS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemnted system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression! decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network.

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의료급여비용 증가에 공급자 유인효과가 미치는 영향 (The Impact of Supplier Induced Demand on Increase in Medical Aid Expenditure)

  • 신현웅;윤장호;노연홍;여지영
    • 보건행정학회지
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    • 제24권1호
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    • pp.13-23
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    • 2014
  • Background: A need arises to efficiently control health expenditure for medical aid due to a sharp increase in medical aid expenditure. This study experimently analyzes the impact of physician behavior on medical use for medical aid beneficiaries using supplier induced demand (SID) theory. Methods: This study looks into analyze SID effect using expenditure factor analysis of medical aid for the years between 2003 and 2010 in comparison with health insurance. Moreover, this study analyzes the existence and scale of SID using econometrics modeling with panel data on 16 cities and provinces's health expenditure data for medical aid from 2003 1/4 to 2010 4/4. Results: This study finds that the growth rate of visit days per capita and treatment amount per visit days for medical aid is higher than health insurance. Furthermore, the result of econometrics modeling analysis shows the existence of SID in general hospital, hospital, clinic, oriental clinic. Conclusion: In order to efficiently control expenditure for medical aid, it is required to reinforce macro polices such as the introduction of 'target management' and micro policies such as the strengthen of management on medical institutes in the perspective of suppliers as well as regulations of demanders.

Development of a Wide Dose-Rate Range Electron Beam Irradiation System for Pre-Clinical Studies and Multi-Purpose Applications Using a Research Linear Accelerator

  • Jang, Kyoung Won;Lee, Manwoo;Lim, Heuijin;Kang, Sang Koo;Lee, Sang Jin;Kim, Jung Kee;Moon, Young Min;Kim, Jin Young;Jeong, Dong Hyeok
    • 한국의학물리학회지:의학물리
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    • 제31권2호
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    • pp.9-19
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    • 2020
  • Purpose: This study aims to develop a multi-purpose electron beam irradiation device for preclinical research and material testing using the research electron linear accelerator installed at the Dongnam Institute of Radiological and Medical Sciences. Methods: The fabricated irradiation device comprises a dual scattering foil and collimator. The correct scattering foil thickness, in terms of the energy loss and beam profile uniformity, was determined using Monte Carlo calculations. The ion-chamber and radiochromic films were used to determine the reference dose-rate (Gy/s) and beam profiles as functions of the source to surface distance (SSD) and pulse frequency. Results: The dose-rates for the electron beams were evaluated for the range from 59.16 Gy/s to 5.22 cGy/s at SSDs of 40-120 cm, by controlling the pulse frequency. Furthermore, uniform dose distributions in the electron fields were achieved up to approximately 10 cm in diameter. An empirical formula for the systematic dose-rate calculation for the irradiation system was established using the measured data. Conclusions: A wide dose-rate range electron beam irradiation device was successfully developed in this study. The pre-clinical studies relating to FLASH radiotherapy to the conventional level were made available. Additionally, material studies were made available using a quantified irradiation system. Future studies are required to improve the energy, dose-rate, and field uniformity of the irradiation system.

한 지역 권역 응급의료센터 내원환자의 이용 행태 분석 (A Study on the Operation Regional Emergency Medical Center and the Using Behavior by Visiting Patients)

  • 류황건;송현경;김혜숙;김태곤
    • 보건의료산업학회지
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    • 제1권1호
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    • pp.110-124
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    • 2007
  • Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.

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119구급대원의 아나필락시스 환자에 대한 병원 전 응급처치 현황 및 개선 방안 (Prehospital care status and improvement plan of 119 emergency medical technician to anaphylaxis patients)

  • 최장희;조유환;최은숙
    • 한국응급구조학회지
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    • 제20권1호
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    • pp.57-70
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    • 2016
  • Purpose: This study aims to analyze the current state of emergency care for patients with anaphylaxis and to identify problems and areas for improvement in prehospital care. Methods: This study was conducted using 119 emergency running sheets and medical records of 109 patients diagnosed with anaphylaxis. Questionnaires were also given to emergency medical technicians (EMTs) and emergency physicians. The data were analyzed using SPSS 21.0. Results: Prehospital emergency care included oxygen administration in 64.2%, an intravenous line in 15.6%, and medication injection in 11.0%. The most commonly administered medications were antihistamines in 66.7% and epinephrine in 8.3%. Of EMTs surveyed, 47.0% suggested an epinephrine injection and using direct medical control, while 53.8% of the emergency physicians suggested an epinephrine injection and using indirect medical control. Most emergency physicians 88.8% responded that epinephrine could be administered by EMTs. Conclusion: The data support epinephrine injection of patients with anaphylaxis by EMTs, but a larger sample size of EMTs is required. Education about the treatment of anaphylaxis should be improved for EMTs. The scope of paramedic responsibilities should also be redefined.

진료 에피소드를 이용한 협진 의료이용 현황 분석 : 건강보험심사평가원 청구자료를 중심으로 (An Analysis on Present Condition of the Cooperative Medical Care Using the Episode of Care : Claims Data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE)

  • 엄태웅;김남권;김신아
    • 대한예방한의학회지
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    • 제19권2호
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    • pp.51-56
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    • 2015
  • Objective : We analyzed present condition of cooperative medical care using claims data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE form patients treated by Korean-Western cooperative medicine. The study aimed to offer guidelines in selecting disease-related research in developing Korean-Western convergence technology. Method : Based on the patients using Korean medical service, we analyzed claims data of patients using Korean medical service and western medical service from January 2012 to December 2013. We were assigned to the server remotely. With the concept of 'episode of care', we rebuilt claims data and analyzed present condition of cooperative medical usage. Results : We analyzed present condition of cooperative medical care per episode of care. Among outpatients, Low back pain, lumbar region(M5456) was the highest number. Among inpatients, Sciatica due to intervertebral disc disorder(M511) was the highest number. Conclusion : Based on the claims data provided by HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE, we have derived a list of multy frequently disease frequently treated by cooperative medical care by analyzing present condition.

한국 한방의료관광에 대한 중국 관광객 인식도 조사연구 (Survey of Awareness of Chinese Tourists on Korean Medical Tourism)

  • 이정만;문경원;이정열;김응석;손창규
    • 대한한방내과학회지
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    • 제33권1호
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    • pp.54-61
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    • 2012
  • Objectives : This study aimed to obtain general information for the design of a medical tourism plan toward Chinese using Korean medicine (KM). Methods : A questionnaire was asked of Chinese tourists regarding of Korea traditional medical tourism. 148 valid responses were obtained and their awareness of KM, and preferred subject and decision factors for their participation in Korea traditional medical tourism were analyzed using SPSS version 12.0. Results : 72% of respondents showed over a moderate degree of interest in medical tourism of KM. The most preferred subject was skin aesthetics, followed by medical check-ups and rehabilitation. Medical skill level, communication, and medical cost were indicated as the important factors for participants' decisions about KM-based medical tourism. Conclusions : Medical tourism could be a potential avenue for development by the KM-based Korean medical industry. Cosmetic-associated medical services are recommended, and enhanced public relations about KM-medical skill levels are strongly suggested for Chinese tourists.

Medical Image Authentication over Public Communication Networks using Secret Watermark

  • Oh Keun-Tak;Kim Young-Ho;Lee Yun-Bae
    • Journal of information and communication convergence engineering
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    • 제2권3호
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    • pp.167-171
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    • 2004
  • The evolution of modern imaging modalities, followed by the rapid development of computer technology has introduced many new features in the communication networks used in medical facilities. Since it is very important to keep patient's record accurately, the ability to exchange medical data securely over the communication network is essential for any medical information. In this paper, therefore, we introduce some problems which occur from digitizing medical images such as MRI (Magnetic Resonance Imaging), CT (Computed Tomography), CR(Computed Radiography), etc., and then we propose a authentication mechanism for medical image verification using secret watermark images.