• 제목/요약/키워드: medical certificate

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국제의료관광코디네이터 자격시험에 대한 의료관광 담당자들의 인식 연구 (Research of Awareness of the People in Charge of Medical Tour Regarding the Qualifying Examination of International Medical Tour Coordinator)

  • 류황건;한유진;장원혁;김주전
    • 보건의료산업학회지
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    • 제8권3호
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    • pp.63-73
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    • 2014
  • This research seeks opinions and development plan in forceful measures of qualifying examinations analyzing awareness of people in charge of medical tour about the qualifying examination system of international medical tour coordinator. The result of research shows the relatively positive awareness towards the qualifying examination and its system of international medical tour coordinator. Regarding the examination subjects, score about the necessity of subject where medical professionalism is considered marked high(4.01). About whether they would take the test or not, there was careful difference in the awareness of examination system(0.019) and operation method(0.004.). For the qualifying examination to be settled and thus to reinforce the professionalism, it is considered essential to have improvement in the problems of treatment towards acquisitors of certificate and awareness of field regarding the certificate, and review of supplementary subject aimed at the reinforcement of medical professionalism in terms of examination subjects.

Possible Effect of Implementing a National Query Program on Site-Specific Cancer Mortality Rates in Taiwan

  • Lin, Ching-Yih;Cheng, Tain-Junn;Peng, Hua-Chun;Chen, Lea-Hua;Huang, Shiuh-Ming;Lu, Tsung-Hsueh
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.793-796
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    • 2014
  • Background: This study aimed to examine possible effects of implementing a national query program on site-specific cancer mortality rates. Materials and Methods: A total of 2,874 query letters were sent out by the Department of Statistics, Ministry of Health and Welfare of Taiwan between January 2009 and December 2011 to medical certifiers who reported "neoplasm with uncertain nature" on the death certificate asking for more detailed information for coding. Results: Of the 2,571 responses, in 1,398 cases (54%) medical certifiers were still unable to determine the nature of the neoplasm. There were four neoplasm sites for which more than 50% of the responses changed the category to malignant, the gastrointestinal system (73%), urinary system (60%), stomach (55%) and rectum (53%). The liver was the cancer site that showed the largest absolute increase in the number of deaths after the query; however, the brain showed the largest relative increase, at 12%. Conclusions: Different neoplasm sites showed different magnitudes of change in nature after the query. Brain cancer mortality rates exhibited the largest increase.

IC 카드에 의한 원외 전자처방전 보안을 위한 시스템 구축 (Implementation of the Electronic Prescription Security System Using by an If Card)

  • 강세나;이기한
    • 정보처리학회논문지C
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    • 제10C권3호
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    • pp.281-286
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    • 2003
  • 최근 환자의 개인적인 의료정보가 외부에 노출되는 것은 사생활적인 측면뿐 아니라 사회 활동 및 환경에도 영향을 준다. 그러므로 불법적인 조작으로부터 환자의 개인적인 의료정보를 안전히 보호하는 것은 중요하다. 이에 본 논문에서는 첫 번째, IC 카드에 전자처방전 정보를 저장하는 방법을 연구하고 두 번째, IC 카드에 저장된 정보에 접근하기 위한 사용자(의사, 간호사, 의료기관 관계자, 약국, 약사, 환자 등)의 접근 권한을 설계한다. 마지막으로 윈도우즈 2000이 지원하는 인증 관리 모델의 보안 API를 이용하여 인증서를 발급하고, 보안 서비스 제공 프로그램을 이용하여 공개키/개인키를 생성하여, 전자처방전에 대해 전자서명을 한다. 본 논문에서 제시한 시스템은 전자처방전의 안전성과 신뢰성을 확실히 보장할 수 있으며, 진료에 대한 서비스를 향상시킬 수 있을 것으로 기대된다.

강동구 어린이급식관리지원센터 등록 시설의 식품알레르기 관리 현황 (Management of Food Allergy in the Facilities Registered at Center for Children's Foodservice Management in Gangdong-gu)

  • 김순미
    • 대한지역사회영양학회지
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    • 제26권5호
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    • pp.396-407
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    • 2021
  • Objectives: We examined the common allergenic foods, symptoms and management of food allergies in children attending the facilities registered at Center for Children's Foodservice Management in Gangdong-gu, Korea. Methods: The survey was conducted among the directors or head teachers of 186 children's food service facilities with 7,591 children in 2019. The questionnaire consisted of three parts, including general information about food service facilities, information related to food allergies and allergenic foods and symptoms in individual children. Results: The number of children with food allergy was 271 (3.6%), and the proportion decreased with the increase of age. There were 91 children (33.6%) with a medical certificate, and these children had a significantly higher number of allergenic foods and symptoms than those without a medical certificate. Allergenic food groups included meat, fish, eggs and legumes (59.1%), fruits (12.4%), milk and dairy products (8.9%), cereals (7.8%), vegetables (6.2%), processed foods (3.8%) and oils and sugars (1.9%). Eggs accounted for 22.1%, followed by peanut and tree nuts (18.6%), fruits (12.4%), milk and dairy products (8.9%), shellfish (8.6%), vegetables (6.2%), fish (5.7%), cereals (4.3%) and meat (1.1%). The common allergenic foods were eggs, peanuts, walnuts, kiwi, shrimp, milk, tomatoes, mackerel, blue-green fish, peaches, shellfish (clams and abalone), buckwheat, wheat and soybeans. The most common allergic symptoms were skin and mucous membrane symptoms, such as hives, rash, itching and oral angioedema. Meal management for children with food allergies showed different trends depending on the causative food. Conclusions: The objective diagnosis by an allergist should be done for food allergy management in children's catering facilities. A system for systematic meal management of causative foods should be prepared.

수면무호흡증의 이해와 언더라이팅 접근 (Review of Obstructive Sleep Apnea and Persepectives of Life Insurance Underwriting)

  • 최소영
    • 보험의학회지
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    • 제31권1호
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    • pp.29-33
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    • 2012
  • Nowadays, obstructive sleep apnea is being important to life insurance industry. Many life applicants submit their attending physician's statement, diagnostic certificate, and results of polysomnography to underwriters. So It's necessary to perform evidence-based medical approach. I hope this article is helpful to insurance doctors and underwriters.

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개인키 위탁관리 서버를 이용한 전자의무기록 지문인증 모델 (An Fingerprint Authentication Model of ERM System using Private Key Escrow Management Server)

  • 이용준;전태열
    • 한국산학기술학회논문지
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    • 제20권6호
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    • pp.1-8
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    • 2019
  • 의료정보는 환자에게 중요한 개인정보로써 반드시 보호되어야 하는 중요 정보이다. EMR((Electronic Medical Records) 시스템은 개인정보와 의료정보가 유출될 경우, 환자의 사생활 침해 등 매우 심각한 피해를 초래할 수 있어 EMR 시스템의 의료정보는 사용자 접근에 관한 제어 및 통제 강화 등 높은 보안성이 요구되는 시스템이다. 특히 의료인이 전자의무기록에 접근할 때, 보안이 강화된 신원확인에 대한 인증방식이 반드시 필요하다. 그러나 기존의 공인인증서 기반의 인증모델은 개인키 관리, 권한위임 등의 문제로 인해 전자의무기록의 보안 특성을 반영하지 못하였다. 본 연구에서는 기존의 전자의무기록(EMR) 시스템 접근 시 문제점을 해결할 수 있는 보안이 강화된 지문인식 기반 인증 모델을 제안한다. 제안한 인증 모델은 PEMS(Private-key Escrow Management Server)를 이용한 EMR 지문인증 모델로서, 개인키 위탁 프로토콜과 개인키 인출 프로토콜을 적용하여, 개인키 관리와 권한위임 문제를 해결할 수 있도록 하였다. 제안한 인증 모델은 성능 실험을 통해 기존의 공인인증서 기반 인증에 비해 수행시간 단축된 것을 확인할 수 있었고, 기존 전자서명 비밀번호 방식을 대체 가능하며, 사용자의 편의성이 증가된 장점이 있다.

한의사의 USMLE 지원과 해외 진출 (USMLE Application and Overseas expansion of TKM doctors)

  • 조현주;최혁용;최현;안상영
    • 한국한의학연구원논문집
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    • 제14권3호
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    • pp.149-154
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    • 2008
  • With sophisticated clinical skills and the effectiveness of Traditional Korean Medicine(TKM), many TKM doctors look forward to over seas expansion. About 450 TKM doctors had NCCAOM certificate, but only 40 TKM doctors arc in US now. Because The status of NCCAOM certificate in USA is not adequate enough for TKM doctors to perform medical treatments. In case of US, State medical boards depend to a large extent on the Educational Commission for Foreign Medical Graduates(ECFMG) for certification of international medical graduates (IMGs) seeking licensure in the United States. In addition to receiving certification that includes verification of education credentials, IMGs must pass Steps I and II of the USMLE. In order to obtain a license to practice in the United States, IMGs must successfully complete a residency in a program approved by the American Council of Graduate Medical Education(ACGME) and the complete Step III, the final step in the USMLE. TKM doctors, in the prospective of overseas expansion, applied to ECFMG and their applications have been rejected. This circumstance happened because Korea is unique country in the world with two different medical licensing system, Oriental and Western, both being physician workforce. Rejection by ECFMG occurred because of their minimal understanding of Korea's situation, while the responsibility to inform, propagate and protect TKM doctors own rights depend exclusively to Korean government, TKM doctor oneself and its related organizations, all the members should endeavor on it.

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병원코디네이터의 직무성과 인식 (A Study on Performance Perceptions of Hospital Coordinators)

  • 조경원;김창환
    • 보건의료산업학회지
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    • 제3권1호
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    • pp.25-32
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    • 2009
  • The goal of this paper is to estimate firm performance of hospital coordinators through a survey on employees of medical institutions placed in Busan and Ulsan. The survey for this paper is constituted by 34 questions of 4 groups related to firm performance, qualification requirement, general fact and a certificate of qualification. The survey was carried out from September 12th, 2008 to September 24th 2008 and 388 question sheets collected finally and used for result analysis. In the result analyses related to hospital coordinator and firm performance, we found some principal outcomes such that 88.6% of respondents approved that hospital image by patients and customers is raised, 87.7% of respondents approved that degree of patient's satisfaction on hospital services is raised, and 81.5% of respondents approved that employees recognized importance of services on customers, by hospital coordinators. In the result analysis on differences in firm performance by presence of a certificate of qualification for hospital coordinator, there were meaningful differences in degree of patient's satisfaction, financial performance and degree of employee's recognition on importance of services. From the all of the above results, we verified that establishment and improvement of educational process for hospital coordinator should be performed through researches on degree of patient's and costumer's satisfaction for hospital coordinator, degree of hospital coordinator's satisfaction for the job and surveys of requirements from related industry.

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Digitalization of Seafarer's Book for Authentication and e-Navigation

  • Huh, Jun-Ho;Seo, Kyungryong
    • Journal of Information Processing Systems
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    • 제15권1호
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    • pp.217-232
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    • 2019
  • Currently, the crew working on a ship is required to carry a seafarer's book in most countries around the world, including the Republic of Korea (ROK). Yet, many fishermen working in the international waters of the ROK do not abide by this rule as the procedure of obtaining it is rather inconvenient or they do not understand the necessity or the benefits of having it. Also, as the regulation of carrying the certificate has been strengthened, it is important for them to avoid making a criminal record unintentionally. This study discusses the digitalization of the seafarer's book based on several security measures in addition to BLE Beacon-based positioning technology, which can be useful for the e-Navigation. Normally, seamen's certificates are recorded by the captain, medical institution, or issuing authority and then kept in an onboard safe or a certificate cabinet. The material of the certificates is a cloth that can withstand salinity as the certificate could be contaminated by mold. In the past, the captains and their crews were uncooperative when the ROK's maritime police tried to inspect several ships simultaneously because of the time and cost involved. Thus, a system with which the maritime police will be able to conveniently manage the crews is proposed.

군복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군의 MMPI-2-RF 프로파일 (Clinical Characteristics of Psychiatric Patients with Military Issues Using MMPI-2-RF)

  • 성기혜;박지현;김근향;이상혁;박은희;최지영
    • 정신신체의학
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    • 제25권1호
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    • pp.33-45
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    • 2017
  • 연구목적 본 연구는 군복무 적합성에 대한 정밀평가 및 병사용 진단서를 목적으로 정신건강의학과에 내원한 환자군의 심리적 특성을 확인하고자, 일반적인 정신과적 치료를 위해 내원한 환자군과의 비교를 통해 차이를 분석하였다. 방법 정신건강의학과에 내원한 18세에서 27세까지의 남성환자 총 319명을 병사용 진단군 165명과 일반내원군 154명으로 분류하였다. 독립표본 t-test, ANCOVA, 절단점을 초과하는 사례수에 대한 ${\chi}^2$ 검정을 통해 두 집단 간 MMPI-2-RF의 척도들의 차이를 비교하였다. 결과 두 집단 간 연령 및 교육수준의 차이가 유의하였다. 두 집단은 MMPI-2-RF의 타당도 척도, 상위차원척도, 재구성 임상척도, 특정문제척도, 성격병리 5요인척도 모두에서 차이가 있었다. 두 집단 간 차이를 조사하기 위해 시행한 세가지 분석 모두에서 유의한 차이를 보인 척도는 EID, RC7, HLP, SFD, SAV, SHY, DSF, INTR-r이었다. 결론 군복무 적합성 평가가 의뢰된 환자군의 경우, 일반내원 환자군에 비해 정서적 고통의 수준이 유의하게 높았으며, 무력감이나 자신감 저하, 대인관계에서의 어려움이 더욱 현저한 것으로 시사되었다. 더불어 병사용 진단 군에서 보인 타당도 척도의 상승을 고려하여 향후 연구에 대한 제언을 하였다.