• 제목/요약/키워드: medical chart

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방사선종양학과 의료정보관리시스템 개발 (The Development of Medical Information Management System of Radiation Oncology Department)

  • 이동훈
    • 한국정보통신학회논문지
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    • 제14권3호
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    • pp.655-662
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    • 2010
  • 로터스 노츠 서버/클라이언트 시스템을 통하여 방사선종양학과에서 방사선치료를 받는 환자의 선상 정보, 모의 조사, 질병 정보 및 방사선치료와 관련된 모든 정보를 전산화하기 위한데이터 베이스를 구축하고 정보 입출력을 위한 사용자 인터페이스를 개발하였다. 방사선종양학과 내 전자차트의 개발을 통하여 그 동안 문서상에서 운영되던 진료 및 치료 업무를 전산화하고 과내의 업무를 유기적으로 연결함으로서 치료자가 치료 정보를 쉽게 얻고 분석하여 치료의 정확성, 환자대기 시간의 단축, 진료예약 및 치료업무의 편리성을 도모하고자 한다.

성기사마귀환자 326명의 한의학적 치료에 대한 후향적 연구 (Korean Medicine Treatment for 326 patients with Genital Warts : Retrospective Chart Review)

  • 이경엽;이은;조내경
    • 한방안이비인후피부과학회지
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    • 제28권4호
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    • pp.196-207
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    • 2015
  • Purpose : To observe effects of Korean Medicine treatment for genital warts.Methods : In a single private clinic from February 2014 to February 2015, we did retrospective chart review for 326 patients with genital warts who had been treated by Korean Medicine. Korean Medicine treatment included herbal treatment and herbal ointment.Results : A total of 326 patients were enrolled in this study: 62.7%(n=219) male, 32.8%(n=107) female. In the type of diagnosis, new diagnosis was 45.4%(n=148) and recurrent disease was 54.6%(n=178). Complete clearance was achieved 63.2%(n=206) and treatment period was 3.5 months(range:1-9). Partial clearance-good was 15%(n=49), partial clearance-poor was 4.9%(n=16), non response was 16.9%(n=55) and the average treatment period was 4.3 months(range:1-14). In complete clearance group, female and the prevalence of less than 1 year were statistically significant(p<0.05). There was no recurrence of genital warts after TKM treatment during follow-up period(4-13months).Conclusion : This study suggest that Korean Medicine may be an effective treatment for genital warts.

당뇨 환자의 체중감량을 위한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰 (Gamitaeeumjowee-Tang for weight loss in diabetic patients: A retrospective chart review)

  • 이아름;이다연;김민지;이향숙;최가혜;김서영;임영우;박영배
    • 대한한의학회지
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    • 제42권1호
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    • pp.46-58
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    • 2021
  • Objectives: The purpose of this study is to report weight changes and analyze adverse events in diabetic patients with Gamitaeeumjowee-Tang for weight loss. Methods: A retrospective chart review of weight change and adverse events was performed during the 10-week weight loss program using Gamitaeeumjowee-tang with low-calorie diets for diabetics(n=61). Weight and BMI changes were compared before and after the program and calculated the percentage of people who lost more than 5% of their weight, also identified whether subjects felt satiated or not. Adverse events were evaluated in terms of causality, severity and system-organ classes. Results: After 10-week weight loss program, significant weight loss (5.9±2.32kg, 7.73% reduction from baseline) and BMI reduction (2.9±0.86) were reported (n=61). Those who lost more than 5 percent of their body weight accounted for 88.5%, and also 88.5% of the participants felt full to help control their appetite. In assessing the causality of adverse events, 'Unlikely' was the most common (66%) and in severity evaluations, almost all symptoms were mild. Insomnia was the most frequently reported during the first 8 weeks, and constipation was reported the most afterwards. Conclusions: A combination of Gamitaeeumjowee-tang and low-calorie diets for 10 weeks appears to help weight reduction without serious adverse events in diabetic patients. Future well-designed prospective clinical studies testing the effectiveness and safety of this weight loss program are warranted.

폐경 후 비만 여성의 체중감량을 위한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰 (Gamitaeeumjowee-tang for Weight Loss in Post-Menopausal Obese Women: A Retrospective Chart Review)

  • 이윤진;강정인;김윤하;민은채;임영우;김은주
    • 대한한의학회지
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    • 제45권1호
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    • pp.65-79
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    • 2024
  • Objectives: The purpose of this study is to evaluate weight change and analyze adverse events in post-menopausal obese women with Gamitaeeumjowee-tang for weight loss. Methods: A retrospective chart review was conducted for medical records of 115 post-menopausal obese women (body mass index, BMI≥25 kg/m2) who were administered with Gamitaeeumjowee-tang for 12 weeks for the purpose of weight loss. Weight, skeletal muscle ratio and BMI changes were compared before and after the program. Adverse events were evaluated by causality, severity and system-organ classes. Results: A total of 115 patients were included in this study. The average total weight loss in post-menopausal women was 5.72±2.04kg(p<0.001) and the average weight loss rate was 8.06±2.70%(p<0.001). After the 12-week program, the body fat rate was significantly decreased(3.76±2.20%)(p<0.001) and the skeletal muscle ratio was significantly increased(2.07±1.24%)(p<0.001). There were no significant differences in weight loss, skeletal muscle ratio change and body fat rate change depending on the number of hospital visits. Insomnia was frequently reported throughout the period, and no serious adverse events were reported. Conclusions: This study showed the potential that weight management treatment with Gamitaeeumjowee-tang could be a good way to lose weight of post-menopausal obese women without serious adverse events. Continuous well designed clinical studies are needed.

의무 기록용 워크스테이션 개발에 관한 연구

  • 김원기;김남현;허재만
    • 대한의용생체공학회:의공학회지
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    • 제11권2호
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    • pp.277-282
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    • 1990
  • A workstation for archiving and communication of medical records is developed for clinical use in hospital. In this system, handwritten diagnostic reports, medical recording papers such as ECG and EEG etc., and ultrasound images are stored in optical disks instead of papers. This system improves medical service owing to speedy diagnosis by fast finding the patient's medical chart, and curtails the cost of archiving medical charts economically. If this system can be combined with already developed MPACS, then integrated medical image di- agnosis will be possible.

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청강진요부 자료현황 보고 - 입수경위와 정리현황 및 연구적 가치 - (A paper on the Present Condition of Cheong-Gang (청강) Medical Chart -Means of Acquisition, Filing Condition and Research Value)

  • 차웅석
    • 대한한의학회지
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    • 제25권2호
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    • pp.119-126
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    • 2004
  • Introduction : Kim-Young-hun (김영훈), with the pen name of Cheong-Gang (청강), was born in the late 19th century. He led an active life as an eminent Korean traditional medical scholar until the mid-20th century. He opened a Korean traditional medical clinic in the heart of Seoul and kept records of his clinical experiences. Methods : Filing of clinical records: Cheong-Gang's records, at present owned by the College of Oriental Medicine, Kyunghee University (경희대학교 한의과대학), are classified into prescription charts and medical examination charts. In this study, only the medical examination charts were filed. Results : The total number of the medical examination charts from 1915 until 1974 is 393, and the titles are sorted according to date. This paper is the first filing research on the medical examination charts.

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일개 대학병원 내 한방물리요법을 받은 환자들의 후향적 의무기록 분석 (Trends and Characteristics of Patients Who Have Been Received the Physical Therapy of Korean Medicine at an University Hospital: A Retrospective Medical Chart Review)

  • 황의형;이현엽;허광호;조현우;황만석;신미숙;김정화;박성하;신병철
    • 한방재활의학과학회지
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    • 제24권1호
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    • pp.55-63
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    • 2014
  • Objectives The aim of this study was to offer the fundamental data for the physical therapies of Korean medicine through analyse the database of one university hospital. Methods As this study was retrospective analysis, following items were selected and analysed in the electronic medical record (EMR) database. (1) sex, (2) inpatient or outpatient, (3) medical department, (4) diagnosis, (5) kind of insurance. Results Although all kind of physical therapies were used, interferential current therapy (ICT) was the most used physical therapy. And department of rehabilitation medicine of Korean medicine prescribed physical therapies most among the 8 specialty departments. As physical therapies were used in various kinds of diseases, they were especially used in musculoskeletal diseases and nervous system diseases. Conclusions The analysis of actual condition of using physical therapies in a real clinical setting of Korean medicine could be a useful fundamental data for the application of modernized physical therapies.

과체중 또는 비만을 주소로 내원한 갑상선기능저하증 환자에 대한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰 (Clinical Application of Gamitaeeumjowee-tang for Overweight or Obese Hypothyroidism Patients: A Retrospective Chart Review)

  • 김민정;원보영;김효진;최가혜
    • 한방비만학회지
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    • 제23권2호
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    • pp.78-85
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    • 2023
  • Objectives: Weight gain is one of the symptoms of hypothyroidism and it could deteriorate thyroid function. Our objectives are to evaluate weight changes and analyze adverse events in overweight and obese women with hypothyroidism who were prescribed Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted using medical records of patients with hypothyroidism, who had body mass indexes (BMI) above 23 and were prescribed Gamitaeeumjowee-tang for 12 weeks between August 2017 and November 2022. Reported adverse events (AEs) were assessed by severity, causality and system-organ classes. Results: Thirty patients were included (mean±standard deviation, age 46.10±9.94 years, weight 70.52±11.18 kg, BMI 28.30±3.80 kg/m2). The mean total weight loss of hypothyroidism patients was 5.45±2.77 kg, while the mean weight loss rate and mean BMI change were 7.66±3.41% and 2.18±1.07 kg/m2, respectively. Among evaluated causality of adverse events, 'Unlikely' was predominant (80.8%) and severity assessment showed most of the symptoms were mild (91.7%). Conclusions: Gamitaeeumjowee-tang could be an option for hypothyroidism patients, who are overweight or obese, to lose weight and no serious adverse events occurred. Further well-designed clinical studies are recommended.

중고도비만 환자에 대한 가미태음조위탕의 활용: 후향적 차트 리뷰 (Gamitaeeumjowee-tang for Patients with Class II or III Obesity: A Retrospective Chart Review)

  • 이유빈;이아름;손민주;안시현;한지연
    • 한방비만학회지
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    • 제24권1호
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    • pp.54-67
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    • 2024
  • Objectives: The purpose of this study was to evaluate changes in body weight and blood pressure and also analyze adverse events after weight loss program using Gamitaeeumjowee-tang in patients with class II or III obesity, considering for metabolic and bariatric surgery. Methods: A retrospective chart review was conducted on class III obesity or class II obesity patients with comorbidities, who participated in 24-week weight loss program using Gamitaeeumjowee-tang (n=54). The analysis included changes in body weight, body mass index, fat mass, skeletal muscle mass, waist-hip ratio and blood pressure before and after the program. And also calculated the proportion of patients who lost more than 5%, 10%, and 15% of their initial weight. Adverse events were assessed by causality, severity and system-organ classes. Results: After the weight loss program, body weight decreased 12.21±6.43 kg (12.77%), and BMI decreased 4.61±2.25 kg/m2 (12.75%) on average (P<0.05). The 90.7% of the subjects lost more than 5% of their weight, 68.5% lost more than 10%, and 35.1% lost more than 15% of their weight. Blood pressure significantly decreased 11.04±14.53 mmHg in systolic and 7.28±11.89 mmHg in diastolic on average (P<0.05). The 97% of adverse events were mild, and 75% were evaluated as 'unlikely' in the causality evaluation. Conclusions: The results of this study, the weight loss program using Gamitaeeumjowee-tang showed significant weight loss and blood pressure reduction in patients with class III obesity or class II obesity with comorbidities, without serious adverse events. Well-designed clinical studies are recommended for the future.

인진오령산 투여가 상승된 간화학 수치에 미치는 영향 : 후향적 차트 리뷰 (Effect of Injinoryung-san Administration on the Elevated Hepatic Function Test Level: Retrospective Chart Review)

  • 추홍민;신혜령;문연주;김철현;김광호;이영웅;류호선;성강경;이상관
    • 대한한방내과학회지
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    • 제40권3호
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    • pp.478-490
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    • 2019
  • Purpose: This work is a retrospective clinical case study evaluating the efficacy of Injinoryung-san granule administration to patients who showed an abnormal hepatic function test level. Methods: We analyzed the chart records of seven patients with elevated levels of the hepatic function test treated with Injinoryung-san granules. Results: The patients who were treated with Injinoryung-san showed a significant improvement in their elevated hepatic function test levels. Conclusion: In patients with elevated hepatic function test levels, Injinoryung-san granules can improve the hepatic level without adverse effects or changes in existing drugs.