• 한국병원경영학회지
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• 제16권2호
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• pp.19-30
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• 2011

This study aims to present ways to enhance the stabilization of electronic medical records, ensure the commitment to filling in information of the medical record and improve the overall quality Electronic Medical Record(EMR) information. For that purpose, the present state of the incomplete record rate and the doctor's satisfaction in Electronic Medical Record(EMR) have been surveyed by comparing and analyzing Paper-based Medical Record(PMR) and Electronic Medical Record(EMR). The survey was conducted on 31 doctors in charge of EMR system and each PMR and EMR inpatients were collected for a period of 5 months and analyzed. The results showed that the doctor's satisfaction level was higher for EMR, and the rate of incomplete record appeared to be lower in EMR in departments of both internal and external medicine. In this context, it can be said that the higher efficiency of EMR helped accomplish the increase in commitment to completing medical record information and improve the quality of the data.

• 농촌의학ㆍ지역보건
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• 제24권2호
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• pp.291-299
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• 1999

일부 농촌지역의 시설노인의 인지기능과 일상생활 수행능력을 중심으로 건강상태를 측정하고자 하였다. 전라남도 10개의 노인복지시설에 수용된 485명 중 466명(96.1%)을 대상으로 조사를 하였다. 조사내용은 사회인구학적 특성, MMSE, ADL, IADL, 및 COOP chart이었다. 남자가 148명(31.8%)이었고 여자는 318명(68.2%)이었다. 평균연령은 남자 $73{\pm}8.2$, 여자 $79{\pm}8.5$세였다. 인지기능은 남자 45명(30.4%), 여자 115명(36.2%)에서 중증 인지기능장애를 나타내었다. ADL은 6항목 전체를 독립적으로 수행하는 경우가 남자 74명(50.0%), 여자 136명(42.8%)으로 나타났고, 6항목 전체를 수행하지 못하는 경우는 남자 46명(31.1%) 여자 83명(26.1%)으로 나타났다. IADL은 남자에서는 교통수단 이용 불가가 78명(52.7%)으로 다른 항목에 비해서 높았고, 여자에서는 빨래하기 항목이 가장 낮은 수행률을 보였다. COOP 차트로 살펴본 건강상태는 남녀 모두에서 신체기능에 비해서 감정상태와 사회활동에서 좋은 점수를 보였다.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.344-349
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• 2014

Background An abnormally obtuse cranial base angle, also known as platybasia, is a common finding in patients with 22q11.2 deletion syndrome (22q11DS). Platybasia increases the depth of the velopharynx and is therefore postulated to contribute to velopharyngeal dysfunction. Our objective was to determine the clinical significance of platybasia in 22q11DS by exploring the relationship between cranial base angles and speech resonance. Methods In this retrospective chart review at a tertiary hospital, 24 children (age, 4.0-13.1 years) with 22q11.2DS underwent speech assessments and lateral cephalograms, which allowed for the measurement of the cranial base angles. Results One patient (4%) had hyponasal resonance, 8 (33%) had normal resonance, 10 (42%) had hypernasal resonance on vowels only, and 5 (21%) had hypernasal resonance on both vowels and consonants. The mean cranial base angle was $136.5^{\circ}$ (standard deviation, $5.3^{\circ}$; range, $122.3-144.8^{\circ}$). The Kruskal-Wallis test showed no significant relationship between the resonance ratings and cranial base angles (P=0.242). Cranial base angles and speech ratings were not correlated (Spearman correlation=0.321, P=0.126). The group with hypernasal resonance had a significantly more obtuse mean cranial base angle ($138^{\circ}$ vs. $134^{\circ}$, P=0.049) but did not have a greater prevalence of platybasia (73% vs. 56%, P=0.412). Conclusions In this retrospective chart review of patients with 22q11DS, cranial base angles were not correlated with speech resonance. The clinical significance of platybasia remains unknown.

• 대한한방소아과학회지
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• 제32권4호
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• pp.51-62
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• 2018

Objectives The purpose of this study is to analyze the characteristic of pediatric patients who visited oriental medical hospital for growth treatment. Methods The study was conducted with 130 pediatric patients who visited ${\bigcirc}{\bigcirc}$ Korean medicine hospital from January 2016 to August 2017. The patient's data was classified by sex, age, pattern identification and diseases. The classified data was analyzed to find the correlations and characteristics among variables. Results There were 50.8% of boys and 49.2% of girls. 6.2% of the total patients were in 'early childhood', 50.8% were in 'late childhood' and 43.1% were in 'puberty' stage. In terms of pattern identification, 44.6% of the total patients were 'Spleen-lung Qi Deficiency', 53.8% were 'Lung-kidney Yin Deficiency' and 1.5% were 'Weakness of Heart and gallbladder'. 44.3% of the patients had various diseases including rhinitis (77.6% of 120.7%). Height percentile of the children with using the Growth chart of 2017 was lower than using the Growth chart of 2007. Predicted height based on the child's bone-age were higher than the predicted height based on the parental height, although both of the precited factors were correlated to the current child's height. Conclusions This study showed the characteristic of the pediatric patients who visited oriental medical hospital for growth treatment. It helps to determine prognosis and treatment, and to explain treatment measures.

• 한국응급구조학회지
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• 제7권1호
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• pp.127-134
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• 2003

An analysis was performed to evaluate the prehospital advanced emergency care in Emergency Medical Service system(EMS) through the review of the 119 transfort chart of 190 patients who visited to Jecheon Seoul hospital emergency center at Chungbuk Jecheon via 119 system during the period from October 2002 to September 2003. The results were obtained as follows: 1. Among 190 patients, male were 127(66.8%) and female were 63(33.2%) and nontraumatic patients were 81(42.6%) and traumatic patients were 109(57.4%). 2. The analysis of prehospital care by Emergency Medical Technician(EMT) revealed that Airway maintenance and keeping oral airway(37.7%), oxygen supply(75.9%), Tourniquett or MAST(18.9%), Immobilization of neck or spine(94.7%), Immobilization of extremities (51.4%), wound bandage and dressing(25.0%), BCLS(12.1%) and Application of AED(2 patients). 3. The analysis of prehospital care by EMT revealed prehospital care was limited to keep of intubation or LMA, medication and IV insertion, insertion of gastric tube and ACLS. 4. There was no case of the notification to medical institute or consultation to doctor.

• 대한한의학원전학회지
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• 제23권3호
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• pp.49-67
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• 2010

The actual name of Gogobong is Du-goe, also known as Dan-jung, his pseudonym. He is the author of "Uigasimbeop(醫家心法)", an abstract of his clinical pathology throughout his life and "Chwimopyeon(吹毛編)", a medical chart based on his researches. The chapter 25 Bangrons[二十五方論] is included within the text, which shows attempts on explaining diseases and treatments of the internal organs based on theories on the relations of generation and restriction of the five elements. Influenced by Joheonga(趙獻可), one of the well known Onbo(溫補) scholars-concerning the importance of warming and invigorating the body-of the Myeong-dynasty, his main treatments were forms of warming and invigorating the yang and physical debility, hence strengthen the primordial energy. "Uigasimbeop(醫家心法)" was later on renamed to "Samyeongsimbeop(四明心法)" by Yangseungryuk(楊乘六). The following paper deals on his life, publishment, distinct features of his medical science based on his epitaph and works.

• 대한한방부인과학회지
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• 제36권4호
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• pp.40-48
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• 2023

Objectives: The purpose of this study is to investigate safety of postpartum herbal medicine by assessing the effect of taking herbal medicine of postpartum period on liver function. Methods: A retrospective chart review was conducted on 167 mothers who underwent liver function tests (LFT) within 3 months before and after childbirth among mothers who gave birth at ○○ Hospital between January 1, 2016 and May 31, 2018. Mothers with abnormally elevated LFT during pregnancy were excluded. Among 167 women, 6 women are herbal-medicine-group took herbal medicine for 5-6 weeks during postpartum period, and 161 patients are general -group who did not take herbal medicine. LFT Variation of Subjects before and after childbirth were compared between the two groups. And subjects who had elevated liver levels above the normal range after delivery were classified separately, the characteristics and causes of changes in liver levels were analyzed, and the presence or absence of drug-induced liver damage was confirmed. Results: Among a total of 167 subjects, there were 5 women in the herbal-medicine-group and 150 women in the general-group who had changes in liver values within the normal range after childbirth. Aspartate transaminase (AST) change before and after childbirth in the herbal-medicine-group was 3.40±1.82, and AST change in the general-group was 2.92±8.59, showing no significant difference between the two groups (p=0.901). Increase of Alanine transaminase (ALT) before and after childbirth in the herbal-medicine-group was 5.60±3.65, and ALT change in the general-group was 8.01±11.81, showing no significant difference between the two groups (p=0.651). There were 12 subjects who had elevated AST, ALT above the normal range after delivery, including 1 in the herbal-medicine-group and 11 in the normal mothers group. Valuation of 1 Subject of the herbal-medicine-group before and after delivery was 17 IU/L of AST and 52 IU/L of ALT. Because results of AST, ALT is under the standard to diagnose to liver damage, she was observed without any treatment. However the cause of AST, ALT elevation was not found in the chart, she was receiving treatment for diabetes and hyperlipidemia. The general-group had an average increase of AST 35.64±22.67 IU/L and ALT 53.00±26.80 IU/L. As a result of analyzing the cause, there were direct causes such as autoimmune hepatitis, chronic hepatitis B, and acute pyelonephritis. Abnormal elevations in liver levels were also found in mothers with hypothyroidism, diabetes, and fever of unknown cause, although they were not direct causes. Conclusions: To investigate the safety of taking herbal medicines, we assess the variation in AST and ALT within 3 months before and after delivery in the herbal-medicine-group and general-group. There was no significant difference between two groups.

• 한국멀티미디어학회:학술대회논문집
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• 한국멀티미디어학회 2001년도 춘계학술발표논문집
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• pp.373-377
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• 2001

The telemedicine & distance education system that this paper suggests has been designed on the CTE(Collaborative Telemedicine & distance Education) framework, which is an integrated multimedia environment. This is a CBM-based collaborative telemedicine & distance education type, different from the conventional doctor based general practice, and is an integrated multimedia telemedicine & distance education system capable of many application developments using information super highway. This paper presents the content regarding electronic medical examination chart and data treatment for efficient medical examination and prompt treatment by realizing mutual conversation type remote medical examination system among 3 parties(patient, doctor, pharmacist) on internet base. And, The implementation of this new teaming system should be designed with multimedia application development platform base which is interfaced with computer engineering, computer network technology, CSCW (Computer-Supported Cooperative Work) technology, and education engineering.

• 한방안이비인후피부과학회지
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• 제28권2호
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• pp.112-120
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• 2015

Purpose : To observe effects of TKM (Traditional Korean Medicine) treatment for 2 patients who had verruca plana after having laser epilation of leg hair. Methods : We did retrospective chart review for 2 verucca plana patients who had been treated by TKM. TKM treatment included herbal treatment, herbal acupuncture and herbal ointment. Results : After TKM treatment, the patients' verucca plana remarkably disappeared and there was no recurrence. Conclusion : This study suggest that TKM may be an effective treatment for verucca plana.

• 반도체디스플레이기술학회지
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• 제11권3호
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• pp.51-56
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• 2012

In this paper, we propose a telemedicine system based ECG data using a bio-signal meter and a smart device for treating faraway patients. This system is composed of a patch-shaped portable bio-signal meter, patient's smart device application, and doctor's PC software. Using these components, doctors and patients can do telemedicine. First, a patient measures his own ECG signal with a bio-signal meter and send the data to a doctor using a smart device application. Then, the doctor checks the ECG data, and make and send a diagnosis chart to web server. Likewise, doctors and patients can be offered a medical environment without time and space restraints. Applying this system to real medical system can improve the problem of low accessibility and efficiency and also can reduce medical expenses.