• 제목/요약/키워드: medical specialties

검색결과 88건 처리시간 0.022초

대한간호학회지 논문 분석을 통한 국내 간호연구 동향 - 창간호에서 1999년도까지- (The Trends of Nursing Research in the Journal of the Korean Academy of Nursing)

  • 최경숙;송미순;황애란;김경희;정명실;신성례;김남초
    • 대한간호학회지
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    • 제30권5호
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    • pp.1207-1218
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    • 2000
  • This study examined all the research published in Journal of Korean Academy of Nursing (JKAN) for last 30 years, from its beginning year to year 1999, based on an objective frame of evaluation. The purpose of this study is to reflect the trend of nursing research in Korea to date, and to provide an optimal direction for future research. The total number of 959 studies were analyzed with the following results. 1. Since 1990s, the number of non-degree based research has been larger than that of degree-based research compared to 1970s and 1980s. Both collaborative and funded research has been particularly increased in a gradual rate. 2. Research on nurses or nursing students has decreased while research on more diverse populations such as patients, patient families, or community-dwelling healthy clients has increased. 3. While essential nursing concepts such as human, nursing, and health have been consistently dealt as main research topics, research related to the concept of environ- ment has been insufficiently conducted. 4. It was remarkable that the quality of nursing research has been improved due to the acknowledgement of the importance of the empirical research method within the nursing community. 5. Qualitative research has appeared in the journal since the late 1990s, but it is still regarded to be in its novice stage. 6. Although the utilization of research findings for expanding the nursing body of knowledge has been wide in diverse specialties, most studies are limited to focus on concept development or evolution yet. also, in some of these research finding are utilization already considerably as to develop nursing interventions. Based on these findings, conclusions are extended to the following discussions: For the last 30 years, nursing research in Korea has shown an acute methodological development in both quantity and quality. However, there has been a lack of research on theory development although it is one of the ultimate goals in nursing. Further research should be empirical enough to be utilized in an actual nursing care context, and thus to be basis of developing culturally competent nursing theories in Korea.

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국내에서 판매되는 임산부용 비타민·무기질 보충제에 함유된 영양소의 종류와 함량 및 적절성 평가 (Nutrient Composition and Content of Vitamin and Mineral Supplements and Their Appropriateness for Pregnant and Lactating Women in Korea)

  • 한영희;서정현;신구름;신주영;조예영;현태선
    • 대한지역사회영양학회지
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    • 제23권4호
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    • pp.341-351
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    • 2018
  • Objectives: Use of dietary supplements containing vitamins and minerals is growing in Korean adults, especially in pregnant and lactating women. Vitamin and mineral supplements are available in different composition and in a wide range of contents. The purposes of the study were to examine nutrient composition and content of vitamin and mineral supplements for pregnant and lactating women and assess their appropriateness as dietary supplements. Methods: Information on the name, manufacturer, nutrient composition, and usage of vitamin and mineral supplements for pregnant and lactating women were obtained from the homepage of the Food Safety Information Portal managed by the Ministry of Food and Drug Safety, and Korean Index of Medical Specialties. A total of 264 products were identified. Results: Among 264 products, 26.1% were single nutrient products, and 73.9% were multinutrient products. The most commonly included nutrient was iron (70.1%), folic acid (66.3%), vitamin $B_{12}$ (45.8%), vitamin C (38.6%), and vitamin $B_6$ (38.6%). Although more than 50% of products contained nutrients less than 150% of Recommended Nutrient Intakes or Adequate Intakes for daily use, some products contained inappropriately high amounts of nutrients. When a maximum daily dose of supplements was taken as described on the label, iron in 73 products (39.5%), folic acid in 14 products (8.0%) were likely to be consumed in amounts greater than Tolerable Upper Intake Levels. Most products were assessed as inappropriate for pregnant women due to the possibility of excessive intake of vitamins or minerals when compared with Dietary Reference Intakes. Conclusions: Pregnant and lactating women need to carefully select dietary supplements containing adequate amounts of vitamins and minerals. Nutritionists should provide guidelines regarding selection of appropriate vitamin and mineral supplements for pregnant and lactating women.

의료보험 다빈도 상병과 1차진료 의사에 관한 연구 (A Study on the Most Frequent Diseases of Health Insurance Program and the Primary Care Physicians in Korea)

  • 김철환;문옥륜
    • 보건행정학회지
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    • 제3권1호
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    • pp.124-145
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    • 1993
  • General practitioners, internists, pediatricians, and family physicians are classified as so-called primary care physicians in the United States. We carried out this study for the purpose of answering the following question; "Who are the primary care physicians in Korea\ulcorner" We analyzed the 663, 154 claims which were drawn from the health insurance processing file made during the period of one month, April 1992 on the basis of systemic random sampling technique. The 663, 154 cases were matched with the doctor's file registered at the National Federation Medical Insurance by using the indivisual physician code number and analyzed according to the kind of specialty. If we follow the Geyman's definition of primary care physician in the United States, this study shows that they can take care of 43.2% of the total private clinic's claims in Korea. Provided that general practitioners and family physicians are considered the same way as in the United Kingdom, they could with only 8.3% of the total claims in Korea. The most frequent diseases are those which rank first to 46th in the total private clinic's claims. The proportion of the most frequent diseases was highest for pediatricians(90.4%) and followed by internists(81.4%), otolaryngologists(78.7%) and family physicians(76.5%). The proportion of the most frequent diseases in the most common 46 diseases was highest for radiologists(80.4%) and the next was as follows : general practitioners(78.3%), family physicians(67.4%), and internists(67.4%). We classified the most common 20 diseases of each specialty into 17 categories of ICD-9 and compared it with those of general practitioners. The specialists who had managed a similar disease pattern to those of general practitioners were identified as anesthesiologists, family physicians, general surgeons, and internists. Some specialists practicing at private clinics managed the diseases which were not quite appropriate for their specialties. After we evaluated each specialty by the most common diseases, the most frequent diseases, and the most frequent 20 diseases of each specialty in terms of the 17 categories of ICD-9, a tentative assumption is made that the primary physicians in the Republic of Korea are general practitioners, anesthesiologists, family physicians, internists, and general surgeons. This study has concluded that the categories of the primary care physicians are so diverse that their roles and distributions are distorted accordingly. Vigorous health policy efforts in correcting the malcomposition need to be made for the better provision of primary health care in Korea. in Korea.

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대한소아치과학회 연차총회에서 발표된 구술 및 포스터 초록의 출판률 변화 (The change of Publication rate of abstracts of oral and posters presented at Korean Academy of Pediatric Dentistry annual meetings)

  • 정성우;김범수;손정완;안소연
    • 스마트미디어저널
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    • 제11권10호
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    • pp.30-35
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    • 2022
  • 의학 전공분야의 학회의 초록이 출판으로 이어지는 비율은 50% 이하라는 이전의 연구들이 있었지만, 소아치과 분야에서는 이에 대한 연구가 거의 없었다. 이번 연구의 목적은 2001년에서 2011년까지의 개최된 대한소아치과 춘추계 학술대회의 초록들 중 어느 정도가 논문으로 출판되는지에 관한 것이다. 구연과 포스터를 위한 초록들을 모두 조사했다. 이 초록들의 제목을 이용해서 학술연구정보서비스에서 논문들을 검색하였다. 총 24번의 학회에서 706개의 초록 (477개의 구연, 229개의 포스터)가 있었고, 이 중 2011년 45.2%(319)에서 2022년 82.9%(585)가 논문으로 출판되었다. 구연은 52.2%(249)에서 86.6%(413), 포스터는 30.6%(70)에서 75.1%(172)의 출판율을 보였다. 우리는 최근 12년 간의 출판율 변화 결과가 전자 문헌검색과 전자 출판 등 디지털화 된 환경에서 기인한다고 생각한다.

대한영상의학회 이러닝 센터 발전을 위한 노력: 대한영상의학회 회원 설문조사 (Efforts to Improve the E-Learning Center of the Korean Society of Radiology: Survey on User Experience and Satisfaction)

  • 정용은;김현철
    • 대한영상의학회지
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    • 제83권6호
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    • pp.1259-1272
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    • 2022
  • 목적 이러닝 센터의 개선 사업을 위해 회원들에게 현재 이러닝 센터의 만족도 및 개선되어야 할 점에 대해 설문조사를 진행하고자 하였다. 대상과 방법 영상의학과 전문의(454/617명) 및 전공의(163/617명)를 대상으로 이메일로 설문조사를 진행하였다. 설문조사 문항은 근무처 등 기본적인 정보와 현재 이러닝 센터의 이용 빈도, 만족도, 만족/불만족 이유 및 기타 개선되었으면 하는 점 등으로 구성하여 조사하였다. 결과 연회원전용 이러닝의 경우 67%, 전체회원용 이러닝의 경우 42%가 평균 이상의 만족도를 보였다. 한 달에 5회 이상 이러닝을 이용하는 회원은 30% 정도였으며, 특히 전공의의 이용 빈도가 높았다. 원하는 강의를 찾기 어렵거나(연회원전용: n = 28/97, 전체회원용: n = 72/166), 원하는 주제의 강의가 없는 경우(연회원전용: n = 37/97, 전체회원용: n = 58/166)가 있어 이 부분에 대한 개선 요구가 있었으며, 강의가 주기적으로 업데이트되었으면 좋겠다는 의견이 있었다. 또한 이러닝 시스템의 사용 편의성 및 안전성 향상에 대한 의견들이 많았다. 결론 설문조사를 토대로 이러닝 강의의 양뿐만 아니라 질적 향상의 도모, 그리고 시스템의 안전성 및 편의성 증대를 기본 방향으로 이러닝 센터 개선작업을 진행할 계획이다.

지역 주민의 공공병원에 대한 부정적 인식에 영향을 미치는 요인 (Factors Affecting the Negative Perception of Public Hospitals among Local Residents)

  • 최은혜;조정희;엽경은;박보희;김소영;박종혁
    • 보건행정학회지
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    • 제34권2호
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    • pp.211-221
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    • 2024
  • 연구배경: 코로나바이러스감염증-19로 인한 공중보건 위기는 공공병원의 확충 및 강화의 필요성을 강조하지만, 공공병원에 대한 전반적인 인식은 여전히 부정적인 것으로 나타났다. 공공병원에 대한 부정적 인식은 공공병원의 역할과 기능 수행에 어려움을 초래할 수 있어 이 연구에서는 공공병원에 대한 부정적 인식에 영향을 미치는 요인을 분석하고자 한다. 방법: 이 연구는 충청북도공공보건의료지원단에서 수행한 충청북도 도민의 공공보건의료 인식에 대한 실태조사 자료를 활용하였다. 연구에는 조사에 응답한 만 19세 이상 성인 1,916명이 포함되었으며, 공공병원 이용 경험과 공공의료 및 공공병원 정책 평가가 공공병원의 부정적 인식에 미치는 영향을 분석하기 위해 로지스틱 회귀분석을 활용하였다. 결과: 공공병원 미이용 경험(adjusted odds ratio [aOR], 1.69; 95% confidence interval [CI], 1.04-2.74)과 공공의료 및 공공병원 정책에 대한 부정적인 평가는 공공병원의 부정적 인식에 유의한 영향을 미치는 것으로 나타났다. 구체적으로, 공공의료 정책에서 필수의료 제공이 부족하다고 느낀 경우(aOR, 4.14; 95% CI, 2.59-6.62), 지역 간 격차가 크다고 느낀 경우(aOR, 1.59; 95% CI, 1.02-2.49), 보장성(aOR, 1.99; 95% CI, 1.25-3.16)과 의료의 질(aOR, 2.39; 95% CI, 1.50-3.80)이 낮다고 평가한 경우 공공병원에 대한 부정적 인식이 증가하였으며, 공공병원 정책에서는 시설·장비가 열악하다고 느낀 경우(aOR, 3.74; 95% CI, 2.36-5.94), 진료과목 및 서비스가 부족하다고 느낀 경우(aOR, 1.91; 95% CI, 1.21-3.01), 진료수준이 낮다고 평가한 경우(aOR, 2.71; 95% CI, 1.72-4.25) 공공병원에 대한 부정적 인식이 증가하는 것으로 나타났다. 결론: 이 연구는 공공병원 이용 경험과 공공의료 및 공공병원 정책 평가를 고려한 공공병원 인식 제고의 필요성을 강조한다.

삼차신경통의 임상 소견과 약물 치료에 관한 연구 (A Study on Clinical Features and Pharmacologic Treatment Outcomes of Patients with Trigeminal Neuralgia)

  • 고유정;김균요;허윤경;최재갑
    • Journal of Oral Medicine and Pain
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    • 제34권2호
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    • pp.207-216
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    • 2009
  • 2003년부터 2008년까지 경북대학교병원 구강내과를 내원한 삼차신경통 환자 90명의 임상 소견 및 약물 치료에 대한 결과를 분석하여 다음과 같은 결론을 얻었다. 1. 삼차신경통 환자는 40대 이상이 94.4%를 차지하였고 남녀비가 1:2.1로 여성에서 거의 2배 정도 호발하였다. 2. 삼차신경의 상악분지에 단독으로 이환된 경우가 51.1%로 가장 많았고 좌우비가 1:2.9로 우측에 더 자주 발생하였다. 3. 85명(94.4%)의 환자가 경북대학교병원 구강내과에 내원하기 전 삼차신경통을 치료하기 위해 다른 의료기관을 내원한 경험이 있었다. 3. 40명(44.4%)의 환자가 현재 치료 중인 전신질환을 가지고 있었다. 4. Carbamazepine 단독 투여로 69명(76.7%)의 환자가 효과를 나타내었으며 이 때 사용된 Carbamazepine의 일일 용량은 평균 402.9mg이었다. 반면에 16명(17.8%)의 환자는 Carbamazepine과 다른 약물을 복합 투여하여 효과를 나타내었고 사용된 Carbamazepine 일일 용량은 평균 618.8mg이었으며 가장 많이 사용된 병용 약물은 Baclofen이었다. 나머지 5명(5.6%)의 환자는 Carbamazepine으로 효과를 얻지 못했다. 5. Carbamazepine 단독 투여에 효과가 있었던 69명 중 39명은 내원 기간 동안 지속적인 효과를 나타내었으나 30명은 Carbamazepine에 대한 효과가 감소하였거나 부작용으로 인해 복합 투약을 시행하였거나 다른 약물로 교체 또는 신경외과로 의뢰하였다. 6. 54명(60%)의 환자에서 Carbamazepine 투여 후 현기증, 졸음, 오심, 혈구 감소, 피부 발진 등의 부작용이 발생하였으나 대부분 그 정도가 미약하거나 일시적이었고 11명의 환자가 부작용으로 인해 Carbaamzepien 투약을 중단하였다.

Co-authorship patterns and networks of Korean radiation oncologists

  • Choi, Jin-Hyun;Kang, Jin-Oh;Park, Seo-Hyun;Kim, Sang-Ki
    • Radiation Oncology Journal
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    • 제29권3호
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    • pp.164-173
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    • 2011
  • Purpose: This research aimed to analyze the patterns of co-authorship network among the Korean radiation oncologists and to identify attributing factors for the formation of networks. Materials and Methods: A total of 1,447 articles including contents of ‘Radiation Oncology' and 'Therapeutic Radiology' were searched from the KoreaMed database. The co-authorship was assorted by the author's full name, affiliation and specialties. UCINET 6.0 was used to fi gure out the author's network centrality and the cluster analysis, and KeyPlayer 1.44 program was used to get a result of key player index. Sociogram was analyzed with the Netdraw 2.090. The statistical comparison was performed by a t-test and ANOVA using SPSS 16.0 with p-value < 0.05 as the significant value. Results: The number of articles written by a radiation oncologist as the first author was 1,025 out of 1,447. The pattern of coauthorship was classified into five groups. For articles of which the first author was a radiation oncologist, the number of singleauthor articles (type-A) was 81; single-institution articles (type-B) was 687; and multiple-author articles (type-C) was 257. For the articles which radiation oncologists participated in as a co-author, the number of single-institution articles (type-D) was 280 while multiple-institution articles (type-E) were 142. There were 8,895 authors from 1,366 co-authored articles, thus the average number of authors per article was 6.51. It was 5.73 for type-B, 6.44 for type-C, 7.90 for type-D, and 7.67 for type-E (p = 0.000) in the average number of authors per article. The number of authors for articles from the hospitals published more than 100 articles was 7.23 while form others was 5.94 (p = 0.005). Its number was 5.94 and 7.16 for the articles published before and after 2001 (p = 0.000). The articles written by a radiation oncologist as the first author had 5.92 authors while others for 7.82 (p = 0.025). Its number was 5.57 and 7.71 for the Journal of the Korean Society for Therapeutic Radiology and Oncology and others (p = 0.000), respectively. Among the analysis, a significant difference in the average number of author per article was indicated. The out-degree centrality of network among authors was 4.26% (2.03-7.09%) while in-degree centrality was 1.31% (0.53-2.84%). The three significant nodes were classified and listed as following: Choi, Eun Kyung for 1991-1995, Kim, Dae Young for 1998-2001, Park, Won and Lee, Sang Wook for 2003-2010. Choi, Eun Kyung and Kim, Dae Young appeared in two cases, and ranked as the highest degree in centrality. In the key player analysis, Choi, Eun Kyung and Lee, Sang Wook appeared in two cases, and ranked as the highest. From the cluster analysis, Sungkyunkwan University, Seoul National University and Yonsei University revealed as the three large clusters when Ulsan University, Chonnam National University, and Korea Institute of Radiological & Medical Science as the medium clusters. Conclusion: The Korean radiation oncologist's society shows a closed network with numerous relationships among the particular clusters, and the result indicates it is different from other institutions in the pattern of co-authorship formation of the major hospitals.