Pattern of changes in hospital morbidity rates, calculated from medical records were presented for the inpatients population, who were admitted to Severance Hospital and were discharged from March 1, 1970 to February 28, 1978. Diseases were classified according to the International Classification of Diseases and Injuries of the World Health Organization. Infectious diseases, such as bacillary and amebic dysenteries, parasitic diseases and respiratory tuberculosis have decreased, and non-infectious diseases, such as malignant neoplasms, congenital anomalies, diabetes mellitus, and hypertensive heart diseases have increased.
Hospital Records ; Human ; Korea ; Morbidity*

With the electronic medical records information system as the core of hospital information platform design, this paper introduces the design of the system which is structured for electronic medical records, and the advantage and effectiveness is also introduced. From the aspects of the concept, system framework, data integration, right frame and safety control, identity index and a clinical pathway, etc, the paper introduces the basic idea and process of the hospital information platform design, with the hospital recording electronic medical records as the core.
Electronic Health Records ; Hospital Information Systems ; Medical Records Systems, Computerized

Vitreous opacity is one of the common indication for pars plana vitrectomy to restore clarity of the optical pathway of the eye. We reviewed the hospital records of 82 patients who underwent pars plana vitrectomy for vitreous opacity at Yeungnam University Hospital from July 1, 1983 to February 28, 1987 and analyzed the functional results. Causes of vitreous opacity were traumatic vitreous hemorrhage in 23.5%, that with retinal branch vein occlusion in 22.3%, endoph-thalmitis in 21.2% and vitreous hemorrhage with proliferative diabetic retinopathy in 10.5%. Visual improvement was noted in 64.7% and no change in 21.2% while 14.1% worsened following the operation. Vitrectomy was found to be more beneficial to vitreous hemorrhage in Terson's syndrome and that with retinal branch vein occlusion.
Diabetic Retinopathy ; Hospital Records ; Humans ; Retinaldehyde ; Veins ; Vitrectomy* ; Vitreous Hemorrhage

OBJECTIVE: To evaluate Fragile histidine triad (Fhit) and p53 expression pattern in cervical intraepithelial neoplasm (CIN) and invasive cervical cancer, and to verify the correlation between the loss of Fhit and clinicopathological parameters of invasive cervical carcinoma and the relationship between Fhit and p53 expression. METHODS: 10 low-grade squamous intraepithelial lesions (LSIL), 16 high-grade squamous intraepithelial lesions (HSIL), and 21 invasive cervical carcinomas were evaluated by immunohistochemical staining for Fhit and p53 primary antibody. Their expression patterns in CIN and invasive cervical cancer were analysed semiquantitatively as positive and negative by the staining area and intensity. Clinicopathological data were obtained by review of patients' hospital records. RESULTS: Compared with CIN (LSIL and HSIL), invasive cervical carcinoma showed significantly loss of Fhit expression (p<0.05). P53 expression did not show the significant difference between CIN and invasive cervical cancer. There was no relationship between loss of Fhit and p53 expression in CIN and invasive cervical cancer. But loss of Fhit expression in invasive cervical cancer was also significantly associated with FIGO stage (p<0.05). CONCLUSION: Our results suggest that loss of Fhit expression may play an important role in the malignant transformation of CIN to invasive cancer. However, further molecular studies are needed to elucidate the role of Fhit gene in the carcinogenesis of cervical cancer.
Carcinogenesis ; Cervical Intraepithelial Neoplasia* ; Histidine ; Hospital Records ; Uterine Cervical Neoplasms*

BACKGROUND: Fracture of the zygomaticomaxillary complex (ZMC) is one of the most common facial injuries. A previous study has performed 3D analyses of the parallel and rotational displacements that occur in a fractured ZMC. However, few studies have investigated adequate fixation methods according to these displacements. Here, we assessed whether specific approaches and fixation methods for displacement of ZMC fractures produce esthetic results. METHODS: Hospital records and pre- and post-surgical computed tomographic scans of patients treated for ZMC fractures at the Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University, between January 2010 and December 2015, were selected. Data were analyzed according to the direction of displacement and post-reduction prognosis using a 3D software. RESULTS: With ZMC fractures, displacement in the posterior direction occurred most frequently, while displacement in the superior-inferior direction was rare. A reduction using a transconjunctival approach and an intraoral approach was statistically better than that using an intraoral approach, Gillies approach, and lateral canthotomy approach for a posterior displacement (P<0.05). CONCLUSIONS: When posterior displacement of a fractured ZMC occurs, use of an intraoral approach and transconjunctival approach simultaneously is recommended for reducing and fixing the displaced fragment accurately.
Dentistry ; Facial Injuries ; Hospital Records ; Humans ; Prognosis ; Surgery, Oral

This study was performed to find a more efficient analytic method for medical record delivery process between using data collected from HIS and using data collected manually. And how to apply the Statistical Process Control technique to the quality measurement of work process. The results were as follows: 1. The method of using data collected from Hospital Information System was more efficient ( 99.2% ) than using data collected manually in time consumption. 2. The amount of analyzed data collected from HIS was amount about 3 times (279%) of those collected manually. 3. The application of Statistical Process Control technique for evaluating medical record delivery process was very effective to identify the problems in delivery process We identified the possibility that this statistical analytic technique of using data collected from HIS could be adopted to evaluate other process of healthcare management.
Delivery of Health Care ; Hospital Information Systems ; Medical Records*

No abstract available.
Emergencies* ; Emergency Service, Hospital* ; Hospitals, Teaching* ; Korea* ; Medical Records*

OBJECTIVE: This study aims at investigating the incidence, clinical nature and associated clinical characteristics of the clozapine-induced fever. METHODS: Retrospective review of hospital records was performed for 56 inpatients who had started to take clozapine and stayed at the hospital for four or more weeks after the initiation of clozapine treatment. RESULTS AND CONCLUSION: Clozapine-induced fever was developed in 31% of the patients. The mean peak temperature was 39degrees C and the mean duration of the fever was 3 days. Fever was developed average of 11 days after the initiation of clozapine treatment. All the patients were recovered without discontinuation of clozapine. Demographic variables, the clinical response to clozapine, other drugs administered with clozapine, and the presence of other adverse effects of clozapine were not associated with the clozapine-induced fever.
Clozapine* ; Fever* ; Hospital Records ; Humans ; Incidence* ; Inpatients ; Retrospective Studies ; Schizophrenia

We surveyed the generation rate of health statistics by medical records offices of the 78 hospitals and its automation rate using computerized hospital information system. Structured questionnaire was given to one medical record officer of each hospital. Items in the questionnaire was selected from statistics required for hospital service evaluation or OECD health statistics. More than 50% of the medical record office generated questioned health statistics, and most of them was automated. Because many of the medical record offices of the hospitals are producing essential health statistics and automated, there is a possibility that we can collect and use these datas to build up national health database if adequate standardization procedure can be implemented.
Automation* ; Hospital Information Systems ; Medical Records* ; Surveys and Questionnaires

PURPOSE: The liver hanging maneuver (LHM) is a useful technique enabling a safe anterior approach, which is one of the most important innovations in the field of major hepatic resections. This study was conducted to review tumors' profiles after applying this procedure and to evaluate the usefulness of LHM and Glissonean pedicle transaction method (GPTM). METHODS: Medical records of 64 patients who underwent hepatic resection using LHM and GPTM at the Asan Medical Center were reviewed. The classic LHM was conducted according to the Belghiti method. RESULTS: Among 64 patients, 46 patients had hepatocellular carcinoma; 7, intrahpatic cholangiocarcinoma; 4, hilar cholangiocarcinoma; 4, metastatic liver cancer; 3, benign liver tumor. Mean tumor size was 10.6 cm (3~22). Mean liver parenchymal transection time was 20 min (15~30). Right side hepatectomy was performed in 44 patients; left side hepatectomy with or without caudate lobe was performed in 19 patients. Twenty patients (31.3%) required blood transfusion during surgery. There was no in-hospital mortality or major complications. Minor complications developed in 6 patients (9.37%). CONCLUSION: GPTM and LHM are a safe and useful surgical application of various anatomical resections for huge liver tumor and an effective procedure during left hepatectomy with or without caudate lobe.
Blood Transfusion ; Hepatectomy ; Hospital Mortality ; Humans ; Liver ; Medical Records