Diabetic patients must keep on exercising self-management for life in order to prevent diabetic complications and hold in check the progress of the disease. Moreover, fighting against the disease is an integral part of everyday life. Depending on the condition, patients may have to switch over to another treatment method in a short space of time. Such patients accept the alteration without proper understanding of it, although physicians thought they had given full explanations to the patients. There are some patients who cannot adequately communicate with their doctors. They blame the exacerbation of the condition on their poor self-management, get depressed and eventually driven to desperation. Tired out of long years of the life under medical treatment, diabetics may want to have someone to talk to or to turn to for advice. Doctors and nurses ought to understand their feelings, listen to them, give proper instruction, and review it later. For this purpose, medical institutions should have a counselor's office easy of access by patients and their families.
seconds ; Counselors ; Office ; Solutions ; Doctors

Recently there has been attempts to develop hospital information system including order communicating system, patient tracing system, tumor registry system, office automation system and picture archiving and communication system(PACS). The authors devloped a practical system that was operated via order communication system of Yeungnam University Hospital. The system provided us the 'speed, accuracy, reliability, retention, economy and wide applicability through practical test. So we believed that this system would be one of standard computerized programs in radiation oncology practice and providing widely usable data for clinical statistics, medical record, tumor registry system and clinical researches.
Hospital Information Systems ; Humans ; Medical Records ; Office Automation ; Radiation Oncology*

This paper introduces an Excel VBA-based method developed for electronic marrow testing reports.
Bone Marrow Examination ; methods ; Electronics ; Office Automation ; Software

The Hospital Statistics Management System is built on an Office Automation Platform of Shandong provincial hospital system. Its workflow, role and popedom technologies are used to standardize and optimize the management program of statistics in the total quality control of hospital statistics. The system's applications have combined the office automation platform with the statistics management in a hospital and this provides a practical example of a modern hospital statistics management model.
Hospital Administration ; Hospital Information Systems ; Office Automation ; Statistics as Topic

Sleep disorders are very common among pediatric patients. Its prevalence is between 10% and 45% in preschool- and school-aged children. However parents commonly do not concern about their children's sleeping habits and for many pediatricians, there is not part of the routine office visit about a childs sleep. Sleep disorders were classified by International Classification of Sleep Disorder (ICSD) as dyssomnias, parasomnias, sleep disorders associated with mental, neurologic, or other medical disorders, and proposed sleep disorders. There are lots of differences in the causes, manifestations, and managements of sleep disorders between children and adults. The sleep disorders in childhood may manifest themselves as bedtime resistance, refusal to go to bed at a parentally described time, sleep-onset delay, inability to fall asleep within a reasonable time, prolonged nighttime awakening, and inability to return to sleep without assistance after waking during the night, and so have wide-ranging influences on children's behavior, mood, school performance, and family life. It's very important for pediatrician to concern about the sleep disturbances in childhood and so the problems of sleep in children should be early detected and managed.
Adult ; Child ; Classification ; Disulfiram ; Dyssomnias ; Humans ; Office Visits ; Parasomnias ; Parents ; Prevalence ; Sleep Wake Disorders*

PURPOSE: The International Prostate Symptom Score (IPSS) is generally self- administrated; however, it is doubtful that the self-administrated IPSS score correctly reflects patients' symptoms; therefore, the difference in the IPSS self-administrated score and physician-interviewed patients was studied. MATERIALS AND METHODS: A total of 202 patients completed two IPSS questionnaires during the same office visit, one by self-administration and the other by physician-interview, at two medical centers, one located in an urban area and the other in a rural area. The mean total symptom score and the score for each question, and the quality of life score were compared between the two modes of administration. A multi-logistical regression analysis was performed to identify differences due to the effects of age, the order of administration, location and educational level. RESULTS: The mean total symptom score and quality of life score were higher in the self-administrated than physician-interviewed group (14.16 vs. 13.07, p=0.001, 3.27 vs. 3.2, p=0.090). The residual sense (2.03 vs. 1.97, p=0.20), frequency (2.07 vs. 1.97, p=0.026), interruption (1.83 vs. 1.61, p=0.002), urgency (1.89 vs. 1.55, p=0.001), weak stream (2.74 vs. 2.60, p=0.042), hesitancy (1.77 vs. 1.59, p=0.005) and nocturia (1.82 vs. 1.77, p=0.12) were also higher in the self-administrated group. The multi- logistical regression analysis revealed statistically significant differences in relation to age and location. CONCLUSIONS: The self-administrated IPSS score was higher than the physician-interview score, especially in relation to an older age and an urban location. Therefore, active intervention should be considered during the administration of the IPSS, especially for old aged patients living in urban areas.
Humans ; Lower Urinary Tract Symptoms* ; Nocturia ; Office Visits ; Prostate* ; Quality of Life ; Questionnaires ; Rivers ; Urinary Tract

Plagiarism, the use of text and ideas from published works without proper permission or citation, is difficult to detect since the whole text should be searched and compared to literature databases. Nevertheless, this process has become simpler with the advent of web-based technologies and more powerful search tools. Recently, a case of plagiarism was detected in an invited manuscript submitted to the Journal of the Korean Medical Association. In the withdrawn manuscript, there were figures and figure legends copied from other papers with neither permission nor citation. Only the citation is enough to use content, figures, or tables from other papers when the original journal is open access with Creative Commons License. Otherwise, to use such data, it is essential to obtain permission from that paper's journal publisher. If plagiarism is detected after publication, the author will face harsh disciplinary action before the office of research integrity in his or her institute. Also, the paper may be retracted by the editor. This is the first time that Editorial Board has detected plagiarism before publication. Screening for plagiarism and other ethical violations will continue so that we can pursue the status of the representative journal of Korean physicians and develop a positive reputation for Korean science internationally by maintaining the utmost quality and integrity in our publications.
Coat Protein Complex I ; Licensure ; Mass Screening ; Plagiarism ; Publications ; United States Office of Research Integrity

Currently, many computer systems are used in many areas of medicine including radiation oncology. For the most part, the computer system has proved to be useful in radiotherapeutic planning and dose calculation. There has been attempts to develop computer system including information management of patients, patient tracing, and office automation in radiation oncology department. But some of these available commercial systems have shortcomings. We developed a management system of patients in our radiation oncology department that integrated most of items for the evaluation of patents. In particular, the data were stored in a natural language (noncoded) and made themselves easily understandable by all clinical groups. In addition, the data could be isolated in files from which the computer could generate graphs and static data by the use of some simple commands. The system provided us with not only the functions of case review but functions of preparation of conferences, lectures and resident teaching.
Computer Systems ; Congresses as Topic ; Humans ; Information Management ; Lectures ; Office Automation ; Radiation Oncology*

The purposes of this study were to investigate importance level and performance frequency of the dietitians' duties and task elements, to examine the actual condition of education and need for education, to analyze the interrelation between their tasks and education, and to provide the direction of education for the contracted Business & Industry (B & I) foodservice dietitians. The task elements of receiving, ordering, HACCP management and directing serving process were done almost every day. In terms of the importance of tasks, food sanitation management, personnel sanitation management, receiving and ordering were high. Meanwhile, the computerization of their works was being carried out on the whole, showing a higher frequency in all the details of procurement management and accounting management, as well as task elements such as menu planning, leftover and food waste management, HACCP management and human resource management. In the past three years, HACCP management, cost management, planning work schedule and allotting a task, general business and sale bond management were increased most and rapidly. For the actual condition of education, dietitians got more education for the duty of sanitation, safe and facility/utility management than any other duty, while they did less education of procurement management and office management than others. Meanwhile, the education for sanitation, safe and facility/utility management and accounting management were very much required. For the relationships of frequency of duty and the necessity of education, seven task elements including food sanitation management were correlated positively. Eighteen tasks besides menu planning had a significant positive correlation between the importance of duties and the necessity of education.
Accounting ; Appointments and Schedules ; Commerce ; Contracts ; Humans ; Menu Planning ; Office Management ; Personnel Management ; Sanitation ; Waste Management

OBJECTIVE: The purpose of this study was to explore the usability of a feature selection method based on the mutual information theory to increase predictive performance of a classifier in data mining. METHODS: The HIV Cost and Services Utilization Study(HCSUS) dataset was used to apply the feature selection method to a classifier. Its contribution to increasing the predictive performance of the classifier was evaluated by comparing the Naive Bayes(NB) and the Logistic Regression(LG) models using different variables. The infrequent office visit representing limited health service utilization was selected as an outcome variable. HUGIN Researcher(TM) 6.3 was used to train and test the NB models and SAS(R) 8.0 was used for the LG modeling. RESULTS: Higher AUC in the NB model was obtained using the variables selected by the mutual information based feature selection method(AUC=.639, CI=.611, .660); lower AUC using the variables defined by a previous study(AUC=.599, CI=.570, .620). There was no difference between the LG models with different variables. CONCLUSION: This study demonstrated the mutual information method may be useful in identifying relevant predictors as the feature selection method, which can contribute to an increase in the predictive performance of a classifier.
Area Under Curve ; Data Mining ; Dataset ; Health Services ; HIV ; Information Theory* ; Office Visits