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사회적 경제를 통한 복지기술 생태계 탐구; 의료복지사회적협동조합 치과의원의 사례
박유이 ( Yuyi Park ),최형길 ( Hyungkil Choi ),한동헌 ( Dong-hun Han ),강준호 ( Joon-ho Kang ),안성훈 ( Sung Hoon Ahn ),안상훈 ( Sang-hoon Ahn ) 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.1
Objectives: In this study, we strived to determine the possibility of socioeconomic welfare in oral healthcare by analyzing the National Health Insurance (NHI) coverage rate. To date, efforts to realize the “social economy” of healthcare are active. While oral disease is common and chronic among Koreans, the rate of NHI coverage of dental clinics is substantially lower than that of the medical clinics. Methods: We defined the NHI coverage of dental clinics as a proxy for “social skills” to improve oral health problems. The data were collected through a comparative analysis of the NHI coverage of dental clinics and that of non-dental clinics, in health welfare social cooperatives. Results: The NHI coverage rate of the dental clinics in health welfare social cooperatives ranged from 0.97 to 2.62 times that of the non-dental clinics in health welfare social cooperatives. Conclusions: In conclusion, responsible management is recommended for making health welfare social cooperatives meaningful as a social economy.
Poster Session:PS 1096 ; Gastroenterology (Gastrointestinal Tract) : A Case Report: Rectal Tonsil
( Peel Jung ),( Joung Boom Hong ),( Yuyi Choi ),( Sook Kyoung Oh ),( Dong Ku Kang ),( Hyung Wook Kim ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
The rectal tonsil is a reactive proliferation of lymphoid tissue located in the rectum. This lesion is benign lymphoid hyperplasia, but must be prevent a misdiagnosis from the polypoid type of mucosa-associated lymphoid tissue (MALT) lymphomas. We report a case of rectal tonsil. Case Report : A 59-year-old woman admitted for suspicious tuberculous colitis. Tuberculin test was negative. Micobacterium tuberculosis interferon test on blood was positive. Colonoscopy showed ulcerous lesions in the ascending colon and cecum, and the ileocecal valve was totally destroyed with ulcer and pseudopolyp formation. Furthermore, a hard, solitary sessile mass (5 mm) was noted at 10 cm from the anal verge (fig 1); endoscopic ultrasound showed a 5 mm homogenous hypoechoic mass located in the submucosa and without defi nite lymph node enlargement (fig 2). We performed cap-endoscopic mucosal resection (C-EMR). Histopathologically, a dense lymphoid infi ltrate mainly located in the submucosa and extened to mucosa that was a disc of yellow white mucosal tissue, measuring 0. 8 x 0. 5 x 0. 5 cm in dimensions. The lesion was characterized by follicles with well-formed reactive germinal centers of different size; there were abundant macrophages inside the germinal follicles. Immunohistologic study demonstrated that typical lymphoid follicles and suggested follicular type of proliferation with B cells markers were positive for CD20+ (B cells), and intraepithelial lymphocytes were positive for CD3+ (T cells). These studies confi rmed a reactive lymphoid proliferation, and excluded lymphoma. The patient was a tuberculostatic therapy with isoniazid, rifampicin, pyrazinamid, and ethambutol for 6 month. After 3 month of tuberculostatic therapy and C-EMR, follow-up colonoscopy showed grossly normal healed mucosa in cecum, ascending colon and rectum.