• Title/Summary/Keyword: 보완의학

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Challenge of Complementary and Alternative Medicine - Worldwide Currents and Health Policy Implications - (보완.대체의학에 대한 시론 - 세계의 동향과 보건정책적 시사 -)

  • 박종구;김춘배;최서영;김달래;전세일;이선동;이종찬;강명근;조경숙
    • Health Policy and Management
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    • v.10 no.1
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    • pp.1-30
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    • 2000
  • One form of complementary and alternative medicine (CAM), oriental medicine has developed differently from the western medicine under its own environment and history. Western medicine was introduced to Korea about 120 years ago. But unfortunately, there still is an indisputable lack of cooperative movement between oriental medicine & western medicine. However, the market share of CAM has grown markedly in most industrialized countries (the United States, Europe, Australia, and Asia). In these countries, alternative medicine such as acupuncture and herbal remedies was adopted as a "complementary" therapies of mainstream medicine, to calm the symptoms of terminal illness. Recently in Korea, there was a movement to cooperate oriental medicine & western medicine. However, until this time in Korea, there was a conflict between oriental medicine & western medicine. They blame each other. Such as "Other side is guilty of improper evaluation of patients, possibly suppressing effective therapies of their own side and profit-motivated". Though most western medicine practitioners criticize oriental medicine, the level of adopting alternative forms of health care by the public and by some western medicine practitioners will continue to increase. Therefore oriental medicine & western medicine share a mutual responsibility to apply evidence-based practices, to seek scientific empirical proof through planned interventions, and to increase the quality of health care.lity of health care.

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Globalization of CAM and Development Strategy of the Korean Tradational Medicine (보완대체의학의 세계화와 한의학의 발전방안)

  • Hwang, Joong-Seo
    • Journal of Haehwa Medicine
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    • v.20 no.2
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    • pp.141-153
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    • 2012
  • Nowadays, the humankind's lives are affluent enough and the modern medical cure systems have made the humans' lives much longer. In spite of the modern medical development, the chronic & regressive diseases are rapidly increasing ironically. In this regards, many countries endeavoring to rely on the traditional or CAM instead of Conventional and Modern Medicines. The late Steve Jobs who sought for the natural therapy for his pancreatic cancer was one representative example. Every countries are investing huge amount of money to become the leader in the CAM market. Moreover, by preoccupying the world-wide standards, each country is trying to grab the market monopoliy. In this thesis, I examined several coutries' CAM markets and their CAM development strategies. These strategies should be considered for the KTM development Strategy. Fortunately, KTM has doing the main role in the Korean CAM development strategy. But to become the world leader in CAM market, the governmental committee should be established and the Financial Investment and Aid Program should be followed. It is very important to obtain the world standards. To do so, the R&D capability should be enhanced also. The world trends in CAM should be scrutinized and the Government Agency - Scholartic Group - Research institute have to cooperate for the same target.

A Review of the Study on Complementary and Alternative Medicine in Obstetrics (임신 중 한의학 관련 보완대체의학 활용 연구 동향 분석을 통한 한방 산과학의 활성화 방안 연구 (2000년대 연구를 중심으로))

  • Lee, Yoon-Jae;Hwang, Deok-Sang;Lee, Chang-Hoon;Lee, Kyung-Sub
    • The Journal of Korean Medicine
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    • v.30 no.1
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    • pp.137-149
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    • 2009
  • Objectives: Pregnant women could have various diseases, but the treatment of medication has the limitation that could cause fetal injury. So pregnant women have used complementary and alternative medicine in the world, but korean medicine had not been actively studied on obstetrics. This study is to investigate efficacy and safety of complementary and alternative medicine on obstetrics. Methods: We searched for papers which had pregnancy, obstetrics, complementary medicine, acupuncture and herb in the pubmed since 2000. Results: 41 papers were found. Acupuncture have the efficacy and safety on nausea, pelvic pain in pregnancy and breech presentation. Complementary alternative medicine had been studied as randomized controlled trial at various diseases in obstetric. But the method were without coordination, results were different from methods. So more clinical trials about complementary and alternative medicine would be needed. Massage and acupressure would be helpful for pregnant mood complaint. Conclusion: Complementary and alternative medicine has been proved as efficacy and safety in obstetrics, so complementary and alternative medicine would be helpful method in pregnant women. For making guidelines on complementary and alternative medicine treatment during pregnancy, more research will be needed.

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Research trends of inhalation drug for asthma in complementary and alternative medicine (보완대체의학의 천식 흡입치료제 연구 동향)

  • Yang, Su-Young;Oh, Ji-Seok;Park, Yang-Chun;Oh, Young-Seon;Lee, Yong-Koo
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.1-8
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    • 2009
  • This study analyzed the contents of the research papers of Complementary Medicine concerning the inhalation drug for asthma published in Pubmed during lately 10 years. As a result, the following conclusion was drawn. 1. There were 5 papers concerning 2 review articles, 2 experimental studies and 1 clinical study. 2. Interventions of research papers are glutathione, microorganism fermentation extract (EM-X), ginkgolide and compound Chinese herbal monomer recipe (ligustrazin, baicalin, ginkgolide). 3. There is no controlled study for effect of inhaled glutathione, on the contrary it induced bronchial constriction in sulfites sensitive asthmatics. 4. Inhalation of EM-X reduced airway hyper-reactivity and level of IL-4, IL-5 and IL-13 in OVA challenged asthmatic mice. 5. Ginkgolide nebulized inhalation reduced symptomatic scorings and eosinophil cationic protein, improved FEV1 and PEF. 6. Compound Chinese herbal monomer (CHM) recipe reduced blood eosinophil count, eosinophil count and total cell cound in BALF, depressed airway hyper-responsiveness and airway inflammation.

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Policies on Complementary and Alternative Medicine in the United States - Focusing on Licensing and Insurance - (미국의 보완대체의학 제도와 정책 - 면허제도와 의료보험급여를 중심으로 -)

  • Lim, Byung-Mook
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.1
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    • pp.137-149
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    • 2010
  • In recent decades, as the utilization of complementary and alternative medicine in the United State have been growing rapidly, regulatory controls surrounding complementary and alternative medicine(CAM) aims to ensure patient protection against unproven practices and to provide safe and effective treatments. Regulation and policy method on licensing CAM practitioners varies across the states. Over 85% of the states have the licensing system for acupuncturists, chiropractors, and naturopaths. For acupuncture, although the requirements for formal education are various across the states, a unified written examination has been adopted by almost entire states which have acupuncturist licensing law. Medicare, the public medical insurance, does not cover CAM practices except chiropractic and biofeedback. In some states, however, Medicaid programs cover some CAM therapies including acupuncture, naturopathy, and massage therapy. 67% of Health Maintenance Organizations, the private health plans, provide at least one modality of CAM services. In conclusion, government policies have been strengthened to ensure patient protection, and will continue to integrate CAM practices that are proven to be safe and effective into mainstream health care system.

A Review on Complementary and Alternative Medicine of Breastfeeding (국내외의 모유 수유 관련 보완대체 의학(Complementary and Alternative Medicine) 연구 동향 고찰)

  • Lee, Yoon-Jae;Hwang, Deok-Sang;Lee, Chang-Hoon;Lee, Kyung-Sub
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.3
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    • pp.167-178
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    • 2008
  • Purpose: Many breastfeeding women have used complementary and alternative medicine, but the guideline for lactation does not exist on complementary medicine. This study is to investigate efficacy and safety of complementary and alternative medicine in breastfeeding. Methods: We searched for papers which had breastfeeding, complementary medicine, acupuncture and herb in the pubmed, scopus site and Korean journals. Results: 38 papers were found. Acupuncture could have the efficacy on hypogalatia and mastitis. Compound herb therapy had effect on hypogalactia, but none of herbs were investigated for safety all except for St John's wort. So more clinical trials about herbs would be needed. Massage and the other complementary therapies would be helpful for breastfeeding mother. Conclusion: Acupuncture could be a good treatment for hypogalactia and inflammation of the breast. For making guidelines on complementary and alternative medicine during lactation, more research will be needed.

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Segmentation and Visualization of Human Anatomy using Medical Imagery (의료영상을 이용한 인체장기의 분할 및 시각화)

  • Lee, Joon-Ku;Kim, Yang-Mo;Kim, Do-Yeon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.1
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    • pp.191-197
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    • 2013
  • Conventional CT and MRI scans produce cross-section slices of body that are viewed sequentially by radiologists who must imagine or extrapolate from these views what the 3 dimensional anatomy should be. By using sophisticated algorithm and high performance computing, these cross-sections may be rendered as direct 3D representations of human anatomy. The 2D medical image analysis forced to use time-consuming, subjective, error-prone manual techniques, such as slice tracing and region painting, for extracting regions of interest. To overcome the drawbacks of 2D medical image analysis, combining with medical image processing, 3D visualization is essential for extracting anatomical structures and making measurements. We used the gray-level thresholding, region growing, contour following, deformable model to segment human organ and used the feature vectors from texture analysis to detect harmful cancer. We used the perspective projection and marching cube algorithm to render the surface from volumetric MR and CT image data. The 3D visualization of human anatomy and segmented human organ provides valuable benefits for radiation treatment planning, surgical planning, surgery simulation, image guided surgery and interventional imaging applications.

Comparison Study of Conventional Film-based and CT-reconstruction method in HDR Brachytherapy (고선량률 근접 방사선 치료에서 기존의 필름 방법과 CT 재구성 방법의 비교 연구)

  • 장지나;이형구;윤세철;서태석
    • Progress in Medical Physics
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    • v.15 no.2
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    • pp.63-69
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    • 2004
  • HDR brachytherapy administers a large dose of radiation in a short time compare with LDR, and its optimization for treatment is related to several complex factors, such as physical, radiation and optimization algorithms, so there is a need for these to be verified for accurate dose delivery. In our approach, a previous study concerning the phantom for dose verification has been modified, and a new pelvic phantom fabricated for the purpose of localization, including a structure enabling the use of a CT or MRI system. In addition, a comparison study was performed to verify an orthogonal method that is commonly used for brachytherapy localization by comparing target coordinates from a CT system. Since the developed phantom was designed to simulate the clinical setups of cervix cancer, it included an air-filled bladder and a rectum structure shaped sphere and cylinder An N-shaped localizer was used to obtain precision coordinates from both CT and films. Moreover, the IDL 5.5 software program for Windows was used to perform coordinates analysis based on an orthogonal algorithm. The film results showed differences within 1.0 mm of the selected target points compare with the CT coordinates. For these results, a Plato planning system (Nucletron, Netherlands) could be independently verified using this phantom and software. Furthermore, the new phantom and software will be efficient and powerful qualify assurance (QA) tools in the field of brachytherapy QA.

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Evaluation of Accuracy on Hitchcoke CT/angio localization system using QA head phantom (QA용 두부 팬톰을 이용한 Hitchcoke CT 및 혈관조영 정위적 시스템에 대한 정확도 평가)

  • 김성현;서태석;윤세철;손병철;김문찬;신경섭
    • Progress in Medical Physics
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    • v.9 no.1
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    • pp.1-9
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    • 1998
  • In order to provide complementary image data, CT(computed tomography), MR(magnetic resonance) and angiography have been used in the field of Stereotactic Radiosurgery(SRS) and neurosurgery. The aim of this work is to develop 3-D stereotactic localization system in order to determine the precise shape, size and location of the lesion in the brain in the field of Stereotactic Radiosurgery(SRS) and neurosurgery using multi-image modality and multi purpose QA phantom. In order to obtain accurate position of a target, Hitchcoke stereotactic frame and CT/angiography localizers were rigidly attached to the phantom with nine targets dispersed in 3-D space. The algorithms to obtain a 3-D stereotactic coordinates of the target have been developed using the images of the geometrical phantom which were taken by CT/angiography. Positions of targets computed by our algorithms were compared to the absolute position assigned in the phantom. Outlines of targets on each CT image were superimposed each other on angiography images. A spatial mean distance errors were 1.02${\pm}$0.17mm for CT with a 512${\times}$512 matrix and 2mm slice thickness, 0.41${\pm}$0.05mm for angiogra- phy localization. The resulting accuracy in the target localization suggests that the developed system has enough Qualification for Stereotactic Radiosurgery (SRS).

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Dose Distribution of 3-Channel Ovoid Applicator (3-Channel Vaginal Ovoids의 선량분포 특성)

  • Kim Chang Hee;Yun Sang Mo;Kim Sung Kyu;Shin Sei One
    • Progress in Medical Physics
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    • v.15 no.3
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    • pp.134-139
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    • 2004
  • This study was aimed to develop a new ovoid applicator for vaginal high-dose rate intracavitary radiation therapy, evaluate uniformity of dose distribution, and assess clinical applicability. The authors evaluated dose uniformity of vaginal mucosa according to 5-different ovoid-separation using 2-channel and modified 3-channel ovoid applicator. There were no significant differences in the dose distribution along the vaginal mucosa with 2 and 2.5 cm separations, but there were between the 2-channel and 3-channel ovoid applicator with a separation of 3 cm or more. Although a low dose area was shown between two ovoid applicators with the 2-channel ovoid applicator, the dose distribution along the vaginal mucosa with the 3-channel ovoid applicator was very uniform.

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