• Journal of Oriental Neuropsychiatry
• /
• v.33 no.3
• /
• pp.267-276
• /
• 2022

Objectives: The purpose of this study was to explore the vivid and in-depth stories, of inferiority experienced in the lives of current Korean medicine doctors. Methods: In-depth interviews were conducted, with two participants. Collected research data were analyzed, using the narrative inquiry method suggested by Clandinin and Connelly. Results: Common themes found in participants' narrative were summarized, by 'comparison with others' and 'various attempts to overcome inferiority feeling'. Conclusions: This study is meaningful at three levels: personal, social, and practical. Also, it provides readers with an opportunity to reflect on the way they cope with their inferiority complex, which various people experience in different contexts.

• Journal of Society of Preventive Korean Medicine
• /
• v.27 no.1
• /
• pp.29-42
• /
• 2023

목적 : 노인 인구가 급격히 증가하면서 노인 돌봄에 대한 관심이 높아지고 있다. 본 연구의 목적은 한국, 일본, 대만, 중국의 노인들을 위한 지역사회 돌봄 시스템을 비교하는 것이다. 방법 : 본 연구는 PubMed를 포함한 다양한 데이터베이스를 사용하여 4개국의 커뮤니티 케어 시스템을 파악했다. 검색은 지역사회 돌봄, 통합 돌봄, 노인 돌봄 등 다양한 용어를 사용해 이뤄졌으며 연구는 제외 및 포함 기준에 따라 식별되었다. 결과 : 본 연구에는 총 77개의 연구가 포함되었다. 이 연구는 4개국의 지역사회 돌봄체계를 분석했다. 그리고 의료정책에 초점을 맞춰 "퇴원지원"과 "방문의료"의 시스템과 운영사례를 비교하였다. 결론 : 지역사회 돌봄에서 적절한 한의 홈 헬스케어 서비스를 제공하기 위해서는 한의사에 대한 인식 제고와 예산 증액이 필요하며, 본 연구는 향후 보다 발전된 노인돌봄정책 수립에 활용될 수 있다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2009.04a
• /
• pp.43-46
• /
• 2009

의료 분야의 정보화 움직임으로 인해 단순한 정보 저장과 검색 시스템에서 벗어나 지능화된 서비스를 제공 해주는 시멘틱 웹 기반의 의료 시스템이 요구되고 있다. 이에 한의학 분야도 한의사의 진단을 보조할 수 있는 지식 기반 시스템에 대한 요구가 증대되고 있으며 관련 시스템들이 개발되어지고 있다. 온톨로지는 시멘틱 웹의 핵심적인 지식 체계로 지식의 처리와 추론이 가능하므로 질의 및 논리 추론을 통하여 진단을 내리는 한의학 지식 데이터베이스 구축에 적합하다. 본 연구에서는 한의학 분야의 지식을 보다 의미적이고 체계적으로 표현하고 온톨로지를 이용한 검색 결과의 이점을 보여주기 위해 추론 기술을 접목시켜 한의학 온톨로지를 개발하였다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2021.11a
• /
• pp.397-399
• /
• 2021

한의사의 복진을 모사하는 진단기기와 이를 이용하여 질환과 변증을 분류하는 알고리즘을 개발하는 연구가 진행되고 있다. 본 연구에서 적외선 체열 영상과 접촉식 온도계로부터 구성되는 복부 영역별 체열 영상 시스템을 제시하였고, 복부 영역의 절대 온도를 보정하는 방법을 살펴보았다. 접촉식 온도계를 활용해 추가로 복부표면 온도를 측정하였고, 동시에 열화상 카메라로도 영상을 촬영하여, 동일위치에서 열화상 영상의 온도값과 접촉식 체온계의 온도값을 비교해 전체 열화상 영상을 보정하였다. ICC 값이 0.96으로 나와 높은 재현성을 보였다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2022.11a
• /
• pp.270-272
• /
• 2022

한의 복진은 복부를 검사하기 위해 수행되지만 정량화되지는 않았다. 이 연구의 목표는 소화불량의 주요 증상인 흉협고만이 있는 그룹과 아닌 그룹 사이에 유의하게 차이나는 복부 측정기기의 변수를 식별하는 것이다. 정량적인 진단을 위해 규칙에 따라 구획한 복부를 적외선 열화상 카메라, 디지털 압통기, 3D 카메라 및 디지털 청진기를 포함한 기기로 측정하였다. 연구방법으로 임상연구를 수행하여 한의사들이 진단한 복부 증상인 흉협고만과의 일치도를 조사하였다. 기기 측정 중 깊이, 압력, 깊이에 대한 압력의 비율은 흉협고만 그룹이 비 흉협고만 그룹보다 유의하게 작았다. 따라서 물리적 압통 특성이 감소하고, 복부 경직도가 감소하며, 민감도가 증가했다. 좌측과 우측 늑골 사이의 거리, 흉늑골 각도는 흉협고만 환자에서 유의하게 더 컸다. 또한, 깊이 차이, 표면 법선 벡터 및 깊이 값 사이의 각도 차이는 흉협고만 그룹에서 대부분 작았다. 복부 측정기기는 다양한 질환 및 증상에 사용될 것으로 기대한다.

• The Korean Society of Law and Medicine
• /
• v.24 no.1
• /
• pp.3-42
• /
• 2023

The Supreme Court en banc decision on December 12, 2022 (docket number 2016Do21314) ruled that the diagnosis of endometrial hyperplasia by an oriental medical doctor using a diagnostic ultrasound device was not an unlicensed medical practice for an oriental medical doctor, which shall be scrutinized by the article 27 (1) of the Korean Medical Service Act. This ruling did not determine that a specific medical practice, especially diagnosis, based on the radiology, which is a part of western medicine, was not an unlicensed medical practice for an oriental medical doctor. Rather, it intended to clarify that the prosecutor should specify and prove the way of diagnosis and he should not prosecute mere the use of a diagnostic ultrasound device itself. To that extent, the ruling is agreeable because, as the oriental medicine community has argued, there is no regulation prohibiting the use of certain devices. It is probable, however, that the way of diagnosis established in radiology, which is a part of western medicine, was actually used in the case. In that case, there is undeniably an unlicensed medical practice for an oriental medical doctor. While many of the cases where the demarcation between (western) medicine and oriental medicine have been problematized thus far have been experimental treatment in nature, the above practice of using ultrasound appears to be frequently done in many oriental clinics, and so it is necessary to cope with the possibility of a disguised unlicensed medical practice. Another problem is the prevention of unfair practice or the protection of medical consumers. In fact, many oriental medical clinics' practice appear to have a tendency of inducing medical consumers' misunderstanding that a diagnosis based on radiology, which is a part of western medicine, were provided. It is hard to respond to this problem with demarcation between (western) medicine and oriental medicine. A new regulation against unfair practice might be necessary to implement.

• Journal of Society of Preventive Korean Medicine
• /
• v.17 no.3
• /
• pp.155-164
• /
• 2013

Purpose : This study was conducted to assess whether Korean medicine doctors' attire influences patients' preference (confidence, comfortability, neatness) in a university hospital. Materials and Methods : Employing a cross-sectional design, outpatients answered a questionnaire in a university hospital of Korean Medicine. Respondents were asked for completing the questionnaire to estimate their preference of doctor's attire for confidence, comfortability and neatness after watching 4 types of attire in both male and female Korean medicine doctors, including white coat, traditional attire, formal suit and casual clothes. Whether Korean medicine doctors' attire on a patients' preference is important was also asked for the respondents using a 5-point Likert scale. Results : All 175 patients were enrolled, of whom 38.9% were male respondents, 46.3% graduated from a university at least and mean age of responders was 47.1. Most had a tendency for preferring white coat followed by traditional attire and only a small portion of respondents preferred for formal suit and casual clothes. When comparing preferences in confidence between white coat and traditional attire only, male patients preferred white coat more than female patients did with statistical significance. In addition, 85.4% of respondents answered that Korean medicine doctors' attire is important to a clinical situation with higher ratio of female respondents (87.9%) than male respondents (80.9%). Conclusion : Patients preferred white coat and traditional attire mostly for the Korean Medicine doctor's attire with only small preference for formal suit and casual clothes. Also, Patients recognized that Korean medicine doctors' attire is important in the clinical situation.

• Journal of the Institute of Electronics Engineers of Korea SC
• /
• v.45 no.6
• /
• pp.117-122
• /
• 2008

Although the pulse diagnosis is the one of the most important diagnostic process to traditional medical doctors, there is no proper communication tool between experts and trainees. In this paper, we have developed a indentation training system which consists of a hardware measuring indent pressure on artificial arm quantitatively and a software providing a indentation training program. The hardware for measurement of indent pressure profile includes 3 load cells embedded in the artificial arm, signal amplification part and digitization part, NI-USB 6009 with 200Hz sampling rate. For setting up a relationship table between weights and output voltages, 8 standard weights were used. To evaluate this hardware, 3 oriental medical specialists were involved and their indent pressure profile were recorded three times respectively. From these, it was found that pulse diagnosis process could be divided into 3 periods and the maximum load were $500g{\cdot}f$ approximately while doctors perform a pulse diagnosis. The indentation training program was implemented with LabView and designed to monitor the differences between the pressure profile of a expert and that of a trainee so to offer some visual feedback to the trainee. Also, this program could provide the trends of training performances. With this developed system, the education of pulse diagnosis is expected to be more quantitative and effective.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.12 no.4
• /
• pp.181-188
• /
• 2012

An effective extraction method for extracting a coated tongue is proposed in this paper, which is used as the diagnostic criteria in the tongue diagnosis. Proposed method uses the fluorescence response characteristics of the coated tongue that is occurred by using the ultraviolet light. Specially, this method can solved the previous problems including the issue in the limits of the diagnosis environment and in the objectivity of the diagnosis results. In our method, original tongue image is acquired by using the ultraviolet light, and binarization is performed by thresholding a valley-points in the histogram that corresponds to the color difference of tongue body and tongue coating. Final view image is presented to the oriental doctor, after applying the canny-edge algorithm to the binary image, and edge image is added to the original image. In order to evaluate the performance of the our proposed method, after building a various tongue image, we compared the true region of coated tongue by the oriental doctor's hand with the extracted region by the our method. As a result, the proposed method showed the average 87.87% extraction ratio. The shape of the extracted coated tongue region showed also significantly higher similarity.

• Journal of Society of Preventive Korean Medicine
• /
• v.22 no.2
• /
• pp.65-75
• /
• 2018

Objectives : This study aimed to investigate the satisfaction of Korean medicine doctors (KMD) who conducted Korean medicine school doctor program (KMSD). We are going to use study as a foundation for activation KMSD program. Methods : Seoul Korean medicine association and Seoul metropolitan office of education conducted KMSD program for 22 schools in 2017. The program included health lessons, health counseling, and health care programs. After program finished, we carried out self-administered questionnaire survey to KMD who participated in KMSD program and we analysed it. Results : A total of 45 people answered the questionnaire, and 56% of respondents answered as 'Good progress' and 44% answered as 'Bad progress'. The reason for good progress was 'Good cooperation of School' (47.4%). 'Personalized program for participant' (23.68%), 'Support of Seoul Korean Medicine Association' (21.1%). The reason for 'Bad progress' was 'Bad cooperation of School' (37.8%), 'Lack of personal circumstances' (32.4%), 'Lack of motivation' (16.2%). The advantage of KMSD program included 'It is helpful for positive perception of the Korean medicine' and 'Korean medicine can contribute to improving public health, which is the health of schools' was 25%, 'It is helpful in expanding the services of Korean medicines to children and adolescents' was 17.6%, 'Highly satisfaction in participations' was 15.7%. The question of prerequisites for activation KMSD Program included 'Active cooperation of school' was 35.05%, 'Expand teaching materials and programs' was 20.62%, 'Support of Seoul Korean Medicine Association' was 15.46%. Conclusions : We will organize and activate programs of KMSD program and conduct program based on harmony of local community and school support, research of school health program. The program will contribute to improve student health and develop Korean health support program.