• Title/Summary/Keyword: 협진

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Trend Analysis of Korean-Western Medicine Collaboration Studies by Disease Group (대상질환군으로 본 의·한 협진연구 경향 분석)

  • Jun, Eun-hee;Lee, Hyeon-joo;Cho, Min-kyoung;Kim, Nam-kwen;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.41 no.4
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    • pp.658-667
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    • 2020
  • Objectives: The purpose of this study was to analyze trends in Korean-Western Collaborative Medicine studies by disease group. Methods: Articles published until May 2020 were searched in domestic databases (NDSL, RISS, KISS, DBPIA, and KoreanTK) using the keywords '한양방', '양한방', '협진', '협의진료', '의한의', '의·한의', and '통합의학'. The articles were analyzed according to the publication year, journal type, research methodology, and disease group using the major and intermediate classifications of the Korean Standard Classification of Diseases (KCD-7). Results: In total, 112 articles were selected. The most frequent major disease groups were disease codes G, C (D), I, and M, in that order. The medium disease groups numbered 41 and most commonly involved collaborative studies on cerebrovascular diseases. Among the three top KCD-7 major group diseases, publications on Group C (D) were increasing significantly, publications on Group G were slightly increasing, but, publications on Group I decreased in the 2010s compared to the 2000s. Conclusions: In this study, we analyzed the frequent disease groups treated with domestic Korean-Western medicine in collaborative studies using the major and medium classifications of KCD-7. Well-designed clinical trials and economic evaluation research are needed, and this study can provide directions for future collaborative studies using Korean-Western medicine.

Consciousness on Co-operative Practices between Doctors Who Working in Cooperative Practicing Hospitals and General Hospital (협진병원 근무 의사들과 종합병원 근무 의사들의 양.한방 협진에 대한 인식도)

  • Ryu, Ji-Seon;Lim, Byung-Mook;Cho, Byung-Mann;Lee, Won-Chul;Yoon, Tae-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.13 no.3
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    • pp.29-41
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    • 2009
  • Objectives : This study was performed to compare consciousness of doctors on cooperative practices of western medicine and traditional Korean medicine, and to provide policy implication for development of cooperative practices. Methods : The structured questionnaires were mailed to 132 doctors working in non-cooperative practicing university hospital and 77 doctors working in cooperative practicing hospitals in Busan metropolitan city. The response rate was 40.2% and 40.3% respectively. This survey was performed from 10 Oct. 2008 to 31 Oct. 2008. Results : The doctors working in general hospital had comparatively negative consciousness on basic concept, value and necessity for cooperative practices and traditional Korean medicine. In regards with disease treatment's effectiveness of cooperative practices, both groups evaluated musculoskeletal and immune disease were more effective than others. There were positive relationships between perception for cost-effectiveness and consciousness on intention to participate cooperative practices(p<0.05). Also doctors who experienced traditional medicine treatment had positive consciousness on cooperative practices(p=0.05). Conclusions : To activate cooperative practices of western medicine and traditional Korean medicine, some efforts should be carried out. These include promoting cooperative education programs in medical schools and traditional Korean medical schools, doing research on cost-effectiveness of cooperative practices, and trying to minimize legal and systemic restrictions for cooperative practices.

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Wastewater Characteristics for Slaughtering Plants in Seoul (서울시 도축폐수의 오염 특성에 관한 연구)

  • Lee, Sang Ho;Kim, Young-Ran;Chung, Jae-Chun
    • Journal of the Korea Organic Resources Recycling Association
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    • v.5 no.2
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    • pp.1-6
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    • 1997
  • Three plants for slaughtering cattle and hogs are located within 13 km away from Ithe downtown of Seoul. They are Woosung at Majang-dong, Hyubjin at Doksan-dong and Chookhyup at Garak-dong. The Objectives of this research are 1) to investigate the current status of three plants 2) to investigate wastewatrer characteristics for slaughtering platns, 3) to find out the pollution loadings to the Han river. The conclusions drawn from this research are given below: (1) The ratio of BOD/COD from the wastewater for three plants is 0.8~0.9. Most components of watewater can be biodegradable. (2) The pollution unit of BOD/cattle hog was the 726 g for Chookhyup, 777 g for Woosung and 797 g for Hyupjin plant. The average pollution unit of wastewater was 767 g BOD/cattle hog for slaughtering plant and $112.6g/m^2{\cdot}d$ for meat markets wastewater. (3) The total pollution loading was 5,050 kg/day for three wastewater plants and this amount can be affected as much as 1 % of total pollution loading of the Han River.

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Utilizing Patterns and Attitude on Collaborating Care of Korean Traditional Medicine and Western Medicine among Cerebral Apoplexy Patients (양.한방 협진병원 뇌졸중 입원환자 진료이용실태와 협진에 대한 태도에 관한 연구)

  • Kim, Dae-Hwan;Lee, Key-Hyo
    • Korea Journal of Hospital Management
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    • v.9 no.2
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    • pp.76-101
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    • 2004
  • The primary purpose of this study was to provide the basic information for improving collaborating care of Korean traditional medicine and western medicine by surveying utilization and attitude on it among cerebral apoplexy(CA) patients hospitalized at a general hospital with both the western and Korean traditional medical department in Busan metropolitan city, Korea. The survey was conducted on 170 patients, 80 from Korean traditional medical department, and 90 from western medical department. The major results of this study were as below: First, CA patient's medical utilization patterns including selecting medical institution, term of treatment and type of medical institution at first-aid were significantly variated by their socio-demographic characteristics such as religion and job. Second, the perceptions of collaborating care, such as effectiveness and reduction of treatment period, were better at respondents who were hospitalized at oriental medical department and had been experienced with collaborating care. Third, the major contents of collaborating care which utilized by respondents in side of western medicine were physical therapy, x-ray, pathologic diagnosis, and medication, and in side of Korean traditional medicine were acupuncture, herbal medication, moxa cautery, cupping a boil therapy. Fourth, overall satisfaction on collaborating care was good(3.5 of 5.0) and was significantly variated by age and religion. Fifth, respondents perceived that collaborating care was most helpful for rehabilitation and the major problem of current duplicate medical system was increasement of medical expenditures, and the major obstacle of collaborating care was prejudice against each other medicine. The results of this study imply that effective marketing for collaborative care suitable for age and religion of customers and patient satisfaction strategy is needed to activate collaborating care.

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Retrospective Medical Record Analysis on Frequent Disease of Collaboration: A Pilot Study (다빈도 협진 질환의 후향적 진료기록 분석 연구 : 예비연구)

  • Gong, Na-gyeong;Lee, Hyeon-joo;Lee, Chan;Hwang, Jin-seub;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.563-571
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    • 2021
  • Objectives: This pilot study aimed to confirm the possibility of applying our design to the main study, a retrospective medical record analysis of the diseases which have most frequently been treated with collaborations of Korean and Western medicine, and to identify what corrections and statistical models are needed to conduct the main study. Methods: Data were collected from a case report form developed for patients who received treatment in the medical institutions. Appropriate statistical techniques, like Propensity Score (PS) and Generalized Estimation Equation (GEE) models, were used to compare the indicators of collaboration and non-collaboration groups for patients in comparable diseases. Results: Using PS matching for each M and S disease group, the indicators were compared by balancing the collaboration and non-collaboration group, and the GEE models compared indicators between groups in each disease over follow-up. Through this process we identified two limitations, insufficient samples and a large deviation of the follow-up period. Conclusion: This pilot study confirmed that the study design and case report form are applicable. The main study will be conducted by collecting sufficient samples and reflecting deviation of follow-up period.

A Report on the Status of Cooperation through the Korean Medicine and Western Medicine Collaboration Process (한의학과 서양의학의 협진 프로세스를 통한 협진 현황 보고)

  • Lee, Kang-Joon;Lee, Gyu-Rae;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.129-139
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    • 2019
  • Objectives The purpose of this study is to investigate present status of cooperation through Korean medicine and Western medicine collaboration process. Methods We have established Korean medicine and Western medicine collaboration process to examine the status of cooperation. The medical records were investigated retrospectively, the general characteristics of gender, age of cooperative patients, classification of disease, frequency of medical treatment and type of insurance were analyzed. Results The Korean medicine and Western medicine collaboration process conducted in 4 stages, the convenience of patient movements is considered. A total of 245 people received cooperative medical treatment, 156 were out-patient department (OPD) patients and 89 were hospitalized patients, both group have more women than men. When classified as disease, OPD patients were most diagnosed with Sprain and strain of lumbar spine, while hospitalized patients were most diagnosed with lumbar and other intervertebral disc disorders with radiculopathy. A total of 72.7% patients were received cooperative medical treatment at once. In a survey of cooperative satisfaction, 68.5% of all medical staff responded positively to the treatment effect, and 68.6% said the need for cooperation was necessary. Conclusions As a result of this study, we were able to see the present status of cooperation, and through this, we found an improvement in the continuation of the cooperation. Based on the present study, It is hoped that a cooperative process will emerge that can improve the problems shown in this study.

A clinical study of East-West Pain Treatment on Chronic Headach Patients (만성두통환자에 대한 동서협진의 임상적 연구)

  • Jung, In-tae;Lee, Sang-hoon;Kim, Su-young;Cha, Nam-hyun;Kim, Keon-sik;Lee, Doo-ik;Lee, Jae-Dong;Lim, Sabina;Lee, Yun-ho;Choi, Do-young
    • Journal of Acupuncture Research
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    • v.22 no.3
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    • pp.93-104
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    • 2005
  • Objective : Because the cause and etiology of chronic headache are not yet fully explained, the treatment of this symptom is not simple. In order to study the effectiveness of East-West pain treatment on chronic headache, we evaluated its effect of pain alleviation and quality of life improvement on chronic headache patients who were treated with nerve block and acupuncture, and only acupuncture for eight weeks. Methods : 92 clinical experiment participants were gathered and through a questionnaire patients who experienced headache for more than 4 hours a day and more than 15 days per month were qualified as chronic headache patients. The qualified patients were classified into two groups, nerve block and acupuncture group(EW group, n=49) and acupuncture group(E group, n=43). Treatment was applied 2 times a weeks for 8 weeks. The acupoints, GV20, HN23, ST8, HN46, TE17, GB20, LI20O, LI11, LI14, ST36, and LR3 were stimulated for 20 minutes. The effects of two groups were analyzed using VAS scores and BPI(Brief Pain Inventory).

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A Study on the Architectual Planning of the Oriental Medical Hospital Corresponding with the Change of the Oriental Medical Environment (한방의료환경의 변화에 대응한 한방병원의 건축계획적 연구)

  • Choi, Young-Jib;Kim, Kwang-Moon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.5 no.8
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    • pp.15-22
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    • 1999
  • Corresponding to the change of the environment of oriental medicine, oriental medicine hospital in today is adjusting between the specific element of oriental medicine and the systematic application of occidental medicine hospital. According to this situation, this study aims to represent the material of the architectural planning of the the oriental medicine hospital. As its method, including the concept of the cooperative examination and treatment between oriental and occidental medicine hospital, the circulation of the patient and staff, and the type of the plane figure of the outpatient department are estimated.

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DENTAL AND OPHTHALMOLOGICAL TREATMENT UNDER THE GENERAL ANESTHESIA OF THE PATIENT WITH MENTAL RETARDATION (정신지체 환자의 전신마취 하 치과치료 및 안과 협진)

  • Kim, Su-Youn;Lee, Keung-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.2 no.2
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    • pp.153-155
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    • 2006
  • Many patients with mental retardation need extensive dental treatment because they have much difficulty in maintaining their oral hygiene. However, because they are not cooperative and not manageable, they require physical restraints, drug induced sedation or general anesthesia. General anesthesia is useful in control of the patients who cannot be treated in other ways. Additionally, general anesthesia provides more safe environment for medically compromised patients. And medical treatment can be provided simultaneously under general anesthesia. Furthermore, almost all treatment can be provided without visiting several times. This case reports of periodontal, restorative and ophthalmological treatment of patient with mental retardation under general anesthesia.

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Interdisciplinary treatment of restoring congenitally missing lateral incisor and unrestorable molars (선천결손된 상악 측절치와 수복 불가능한 대구치들의 심미수복을 위한 다학제 진료)

  • Park, Chul-Wan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.2
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    • pp.101-114
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    • 2017
  • Successful treatment outcome of esthetic dentistry often requires team approach including orthodontist, surgeon and restorative dentist. Clinician should consider various treatment options to restore missing teeth, especially in anterior region. In this article, interdisciplinary treatment of restoring congenitally missing lateral incisor and unrestorable molars will be presented.