It is the most important thing at present for physicians to posses the qualification of medical professionalism. A lot of medical schools have made all-out efforts to develop leaders of medicine, who will be able to meet the needs of medical professionalism in this complex medical environment. The purpose of this study is to review the cognitive base of medical professionalism leading the curriculum development of medical professionalism. The discussion of medical professionalism started in the 20th century. During the 1960s, there were attempts to reshape the concepts and attributes of medical professionalism. The government began to intervene in the autonomy of physician and the self regulation policy of medical society in 1970s. Physician may be asked to play as a healer and professional (what?) during their medical practice. The fundamental role of healer such as care, compassion, honesty, integrity, confidentiality, ethical behaviors, and respect with patients were nothing fresh to tell even though the age was changed. The attributes of professional which are physician's autonomy, self regulation, teamwork, and responsibility to society has been changed dramatically over the past five decades. In general, medical educators agreed that professionalism is demonstrated through a foundation of clinical competence, communication skills, and ethical and legal understanding, upon which is built application of the principles of professionalism: excellence, accountability, altruism, and humanism. If physicians fail to show professionalism in society, they will confront the crisis which can be under the government control. The only way to keep their autonomy is to practice medical professionalism. So far today, medical schools have laid more stress on competence than value standards in educational systems and it was restricted for medical students to learn the value standards for medical practice. To understand and practice the medical professionalism, it is the most realistic way to solve the complicated medical problems.
The performance of stilting engine, in particular, its energy conversion efficiencies are critically influenced by the regenerator characteristics. The regenerator characteristics are influenced by effectiveness, void fraction. heat transfer loss and fluid friction loss in the regenerator matrix. These factors were influenced by the surface geometry and material properties of the regenerator matrix. The regenerator design goals arc good heat transfer and low pressure drop of working Bas across the regenerator. Various data for designing a wire screen matrix have been given by Kays and London(1984). The mesh number of their experiment. however, was confined below the No. 60. which seems rather small for the Stirling engine applications. In this paper. in order to provide a basic data for the design of regenerator matrix, characteristics of heat transfer and flow friction loss were investigated by a packed mettled of matrix in oscillating flow as the same condition of operation in a Stirling engine. Seven kinds of sing1e wire screen meshes were used as the regenerator matrices. The results are summarized as follows; 1. While the working fluid flew slowly in the regenerator. the temperature difference was great at the both hot-blow(the working fluid flows from healer to cooler) and cold-blow(the working fluid flows from cooler to healer). On the other hand. while the working fluid flew fast. the temperature difference was not distinguished. 2. The No.150 wire screen used as the regenerator matrix showed excellent performance than tile others. 3. Phase angle variation and filling rate affected heat transfer or regenerator matrices. 4. Temperature difference between the inlet and outlet of the regenerator is very hish in degree of 120 phase angle.
Hyun, Myung Sun;Kim, Hyunlye;Nam, Kyoung A;Kim, Su Young
Journal of Korean Academy of Nursing
/
v.52
no.2
/
pp.187-201
/
2022
Purpose: This study discovered a substantive theory of the experience and process of peer support work among people with mental illness. Methods: The participants were members of community-based mental health facilities and had been working as peer supporters for more than six months. The data were collected through in-depth interviews with twelve participants and analyzed using Corbin and Strauss's grounded theory approach. Results: The core category was "becoming a healer going with patients in the journey of recovery," and the core phenomenon was "identity confusion as a peer supporter." The causal conditions were "starting peer support work without certainty" and "standing at the boundary between the therapist and patient." The intervening conditions were "willingness to become a successful peer supporter," "feeling a sense of homogeneity with the patient," "accepting the mental illness," and "support from people around." The action and interaction strategies were "letting go of greed," "being open about oneself," "developing professional skills," "maintaining wellness in the body and mind," and "being with the patient." The consequences were "becoming a useful person," "changing attitude toward life," "expansion of the sense of self-existence," "recovering from mental illness," and "discovering a role as peer supporter." Finally, the substantive theory of "becoming a healer going with patients in the journey of recovery" was derived. Conclusion: This study provides a holistic understanding of peer support work and the implications of interventions to help people with mental illness in a person-centered recovery process.
The Summary Handbook of Acupuncture and Moxibustion (鍼灸要覽) (SHAM) was written by an unknown folk healer who learned acupuncture about 100 years ago in Korea. The book discusses 79 acupoints and includes a table of contents, a text, and a pair of acupoint charts. The acupoints in the book are classed under two headings, 49 acupoints of 14 meridians and 33 acupoints. A number of the acupoints such as Gichoong (氣忠), Eumheobong (陰虛峰), Goowa (口卧), Cheonryang (天良) did not fit the then existing meridian system and were newly uncovered by the authors. The book also discusses needle insertion depth in a way that is quite different from how insertion depth is understood by clinicians today. Books such as SHAM that record new acupoints and treatments are rare among Korea's existing medical and clinical books and can be said to be very important in terms of medical history.
We present in this Paper a microwave Power sensor fabricated by a standard CMOS process and a bulk micromachining process. The sensor consists of a CPW transmission line, a resistor as a healer, and thermocouple arrays. An input microwave heater, the resistor so that the temperature rises proportionally to the microwave power and tile thermocouple arrays convert it to an electrical signal. The sensor uses air bridged 8round of CPW realized by wire bonding to reduce tile device size and cost and to improve the thermal impedance. Al/poly-Si junctions are used for the thermocouples. Poly-Si is used for tile resister and Aluminium is for transmission line. The resistor and hot junctions of the thermocouples are placed on a low stress silicon nitride diaphragm to minimize a thermal loss. The fabricated device operates properly from 1㎼ to 100㎽\ulcorner of input power. The sensitivity was measured to be ,3.2~4.7 V/W.
In this paper, Bowen's family therapy from the perspective of the theory, narrative analysis of Korean novels, three Regis - tration Subsection.Bowen's description of the individual's behavior is causing problems within the family of anxiety and self-differentiation using two variables. The home if problems or conflicts expressed in these works, the figures showed that the undifferentiated ego at the center of the problem. Undifferentiated ego character felt extreme anxiety when their alienation from the relationship of the family-oriented jeokjangja Undifferentiated ego to relieve anxiety and to consolidate their position in the family relationship, so people were strongly united with each other. Sohyunseongnok, Chossisamdaerok series structures and patterns of a series of domestic problems occur, "mother and son, self-differentiation self undifferentiated undifferentiated ego and self-differentiation mother son, mother and self-ego undifferentiated undifferentiatedcan be subdivided into the son '.Established a symbiotic relationship between them and the U.S. established the presence of a pattern, healer, depending on the deployment method depends narrative. And is divided accordingly, self-determination and to the Son, a son, a son to be born again through repentance of the execution. Depending on the presence or absence healer than what was described on the deployment structure differs. Undifferentiated ego and self undifferentiated mother son family therapist within the family, the problem is solved. Son, a son to repent and be born again, and that caused the problem. Ego Undifferentiated mother and son self-differentiation, undifferentiated ego and self-differentiation mother son home my healer in the absence son committed suicide and executions each tragedy occurred. Personal level, but occurred at home conflicts or problems about this when analyzing the Three-generation stories of the Joseon Dynasty, by applying the theory of Bowen's Family Therapy view dimension in the relationship between family were. Toughness or desire of any one individual, but serious conflicts and problems within the family, the institution of the family itself is the root cause was. And was able to reveal aspects of narrative flow, depending on the presence or absence of family therapists vary significantly depending on his role in the rest of the family comfort and peace determines whether the Three-generation stories of the Joseon Dynasty, received an important narrative of men and axis formation. In a gauze-like situation of this problem in the Three-generation stories of the Joseon Dynasty, a personal desire or toughness in confined without the dimension of the entire family. And extrinsic psychological approach against the background of the wall in the main narrative of the sufferings of women of Korean novels, approached significance.
Purpose: The purpose of this study was to explore the experiences of recovery from disease in the patients doing a kind of Buddhist meditation, and to develop a grounded theory about meditation. Method: Data was collected by an in-depth interview using tape-recordings from sixteen participants doing meditation. The data was analyzed using the grounded theory method proposed by Strauss and Corbin(1998). Result: The core category was discovering the true self. The participants began to do meditation because of their disease. They experienced obstacles due to incomplete religious acceptance. However, their faith grew gradually based on religious experiences that were indescribable. Finally, they entirely trusted the inner healer, which is emphasized in meditation. The strategies that they used were self reflection and seeking help for accepting deep meditation. They were stabilized in physical, psychological and social daily living. The processes of discovering the true self were identified as entering religious discipline, embodying religious discipline, self-accomplishing religious faith, and recovering mind-body health. Conclusion: This study provided the understanding of mind-body integration. Empirical research may be needed to prove scientifically the effects of meditation.
Nigella sativa commonly known as Black seed, Black cumin or Kalonji (Family Ranunculaceae) is a widely used for its miraculous healing power. Use of N. sativa seeds and oil has splendid historical past in diverse traditional systems of medicine and food. In Tibb-e-Nabwi (Prophetic Medicine), it is considered as one of the greatest forms of healing medicine. Phytochemically; it contains fixed oil, protein, alkaloids saponin and essential oil. Therapeutic properties of this plant are due to the presence of thymoquinone which is one of major active component and has different beneficial properties. In Unani System of Medicine the diseases are treated with nontoxic herbal drugs. As per Unani classical literature N. sativa perform various pharmacological actions like carminative, anti-inflammatory, analgesic, diuretic, emmenagogue, galactagogue, expectorant etc. Ample of phytochemical, pharmacological and clinical researches has been executed on N. sativa., which may include antidiabetic, anticancer, immunomodulator, analgesic, antimicrobial, anti-inflammatory, bronchodilator, hepato-protective, renal protective, gastro-protective, antioxidant properties, etc. This review is an effort to summarize the literature on scientific researches of pharmacognostical characteristics, chemical composition and pharmacological activities of the kalonji seeds
This study explored the experiences of couples therapists' marital relationship during the couples therapist training using phenomenological research method. The research questions involved the marital relationship experiences and their meanings, and how their marital relationship experiences affect the development of couples therapists during couples therapist training. Five couples therapists identified their personal, relational, and professional growth experiences by half-structured in-depth interview. Giorgi analysis guidelines were used, and five major themes and 20 subthemes were derived. The essence of their marital relationship experiences was "to establish a marital relationship as partners for growth and healing, and provide resources to become a wounded healer." Five major themes included the motivation to become a couples therapist, the experiencing of personal growth, the experiencing of differentiated connection, the experiencing of professional growth, and resources for the development of couples therapist. Exploration of the meanings of marital relationship experiences during couples therapist training shows the reciprocal relationship among personal, relational, and professional growth experiences. The integration of these experiences leads to holistic development of couples therapists. Implications for practice and future research are also discussed.
This study looked into how to carry out sacrifices for intra-game cooperation in becoming a high-level player. The results are as follows. First, the way players behave is dependent on their resources(scores). Second, the higher the player's score, the more praise cards were given to dealers. Third, high-scoring players have taken on a role of "sacrificing the self to serve the many" by voluntarily playing the role of healer, leading the team to set the rules and consequently reducing the risk of a probable role conflict within the team.
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