• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.814-827
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• 1998

In this study we analyzed the insurance claims data to investigate the medical care utilization pattern of tuberculosis patients in private sector. We selected the claims of principal or secondary diagnosis with tuberculosis from claims database of National federation of Medical Insurance, from December 1995 to November 1996. Both spell-based analysis and person-based analysis were carried out. In spell-based analysis, type and location of treatment facilities, distribution of diagnoses, number of outpatient/inpatient treatments were analyzed. Additionally in person-based analysis, number of tuberculosis patients, demographic characteristics, number of treatments per person, frequency and pattern of change in source of care were analyzed. The results were as follows 1. The number of treatments with tuberculosis was 863,641 from 1 December 1995 to 30 November 1996. The number of patients was 313.964. 2. Most of tuberculosis patients in private sector were treated in general hospital (45.8%) and clinics(42.2%) 3. About 77.7% of tuberculosis patients who were treated more than two times did not change the source of care. 18,9% of tuberculosis patients changed source of care only once. Even when we limited tuberculosis patient to those who were treated more than five times and whose treatment period were longer than six months, 94.7% of patients did not change source of care at all, or changed treatment facility only once. 4. The probability of change in source of rare was higher in pulmonary tuberculosis, in twenties, and in rural area respectively than other tuberculosis. In conclusion, healer shopping of tuberculosis patients was not serious as expected. However special attention is needed to pulmonary tuberculosis in twenties and rural area.

• 대한간호
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• 제33권4호
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• pp.86-98
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• 1994

We have examined the development and conceptual definition of shamanism and divination through significant characteristics of various illnesses. However, the terrminology has been inconsistent and its real conceptual meaning is not well defined. Divination is a historically dominant religious practice which represents the core of Korean folk culture. Despite prevalent prejudice toward its primitive nature, we cannot deny its profound relationship to our unconscious, especially our reliance on its religious role whenever we face crisis or conflict. It is therefore appropriate to use the term divination in this context. Shamanism originated as humanity's oldest mode of communication with divine - a religion, The shaman is not a sorceress but a priestess, a healer, a spritual guide, a leader, a mystic, traditionally having a different significance from that of the contemporary diviner or "shaman". The traditional concept of illness has been profoundly altered to serve new functions: while the shamanistic view is based upon spiritual abduction, divination on the other hand invokes concepts of spiritual invasion phenomena such as spirit intrusion, taboo violations, soul loss, object instrusion, deviations from the appropriate spiritual path besiegement, and curess or predestination (the idea that the sufferer is born with his fate), We should therefore try to understand divination from a more holistic point of view, rather than attempting to fit it into the standrd medical illness. We must recognize divination as a phenomenon within our culture, since most people have a mixed conception of illness arising from a combination of divinational and modem concepts, Since divination's humanistic approach is ingrained in our people, to irresponsibly ignore the spiritual aspects of treatment would exert a negative influence on our culture, Especially now, while attraction is focused on Korean culture and its influence on every aspect of our livies, it is important for nurses to expand our horizons in order to create a way of nursing more suitable to Korean culture. Increased importance is now being given to the opinions of patients themselves about their own illness and health, so nurses should seek to understand how patients accept their illness and what particular kinds of help they expect to receive. Consequently, an understanding of traditional divinations will enable us to utilize these characteristics on the job in order to enhance nursing care.

• 동의신경정신과학회지
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• 제15권1호
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• pp.143-148
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• 2004

Objectives : In order to make a new psychotherapeutic model in the theory of oriental medicine by means of psychoanalysis method. Methods : The research was done by comparing the contents of the Tong-Ui Po-Kam, techniques of Yang Saeng(養生術), with the psychoanalysis Results : 1. There's no difference in the mind state which a doctor has to have between the oriental doctor and the occidental doctor. You should make effort not to project yourself on a patient. A conception of 'doctor' in oriental medicine is one who trains one's mind rather than just healer. 2. Heart(心) in oriental medical conception is revealed by circulation structure of Jeong(精), Gi(氣), and Sin(神). A healthy mind comes from harmony and smooth transport of Jeong(精), Gi(氣), and Sin(神). 3. The conception similar to unconsciousness doesn't exist in oriental medicine, but the contents about the attitudes or the methods of training one’s mind correspond to unconsciousness. 4. The psychotherapy of oriental medicine emphasized mutual dynamics between emotions at present, and presented a way of treatment by describing emotions from standpoint of 'Gi(氣)'. 5. The special feature of psychological treatment in oriental medicine is that treatment is done by understanding emotions of present time as Gi (氣), and using dynamics of Gi (氣)(; 相生相剋). Also the balanced state can be kept even after treatment and prevention can be done by observing one's own unconsciousness(; training one's mind helps circulation of Jeong(精), Gi(氣), and Sin(神)) I think that we need a new realistic therapy model to develop these psychotherapy methods in oriental neuropsychiatry, through studying emotions in the theory of oriental medicine, especially Korean's emotions and spiritual training.

• 동의신경정신과학회지
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• 제14권2호
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• pp.1-14
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• 2003

Objectives : In order to make a new psychotherapeutic model in the theory of oriental medicine by means of psychoanalysis method. Methods : The research was done by comparing the contents of the Tong-Ui Po-Kam, techniques of Yang Saeng(養生術), with the psychoanalysis Results : 1. There's no difference in the mind state which a doctor has to have between the oriental doctor and the occidental doctor. You should make effort not to project yourself on a patient. A conception of 'doctor' in oriental medicine is one who trains one's mind rather than just healer. 2. Heart(心) in oriental medical conception is revealed by circulation structure of Jeong(精), Gi(氣), and Sin(神). A healthy mind comes from harmony and smooth transport of Jeong(精), Gi(氣), and Sin(神). 3. The conception similar to unconsciousness doesn't exist in oriental medicine, but the contents about the attitudes or the methods of training one's mind correspond to unconsciousness. 4. The psychotherapy of oriental medicine emphasized mutual dynamics between emotions at present, and presented a way of treatment by describing emotions from standpoint of 'Gi(氣)' 5. The special feature of psychological treatment in oriental medicine is that treatment is done by understanding emotions of present time as Gi(氣), and using dynamics of Gi(氣)(; 相生相剋). Also the balanced state can be kept even after treatment and prevention can be done by observing one‘s own unconsciousness(; training one's mind helps circulation of Jeong(精), Gi(氣), and Sin(神)) I think that we need a new realistic therapy model to develop these psychotherapy methods in oriental neuropsychiatry, through studying emotions in the theory of oriental medicine, especially Korean's emotions and spiritual training.

• 한국병원경영학회지
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• 제24권2호
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• pp.84-101
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• 2019

Purposes: Organizational socialization introductory education for new members is a representative organizational socialization program that enables new members to become true members of an organization and grow into the people they expect from the organization. I analyzed the case of Pop Art Cooperative Learning introductory education for the socialization of the entire organization, which was conducted by Eunpyeong St. Mary's Hospital of Catholic University, in 13 steps, one month before its opening on April 1, 2019. Methodology: In order to analyze the case, the case study was analyzed in order from education planning to preparation, implementation and evaluation. The important point in this process is that all the members to be input at the start of the treatment are not included in the position and occupation. In the composition of education contents, the core keywords for achieving the vision are derived through each group activity and strategies for achieving spirituality, vision, and vision of Hospital are made and the ideal image of Eunpyeong St. Mary's Hospital is completed using the pop art technique. All the works produced by each group will be shared by all attendees of the relevant education level and the whole picture of each education order will be completed again with the big picture called - The heart of Jesus Christ the healer♥ - Respectively. Findings: Education Results All the participants showed high satisfaction and they shared the vision and mission of Eunpyeong St. Mary 's Hospital as well as the formation of intimacy and belonging to each other. They recognized the future direction and goal. And contribute to tissue stabilization. Practical Implications: Through this case study, it will be possible to contribute to establishment and implementation of introductory education plan for new members' socialization to new hospitals.

• 한국자연치유학회지
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• 제8권2호
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• pp.88-92
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• 2019

목적: 본 연구는 다양한 질병에 대한 기공의 효능을 연구하는 것이 목적이었다. 방법: 오스트리아의 비엔나에 있는 동서의학병원에서 다양한 환자와 병원에 연계된 사람들을 대상으로 수정기공으로 치유를 하였다. 병원에서 총세 차례에 걸쳐서 1,131명을 치유사 총 38명이 치유를 했고, 치유효율에 대한 평가는 병원 자체에서 134명의 의사 평가단이 실시하였다. 결과: 2002년도에 병원에서 1회 차에 치유한 96명에 대한 환자의 치유 효율이 "good" 이상인 평가는 80%, 2004년도 2회 차에서는 치유효율 만족도가 "good" 이상이 75%, 2006년도 3회 차는 치유효율 만족도가 "Good" 이상이 71.6%의 만족도를 나타내어, 총인원 1,131명을 "Good"이상의 치유효과는 평균치 75.5%로 평가를 받았다. 이결과는 기공치유가 매우 효율적이라는 것을 의미한다고 본다. 결론: 다양한 질병에 대한 기공의 평균 치유효율이 "good" 이상이 75.5%로 나타나서 수정기공 요법이 우수한 자연치유 요법 중의 하나라고 평가한다.

• 문화기술의 융합
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• 제9권4호
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• pp.105-112
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• 2023

본 연구는 영화 <라이프 오브 파이>(2013)을 통한 영화치유의 수업사례이다. 영화치유는 영화를 통한 동일시, 공감, 감정이입, 투사, 관찰학습 과정을 거쳐 진행된다. 연구를 통해 학생들은 영화 속 인물의 상황을 객관적으로 살펴보고, 이를 자신에게 동일시하고, 공감하게 된다. 학생들은 영화 속 인물의 상황을 평가하고, '내가 만약 주인공이라면 어떻게 할 것인지'에 대한 답을 통해 영화 속 인물이 당면한 고난을 간접 경험하고, 자신은 어떻게 할 것인가를 고민해본다. 주인공의 뛰어난 점을 동경하고, 자신의 삶을 성찰해본다. 이러한 과정을 통해 학생들은 자신의 감정과 문제의 상황을 살펴보고 해결할 수 있는 방법을 구체적으로 제시하게 된다. 결국 영화를 통해 학생들의 감정은 충분히 치유될 수 있는 것이다. 영화를 통한 치유는 치료자가 내담자를 고려한 영화선정에서 출발해야 한다. 이를 적용한 구체적인 방법도 충분히 제시할 필요가 있다. 영화치유의 방안은 앞으로 다양한 치유 방법의 제시로 더욱 발전할 수 있으리라 기대한다.

• 영어영문학
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• 제56권4호
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• pp.691-717
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• 2010

Chaucer's Troilus and Criseyde is a tale of love framed by an overarching pattern of death, set in the war-torn and doomed Troy, from which the lovers cannot separate their fate. Compared with Boccaccio's poem, the attention paid to death in Chaucer's version underlies his complex treatment of love. Above all, the language of death in Chaucer's poem provides the thread from which the entangled web of love is woven. Death together with desire pervades the language and rhetoric of the poem, prominent not only in the courtly love tropes, but also in the characters' asides and speeches. The prominence of these two concepts, desire and death, seem to be central to the various issues that the poem contains explicitly and implicitly. That is, two concepts are the basis for the breadth and depth of Chaucer's examination of love in light of the social and political realities of late fourteenth century England. The language of death in Chaucer's poem reflects the powerful influence on his imagination. With the devastation wrought by the plague and the changing fortunes of England in the war with France, Chaucer's world was once saturated in death, and one that could amply parallel the turn from prosperity to downfall. In particular, Chaucer's poem is suffused with the language of contagion and death in connection with desire. Troilus's lovesickness mimics the progress of a viral infection. Once breached, his body performs its newly compromised identity through fever, loss of appetite, and physical disintegration. On the other hand, Chaucer depicts Boccaccio's conventional portrait of Criseyde into a elaborate paramour of a pathogen. She is characterized as the contaminant that infects male hero. In addition, Criseyde is cast as sole earthly cure of illness that Troilus suffers from. In spite of Criseyde's role as nurturer and healer, Troilus longs for his own death and feels death clutching his heart. Finally, Troilus's love toward Criseyde is doomed to death.

• 한국콘텐츠학회논문지
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• 제21권2호
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• pp.406-420
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• 2021

본 연구는 대학생들의 상담심리학 전공 인식에 관하여 Glaser의 근거이론 방법을 활용하였다. 상담심리학을 전공하는 3, 4학년 학생 중에서 19명의 학생이 연구에 참여하였는데, 5개월 동안 이들을 중심으로 개별 인터뷰 과정을 통하여 자료를 수집하였다. 자료를 분석한 결과로는 103개의 개념, 26개의 하위범주, 9개의 상위 범주, 1개의 핵심 범주가 도출되었다. 연구 결과로는 첫째, 참여자들은 사람들의 마음의 짐을 덜어주고 싶고, 치료자가 되고 싶은 희망을 품고 있었다. 둘째, 참여자 중에는 전공영역에 대한 자신의 성격과 적성면에서 '전공과 잘 어울린다.' '잘 선택했다.' '삶의 전환점이 되었다.' 등의 기쁨과 만족으로 인식하고 있었다. 그러나 적성의 부조화, 상담사 역할의 부담감, 전공에 대한 거부감 등, 전공의 부적합성을 인식하기도 하였다. 셋째, 참여자들이 전공 학습에서 유용성을 발휘하였을지라도 전공영역의 진로에 대한 인식은 고민과 갈등으로 작용하고 있었는데, 이들의 고민과 갈등은 앞으로 장기간 공부함으로 생기는 금전적 어려움, 직업적 열악한 조건, 감정소모가 심한 직업에 대한 부담감, 상담직에 대한 두려움, 학부 졸업의 한계, 진로의 불확실성 등에 관한 인식으로 전공 진로 선택의 걸림돌로 작용하였다. 넷째, 참여자들의 인터뷰 자료들을 분석한 결과 '이해와 성장 그리고 상담사의 꿈 실현 의지'라고 하는 핵심 범주를 도출하였다. 결론적으로 참여자들이 가진 전공 인식은 자신에 대한 변화와 성장 그리고 타인과의 건강한 관계 형성, 더불어 전공과 자신의 적성과의 적합성에 대한 만족 등은 진로에 대한 고민과 갈등 상황에서도 전문 상담사의 꿈을 실현하기 위한 지속적인 의지를 간직하는 것으로 드러났다.

• 한국식품영양과학회지
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• 제24권6호
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• pp.1026-1038
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• 1995

Aloe식물에서 만든 전통적 aloe는 현대 임상 의약분 야에서 이전의 인기를 거의 잃고 있지만 aloe gel은 그 간 그의 효능 즉 여려가지 치료작용과 대사에 대한 유익한 tonic 효과를 밝히려는 수많은 연구자들에 의해서 꾸준히 gel의 치료 효능이 주장되어 온 반면에 상당수의 연구자들에 의한 상반된 연구 결과로 인해 aloe gel 효능에 대한 논쟁은 계속되고 있다. 그럼에도 불구하고 aloe gel을 원료로한 외용 또는 내용의 치료제와 화장품 그리고 특히 건강 식품들(general tonics)이 대중적 인기를 끌고 있다. 따라서 현재는 aloe gel 산업이 비교적 경제성을 크게 유지하는데 여기에는 일부 promotional works나 대중 매체의 영향도 일조 했으리라 본다(21). Gel의 유익한 생리작용을 내는 원인 물질에 관한 그간 많은 연구 보고에서 gel의 미량 성분들 중 salicylic acid의 진통 소염착용, Mg ion의 마취작용, Mg-lactate의 항 histamine작용, Aloctin A의 세포 성장 촉진에 의한 상처 치료작용, carboxypeptidase와 bradykinase에 의한 통증 감소와 소염작용이 여러 연구자들에 의해 제안되었으나 이들 생리작용이 현대 임상 약리학에서 거의 입증이 안되었고 지지를 지 못했다. Gel내 미량 anthraquinone 배당체(aloin)가 false substrate inhibitor작용에 기인한 항 prostanoid (항PG와 항TX) 효과에 의한 소염, 화상, 동상 상처 치료 작용을 낸다는 가설이 한 때 상당 기간 많은 연구자들에 의해 주장되었으나 이 제안도 증명되지 못했고 이제는 다른 연구자들의 다른 주장들에 의해 가려지고 있다. 또 gel의 항미생물, 항당뇨, 간해독 작용 등이 gel내 미량 anthraquinone 화합물의 작용에 기인할 것으로 제안되었다. 1980년 중반 부터 최근(1993년)에 이르기 까지 많은 연구자들에 의해 새로이 주장 되고 있는 gel의 생리작용은 주성분 다당류인 acetylglu-comannan과 acetylmannan 및 glycoprotein에 의한 면역 증진 내지 면역 조절작용에 의한 감염 상처 치료, 소염, 항미생물, 항암 작용이 계속 제안되고 있다. 저자는 acetylpolysacchride의 acetyl기가 in vivo에서 cyclooxy-genase를 억제하여 항 prostanoide 효과를 낼 것으로 가정해 본다. 이제는 acetylpolysacchride에 대한 여러 주장들이 임상적으로 증명되어 gel의 효력에 대한 논쟁에서 결론이 날 것으로 기대해 본다. Aloe gel의 다당류 acemannan의 실험 동물(개)에 대한 독성 실험 결과 복강내 주입에 의한 최저 부작용 유발량은 5.0mg/kg이었으나 aloe gel은 일반적으로 무독한 것으로 알려져 있다. 그러나 aloe gel의 임상 적용에서 가끔 과민 반응에 의한 부작용 사례 보고를 다수 볼 수 있고 실험적 연구에서도 입증되어 있으므로 aloe gel을 건강 식품으로 섭취하는 경우는 국소 적용시 유의해야 할 점이라 생각된다. 결국 aloe gel의 오랜 연구역사를 볼 때 어떤 생리작용의 기전에 의존한던 간에 aloe gel이 유익한 여러 효과를 낸다는 사실을 간단히 부정하기는 어려울 것 같다.울 것 같다.