• 대한한의학회지
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• 제35권3호
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• pp.103-115
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• 2014

Objectives: The purpose of this survey was to investigate the need for new medical devices based on opinions of members of the Korean medical society. Methods: We distributed two independent questionnaires sequentially over two-week intervals to 16,510 doctors via the Korean Medical Society, and received replies from 888 and 928 doctors, respectively. The survey was carried out through a web-based questionnaire system. The first questionnaire focused on demand for new diagnostic and therapeutic medical devices that are specific for Korean medicine (KM). In contrast, the second questionnaire focused on demand for new hybrid medical devices which are useful both in Western medicine (WM) and KM. Results: In purchase intention of Korean medical devices (KMDs), demand for diagnostic devices was greater than for therapeutic ones. Among diagnostic devices, the purchase intention of 'imaging devices' ranked the highest and was followed by 'musculoskeletal diagnostic devices'. Among therapeutic KMDs, the purchase intention of 'musculoskeletal treatment devices' ranked the highest, followed by 'cranial nerve rehabilitation devices'. In the purchase intention of hybrid medical devices that can be used both in WM and KM, 'ultrasonic-based medical device' ranked the highest, followed by 'MRI-based medical device'. Conclusions: There is increasing demand for clinically useful medical devices among Korean medical doctors. Within demand for new devices, hybrid devices that can be used in both WM and KM were most strongly desired. This survey will be useful in establishing strategic plans for the development of medical devices in KM. Keywords: Korean medicine, medical device, demand survey, questionnaire.

• 동의생리병리학회지
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• 제19권6호
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• pp.1471-1474
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• 2005

Sasang constitution medicine is to do different treatment accordining to sasang constitution. Therefore, the constitution diagnosis in the Sasang constitution medicine is very important thing. The Process of Sasang constitution diagnosis Is difficult thing, because of consuming much time, making every effort. It is apt to be subjective tendency. So it need to make objective method. The QSCC II (Questionnaire of Sasang Constitution Classification II ) have several problems- can't do diagnosis of Taeyangin, the accuracy rate of Sasang constitution diagnosis is not high (probably 60%), and so on. So, we need the new methods for the Sasang constitution Diagnosis. We will modify the problems of QSCC II. The First is the problems of the study execution process, not-multicenter study, a low data, the absent of Taeyangin cases. So, we have to do the multicenter study. The Second is the problems of a query and the method of statistics analysis. We will modify the problems of self-report Questionnaire. That is the problems of self-report Questionnaire, the lack of objective estimation( body type, personal appearance, etc), the absent of the estimation on typical or non-typical type constitution. We modified the problems of QSCC II. Therefore we made the new self-report Questionnaire for patients. We modified the problems of self-report Questionnaire. Therefore we made the new Constituion diagnosis Questionnaire for doctors. We develop the Questionnaire of two ways for the Sasang constitution Diagnosis. The one is the new self-report Questionnaire for patients. The other is the new Constitution diagnosis Questionnaire for doctors. We have to melt down the Questionnaire of two ways for the Sasang constitution Diagnosis.

• 의학교육논단
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• 제14권1호
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• pp.11-18
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• 2012

The purpose of this article is to discuss the enhancement of medical professionalism and the artisan spirit proposed by Yu and to suggest curriculum content and methods to improve medical professionalism. Professionals are those who can share their knowledge with others and proceed under self-reflection on moral values and social expectations. The goal of medical education is to cultivate students to be good as well as to do well. To achieve this goal, educators should foster students to be good doctors for 99% of patients, rather than to be high performers for 1% of patients. There are two types of curriculum for medical professionalism: hidden and formative curricula. In these curricula, we doctors may be good role models for medical students. The curriculum contents and the methods for implementation that are based on accumulated experience can be embedded into education on professionalism. In addition, as suggested by Miller, how to evaluate medical professionalism based on a framework of clinical assessment must be discussed. Finally, it is suggested that the process of education on medical professionalism should be a kind of cultural movement to raise good doctors.

• 대한한방소아과학회지
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• 제30권4호
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• pp.66-76
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• 2016

Objectives This study aims to investigate current status of the Korean medicine treatment on the cerebral palsy (CP) via interviewing the doctors who have expertise in CP children. Methods From June 2015 to May 2016, the surveys and in-depth interviews were conducted on the fifteen Korean medicine doctors. Results Based on the surveys and interviews, widely-used treatments were body acupuncture and herbal decoction. Scalp acupuncture, intradermal acupuncture and manipulation were also used frequently. Experts stated Korean medicine could be more effective in younger patients, patients with cognitive or language problem. They also stated that Korean medicine has its advantage on strengthening the body to help grow and develop in CP children. However, the absence of guideline related to Korean medicine treatment in CP children as well as high cost are the problems. Finally, the issues regarding Korean medicine treatment in CP children, based on the in-depth interviews, emerged when western medicine is used simultaneously, when having seizure during treatment. Further research is needed for better understanding. Conclusions This study provided current status of the evidence-based Korean medicine treatment in CP children. However, further studies about the addressed issues are needed.

• 의료법학
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• 제15권1호
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• pp.35-57
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• 2014

Recently, there has been fierce argument between oriental and western doctors in the medical field. The use of medical devices has particularly come to the fore lately. Appropriate medical devices are required to diagnose and treat patients' conditions or illnesses accurately. At issue recently in medical device sector are diagnostic instruments using radiation, magnetic resonance imaging, ultrasound, IPL(Intense Pulse Light), and instruments used for tonometry. Relating to this issue, Association of Korean Oriental Medicine and The Association of Korean Medicine are sharply opposed. It is predicted that more accusations of this kind will be seen in the future. As oriental medicine contends, ultrasonic imaging itself seems to cause no harm to humans and its use may have an advantage for national health. The use of western diagnostic equipment can expand the diagnostic range of oriental doctors. However, unless new legislation is made, it is against the law for oriental doctors to use this equipment. Both law and medical science require grounds and predictability on the correctness of a decision and all of its consequences. Additionally, oriental medicine's use of ultrasounds and other medical devices should be established by standards and grounds which make same the diagnosis with repetition. Therefore, the scope of oriental medicine can be expanded following a revision of the Oriental Medicine Promotion Act and it is estimated that the state of national health will be greatly improved by the mutual respect of both sides of the health profession.

• 동의신경정신과학회지
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• 제33권2호
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• pp.181-214
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• 2022

Pediatric epilepsy, a chronic, recurrent brain disorder, is the most common neurological disorder in children. Its prevalence is increasing. Early management is very important since 30~40% of cases persist into adulthood. To provide basic data for future clinical research on pediatric epilepsy using Korean medicine treatment and cooperation between Western medicine doctors and Korean medicine doctors, we reviewed recent clinical research in traditional Chinese medicine (TCM) using herbal medicine for pediatric epilepsy. A total of 23 articles (1 clinical practice guideline, 3 systematic reviews, 15 randomized controlled trials (RCTs), and 4 non-RCTs) were reviewed in this study. The authors summarized characteristics of included studies regarding study subjects, diagnostic tools, pattern identification tools, treatment period, evaluation tools, detail of herbal medicines, treatment effects, and adverse events. Combination therapy using both herbal medicine (HM) and anti-epileptic drugs (AEDs) was performed more frequently than herbal medicine alone. Liver-pacifying medicinal, water-draining medicine, and orifice-opening medicine were frequently used. The main single HMs were Cheonma, Boglyeong, Jogudeung, and Seogchangpo. Combined therapy using HM and AEDs had significant benefits in improving total effective rate. It also appeared to be safer than AEDs. However, since the quality of clinical trials was poor and only studies in the last 10 years were included, the clinical evidence was uncertain. Finally, the authors provided limitations of this study and several suggestions for future research based on our analysis results.

• Journal of applied mathematics & informatics
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• 제32권5_6호
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• pp.737-746
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• 2014

Treatment method refers to a principle or method for treating diseases in Traditional Korean Medicine(TKM). As doctors determine the ideal treatment for a patient's disease or symptom, they are also able to prescribe effective treatment means for the diseases or symptom such as medicinal materials, prescription, acupuncture and moxibustion. Therefore, if significant symptom-treatment method combinations are found from literature or database, proper treatment means for the patient's diseases or symptom may be presented to TKM doctors and enhanced treatment accuracy and efficiency can be expected. This study aims to analyze the relation between symptom and treatment method by interpreting hypotheses through null hypotheses to find significant symptom-treatment method combinations. This combinations suggested in this study will be compared with TKM experts analysis result to find an objective analysis method and eventually apply the method to medical big data, e.g., a huge amount of literature or treatment records.

• 동의생리병리학회지
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• 제24권5호
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• pp.877-882
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• 2010

This study was designed to investigate job stress, job satisfaction and related factors of oriental medical doctors. The survey used administered questionnaire, was conducted from June 10 to June 30, 2010 in Jeonbuk province. Questionnaire was composed of general characteristics, socioeconomic status perception, job stress scale and job satisfaction scale. Job stress was related to sex, age, marriage, working form, working time, clinical career. Job satisfaction was related to age. Working time, working form and self-status perception influenced job stress. Self-status perception influenced job satisfaction. Especially, it was supposed that working time was most important factor to job stress.

• 대한한의학회지
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• 제31권3호
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• pp.128-132
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• 2010

Objectives: This study aimed to review the general features of drug induced liver injury (DILI) and the important factors in consideration of herbal drugs and DILI. Methods: We reviewed general aspects of DILI such as classification, inducible factors, diagnosis methods, prevention, and the status of herbal drug-associated DILI via literature. Results: Besides the drug itself, genetic and environmental factors affect hepatic toxicity. There is a lack of definitive diagnoses of DILI by drugs, including herbal remedies. The possibility of herbal drug-associated DILI is exaggerated, and majority of herbal drug-derived hepatic injury could be easily prevented if Oriental doctors pay attention to this issue. Conclusion: This study can provide Oriental doctors an overview and be helpful in minimizing the episodes of hepatotoxicity in use of herbal drugs.

• 보건행정학회지
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• 제15권4호
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• pp.110-135
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• 2005

The objectives of this study were (1) to describe doctors' perception and attitudes toward patient safety culture and medical error reporting in their working unit and hospitals, (2) to examine whether these perception and attitudes differ by doctors' characteristics, such as sex, position, and specialties, and (3) to understand the relationship between overall perception of patient safety in their working unit and each sub domain of patient safety culture. A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariate-regression of overall perception of patient safety in their unit with sub-domains of patient safety culture was conducted. Overall, a significant proportion of doctors expressed negative perception of their working units' patient safety culture, many reporting potentials for patient safety problems to occur in their unit. They also negatively viewed their hospital leadership's commitment on patient safety. Regarding the patient safety in their working unit, doctors were most worried about staffing level and observance of safety procedures. Most doctors did not know how and which medical error to report. They also perceived that medical errors would work against them personally and penalize them. About 22 percent of respondents believed that even seriously harmful medical errors were not reported.