• 제목/요약/키워드: Korean medicine (KM)

검색결과 597건 처리시간 0.034초

지산선생이 주창한 담 방광 용어에 대한 연구 (Study on the terms, ′Dam′ and ′Bangwang′)

  • 강경화;백근기;김경철;이용태
    • 동의생리병리학회지
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    • 제17권2호
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    • pp.275-292
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    • 2003
  • In terms of Yin and Yang theory, Dam represents excessive Yang and deficient Yin, and Bangkwang means excessive Yin and deficient Yang. In terms of Ki and Hyung, Dam is vigorous Ki and flabby Hyung, and Bangwang is strong Hyung and weak Ki. In terms of the balance of Ki and Blood, Dam is more Ki and less Blood and Bangkwang is the opposite. In terms of meridians concerned, Dam belongs to Joksoyangdam meridian(足少陽膽經) and Bangkwang belongs to Joktayangbangwang meridian(足太膀胱經), Mr. Jeesan saw that the person having vigorous Ki and flabby Hyung tends to be dynamic and the person having strong Hyung and weak Ki tends to be static and designated both as Dam and Bangkwang, respectively, Meridians are the route of Ki and Blood in the body and since their titles are thought to imply basic oriental medical theories, they are better choices to be comprehensive and systematic than other terms. In the 12 meridians, the 6 foot meridians are more important than the other hand meridians because human beings adapt themselves to the earth. Among the 6 foot meridians, the 3 Yang foot meridians are more representative of the body since they cover more of the body. Joksoyangdam meridian(足少陽膽經) is related to more Ki and less Blood and thus is a relevant term to describe Dam. Likewise Joktaeyangbangkwang meridian(足太膀胱經) is related to more Blood and less Ki and thus can correspond to the term 'Bangkwang'. In addition, the Dam organ and Dam meridians meet the condition of excessive Yang and deficient Yin, vigorous Ki and flabby Hyung, more Ki and less Blood, on the other hand, the BangKwang organ and Bangkwang meridians meet the condition of excessive Yin and deficient Yang, strong Hyung and weak Ki, more Blood and less Ki. Thus the terms of Dam and Bangkwang satisfy the basic concepts Mr. Jeesan established.

장거리 (마라톤)선수에서의 전 경기중 심박동수의 변화 (Changes of Heart Rate During Marathon Running)

  • 김인교;이중우;하종식;유연희;최정옥;김기호
    • The Korean Journal of Physiology
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    • 제13권1_2호
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    • pp.1-12
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    • 1979
  • To evaluate the present status of physical fittness of Korean long distance runners, body fat, pulmonary functions, maximal oxygen intake and oxygen debt were measured in 5 elite marathoners (A group), 6 college student runners (B group) and 3 middle school student runners (C group). After laboratory tests, full course marathon running was performed in 2 elite marathoners during which their heart rates were monitored continuously. The results are summerized as follows: 1) Total body fat in all three groups are in the range of 13-15% of their body weight. 2) In all three groups, average values of various pulmonary functions were within the normal limits, but those of tidal volume were higher and respiratory rate were lower in comparison to normal values. These phenomena may represent respiratory adaptations against training. The average resting oxygen consumptions in A,B and C were $322{\pm}23$, $278{\pm}14$ and $287{\pm}16$m1/min, respectively. 3) In all three groups, resting blood pressures were in the normal range, but the resting heart rate was slightly lower in groups A $(56{\pm}3\;beats/min)$ and B $(64{\pm}2\;beats/min)$ and higher in group C $(82{\pm}9\;beats/min)$ in comparison to normal values. These changes in cardiovascular functions in marathoners may also represent adaptive phenomena. 4) During treadmill running the minute ventilation and oxygen consumption of the runners increased lineally with work load in all three groups. When the oxygen consumption was related to heart rate, it appeared to be a exponential function of the heart rate in all three groups. 5) The average maximal heart rates during maximal work were $196{\pm}3$, $191{\pm}3$ and $196{\pm}5\;beats/min$ for groups A,B and C, respectively. Maximal oxygen intakes were $84.2{\pm}3.3\;ml/min/kg$ in group A, $65.2{\pm}1.1\;ml/min/kg$ in group B and $58.7{\pm}0.4\;ml/min/kg$ in group C. 6) In all three groups, oxygen debts and the rates of recovery of heart rate after treadmill running were lower than those of long ditsance runners reported previously. 7) The 40 km running time in 2 elite marathoners was recorded to be $2^{\circ}42'25'$, and their mean speed was 243 m/min (ranged 218 to 274 m/min). The heart rate appeared to increase lineally with running speed, and the total energy expenditure during 40 km running was approximately 1360.2 Calories. From these it can be speculated that if their heart rates were maintained at 166 beats/min during the full course of marathon running, their records would be arround $2^{\circ}15'$. Based on these results, we may suspect that a successful long distance running is, in part, dependent on the economical utilization of one's aerobic capacity.

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Visceral Leishmaniasis in Rural Areas of Alborz Province of Iran and Implication to Health Policy

  • Heidari, Aliehsan;Mohebali, Mehdi;Kabir, Kourosh;Barati, Hojatallah;Soultani, Yousef;Keshavarz, Hossein;Akhoundi, Behnaz;Hajjaran, Homa;Reisi, Hosein
    • Parasites, Hosts and Diseases
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    • 제53권4호
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    • pp.379-383
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    • 2015
  • Visceral leishmaniasis (VL) or kala-azar mainly affects children in endemic areas. This study was conducted to determine the seroprevalence of VL using direct agglutination test (DAT) in children living in rural districts of Alborz Province located 30 km from Tehran capital city of Iran. Multi-stage cluster random sampling was applied. Blood samples were randomly collected from 1,007 children under 10 years of age in the clusters. A total of 37 (3.7%) of the studied population showed anti-Leishmania infantum antibodies with titers of ${\geq}1:800$. There was a significant association between positive sera and various parts of the rural areas of Alborz Province (P<0.002). Two children with anti-Leishmania infantum antibodies titers of ${\geq}1:3,200$ indicated kala-azar clinical features and treated with anti-leishmaniasis drugs in pediatric hospital. The findings of this study indicated that Leishmania infection is prevalent in rural areas of Alborz Province. Therefore, it is necessary to increase the awareness and alertness among physicians and public health managers, particularly in high-risk rural areas of the province in Iran.

In-transit development of color abnormalities in turkey breast meat during winter season

  • Carvalho, Rafael H.;Honorato, Danielle C.B.;Guarnieri, Paulo D.;Soares, Adriana L.;Pedrao, Mayka R.;Oba, Alexandre;Paiao, Fernanda G.;Ida, Elza I.;Shimokomaki, Massami
    • Journal of Animal Science and Technology
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    • 제60권1호
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    • pp.30.1-30.10
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    • 2018
  • Background: The poultry industry suffers losses from problems as pale, soft and exudative (PSE), and dark, firm and dry (DFD) meat can develop in meat as a result of short- and long-term stress, respectively. These abnormalities are impacted by pre-slaughter animal welfare. Methods: This work evaluated the effects of open vehicle container microclimate, throughout the $38{\pm}10km$ journey from the farm to the slaughterhouse, on commercially turkey transported during the Brazilian winter season. The journey was initiated immediately after water bath in truck fitted with portable Kestrel anemometers to measure air ventilation, relative humidity, temperature and ventilation. Results: The inferior compartments of the middle and rear truck regions showed highest temperature and relative humidity, and lower air ventilation. In addition, the superior compartments of the front truck regions presented lower temperature and wind chill, and highest air ventilation. The breast meat samples from animals located at the inferior compartments of the middle and rear truck regions and subjected to with water bath (WiB) treatment presented highest DFD-like and had lowest PSE-like meat incidence than those from animals located at other compartments within the container. Lower incidence of PSE-like meat was observed in birds without water bath (WoB). Conclusions: Assessment on turkeys transported under Brazilian southern winter conditions revealed that breast meat quality can be affected by relative humidity, air ventilation, temperature, and transport under subtropical conditions promoting color abnormalities and the formation of simultaneously PSE-like and DFD-like meat.

허베이 스피리트호 원유유출시 방제작업과 대사증후군의 연관성 (Association between Metabolic Syndrome and Participation in Clean-up Work at the Hebei Spirit Oil Spill)

  • 이익진;장봉기;이종화;손부순;정해관;하미나;최영현;박명숙
    • 한국환경보건학회지
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    • 제41권5호
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    • pp.335-348
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    • 2015
  • Objectives: We aimed to assess the risk of metabolic syndrome one year after the 2007 Hebei Spirit oil spill in Taean, Korea among people exposed to spilt oil during clean-up work. Methods: A total of 6,923 adults, including 3,019 males and 3,904 females, participated in the study. Health examinations and blood tests (total cholesterol, triglycerides, HDL, fasting blood sugar) were performed. A logistic regression model adjusting for age, gender, smoking history, drinking history, income, education, and marital status was used to estimate the risk of metabolic syndrome associated with the level of oil spill exposure. Results: The prevalence of metabolic syndrome was 24.9% among males and 18% among females. Compared with people living within 20 km of the coastline, the risk of metabolic syndrome among people living within 0.8 km of the coastline was significantly higher (male OR=1.696, 95% CI=1.320-2.178, female OR=1.992, 95% CI=1.549-2.561), including a significant dose-response relationship for distance from early contaminate coastline (p<0.001). The risk of metabolic syndrome was higher according to the increase of duration of cleaning work. The risk of metabolic syndrome among people who participated in the clean-up work for more than 116 days, compared with people who participated in the cleaning work for or less 14 days, was significantly higher (male OR=1.845, 95% CI=1.448-2.353, female OR=1.752, CI=1.378-2.228), with a significant dose-response relationship for days of clean-up work (p<0.001). Conclusion: This study showed that there is a significant association between exposure to the oil spill during the clean-up work, distance from early contaminate coastline and the risk of metabolic syndrome in a doseresponse manner.

방사선 조사가 쥐의 뇌와 간의 Monoamine Oxidase 활성도에 미치는 영향 (Effect of ${\gamma}-ray$ Irradiation on the Activities of Monoamine Oxidase in Rat Brain and Liver)

  • 김주영;최명선;최명언
    • Radiation Oncology Journal
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    • 제11권2호
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    • pp.205-217
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    • 1993
  • In order to evalute the effects of radiation on mammalian neuronal system, we have examined the effect of gamma-ray radiation on the monoamine oxidase (MAO) activity in monoaminergic neurons. Following the whole body irradiation, MAO activity in the rat brain was measured as well as in the liver for the comparative studies between the neuronal and nonneuronal system. The effects of some radiation protectors and sensitizers were also examined in addition to the $O_2$ effect. The results can be summarized as follows. 1) The MAO activity of rat brain was minimally affected by the radiation dose up to 1,700 cGy Radiation dose above 2,500 cGy inhibited the brain MAO activity by no less than $l0\%.$ MAO-A form was found to be particularly sensitive to radiation. The liver MAO was somewhat inhibited (by about $5\%$) but hardly dependent on the dose of radiation. 2) The inhibitory effect on the brain was initiated immediately by the radiation dose of 2,500 cGy. On the contrary, for the liver, the inhibitory effect became apparent only 2 days after irradiation. 3) Two days after a dose of 2,500 cGy, Vmax and Km of the brain mitochondrial MAO decreased. For liver, Vmax decreased while Km increased, which indicates the kinetic patterns for the neuronal and nonneruronal systems are not affected similarly by radiation. 4) The effect of several known radiation protectors and sensitizers on MAO activity was tested ut no definite results were obtained. The level of -SH group increased in some degree upon radiation but not by the compounds. 5) MAO activity was not affected by $O_2$ concentration, while an elevated level of lipid peroxidase was found under the same condition. The results described here indicate that characteristics of MAO, one of the most important central nervous system enzymes, are liable to radiation, which is partially differentiated from the liver MAO. Also indicated are that the -SH groups are hardly related to the effect of radiation but the production of the lipid peroxide seems to be somewhat correlated to the effect of radiation.

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Inter-Facility Transport on Extracorporeal Life Support: Clinical Outcomes and Comparative Analysis with In-house Patients

  • Hong, Tae Hee;Lee, Heemoon;Jung, Jae Jun;Cho, Yang Hyun;Sung, Kiick;Yang, Ji-Hyuk;Lee, Young-Tak;Cho, Su Hyun
    • Journal of Chest Surgery
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    • 제50권5호
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    • pp.363-370
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    • 2017
  • Background: Extracorporeal life support (ECLS) is widely used in refractory heart or lung failure, and the demand for inter-facility transportation on ECLS is expanding. However, little is known about post-transportation outcomes, the clinical safety of such transportation, or the characteristics of the transported patients. Methods: This was a retrospective review of a 3-year, single-institution experience with inter-facility ECLS transport, as well as a comparative analysis of clinical outcomes with those of in-house patients. We also analyzed the risk factors for hospital mortality in the entire ECLS population using univariate and multivariate analyses to investigate the effects of transport. Results: All 44 patients were safely transported without adverse events. The average travel distance was 178.7 km, with an average travel time of 74.0 minutes. Early survival of the transported group seemed to be better than that of the in-house group, but the difference was not statistically significant (70.5% vs. 56.6%, p=0.096). The incidence of complications was similar between the 2 groups, except for critical limb ischemia, which was significantly more common in the transported group than in the in-house group (25.0% vs. 8.1%, p=0.017). After adjusting for confounders, being part of the transported group was not a predictor of early death (adjusted odds ratio, 0.689; p=0.397). Conclusion: Transportation of patients on ECLS is relatively safe, and the clinical outcomes of transported patients are comparable to those of in-house ECLS patients. Although matched studies are required, our study demonstrates that transporting patients on ECLS did not increase their risk of hospital mortality after adjustment for other factors.

신장상피세포(腎臟上皮細胞)에서 호도약침액(胡桃藥鍼液)이 t-Butylhydroperoxide에 의한 세포막물질이동계(細胞膜物質移動系)의 장애(障碍)에 미치는 영향(影響) (Effect of Juglans sinensis Dode aquacupuncture(JS) on t-butylhydroperoxide-induced alterations in membrane transport function in renal epithelial cells)

  • 남상필;조태성;김철홍;윤현민;장경전;송춘호;안창범
    • Journal of Acupuncture Research
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    • 제20권6호
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    • pp.128-139
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    • 2003
  • Juglans sinensis Dode has been reported to have antioxidant activity. However, the effect of Juglans sinensis Dode aquacupuncture(JS) on reactive oxygen species(ROS)-induced alterations in membrane transport function in renal tubular cells. This study was performed to evaluate the effect of JS on the organic hydroperoxide t-butylhydroperoxide(tBHP)-induced inhibition of $Na^+$-dependent phosphate($Na^+$-Pi) uptake in opossum kidney (OK) cells, an established renal proximal epithelial cell line. tBHP inhibited $Na^+$-Pi uptake in a time-dependent manner. The inhibitory effect of tBHP was prevented by JS over concentration range of 0.05-1mg/100ml in a dose-dependent manner. Kinetic studies showed that tBHP caused an decrease in Vmax for $Na^+$-Pi uptake without any a significant change in Km. $Na^+$-dependent phosphonoformic acid binding, a irreversible inhibitor of renal $Na^+$-Pi uptake, was decreased by tBHP treatment. The reduction in Vmax and phosphonoformic acid binding by tBHP was prevented by JS. tBHP induced lipid peroxidation and its effect was completely inhibited by JS and antioxidant N,N'-diphenyl-p-phenylenediamine. These data suggest that the oxidant inhibits phosphate uptake by a reduction in the number of active carrier across the membrane. JS may prevent oxidant-induced inhibition of membrane transport function by a mechanism similar to antioxidants in renal epithelial cells. Although the precise constituents remain to be explored, JS may be employed as a useful candidate herb for drug development to prevent and treat oxidant-mediated renal failure.

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Development of a single-nucleotide-polymorphism marker for specific authentication of Korean ginseng (Panax ginseng Meyer) new cultivar "G-1"

  • Yang, Dong-Uk;Kim, Min-Kyeoung;Mohanan, Padmanaban;Mathiyalagan, Ramya;Seo, Kwang-Hoon;Kwon, Woo-Saeng;Yang, Deok-Chun
    • Journal of Ginseng Research
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    • 제41권1호
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    • pp.31-35
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    • 2017
  • Background: Korean ginseng (Panax ginseng) is a well-known medicinal plant of Oriental medicine that is still in practice today. Until now, a total of 11 Korean ginseng cultivars with unique features to Korean ginseng have been developed based on the pure-line-selection method. Among them, a new cultivar namely G-1 with different agricultural traits related to yield and content of ginsenosides, was developed in 2012. Methods: The aim of this study was to distinguish the new ginseng cultivar G-1 by identifying the unique single-nucleotide polymorphism (SNP) at its 45S ribosomal DNA and Panax quinquefolius region than other Korean ginseng cultivars using multiplex amplification-refractory mutation system-polymerase chain reaction (ARMS-PCR). Results: A SNP at position of 45S ribosomal DNA region between G-1, P. quinquefolius, and the other Korean ginseng cultivars was identified. By designing modified allele-specific primers based on this site, we could specifically identified G-1 and P. quinquefolius via multiplex PCR. The unique primer for the SNP yielded an amplicon of size 449 bp in G-1 cultivar and P. quinquefolius. This study presents an effective method for the genetic identification of the G-1 cultivar and P. quinquefolius. Conclusion: The results from our study shows that this SNP-based approach to identify the G-1 cultivar will be a good way to distinguish accurately the G-1 cultivar and P. quinquefolius from other Korean ginseng cultivars using a SNP at 45S ribosomal DNA region.

일개 보훈병원 입원환자의 상병 및 진료비 구조분석 (Analysis of Frequent Disease and Medical Expenses Structure of Patients Admitted in a Vaterans Hospital)

  • 김경환;이석구;김정연
    • 농촌의학ㆍ지역보건
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    • 제30권1호
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    • pp.1-14
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    • 2005
  • 보훈병원 입원환자의 재원기간과 진료비분석을 위해 일개 보훈병원에서 2001년 1월부터 2003년 12월 31일까지의 입원환자를 대상으로 9,640명의 진료비 대장을 분석하여 다음과 같은 결과를 얻었다. 1. 조사대상자의 성별 분포는 남자 70.9%, 여자 29.1%로 남자의 비율이 여자보다 높았다. 연령별로는 70대이상 42.6%, 50-60대 31.8%, 20대이하 13.4%, 30-40대 12.1%로 나타났으며, 의료보장별로는 의료보험이 78.1%, 의료보호가 14.2%, 일반환자가 4.1%, 자보환자가 2.8%, 산재환자가 0.8%로 나타났다. 진료과목별 분포는 내과가 28.3%, 정형외과 21.3%, 외과 16.6%, 신경외과 7.1%, 소아과 5.9%로 나타났다. 보훈 대상자군의 성별분포는 남자 99.3%, 여자 0.7%이였으며, 연령별로는 70대 이상 51.6%, 50-60대 42.2%, 30-40대 4.7%. 20대이하 1.6%였으며, 지역별로 살펴보면 대전 거주자 1, 550명 43.5%, 충남 거주자 838명 23.5%, 충북 거주자 785명 22.0%순으로 나타났다. 2. 보훈병원 입원환자의 21대분류 상병분포는 손상, 중독 및 외인에 의한 특정기타 결과 17.1%, 소화기계의 질환 16.1%, 근골격계 및 결합조직의 질환 13.9%, 호흡기계 질환 9.4%, 비뇨 생식계의 질환 8.6%로 나타났다. 보훈대상자군을 21대 분류상병별로 보면 근골격계 및 결합조직의 질환 19.4%, 소화기계의 질환 16.8%, 손상, 중독 및 외인에 의한 특정 기타 결과 15.7%, 비뇨 생식계의 질환 9.7%, 순환기계 질환이 8.2%순으로 나타났다. 3. 평균 재원일수는 29.0일, 보훈대상자군 51.8일, 비대상자군은 15.7일이며, 총진료비는 평균 3,669,579원, 보훈대상자군 7,263,877원, 비대상자군 1,560,333원이다. 본인 및 보험자 부담비율은 55.2 : 44.8로 나타났고, 본인부담 비율은 보훈 대상자군의 경우 61.7%, 비대상군의 경우 33.0%였다. 4. 대분류 상병별 총진료비는 순환기계 질환 6,593,662원, 근골격계 및 결합조직의 질환 4,716,317원, 비뇨 생식계 질환 4,487,799원, 손상, 중독 및 외인에 의한 특정 기타 결과가 4,199618원이며, 항목별 진료비 구조는 입원료가 34.7%, 약제비 13.2%, 행위료 부분이 48.6%, 기타 3.4%로 나타났고, 항목별로는 입원료가 34.7%, 물리치료 및 처치료가 26.3%, 수술료 9.7%, 주사재료비 7.8%, 투약재료비 5.4%, 검사료 52%순으로 나타났다. 보훈대상자군의 경우 물리치료비 및 처치료 35.3%, 입원료 35.2%, 주사재료비 62%, 수술료 5.9%로 나타났으며, 비대상자군의 경우 입원료 35.7%, 수술료 16.4%, 주사재료비 11.4%, 검사료 8.3%로 나타났다. 5. 보훈대상자의 거주지와 병원간 거리별로 상병구조를 비교해 보았을 때 21.5Km내의 지역에서는 달리 분류되지 않은 증상, 징후와 임상 및 검사의 이상소견 56.0%, 손상, 중독 및 외인에 의한 특정 기타 결과 55.6%, 눈 및 눈 부속기의 질환 52.9%순으로 나타났고, 21.5km 밖의 지역에서는 신생물 57.4%, 근골격계 및 결합조직의 질환 55.9%, 비뇨생식계의 질환 53.5%순으로 나타났다. 결론적으로 보훈대상자의 70.6%가 60세 이상이고, 평균재원일수가 51.8일 점을 볼 때 보훈병원에 장기요양시설에 대한 대책이 절대적으로 필요하다는 것을 알 수 있으며, 총진료비가 높은 순환기 질환, 근골격계 질환, 신생물 등 만성질환 관리를 위한 노력이 필요하리라 생각된다. 상위 7개 질환군이 77.9%를 차지하고 있으므로 노인연령층에서 지속적으로 발생하고 있는 치사율이 높은 뇌혈관 및 심혈관의 순환기계 질환, 악성신생물, 그리고 불의의 사고를 주요 건강문제로 설정하여 뇌혈관 및 심혈관의 순환기계 질환은 적절한 신체적, 정신적, 사회적 활동유지를, 악성신생물의 경우는 만성질환 조기 발견 및 관리를, 불의의 사고와 관련해서는 장애 및 만성질환에 따른 불편의 최소화를 주요 목표로 하여 다양한 프로그램을 개발하여 시행해야 한다.

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