• Journal of Korean Medical classics
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• v.23 no.1
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• pp.133-142
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• 2010

Preconditions for the separation of prescribing and dispensing medicinal herbs in Traditional Korean Medicine are classification of medicinal herbs for general public and special medical uses, establishment of national medicinal herb distribution company of governmental base, restriction in purchase of medicinal herbs for special medical use, partnership between doctors and pharmacists of Traditional Korean Medicine, and coverage of herbal medicine-based medication in national health insurance, etc. The number of Traditional Korean Medicine Pharmacists which was born during 'the herbal medicine conflict' initiated in 1993, goes over 1,000 and will increase by 120 annually. The number of Traditional Korean Medical Doctors is over 17,000 and increases by 850 annually. So in order to engage partnership between two groups, the government have to arrange the number of outputs of each group. Standardization and classification of diagnosis and diseases in Traditional Korean Medicine is a matter of course in the separation of prescribing and dispensing medicinal herbs. Related societies and academies need to do researches with governmental fund first. After these works, we can launch a task force team for implementation of process for the separation of prescribing and dispensing medicinal herbs in Traditional Korean Medicine properly. Entering the national health insurance system for full coverage of Korean Medicine care service will be essential for the patients. Implementation the separation of prescribing and dispensing medicinal herbs in Traditional Korean Medicine would be the core of health insurance coverage for medication.

• Journal of Society of Preventive Korean Medicine
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• v.23 no.1
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• pp.15-26
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• 2019

Background and Aim : Health care and cosmetics as well as quality of life is now a matter of concern and many categories of complementary and alternative medicine fall into the territory of the medical practice of Korean medicine. Accordingly, penalties are being taken for unlicensed medical practices of Korean medicine in so called complementary and alternative medicine area. There is a possibility of violating the law for the public part because it is not clearly stipulated in the law as to what is a licensed medical practice. Materials and Method : The significance of the Medical Service Act and the Act on Special Measures for the Control of Public Health Crimes were reviewed, and the related supreme court cases were discussed upon the legal aspect of processing the unlicensed medical practice of Korean medicine. The legal information was provided from the National Law Information Center of the Ministry of Government Legislation, and the information websites of the Supreme Court and the Constitutional Court. Results : The concept of medical practice, which is essential in judging the case of unlicensed medical practice, is 'prevention and treatment of diseases through diagnosis, examination, prescribing, medication, or surgical procedures based on medical expertise', and the 'acts that may result in harm and injury of health unless performed by a medical person'. With respect to the medical practice of Korean medicine, the concept includes 'prevention and treatment of diseases using the principle of traditional Korean Medicine'. Conclusions : The concept of medical practice should be clearly stipulated in the law for the control over the unlicensed medical practices of Korean medicine. And it is important to move from the current concept of medical person-oriented medical practice emerging from the national system of healthcare control, to a concept that can accept the era of health managing-oriented medical environment and the co-governance of the healthcare providers and consumers for the future.

• Journal of Haehwa Medicine
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• v.21 no.2
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• pp.105-112
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• 2013

In oriental medicine, the skin of the face and the body is the mirror of the viscera and bowels. Skin aging is measured according to the elasticity and glossiness of the skin, which is perceived as a matter of fluid-humor within the realms of oriental medicine. Fluid-humor refers to normal body fluid that makes the skin moist and supple and the hair bright and glossy. If the body is lacking fluid-humor, the hair and skin will be dry and coarse. 'The improvement of fluid-humor (nutrition)' is facilitated based on the oriental physiological change theory for middle-aged women. A new study is therefore necessary to develop oriental herbal cosmetics for young women in their 20s. As yet, there has been no study on the effect of herbal cosmetics formulated for middle-aged women and used by young women in their 20s. This study aims to investigate the effect of 'the improvement of fluid-humor' for the skin of young women in their 20s within the theory of oriental medicine. This kind of study is essential for oriental skin care and the development of diverse oriental herbal cosmetics. To determine the effect of oriental herbal cosmetics on young women in their 20s based on the theory of oriental medicine, which says that a shortage of fluid-humor causes skin aging, this study has examined the skin conditions of young women in their 20s and how satisfied they are with oriental herbal cosmetics through an objective equipment-based measurement and subjective questionnaire survey.

• Korean Journal of Health Education and Promotion
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• v.19 no.1
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• pp.109-132
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• 2002

The study surveyed 1,127 mothers whose children aged 3 to 5 went to 25 randomly selected kindergartens, which were located in Busan Metropolitan City and the adjacent Gimhae City, and analyzed the preventive health behaviors on their children and the condition of home health education on their children. As the compulsory kindergarten education will e to be implemented within 4 years, this study aimed to draw up the rudimentary material for health education at kindergartens. The study results are summed up as follows: 1. Mothers' awareness of health-related attitude and behavioral level for their children at kindergarten: 1) The general health condition of the children, which mothers are aware of, was that they were healthy on the whole. As their children becomes older, the income level of the parents is lower, and mothers have lower level of educational standard, the health condition of the children was found a little lower. 2) In terms of mothers' recognition of the practice level of preventive health behaviors, the items such as going to bed regularly, washing hands and feet well, and having meals regularly were high in the practice level, while exercise and tooth-brushing were not practiced well. 2. The condition of mothers' health education of their children: 1) It was found that washing hands and feet, restriction of overeating and preference for specific kinds of food, guidance on regular sleep and regular meal were practiced well among items of home health education targeting kindergarten children. 2) Mothers have obtained information on family health from printed matter such as newspaper or magazine rather than the visual media. 3) From the cross analysis of mothers' health education on children and children's health behaviors, as the standard of education of mothers was higher, so was the level of preventive health behaviors of children. 3. From the result of multi regression analysis of the factors influencing the preventive hygiene of kindergarten children, it was found that as the home health education level was higher, so was the health behavior of children. On the other hand, as the mothers were older, the health behavior of children became lower.

• Journal of the Korean Institute of Landscape Architecture
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• v.32 no.5
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• pp.102-118
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• 2004

The purpose of this study was to propose an ecological management plan by the comprehensive analysis of biotope structures on Namsan Urban Natural Park in Seoul. Classified by actual vegetation, structure of layer and vegetation damage, biotope structures were composed of forest area, compact management area, herb area, cultivated area and non-ecology(urban) area. Succession had seened to stop in the Native forest. Artifical forest was divided into two types. The first, upper layer, was too dense to accommodate lower layer plants, the other case was the appearance of Quercus spp. and the first stage plants of succession following the declination of the upper layer plants. The soil pH of Nam-san Urban Park was 4.21∼4.51, which meant the soil was becoming acid. As the result of acidity, leaching of available nutrition(K/sup +/, NH₄/sup +/, Ca/sup ++/ etc.) was immediately influenced by the natural ecosystem, influence of acid rain was disturbed to becoming organic matter which was use to plants. In the case of a biotope structure management plan, the urban area was prohibited to spread outside. Cultivated and herb area was regenerated to natural forest. In the forest area, the compact management area was maintained with its present condition, and then it is desirable to make a preservation area and to plant shrubs. Planted Pinus densiflora Community was needed to eliminate competitive species of canopy layer, and plant shrubs. Management of deciduous broad-leaved Comm. was maintained in its present conditionand it is desirable to raise the diversity of the understory and shrub layer. The management of the artifical forest seems to be suitable for Q. spp. community. The care of naturalized plants prevents the expansion and restores the structure of wild plants. The soil management was a marked restoration soil ecosystem in order to prevent soil acid and drying.

• Journal of The Korean Society of Clinical Toxicology
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• v.11 no.1
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• pp.41-45
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• 2013

Following are brief statements about the delayed encephalopathy of a patient who recovered without disturbance of consciousness after acute carbon monoxide poisoning. A 72-year-old male was found without consciousness at home and then visited the ER center. Later we learned that the patient was using briquettes as a household heating source. Blood carbon monoxide hemoglobin level was 17.5%. As carbon monoxide poisoning was uncertain after the first interview with the patient, hyperbaric oxygen therapy was not administered at the early stage. After supplying 100% oxygen, the patient recovered consciousness, however, the strength of the lower limb muscle had decreased to class II. The patient showed continued weakening of the lower limb muscle and an increase of CPK; therefore, he was diagnosed as carbon monoxide intoxication and rhabdomyolysis and then admitted to the intensive care unit (ICU) for conservative treatment. During the hospitalization period, continued weakening of the lower limb muscle was observed and he was diagnosed as myopathy after EMG/MCV. However, he suddenly showed altered mentality on the 20th day of hospitalization, and underwent brain MRI. T2 weighted MRI showed typically high signal intensity of both globus pallidus and periventricular white matter; therefore, he was diagnosed as delayed carbon monoxide encephalopathy. This case showed delayed encephalopathy accompanied by rhabdomyolysis and myopathy of a patient who recovered without disturbance of consciousness.

• Health Policy and Management
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• v.20 no.2
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• pp.69-88
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• 2010

The effective administration of hospital with innovation and human resource practices is a matter of grave concern because hospitals are becoming bigger and more specialized. Biomedical engineers who manage medical machineries and tools used to deliver healthcare services in a hospital setting play an important role in providing customers good quality services. Maintaining job satisfaction of biomedical engineers is, thus, important in the delivery of quality care. This is a descriptive cross-sectional study aiming to determine factors affecting job satisfaction of biomedical engineers working in general hospitals. The study population consisted of biomedical engineers at 79 general hospitals of 26 regions based on the registry of the Korea Medical Engineering Association (KMEA). The data were collected using a self-administerd questionnaire between May and July of 2009. Job satisfaction was assessed with 19 items covering 3 dimensions of work-external, work-internal, and organizational aspects (Cronbach's ${\alpha}=0.884$), resulting in an average summary score. Statistical analysis was conducted with SPSS for Windows version 15.0. The mean score of job satisfaction was 3.50 (${\pm}0.04$). There were statistically significant differences in job satisfaction according to age, health status, job position, duration of work as a biomedical engineer, years in the current workplace, difficulty at work, intent to change job, and the amount of support from superiors and colleagues. In multiple regression analysis, the factors affecting job satisfaction of biomedical engineers were salary, health status, and support of superiors and colleagues ($r^2=0.512$). Effective motivation-plans, taking into account organizational characteristics and the working environment of the hospital, may help to improve the job satisfaction of biomedical engineers.

• Journal of agricultural medicine and community health
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• v.23 no.2
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• pp.243-250
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• 1998

This study was analyzed through the reports which published on the subject matter of Su Dong-Myun from 1994 to 1997 and the medical record of patient in Su-Dong Myun health subcenter. The result are as follow: 1. The number of population in Su-Dong Myun(study area) was 5,475 in 1994, 5,707 in 1995, 6,079 in 1996 and 6,253 in 1997. In composition rate of population, "65 and over" of age group only showed markedly increasing tendancy from 9.8% in l995 to 10.2% in 1997. However, the rest of all age group showed decreasing tendancy. 2. Annual utilization rate showed decreasing tendancy, such as 247 in 1994. 203 in 1995, 146 in 1996, and 140 in 1997 per 1000 population. But visiting time is increasing tendency, such as 3.1 in 1994, 2.8 in 1995. 2.4 in 1996 and 3.4 in 1997 per disease case. 3. Age specific annual utilization rate, all age showed decreasing tendancy in the age group of "0-14", "15-44" and "45-64", however showed increasing tendency in the age group of "65 and over" from 1994 to 1997. 4. The major disease were disease of Respiratory system. Gastrointestinal system. Musculoskeletal system and Connective tissue. Skin and Subcutaneous tissue and Circulatory system The disease of Musculoskeletal system and Connective tissue and Circulatory system are increasing.

• Hip & pelvis
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• v.35 no.3
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• pp.206-215
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• 2023

Purpose: Delay in performance of hip fracture surgery can be caused by medical and/or administrative reasons. Although early surgery is recommended, it is unclear what constitutes a delayed surgery and whether the impact of delayed surgery can differ depending on the reason for the delay. Materials and Methods: A total of 269 consecutive hip fracture patients over 50 years of age who underwent surgery were prospectively enrolled. They were divided into two groups: early and delayed (time from reaching the hospital to surgery less than or more than 48 hours). Patients were also categorized as fit or unfit based on anesthetic fitness. One-year mortality was recorded, and regression analyses were performed to assess the impact of delay on mortality. Results: A total of 153 patients (56.9%) had delayed surgery with a mean time to surgery of 87±70 hours. A total of 115 patients (42.8%) were considered medically fit to undergo surgery. No difference in one-year mortality was observed between patients with early surgery and those with delayed surgery (P=0.854). However, when assessment of the time to surgery was performed in a continuous manner, mortality increased with prolonged time to surgery, particularly in unfit patients, and higher mortality was observed when the delay exceeded six days (fit: P=0.117; unfit: P=0.035). Conclusion: The effect of delay on mortality was predominantly observed in patients who were not considered medically fit, suggesting that surgical delays might have a greater impact on patients with medical reasons for delay.

• Journal of Korea Association of Health Promotion
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• v.4 no.1
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• pp.125-131
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• 2006

Background: Inadequate samples make laboratory tests delay cause errors, which will deteriorate the quality of the tests. Therefore, adequate samples are essential for reliable test result. To reduce the inadequate samples, they should to analyze problems and seek a way of improvement through CQI (Continuous Quality Improvement) activity. This will minimize errors during the test and produce a fast and accurate result. Eventrally, the qualily of entire test may be improved, and as a result, a good quality of medical care service may be provided. Methods: At first, inappropriate testing items were collected. Then, generating fctors and problems were investigated and analyzed in each case, In addition, the category with higher frequency wes primarily supervised. In consegalnce, a reduction of are dustion of improper testing sample was oxpected through continuous education and CQI activity. Conclusion : At the beginning of CQI activitv, the number of inadequate testing sample was of 8,591 total samples, which gives the frequency of 0.72%. As CQI activity was carried out the number of improper testing sample reduced to 58 out of 11,415 cases, which yields the frequency of 0,51%. One may notice the difference 0.2%. Among the inadequate sample(blood), there was a high frequency of hemolysis; thus, more of CQI activity is required for this specific matter. Because the occurrence of inadequate testing affects the clinical outcomes, it is extremely important that one manages each step of the procedure in collecting samples and mamtaines the quality of entire tests.