• 제목/요약/키워드: Medical Conversation

검색결과 61건 처리시간 0.022초

의학필담 형식과 내용의 상관성 및 변천에대한 연구 - '~ 록(錄)', '~ 의담(醫談)', '~ 필어(筆語)'를 중심으로 - (A Study on the concern and change of form and matter in medical conversation by writing)

  • 김형태
    • 동양고전연구
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    • 제37호
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    • pp.217-248
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    • 2009
  • 조선후기 통신사 파견을 통해 일본에 현존하는 필담창수집(筆談唱酬集)은 과거 한일 양국의 성신교린(誠信交隣)을 확인할 수 있는 귀중한 역사적 기록물이다. 그 중에는 당시 양국 의원(醫員)들 간의 만남을 통해 이루어진 필담도 상당수 포함되어 있다. 본 연구자는 제목에 '~ 록(錄)', '~ 의담(醫談)', '~ 필어(筆語)'가 포함된 필담창수집 중 의학필담을 중심으로 형식과 내용이 어떤 상호 관련을 맺고 있는가를 살펴보았다. '~ 록'은 중요 사실을 기록한 다른 텍스트의 부록이거나 해당 텍스트 내용 일부분에 의학필담을 부수적으로 담고 있다. 이들 텍스트는 양국간 생생한 교류 흔적을 담고 있으며, 의학필담도 핵심적 내용만 짧은 분량으로 요약되어 그 사료적 중요성이 크다. '~ 의담'은 당시 양국 의원을 중심으로 진행된 의학적 담화 내용만을 본격적으로 정리한 의학필담집이다. 이들은 일본 의원의 치험례 정리 및 확인으로부터 의론(醫論) 강화를 통한 적극적 의견 개진으로 변화되는 각 시기 의학적 주요 관심사의 변천 흐름을 잘 보여주는 자료이다. '~ 필어'의 특성은 현장감 강화를 위한 대화 방식이다. '필어'의 의미에도 암시되어 있듯이 신변잡기적 내용까지 빠짐없이 기록하여 현장감이라는 필담의 성격을 보다 명확하게 규정하고 있다. 또한 약물과 병증중심의 의학 관련 필담과 박물학적 내용 위주로 구성되어 있고, 시문(詩文)은 의원들과 관련된 작품들만 수록함으로써 '록'의 기록성과 '의담'의 분화적 성격을 함께 지닌 특성을 잘 보여주는 텍스트이다.

암 환자 중심의 대화를 위한 간호사의 공손 언어행위 분석 (An Analysis of Nurses' Behavior for Politeness in Cancer Patient-Centered Conversation)

  • 이화진
    • 성인간호학회지
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    • 제20권5호
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    • pp.743-755
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    • 2008
  • Purpose: The purpose of this study was to describe and to analyze real conversation about polite behavior of nurses in cancer units. Methods: This study was conducted using a Brown & Levinson(1987) theory to analyze the polite behavior of nurses in cancer units. Five nurses who participated in this research gave permission to be videotaped. The data was collected from January to February, 2006. Results: Polite behavior of nurses in cancer units consisted of greetings, emotional support, open questions and indirect direction. And impolite behavior of nurses in cancer units was using the medical terminology, repetition of direct speech acts and task-oriented conversation. Conclusion: This study suggests polite behavior strategies for effective nursing conversation with cancer patients. Therefore, the findings may provide basic raw materials for educational programmes and intervention studies.

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조선통신사(朝鮮通信使) 의학필담록(醫學筆談錄) 내용 분석 - 의서(醫書) 관련 내용을 중심으로 - (A Content Analysis of the Medical Conversation Records from the Visits of Joseontongshinsa - Focused on the Medical Classics -)

  • 김혜일;정창현;장우창;백유상
    • 대한한의학원전학회지
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    • 제28권4호
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    • pp.193-212
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    • 2015
  • Objectives : The purpose of this study is to find the differences of the viewpoints about medicine between Korean and Japanese doctors through analysing the contents of the medical conversation records from the visits of Joseontongshinsa. Methods : The conversations were classified according to the topics and analysed with emphasis on the subject of medical classics. Results : Japanese doctors were skeptical about the application of Huangdineijing(黃帝內經) and the theory of Five Circulation and Six Qi(五運六氣) to clinical treatment while they respected Shanghanlun(傷寒論). They were interested in the bibliography of medical classics, and considered it was important to study the original texts rather than the new editions. The doctors of Joseon valued Huangdineijing highly and accepted the theory of Five Circulation and Six Qi. They mainly used the treatments in Yixuezhengzhuan(醫學正傳), Yixuerumen(醫學入門), Shoushibaoyuan(壽世保元) as therapeutic methods. Conclusions : The conversation records reflect the trend of Korean Medicine in the Joseon Dynasty that Huangdineijing had been mainly studied and the Jin-Yuan(金元) Medicine had been accepted, and the trend of Japanese Medicine in the mid-Edo period that Koho school(古方派) had predominated.

Cultural Barriers Influencing Midwives' Sexual Conversation with Menopausal Women

  • Khadivzadeh, Talat;Ghazanfarpour, Masumeh;Roudsari, Robab Latifnejad
    • Journal of Menopausal Medicine
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    • 제24권3호
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    • pp.210-216
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    • 2018
  • Objectives: The present study aimed to determine the barriers influencing the sexual conversation. Methods: In this descriptive cross-sectional study, 200 midwives were selected through convenience sampling method from private and public clinics in Mashhad, North East of Iran. A self-structured questionnaire was used to collect the study data. Results: The mean age of subjects was $39.58{\pm}8.12years$ with $13.49{\pm}7.59years$ of work experience. A number of cultural conditions act as an inhibitory force for the midwives to address sexual issues with menopausal women. Menopausal women visit a doctor at the acute stage when emotional and physical problems make sexual discussion difficult for the midwives (86.5%). Other related causes for not having proper sexual conversation were insufficient knowledge (51.4%), inadequate education provided via public media through health providers (83.5%), midwives or their patient's shame (51.5%), and attempt to get help from traditional healers, friends, relatives and supplicants instead of midwifery staff (78.5%). Also, we found that sexual workshops, communication workshops, and work experiences had a significant influence in changing the views of midwives. Conclusions: Cultural barriers prevent the patients and providers from communicating effectively with each other, thus highlighting the need for sexual and communication workshops for the health care providers.

대화 공간을 제공하는 마을 같은 도시형 공공병원의 건축공간 구성방식과 설계적용 연구 (A Study of Architectural Space Organization for the Promotion of Interactive Conversations and the Design Application for a Public Hospital Project)

  • 이영진;이정만
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제21권3호
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    • pp.47-55
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    • 2015
  • Purpose: While medical standard is rapidly improved, welfare of users and employees in hospitals is not treated correspondingly. Intercommunication of hospital users is thought to be very important for their welfare, and provision of conversation spaces within hospital environment needs to be expanded by architectural design. Space organization methods for the design of conversation space is to be embellished. Methods: Literature and hospital designs are analysed in order to develop the basis of argumentation for the hospital conversation space. 15 hospitals are reviewed and designed spaces for the intercommunication of the users are examined, Space organization efforts and design experiments are identified, and 6 organizational methods are proposed such as: 1) reducing territoriality 2) flowing space 3) categorizing and separating spaces 4) height variation 5) contact with outside and 6) Sun-lighted space. Results: 6 organization methods are confirmed in precedent hospital cases, and these proposed methods are applied in a new hospital design project to verify their usefulness. Implications: A hospital design project is presented based on these proposed methods of organization for the conversation space. Outcomes of this study can be applied for the formulation of human intercommunication spaces in other facilities.

필담(筆談)을 통한 조일(朝日) 의원(醫員) 간 소통의 방식 - 1763년 계미사행(癸未使行)의 필담을 중심으로 - (A study on the communication between the medical staff of Chosun and Japan to conversation by writing)

  • 김형태
    • 동양고전연구
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    • 제41호
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    • pp.187-209
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    • 2010
  • 본 논문은 1763년 계미사행(癸未使行) 중 의원필담집(醫員筆談集)인 키타야마 쇼우[北山彰]의 "계단앵명(?壇?鳴)"과 야마다 세이친[山田正珍]의 "상한필어(桑韓筆語)"와 이 빈케이[(井敏卿]의 "송암필어(松菴筆語)"를 연구 대상으로 삼아 18세기에 의원을 포함한 조일(朝日) 지식인들의 소통 방식 및 대립과 갈등, 교류와 협력의 상황을 확인하는 데 그 목적이 있다. 그들은 미지(未知)와의 조우를 통해 나누고, 시문(詩文)을 창화(唱和)했으며, 해부학 등 당시 서양의학에 눈뜬 일본의 상황을 가늠해보기도 했다. 또한 각 나라의 풍습을 접하고 비교하는 기회를 가졌으며, 아울러 한글에 대한 일본인의 증폭된 관심을 확인할 수 있다. 대립과 갈등은 주로 두 나라의 역사 인식과 학술적 차원의 관점 차이에서 비롯되었는데, 특히 당시 일본의 고학(古學)적 학풍이 여기에 상당한 영향을 끼쳤다고 할 수 있다. 따라서 금고문(今古文) 논쟁이나 두 나라의 음악 비교, 일본 신공황후(神功皇后)의 삼한(三韓) 정벌설 및 오규 소라이[荻生?徠]와 다자이 준[太宰純]의 학문에 대한 논쟁 등으로 상호 날선 공방이 오고갔다. 다만 간과하지 말아야 할 것은 이 중에는 한문에 의한 필담이란 제한 때문에 빚어진 상호 오해도 존재한다는 점이다. 교류와 협력은 전문 지식과 기술을 지닌 의원들을 중심으로 인삼 제법(製法)이나 질병의 치료 방법을 확인하는 절차로 구체화되었다. 또한 일본에서의 서적 구입 방법 문의 및 실제 치료 등을 통해 양국 우호의 분위기를 연장시켜 나갔다고 볼 수 있다. 결국 이들 사이에는 간혹 오해와 불신도 있었지만, 양국의 인사들은 한문이란 동아시아 공통문자를 통해 소통했고, 심도 있는 정보와 의견을 교환했다.

"상한창화훈지집(桑韓唱和塤篪集)"의 의학문답(醫學問答) 기록과 조일의학(朝日醫學) 교류 (The Medical Exchange of "SangHanChangHwaHunJiJip")

  • 함정식;차웅석;안상우;김남일
    • 한국한의학연구원논문집
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    • 제14권3호
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    • pp.155-171
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    • 2008
  • This study examined from "SangHanChangHwaHunJiJip" how medical exchange between doctors of Joseon and Japan affected medical science of Japan. "SangHanChangHwaHunJiJip" is a record that organized the written conversation between doctors and scholars of the Joseon and Edo period when the delegation so-called Joseon Tongsinsa visited Japan in 1719. Even though "SangHanChangHwaHunJiJip" was written by Japanese, but it was comprised of Joseon's advanced medical ideology, especially "DongEuiBogam" that has occupied an important part of the Joseon medical ideology. As a matter of fact, "SangHanChang HwaHunJiJip" contains general theme and medical subject. But until now, it has been hardly studied by medical historians. Many studies were generally made related to Joseon Tongsinsa, a governmental delegation, focused on literary and cultural exchange between Joseon and Japan by historians. "SangHanChangHwaHunJiJip" is no exception to this trend. We can find that doctors of the Joseon and Edo period entered into colloquium, a form of group discussion, about the clinical theme in "SangHanChangHwaHunJiJip". Concretely, the conversation between doctors of Joseon and Japan was about infant disease, infectious disease, folk remedies, medical herbs, moxa cautery, acupuncture, the study of nature, the study of medical books, etc. For example, when doctors of Japan ask a confirmed disease, doctors of Joseon explained it particularly. They had a great effect on in every cultural aspect of Japan, especially its medical field. Through this study of the medical questions and answers in "SangHanChangHwaHunJiJip", I came to know that the doctors of GiHae envoys gave great influence to the medical knowledge of Japan and the GiHae inherited and developed the medical tradition of SinMyo envoys. Through the examination of this study, I could deduct that "JeongJeongDongEuiBogam" which was published by the government of the Edo period is due to not only the contents of DongEuiBogam's advanced medical thought, but also the doctors of GiHae envoy. Also, "SangHanChangHwaHunJiJip" gives us an idea that doctors of GiHae envoys have medical trend of the OnBoHakFa and a group of Japanese doctors has medical trend of the study of nature. I am confident that the improvement of medical science and natural history of the Edo period is due to influence of medical exchange between Joseon and Japan. "SangHanChangHwaHunJiJip" confirms that medical exchange between two countries affected doctors and scholars of the Edo period.

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한의대 교과목으로서 의학영어에 대한 고찰 (About the Lectures on Medical English at Oriental Medical Colleges in Korea)

  • 김훈;이해웅
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.216-221
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    • 2008
  • A lot of medicine-related schools have courses for Medical English in their curricula these days. Medical English of Oriental Medical Colleges is somewhat different from that of other colleges, especially medical schools, in contents for the lecture. The lectures on Medical English of Oriental Medical Colleges need to include : Oriental medical terminology, Medical terminology, Materials about Oriental Medicine and Western Medicine, Writing about Oriental Medicine in English, Conversation with patients in English, Presentation on Oriental Medicine in English. It would be better that the study of Medical English should be placed in the second year of pre-medical course in Oriental Medical Colleges.

후두과학에서 자주 사용되는 대화 - 영어번역 및 중국어번역 - (Frequently used Conversations in Laryngology - English and Chinese Translation -)

  • 유영삼
    • 대한후두음성언어의학회지
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    • 제16권2호
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    • pp.123-128
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    • 2005
  • The market is opening to the whole world and there is no exception to medical service. Therefore, doctors should prepare themselves to cope with the opening market. I prepared scripts for the conversations between doctors and patient at the clinical situations. Also, English and Chinese translations are provided for future use.

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Internet Based Telemedicine & Distance education System

  • Kim, Seok-Soo;Park, Cil-Cheol
    • 한국멀티미디어학회:학술대회논문집
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    • 한국멀티미디어학회 2001년도 춘계학술발표논문집
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    • pp.373-377
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    • 2001
  • The telemedicine & distance education system that this paper suggests has been designed on the CTE(Collaborative Telemedicine & distance Education) framework, which is an integrated multimedia environment. This is a CBM-based collaborative telemedicine & distance education type, different from the conventional doctor based general practice, and is an integrated multimedia telemedicine & distance education system capable of many application developments using information super highway. This paper presents the content regarding electronic medical examination chart and data treatment for efficient medical examination and prompt treatment by realizing mutual conversation type remote medical examination system among 3 parties(patient, doctor, pharmacist) on internet base. And, The implementation of this new teaming system should be designed with multimedia application development platform base which is interfaced with computer engineering, computer network technology, CSCW (Computer-Supported Cooperative Work) technology, and education engineering.

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