• Child Health Nursing Research
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• v.14 no.1
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• pp.5-13
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• 2008

Purpose: This study was done to describe utilization status of emergency medical service for children at one university affiliated hospital located in Seoul. Data were obtained from the medical records of patients under 13 years of age who visited the ER from January 1 to December 31, 2006. Method: Medical records missing the time of discharge were excluded in the analysis of waiting time, which resulted in 19,766 cases. Data were analyzed using SPSS WIN 14.0 version. Result: There were slightly more boys (58.4%), average age of the children was 3.97 years of age. More children at the aged 1 to 3 years (51.3%) visited the ER. Fever was the most frequent complaint: 5,180 cases (24.38%). The other complaints were head or facial laceration (10.55%), vomiting (9.63%), abdominal pain (8.06%), cough (7.67%), and painful limb swelling (6.34%). Average waiting time before the first medical examination was 17 minutes, and average ER stay time was 3 hours and 23 minutes. Conclusion: The results suggest the need to assign a nurse specialist for pediatric ER to provide more efficient care for the children. Also, extra staff assignment during the evening shift or extending office hours of local pediatricians should be considered.

• Journal of Korean Academy of Nursing Administration
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• v.11 no.1
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• pp.67-77
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• 2005

Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

• Proceedings of the KIEE Conference
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• 2006.07d
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• pp.2169-2170
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• 2006

J2ME service technology has advantage that can embody independent and, more soft system in DICOM 3.0 and medicine reflex administration server, client's OS that is medical treatment reflex standard in radio Internet. Also, intranet that do web basedspread, and develop by system that can alternate existent client-server structure rapidly. Specially, posibility of improvement is much because is connecting being limited in internet environment that medical equipment and information system of various kinds of machine are wire in medical institution and so on. Because do medical treatment reflex transmission module development applying DICOM technology and filtering techniques of "m-PACS Rehalibitated " in this research, existence, by interlock in radio usable Mobile reflex conversion system design and embody. That is, patient's information which is stored to various systems to be transmited and can give big help in medical examination and treatment to reflex client without being wooed doctor's interpretation result and so on in place through environment to be radish tentacle bar see

• Journal of Acupuncture Research
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• v.31 no.4
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• pp.213-221
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• 2014

Objectives : We report a case of a patient with oculomotor nerve palsy accompanied by diabetes mellitus complication to show the efficacy of a treatment with Korean medical complex therapy. Methods & Results : We treated one patient by acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy. We measured the severity change in physical examination and had a result that the patient's symptom had improved. Conclusions : We suggest that Korean medical therapy including acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy have an effect with diabetes-associated oculomotor nerve palsy.

• Journal of Acupuncture Research
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• v.18 no.5
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• pp.24-32
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• 2001

Objective : The purpose of this study was to inspect the effect of Oriental medicacl treatment with following up NTx and absorbing rate of bone in degenerative osteoarthritis. Methods : To obtain this result, we examinated 52 case of parents who visit Dept. of Acupuncture and Moxibustion Oriental Medical Hospital. Taejon University. We observe their age, sex, symptoms and change of NTx and ALP. Results : As a result of this examination, we detected the fact that it's difficult to decending NTx, but we are convinced that Oriental medicine has a good effect clinically. Conclusion : We take very useful result from this study, and want to be put this knowledge to practical use on treating Osteoporosis think the study like this must be go on continuously.

• Journal of Acupuncture Research
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• v.18 no.6
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• pp.44-52
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• 2001

Objective : This study had been done to develop treatment and preventation on HIVD by using this result. Methods : To obtain this result, we examinated 51 case of patients who visit Dept. of Acupuncture and Moxibustion. Oriental Medical Hospital. Taejon University. diagnosed HIVD. Results : As a result of this examination, we detected the fact that reattack rate is 3.9% and it is important to exercise physically to prevent growing worse symptoms. And we develop further method of treatment to treat people more effectively. Detailed contents are as followed. Conclusion : We want to be put this knowledge to practical use on treating HIVD and think the study like this must be go on continuously.

• Korean Journal of Clinical Laboratory Science
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• v.36 no.2
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• pp.239-244
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• 2004

Recently automatic equipment has been well popularized for the erythrocyte sedimentation rate, a widely used test, but no standard quality control has been established yet. Thus, we are going to report a case that established and applied a quality control method using the TEST 1 automatic analyzer. For internal quality control, we adopted the repeatability test through comparison with daily mean check, with a manual method using patients' specimens and with the results of a test on the previous day. In order to set the tolerance standard for each quality control method, we compared the results of 50 specimens that showed a wide range of ESR results and examined correlation and differences according to result. After setting the tolerance standard, we applied the standard at tertiary university hospitals for 120 days and investigated positive rates and re-examination rates. If the tolerance standard was exceeded, the cause was also identified. We selected a specimen of below 25 mm/hr (T1), one between 26-50 mm/hr (T2) and one of over 51 mm/hr (T3) at random. The correlation between the manual method and the automatic method was quite high (r=0.98), and it is found appropriate to set based on differences in result values below 25 mm/hr, the upper limit of the reference value, and based on differences in the percentage of result values above 25 mm/hr. Accordingly, we set the criteria for rejection above 10 mm/hr and above 20%. When the criteria were applied in the laboratory, 1.7% of specimens in the range of T1, 8.3% of those in the range of T2 and 7.5% of those in the range of T3 were rejected. Because all the rejected ones fell within the tolerance limit in re-examination calibration verification was not carried out. With the wide popularization of erythrocyte sedimentation rate analyzers that can carry out a lot of tests quickly using automatic methods, it is necessary to improve the reliability of test results by establishing internal quality control policies. We expect that an agreed standard quality control method may be established based on the method proposed in this study.

• Journal of radiological science and technology
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• v.44 no.5
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• pp.443-449
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• 2021

In this study, the purpose is to present the foot inclination angle for realizing an image similar to that of the existing examination method and to present the clinical usefulness of the new examination method through comparison between the existing examination method and the newly designed standing foot oblique projection. A foot phantom was used, and the magnification of the image according to the angle was quantitatively evaluated by attaching a nut to the position of the cuboid of the phantom. The internal oblique image acquired using a 30° wedge was set as the standard image. And that image was compared with the images acquired by changing the angle of the foot from 20° to 65° at intervals of 5°. Image evaluation was performed by 3 radiological technologists, and qualitative evaluation using a Likert 5-point scale for evaluation items of true oblique view and quantitative evaluation of the value obtained by measuring the diameter of a nut in each image were performed as image evaluation. For data analysis, reliability analysis between the measure and comparative analysis of the average value for each angle were performed. The qualitative evaluation score for each image was 4.5 to 5 points for most questions in the case of the standard image. And 4 points or less for most questions in the images with a foot angle of 45° or less, and an evaluation score close to the standard image was obtained in the image of 50° or more. And in the quantitative evaluation, the diameter of the nut was measured to be 9.28~9.56 mm. The qualitative evaluation showed a reliability of 0.95~1.0 and the quantitative evaluation was 0.62. As a result of comparing and analyzing the average of the quantitative and qualitative average values for each angle image, the group with the average value most similar to the standard image was images obtained at 55° and 60°, and in the post-analysis, the images of both groups were the same group as the standard image(p<0.01). As a result of this study, it was found that the angle of inclination of the foot for realizing the image most similar to the existing image in the standing foot oblique projection is 55°~60°. In addition, if this test method is applied to the clinic, it is believed that it will help prevent safety accidents such as falls during the test and improve test efficiency by minimizing the movement of patients for the test.

• 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 Korean Medical classics
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• v.26 no.4
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• pp.397-416
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• 2013

Objective : The recently reported Wuqian edition(吳遷本) Jinguiyaolue(金匱要略) is known to be written in small letters unlike other large lettered versions of the book. The Wuqian edition(吳遷本) takes after the name of Wuqian who copied an ancient version that was found at the time(Ming dyanasty, 1395). It is known to differ in organization and contents to other versions. In this study, I would like to examine how the small-lettered version of the Jinguiyaolue had been created, through a thorough examination of the Wuqian edition, and evaluate its value as a new version of the Jinguiyaolue. Method : First, the systems of both large-lettered and small-lettered versions of the "Jinguiyaolue" were briefly examined, followed by comparison from chapter 1 to 22, of organization, contents, and formulas between the oldest version of the large-lettered versions, the Deng-zhen edition, and the newly discovered Wuqian edition of which examples of each item are listed. The original source was identified for parts that were different. Result & Conclusion : 1. The Deng-zhen edition and Wuqian edition show vast differences in the organization, table of contents, name of chapter, location of each verse or line, existence of certain verses or lines, name of formula, quantity of medicinal ingredients, processing methods and other aspects. 2. The small-lettered edition was published based on the large-lettered edition of the Jinguiyaolue published by the Jiaozheng-yishuju(校正醫書局) after a general cross-examination process followed by selection, modification and supplementation of the large-lettered edition. Reference texts used in cross-examination were Qianjinyaofang(千金要方), Waitaimiyao(外臺秘要), Maijing(脈經), and Shanghanlun(傷寒論). 3. Considering Wuqian's own annotations and preface, it is clear that he wanted to create the best version of the "Jinguiyaolue". Wuqian himself seems to have had professional knowledge of bibliography and medicine.