• Title/Summary/Keyword: Medical Integration

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Kim Gwangjin's Integration of Medicine and Innovation of Traditional Medicine - Centering on the principle of Up and Down in Medicine - (대구 의생 김광진의 동서의학 절충 그리고 한의학 혁신 - 『의학승강법』을 중심으로 -)

  • Oh, Chaekun
    • Journal of Korean Medical classics
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    • v.29 no.2
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    • pp.91-119
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    • 2016
  • Objectives : In this paper, the main objective is to analyze and evaluate Kim Gwangjin(金光鎭, 1885-1940)'s academical achievements of integration of eastern with western medicine and innovation of traditional medicine(TM, 漢醫). Methods : This paper is composed of two parts. First, analyzing Kim's medical book, the principle of Up and Down in Medicine(醫學升降法) by the way of text analysis and interpretation faithfully. Second, adding historical perspectives about his achievements. Results : Kim opened a clinic and practiced TM in Daegu, a city of Youngnam(嶺南) area of Korea, in 1924, and published the book in 1936. While Kim acknowledged the scientific results by western medicine and criticized the typical explanation of five viscera or qi circuits of TM, he clarified the treatment range for TM and provided his own interpretations of pathophysiology through the ups and downs of qi, without conflicting between western medicine and TM. Moreover, he critically follows the TM discourses of the most noted practitioner, Lee Gyoojoon(李圭晙), in the Youngnam area of the time. Conclusions : In the 1930s, although western medicine has become the new core orientation and has forced out TM to the districts, within the abyss of the districts, TM still maintained its strong presence.

The Current and Future State of Academic Medicine in Korea: Education, Research, and Patient Care (우리나라 의학의 현실과 미래: 교육, 연구, 진료를 중심으로)

  • Jeong, Dae Chul
    • Korean Medical Education Review
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    • v.21 no.2
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    • pp.73-79
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    • 2019
  • Academic medicine is built from a foundation of education, research, and patient care. Since good patient care results from the application of medical research and continuous education, these three components cannot be separated for medical development to occur. In Korea, many obstacles hinder the achievement of academic medicine, such as an inefficient medical delivery system, limitations of primary care, low insurance prices, and no long-term health care plan. Medical education has changed to outcome-based education, but presented temporal integration status. Governance of healthcare research is not centralized, and Korea is awarded relatively fewer grants than other countries. Medical professors have reached a burnout state due to patient care responsibilities in addition to research and education duties. Many medical systems, including the medical delivery system and insurance problems, may contribute to distrust between doctors and patients. The government is not involved in a long-term health care policy. The multitude of factors mentioned here are hindering the achievement of academic medicine in Korea.

Ubiquitous Integration Monitoring System for the Feeding and Environment Management of Livestock Production (가축 생산성 향상을 위한 유비쿼터스 통합 모니터링 시스템)

  • So, Sunsup;Kim, Byeongho;Eun, Seongbae;Jun, Jungho
    • Journal of Information Technology Services
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    • v.11 no.sup
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    • pp.75-88
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    • 2012
  • This research aims to propose a ubiquitous integration monitoring system for the feeding and environment management of livestock production. The integration monitoring system proposed in this research is based on an integrated platform, and consists of livestock shed environment monitoring system, livestock monitoring system, livestock remote medical treatment, and feeding and management system. This research conducts the followings. First, we review the previous researches on livestock related ubiquitous monitoring system to examine the factors to be considered in the proposed system. Then, we design the system and implement the prototype to demonstrate the possibility of the application of this system to real stockbreeding environment.

Research on the Conflicts and Future Direction of Integrative Medicine in Korea (한.양방 통합의료의 갈등과 방향에 대한 연구 - 한.양방 의료 및 관련 종사자 대상 심층면접을 중심으로 -)

  • Lim, Eun Jin;Kim, So Yun;Sohn, Myoung Sei;Choe, Pyung Nak;Oh, Byeong Sang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.2
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    • pp.243-250
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    • 2014
  • This study examined the knowledge and understanding of integrative medicine in Korea, specifically conflicts between western and oriental medicine within Parallel (Dual) health care systems. Qualitative methodology using grounded theory guided semi-structured, in-depth interviews with Western Medical Doctors (W.M.D., n = 6), Oriental Medical Doctors (O.M.D., n = 5) and Traditional Chinese Medicine Practitioners (T.C.M.P., n = 4). Thematic analysis was used to determine broad themes from the interviews. 15 professionals (W.M.D. (40%), O.M.D. (33%), T.C.M.P. (27%), 10 males (67%) and 5 females (33%), mean age 45) were interviewed, recorded, and transcribed. Thematic analysis revealed three key themes: systematic conflicts, integration and future directions. Subthemes of systematic conflicts included: credibility of Oriental Medicine, commercial imperatives, maintaining social standing of O.M.D., professional qualifications and lack structures supporting collaborative practice. Integration subthemes included lack of academic linkage and clarity for appropriate triage, opposing medical paradigms and limited social imperative. Future directions should include: social justification, guarantee of oriental medicine legitimacy, role of government and understanding of scientific evidence. To successfully integrate dual medical systems there is a need to address differences in social-environmental factors and perceptions of scientific understanding, as well as developing strong academic links in clinical practice.

A Study of Do Jinwoo's Dongseo uihak youi (東西醫學要義) (도진우(都鎭羽)의 『동서의학요의(東西醫學要義)』에 대한 연구)

  • KIM Hyunkoo;AHN Sangwoo;Kim Namil
    • The Journal of Korean Medical History
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    • v.36 no.1
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    • pp.99-112
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    • 2023
  • This paper analyzes the historical context, the author, and the organization of contents of Dongseo uihak youi (Essentials of Eastern and Western Medicines), which was written by Do Jinwoo. In the colonial situation of the early twentieth century, the tradition of Korean medicine faced crises and challenges in many ways. Members of the Korean medicine community were simultaneously faced with continuing the tradition of Korean medicine and becoming healthcare providers with a specific role within the healthcare system of the time. Dongseo uihak youi is the result of the collective and official efforts of the Association of Korean Medicine of the time to maintain its tradition where only Western medicine was officially allowed to be taught and tested after the promulgation of the Rules of the Medical Student (ŭisaeng). Dongseo uihak youi was the first Korean medicine book to precisely describe and compare the names of diseases in Eastern and Western medicines. Dongseo uihak youi contained not only medical theories and prescriptions but also laws and forms, in that the purpose of the book was not simply to cultivate clinical skills but also to demarcate the boundary of medical knowledge and activities required of a practitioner of Korean medicine in the modern colonial health care system of the time.

Study on the Network System between of the Outpatient and Central Treatment Department of Long Term Care Hospitals (요양병원 외래 및 중앙진료부의 의료영역 간 연결관계에 관한 연구)

  • Bae, Sunmi;Kim, Suktae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.7-17
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    • 2016
  • Purpose: As our population ages and becomes an elderly society the number of elderly care hospitals is rapidly increasing. Because physical functions and spatial perception in the elderly decrease with age, these hospitals require more systematic and intelligent space designs. The design of these spaces are even more complex because they must accommodate medical programs to treat various different diseases and ailments and also because there are many first time patients and irregular short term patients that seek out outpatient treatment services. Also by analyzing the spatial configuration systems and systematic relationships between each of the functional spaces of the outpatient treatment service departments for hospitals specialized in care for the elderly by focusing on the hallway and corridor systems of these hospitals, the according characteristics and trends were examined. Methods: Based on preceding research, the types of hallway and corridor systems of these hospitals were categorized into five types, including gallery corridors, middle corridors, hall-type, mixed type and cyclic type corridors, and into six types according to function including by medical diagnosis, patient registration, examination, administration and convenience and shared common space to derive any interconnecting relationships between the corridor systems. Also by comprehensively examining the types and combined utilization of the corridor types and the integration and the intelligibility of the space syntax, any trends within the corridor system were derived. The elderly care hospitals examined in this research study were twelve hospitals that opened after the year 2000 in Korea with more that 150 sick beds with areas larger than $1000m^2$ and with all outpatient medical service related rooms located entirely on a single floor of the hospital. Results: The following results could be confirmed based on this research study. 1) The spaces where medical diagnosis and examination occurred were adjacent, and the movement lines for first time patients and re-visiting patients were taken into consideration by separating the treatment space. 2) This research study confirmed that the larger the size of the hospital was, there were more detailed categorizations of treatment services and that there was a tendency for treatment areas to be separated and independent from examination areas. 3) There was a tendency for integration and intelligibility to decrease the more complex and diverse the combination of hall types designed into the corridor systems of these hospitals was. cyclic type corridors dramatically decreased the intelligibility of the corridor systems of these hospitals. 4) The priority rank of these spaces were confirmed to be highest in the order of registration, diagnosis, examination, treatment, administration and shared common spaces. However it was confirmed for the local integration that the diagnosis scope had the highest priority rank. Implications: There were exceptional cases confirmed where the number of unit spaces did not have an absolute effect on integration and intelligibility. These results can be interpreted to mean that this can be overcome through efficient architectural planning.

A Exploratory Study of Integration-Support Paradigm for Transnational Marriage and Family: Focused on the Dongdaemun-gu Transnational Marriage and Family Support Center (결혼이민자가족을 위한 통합지원 패러다임 모색에 대한 탐색적 연구 -동대문구 결혼이민자가족지원센터를 중심으로-)

  • Oh, Yoon-Ja
    • Journal of Family Resource Management and Policy Review
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    • v.11 no.4
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    • pp.73-92
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    • 2007
  • This study explored the integration-support paradigm for transnational marriages and families as a well-grounded service model supporting a transnational family of immigrants in Korea at a time when Korean society showed increased interest in interracial marriages. The research mainly focused on the Dongdaemun-gu Transnational Marriage and Family Support Center, utilizing the relative actual practice at the center and the secondary data of previous studies. The findings were as follows: The integration-support paradigm for transnational marriage and family comprised of the following elements : the institutionalization of welfare and medical services; the systematization of legal institution and execution the settlement of mid- and long-term policies and the practical programs of the government proper approaches to the formation of a healthy marital couple and family relations; total services related to rearing and educating children properly including education cost support to family incomehousing for the stabilization of family life support for socio-cultural exchanges within the family : as well as the radical conversion of social recognition of a transnational family. This paradigm is expected to be a well-grounded service for the integration-support of transnational families.

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Case Report of Physical Therapy Using the PNF Concept in a Patient with Shoulder Impingement Syndrome (어깨 부딪힘 증후군 환자에 대한 PNF 개념을 이용한 물리치료 사례보고)

  • Kim, Jwa-Jun;Shin, Jae-Wook
    • PNF and Movement
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    • v.12 no.3
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    • pp.189-199
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    • 2014
  • Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.

Point-of-care Testing Device Interface in Hospital Information System Standard Connectivity - Using of case ASTM protocol of ABGA application POCT1-A2 - (현장형 임상검사장비와 병원정보시스템의 접속표준 - ASTM protocol을 사용하는 ABGA의 POCT1-A2적용사례 중심으로 -)

  • Kim, Seon-Chil
    • Korean Journal of Digital Imaging in Medicine
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    • v.10 no.2
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    • pp.33-37
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    • 2008
  • To keep the online medical records available to anyone without constraint of time and space, introducing EMR (Electronic medical record), which is a clinical support management system. The purpose of this study is to develop interface standard of clinical test device. Integration and sharing of medical information is faced with enormous obstacles because medical organizations and associated companies are separately developing the interface. I hope that multi-function management system with workstation concept is operated to efficiently transmit clinical device result data based on this study. Transfer of precise medical result data available for decision making will improve quality of health care service.

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Hybrid Block Coding of Medical Images Using the Characteristics of Human Visual System

  • Park, Kwang-Suk;Chee, Young-Joon
    • Journal of Biomedical Engineering Research
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    • v.15 no.1
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    • pp.57-62
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    • 1994
  • The demand of image compression is increasing now for the integration of medical images into the hospital information system. Even though the quantitative distortion can be measured from the difference between original and reconstructed images, it doesn't include the nonlinear characteristics of human visual system. In this study, we have evaluated the nonlinear characteristics of human visual system and applied them to the compression of medical images. The distortion measures which reflect the characteristics of human visual system has been considered. This image compression procedure consists of coding scheme using JND (Just Noticeable Difference) curve, polynomial approximation and BTC (Block Truncation Coding). Results show that this method can be applied to CT images, scanned film images and other kinds of medical images with the compression ratio of 5-10:1 without any noticeable distortion.

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