• 의학교육논단
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• 제21권1호
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• pp.1-12
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• 2019

This study is a narrative review introducing global trends in patient safety education within medical schools and exploring the status of Korean education. Core competences for patient safety include patient centeredness, teamwork, evidence- and information-based practice, quality improvement, addressing medical errors, managing human factors and system complexity, and patient safety knowledge and responsibility. According to a Korean report addressing the role of doctors, patient safety was described as a subcategory of clinical care. Doctors' roles in patient safety included taking precautions, educating patients about the side effects of drugs, and implementing rapid treatment and appropriate follow-up when patient safety is compromised. The Korean Association of Medical Colleges suggested patient safety competence as one of eight essential human and society-centered learning outcomes. They included appropriate attitude and knowledge, human factors, a systematic approach, teamwork skills, engaging with patients and carers, and dealing with common errors. Four Korean medical schools reported integration of a patient safety course in their preclinical curriculum. Studies have shown that students experience difficulty in reporting medical errors because of hierarchical culture. It seems that patient safety is considered in a narrow sense and its education is limited in Korea. Patient safety is not a topic for dealing with only adverse events, but a science to prevent and detect early system failure. Patient safety emphasizes patient perspectives, so it has a different paradigm of medical ethics and professionalism, which have doctor-centered perspectives. Medical educators in Korea should understand patient safety concepts to implement patient safety curriculum. Further research should be done on communication in hierarchical culture and patient safety education during clerkship.

• 한방안이비인후피부과학회지
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• 제28권1호
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• pp.119-133
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• 2015

Objective : Thread embedding acupuncture has become popular as a minimally invasive treatment for facial wrinkles and laxity. However, there is little published clinical practice guidelines. This study is to developing a specific procedure of thread embedding acupuncture for facial wrinkles and laxity. Method : We reviewed and summarized 6 studies on thread embedding acupuncture for facial wrinkles and laxity. And, four practitioners who have more than four year of clinical experience and one hundred of cases were participated in developing a thread embedding acupuncture procedure for facial wrinkles and laxity. Result and conclusion : We developed a thread embedding acupuncture procedure for facial wrinkles and laxity which consists of correction of lower jaw, facial laxity, nasolabial fold and eye wrinkles.

• 대한한의학원전학회지
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• 제32권3호
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• pp.31-45
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• 2019

Objectives : This paper aims to suggest alternative interpretations to previous ones of 'Daedong-eo-Hyeobui(大同於協義)' and 'Gakrip-eo-Cheonri(各立於擅利)' in the chapter 'Theories on Nature and Conduct(性命論)' in Donguisusebowon(東醫壽世保元) which have been found to be inadequate. Methods : Previous interpretations were thoroughly examined, then evaluated based on the narrative form and logical probability of the Donguisusebowon(東醫壽世保元). Afterwards, correct interpretations of the contents were suggested based on the context of the chapter 'Theories on Nature and Conduct(性命論).' Results & Conclusions : Of 'Daedong-eo-Hyeobui(大同於協義)', Daedong(大同) should be interpreted as 'to gather largely' instead of 'all the same.' Hyeobui(協義) should be interpreted as 'to submit willingly' and not 'to cooperate to Ui(義).' In the case of 'Gakrip-eo-Cheonri(各立於 擅利)', Gakrip(各立) means for people of same minds to rise against evil individually while Cheonri(擅利) refers to the evil of coveting for gains individually. There are other cases where existing interpretations have been erroneous other than the suggested examples, which prompts thorough re-evaluation of the text.

• Journal of Medicine and Life Science
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• 제20권4호
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• pp.141-157
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• 2023

Stroke is a leading cause of disability and death. The condition requires prompt diagnosis and treatment. The quality of care provided to patients with stroke can vary depending on the availability of medical resources, which in turn, can affect prognosis. Recently, there has been growing interest in using machine learning (ML) to support stroke diagnosis and treatment decisions based on large medical data sets. Current ML applications in stroke care can be divided into two categories: analysis of neuroimaging data and clinical information-based predictive models. Using ML to analyze neuroimaging data can increase the efficiency and accuracy of diagnoses. Commercial software that uses ML algorithms is already being used in the medical field. Additionally, the accuracy of predictive ML models is improving with the integration of radiomics and clinical data. is expected to be important for improving the quality of care for patients with stroke.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권6호
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• pp.507-525
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• 2021

Local anesthesia is indispensable in dentistry. Worldwide, millions of local anesthetic injections are administered annually, and are generally considered safe invasive procedures. However, adverse effects are possible, of which dentists should be aware of. This scoping review aimed to provide an extensive overview of the reported literature on the adverse effects of dental local anesthesia. The types of papers, what is reported, and how they are reported were reviewed. Additionally, the incidence and duration of adverse effects and factors influencing their occurrence were also reviewed. An electronic search for relevant articles was performed in PubMed and Embase databases from inception to January 2, 2020. The titles and abstracts were independently screened by two reviewers. The analysis was narrative, and no meta-analysis was performed. This study included 78 articles. Ocular and neurological adverse effects, allergies, hematomas, needle breakage, tissue necrosis, blanching, jaw ankylosis, osteomyelitis, and isolated atrial fibrillation have been described. Multiple adverse effects of dental local anesthesia have been reported in the literature. The results were heterogeneous, and detailed descriptions of the related procedures were lacking. Vital information concerning adverse effects, such as the dosage or type of anesthetic solution, or the type of needle used, was frequently missing. Therefore, high-quality research on this topic is needed. Finally, the adverse effects that are rarely encountered in real-world general practice are overrepresented in the literature.

• 동의생리병리학회지
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• 제19권3호
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• pp.580-585
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• 2005

Treatment chart(醫案) is a document that doctors have described about their own practice. Western doctor's chart has a prescribed form, but otherwise chart of oriental medicine is a free form. As It has no prescribed form, doctors of oriental medicine have recorded important facts that they think especially. For example, details are patient's name, age, sex and address, the name of disease, state of pulse and tongue, state of secretions(stools, urine, perspiration, etc.), color of face, state of sleep and thirst, diagnosis, prescription, improvement of herb, teaching, and so forth. If we study on chart of oriental medicine, we draw a lesson about practices of a famous doctors. Through that we can increase ability of diagnosis and adaptation to circumstance, make ourselves familiar with use of past prescriptions and way of changing prescription, and learn narrative story of past doctors' personal experience, their though and teaching. As chart of oriental medicine had many methods to take a measure to meet the false situation, we can learn that. Through chart of oriental medicine, we can improve our practice of oriental medicine.

• 한국콘텐츠학회논문지
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• 제21권4호
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• pp.744-761
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• 2021

최근 '힐링 게임'에 관한 대중적 관심이 증대하고 있다. 그러나 합의된 개념의 부재로 인해 '힐링 게임'에 관한 학술적 논의는 제대로 이루어지지 않고 있는 실정이다. 따라서 본 연구는 '힐링 게임'의 개념을 제안하고 주요 특징을 도출하고자 하였다. 먼저 '힐링 게임'과 의료용 기능성 게임의 비교하여 '힐링 게임'이 치유감의 형성과 전달을 목적으로 하는 상업용 게임이라는 사실을 확인했다. 이후 현재 '힐링 게임'으로 알려진 게임들을 선정하여 서사적 특징, 구조적 특징, 감각적 특징을 검토하였다. 먼저 서사적 측면에서 '힐링 게임'은 약한 서사성을 띠고 있으며 공간적 상호작용에 의한 미시적 서사의 발생을 중시하는 것으로 나타났다. 또한 구조적 측면에서는 쉬운 난이도, '무의미한 행동'의 권장과 방치 경험 등이 특징으로 나타났으며 감각적 측면에서는 추상적인 표현 사용, 이색적이고 감성적인 경관 묘사, 정서적 경험을 강화하는 사운드 활용 등이 제시되었다.

• Clinical and Experimental Pediatrics
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• 제60권11호
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• pp.337-343
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• 2017

Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. This disorder, in addition to its main symptoms, creates significant difficulties in education, social performance, and personal relationships. Given the importance of rehabilitation for these patients to combat the above issues, the use of virtual reality (VR) technology is helpful. The aim of this study was to highlight the opportunities for VR in the rehabilitation of children with ADHD. This narrative review was conducted by searching for articles in scientific databases and e-Journals, using keywords including VR, children, and ADHD. Various studies have shown that VR capabilities in the rehabilitation of children with ADHD include providing flexibility in accordance with the patients' requirements; removing distractions and creating an effective and safe environment away from real-life dangers; saving time and money; increasing patients' incentives based on their interests; providing suitable tools to perform different behavioral tests and increase ecological validity; facilitating better understanding of individuals' cognitive deficits and improving them; helping therapists with accurate diagnosis, assessment, and rehabilitation; and improving working memory, executive function, and cognitive processes such as attention in these children. Rehabilitation of children with ADHD is based on behavior and physical patterns and is thus suitable for VR interventions. This technology, by simulating and providing a virtual environment for diagnosis, training, monitoring, assessment and treatment, is effective in providing optimal rehabilitation of children with ADHD.

• 한국엔터테인먼트산업학회논문지
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• 제15권1호
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• pp.207-220
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• 2021

본 연구는 신임 119구급대원의 출동경험을 바탕으로 응급구조학 교육의 현장 적용 및 효용성을 파악한 후 대학교육의 한계점과 개선점 및 발전방향을 도출해내고자 한 질적 연구이다. 연구대상자는 응급구조학과를 졸업한 119 구급대원으로 구급활동을 시작한 지 3년 이내의 신임구급 대원 6명이다. 내러티브 인터뷰(narrative interview)방식으로 심층면담을 진행한 후 현상학적 방법 중 하나인 Colaizzi방법으로 분석하였다. 의미있는 진술에서 82개의 구성된 의미가 도출되었다. 구성된 의미로 부터 23개의 theme, 4개의 theme cluster, 2개의 category가 확인되었다. 4개의 주제모음은 '대학교육의 효용성', '대학교육의 한계점', '교육방법론에서의 개선방향', '교육내용에서의 개선방향'으로 신임구급대원들은 대학교육이 전반적으로는 도움이 되었으나 소방 현장보다는 병원 쪽에 치우친 이론교육이 주입식 강의로 이루어진 한계점을 지적하였다. 이에 신임대원들은 사례중심의 학습, 현장사례리뷰, 역할극방식 교육, 시뮬레이션 교육의 확대와 함께 실습위주로 장비를 활용한 술기교육을 강화할 것을 제안하였다. 또한 신임대원들은 대학교육과 현장사이에서 이론과 실제사이의 괴리감을 토로하며 소방현장에 맞는 교육의 도입을 제안하고 다양한 시각을 위한 다양한 지도를 언급하였다. 응급구조학 대학교육은 전반적으로 도움이 되었으나 제한점이 동시에 관찰되므로 교육방법론과 교육내용의 개선을 통해 발전해가야 한다.

• 대중서사연구
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• 제27권1호
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• pp.133-185
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• 2021

이 글은 낙태 문제를 다룬 텔레비전 드라마 을 물질성, 관계성, 행위주체성 등의 이론적 초점과 연결시켜 행위적 현실(agential reality)의 축도로서 회절적으로 독해하려는 시도다. 캐런 바라드의 행위적 실재론(agential realism)에 따르면, 텔레비전 드라마 은 당대의 의료기술, 괴담과 전설, 그리고 남성중심적 정동 등의 물질적이고 담론적인 장치들의 행위적 내부작용을 통해 산출된 사회문화적 현상이라 할 수 있다. 1990년대는 기술, 담론, 정동 등의 장치들을 통해 '혐오'를 반복적으로 드러내는데, 이는 여성의 젠더화된 신체를 향한다. 성형과 낙태라는 물질적-담론적 실천은 몸을 둘러싼 행위적 현실이 의료 기술은 물론, 젠더화된 혐오의 정동과 긴밀하게 엮여 있다는 사실을 예증한다. 이와 관계된 또 다른 물질적-담론적 현상으로서 괴담의 유행과 전설의 재발견 역시 탈자연화된 몸에 대한 혐오의 정동으로부터 생산되고, 이 정동을 다시 한 번 확대재생산하고 있음을 방증한다. 이러한 정동 환경 속에서 등장한 은 회절(diffraction)을 상연하는데, 이는 테크노-신체의 물질화에 대한 포스트휴먼적 함축을 결여한 채 백래시의 역행적 힘에 따라 이루어진다. 은 역사적으로 틀 지워지고, 맥락 속에서 정의된 '인간(Man)'에 대한 휴머니즘적 가정들을 보편적인 정의(justice)로서 앞세운다. 이것은 어디까지나 휴머니즘의 젠더화된 정의(definition)일 뿐이다. '낙태죄' 폐지 이후, COVID-19 감염증 유행과 함께, 의료 기술 및 담론, 신체적 물질을 둘러싼 정동이 격렬히 내부작용하는 현재는 이 애써 거부한 인간의 대안적 정의에 대해 신중하게 사유하고 응답해야 할 때다.