Objectives : The theory of Latent Qi Wenbing and its counter-arguments were examined in terms of each argument's theoretical background and logicality. Methods :Arguments for and against the theory of Latent Qi Wenbing in medical texts were examined closely. Results & Conclusions : Each doctor's theory on Latent Qi Wenbing was examined in the following four aspects. First, to what kind of pathogenic qi was the patient exposed during Winter? Second, how did the pathogenic qi affect the body in the time of exposure? Third, how did the latent qi change over the Spring and Summer within the body? Fourth, what kind of weather generates the disease during Spring and Summer? Each argument had different opinions on each aspect. The main argument made against the theory of Latent Qi Wenbing is that it is impossible for the pathogenic qi that initially damaged the body to stay latent until it generates disease after some time. The theory of Latent Qi Wenbing could be assumed to have been created based on situations in which such explanation was adept. Factors that contribute to this theory could be explained through the condition of the healthy qi, state of cultivation during the past season, and constitutional factors.
Yuchang(喩昌), prominent doctor in the early days of Cheong Dynasty, argued in favor of Daegiron(大氣論) and Chujoron(秋燥論). He referred the concept of Daegi(大氣) to the initiatory force that maintains and perpetuates the vital activities of human body. The historical background of his argument can be related to the abuses of the doctrine of warming and tonifying. At that time, the practice of misusing warming and tonifying herbal medicines without deteriorations of a case was widespread among doctors. Dryness and heat disease mechanism was triggered from this malpractice. Subsequently Yuchang(喩昌) witnessed many cases of lung diseases resulting from dryness and heat. That's why he suggested relieving dryness of the lung as a treatment, further establishing Daegi(大氣) - which correlates with the lung - as the vital fundamentals. Yuchang(喩昌)'s argues that the autumn energy emanates after the Autumn Equinox and that is what Chujo(秋燥) signifies in Chujoron(秋燥論). He articulates that most of the autumn diseases can be attributed to fire and heat. This argument is distinguished from the one that attributes lung diseases to coldness, thus providing an important factor in deteriorating a lung disease.
Recognition of liability for damages due to medical malpractice has been developed largely on the basis of two paths. First is the case where there is an error in a physician's medical practice and this infringes upon the legal interests of life and body, and the compensation for monetary and non-monetary damages incurred from such infringement on life and body becomes an issue. Second is the case where there is a breach of a physician's duty of explanation that results in a infringement on the patient's right of autonomous decision, and the compensation for non-monetary damages incurred from such infringement becomes an issue. However, even if there is a medical error, since it is difficult to prove the causation between the medical error of a physician and the infringement upon legal interests, the physician's responsibility for damage compensation is denied in some cases. Consider, for example, a case where a patient is already in the final stage of cancer and has a very low possibility of a complete recovery even if proper treatment is received from the physician. Here, it is not appropriate to refuse recognition of any damage compensation based on the reason that the possibility of the patient dying is very high even in the absence of a medical error. This is so because, at minimum, non-monetary damage such as psychological suffering is incurred due to the physician's medical error. In such a case, our courts recognize on an exceptional basis consolation money compensation for losing the chance to receive proper treatment. However, since the theoretical system has not been established in minutiae, what comes under the benefit and protection of the law is not clearly explicated. The recent discourse on compensating for damages incurred by patients, even when the causation between the physician's medical error and infringement upon the legal interests of life and body is denied, by establishing a new legal interest is based on the "legal principle of loss of opportunity for treatment." On what should be the substance of the new legal interest, treatment possibility argument, expectation infringement argument, considerable degree of survival possibility infringement argument and loss of opportunity for treatment argument are being put forth. It is reasonable to see the substance of this protected legal interest as "the benefit of receiving treatment appropriate to the medical standard" according to the loss of opportunity for treatment argument. The above benefit to the patient is a value inherent to human dignity that should not be infringed upon or obstructed by anyone, and at the same time, it is a basic desire regarding life and a benefit worthy of protection by law. In this regard, "the benefit of receiving treatment appropriate to the medical standard" can be made concrete as one of the general personal rights related to psychological legal interest.
Lee Shi Zhen(李時珍) raised a question in argument on the writer of Bao Ming Shi(保命集), which had been believed to be written by Liu Wan Su(劉完素), arguing that Bao Ming Shi(保命集), also called Huo Fa Ji Yao(活法機要), was written by Zhang Yuan Su(張完素). There were three representative arguments on the writer of Bao Ming Shi(保命集). One suggested that it was written by Zhang Yuan Su(張完素) while the other argued that it was definitely written by Liu Wan Su(劉完素). And another suggested thai it was edited by posterity by combinding the works of the former two miters. After this study, it was found that Bao Ming Shi(保命集) has Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s unique medical thoughts in many descriptions resulting in controversial dispute. Through these arguments, a new hypothesis has been made that the third person who had studied Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s medical thoughts wrote Bao Ming Shi(保命集). Liu Wan Su(劉完素) and Zhang Yuan Su(張完素) were quite different in medial thoughts and their works and they found different school, respectively. Therefore, if Bao Ming Shi(保命集) was written by Liu Wan Su(劉完素) or Zhang Yuan Su(張完素), it is impossiple that Bao Ming Shj(保命集) has the two medical thoughts in many descriptions. So, it is regarded reasonable to argue that the person who had aquainted with the two medical thoughts wrote this book. Then enother question can be raised : why the persion wrote Bao Ming Shi(保命集) which integrated the two medical thoughts and. The answer is as follows. Liu Wan Su(劉完素) and Zhang Yuan Su(張完素) became the rounders of He Jian(河間) school and Yi Shui(易水) school, respectively, which have considerably affected later generations, suggesting advanced medical theory. The medical thoughts suggested by the two were sure advanced compared with the former generation, but subjective and biased enough be critisized. So, it is thought that the third person wrote Bao Ming Shj(保命集) to recover those demerits and to describe more advanced medical theory. Zhongyi Xueshushi(中醫學術史) suggests that posterity edited Bao Ming Shi(保命集) by combinding Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s works, which is different flam my suggestment. In above description, it is said that the two medical thoughts were quite different, but Bao Ming Shi(保命集) has well-understood medical thoughts containing the two medical thoughts in chaptor to chaptor, and well coincides from cover to cover, which shows that it is written by one person not edited by posterity. My hypothesis can admit other arguments on the writer of Bao Ming Shi(保命集), recover the bias of those argument and solve the questions raised in other arguments. Therefore, I suggest that the person, who was well aquainted with Liu Wan Su(劉完素) and Zhang Yuan Su(張完素)'s medical thoughts, wrote Bao Ming Shi(保命集) to describe more advanced and complete medical theory by amending the bias and taking the merits of the two medical thoughts.
Objectives : To examine the six positions correlation[六部定位] principle that is the basis of the wrist pulse diagnosis in the Neijing. Methods : The basis for argument was established by correcting an interpretation error of the theory of chi (尺) skin diagnosis. In order to accomplish this, the annotations of Yang Shangshan and Wangbing were investigated first, after which the specific meaning and methodology of the chi diagnostic method as written in many chapters of the Neijing were examined. The evidence and reasoning for the six positions correlation[六部定位] was looked into, in relation to Wangbing's annotation of the chapter, Maiyaojingweilun. The theoretical basis of the six positions correlation was searched throughout the entire Neijing, based on the correlation between Liuhe and the six positions, the five elements inter-supporting theory embedded in the six positions correlation as a diagnosis model that integrates zhangfu and meridians/channels, and the meaning of the spacial concepts used when describing the tactile technique within the chapter. Lastly, contents related to the five zhang channels within the Neijing were reviewed, to determine whether the six positions correlation was applied in wrist pulse taking Results & Conclusions : Some interpretations of the verse on matching the positions in the Maiyaojingweilun chapter of the Neijing are erroneous, while the argument that the three positions[cun-guan-chi] cannot be found in the Neijing is false as well. The wrist pulse taking in the Neijing is precisely based on the three positions correlation that divides the cun-guan-chi positions into three, and the correlation verse in the Maiyaojingweilun chapter clearly suggests the principle of matching the zhangfu and meridian/channels to the six positions of the cun-guan-chi of both left and right.
Currently, accreditation within medical education is a priority on the agenda for many countries worldwide. The World Federation for Medical Education's (WFME) launch of its first trilogy of standards in 2003 was a seminal event in promoting accreditation within basic medical education (BME) globally. Parallel to that, WFME also actively spearheaded a project to recognize the accrediting agencies within individual countries. The introduction of competency-based medical education (CBME) with the two key concepts of "entrusted professional activity" and milestones has enabled researchers to identify the relationship between patient outcomes and medical education. Recent data driven by CBME has been used for the continuous quality improvement of trainees and training programmes as well. The goal of accreditation has shifted from the single purpose of quality assurance to balancing quality assurance and quality improvement. Even though there are a plethora of types of postgraduate medical education (PGME), it may be possible to accredit resident programmes on a global scale by adopting the concept of CBME. In addition, the alignment of the accreditation for BME and PGME, which center on competency, will be achievable. This argument may extend the possibility of measuring the outcomes of the accreditation itself against patient outcomes as well. Therefore, evidence of the advantages of costly and labor-consuming accreditation processes will be available in the near future and quality improvement will be the driving force of the accreditation process.
In Korean terminologies, adjectival terms are rare, and the meaning and function associated with adjectives in Indo-European languages are often realized instead in noun form. However, the rarer adjectival terms we, the more they are used in restrictive and repetitive ways in specialized domains. Thus, it is important to distinguish the different senses of these terms. In this work, focusing on semantic modeling in terminology, we distinguish the different senses of adjectival medical terms by applying lexico-semantic criteria (L'Homme, 2004a) and by classifying the semantic category of the arguments of the adjective (Bae and others, 2002). The result not only contributes to enriching medical terminology, but also empirically demonstrates a method for distinguishing the different senses of adjectival medical terms. In this work, we obtained an average of 1.854 senses for each term. We used the KAIST corpus, composed of medical texts (1,500,000 eojeols), and a group of texts on various subjects (40,000,000 eojeols)
Background: Occupational Health and Safety Management Systems are becoming more widespread in organizations. Consequently, their effectiveness has become a core topic for researchers. This paper evaluates the performance of the Occupational Health and Safety Assessment Series 18001 specification in certified companies in Iran. Methods: The evaluation is based on a comparison of specific criteria and indictors related to occupational health and safety management practices in three certified and three noncertified companies. Results: Findings indicate that the performance of certified companies with respect to occupational health and safety management practices is significantly better than that of noncertified companies. Conclusion: Occupational Health and Safety Assessment Series 18001-certified companies have a better level of occupational health and safety; this supports the argument that Occupational Health and Safety Management Systems play an important strategic role in health and safety in the workplace.
We have many causal beliefs, and they play an important role in our decision making. Unlike evidential decision theory, causal decision theory claims that an account of rational choice must use causal beliefs to identify the considerations that make a choice rational. I claim that evidential decision theory is refuted by the original Newcomb's problem but not by the medical Newcomb problem. The latter is taken to be the best example to point out the weakness of evidential decision theory. However, by the explicit statement about causal relations, I argue that the medical Newcomb problem loses its strength in refuting evidential decision theory. With this argument, this paper clarifies the difference between evidential decision theory and causal decision theory.
Objectives : This study is to reveal the origin of Mingtangyangfutu in "YiXueRenMen". Methods : This study compares and analyzes it with MingTang diagrams in reference books of "YiXueRenMen", MingTang diagrams and diagrams of bronze statues for acu-moxibustion in those days. Results : The origins of Mingtangyangfutu cannot be found in the citations. The argument that it is copied and simplified from MingTang diagrams in "JinLanXunJing(金蘭循經)" lacks its grounds. As MingTang diagrams in "TongRenShuXueZhengJiuTuJing" and "ZhenJiuJuYing" have less information than it, they were nothing more than references when it drew. Apparel of man, the first acupoint, the last acupoint and orders of acupoints of their meridians in it are different from ones in MingTang diagrams and diagrams of bronze statues for acu-moxibustion. Conclusions : Mingtangyangfutu is not a copied and simplified version of MingTang diagrams in "JinLanXunJing", but is one to add new information for MingTang diagrams in "TongRenShuXueZhengJiuTuJing", "ZhenJiuJuYing", or has a separate rationale (Gajeongdongin(嘉靖銅人) related to at the time.
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