• 제목/요약/키워드: Medical argument

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역대 복기온병설(伏氣溫病說)에 대한 고찰 -학설의 배경과 논리성을 중심으로- (A Study on the Theory of Latent Qi Wenbing -Focusing on Its Background and Logicality-)

  • 尹基領
    • 대한한의학원전학회지
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    • 제34권2호
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    • pp.23-44
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    • 2021
  • 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.

유창(喩昌)의 의론(醫論) 연구(硏究) -추조론(秋燥論)과 대기론(大氣論)을 중심(中心)으로- (A study on the Yu Chang's Medical Theory -focus on the Qiu zao lun and the Da qi lun-)

  • 방정균
    • 대한한의학원전학회지
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    • 제21권4호
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    • pp.179-191
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    • 2008
  • 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.

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치료기회상실로 인한 손해배상에 있어서 피침해법익 (Legal Interest in Damages Regarding Loss of Treatment Chance)

  • 엄복현
    • 의료법학
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    • 제20권3호
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    • pp.83-139
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    • 2019
  • 의료과오에 의한 손해배상책임의 인정은 크게 두 가지 축을 기본으로 하여 전개되어 왔다. 첫째는 의사의 과실 있는 진료행위가 있고 이로 인하여 생명·신체 등의 법익이 침해당하고, 생명·신체 침해로부터 발생한 재산적·비재산적 손해에 대한 배상이 문제되는 경우이다. 둘째는 의사의 설명의무 위반이 있고 이로 인하여 자기결정권이 침해당하고, 자기결정권 침해로부터 발생한 비재산적 손해에 대한 배상이 문제되는 경우이다. 그러나 의료과오가 있더라도 환자의 기존상태 등으로 말미암아 의사의 과실 있는 진료행위와 법익침해 사이에 인과관계 증명이 곤란하여 의사의 손해배상책임이 부정되는 경우가 있다. 예를 들어, 환자가 이미 심한 말기암에 걸려있어서 의사로부터 적절한 치료를 받았더라도 완치되었을 가능성이 매우 낮은 경우를 생각해 보자. 이 때 의사의 과실이 없더라도 환자는 사망하였을 가능성이 매우 크다는 이유로 환자에게 어떠한 손해배상도 인정하지 않는 것은 타당하지 않다. 의사의 과실 있는 진료행위로 인하여 환자에게는 최소한 정신적 고통과 같은 비재산적 손해가 발생하였기 때문이다. 위와 같은 경우에 우리 법원은 예외적으로 적절한 치료를 받을 기회를 상실했음을 이유로 하여 위자료 배상을 인정해주고 있다. 그러나 이론적 체계가 정교하지 못하여 어떤 것을 보호법익으로 삼는지 명확하게 밝히지 못하고 있다. 의사의 과실 있는 진료행위와 생명·신체라는 법익의 침해 사이에 인과관계가 부정되더라도 새로운 보호법익을 설정하여 환자에게 발생한 손해를 배상해주려는 최근의 논의가 바로 '치료기회상실의 법리'이다. 이 보호법익의 내용이 무엇인지에 관하여 치유가능성론, 기대권침해론, 연명할 상당한 정도의 가능성 침해론, 치료기회상실론 등이 주장되고 있다. 이 보호법익의 내용은 치료기회상실론에 따라 '의료수준에 비추어 적절한 치료를 받을 이익'으로 보는 것이 타당하다. 환자의 위와 같은 이익은 어느 누구로부터 침해받거나 방해받아서는 안 되는 인간의 존엄한 가치임과 동시에, 생명에 관한 근원적인 욕구이며 법적으로 보호받아야 할 가치 있는 이익이라고 할 수 있다. 이런 측면에서 '의료수준에 적절한 치료를 받을 이익'은 정신적 법익에 관한 일반적 인격권의 하나로써 구체화될 수 있다.

소문병기기선보명집(素問病機氣宣保命集)의 저자(著者)에 관(關)한 고찰(考察) (Astudy on the writer of Bao Ming Shi(保命集))

  • 조대진;박찬국
    • 대한한의학원전학회지
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    • 제11권2호
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    • pp.170-202
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    • 1998
  • 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.

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『소문(素問)·맥요정미론(脈要精微論)』의 촌구(寸口) 육부정위(六部定位)에 대한 고찰 (A Study on the Wrist Pulse Six Positions Correlation in the Maiyaojingweilun Chapter of the Huangdineijing)

  • 張祐彰;南杰
    • 대한한의학원전학회지
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    • 제34권3호
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    • pp.101-123
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    • 2021
  • 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.

의학교육 평가인증의 국제적 동향 (Current Trend of Accreditation within Medical Education)

  • 안덕선
    • 의학교육논단
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    • 제22권1호
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    • pp.9-15
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    • 2020
  • 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.

어휘의미론적 기준 및 논항의 의미 범주 분류를 통한 형용사 의학 용어의 의미 구분 (Sense Distinction of Adjectival Medical Terms through Lexico-semantic Criteria and Semantic Classification of Arguments)

  • 배희숙
    • 한국언어정보학회지:언어와정보
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    • 제9권1호
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    • pp.1-18
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    • 2005
  • 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)

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Evaluation of the Quality of Occupational Health and Safety Management Systems Based on Key Performance Indicators in Certified Organizations

  • Mohammadfam, Iraj;Kamalinia, Mojtaba;Momeni, Mansour;Golmohammadi, Rostam;Hamidi, Yadollah;Soltanian, Alireza
    • Safety and Health at Work
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    • 제8권2호
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    • pp.156-161
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    • 2017
  • 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.

의학의 뉴컴 문제와 인과적 결정 이론 (Medical Newcomb Problem and Causal Decision Theory)

  • 여영서
    • 논리연구
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    • 제12권2호
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    • pp.89-114
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    • 2009
  • 우리는 여러 종류의 인과적 믿음을 지니고 있으며, 인과적 믿음은 합리적인 결정을 내리는 과정에서 중요한 역할을 한다. 이 직관을 발전시킨 인과적 결정 이론은 행위자의 결정이 합리적이라는 설명을 제시하기 위해서 그 행위자의 결정이 의존하는 인과적 믿음을 명확하게 밝히는 것이 필요하다고 주장한다. 그럴 필요가 없다는 입장의 증거적 결정 이론은 뉴컴 문제를 통해 반박된다. 그러나 뉴컴 문제의 다양한 형태 중에서 의학의 뉴컴 문제가 증거적 결정 이론을 반박하는 데에 가장 성공적이라는 일반적 판단은 잘못이라는 점이 본 논문에서 논증된다. 본 논문은 의학의 뉴컴 문제는 인과 관계를 명료하게 진술함으로써 오히려 증거적 결정 이론을 반박하기 어려워진다는 점을 지적한다. 이 과정에서 본 논문은 증거적 결정 이론과 인과적 결정 이론 사이의 차이점을 드러내고, 합리적 결정 과정에서 인과적 믿음이 정확하게 어떤 역할을 하는지를 밝힌다.

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『의학입문(醫學入門)』명당앙복도(明堂仰伏圖)의 기원에 대한 연구 (The Origin of Mingtangyangfutu(명당앙복도) in 『YiXueRenMen』)

  • 조학준
    • 대한한의학원전학회지
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    • 제32권1호
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    • pp.75-93
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    • 2019
  • 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.