• 대한예방한의학회지
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• 제19권2호
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• pp.51-56
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• 2015

Objective : We analyzed present condition of cooperative medical care using claims data of HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE form patients treated by Korean-Western cooperative medicine. The study aimed to offer guidelines in selecting disease-related research in developing Korean-Western convergence technology. Method : Based on the patients using Korean medical service, we analyzed claims data of patients using Korean medical service and western medical service from January 2012 to December 2013. We were assigned to the server remotely. With the concept of 'episode of care', we rebuilt claims data and analyzed present condition of cooperative medical usage. Results : We analyzed present condition of cooperative medical care per episode of care. Among outpatients, Low back pain, lumbar region(M5456) was the highest number. Among inpatients, Sciatica due to intervertebral disc disorder(M511) was the highest number. Conclusion : Based on the claims data provided by HEALTH INSURANCE REVIEW & ASSESSMENT SERVICE, we have derived a list of multy frequently disease frequently treated by cooperative medical care by analyzing present condition.

• 한국의사학회지
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• 제20권2호
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• pp.3-17
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• 2007

The term '健康(heathy condition)' does not appear in East Asian medical classics. Its root comes from the ancient word 'hal' which can be translated as 'hale', 'whole', 'sound in wind and limb', and it means 'the physical state is flawless, whole, satisfactory, and strong'. The Japanese translated it into the Chinese letters 건강 in the 19th century and this was spread during the Japanese occupation era. This study is an attempt to explore what "huangdineijing" (the most representative medical documents of East Asian medicine) mentions about healthy condition, which is as a term to express the body's ideal state and what other concepts exist that correspond to 健康.

• 한국응급구조학회지
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• 제19권3호
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• pp.69-85
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• 2015

Purpose: This study aimed to investigate the prevalence of musculoskeletal symptoms (MSSs) and their correlation with subjective health condition (SHC) among emergency medical technicians (EMTs). Methods: A self-reported questionnaire was disseminated to EMTs (N=257) at emergency medical institutions and fire stations. Results: The prevalence of MSSs was very high in the studied EMTs: 88.3% reported having MSSs. The most commonly affected site was the lower back (73.9%) followed by the neck (56.8%) and the shoulder (55.6%). MSSs were more common in women than in men, and its frequency increased with age. MSSs in the neck and shoulder were more increased in EMTs with < 1 year of service. MSSs in the hand / wrist / finger or leg / foot were significantly increased in EMTs of emergency medical institutions than those of fire stations. Job satisfaction was significantly lower in those with MSSs of the lower back. The subjective heath condition was decreased with age, marriage, or smoking. There was significant corelation between MSSs and SHC. Conclusion: This study suggests that MSSs are a reasonably common problem for EMTs, and that solutions need to be imposed such as some actual tasks or items related to work postures, work control, and work organization.

• 의료법학
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• 제13권2호
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• pp.11-38
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• 2012

The Supreme Court stand in the position in specific lawsuit that it doesn't allow the discretionary not covered service, but recently in revocation suit of fine disposal that is imposed on medical fee of leukemia patient, it altered the existing adjudgement and admitted the discretionary not covered service exceptionally. It put forward the allowable condition roughly in that case. According as this alteration, it has become more important to embody the allowance conditions of exceptions. The Supreme Court presented three things, which are procedural condition, medical condition and subscriber's agreement. Concerning procedural condition, several present conciliation procedures are as follows: medical care benefit arret request, relative value conciliation etc, prior request on anti-cancer drug among chemicals which exceed acceptance criteria, request of non benefit object on common drugs. To be granted the existence of those system, there should be no obstacle to use that. Even if it were so, we should take circumstances into consideration; individual situation is unescapable concerning substance and urgency of the discretionary not covered service, process of the procedure, time required etc. Regarding medical condition, safety and effectiveness will be verified through evaluation procedures of new medical skill. About the necessity, the Supreme Court made clear through a sentence that it allow the discretionary not covered service, in case that needs to treat a patient out of the standard of medical benefit. Strict interpretation is right and it answer the purpose of the sentence that the supreme court permit the discretionary not covered service, exceptionally. We need to differentiate medical necessity and medical validity. Subscriber's agreement should holds true if it entails full explanation, and if it is preliminary, explicit and individual. On this account, it should be difficult to admit that someone agree effectively when he call for the affirmation that he is recipient of medical care. Reasonable expense needs to be a part of review whether the agreement is valid. Meanwhile If we adjust system of medical expense and eventually reorganize a fee for consultation payment system (Fee-for-service controlled by item to DRG (Diagnosis Related Groups)), controversial area of the discretionary not covered service will be decreased and that will guarantee the discretion of the doctor.

• 동의생리병리학회지
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• 제22권6호
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• pp.1347-1353
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• 2008

Pulse condition is the essential division for conducting pulse diagnosis which is one of the most fundamental and important diagnostics in traditional Korean/Chinese medicine. We studied the pulse condition referred to classics of traditional medicine for a full understanding in present time and come to a conclusion like below. The reference to pulse condition was concluded to 'twenty four pulse conditions' which is the fundamental conception generally accepted in present age since it had first mentioned in "Huangdi Neijing" and after it had passed through "Nanjing", "pulse pattern identification-chapter of normal pulse"of Zhang Zhongjing and reached "Maijing"of Wang Shuhe. Although medical partitioners had different views to some extent about pulse condition, there were no significant differences in the main theoretical frame. Even though there had been a diversity of opinions on the classification of pulse-condition between various medical practitioners, the method of Dae-dae and the method of systematic endeavored by Zhou Xueting and Zhou Xuehai who were medical scholars in the Ch'ing dynasty have been a criterion for the classification of pulse-condition up to date. We were able to recognize that the change of pulse condition caused by pathological situation should be compared to physiological pulse condition for detecting the deficiency and excess by researching the analyzing methods of pulse condition mentioned in the "Lingshu", and the book of Hua Shou and Zhou Xuehai). To sum up, first normal pulse which is the physiological pulse condition should be a standard for detecting physiological pulse condition. Secondly, Zhou Xueting insisted that relaxed pulse should be a standard pulse condition for detecting normal pulse.

• 한국임상수의학회지
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• 제36권4호
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• pp.219-224
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• 2019

The aim of this study was to evaluate the safety and effects of a soy lecithin-based supplement on the general health, skin condition, and blood lipid levels of dogs. Twenty-five, healthy, privately-owned dogs were enrolled in the study. Oral supplementation was administered for 8 weeks in the treatment group. Evaluation items included a thorough physical examination, owner responses to a questionnaire, blood analysis (CBC, CRP, serum chemistry, lipid profile). The results showed a significant improvement in amount of exercise, water intake, skin exfoliation in the treatment group (P < 0.05) but no significant changes in the other evaluation items, including no significant changes in blood component results following administration of the supplement. Most dogs well tolerated the treatment, and there were no serious adverse events. We suggest that soy lecithin has potential as a nutraceutical for the positive effect of general health condition such as activity and skin condition. Further studies are needed to establish the appropriate dose level and administration frequency of soy lecithin in dogs.

• Journal of Korean Neurosurgical Society
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• 제40권3호
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• pp.196-198
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• 2006

Familial idiopathic basal ganglia calcification[FIBGC] is an inheritable neurological condition characterized by calcium deposits in the basal ganglia and extra-basal ganglia areas. The condition manifests as parkinsonism and other variable neuropsychiatric symptoms. FIBGC is a rare condition, and its pathophysiology has not yet been fully elucidated. Here we report the results of a clinical study of two related patients diagnosed with FIBGC.

• 혜화의학회지
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• 제13권2호
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• pp.213-219
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• 2004

Objective: We investigated the actual condition of oriental medical office in Sub-health Center. Method: We classified patients who visited an oriental medical office in a sub-health center of Jeollanam-do during recent 3 years, according to age, time(year), sex, disease, medical instruments, insurance, living condition... etc and studied statistical researches. Result: Almost all patients who visited an oriental medical office in a sub-health center were in 50, 60s. The number of patients were on the decrease. The number of female patients was 2.4 times more than the number of male patients. The most diseases of patients in sub-health center were diseases in connection with bones and sinews system. Generally, medical instruments depended on acupuncture. Conclusion; These results provide actual informations about condition of oriental medical office in Sub-health Center. Oriental medical doctors and offices of sub-health center are supposed to contribute to society, however essentially many problems exist. Public medical doctors of oriental medicine and local administration must renew their efforts for health of people in farming and fishing villages.

• 대한한의학원전학회지
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• 제21권3호
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• pp.119-125
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• 2008

Among the various pulse diagnosis contents in "Hwangjenaegyeong(黃帝內經)", we researched the pulse conditions that are belonged to Sameumsamyang(三陰三陽), and made a comparative study with pulse conditions of five organs[五臟], that of six meridians in "Sanghallon(傷寒論)". So from now on, this study would make help to understand standard pulse condition of Sameumsamyang(三陰三陽) diseases for clinical application. In "Hwangjenaegyeong(黃帝內經)", pulse condition of Taeyang(太陽) is expressed to be floating, Yangmyeong(陽明)'s condition to be strong but with a little bit weakness, Soyang(少陽)'s condition to be intermediate between Eum(陰) and Yang(陽), Taeeum(太陰)'s condition to be low and soft, So-eum(少陰)'s condition to be low and weak with some occasional upward tendency, Gweoleum(厥陰)'s condition to be mixed state of Eum and Yang.

• Korean Journal of Acupuncture
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• 제26권1호
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• pp.51-60
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• 2009

Objectives : It is considered not easy to diagnose the condition of acupoints or meridians. Oriental Medical instruments have rarely complied with Oriental Medical diagnostic/therapeutic theories. The aim of this study was to develop a system which measures meridian electric potential(MEP) in proportion to bio-electric charge for the purpose of Oriental Medical diagnosis. Method : To evaluate a meridian energy measurement system(MEMS), we carried out a performance test. For significance test, we conducted a clinical trial which measured the MEP of ST36(Chok-samni) on Stomach Meridian(ST). Results & Conclusions : We could evaluate the balance or the imbalance of the MEPs on the left/right ST36. Also, through the comparison of MEPs before and after meals, we could identify the correlation between the MEP and the condition of internal organs. Namely, MEP reflects the condition of acupoints/meridians and internal organs, therefore, we propose this new method for measuring and analyzing the condition of meridians and acupoints for Oriental Medical diagnosis.