• Journal of Preventive Medicine and Public Health
• /
• 제36권3호
• /
• pp.239-247
• /
• 2003

Objectives : The objectives of this study were to examine the difference in attitude toward health-specific locus-of-control and medical care among western medical students, oriental Medical students, and non-medical school students. Methods : The subjects of this study were 667 students who agreed to respond the questionnaire :212 western medical school students, 190 oriental medical school students, and 205 non-medical school students. The health-specific locus of control was measured by the structured questionnaire developed by Lau and Ware. The attitude toward western and oriental medicine was also measured by the questionnaire. Results : Western medical students and non-medical school students were more likely than oriental medical students to place high value on 'the provider control over health' and 'the general threat to health' scales (F=20.47, F=19.98). But oriental medical school students ranked 'the self control of health' scale as more important than any other locus of control scale (F=19.34). The health specific locus of control was also different from the grade. When trte grade was increased, 'the provider control over health' scale was slowly decreased, especially in western medical students and non medical school students. However, the 'general threat to health' scale was increased in oriental medical students. Western medical school students expressed more positive attitude toward western medicine. Oriental medical school students put a higher score on oriental medicine. Nevertheless, as the grade was increased, the positive attitude toward oriental medicine slightly decreased in oriental medical school students. Conclusions : There is a difference in health-specific locus of control and attitude toward medicine among western medical students, oriental medical students, and non-medical students. The locus of control and attitude of medical students towards medicine may affect both how they behave towards patients and how they help shape future public policy. Therefore, interdisciplinary educational initiatives may be the best way to handle this issue.

• BMB Reports
• /
• 제40권5호
• /
• pp.662-669
• /
• 2007

Although the function of cellular prion protein (PrP$^C$) and the pathogenesis of prion diseases have been widely described, the mechanisms are not fully clarified. In this study, increases of the portion of non-glycosylated prion protein deposited in the hamster brains infected with scrapie strain 263K were described. To elucidate the pathological role of glycosylation profile of PrP, wild type human PrP (HuPrP) and two genetic engineering generated non-glycosylated PrP mutants (N181Q/N197Q and T183A/T199A) were transiently expressed in human astrocytoma cell line SF126. The results revealed that expressions of non-glycosylated PrP induced significantly more apoptosis cells than that of wild type PrP. It illustrated that Bcl-2 proteins might be involved in the apoptosis pathway of non-glycosylated PrPs. Our data highlights that removal of glycosylation of prion protein provokes cells apoptosis.

• 한국화재소방학회논문지
• /
• 제20권3호
• /
• pp.42-47
• /
• 2006

응급의료체계에서의 의료지도는 필수적인 요소로 인정되어지고 있다. 응급의료에관한법률에 의해서도 응급구조사에 의한 응급처치 시 의사의 지도를 필수적인 것으로 규정하고 있다. 그러나 법에서 정하는 응급처치의 범위 외에 119 구급대에서조차 의료지도가 필요한 상황에 대한 구체적인 기준이 마련되어 있지 않고 지도의사의 자격이나 역할, 책임과 권리 등에 대한 구체적인 내용이 없어 소방에서 2004년 1월부터 서울 119에서 서울종합방제센터에 지도의사를 두고 직접적 의료지도를 담당하고 있으나 그 이용이 활성화되어 있지 못하다. 이에 서울종합방재센터의 의료지도 사례를 바탕으로 의사의 직접적 의료지도가 필요한 범위를 설정하고 이를 토대로 의료지도의 수요를 추정하여 의료지도체계를 확립하는데 필수적인 자료를 제공하고자 이 연구를 시행하였다. 이에 2004년 11월 한 달 동안 서울종합방재센터 의료지도실에 의뢰되어진 의료지도 793건을 사례집단으로 직접적 의료지도가 필요한 기준의 타당성을 검증한 결과 직접적 의료지도가 필요한 기준으로 환자의 상태에 따른 조건, 응급처치에 따른 조건과 사고의 종류에 따른 조건으로 구분하여 각 항목의 직접적 의료지도 필요는 비정상적인 의식상태, 산소투여 등 6가지 응급처치를 시행한 경우, 교통사고 등 4가지 손상기전과 분만이 직접적 의료지도가 필요한 환자의 조건으로 설정되었고 서울 소방의 전체 구급대 이송환자 중 직접적 의료지도가 필요하다고 판단되는 환자는 45.9%에 달했다. 직접적 의료지도를 받아야 할 경우로 판단되었으나 실제 의료지도가 의뢰된 경우는 4.6%였다. 따라서 이상적인 직접적 의료지도 체계는 응급의학과 의사 등의 지도의사를 확보하고 각 응급의료기관과의 의사소통과정을 통해 구급대의 문제점을 개선하고 향상시키는 교육과 정책이 마련되어야 할 것이다.

• 아태비즈니스연구
• /
• 제14권3호
• /
• pp.25-44
• /
• 2023

Receiving medical services abroad is an event that involves a high level of risk and stress for most people. This study proposes and empirically examines perceived control as a factor that has a potential to reduce the stress associated with overseas medical experience and enhance satisfaction with it. Based on the research findings in environmental psychology, one's perceived control was divided into cognitive control, behavior control, and decision control. A research model and a set of hypotheses were constructed to investigate the effect of each control on satisfaction and word-of-mouth communications among consumers who had overseas medical service experiences. The data collection was conducted through an online survey of 220 Chinese consumers who had visited Korea as plastic medicine tourists. Satisfaction with their service experience was significantly affected by both behavioral control and decisional control, but not by cognitive control. Thus, Chinese medical tourists prefer to maintain the belief that they are in charge of major decisions associated with the medical procedure, and that the results of the medical procedure will have personally desirable consequences. In addition, satisfaction experienced by Chinese consumers with overseas medical services had a significant impact on their word-of-mouth activities. Based on the research results, a set of academic and practical implications were derived.

• 한국응급구조학회지
• /
• 제16권3호
• /
• pp.29-43
• /
• 2012

Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.

• 임상간호연구
• /
• 제16권2호
• /
• pp.69-84
• /
• 2010

Purpose: The purpose of this study was to identify the state of infection control in neonatal intensive care units (NICUs) including disinfection methods, disinfection cycles, and exchange cycles for medical devices and to suggest a basic framework which would help develop standardized infection control guidelines. Methods: From a list of NICU equipment developed from the NICUs in 4 tertiary hospitals, a structured questionnaire on 74 types of medical equipment was developed and sent to 31 hospitals by mail. The results were reviewed by panel of experts (56 persons), and analyzed for internal validity by a focus group (4 persons) using guidelines from the Centers for Disease Control and the Korean Hospital Nurses Association. Results: The results showed various methods, cycles, disinfectant levels for the disinfectants and exchange cycles in the medical equipment infection control of the 31 hospitals. The focus group developed a 66-item basic framework based on validity testing. Conclusion: From the results of this study, a framework of infection control standards for 66 types of medical equipment in the NICU was developed. It is suggested that further study be done to more precisely establish standard infection control guidelines for NICU medical equipment.

• 대한디지털의료영상학회논문지
• /
• 제16권1호
• /
• pp.35-42
• /
• 2014

Heart related special images are classified as Cardiac US, XA, CT, MRI. Several Problem is caused by image compression, control and medical support point, so most big hospitals have created a Cadiac PACS differentially in past years. For this reason, create a conflict in inner colleague and patient, protector that result from 2 data processing server operating independently in 1 medical center area. For this reason, we sugges an alternative model of best medical control process together with understand the current situation on medical facility.

• 대한한의학원전학회지
• /
• 제23권5호
• /
• pp.1-9
• /
• 2010

Chuneunja(天隱子) was publication that described the life nurturing(養生) of Taoism, consisted of 8 chapters. It was comparative primary writing and contained important contents in related to the life nurturing of Taoism. It belonged to the life nurturing of Taoism that influenced by Confucianism and Buddhism. It emphasized on the practical and rational thought that mastered morality by performing gradually. It showed the concrete asceticism method like to the basic regimen training of Taoism, for example mind control(調心), flesh control(調身), breath control(調息), conduction exercise(導引), raping teeth (叩齒法) and swallowing saliva(嚥津法). Oriental traditional regimen focused on realizing balanced human character by practicing human mind and body. It may show the direction to modern person that are troubled with harmful effect of modern civilization. If we throw away superstitious and unreal part in the traditional regimen and apply regimen in one's life, we may consider that regimen contribute to human health. Therefore, we require clear understanding for the classic data inherited from predecessors.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1997년도 추계학술대회
• /
• pp.193-196
• /
• 1997

This paper proposes a new medical information management system to be used or small to medium sized clinics and hospitals. The system is designed to process, analyze and manage each patient's clinical record using database technique. The structure of the database was determined and implemented through careful and rigorous study of medical practices in Korea and, therefore, reflects the needs of information management in Korean medical community. Furthermore, a sophisticated inference engine that can deduce possible disease from the result of medical examination is added to the system to provide doctors with a guideline in medical diagnoses.

• 한국응급구조학회지
• /
• 제11권2호
• /
• pp.19-27
• /
• 2007

Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.