• 한국의사학회지
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• 제20권1호
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• pp.83-87
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• 2007

Since the beginning of mankind humans labored to survive, and during this process damages and illnesses developed and jeopardized their lives. Through this, the people came to know that touching seats of disease and wounds reduces or relieves the pain. Based on this, the people started to understand the technical process of stimulating the body with the hands and began to systemize it to use it for medical purposes. Chuna medicine was completed that way and this study is one that organizes information related to its history.

• 한국의사학회지
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• 제20권2호
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• pp.111-115
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• 2007

Since the beginning of mankind humans labored to survive, and during this process damages and illnesses developed and jeopardized their lives. Through this, the people came to know that touching seats of disease and wounds reduces or relieves the pain. Based on this, the people started to understand the technical process of stimulating the body with the hands and began to systemize it to use it for medical purposes. Chuna medicine was completed that way and this study is one that organizes information related to its history.

• Pediatric Infection and Vaccine
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• 제17권2호
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• pp.130-136
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• 2010

목적 : 부산에서 급성호흡기 증상으로 외래 방문한 환자를 대상으로 원인 바이러스 및 역학을 연구하고자 하였다. 방법 : 2007년 1월부터 2008년 12월까지 3개 병원 소아청소년과 외래에 급성 호흡기 증상을 주소로 내원한 990명을 대상으로, 비강 세척법으로 검체를 채취하여 역전사중합효소연쇄반응을 시행하였다. 결과 : 총 검체 990건 중 351건(35.5%)이 검출되었으며, 남녀 비는 1.6대 1이었고, 5세 이하가 93.7%였다. hRV가 가장 흔한 원인으로 연중 202건(57.5%), 그 다음으로는 RSV로 10월부터 3월까지 57건(16.2%), ADV는 연중 37건(10.5%), INF는 12월부터 4월까지 21건(6%), hBoV는 1월부터 8월까지 15건(4.3%), PIV는 4월부터 7월까지 9건(2.6%), hCoV는 1월부터 7월까지 7건(2%), EV는 6월부터 9월에 3건(0.9%) 검출되었다. 결론 : 본 연구는 부산의 소아급성호흡기 질환을 예방하고 치료하는데 도움이 되고자 하며, 앞으로도 원인 바이러스에 대한 지속적인 연구가 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4733-4738
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• 2012

Background: Tobacco use is a leading cause of preventable morbidity and mortality from non-communicable diseases. The objectives of the study were to determine the percentage of annual income used to purchase tobacco-related products and treat tobacco-related illnesses, and assess the characteristics of smokers and their awareness of the health-related risks of smoking. Method: Stratified and snowball sampling methods were used to obtain information (via a 17-item, close-ended questionnaire) from 85 adult respondents (49 males and 36 females). The instrument comprised of demographic characteristics, smoking behavioural/lifestyle, health, and micro socio-economics. Results: There were no significant differences between individuals who were affected by chronic obstructive pulmonary disorder (COPD) (14.1%) and cardiovascular disease (18.8%). It was found that respondents spend 30-39% of their annual income on tobacco-related products. Forty percent (40.0%) and 41.7% of respondents with lung cancer and COPD respectively spend more than 50% of their annual income to treat these diseases. The majority (80%) of those who continues to consume tobacco-related products were uncertain as to why they were doing it. Not all the smokers were aware of the dangers of tobacco consumption despite their level of education. Conclusion: The majority of the respondents who had tobacco-related illnesses such as lung cancer and COPD spend a significant amount of their income on their health care. Not all the smokers were aware of the dangers of tobacco consumption despite their level of education. This suggests the need for increase public awareness where both smokers and non smokers are being fully or adequately informed about the dangers or health risks of tobacco consumption.

• 한국노년학
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• 제31권4호
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• pp.1247-1263
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• 2011

현재 우리나라가 경험하고 있는 급속한 인구고령화 현상은 노년층 사이의 만성질환 및 의료서비스 이용의 증가로 연결된다. 의료서비스 이용은 궁극적으로 서비스 소비자들의 삶의 만족도에 영향을 준다. 하지만 노년기의 의료서비스 이용이 삶의 만족도에 미치는 영향이나 만성질환의 유무에 따라서 의료서비스 이용이 삶의 만족도에 미치는 영향이 상이한지에 대해서는 알려진 바가 많지 않다. 본 연구는 노년기 의료서비스 이용이 삶의 만족도에 미치는 영향에 대해서 살펴보고, 의료서비스 이용이 삶의 만족도에 미치는 영향이 만성질환 유무에 따라서 상이한지를 살펴보고자 한다. 이러한 목적을 달성하기 위해서 한국복지패널 3차년도 조사에 참가한 65세 이상 노인 3,944명을 대상으로 구조방정식(Structural Equation Modeling)과 다중집단 구조방정식분석(Multi-Group SEM)을 하였다. 관련변수들을 통제한 상태에서 주요결과는 다음과 같다. 노인 전체적으로는 외래서비스 이용이 많을수록 삶의 만족도 수준은 낮고, 입원일수가 많을수록 삶의 만족도 수준이 높은 반면, 건강검진 서비스 이용수준은 만족도와 유의한 관련성이 없었다. 하지만 의료서비스가 만족도에 미치는 영향은 만성질환의 유무에 따라서 상이하였다. 만성질환이 있는 사람들은 입원서비스 이용 수준이 삶의 만족도에 영향을 주지 않는 반면, 없는 사람들은 입원일수가 많을수록 삶의 만족도가 높았다. 질병이 있는 사람들은 건강 검진서비스 수준이 삶의 만족도에 영향을 미치지 않는 반면, 질병이 없는 사람들은 건강검진 서비스를 많이 받은 사람들의 만족도 수준이 낮았다. 외래서비스 이용이 만족도에 미치는 영향은 질명유무에 따라서 차이가 없었다. 이러한 결과는 노년기 의료서비스 이용이 삶의 만족도에 영향을 준다는 것과 의료서비스 이용이 만족도에 주는 영향이 만성질환이 있는 노인들과 없는 노인들 사이에 차이가 있을 수 있다는 점을 보여준다. 연구 결과를 토대로 이론적 실천적 함의에 대해서 논의하고 향후 연구의 방향에 대해서 제안하였다.

• 생물정신의학
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• 제18권1호
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• pp.5-14
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• 2011

Neuroimaging in psychiatry encompasses the powerful tools available for the in vivo study of brain structure and function. MRI including the volumetry, voxel-base morphometry(VBM) and diffusion tensor imaging (DTI) are useful for assessing brain structure, whereas function MRI, positron emission tomography(PET) and magnetoencephalography(MEG) are well established for probing brain function. These tools are well tolerated by the vast majority of psychiatric patients because they provide a powerful but noninvasive means to directly evaluate the brain. Although neuroimaging technology is currently used only to rule in or rule out general medical conditions as opposed to diagnosing primary mental disorders, it may be used to confirm or make psychiatric diagnoses in the future. In addition, neuroimaging may be valuable for predicting the natural course of psychiatric illness as well as treatment response.

• Journal of Hospice and Palliative Care
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• 제13권2호
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• pp.69-75
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• 2010

Hospice is defined by the National Hospice and Palliative Care Organization (NHPCO, USA) and WHO, as a program of care that provides comprehensive medical, nursing and support services to dying patients and their family. Despite its broad definition, however, hospice care in Korea has been focused mostly on terminal cancer patients. Thus hospice eligibility for patients with advanced cancer is relatively easier to predict than those with other fatal chronic illnesses such as heart, lung, renal or liver diseases, and dementia. This makes it more difficult for patients and families to prepare for death and gain full benefits of hospice care. This article introduces the medical guidelines for selected non-cancer patients who are expected to live for only six months, this making it possible for patients, who are nearing the end of life, to avoid unwarranted suffering.

• 대한불안의학회지
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• 제4권2호
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• pp.91-98
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• 2008

Depression and anxiety disorders are common psychiatric illnesses whose etiology remains partially understood. The etiology of depression and anxiety disorders is multi-factorial, and abnormalities in neurotransmitter, neuroendocrine system, and brain activation have been implicated in those conditions. However, the pathophysiology of depression and anxiety disorder is certainly not well understood, and some patients with depression or anxiety disorders do not respond to antidepressant therapy. Recently, immunological factors such as cytokines are known to be closely related to central nervous system as well as depression and anxiety disorders. This review highlights recent progress in understanding the function of cytokines in depression and anxiety disorders.

• 의료법학
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• 제11권1호
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• pp.91-116
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• 2010

As Complex Regional Pain Syndrome (CRPS) is a new and rare illness, medical cause for it has not yet been clearly found out. Nevertheless, the patients continue to file lawsuits for damage compensation against wrongdoers or their insurers, claiming that the cause of the illness is certain actions of the wrongdoers. Moreover, the claim amount reaches to hundreds of millions of won through billions of won unlike other illnesses. Therefore, CRPS has become an important legal issue in the damage compensation lawsuit. Even though the wound is slight, the development and result may be serious in the case of CRPS. As a result, a sharp conflict arises even regarding medical diagnosis of CRPS in the lawsuit. And, even if the medical diagnosis of CRPS is admitted, severe debates occurs with regard to many issues, which include the causation between accident and CRPS in connection with establishment of damage compensation liability and scope of liability like anamnesis, determination standard of aftereffect disability, and scope of admitted aftereffect medical expense in connection with scope of damage compensation. In this study, I will review fundamental medical research on CRPS up to now and discuss principal legal issues in the damage compensation lawsuit focusing on lower court rulings.

• 동의신경정신과학회지
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• 제18권3호
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• pp.237-247
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• 2007

People with somatoform disorder have a number of different symptoms that typically last for several years. Their symptoms can't be traced to a specific physical cause. In people with somatoform disorder, medical test results are either normal or don't explain the person's symptoms. The symptoms of somatoform disorder are similar to the symptoms of other illnesses. People with this disorder may have several medical evaluations and tests to be sure that they don't have another illness. In this case, we described a 56-year old man who was diagnosed as R/O) ALS, because he has many similar symptoms of ALS (amyotrophic lateral sclerosis) such as gait disturbance, dysarthria, dyspnea. But we diagnosed his case as somatoform disorder and treated with herbal medication, acupuncure treatment ,negative cupping and relaxation training. Through these treatment, the patient showed improvement of chief complains and accessory symptoms.