• 제목/요약/키워드: Medical organization

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화병 임상진료지침 III. (화병의 진단과 평가) (Clinical Guidelines for Hwabyung III. (Diagnosis and Assessment of Hwabyung))

  • 정인철;최우창;이상룡
    • 동의신경정신과학회지
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    • 제24권spc1호
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    • pp.23-36
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    • 2013
  • Objectives : The purpose of this guideline is to show the evidence-based guidelines of diagnosis and evaluation of Hwabyung by the synthesis and organization of existing research contents. Methods : We investigated the existing research on the concept of Hwabyung. Further, we investigated the diagnostic tools, self-diagnostic method, symptoms assessment tools, oriental medical diagnostic methods, treatment evaluation tools and other testing methods of Hwabyung. Results : There was a Hwabyung diagnostic interview schedule (HIBDS) in the standardized measure for the diagnosis of Hwabyung. In the symptoms assessment tools of Hwabyung, there was a self-report measurement tool of Hwabyung and measurement tool of Hwabyung to be evaluated by the interviewer. In the oriental medical diagnostic method, there was an instrument of pattern identification for Hwabyung. In the treatment assessment tool, there was an instrument of oriental medical evaluation for Hwabyung. In addition, MMPI, SCL-90R, Zung's self-rating anxiety scale (SAS), Zung's self-rating depression scale (SDS), State-Trait Anger Expression Inventory (STAXI) and etc. can be used for the diagnosis and assessment of Hwabyung. Conclusions : We expect 'Clinical Guidelines for the Treatment of Hwabyung' to be useful for the diagnosis and assessment of Hwabyung.

안경사 인력 수급 및 관리제도 개선방안 (The Improvement Proposal of Control System for Supply and Demand of Korean Optometrist)

  • 김상현;임용무
    • 한국안광학회지
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    • 제12권4호
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    • pp.9-14
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    • 2007
  • 본 논문에서는 매년 증가되는 안경광학과 입학정원 증가에 따른 문제점들을 연구하였다. 주된 문제는 안경사 인력의 과잉공급과 열악한 근무환경에 기인하며 이를 해결하기 위해서는 안경사 인력의 수적 불균형을 해소하겠다는 관계자 모두의 공통된 정책적 시각을 가져야 한다. 또 보건의료 인력의 수요와 공급을 예측하고 정확한 정책을 수립하기 위해서는 보건의료 인력개발을 담당할 상설기구와 중장기적인 계획이 필요하다. 안경사 인력의 질적 불균형의 해소를 위해서는 정확한 직무 영역을 설정하고 전문교육과정을 재편하며 국가고시 실기평가의 방법을 구체화하며 보수교육의 내용과 방법을 혁신해 가야 한다.

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다축분류체계를 이용한 치과용 의료행위 분류체계 구축 (Implementation of the Classification system for Dental Behavior using Multi-Axial Classification System)

  • 안시훈;천무철;김무성;홍종윤;김경태;전계록
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1998년도 추계학술대회
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    • pp.255-256
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    • 1998
  • In this paper, we propose the multi-axial classification system using parallel coding method that is systemic and flexible properties for representing dental clinical behavior. The methodology and organization of this thesis as follows. First, an analysis of other classification systems. Second, the domain of medical behavior and axises using selected elements was were determined. Third, the new code system is constructed of these common factors in properties of prediction of hierarchy, brevity, simplicity, flexibility and mnemonic usage. Finally, the framework of classification system for dental was made using multi-axial code system. The result of the this study, the eight bases axis of multi-axial code system is composed and can be basic information of research for construction of classification system of all medical domain.

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Framework for Continuous Assessment and Improvement of Occupational Health and Safety Issues in Construction Companies

  • Mahmoudi, Shahram;Ghasemi, Fakhradin;Mohammadfam, Iraj;Soleimani, Esmaeil
    • Safety and Health at Work
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    • 제5권3호
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    • pp.125-130
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    • 2014
  • Background: Construction industry is among the most hazardous industries, and needs a comprehensive and simple-to-administer tool to continuously assess and promote its health and safety performance. Methods: Through the study of various standard systems (mainly Health, Safety, and Environment Management System; Occupational Health and Safety Assessment Series 180001; and British Standard, occupational health and safety management systems-Guide 8800), seven main elements were determined for the desired framework, and then, by reviewing literature, factors affecting these main elements were determined. The relative importance of each element and its related factors was calculated at organizational and project levels. The provided framework was then implemented in three construction companies, and results were compared together. Results: The results of the study show that the relative importance of the main elements and their related factors differ between organizational and project levels: leadership and commitment are the most important elements at the organization level, whereas risk assessment and management are most important at the project level. Conclusion: The present study demonstrated that the framework is easy to administer, and by interpreting the results, the main factors leading to the present condition of companies can be determined.

"침구택일편집(鍼灸擇日編集)"과 "의방유취(醫方類聚)"의 관계 연구 (Study on the Relationship between "Compilation of Chimgutaekil" and "Uibangryuchi")

  • 오준호
    • Korean Journal of Acupuncture
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    • 제28권1호
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    • pp.101-112
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    • 2011
  • Objectives : This research is aimed to consider the arranging process of the expertise on acupuncture & moxibustion in the corrective process of "Uibangyuchi" by studying the relationship between "Uibangyuchi" and "Compilation of Chimgutaekil". Methods : This researcher scrutinized the compilation & corrective process of "Uibangyuchi" through royal family records and considered the relationship between "Compilation of Chimgutaekil" and "Uibangyuchi" from the historial viewpoint. Results and Conclusions : 1. In the corrective process of "Uibangyuchi", the specialized knowledge of acupuncture & moxibustion were erased. 2. The contents related to "Chimgutaekil" among the erased contents are included in "Compilation of Chimgutaekil". 3. The method of arranging the knowledge in "Compilation of Chimgutaekil" coincides with that of "Uibangyuchi", which showes this book has a deep association with "Uibangyuchi" in the aspect of the period, organization of authors, and arrangement form. 4. The "Chimgutaekil"(Pick-a-date Method) is of no big consequence in the science of acupuncture & moxibustion but considers the example of medical procedures in the royal family of the Chosun Dynasty : the "Chimgutaekil" was the operation to be done at the very first beginning in time of the medical procedures using acupuncture & moxibustion. 5. Through such historical facts, the conclusion was made that the reason why specialized knowledge of acupuncture & moxibustion of specialty book was deleted in the compilatory process of "Uibangyuchi" is that its writing staff decided to compile these separately, thereby hurriedly publishing "Compilation of Chimgutaekil" as an example.

Molecular genetic decoding of malformations of cortical development

  • Lim, Jae Seok;Lee, Jeong Ho
    • Journal of Genetic Medicine
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    • 제12권1호
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    • pp.12-18
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    • 2015
  • Malformations of cortical development (MCD) cover a broad spectrum of developmental disorders which cause the various clinical manifestations including epilepsy, developmental delay, and intellectual disability. MCD have been clinically classified based on the disruption of developmental processes such as proliferation, migration, and organization. Molecular genetic studies of MCD have improved our understanding of these disorders at a molecular level beyond the clinical classification. These recent advances are resulted from the development of massive parallel sequencing technology, also known as next-generation sequencing (NGS), which has allowed researchers to uncover novel molecular genetic pathways associated with inherited or de novo mutations. Although an increasing number of disease-related genes or genetic variations have been identified, genotype-phenotype correlation is hampered when the biological or pathological functions of identified genetic variations are not fully understood. To elucidate the causality of genetic variations, in vivo disease models that reflect these variations are required. In the current review, we review the use of NGS technology to identify genes involved in MCD, and discuss how the functions of these identified genes can be validated through in vivo disease modeling.

Review on Molecular and Chemopreventive Potential of Nimbolide in Cancer

  • Elumalai, Perumal;Arunakaran, Jagadeesan
    • Genomics & Informatics
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    • 제12권4호
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    • pp.156-164
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    • 2014
  • Cancer is the most dreaded disease in human and also major health problem worldwide. Despite its high occurrence, the exact molecular mechanisms of the development and progression are not fully understood. The existing cancer therapy based on allopathic medicine is expensive, exhibits side effects; and may also alter the normal functioning of genes. Thus, a non-toxic and effective mode of treatment is needed to control cancer development and progression. Some medicinal plants offer a safe, effective and affordable remedy to control the cancer progression. Nimbolide, a limnoid derived from the neem (Azadirachta indica) leaves and flowers of neem, is widely used in traditional medical practices for treating various human diseases. Nimbolide exhibits several pharmacological effects among which its anticancer activity is the most promising. The previous studies carried out over the decades have shown that nimbolide inhibits cell proliferation and metastasis of cancer cells. This review highlights the current knowledge on the molecular targets that contribute to the observed anticancer activity of nimbolide related to induction of apoptosis and cell cycle arrest; and inhibition of signaling pathways related to cancer progression.

근거기반 임상실무지침: 장루간호 (Evidence-Based Nursing Practice Guideline: Ostomy Care)

  • 이윤진;박현숙;김민경;서희원;이미주;원은애;조가나
    • 임상간호연구
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    • 제26권2호
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    • pp.154-163
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    • 2020
  • Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

Study about the Increase of Welfare, Medical Care and Education Effect in the River

  • Ito, Kazumasa;Fukunari, Kozo;Tsukamoto, Noboru;Yoshikawa, Katsuhide
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2010년도 학술발표회
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    • pp.132-139
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    • 2010
  • The river technology of Japan was highly developed and achieved much result in flood protection, water use and the environment. Nowadays, the function which is requested to the river is changes because the society changes from growth to maturity. In this study, we suggest the functions of the river in the maturity society about future welfare, medical care and education based on field research of case study. In this research, we pay attention to the functions related with culture, one) function of healing, mental stress improvement and life, two) function of landscape, education and recreation. And this paper proposed the usage of the river where adopt to the times, a function and the value of "the river as the space". We made a questionnaire to 187 river managers, and 90% of answers wear positive for use the river as the medical aspect, health and the welfare. Furthermore, based on research result of hospitals and welfare facilities which used a river for their activities, we suggest to develop and use the river walk, to design a city and rivers as one, and to use many facilities which are located on river front more active, those are improve the new river functions.

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RFID를 이용한 검체 프린팅 시스템 (Clinical Specimen Printing System using RFID)

  • 김용필;최광일;정회경
    • 한국정보통신학회논문지
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    • 제18권2호
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    • pp.351-356
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    • 2014
  • 최근 들어 검체 관리의 부실 및 병리 정보의 불일치 등으로 의료사고가 증가하고 있다. 또한, 향후 불치병 치료와 신약 개발의 결과 검증을 위해 많은 병기 조직의 수요가 예측되며, 환자의 병력, 투약 정보, 검사결과에 따른 맞춤형 의료용 병기 관리가 필요한 실정이다. 본 논문에서는 RFID를 기반하여 U-Healthcare 환경을 지원할 수 있는 바이오 병리조직 통합 프린팅 시스템을 제안하였다. 바이오 병리조직의 검사, 관리 시스템 지원을 통해 효율적 업무와 비용 절감 기대되며, 무엇보다도 의료사고를 원천적으로 방지할 수 있는 시스템으로 활용될 것이다.