• 대한한방소아과학회지
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• 제22권2호
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• pp.205-215
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• 2008

Objectives : The purpose of this study is to investigate the present medical treatment in Korean oriental pediatrics. Methods : We selected 24 hospitals attached to 11 colleges of oriental medicine those stand for oriental pediatrics. We sent questionnaires of medical treatment for investigation and analyzed 15 copies of those were answered. Results : The most popular treatment was medicinal therapy. Acupuncture with medicinal therapy was not used as much, but laser acupuncture was used five times more in rhinitis. The frequency of using moxibustion and cupping were less than acupuncture and moxibustion was used as indirectly. Aroma therapy was the third most frequent therapy after medicinal therapy and acupuncture therapy. Aroma therapy was mainly used as a vapor inhalation and massage. 16 of the answered that the most popular exercise therapy would be by providing exercise guidebook and 11 of them said writing exercise diary, and 5 of them said by using exercise machine in the hospital. Conclusions : The most popular oriental therapy in Korea was medicinal therapy and next following were aroma therapy and moxibustion, cupping which is one of the traditional therapies in Korean oriental medicine.

• 한국응급구조학회지
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• 제9권1호
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• pp.79-87
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• 2005

Purpose: Investigates the results of CPR operation in visited patients with arrest state, and element to affect the results, and it is checks a problem, and it is made to promote. Methods: As for this study, analysis studied the results that operation CPR with the object arrest patients of 69 visited Jecheon Seoul hospital emergency center for during the period from January 2002 to February 2005. It was played writing partly changed In-hospital Utstein Style, and to stick a record in it. Paramedic which participated in CPR directly did the record of a variable, As for the data processing, use SPSS Version 12.0 for Windows. Results: It was male 68.1% female 31.9% for 69 people, and the sex ratio didn't affect return of spontaneous circulation, with female 8 people to male 16 people for ROSC(Return of spontaneous circulation) 24 people. with female 14 people to male 31 people for NROSC(Non-return of spontaneous circulation) 45 people(p>0.05). The initial EKG rhythm was asystole 34.8%, VF 31.9%, The case that initial EKG was VF compared it to a patient of asystole, and a survivor had a lot of VF and there were a lot of survivors(p<0.05). The wasn't relativity between VF and PEA(p>0.05), The CPR lead time was short in ROSC with NROSC $25.0{\pm}15.0$ minutes, ROSC $11.9{\pm}10.7$ minutes(p<0.01). Epinephrine administer time was NROSC $3.0{\pm}4.1$ minutes, ROSC $2.1{\pm}1.9$ minutes(p>0.05). It was survivor 18 people(21.1%) than 24 hours and the PAM Index affected in ROSC. with $9.0{\pm}1.2$ points NROSC, with $1.6{\pm}1.7$ points ROSC(p<0.01). A correlation was high between a CPR lead time and PAM Index(p<0.02), a correlation was examined by being high between ROSC and a CPR lead time, PAM Index(p<0.01).

• 정보보호학회논문지
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• 제30권6호
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• pp.1103-1113
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• 2020

병원에서는 의료 기록저장 시스템 EMR (Electronic Medical Record)을 통하여 개인 정보 및 건강 정보를 저장 및 관리한다. 그러나 병원의 정보 공유를 위한 다양한 서비스를 제공함에 따라 취약점과 위협이 증가하고 있다. 따라서 본 논문에서는 EMR에서 환자 정보의 전송으로 인한 개인 정보 유출을 방지하기 위한 모델을 제안하였다. 환자의 의료 기록이 저장된 병원으로부터 환자 정보를 안전하게 수신 및 전달할 수 있는 권한을 부여하기 위한 방법을 OAuth 권한 위임 토큰을 사용하여 제안하였다. OAuth Token에 의사 정보와 환자가 원하는 기록 열람 제한을 적용하여 전달함으로써, 안전한 정보 전달이 가능하도록 프로토콜을 제안하였다. OAuth Delegation Token은 환자 정보를 열람할 수 있는 권한, 범위, 파기 시점 등을 작성하여 전달 가능하다. 이를 통하여 안전한 환자 정보 전달 및 환자 정보 재사용 금지를 방어할 수 있다. 또한, 불법적인 환자 정보 수집을 방지하고 전달 과정에서 발생할 수 있는 개인 정보의 유출을 방지한다.

• 대한한의학원전학회지
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• 제26권3호
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• pp.75-84
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• 2013

Objective : This study considered the annual cyclical rituals related to medicine in an effort to look into the general medical conditions in the late Joseon Dynasty. Method : This study selected Uibanghappyeon 'Wolhaeng' as its research material in that it reflects the medical conditions at that time as a writing in the late Joseon Dynasty, and it's a record about annual cyclical rituals included in a medical book. The annual cyclical rituals are possible to analyze from various angles, but this study perceives the fundamental elements forming the annual rituals as (1) the time when a ritual was held (2) purpose, (3) method, and analyzed the calendaric rituals by dividing them according to the three elements. Result : There appear 97 sorts of annual rituals period in all according to their contents in Uibanghappyeon 'Wolhaeng.' (1) the case of directly suggesting a specific day like May 5 was found to be the most with 46 cases on the basis of the character of the implemented time, followed by the part (16 cases) with the sexagenary cycle like the Day of the Ox. (2) From the aspect of the purpose, the case of aiming at preventing diseases was found to be the most with 24 cases, and the case of expressing 'having to do like that' without any clear reason, or 'that would be better' was found to be the third-most 19 cases. In a broad sense, should these two be perceived as disease prevention, these statistics accounted for a half of the whole with 43 cases. Meanwhile, the style of rituals whose purpose was disease treatment(22 times) was to make a medicine on a specific day. Among the 22 sorts related to disease treatment, 16 sorts were the custom of making medicine on a designated day. (3) When classified from the aspect of methods, they can be divided into pharmaceutical preparations(23 cases), specific behavior(20cases), taboo(19 cases), taking medicine(15 cases), fasting(11 cases) and external medical treatment(9 cases), etc. This shows a comparatively even distribution rather than the case of dividing the annual rituals into a period or purpose. Conclusion : Medicine is the knowledge for preventing and treating diseases. However, the medical science and medical treatment of a traditional society show not a little difference from what we feel. The research on the annual cyclical rituals related to medicine is expected to be helpful to our perception of such a difference.

• Journal of Preventive Medicine and Public Health
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• 제15권1호
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• pp.17-31
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• 1982

A physician assumes toward his patient the obligation to use such reasonable care and skill as is commonly possessed and exercised by physicians in the same general line of practice in the same or similar localities and to use his best judgment at the times. Medical disputes between physicians and patients are, ever more increased in these days as human body, happens to cause a variety of changes in body unlike the function of machine. Such increased trends of medical disputes became a problem in common across the word under the influence of affluent living standard, high consciousness of life value and right by today's people. The aim of this dissertation is oriented to forming a physician's responsibilities in medicalcare accidents arising between physicians and patients. A general physician, for example, has not been negligent merely because, a specialist might have treated the patient with greater skill and knowledge. However, the fact that a physician may have acted to the best of his ability will not avoid legal problems for damages resulting from substandard treatment, that is the degree of care and skill which is to be expected of the ordinary practitioner in his field of practice. The duty of a physician who is, or holds himself out to be, a specialist is greater in the field of his specialty than one who is a general physician. A patient's consent to routine medical procedures is implied from the fact that patient comes to the physician with a medical problem and voluntarily submits to the procedures. For the more serious medical procedures and for major operations, however, it is preferable for the physician to have the patient's consent in writing, to facilitate proof of the consent in the event of a dispute or litigation. Suppose that mistakes on the part of physicians are likely to be blamed in all cases of malpractice. Then it will create a sort of shrinkage in activities of medical treatment. There should be some limitation on excessive application of 'The thing speaks for itself' on mistakes by physicians and availablity of cause and effect. It is a matter of complicity as well as a matter of importance to draw a definite boundary on responsibilities of physician. A series of further research on this particular aspect is strongly urged.

• 대한한의학원전학회지
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• 제6권
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• pp.89-130
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• 1993

Huh-joon's medical thoughts shown on his medical book of the Doog-Eui-Bo-Kham can be summerized as follows. 1. The general trend of medical science in Koryo dynasty is that much more interests were concentrated upon the books about curative means rather than upon the books about theoretical knowledge of medical science. With the development of Hyang Yak(鄕樂) (the term referring either various kinds of domestic medical stuffs such as herbs or the curative methods using those stuffs) and the writing of books on Hyang Yak, independent medical science of the nation's own was established in late Koryo dynasty. And the national medical science was continuously further developed until early Choson dynasty. Briskly-expanded mutual exchanges with China in early Choson dynasty provided Choson opportunities to import Chinese medical science and to examine it. Under this circumstances, he wrote the Dong-Eui-Bo-Kham. 2. As we look over the preface and Chip-Rae-Muo(集例文), we can find the characterstic of Doog-Eui-Bo-Kham is that the philosophical theory of Taoism was quoted in explaining the principles of his medical science and that the main idea of Naekyuog is the basis in explaining the way of curing diseases. 3. 83 kinds of medical books were quoted in the Doog-Eui-Bo-Kham. Besides, as many as 200 kinds of books including Tao-tzu's teaching books(道書), history books(史書), almanac(曆書), and Confucius' teaching books(儒家書籍) were quoted in total. Naekyuog and Eue-Hak-Ip-Mun, Dan-Kye-Sim-Bup were the most frequently quoted books among them. 4. Huh-Joon's medical thoughts about health care were like these. 1) The reason why Huh-Joon regarded the idea of health care as of great importance was that he laid much more emphasises on the preventive medicines rather than on the remedial medicines. The direct reason was that he was greatly influenced by profound knowledge of Taoist's study of discipline and who participated in the editing the books from the beginning. 2) Huh-Joon's outlook on human body started from the theory of "Unity of Heaven and Man"(天人合一論), which implied man was a kind of miniature universe. In addition to that, he largely theory of essence(精), vital force(氣), and spirit(神) which were regarded very important as the three most valuable properties in Taoism. However, he took his medical ground on practical and pragmatic idea that he did not discuss fundamental essence(元精), fundamental vital force(元氣), and fundamental spirit(元神) which were given by Heaven from the received only the theory of essence, vital force, and spirit which were acquired after birth and worked mainly on realistic activity of life. 3) Huh-loon accepted Do-In-Bup(導引法) sharply as a method to prevent and cure diseases. 5. Huh-loon's medical thoughts on remedial aspects are as 1) Naekyung was considered so important in Dong-Eui-Bo-Kham that not only each paragraph was begun with the Quotations from Nackyung but also the edited order of the content of the book the same with that of Naekyung. And differently from the former korean medical books he accepted at large and recorded the theories of the four noted physicians of the Geum-Won era(金元四大家) by Dong-Eui-Bo-Kham. 2) For the first time, Huh-Joon introduced the theory of Un-Ki (運氣論) in the Dong-Eui-Bo-Kahm. However, he accepted it as a pathological function of human body but he did not apply physical constitution, physiological function, pathological function, and remedial methods. 3) Huh-loon liked to use Hyang Yak that he recorded korean name of Hyang Yak(鄕名), places of the production(産地), the time of collecting(採取時月), and the way of drying herbs(陰陽乾正法) in the remedial method of a single medicine prescription for diseases at the end of each paragraph. By doing so, he developed, arranged, and revived Hyang Yak. 4) He believed that since the natural features of China were different from those of Korea the reasons of being attacked with its remedial methods couldn't be the same with different from Chinese medical books which primarily focused on paralysis and the injury of the cold has his own structure in his book that he founded independent science of this nation. He consulted enormous documents He discovered and wrote the theory and therefore concrete methods for diseases so that the book hadthe principles of outbreak of diseases(理), methods of cure(法), prescription(方), and a single medicine prescription(藥) and set system of medical science in a good order. By doing so, he and pragmatic development of medical science.

• 사상체질의학회지
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• 제12권2호
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• pp.67-77
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• 2000

1. Object of research Dongyi Soose Bowon Sasang Chobongyun and DongmuYugo were written by Lee je-ma befare Dongyi Soose Bowon. He explained in full detail Sasang Constitutional symtoms more than symtoms in Dongyi Soose Bowon. I tried to find his early medical views on Sasang Constitutional disease. 2. Method of research It was researched as contents with his writing surh as Dongyi Soose Bowon Sasang Chobongyun and DongmuYugo. 3. Results and conclusions (1) Dongmu was tried to explain the Sasang Constitutional physiological and pathological symtoms with ordinary symtoms. It is a his own implementation that he made an analysis of Sasang Constitutional symtoms. (2) We can take advantage of the contents clinically which has full of expression that there is a difference between the constitutional symtoms. (3) It is a guide post that can be expected the appearance of disease even if it were not in poor health

• 대한한의학방제학회지
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• 제15권1호
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• pp.129-135
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• 2007

Characters are the tool of writing language. In particular, Chinese characters were the tool of communicating, storing and intermediating information in Chinese traditional medicine, and exercised great influence on diseases, diagnoses, treatments and others. Stupid Words are used to avoid calling the name of an emperor or an elder. The Stupid Words, written in old literature, were mostly used to avoid calling the name of emperors in those days. At first, those were used to express respect, but with time, the rule began to be strict. Those who violate the rule were dismissed or expelled; what is worse, even their families were exterminated. Medical books were no exception to the rule. The history of Stupid Words is originated from primitive society. Those were begun to be used customarily, and were institutionalized over time. Although dynasties had been changed in large numbers in history, Stupid Words were not disappeared and had been used until feudalism rings down the curtain. In addition, the characteristics of Stupid Words became different as to each age, and exercised great influence on old literature. The Stupid Words in Chinese traditional medicine are shown in herbal names, authors' names, terminologies, symptomatological names and others. Through Stupid Words, the date of publication can be presumed, and pleonasms can be discriminated from lacunae, and it can be judged whether those works are true or not. On the other hand, those cause inconvenience philologically. The Stupid Words in old medical books became different semantically throughout the years, and so the original became difficult to be translated as well as its meaning cannot be communicated correctly. Eventually, time and effort are expended unnecessarily in some cases.

• 재활복지공학회논문지
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• 제6권2호
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• pp.31-41
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• 2012

의료기기의 발전과 IT융합기술의 접목으로 때와 장소에 관계없이 생체신호의 측정이 가능하게 되었으며, 다양한 형태의 u-헬스케어 기기가 개발되어 일상생활과 가정에서 불편함이 없이 건강변수 측정이 가능하게 되었다. 또한 사용자를 고려해 의복처럼 착용하고 생활하며 생체 신호를 측정할 수 있는 스마트 의류에 전도성 섬유의 활용이 이루어지고 있다. 하지만 이러한 u-헬스케어 기기에 대한 연구 및 개발이 우선되고 있는 반면 성능평가 기준 마련은 미흡한 실정이다. 이에 시판전의 시험검사나 시판후의 수거 검사 시에 성능평가를 위한 표준시험방법 개발 등에 따른 가이드라인 마련에 힘을 쓰고 있는 실정이다. 본 논문에서는 섬유적 특성 시험을 통해 전도성 섬유의 착용형 u-헬스케어 기기에 전극으로 접목 가능성 여부를 연구하였다.

• 사상체질의학회지
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• 제15권3호
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• pp.22-32
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• 2003

The pulse diagnosis is the basic method of oriental medicine diagnosis. But in sasang constitutional medicine, it is said that it's not a major diagnotic method. But we don't have any sasang constitutional study of the pulse diagnosis. So I made this study by research of changing concept of the pulse diagnosis in chinese medical history and Dongyi Suse Bowon (longevity and life preservation in oriental medicine). The conclusion as follows. 1. There were many kinds of the pulse diagnosis in the ancient times, it has developed to simple and effective diagnotic method. Simple and effective is the major point of medical development, the 24 pulse is abridged to Floating Pulse(浮), Deep Pulse(沈), Slow Pulse(遲), Rapid Pulse(數) 2. The latter term of Chosun, the practical study was developed. In the view of the practical study, the pulse diagnosis has a lot of cricical point. Jung Yak-Yong, in his writing Mak Lon(脈論), criticize the pulse diagnosis. 3. In the sasang constitutional medicine, the constitutional diagnosis is very important. The methods of the constitutional diagnosis are three, the way of mind and greed, knowledge and deed, external figure and physical traits. But the pulse diagnosis is one of the way of external figure and physical traits, so we can't diagnose the exact constitution by the pulse diagnosis. 4. Dong-mu conclude that the pulse diagnosis is just the diagnostic way of symptom. But in the clinical situation, the ordinary symptoms are more important than the pulse diagnosis, because it is useful to know the condition of the ingestive food metabolism and the Qi-yack metabolism