• Title/Summary/Keyword: National treatment principle

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All about pain pharmacology: what pain physicians should know

  • Kim, Kyung-Hoon;Seo, Hyo-Jung;Abdi, Salahadin;Huh, Billy
    • The Korean Journal of Pain
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    • v.33 no.2
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    • pp.108-120
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    • 2020
  • From the perspective of the definition of pain, pain can be divided into emotional and sensory components, which originate from potential and actual tissue damage, respectively. The pharmacologic treatment of the emotional pain component includes antianxiety drugs, antidepressants, and antipsychotics. The anti-anxiety drugs have anti-anxious, sedative, and somnolent effects. The antipsychotics are effective in patients with positive symptoms of psychosis. On the other hand, the sensory pain component can be divided into nociceptive and neuropathic pain. Non-steroidal anti-inflammatory drugs (NSAIDs) and opioids are usually applied for somatic and visceral nociceptive pain, respectively; anticonvulsants and antidepressants are administered for the treatment of neuropathic pain with positive and negative symptoms, respectively. The NSAIDs, which inhibit the cyclo-oxygenase pathway, exhibit anti-inflammatory, antipyretic, and analgesic effects; however, they have a therapeutic ceiling. The adverse reactions (ADRs) of the NSAIDs include gastrointestinal problems, generalized edema, and increased bleeding tendency. The opioids, which bind to the opioid receptors, present an analgesic effect only, without anti-inflammatory, antipyretic, or ceiling effects. The ADRs of the opioids start from itching and nausea/vomiting to cardiovascular and respiratory depression, as well as constipation. The anticonvulsants include carbamazepine, related to sodium channel blockade, and gabapentin and pregabalin, related to calcium blockade. The antidepressants show their analgesic actions mainly through inhibiting the reuptake of serotonin or norepinephrine. Most drugs, except NSAIDs, need an updose titration period. The principle of polypharmacy for analgesia in case of mixed components of pain is increasing therapeutic effects while reducing ADRs, based on the origin of the pain.

The Legal Aspect of Supreme Court Cases on the Unlicensed Medical Practice of Korean Medicine (대법원 판례로 살펴본 무면허 한방의료행위의 법리)

  • Lee, Hai-Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.23 no.1
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    • pp.15-26
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    • 2019
  • Background and Aim : Health care and cosmetics as well as quality of life is now a matter of concern and many categories of complementary and alternative medicine fall into the territory of the medical practice of Korean medicine. Accordingly, penalties are being taken for unlicensed medical practices of Korean medicine in so called complementary and alternative medicine area. There is a possibility of violating the law for the public part because it is not clearly stipulated in the law as to what is a licensed medical practice. Materials and Method : The significance of the Medical Service Act and the Act on Special Measures for the Control of Public Health Crimes were reviewed, and the related supreme court cases were discussed upon the legal aspect of processing the unlicensed medical practice of Korean medicine. The legal information was provided from the National Law Information Center of the Ministry of Government Legislation, and the information websites of the Supreme Court and the Constitutional Court. Results : The concept of medical practice, which is essential in judging the case of unlicensed medical practice, is 'prevention and treatment of diseases through diagnosis, examination, prescribing, medication, or surgical procedures based on medical expertise', and the 'acts that may result in harm and injury of health unless performed by a medical person'. With respect to the medical practice of Korean medicine, the concept includes 'prevention and treatment of diseases using the principle of traditional Korean Medicine'. Conclusions : The concept of medical practice should be clearly stipulated in the law for the control over the unlicensed medical practices of Korean medicine. And it is important to move from the current concept of medical person-oriented medical practice emerging from the national system of healthcare control, to a concept that can accept the era of health managing-oriented medical environment and the co-governance of the healthcare providers and consumers for the future.

Design of Small Acoustic Filter for ITE Type Noise Protector (ITE 타입의 소음 차폐기용 소형 음향 필터의 설계)

  • Lee, Yun-Jung;Kim, Pil-Un;Chang, Yong-Min;Lee, Sang-Heun;Cho, Jin-Ho;Kim, Myoung-Nam
    • Journal of Sensor Science and Technology
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    • v.13 no.6
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    • pp.479-487
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    • 2004
  • The prevention of noise induced hearing loss is very important, because there is no treatment for it. There are some kinds of devices for hearing protection, and those are effective in preventing a noise induced hearing loss. However, people often resist the use of hearing protection devices because it is difficult to have a conversation. Therefore, a hearing protection device is must effective not only in hearing protection but also in preserving communication ability. In this paper, we proposed a small acoustic filter for ITE type noise protector to solving the problem about the difficulties of conversation. That is applied a principle of acoustic filters that have been used for a muffler of automobiles, guns, and etc. To find out the sound transmission characteristic at the eardrum, we regarded an acoustic filter and external ear canal as a coupled system. So, we simulated the coupled system with OrCad, and experimented with a designed acoustic filter and a 2 cc coupler which has the same transmission characteristic as the external ear canal has. We confirmed that it is possible to adjustment acoustic transmission characteristics through simulation of electrical model for acoustic filter and external ear and experiments using designed small acoustic filters.

Evaluation of Water Quality Characteristics and Grade Classification of Yeongsan River Tributaries (영산강 수계 지류.지천의 수질 특성 평가 및 등급화 방안)

  • Jung, Soojung;Kim, Kapsoon;Seo, Dongju;Kim, Junghyun;Lim, Byungjin
    • Journal of Korean Society on Water Environment
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    • v.29 no.4
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    • pp.504-513
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    • 2013
  • Water quality trends for major tributaries (66 sites) in the Yeongsan River basin of Korea were examined for 12 parameters based on water quality data collected every month over a period of 12 months. The complex data matrix was treated with multivariate analysis such as PCA, FA and CA. PCA/FA identified four factors, which are responsible for the structure explaining 78.2% of the total variance. The first factor accounting 27.3% of the total variance was correlated with BOD, TN, TP, and TOC, and weighting values were allowed to these parameters for grade classification. CA rendered a dendrogram, where monitoring sites were grouped into 5 clusters. Cluster 2 corresponds to high pollution from domestic wastewater, wastewater treatment and run-off from livestock farms. For grade classification of tributaries, scores to 10 indexes were calculated considering the weighting values to 3 parameters as BOD, TN and TP which were categorized as the first factor after FA. The highest-polluted group included 10 tributaries such as Gwangjucheon, Jangsucheon, Daejeoncheon, Gamjungcheon, Yeongsancheon. The results indicate that grade classification method suggested in this study is useful in reliable classification of tributaries in the study area.

Oral Single Dose Toxicity Study of Low Molecular Fucoidan in Mice

  • Jung, Young-Mi;Yoo, Kang-Min;Park, Dong-Chan;Kim, Tae-Kwon;Lee, Hyeung-Sik;Ku, Sae-Kwang
    • Toxicological Research
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    • v.24 no.1
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    • pp.79-86
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    • 2008
  • This study was conducted to obtain information of the oral dose toxicity of low molecular fucoidan (LMF) in male and female mice. In order to calculate 50% lethal dose ($LD_{50}$) and approximate lethal dose (LD), test material was once orally administered to male and female ICR mice at dose levels of 2000, 1000, 500, 250, 125 and 0 (vehicle control) mg/kg (body wt.). The mortality and the changes on body weight, clinical signs, gross observation and organ weight and histopathology of principle organs were monitored 14 days after LMF treatment. We could not find any mortalities, clinical signs, body weight changes and gross findings. In addition, significant changes in the organ weight and histopathology of principal organs were not observed except for some sporadic findings. The results obtained in this study suggest that LMF may not be toxic in mice and may be therefore safe for clinical use. The $LD_{50}$ and approximate LD in mice after single oral dose of LMF were considered over 2000 mg/kg in both female and male mice.

Transgenic Mutagenesis Assay to Elucidaate the Mechanism of Mutation at Gene Level (유전자수준에서 돌연변이 유발기전을 밝히는 Transgenic Mutagenesis Assay)

  • Ryu, Jae-Chun;Youn, Ji-Youn;Cho, Kyung-Hae;Chang, Il-Moo
    • Environmental Mutagens and Carcinogens
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    • v.18 no.1
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    • pp.15-21
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    • 1998
  • Transgenic animal and cell line models which are recently developed and used in toxicology fields combined with molecular biological technique, are powerful tools to study the mechanism of mutation in vivo and in vitro, respectively. Transgenic models, which have exogenous DNA incorporated into their genome, carry recoverable shuttle vector containing reporter genes to assess endogenous effects or alteration in specific genes related to disease processes. The lac I and lac Z gnee most widely used as a mutational target in transgenic systems. The assay is performed by treatment with putative mutagenic agents, isolation of genomic DNA from cells or tissues, exposure the isolated DNA to in vitro packaging extract, plating and sequencing. The results from these processes provide not only mutant frequency as quantitative evaluation but also mutational spectrum as qualitative evaluation of various agents. Therefore we introduce and review the principle, detailed procedure and application of transgenic mutagenesis assay system in toxicology fields especially in mutagenesis and carcinogenesis.

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Effectiveness Analysis of Computer Science Textbooks focusing on Digital Therapeutics

  • Eunsun Choi;Namje Park
    • Journal of Internet Computing and Services
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    • v.25 no.3
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    • pp.9-18
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    • 2024
  • Digital therapy has emerged as a novel treatment modality, propelled by advancements in information and communication technology. In the last five years, there has been a substantial surge in research publications addressing digital therapeutics (DTx) interventions, signaling a sustained upward trajectory in this field. The dynamic nature of computer science, marked by continuous innovation and development, underscores the need for agile adaptation to rapid changes. Consequently, computer science education is compelled to offer students insights into the latest trends. This research endeavors to contribute to the evolving landscape by developing textbooks that impart knowledge about DTx, an integration of information technology. The study focuses on the application of these textbooks to elementary and middle school students in South Korea. The instructional materials have been carefully organized to enable students to learn about the principle of Attention Deficit Hyperactivity Disorder (ADHD) DTx at the elementary level and the DTx that can prevent and address the digital drama at the middle school level. Based on the application of the textbook, students who received instruction using the textbook showed statistically significant improvements in all subcategories of creative problem-solving ability, including idea modification, visualization, task focus, analogy, idea generation, and elaboration (p<.01). Additionally, there were statistically significant changes in students' self-efficacy before and after using the textbook, with negative efficacy decreasing, and positive efficacy and social efficacy increasing (p<.001).

Citation of Traditional Chinese Medical Classics in 『Yifangkao』 (『의방고(醫方考)』중 한의학 원전의 인용)

  • Kim, Young-Eun;Kwok, Hong-Seok;Lee, Boo-Kyun;Lyu, Jeong-ah
    • Herbal Formula Science
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    • v.28 no.4
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    • pp.351-363
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    • 2020
  • Objectives : The purpose of this paper is to describe how Wu Kun(吳昆) understood Huangdineijing 『黃帝內經』 and implemented his understanding when writting Yifangkao 『醫方考』. Methods : From Yifangkao 『醫方考』, we collected all paragraphs including "經曰", "內經曰" while excluding the ones with "論曰" to filter out Sanghanlun 『傷寒論』's perspective. The contents of Huangdineijing·Suwen 『黃帝內經·素問』 and Huangdineijing·Lingshu 『黃帝內經·靈樞』, cited in Wu Kun's Yifangkao 『醫方考』 were extracted, identified from which part it comes and sorted into headings under RyuPyeon Huangjenaegyung 『類編黃帝內經』. Results : The most cited traditional chinese medical classic in Yifangkao 『醫方考』 was Huangdineijing·Suwen 『黃帝內經·素問』 Yinyangyingxiangdalun 「陰陽應象大論篇」 which was cited 41 times. Zhizhenyaodalun 「至眞要大論篇」 had a total of 39 citations followed by Shengqitongtianlun 「生氣通天論篇」 and Liuyuanzhengjidalun 「六元正紀大論篇」 which were cited 13 times and 11 times each. In addition, it was confirmed that other 28 chapters from Huangdineijing·Suwen 『黃帝內經· 素問』, 3 chapters from Huangdineijing·Lingshu 『黃帝內經·靈樞』, 3 chapters from Nanjing 『難經』 and one chapter from Zhenjiujiayijing 『鍼灸甲乙經』 were also cited. Also the analysis of the classification of the Huangdineijing·Suwen 『黃帝內 經·素問』 showed that 57 citations were classified as 'treatment', 41 citations were classified as 'Yin and Yang and Five phases', 39 citations were calssified as 'Cause and Mechanism of Disease'. Conclusion : 1. Yifangkao 『醫方考』 have explained prescriptions by implementing principles from 5 kinds of traditional chinese medical classic including Huangdineijing·Suwen 『黃帝內經·素問』, Huangdineijing·Lingshu 『黃帝內經·靈樞』 etc. 2. According to table 3, Yifangkao 『醫方考』 have cited Huangdineijing·Suwen 『』 to explain how each compounds were used and how the Korean medical principle of Yin and Yang was applied in the prescriptions. 3. It can be suggested in formula study there is utility to understand principles of traditional chinese medical classic to comprehend prescriptions.

A Study of the Analysis and Forecasting of Nursing Manpower Needs in Korea-Using methods based on the biological basis of demand for medical care- (한국간호인력필요의 분석 및 추계에 관한 일 연구 -기본적 의료필요계측법을 중심으로-)

  • 김유겸
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.15-30
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    • 1973
  • Nursing education in Korea has made rapid progress recently. There is .: great deal of support with approval and encouragement of this progress. However, much disapproval of its validity has asserted some restraints on it. The aims of nursing education should be based on the principle that education is planned according to tile need much research has been made with such a viewpoint but much still remains unclear. The present study is aimed at establishing the needs for nursing manpower based on the biological demand for medical care. The needs for nursing manpower have been emphasized by many researchers and authorities on nursing education, and the prevailing medical trends also demand it. In this study, through the study of various hooks and records concerned, and the compiling of data analysis and questionnaires, I came to the following figures for the proposed needs of nursing manpower: There figures are greater than those calculated by another method by the government research program but it shows approximately the same final figure as that of the government report for the end of the target year. With these findings, I concluded that: 1) As the final purpose of the government medical project is to fulfill the needs of the national health (that is, to support the national needs for medical care), the plan of this project should follow the theory of biological demand for medical care, recognizing that the numbers will increase gradually. 2) Qualitative growth, based on the advanced and specialized nursing profession. should be promoted to meet the rapid growth of the medical needs of the nation in addition to promoting of investments for the facilities. and of the preparatory investments for education needs. 3) For efficient and economic utilization of nursing manpower, the improvement of wages, and the offering of free education is necessary. 4) Amendments to the low promising innovation and advancement of medical treatment; preparation of a national fund for medical care; and, changing of national attitudes to bring about greater concern are desirable.

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Analysis of Relationship between Tomato Growth, Vital Response, and Plant-induced Electrical Signal in a Plastic Greenhouse due to Carbon Dioxide Enrichment Treatment (플라스틱 온실 내 이산화탄소 시비에 따른 토마토 생육과 생체 반응 및 Plant-induced Electrical Signal 간 관계 분석)

  • Hee Woong Goo;Gyu Won Lee;Wook Jin Song;Do Hyeon Kim;Hyun Jun Park;Kyoung Sub Park
    • Journal of Bio-Environment Control
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    • v.32 no.4
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    • pp.484-491
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    • 2023
  • Tomatoes in greenhouse are a widely cultivated horticultural crop worldwide, accounting for high production and production value. When greenhouse ventilation is minimized during low temperature periods, CO2 enrichment is often used to increase tomato photosynthetic rate and yield. Plant-induced electrical signal (PIES) can be used as a technology to monitor changes in the biological response of crops due to environmental changes by using the principle of measuring the resistance value, or impedance, within the crop. This study was conducted to investigate the relationship between tomato growth data, vital response, and PIES resulting from CO2 enrichment in greenhouse tomatoes. The growth of tomato treated with CO2 enrichment in the morning was significantly better in all items except stem diameter compared to the control, and PIES values were also higher. The growth of tomato continuously applied with CO2 was better in the treatment groups than control, and there was no significant difference in chlorophyll fluorescence and photosynthesis. However, PIES and SPAD values were higher in the CO2 treatment group than control. CO2 enrichment have a direct relationship with PIES, growth increased, and transpiration increased due to the increased leaf area, resulting in increased water absorption, which appears to be reflected in PIES, which measures vascular impedance. Through this, this study suggests that PIES can be used to monitor crops due to environmental changes, and that PIES is a useful method for non-destructively and continuously monitoring changes of crops.