• Title/Summary/Keyword: Nature of Medicine

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A Study on Health Concepts of Korean (한국인의 건강개념에 대한 탐색연구 : Q-방법론 적용)

  • Shim, Hyung-Wha
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.108-119
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    • 2002
  • This paper as the basic study aiming the establishment of nursing theory according to Korean culture, is made to reveal the types of recognition about concepts of health immanent in Korean who have the health view, completely mixed with traditional oriental medicine and Confucianism and Buddhism and Shamanism and european scientific medicine, etc. This paper is using the Q-method, which is greatly effective in measuring the individual subjectivity, to collect rightly the concepts of health of objects. This analysis shows us the 4 types of recognition about concepts of health immanent in Korean as follows. Type Ⅰ: modern self-searching type(現代的 自己 追求型), Type Ⅱ: nature-sharing type(自然 共有型), Type Ⅲ: meaning-intentional altruism(意味 指向的 他者 中心型), Type Ⅳ: oriental adaptational type(東洋的 順應型). The men belonging to type Ⅰ have positive and self-searching view of health. They are not only interpreting the concept of health scientifically, but also positively accepting the oriental concept of health. The men belonging to type Ⅱ have strong tendency of down-to-earth. They not only have the naturalistic view of health as Taoist, but also carry the weight in the family and neighbour and regard co-sharing as excellent virtue. The men belonging to type Ⅲ are positive altruists, pursuing the meaning of life and at the same time setting the importance to the good value system. Naturally they care more the family and neighbour than themselves. The men belonging to type Ⅳ have oriental view of the world characterized by nature-adaptation. They positively agree to the Shamanism, Buddhism, Confucianism and Oriental concept of health. In conclusion, in all types we can see that Korean understand the harmony of man and nature as fundamental principle of heath and carry the more importance to the mind(心) than body(身) and at the same time esteem more the family-centric, oriental and organic community than individual. All above facts is immersed in the concepts of health of Korean as a common denominator.

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An analysis of in-patient complaints and subsequent intervention (환자호소에 대한 해결시간 단축을 위한 기초조사연구)

  • Kim, Yong-Soon;Park, Jee-Won;Park, Yon-Ok
    • Quality Improvement in Health Care
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    • v.4 no.1
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    • pp.64-80
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    • 1997
  • Background : An important issue in health care today is in trying to center service around the hospitalized patient. There is a "Kindness Movement" developing now, where in the focus of Health Care is being changed from simply treating the basic physical needs of the patient with sophisticated technology, to keeping emotional well being healthy with more humane and attentive treatment. In our attempt to reach the goal of a completely satisfied patient, we undertook a study of the common complaints of patients, and the subsequent nature of the interventions. Method : The study was carried out in two stages, first the patients made known their complaints by filling out questionnaires, then we collected data on the attempts to alleviate the complaints. The questionnaire provided 19 different complaints, which were then analysed for such variables as content, source of complaint, persons treating the complaint, and length of time and method used to solve the complaint. Results : 1. The Chief complaints made by patients(99.1%) were of physical discomfort, such as pain, nausea, vomiting, indigestion, diarrhea and constipation. 2. The complaints were voiced primarily by either of the patient's family, or by the patients themselves(78.4). 3. The complaints were intervened by nurses alone(53.5%), physicians alone(25.5%), or by nurses and physicians together(19.25%). 4, The method by which the complaints were resolved included the utilization of prescriptions(55.7%), further explanation and education(25. 5%) and notification after treatment(13.2%). 5. Most complaints were voiced during the dayshift(42.6%, 7:00-15:00), followed by the evening shift(36.0% 15:00~22:00), and then the nightshift(21.3 %, 22:00-07:00). 6. The time required for successful resolution of the patient's problems varied from 10~88.9min, according to the nature of the complaint. Conclusion : Hopefully by knowing beforehand the nature of both complaint and intervention, we can anticipate problems and shorten reaction time, in order to provide for a more satisfied patient.

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Two Cases of Adenoid Cystic Carcinoma of Trachea (기관내 선양낭성암종 2예)

  • Yum, Ho-Kee;Ahan, Jin-Chul;Song, Yeong-Soo;Kim, Joo-In;Yoon, Hye-Kyoung;Jeon, Woo-Ki;Choi, Soo-Jeon;Lee, Bong-Choon
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.3
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    • pp.387-393
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    • 1995
  • Adenoid cystic carcinoma formerly called cylindroma is rare tracheal tumor. Characteristics of adenoid cystic carcinoma are infiltrative nature with local recurrence tendency and long natural course of the disease. Adenoid cystic carcinomas develop most commonly in the trachea. Primary resection and end-to-end anastomosis of the involved airway are treatment of choice. And postoperative radiation therapy might be useful, particularly when the surgical margins are not ample. We report two cases of adenoid cystic carcinoma of trachea diagnosed by flow-volume curve.

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Aortic Root Reimplantation in a Patient Who Underwent an Arterial Switch Operation

  • Kwon, Young Kern;Kang, Seung Ri;Park, Sung Jun;Kim, Wan Kee;Kim, Joon Bum
    • Journal of Chest Surgery
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    • v.51 no.6
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    • pp.395-398
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    • 2018
  • Neo-aortic insufficiency associated with root enlargement following an arterial switch operation is a serious late complication. To achieve successful surgical correction of this condition, multiple factors should be considered, including the individual patient's anatomy, the challenging nature of the redo procedure, and the patient's young age. However, limited publications have described the use of valve-sparing techniques for the treatment of neo-aortic insufficiency associated with root enlargement following an arterial switch operation. Herein, we report our recent experience of a valve-sparing aortic root procedure with ascending aorta and hemiarch replacement despite the presence of a discrepancy in leaflet size and nearby severe adhesions.

Osteochondroma of the Distal Clavicle: A Rare Cause of Impingement and Biceps Tear of the Shoulder

  • Kim, Dong-Wan;Bae, Ki-Cheor;Son, Eun-Seok;Baek, Chung-Sin;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.21 no.3
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    • pp.158-161
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    • 2018
  • Hereditary multiple exostosis (HME) is an autosomal dominant disorder manifested by the presence of multiple osteochondromas. Although the lesions are benign in nature, exostoses are often associated with characteristic progressive skeletal deformity and displaying clinical symptoms such as mechanical irritation or impingement. We present the successful arthroscopic resection in a 24-year-old HME male with impingement syndrome and long head tendon tear of the biceps caused by osteochondroma arising from the distal clavicle.

Hereditary Retinitis Pigmentosa: Report of 1 Case Treated by Oriental Medicine (유전성 망막색소변성 한방 치험 1례)

  • Jung, Hyeon-A;Hong, Seok-Hun;Roh, Sek-Seun;Kim, Chang-Hun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.3 s.31
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    • pp.224-231
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    • 2006
  • Retinitis pigmentosa(RP) is characterized by night-blindness, contraction of the visual field, distinct hereditary nature, wide-spread pigmentary in the midperiphery. We have experienced a case of retinitis pigmentosa treated by oriental medicine (Herbal medicaiton, Acupuncture & Electroacupuncture therapy). In the point of Differentiation of syndrome, this subject was diagnosed deficiency of both Gi & blood and Eum deficiency of Liver and Kidney. So we was administrated with Palmultang-Gamibang. After treatment of orient medicine, symptoms of patient were improved.

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Why people are classified into four types in sasang constitutional medicine? - A medical approach with viscera and bowels - ('사상의학에서는 인간을 왜 넷으로 나누는가?' - 장부를 중심으로 한 의학적 고찰 -)

  • Lee, Soo-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.62-73
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    • 2003
  • Lee, Jema recognized human being as human figure and human nature according to 'if threre is a thing, there are a law to explain the thing'. And he thought Sa-Sang is the most basic and proper concept to explain things and changes. This paper is to find his medical view why human beings are classified into four types. 1. A medical clue to classify human being is different viscera function. 2. The size of viscera means the strength and weakness of metabolic function of viscera. 3. The essence of different viscera function is related to metabolism of water and food, air and fluid. Lungs and Liver do metabolic function through exhale and inhale of air and fluid. Spleen and Kidneys do metabolic function through intake an d output water and food. 4. It is most important to consider and to treat the condition of small size viscera.

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Study of Qi-pattern and Syndrom in Donguibogam ("동의보감(東醫寶鑑)" 목록(目錄) 중 '기(氣)' 자(字)가 포함된 병증(病證)에 대한 연구)

  • Lee, Seon-Goo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.4
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    • pp.427-431
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    • 2012
  • Pattern identification is the process of overall analysis of clinical data to determine the location, cause and nature of a patient's disease and achieving a diagnosis of a pattern and syndrome. In Korean medicine, Pattern identification is very important act. In order to get good Pattern identification act is important to understand the Pattern and syndrom concept. In this studies, I would like to know Qi-Patten and syndrom means in Donguibogam. So, I looking for analysis that could be associated with the Qi-pattern and syndrom in Donguibogam. As a result, Qi-pattern and syndrom related to the Jeongjisang(情志傷). Jeongjisang(情志傷) is used in referring to illness related to unhealthy emotions. It also refers to illness where Jeongji(情志) plays a role in creating a more direct cause of illness in the larger pathogenic process.

Spontaneous Intracranial Vertebral Artery Dissection in a 2-Year-Old Child Diagnosed with High-Resolution MRI: a Case Report

  • Heo, Subin;Han, Miran;Kim, Sung Hwan;Choi, Jin Wook
    • Investigative Magnetic Resonance Imaging
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    • v.23 no.3
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    • pp.259-263
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    • 2019
  • Although many imaging modalities can play some roles in the diagnosis of vertebral artery dissection (VAD), digital subtraction angiography (DSA) remains the gold standard method, with the highest detection rate and ability to assist in planning for endovascular treatment. However, this tool is often avoided in children because its invasive nature and it exposes them to radiation. High resolution magnetic resonance imaging (HR-MRI) have been suggested to be a reliable and non-invasive alternative, but it has never been discussed in children in whom vertebral artery dissection is a rare condition. In this report, we evaluate a case of a 2-year-old child who initially presented with cerebellar symptoms, and was early diagnosed with vertebral artery dissection using HR- MRI and was successfully treated.