• 대한한의학회지
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• 제30권5호
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• pp.127-136
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• 2009

Objective: This study aimed to analyze the current status of treatments and patients with diabetic peripheral neuropathy, and then map out of a strategy for development of generalized-treatments for diabetic peripheral neuropathy in Traditional Korean Medicine. Methods: We selected research materials from various databases such as PubMed, Google, KStudy, KoreanTK, OIM, KOMS and books. Also, to understand current tendencies of medical examination and treatment related with diabetic peripheral neuropathy, we requested Health Insurance Review and Assessment Service clinical data from 2003 to 2007. Results: It is reported that the incidence of diabetic peripheral neuropathy is increasing in an aging society. The medical fees of National Health Insurance related with diabetic peripheral neuropathy show a year-on-year increase. There are no particularly effective therapies for diabetic peripheral neuropathy in Western medicine, and in some papers, it was reported that treatment of diabetic peripheral neuropathy using Traditional Korean Medicine was effective. However, patients usually visit on Western medical center rather than seek Traditional Korean Medicine. To take charge of clinical fields related with diabetic peripheral neuropathy by Traditional Korean Medicine, we need more studies and experiments of diabetic peripheral neuropathy using Traditional Korean Medicine and should make a standardized protocol. Conclusion: Various studies related with diabetic peripheral neuropathy using Traditional Korean Medicine will have to be undertaken hereafter. We expect that Traditional Korean Medicine will play a vital role in treating of diabetic peripheral neuropathy.

• 사상체질의학회지
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• 제13권3호
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• pp.15-22
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• 2001

Revised QSCCII is made depend on revised soeum scale, revised taeum scale and revised soyang scale, and used in KyungHee University Medical Center. The purpose of this study is to examine validity of revised QSCCII and to analyse the tendency of respondents of revised QSCCII. For this study, the objects are 57 patients who response to QSCCII and revised QSCCII in Oriental Medicine & Western Medicine Cooperative Health Examination Center KyungHee University Medical Center. a systematic analysis has been made. As a results, we have found that revised QSCCII have a validity. there is agreement of Tendency of the respondent of QSCCII with revised QSCCII. we hope that suitable questionnaire will be developed for the research in the future.

• 대한예방한의학회지
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• 제13권1호
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• pp.117-130
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• 2009

This study was attempted to suggest fundamental data to take health care plan in terms of oriental medicine by evaluating the health-related quality of life according to the Sasang constitutional medicine (SCM) of factory workers. General characteristics, living habits, and health-related quality of life were investigated through self-administration questionnaire in the course of oriental health examination for 1,870 male workers at a manufacturing company located in the Jeollabuk-do region, and the Sasang constitution of each worker was identified and analyzed through questionnaires and oriental doctor's medical examination. For Sasang constitutional medicine, So-eum person(少陰人) was found to be the most, and then So-yang preson(少陽人), Tai-eum preson(太陰人), and Tai-yang preson(太陽人) in order; for lifestyle, smokers were most found in So-yang person workers, non-smokers in Tai-yang person workers, drinkers in Tai-yang person workers, and non-drinkers in So-eum person workers. For the general health score by the Sasang constitutions, Tai-yang person workers were found to be 42.73 in general health area, Tai-eum preson workers 41.69, So-yang person workers 40.87, and So-eum person workers 40.42; in the vitality area, Tai-eum person workers were found to be 45.14, So-yang person workers 44.16, So-eum person workers 43.02, and Tai-yang person workers 41.34. Specially, it was found that regular exercise improved physical health factors, drinking adversely affected mental health factors, and the mental health factors of Tai-eum person workers who have regularly exercised showed the highest values, while those of Tai-yang person workers who have not exercised showed the lowest values. There was difference in lifestyle by Sasang constitutions, and accordingly, the quality of life might be different Therefore it is deemed that health care plan is required to be taken by Sasang constitutions and lifestyle for health promotion and care of blue-collar workers in the future.

• 대한한의학회지
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• 제30권1호
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• pp.40-50
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• 2009

Objectives: The clinical document forms, a format for collecting clinical data, is the most fundamental object of standardization. Doctors must have a mutual understanding of the clinical chart. Methods: Clinical document forms were developed by investigating existing conditions in hospitals and conducting demand surveys, doing literature research, and seeking expert advice for the improvement of version 1.0. In addition, an organization of a network of 19 Oriental medical doctors and nurses, 190 patients, and users of collected and assessed data was formed to come up with version 2.0. Results: The overall format was divided into different portions that the patient, nurse, and doctor must fill out, respectively. The patient's section consists of demographic data, lifestyle details, history, and symptoms. The data to be supplied by the nurse include the patient's vital signs and anthropometric parameters. As for the doctors, they are to supply data regarding the patient's palpitation, the detailed symptoms of the patient's head, ophthalmological and otorhinolaryngological symptoms (mouth), respiration, circulatory organ and chest conditions, digestive-organ conditions (thirst), neuropsychiatric conditions, reproductive system, musculoskeletal system, skin (depilation), etc. Conclusions: Common clinical chart development is the prior question to Traditional Korean Medicine standardization. A web-based clinical document format should be developed to support diagnosis and treatment, and furthermore EMR (electronic medical record system) and EHR (electronic health record) developed. Clinical information could be shared through a network of medical institutions and be useful Traditional Korean Medicine for evidence-based medicine.

• 사상체질의학회지
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• 제18권3호
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• pp.124-130
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• 2006

1. Objectives The purpose of this study was to investigate the concordance rate of the diagnostic results among Sasang Constitutional Medicine(SCM) specialists. 2. Methods We carried out two studies in order to investigate the concordance rate of the diagnostic results between SCM specialists. We calculated the kappa value for analyzing concordance rate(using the SPSS program). 1) Study A : We investigated 142 clients who had taken health examinations and diagnosis of Sasang constitution from March 9, 2005 to March 29, 2005 at a health examination center of Kyung-Hee medical center. Every SCM specialist diagnosed 142 clients directly. Each SCM specialist don’t know the other specialist’s diagnosis. 2) Study B : We investigated 176 clients who had taken health examinations and diagnosis of Sasang constitution from January 2005 to March 2005 at the department of Occupational and Environmental medicine of Kyung-Hee medical center. One SCM specialist diagnosed 176 clients directly and the other specialist knowing previous specialist’s diagnosis, diagnosed each person indirectly 3. Results 1) The concordance rate of the diagnostic results among SCM specialists in study A was relatively high(kappa value=0.700). 2) The concordance rate of the diagnostic results among SCM specialists in study B was high(kappa value=0.895). 4. Conclusions We can confirm the concordance rate of the diagnostic results among SCM specialists is relatively high.

• 보건의료산업학회지
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• 제4권1호
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• pp.71-86
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• 2010

The purpose of this study is to promote efficiency of hospital management with customer satisfaction by understanding qualitative system about more systemic hospital service coordinator's job under analyzing the satisfactory degree and coherence of hospital service coordinator's job because of increase of customer need level by medical environment improvement and the variety of offering method of medical service. I allocated a questionnaire per each hospital around dentistry, Oriental medicine clinic, plastic surgery in medical examination department and withdrew questionnaire on total 662 hospitals. According to the study results stated above, generally necessity on employment of a hospital service coordinator appeared high and To the necessity, I considered that a hospital service coordinator's job must strengthen the role for going still more to customer with discriminated mind and service not simple kind service to medical consumer, with establishing more systematic and realistic educational culture in qualification and educational department of a hospital service coordinator. Also a hospital service coordinator must be changed to promote customer satisfaction and efficiency of hospital management by more systematic business assignment and role establishment.

• Parasites, Hosts and Diseases
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• 제40권4호
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• pp.191-193
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• 2002

Oriental liver fluke (Clonorchis sinensis) infection was surveyed among residents of Hamyang-gun, Gyeongsangnam-do, Korea during the period of January 2001 to March 2002. Total 1,041 stool samples were collected from residents who visited Public Health Center and its branches in Hamyang-gun and examined using formalin-ether sedimentation method. The overall egg positive rate was 16%, male showing higher positive rate (21%) than female (10%). The age group of 30 to 50 years had the highest egg positive rate of C. sinensis from 20% to 22%. The positive examinees were treated with praziquantel and educated individually to prevent reinfection . Egg positive rate in this area was decreased when compared with results recorded in the past, however, still remained more than 10%. This study suggests that periodic examination, treatment as well as education of residents should be continued and systematized.

• Korean Journal of Acupuncture
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• 제19권2호
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• pp.149-165
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• 2002

Objective : We proposed fundmental rules of prospective on legal and institutional position and role of Korean medicine doctors working at public health center. Methods : By the result of this research on the current situation, the grade and allowance given to the Korean medicine doctors working at public health center were different every self-governing body. Results : The reason the Korean Medicine Doctor can't serve as a regular order of 5th grade is that the 'The Enforcement Regulation about Administrative Organization and the Standard of Pixed Number of person of Self-Governing Body(지방자치단체의 행정기구와 정원기준등에 관한 규정 시행규칙)' prescribes the number of regular order of 5th grade is regulated within 7% among the number of regular order officials. But not appointing to office as the regular order of 5th grade infringes on the Constitution, the highest law. The reason the Korean Medicine Doctors can't be appointed to office as the regular order officials by the self-governing body is that 'The Enforcement Order of the Law of Preservation of good health of Local Area(지역보건법시행령)' prescribes the Korean Medicine Doctors are not indispensable to Public Health Center. But in fact, the Korean Medicine Doctors can execute many kinds of work such as medical examination or instructing house nursing. Conclusion : The Korean Medicine Doctors working at Public Health Center serve at low positions as daily use or common use, not receiving a regular order. All laws including the Constitution(헌법), the Medical Services Law(의료법), the Law of Preservation of good health of Local Area(지역보건법), the National Public Service Law(국가공무원법), the Local Public Service Law(지방공무원법) and the Law of Higher Education Law(고등교육법) describe that the Korean Medicine Doctors and the Western Medicine Doctors are equal to their position and right.

• 대한추나의학회지
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• 제4권1호
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• pp.129-140
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• 2003

Objectives : This study researched into clinical statistics for patients recieved oriental medicine treatments In the Um-sung Gun Dae-so Myun health care center during eight months from May 1 2002 to December 31 2002. The number of object was 246 cases of 234 persons. Results & Conclusions : Analyzing these 234 persons, the rate of males to females was 1 to 2.1. As for the distribution of age, the age of 61 to 70 occupied 44.02 % and the age of 61 to 90 occupied 76.5 % ih the Whole patients. Therefore female was very highly more than male and patients were for the most part, old ages (61 years old and over) Musculoskeletal disease of 202 cases occupied 82.13 %, were the highest rate. At the duration of disease 1 year to 5 years occupied 26.92 %, was the highest. The Grade II was the most of the sign of patients at first visit, it occupied 47.86 %, The Fair(+) and over effect of treatments occupied 96.84 %, the failure(-) Of effect treatments occupied 3.16 %. As for the duration of treatment, the case of 2 times to 5 times visit occupied 38.03 %, was the highest. By medication of treatment, O-juk-san(五積山) occupied 35.10 %, was the highest rate. The average 8.67 persons treated with oriental medicine a day, the average 1.36 person received the first medical examination a day.

• 한국전문물리치료학회지
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• 제10권1호
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• pp.139-158
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• 2003

This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents' demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.