• 제목/요약/키워드: Oriental medical service

검색결과 297건 처리시간 0.025초

Effects of Acupuncture Stimulation on the Radial artery's Pressure Pulse Wave in Healthy Young Participants: Protocol for a prospective, single-Arm, Exploratory, Clinical Study

  • Shin, Jae-Young;Ku, Boncho;Kim, Tae-Hun;Bae, Jang Han;Jun, Min-Ho;Lee, Jun-Hwan;Kim, Jaeuk U.
    • 대한약침학회지
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    • 제19권3호
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    • pp.197-206
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    • 2016
  • Introduction: This study aims to investigate the effects of acupuncture stimulation on the radial artery's pressure pulse wave, along with various hemodynamic parameters, and to explore the possible underlying mechanism of pulse diagnosis in healthy participants in their twenties. Methods and analysis: This study is a prospective, single-arm, exploratory clinical study. A total of 25 healthy participants, without regard to gender, in their twenties will be recruited by physicians. Written informed consent will be obtained from all participants. The participants will receive acupuncture once at ST36 on both sides. The radial arterial pulse waves will be measured on the left arm of the subjects by using an applicable pulse tonometric device (KIOM-PAS). On the right arm (appearing twice), electrocardiogram (ECG), photoplethysmogram (PPG), respiration and cardiac output (CO) signals, will be measured using a physiological data acquisition system (Biopac module), while the velocity of blood flow, and the diameter and the depth of the blood vessel will be measured using an ultrasonogram machine on the right arm (appearing twice). All measurements will be conducted before, during, and after acupuncture. The primary outcome will be the spectral energy at high frequencies above 10 Hz ($SE_{10-30Hz}$) calculated from the KIOM-PAS device signal. Secondary outcomes will be various variables obtained from the KIOM-PAS device, ECG, PPG, impedance cardiography modules, and an ultrasonogram machine. Discussion: The results of this trial will provide information regarding the physiological and the hemodynamic mechanisms underlying acupuncture stimulation and clinical evidence for the influence of acupuncture on the pressure pulse wave in the radial artery. Ethics and dissemination: This study was approved by the Institutional Review Board (IRB) of Kyung Hee University's Oriental Medical Center, Seoul, Korea (KOMCIRB-150818-HR-030). The study findings will be published in peer-reviewed journals and presented at national and international conferences. Trial registration number: This trial was registered with the Clinical Research Information Service (CRIS) at the Korea National Institute of Health (NIH), Republic of Korea (KCT0001663), which is a registry in the World Health Organization's (WHO's) Registry Network.

일 주간보호센터 이용노인의 만족도에 관한 조사 연구 (A Study on the degree of satisfaction at Day Care Center's Service among elderly clients)

  • 김순영;강경숙
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.422-434
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    • 1999
  • The purpose of this study was to describe the degree of satisfaction at day care center's services and the degree of relationship between each service and overall satisfaction. The data collection was performed from July 1, 1999 to July 15, 1999. And total 199 elderly clients were interviewed in Koksung-kun. The results of the study is as follows: 1. The percentage of satisfactory response at transport service was 95.2%, food supply 94.3%, bath 93.2%, hair cutting 90.8%, physical therapy 90.2%, medical treatment 89.3%. And oriental medical treatment 82.0%. 2. For question of the degree of satifaction at day care service, the distribution of answer was 75.1% in exellent. 15.5% in good, 3.6% in moderate, 3.6% in poor, 2.1% in most poor. 3. The subjective satisfaction was not significantly different by sex, age, the presence or absence of religious, educational level, the presence or absence of family and economic level. 4. A significant association between the program satisfaction and the subjective satisfaction was observed: odds ratios were 26.9 in food supply, 26.4 in luncheon supply, 17.4 in bath, and 14.5 in hair cutting. The following is suggestion based on results of this study: A service program should be developed to fit conditions of rural elderies by specifically analyzing needs of the elderly.

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의료기사의 의료인 종별 포함에 관한 기초조사 연구: 한국, 일본, 대만을 중심으로 (Basic Study on the Inclusion of Medical Technologists in the Type of Medical Personnel: Focus on Korea, Japan, and Taiwan)

  • 구본경;박창은
    • 대한임상검사과학회지
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    • 제56권1호
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    • pp.21-31
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    • 2024
  • 본 연구의 목적은 의료기사를 의료인 종별에 포함시키는 것에 대한 기초 자료를 제시하는 것이다. 의료법에서 의료인을 의사, 치과의사, 한의사, 조산사, 간호사로 정의한다. 의료기사는 임상병리사, 방사선사, 물리치료사, 작업치료사, 치과기공사, 치과위생사로 구분한다. 한국은 의료인에 의료기사를 포함하지 않지만 일본과 대만은 의료인으로 규정하고 있다. 국제표준직업분류(ISCO-08), 한국표준직업분류(KSCO-2017), 일본표준직업분류(JSOC-2009), 대만표준직업분류(TSOC-2010), 미국표준직업분류(SOC-2018) 등의 다양한 표준직업분류를 비교하였다. 의료기사 교육체계는 4년제 대학과 3년제 전문대학 프로그램을 포함하는 것으로 설명하였다. 의료행위, 치료, 진료보조 분야에서 의료기사의 역할을 개략적으로 설명했다. 이러한 기초자료는 의료기사의 의료인 종별 포함의 의미에 대한 논의의 필요성과 의료인 종별 포함과 관련하여 의료기사의 전문성의 합법화에 기여할 것이다.

『단방신편(單方新編)』 이후(以後) 문헌전승(文獻傳承)에 관한 연구(硏究) (A study on the literal transmission of Danbangshinpyon(單方新編))

  • 전종욱
    • 대한한의학원전학회지
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    • 제27권4호
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    • pp.1-13
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    • 2014
  • Objectives : This paper analyze several version of Danbangshinpyon(單方新編), a simple medical book that was widely used in the private sector from late Joseon dynasty to Japanese colonial period in Korea. Since it had not only collected the treatments easy to get around but also translated the classical Chinese into Korean, Danbangshinpyon(單方新編) was popular in the environment of poor medical service for the people. Methods : We compared several types of issue having heen popular either in the form of plate printing or as manuscripts until recently. Enlarged edition of Danbangshinpyon(增補單方新編) was edited in 1913, and it had been published a total of 13 times until 1922 with 8th edition. On the other hand, it is regarded that the contents of which are again included into Shinpyonmyobang(新篇妙方) published in 1938. Results : Danbangshinpyon was edited to match the demand for medical care at the time in 1909 on the basis of previously existing Gyungheombang(經驗方) of that time. Taking advantage of the public popularity of Danbangshinpyon, Enlarged edition of Danbangshinpyon was hurriedly constructed with weak consideration of upgrading the content. Shinpyonmyobang(新篇妙方) contains the whole content of Danbangshinpyon(單方新編) in the second half of it. Surveying details in the Shinpyonmyobang, one can find that it had been edited to copytext Enlarged edition of Danbang-shinpyon rather than Danbangshinpyon(單方新編). In other words, it is presumed to have been re-edited after the publication of Enlarged edition of Danbangshinpyon.

맥진기를 활용한 대사증후군 대상 임상연구 고찰 (A Review on Clinical Studies on Metabolic Disease Using a Pulse Tonometry Device)

  • 김지혜;전영주
    • 대한한방내과학회지
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    • 제39권4호
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    • pp.612-623
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    • 2018
  • Objective: The aim of this research was to investigate the current status and limitations of the clinical use of a pulse tonometry device (PTD). Methods: We searched online medical databases, including Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Sharing Service (RISS), DataBase Periodical Information Academic (DBpia) and PubMed, for clinical studies of metabolic diseases that used PTD. We selected articles on the clinical application of the PTD but excluded duplicate articles, clinical studies without the PTD, and non-clinical studies. In the first screening, 551 articles were selected. Ultimately, we found 10 articles and classified the articles according to the following diseases: hyperlipidemia, diabetes, overweight and obesity, hypertension, and metabolic disease. Results: Of the 10 selected articles, 4 were focused on hypertension. Two articles were focused on overweight or obesity and two articles were focused on the metabolic disease. Conclusions: This study was the first attempt to conduct a systematic review on clinical studies of metabolic disease using the PTD as a primary outcome. We suggest that the standard of pulse wave parameters and operating procedures for the PTD should be further developed. The results of this study are expected to be used as basic information for the planning and progression of clinical studies of metabolic syndrome using PTD.

고려시대(高麗時代) 의학사관(醫學史觀) 질정(叱正)(1) - 고려초기(高麗初期) 의학(醫學)에 관한 김두종(金斗鍾)의 역사인식에 대한 비판 - (Berating on the Historical view in Korea dynasty's Medicine (1))

  • 김홍균
    • 한국한의학연구원논문집
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    • 제9권1호
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    • pp.1-33
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    • 2003
  • From the study on Doo-Jong Kims view of history about the early Korea$(Korea\;herewith\;stands\;for\;Korea\;dynasty\;A.D.918{\sim}1392)s$ Medicine, I came to a conclusion as follows. 1. Doo-Jong Kim is stressing on the fact that Early Koreas Medicine inherited from Shilla dynasty and seemingly expressing the pride of national medical science. But actually he distorted the Koreas independent growth with flunkeyism and insisted that Koreas medicine only took over Shilla dynastys which based on Chinese Tang dynastys medical science. As a result, Koreas medicine was blurred and evaluated as nothing but Tangs medicine. But, the reasons of Doo-Jong Kims viewpoints were not based on the fact, but on his speculation. 2. About the medical system, Doo-Jong Kim viewed that Korea copied Chinese Soo & Tangs medical system, But the fact is that Korea only borrowed a part of Chinese medical systems name, for examples, Tae-I-Gam, Sang-Yak-Kook, Sang-Sik-Kook, etc., and its actual functions were different and grew in Koreas own way, As a result, the titles or roles in the system were very different from those of Chinas. Especially, Korea saw much development in Science of Acupuncture and Moxibustion that there was a specialist on Acupuncture, called I-Chim-Sa, and even had much influences on Chinese Acupuncture and Moxibustions growth, exporting Hwang-Je-Ne-Kyong to Chinese Song dynasty. 3. About the education system of medicine, Doo-Jong Kim viewed that Koreas medicine was only a copy of Shilla dynastys which was based on Chinese Tang dynastys, taking the medical examination curriculum as an example. The fact is that Tangs medical curriculum was three, Bon-Cho, Kab-Ul, Maek-Kyong, Shilla had seven, Bon-Cho-Kyong, Kab-Ul-Kyong, So-Moon-Kyong, Chim-Kyong, Maek-Kyong, Myong-Dang-Kyong, Nan-Kyong, and Korea had ten, So-Moon-Kyong, Kab-Ul-Kyong, Bon-Cho-Kyong, Myong-Dang-Kyong, Maek-Kyong, Dae-Kyong-Chim-Kyong, Nan-Kyong, Ku-Kyong, Ryu-Yon-Ja-Bang, So-Kyong-Chang-Jeo-Ron. Simply considering this, it is so clear that Koreas medical curriculum was much more upgraded one than that of China. 4. About the examination system for civil service, Doo-Jong Kim expressed that Shilla dynasty did not have such system, and only expounded knowledge of Shilla medicine, In case of China, Tang danasty Hyang-Kong was only a qualification test for civil service, which the result was completely dependent on applicants social status, Song danasty examination system was composed of three steps of Hyang-Si, Sung-Si, Jeon-Si (See Note1), but it stuck to formality by having Jeon-Si of anti-fraudulence use. On the other hand, examination system for civil service in Korea dynasty started in 958 by an advice of Ssang-Ki, Chin-Si in 977 and K대-Ja-Si (See Note 1), a kind of Hyang-Si, in 1024., Three steps of examination system made employment for civil service strictly fair, Moreover, it was possible for offsprings of concubine to be an applicant. These easily explain that the examination system of Korea dynasty was more upgraded one than that of China, Tang & Song dynasty. Hyang-Si : Exam in local area Sung-Si : Exam in province for those who passed Hyang-Si Jeon-Si : Exam held with Koea Kings supervision for those who passed Hyang-Si Keo-Ja-Si : Selective exam in local area like Hyang-Si. From the reasons above, it is clear that Doo-Jong Kim was much biased by flunkeyism through Japanese colonialisam and expressed his view on Korea Medical History based on such theory of heteronomy and stasis. Moreover, without rigid historical evidence on records, he distored the fact by translating incorrectly on his purpose. Therefore, Doo-Jong Kims Korean Medical History must be reevaluated through rigid historical research and his mistranslation should be corrected.

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난소과자극증후군의 치료에 관한 한의 임상 연구 고찰 (Review for Clinical Studies of Oriental Medicine on the Treatment of Ovarian Hyperstimulation Syndrome)

  • 구수정;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제33권3호
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    • pp.60-79
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    • 2020
  • Objectives: This review plans to assess the efficacy and effectiveness of oriental medicine for the treatment of Ovarian Hyperstimulation Syndrome (OHSS) through literature research and overview. Methods: Database searching was conducted to identify relevant randomized controlled trials (RCTs) on oriental medicine for the treatment of Ovarian Hyperstimulation Syndrome. Studies were searched from Journal of Korean Obstetrics and Gynecology, Korean Medical Database, Korean studies Information Service System, China National Knowledge Infrastructure, Cochrane library, PubMed and EmBase up to 21st May, 2020. Results: Seventeen studies were finally selected. Fifteen studies intervened with oral Chinese herb medicine, two studies intervened with acupuncture and moxibustion. Nine studies concluded that intervention with oriental medicine significantly relieved OHSS symptoms. Three studies reporting ovary diameter, four studies reporting abdominal circumference and other four studies reporting pelvic effusion showed significant reduction compared to control groups. Six studies showed significantly shorter duration for hospitalization in intervention groups. Only one study showed significantly higher pregnancy rate. Factors related with vascular permeability and blood cell coagulation were significantly lowered in intervention groups in general. Conclusions: From seventeen studies, oriental medicine relieved OHSS symptoms and showed treatment effectiveness. Further strictly designed studies and long-term observed studies are needed to establish evidences.

개선된 퍼지 ART 알고리즘을 이용한 한방 자가 진단 시스템 (Self Health Diagnosis System of Oriental Medicine Using Enhanced Fuzzy ART Algorithm)

  • 김광백;우영운
    • 한국컴퓨터정보학회논문지
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    • 제15권2호
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    • pp.27-34
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    • 2010
  • 최근 여러 인터넷 서비스 업체에서 온라인 의료 진단 서비스 시스템을 제공하고 있다. 대부분 의료 진단 서비스 시스템은 서양 의학을 기초로 질병에 대한 처방이나 식이요법 등을 제공하기 때문에 전문 지식이 부족한 일반인들은 이용하기에 큰 어려움이 있다. 본 논문에서는 퍼지 ART 알고리즘을 적용하여 한국인 고유의 신체적 특성에 맞는 한의학 기반의 한방 자가 진단 시스템을 제안한다. 제안된 한방 자가 진단 시스템은 사용자가 제시한 증상과 이전에 진단 받았던 진료 기록을 바탕으로 이미 학습되어진 질병의 증상과 비교하여 신경망을 통해 유사도가 높은 상위 3개의 질병을 도출한다. 또한 상위 3개의 질병에 대해 질병의 전체적인 증상과 한의학 서적에서 제시한 민간요법을 제시한다. 질병과 증상에 대한 데이터베이스는 여러 한의학 서적을 통해 구축한 후 한의학 전문의의 검증을 거쳐 구현하였다. 제안된 한방 자가 진단 시스템은 진료 기록을 바탕으로 학습함으로써 기존의 질병 진단 시스템 보다 정확하게 질병을 진단한 것을 확인하였다.

난소과자극증후군의 예방에 관한 한의 임상 연구 고찰 (Review for Clinical Studies of Oriental Medicine on the Prevention of Ovarian Hyperstimulation Syndrome)

  • 구수정;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제33권1호
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    • pp.1-18
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    • 2020
  • Objectives: This review is aimed at assessing the efficacy and effectiveness of oriental medicine for the prevention of Ovarian Hyperstimulation Syndrome (OHSS) through literature research and overview. Methods: Database searching was conducted to identify relevant randomized controlled trials (RCTs) on oriental medicine for the prevention of Ovarian Hyperstimulation Syndrome. Studies were searched from Journal of Korean Obstetrics and Gynecology, Korean studies Information Service System, Korean Medical Database, China National Knowledge Infrastructure, Cochrane library, PubMed and EmBase up to 7th November, 2019. Results: Ten RCTs were finally selected. Eight studies intervened with oral Chinese herb medicine, one is intervened with Chinese medicine enema and the other with acupuncture. Eight studies concluded that intervention with oriental medicine significantly decreased OHSS incidence. Five studies showed significantly higher pregnancy rate in the intervention groups. Two studies reported higher ovulation rate and other two studies showed more maturated eggs than the control groups. Four studies showed opposite results in serum Estradiol level. Vascular Endothelial Growth Factor level was significantly lower in the intervention groups in two studies. Conclusions: From ten studies, oriental medicine reduced OHSS incidence rate and showed preventable effectiveness. Further strictly designed studies and acupuncture intervened studies are needed to establish evidences.

알레르기 비염 환자의 의과·한의과 의료 이용 현황 분석 : 2010-2016년 청구 데이터 분석 (Analysis of Medical Care Utilization of Allergic Rhinitis Patients in Western Medicine and Korean Medicine between 2010 and 2016 : A Study of the Health Insurance Review and Assessment Service National Patients Sample Database)

  • 류지인;김정훈;강채영;황진섭;이동효
    • 한방안이비인후피부과학회지
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    • 제34권2호
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    • pp.21-37
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    • 2021
  • Objectives : Allergic rhinitis(AR) is a common chronic disease that accounts for 10-40% of the world's population. This study aims to analyze the status of claims, prevalence, and medical utilization of allergic rhinitis patients using representative patients sample data. Methods : This study used the National Patients Sample(HIRA-NPS) of the Health Insurance Review and Assessment Service for 7 years(2010-2016). And we defined AR patients as all statements including J30 or a subcategory of J30 as the main disease, using the Korean Standard Classification of Diseases(KCD-7). The trend of AR patients by year was divided into Western medicine(WM) and Korean medicine(KM), and analyzed by subgroup analysis such as inpatient/outpatient, gender, age, insurance type, and care institution. Results : Patients with AR were mainly claimed for first sub diagnosis in WM and major diagnosis in KM, and the number of claims increased about 1.3 times and 1.4 times compared to 2010 in WM and KM, respectively. In addition, the total annual medical expenses in 2016 increased 1.3 times and 1.7 times compared to 2010, respectively. Conclusions : Both WM and KM are showing a steadily increasing trend in medical use due to allergic rhinitis. Further research is needed by considering genetic and environmental factors and individual characteristics, and linking with additional data.