• Title/Summary/Keyword: Practice of medicine

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A Preliminary Study for Development of Clinical Practice Guidelines of Korean Medicine for Nasopharyngeal Cancer (비인두암의 한의학적 진료 지침 개발을 위한 기초 연구)

  • Lee, Jong-hoon;Kang, Sei-young;Yoo, Hwa-seung
    • The Journal of Internal Korean Medicine
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    • v.37 no.3
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    • pp.516-528
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    • 2016
  • Objectives: The purpose of this study is to present clinical practice guidelines for nasopharyngeal cancer (NPC).Methods: Data related to western and oriental medical treatment of NPC were collected using various search engines such as Google Scholar, KIOM OASIS, PUBMED, and the library of Woosuk University.Results: In recent studies, applying combined oriental and western medicine has been shown to improve survival, quality of life, and immune function and to decrease side effects with respect to NPC. However, there still is no objective and systematic clinical guideline for NPC, so we have proposed one. This study will be meaningful in establishing clinical practice guidelines of Korean medicine for NPC.Conclusion: Further studies related to Korean medicine are needed to develop more advanced clinical practice NPC guidelines.

A Survey on Clinical Practice Students' Perception of Clinical Performance Examination in a College of Korean Medicine Using the Actor Standardized Patient and Student Standardized Patient (연극인표준화환자와 학생표준화환자를 사용한 일개 한의과대학 진료수행시험(CPX)에 대한 임상실습 학생 인식 조사)

  • Jo, Hak-Jun;Jo, Na-Young;Roh, Jeong-Du;Park, Jeong-Su
    • Journal of Society of Preventive Korean Medicine
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    • v.25 no.3
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    • pp.101-115
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    • 2021
  • Objectives : This study compares clinical practice students' perception of Clinical Performance Examination (CPX) in a College of Korean Medicine using actors as Actor Standardized Patient (ASP) and enrolled students as Student Standardized Patient (SSP). Methods : Targeting the clinical practice students who completed the clinical practice education in the first semester of the fourth year in the Department of Korean Medicine, a survey was conducted on total six categories such as satisfaction with CPX using ASP and SSP, prior knowledge about clinical practice education, self-evaluation, difficulties in the process of performing the CPX, satisfaction with ASP/SSP, and familiarity with them. Results : In the results of the survey, the mean score of CPX program using SSP was higher than that of CPX program using ASP in every area. Among them, in the satisfaction with CPX itself and prior knowledge about various clinical practice education, the mean score of CPX program using SSP was statistically significantly higher than that of CPX program using ASP. Conclusions : Overall, the clinical practice students' satisfaction with CPX program using SSP was higher than that of CPX using ASP, and statistically significantly higher in some areas.

Korean Medicine Doctor's Perception in Korean Medicine Clinical Practice Guideline and Korean Medicine Cliniical Pathways (한의 표준임상진료지침 및 한의 표준임상경로에 대한 한의사의 인식)

  • Kim, Dongsu;Ahn, Hae In;Kwon, Soohyun;Ahn, Eunji;Kim, Namkwen
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.2
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    • pp.55-67
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    • 2022
  • Objectives : This study is aimed to survey Korean Medicine Doctors's perceptions in Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways for its spread(to increase utilization in clinical sites). Methods : The research population was set at 14,831 Korean medical institutions registered with the Health Insurance Review and Assessment Service for sampling representative of Korean Medicine Doctors, and the final 2,007 subjects were selected in consideration of the research period and budget. This survey was conducted based on a telephone survey, and in some cases, a fax or e-mail survey was also conducted together. Six questions were asked about the perception of 'Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways', and three questions about the characteristics of the respondent. Results : The rate of recognizing Korean Medicine Clinical Practice Guideline was 36.1%. Those who worked at Korean medicine hospitals, were under 39 years of age, and had less than 11-20 years of experience as an Korean medical doctor were more likely to be aware of it. Regarding the experience of using Korean Medicine Clinical Practice Guideline, the rate of 'not used in the past and not used now' was very high at 82.9%, but the intention to use it in the future was high at 60.7%. About the Korean Medicine Clinical Pathways, 79.9% of respondents answered that they did not know. 80.6% of respondents recognized the need for the development of clinical manuals such as Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways. Conclusion : Their low awareness of Korean Medicine Clinical Practice Guideline seems to affect its low utilization. Therefore, active education and public relations are required in the future.

Current status of clinical practice and associated factors with satisfaction among students in the department of Emergency Medical Service (일부 응급구조(학)과 학생의 병원임상실습 실태 및 만족도 관련요인)

  • Choi, Sung Soo;Park, Jong;Ryu, So Yeon;Han, Mi Ah
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.2
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    • pp.9-22
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    • 2012
  • Purpose : The purpose of this study was to investigate the current status of clinical practice and associated factors with satisfaction among students in the department of emergency medical service. Methods : The study subjects were 498 students who finished clinical practice course in 9 universities. General characteristics, current status of clinical practice, frequency of some medical procedure and practice satisfaction were collected using self-administered questionnaire. The association between clinical practice and satisfaction was tested by t-test, ANOVA and multiple regression analysis. Results : Of 498 students, 257 (51.6%) subjects were male and the mean age was $22.1{\pm}2.01$. The overall satisfaction score of clinical practice was $96.76{\pm}18.04$. Male students had higher satisfaction scores than that of female. The students who were satisfied with the emergency room practice wanted to work in hospital or fire station and they had a tendency to take paramedic as their lifelong career. The students preferred to practicing in the emergency department that hire the paramedic. Conclusion : Gender, grades, future jobs, occupational views, practical places, agency orientation, departments, and educators were associated with educational satisfaction. The practice program considering the results of this study will help to increase the educational satisfaction in students of emergency medical service.

Study on the Perception and Application of AI in Korean Medicine through Practice and Questionnaire of Korean Medicine Using a Diagnostic Expert System (진단전문가시스템을 이용한 한의 실습의 설문 조사를 통한 AI에 대한 인식 및 활용방안 고찰)

  • Yang, Ji-Hyuk;Woo, Jeong-A;Shin, Dong-Ha;Park, Suho;Kwon, Young-Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.1
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    • pp.22-27
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    • 2021
  • This study conducted a questionnaire for students of Pusan National University Graduate School of Korean Medicine who practiced using the Oriental Medicine Diagnosis System (ODS). From the questionnaire, this study investigated current state of application and perception of AI in Korean Medicine and explored the direction of ODS improvement and utilization. The survey questions consisted of six questions examining the satisfaction of the diagnostic expert system, five questions evaluating the availability of the diagnostic expert system, and six questions to predict the impact of AI on the Korean medicine community. The survey analysis showed high satisfaction with practice using ODS. On the other hand, the possibility of using ODS, especially in clinical use, was evaluated as relatively low compared to the satisfaction of the practice. Therefore, the overall impact of AI on the Korean medical community is not expected to be large. Although there are difficulties in standardization of clinical data due to the academic characteristics of Korean medicine, it is necessary to continue attempts to apply AI. By actively introducing educational tools using the latest AI techniques to the diagnosis experience and doctor-patient role in a practice, students will be able to increase their satisfaction with their practice and respond appropriately to the state-of-the-art medical environment.

A Survey on the Clinical Practice Patterns of Irritable Bowel Syndrome in Korean Medicine (과민대장증후군(Irritable Bowel Syndrome)의 한의임상 진료현황에 대한 설문조사 연구)

  • Jun, Hyejin;Kim, Keumji;Ko, Seok-Jae;Park, Jae-Woo
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.532-546
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    • 2021
  • Objective: This study investigated the perception, diagnosis, and treatment of irritable bowel syndrome (IBS) in the general population, in patients, and in Korean medicine doctors (KMDs) in order to provide basic information for the development of Korean medicine clinical practice guidelines for IBS. Methods: A questionnaire was developed in two versions, one for the general population/patients and one for KMDs. The questions were about the general perception, diagnosis, and treatment of IBS. Both online and offline surveys were conducted using these questionnaires. Results: In total, 213 general population/patients and 435 KMDs responded to the survey. The results of the analysis were as follows. Most of the KMDs diagnosed IBS based on clinical aspects. Acupuncture was the most common treatment, followed by prescription herbal medicine, moxibustion, and manufactured herbal medicine. 34.3% of KMDs used clinical practice guidelines for IBS patient treatment. 57.8% of patients were diagnosed with IBS by doctors at primary medical institutions, and 53.1% were diagnosed with colonoscopy. More than half of the IBS patients who have been treated with Korean medicine said they experienced improvement of symptoms and prevention of recurrence, but more than 70% of the respondents said future safety and effectiveness studies of Korean medicine were needed. Conclusions: In spite of the positive perception of IBS treatment with Korean medicine, actual utilization was relatively low. The development and promotion of, as well as education about, appropriate and reasonable Korean medicine practice guidelines for IBS is necessary.

The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(I) - Introduction, Clinical Features and Course - (주의력결핍 과잉행동장애 한국형 치료 권고안(I) -서론, 임상 양상 및 경과-)

  • Ahn, Dong-Hyun;Kang, Hwa-Yeon;Kim, Bung-Nyun;Kim, Ji-Hoon;Shin, Dong-Won;Yang, Su-Jin;Yoo, Han-Ik;Yoo, Hee-Jeong;Cheon, Keun-Ah;Hong, Hyun-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.18 no.1
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    • pp.3-9
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    • 2007
  • Based on the broad and in-depth literature review, the dedicated members of the committee for the development of Korean attention-deficit hyperactivity disorder (ADHD) practice parameter develop the Korean practice parameter for ADHD. Members of the Korean Academy of child and Adolescent Psychiatry (KACAP) had reviewed the drafts through off-line and on-line access to the drafts. Feedbacks from the members of KACAP were carefully integrated into the current practice parameter. This article presents the state of the art knowledge regarding the assessment and the management of ADHD. Recommendations in the end of the practice parameter may help clinician to make decisions in clinical practice, but are not likely to override the clinician's decision in natural settings. Future directions to complement the limitation of the current practice parameter is suggested.

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A Study on Life Nurturing of Industrial Workers according to Health Practice (근로자의 건강습관에 따른 양생수준 연구)

  • Lee, Jeong-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.1
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    • pp.213-224
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    • 2009
  • Objectives : The purpose of this study was to fine out life nurturing level according to health practice. Methods : The subjects for this study were 2114 industrial workers. Data were collected by using constructed questionnaires and analyzed by t-test, one-way ANOVA. Results : 1. There were statistically significant differences in life nurturing level according to general characteristics-age, marital status, job tenures, income. 2. The higher life nurturing level was showed in high aged, married, long job tenures and high income group. 3. There were statistically significant differences in life nurturing level according to health practice, especially non-smoking, non-drinking, regular exercise and sufficient sleeping group were higher in life nurturing level. Conclusions : This study suggests that health practice is related to life nurturing level and that the introduction of desirable health practice can contribute to life nurturing level.

Clinical Practice Patterns for Carpal Tunnel Syndrome in Korean Medicine: An Online Survey (손목터널증후군의 한의 임상 진료 현황 조사를 위한 온라인 설문조사)

  • Lee, Sang-Hyun;Park, Hye-Jin;Kim, Hyun-Tae;Park, Sun-Young;Heo, In;Hwang, Man-Suk;Shin, Byung-Cheul;Hwang, Eui-Hyoung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.1
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    • pp.73-89
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    • 2021
  • Objectives We conducted an online survey to understand the current status of Korean Medicine clinical practice related to carpal tunnel syndrome (CTS) to develop the CTS Korean Medicine Clinical Practice Guidelines (CPG). Methods A thoroughly reviewed questionnaire was distributed by e-mail to 21,719 Korean Medicine doctors between March 26 and April 30, 2021. All raw data were arranged and analyzed systematically. Results The response rate among the doctors was 4%. Of the respondents, 82.1% responded that it is necessary to develop the CTS Korean Medicine CPG. We also obtained data related to the specific diagnosis, treatment, and prognosis management methods used at various treatment sites for patients with CTS. Conclusions This online survey will be helpful in developing the CTS CPG, which will contribute to the standardization of guidelines and improvements in the reliability of Korean Medicine. Our findings will provide valuable data and resources for future clinical studies on CTS.

A Study on the Legal Aspect of Concept for the Acupuncture and Moxibustion in Traditional Korean Medical Practice: based on Judicial Precedent (침구의료행위의 의미에 관한 법학적 고찰: 판례분석 중심의 접근)

  • Lee, Mee-Sun;Kim, Kun-Hyung;Kim, Jae-Kyu;Lee, Byung-Ryul;Yang, Gi-Young
    • Journal of Acupuncture Research
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    • v.28 no.5
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    • pp.19-27
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    • 2011
  • Objectives : The purpose of this study is to describe the concept of the acupuncture and moxibustion in traditional Korean medical practice and to identify the meaning and potential rearrangement of the acupuncture and moxibustion. Methods : The study was performed by analyzing 136 cases of lawsuit in the year between 1968 and 2010 which were selected among the acupuncture and moxibustion in traditional Korean medical practice. Results : According to court rulings, the acupuncture and moxibustion in traditional Korean medical practice is an act to diagnose a person's illness, prescribe and treat to cure based on traditional Korean medicine, to be understood as a medical care in traditional Korean medicine, to have some factor to create or increase danger to preservation of health or hygiene, and to be practiced by medical specialists based on their professional knowledge. But, such definition is not proper and exceedingly vague. Besides medical circumstances in traditional Korean medicine are changing, the enlargement of definition of the acupuncture and moxibustion is required. Conclusions : The meaning and scope of the acupuncture and moxibustion in traditional Korean medical practice should be modified and amended, reflecting these conditions.