• 한방비만학회지
• /
• 제7권2호
• /
• pp.27-37
• /
• 2007

Background Clinical practice guidelines (CPG) are systematically developed statements to assist practitioners and patients on healthcare decisions. They provide recommendations for the average patient, which should take into account individual clinical judgment and the patient's values and expectations. Ephedra has sympathomimetic effect and has been used for weight loss worldwide. However, its safety is controversial especially in autonomic and cardiovascular systems. Therefore, the need of appropriate CPG for ephedra prescription in obesity was advocated in Korean Traditional Medicine. Methods The committee comprised of specialists of obesity, oriental herbology, oriental cardiology, constitutional medicine. The committee collected all relevant references about adverse effect and safety of ephedra in the forms of meta-analysis, systematic review, randomized controlled trial, case-control study and observational study from international and domestic databases and paper journals. 11 English- and 5 Korean-language references were gathered and categorized by PICO (Patient, Intervention, Comparison, Outcome) method. We could not complete strength of recommendation which should be clarified according to the evidence grade estimation. Result The first version of CPG for ephedra prescription in obesity was issued by Korean Oriental Association for Study of Obesity. It includes topics of introduction, pharmacokinetics, side effects and adverse events, constitutional aspect and recommendations for dose, indication and contraindication. Conclusion There should be periodic upgrade of this CPG from now on. Although there are some drawbacks in this version of CPG, it has significance as the first CPG in Korean Traditional Medicine.

• 동의신경정신과학회지
• /
• 제21권2호
• /
• pp.1-15
• /
• 2010

Objectives : This study was performed to develop a standard instrument of Pattern Identification for jing ji and zheng chong. Methods : The advisor committee on this study was organized by 15 neuropsychiatry professors of oriental medical colleges. The items and structure of the instrument were based on review of published literature. We took consultation 2 times from the advisor committee and we also took additional advices by e-mail. Results : 1. We divided the symptoms and signs of jing ji and zheng chong into 9 pattern identification. - heart deficiency with timidity(心膽虛怯), heart qi deficiency(心氣虛), heart blood deficiency(心血虛), heart yang inactivity(心陽不振), heart blood stasis(心血瘀阻), phlegm turbidity obstructing(痰濁阻滯), yin deficiency with effulgent fire(陰虛火旺), water qi intimidating the heart(水氣凌心), dual deficiency of the heart and spleen(心脾兩虛). 2. We got the mean weights that reflect standard deviation to each symptom of 9 pattern identification which had been scored on a 100-point scale. 3. We made out the Korean instrument of the pattern identification for jing ji and zheng chong. It was composed of 17 questions in question-and-answer form. Conclusions : Instrument of Pattern Identification for jing ji and zheng chong was developed through experts' disscussion. If the validity and reliability of this instrument is confirmed through additional clinical trial, the instrument of pattern identification for jing ji and zheng chong is expected to be applied to the subsequent research.

• 대한치과의사협회지
• /
• 제48권1호
• /
• pp.6-11
• /
• 2010

Amid the rapid transitions in both local and international markets, the Korean dental industry is facing more challenges than at any time in its history. This paper tried to address some of the key issues faced by the industry as well as the policy issues and I direction of implementation that the Korean Dental Association (KDA) is expected to tackle. First, the direction of reforming the country's health insurance system was examined with emphasis on the expected changes in and improvement of the fee-for-service reimbursement system (FFSRS) and medical reimbursement system (MRS). With FFSRS, the most urgent issue would be ameliorating the current lop-sided, unreasonable reimbursement system that prevents suppliers from voicing their opinions. To help achieve that goal, the limited authority and responsibility of the president of National Health Insurance Corporation (NHIC) as one of the contract-making parties must be clarified. In addition, the functions of NHIC's Health Insurance Finance Committee must be restricted; at the same time, the panel organization of the Health Insurance Policy Review Committee needs to be reformed to embrace greater democracy. As with MRS, the government is considering a block budget bill to help promote efficiency in employing and managing the health insurance fund. Policymakers must understand that the implementation of such proposal could exacerbate an already dire situation. Improving MRS requires meeting the following preconditions: (a) the structurally vicious cycle of small charge-small salary needs to be resolved, and a certain percentage of fee raise must be guaranteed on a yearly basis to help adjust the fee system to a more realistic level; (b) the supply-and-demand balance in producing health care professionals must be improved including the prevention of oversupply of doctors, nurses, etc., and; (c) institutional strategies must be provided to enhance the quality of medical care and ensure academic advancement in health care disciplines.

• 동의생리병리학회지
• /
• 제28권6호
• /
• pp.585-592
• /
• 2014

This study is to develop a standard tool for pattern identifications in Korean Medicine for Lung Cancer. The advisor committee for this study was organized by 12 Korean Medicine professors from the Korean Association of Traditional Oncology. The item and structure of instrument were based on review of published literature. We took the consultation twice from the advisor committee and additional advices by e-mail correspondences. We divided the symptoms and signs of lung cancer into 6 pattern identifications. - lung spleen both deficiency (肺脾兩虛), lung kidney both deficiency (肺腎兩虛), dampness phlegm obstructing the lung (濕痰蘊肺), qi stagnation blood stasis (氣滯血瘀), yin deficiency toxin heat (陰虛毒熱), and heat toxin accumulation (熱毒蘊結). We obtained the mean weights which reflected the standard deviations from each symptoms of the 6 pattern identifications which were scored on a 5-point scale by 12 experts. We designed the Korean medicine pattern identification tool for lung cancer. It was composed of 57 questions in the question-and-answer format. Though there are some limits that this study is not proved about validity and reliability, the instrument is meaningful and expected to be applied to the subsequent research.

• 보건행정학회지
• /
• 제24권3호
• /
• pp.205-218
• /
• 2014

Background: Most studies on the national health insurance benefit expansion policy have focused on policy tools or decision-making process. Hence there was not enough understanding on how policies are actually implemented within the specific policy context in Korea which has a national mandatory health insurance system with a dominant proportion of private providers. The main objectives of this study is to understand the implementation process of the benefit coverage expansion policy. Unlike other implementation studies, we tried to examine both the process of implementation and decision making and how they interact with each other. Methods: Interviews were conducted with the ex-members of the Health Insurance Policy Review Committee. Medical doctors who implement the policy at the 'street-level' were also interviewed. To figure out major variables and the degree of their influences, the data were analyzed with Winter's Policy Implementation Model which integrates the decision making and implementation phases. Results: As predicted by the Winter model, problems in the decision making phase, such as conflicts among the members of committee, lack of applicable causal theories application of highly symbolic activities, and limited attention of citizen to the issue are key variables that cause the 'implementation failure.' In the implementation phase, hospitals' own financial interests and practitioners' dependence on the hospitals' guidance were barriers to meeting the policy goals of providing a better coverage for patients. Patients, the target group, tend to prefer physicians who prescribe more treatment and medicine. To note, 'fixers' who can link and fill the gap between the decision-makers and implementers were not present. Conclusion: For achieving the policy goal of providing a better and more coverage to patients, the critical roles of medical providers as street-level implementers should be noted. Also decision making process of benefit package expansion policy should incorporate its influence on the implementation phase.

• 한국문헌정보학회지
• /
• 제45권3호
• /
• pp.5-26
• /
• 2011

이 연구는 전국 학교도서관을 동시평가하기 위한 객관적이며 정량적인 평가지표를 개발하기 위한 목적을 지니고 있다. 이를 위해 학교도서관 평가지표와 관련된 국내외의 7개 선행연구를 분석하여 일반성을 갖춘 평가지표를 추출하고, 추출된 평가지표를 계량화 가능성, 객관성, 자료확보 용이성에 따라 타당성을 검증하여 평가지표 초안을 개발하였다. 그리고 도서관정보정책위원회에서 적용한 학교도서관 평가지표에 대한 타당성을 조사하여 타당성이 부족한 평가기준과 척도를 수정 보완하고, 신규지표에 대한 평가기준을 개발하였다. 평가배점은 평가지표에 대한 사서교사와 전문가의 중요도 조사, 도서관정보정책위원회 평가지표의 배점체계에 대한 분석, 전문가의 집중검토 과정을 거쳐 설정하였다. 이상의 과정을 거쳐 경영일반, 장서, 시설 설비, 인적자원, 이용, 교육의 6개 영역과 30개 지표로 구성된 학교도서관 평가지표 개선안을 제안하였다.

• 한국균학회지
• /
• 제3권1호
• /
• pp.31-36
• /
• 1975

1963년(年)에 맥류(麥類)붉은 곰팡이병(Gibberella zeae)이 대발생(大發生)하여 막심(莫甚)한 수량감소(收量減少)를 가져왔고, 병든 곡류(穀類)를 먹은 인축(人畜)에 중독증(中毒症)을 일으켜서 큰 사회문제(社會問題)를 일으켰다. 본(本) 종설(綜說)은 당시(當時) 농림부(農林部)의 주관(主管)으로 식물병리학(植物病理學), 의학(醫學), 수의학(獸醫學)을 전공(專攻)하는 대책위원(對策委員)들이 연구(硏究)한 내용(內容)을 중심(中心)으로 그 대요(大要)를 소개(紹介)한 것이다. 그리고 진균(眞菌)으로 인(因)한 곡류(穀類) 및 여러 식품(食品)의 변질(變質)과 진균독소(眞菌毒素)에 대한 관심(關心)이 학술적(學術的)인 면(面)으로나 인축(人畜)의 보건면(保健面)으로 제고(提高)되고 있음에 비추어 최근(最近)에 우리나라에서 연구(硏究)한 쌀을 변질(變質)시키는 저장균(貯藏菌) 및 메주 기타(其他) 식품(食品)에서 분리(分離)한 곰팡이와 ${\ulcorner}$아플라톡신${\lrcorner}$ 분비(分泌)에 관(關)해서 그 현황(現況)을 수록(收錄)하였다.

• 한국주거학회논문집
• /
• 제19권6호
• /
• pp.95-104
• /
• 2008

This study was to develop the indicators for understanding social inclusion exclusion of the dwellers living in permanent rental apartment, and to present a important base about priority order of national housing policy for social inclusion. The ultimate purpose of this study was to provide basic information for the development of permanent rental apartment renewal techniques. The first phase of the study was to review of the social inclusion exclusion indicators mentioned in the literature. The indicators of EU (2001, 2006), KIHASA (2005), and Jehoel-Gijsbers & Brooman (2007), which were applied in many studies about social inclusion, or included various items about dwellers' subjective attitudes, were selected to construct the framework for the study. On the basis of 3 kinds of indicators at the above, the dimensions of social inclusion exclusion were categorized as material deprivation and access to social rights in an economicstructural exclusion view, and social participation and cultural normative accommodations in a socio-cultural exclusion view. And then, the domains of social inclusion exclusion were decided as follows: income, employment, education service, housing, health, family networks and social networks. The detail contents of indicators were adopted from the prior studies as many as possible, and the dwellers' subjective attitudes and housing domains were intensified with reference to UN housing rights and the study of "residents' satisfaction of housing facilities living in permanent rental housing". The developed indicators were modified through the advisory committee that consist of the specialists from the various fields of studies. The final indicators that were overlapped or not able to be measured were eliminated, and added, in a housing domain, the standards of convenient facilities, the management condition, safety, location, crime and etc. in the apartment complex, which were required to complement in the advisory committee.

• Investigative Magnetic Resonance Imaging
• /
• 제23권4호
• /
• pp.316-327
• /
• 2019

Cardiovascular magnetic resonance imaging (CMR) is expected to be increasingly used in Korea due to technology advances and the expanded national insurance coverage of these tests. For improved patient care, it is crucial not only that CMR images are properly acquired but that they are accurately interpreted by well-trained personnel. In response to the increased demand for CMR, the Korean Society of Cardiovascular Imaging (KOSCI) has issued interpretation guidelines in conjunction with the Korean Society of Radiology (KSR). KOSCI has also created a formal Committee on CMR Guidelines to write updated practices. The members of this Committee review previously published interpretation guidelines and discuss the patterns of CMR use in Korea.

• Ocean and Polar Research
• /
• 제40권4호
• /
• pp.259-270
• /
• 2018

The purpose of this study is to provide information to understand the context of the Antarctic Treaty System by looking back on its development process. It also aims to review the roles and activities of the CEP in the System in order to support the improvement of our Antarctic science policy. This study considered the developmental histories of independent conventions for Antarctic conservation and Protocol on Environmental Protection to the Antarctic Treaty under the system. CEP, established in accordance with the Protocol, has expanded its roles in the ATCM under the circumstances of climate change and increasing human activities in the treaty area. I examined CEP's functions, relationships with formal observers, and its activities along with CCRWP. In addition, I have estimated the contribution of the Parties to the CEP based on the documents submitted by the Parties. The leading Parties of the System have strengthened their initiatives to expand contributions to CEP with their output based on national Antarctic Program. However, Korea has not been able to take initiatives in the System even though Korea has invested considerable resources in its Antarctic program. To strengthen Korea's capability to instigate initiatives in the system, I suggest the following approaches: Firstly, Korea should improve its Antarctic science policy based on the newly established CEP five-year work plan; Secondly, Korea should organize a long-standing expert group to focus on Antarctic environmental policy and related scientific information; finally, Korea should intensify its collaboration with other Parties in developing Antarctic environmental priority issues.