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A Study on the categorization of acupuncture points of the Lung Meridian based on Huangdineijingmingtang ("황제내경명당(黃帝內經明堂)"을 중심으로 살펴본 폐경(肺經) 수혈(腧穴) 배열법에 관한 고찰)

  • Ahn, Jin-Hee;Baik, You-Sang;Jang, Woo-Chang;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.25 no.2
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    • pp.141-168
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    • 2012
  • Objective : The objective of this paper is to study the characteristics of the categorization of acupuncure points of the Lung Meridian(肺經) based on Hwangdineijingmingtang(黃帝內經明堂). Method : This paper examines several texts regarding the Lung Meridian. Result and Conclusion : Out of Yang Shangshan(楊上善)'s work, the theoretical aspects are presented in Hwangdineijingmingtang, whereas contents regarding acupuncture points are presented in Hwangdineijingmingtang. This is due to Yang's position as an imperial doctor(太醫侍御). In Hwangdineijingmingtang, Yang explains the characteristics of Metal(金) based on Hwangdineijingmingtang followed by an explanation of the acupuncture points of the Lung Meridian, which shows his emphasis on the relationship between the meridian as the main branch and the viscera. Along this medical logic, Yang must have included LU1(中府) into the Lung Meridian. This is Yang's unique point of view, distinguishing itself from other texts regarding the Lung Meridian. Apart from the means of explanation of the Lung Meridian by Yang, the verse 'made a volume for each 12 meridian' in the introduction of Hwangdineijingmingtang, discussion of the main treatable diseases of Hwangdineijingmingtang, contents on pathways of Lingshu Jingmai(靈樞 經脈), the start and end points of the meridians in Lingshu Maidu(靈樞 脈度) points to the assumption that each acupuncture point's belonging meridian known to us today was fixated by Yang.

A Survey on Rehabilitation Therapists' Understandings about Traditional Korean Medicine Treatments for Developmentally Delayed Children (발달지연 아동의 한방치료에 대한 소아재활치료사들의 인식조사)

  • Kweon, Ji Hyeon;Yun, Young Ju;Oh, Tae Young;Kim, Bu Young;Lee, Mi Joo;Lee, Seung Yeon;Yu, Sun Ae
    • The Journal of Pediatrics of Korean Medicine
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    • v.31 no.4
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    • pp.61-70
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    • 2017
  • Objectives The purpose of this survey is to know the rehabilitation therapists' awareness on the oriental medicine treatments for developmentally delayed children. Methods We distributed questionnaires to 370 rehabilitation therapists and collected 260 of them. We analyzed the data from the collected 260 questionnaires. Results 1. 60% of the participants didn't know what the oriental medicine treatment pertains. 2. 28% of the participants were aware the benefits of the oriental medicine treatment, especially in improving physical fitness and general health. 3. 30% of the participants worried about the side effect of the oriental medicine treatment such as increasing liver somatic index, changing of body weight, muscle stiffness or pain. 4. 53% of the participants said they refer to western medicine primary care doctor when parents of young patients ask rehabilitation therapists about the oriental medicine treatment option for their children. 5. Many participants think that the oriental treatment option should be widely recognized and understood. Conclusions This study shows that the rehabilitation therapists' low awareness about the oriental medicine treatment option for developmentally delayed children.

Study on Precedents about Sex Offense Cases by Medical Practitioners (의료인 성범죄 사건에 관한 판례 고찰 : 대법원 2016. 12. 29. 선고 2015도624 판결을 중심으로)

  • Jeon, Byeong-Joo
    • The Journal of the Korea Contents Association
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    • v.17 no.8
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    • pp.610-618
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    • 2017
  • Sex offense by medical practitioners has been occurring continuously in Korea leading to not only patients but the general public expressing anxiety and increased distrust in the medical field. The government has been pushing ahead with the legislation or revision of law to increase the penalties on sexual offenders in response to requests for a stricter legal framework to address sex offense cases and has expressed a strong commitment to actively resorting to administrative corrective measures towards sexually offending medical practitioners. Unlike such an overall social atmosphere, the Judiciary that is in charge of applying the law seems not to perceive the seriousness of sex offense cases committed by medical practitioners. A doctor who had sexually assaulted a middle school female student during medical treatment at a pediatric hospital was found innocent by the supreme court, which was a ruling in direct contrast to overall public sentiment. As such, this study seeks to analyze the precedent on cases involving sex offense by medical practitioners with a focus on the above-mentioned case and present implications. The study seeks to dispel distrust in the overall medical field by addressing the gap in legal interpretation towards sex offense committed by medical practitioners and thus provide basic data that can help the general public receive quality medical services in a safer environment.

Difference in Results according to Scorer and Test Date in Clinical Practice Test (진료수행 시험에서 채점자 및 시험 일자에 따른 결과 차이)

  • Kwon, So-Hee;Kim, Young-Jon
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.345-352
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    • 2018
  • The purpose of this study is to clarify the difference between the scoring results by scorer(doctors and standardization patients) and examination dates. A total of 101 students in the fourth grade of medical school participated in four clinical practice test. Students were randomly assigned to either day-1 or day-2, which was consisted of a standardized patient scoring set or a physician scoring set. Station checklists consisted of history taking, physical examination, patient education, physician-patient relationship and clinical courtesy. The achievement scores of each case and each domain were converted to the standard score, and the differences between groups were compared. Female students' achievement scores were significantly higher than male students' achievement scores in all domains. There was no significant difference between means by the standardized patients' group and doctors group. Day-2 group was significantly higher than day-1 group in both of history taking and physical examination domains. If the principles of checklist are clearly defined, the scorer status (either physician or standardized patients) does not determine the difference of students' practice test scores.

Design of Oxygen Chamber System for Diagnosis and Treatment of Cold Hypersensitivity (냉증을 진단하고 치료하는 산소챔버 시스템의 설계)

  • Cho, Myeon-Gyun;Choi, Hyo Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.6013-6021
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    • 2012
  • Although there are many patients who suffer from cold hypersensitivity and have a difficult time in living daily lives due to feeling cold at room temperature, it is about true that an accurate diagnostic method and an effective remedy for a cold hypersensitivity have not been developed yet. Therefore, in order to develop traditional medicine equipment for cold hypersensitivity, we have designed new oxygen chamber system which can diagnose cold hypersensitivity with multiple bionic sensors and supply a patient optimum amount of oxygen adaptively to the extent of their illness. In particular, diverging from conventional diagnosis based on the experience of doctor and subjective statements of patient, we introduced accurate method for diagnosis in comparing between output of multiple sensors and threshold derived from clinical trials. After all, the proposed oxygen chamber system will contribute to achieving scientific evidence and manufacturing of korean traditional medicine.

A Study of the Effectiveness of Bioremediation Agents to degrade the spilled oils on waters (미생물제제의 해상유출유 분해 효과에 대한 연구)

  • Lim Jae-Dong;Yun Jong-Hwui;Kim In-Soo
    • Proceedings of KOSOMES biannual meeting
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    • 2004.05b
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    • pp.73-79
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    • 2004
  • When large-scale oil spill happens, it will put the fatal impact on the ecosystem, ultimately harm human being seriously. Accordingly every coastal country invests to improve response technologies, of which oil removal by use of bioremediation agent is taken to be secondary or alternative cleanup method in a specific spilled area In this regards, the author attempts to find out the efficiency and effectiveness of bioremediation agent to oil slick by laboratory experiment as well as the possibility of bioremediation application to future spill accident and gets the some results. In this study, the effectiveness and efficiency of bioremediation agent to oil slick is examined by short-term laboratory test and it is found that bioremediation agent am degrade oils effectively. however, considering the environment c! spill site is quite different from that of lab, the author will carry on the on-scene test of bioremediation for longer period to look into the possibility of biorediation agent as one of oil spill response methods.

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A Remote Medical Treatment System for Stroke Recovery using ZigBee-Based Wireless Brain Stimulator (ZigBee 기반의 무선 뇌자극기를 이용한 원격 뇌졸중 치료 시스템)

  • Yun, H.J.;Yang, Y.S.;Ryu, M.H.;Kim, J.J.;Kim, N.G.
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.657-664
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    • 2007
  • Stroke patients need regular medical treatments and rehabilitation training from their doctors. However, severe aftereffects caused by stroke allow them minimum activities, which make it difficult for them to visit doctor. Recently, electric brain stimulation treatment has been found to be better way compared to conventional ones and many are interested in using this method for the treatment of stroke. In this study, we have developed a remote medical treatment system using wireless electric brain stimulator that can help the stroke patients to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receives personal information of the connected patients and cumulates the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can be applied to the electric stimulation treatments for other brain diseases with a minor change.

A Study on the Differentiation of Tip(標) and Root(本) in Zangfubiaobenxushihanreyongyaoshi(臟腑標本虛實寒熱用藥式) (『장부표본허실한열용약식(臟腑標本虛實寒熱用藥式)』의 표본병(標本病) 구분에 대한 고찰(考察))

  • Kim, Jong-Hyun;Baik, You-Sang;Jeong, Chang-Hyun;Jang, Woo-Chang
    • Journal of Korean Medical classics
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    • v.26 no.4
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    • pp.385-396
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    • 2013
  • Zhang Yuan-Su(張元素) was a doctor of the Jin(金) period, who was followed by Li Dong-Yuan(李東垣) and Wang Hao-Gu(王好古), creating the Yishui School(易水學派). The most notable aspect of his theory is the internal organs(臟腑)-based diagnostic system. He organized previous methods based on the internal organs and applied the same methodology in treatment as well. The Zangfu-biaoben-xushi-hanre-yongyaoshi(臟腑標本虛實寒熱用藥式) is one of his major publications in which diagnostic and treatment methods are organized in a simple manner. In this book, the diseases of the organs are divided into the tip and root(標本). This paper investigates the standards of categorizing tip and root diseases through analysis of all symptoms of both tip and root diseases of the five internal organs. Then the results of the analysis were used in grasping the similarities and tendencies of the root disease and tip disease. Conclusively, root diseases indicate disorder in the internal organs themselves. Tip diseases indicate disorder in the channels and collaterals, diseases caused by exterior pathogens or symptoms that manifest in the exteriors of the body. Such categorization is thought to have been established to eliminate diagnostic error that could occur from using the same expressive means in describing symptoms with different causes, in the process of forming an uncomplicated diagnostic system.

Influencing Factors of the Incidence of Delirium in Elderly Patients with Arthroplasty (인공관절치환수술 노인의 섬망 발생 영향요인)

  • Lee, Young-Whee;Im, Hye-Bin;Jeong, Eun-Jeong;Ma, Hee-Sun
    • Korean Journal of Adult Nursing
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    • v.24 no.4
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    • pp.348-357
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    • 2012
  • Purpose: This retrospective chart review study was carried out in order to examine the frequency of delirium, and to identify the risk factors associated with the development of delirium in elderly patients with arthroplasty. Methods: Data were collected from medical records of patients who received arthroplasty during one and half year in a hospital. Three hundred sixty five patients were selected for the study. The onset of delirium was reviewed based on the result of psychological doctor's consultation or nurse's assessment with Confusion Assessment Method and delirium onset risk factors were examined. Data were analyzed with descriptive statistics, t-test, $x_2$-test, Fisher's exact test and logistic regression analysis. Results: Delirium occurred with 31 patients (8.5%) out of 365 patients who underwent arthroplasty. There were statistically significant differences between incidence of delirium and gender ($x_2$=6.11, p=.025), age ($x_2$=32.81, p<.001), hearing difficulty ($x_2$=8.08, p=.012), albumin level of preoperational day (t=-3.43, p<.001), albumin (t=-2.20, p=.028) and hemoglobin level (t=-2.83, p=.005) of operational day. Age and gender were the most significant predictive factors with regard to the incidence of delirium. Conclusion: Through understanding of these results, nurses will be able to identify those patients who may be at risk for developing delirium in early stages.

The relationship between smoking and depressive symptoms among Korean adults (한국인에서 흡연과 우울증상의 연관성)

  • Sung, Han Na;Kim, Jong Sung
    • Korean Journal of Health Education and Promotion
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    • v.33 no.2
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    • pp.57-66
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    • 2016
  • Objectives: This study investigated the relationship between smoking status and depressive symptoms among Korean adults. Methods: We used the data of 17,871 adults aged 19 years or older from the fifth Korea National Health and Nutrition Examination Survey(2010-2012). The subjects were classified as nonsmokers, former smokers, and current smokers by gender. Logistic regression analysis was used to calculate the odds ratios(ORs) and the 95% confidence intervals(CIs) for the effects of smoking status on depressive symptoms, and depression diagnosed by a doctor. Results: Compared to nonsmokers, the ORs of depressive symptoms for current smokers were 1.11(95% CI, 1.11-1.12) among males, and 1.64(95% CI, 1.63-1.64) among females. Compared to former smokers, the ORs of depressive symptoms for current smokers were 1.05(95% CI, 1.05-1.05) among males, and 1.89(95% CI 1.88-1.90) among females. Compared to nonsmokers, the ORs of depression for current smokers were 0.94(95% CI, 0.94-0.95) among males, and 1.40(95% CI, 1.39-1.41) among females. Compared to former smokers, the ORs of depression for current smokers were 1.09(95% CI, 1.09-1.10) among males, and 0.99(95% CI, 0.99-1.00) among females. Conclusions: Smoking is associated with depressive symptoms among Korean adults. Therefore, it is necessary to consider depressive symptoms with the management of tobacco control policies.