• 의료법학
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• 제24권3호
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• pp.27-55
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• 2023

우리나라에서 통상 사용하는 협진의 의미는 동일한 의료기관 내에서 서로 다른 진료과목의 의사가 환자를 함께 치료하는 경우로 이해된다. 그렇기 때문에 협진은 다양한 의료관여자들이 각자의 전문성에 의거하여 역할을 분담하여 환자를 치료하는 의료팀의 양상을 띠게 된다. 또한 의료팀 내 다른 진료과목의 의사는 동등한 지위에서 각각 전문성에 의거하여 수평적 분업을 하게 되므로 협진은 분업의 원칙에 따라 법적 책임이 분배된다. 대법원도 "여러 명의 의사가 분업이나 협업을 통하여 의료행위를 담당하는 경우 먼저 환자를 담당했던 의사는 이후 환자를 담당할 의사에게 환자의 상태를 정확하게 알려 적절한 조치를 할 수 있도록 해야 한다."고 하여 의료팀을 이루어 환자를 함께 치료하는 경우를 인정하고, 의사의 협진의무에 대하여 판단하고 있다. 다수의 진료과목이 있는 의료기관 내에서 서로 다른 진료과목의 의사가 분업이나 협업을 통하여 의료행위를 담당하게 되는 협진의 경우, 환자를 담당했던 의사는 환자의 상태에 따라 협진 여부를 결정하여야 하며, 이후 환자를 담당할 진료과목의 의사에게 환자의 상태를 정확하게 알려 적절한 조치를 취하게 하여야 한다. 협진을 하게 된 후임 의사 또한 환자에 대한 치료 종료 시까지 협진을 요청했던 전임 의사에 대하여 환자의 상태와 관련된 치료사항을 적극적으로 고지하고 서로 소견을 교환하여야 할 것이다. 다만 협진의 필요성에 대한 결정은 당시 환자의 상태에 따라 판단이 이루어져야 하는 것으로, 모든 경우에 협진의무가 강제되는 것이라고 단언할 수는 없다. 그리고 협진의 필요성에 대한 결정에 있어서 과실이 존재하는지 여부는 의사의 주의의무 판단에 대한 법리가 적용될 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권11호
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• pp.5729-5733
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• 2012

Background and Objectives: This study aimed to present the clinicopathological characteristics and treatment of patients with bladder carcinoma with sarcomatoid differentiation at our institution. Methods: Between 1995-2009, 950 patients were followed-up for bladder carcinoma. Among them, 14 patients with sarcomatoid carcinoma were retrospectively reviewed, and their clinical, pathological features and treatment were recorded. Results: Median age of the patients was 65 years (range: 41-86 years), 12 (86%) being male and 2 (14%) female. All the patients presented with hematuria and 11 (88%) had a history of smoking. The tumor growth pattern was solid in 10 patients, papillary in 2, and mixed in 2. In all, 5 of the patients had urothelial carcinoma with sarcomatoid differentiation and 9 were diagnosed with sarcomatoid carcinoma. Five patients underwent radical cystectomy with ileal conduit surgery, 2 patients refused cystectomy, and 8 patients underwent re-TUR. Following diagnosis, 12 of the patients died in mean 10.7 months (range: 1-48 months). Conclusion: Urothelial carcinomas with sarcomatoid features are aggressive and are usually at advanced stage at the time of diagnosis. The outcomes of multimodal treatment are not satisfactory. Significant findings of the present study are that early diagnosis positively affect survival and that gemcitabine and cisplatin in combination can positively affect survival.

• Korean Journal of Acupuncture
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• 제28권3호
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• pp.127-140
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• 2011

Objectives : The aim of this study is to regulate the medical meaning about Kwan [self-denial] which is used by Jeongkyeok [reinforcing the weak body part] and Seungkyeok [consolidating the weak body part while inducing cathartic action of comparatively stronger body part] of Saam Acupuncture in common. Methods : This study generalized the method of understanding 'The Five Viscera Interaction' in Oriental Medicine from the perspective of literature and considering human organs in the medical context. Results and Conclusions : 1. There existed 'The Five Viscera Interaction' theory regulating the correlation between the five viscera headed by "Nankyeong" in the traditional Oriental medicine. The five viscera interaction theory was used as the standard of judging the symptom and the prognosis of a disease in the history of Oriental medicine and further used even as the method of preventing and treating diseases. 2. The treatment included in "Biyebaekyobang", a medical book in the period of Goryeo, can be rated as the most developmental form of medical theory which applied 'the five viscera interaction theory' to clinical treatment. The author of "Biyebaekyobang" managed to break away from the schematism of the five viscera interaction through the method of treating two internal organs using one organ treatment and applying the individually different relations between organs. "Biyebaekyobang" shows close similarities to Saam Acupuncture. 3. The organs handled in Saam Acupuncture has a significance in that it put forward the part which had not been aggressively dealt with in medical history up until then.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2006년도 제37회 하계학술대회 논문집 D
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• pp.2169-2170
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• 2006

J2ME service technology has advantage that can embody independent and, more soft system in DICOM 3.0 and medicine reflex administration server, client's OS that is medical treatment reflex standard in radio Internet. Also, intranet that do web basedspread, and develop by system that can alternate existent client-server structure rapidly. Specially, posibility of improvement is much because is connecting being limited in internet environment that medical equipment and information system of various kinds of machine are wire in medical institution and so on. Because do medical treatment reflex transmission module development applying DICOM technology and filtering techniques of "m-PACS Rehalibitated " in this research, existence, by interlock in radio usable Mobile reflex conversion system design and embody. That is, patient's information which is stored to various systems to be transmited and can give big help in medical examination and treatment to reflex client without being wooed doctor's interpretation result and so on in place through environment to be radish tentacle bar see

• Journal of Dental Anesthesia and Pain Medicine
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• 제17권1호
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• pp.13-20
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• 2017

Cleft palate is one of the most common congenital malformations of the oral and maxillofacial region, with an incidence rate of around 0.1%. Early surgical repair is the only method for treatment of a cleft lip and palate. However, because of the use of inhalation anesthesia in children and the physiological characteristics of the cleft palate itself combined with the particularities of cleft palate surgery, the incidence rate of postoperative emergence agitation (EA) in cleft palate surgery is significantly higher than in other types of interventions. The exact mechanism of EA is still unclear. Although restlessness after general anesthesia in children with cleft palate is self-limiting, its effects should be considered by clinicians. In this paper, the related literature on restlessness after surgery involving general anesthesia in recent years is summarized. This paper focuses on induction factors as well as prevention and treatment of postoperative restlessness in children with cleft palate after general anesthesia. The corresponding countermeasures to guide clinical practice are also presented in this paper.

• 한국콘텐츠학회논문지
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• 제10권5호
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• pp.80-89
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• 2010

유헬스(u-Health)는 유비쿼터스(ubiquitous)와 헬스(health)의 약어로서 환자가 병원을 찾아가지 않더라도 "언제나, 어디서나" 질병의 예방, 진단, 치료, 사후관리를 받을 수 있는 의료 서비스를 말한다. 유헬스(u-Health)는 개인의 생체신호 및 건강정보의 측정 및 전송하여 분석 및 피드백의 과정으로 구성되며 개인의 생체신호 및 건강정보를 측정(sensing)해 건강관리회사나 의료기관이 운영하는 건강정보 시스템으로 전송한다. 건강정보시스템이 전송된 정보에 패턴을 분석해 주면, 건강관리사나 주치의는 대상고객에 대해 원격으로 건강관리 및 의료서비스를 제공하는 것을 뜻한다. 본 연구에서는 u-Health의 국내외 동향과 u-Health의 BMT를 위한 신뢰성 모델을 제시하고자 한다.

• 한방재활의학과학회지
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• 제28권1호
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• pp.109-120
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• 2018

Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after shoulder surgery. Methods The drafting was done by two rehabilitation specialists in Korean medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after arthroscopic rotator cuff repair, SLAP repair, and arthrolysis. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, guide for patients and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after shoulder surgery.

• 동의생리병리학회지
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• 제25권4호
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• pp.708-714
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• 2011

This study was aimed to review the trend of case reports of neuropsychiatry disease. The case reports were collected by retrieving Journal of Oriental Neuropsychiatry and analyzing period were from 1990 to 2010. We analyzed them for publish year, research institution, patients, sorts of diseases, pattern identification diagnosis, instrument, treatment period, sorts of treatments, and treatment with western medicine. We analyzed 142 case reports and there were many kinds of neuropsychiatry diseases and instruments that were evaluated the process. The reserchers used various treatment with oriental medicine. However, the number of case reports have decreased since the year of 2008. Most of the research institutions were university and general oriental medical hospital and the portion of private hospitals was only 2.11%. For the development of practical clinical trial of oriental medicine, we needs more qualifying case report. We hope more reserchers for psychiatry disease of oriental medicine will be interested in the publication of case report and this will serve to produce advance of oriental medicine.

• 동의생리병리학회지
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• 제24권6호
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• pp.1117-1128
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• 2010

The purpose of this study is to know recent studies about conservative treatment of osteoarthritis in knee joint. We reviewed and analyzed 71 theses published by korean research institution since 2000. These theses were classified by year, field of study and subject. The results of this study are as follows. 1. We found 24 oriental medical theses about osteoarthritis in knee joint since 2000. 2. Classified by the major field of study, the journal of korea acupuncture and moxibustion society accounted for 17 pieces in oriental medical journals. 3. In oriental medicine, the most subject is acupuncture(19 pieces). 13 pieces in it is about pharmacopuncture. 4. 47 theses are published in medical journals after 2000. 5. 35 associations dealt with this theme, the korean society of physical medicine is major. 6. Most subject is kinesitherapy, followed by pharmacotherapy, massotherapy, taping therapy, physiotherapy and insole. We found several therapies were effective through oriental and western medical theses. Combined oriental medicine and western conservative therapy like kinesitherapy make better effect on osteroarthritis of knee joint.

• 한방재활의학과학회지
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• 제28권4호
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• pp.59-69
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• 2018

Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after lumbar spine surgery. Methods The drafting was done by two rehabilitation specialists in Korean Medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after lumbar microdiskectomy, interbody fusion, and kyphoplasty. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, scales for outcome measure and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after lumbar spine surgery.