• 대한약침학회지
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• 제20권1호
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• pp.57-60
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• 2017

Objectives: Studies involving patients with spinobulbar muscular atrophy (SBMA), which is often referred to as Kennedy's disease, similar to those involving patients with progressive muscular disease (PMD), are rare. This paper reports a case study involving the use of Korean medicine to treat a patient with SBMA. Methods: We treated a patient with SBMA with unique symptoms by using various kinds of pharmacopuncture and herbal medicines for about two and a half years. After the treatment had ended, we evaluated the patient's conditions and the side effects of the treatment. Results: After treatment, the patient's symptoms were stabilized, and the patient suffered no abnormalities or side effects. No special changes in condition were noted during treatment period, and the patient was very satisfied with his response to treatment. Conclusion: Existing treatments have some considerable after effects and are difficult to apply in domestic clinics. In this regard, our findings should open possibilities for new clinical guidelines. Nevertheless, the limitations associated with this case study should be resolved, and more studies need to be conducted.

• 한국화재소방학회논문지
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• 제21권2호
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• pp.105-110
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• 2007

본 연구에서는 유아교육기관에서 흔히 발생될 수 있는 내 외과적인 응급상황에 대하여 유치원 교사의 기본 응급처치 수행능력에 대해 조사하였다. 연구결과 유치원 교사의 59.4%가 전반적인 응급처치방법에 대하여 올바르게 수행하고 있었으나 일부분에 있어서는 응급처치 교육이 절실하게 필요한 것으로 조사되었다. 특히 무의식 유아의 기도폐쇄는 83.2%가, 유아 인공호흡 방법은 82.1%가 잘못된 응급처치법을 숙지하고 있었다. 또한 화상 발생 시 67.4%가 응급처치 없이 바로 병원으로 간다고 응답하였고, 찰과상에 대해서도 53.7%가 잘못된 응급처치법을 숙지하고 있었다. 유아교육기관 내에서의 안전사고에 대한 교사의 책임이 부각되면서 실전에 필요한응급처치 교육프로그램 개발이 필요하다.

• 대한한의학회지
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• 제44권2호
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• pp.70-105
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• 2023

This study was conducted to examine the current status of traditional korean medicine studies on gastroesophageal reflux disease in Korea, identify deficiencies, and suggest the direction of future medicine research methods to lay the foundation for traditional korean medicine treatment. All domestic papers on the korean traditional treatment of gastroesophageal reflux disease were selected among the literature published until August 2022 in six domestic databases. A total of 52 selected research data were classified into experimental research papers, clinical research papers, and review papers. In experimental papers, to evaluate the effectiveness of treatment, improvement of esophageal mucosal lesions, anti-inflammatory mechanisms, antioxidant mechanisms, esophageal mucosal protection mechanisms, gastric peristalsis control, and gastric acid secretion inhibition mechanisms were used as evaluation measures. In the clinical research paper, the basis for diagnosis of cases was clinical symptoms through medical history listening and diagnosis through visits to hospitals in the past. The average treatment period was 40.7 days, and the duration of treatment was not significantly affected by the duration of the disease. The most widely used Korean medicine treatment intervention was herbal medicine. There were 3 literature review studies, 3 systematic literature review and meta-analysis studies, 1 comparative review study for clinical trial guideline development, all using Chinese papers. This study included all domestic papers on gastroesophageal reflux disease to identify the research trend of the Korean oriental medicine community, and based on this, it is meaningful to confirm areas that need to be supplemented in future research plans.

• Journal of Trauma and Injury
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• 제36권4호
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• pp.322-328
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• 2023

Purpose: Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements. Methods: An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treatment. Results: Out of the 41 hospitals with which participants were affiliated, only nine conducted multidisciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and anesthesiology involvement. Conclusions: This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.

• 한방재활의학과학회지
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• 제33권4호
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• pp.145-156
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• 2023

Objectives The purpose of this review is to analyze trends of domestic research in Korean medicine treatment for frozen shoulder. Methods Among the clinical papers published from January 1, 2000 to August 2023, papers that treated frozen shoulders with Korean medicine treatment were searched through five domestic databases (Oriental Medicine Advanced Searching Integrated System, KMbase, Research Information Sharing Service, Science ON, Korean studies Information Service System). Results Finally, 12 studies were included. Three studies were clinical trials and 9 were observational studies. The most commonly used treatment was acupuncture. Range of movement (range of motion) and visual analogue scale were frequently used as measurement methods. Studies with significant effects were 66.6% in controlled trials and 100% in studies without control group. Conclusions In this study, literature on Korean medicine treatment for frozen shoulder was reviewed. As a result of the review, Korean medicine treatment for frozen shoulder showed significant results. However, there have been several limitations and suggest that more research and higher levels of research on Korean medicine treatment of frozen shoulder need to be conducted.

• 대한가정학회지
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• 제28권1호
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• pp.67-87
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• 1990

This study was designed with the purpose to analyze the bias and the factor structure of Need of Living and to clear the influence of related variables on Need on Living. The Degree of Importance(Di) and of sufficiency(Ds) of 65 indicators which were the constituent components of Need of Living and were extracted from the 51 preceeding studies was estimated by the 1084 samples including 614 urban and 470 rural residents through the questionaire. The indicators with higher Di and lower Ds than average were considered to show the high level of Need of Living. The main results are as follows; 1. Generally speaking, the level of Di was higher than that of Ds. Specially this was serious in the case of the indicators related with social-economic equity, employment, housing and environment. 2. Di level of the indicators such as physical health, judicial equality, the life of planned expenditure was highest. Specially the equity of income allocation was considered to be more important than the increase of income or asset itself. 3. Ds level of the indicators such as the life of plannel expenditure, the development of transportation and communication and the relationship between parents and children was highest, adn that of the use of leisure time, socialactivity, economic equality and social welfare was lowest. 4. Through the oblique rotation of Factor analysis, 12 factors were extracted (total eigen value 32.663, total variance 50.251%). Specially Factor 1 which was christened as the equality and development of social-economic life was related with 11 indicators and its common variance was 51.68%. 5. The rural residents, the lower income group and the lower educated group, who were told of being under disadvantage and unfair treatment of social-economic status, showed higher suffiency on the equity of income allocation, the freedom of living and expression, and judicial equality. 6. Generally speaking, the urban residents, the group under 39 years old, the higher educated group had more intensive Need of Living than the other groups.

• 한국직업건강간호학회지
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• 제9권2호
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• pp.121-131
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• 2000

This study was conducted to acquire data in order to institute an effective industrial accident compensation insurance(IACI) system. The subjects were employers and employees in small scale industries which have less than 5 employees. The questionnaires consisted of questions on perception and need for IACI. A total of cases were 181 employers and 105 employees participated in the study. Perception and need of employers and employees were assessed using the ANOVA, t-test. The results were as follows ; 1. Workplaces examined mostly in manufacturing(78.9%), industries with one employee(44.1%). Beneficiary rate of IACI 4.4%. 2. 60.0% of employees had experienced an industrial accident and in most cases employers paid the cost of medical treatment. 45.0% of employers nd 50.0% of employees were not aware that IACI had been put into effect starting July, 1, 2000. 52.0% of employers had no type of industrial accident compensation. 3. The need of outcome measures, especially of employers and employees who had an IACE, were higher than those without an IACI. Employers and employees who had experienced an industrial accident outnumbered those who hadn't. The results of this study reveal that there is a great need for the institution of an IACI and health promotion policy in small scale industries.

• 재활간호학회지
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• 제8권2호
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• pp.102-109
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• 2005

Purpose: The purpose of this study were to investigate the health status, the currency of rehabilitation therapy, and the patient learning needs on hospital with disabilities. Method: The subjects consisted of 87 disabled adults on hospital. Data was collected from February until to June 2005, where they asked structured questionnaires. A descriptive survey design was used and the SPSS 12.0 program was used for data analysis, which included t-test, ANOVA and Duncan's multiple comparison test. Result: There are a lot of patient through the transfer from the general hospital and the rehabilitation hospital. Their heath status changed good after hospital admission. Patients took exercise therapy the most, which is one of the rehabilitation therapy. But they need to enough physical therapy because patients have limited time for treatment. The education-need-level was high on hospital with disabilities, especially the need of support and care are the highest on the subscale of patient learning need. There are significant patient learning need differences in income and admission location(p<.05). Conclusion: Disabled persons on hospital needs to help and learning exercise by nurses. There should be rehabilitation programs for patients who are ready to leave the hospital. After discharging, there needs to be various rehabilitation services, support and care for the community based rehabilitation.

• 한국인구학
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• 제5권1호
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• pp.167-186
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• 1982

Financial barrier is well known as a determinant of the perceived need for and utilization of medical care in urban areas. This study aims to; a) estimate the levels of the perceived need for and utilization of medical care, b) analyze the reasons for not receiving medical care, and c) determine factors affecting the levels of need and utilization, and major reasons for not receiving medical care. The data of household interview survey in urban areas collected for a National Survey on Reorganization of Nationwide Health Care Delivery Network is used. An interview was conducted with a total of 2, 538 households in urban areas during a 28 day period of October through November, 1981, giving an overall response rate of 99 percent. The results show a factor of third-party payer is most influential to utilization (physician visits by patient), and living standard is a determinant to explain the variance of major reasons for not receiving medical care. Therefore, financial burden is still a major determent in utilization of medical care in urban areas. Improved level of living standard and expanded coverage of the third-party payer such as health insurance and public medical assistance will increase both an overall levels of utilization of and the need for medical care in urban areas in the future. The major statistics are as follows; a) rate of the need for medical care during a 15 day period per 100 persons was 33 percent: the differential rates appeared in sex, age, living standard, and third- party payer variables, b) percent of treatment employed per 100 persons who are wanting medical care was 82: the percents were high in young ages, high levels of living standard and education, and persons covered by third-party payer, and c) economic reasons for not receiving medical care per 100 persons who are wanting medical care were occupied with 60 percent: the rates are high in old ages, low levels of living standard and persons not covered by third-party payer.

• 대한예방한의학회지
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• 제21권1호
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• pp.107-119
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• 2017

Purpose : Recently, cancer has become a chronic disease that requires supervision because of early diagnosis and the development of therapeutic technology. As a result, cancer patients are interested in improving the quality of their lives besides the treatment of cancer itself. Therefore, it is necessary to conduct a qualitative research to understand the vivid experiences of cancer patients and structure their treatment experience. Among qualitative researches, grounded theory is developed based on the data collected in the field. The grounded theory research method is easy to analyze for the process and structure of the treatment experience. Therefore, the purpose of this study is to provide basic data on the integrated medical experience of cancer patients Methods : Participants were conveniently selected, and the criteria for selection were for those who had more than 1 month of hospitalization so that they could dictate their situation and experience in a meaningful manner. Data was collected through in-depth interviews and continued until the data were saturated through theoretical sensitivity and continuous comparison methods. The collected data were analyzed through the process of open-coding, axial coding, and selection coding, which are the research methods of grounded theory. Results : Cancer patients differ in their path, purpose, and attitudes depending on their respective situations and the internal and external resources of individuals. There is also a difference in the perception of their situation among the cancer patients and their families. Cancer patients were shown to recognize and cope with problems in the integrated medical treatment process, and have been classified into 6 different types after the results. Cancer patients showed positive changes in terms of physical, emotional, and lifestyle after their integrated medical treatment. Cancer patients perceived the integrated medical treatment process as a horizontal relationship structure and with diversity. Conclusions : The experience of integrated medical treatment of cancer patients is a process of rehabilitation that heals the body and restores life within the interaction of support system, contextual situation, and internal resources of the individual. Despite this, there is a need not only for the efforts of integrated medical service providers but also institutional support in the future with regards to the current weaknesses and points for improvement. In addition, there is a need for an objective criterion to measure the outcome of integrated medicine for the standardization of integrated medical services.