• 제목/요약/키워드: cooperative treatment

검색결과 348건 처리시간 0.027초

한양방치료를 병행한 안성 대상포진 환자 치험 1례 (A Case Study of a Herpes Zoster Ophthalmicus Patient Treated by Korean-Western Cooperative Treatment)

  • 박민정;양정윤;김수현;조기호;문상관;권승원;정우상
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.159-164
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    • 2018
  • A case of a 72-year-old Korean male with herpes zoster ophthalmicus revealed. He was treated with Korean-Western cooperative treatment. We used the Numeric Rating Scale (NRS) to evaluate forehead and eye pain. Pain was improved after the administration of Korean medical treatments and disappeared after eight days. Korean-Western cooperative treatment may be effective in treating acute herpes zoster ophthalmicus.

한방병원 침구과로 협진의뢰된 한양방 협진 환자 1,549명에 대한 후향적 분석 (An Retrospective Analysis of 1549 patients under the Cooperative Medical Care consulted to the Department of Acupuncture and Moxibustion in a Korean medical hospital)

  • 조희진;권민수;김정환;조대현;최지은;한지선;이승훈;김용석;남상수
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.109-119
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    • 2016
  • Objectives : The aim of this study is to give a statistical basis for the characteristics of patients who received cooperative medical care after being referred from Western medical departments to the Department of Acupuncture and Moxibustion in a Korean medical hospital. Methods : The request records were searched for cooperative medical treatment at the Department of Acupuncture and Moxibustion in a Korean medical hospital between September 1st, 2011 and August 31, 2016, based on the Order Communication system(OCS). The records were reviewed and retrospectively analyzed according to the patient's general characteristics, the chief diagnosis code based on the 7th Korean standard classification of diseases(KCD-7) before and after the cooperative medical care in the Department of Acupuncture and Moxibustion, and the actual treatment measures which patients received as a result of the cooperative medical care. Results : Among the 2702 records, 1549 patients were included in the analysis. The male to female ratio was 1 : 1.17. Sexagenarians formed the highest age group and the number of patients whose age was over 50 was 1176(75.92 %). The surgery department requested the cooperative care from the department of Acupuncture and Moxibustion for the highest number of patients, 1194(77.08 %). When analysing specific medical departments, Neurosurgery, General Surgery, Neurology, Otorhinolaryngology, and Physical medicine and rehabilitation followed. The frequency of chief diagnosis code used before the cooperative medical care was in the order of I, C, G, S, and M code, from highest to lowest. The order of the codes after the cooperative medical care was the same. Acupuncture treatment was the most frequently-used measure after the cooperative medical care. Following were infrared, moxibustion, transfer, herbal acupuncture, cupping, electroacupuncture, and so on. Conclusion : This study provides a statistical basis for the demands placed on the Department of Acupunture and Moxibustion for cooperative medical care with the Western medical department. Based on the present condition of cooperative medical care, more preparation and effort is required for its activation.

만성신우신염(慢性腎盂腎炎) 소음인(少陰人) 환자(患者)의 양한방협진(洋韓方協診) 1례(例)에 대한 증례보고(症例報告) (A Clinical study on Cooperative Treatment of Western Medicine and Sasnag Constitutional Medicine in Treating Chronic Pyelonephritis)

  • 이경로;송정모;이상기
    • 사상체질의학회지
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    • 제17권1호
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    • pp.170-173
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    • 2005
  • 1. Objectives Chronic pyelonephritis is one of the obstinate disease in current medicine. chronic pyelonephritis can be healed through cooperative treatment of western medicine and Sasang constitutional medicine. 2. Methods This patient who was not treated by western medicine alone was healed when Sasang constitutional medicine was prescripted with modern western medicine 3. Results We can get significal changes in lab results when western medicine and clinical Sasang constitutional medicine was practiced together. 4. Conclusions We suggest that cooperation with western and Sasang constitutional medicine is much effective in treating chronic pyelonephritis and other obstinate diseases.

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초등학생들의 '계절의 변화' 단원에 대한 Jigsaw 협동학습이 과제집착력 및 창의적 인성에 미치는 효과 (The Effects of Jigsaw Cooperative Learning Class on 'Change of Season' Unit of Elementary Students on Task Commitment and Creative Personality)

  • 이용섭
    • 대한지구과학교육학회지
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    • 제13권2호
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    • pp.186-195
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    • 2020
  • 본 연구의 목적은 초등학생들의 '계절의 변화'에 대한 Jigsaw 협동학습이 과제집착력 및 창의적 인성에 미치는 효과를 알아보는 데 있다. 연구 대상은 B시의 G초등학교 6학년 2개 반 48명을 대상으로 연구집단 24명, 비교집단 24명으로 구성하였다. 초등과학 6학년 '계절의 변화' 단원을 중심으로 12주간 실험처치를 하였다. 그리고 연구집단과 비교집단에서 사전-사후검사로 과제집착력 검사, 창의적 인성 검사를 하였다. Jigsaw 협동학습을 통해 자연스럽게 과제집착력 향상과 창의적 인성 함양이 될 수 있도록 연구절차를 설정하여 연구를 진행하였다. 이에 대한 연구 결과는 다음과 같다. 첫째, 초등학생들의 Jigsaw 협동학습은 과제집착력 향상에 효과가 있었다. 둘째, 초등학생들의 Jigsaw 협동학습은 창의적 인성 함양에 효과가 있었다. 셋째, 초등학생들의 Jigsaw 협동학습에 대한 인식은 긍정적으로 나타났다. 이러한 연구 결과를 통하여 Jigsaw 협동 학습이 과제집착력과 창의적 인성에 효과가 있으며 긍정적인 영향을 미친다는 것을 확인할 수 있다.

협동학습 전략의 교수효과: 고등학교 화학 수업에 STAD 모델의 적용 (The Instructional Influences of Cooperative Learning Strategies: Applying the STAD Model to High School Chemistry Course)

  • 노태희;차정호;임희준;노석구;권은주
    • 한국과학교육학회지
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    • 제17권3호
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    • pp.251-260
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    • 1997
  • The instructional influences of cooperative learning strategies, which emphasize mutual interdependency of learners, group goal, and individual accountability, upon students' achievement, the attitude toward science instruction and the perception of learning environment were investigated. Before instruction, the prior knowledge test about atoms and molecules, the test of attitudes toward science instruction, and the perception questionnaire of learning environment were administered, and the grade in the previous mathematics course was obtained. These scores were used as covariates. Mid-term examination score was used as blocking variable. For instruction, three different strategies-traditional individual learning, small group learning, and cooperative learning-were used and teaching materials for the units of mole and stoichiometry were also prepared. After instruction, the researcher-made achievement test, the test of attitudes toward science instruction, and the perception questionnaire of learning environment were administered. The perception questionnaire of group activities was also administered to the two treatment groups. In the quantitative subtest, the scores of cooperative learning group and small group learning group were significantly higher than those of traditional individual learning group. However, the cooperative learning group's scores in the achievement test and the qualitative subtest were significantly higher than those of small group learning group and traditional individual learning group. The students in the cooperative learning group were found to have the most positive perception of learning environment but to have similar attitudes toward science instruction. No interaction between the treatment and the level of the previous achievement was found in any of the analyses. In the perception questionnaire of group activities, students in both small group learning group and cooperative learning group exhibited positive perception of group activities. However, students in the cooperative learning group tended to think that their activities were related with their group's success. Educational implications are discussed.

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한.양방 협진의 실태 및 문제점과 나아가야 할 방향 (The Problems of Cooperative Medical System of Oriental and Western Medicine and Their Solutions)

  • 이원철
    • 대한한의학회지
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    • 제20권2호
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    • pp.3-11
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    • 1999
  • The Korean system of health and medical care has been organized with both Oriental and Western medical sciences. To get complete clinical treatment results is not possible with only one-sided medical care, therefore we need to formulate an interdisciplinary plan for better health care, that is to say our ultimate purpose is the cooperative medical care for the promotion of social welfare and health. Hereupon, I made a searching inquiry into the present condition of cooperative medical care and its problems and also took a consideration into the medical state of other countries like China. Japan and North Korea where the Oriental medical care is used. The results of this investigation are as follows. There are some problems in both Oriental and Western(general) medical care, such as a lack of mutual confidence, a severance of interdisciplinary study, a shortage of professional human resources and so on. There also used to be problems of the system such as, the responsibility of medical care, the double charge for medical treatment, the governmental passive participation and policy, the private-oriented study system and so on. The solutions of these problems are that the mutual understanding and coexistence between both Oriental and Western medical sciences should be preceded and the interdisciplinary study, identified terminology and cooperative medical specialists would be necessary. Furthermore, the government has to seek some policies and legislation for the cooperative medical system and needs to support the public research institutes and centers of the cooperative medical care. After all, we have to train the cooperative medical specialists for the mutual aid of both Oriental and Western medical sciences and the government also has to support it with some policies and legislation for the better medical care system.

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개념 변화 수업에서 협동학습 환경이 학생들의 인지적, 정의적 결과에 미치는 효과 (The Effect of Cooperative Learning Environments in Conceptual Change Instruction on Students' Cognitive and Affective Outcomes)

  • 한재영;정은희;노태희
    • 한국과학교육학회지
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    • 제25권5호
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    • pp.555-562
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    • 2005
  • 이 연구에서는 개념 변화 수업에서 협동적 학습 환경의 효과를 개념 이해도, 성취도, 과학 학습 동기, 과학 수업에 대한 태도 및 수업 참여도에 대한 인식 측면에서 조사하였다. 1개 남녀 공학 중학교의 2학년 2개 학급을 비교 집단과 처치 집단으로 각각 배치하고, '물질의 특성' 단원의 밀도, 끓는점, 어는점, 용해도에 대하여 11차시 동안 수업을 실시하였다. 처치집단에서는 협동적 개념 변화 수업을 실시하였고, 비교 집단에서는 개별적 개념 변화 수업을 실시하였다. Mann-Whitney Test 결과, 처치 집단의 개념 검사 점수와 성취도 검사 점수가 비교 집단에 비해 유의미하게 높았으며, 처치 집단의 수업 참여도에 대한 인식이 비교 집단에 비해 더 긍정적인 것으로 나타났다. 이원 공변량 분석 결과, 처치 집단의 학습 동기 검사 점수가 비교 집단에 비해 유의미하게 높았으나, 과학 수업에 대한 태도에서는 두 집단 간에 유의미한 차이가 나타나지 않았다.

의료생활협동조합 한의원의 일차의료서비스 수준 평가 (Patient Assessment of Primary Care for Health Cooperative Korean Medicine Clinics in South Korea)

  • 성태경;임병묵
    • 대한예방한의학회지
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    • 제17권2호
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    • pp.69-78
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    • 2013
  • Objectives : Health cooperative movement is of increasing concern among medical consumers and professionals in Korea. Most health cooperative clinics provide Western Medicine and Korean Medicine(KM) to patients. This study aimed to evaluate the primary care level of health cooperative KM clinics and compare it with local KM clinics in Korea. Methods : Face to face survey was performed at the 3 health cooperative KM clinics and 5 local KM clinics with the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of 5 domains (21 items): first contact (5), coordination function (3), comprehensiveness (4), family/community orientation (4), and personalized care (5). Subjects were patients or guardians who had visited KM clinics five times or more during the last 3 months. We compared primary care scores of each domain between health cooperative KM clinics and local KM clinics. Results : Data were collected from 200 respondents (100 patients from health cooperative KM clinics and 100 local KM clinics). Total average scores of the KPCAT for health cooperative clinics and local KM clinics were $81.1{\pm}12.0$ and $75.4{\pm}9.5$, respectively. Among primary care domains, personalized care was the highest ($89.2{\pm}12.0$, $89.6{\pm}8.4$, respectively), and comprehensiveness function was the lowest ($68.5{\pm}22.5$, $54.5{\pm}22.0$, respectively). Significant differences between two groups were noted in comprehensiveness function (68.5 vs. 54.5, P=0.000), family-community orientation (79.5 vs. 73.0, P=0.004), first contact(89.2 vs 84.0, p=0.001) and coordination function(74.0 vs 68.7, p=0.025). Conclusions : Based on the patients assessment, health cooperative KM clinics provide more primary care-oriented services than local KM clinics. This means that health cooperative clinic can be one of alternatives to strengthen the primary health care in Korea. Future researches are recommended to measure patients satisfaction and treatment effectiveness in the health cooperative clinics.

Could the Neutrophil to Lymphocyte Ratio be a Poor Prognostic Factor for Non Small Cell Lung Cancers?

  • Kacan, Turgut;Babacan, Nalan Akgul;Seker, Metin;Yucel, Birsen;Bahceci, Aykut;Eren, Ayfer Ay;Eren, Memet Fuat;Kilickap, Saadettin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2089-2094
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    • 2014
  • Background: Although many prognostic factors have been identified for lung cancers, new ones are needed to determine the course of the disease. Recently, a high neutrophil to lymphocyte ratio (NLR) prior to surgery or treatment has been shown to be an indicator of prognosis for cancer. The aim of this study was to investigate the value of NLR as a prognostic factor and the correlation between NLR and other probable clinical prognostic factors in non small cell lung cancer patients prior to treatment. Materials and Methods: Data of patients who were diagnosed with non-small cell lung cancer in our institution were retrospectively reviewed. Demographic and clinicopathologic characteristics were recorded. NLR was calculated before the application of any treatment. Results: A total of 299 patients, 270 (90%) males and 29 (10%) females, were included in the study. Age (p<0.001) stage (p<0.001), Eastern Cooperative Oncology Group performance status (p<0.001), weight loss (p<0.001), anemia (p<0.001), histopatology (p<0.001), NLR ${\geq}3$ (p=0.048), NLR ${\geq}4$ (p=0.025) and NLR ${\geq}5$ (p=0.018) were found to be the prognostic factors. Age, anemia, Eastern Cooperative Oncology Group performance status, the stage, NLR (${\geq}5$) were an independent prognostic factors. There was a positive correlation between NLR and the Eastern Cooperative Oncology Group performance status (0.23, p=0.001), the C reactive protein levels (r=0.36, p<0.001). Conclusions: Prior to treatment high NLR was found as an independent poor prognosis factor. Besides, NLR correlated with Eastern Cooperative Oncology Group performance status and the C reactive protein levels.

Effect of Korean Medicine Treatment Combined with Conventional Medicine in Patients Diagnosed with Plantar Fasciitis

  • Jeong, Seong Heon;Jang, Kwon-Jun;Moon, Hyang-Ran;Jo, On You;Lee, Ji Yoon;Yang, Jung Min;Choi, Saerom;Yoon, Min Ji;Shin, Gwangsoon;Kim, Hyo-Rim
    • Journal of Acupuncture Research
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    • 제39권2호
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    • pp.145-149
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    • 2022
  • This study examined the effectiveness of Korean-Western cooperative treatment for patients with plantar fasciitis. Fifty patients received Korean medicine treatments (acupuncture, pharmacopuncture, herbal medicine) and Western medicine treatments (polydeoxyribonucleotide, and extracorporeal shock wave therapy). Evaluation methods used were comparison before and after ultrasound (P9), and numeric rating scale scores. Results revealed a significant improvement in the level of pain and evaluation of improvement using ultrasound. Moreover, it was suggested that Korean-Western cooperative medicine treatment may be effective for the treatment of plantar fasciitis.