• Title/Summary/Keyword: cooperative treatment

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

  • Park, Min-jeong;Yang, Jung-yun;Kim, Soo-hyun;Cho, Ki-ho;Moon, Sang-kwan;Kwon, Seung-won;Jung, Woo-sang
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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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.

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

  • Jo, Hee Jin;Kwon, Min Soo;Kim, Jung Hwan;Jo, Dae Hyun;Choi, Ji Eun;Han, Ji Sun;Lee, Seung Hoon;Kim, Yong Suk;Nam, Sang Soo
    • Journal of Acupuncture Research
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    • v.33 no.4
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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.

A Clinical study on Cooperative Treatment of Western Medicine and Sasnag Constitutional Medicine in Treating Chronic Pyelonephritis (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))

  • Lee, Kyung-Lo;Song, Jeong-Mo;Lee, Sang-Gi
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.1
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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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The Effects of Jigsaw Cooperative Learning Class on 'Change of Season' Unit of Elementary Students on Task Commitment and Creative Personality (초등학생들의 '계절의 변화' 단원에 대한 Jigsaw 협동학습이 과제집착력 및 창의적 인성에 미치는 효과)

  • Lee, Yong-seob
    • Journal of the Korean Society of Earth Science Education
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    • v.13 no.2
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    • pp.186-195
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    • 2020
  • The purpose of this study is to investigate the effect of jigsaw cooperative learning strategy on elementary students' task commitment and creative personality. This study utilized experimental method of comparing the effect of jigsaw strategy between treatment and comparative group. Twenty four 6th grade students in treatment group experienced the jigsaw cooperative learning for twelve-weeks during 2019 school year whereas students in comparetive group did not. Task commitment and creative personality test result were collected from both groups as main data sources and mixed-method was used to analyze the data. The results of the study were as follows. First, the treatment group students' task commitment score was significantly higher than comparative group of students' score(p<.05). Second, the treatment group students' creative personality efficacy score was significantly higher than comparative group students' (p<.05). Third, students who experienced the jigsaw cooperative learning-based science lesson had positive perceptions about the lesson.

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

  • Noh, Tae-Hee;Cha, Jeong-Ho;Lim, Hee-Jun;Noh, Suk-Goo;Kwon, Eun-Jue
    • Journal of The Korean Association For Science Education
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    • v.17 no.3
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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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The Problems of Cooperative Medical System of Oriental and Western Medicine and Their Solutions (한.양방 협진의 실태 및 문제점과 나아가야 할 방향)

  • Lee, Won-Chul
    • The Journal of Korean Medicine
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    • v.20 no.2
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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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The Effect of Cooperative Learning Environments in Conceptual Change Instruction on Students' Cognitive and Affective Outcomes (개념 변화 수업에서 협동학습 환경이 학생들의 인지적, 정의적 결과에 미치는 효과)

  • Han, Jae-Young;Jeong, Eun-Hee;Noh, Tae-Hee
    • Journal of The Korean Association For Science Education
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    • v.25 no.5
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    • pp.555-562
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    • 2005
  • This study investigated the effects of cooperative learning environments in conceptual change instruction upon students' conception, achievement, learning motivation, attitude toward science instruction, and perception of involvement. Two classes of 8th graders at a co-ed middle school were assigned to the treatment and the comparison groups. They were taught about density, boiling point, freezing point, and solubility for 11 class hours. The treatment group's learning environment involved cooperative conceptual change instructions while the comparison group's environment incorporated individual conceptual change instructions. Mann-Whitney test results revealed that the scores of the conception and achievement test for the treatment group were significantly higher than those for the comparison group. The perceptions of involvement for the treatment group were more positive than those for the comparison group. The scores of the learning motivation test for the treatment group were found to be significantly higher than those for the comparison group based on a two-way ANCOVA analysis. However, attitudes toward science instruction were not found to be significantly different between the two groups.

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

  • Seong, Taekyung;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.2
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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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    • v.15 no.5
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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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    • v.39 no.2
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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.