• 제목/요약/키워드: free medical service

검색결과 90건 처리시간 0.024초

북한 의료법규 체계와 그 내용 (The System and Content of North Korean Medical Laws)

  • 현두륜
    • 의료법학
    • /
    • 제17권1호
    • /
    • pp.3-43
    • /
    • 2016
  • 북한의 의료법규는 '헌법'을 정점으로 크게 '인민보건법'과 '의료법'으로 구성되어 있다. 인민보건법이 제정되기 이전에도 다수의 의료관계법규가 존재하고 있었으나, 그 의료관계법규가 이후 어떻게 개정되었으며, 현재에도 유효한지 여부는 알 수 없다. 1980년 제정된 인민보건법은 북한의 보건의료에 대한 기본원칙과 방침을 선언하고 있다. 1997년 제정된 의료법은 북한 의료의 기본법으로서, 북한 의료의 목표와 기본원칙을 제시하고, 이어서 '검진과 진단', '환자치료', '의료감정'에 관한 기본적인 내용을 규정하고 있다. 북한 의료법은 남한에 비해 상당히 늦게 제정되었을 뿐만 아니라, 조문의 수가 적고 추상적이거나 선언적인 내용이 많다. 특히, 북한 의료법에는 의료인의 종류나 자격요건, 의료기관의 종류와 개설요건 등에 관한 규정이 전혀 없어, 북한 의료법만을 가지고는 북한 의료체계를 한꺼번에 파악하기 어렵다. 북한 의료법상 진료에 관한 내용은 남한 의료법과 유사한 부분이 많지만, 신의학과 고려의학을 배합하고 고려의학적방법과 자연요법을 환자진료에 널리 사용하도록 한 규정, 진단내용이 환자치료에 나쁜 영향을 줄 수 있는 경우 환자 보호자에게만 알려주도록 한 부분 등은 남한 의료법과 차이가 있다.

  • PDF

국내 대마 생산이력관리 개선에 관한 연구 -경북 산업용 헴프 규제자유특구 사업을 중심으로- (A Study on the Improvement of Cannabis Production History Management in Korea -focused on Gyeongbuk Hemp Regulation Free Zone-)

  • 김한솔;신민준;반영환
    • 한국융합학회논문지
    • /
    • 제13권5호
    • /
    • pp.249-259
    • /
    • 2022
  • 경북 산업용 헴프 규제자유특구 사업이 시행된 지 어느덧 1여 년이 지났으며 현시점은 규제자유특구 이후의 국내 대마 산업을 위하여 생산이력관리 측면의 미흡한 점에 대한 보완 및 검토가 필요한 때이다. 본 연구에서는 경북 산업용 헴프 규제자유특구 사업 내 대마 이력관리의 현황과 특징을 알아보고 파일럿 인터뷰, 쉐도잉, 사용자 여정 지도 등의 서비스디자인 도구를 활용하여 현 이력관리에 대한 문제점을 도출하였다. 이어 선행국가인 미국 오리건주의 대마 생산체계 및 합법적인 대마 시장을 위해 권고하고 있는 대마이력추적시스템(CTS)의 사례를 비교·분석하였으며 방향성으로는 생육 특성에 맞는 생산 전주기 이력관리로 안전성 확보, 실시간 관리가 가능한 효율적인 기술 적용 고안, 규제자유특구 사업 내의 이력정보 공유를 제안하였다. 본 연구를 통해 현 대마 생산이력관리 시스템 개선 및 향후 국내 대마 산업화의 이력관리체계에 대한 올바른 정착에 도움이 될 것으로 기대한다.

고령 암환자에서의 nivolumab과 pembrolizumab의 유효성과 안전성 평가 (Evaluation of Efficacy and Safety of Nivolumab and Pembrolizumab in Elderly Cancer Patients)

  • 김혜성;정효근;심미경
    • 한국임상약학회지
    • /
    • 제30권1호
    • /
    • pp.11-18
    • /
    • 2020
  • Background: Nivolumab and pembrolizumab are antagonists of the programmed death-ligand 1 (PD-L1) receptor that function as immuno-oncological agents. This study aimed to evaluate the safety and efficacy of nivolumab and pembrolizumab in elderly patients in outpatient settings. Methods: The safety and efficacy of nivolumab and pembrolizumab were compared retrospectively among patients at the Veterans Health Service (VHS) Medical Center in Seoul, South Korea, from September 1, 2017 to August 25, 2018. Results: Eighty-seven patients were selected for the study. The median progression-free survival was 63 days for nivolumab (95% confidence interval (CI), [14 to 282]) vs. 243 days for pembrolizumab (95% CI, [22 to 348]) (p =0.04). The objective response rate (ORR) was 0% in the nivolumab group vs 5.6% in the pembrolizumab group (p =0.310). All the patients exhibited treatment-related adverse effects. More than 89% of the patients exhibited diseases of the gastrointestinal (GI) tract. Pneumonia, of grades three or higher, was the most common adverse effect, followed by weakness and anorexia. Conclusions: There was no statistically significant difference between the nivolumab group and the pembrolizumab group with respect to the ORR. The incidence and severity of the adverse effects in this study were higher than those of previous studies; however, these adverse effects are generally manageable in a real-world clinical setting. Further randomized controlled studies will be necessary to confirm these results in elderly patients.

서울지구 소아재활원 실태조사 (A STUDY ON THE ACTUAL CONDITIONS OF CHILDREN′S REHABILITATION CENTERS IN SEOUL)

  • 김계숙
    • 대한간호학회지
    • /
    • 제4권1호
    • /
    • pp.64-80
    • /
    • 1974
  • The social understanding of the rehabilitation and welfare work for the handicapped children is nearly devoid in Korea. Especially the medical rehabilitation or nursing for them is left ign. ored as well as the literature preferential to this study is wanted. For the purpose of conducting the study of this thesis Sam Yook Children's Rehabilitation Center, Inc. and Crippled Children's Center, Yonsei University Medical center sampled out; covering three months from Aug. 1 to Oct. 30, 1973, the problems of children's rehabilitation, the characteristics of the children, the medical rehabilitation, nursing, education, and vocational rehabilitation were interviewed and widely grasped. This thesis aimed at developing the rehabilitation, the professional nursing and especially aimed at contributing to the improvement of welfare for the handicapped by analysing, observing the result of this study. The result is as follows: 1. Sam Yook Children's Rehabilitation Center, Inc. has, since its establishment, contributed to the advancement of the crippled children and its purpose consists in implementing services, medical rehabilitation, nursing, education and vocational training. Crippled Children's Center, Yonsei University Medical Center is, being based on Christianity, aiming at the medical treatment and education for the crippled children. 2. All of the children admitted in the children's rehabilitation centers are the crippled children. The ratio of boys io girls is three to two. Boys are more than girls. Orphan formed 55.2 per sent of them. About 60 per cent of them is receiving medical attention free of charge. But there is no orphan in Crippled Children's Center, Yonsei University Medical Center. 3. 15.7 per cent of them have received the previous medical attention before their admitting in the centers; in Sam Yook Children's Rehabilitation Center 8.6 percent, Crippled Children's Center, Yonsei University Medical Center 50 percent; there is remarkable difference between the two. 4. On the standpoint of period of being in the centers, the children who have been over three years in Sam Yook Children's Rehabilitation Center formed 48.7 per cent; in Crippled Children's Center, Yonsei University Medical Center 2.6 percent; there is also considerable difference between the two; they couldn't discharge from the centers owing to the economic conditions and being orphan. 5. Among the diagnosis of the crippled children, poliomyelitis formed highest 51.7 percent of them ; cerebral palsy formed 30 percent secondly in order. Environmental factors (67.8 percent formed about three times of congenital factors (23.7 percent). 6. The children who are capable of doing independently activity of daily living formed 87.9 percent; 73.2 percent can walk about 300 m by wearing brace and so on. The ratio of wearing brace or leg prosthesis formed 47.4 per cent: crutch 44.3 per cent. The medical rehabilitation service and education for the crippled, are comparatively well carried out. But it is desired to improve and cultivate the vocational training, vocational guidance and special nursing to the insufficiency of their implementation. In the tendency that the rehabilitation and welfare for the handicapped are today emphasized, International Handicapped Rehabilitation Association, declaring that 1970s are the decade of rehabilitation, urged to improve positively the policy of rehabilitation and welfare for the handicapped. But here in korea the handicapped, being the object of social prejudice, ignorance, disdain lives in obscurity. Therefore the government or the community should draw up countermeasure on social under-standing, financial support, and rehabilitation services for the handicapped as well as should endeavor to make them participate in social activities as the productive total- person though they are physically imperfect.

  • PDF

백서의 paraquat 중독모델에서 고용량 Vitamin C의 주기적 투여가 간에 미치는 영향 병원전 처치 모델 (The Effects of Regular Injection of High Dose Vitamin C on Liver Damage in Paraquat Poisoned Rat Model - Prehospital Care Model -)

  • 조근자
    • 한국응급구조학회지
    • /
    • 제10권1호
    • /
    • pp.51-60
    • /
    • 2006
  • Background: The toxicity of paraquat has been known to be caused by oxygen free radicals which leads to the lipid peroxidation and multiple organ failure. High dose vitamin C has been known to be a effective antioxidant activities against the paraquat intoxication. This study was designed to evaluate the effect of regular injection of high dose vitamin C on liver damage in paraquat poisoned rat model. Method: Fifty five rats of Sprague-Dawley strain were divided into three groups: control group, only intraperitoneally injected saline; paraquat group, single dose intraperitoneally injected paraquat(24.5%, 40 mg/kg) and every 8 hours injected saline; paraquat and vitamin C group, single dose intraperitoneally injected paraquat(24.5%, 40 mg/kg) and every 8 hours injected vitamin C(72 mg/kg). Rats were sacrificed on the 12 hours, 1st day, 2nd day, 4th day, 7th day after injection and liver tissue was obtained. H&E(Hematoxylin & Eosin) stain and Masson's trichrome stain for collagen fiber detection were undertaken. The results were observed using the microscope. Results: 1. There were no differences between control and experimental group at the 12hours after regular injection of high dose vitamin C. 2. There were significantly decreased liver damage in experimental group in the 1st day after regular injection of high dose vitamin C. 3. There were significantly increased recovery of liver damage with time in experimental group after regular injection of high dose vitamin C. Conclusion: These results suggest that regular injection of high dose vitamin C is effective in decreasing liver damage in paraquat intoxication.

  • PDF

DF(Dynamic and Flexible)-MAC : WBAN을 위한 유연한 MAC 프로토콜 (DF(Dynamic and Flexible)-MAC : A Flexible MAC Protocol for WBAN)

  • 서영선;김대영;김범석;조진성
    • 한국통신학회논문지
    • /
    • 제36권8A호
    • /
    • pp.712-722
    • /
    • 2011
  • Wireless body area network (WBAN)은 인체 주변 영역에서의 통신서비스를 제공한다. WBAN 서비스는 인체 내부에 이식된 의료 응용을 위한 MICS 주파수 대역과 의료 응용과 consumer electronics (CE) 응용 분야 모두를 제공할 수 있는 ISM 주파수 대역에서의 서비스로 이루어지기 때문에 WBAN을 위한 MAC 프로토콜은 의료 응용과 CE 응용간의 상이한 특징과 유연성 (flexibility)을 고려하여 설계되어야 한다. 본 논문에서는 WBAN MAC 프로토콜의 요구사항을 확인하고, WBAN의 요구사항을 만족하는 WBAN MAC 프로토콜을 제안한다. WBAN의 다양한 응용을 위한 전송 유연성을 제공하기 위해서 동적 CFP(Contention Free Period) 할당(Dynamic CFP Allocation)을 제안한다. 또한, 경쟁 기반의 긴급 의료 데이터를 발생하는 의료 응용과 때때로 대량의 데이터를 발생하는 CE 응용을 지원하기 위해서 OCDP(opportunistic contention decision period) 구간과 4-mode Opportunity period를 제안하고, 제안한 방안을 이용하여 Inactive period와 Opportunity period를 일시적으로 전환하여 사용할 수 있는 기법을 제안한다. 다양한 시뮬레이션 결과 IEEE 802.15.4 MAC 프로토콜과 제안하는 WBAN MAC 프로토콜을 비교하였을 때, WBAN 환경에서의 전송 처리량, CFP 이용율, 전송지연 측면에서 증가된 성능 결과를 얻을 수 있었다.

거동불편노인의 구강건강과 삶의 질에 영향을 미치는 요인 (Factors Influencing the Dental Health and Living Quality of the Elderly With Physical Debilities)

  • 박남규;김한곤;김진아
    • 대한치과기공학회지
    • /
    • 제33권4호
    • /
    • pp.413-425
    • /
    • 2011
  • Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

감지설정기능을 적용한 스미싱 차단앱의 동적 평가방법에 관한 연구 (Dynamic Evaluation Methods for SMS Phishing Blocking App Based on Detection Setup Function)

  • 김장일;김명관;권영만;정용규
    • 서비스연구
    • /
    • 제5권2호
    • /
    • pp.111-118
    • /
    • 2015
  • 모바일 기기의 발달은 삶의 여유를 가지도록 만들었지만 그 반대편에서는 이를 금융범죄의 대상으로 간주하고 공격하는 세력들이 나타나게 되었다. 스마트폰을 대상으로 하는 범죄 중에서 금융관련 범죄는 스미싱, 피싱, 파밍, 보이스 피싱 등이 있으며, 특히 모바일의 특성상 문자메시지를 이용한 스미싱이 많이 증가되고 있는 현상이다. 스미싱은 스마트폰 사용자가 급증해 짐으로 인하여 발생하는 신종범죄로서, 그들의 범죄방식도 기존의 사기행위에서 벗어나 악성 앱을 제작하는 등 그 수법이 고도화되어가고 있으며, 특히 관련법의 허점을 이용하기 때문에 외국서버를 이용하는 등의 방법을 통하여 발생시키고 있다. 스미싱 공격으로부터 안전하게 개인과 기업 및 국가의 자산이 보호되기 위해서는 사후적인 대응보다는 사전적인 예진이 더욱 중요하다. 이를 위해서는 스미싱 공격을 사전에 감지하고 차단할 수 있는 프로그램을 개발하고 배포하는 것이 필요하다. 이에 본 논문에서는 현재 배포되고 있는 차단앱의 종류와 차단과정을 조사하고 감지설정을 적용한 차단앱의 평가방법을 제시한다.

북한문헌을 통한 북한의 연구경향 고찰 (A study on the North Korea°Øs clinical dentistry system and research tendency of dentistry)

  • 김성환;김민균;명훈;김종철
    • 대한치과의사협회지
    • /
    • 제53권10호
    • /
    • pp.712-725
    • /
    • 2015
  • The clinical dentistry system and research tendency of dentistry in North Korea has a difference with South Korea. In North Korea, preventive dentistry has been developed, and government of North Korea clame a free medical service to all the people. And there are tendency that Korean medicine(Oriental medicine) is applied to clinical dentistry in North Korea. Research tendency of dentistry in North Korea have a difference from South Korea. Articles of dentistry in North Korea have some freatures. Terminology of dentistry is writtened in original Korean developed uniquely in North Korea. Recent articles of dentistry in North Korea have a reference from english articles, and it is different that reference articles in the past were from Chinese or Russian articles. In order to get ready for the United Korea, we need to know the feature of dentistry in North Korea, and increase an academic exchange between South and North Korea.

The present situation of studies on effects of atitumor with health of Hippophae in the China

  • Kim, Soo-Cheol;Lee, Sang-Lae;Lin, Jin-Dui
    • 한국자원식물학회:학술대회논문집
    • /
    • 한국자원식물학회 1999년도 The 6th International Symposium on the Development of Anti-Cancer Resource from Plants
    • /
    • pp.58-64
    • /
    • 1999
  • As indicated by Chinese letters "사혁" (sha-ji) is the ripe fruit of Seabuckthron (Hippophae rhamnoides Linneus) Family Flaeagnaceae is one of ancient natural medicine used by the Tibetan and Mongolian nationallites with ancient methods to treat desease, It is an effectiv Traditional Tibetan medicine. Bud only now are they beginning to be understood in the world of modern medicine. Hippophae was written in the book of Traditional Tibetan Medicine - "Somalaza" (8th century), "Sibuyidian" (1840) and "Jingzhubencao" (Qing Dynasty). The "Sibuyidien" was trnslated in to the Russian and published at 1903 in the Russian. Then the Russian bigan to study on Hippophae and they have achieved great successes. The Chinese scientists began to study on the chemical constituent and medical action with modern technique at 1952. With more than 40 years painstaking eport they have conceived and used a wide variety of experimental screening systems, achieved successes. Finally the)1 with one's own tests has keen verified that the crude drug being various kind of bioactive substance could Inhibits tumor, increase immunity, wipe out free radical, prevent disease of cardiovascular system, have anti-radiation, anti-inflammeutory effects. At 1977 the Hippophae rhamnoides was written in Chinase Pharmacopoeia.e rhamnoides was written in Chinase Pharmacopoeia.

  • PDF