• 대한한의학원전학회지
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• 제19권2호통권33호
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• pp.222-247
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• 2006

On this volume it is said that the general nine-acupuncture is correctly used for it. Since the structure and effect of the nine-acupuncture are difference with each other, it insist on being well-matched disease of it own on first and second chapter There is described the method of nine-acupuncture on third chapter, on fourth chapter, there is described the 12chol-acupuncture according to twelve cases, on fifth chapter, there is described the three-acupuncture according to invasion depth of pathogenic cold and on the sixth chapter, there is described the five-acupuncture used in the diseases of five zang. The these acupuncture reflect the affluence of the ways of ancient acupuncture and these contents may affect on wield influence on the development of acupuncture. Hence, to study source of acupuncture it is necessary to investigate this volume thoroughly and we try to find improved method used in clinical treatment. On this study, we try to contribute understanding the original text with translation in korean.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5573-5578
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• 2015

Background: A systematic review and meta-analysis were performed to compare the post-recurrence survival with hepatic re-resection versus transarterial chemoembolization (TACE) for recurrent hepatocellular carcinoma (HCC) after initial resection. Materials and Methods: All relevant papers were searched via PubMed, EMBASE, and Cochrane Library databases. Hazard ratios (HRs) with 95% confidence intervals (CIs) were pooled using a random-effects model. Subgroup analysis was performed according to country. Sensitivity analysis was performed in studies which clearly reported the recurrent regions, in moderate/high-quality studies, in studies published in full-text form, and in studies published after 2005. Results: In total, twelve papers were included in our study. Five and seven of them were of moderate- and poor-quality, respectively. The overall meta-analysis demonstrated a statistically significantly higher post-recurrence survival in the hepatic re-resection group than in those undergoing TACE (HR=0.64, 95%CI=0.52-0.79, P<0.0001). Heterogeneity was statistically significant and statistical significance remained in the subgroup analysis. Sensitivity analyses were also consistent with the overall analysis. Conclusions: Hepatic re-resection might provide a better post-recurrence survival than TACE for recurrent HCC after initial resection. However, considering the low quality of published studies and the potential bias of treatment selection, further randomized trials should be warranted to confirm these findings.

• 대한한의학원전학회지
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• 제35권3호
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• pp.59-69
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• 2022

Objectives : The existence of specialized medical texts on a certain disease is reflective of its prevalence of the time. Smallpox and measles were major pediatric diseases, of which previous studies examined the outbreak of measles in late Joseon and the relationship among various specialized texts, and how records of the two diseases in the general medical literature has changed chronologically. Research on the two diseases recorded in different texts written by the same author has not been conducted before. Methods : Examination of the organization of the smallpox and measles parts in the Yosandangsinjipuibangkeumnangjibo and Bojeoksinbang, followed by comparative analysis was undertaken. Results : While the two texts show great similarity in the general contents of smallpox and measles, there was difference in the way they were written. In the case of the Yosandangsinjipuibangkeumnangjibo the author lists referenced literature, while in the Bojeoksinbang he does not. Also, compared to the Yosandangsinjipuibangkeumnangjibo, the Bojeoksinbang has detailed titles for the contents in both introduction and the detailed parts, while in the Bojeoksinbang there are contents that could not be found in the Yosandangsinjipuibangkeumnangjibo, along with more pattern differentiation in the former. Conclusions : The Yosandangsinjipuibangkeumnangjibo which was published in May of 1806 is a general type of medical text, in which the part on pediatrics is positioned in the first two volumes out of the entire 12 volumes, indicative of the author's emphasis on pediatric disease. The Bojeoksinbang which was published in December of 1806 discusses in-depth theories on smallpox and measles out of all pediatric disease, from which we can glimpse a specialized field of pediatrics in the late Joseon period.

• 대한한의학원전학회지
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• 제25권3호
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• pp.117-126
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• 2012

Objective : I would like to determine the main factors, in other words, the subjects that are responsible for febrile paroxysm and how they interact at the time of onset, based on the "Discourse on Hak(瘧)" chapter of "Huangdi Neijing(黃帝內經)". Methods : First, the pathological mechanism of the paroxysm was examined as described in the text. Then the subjects in question were analyzed based on the contents of the text. Result : 1. Febrile paroxysm happens when the three factors coincide at the Fengfu(風府). The three elements are as follows: first defense qi(衛氣), second latent qi(伏邪) and third, external pathogen(新邪). 2. Fengfu(風府) is not a specific point, but a region which external pathogen(新邪) passes through during which the defense qi is deficient. Conclusion : Febrile paroxysm is not caused by either an internal pathogen or an external pathogen, but the interaction between the three elements of the internal and external pathogens and the condition of defense qi. Moreover, the site, Fengfu(風府), which the disease is manifested is not a specific point but a more general region where the pathogenic qi has invaded while defense qi has weakened.

• 대한영상의학회지
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• 제84권3호
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• pp.653-662
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• 2023

목적 본 연구에서는 소아 충수 초음파에서 구조화 판독문을 이용하는 것의 증분가치를 보고자 하였다. 대상과 방법 이 후향적 연구에는 2009년 1월부터 2016년 6월 사이에 충수염이 의심되는 소아환자 1150명이 포함됐다. 2012년 11월, 충수 초음파에 대한 5점 척도의 구조화 판독문을 도입했다. 환자들은 초음파 판독문 양식에 따라 자유 텍스트 그룹과 구조화 판독문 그룹으로 나뉘었다. 초음파 검사 후 추가적 CT 검사율, 음성 충수절제율 및 충수 천공률을 포함한 주요임상 결과를 두 그룹 간에 비교했다. 결과 자유 텍스트 그룹에서 550명의 환자와 구조화 판독문 그룹에서 600명의 환자가 선별되었다. 추가 CT 검사 비율은 구조화 판독문 그룹에서 8.2%로 5.3%가 감소했다(p = 0.003). 음성 충수절제율은 구조화 판독문 그룹에서 7.8%로 8.4% 감소했다(p = 0.028). 충수 천공률(37.6% vs. 48.0%, p = 0.078)은 통계적으로 차이가 없었다. 결론 충수염이 의심되는 소아 환자에서 초음파 검사 시 구조화 판독문을 사용하면 추가 CT 검사율이 감소하고, 충수 천공률의 증가 없이 음성 충수절제율이 감소한다.

• 인터넷정보학회논문지
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• 제18권1호
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• pp.143-152
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• 2017

In order to ensure the right of self-determination of women, most of countries allow women to buy post-coital contraceptive pills or general medical supplies with ease. This study aims to analyze how ordinary people recognize and respond to post-coital contraceptive pills through collecting atypical data by using the keyword 'Contraception', rather than using the existing actual condition survey, such as questionnaire and interview, so that the results have been presented, which may be referred to for establishment of policies.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2005년도 추계학술대회 논문집
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• pp.367-370
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• 2005

Offer of medical treatment service for recovery or preservation of physical spiritual function of elderly people by sudden population graying developing is essential. Therefore, according to increase of elderly's medical treatment demand, medical treatment service request is augmented. Number of medical treatment service utilization wishes to grope medical treatment service support way for elderly residing cloth elevation laying stress on elderly's Aging in Place in increase trend in this research. If decide, is as following : First, national hospital and public health center were concentrated most on Seoul and kyonggi, and there were many hospitals to south of a river nine, Songpagu, Seochogu, and public health center was expose that is one by one to each nine. Second, in the case of Seoul, elderly population ratio was expose that comparatively high Yeongdeungpo, Chongno, Yongsan, west passage nine is few hospital number relatively in elderly's residential area. Third, need that establish elderly full text clinic on part of general hospital or university hospital equipment. Fourth, must do so that can use access as is easy little more in local community to all elderly who need medical treatment service of visit nursing, visit medical examination and treatment etc.. that consist in present public health center.

• 대한한의학원전학회지
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• 제36권2호
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• pp.35-48
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• 2023

Objectives : In this paper, the characteristics and significance of Chimgyeongyogyeol (=Chimguyogyeol) were analyzed. Furthermore, the purpose of this study is to examine which books were based on the origin of the medical knowledge enjoyed by Ryu, Seongryong at the time. Methods : The bibliography of each transmitted version of Chimgyeongyogyeol is considered, then the items are compared, and finally, the citations of the relevant contents are examined. Cited literature was analyzed by item, and sources were identified where the contents were cited. Results : 1. Chimgyeongyogyeol was published three times. 2. At present, it is not known which tradition text is the oldest. The transmission relationship between several transmission versions is not clear. 3. Chimgyeongyogyeol was written with reference to various other medical books, centered on Uihagibmun. 4. There is no information about 'Choose a day to perform acupuncture' and 'Zaoyuju acupuncture', which were widely popular in Joseon at the time. This reflects the purpose of writing to convey medical knowledge to the general public. Conclusions : Chimgyeongyogyeol was an acupuncture book written for the purpose of conveying medical knowledge to the common people by reflecting the latest medical achievements in China. Through this, the knowledge of acupuncture enjoyed by the author and what he aimed for through it were confirmed. However, it was impossible to completely compose the system of the first draft only with the extant version.

• Journal of Preventive Medicine and Public Health
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• 제50권2호
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• pp.68-82
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• 2017

Objectives: We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI). Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them. Results: There was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI. Conclusions: The reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.

• 대한간호학회지
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• 제5권1호
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• pp.31-40
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• 1975

A study on public health education curriculums of 14 universities located in Seoul city was carried out from Oct. 15 1974 to Nov. 15 1974. The data were obtained from 11 universities bulletins & 3 universities administration officers. The contentments of public health were obtained by the interview with the teaching professors on the syllabuses. The results were as follows: 1. General Public health topics were taught at 4 universities (28.6%) out of 14 universities & 129 departments (25.3%) out of 509 departments. General public health education were taught at 2 universities (28.6%) out of 7 universities with medical school of the colleges of education 2 collages (18.2%) had the public health education in the curriculums. 2. Academic administration of Public health education by universities 2 hrs for 2 credits were allocated at 2 universities (50%), while 4 hrs for 2 credits at the rest universities (50% ), Pubic health education were taught as an essential general education at 4 universities. Public health education were taught in freshman course at 2 universities in senior course at 2 other universities. Text books on public health education were chosen at 2 universities and at other 2 universities, just references were introduced to students. Contents of public health education. In two universities teaching programs of public health were undertaken & in other two universities no particular leaching programs were undertaken. And contents of tuberculosis, V. D. & communicable disease control Pregnancy & delivery, precaution ok post paestum maternal & child health were taught at 4 universities. Contents of health & college students, alcohol tobacco & coffee, chosen of sports were taught at few university. 3. General public health education instructors: The instructors were consisted of 13 men(81.2%) & 3 women (18.8%) Physicians were 11 (68.8%), nurses 2 (12.5%) & others 3(18.7%) Full time instructors were 7 (43.7%) part time instructors 9 (56.3%) Position & organization instructors belong to ; instructors (75.0%) had the teaching position in universities & research workers & others were 3 (18.8%) & medical practitioner was I(6.2%) 4. Public health & home nursing education by general home economic departments. Home nursing & public health were taught as an compulsory general education program in 10 departments 50.5% & as an alternative major course in 7 departments (35.0%) 2 hrs for 2 credits were allocated at 9 departments (45.0%) while eve. 4hrs for 4credits were 8 departments (40.0%).