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A Study on Cooperative Medical Treatment System between Oriental and Western Medical Practitioners (한.양방 협진체계 개발에 관한 연구)

  • Yi, Dong-Heui;Yoo, Kyu-Soo
    • Korea Journal of Hospital Management
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    • v.3 no.1
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    • pp.34-61
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    • 1998
  • A study on cooperative medical treatment system between oriental and western medical practitioners was conducted from March through August 1997 in order to determine a productive model of cooperation of two medical parts for treatment of patients. Questionnaires were distributed to 195 medical doctors(M.D.) and 195 doctors of oriental medicine(O.M.D.) working in clinics and hospitals in six major cities. Statistical analysis tools used for this study were frequency, t-test and multiple regression by using SPSS/P.C package. The results are summarized as follows: 1. The respondents were composed of male docotors(78%) and female doctors(22%) and 68.2% of M.D. and 97% of O.M.D. were interested in the other medical part. The doctors of both disciplines had some limitation on treatment of patients but they were reluctant to refer their patients to other doctors in different discipline. 2. M.D assumed that oriental medicine was more effective for chronic diseases, and O.M.D. thought that western medicine was more effective for acute diseases. 92.3% of O.M.D.s responded that even though they do not utilize western medical technology for diagnosis, they believed the results of diagnoses by western medical technology. 3. 60.5% of O.M. and 93.3% of O.M.D. said that cooperative medical treatment system could be necessary for patients and it would be effective for control of diseases and 69% of western medical doctors and 99% of oriental medical doctors agreed that oriental medical practice would be more effective for cerebellar vascular accidents than other diseases. 77.4% of western medical doctors and 92.3% of oriental medical doctors responded that the students of two different disciplines have to be taught on the other disciplines. 82.6% of western medical doctors and 83.3% oriental medical doctors agreed that it would be necessary to have collaborative research between scientists in two disciplines. 81.5% of M.D.s and 93.3% of O.M.D.s believed that they had prejudice and distrust on other discipline 4.90% of the doctors were not satisfied with the government medical policies on health insurance, legal matters, and health delivery system. 5. 75.4% of M.D.s and 50.2% of O.M.D.s said that two medical disciplines should be integrated, but they were skeptical on that. 75.3% of M.D.s thought that western hospitals should employ O.M.D.s Finally this study recommended that western medical students study oriental medicine and the vice versa, and M.D.s and O.M.D.s should have seminars and workshops to exchange knowledge, and experiences. It is also recommended that medical laws be revised to allow medical doctors refer the patients whom they can not handle to oriental medical doctors and the vice versa.

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Serum Alpha-Fetoprotein Levels in Health Checkup Adults (건강 검진자들의 혈청 Alpha-Fetoprotein 농도)

  • Kim, Yoohyun
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.2
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    • pp.86-93
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    • 2008
  • This study was performed to investigation of the serum alpha-fetoprotein (AFP) levels in healthy adults. A total of 2,160 (male 1,415, female 745) health checkup adults were examined for AFP levels by chemiluminescence immunoassay (CLIA) method, during the period from September, 2007 to August, 2008. The mean serum AFP level was 2.168 (0.605~20.35) ng/mL, and it was 2.309 (0.605~20.35) ng/mL in male, 1.906 (0.605~10.36) ng/mL in female, respectively. 1,816 (male 1,109, female 709) healthy adults were screened for the absence of viral hepatitis and normal alanine amino transferase (ALT) levels. The mean serum AFP level of healthy adult was 2.041 (0.605~7.83) ng/mL, and it was 2.181 (0.605~7.83) ng/mL in male, 1.822 (0.605~6.55) ng/mL in female, respectively. Serum AFP increased with age group, there was a higher level in male compared to female. These results suggests that the use of reference value of AFP in healthy adults in the Jeonbuk. With the reference value now defined, it becomes possible to compare levels in different populations.

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Characteristics According to the Size Distributions of Respirable Particulate During Yellow Sand Episode in Kosan, Jeju Island (황사기간도안 제주, 고산지역에서 호흡성 분진의 입자 분포 특성)

  • Kim, Jeong-Ho;Ahn, Jun-Young;Han, Jin-Seok;Lee, Jeong-Joo
    • Journal of Environmental Health Sciences
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    • v.29 no.3
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    • pp.91-96
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    • 2003
  • This study was intended as an investigation of characteristics of background site atmospheric respirable particulate matters(RPM), and fine particles(<2.5 ${\mu}{\textrm}{m}$). The particle size distributions during the phenomenon of Yellow Sand(YS) occurs from April, 2001. Atmospheric aerosol particulate matter was directly collected on the Jeju island between 1 to 30, April, 2001 using an eight-stage cascade impacter(particle size range: 0.43-11 ${\mu}{\textrm}{m}$), and cyclone separator(cut size: 2.5, 10 ${\mu}{\textrm}{m}$). The episode of YS observed in background monitoring site, Kosan and appeared 2 times at sampling period. The mass concentrations of fine and coarse particles for YS episode were 34.2 and 59.6 $\mu\textrm{g}$/㎥, respectively, which were significantly increased amounts compared to 13.3 and 13.0 $\mu\textrm{g}$/㎥ for NonYS(NYS). Most size distributions had two peaks, one at 0.43∼.65 ${\mu}{\textrm}{m}$ and the other at 3.3${\mu}{\textrm}{m}$4.7 ${\mu}{\textrm}{m}$. The result of analysis of water-soluble ion component indicated that sulfate was mainly ion component, but nitrate and calcium ion was significantly increased at the YS episode.

A Study on Emission Characteristics of Carbonyl Compounds for Indoor Air in New Apartment (신축공동주택의 실내공기 중 카보닐화합물의 방출특성에 관한 연구)

  • Ryu, Jung-Min;Cho, Tae-Jin;Jang, Seong-Ki;Son, Bu-Soon
    • Journal of Environmental Science International
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    • v.19 no.7
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    • pp.807-818
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    • 2010
  • The study is about variations in Carbonyl compounds concentration within apartment buildings according to pre-residence and residence. We consecutively investigated indoor air pollutants in 120 households in 6 cities at pre-residence and residence. Carbonyl compounds were collected using the 2,4-DNPH cartridge and were analyzed using HPLC. The carbonyls concentration of indoor air in the new apartments before occupation measured formadlehyde($76.0\;{\mu}g/m^3$), acetone($85.9\;{\mu}g/m^3$), acetaldehyde($13.8\;{\mu}g/m^3$). The carbonyls concentration of indoor air in the new apartments after occupation measured formadlehyde($233.1\;{\mu}g/m^3$), acetone($128.9\;{\mu}g/m^3$), acetaldehyde($29.8\;{\mu}g/m^3$), respectively. As a result, the mean concentration of carbonyl compounds within the pre-occupancy stage was lower than those of residence.

A periodic case study of diesel vehicle drivers exposed to diesel particulate matter in an underground coal mine

  • Lee, Sugil;Jankewicz, Ganyk;Kim, Jung-Hee;Chung, Kwang Bo
    • Environmental Engineering Research
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    • v.23 no.3
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    • pp.265-270
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    • 2018
  • This study was to measure the exposure of diesel vehicle drivers to elemental carbon (EC) as an indicator of diesel particulate matter (DPM) emitted from diesel vehicles in an underground coal mine over 3 years as per NIOSH Method 5040. Our study results (range $10{\mu}g/m^3-377{\mu}g/m^3$ for the loader drivers, $19{\mu}g/m^3-162{\mu}g/m^3$ for the SMV drivers) were similar or less than previous study results (range $5{\mu}g/m^3-2,200{\mu}g/m^3$) for normal mine operations. From this study results, it appeared that the exposures decreased in the second and the third year. It is thought that the reasons for the decreased personal DPM (EC) exposures over the 3 years were related to the following recommendations; more frequent monitoring and maintenance of the diesel vehicles and their DPM filtration systems, more consistent monitoring of the mine's ventilation system and changes of work practices such as minimizing the opening of diesel vehicle windows. An educational program on adverse health effects of exposure to DPM and use of respiratory protection (P2 respirators) also assisted in minimizing driver exposure to DPM.

$^{18}F$-FDG Colonic Uptake by Oral Anti-Diabetic Drugs Including Metfomin in PET/CT Scan (PET/CT 검사에서 Metformin 성분의 항 당뇨약제에 의한 대장에서의 $^{18}F$-FDG 섭취에 관한 연구)

  • Kim, Sang-Gyu;Park, Hoon-Hee;Kim, Jung-Yul;Bahn, Young-Kag;Lim, Han-Sang;Kim, Jae-Sam;Lee, Chang-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.50-54
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    • 2010
  • Purpose: The uptake of $^{18}F$-FDG is often observed in normal cell of colon to patients who have non-insulin-dependent diabetes mellitus and had taken anti-diabetic drugs including Metformin in PET/CT scan. In this study, the region of colon was compared between the patients who took anti-diabetic drugs including Metfomin and other patients who took the other anti-diabetic drugs through SUV measurements. Materials and Methods: A hundred eighty patients were studied. 120 patients who have non-insulin-dependent diabetes mellitus (Including Metformin: 60, Excluding Metformin: 60) and 60 patients as a control group were composed. The patient fasted at least 6 hours before receiving an intravenous injection of 370-592 MBq (10-16 mCi) of $^{18}F$-FDG. Scanning from the base of the skull though the mid thigh was performed using the Discovery STe PET/CT Equipment (GE Healthcare, Milwaukee, WI, USA). The highest uptake region was measured SUV among ascending, transverse and descending colon. Results: The values of patients who took the anti-diabetic drugs including Metformin were $6.16{\pm}3.64$ g/mL, $4.41{\pm}2.94$ g/mL, and $5.46{\pm}2.44$ g/mL. The patients who took the anti-diabetic drugs which does not have Metformin were $3.05{\pm}1.39$ g/mL, $2.08{\pm}0.97$ g/mL and $3.15{\pm}1.85$ g/mL. The control group were $2.02{\pm}0.88$ g/mL, $1.68{\pm}0.87$ g/mL and $2.19{\pm}1.88$ g/mL. Conclusion: The effect of the intake of Metformin was observed from the SUV on region of large bowel in this study. Thus, it could be helpful for the results by identifying the ingredient of anti-diabetic drug before the examination and the possibility of interpretation of false positive will be reduced.

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Study on the Correlation between Nicotine Concentrations in Environmental Tobacco Smoke and Urinary Cotinine Concentrations of Nonsmokers (비흡연자의 Nicotine에 대한 노출량과 뇨중 Cotinine 농도의 상관성에 관한 연구)

  • Roh, Jin-Ho;Shin, Dong-Chun;Kim, Jong-Man;Chung, Yong
    • Environmental Analysis Health and Toxicology
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    • v.5 no.3_4
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    • pp.47-56
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    • 1990
  • Smoking damages nonsmoker's health who have been exposed to passive smoking as well as smoker's own health. Passive smoking can cause serious health damage to particular groups, such as the old aged, children and pregnant women. The purpose of this study is to investigate the relationship between nicotine concentrations in environmental tobacco smoke (ETS) and urinary cotinine concentrations of nonsmokers exposed to ETS, and to provide basic information related to health risk assessment. The results of this study were summarized as follows: 1. When 180 cigarrette were smoked during S hours (high concentrations exposure) in 132 m$^3$chamber, mean concentrations of nicotine in ETS showed 263.52 $\mu\textrm{g}$/m$^3$${\pm}$51.93. When 45 cigarretts were smoked (low concentrations exposure), it was 69.43${\pm}$8.96 $\mu\textrm{g}$/m$^3$. 2. The urinary cotinine concentrations of each times (0, 2.5, 5, 17 and 24 hours) in nonsmokers ranged from 0.27∼12.52 ng/ml in high concentrations exposure and 0.22∼2.28 ng/ml in low concentrations exposure. Mean while the total urinary cotinine concentrations during 24 hours ranged from 11.62∼31.65 ng/ml in high concentrations exposure and 3.45∼5.64 ng/ml in low concentrations exposure. 3. The correlation equation and coefficient between cotinine concentrations in nonsmokers' urine (y) and nicotine concentrations in ETS (x) was y=0.421+0.0171x and 0:875 (p<0.01) respectively, 4. The quantity of nonsmokers' smoking exposure by passive smoking can be assumed as based on the estimation of nicotine concentrations in ETS by measuring cotinine concentrations of nonsmokers' urine.

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A study on the accessibility and utilization satisfaction of health centers in rural area, Paraguay (파라과이 농촌지역의 보건소 건립 후 접근성과 이용만족도에 관한 연구)

  • Kim, Ji Eon;Chung, Min Ah;Nam, Eun Woo
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.2
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    • pp.17-26
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    • 2023
  • Purpose: The purpose of this study is to identify policy implications for the construction of public health facilities in the field of international cooperation, by examining the case of establishing a health care delivery system using a public health center in a rural area of Paraguay. Methods: Firstly, to map the capacity of the 20 public health centers that were studied, we used the WHO Capacity Mapping tool to select and analyze relevant items. Secondly, to assess the utilization of public health centers, we conducted a direct visit survey and analyzed the results using the M-survey tool. Results: The floor plan of each public health center, the structure of the health center, the size of the population served by each health center, the number of monthly visitors, medical human resources, and the budget were classified by health center for comparative analysis. In addition, by utilizing the M-survey tool, we analyzed the general characteristics of the respondents, their perceptions of the purpose and accessibility of public health centers, their satisfaction with using public health centers, and the level of demand for public health centers to play a role in promoting community health. Implications: The results of this study suggest that access to public health facilities for residents in the research area was improved. By classifying public health centers into two types, these centers can perform the functions and roles of primary health facilities. A patient request and evacuation system was established in the research area. Finally, a network, such as a social prescribing program, is needed so that public health centers can function as a "setting" for community members to live together.

A Comparison of Oral Health Behavior and Oral Health Outcomes between Cooperative and Non-Cooperative Groups following Implementation of an Oral Health Care Program (치위생 과정에 근거한 구강예방프로그램 적용 후 협조군과 비협조군 간 구강건강상태 및 행동 비교)

  • Kim, Yu-Rin
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.30-37
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    • 2017
  • The purpose of this study was to reveal analyze the relationship between status of participation in an oral health care program and oral health outcomes among patients in Korea, and to evaluate the results to provide evidence regarding the feasibility of widespread implementation of the program. Patients were designated as either cooperative or non-cooperative with the oral health care program and were assigned to each group accordingly. Modified dental hygiene process (M-DHP) of the oral healthcare program was modified to form the dental hygiene process. The study included 48 patients at a dental clinic in Busan, Korea. Questionnaires were used to collect information on oral health behavior (OHB), clinical examination was used to record bleeding on probing (BOP) and O'Leary index, and phase microscopy was used to identify microorganisms. Differences between groups were evaluated using repeated measures ANOVA. Our results showed that the group cooperative with the oral health care program showed greater improvement in OHB, BOP, and O'Leary index than the non-cooperative group. Second, patient satisfaction with the M-DHP was very high, particularly for content and the friendly nature of the staff. The cooperative group showed greater improvement in oral health than the non-cooperative group for all metrics. Our results suggest that this low-coste program, if implemented, would be actively accepted and utilized in dental clinics.