• 대한치과의사협회지
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• 제53권10호
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• pp.732-742
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• 2015

The objective of this study was to identify bisphosphonate-related osteonecrosis of the jaw (BRONJ) awareness and experience level of patients by medical doctors who prescribes bisphosphonate being used, analyze dental examination referral reality and to utilize its result as basic education data for early diagnosis of BRONJ and its prevention. The study was carried out through a self-administered questionnaire distributed among a sample 192 residents and specialists. They belonged to family medicine, internal medicine and orthopedics of 6 tertiary medical centers located in Seoul. The survey consisted of 22 questions; general characteristics, bisphosphonate therapy, awareness of BRONJ, implementation level of dental examination referral. Among 192 medical doctorss, 78.1% (n=150) showed awareness of BRONJ. Only 8.9% (n=17) had correct response in all 5 BRONJ knowledge questions. Dental examination referral by medical doctors was implemented in below 30% of the total patients. At the time of bisphosphonate administration, specialist of oncology most highly recognized necessity of dental examination referral and it was represented in the order of endocrinology, rheumatology, family medicine, orthopedics specialists. As recognition of medical doctors for BRONJ and implementation level of dental referral were represented to be low, it is considered that enhancement of BRONJ recognition for medical doctors and development of high accessible education program for increasing implementation rate of dental examination referral would be required.

• 사물인터넷융복합논문지
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• 제9권3호
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• pp.75-80
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• 2023

국내 의료취약지에서 공중보건의는 지역민의 일반의료는 물론 응급의료에서 큰 역할을 수행하고 있다. 그러나 공중보건의는 일반적으로 현장 경험이 부족하기 때문에 응급 환자에 대한 대처 능력이 부족하고, 의료장비를 효과적으로 다루지 못하는 것으로 나타났다. 본 연구는 공중보건의에게 필요한 의료장비에 대한 사용법을 스마트 글래스를 이용하여 원격교육으로 진행 후 교육의 효과를 확인하였다. 구체적으로 의료장비 활용 교육을 위해서 스마트 글래스는 리얼웨어를 사용하였으며, 신안군 10개의 섬 지역 공중보건의 10명을 대상으로 하였다. 교육 후 장비 활용 효과와 만족도 모두 3점 이상이었다. 따라서 스마트 글래스를 활용한 원격교육이 의료취약지의 공중보건의를 대상으로 유용하게 활용될 수 있다는 것을 확인하였다.

• 대한한의학원전학회지
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• 제6권
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• pp.41-53
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• 1993

The theory of 4 great doctors in Geum Won era has been considered as a most scientific medicine after SangHanRon of Jang, Jung Kyung. And it influence for all the later medical theory and practice. I have found a common points between their Fire and Fever pathology and constitutional pathology of Li, Je Ma. The results obtained are as follows. 1. On the Viewpoint of medical history, there is common points in the fact that the start of Geum Won 4 great doctor' principle had been drived from awakening of the abuse of warm and hot herbs based on Hwa Je Guk Bang in the last stage of Song dynasty, and that the appearance of Sa Sang medicine was from the scientific reflection against the currency of the animation by warm herbs which was popular in the Jo Sun dynasty. 2. The theory of Fire and Fever pathology of 4 great doctors has been fixed in the principle of Cold and Fever pathology of viscera and bowel in the Sa Sang medicine. 3. The pathological meaning of 'internal fire' in the conculusion by 4 great doctors has got scientific fruit by Sa Sang medicine in its theory of four constitutional psychology and the formation of four visceras. 4. It is considered that the study of DongUiSuSeBoWon is needed for the relation with former medical theories.

• 대한예방한의학회지
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• 제13권1호
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• pp.1-11
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• 2009

To strengthen the R&D capability and the competitiveness of the Korean oriental medicine industry, an adequate supply of qualified R&D personnel including medical doctors of Korean oriental medicine is an important precondition. This study analyze current and future R&D manpower requirements including medical doctors in the Korean oriental medicine research area. Our analyses can be utilized for developing the government R&D manpower planning including the adequate supply of medical doctors for the Korean oriental medicine research. For the study, we conducted and analyzed a delphi survey of the experts, the principal investigators, with expertise in Korean oriental medicine research areas. The results of this study can be summarized as follows; First, in 2007 the Korean oriental medicine R&D personnel is currently under-supplied as many as 302 people including 111 medical doctors of Korean oriental medicine. The rate of under-supplied is 28.2%. Second, in 2017 the forecast shows that the R&D personnel in this area will be more severely under-supplied as many as 539 people including 185 medical doctor of Korean oriental medicine. The rate of under-supplied will be 32.6%. As a result, the confrontation of demand and supply forecasts shows that, in general, severe shortages of R&D manpower in the areas of Korean oriental medicine will result if there are not adequate manpower policy adjustment.

• 대한예방한의학회지
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• 제7권1호
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• pp.87-102
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• 2003

This study was conducted to examine recognition of oriental medical doctors on the quality control of herbal medicine and to provide useful information for the establishment of effective quality control system of herbal medicine. Data were collected from 202 oriental medical doctors working in oriental medical hospitals or clinics in Daegu-Gyungbuk province. Generally, there is a tendency that most respondents have low degree of recognition, trust and satisfaction of the quality control of herbal medicine while they think standardization and complete quality control systems of herbal medicine is needed highly. Thus, in order to increase confidence of consumers in herbal medicine, and to increase the utilization of oriental medical services, both strengthening of quality control systems and standardization and establishment of Oriental KFDA as a new government agency responsible for the work should be required.

• 대한수사과학회지
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• 제2권2호
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• pp.30-49
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• 2007

부검은 검안만으로 사인 또는 사망의 종류를 확인할 수 없는 경우 시체를 해부하여 이를 확인하는 검시(檢屍)방법이다. 본 연구자는 대학병원 직원들의 부검에 대한 인식도를 알아보기 위해 설문지를 이용하여 2007년 4월 2일부터 5월 4일까지 1개월간 대구광역시 영남대학교의료원의 직원들을 대상으로 설문조사를 실시하였다. 전체 286 명 중 남자가 121 명(42.3%), 여자가 165 명(57.7%)이었으며, 의사 57 명(19.9%), 간호사 71 명(24.8%), 의료기술직 83 명(29.0%), 행정사무직 58 명(20.3%), 기타 직종 17 명(5.9%)이었다.대상자들의 설문조사를 살펴보면 부검에 대한 교육정도에서 의사는 2회 이상이 61.4%인데, 간호사는 1.4%, 의료기술직은 15.7%, 행정사무직은 1.7%, 기타 직종은 5.9%로 의사들에 비해 교육정도가 많이 부족하였다. 본인이나 가족이 갑자기 쓰러져 사망했을 때 부검을 의뢰하겠는가라는 질문에 의사는 의뢰한다가 59.6%로 높았으나, 간호사는 22.5%, 의료기술직은 39.8%, 행정사무직은 41.4%, 기타 직종은 35.3%로 낮게 나타났다. 직장 동료가 근무 중 갑자기 쓰러져 사망한 경우 부검을 해야 한다고 생각하는가라는 질문에서도 의사는 그렇다가 66.7%로 높았으나, 간호사는 33.8%, 의료기술직은 39.8%, 행정사무직은 43.1%, 기타 직종은 17.6%로 낮게 나타났다. 병원내 환자가 병사했을 때 부검을 해야 한다고 생각하는가라는 질문에서도 의사는 그렇다가 50.9%, 간호사는 8.5%, 의료기술직은 19.3%, 행정사무직은 24.1%, 기타 직종은 17.6%로 낮게 나타났다. 부검은 어떤 곳에서 해야 하는가라는 질문에 의사는 의과대학 법의학교실이 73.7%로 가장 높았고, 다른 직종에서는 국립과학수사연구소가 가장 높게 나타났는데, 간호사는 62.0% 의료기술직은 59.0%, 행정사무직은 46.6%, 기타 직종은 58.8%이었다. 부검의 주체는 모든 직종에서 대부분의 대상자들이 전문 법의병리의사가 되어야 한다고 생각하는 것으로 나타났는데, 의사는 98.2%, 간호사는 94.4%, 의료 기술직은 96.4%, 행정사무직은 89.7%, 기타 직종은 88.2%이었다. 평소 부검의 필요성은 의사는 73.7%, 간호사는 23.9%, 의료기술직은 47.0%, 행정사무직은 34.5%, 기타 직종은 23.5%로 의사들이 평소 부검의 필요성을 많이 느끼는 것으로 나타났다. 사후 본인의 사체를 의과대학이나 연구기관 등에 기증할 용의가 있는가라는 질문에 의사는 22.8%, 간호사는 11.3%, 의료기술직은 24.1%, 행정사무직은 22.4%, 기타 직종은 23.5%만이 있다라고 답했다. 대상자들의 설문조사를 분석한 결과, 의사들에 비해 다른 직종의 대상자들이 부검에 대한 교육정도나 거부감이 더 큰 것으로 나타났다. 부검에 대한 부정적 의식의 개선을 위해 전문 인력의 양성과 관련 법률을 정비하여 우리나라 실정에 맞는 올바른 검시제도의 정착과 국민들에 대한 체계적인 법의학교육에 힘써야 할 것이다.

• 의학교육논단
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• 제16권1호
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• pp.50-54
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• 2014

It is becoming increasingly important for medical doctors to have a thorough understanding of human genetics and the ethical, legal, and social implications of genetic testing, counseling, and treatment. As genetic engineering and technology evolves, medical doctors will find themselves called in to counsel patients about a rapidly increasing number of diseases for which genetic testing and treatments are available. Medical doctors will need to master a new set of principles and clinical skills. A lack of knowledge about these issues and problems may lead to serious, lifelong or even fatal negative effects on patients. Medical genetics has moved from the study of rare conditions to the illumination of disorders that impact the entire spectrum of medical practice. This study demonstrates several areas in which medical genetics is clearly an important tool in medical practice and the necessity of establishing new curriculum for clinical genetic education in Korea. Medical students nearing graduation may lack genetic knowledge that is essential for daily practice because genetics has little or no place in clinical teaching. Medical schools should make extensive curriculum changes to increase students' awareness of clinical genetics and its ethical implications. The medical school curriculum will need creative new approaches to keeping up with the rapid pace of evolution of clinical genetics.

• 동의생리병리학회지
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• 제24권6호
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• pp.1134-1141
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• 2010

The standardized education for medical college students not only provides the opportunity to get the exclusive knowledge as a professional but also is the basis of strong professional authority. Korean Oriental medicine has pursued to standardize the education system and curricula away from the traditional education system since the modernization started. And this standardization has worked as the basis of the status advancement of Korean Oriental medicine. Through the standardization of education system and curricula, Korean Oriental medicine has been professionalized and its social status has been heightened, stabilizing itself within the establishment of institution. After this, Korean Oriental medicine has kept pursuing standardization and professionalization in the educational area. It has achieved the professionalization of curricula reflecting the specificity of Korean Oriental medicine, following the model of western medical education. This paper investigated the attitude of Korean Oriental medical doctors toward the current Korean Oriental medical education. In the survey conducted in this study, how the Korean Oriental doctors view the education of Korean Oriental college in the areas such as 'standardization', 'specificity', 'Korean Oriental medical philosophy', 'responsibility', and 'professional ethics'. And the relationship between the demographic variables of Korean Oriental medical doctors and the educational contents which should be emphasized in Korean Oriental medical school has been examined. The subjects of this study were Korean Oriental medical doctors who work as professionals after graduation of Koran Oriental Medical School and, thus, this is a meaningful study in that the contents of education which the Korean Oriental medical doctors think are needed in practice are discussed.

• 한국학교보건학회지
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• 제7권1호
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• pp.9-28
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• 1994

This study is to investigate the status and problems in the anual physical examination in elementary & secondary schools. The study helps the introduction of health assessment. Two hundreds and forty nurse teachers of elementary & seconcary school in Seoul received in-service traomong fpr 20 daus frp, September 7 to September 27, 1992. Questionnaires were given to the 240 teachers and the number of collected questionnaire is 112. The result of the questionnaire analysis is like the following. First, the answered teachers aged 35~39, 36.6%; experience 6~10 years 37.5%; the number of class 31~40, 28.6%. Among the answered of the school doctors is practicioners. The doctors major subjects are 26.8% of internal medicine and 35.7% of surgery. Second, in elementary & secondary school nurse teachers received in-service training for the primary health assessment. And then 37.5% of schools practiced the health assessment. The term of the health assessment is largely a-year-length, occurately its rate of schools have practiced the assessment reaches 81.0%. The number of health assessment are consist of eyes, nose, ear, throat, skin, spine, heart and other abnormal regions and diseases all over the body. And 83.3% of the rate of the health assessment includes all these contents. The period of the health assessment is 7 to 28 days. Third, the physical examination conducted by school doctors is 91.0%. The method is various; one is 56.6% of the students who checked first by he nurse teacher. The number of 15.1% of the schools is directly checked by the school doctor. The invited medical doctors are divided into two categories. The number of general physician is 61.9%. Contrary to that school doctors are 38.1%. The contents of the medical examination is all the items printed on the medical examination sheet. To follow the medical examination sheet the number of school is 59.6%. Eyes, throat, skin and heart etc. partly medical examination is 40.4%. The rate of schools that used only stethoscope, tongue pressor as the medical instruments reaches 53.4% and 87.1% of elementary & secondary school give the invited doctors the allowance a nurse teachers conference decided. The number of 8.9% schools pay the doctors independent allowance. The medical examomatopm allowance is 200 to 250 won per capita. The rate is 56.1%. Forth, after the medical examination 72.1% of school sends letter to the parents to notice the result of the examination. The number of response from parent is 12.5%. The observation record in secondary school is 70.6% for junior, and 80.0% for senior respectively, and 65.5% is for the elementary school children. To conclude the regular physical examination in elementary & secondary school is very important. Because the students are in the stage of rapid growth and development. Early finding of the students diseases can help to cure with ease. In the light of public health the management of health program in the elementary & secondary school is of consequence.

• 의료법학
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• 제14권1호
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• pp.209-236
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• 2013

The concept of expectation rights considers 'the expectation' that the patient should be given proper medical treatment as the benefit and protection of the law, so it would be the benefit and protection of the law due to personal rights different from 'the legal principle that has the possibility to a considerable extent' being in an extension of life and body. However, the problem how the patient's expectation of medical service sets up in order to make it the benefit and protection of the law would be still left in the vague concept of the patient's 'expectation', thus, in the first place, the medical practice following formed medical standard in every particular medical institutes should be the standard because these medical services are normally within a range of the patients' expectations. In addition, it should be naturally constituted as mental profit to get the subjective circumstances such as 'the patient's expectation' to be an object, and also, different from the profit and protection of the law such as life and body that should be absolutely protected, the origin of violation behavior should be regarded simultaneously to define the denotation of expectation rights. Therefore, the expectation rights violations would be problematic in case it fails to reach the medical standard that is expected for common doctors to practice properly. This is the concept of expectation rights that gets subjective matters such as the patient's expectation to be objectivity as medical practices that can be expected by generalized abstract doctors. This standard should be defined as the minimum standard that is naturally expected for doctors to practice, different from medical standard that decides the level of doctors.