• Korean Journal of Acupuncture
• /
• 제32권2호
• /
• pp.59-65
• /
• 2015

Objectives : The purpose of this study is to investigate acupoints that appear in ancient records and use with regard to treatment to the wheezing and dyspnea. Methods : We investigated 10 ancient records from Song Dynasty to the Qing Dynasty that had medical references to wheezing and dyspnea. Results and Conclusions : Out of acupoints that found out to be used for treatment of wheezing and dyspnea in this study, Conception and Governor channels account for 38.9%, the three yang meridians of the foot account for 22.2% and the three tin meridians of the Hand account for 13.9%. In 10 ancient records, CV22(Tian tu) appears 5 times, CV12(Zhongwan) and ST36(Zusanli) appear 4times. A total number of acupoints that appear in the ancient records were 35. In compendium of medicine, the number of acupoints was 21. In cmpendium of acupuncture and moxibustion, the number of acupoints was 10. In the treatment of wheezing and dyspnea, not only acupuncture but also moxibustion has a great importance.

• 보험의학회지
• /
• 제26권
• /
• pp.31-39
• /
• 2007

Background and main issue: In the Korean insurance market, an outstanding issue is the decrease of margin of risk ratio. This affects the solvency and profitability of insurance companies. Insurance medicine, which has been developed in Western countries, is so-called medical risk selection or medical underwriting. Medical risk selection is based on clinical follow-up study and mortality analysis methodology. Unfortunately, there have been few clinical follow-up studies, and no intercompany disease analysis system is available in the Korean insurance market. In practice, we use underwriting guidelines, which were developed by some global reinsurance companies. However, these guidelines were developed under clinical follow-up studies performed abroad. So, we cannot rule out underestimation of excess mortality factors such as mortality ratio, excess death rate, and life expectancy. It is necessary to perform medical assessment in claims administration. Comparing the insured's statement by medical records with products' benefit according to this procedure, we can make sound claim decisions and participate in the role of sound underwriting. We can call this scientific procedure as the verification of medical claims review. Another area of medical claims review is medical counsel for claims staff. Result: There is another insurance medicine in addition to medical risk selection. Independent medical assessment by medical records of insured is medical claims review. Medical claims review is composed of verification and counsel.

• 한국의사학회지
• /
• 제32권2호
• /
• pp.1-17
• /
• 2019

The purpose of this study is analyzing how Kim Young-hun treated menstrual diseases-by utilizing the Cheonggang medical records DB. The term "Hyeoljunggiche (血中氣滯)" has been used as an etiological factor of menstrual diseases. Hyeoljunggiche mostly described menstrual diseases of females in the reproductive ages. Four of the most popular prescription were Jeungsonojeok-san (增損五積散), Hyeonbuigyeong-tang (玄附理經湯), Hyeonbuiyeong-jeon (玄附理營煎), and Hyeonbuohwa-eum (玄附五和飮). By writing a medicinal herb network of the four prescriptions, It was found that Kim Young-hun preferred to use three clusters of regulating qi and move blood medicinal (理氣行血藥), sānwù-tāng (三物湯), and píngchén-tāng (平陳湯) with some adjustment of heat-clearing medicinal (淸熱藥) and cold-dispelling medicinal (溫裏藥).

• 한국응급구조학회지
• /
• 제25권1호
• /
• pp.147-158
• /
• 2021

Purpose: This study was conducted as a direct investigation of the data in the dispatch logbooks and status of patient transportation provided by private emergency transport companies in Busan. Methods: This study was conducted using SPSS 23.0 version for a total of 1,000 processed records of private emergency ambulance services in Busan from September 23, 2017 to November 5, 2019. Results: First, 100% of the emergency patient transfers by private emergency ambulances were carried out between medical institutions; 76.4% of all transfer patients had emergency conditions, and 86.0% had serious diseases. Second, 59.3% of the emergency patients were located at distances less than 10 km and 43.2%, at more than 10 km from the medical institutions. Third, 63.5% of the passengers were accompanied by first-class emergency rescuers according to the severity of the condition. Fourth, 92.7% of the reasons for the selection of medical institutions were transferred to places where professional care was available, accounting for most of the reasons for the selection. Finally, the medical institutions were selected according to the severity of the patient's condition; 76.5% patients were transported to institutions with a large number of doctors, and 42.9% of those were transported to specialized care institutions. Conclusion: This study collected data from 1,000 dispatch records of private emergency transport companies in Busan; these records reflect the government's policies to improve the emergency patient transfer system. The current status of emergency patient transfer offered by private transport companies was analyzed. All of the emergency patient transfers were carried out between medical institutions, and 76% of the transferred patients had emergency conditions.

• 대한예방의학회:학술대회논문집
• /
• 대한예방의학회 1998년도 제50차 추계 학술대회 연제집
• /
• pp.84-85
• /
• 1998

• 한국병원경영학회지
• /
• 제15권2호
• /
• pp.84-106
• /
• 2010

Ensuring the confidentiality of patient records is critical requirement for quality of care and in fulfilling legal obligation of healthcare organizations. This study analyzed the behavior of hospital employees who are dealing with confidential patient information in a hospital. Theory of Planned Behavior(TPB) model and TPB expanded models that add habit concept to TPB are tested for the validity in explaining the predisposing factors that affect the behavior of hospital employee in ensuring the confidentiality of patient records. Data were collected by administrating a survey to the 350 employee of a tertiary care hospital. Of the 350 questionaries distributed, 321 were responded resulting 92% of response rate. The mean differences among the groups classified by age, years of experience, gender, and occupation were analysis using ANOVA. The relationships among the concepts suggested in the models were analysed by applying the Structural Equations Modeling method. The results of ANOVA indicated significant mean differences in the frequency of confidentiality ensuing behavior. Administrative staff and medical technicians show higher frequency of ensuing behavior compared to the physicians and the nurses. And more experienced employee show more confidentiality ensuring behavior. The results of Structural Equations analysis showed that the strong effect of habit and attitude in predicting the behavior. However, the effect of perceived behavioral control was not significant. Based on the results the theoretical and practical implications are discussed.

• 한국의사학회지
• /
• 제31권2호
• /
• pp.27-40
• /
• 2018

Sauna, or hanjeung (汗蒸) is a physical sweating method that uses external heat to forcibly raise body temperature to treat cold damage disorders (傷寒) in traditional Korean medicine. This study focuses on the fact that the sauna was recorded as a healing and bathing method on the Vinaya Pitaka (律藏), and investigates the records of folk sauna therapy of Joseon Dynasty from the perspective of Buddhist medicine which played a significant role in ancient medicine history in Korea. Although the word 'hanjeung (汗蒸)' first appeared in "The Veritable Records of King Sejong (世宗實錄)" in the Korean literature, this study aims to confirm the possibility that the tradition of Buddhist sauna bathing has already existed since the Three Kingdoms period in Korea, based on the fact that sauna bathing was recorded in the Vinaya Pitaka and that the ancient Buddhist bathing culture was introduced in ancient Japan. In addition, the succession of the Buddhist sauna tradition by Goryeo will be traced back through the records of 1920s urban saunas in Gaesung (개성) which was the old capital of Goryeo and had a strong tendency to adhere to traditional Goryeo customs. Finally, the study tries to identify the elements of the Buddhist sauna bathing on the records of folk sauna therapy in the Joseon Dynasty. As a result, this study examines how the Buddhist sauna bathing culture in ancient Korea, which was led by medical monks, spread in the general public and influenced the folk sauna therapy in the Joseon Dynasty.

• 의료법학
• /
• 제9권2호
• /
• pp.339-382
• /
• 2008

Medical information is one of significant private information that includes in-dividual's own diverse information. Once opened, it exposes one's health condition and medical history to a third party, which could bring about serious troubles. On this account, the third parties are of much concerns about the information. If medical information collected through various routes is used with another purpose, oilier than the initial intention, it might cause serious results beyond one's control. Thus, it is essential to keep the information confidential. Also, the discrimination based on the medical information ought to be banned because it is likely to happen that exposed information socially stigmatizes a person, being discriminated in a work place or a school when he/she is employed or gets an insurance. In the current system, only medical institutions are responsible for protecting or securing medical records. Despite the information technology development and the increased interests in medical information, there are quite a few limitations in legal, technical, and administrative aspects. All kinds of organizations, involved in collecting and using the information, as well as medical institutions primarily producing and managing it should share the responsibilities.

• 한국의사학회지
• /
• 제35권1호
• /
• pp.59-67
• /
• 2022

The medical text books used during the Joseon Dynasty can be seen to change over time by examining various records. These records show that the list of medical textbooks suddenly changed a lot between the era of King Sejong and Sejo in the Joseon Dynasty. However, since there are not many studies on this topic yet, this study was conducted and the following causes of these changes were identified: The first reason is the compilation project of Euibangyoochui (醫類聚聚) because the date of compilation of Euibangyoochui is clearly related to the period of change to the list of medical textbooks. The second reason is the difficulty of the medical examination during the Joseon Dynasty. Medical tests in the Joseon Dynasty were very difficult. Therefore, it was too unrealistic to keep 25 or 26 textbooks. Third, there was the problem of supply and demand of medical textbooks. Because the prices of these books were very high at that time, owning 25 or 26 medical books for an individual was a significant financial hardship. This study was able to confirm this through various forms of circumstantial evidence. However, more historical materials should be discovered in the future and research should be conducted to more accurately grasp the situation of the time.

• Journal of Chest Surgery
• /
• 제52권4호
• /
• pp.191-194
• /
• 2019

The Korean Society for Thoracic and Cardiovascular Surgery (KTCVS) was founded in 1968 and celebrated the 50th anniversary of its founding in 2018. The launch of the KTCVS may seem somewhat recent, given that the American Association for Thoracic Surgery was founded in 1917. However, considering the circumstances of the Korean medical community after the Japanese occupation (1910-1945), World War II (1940-1945), and the Korean War (1950-1953), this apparent delay is understandable. Even before the foundation of the KTCVS, the early pioneers of thoracic and cardiovascular surgery promptly adopted medical technologies from more advanced countries such as the United States, and contributed significantly to both cardiac and thoracic surgery despite difficult circumstances. In 2012, before the 50th anniversary of the founding of the KTCVS, members shared the opinion that objective records of the activities of the early pioneers should be identified and preserved, and reacted positively towards the necessity for historians who would preserve such records. With this background, the Historical Records Preservation Committee of the KTCVS (hereinafter, referred to as 'the Committee') was launched. The Committee published a white paper on the history of thoracic and cardiovascular surgery in 2015 and held an exhibition of the achievements of the pioneers at the 50th anniversary of the founding of the KTCVS. The Committee also published a book entitled "The history of Korean thoracic surgery with photographs: celebrating the 50th anniversary of the society." The Committee will keep making efforts to find and preserve materials related to activities during the early development of thoracic and cardiovascular surgery in Korea.