• The Journal of Internal Korean Medicine
• /
• v.40 no.3
• /
• pp.491-498
• /
• 2019

Objectives: This study aimed to put clinical emphasis on the importance of considering medical precautions, such as drug history and a possible infection, when treating elderly patients. Methods: We closely observed two elderly female patients aged 79 and 76 who had been hospitalized for the treatment of anorexia at the Department of Hepato-Hemopoietic System, Kyung Hee University Korean Medicine Hospital in April 2018 for 5 and 9 days, respectively. Results: Through an elaborate medical investigation including a detailed inquiry and laboratory examinations, modifying some drugs and treating a urinary tract infection were preferentially needed to treat these two patients. In the first case, her overall symptoms, including anorexia, were improved after taking Dansambohyeol-tang combined with three types of antacids adjusted by holding 10 drugs in total, including nonsteroidal anti-inflammatory drugs that mainly causing chronic gastric ulcer. In the second case, the urinary tract infection was detected by blood test and urine analysis during the hospitalization period. After taking Geummogpaljeong-san and antibiotics for the treatment of the infection, the chief complaints including anorexia and the negative reaction to nitrite in the urinary analysis were improved. Conclusion: Considering the clinical precautions, including medications and infection possibility, is important especially when treating elderly patients.

• Health Policy and Management
• /
• v.32 no.3
• /
• pp.304-316
• /
• 2022

Background: As prevention of coronavirus disease 2019 (COVID-19) transmission in healthcare settings has become a critical component in its effective management, COVID-19 specific infection prevention and control (IPC) guidelines were developed and implemented by numerous countries. Although largely based on the current evidence-base, guidelines show much heterogeneity, as they are influenced by respective health system capacities, epidemiological risk, and socioeconomic status. This study aims to analyze the variations and concurrences of these guidelines to draw policy implications for COVID-19 response and future guidelines development. Methods: The contents of the COVID-19 IPC guidelines were analyzed using the categories and codes developed based on "World Health Organization guidelines on core components." Data analysis involved reviewing, appraising and synthesizing data from guidelines, which were then arranged into categories and codes. Selection of countries was based on the country income level, availability of COVID-19 specific IPC guideline developed at a national or district level. Results: The guidelines particularly agreed on IPC measures regarding application of standard precautions and providing information to patients and visitors, monitoring and audit of IPC activities and staff illnesses, and management of built environment/equipments. The guidelines showed considerable differences in certain components, such as workplace safety measures and criteria for discontinuation of precautions. Several guidelines also contained unique features which enabled a more systematic response to COVID-19. Conclusion: The guidelines generally complied with the current evidence-based COVID-19 management but also revealed variances stemming from differences in local health system capacity. Several unique features should be considered for benchmark in future guidelines development.

• Korean Journal of Clinical Laboratory Science
• /
• v.55 no.3
• /
• pp.219-226
• /
• 2023

Transcranial doppler ultrasonography (TCD) applies a low frequency of 2 MHz to measure the blood flow velocity and waveform within the skull. Medical technologists at several hospitals are conducting these examinations, and education is being imparted in many schools and academic societies. However, the skill of the tester is of utmost importance when performing TCD. Technicians who are conducting the procedure for the first time have trouble locating the blood vessels, and some experienced personnel are worried because too many blood vessels are present. Since this procedure does not directly look at and measure blood vessels, there are several limitations and difficulties. Therefore, this study aims to provide some help by introducing precautions and suggestions for TCD technicians conducting the test.

• Journal of Korean Medical Ki-Gong Academy
• /
• v.22 no.1
• /
• pp.28-71
• /
• 2023

Objective : From March 2018 to July 2022, H Korean Medicine Hospital conducted a guidance on Gigong training using the Moosim Gigong Doinbeop and Moosim Gigong Walking. This report intends to report the results and share the specific methods of a guidance on Gigong training used in the process of implementation, thereby helping the research of a guidance on Gigong training later. Methods : The methods and results of the implementation of Moosim Gigong Doinbeop and Moosim Gigong Walking implemented by H Korean Medicine Hospital were reported. For the movements of Doinbeop, the posture and movements, the precautions to be taken when guiding, the alternative movements, and the meaning of the movements were summarized. For Moosim Gigong Walking, the method of progress, the method of motion, precautions to be taken, and replaceable movements were summarized. The method of implementing the guidance on Gigong training for severely ill and elderly patients was introduced. The application cases that were applied to some diseases and effective were recorded. Results : At H Korean Medicine Hospital, Moosim Gigong Doinbeop and Moosim Gigong Walking were conducted in the form of an open lecture, and 4,682 patients attended the Doinbeop class and 3,373 patients attended the Walking class. There is no restriction on the type of disease of the participating patients. The attending physician recommends and the patient wishes, the patient participates in the course. Conclusions : Curing technology is a long-standing treatment method of Korean Medicine, but it has not yet been activated in the modern Korean Medicine system. Research on the guidance on Gigong training can be conducted to establish itself as a new treatment method for Korean Medicine.

• Safety and Health at Work
• /
• v.8 no.3
• /
• pp.246-249
• /
• 2017

Health-care workers are at risk of exposure to occupational infections with subsequent risk of contracting diseases, disability, and even death. A systematic collection of occupational disease data is useful for monitoring current trends in work situations and disease exposures; however, these data are usually limited due to under-reporting. The objective of this study was to review literature related to knowledge, risk perceptions, and practices regarding occupational exposures to infectious diseases in Malaysian health-care settings, in particular regarding blood-borne infections, universal precautions, use of personal protective equipment, and clinical waste management. The data are useful for determining improvements in knowledge and risk perceptions among health-care workers with developments of health policies and essential interventions for prevention and control of occupational diseases.

• Journal of Navigation and Port Research
• /
• v.40 no.5
• /
• pp.291-297
• /
• 2016

Ulsan Port is the main port for handling liquid cargo because of natural environmental conditions and the distribution of port infrastructures in Korea. Damage to both liquid cargo vessels and the port structure caused by maritime accidents could have a serious impact on property and human lives as well as the marine environment. For safe navigation, the parties concerned should ensure the suitability of various design criteria at the harbor design stage. In this paper we analyze and compare various domestic and international harbor design criteria, and then apply each criteria to Ulsan port to evaluate its overall safety. Additionally, this paper specifies certain precautions in terms of reviewing a ship's safety for each channel at Ulsan Port, and suggests possible improvements to optimize channel design.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.17 no.2
• /
• pp.91-103
• /
• 2017

General anesthesia is commonly used to facilitate dental treatment in patients with anxiety or challenging behavior, many of whom are children or patients with special needs. When performing procedures under general anesthesia, dental surgeons must perform a thorough pre-operative assessment, as well as ensure that the patients are aware of the potential risks and that informed consent has been obtained. Such precautions ensure optimal patient management and reduce the frequency of morbidities associated with this form of sedation. Most guidelines address the management of pediatric patients under general anesthesia. However, little has been published regarding this method in patients with special needs. This article constitutes a review of the current literature regarding management of patients with special needs under general anesthesia.

• Journal of Korean Institute of Industrial Engineers
• /
• v.31 no.1
• /
• pp.27-35
• /
• 2005

Due to the importance of lead time demand in the design of inventory management systems, researchers and practitioners have paid continuous attention and a few analytic models using the compound distribution approach have been reported. However, since the nature of compound distributions is hardly amenable, the analytic models have been done by non‐recognition of the compound nature of some components to reduce the analytic task. This study concerns some of the important aspects in the analytic models. Through the theoretic examination of the analytic model approach and the comparison with the rigid compound stochastic process approach, this study clarifies the assumptions implicitly made by the analytic models and provides some precautions in using the analytic models. Illustrative examples are also presented.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2003.05a
• /
• pp.729-732
• /
• 2003

Security and privacy issues complicate wireless local area network deployment. for a wired network, certain levels of security are maintained since access to the physical medium is restricted to the devices physically connected to the network. Though wireless local area networks offer some built-in security features, security breaches are possible if appropriate precautions are not taken. This paper describes security issues related to wireless local area networks and presents a software approach for restricting and controlling wireless access. The system authenticates users on the basis of identity, privileges and access hardware by distributed software agents that implement security policy and restrict unauthorized access.

• Proceedings of KOSOMES biannual meeting
• /
• 2003.05a
• /
• pp.17-22
• /
• 2003

With the terrorist attacks on 11 September 2001, the ships and their crews' safety and security have become a major issue in the maritime industries. In high-risk terrorism. not only ship owners and port authorities but also crew members on board should take precautions in the conduct of their business. In this paper, the vulnerability and essential elements in overall security of merchant ship are analyzed with a discussion in depth of the concept and principles of maritime security management. Author proposes ship's security model to reduce security risk and to minimize damage as a basic study for designing security system for merchant ship.