• 보건의료산업학회지
• /
• 제10권1호
• /
• pp.39-51
• /
• 2016

Objectives : This study investigated the health care utilization patterns of workers' compensation insurance(WCI) pneumoconiosis patients with excessively long hospital stays. Methods : The discharge summary data of 3,094 WCI pneumoconiosis patients were analyzed. The study sample was divided into 3 groups based on the length of stay(LOS). Health care utilization patterns were compared among the groups with logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the 222 long stay group patients was 1,448 days. Patients in this group tended to use private general hospitals, were admitted through the emergency room and discharged without the consent of a doctor. Conclusions : Many of the long LOS patients will maintain their inpatient status for the rest of their lives. For quality of life and efficient use of health care resources, policy makers need to establish a policy that enables patients to receive outpatient care in appropriate living conditions outside the hospital.

• 대한후두음성언어의학회지
• /
• 제22권2호
• /
• pp.111-114
• /
• 2011

All singers can often develop voice trouble secondary to vocal abuse and overuse, but it is well known that traditional Korean singer (pansori) develop voice disorders more frequently than western style sunger. While laryngological concern for voice disorders arising in professional singers has received some attention, empirically motivated investigations of the underlying acoustic features of the singing voice have been relatively limited. Since all singers have a good knowledge of the voice and voice training, they would hardly give consent for treatment to a doctor unless he understood their desire to maximize their voice quality. The components of this report are composed of breathing, basic ekement, and vocalization, essencial fact, for getting a perfect voice for pansori. The breathing is based on hypogastric breathing. The main functions of breathing are energy and power of utterence, tempo of rhythm and seperating paragraph and controlling feelings according to dramatic situation. Vocalization is based on general vocalization. Main uses of it are maintaining singer's tone and harmony of cosmetic dual force.

• 한국컴퓨터정보학회:학술대회논문집
• /
• 한국컴퓨터정보학회 2014년도 제50차 하계학술대회논문집 22권2호
• /
• pp.145-146
• /
• 2014

본 논문에서는 스포츠 경기에서 일어날 수 있는 부상에 대해 올바른 지식과 대처방법을 잘 표현하는 앱을 만드는 것으로, 스포츠 팀에 필요한 팀 탁터 역할을 할 수 있는 앱을 설계한다. 일반적으로 팀 닥터는 일정 규모의 선수단이나 경기에서 상주하면서 선수들이 부상이 발생할 때마다 응급처치 및 병원에서 적절한 치료를 받도록 해준다. 그러나, 아마추어팀이나 학생들이 하는 소규모 그룹에서는 거의 코치나 학생들밖에 없는 경우가 다반사이다. 이럴 경우 팀닥터의 역할을 해주는 앱을 사용하므로써 의료기관을 방문하기 전까지 누구나 쉽게 의료정보를 얻고 응급처치를 할 수 있도록 해준다.

• 한국의사학회지
• /
• 제34권2호
• /
• pp.97-108
• /
• 2021

In this study, we examine Maeng Hwa-seop's academic activities, focusing on articles published in Uirim, JKM (Journal of Korean Medicine), and other branch journals which were affiliated with the Society of Korean Medicine. The present study charts and summarizes the papers published in the above journals. By organizing Maeng Hwa-seop's papers and making tables, we find that his research can be divided into four categories: symptoms and diseases, prescriptions, academic presentations, and translations of medical literatures. Based on this study, we hope that further researches about the academic activities of Maeng Hwa-seop can be conducted in the future.

• Journal of Medicine and Life Science
• /
• 제16권1호
• /
• pp.10-12
• /
• 2019

Medical disputes can always arise in the medical environment. We aimed to decrease the medical disputes by analysis for causes and results of cases of medical disputes. The cases of medical dispute were found on the homepage of the Supreme Court based on the judgment data which was searched using the keyword 'Jeju, Medical accident' and it was described as the area related to each medical accident. There was total of 13 cases related medical disputes in Jeju. The final states of the patients were different in each causes, but death accounted for 10 cases (76.92%), comatose state for one and disability for two respectively. The cases were 2 related with an injury from a fall. The major cause was violation of medical care obligation. Physician have to learn recent medical knowledge, have competence, and explain the detailed procedures and complications before the procedures dependent on patient autonomy.

• Journal of Preventive Medicine and Public Health
• /
• 제31권4호
• /
• pp.751-769
• /
• 1998

본 연구는 임산부들의 분만전 분만방법에 대한 태도, 자신의 분만방법에 대한 이해 및 개입 정도, 분만후 분만방법에 대한 만족도 등을 평가하기 위하여 대구시내 1개 대학병원과 1개 산부인과 전문병원에서 산전진찰을 목적으로 내원한 임신 36주 이상의 임부 693명을 대상으로 분만전, 분만직후, 분만 1개월 후 3차례에 걸쳐 설문조사를 시행하였다. 임신기간 중 분만방법에 대한 교육이나 상담을 받은 임부는 24.0%였으며, 교육이나 상담을 받은 임부의 비율은 이전에 제왕절개분만을 한 임부에서 유의하게 높았다(p<0.05). 초산부, 자연분만을 했던 경산부, 제왕절개분만을 했던 경산부 모두 자연분만이 엄마나 아기의 건강에 더 좋다고 대답하였으나, 제왕절개분만을 했던 임부들 중 9.2%는 제왕절개분만이 아기의 건강에 더 좋다고 생각하였다. 분만전 선호하는 분만방법은 초산부와 자연분만을 했던 경산부는 90% 이상이 자연분만을 원했으나, 제왕절개분만을 했던 경산부는 85.6%가 제왕절개분만을 선호하였다. 분만전 자연분만을 선호하였던 임부들이 제왕절개 분만을 결정하게 된 이유는 의사의 권유가 81.9%, 남편의 권유가 0.8%, 충분히 상담후 결정한 경우가 4.7%, 산모가 원하여 12.6%였으며, 자연분만을 결정하게 된 이유는 대부분이 제왕절개분만을 할 특별한 사유가 없었거나(67.2%) 산모가 원한 것(30.6%)으로 나타났다. 제왕절개분만을 원했던 임부들의 제왕절개분만을 결정하게 된 이유는 의사의 권유가 76.2%, 산모가 원한 경우 20.0%, 남편의 권유가 1.3%, 의사와 충분히 상담후 결정한 경우는 2.5%였다. 의사의 권유로 제왕절개분만한 산모가 수술 이유에 대해 충분히 설명을 들은 경우는 55.1%였다. 제왕절개분만을 한 산모들의 수술 이유에 대한 의무기록과 산모 대답간의 일치율은 75.9%였으며, 반복 제왕절개분만일 경우와 산모가 원한 경우에 5% point 이상 응답을 차이가 났다. 초산부와 자연분만을 했던 경산부의 산전에 선호한 분만방법은 실제 분만방법과 유의한 관련성을 보였고(p<0.05), 제왕절개분만을 했던 경산부들은 선호도에 관계없이 100% 제왕절개분만을 하였다. 분만후 분만 방법별 자신의 분만방법에 만족하는 비율은 자연분만한 산모는 분만직후 84.9%, 분만 1개월 후 85.1%였으나 제왕절개분만을 한 산모는 분만직후 44.7%, 분만 1개월 후 42.0%로 나타냈다(p<0.05). 분만후 분만방법에 대한 선호도는 분만직후, 분만 1개월 후 모두 분만방법과 유의한 관계를 보였고, 각 시기별 분만방법에 대한 만족도와는 자연분만을 한 산모들은 자신의 분만방법에 만족할수록 자연분만을 선호하였지만, 제왕절개분만을 한 산모들은 만족 정도와 관계없이 제왕절개분만에 대한 선호도가 높았다. 이러한 결과는 그동안의 의사 중심의 전문적인 기술위주의 산전관리와 분만관리에서 기본적인 예방 및 건강증진 위주의 임부와 태아 중심 관리로의 방향 전환이 필요하며, 임부의 임신과 분만에 관한 적극적인 교육 및 상담이 필요하며, 분만방법 결정과정에 임부가 적극적으로 참여함으로써 제왕절개 분만율을 낮추고 제왕절개술후의 자연분만을 유도할 수 있을 뿐만 아니라 분만후 분만방법에 대한 만족도도 향상시킬 수 있음을 시사한다.

• 대한예방한의학회지
• /
• 제20권3호
• /
• pp.1-8
• /
• 2016

Objectives : There is a correlation between student's satisfaction of education and their occupation satisfaction. Therefore, Korean medical school students' satisfaction toward their education is important for their medical ability in Traditional Korean Medicine(TKM). The purpose of this study is to investigate TKM school students' satisfaction of education and their perceptions of TKM level. Methods : The questionnaire used in this study is consisted of questions about students' satisfaction and their perception toward issues about TKM. 168 cases were collected, and I analyzed 164 cases. Results : 43.9% of students think that the ratio of western medical courses to TKM courses in TKM school's curriculum is 'Proper'. 54.3% of students do not satisfy their curriculum. But, 51.2% of students would recommend high school students for entrance to TKM school. 77.9% of students think 'TKM doctor should use modern medical device'. 92.7% and 61.9% of students think 'Needed' toward 'Cooperation of western medicine and Korean medicine', and 'Medical unification' each. There are correlations ; (1)'recognition toward ratio of curriculum', (2)'satisfaction of curriculum', (3)'degree of recommendation to enter the TKM School', (4)'relation between TKM and Traditional Chinese Medicine(TCM) or Complementary and Alternative Medicine(CAM)'. Conclusions : Student's satisfaction of education is not quite high than satisfaction of TKM study itself. Most of respondents agreed usage of medical devices. The more they thought that they had curriculum for western medicine, the lesser they thought that medical unification was ont needed. Further studies are needed to assess satisfactions of students for their education with more accuracy results.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권17호
• /
• pp.7713-7720
• /
• 2015

Background: Colorectal cancer (CRC) is one of the most common cancers. This study aimed to compare the uptake of CRC testing in the general public and in ethnic minorities in Hong Kong. Materials and Methods: This cross-sectional survey covered 2,327 South Asian and Chinese adults aged over 50, recruited from two separate studies. A structured questionnaires were administered by research staff over the telephone or in faceto-face interviews. Results: The uptake rate of CRC testing among South Asians was significantly lower than that of the general population in Hong Kong. Factors associated with the uptake rate were health professional's recommendation, perception of regular visits to doctor, use of complementary therapy, ethnicity, perceived susceptibility to cancer, presence of chronic illness, and education level. In addition, a significant interaction (p<0.05) between ethnicity and health professionals' recommendations was found, after adjustment for the main independent factors identified. Conclusions: Older people with lower educational attainment, without chronic illness and those have lower perceived susceptibility to cancer may be targeted for CRC testing promotion in the society. In addition, health professionals can play a highly influential role in promoting such testing, particularly among ethnic minorities.

• Archives of Plastic Surgery
• /
• 제41권5호
• /
• pp.505-512
• /
• 2014

Background Laryngeal allotransplantation (LA) is a technique involving transplantation of a deceased donor's larynx into a recipient, and it may be substituted for conventional laryngeal reconstruction. There are widely different views on LA, as the recipient is administered continuous, potentially life-threatening, immunosuppressive therapy for a functional or aesthetic result, which is not directly related to life extension. The purpose of this study was to analyze the difference in risk acceptance and expectations of LA between four population groups. Methods A survey was performed to examine patients' risk acceptance and expectations of LA. The survey included 287 subjects in total (general public, n=100; kidney transplant recipients, n=53; post-laryngectomy patients, n=34; doctors, n=100), using a Korean translated version of the louisville instrument for transplantation (LIFT) questionnaire. Results All four groups responded differently at various levels of their perception in risk acceptance and expectations. The kidney transplant recipients reported the highest risk acceptance and expectations, and the doctor group the lowest. Conclusions This study examined the disparate perception between specific population groups of the risks and benefits of using LA for the promotion of the quality of life. By addressing the information gaps about LA in the different populations that have been highlighted from this survey, we suggest that LA can become a more viable alternative to classical surgery with resultant improved quality of life for patients.

• 한방재활의학과학회지
• /
• 제29권4호
• /
• pp.61-72
• /
• 2019

Objectives We analyzed and organized present studies related to medical care for the disabled to establish an appropriate model of visiting health management for the people with disability. Methods To analyse study of medical care for the disabled, 11 electonic databases (PubMed, Chinese Academic Journals, EMBASE, Cochrane Library, Medline, Oasis, KMBASE, KISS, KISTI, NDSL, RISS) were searched from 2009 to 2018. There's no limit to the type of study. Results The search showed 20 domestic studies and 113 foreign studies that were screened for final inclusion of 37 studies. The all of domestic studies were relevant to dental research. The foreign studies have reported on the treatment of underlying diseases and medical services for the disabled. Conclusions Most studies have reported that government institutional support were needed for systematic treatment of the disabled. In the future, institutional support would be needed to establish the model of oriental doctor's visiting health management for the disabled.