• 제목/요약/키워드: Introduction to Medicine

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Ayurveda in Mongolia from Antiquity to 1937

  • Ganbayar, Ya.;Tumurbaatar, N.
    • 사상체질의학회지
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    • 제19권3호
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    • pp.300-307
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    • 2007
  • We have studied the history of the introduction of Ayurveda medicine in Mongolia. During the periods of the Hunnu (400 BC-200 AD), Ikh Nirun (400-600 AD), and Uigur Dynasty (800-1,000 AD), Ayurveda (Indian Medicine) was introduced to Mongolia along with Buddhism from the Middle Asian countries Kushan, Khotan, Sogd and Uigar. Ayurveda was fully introduced to Mongolia under the deep influence of Tibetan Buddhism from the 13th century. Mongolia's first Medical School, following the Tibetan tradition, was established in 1662. In Mongolia more than 40 Medical Schools were established from 1662-1937. 26 Ayurvedic treatises were translated into the Mongolian language and published in 1742-1749. Since the $14^{th}$ century Mongols have been translating Tibetan Medical books into the Mongolian language, of which we have today found more than ten. Over the centuries, Mongolian scholars have written many commentaries to these medical texts.

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Evidence-Based Medicine에 대한 소개 (Introduction to Evidence-based Medicine (EBM))

  • 최재걸
    • 대한핵의학회지
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    • 제35권4호
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    • pp.224-230
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    • 2001
  • EBM is "the conscientious, explicit and judicious use of current best evidence in mating decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." EBM is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care. The practice of EBM is usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, or the etiology of disorders. The best evidence is usually found in clinically relevant research that has been conducted using sound methodology. Evidence-based medicine requires new skills of the clinician, including efficient literature-searching, and the application of formal rules of evidence in evaluating the clinical literature. Evidence-based medicine converts the abstract exercise of reading and appraising the literature into the pragmatic process of using the literature to benefit individual patients while simultaneously expanding the clinician's knowledge base. This review will briefly discuss about concepts of evidence medicine and method of critical appraisal of literatures.

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고중성지방혈증 환자에 대한 청심탕가미방 중심의 한방치료 : 증례보고 (Korean Medical Treatment Focusing on Cheongsim-tanggamibang for Hypertriglyceridemia Patient : A Case report)

  • 오지원;이준희
    • 사상체질의학회지
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    • 제32권3호
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    • pp.55-63
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    • 2020
  • Introduction The purpose of this study was to investigate the effect of Cheongsim-tanggamibang on hypertriglyceridemia in a 37-year-old Taeeum- type male patient. Case presentation A 37-year-old male patient complained of hyperhidrosis and hot sensation was diagnosed with hypertriglyceridemia by blood test and 'Liver-Heat Lung-Dry (Ganyeol-paeJo) severe pattern' of Korean Medicine. Cheongsim-tanggamibang was executed twice everyday during 2 months from July, 23rd to September, 21st of 2019. The effectiveness of Cheongsim-tanggamibang was assessed with blood test. Conclusions After the Korean traditional medicine treatment with Cheongsim-tanggamibang prescription, blood triglyceride and total cholesterol levels decreased, and chief complaining symptoms with hot sensation also improved.

한의과대학의 능동적 임상실습을 위한 성찰일지 도입 및 만족도 평가 - 한방 안이비인후피부과학 사례를 중심으로 - (Introduction of Reflective Journals and Satisfaction Evaluation for Active Clinical Practice Model of Colleges and the school of Korean Medicine)

  • 김철윤;서형식;이마음;권강
    • 한방안이비인후피부과학회지
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    • 제32권3호
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    • pp.186-201
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    • 2019
  • Objectives : The aim of this study is to develop clinical practice program using reflective journals in the department of Korean medicine ophthalomology & otolaryngology & dermatology. Methods : It was applied to clinical practice and considered the adequacy of the clinical practice program using reflective journal for students who complete the clinical practice. Result : Students are given high marks for self-directed learning and Korean medicine ophththalomology & otolaryngology & dermatology professional learning.

로타바이러스 백신 도입 후 소아 입원 환자에서의 로타바이러스 위장관염 발생 변화 및 로타바이러스 백신 효과 추정 (Changes in the Occurrence of Rotavirus Gastroenteritis before and after the Introduction of Rotavirus Vaccine among Hospitalized Pediatric Patients and Estimates of Rotavirus Vaccine Effectiveness)

  • 윤정민;한태환;윤소원;김용주;오성희
    • Pediatric Infection and Vaccine
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    • 제25권1호
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    • pp.26-34
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    • 2018
  • 목적: 로타바이러스(rotavirus [RV]) 백신 도입에 따른 소아 입원 환자에서의 로타바이러스 장염(rotavirus gastroenteritis [RGE]) 발생 변화와 백신 효과를 추정하였다. 방법: 2014-2015년과 2004-2005년, 두 기간 동안 한양대학교 서울병원 소아청소년과에 급성 장염(acute gastroenteritis [AGE])으로 입원한 환자의 자료를 후향적으로 비교 분석하였다. 백신 효과는 환자 검사-음성 대조군 연구를 통해 추정하였다. 결과: AGE에서의 RGE 비율은 2004-2005년(22.7%)에 비해 2014-2015년(9.0%)에 유의하게 감소하였다(P<0.001). 2014-2015년 RV 백신 완전접종률은 66.0%, 불완전접종률은 6.2%로, 백신의 예방 효과는 완전접종자에서 83.3% (95% confidence interval [CI], 60.5%-92.9%), 불완전접종자에서는 27.4% (95% CI, -163.7%-80.0%)였다. 결론: RV 백신이 도입된 이후 RGE 발생이 뚜렷이 감소하였다. 백신접종률을 향상시킴으로써 RGE로 인한 질병 부담을 더욱 낮출 수 있을 것으로 기대된다.

폐렴(肺炎) 소아(小兒) 환아(患兒) 4례(例)에 대한 소청용탕가미방(小靑龍湯加味方)의 치료효과(治療效果)에 대한 임상적(臨床的) 고찰(考察) (A clinical study on the effect of Socheongryongtanggamibang on 4 pneumonia children)

  • 김윤희;윤지연
    • 대한한방소아과학회지
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    • 제17권1호
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    • pp.131-140
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    • 2003
  • Introduction : Pneumonia is an inflammation of alveolus and pneumal parenchyma and it is one of common pediatric diseases. According to, pneumonia belongs to the Haesu(咳嗽), Chunsik(喘息), Phechng(肺脹), Pungon(風溫). Purpose : The purpose of this study is to find out whether Socheongryongtanggamibang has any effects on children with pneumonia. Method : The subjects are in regard to children with pneumonia who visited Dae Jeon Oriental Medicine Hospital from December 2002 to April 2003. The herbal medicine therapy are applied for one week. Result and Conclusion : After treatment, the symptoms (coughing, rhinorrhea, sputum, fever) of pneumonia were improved. More studies about the Oriental Medicine treatment and conception on pneumonia are needed.

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시스템 생물학과 한의학 연구 - 발상의 대전환 필요 (Application of Systems Biology to Korean Medicine Research - Need for Paradigm Shift)

  • 엄융의
    • 동의생리병리학회지
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    • 제30권6호
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    • pp.367-369
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    • 2016
  • The recent introduction of the systems biology or systems medicine opens a new horizon in the field of traditional oriental medicine research. Until now many recent researches of traditional medicine have been conducted based upon reductionist approach, but traditional medicine should be treated by a holistic approach. In this short review, I outlined usefulness of systems approach in medicine and proposed a potential application area of traditional medicine research.

전산프로그램을 이용한 급성호흡기감염증 청구자료 심사 시행 후 개원의의 진료 및 청구 행태 변화 (Influence of review system using computerized program for Acute Respiratory Infection upon practicing doctors' behaviour)

  • 정설희;박은철;정형선
    • 보건행정학회지
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    • 제16권2호
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    • pp.49-76
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    • 2006
  • The aim of this study was to explore the effects of a computerized review program which was introduced in August 1, 2003, using claims data for acute respiratory infection related diseases. National Health Insurance (NHI) claims data on respiratory infection related diseases before and after the introduction, with six month intervals respectively, were used for the analysis. Clinic was the unit of observation, and clinics with only one physician whose specialty was internal medicine, pediatrics, otorhinolaryngology and family medicine and clinics with a general practitioner were selected. The final sample had 7,637 clinics in total. Indices used to measure practice pattern was prescription rates of antibiotics, prescription rates of injection drug per visit, treatment costs per claim, and total costs per claim. Changes in the number of claims for major disease categories and upcoding index for disease categories were used to measure claiming behavior. Data were analysed using descriptive analysis, t-test for indices changes before and after the introduction, analysis of variance (ANOVA) for practice pattern change for major disease categories, and multiple regression analysis to identify whether new system influenced on provider' practice patterns or not. Prescription of antibiotics, prescription rates of injection drug, treatment costs per claim, and total costs per claim decreased significantly. Results from multiple regression analysis showed that a computerized review system had effects on all the indices measuring behavior. Introduction of the new system had the spillover effects on the provider's behavior in the related disease categories in addition to the effects in the target diseases, but the magnitude of the effects were bigger among the target diseases. Rates of claims for computerized review over total claims for respiratory diseases significantly decreased after the introduction of a computerized review system and rates of claims for non target diseases increased, which was also statistically significant. Distribution of the number of claims by disease categories after the introduction of a computerized review system changed so as to increase the costs per claims. Analysis of upcoding index showed index for 'other acute lower respiratory infection (J20-22)', which was included in the review target, decreased and 'otitis media (H65, H66)', which was not included in the review target, increase. Factors affecting provider's practice patterns should be taken into consideration when policies on claims review method and behavior changes. It is critical to include strategies to decrease the variations among providers.

ERP(Enterprise Resource Planning) 도입에 따른 의료 환경 변화에 대한 연구 (Research on Medical Environmental Changes due to the Introduction of ERP(Enterprise Resource Planning))

  • 김선칠;박명환
    • 대한디지털의료영상학회논문지
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    • 제6권1호
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    • pp.19-23
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    • 2003
  • In recent years, many computer systems that are used for patient diagnostic and treatment purpose s are being introduced within hospitals. Therefore, being in a position to manage the hospital entirely, efforts to integrate their own unique system into one have started. A system values humans and creates the surrounding atmosphere into one which maximizes the abilities of individuals. For this, a scientific integration management operation system is required. The type of system that is demanded due to this requirement is an ERP(Enterprise Resource Planning) system. Lately, even the hospital industry is beginning to show interest in efficient administrative methods. To deliver more predominant medical services, hospitals are trying to introduce scientific administrative methods, whose superiority were proven in enterprises, to the operation system of the hospital organization. ERP values humans over systems, and within a superior system, emphasizes the efficiency of the organization. This sort of process does not just evaluate and manage the working abilities of individuals, but provides an advanced working environment that increases the abilities of members within the organization by fold. Therefore, this research estimates through questionnaires and introductive cases how the introduction of ERP may change the work of customers within hospitals such as the radiologic technology department, and how it may also change the environment of medical services, thus striving to create a radiologic technology department that will not fall behind the times.

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영아기 영양과 소아 알레르기질환의 예방 (Dietary Prevention of Allergic Diseases in Children)

  • 고재성
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup1호
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    • pp.1-6
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    • 2008
  • Previous infant feeding guidelines recommended a delayed introduction of solids to beyond 6 months of age to prevent atopic diseases. However, scientific evidence supporting a delayed introduction of solids for prevention of atopic diseases is scarce and inconsistent. Current evidence does not support a major role for maternal dietary restrictions during pregnancy or lactation in the prevention of atopic disease. In studies of infants at high risk of developing atopic disease, there is evidence that exclusive breastfeeding for at least 4 months compared with feeding intact cow milk protein decreases the incidence of atopic dermatitis, cow milk allergy, and wheezing in early childhood. For infants at high risk of developing atopic disease who are not breastfed exclusively for 4 to 6 months, there is modest evidence that atopic dermatitis may be delayed or prevented by the use of extensively or partially hydrolyzed formulas, compared with cow milk formula, in early childhood. There is no convincing evidence that a delayed introduction of solid foods beyond 4 to 6 months of age prevents the development of atopic disease. For infants after 4 to 6 months of age, there are insufficient data to support a protective effect of any dietary intervention for the development of atopic disease.

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