• Journal of Korean Academy of Nursing Administration
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• v.17 no.1
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• pp.66-73
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• 2011

Purpose: The purpose of this study was to demonstrate effects of a critical pathway (CP) for stroke patients seen in emergency rooms (ER). Method: The CP developed by the CP committee consisted of 8 criteria: behavior of doctors and nurses, laboratory tests, Image testing, medication, treatment, activity, and nutrition. According to application of CP, a control group (n=17) and experimental group (n=17) were defined. Time was checked by the electronic medical records. Result: Use of CP for stroke patients in the ER, resulted in a decreased length of stay in ER (t=2.341, p=.026), and time required for image testing (t=2.623, p=.021), and an increased number of patients using rtPA ($x^2$=4.802, p=.049). Time required for neurology doctor contact, for neurology doctor to see patient in the ER, and for report of blood tests decreased, but there were no statistical significance. Conclusion: Quick responses are most important in the ER, so CP for these patients is a very effective patient management tool. To reduce delay in stroke diagnosis, continuous education programs for similar symptoms are necessary. CPs for other patients in the ER should be developed, and studies on cost and satisfaction, as well as length of stay, should be done.

• Journal of Acupuncture Research
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• v.29 no.3
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• pp.67-79
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• 2012

Objectives : We investigate to identify the satisfaction degree of patients by traffic accident(TA) for improving the quality of services and fortifying the competitiveness of Korean medical hospital on TA patients. Methods : The survey used by preceding articles was accepted for assessment of the satisfaction degree of patients in this study. All data were coded by SPSS v18.0 and analyzed by descriptive maneuver, ${\chi}^2$-test, T-test and correlation. Results : According to the survey, 84% of patients included this study were hospitalized in the Korean medical hospital within 2 weeks from TA and 92.3% were satisfied with the current medical service. The answer that Korean medicine is superior to western medicine for TA treatment was the main reason for selecting Korean medical hospital. 35.1% of patients satisfied Chuna treatment and 42.9% unsatisfied herbal medicine. There were no differences in the satisfaction degree with sex, age, education and occupation. The satisfaction degree of the current Korean medical service was significantly correlated with doctor's service, use the procedure and reuse intention. Conclusions : It is necessary to develop and to apply the customer satisfaction program for the Korean medicine hospital on TA patients.

• Journal of Physiology & Pathology in Korean Medicine
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• v.26 no.1
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• pp.1-9
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• 2012

Five mimic-animal boxing(五禽戱, FAB) is physical fitness exercises conducted by imitating the motions of tiger, deer, bear, monkey, and bird, devised by the famous doctor Hwa-Ta(華陀) in the Three Kingdoms of China. FAB is one of bionic-physical and breathing exercises(傍生導引) by combined automassage as a practice for health care. Although FAB have effects of health control and medical treatment, but interrelationship of five animals(五禽) of FAB and five viscera(五臟) of five elements(五行) is complicated. So, the present was designed to investigate the progress of FAB, movement-feature of FAB, and the interrelationship of five animals and five viscera. further I will develop value by sports-treatment medicine in oriental medicine. The results were as follows ; FAB is physical exercises of dynamic exercises and new-dynamic exercises. Feature of China-FAB have each movement by imitating the motions of each animals, movements of Formosa-FAB were mixed. In philosophical viewpoint, Five animals (tiger, deer, bear, monkey, bird) were attached to metal, wood, water, earth, fire of five elements, and lung, liver, kidney, spleen, heart of five viscera. In viewpoint of breathing exercises, Five animals (tiger, deer, bear, monkey, bird) were attached to water, wood, earth, fire, metal of five elements, and kidney, liver, spleen, heart, lung of five viscera. Although FAB have effects of health control and medical treatment, FAB have indication and contraindication. Therefore, I think that mechanism of treatment should reason with Oriental medicine doctor in FAB.

• Journal of Society of Preventive Korean Medicine
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• v.6 no.1
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• pp.1-14
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• 2002

The proportion and role of public sector in health care industry is very small in Korea. Asymmetric distribution of health care resources is one of the major health care concerns. This issue is so important that it raises a question of accessibility, availability, continuity of care and equity of rural area people's health care utilization. To solve these problems and to satisfy the basic demand of oriental medical service in rural areas, the oriental public health doctors were placed in rural health centers since 1998. The main objectives of this study are twofold: to measure the cognition and attitude of health center directors on the strategies for utilizing oriental public health doctors and to provide basic data for improving the health manpower management program. Data have been collected by way of the self-administrative questionnaires. Developing the questionnaire, the literature review on the previous studies and delphi method were carried out. The response rate was 38.7%. The results of this study are summarized as follows; 1. community people respond positively on the oriental medical service activity in health center. 2. In regard to workloads of oriental public health doctor, 'appropriate' was 81.1% and 'burdensome' was 18.2%, respectively. 3. The 94.0% of respondents thought that the oriental medical service will be continued. 4. To activate oriental medical service in health center, the sufficient budget and provision of aid workers is a necessity. 5. The 75.5% of health center directors respond positively on the allocation of oriental public health doctor to health sub-centers. 6. Health center directors agreed that oriental public health doctor should perform the clinical service as well as prevention and health promotion activity. These results recommend that oriental medical service in health center should be continued gradually, and oriental public health doctors working at health center perform their work efficiently. Undoubtedly, their activity should be more focused on health promotion and disease prevention than daily patient care. For achieving this objective, more support of governmental policy is essential for utilizing oriental public health doctor and better health of the rural area community people.

• Journal of Physiology & Pathology in Korean Medicine
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• v.22 no.5
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• pp.1062-1070
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• 2008

The human body and nature respond to each other. The change of nature influences to directly human body. One of the change is the weather change. and there is order in the change. The order is twelve months. To explain the weather change of the cold, hot. dry and wet. we can use Four seasons, The twenty-four seasons, or The twelve month. To explain the five elements of the chinese cosmogony, The four season is useful, and the change of weather, the twenty-four seasons is good. But, the viscera is explained by the ten celestial stems and the twelve horary sings. Thus the twelve horary sings is most useful to explain, because one year is composed by twelve months. The twelve season and fancy of the ten celestial stems is explained fully by Diao-hou-yong-shen. Diao-hou-yong-shen is expressed by the zodiac signs, and explained by the disposition of the zodiac sings. In addition to the oriental medical science is also explained and expressed by the zodiac signs. Therefore, I think that the change of viscera, according to weather, is based on the Diao-hou-yong-shen, and I get some results. In the acting of viscera, there are some relationship between organs. The relationship is not influenced directly by the weather of four seasons, unless there are some special details. If the energy of the month, which rules one specific organ, is weak, doctor should fill up the organ. If not, the organ tends to get sick. According to the full or weak of the five elements which is under the month, the useless or harmful elements should be taken off, and useful and needful elements should be serviced. The balance between cold, hot, dry and wet should be maintained. However, the fancy of the viscera is very different. So, doctor should be careful to maintain balance. The full and weak between Yin and Yang should be considered when doctor think about cold and hot in the month.

• Clinical and Experimental Pediatrics
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• v.48 no.8
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• pp.813-819
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• 2005

Purpose : Medicolegal problems start when the patient asserts the mistake of doctor and doctor does not accept it. The purpose of this study is to assess the actual condition of medicolegal problems and to provide solutions of medicolegal problems in the pediatric field. Methods : There is not official statistical data about medicolegal problems in our country. We gathered data of legal insurance program of Korean Medical Association(KMA) and court cases and other fragmentary data. Results : Between 1981 and 1995, of total 2,338 cases reported to legal problem insurance program of KMA, most common ones were 748 cases of obstetrics and gynecology. Pediatric case was ranked at the 5th, 74 cases(3.1%). According to analysis of 41 medicolegal cases' after 1990, maltreatment of patient had the highest incidence of 14 cases, injection and medication were related to 12 cases, misdiagnosis was 9 cases, patient management were related to 4 cases, and others were 2 cases. The trial result of the medicolegal cases was that 31 cases were compensated, and 8 cases were defeated, and 2 cases were still in the process. Conclusion : The aspect of medical legal problem has the tendency of radicalism and systematization. This brings an economic destitution in the patient and gives damage to a doctor. In order to reduce medicolegal problem, doctor should offer a duty of explanation and efforts to his best to satisfy patient and endeavor to make an intimate doctor-patient relationship.

• Korea Journal of Hospital Management
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• v.16 no.2
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• pp.19-30
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• 2011

This study aims to present ways to enhance the stabilization of electronic medical records, ensure the commitment to filling in information of the medical record and improve the overall quality Electronic Medical Record(EMR) information. For that purpose, the present state of the incomplete record rate and the doctor's satisfaction in Electronic Medical Record(EMR) have been surveyed by comparing and analyzing Paper-based Medical Record(PMR) and Electronic Medical Record(EMR). The survey was conducted on 31 doctors in charge of EMR system and each PMR and EMR inpatients were collected for a period of 5 months and analyzed. The results showed that the doctor's satisfaction level was higher for EMR, and the rate of incomplete record appeared to be lower in EMR in departments of both internal and external medicine. In this context, it can be said that the higher efficiency of EMR helped accomplish the increase in commitment to completing medical record information and improve the quality of the data.

• Korean Journal of Oriental Medicine
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• v.14 no.3
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• pp.103-111
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• 2008

Recently, skin diagnosis has been suggested as a promising tool for discrimination of Sasang Constitution, reported by examining the skin characteristics such as thickness, stiffness, slip, and skin textures like wrinkles and furrows. However, the works had a limitation in that clinical decision on the skin characteristics was made by relying upon oriental medicine doctors' subjective sense of touch. In order to objectify the skin diagnosis and claim its efficacy on the discrimination of the Sasang Constitutions, it is necessary to demonstrate its discrimination capability by providing numerical values in terms of physical quantities obtained from measurements using today's sensors and equipment technologies, which motivated this work as a priliminary step towards objectification of skin diagnosis. The skin characteristics focused in this work is the slip property of the back-hand skin that has been exploited using the dynamic friction measurement system. First, curved geometric effects of the back-hand skin on the measured lateral/vertical force signals were estimated using the artificially designed silicon coated structures, which led to a suggestion on a quality controlled experimental design based upon a empirical analysis model. Second, the experimental design thus suggested has been applied to the measurement of dynamic friction coefficients for two healthy male subjects of Taeumin (TE) and Soyangin (SY), respectively. The result shows that the dynamic friction coefficient is less for the SY subject than for the TE subject around the area of the skin used for diagnosis by the oriental medicine doctor, implying the TE subject's skin is more slippery than the SE subject's that is consistent with the oriental medicine doctor's diagnosis. Hopefully, this work can provide guidelines for obtaining quality data in friction measurement to be collected for discussion on the efficacy of the skin diagnosis and its objectification through statistical analysis.

• Journal of Society of Preventive Korean Medicine
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• v.13 no.1
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• pp.29-40
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• 2009

The demand of research for the development of pulse meter and analyzer by the examination questionnaire made from repeated preliminary investigations. Which was presented in the exhibition KIMES 2008, it's has been proved to be practical. 159 people(oriental medical doctor) sent in the question papers and selected the double answers in the relevant question. At the time of the development of the pulse meter and analyzer, we put the investigation for oriental medical doctor's demands in practice and found the following results. The development of the pulse analyzer is getting more important for modernization of oriental medicine. The purpose of this study was to find out the research needs for the pulse analyzer considering the practical use in the oriental medical clinics. A survey was conducted at the KIMES 2008 exhibition with a set of questionnaires. We collected the data from 159 oriental medical doctors who attended the exhibition, and we found following results. The more oriental doctors did not think the diagnostic devices were important in their clinical practices. Most responders preferred to use the Chon-Kwan-Cheok pulse diagnosis. To find out the mechanism of the pulse diagnosis and to standardize it, the clinical data base containing the results of the pulse diagnosis and the patten discrimination of each patient should be established. In conclusion, the researches on the standardization of Chon-Kwan-Chuk pulse diagnosis including the measurement techniques and the pulse-pattern correlations are very important for developing the pulse analyzer.

• Journal of Korean Academy of Nursing
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• v.8 no.2
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• pp.25-38
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• 1978

A survey was made with regard to understanding attitude and practical use of modern and traditional methods of health care in a rural village with 742 inhabitants which comes under one of the whole three types of Korean rural community, to find out the following facts. 1. Among the five types of health-care given, the most understood, chosen and used one was the doctor followed next by pharmacy and continually herb doctor, folkways method, shamanistic treatment; the last shown method was principally chosen to use by only one among 139 housewives as respondants available, 2. Between herb medicine and folkways method of care, the former was more relief upon than the latter while the latter was more used than the former, seemingly because of relative low cast of the latter. 3. A considerable part of those who mainly used the doctor or pharmacy also used herb doctor or folkways care； modern and traditional care methods coexisted in the pertaining community. 4. Nearly all of the respondants ware, reasonably, aware of effectiveness of modern types of health-care; but, at the same time, more than a half of them had a positive attitude towards traditional method as well. 5, On the whole, the respondants made a distinction between traditional health-care methods and shamanism, regarding the latter as ineffective. 6. The result hints that it would be desirable for health-care professionals to inquire into traditional methods of health-care with a view to being more acquainted with rural residents and so raising their use of services by experts. 7. It should be added that the results of this piece of study may have a general significance only within those communities which shares the same socio-cultural background and characteristic of the surveyed one.