• Title/Summary/Keyword: Medical Direction

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A Study on Astronomy(天文) appeared in ${\ulcorner}$Hwangje-Naegyeong(黃帝內經)${\lrcorner}$ ("황제내경(黃帝內經)"의 천문학(天文學)에 관(關)한 연구(硏究) -진한(奏漢) 시대(時代)의 천문학(天文學)과 "황제내경(黃帝內經)"에 나타난 천문학(天文學)의 고찰(考察)-)

  • Kim, Shin-Hyung;Jang, Woo-Chang;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.19 no.2 s.33
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    • pp.74-95
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    • 2006
  • ${\ulcorner}$Hwangje-Naegyeong${\lrcorner}$ recorded The Twenty Eight Constellations(二十八宿), the polaris, the Seven stars(北斗七星) and the Five stars(五星) and it accepted the astronomy of that time. The Twenty Eight Constellations assinged seven stars in the four cardinal points according to the ecliptic and became the criterion obsevering the way of the sun and the moon. ${\ulcorner}$Hwangje-Naegyeong${\lrcorner}$ explained that The Twenty Eight Constellations bring about the change of weather and role as criterion about the Universe Gate-Earth Door(天門-地戶). The Five Elementary attachment of the Twenty Eight Constellations is based on the direction of the earth in spring. The direction of the Twenty Eight Constellations changes from the viewpoint of celestial body in other seasons. ${\ulcorner}$Gugungpalpung-pyeon(九宮八風篇)${\lrcorner}$ and ${\ulcorner}$Selo-pyeon(歲露論)${\lrcorner}$ explained that the azimuth of the polaris and the Seven stars are related to the change of weather. ${\ulcorner}$Gigyobyeondaelon(氣交變大論)${\lrcorner}$ said that we can predict the Taegwa(太過 or Bulgeub(不及) of O-un(五運) by the orbital tracks and magnitude of the Five stars. It means that the astronomical observation is correctly performed in that time. The learning of Un-Gi(運氣學) is the study on the reciprocal action of heaven and earth. Besides the changeable disease during the 24 solar terms is related to climatic change produced by movements of heavenly bodies. For this reason, I think that the understanding of astronomical background will help to research The learning of Un-Gi.

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Genetic lesion matching algorithm using medical image (의료영상 이미지를 이용한 유전병변 정합 알고리즘)

  • Cho, Young-bok;Woo, Sung-Hee;Lee, Sang-Ho;Han, Chang-Su
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.5
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    • pp.960-966
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    • 2017
  • In this paper, we proposed an algorithm that can extract lesion by inputting a medical image. Feature points are extracted using SIFT algorithm to extract genetic training of medical image. To increase the intensity of the feature points, the input image and that raining image are matched using vector similarity and the lesion is extracted. The vector similarity match can quickly lead to lesions. Since the direction vector is generated from the local feature point pair, the direction itself only shows the local feature, but it has the advantage of comparing the similarity between the other vectors existing between the two images and expanding to the global feature. The experimental results show that the lesion matching error rate is 1.02% and the processing speed is improved by about 40% compared to the case of not using the feature point intensity information.

Current Research Trends in Randomized Controlled Trials Investigating the Combined Effect of Korean Medicine and Western Medicine Treatment

  • Ha, Dohyung;Kim, Seoyeon;Baek, Yong Hyeon;Won, Jiyoon;Nam, Seri;Shin, Jeeyoung;Kwon, Oh-Hoon;Kim, Soo-Yeon;Lee, Hyangsook
    • Journal of Acupuncture Research
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    • v.37 no.1
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    • pp.13-18
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    • 2020
  • This review examined recently published (July 2014 to June 2017), randomized controlled trials (RCTs) which investigated the safety and effectiveness of combined Korean medicine/complementary alternative medicine (CAM) and Western medicine, to indicate the direction for integrative medical practice. The Korean Medicine Convergence Research Information Center evidence-based medicine database (KMCRIC EBM DB) was used to retrieve relevant RCTs indexed in the last 3 years. Study design, country, sample size, disease/condition with the Korean Standard Classification of Diseases code, interventions, direction of outcomes, and adverse events were extracted and summarized. A total of 93 RCTs were included in this review. Acupuncture/moxibustion was the most commonly used intervention (n = 47; 51%), and 19% (n = 18) of the studies treated musculoskeletal disorders, followed by circulatory disorders (n = 16; 17%), and mental and behavioral disorders (n = 9; 10%). Integrative treatment was reported as more effective than monotherapy in approximately 83% of these studies. Adverse events were poorly reported in most studies. This review suggests that integrative treatments are feasible, effective, and safe for various diseases/conditions, based on the evidence from recently published RCTs. Future studies on integrative healthcare are warranted.

Alteration of the Lobby Space in General Hospital According to the Medical Policy (의료정책에 따른 종합병원의 로비공간 변화)

  • Han, Kwang-Ho;Ham, Wook;Park, Chang-Geun;Lee, Nak-Woon
    • Journal of Industrial Technology
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    • v.24 no.B
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    • pp.37-46
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    • 2004
  • The purpose of this study are observing changing direction of lobby space that happen by change of medical environment investigating lobby space of General Hospital by our country's medical policy change time and supply pabulum that need in forward Hospital Architecture planning. Results of this study are as follows ; Since Whole National Insurance enforcement from 1993 to 1995, form of general hospital lobby is form that outpatient entrance and inpatient entrance are detached. And lobby function divided to waiting space for medication, requisition space and also that is appearing being detached with rest space for user. ntil 1999 since 1996 that is since Medical Treatment Information System construction, the biggest characteristic of General Hospital lobby form is making Hospital Street itself do improving efficiency of flow planning being included in lobby.

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Determination of the Virtual Focus Position for Electron Beam with Air Scanning (전자선에서 Virtual Source Distance의 위치 결정)

  • Kwon Kyung Tea;Youn Wha Ryong;Park Kwang Ho;Kim Chung Man
    • The Journal of Korean Society for Radiation Therapy
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    • v.6 no.1
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    • pp.89-93
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    • 1994
  • Authors have measured virtual source distance of electron beam from CL/1800 medical linear accelerator, with newly designed method. Beam scanning was performed with the direction of beam axis in the air. Compared results between this study and well established in phantom measurement shows good agreement with in experimental error. And we have found that build-up cap plays very important role in air measurement because of charge build up. The method of in-air measurement of virtual source distance is very easy to set-up and generate accurate results.

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Practical Examples of the Comprehensive Strategy of Japanese Dementia Policy: Kumamoto Model by Kumamoto Province (일본 인지증 정책 종합 추진전략의 실천 사례: 쿠마모토현의 쿠마모토 모델)

  • Joo, Jungmin;Kwon, Yong-Jin
    • Health Policy and Management
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    • v.29 no.1
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    • pp.11-18
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    • 2019
  • The purpose of this research is to introduce the best practice of the Japanese national dementia strategy and explore implications to the Korean national dementia strategy. Interview was conducted among professions those who is in charge of Kumamoto dementia care practice in Kumamoto province, upon review of related literature and public documents. The Kumamoto model is implemented by the department of neuropsychiatry in public university hospitals, which can offer dementia-specialized medical services. Medical centers for dementia in public university hospitals play a leading role for managing practice and training local dementia centers specialist, coordinating medical services among medical institutions and community welfare facilities. In reference to the Kumamoto model, the Korean national dementia strategy can find implications in the direction of current system, specifically its approaches toward policy governance.

A Study on Chuneunja(天隱子) written by Samaseungjung(司馬承禎) (당대(唐代) 사마승정(司馬承禎)의 "천은자(天隱子)"에 대한 연구(硏究))

  • Lee, Nam-Goo;Choi, Han-Baek;Song, Min-A;Kim, Jeong-Wan
    • Journal of Korean Medical classics
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    • v.23 no.5
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    • pp.1-9
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    • 2010
  • Chuneunja(天隱子) was publication that described the life nurturing(養生) of Taoism, consisted of 8 chapters. It was comparative primary writing and contained important contents in related to the life nurturing of Taoism. It belonged to the life nurturing of Taoism that influenced by Confucianism and Buddhism. It emphasized on the practical and rational thought that mastered morality by performing gradually. It showed the concrete asceticism method like to the basic regimen training of Taoism, for example mind control(調心), flesh control(調身), breath control(調息), conduction exercise(導引), raping teeth (叩齒法) and swallowing saliva(嚥津法). Oriental traditional regimen focused on realizing balanced human character by practicing human mind and body. It may show the direction to modern person that are troubled with harmful effect of modern civilization. If we throw away superstitious and unreal part in the traditional regimen and apply regimen in one's life, we may consider that regimen contribute to human health. Therefore, we require clear understanding for the classic data inherited from predecessors.

A Study on Joheonyeong's Life and the Medical Philosophy (조헌영(趙憲泳)의 생애와 의학사상(醫學思想))

  • Baik, Yousang
    • Journal of Korean Medical classics
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    • v.32 no.3
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    • pp.103-130
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    • 2019
  • Objectives : In this paper, the life and medical philosophy of Jo, Heonyeong, a Korean Medical scholar of modern times was studied. Based on his life events and publications, his medical philosophy was examined. Methods : Jo's life tracks were reconstructed based on his books, written contributions, documents on his activities that were collected from newspapers, magazines, papers, etc. In addition, the direction of his Korean Medical research and clinical application as argued by himself was examined. Results : After he himself understood the fundamental principles of Korean Medicine thoroughly, Jo, Heonyeong interpreted the principles of Korean Medicine by means of general scientific methodology along with simple, common knowledge based explanations. He compared Eastern Medicine with Western Medicine and pursued their integration, while making it his objective to have lay people understand medicine and to receive proper medical care and live healthy lives, based on the principles of a righteous government. The reason for his contributions to lay people targeted mediums and writing Korean Medical books that were easy to comprehend was also because of this philosophy. Conclusions : By making efforts to change and improve reality whether it be medicine or politics, Jo, Heongyeong went beyond treatment of diseases and pursued a world where all people could live healthy lives.

Medical Error Disclosure: 'Sorry' Works and Education Works! (의료오류 공개 교육의 현재와 나아가야 할 방향)

  • Myung, Sun Jung
    • Korean Medical Education Review
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    • v.21 no.1
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    • pp.13-21
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    • 2019
  • Patient safety and medical errors have emerged as global concerns and error disclosure has been established as standards of practice in many countries. Disclosure of medical errors to patients and their families is an important part of patient-centred medical care and is essential to maintaining trust. However, physicians still hesitate to disclose errors to patients despite their belief that errors should be disclosed. Multiple barriers such as fear of medical lawsuits and punishment, fear of damaging their professional reputation, and diminished patient trust inhibit error disclosure. These barriers as well as lack of training or education programs addressing error disclosure contribute to a low estimated disclosure rate in real situations. Nowadays, the importance of patient safety education including error disclosure is emphasized and related research is increasing. In this paper, we will discuss the background of medical error disclosure and studies on education programs related to error disclosure. In this regard, we will examine the content and methods currently being taught, discuss the effects or outcomes of such education programs and obstacles or difficulties in implementing them. Finally, the direction of future error disclosure education, support systems, and education strategies will also be covered.

Evaluation of Difference between Skin Motion and Tumor Motion for Respiration Gated Radiotherapy (호흡조절방사선치료를 위한 피부움직임과 종양움직임 차이 평가)

  • Kwon, Kyung-Tae;Lim, Sang-Wook;Park, Sung-Ho;Kwon, Soo-Il;Shin, Sung-Soo;Lee, Sang-Wook;Ahn, Seung-Do;Kim, Jong-Hoon;Choi, Eun-Kyung
    • Progress in Medical Physics
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    • v.19 no.1
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    • pp.14-20
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    • 2008
  • Accounting for tumor motion in treatment planning and delivery is one of the most recent and significant challenges facing radiotherapy. The purpose of this study was to investigate the correlation and clarified the relationship between the motion of an external marker using the Real-Time Position Management (RPM) System and an internal organ motion signal obtained fluoroscope. We enrolled 10 patients with locally advanced lung cancer and liver cancer, retrospectively. The external marker was a plastic box, which is part of the RPM used to track the patient's respiration. We investigated the quantitatively correlation between the motions of an external marker with RPM and internal motion with fluoroscope. The internal fiducial motion is predominant in the caraniocaudal direction, with a range of $1.3{\sim}3.5cm$ with fluoroscopic unit. The external fiducial motion is predominant in the caraniocaudal direction, with a range of $0.43{\sim}2.19cm$ with RPM gating. The two measurements ratio is from 1.31 to 5.56. When the regularization guided standard deviation is from 0.08 to 0.87, mean 0.204 cm, except only for patients #3 separated by a mean 0.13 cm, maximum of 0.23 cm. This result is a good correlation between internal tumor motion imaged by fluoroscopic unit and external marker motion with RPM during expiration within 0.23 cm. We have demonstrated that gating may be best performed but special attention should be paid to gating for patients whose fiducials do not move in synchrony, because targeting on the correct phase difference alone would not guarantee that the entire tumor volume is within the treatment field.

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