• Title/Summary/Keyword: Medical Direction

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A Literature Review on Sarcopenic obesity (Sarcopenic Obesity에 대한 연구 동향 고찰)

  • Park, Kyung-Moo;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine for Obesity Research
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    • v.7 no.2
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    • pp.1-14
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    • 2007
  • Objective The purpose of this study is to work on the direction of the study with regard to the sarcopenic obesity. Methods We searched articles relative to sarcopenic obesity in the KyungHee University Meta-analysis database. We classified articles according to type of study and subject clinical characteristics, assessment, medical complications and treatment. Results and Conclusion Data from this pilot study showed that sarcopenic obesity is associated with metabolic abnormality, cancer, increased frailty, physical disability and inflammatory markers. Therefore, clinical studies are needed to demonstrate the effectiveness and safety of management for sarcopenic obesity.

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Discussion of The Concept and Characteristic of "Gi Transformation(氣化)" in "Hwangjenaegyeong(黃帝內經)" (시론(试论) $\ll$내경(内经)$\gg$ "기화(气化)" 적개념여특점(的概念与特点))

  • Chen, Xi
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.261-264
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    • 2009
  • Gi(氣) transformation theory is the foundation of Traditional Chinese Medicine[TCM]. This theory matured during the period of "Hwangjenaegyeong(黃帝內經)", and later in the history of TCM was a source of significant impact on the development process and direction of general medical theory. The concept of "gi transformation[氣化]" mainly originates from the definition of the three levels which are nature, the relationship between nature and human, and the body's own metabolism, and is used to describe the usage and the resulting changes of 'gi(氣)'. Gi transformation possesses six characteristics which are permanence, universality, representationalism, directional, variability, and orderliness. The research of the concept and characteristics of gi transformation[氣化] in "Hwangjenaegyeong" will help identify the important academic value and practical significance of the formation of the basic theory of TCM as the result of the gi transformation theory, and highlight the unique characteristics of TCM.

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A Study on Improvement of EMS Fund Using in Korea (우리나라 응급의료기금 운영실태 및 문제점)

  • Baek, Hong-Sok
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.101-110
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    • 2005
  • In Korea, EMS Fund Operation seems to move the opposite direction to right way. The most initial EMS fund was consumed loan for some emergency patients without any particular results. Since 2002, the use of EMS fund also has shown a tendency to shift one side. By the results, it was 44.3% to support emergency medical centers, so called hospital EMS system and 28.4% to purchase ambulances and helicopters, and 1.6% to operate Central Medical Center, prehospital base in the EMS fund consumed in 2004. It was never supported for the environmental improvement and development of universities, colleges, and private EMS units having the primary responsibilities. The initial EMS fund using should be used for prehospital base, e.g., prehospital staffs, communications, and facilities and balanced development between public and private EMS units than any other fund using.

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A Study on the Scope of Practice of Nurses in the Prehospital Emergency Medical Service System (병원 전 응급의료체계에서 간호사의 업무범위에 대한 소고(小考))

  • Bae, Hyuna
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.141-171
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    • 2019
  • Nurses are medical personnels under the Medical Service Act and perform medical practice such as medical assistance at medical institutions. The nurse, a medical personnel, provides emergency medical service to emergency patients in the pre-hospital emergency medical system as a 119 rescuer based on the Act on 119 Rescue and Emergency Medical Services. The scope of practice of nurses is comprehensively defined in the Medical Service Act and specified through precedents. In contrast, The scope of work of emergency medical technician is listed in detail. It is understood that nurses in the pre-hospital emergency medical service system have a wider scope of practice than emergency medical technician. In particular, the scope of practice of nurses as emergency medical personnel in the pre-hospital emergency medical system should be interpreted differently within the medical institution, considering the urgency of the patient, being transferred to the emergency medical institution, and the specificity of medical direction through tele-communication.

The Present State of Physiotherapy and the Development Direction of a Curriculum for Physiotherapy Educational Program in Swaziland (Swaziland의 물리치료 현황과 물리치료 교육프로그램 개발방향)

  • Park, Ji-whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.1-5
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    • 2015
  • Background: The purpose of this study was to search the present state of physiotherapy and the development direction of a curriculum for physiotherapy educational program, especially in field of orthopedic manual therapy, in Swaziland. Methods: The developed curriculum is as follows: 1. Disease and Health State in Swaziland. 2. Medical Human Resources State of Swaziland. 3. Physiotherapy Services State in Swaziland. 4. Higher Education State in Swaziland. 5. Development Direction of a Curriculum for Physiotherapy Educational Program in Swaziland. Conclusions: There is no a physiotherapist in Swaziland and Swaziland government which has not a physiotherapy education programme in any university of whole country. So we need to the development direction of a curriculum for physiotherapy educational program for the future of Swaziland, especially in field of orthopedic manual therapy. The reason is firstly, most of people are obesity in this country, so many people complained a lot of joint and muscle pain. And secondly, also there are many musculoskeletal disease patients now a day in Swaziland because of HIV/AIDS. Lastly, Swaziland country is in a poor and developing state, so physiotherapist it is hard to make a purchase and setting physiotherapy modalities apparatus at Swaziland country.

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Adaptive Tracking Algorithm Based on Direction Field for Automated Identification of Vessel Contour (혈관 윤곽의 자동적 식별을 위한 방향성 기반의 적응적 추적 알고리즘)

  • Park, S.I.;Lee, J.S.;Koo, J.Y.;Hong, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.414-417
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    • 1997
  • This paper presents vessel contour for extracting features and segmentating narrow blood vessels down to a diameter of two pixels in digital subtraction angiographic image. We present a new tracking algorithm for contour, mainly blood vessels in DSA image, and extracting properties such as their intensities, diameters, and center lines by exploiting spatial continuity. The proposed algorithm comes to detect blood vessel's boundary using difference edge detector one of homogeneity operator and find a next centerline position by direction vector of edge information. This algorithm enhanced variation of vessel's diameter compared to Sun's tracking algorithm and lessoned to compute as direction vector decide adaptively entire vessel's direction field. The processed images are intended to support radiologists in diagnosis, radiation therapy planning, and surgical planning. The algorithm should be useful for automating angiographic analyses of blood vessels.

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Nursing Service R&D Strategy based on Policy Direction of Korean Government Supported Research and Development (국가보건의료 R&D 정책 방향에 따른 간호서비스 R&D 전략 연구)

  • Lee, Seonheui;Bae, Byoungjun
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.1
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    • pp.67-79
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    • 2016
  • Purpose: To develop strategies for research and development (R&D) in nursing service based on the policy direction of government supported R&D in Korea. Methods: This was a descriptive study to develop strategies for promoting R&D in nursing by analyzing investment trends and status quo, policy directions, and implementation of the details of government supported R&D through government reports, websites of relevant agencies and literature reviews. Results: Few nursing experts participated in clinical research on overcoming major diseases and in R&D for well-being and care. Development of nursing topics that meet the direction of government supported R&D were lacking. Insufficient implementation of nursing service R&D in a timely manner equipped with a performance-based system. Few research studies in R&D projects that included research using big data or contributing to developing medical instruments. Finally, an insufficient number of nursing specialists participated on government R&D advisory committees. Conclusion: For nursing service R&D development efforts should be toward quantitative expansion and qualitative improvements by sensitively recognizing policy direction of government supported R&D. The promotional capacity of nursing service R&D must be reinforced through a multidisciplinary approach and collaborative association with other professionals and the inclusion of nurse specialists on government R&D advisory committees.

A Search on the New Direction of Meridian Study (경락 연구의 새로운 방향 탐색 - 경락 연구의 로드맵 작성을 중심으로 -)

  • Choi, Hwan-Soo
    • Korean Journal of Acupuncture
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    • v.21 no.3
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    • pp.1-20
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    • 2004
  • Objective : Today, a study about the meridian is at a standstill because there is no any fundamental study to verify an essence of meridian or to take advantage of meridain. It searched the direction of new meridain study by making out road-map about meridain study to overcome the standstill. Method : It has had a through grasp of the problem of meridian study through analysis of papers for degrees and academy journals of study in connection with meridian published till now. It has made out road-map of Meridian study under a principle establishing road-map because of these problems. Results : The major problems of former studies about meridain are as follows. One is not to have any cooperation with other medical fields. The other is not to have any practical study. It searched the direction of new meridian study by road-map detailed as well as overall to overcome the difficulties. Conclusions : The new direction of meridian study is to build ideal methodical frame and modern meridian model through studying of among school systems. It will interpret newly and modernize traditional meridian theory with being connected with science technology.

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Study on the 'poems of prograde' of twelve meridians and 'poems of acupoints' (십이경맥(十二經脈)의 순행가(循行歌)와 경혈가(經穴歌)에 대(對)한 연구(硏究);십이경맥(十二經脈)의 순행(循行) 부위(部位) 및 방향(方向)과 경혈가(經穴歌)의 분류(分類)를 위주로)

  • Kang, Dong-Yun;Jo, Hak-Jun;Kim, Ho-Hyun
    • Journal of Korean Medical classics
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    • v.20 no.2
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    • pp.61-123
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    • 2007
  • We translated 'poems of prograde' and 'poems of acupoints' which in the poems of acupoints and based on that, We considered the circulating direction and region of twelve meridian comparing the notion in common today with that in the 'poems of acupoints'. Finally, we got the conclusion like below 1. About circulating line of lung meridian, it'll be proper to correct that lung meridian passes through inner edge of biceps brachii muscle like heart and pericardium meridian. 2. On the part of kidney meridian in 'poems of prograde', it's right to be corrected as the circulating line that thru the inner line of vertebrae, enters heart and lung, and scattered tho breast. 3. 'Poems of prograde' can be separated two kinds go by starting-acupoints, ending- acupoints. First is 'poems of prograde' is begun from the end of members and ended in the body. Second is from Jungbu(中府) to Kimun(期門), circulating the members and the body with no ending. 4. On the above, we can find first 'poems of prograde' in "Chimkudaejeon(鍼灸大全)", "YangKyungjechimkujeonso(楊敬齋鍼灸全書)", "Chimkudaeseong(鍼灸大成)", also second can be found in "Neungmunjeonsudonginjihyul(凌門傳授銅人指穴)", "Chimkushinso(鍼灸神書)", "Kumchimbijeon(金針秘傳)", "Kyungrakhoepyun(經絡匯編), "Kyungrakko(經絡考)", "Jungsohoechamdongindosol(重西匯參銅人圖說)", "Kyungrakdoko(經脈圖考)", "ChimkuChuiyoung(針灸聚英)", "Shipsakyoungbalhwee(十四經發揮)", "Jakushimbopyokyul(刺灸心法要訣)", "Yukyoungdoik(類經圖翼)", "Yihakimmun(醫學入門)", etc. 5. Drawing an inference from above, the forms of "Jokbishibilmaek(足臂十一脈)" and "YumYangshibilmaek(陰陽十一脈)" are in "Mawangtoebaekso(馬王堆帛書)", are rather foreforms of circulation line that from the end of members and ended in the body than meridian prograde.

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The Relief Effect of Copayment Decreasing Policy on Unmet Needs in Targeted Diseases (산정특례제도가 미충족 의료경험에 미치는 영향: 2·4차 한국의료패널자료를 이용하여)

  • Choi, Jae-Woo;Kim, Jae-Hyun;Park, Eun-Cheol
    • Health Policy and Management
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    • v.24 no.1
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    • pp.24-34
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    • 2014
  • Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.