• Title/Summary/Keyword: Medical Direction

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The experience of violence and turnover intention of female 119 emergency medical technicians (여성 119구급대원의 폭력 경험과 이직 의사)

  • Kim, Hee-Jung;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.2
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    • pp.65-76
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    • 2013
  • Purpose : The purpose of this study was to provide an appropriated direction for fire service organizational management by analyzing the violence experiences and turnover intention of female 119 emergency medical technicians (119 EMT) in Korea. Methods : The questionaries were obtained from 415 female 119 EMT in Korea from April 27 to March 8 in 2009. The collected data were analyzed with SPSS WIN 19.0 program. Results : Female 119 EMTs experienced 94.9%-verbal insults, 57.1%-violence aggression, 62.89%- potential violence, 32.5%-physical assault. About 76.4% of the subjects experienced to feel shame about the verbal insults. They had a stress level (mean 5.47 out of 10) and about 41.2% was more than seven points. About 39.3% of the subjects responded turnover intention. Conclusion : We proposed the preventive program against violence as well as critical incident stress debriefing. These results are expected to be useful in making human resource management plans to lower turnover intention.

The willingness, knowledge and self efficacy of CPR in Chinese students (중국 유학생의 심폐소생술에 대한 태도, 지식 및 자기효능감)

  • Choi, Eun-Young;Wang, Chengying;Lee, Kyoung-Youl;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.2
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    • pp.43-55
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    • 2013
  • Purpose : The purpose of this study was to provide an appropriated direction for cardiopulmonary resuscitation(CPR) education by analyzing the attitude, knowledge and self efficacy of CPR for Chinese students in Korea. Methods : The questionaries were obtained from 179 Chinese students who studied in K university at G city from Sep 24, 2012 to Oct 4, 2012. The collected data were analyzed using SPSS WIN 19.0 program. Results : About 40% of the subjects had experienced CPR training. In cardiac arrest situation, 82.6% of the respondents were willing to CPR on family members and 58.1% of the respondents were willing to CPR on strangers. They had a very low CPR knowledge level (mean 34.4 out of 100) and self efficacy (4.6 out of 10). The self-efficacy was related to CPR willingness but not to CPR knowledge. Conclusion : It is important to enhance CPR performance for layperson education in Chinese students.

A study on the Transmutation among Six-channels in Shanghanlun (『상한론(傷寒論)』 육경병(六經病) 전변(傳變)에 관한 연구(硏究))

  • Lee, Sang-Hyup;Kim, Hoon
    • Journal of Korean Medical classics
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    • v.28 no.3
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    • pp.27-43
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    • 2015
  • Objectives : Zhang Zhong-jing's Shanghanlun is based on Six-channels system to classified a disease. This paper is planning to describe the Transmutation among Six-channels system. Six-channels change not fixed in either direction and each is relative to each other. Methods : I will try to describe the Transmutation among Six channels system, through the letter of the Shanghanlun. First, I will find letters related to a disease transmission. Second, It will be described through the analysis of the past medical scientists. Results : Six-Meridian Pattern is the categorization of syndromes according to the theory of the six meridians, applied to the diagnosis of acute febrile diseases at different stages, but also useful for the pattern syndrome differentiation of other diseases. Transmutation among Six channels system is not fixed in a certain order and it each affects one another. Conclusions : We can see that Zhong-jing's medical treatment from syndrome differentiation is associated with a Mutual transmission(相互傳變).

An Empirical Study for the Management Performance of Primary Medical Centers (1차 의료기관의 경영성과에 관한 실증적 연구)

  • Kim, Jong-Weon;Lee, Kyung-Hwan;Chung, Hee-Soo
    • Journal of Korea Society of Industrial Information Systems
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    • v.13 no.3
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    • pp.87-99
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    • 2008
  • This study investigates the management performance of primary medical centers on the basis of power process perspective to suggest the direction for their competitive advantages. To do so, this study conducts the questionnaire survey to middle and top managers of primary medical centers in Seoul, Incheon, and Kyoungki Province and analyzes the data by using cluster analysis and variance analysis of SPSS statistical package. According to the results, the types of primary medical centers are determined by the interaction of power determinants variables, and the type of primary medical centers which has the strongest interaction of power determinants variables shows the highest management performance compared to other types.

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A Study on the Task and Role of Arbitration in Korea by Discussions on the Allowance of Insurer to Invite Overseas Patients (우리나라 보험사 해외환자 유치 허용 논의에 따른 중재의 역할과 과제)

  • Kim, Kee-Hong;Byeon, Seung-Hyeok
    • Journal of Arbitration Studies
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    • v.29 no.2
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    • pp.225-237
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    • 2019
  • Recently, it has been argued that it is necessary to attract foreign patients outside domestic insurers and to allow foreign doctors to treat in domestic hospitals in order to develop the insurance industry and revitalize the medical industry. Currently, large medical institutions in Korea are attracting foreign patients in connection with foreign insurance companies. It is desirable to increase the number of overseas patients who want excellent medical services in Korea, and to provide opportunities for domestic insurance companies to attract overseas patients by expanding job creation through a revitalization of the medical industry. Therefore, this study suggests the development direction for insurers who aim to attract foreign patients through the side effects of attracting foreign patients in accordance with the Financial Services Commission's plan to strengthen the competitiveness of the financial industry. In addition, this study intends to contribute to the strengthening of the competitiveness of attracting foreign patients, through domestic insurance business, to the insurance direct payment market for overseas patients using domestic medical institutions that are concentrated in foreign insurance companies and in the blind spot of domestic law application.

The Regulation of Unlicensed Medical Practice and Mistake of Law (판례에서 나타난 무면허의료행위의 유형과 법률의 착오)

  • Jeong, Do-Hee
    • The Korean Society of Law and Medicine
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    • v.11 no.1
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    • pp.243-270
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    • 2010
  • Under the existing law, an act included in medical practice by medical personnel seems to be irrelevant to whether the act concerned in the "Life World" is in the category of medical practice. In spite of the act having been done according to the custom for a long time, and generally done by individuals in the "Life World", these kinds of acts have been banned by law, because if these acts were done by the general individuals, it would be considered as harmful behavior to human life and body. And it is not sure that individuals know such a ban or notification. This cause a "Mistake of Law". Also it is happened if someone knows the existence of law but believes that his/her act is not included. For treating the problem of "Mistake of Law" of unlicensed medical act, in this study I inquired thoroughly into the category and regulation of unlicensed medical act, uncertainty of the Medical Services Law the first Section of Article 27, the prohibition of unlicensed medical act. The "Composition Condition" of the first Section of Article 27 of the Medical Services Law is not certain, it doesn't meet the "Doctrine of Clearance", and it cause the "Mistake of Law". Also it doesn't meet standardization of constitutional state. An exceptional decision of Pusan District Court, the debate about unlicensed medical practice, constitutional decision on unlicensed medical practice of the Constitutional Court of Republic of Korea and point of view of support of regulation. Also I examined the problem of "Mistake of Law" that the regulation of unlicensed medical practice has. I tried to solve uncertainty of "Composition Condition" and proposed a direction of regulation for solving the "Mistake of Law" and the use of existing law.

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Current Issues and Future Considerations in Undergraduate Medical Education from the Perspective of the Korean Medical Doctor Development System (우리나라 의사양성체제의 관점에서 본 의과대학 교육의 문제점과 개선방향)

  • Han, Jae Jin
    • Korean Medical Education Review
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    • v.20 no.2
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    • pp.72-77
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    • 2018
  • Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

Physical Properties of Knitted Fabrics on Knitting Structure for Medical Compression Garments (고령사회에 대비한 노인 건강 의류 제품 개발을 위한 기초 연구 - 니트 소재 압박복을 중심으로 -)

  • Park, Myung-Ja;Sang, Jeong-Seon
    • The Research Journal of the Costume Culture
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    • v.19 no.2
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    • pp.334-345
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    • 2011
  • A study on compressive garments guarantee the required pressure and form depending on the type of disease and the state of injury can be used in the preventive treatment of cardiovascular disease. This research is to provide a preliminary data to develop medical clothing products, especially knitted compression garments. Starting from analyzing knitted structure of imported pressure goods to apply to test samples, 11 kinds of knitted stretchy fabrics were manufactured under the various knitting conditions, then their tensile, mechanical and hand properties were measured. In comparison size changes by knitting structure, tuck stitch applied structure showed an increase in course direction and decrease in wale direction. Float stitch applied structure indicated the contraction of size in width because of unformed loops and floated yarn on the technical back of fabric. As a result of tensile properties in tuck and float applied structure, tensile strength was increased in the course direction. On the other hand, the more loops overlapped due to the tuck and float stitch, the more decreased their elongation and elastic recovery were. In case of mechanical properties, as the tuck and float stitch were overlapped double or triple the bending and shearing properties were risen. Accordingly, the drape of fabric becomes stiff, and its surface becomes rough and uneven. The measurements of hand properties showed that the value of KOSHI, FUKURAMI NUMERI in tuck and float applied structure are higher than the plain structure. This results from the relationship between the mechanical and hand properties.

A Study on the Photoneutron Dose Estimation in Flattening Filter Mode and Flattening Filter Free Mode for Medical Linear Accelerator (의료용 선형가속기의 Flattening Filter Mode와 Flattening Filter Free Mode 간에 광중성자 선량 평가)

  • Yang, Oh Nam;Lim, Cheong Hwan
    • Journal of radiological science and technology
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    • v.40 no.2
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    • pp.297-302
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    • 2017
  • In this study, the generation of photoneutrons between the 10 MV FF mode and the FFF mode was evaluated and the amount of photoneutrons generated by the 10 MV and 15 MV energy changes in the FFF mode was evaluated. The generated neutrons were evaluated at 13 measurement points and the KTEPC was used to collect the generated neutrons. 10 MV FF mode was measured at 10 MV FF mode and FFF mode at all measurement points. In the superior direction, 0.455mSv and 0.152mSv were the largest, and more than 33% optical neutron was generated in FF. 10 MV in FFF mode, 15 MV in 15 MV, and 0.402 mSv in the direction of Superior, and 6.9% in the direction.

Standing Issues and Policy Tasks of the Korean Dental Community - The direction of reforming the country's health insurance system (치과의료계의 현안과 정책과제 - 건강보험제도의 현안과 발전방향 모색)

  • Lee, Soo-Ku
    • The Journal of the Korean dental association
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    • v.48 no.1
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    • pp.6-11
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    • 2010
  • Amid the rapid transitions in both local and international markets, the Korean dental industry is facing more challenges than at any time in its history. This paper tried to address some of the key issues faced by the industry as well as the policy issues and I direction of implementation that the Korean Dental Association (KDA) is expected to tackle. First, the direction of reforming the country's health insurance system was examined with emphasis on the expected changes in and improvement of the fee-for-service reimbursement system (FFSRS) and medical reimbursement system (MRS). With FFSRS, the most urgent issue would be ameliorating the current lop-sided, unreasonable reimbursement system that prevents suppliers from voicing their opinions. To help achieve that goal, the limited authority and responsibility of the president of National Health Insurance Corporation (NHIC) as one of the contract-making parties must be clarified. In addition, the functions of NHIC's Health Insurance Finance Committee must be restricted; at the same time, the panel organization of the Health Insurance Policy Review Committee needs to be reformed to embrace greater democracy. As with MRS, the government is considering a block budget bill to help promote efficiency in employing and managing the health insurance fund. Policymakers must understand that the implementation of such proposal could exacerbate an already dire situation. Improving MRS requires meeting the following preconditions: (a) the structurally vicious cycle of small charge-small salary needs to be resolved, and a certain percentage of fee raise must be guaranteed on a yearly basis to help adjust the fee system to a more realistic level; (b) the supply-and-demand balance in producing health care professionals must be improved including the prevention of oversupply of doctors, nurses, etc., and; (c) institutional strategies must be provided to enhance the quality of medical care and ensure academic advancement in health care disciplines.