• Title/Summary/Keyword: Medical Journal

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An Evaluation Study of 1339 and 119 Emergency Medical Dispatch Protocols (응급의료 전화상담과 응급의료 지시서에 관한 연구 - 전화내용 분석을 통하여 -)

  • 강경희;이인숙
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.538-547
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    • 2001
  • Purpose: To evaluate the emergency medical protocols and need assessment through the case report Method: The study investigated the emergency call system through the 1339 emergency patients information center in 1997. Results: The emergency calls tend to follow general trends of the type of cases : abdominal pain (13.5%), unconsciousness(12.0%), traffic accidents (7.4%), bleeding (6.6%), respiration difficulty (5.9%). This was all collected through emergency medical protocols injury and poisoning (22.3%), symptom (51.6%), others (26.1%). Conclusion: The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review the cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

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A Study on Medical Information Privacy Protection Law and Regulation in the Information Age (정보화시대의 환자진료정보 보호에 관한 법.제도적 고찰)

  • Youn, Kyung-Il
    • Korea Journal of Hospital Management
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    • v.8 no.2
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    • pp.111-129
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    • 2003
  • This study discusses the direction of legislation to strengthen the legal protection of medical records privacy in information age. The legislation trends on privacy protection of medical records in European Union and United States are analysed and the current law and regulation of Korea on medical records are compared. The issues discussed include the ownership of medical records, the patient's right of access to medical records, medical information publication for other than treatment or insurance processing use, confidentiality responsibility of provider organizations, medical information management in provider organizations, penalty for the unlawful use of patient information. This study concludes that the patients' right on medical record and provider organization's responsibility in processing patient information should be strengthened in order to protect patients' privacy and to conform to the international standard on medical record protection in the information age.

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Proposed oath and ethics code for emergency medical technicians (응급구조사 선서 및 윤리강령의 제안)

  • Kim, Hyo-Sik;Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.1
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    • pp.7-15
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    • 2017
  • Purpose: The purpose of our study was to introduce an oath and ethics code for emergency medical technicians (EMTs). Methods: The proposed oath and ethics code for the EMTs was evaluated using a modified Delphi technique. This oath and ethics code was presented at Korean association of emergency medical technician conference and was revised by experts in emergency medical services. Results: We examined the ethics codes for other allied healthcare professionals regarding the topics of human rights, health promotion, acting as an advocate, ethics, cooperation, observance, human rights, right to know, self-determination, confidentiality, and professionalism. These elements are reflected in our proposed oath and ethics code for EMTs. Conclusion: The proposed oath and ethics code would raise the professional status of EMTs.

A Research on the Jeonuigam medical cadet in the late 19th century (19세기 후반 전의감(典醫監) 의학생도(醫學生徒)에 대한 고찰 - 『전함생도안(前銜生徒案)』을 중심으로 -)

  • Park, Hun-Pyeng
    • The Journal of Korean Medical History
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    • v.26 no.1
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    • pp.1-7
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    • 2013
  • Jeonuigam(典醫監) is one of the Big Three of medical government office through the Joseon dynasty era. But Jeonuigam literature is extremely rare. This paper is to analyze 362 cadets of "Jeonham-saengdoan(前銜生徒案)" by writer of Jeonuigam origin. Jeonuigam filled cadet on a three-year cycle because the national examination for medical officials is conducted on same cycle. Most cadets came from a few meritorious family of medical career officials. Ratio of ten major family stand at 34.91 percent. 373 of the 392 cadets are confirmed as family member of medical bureaucrat. They have a very closed society. Wancheon(完薦) and cadet system strengthen the monopholy power of a few family. The analysis of study confirmed that in the 19th century Joseon(朝鮮) dynasty had monopolized the medical technicians.

A Distributed Coexistence Mitigation Scheme for IoT-Based Smart Medical Systems

  • Kim, BeomSeok
    • Journal of Information Processing Systems
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    • v.13 no.6
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    • pp.1602-1612
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    • 2017
  • Since rapidly disseminating of Internet of Things (IoT) as the new communication paradigm, a number of studies for various applications is being carried out. Especially, interest in the smart medical system is rising. In the smart medical system, a number of medical devices are distributed in popular area such as station and medical center, and this high density of medical device distribution can cause serious performance degradation of communication, referred to as the coexistence problem. When coexistence problem occurs in smart medical system, reliable transmitting of patient's biological information may not be guaranteed and patient's life can be jeopardized. Therefore, coexistence problem in smart medical system should be resolved. In this paper, we propose a distributed coexistence mitigation scheme for IoT-based smart medical system which can dynamically avoid interference in coexistence situation and can guarantee reliable communication. To evaluate the performance of the proposed scheme, we perform extensive simulations by comparing with IEEE 802.15.4 MAC protocol which is a traditional low-power communication technology.

Analysis of Medical Expenses for patients by Automobile Accident (자동차사고에 의한 환자의 진료비 성향 분석)

  • Ko, Min-seok;Kim, Seung-Hee
    • Journal of the Korean Society of Mechanical Technology
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    • v.13 no.1
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    • pp.1-9
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    • 2011
  • The present study aimed to compare and analyze the particulars of and difference in medical expenses and their composition ratio for 2,026 patients hospitalized at 2 types of medical institutions (443 at a clinic and 1,583 at a hospital) in Jeonju-si, Jeollabuk-do under coverage of automobile insurance during 2009. From the analysis, it became evident that there were differences in individual characters of inpatients covered by automobile insurance, and details, composition and composition ratio of medical treatment for them depending on types of medical institutions. There was no difference, however, between the total and average medical expenses per capita even when markup rate was applied to the automobile insurance by types of hospitals. The ratio of radiotherapy and physical therapy in the composition of medical expenses was found to be extraordinarily high in clinics compared to that of hospitals. The composition ratio of the fixed cost including charge for hospitalization also turned out to be fairly high in all medical institutions.

A Study on the Actual cases of Medical Examination in the Qing Dynasty (청대 의과시험의 실제 사례에 대한 고찰)

  • Kug, Sooho
    • The Journal of Korean Medical History
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    • v.34 no.2
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    • pp.79-87
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    • 2021
  • The civil service examination system is an important part of the history of education in East Asia. In China, the civil service examination system lasted for almost 1,300 years. Through this, each dynasty was able to prevent the concentration of power to the hereditary nobles and to give competent talents an opportunity to rise to an important position in the state. In terms of medical education, in China, doctors have already been selected through tests since the Song Dynasty. However, the actual cases of medical tests currently remaining in each dynasty are very rare. This paper, firstly, examines the implementation method of the medical test during the Qing Dynasty and examines how it influenced the merit rating. and secondly, this paper examines the actual cases of the remaining Qing medical exam questions, in terms of content, related to the medical text "Uijonggeumgam (醫宗金鑑)" and was influenced by the style of the civil service examination at that time.

Establish Selection Process of Performance Management Medical Devices and Test items Based on Risk Management (위험관리기반의 성능관리 의료기기 선정 절차 수립 및 시험 항목 도출)

  • Park, Ho Joon;Jang, Joong Soon
    • Journal of Biomedical Engineering Research
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    • v.40 no.1
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    • pp.20-31
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    • 2019
  • Medical device performance management is an activity that allows a device to be safely used and maintained even after it is put on the market. The purpose of this study is to provide procedures and criteria for selection of medical device items that should manage the safety and performance among medical devices in hospital. Investigate the performance management status of medical devices in hospitals and identify the performance management status by domestic and advanced regulatory agencies. Provides selection procedures and test methods for medical devices subject to performance management in hospitals based on medical device risk management and reliability. In addition, a case study on drug infusion pumps was conducted.

Effect of Korean Medicine Treatment Combined with Conventional Medicine in Patients Diagnosed with Plantar Fasciitis

  • Jeong, Seong Heon;Jang, Kwon-Jun;Moon, Hyang-Ran;Jo, On You;Lee, Ji Yoon;Yang, Jung Min;Choi, Saerom;Yoon, Min Ji;Shin, Gwangsoon;Kim, Hyo-Rim
    • Journal of Acupuncture Research
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    • v.39 no.2
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    • pp.145-149
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    • 2022
  • This study examined the effectiveness of Korean-Western cooperative treatment for patients with plantar fasciitis. Fifty patients received Korean medicine treatments (acupuncture, pharmacopuncture, herbal medicine) and Western medicine treatments (polydeoxyribonucleotide, and extracorporeal shock wave therapy). Evaluation methods used were comparison before and after ultrasound (P9), and numeric rating scale scores. Results revealed a significant improvement in the level of pain and evaluation of improvement using ultrasound. Moreover, it was suggested that Korean-Western cooperative medicine treatment may be effective for the treatment of plantar fasciitis.