• The Journal of Korean Medical History
• /
• v.23 no.1
• /
• pp.11-22
• /
• 2010

This study finds an interesting fact that five symptoms (smallpox, postpartum pain, eye disease, swollen symptom and parasite infection) mentioned in Ryu Ei-Tae Medicinal Tales and his prescriptions (steamed rice, loess, soybean sprouts, cinnabar, radish, sesame oil and pork) were dramatized on the basis of traditional Korean medicinal knowledge in the Joseon Dynasty. Based on the study of experience-based medicinal literatures popular in the Joseon period, it is confirmed that the prescriptions are actually effective. Also it is inferred that popular diseases at that time were abscess, difficult baby delivery, postpartum pain and parasite infection, which were regarded as almost incurable diseases to ordinary people. These stories also showed destitution of common people who could not afford to buy medicines at that time. As shown in the Ryu Ei-Tae Medicinal Fable, many people might try various ordinary materials around them such as soil or nose wax. One of the outcomes of this study is that the fact that the tales mentioned common materials easy to get in the surroundings such as steamed rice, sesame oil, soybean sprouts or radish could be interprets as care and consideration of medicinal doctors for ordinary people at that time.

• Journal of Korean Medical classics
• /
• v.22 no.3
• /
• pp.145-160
• /
• 2009

The most famous thought of Dongjungseo's must be 'the Sky-Earth Response Theory.' The theory includes the Same 'Gi' Correspondence(the Same Category Homology) and explains the relationship between the nature and the men based on Yin-Yang. This theory, commonly studied by the scholars of the political science, however, has been constituting the foundation of the oriental medicine. Also, he insists many other theories related to Yin-Yang including the natural calamity, the treatise of human nature, the name and reality, and the national school of Confucianism, etc. This paper covers the Yin-Yang theory, particularly with regard to ethics. politics, human nature of Dongjungseo, and the comparison of his Yin-Yang and that of the Emperor Inner Cannon. Dongjungseo insists on the harmony of Yin-Yang just only in the area of health care, excluding other areas such as state and family governance. However, in contrast, he asserts the Yang central idea for what he defined as the order of a family, a society and a state. This presents his contradiction and logicality. In the last part of this paper, his logical flaws would be discussed and analysed. However, he is a lucky scholar, because his Yang central idea has been successfully governing peoples for a long time, despite such imperfection and contradiction in his studies.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2016.05a
• /
• pp.560-563
• /
• 2016

The changes in the medical and healthcare are started from the digital technology. The new field of digital healthcare has started fused with existing healthcare, medical technology, and digital technology. It can increase the service effect and reduce healthcare costs by applying ICT skills such as ICBM(Internet of Things, Cloud, Big data and Mobile), artificial intelligence, robotics, virtual, augmented reality, and wearable devices to healthcare services including healthcare, disease management. Recently there has been grafted an artificial intelligence technologies such as AlphaGo of Google and Watson of IBM onto the healthcare area. In this study, we analyze the main technology, ecosystem, platforms for digital healthcare, and lastly future changes in health care services and issues of digital healthcare.

• Korean Journal of Artificial Intelligence
• /
• v.10 no.2
• /
• pp.19-24
• /
• 2022

Metaverse refers to a world that transcends reality. Metaverse is a compound word of meta (transcendence) and universe (universe). The impact of the corona pandemic has provided an opportunity to rapidly grow the metaverse based on realistic content along with online and non-face-to-face environments. Various content and service platforms reflecting the concepts of metaverse and digital twin are rapidly spreading around the world in line with the pandemic situation. As their needs accelerate in response to the COVID-19 situation, the technology of metaverse and digital twin is attracting attention again as an indispensable condition for business, culture and art, national industry, and public services. In particular, the metaverse requires the balanced development of ecosystem components based on various advanced convergence technologies. In this paper, the concept of metaverse and digital twin, types of platforms, and development status are examined, and trends of key element technologies are investigated and analyzed. As these key element technologies, XR sensory technology, avatar technology, and other XR devices and parts were examined. Through this, we want to clearly pinpoint the direction in which the metaverse will develop through future technologies, services, and follow-up research.

• Clinical Endoscopy
• /
• v.56 no.2
• /
• pp.143-154
• /
• 2023

Advanced malignant hilar biliary obstruction (MHBO) with inaccessible papilla poses a significant challenge to endoscopists, as drainage of multiple liver segments may be warranted. Transpapillary drainage may not be feasible in patients with surgically altered anatomy, duodenal stenosis, prior duodenal self-expanding metal stent, and after initial transpapillary drainage, but require re-intervention for draining separated liver segments. Endoscopic ultrasound-guided biliary drainage (EUS-BD) and percutaneous trans-hepatic biliary drainage are the feasible options in this scenario. The major advantages of EUS-BD over percutaneous trans-hepatic biliary drainage include a reduction in patient discomfort and internal drainage away from the tumor, thus reducing the possibility of tissue or tumor ingrowth. With innovations, EUS-BD is helpful not only for bilateral communicating MHBO but also for non-communicating systems with bridging hilar stents or isolated right intra-hepatic duct drainage by hepatico-duodenostomy. EUS-guided multi-stent drainage with specially designed cannulas and guidewires has become a reality. A combined approach with endoscopic retrograde cholangiopancreatography for re-intervention, interventional radiology, and intraductal tumor ablative therapies has been reported. Stent migration and bile leakage can be minimized with proper stent selection and technique, and stent blocks can be managed with EUS-guided interventions in a majority of cases. Future comparative studies are required to establish the role of EUS-guided interventions in MHBO as rescue or primary therapy.

• The Korean Society of Law and Medicine
• /
• v.23 no.1
• /
• pp.3-33
• /
• 2022

In relation to telemedicine in Korea's medical law, there are Articles 17, 17-2, and 34 of the Medical Act. Since 'direct examination' in Articles 17 and 17-2 of the Medical Act can be interpreted as 'self-examination' rather than 'face-to-face examination', it is difficult to see the above regulation as a regulation prohibiting telemedicine. Prohibiting telemedicine only with the concept of medical examination or the 'principle of face-to-face treatment' is against the principle of "nulla poena sine lege"(the principle of legality). However, in order to qualify as 'examination', it must be faithful enough to replace face-to-face examination, so issuing a medical certificate or prescription after a poor examination over the phone is considered a violation of the Medical Act. In that respect, the above regulation can be said to be a regulation that indirectly limits telemedicine. On the other hand, most lawyers interpret that telemedicine between medical personnel and patients is completely prohibited based on Article 34, and the Supreme Court recently ruled that such telemedicine is not permitted even if there is a patient's request. However, this interpretation is not only far from the legislative intention at the time when telemedicine regulations were introduced into the Medical Act of 2002, but also does not match the needs of reality or the legislative trend of foreign countries. The reason is that telemedicine regulations are erroneously legislated. The premise of the legislation is wrong, and there are considerable problems in the form and content of the legislation. As a result, contrary to the original legislative intent, telemedicine was completely banned. In foreign countries, it is difficult to find cases where telemedicine is completely banned and criminal punishment is imposed for it. In order to fundamentally solve the problem of telemedicine, Article 34 of the Medical Act needs to be deleted.

• The Korean Journal of Emergency Medical Services
• /
• v.14 no.3
• /
• pp.13-28
• /
• 2010

Purpose: In this study, we investigated the better application of the law which is about the AED installation and more effective ways of emergency medical care system, to understand the law and to research the current condition of public facilities which belong to local governments, and to seize the aspect of safety guards who currently work in order to provide the installation of AED in the public facilities and to provide more efficient emergency medical service with the effectuation of the immunity law of the good intention of first-aid treatment. Methods: In Gwang-ju, 234 public facilities have been identified by 31 December, 2008. With the exception of the duplication, we researched 158 facilities and received the answers from 95 of them. Results: In the research, 53% of them have had internal emergency first-aid education, and 55% of them didn't have this education and a CPR education manual, and 30% of the facilities even didn't know how to connect with the manager of the company for the first-aid department. On the other hand, most of them were highly interested in CPR and AED education on the ratio of 91% and 93%. 88% of them have been trained about first-aid, 51% of them haven't been retrained, 17% have never been trained. so, the reality of emergency system at public facilities is serious. 78% of them knew they are working at public facilities, though 49% of them didn't know about AED installation. 57% of them didn't know the fact there is the immunity law related with good intentions for first-aid treatment. 63% of the facilities have security guards, and 30% of them didn't answer the questions. Also, many of them agreed to the opinion that all employees should have first-aid training. At representative survey report of participator of public-facility, emergency treatment is 61%, 16% of patients calling. Accordingly they importantly think better doing an on-site first-aid than evacuating the patient. And the rates show that 57% of them answerers tend to call Fire-Office(119) for evacuating the patients, and 28% of them EMIC(1339) for the first-aid. Conclusions: In this study, we are suggest to improve the details of the efficient operations and management after the grasp of the uninstallation, indifference, and unreliable conditions of AED. 1) Need a publicity of AED install cognition which is an emergency medical instrument at public facilities. 2) Arrangement of safety agents at facilities and concerns about them for good management from the parties concerned. 3) Need a designation of legal details according to the decision of the AED installation and the standard of the AED installation. 4) Training about first-aid of safety guards and the persons concerned in the facilities should be practiced participation with the positive and through this, first-aid treatment could be done by anyone who knows the immunity law related to medical emergency. 5) The brochures for the potential users and the results form practicing the instructions need to be improved in many ways through recording the emergency cases that have happened.

• The Korean Society of Law and Medicine
• /
• v.24 no.4
• /
• pp.37-63
• /
• 2023

In medical litigation, there are various cases where a doctor's 'explanation' of a patient becomes problematic. Medical explanations and guidance are required from the doctor, starting from the beginning of diagnosis, through treatment processes such as surgery, when hospitalization is necessary for treatment, during hospitalization, upon discharge, and after discharge. Furthermore, notification from the doctor or medical institution may be requested regarding the economic costs that will be incurred due to medical treatment. South Korea's judiciary has been developing legal principles regarding such doctor's explanations by distinguishing between explanations for obtaining consent for medical treatment and medical explanations related to guidance on patient treatment methods, taking into account related laws such as the stage of treatment and the Medical Service Act. Additionally, the Constitutional Court recently ruled on the non-benefit cost notification system linked to the explanation of economic costs. However, holding a doctor accountable solely because the doctor's explanation was insufficient has aspects that do not correspond to the actual situation in clinical reality, and may have a reflexive disadvantage that results in a decline in legal rights. Therefore, the doctor's explanation needs to be examined from both perspectives: guaranteeing the patient's right to self-determination and protecting his or her right to decision.

• Proceedings of the KSME Conference
• /
• 2007.05a
• /
• pp.780-785
• /
• 2007

Accurate and fast haptic simulations of deformable objects are desired in many applications such as medical virtual reality. In haptic interactions with a coarse model, the number of nodes near the haptic interaction region is too few to generate detailed deformation. Thus, local refinement techniques need to be developed. Many approaches have employed purely geometric subdivision schemes, but they are not proper in describing the deformation behavior of deformable objects. This paper presents a continuum mechanics-based finite element adaptive method to perform haptic interaction with a deformable object. This method superimposes a local fine mesh upon a global coarse model, which consists of the entire deformable object. The local mesh and the global mesh are coupled by the s-version finite element method (s-FEM), which is generally used to enhance accurate solutions near the target points even more. The s-FEM can demonstrate a reliable deformation to users in real-time.

• Journal of Biomedical Engineering Research
• /
• v.21 no.6
• /
• pp.607-614
• /
• 2000

본 논문은 가상환경 노출에 따른 가상멀미와 같은 인체의 영향을 평가하기 위한 연구이다. 이를 위해 20명의 피험자를 대상으로 하여 30분 동안의 가상현실 환경 노출 전과 노출 후에 나타나는 인체의 영향을 분석하였다. 실험평가를 위한 파라미터로는 SSQ test, COP, flicker test, 체온변화, 심박수 변화, 그리고 눈 깜빡임 값들이 이용되었다. 3D 입체영상의 제시는 LSG에 의해서 이루어졌으며, 특히 flicker test시에서는 모니터, LSG, HMD를 모두 사용하여 피로도를 측정, 비교하였다. 본 연구결과, 가상현실 환경의 노출 전 보다 노출 후에서 SSQ score, COP, 체온, 눈 깜빡임, 그리고 심박수가 증가함을 알 수 있다.