• 의학교육논단
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• 제13권1호
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• pp.25-34
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• 2011

Modern medicine has early experienced the absence of mimesis and has been trying to replace the absence with objective grounds and experimental data. However, as medicine became science, the crisis of medicine spread more widely. Microscopic powers and violences are invisible, but individuals are powerless and vainly unable to resist. The anguish or introspection about the situation is sometimes described in stories such as An Engagement by Lee Eung Jun. An Engagement is mentioned in this article due to the writer's attitude, which shows his introspection and desire for harmony through the wounds of each trivial character. The writer is unceasingly talking about suffering people in his story and his seriousness enables readers to find his stronger sympathy over life and death than in any other medical stories. In fact, it is impossible for readers to comprehend the confusing propositions which the writer pours out, and even uncomfortable to read the story. Nevertheless, the propositions are always in contact with reality. Perhaps it is not the writer's confusing propositions that make us uncomfortable. It might be ourselves who are always alienated and starved. We can say that the characters' pains and wounds are phantom pains caused by the absence of mimesis. Since there is no affected area, their pains cannot be measured by only scientific medicine. However, the current medical profession regards objective research evidences as absolute truth and allows them to be the sole criterion. Although scientific skills such as DNA analysis and MRI scan can be the substitutes for doctors' judgment, so much of medicine is still interpersonal relationships. An Engagement. As a person promises to marry another, as all beings together in the world promise to subordinate to one another, every subject is consistently a valuable part of each other for the writer's eyes. He is aware that it is originally impossible to get engaged to the world, but he does not give up the possibility of genuine communication. In today's post-modernism society, where a large number of pathological views define the members and the world itself, endless questioning of existence and digging into pathology will be the only way to reduce the gap between individuals and their world. This article does not say that a literary work will lead the change of medical paradigm. It sprang from a desire for medical humanities to gain more interest of the medical field, where the encounter between literature and medicine is still unfamiliar, and to make medical education recognize the importance of humanities. Starting with this work, I believe that the humanities will help us to find the solution to the age of absence of mimesis and to the crisis of medicine.

• 제3의학
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• 제2권1호
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• pp.55-84
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• 1997

Inferential structure and reality problem is a serious issue to O.M.(oriental medicine). The study will analyze this issue through a philosophical and historical comparative study of W.M.M(Western modern medicine) and O.M. First, I presuppose some basic ideas. The first is the division of the 'the philosophy of medicine' and 'the medicine itself'. Second, there is a 'visibility' that discriminate between 'the abstractive concept' and 'the concrete object' in diagnostic terminology. The third is the separation of disease, the entity and disease, the phenomenon. Finally, the distinction between the cause of disease and the nature of disease. Through these basic concepts, this study will analyze O.M's diagnostic methodology, 'Pattern identification of the S.A.S(sign and symptom)'. The results are follows: 1. O.M's views disease as a phenomenon. So, the S.A.S, which is visible, is the disease itself. Tough the analysis and inference of the S.A.S, 證(zheng) the essence is derived. 2. 證(zheng) can be considered as 'the abstractive concept' reflecting the essence of a disease. 3. 證(zheng) is not arrived through causal sequence reasoning but rather by analogical reasoning. 4. 證(zheng) is 'the non-random correlative combination of S.A.S', pattern. These patterns secure the abstractive deduction in reality. that is, The causality, the positivism, the view of disease as entity, and anatomical knowledge are the traits peculiar to W.M.M. But, these properties can not be applied universally to every medical systems. Also, these properties do not indicate the superiority or inferiority of any medical system. 5. 證(zheng) summarizes the patients condition simultaneously with the S.A.S. However, 證(zheng) doesn't necessarily indicate the knowledge about the actual internal organ. That is, Early in O.M.'s history, the diagnostic terminologies including 證(zheng) were analogical reflections of a naive knowledge of internal organs and external environmental factors. Later, the naive knowledge in 證(zheng) changed int new nature, an abstractive concept. The confusion of the concept of disease, the indiscriminate acceptance of Western anatomical knowledge, and the O.M.'s theoretical evolution et are the challenge facing modern O.M. To find solutions, this study looks at the sequence of the birth of W.M.M. and then compares it's system with the O.M. system. The confusion of the concept of disease, the indiscriminate acceptance of Western anatomical knowledge, and the O.M.'s theoretical evolution et are the challenge facing modern O.M. To find solutions, this study looks at the sequence of the birth of W.M.M. and then compares it's system with the O.M. system. It is recommended that O.M. diagnostics should pay close attention to the ambiguity of the diagnostic methodology in order to further development. At present time, the concept and the system peculiar to O.M. can not be explained by common language. but O.M.'s practitioner can not persist in this manner an: longer. Along with the internal development of O.M., the adjustment of O.M.'s diagnostic terminology needs to be adopted.

• 간호행정학회지
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• 제6권1호
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• pp.83-96
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• 2000

With the increased use of computers in medical fields, we can consider introducing computer mediated communication into the area of patient care such as medical or health counseling and education. But little was known about what problems can be counseled, what is the main direction of counseling, and what difficulties are met during the computer mediated counseling. So I conducted this study. This is a fundamental study concerning the health counseling by the inter-net. In this study, medical counseling using a method of questioning -answering through a computer mediated communication system was carried out from June 1998 to May 1999. I analyzed the contents of questions and answers by the ICPC classification. The ICPC classification emerged as a standard for information categorization in Primary Health Care within a few years. One of the most prominent features of this classification is the inclusion of the complaints of the patients (symptoms & complaints) and the social problems (Chapter Z). Thus, and for the first time, the demand of patients may be assessed such as it is expressed in the reality. The ICPC list is now an international standard whose validity is not questioned any more. It is translated in more than twenty different languages. The data collected were analyzed by descriptive statistical method, c2 test by cross tabulations. Followings are the results of this study. 1. The 3,054 users composed of 64% of males and 36% of females. The highest number of users was showed in the age group of $25{\sim}29$ (39.4%). 2. During the one-year period, the average number of counseling per user was 2.5 cases and per day was 21.1 cases. 3. In classifying symptoms and complaints by 17 chapter, digestive(17.6%), general and unspecified (12.7%), skin(12.7%) and musculoskeletal system (9.6%) were most common questions. 4. The distribution of diagnosis by 17 chapter, general and unspecified (21.4%), digestive (15.3%), skin (11.9%) and mus- culoskeletal system (8.9%) were most common answers. 5. Many users wanted to know symptoms and complaints(3,609 cases), treatment principles (2,928 cases), prognosis and preventive methods for health problems which were previously diagnosed (284 cases).

• 한국응급구조학회지
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• 제7권1호
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• pp.109-118
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• 2003

With the rapid development of information and communication technology, a lot of multi-media learning programs are being developed and reported in the field of Emergency medicine both home and abroad. In this connection, this study was aimed at developing a foreign-body airway obstruction courseware in adults for EMT. The development period of CAI courseware lasted from May 2003 through November 2003. Among CAI courseware patterns, private instruction and repeat practice and simulation patterns were used as an instruction-learning strategy. The learning contents of the CAI courseware consisted of five chapters concerning (1) A relief of partial FBAO in the responsible victim, (2) A relief of complete FBAO in the responsible victim, (3) In case of unconsciousness in the responsible victim without removing all foreign body, (4) In case of consciousness in all victims after getting removed all foreign body and (5) A complete airway obstruction in victims without consciousness on the basis of assess responsiveness and the degree of airway obstruction. The way to use this courseware, with just a click on one specific chapter, was developed to proceed a course with progressive algorithm, a method of solving problems by choosing one between two situations. A characteristic of this CAI courseware is the enhanced efficiency of an instruction-learning method by providing an opportunity of choice based on situations in its effort to encourage learners to use a self-initiated learning method, not one-way method and to enhance problem solving skills among situations. Moreover, this courseware went through the diverse phases such as development, application, feedback in connection with learning process by practicing teachers, so that the courseware could be used frequently in the future. The contents of this courseware were written with the web, so that, if necessary, the contents could be continuously modified and complemented and handed out in the form of CD-ROM. This study indicates that the development of a variety of CAI courseware requires institutional and financial assistance and initiatives reflecting a reality in terms of learning process, technical assistance and resources.

• 대한방사선기술학회지:방사선기술과학
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• 제32권1호
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• pp.39-43
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• 2009

전리방사선을 이용한 의료진단검사는 장치의 발전과 더불어 환자의 삶을 개선시키고 의료검사의 혁명을 가지고 왔다. 하지만 이러한 의료영상의 발전은 대중에 의한 전리방사선피폭의 증가의 원인이 되었다. 이러한 가운데 ICRP에서는 각 국가 및 지역의 실정에 맞게 진단참고준위를 사용하도록 권고하고 있으며, 우리나라에서도 2007년 식품의약품안전청에서 환자선량측정 가이드라인을 제시하였다. 하지만 임상에서는 대부분 선량계가 없어 X선 검사시 환자피부선량을 알 수가 없는 것이 현실이다. 이에 저자는 bit system을 이용하여, PC상에서 엑셀프로그램을 이용하여 간단하게 환자선량을 알 수 있게 프로그램화 하여 그 유용성을 검토하였으며, 그 결과 실측값과 계산값은 약 10% 정도의 차이로 우수한 결과를 나타내었다.

• 대한두개안면성형외과학회지
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• 제13권2호
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• pp.95-98
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• 2012

Nowadays, plastic surgical operations are increasingly being performed in Korea. We have gained added interest in this because some professional pictures contain plastic surgery in their venue. In the films, we intend to see the recognition of society for plastic surgeons and which field of plastic surgery. The list of movies for analysis were 'Plastic Beauty (1975)', 'Penthouse Elephant (2005)', '200 Pounds Beauty (2006)', 'Cinderella (2006)', and 'Time (2006)'. The TV dramas were 'She is looking (2005)', 'Lovers (2006-2007)', and 'Before & After Plastic Surgery Clinic (2008)'. Films were analyzed according to the following: the chief complaints and names of the operations, character of plastic surgeons, result of the operation and its possibility in reality, and its effect of plastic surgery on the life of the patients. Most of the film contained facial transplantation or the change of the face or body different from the original shape. Character type of the plastic surgeons was mostly medical realism, rather than ideal humanism. Most of the plastic surgeons have capability as a doctor; however, some of them had extramarital affairs. The surgery was successful in most of the cases, but were the patients happy with the results? This was not the case in the movies. In only one movie, '200 Pounds Beauty', the patient became happy; rest of them were eminently unhappy with the outcome. Why the discrepancy? It is difficult to analyze the minds of the people in the films, but considering that the majority of the characters in the films were rather unsavory, one may deduce that a crooked mind functions differently. Perhaps it is too much to hope for a day that will come when we will see a film that portrays the mental anguish that accompanies each and every procedure the Korean plastic surgeons make.

• 종양간호연구
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• 제6권1호
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• pp.3-14
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• 2006

Purpose: This study was designed to develop job description for Korean oncology APNs and assess importance, frequency, and difficulty for each of task elements listed on the job description. Method: Twenty-four oncology APNs or professors working at cancer centers or universities in Korea were enrolled in this study. They were asked to complete the questionnaires about frequencies, importances, and difficulties on the task elements for the APNs which had developed through a DACUM method. Descriptive statistics were produced by using SPSS WIN 10.0. Result: The job description of oncology APNs was identified 5 duties, 44 tasks, and 110 task elements. As for the all five duties, the average scores of the frequency, importance, and difficulty were 2.57, 2.25 and 2.52. And the role of educator was shown as the most important duty of the oncology ANPs, whereas the role of administer was the least. And the role of consultant was the most frequently performed by the oncology APNs. Conclusion: In this study, we could recognize the reality of oncology APNs' performances having wide spectrum from medical to nursing disciplines. For further verifying and improving performance, we need more precisely designed studies with more representative subjects.

• 사상체질의학회지
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• 제20권2호
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• pp.21-29
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• 2008

1. Objectives and Methods It has been examined 703 papers of Sasang Constitution Society published from 1989 to 2007. Among them, the study methods have been classified focused on 332 papers related to clinical research and the method of constitution diagnosis and subjects have been researched to research the reality of the clinical research of Sasang Constitutional Medicine. 2. Results 1. The rest studies are the most which can not be classified by existing study method among 332 clinical studies. 2. The study of patient control group is 17 cases and the clinical experiment is one case, so highly well-grounded studies have not been performed. 3. The most method of constitution diagnosis is the constitution diagnosis by experts and by QSCC. 4. The number of constitution diagnosis method performed in the research institution is within 2. They are 254 cases(89.5%). 5. The studies which utilize more than 3 constitution methods are 22 cases and the studies that use medical rash are 7cases(31.8) 6. The 215 cases that subjects are less than 100 are the most and 100${\sim}$500 subjects are 71 cases. 500${\sim}$10000 subjects are 33 cases and more than 1000 subjects are 15 cases. 3. Conclusions Therefore, it is needed to increase the rate of highly well-grounded studies and set the standard criteria by providing constitution diagnosis guideline.

• 한국의사학회지
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• 제28권1호
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• pp.111-119
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• 2015

Objectives : The Dongui Bogam in My Hand', which is an output of computerizing Donguibogam (Principles and Practice of Eastern Medicine), is an interim outcome of the research project led by the Korea Institute of Oriental Medicine. This study examined the process in which Donguibogam, a record in Chinese and a classic of Oriental medicine, expanded into a modern content. Methods : This study will classify the modernization of Donguibogam into three 'contents' that form Donguibogam, 'container' that will hold the contents, and 'community' that is the consumer of Donguibogam. Towards the end, this study will sketch out the status of computerizing Chinese records in Korea, and point out the reality faced by computerization of ancient documents on Oriental medicine as well as the direction for the future. Results : 'The Dongui Bogam in My Hand' has been downloaded more than 10,000 times for 4 months since it releases in August 2014, and is used for at least 6,000 times on average every month. This achievement can be due to the two following reasons. First, the application contains high-quality contents such as the original text of Donguibogam as well as Korean and English translations. Second, it satisfied the needs of Donguibogam users with (1) the Browse function that well displays the table of contents, (2) the Search function that separates the title from the main text, and (3) the Personalization function designed to link and share relevant knowledge. Conclusions : Computerization of Chinese records was triggered by the request of the academia, but it was accelerated after being selected as a public laboring project to overcome the IMF crisis. However, computerization of ancient documents is not a simple task but a field of study to modernize classical knowledge. The success or failure of computerization of Chinese records is determined by whether high-quality modern 'contents' are secured, whether the 'container' design adequately implements the search, browse and link functions, and how well it fulfills the needs of the consumer 'community'.

• 문화기술의 융합
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• 제7권4호
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• pp.577-582
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• 2021

본 연구는 코로나19 팬대믹 이후 외국인 환자의 급감으로 심각하게 타격을 입은 국내 의료관광 산업 회복을 위한 방안을 모색하고자 연구하게 되었다. 전문가 패널 에게 순위별 키워드 자문을 구하여 Kendall의 W검증을 사용하였다. 연구의 결론은 외국인 환자를 유치하는 기관은 중증 외국인 환자 치료 확대로 위기상황을 기회로 바꾸는 계기가 필요하겠다. 또한 가상, 증강현실을 통해 해외 방문이 어려운 상황에서 병원에 대한 친숙함과 신뢰를 얻을 수 있고 언택트 시대에 감염의 위험을 막고 환자를 보호 할 수 있는 원격지료 서비스를 시행함으로써 국내 입국을 하지 않고도 현지에서 의료의 혜택을 누릴 수 있다고 하겠다. 그리고 블록체인은 환자의 정보 보완을 유지하며 안전하게 공유가 가능하고 가상화폐 등을 활용한 지불 수단을 이용해 고객의 불편함을 최소화 할 수 있고 마지막으로 스마트 헬스 케어는 장소와 관계없이 환자를 관리하고 정보를 제공 할 수 있다.