• 제목/요약/키워드: Medical Reality

검색결과 410건 처리시간 0.029초

치과건강보험 요양급여비용 청구에 관한 교육요구도 조사 -대전·충청지역을 중심으로- (The investigation of the degree of the request of the education about the claim for the medical expenses in the dentistry health insurance - mainly in the Daejeon, Chungcheong area -)

  • 남용옥;김성희;김민자
    • 한국치위생학회지
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    • 제11권3호
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    • pp.325-341
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    • 2011
  • Objectives : This research has investigated the reality of the education of the claim and the degree of the education for the claimed of the dentistry recuperation organization in the Daejeon and Chuncheong are for the improvement of the problem in the medical expenses. Methods : It use as a basic data for the vitalizations of the education and performed the survey in the dentistry recuperation organization in the Daejeon and ChungCheong Nam BukDo which are registered in the evaluating organization for judging the health insurance in the present May 2010, and concluded just like the below. Results : 1. The education of the claim in the requirer in the dentistry recuperation organization, and the education of the claim was especially lacking when the dentist was studying in the university, and the dental hygienist had the similar educational experience in the school and the clinic (p<0.05) 2. Most of the requirer in the dental recuperation organization was hoping to get the education related to the claim work, but the dentist and the nurse's aid was relatively low (p<0.05) 3. For fixing the error of the claim, the participation and the extension of the judging standard of the insurance was the highest among the university subordinate dental hospital/dental hospital, but the health center was relatively low (p<0.05). 4. The dentist feels the economic burden in employing the special employee because the raising of the special judging people, compared to others, but the staffs such as the dental hygienist preferred it as one of ways to fix the error of the claim of the dental insurance (p<0.05) 5. Both dentists and the dental hygienist said proper time to teach the insurance was all needed in the school, and the clinic, but other workers relatively believed it should be held in the clinic (p<0.05). 6. The important factors to decide the participation of the lecture was in order of the contents of the lecture, the place of the lecture, the amount for the lecture, the superintendent of the lecture, whether it has gone through the educational score, and whether it has passed the conserving educational score was relatively less important in the university subordinate dentist/dentist, but the medical center was very effective as 4.50 (p<0.05) 7. Health Insurance Review and assessment service was very high as the managing department for supplying the lecture and the information, 70.5%, and the next was the Korean Dental Association/ Korean dental hygiene association, but dentists were preferring the association to manage in than the Health Insurance Review and assessment service to manage (p<0.05) 8. In preferring lecture for the inquiring the insurance, periodontal surgery was the highest as 4.51, the diagnosis standard for injection was high in the university subordinate hospital/dentists, and the more the year of the insurance inquiry, the less the doctor who was hoping for the lecture about the basic treatment. Conclusions : Taken together, it is decided that the inquiry education about the medical expense in the dentist, so the consistent and systematic education should be held to the related people, and from this, it is thought to reduce the problem of the inquiry of the medical expenses by fostering the knowledge and supplying the information which are related to the inquiry of the dentists.

농촌지역의 일차보건사업 개발을 위한 기초조사 연구 - 경기도 여주군 금사면 산북부락을 중심으로 - (A Baseline Survey on Development of Primary Health Care in the Rural Korea -Sanpuk Village, Kumsa-Myun, Yuju- Gun, Kyunggi-Do-)

  • 김명호;윤석우;이해숙
    • 농촌의학ㆍ지역보건
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    • 제12권1호
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    • pp.5-27
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    • 1987
  • It is widely recognized that primary health care in the community is one of the most important and effective health measures in these days. However, it is reality that unsatisfactory health care system, ineffective utilization of health care by the community people in the rural area are hampering better understanding for primary health care. Therefore promoting health for the rural people and increasing understanding about primary health care, the baseline survey in the community focused in examination for safe community water supply was carried out. The survey was conducted through August 25-31, 1986 in order to find out health problems and relevant factors and to define the demographic characteristics of $^*$Sanpuk village, Kumsa-Myun, Yuju-Gun, Kyunggi-Do, Korea. Household survey was carried out for every home by trained interviewers. The major results are found out as follows : 1) 84.2%(400 houses) of total households were surveyed because 15.8%(75 houses) were unable to survey due to either refusal against interview or absence of family. These 400 households were composed of 1,697 residents(male:830, female 867). Educational level of respondents showed 34.1% as elementary school graduated. Religion distribution showed Buddism(23.8%) as the most dominant. 50.7% of respondents married in the area. 2) Most households(91.5%) have lived in their own house in Sanpuk area. Average family size showed 4.3. More than half of residents(64.2%) have used public supplied water tap. Only 1.5% of the households had a flush toliet. The rest of households have still used primitive insanitary latrines. 3) 32.5% of residents have used gas burner for cooking and for heating in the house, and the coal briquet were used for boiler. Lack of convenient public transportation was the chief complaint for their day life. 4) Each household occupied 1,990 pyungs of rice paddy and 1,170 pyungs of ordinary field in average. Beside farming products, mushroom was the highest product. 5) Sixth percent of households in the survey area regularly participated in community meeting one hand and on the other hand 39.5% never participated. Most of respondents closely contacted with their neighbours and they seemed very friendly each other. 6) The prevalence rate of illness and injury during recent 15 days showed 48.3 per 1,000. The prevalence rate of chronic illnesses during the past one year showed 74 per 1,000. Injury and accident lead the higher portion(22.0%) in the former and in the latter pain(arthritis, back-pain) showed 27.0% as the dominant sickness. 87.8% of the ill residents in the former received medical treatment. As the most frequently utilized medical facility, the clinic or hospital were counted. Among the residents suffering from chronic illnesses, 77.3% in Sanpuk area get some kind of medical treatments and they rarely utilized the clinic or hospital. The reason why the patient did not receive any medical care was found out the fact that symptoms of illness was light or mild and economic problems was serious. 7) Average age of marriage showed 21.6 years old in the women and the average duration of marital period was shown for 15.1 years. The married woman in reproductive age in Sanpuk area had experienced pregnancies 4 times in the aver-age including 0.7 time of pregnancy in average were interrupted by induced abortion and 0.3 time by spontaneous abortion respectively. The practicing rate of the family planning of the married woman during reproductive ages showed 70.7% and the tuballigation was found out as the most frequently used contraceptives. 8) Among woman who has children under 2 years old, 70.0% had received the prenatal care for the last pregnancy. However, the average number of prenatal care visitis per woman showed 3.3 times. Fifty-two % of woman who received the postnatal care for the last delivery showed only 37.5%. 9) Immunization rate of the children under 2 years old showed relatively high and looked successful. The breast feeding for these children showed dominantly in the most. Most of the mothers in Sanpuk area had started the supplementary diet during weaning period of their infants of 6th and 7th month after birth. * : Sanpuk area is a demstration area for community development which has been supported by the Community Development Foundation during the part 10 years. The village is relatively closer to urban area such as Seoul, However, it has a similar characteristics shown as a remote village because of geographical location and inconvenient transportation at present.

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Wearable Computers

  • Cho, Gil-Soo;Barfield, Woodrow;Baird, Kevin
    • 섬유기술과 산업
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    • 제2권4호
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    • pp.490-508
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    • 1998
  • One of the latest fields of research in the area of output devices is tactual display devices [13,31]. These tactual or haptic devices allow the user to receive haptic feedback output from a variety of sources. This allows the user to actually feel virtual objects and manipulate them by touch. This is an emerging technology and will be instrumental in enhancing the realism of wearable augmented environments for certain applications. Tactual displays have previously been used for scientific visualization in virtual environments by chemists and engineers to improve perception and understanding of force fields and of world models populated with the impenetrable. In addition to tactual displays, the use of wearable audio displays that allow sound to be spatialized are being developed. With wearable computers, designers will soon be able to pair spatialized sound to virtual representations of objects when appropriate to make the wearable computer experience even more realistic to the user. Furthermore, as the number and complexity of wearable computing applications continues to grow, there will be increasing needs for systems that are faster, lighter, and have higher resolution displays. Better networking technology will also need to be developed to allow all users of wearable computers to have high bandwidth connections for real time information gathering and collaboration. In addition to the technology advances that make users need to wear computers in everyday life, there is also the desire to have users want to wear their computers. In order to do this, wearable computing needs to be unobtrusive and socially acceptable. By making wearables smaller and lighter, or actually embedding them in clothing, users can conceal them easily and wear them comfortably. The military is currently working on the development of the Personal Information Carrier (PIC) or digital dog tag. The PIC is a small electronic storage device containing medical information about the wearer. While old military dog tags contained only 5 lines of information, the digital tags may contain volumes of multi-media information including medical history, X-rays, and cardiograms. Using hand held devices in the field, medics would be able to call this information up in real time for better treatment. A fully functional transmittable device is still years off, but this technology once developed in the military, could be adapted tp civilian users and provide ant information, medical or otherwise, in a portable, not obstructive, and fashionable way. Another future device that could increase safety and well being of its users is the nose on-a-chip developed by the Oak Ridge National Lab in Tennessee. This tiny digital silicon chip about the size of a dime, is capable of 'smelling' natural gas leaks in stoves, heaters, and other appliances. It can also detect dangerous levels of carbon monoxide. This device can also be configured to notify the fire department when a leak is detected. This nose chip should be commercially available within 2 years, and is inexpensive, requires low power, and is very sensitive. Along with gas detection capabilities, this device may someday also be configured to detect smoke and other harmful gases. By embedding this chip into workers uniforms, name tags, etc., this could be a lifesaving computational accessory. In addition to the future safety technology soon to be available as accessories are devices that are for entertainment and security. The LCI computer group is developing a Smartpen, that electronically verifies a user's signature. With the increase in credit card use and the rise in forgeries, is the need for commercial industries to constantly verify signatures. This Smartpen writes like a normal pen but uses sensors to detect the motion of the pen as the user signs their name to authenticate the signature. This computational accessory should be available in 1999, and would bring increased peace of mind to consumers and vendors alike. In the entertainment domain, Panasonic is creating the first portable hand-held DVD player. This device weight less than 3 pounds and has a screen about 6' across. The color LCD has the same 16:9 aspect ratio of a cinema screen and supports a high resolution of 280,000 pixels and stereo sound. The player can play standard DVD movies and has a hour battery life for mobile use. To summarize, in this paper we presented concepts related to the design and use of wearable computers with extensions to smart spaces. For some time, researchers in telerobotics have used computer graphics to enhance remote scenes. Recent advances in augmented reality displays make it possible to enhance the user's local environment with 'information'. As shown in this paper, there are many application areas for this technology such as medicine, manufacturing, training, and recreation. Wearable computers allow a much closer association of information with the user. By embedding sensors in the wearable to allow it to see what the user sees, hear what the user hears, sense the user's physical state, and analyze what the user is typing, an intelligent agent may be able to analyze what the user is doing and try to predict the resources he will need next or in the near future. Using this information, the agent may download files, reserve communications bandwidth, post reminders, or automatically send updates to colleagues to help facilitate the user's daily interactions. This intelligent wearable computer would be able to act as a personal assistant, who is always around, knows the user's personal preferences and tastes, and tries to streamline interactions with the rest of the world.

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A Study on the Improvement Scheme of University's Software Education

  • Lee, Won Joo
    • 한국컴퓨터정보학회논문지
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    • 제25권3호
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    • pp.243-250
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    • 2020
  • 본 논문에서는 대학의 효과적인 SW교육 방법을 제안한다. 해외 Top 10 대학과 SW중심대학, 거점 국립대학의 SW교육과정을 비교 분석하고, 그 결과를 기반으로 대학의 효과적인 SW교육 방법을 위해 5가지 개선할 점을 제안한다. 첫째는 교육과정 개발과정에서 SW 개발자의 직무 분석을 기반으로 교과목을 개발함으로써 산업체 현장 적응력을 높이는 것이다. 둘째는 4차 산업혁명 핵심기술(클라우드컴퓨팅, 빅데이터, 가상/증강현실, 사물인터넷 등)의 교과목을 강화하여 의료, 바이오, 센서, 인간, 인지과학 등의 다양한 분야와 융합하는 것이 필요하다. 셋째는 프로그래밍 언어 교육은 기본적인 문법 교육 후, SW융합 교과목에 포함하여 다양한 분야의 프로젝트를 구현해 보도록 해야 한다. 또한, 응용프로그램 개발자보다는 시스템프로그래밍 개발자, Back-End(서버단) 개발자 양성을 위한 교과목을 강화해야 한다. 넷째는 Product 기반의 자기 주도적 학습이 가능한 캡스톤디자인, 종합설계 등의 교과목을 강화하여 산업체 프로젝트에 참여할 기회를 제공한다. 다섯째는 지역 기반의 산업체 현장에서 기술을 습득할 수 있는 인턴십 또는 산학연계 프로그램을 강화함으로써 각 지역산업 기반의 대학 특성화 교육과정 개발이 필요하다.

인체유래물연구에 해당되는 의약품임상시험에서 동의 획득 기준의 법적 문제: <인체유래물연구동의서> 법정 서식의 사용을 중심으로 (Legal issues of obtaining informed consent in pharmaceutical clinical trial as human material research : Focusing on the use of statutory form )

  • 유수정;김은애
    • 대한기관윤리심의기구협의회지
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    • 제1권2호
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    • pp.30-42
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    • 2019
  • In pharmaceutical clinical trials as human material research, the collection, use, storage and provision of human materials must be in accordance with the criteria stipulated in 「Bioethics and Safety Act」, except in the case that some criteria about it is in the law related to clinical trials such as 「Pharmaceutical Affairs Act」 and 「Enforcement Rule on Safety of Drugs, etc.」 so these take precedence over. Under 「Bioethics and Safety Act」, the core aspect of the legal standard for obtaining informed consent is the use of statutory form . The use of statutory form ensure that both those who obtain informed consent and those who give it can know the contents contained this form as well as recognize its importance. Thus, the person who has the right to informed consent can sign the statutory form after correct understanding of the contents. In reality, however, some researchers and IRB members determine that only the main informed consent form is to be used because most of contents on statutory from are included in the main informed consent form. Some other researchers and IRB members judge that the use of statutory form is not needed if human materials may only be used for laboratory testing and the rest will not be stored and provided for future use. Most of these determination and judgement is based on the interpretation of the Korea National Institute for Bioethics Policy(hereafter, KoNIBP) on IRB Information Portal Site. But, it is questionable whether the KoNIBP's interpretation is legally valid and the KoNIBP is the legal entity having authority to interpret existing statute. In some cased not only using the main informed consent form including enough information about the collection, use, storage and provision of human materials but also collecting necessary minimum human materials, and discarding the rest, unusing the statutory form may not cause the problem to respect and protect the research participant's rights. Therefore, the provision stipulating the criteria about the use of statutory form as the legal standard of obtaining informed consent that applies all human material research without exception should review to revise. At least, straighten out the confusion surrounding whether or not the statutory form is to be used, before the revision of related provision, considering the logical opinions of some researchers and IRB Members, the Ministry of Health and Welfare as the legal entity having authority to interpret existing statute should represent its opinion about permission of the acceptable exceptions.

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작업치료사로서의 갈등 경험에 관한 연구: Parse의 인간되어감 연구방법 적용 (Conflict Experience as an Occupational Therapist: Parse's Theory of Human Becoming)

  • 한상우;함보현;홍덕기;최성열;전병진
    • 대한지역사회작업치료학회지
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    • 제4권1호
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    • pp.47-58
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    • 2014
  • 목적 : 작업치료사로서의 보편적으로 경험한 갈등의 의미를 밝히고, 현상에 대한 질적인 정보를 제공하여 임상치료사들을 위한 직무발전방안에 기여하고자 하였다. 연구방법 : 본 연구에서는 Parse의 인간되어감 연구방법을 사용하여 자료를 수집하고 분석하였다. 연구 참여자는 연구목적을 이해하고 연구자와의 대화를 통해 자신의 체험을 진솔하게 구술할 수 있는 임상작업 치료사 8명으로 선정하였다. 대화 기간은 2012년 1월부터 2월 까지였으며, 시간은 근무 후 약 30~40분씩, 참여자마다 3회 이상 실시하였다. 결과 : 작업치료사로서의 갈등 체험은 작업치료의 정체성 혼란과 인식 부족을 느끼고, 열악한 근무 환경과 사회생활에서 오는 심적 갈등, 급여 문제로 걱정하지만, 치료에 대한 고민과 노력들로 미래를 희망하는 체험 과정이었다. 그러나 외적, 내적 갈등으로 불안한 현실 속에서도 학문에 대한 자기 개발과 성장을 경험하면서 긍정적인 미래를 향해 발전하며 극복해나가고 있었다. 결론 : 치료사들이 내적 외적인 갈등에서 벗어나, 작업치료의 정체성 확립과 치료에 대한 만족 및 치료의 질을 높일 수 있도록 지속적인 물리적 사회적 환경 개선이 필요하다.

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대인공포증의 치료를 위한 가상 연설 시뮬레이터의 실험적 제작 (Construction of Virtual Public Speaking Simulator for Treatment of Social Phobia)

  • 구정훈;장동표;신민보;조항준;안희범;조백환;김인영;김선일
    • 대한의용생체공학회:의공학회지
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    • 제21권6호
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    • pp.615-621
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    • 2000
  • 대인공포증은 사람과의 대면을 무서워하여 그 상황을 회피하는 증상을 말한다. 이 공포증을 치료하기 위해서는 약물치료방법과 인지·행동 치료방법이 주로 사용되었다. 이런 기존의 방법들은 치료 효율이 떨어지며, 치료시 어려움이 있다는 단점을 가지고 있다. 최근에는 기존의 치료방법의 단점을 극복하기 위해 많은 연구에서 가상현실을 정신치료에 적용하고 있다. 가상환경은 환자에게 적절한 자극을 제공하여 환자로 하여금 공포감을 느끼도록 하고, 환자는 이러한 공포상황에 체계적으로 노출됨으로써 공포증을 극복할 수 있게 된다. 본 연구에서는 개인용 컴퓨터를 기반으로 가상 연설 시뮬레이터를 개발하여 대인공포증 치료에 이용하고자 한다. 가상 연설 시뮬레이터를 구성하기 위해 위치센서, 머리 부착형 디스플레이장치와 사운드 시스템을 사용하였고, 치료를 위한 가상환경은 가상청중 8명이 있는 세미나실을 배경으로 구성하였다. 또한 가상현실 정신치료에서 중요한 요소로 작용하는 몰입감을 높이기 위해 머리 부착형 디스플레이 장치에 위치센서를 부착함으로써 환자의 머리이동이 가상환경에 적용되도록 하였고, 여기에 삼차원 사운드를 적용함으로써 목소리나 박수소리 등 여러 가지 소리들이 사실적으로 느껴지도록 하였다. 또한 가상청중이 환자의 발표내용에 맞게 여러 가지 행동과 표정을 변하게 하였다. 본 연구에서 개발한 가상연설 시뮬레이터는 경제적이고 안전한 정신치료에 이용되는 것에 목적이 있으며, 앞으로의 임상실험을 통한 몰입과 공포유발 인자 및 치료효과의 에 관한 정보를 얻고, 이를 시뮬레이터에 계속 적용하는 연구가 필요할 것이다.

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퐁 음영법을 위한 3차원 그래픽 가속기의 구현 (An Implementation of 3D Graphic Accelerator for Phong Shading)

  • 이형;박윤옥;박종원
    • 한국멀티미디어학회논문지
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    • 제3권5호
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    • pp.526-534
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    • 2000
  • CAD/CAM, 3차원 모델링, 가상현실, 그리고 의학 영상의 처리 속도를 높이기 위한 3차원 가속기에 대한 많은 연구들이 진행 중이다. 본 논문에서는 3차원 그래픽 처리속도를 향상하기 위하여 SIMD처리기 구조의 3차원 가속기를 제안하며, 기존의 퐁 음영법을 제안된 구조에 맞게 병렬화하고 수행함으로써 직접적인 성능분석을 시도하였다. 3차원 SIMD 처리기 구조는 PCI 지역 버스 인터페이스, 16개의 처리기, 그리고 Park's 다중접근기억장치로 구성되며, 다중접근 기억장치는 17개의 외부 메모리 모듈을 갖는다. 기존의 직렬 퐁 음영법을 SIMD 처리기 구조에 수행될 수 있도록 하나의 다면체를 여러 개의 $4\times{4}$의 정방형 다면체로 나누어서 처리하는 병렬 퐁 음영 법으로 수정하였으며, 하나의 정방형 다면체는 다중접근기억장치가 간격이 1인 블록 접근이 가능하기 때문에 17개의 처리기가 동시에 처리할 수 있다. SIMD처리기 구조에서 수행되는 병렬화된 퐁 음영법을 하드웨어 모의실험 패키지인 CADENCE사의 Verilog-XL로 모의실험을 수행한 결과 5.14배의 속도향상을 보임을 확인하였다.

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듀얼 가변형 모델 동기화를 위한 적응성 질량-스프링 기법 (Adaptive Mass-Spring Method for the Synchronization of Dual Deformable Model)

  • 조재환;박진아
    • 한국컴퓨터그래픽스학회논문지
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    • 제15권3호
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    • pp.1-9
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    • 2009
  • 최근 역감, 촉감 피드백을 생성할 수 있고 3 차원 상호작용이 가능한 컴퓨터 인터페이스 기술이 발전하면서 기존의 입출력 장치에 의존하던 컴퓨터 시뮬레이션의 한계가 줄어들어 그 종류가 다양해지고 있다. 특히, 가상현실 기반 수술 시뮬레이터의 수요가 증가 하면서 사실적인 가상환경을 제공하는 방법에 관련된 연구가 활발히 진행 되고 있으며 그 중에서 가상 장기 모델의 사실적인 표현 기술은 사용자의 몰입감을 높여주는데 중요한 역할을 하기 때문에 반드시 필요한 분야이다. 가상 장기 모델의 사실성을 높이기 위해서는 사용자의 상호작용에 따라 변형되는 시각적 피드백과 알맞은 햅틱 피드백을 전달해야한다. 본 연구에서는 이 두 가지 피드백은 사람이 인지하는 방법과 시스템의 요구 사항이 다르기 때문에 보다 효과적인 시뮬레이션을 하기 위하여 서로 다른 두 모델을 구현하고 두 모델간의 동기화를 위한 기술로써 적응성 질량-스프링 모델 기법을 제안한다. 또한, 유연체 변형에 대하여 표면의 세부 형태를 보여주는 시각모델과 사용자의 상호작용에 따른 햅틱 피드백을 전달하는 햅틱 모델, 그리고 이 두개의 모델을 연동시키는 동기화 모델을 통하여 유연체의 거동을 실시간, 사실적으로 제공할 수 있는 가변형 모델 시뮬레이션 프레임워크를 설계한다.

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한병련(韓秉璉)의 "의방신감(醫方新鑑)"과 일제강점기 전염병에 대한 인식 (A Study on "EuiBangShinGam" by Han Byung Lyun)

  • 김단희;차웅석;안상우;김남일
    • 한국한의학연구원논문집
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    • 제14권3호
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    • pp.173-182
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    • 2008
  • "EuiBangShinGam" is a classic on oriental medicines written by Han Byung Lyun with the pen name Shin Oh in 1913. It was written under the base of the writer's own experience as well as in the light of 36 other classics on oriental medicines such as "DongEuiBoGam", Introduction to Medicine, and Complete Works of Jingyue. In an attempt to avoid difficult theories and list only the essential informations and formulas for clinical purposes, it attained its own characteristics of not only reorganizing DongEuiBoGam in a pragmatic way but also explaining diseases classified in western medicines in oriental medicines' point of view as well as suggesting medicine formulas regarding such explanations. As a result, it is a complete and efficient medical classic through which one can gain knowledge in both classic oriental medicines and combination of western and oriental medicines. Its special features are making a separate chapter for cholera and phthisis, which is also a contagious disease, and trying in the chapter to explain the disease s in words of oriental medicines; listing details of nine major epidemic and matching them with the diseases known in oriental medicines: and recording a case of enforcing sterilization and preventive injection against contagious diseases. Han Byung Lyun, the writ er of the book, was born in northern province of Ham Gyoung, Woong Bu, and the date of death is unknown. He is one of the eight members who conceived and started the idea of organizing the Organization of Practioners of Oriental Medicines, which was a nationwide organization under the motive of restoring Oriental Medicines against the policy under the colonial government of Japan. Living a era of Japanese Imperialism, he stressed the need to accept western medicines if its beneficial to oriental medicines in order to develop oriental medicines for progressive causes. This reflects that he was a person who tried in various ways to extend oriental medicines to another level by facing up to the reality and coming up with a measure to cope up with it. In fact, he was a oriental medicine doctor who tried to protect oriental medicines by founding academic organizations, publishing academic magazines, and writing himself many papers related to oriental medicines. EuiBangShinGam can he summarized as a classic on traditional korean medicine through which one can find out about realities of Japan Imperialism and the attempts of oriental medicine practitioners under the colonial policies of Japan to make oriental medicines more developed by adding one's own thoughts as well as keeping the old, and adjusting to such situations.

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