• Title/Summary/Keyword: Medical conflict

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A Study on the I-Ching Perspective in Shanghansuyuanji (『상한소원집(傷寒溯源集)』에 나타난 역학적(易學的) 관점 고찰)

  • Ahn, Jin-hee
    • Journal of Korean Medical classics
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    • v.31 no.3
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    • pp.123-142
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    • 2018
  • Objectives : This paper aims to study the I-Ching perspective in Shanghansuyuanji. Methods : Key words associated with I-Ching was searched in Shanghansuyuanji and analyzed its meaning and categorized thematically. Results & Conclusions : 1. Qianhuang symbolized Shaoyang, The Power of the Great hexagrams, Jueyin Peace hexagrams, Taiyin Gen Earth, Yangming Kun Earth, Shaoyin Return hexagrams, but didn't symbolize Taiyang, making it not uniform. 2. Qianhuang explained physiology focusing the change of YangQi with I-Ching perspective. This is possible because Shanghanlun thought that much of YangQi and I-Ching set a high value on Yang. 3. Qianhuang explained pathology such as insomnia, epigastric fullness, splenic constipation syndrome, Taiyinbing syndrome, somnolence, thirst, YinYang exchange with I-Ching perspective, it is meaningful because it enriches medical YinYanglun. 4. Qianhuang explained prescriptions such as Daqinglongtang, Zhenwutang, Shizaotang, Fuzixiexintang, Dachaihutang, Baihutang, a comparison between Daqinglongtang and Xiaoqinglongtang with I-Ching perspective. This is helpful to grasp the image of prescriptions. 5. Qianhuang explained nature of drugs such as Guizhi, Fuling, Fuzi, Qiandan, Rougui with I-Ching perspective, and it combines well with the features of I-Ching with drugs efficacy. 6. Qianhuang explained diseases of the six Meridians curing time with I-Ching perspective. This shows diseases of the six Meridians recover when Corresponding Qi is vigorous or Conflict Qi appears, and it is persuasive. For reasons mentioned above; Shanghansuyuanji is meaningful as Shanghanlun commentary.

A Study of the Medical Practice and the Right of Patients to Self-determination - Focusing on Supreme Court Decision 2009DO14407 Delivered on June 24, 2014 - (의료행위와 환자의 자기결정권에 관한 고찰 - 대법원 2014. 6.26. 선고 2009도14407 판결을 중심으로 -)

  • Kim, Young-Tae
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.3-29
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    • 2014
  • The Supreme Court made a decision that the doctor cannot be punished for not taking a blood transfusion to the patient, depending on the patient's will to refuse the blood transfusion on June 24, 2014. The reason is that, in a special situation of conflict between the right of patients to self-determination and the duty of care, and when it was impossible to compare whether which has the superior value, if the doctor made a medical practice to respect either of those two values according to the professional sense, he cannot be punished. In principle, the doctor should make medical practices according to the patient's will. However, if the patient's life was at stake, I think, the doctor is obliged to try his best to save the life of patient. Yet to entrust the patient's life to the doctors professional sense, is to give up the obligation of the country to protect lives. In this regard, I think that the Supreme Court Decision should be reviewed, and that an ongoing research is needed.

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Influencing factors of the turnover intention in hospital paramedics (병원 내 1급 응급구조사의 이직의도 영향 요인)

  • Jang, Hyo-Jin;Baek, Mi-Lye
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.3
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    • pp.39-51
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    • 2013
  • Purpose: The purpose of the study is to investigate the influencing factors of turnover intention in hospital paramedics. The factors included the job condition, job stress, and turnover intention. Methods: The subjects were 200 paramedics in hospital. Data were analyzed using frequency, t-test or one way ANOVA, Pearson's correlation, and multiple regression analysis with SPSS WIN 20.0 program. Results: Job stress was 3.59 points; job condition, 2.96 points; turnover intention 3.64 points. When the job stress was high, the satisfaction with job condition was very low and the turnover intention increased. When the job satisfaction was high, turnover intention decreased. factors affecting the turnover intention were annual income, turnover frequency, workload, and working department, role conflict, and personal relationship. Conclusion: It is necessary to establish the job description of paramedics and improve the working condition in the hospitals.

Do ancient people have 9 breaths per minute respiratory rate? (고인들은 1분에 9회 빈도의 호흡을 하였는가? : "일만삼천오백식(一萬三千五白息)"에 대한 고찰)

  • Kim, Kiwang
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.21 no.1
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    • pp.1-12
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    • 2017
  • Objectives Some major Chinese medical classics like Huangdineijing (黃帝內經) and Nanjing (難經) assert that a normal person breaths 13,500 times every day. It's just half of real breathing cycles of human. So I tried to find a reasonable explanation to solve this conflict between truth and literal description. Materials and methods To find breath count descriptions in Chinese ancient books, I used Kanseki Repository (http://kanripo.org/). To find precedent research on this topic, I used China National Knowledge Infrastructure (http://cnki.net). Results 33 books refers to human breath cycles for a day, and most of them introduce 13,500 as human breathing frequency of one day. Some recent papers on Laoguanshan (老官山) Western Han dynasty manuscripts show new clues on this topic. Conclusion I assume that 13,500 cycles, the incorrect human breathing frequency of a day, might be originated from adjusting the meaning and usage of the word "Xi (息)".

Case Report: A Case of Conversion Disorder Treated by Ganyanghwapung(肝陽化風) Comprehensive Diagnosis (전환장애를 간양화풍(肝陽化風)으로 변증(辨證)한 치험 1례(例))

  • Kim, Jin-Won;Jeong, Byeong-Ju;Woo, Sung-Ho;Kim, Byung-Chul;Son, Ji-Hyung;Lim, Ho-Jae;Hwang, Gyu-Dong;Seo, Ho-Seok;Kim, Yong-Ho;Han, Seung-Hea
    • The Journal of Internal Korean Medicine
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    • v.26 no.2
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    • pp.489-497
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    • 2005
  • Conversion disorder lacks temperamental grounds and is a type of somatoform disorder that includes alteration or loss of physical functions implicated in physical deficit suggestive psychological conflict. There is high incidence of return of conversion disorder and difficulty in producing exact approaches of cure and apparent effects of remedy with symptomatic treatment alone because of its complex clinical symptoms. The approach of Oriental Medicine in treatment of conversion disorder is to apprehend relative symptoms from the syndrome combined with several annexational symptoms centering around sequential symptoms. Thereupon, author made a Ganyanghwapung comprehensive diagnosis was conducted using Oriental Medicine measures by differential diagnostic methods in psychosomatic patients whose cases are diagnosed as conversion disorder. Then, Cheonmagudeungeum Gagambang was prescribed for them and it brought on satisfactory effects from the first or second treatment. There have been many cases reporting the application of Oriental Medicine treatment to conversion disorder to date and outcomes have also been favorable. Results of this study likewise suggest that this Oriental Medicine treatment for conversion disorder is effective.

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An analysis on the students' responses of the elective course, "Women in Medicine" (선택과목 '의료와 여성(Women in Medicine)'에 대한 학생반응 분석)

  • Jeon, WooTaek;Kim, Miran;Ryue, Sook-hee
    • Korean Medical Education Review
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    • v.9 no.2
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    • pp.21-27
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    • 2007
  • Even though 35% of Korean medical students are female, medical schools and hospitals maintain a strongly male-dominated culture which discourages female students from active career development. In 2006, Yonsei Medical school instigated an elective course entitled "Women in Medicine" to encourage and stimulate 51 female students who enrolled the course. Researchers conducted participant observations at all 6 lectures, as well as 2 surveys and 4 student fucus group discussions comprising a total of 18 students. The total satis faction r ate of the course was high at 4.6 points out of a 5-point score Nevertheless, the study results confirmed three conflict points between lectures and students. Firstly, the lecturers emphasized the excellence and carrier-goal oriented life style, whereas most students are more interested in an ordinary women doctor's life. Secondly, the lecturers emphasized the importance of husband and family's support for success in their career but most female students have little confidence in their ability to achieve a balance between work and family. Thirdly, the lecturers emphasized the women doctor who is able to lead a team effectively, but women students have few opportunities to play a leadership role in their school life. These study findings imply that there is a generation gap in the concept of "successful women doctor's life" between lecturers and students. and that interactive dialogue between lecturer and students is more important than lecture style presentations from extremely successful female doctors. In addition to such lectures, a leadership program based on active student participation should be developed.

A Study on Laws Related to Anonymization of Medical Image Information in PACS (PACS에서 의료영상정보의 익명처리와 관련된 법의 연구)

  • Kweon, Dae Cheol
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.627-637
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    • 2022
  • The purpose of this study is to comply with the operation and management of medical image information in PACS, the necessity of anonymizing the patient's personal information and the management status of the medical image information related to the personal The purpose of this study was to raise, discuss, and suggest the need for unification and coherence of the law by studying the content of the issues related to information related laws. In order to utilize information related to medical image information, it is necessary to unify the "Medical Act" or the "Bioethics Act" for clear legal application and consider the legal system's consistency. Since there is a possibility of conflict due to issues that are not yet established, systematic coherence of the law is required to find the basic common denominator for the utilization and use of medical image information and to harmonize the law. In addition, the necessity of enacting the "Medical Information Protection Act" that can be practically applied and easily practiced by medical personnel and managers in the clinical field so that sensitive matters of medical image information and personal information can be protected and managed in a specific and systematic way.

A Study on the Refusal of National Examination for Medical Students: Focusing on the Signaling Game Theory (의과대학생 국가시험 거부 사태에 대한 고찰: 신호게임 이론을 중심으로)

  • Hyeon, Seung Hyo;Kim, Da Young;Lee, Min Kyu
    • Health Policy and Management
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    • v.31 no.4
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    • pp.479-490
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    • 2021
  • Background: Conflict in the medical world in 2020 led to the rejection of the national examination for doctors. This study explained the process until the end of the national test refusal situation triggered in 2020 through the signaling game theory. The government has succeeded in requiring medical students to take the national exam. Methods: To explain the rejection of the national examination, we first compose and show an example of two small non-signaling games where medical students know which type the government is of, then combine them to play a signaling game. Results: The behavior of the government and medical students was examined through the signaling game model. In the context of the coronavirus disease 2019 (COVID-19) pandemic, the government makes an ultimatum, whatever the type. And the medical students accept it. They judged that the government could not be expected to abolish the policy. If COVID-19 had not occurred, medical students would have been able to continue the confrontation. Conclusion: The government instilled in the other party the perception that the government would not bend its policies because it was the surly type and would not be afraid of a strong confrontation. Through the image created in this way, the government was forced to accept the ultimatum by medical students. Academically, this study is to deal with the policy-making process through the signaling game theory. In the area of health care policy, this study suggests that various situations such as the type of government or the spread of COVID-19 can become important in addition to the rationality of the policy itself.

Improvement in the Medical Dispute Mediation System of Korea Consumer Agency (한국소비자원 의료분쟁 조정제도의 개선방안)

  • Jeon, Byong-nam
    • The Korean Society of Law and Medicine
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    • v.16 no.1
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    • pp.255-288
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    • 2015
  • It is desirable to prevent medical accidents because they bring about irretrievable outcomes to patients, as they are directly related to each patient's life, and health. However, once medical accidents occur, it is appropriate to resolve them quickly without conflict before the feelings of directly involved people are intensely confronted with each other. Korea Consumer Agency carries out medical dispute mediation to address such disputes quickly, fairly, and efficiently, and so does Korea Medical Dispute Mediation and Arbitration Agency. Although there has been constant debate on a merge between the two agencies because of duplicated work and consequent inefficiency, it is desirable to maintain the two agencies to ensure consumers' options and to promote the mutual development of the agencies through competition. Therefore, there should be legal and systematical support for Korea Consumer Agency to have fair competition with Korea Medical Dispute Mediation and Arbitration Agency. This is not for Korea Consumer Agency, but ultimately for consumers.

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Distribution and Correlates of Obesity School Children in a Region (일 지역 학령기 아동의 비만수준과 비만관련 요인)

  • Choi, Gil-Soon;Kwon, Hay-Rran
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.1
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    • pp.53-67
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    • 2008
  • Purpose : This study is descriptive correlation research to provide basic materials for developing program which can give practical assistance in preventing and managing obesity through more comprehensive approaches of influential factors on obesity found in existing literatures. Methods : Data were collected from the 4th, 5th and 6th graders at 2 elementary schools in Gwangju Metropolitan City and 4 elementary schools in Jeollanamdo province using questionnaire and students' physical examination results from June 15 to July 27, 2006 and data obtained from 1,866 students were used for analysis. Data collected were analyzed with technical statistics and correlation analysis using SPSS/PC(version 12.0). Results : 1. Obesity level of elementary school students was examined as follows; 33.2% had low weight, 44.3% normal, 10.8% overweight and 11.7% obese. 14.8% of boys and 8.6% of girls, 13.5% of the 4th graders, 12.1% of the 5th graders and 9.2% of the 6th graders, and 13.7% of urban students and 9.6% of rural students were obese. 2. According to general characteristics and obesity of the subjects, there were significant differences by sex(${\chi}^2=29.55$, p= .000), grade(${\chi}^2=12.84$, p= .046), region(${\chi}^2=41.96$, p= .000) and pocket money(${\chi}^2=33.43$, p= .001). 3. As genetic factors, all variables including sibling's obesity r= .128(p= .000), mother's obesity r= .098(p= .000) and father's obesity r= .081(p= .001) had influence on children's obesity. 4. Concerning environmental factors, there was positive correlation between eating habits r=- .052(p= .02) and school record r=- .048(p= .04) and there was negative correlation between internet using time r= .050(p= .03) and conflict with parents r= .048(p= .04). 5. Self-respect as psychological factor had negative correlation as r=- .048(p= .04). Conclusion : Consequently, the influential factors on obesity of elementary school students were as follows. Obesity was higher in boys than in girls, in urban areas than in rural areas, in lower grade than in higher grade, in children with obese siblings, obese father and mother, irregular and wrong eating habits, frequent internet uses, parents in conflict and lower school record and self-respect. Therefore, since it was found that these variables were more exact causes to increase children's obesity, development of various obesity mediation programs considering these variables at home, school and society is urgently required.

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