• The Journal of Pediatrics of Korean Medicine
• /
• v.15 no.2
• /
• pp.201-208
• /
• 2001

The somatoform disorder are distinguished by physical symptoms suggesting a medical condition, yet the symptoms are not fully explained by the medical condition, by substance use, or by another mental disorder. This is that an unconscious intrapsychic conflict, wish, or need is converted to a somatic symptom and clinically express various symptoms such as headache, dizziness, nausea, vomiting dyspepsia, diarrhea and constipation, etc. We report a case of somatoform disorder patient, who was 9 years old female and complained of nausea, vomiting and dysdipsia. She had her case diagnosed as somatoform disorder in Yong-dong severance hospital and took anti-depressant (chlomipramine) with counseling for 2 months. After treatment, her emotional instability and depression were improved, yet the somatic symptoms remain same. We diagnosed her case as vomiting induced by deficiency of the stomach(胃虛嘔吐) and administered Bihe-yin(比和飮) to her. After administration of Bihe-yin(比和飮) for one month, her somatic symptoms of nausea, vomiting and dysdipsia were almost disappeared and she got acquired her confidence in school life.

• Women's Health Nursing
• /
• v.21 no.1
• /
• pp.32-42
• /
• 2015

Purpose: The purpose of this study was to investigate factors that influence married female immigrants' perceived health status. Methods: This study was a retrospective review of dataset from the 2012 National Multicultural Family Survey in Korea. Data were analyzed using descriptive statistics, t-tests, an analysis of variance (ANOVA), Pearson correlation analysis, and multiple regression with the data of 3,014 married female immigrants. Results: Multiple regression analysis showed that demographic factors (age, education level, nationality, period of residency in Korea, and residential area), socio-economical factors (monthly family income, employment, support from the government for basic living, and Medicaid), social support factors (marital conflict, satisfaction with family relationships, some one to talk about self or family matters, meeting with homeland friend, and participation in community meeting), and immigration factors (life satisfaction, experience of social discrimination, and difficulties with living and using medical care) were associated with perceived health status. Conclusion: It is important to pay closer attention to immigrant women who have low economic status, less social support, experience difficulties with living in Korea and using medical care. An effective support system for this population should be developed in order to help them successfully transition.

• Korean Institute of Interior Design Journal
• /
• v.19 no.3
• /
• pp.234-241
• /
• 2010

Avoiding the unified productivity that was caused by the mechanical and technical development due to Industrial Revolution in the past, modern design is incessantly evolving in search of new motive, namely, diversity. Further, we live in the age when the propensity that serves public interest and purpose and sometimes shows quite individual character should be considered. As a result, the comprehensive and harmonious trend of emotional design is being highlighted more remarkably. Involving the social background that further respects human dignity, this is closely related to diverse issues such as human right which should be guaranteed and pursued for individual. While the tradition and innovation caused by the encounter of machine and art had confrontation and conflict in the past, the direction has changed to incessant evolution and interaction where paradigm of technical progress and development is newly composed and changed in modern times. The meaning of service in medical area is expanding and developing from the simple treatment to the more comprehensive healing. Medical space will evolve to the healing space that attaches importance to emotional aspect of human dimension which further understands and respects human being in the future.

• Journal of Sasang Constitutional Medicine
• /
• v.21 no.2
• /
• pp.58-71
• /
• 2009

1. Objectives : The Crown Prince Sohyen(1612-1645) has been believed ro have been poisoned to death because of the political conflict with the King Injo. However, the Crown Prince Sohyen who was So-yangin(SY type) didn't be treated properly at that time. This paper is supposed to explain the reason why he died by reference. 2. Methods : The prescription which was made out to the Crown Prince Sohyen is analyzed, based on the Sasang Constitutional Medicine(SCM) through Shimyang-ilgy and Ulyudongkung-ilgy. 3. Results : 1) In the case of the prescription where So-yang medical stuffs were contained a lot or Gunyak(the main madical stuff) was So-yang one, the Crown Prince Sohyen was better, while that of Tae-eum and So-eum medical stuffs didn't work. Therefore, the Crown Prince Sohyen can be considered So-yangin. 2) The So-yang in's symptom was misunderstood as Hakjil and treated, which could lead him to be put to death 4. Conclusions : The Crown Prince Sohyen is supposed to be Soyang-in(SY type), and accordingly the So-yang in's symptom was misunderstood as Hakjil and treated, which could cause him to pass away.

• Journal of the Korea Society of Computer and Information
• /
• v.19 no.4
• /
• pp.139-147
• /
• 2014

Medical disputes the problem that occurs essentially among the rapidly increasing of the demand for health care and the attention of the public health. The subject of dispute is mostly criminal penalties and civil redress due to a physician's medical malpractice, resolved by agreement was prioritized. They trying to solve through the litigation and exercise the skills. But, the lack of clear standards and related legislation make difficult to solve the problem. for this, "The Act of Medical Malpractice Damage's Relief and Mediation for Medical Dispute Resolution" (Medical Disputes Adjustment Act) was enacted in April 7, 2011 and performed in Apr. 8, 2012. To solve the problem autonomously between the parties. It is the legislative intent such as mediation or arbitration to solve the conflict between the parties. But there are some problems that examined from the perspective of constitutional review with the criminal and civil problems. Therefore, this paper will find out the legal issues about Medical Dispute Adjustment Act and the constitutional and civil issues. And want to expect to be prepared the more stable and efficient solution of medical disputes.

• The Korean Journal of Emergency Medical Services
• /
• v.8 no.1
• /
• pp.71-86
• /
• 2004

This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

• Korean Journal of Clinical Laboratory Science
• /
• v.49 no.1
• /
• pp.48-54
• /
• 2017

The purpose of this study was to provide fundamental data for the plans to reduce occupational stress by analyzing occupational stress of medical technologist. The experimental group comprised of 193 medical technologists working in Gyeonggi province. Occupational stress was 49.74 out of 100. In detail, job insecurity showed a high value of 64.42, followed by organizational system, lack of reward, physical environment, job demand, insufficient job control, interpersonal conflict, and occupational climate with respective values of 52.46, 52.30, 51.18, 49.57, 48.43, 39.78 and 39.77. It is recommended that those in high-stress job group increase physical activity and reduce job insecurity to improve health. The development of programs to reduce occupational stress are necessary, and this study can provide objective information using biological indicators.

• Health Policy and Management
• /
• v.14 no.4
• /
• pp.88-113
• /
• 2004

Starting from April, 2003, new pre-review system has been introduced and implemented to reduce unnecessary conflict with medical care organizations caused by current retrospective claim review system and to enhance efficiency of review system. The main purpose of pre-review system is to educate doctors to contrive adequacy of medical services. This research mainly focuses on effectiveness of pre-review system's influence on physicians' behavior changes. The analysis-participants were drawn from 1,449 clinics which implemented pre-review system, since April of 2003. The research results are as followings. First, the amount per claim has reduced by $\\3,154$, days of visit per claim by 0.1 day, and amount per visit by $\\412$, which were statistically significant. Second, anesthesiologists have decreased in three indicators the most, and the internists had least of changes. Third, the amount per claim and days of visit per claims has dropped significantly on physicians with less periods of practice and physicians with more ages. Fourth, the clinics without the expensive medical equipments, the city clinics showed significant decrease on days of visit per claim. Fifth, in intervention methods, the one-to-one education showed more significant decrease on amount per visit rather than information feedback by paper. In conclusion, the pre-review system have an impact on self-imposed physician behavioral change. The outcome of this research may be utilized for future extension implementation of pre-review system. Furthermore, it is showed that ability of transitions in medical services review system according to the future transition of payment system and context of health service policy.

• Journal of Korean Medical classics
• /
• v.33 no.1
• /
• pp.179-196
• /
• 2020

Objectives : To examine the meaning of 'harmonizing all medicinals(調和諸藥)' of Gancao's property to grasp its essence which would further lead to better understanding of formula composition where Gancao is both included and excluded. Methods : Contents on Gancao from previous texts were analyzed and integrated with basic descriptions on qi and flavor, shape and colour, origin, name, etc., to form a single Xiang(象) or image. Further discussion was developed from this point in a way to better understand the harmonizing property of Gancao. Results & Conclusions : Gancao's 'harmonizing all medicinals' property is achieved through its 'mitigate urgency' function. The meaning of 'harmonizing all medicinals' could be understood in terms of both mitigating the whole formula and mitigating each medicinal ingredient. First, Gancao's function of mitigating the whole formula is to mediate conflict that occurs from difference in property among each ingredient where each medicinal's property remains intact to perform its effects soundly. Second, to mitigate each medicinal ingredient is to balance the effects of severly biased medicinals to obtain desired effects. Both approaches are same in essence in that they mitigate urgency to achieve the original goal. Gancao's 'harmonizing all medicinals' is to arbitrate others, which sets Gancao apart from other ingredients to function at a more basal level.

• Physical Therapy Korea
• /
• v.17 no.1
• /
• pp.53-61
• /
• 2010

This study investigated the relationships between Work-related musculoskeletal disorders (WMSDs), contributing factors, and the occupational stress of physical therapists. Self-reported questionnaires were given to 180 physical therapists in Gangwon Province. Variables examined included the prevalence of pain sites related to WMSDs; pain intensity; pain pattern; and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Among physical therapists, work-related musculoskeletal pain commonly affected the low back (30.1%), shoulder (29.3%), and wrist (12.2%). The sites of work-related musculoskeletal pain treated medically were the low back (22.8%), shoulder (19.8%), neck (12.7%), and wrist (12.1%). "Repeating the same work constantly" was suggested to be the major cause of the pain. The younger therapists were significantly more likely to feel high job stress due to the physical environment (p<.05), job demand (p<.05), and organizational system (p<.01). Women were more likely to feel greater job stress related to job demand, insufficient job control, the organization system, and job rewards. Men were more likely to feel greater job stress related to job insecurity. Weak positive relationships were observed between work-related musculoskeletal pain and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Physical therapists appear to be at higher risk of WMSDs because 80.1% of the physical therapists studied experienced work-related musculoskeletal pain. To reduce the risk, we need intervention strategies such as preventive education, ergonomically designed medical equipment, a psychosocial approach to work conditions, improved mechanical conditions related to therapeutic patterns, and an institutional infrastructure with sufficient personnel and scheduling.