• 제목/요약/키워드: Medical papers

검색결과 648건 처리시간 0.031초

전문직 정체성 형성 및 촉진을 위한 의학교육 현황과 고려점 (Current Status and Directions of Professional Identity Formation in Medical Education)

  • 한희영;서보영
    • 의학교육논단
    • /
    • 제23권2호
    • /
    • pp.80-89
    • /
    • 2021
  • Professional identity formation (PIF) is an essential concept in professional education. Many scholars have explored conceptual frameworks of PIF and conducted empirical studies to advance an understanding of the construct in medical education. Despite its importance, it is unclear what educational approaches and assessment practices are actually implemented in medical education settings. Therefore, we conducted a literature review of empirical studies reporting educational practices for medical learners' PIF. We searched the Web of Science database using keywords and chose 37 papers for analysis based on inclusion and exclusion criteria. Thematic analysis was conducted. Most empirical papers (92%) were from North America and Western Europe and used qualitative research methods, including mixed methods (99%). The papers reported the use of reflection activities and elective courses for specific purposes, such as art as an educational activity. Patient and healthcare experiences were also found to be a central theme in medical learners' PIF. Through an iterative analysis of the key themes that emerged from the PIF studies, we derived the following key concepts and implications: (1) the importance of creating informal and incidental learning environments, (2) ordinary yet authentic patient experiences, (3) a climate of psychosocial safety in a learning environment embracing individual learners' background and emotional development, and (4) the reconceptualization of PIF education and assessment. In conclusion, research on PIF should be diversified to include various cultural and social contexts. Theoretical frameworks should also be diversified and developed beyond Kegan's developmental framework to accommodate the nonlinear and dynamic nature of PIF.

Impact of Planning Target Volume Margins in Stereotactic Radiosurgery for Brain Metastasis: A Review

  • Emmanuel Fiagbedzi;Francis Hasford;Samuel Nii Tagoe
    • 한국의학물리학회지:의학물리
    • /
    • 제35권1호
    • /
    • pp.1-9
    • /
    • 2024
  • Margin inclusion or exclusion remains the most critical and controversial aspect of stereotactic radiosurgery (SRS) for metastatic brain tumors. This review aimed to examine the available literature on the impact of margins in SRS of brain metastasis and to assess the response of some medical physicists on the use of these margins. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was used to review articles published in PubMed, Embase, and Science Direct databases from January 2012 to December 2022 using the following keywords: planning target volume, brain metastasis, margin, and stereotactic radiosurgery. A simple survey consisting of five questions was completed by ten medical physicists with experience in SRS treatment planning. The results were analyzed using IBM SPSS Statistics version 26.0. Of the 1,445 articles identified, only 38 articles were chosen. Of these, eight papers were deemed relevant to the focus of this review. These papers showed an increase in the risk of radionecrosis, whereas differences in local control were variable as the margin increased. In the survey, the response rate to whether or not to use margins in SRS, a critical question, was 50%. Margin addition increases the risk of radio necrosis. The local control rate varies among treatment modalities and cannot be generalized. From the survey, no consensus was reached regarding the use of these margins. This calls for further deliberations among professionals directly involved in SRS.

논문 검색을 통한 피부 부작용 사례 고찰 (A Review on Cases of Skin Adverse Reactions through the Search for Articles)

  • 조혜신;송아련;서형식
    • 한방안이비인후피부과학회지
    • /
    • 제31권3호
    • /
    • pp.50-59
    • /
    • 2018
  • Objectives : The aim of this review is to investigate studies on skin adverse reactions and to demonstrate subjects related to the adverse effects in dermatology. Methods : Electric searches were performed with KISS(Korean studies Information Search System) and the key words were combination of 'skin' and 'adverse effect'. 87 literatures investigated in this review were issued from 1900 to 2016. Results : Among the 87 papers, dermatologic adverse reactions were reported in 83 papers in medicine, accounting for 95.4%. Of the adverse effects seen on the skin, 84 discoloration such as erythema, pigmentation and hemotelangiosis were the most common, accounting for 21%. Among the medical adverse reactions not seen on the skin, 21 infection were the most common, accounting for 25%. Among the subjective adverse reactions, of which 32 pruritus were the most common, accounting for 43%. Among the 87 papers, there were 3 cases with underlying diabetes and 3 cases with underlying hypertension, followed by 2 cases with chronic renal failure, HBV, atopic dermatitis and respectively 1 case with alcoholism, depression addiction, multiple myeloma, arthritis and psoriasis. The most frequent period until adverse reactions appeared was within 2 weeks, accounting for 13 papers. And 4 were the most frequent adverse reactions lasting less than 1 month, and 4 were more than 3 months and less than 6 months. There were 48 cases where adverse reactions were caused by nonmedical practioner's treatment. The adverse reactions by the pharmacist were the highest at 11 cases (23%). There were 17 cases of adverse reactions due to medical treatment, among which dermatologists and nondermatologists accounted for the majority of 5 cases, 29%. The most common cause of adverse reactions was the application of external medicine (41 cases), followed by 36 cases of foreign body implantation, eyebrow tattooing, ear piercing, etc. Conclusions : In this report, we demonstrated patterns of adverse reactions in the medical field of dermatology caused by non-medical personnel than medical personnel. We suggest that more effort should be followed by medical personnel to establish clear awareness of skin disease and by patients to be aware of the risks of the illegal medical treatment by non-medical personnel.

국내연구자가 출판한 국제학술지 논문의 오픈액세스 현황 - 고피인용된 논문 중심 - (Analysis of Open Access Status of Domestic Author's Papers Published in International Journals: Based on Highly Cited Papers)

  • 조재인
    • 한국문헌정보학회지
    • /
    • 제54권1호
    • /
    • pp.325-341
    • /
    • 2020
  • 본 연구는 OA 버전을 추적하는 개방형 도구 중 하나인 Unpaywall API를 이용해 2015년 이후 내국인이 국제 학술지에 출판한 논문 중 고피인용되고 있는 논문 3,905건을 대상으로 OA여부를 실증적으로 파악하였다. 분석 대상 논문의 공개 여부와 방식을 이해하고 학분 분야에 따라 차이가 존재하는지 살펴 본 결과, 다음과 같은 사실을 발견하였다. 첫째, 의학 분야를 제외하면 30%이하의 논문만이 공개되고 있었으며, 공개 방식도 브론즈가 절반 이상을 차지하였다. 둘째, 그린 OA된 논문의 아카이빙 장소는 국내가 아니라 주로 공동저자가 소속된 해외 대학의 기관레포지토리이거나 주제레포지토리인 것으로 조사되었다. 셋째, 연구비 수혜 논문의 경우에도 단지 19.6%만이 공개되고 있으며 그 중 절반은 의학 분야가 차지하는 것으로 나타났다. 마지막으로 OA된 논문이 더 높은 피인용도를 보이는 국제 추세와 달리, 분석 대상 논문은 비 OA 논문에 비해 높은 피인용도를 보이지 않았다.

EBM 기반구축을 위한 평위산 전임상 연구 문헌 분석 (Analysis of Studies on Pyeongwi-san to Establish the Fundament for Evidence Based Medicine)

  • 김정훈;이준경;신현규
    • 동의생리병리학회지
    • /
    • 제24권5호
    • /
    • pp.770-778
    • /
    • 2010
  • To establish the fundament for EBM of Traditional Korean Medicine, the papers on Pyeongwi-san (Pingwei-san) frequently used in medical institutions of Traditional Korean Medicine were analyzed through researching domestic and international papers. The papers were classified by the registration of domestic or international journals, the year of publishment, experimental fields and the kinds of studies on biological activities. Of total 518 papers on Pyeongwi-san (Pingwei-san), 32 volumes were selected according to selection creteria. 20 volumes were published in domestic journals, 11 in Chinese journal and 1 in Japanese journal. The papers on instrumental analyses reported the quantification of standard compounds of herbal medicines in Pyeongwi-san (Pingwei-san) using HPLC, GC-MS. The papers on biological activities of Pyeongwi-san (Pingwei-san) showed improvement of gastrointestinal activity and water-electrolyte metabolism, immune regulation, anti-oxidant, anti-inflammatory, analgesic, anti-convulsant activities, hypnotic duration, blood pressure regulation, hepatic protection, congestive heart failure, anti-cancer activities. Further studies including gastrointestinal activity need to be preceeded to establish the fundament for EBM of Pyeongwi-san (Pingwei-san).

십전대보탕의 면역활성에 관한 기초 실험 연구 문헌 분석 (Analysis of Biological Experiment on Immunoactivity of Sipjeondabo-tang)

  • 김정훈;신현규
    • 동의생리병리학회지
    • /
    • 제26권5호
    • /
    • pp.641-649
    • /
    • 2012
  • To investigate scientific evidence for the use of a Korean Medicine (KM), the papers regarding Sipjeondabo-tang (Shiquandabu-tang) frequently used in Korean medical clinics and hospitals were collected and analyzed. The papers were classified as being from domestic or international journals and by the year of publication. The mechanisms of immuno-activity Sipjeondabo-tang (Shiquandabu-tang) were researched. Among 41 papers, 4 were published as Korean papers whereas 7 were as Chinese papers and 40 were as Japanese papers. Sipjeondabo-tang (Shiquandabu-tang) regulated the productions of Th1 cytokines such as interleukin-2 (IL-2) and interferon-${\gamma}$ (IFN-${\gamma}$), and Th2 cytokines such as IL-4, IL-5, IL-6, IL-12 improving the function of immune organ including bone marrow, spleen, liver, thymus and peyer's patch. It also modulated the releases of immunoglobulin-G (IgG) and IgM. Thus, Sipjeondabo-tang (Shiquandabu-tang) balanced the Th1/Th2 immune responses as well as T/B cell. The regulation of immunoactivity could be speculated as an objective and scientific evidence of Sipjeondabo-tang (Shiquandabu-tang).

뇌성마비의 침자(鍼刺) 치료에 대한 문헌적 고찰 -최근 중의잡지를 중심으로- (A Literature Study on Acupuncture for Cerebral Palsy -Based on the Current Traditional Chinese Medical Journals-)

  • 하수연;민상연;김장현
    • 대한한방소아과학회지
    • /
    • 제23권1호
    • /
    • pp.205-228
    • /
    • 2009
  • Objectives The purpose of this study is to investigate the current acupuncture therapy of cerebral palsy. Methods We investigated the Chinese clinical papers which were published in the last 10 years(from 1999 to 2008). We found these papers from the oriental medical library in university and we also used the China National Knowledge Infrastructure(CNKI) through the internet and selected 32 papers for analyzing. Results Most papers were described the effect of acupuncture or acupoint-injection. This is more effective way to treat than the general rehabilitation treatment such as the physical therapy, the occupational therapy, and the speech therapy. Acupuncture or acupoint-injection has overall $80{\sim}100%$ of rehabilitation rate. The younger the children were, the longer the treatment period was, and the more successful in treatment. The acupuncture was often used with the general acupuncture and scalp acupuncture. Commonly used major acupuncture points were sishencong(四神聰), bohui(百會), zusanli(足三里), yundongqu(運動區), pinghengqu(平衡區), quchi(曲池), and sanyinjiao(三陰交). Commonly used main meridian pathways were bladder, governor vessel, gallbladder, large intestine, stomach, small intestine meridian. Head is the common site for acupuncture. The main acupoint-injection points were zusanli(足三里), dazhui(大椎), shenshu(腎兪), yamen(啞門), neiguan(內關), and fengchi(風池). For the injection, brain activator, ganglioside M1, cerebroprotein hydrolysate, cytidine diphosphate choline, Vit B1, Vit B12, the salviae root, the safflower were commonly used. Conclusions Acupuncture and acupoint-injection have been shown as an effective treatment on cerebral palsy. The acupuncture was used often the general acupuncture and scalp acupuncture all together. Commonly used main acupuncture points were sishencong, bohui, zusanli, yundongqu, pinghengqu, quchi, sanyinjiao.

  • PDF

한국의학학술 논문의 저자선정 주제어와 MeSH 용어의 비교 분석 (A Comparision Study of Subject Words of Korean Medical Journal Papers: Author Keywords vs MeSH Terms Assgned by MEDLINE)

  • 이춘실;문혜원
    • 정보관리학회지
    • /
    • 제17권3호
    • /
    • pp.109-124
    • /
    • 2000
  • 본 연구에서는 국내 의학학술논문의 저자가 선정한 주제용어 (저자용어)와 동일한 논문에 대하여 NLM이 MEDLINE 레코드에 부여한 MeSH 용어를 비교하여, 국내 의학학술논문 저자들이 얼마나 정확히 MeSH 용어를 사용하는지 일치도를 측정하였고, 사용방법상 어떠한 특징을 보이는지, 일치하지 않는 이유가 무엇인지 분석하였다. 1989년부터 1998년까지 Korean Journal of Parasitology에 발표된 415편의 논문에 사용된 1,826개의 저자용어 가운데 MEDLINE 레코드의 MeSH 용어와 일치한다고 볼 수 있는 용어는 35.5%이고, 이 가운데 완전히 일치하는 용어는 10.1%밖에 되지 않았다. 한 논문에서는 평균 1.6개의 용어가 일치하였다. 한국저자들은 평균 4.4.개의 키워드를 한 논문에 부여한 반면, MEDLINE은 2배가 넘는 9.9개를 부여하고 있다. 한국저자들은 체크태그나 부표목을 사용하지 않는 등 MeSH 용어를 정확히 사용하기 위한 기본지식이 절대적으로 부족한 것을 나타났다.

  • PDF

인체에서 방사되는 생물광자(生物光子)에 대한 소고 (Review of Biophoton of Human Beings - Domestic Papers)

  • 이승호;김진수;박히준;양준모;소광섭;임사비나
    • 대한한의학회지
    • /
    • 제27권1호
    • /
    • pp.57-77
    • /
    • 2006
  • Objectives : The purpose of this study is to review research papers published by Korean research groups on biophoton of human beings based on experiment subject and methodology. Methods : In order to review human biophoton research executed in Korea, all the papers published in Korean and international journals by Korean research groups were selected. Several key foreign papers were also reviewed for clarification of this study. Based on experiment subjects, experiment methodology, and interpretation of experiment results were analyzed. On each experiment, its original interpretation was directly quoted. Issues on the experiment methodology and interpretation were expressed at the end of each subject. Results and Conclusions : We found that experiments on human biophoton were compelling. However it seemed that more experiments, especially on their sample sizes, are needed to demonstrate its clinical application. Interpretations based on Korean traditional medicine also need to be elaborated more. In order to do accomplish clinical application of biophoton, interdisciplinary works are required. Some suggestions on biophoton experiments were made.

  • PDF