• 제목/요약/키워드: access to medicine

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소아에서 후두 마스크를 이용한 기관지이물 제거 경험 1예 보고 (A Case of Bronchial Foreign Body Removal During Trans-Laryngeal Mask Airway Fiberoptic Bronchoscopy)

  • 서지원;김종렬;박규호;강준구;최진
    • Tuberculosis and Respiratory Diseases
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    • 제44권6호
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    • pp.1433-1439
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    • 1997
  • 소아에서 기관지내 이물은 드물지 않게 접하는 질환이 나 본 예의 환자의 경우와 같이 소아에서 후두 마스크를 사용하여 기관절개술(tracheostomy)을 회피하고 기관지 이물을 제거한 경험예는 현재까지 아직 발표된 바 없고, 아직까지도 마취과의사를 제외한 다른 진료분야의 의사들에게는 후두 마스크가 널리 알려져 있지 않기에 저자들은 후두 마스크를 사용하여 굴곡성 기관지경으로 기관지 이물을 성공적으로 제거한 1례를 문헌고찰과 함께 보고하는 바이다.

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일본의 '유전자원 접근 및 이익 공유(ABS)'에 관한 최근 동향 - "나고야의정서"의 채택과 관련하여 - (Recent Trends in Access to and Sharing of the Benefits of Genetic Resources (ABS) in Japan - in connection with the adoption of the Nagoya Protocol)

  • 이민호
    • 한국한의학연구원논문집
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    • 제18권2호
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    • pp.1-16
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    • 2012
  • Objectives : The 10th Conference of the Parties to the Convention on Biological Diversity (COP 10) was held in Nagoya, Japan in October 2010, during which an international convention on access to genetic resources and conventional knowledge and sharing of benefits thereof was adopted. The Oriental Medicine field uses medicinal herbs based on genetic resources, as well as traditional knowledge about genetic resources. As such, if Korea, China and Japan compete over the ownership of such traditional knowledge, it will almost certainly trigger disputes over the payment of royalties among other problems. Notably, since the traditional medicine industry is closely related with China, it is highly likely this will adversely affect Korea's production of medicines using natural materials, including Korean herbal doctors' prescription, formulation and preparation of medicinal herbs. Methods : This study also analyzed the recent situation in Japan, which is the chair nation of the Nagoya Protocol and a member nation like Korea. It analyzed the Japanese people's awareness of the Nagoya Protocol and its strategies in the two years since its adoption, as well as the Guidelines for Genetic Resources, which were newly revised in 2012. Conclusions : The Nagoya Protocol requires the preparation of legislative and administrative measures and policies in order to pave the way for sharing the benefits deriving from the use of genetic resources and the relevant traditional knowledge with the providers of such resources. Thus, corresponding domestic legal measures need to be taken. Such measures include the refining of the procedure of accessing genetic resources, the designation of liaison offices, a competent agency and a supervisory agency, and the building of a system designed to issue internationally acknowledged certificates. It is also important to operate related professional consulting offices, as is the case in Japan. In addition, in the case of genetic resources, there is a need to seek multinational and bilateral cooperation including free trade agreements. Regarding traditional knowledge about genetic resources, measures need to be prepared to enable the three East Asian countries, namely, Korea, China and Japan, to commonly use ancient literature on Oriental medicine and to claim exclusive rights to such intellectual properties. Notably, with China now moving to expand the scope of traditional knowledge through the WIPO, Korea needs to prepare response measures.

Clinical experience with single-port access laparoscopic cystectomy and myomectomy

  • Jeong, Jae-Hyeok;Kim, Yu-Ri;Hong, Kil-Pyo;Ha, Jae-Eun;Kim, Eun-Jeong;Hong, Da-Kyo;Lee, Kyu-Sup
    • Clinical and Experimental Reproductive Medicine
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    • 제43권1호
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    • pp.44-50
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    • 2016
  • Objective: This study was performed to assess our clinical experience with single-port access (SPA) laparoscopic cystectomy and myomectomy and the surgical outcomes of those procedures at our institution. Methods: The authors evaluated the surgical outcomes of SPA laparoscopic cystectomy in 293 patients and SPA laparoscopic myomectomy in 246 patients. The surgical outcomes comprised operation time, the amount of blood loss during the operation, the change in hemoglobin (before and after the operation), the change in hematocrit (before and after the operation), switching to the multi-port access method, complications, transfusions, and the duration of the postoperative hospital stay. Results: The Pearson correlation coefficient and the Spearman correlation coefficient between the operation time and the amount of blood loss were 0.312 and 0.321 for SPA laparoscopic cystectomy, respectively, and 0.706 and 0.674 for SPA laparoscopic myomectomy, respectively. The drops in hemoglobin and hematocrit were $1.33{\pm}0.78g/dL$ and $4.14%{\pm}2.45%$, respectively, in SPA laparoscopic cystectomy, while the corresponding figures were $1.34{\pm}1.13g/dL$ and $4.17%{\pm}3.24%$ in SPA laparoscopic myomectomy, respectively. Conclusion: This study reported the surgical outcomes of SPA laparoscopic cystectomy and myomectomy and compared them to previously published findings on traditional laparoscopic cystectomy and myomectomy. No significant differences were found in the surgical outcomes between SPA and traditional laparoscopic cystectomy and myomectomy.

Feasibility of Percutaneous Pancreatic Stent Placement in Postoperative Pancreaticojejunostomy Stenosis

  • Juil Park;Kichang Han;Joon Ho Kwon;Man-Deuk Kim;Jong Yun Won;Sungmo Moon;Gyoung Min Kim
    • Korean Journal of Radiology
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    • 제24권12호
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    • pp.1241-1248
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    • 2023
  • Objective: To evaluate the role of percutaneous pancreatic stent placement in postoperative pancreaticojejunostomy stenosis (PJS). Materials and Methods: This retrospective single-center study included seven procedures in five patients (four males and one female; median age, 63 years) who underwent percutaneous pancreatic stent placement for postoperative PJS between January 2005 and December 2021. The patients were referred to interventional radiology because of unfavorable anatomy or bowel abnormalities. The pancreatic duct was accessed under ultrasound and/or computed tomography guidance. A stent was placed after balloon dilatation of the PJS. Moreover, plastic stents were placed for the first two procedures, whereas bare-metal stents were used for the remaining five procedures. Technical success was defined as the successful placement of stents for the PJS, meanwhile, clinical success was defined as the normalization of pancreatic enzymes without recurrence of pancreatitis. Results: Pancreatic duct access and stent placement were successfully performed in all patients (technical success rate: 100%). All the procedures initially yielded clinical success. However, recurrence of pancreatitis was observed after two procedures that used plastic stents because of stent migration at 0.3 and 3 months after the procedure. In contrast, no instances of recurrent pancreatitis were noted after metal stent placement for a follow-up duration of 1-36 months. No serious procedure-related adverse events were observed. Conclusion: Percutaneous pancreatic stent placement may be a viable option for patients with postoperative PJS in whom an endoscopic approach is not feasible. Metal stents may be considered over plastic stents for the management of PJS, considering the possible lower stent migration and infeasibility of frequent endoscopic stent exchange due to the altered anatomy.

한의학 연구자를 위한 시스템 생물학 학습 가이드 (Guide to Learning Systems Biology for Korean Medicine Researchers)

  • 김창업
    • 동의생리병리학회지
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    • 제30권6호
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    • pp.412-418
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    • 2016
  • The emergence of systems biology in the 21st century is changing the paradigm of biomedical research. Whereas the reductionist approaches focus on components rather than time or contexts, systems biology focus more on interrelationships, dynamics, and contexts. The key ideas of the systems biology shares much with the philosophy of Korean Medicine(KM) and therefore, the paradigm shift is shedding light on understanding the mechanism of action of KM at system level. In this article, I provide a guide to learning systems biology for KM researchers using online learning resources. Thanks to the recent development of MOOC(massive open online courses) and other online learning platforms, learners can access to plenty of high-quality resources from top-tier universities in the world. I expect this guide help researchers to employ systems biology methods into their KM researches, and will lead to the development of future curricula for training "bi-lingual" experts, KM and computational approaches.

A Literature Analysis on Medicinal Use and Research of Cannabis in the Meiji Era of Japan

  • Ahn, Byung-Soo;Kang, Seokhyun;Lee, Kyung Hoon;Kim, Seoyoon;Park, Jin Sung;Seo, Hyung-Sik
    • 대한약침학회지
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    • 제23권3호
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    • pp.142-157
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    • 2020
  • Cannabis is a historical plant which has been used as a medicine in East Asia. These days, there are active debates about using cannabis in clinical field. Collecting and comparing cannabis research articles which had been published in the Opening of Japan to spot the interactions between the traditional medicine of Japan, Rangaku which was established in Edo Period and the European medicine which is transferred after Perry Expedition is academically meaningful. This study searched publications, which were listed on Open-Access databases by Dec. 11th, 2019. We collected research articles which had been published from January 3rd, 1867 to July 30th, 1912 also known as Meiji era and uploaded on OpenAccess databases. Our searching databases were J-stage, CiNii (Scholarly and Academic Information Navigator), Tokyo Metropolitan Library, The National Diet Library, IRDB (Institutional Repositories DataBase) and KAKEN (Grant-in-Aid for Scientific Research Database). Searching keywords were cannabis, hemp and all their Japanese synonyms and available combinations. We selected final 15 studies which met every selection criteria in the 346,393 collected studies. Cannabis was prescribed in Meiji era of Japan to alleviate pain and cure the digestive, respiratory, urinary, and nervous system diseases such as indigestion, asthma, tuberculosis, gonorrhea and its complications, insomnia, and nervous prostration. Cannabis was medically used in Meiji era of Japan and the reporting and sharing of its clinical effect was published on the medical journals like present days. There were already Cannabis regulations in that era, but its medicinal use was more liberated than nowadays. It may be a chance to reconsider the current legal system, which strictly controls the use of Cannabis.

웹기반 교육에 관한 연구 (A Study on Web-Based Education)

  • 고성규;신용철
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.113-120
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    • 2007
  • The Internet is increasingly changing our lives and enables the ordinary person to have access to never-ending quantities of information and knowledge. Technology and the Internet empower individuals and facilitate a more active role in the educational process. The webcast is a media file distributed over the Internet using streaming media technology and is used extensively in the commercial sector for investor relations presentations, in e-learning, and for related communications activities. And relating to computers, technology, and news are particularly popular and many new shows are added regularly. Especially e-learning is a general term used to refer to computer-enhanced learning and has the ability to level the learning playing field. So that the e-learning experience will be second nature to the growing Internet population. And this study intends to develop web-based education.

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설문 최적화를 통한 개방형 웹 변증 시스템 개발 (Development of a Web Based Pattern Identification System with Questionnaire Optimization)

  • 이재철;진희정
    • 동의생리병리학회지
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    • 제27권6호
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    • pp.827-831
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    • 2013
  • This study aims to develop a pattern identification system (PIS) for general users to check up their body condition. We collected previous 3 PI questionnaires, with internal consistency reliability or validity of the diagnosis by experts, through a field test. For defining weights of pattern indices, we applied the analytic hierarchy process (AHP) method with 11 experts. PIS receive two kinds of symptoms of users : body region based symptoms and core symptoms for PIS. PIS suggest possible patterns and health information on the basis of selected symptoms with analysis by AHP. This study showed PIS could be easily used for general user who wants to access Korean Medicine compared to conventional PI system. Furthermore, it could be utilized with mobile environment or as remote medicine care.

Neural correlations of familiar and Unfamiliar face recognition by using Event-Related fMRI

  • Kim, Jeong-Seok;Jeun, Sin-Su;Kim, Bum-Soo;Choe, Bo-Young;Lee, Hyoung-Koo;Suh, Tae-Suk
    • 대한자기공명의과학회:학술대회논문집
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    • 대한자기공명의과학회 2003년도 제8차 학술대회 초록집
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    • pp.81-81
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    • 2003
  • This event-related fMRI study was to further our understanding about how different brain regions could contribute to effective access of specific information related to cognitive process and shows the different response of brain regions involved in recognition of familiar faces compared to unfamiliar faces and repetition effect.

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한국에서 자살방법 접근 제한을 통한 자살예방전략 (Suicide Prevention Strategy by Restricting Access to Suicide Methods in Korea)

  • 홍진표;박수빈;최순호;이수정;박종익;하규섭
    • 대한불안의학회지
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    • 제8권1호
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    • pp.41-49
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    • 2012
  • Introduction : Suicide in Korea has increased to 31.2 persons per 100,000 population, the world's highest level. Suicide is the 10th leading cause of death in the world, but in Korea, it is 4th leading cause of death. Therefore suicide is a serious problem in Korea. Many suicide prevention strategies have been proposed. Despite efforts to prevent suicides in Korea, a steady increases in the number of suicides has been brought into question the effectiveness of suicide prevention activities in Korea. Methods : Strategy of restricting suicide methods in many countries was reviewed. Systematic approach to restrict suicidal methods in Korea is proposed. Results : Restricting suicide methods is one of the effective suicide prevention strategies employed in the UK and other countries. Since many suicides occur impulsively, suicide attempt lethality is an important factor in determining the rate of deaths in suicidal attempts. Physical restriction of suicide methods is important in preventing suicide, but restriction of cognitive access to information about suicide and suicide method is more important in preventing suicide. In particular hanging is one of the most common methods of suicides in Korea, it is crucial to develop strategies to prevent suicide by hanging cognitively. Also information about suicide should be properly controlled. To do this, suicide news reporting guidelines should be observed, and website makers whose websites provoke thoughts about suicide should be more strictly sanctioned. Conclusion : Restricting suicide methods along with other suicide prevention plans may be the most effective way to prevent suicide in Korea.