• 제목/요약/키워드: clinical meaning

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하법(下法)을 위주로 살펴본 『상한구십론(傷寒九十論)』 의안(醫案)의 교육적 의의 고찰 (A Study on the Educational Meaning of Medical Records written in Shanghanjiushilun Focusing on Purgation Therapy)

  • 안진희
    • 대한한의학원전학회지
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    • 제31권2호
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    • pp.105-126
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    • 2018
  • Objectives : This paper aims to study the educational meaning of Shanghanjiushilun in Shanghanlun education focusing on purgation therapy. Methods : Clinical medical records in Shanghanjiushilun associated with purgation therapy were chosen, analyzed and its educational meaning was studied. Results & Conclusions : 1. Xushuwei's clinical medical records are significant as it helps the readers think of various disease mechanisms by not omitting mistreatment of the other doctors. 2. Xushuwei's clinical medical records are significant as it helps the readers become aware of the importance of a differential diagnosis through questions and answers. 3. Xushuwei's clinical medical records are significant as it helps the readers avoid looking at one side of things through taking a comprehensive look at disease syndrome in various fields. 4. Xushuwei's clinical medical records are significant as it helps the readers escape unreasonableness by suggesting practical aspect managing the patient. 5. Xushuwei's clinical medical records are significant as it enable the readers to draw a new disease mechanism interpretation by making up for explanations of the pathogenesis quoting medical classics. 6. Consequently, in learning and teaching Shanghanlun, Xushuwei's clinical medical records have enough educational meaning as mentioned above.

표준 의학용어 체계에서의 효과적인 용어 검색 방안 (Effective Searching of Clinical Terms from Standard Clinical Terminology)

  • 류우석
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2014년도 춘계학술대회
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    • pp.323-325
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    • 2014
  • SNOMED CT는 임상 과정에서의 진료 기록을 전산화하고 이를 효율적으로 관리 및 활용하기 위한 종합적 표준 임상 의학용어 체계이다. 그러나 이는 표현 가능한 용어의 종류가 지나치게 많음에 따라 환자 상태를 표현하는 가장 적합한 용어를 짧은 진료 시간 내에 선택하여 기록하기가 어렵고, 또한 한가지 임상적 의미가 다양한 용어 및 그 조합으로 표현될 수 있음에 따라 의무기록의 작성시 그 의미가 왜곡되거나 잘못 해석될 여지가 발생한다. 본 연구에서는 이러한 문제점들을 분석하고 이를 해결하기 위한 중복 용어 선택 기법을 제시한다.

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치간솔의 임상적 활용방법과 의미 (Clinical application method and the meaning of interdental brush)

  • 조현재
    • 대한치과의사협회지
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    • 제55권2호
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    • pp.166-171
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    • 2017
  • Periodontitis is the major concern of oral disease to human, and begins in the interdental area. The aim of this study is to discuss the clinical application method and the meaning of interdental brush. It is very difficult to change oral health behaviors, because patients believe that it is enough that the reason of tooth brushing is to remove food debris, not dental biofilm. Moreover, there are several barriers for using interdental brush. For the better oral health and maintenance of dental prosthesis, it is very important to motivate the use of the interdental brush well, and teach the desirable design of the interdental brush and the clinical meaning to patients.

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기경팔맥(奇經八脈)의 특징과 임상적 의의 연구 (A study of clinical meaning and characteristic of Eight extra meridians(奇經八脈))

  • 손인철
    • Korean Journal of Acupuncture
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    • 제25권1호
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    • pp.39-50
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    • 2008
  • Objectives : The purpose of this study was to inquire clinical meaning and characteristic of Eight extra meridians(奇經八脈) by researching building and progression of Eight extra meridians theory. Results : As a result of research of building and progression of Eight extra meridians(奇經八脈) theory, we can regard that the origin of Eight extra meridians was based on lower Danjeon(丹田) which was the root of Primordial energy and the origin of the Twelve meridians and collaterals(十二經脈) was based on Middle energizer which was the root of Acquired energy. On this, we could know that Eight extra meridians and the Twelve meridians and collaterals are based on Primordial energy and Acquired energy and function of Eight extra meridians and the Twelve meridians and collaterals are complement each other. So, we can say that considering the Twelve meridians and collaterals means that is valued on Acquired energy clinically, and considering Eight extra meridians means that is valued on Primordial energy in health preserving method (養生).

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임상실습 내실화를 위한 일례 연구: 학생 경험 중심으로 (Evaluating Methods of Reinforcing the Clinical Clerkship)

  • 최손환;정한별
    • 의학교육논단
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    • 제17권3호
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    • pp.122-130
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    • 2015
  • This study evaluated the meaning of the clinical clerkship through in-depth interviews with students who had experienced a clinical clerkship. The clinical clerkship is one of the most important steps in the curriculum for becoming a doctor. While students perform actual clinical practice, the experience also reinforces a great deal of medical knowledge and competence as a reserve doctor. However, departments that operate inefficiently have caused some problems. Therefore, this study analyzed the data from interviews of 25 students who finished the clinical clerkship in terms of the meaning of the clinical clerkship, the attitude of the students toward work in clinical practice, the attitude of professors toward the clinical clerkship, benefits, and drawbacks. Comments are feedback from a student's experience in the clinical clerkship, and they may be an important resource illuminating the current status of clinical practice. This study also discusses how to run an effective clinical clerkship by checking in with students on the problems they face in clinical practice.

『상한론(傷寒論)』 맥(脈) 및 기타 조문(條文)의 고문자학적(古文字學的) 해석(解釋)을 통한 본원적(本源的) 의미(意味) 고찰(考察) (The Fundamental Meaning of Mai and Shanghanlun Provisions Based on Paleography)

  • 노영범;이지환;하현이
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.1-14
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    • 2015
  • Objectives : The purpose of this study is to show the importance of Shanghanlun(傷寒論) paleography. Shanghanlun(傷寒論) must be thoroughly reinterpreted through graphonomy evidence. Methods : The object of this study is Gangpyeong-Shanghanlun(康平傷寒論), which is known as the oldest edition of Shanghanlun(傷寒論). This study compares the paleographic meaning of Shanghanlun(傷寒論), Mai(脈), Shanghanlun provisions 96 and 103 to existing interpretations. Results : Mai(脈) doesn't mean 'Radial pulse(Chon.Gwan.Cheok)' in Shanghanlun(傷寒論), so the meaning of Mai(脈) should be redefined. Mai(脈) means 'Continuous movement of human body' based on Chinese paleography. Also it's being verified as reasonable hypothesis in recent clinical researches. In addition, Shanghanlun(傷寒論) paleography makes it possible to grasp the true intention of Zhang Zhongjing(張仲景). Conclusions : Shanghanlun(傷寒論) paleography has a limit that it cannot be perfectly applied to clinical diagnosis. Also, it may not represent the whole meaning of Shanghanlun (傷寒論). Therefore, the value of Shanghanlun(傷寒論) reinterpretation should be recognized through this study, and we should continuously find out future values from Shanghanlun(傷寒論).

『강평상한론(康平傷寒論)』 맥(脉)에 관한 고찰: 임상 증례 분석 및 고문자학적 해석을 통하여 (A Conceptual Study of "Mai (脉)" in Gangpyeong-Shanghanlun Based on Comparative case analysis and Paleography)

  • 조성환;하현이;윤효중;박재경;허주;이성준
    • 대한상한금궤의학회지
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    • 제15권1호
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    • pp.1-52
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    • 2023
  • Objective : The objective of this study was to explore the meaning of Mai (脉) in the fifteen letters provisions of Gangpyeong-Shanghanlun through the comparative analysis of 10 cases and paleography. Methods : We have collected 10 cases that have been diagnosed and treated by Gangpyeong-Shanghanlun Mai (脉) provision. And then, comparative analysis has been done among those 10 cases. Based on result of case analysis, paleographic meaning of each Mai (脉) have been studied to redefine Gangpyeong-Shanghanlun Mai (脉)'s meaning. Results : After administration of Mai (脉) provision's herbal medicine, all 10 patients recovered their mobility problem and pain. From this result, we could fomulate the hypothesis that Mai (脉) in Gangpyeong-Shanghanlun could mean mobility problems. After through further paleography studies, we could elaborate each Mai (脉)'s clinical meaning and related diseases. Conclusions : Mai (脉) in Gangpyeong-Shanghanlun could mean mobility problems caused by various diseases, which include musculoskeletal pain, neuropathy, syncope, fatigue, developmental disability and major depressive disorder.

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응급구조과 학생의 임상실습 중 경험한 죽음의 의미에 대한 질적 연구 (A qualitative study on the meaning of death experienced by paramedic students during clinical practice)

  • 김무현;이정은
    • 한국응급구조학회지
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    • 제27권1호
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    • pp.43-58
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    • 2023
  • Purpose: This study explored the values and attitudes toward the death of paramedic students. It comprehensively investigated paramedic students' first encounters with death during their clinical practice. Methods: Between December 2022 and January 2023, in-depth interviews were conducted with seven paramedic students who underwent clinical practice. Their experiences with death and grievances were explored by applying Colaizzi's (1978) phenomenological research method. Results: After exploring and analyzing the collected data, the context and meaning of the phenomenon were integrated. Resultingly, five major categories and 16 subcategories were derived. Conclusion: Universities should introduce a practical curriculum on experiences with death to reduce the negative emotions associated with death that paramedic students experience during their clinical practice and convert them into opportunities for reflection and growth.

『상한론(傷寒論)』 '현(弦)'에 대한 고찰 : 소시호탕가감방(小柴胡湯加減方)을 이용하여 치료한 증례 2례에 근거하여 (A Conceptual Study on 'Hyun(弦)' in Shanghanlun : Based on 2 Cases Treated by Modified Soshiho-tang (Xiao-chai-hu-tang in China and Syo-saiko-to in Japan))

  • 허주;이성준
    • 대한상한금궤의학회지
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    • 제15권1호
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    • pp.117-130
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    • 2023
  • Objective : The objective of this study is to explore the meaning of 弦 in Shanghanlun through analyzing two cases. Methods : Two cases treated with modified Soshiho-tang, which is administrated when 弦 aggravates chief complaints, were analyzed. All of the cases were diagnosed by disease pattern identification diagnostic system based on Shanghanlun Provisions. Results : The patients' chief complaints of all 2 cases were improved after administration of modified Soshiho-tang. As pulling symptom was reduced in all 2 cases, patients' disease were relieved. Through the etymological research and clinical treatment results, the clinical meaning of 弦 is deduced as 'pulling'. Conclusions : The etymological and clinical analysis suggest that the concept of '弦' maybe defined as 'pulling' in Shanghanlun.

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한국의학사(韓國醫學史)에서의 의안연구(醫案硏究)의 필요성(必要性)과 의의(意義) (The Need and Meaning of Studying Medical Records in the Korean Medical History)

  • 김남일
    • 한국의사학회지
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    • 제18권2호
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    • pp.189-195
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    • 2005
  • Medical Records are the clinical chronicles of Korean Medicine. It not only has value as historical documentation, but also has value in clinical use. If studies of medical records that contain specific methods for tackling diseases are accompanied, it will be easier to clearly see the internal development process of Korean Medical History. This paper was written in order to achieve these goals by reporting the thoughts on the necessity and meaning of studying Medical Records.

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