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Survey of the Perception of School Doctor Program of Korean Medicine according to the use of Korean Medicine - Focused on Elementary School Sex Education (학부모의 한의약 이용 경험에 따른 한의사 교의사업에 대한 인식 조사 - 초등학교 성교육을 중심으로)

  • Jeong-Su, Park;Hyun, Kyung, Sung;Ho-Yeon, Go;Seung Hwan, Lee;Sea Yun, Lee;Seon Mi, Shin
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.3
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    • pp.41-48
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    • 2022
  • Objectives : This study aimed to investigate the adequacy and satisfaction of the school doctor program of Korean medicine (especially sex education) for elementary school students, to examine differences in parents' perception or satisfaction according to the use of Korean Medicine. Methods : The participants were parents of one elementary school that provided sex education as the Seoul school doctor program of Korean medicine. A self-reported online survey was conducted. The questionnaire consisted of parents and children's experience in using Korean medicine, perception of the school doctor program of Korean Medicine, evaluation and satisfaction of school sex education. Results : The survey was conducted on May 14th, 2022 during the school doctor program of Korean Medicine briefing session. A total of 92 parents participated in the survey, and the 88 respondents analyzed who voluntarily gave consent. Of the experience of Korean Medicine, 71 parents (80.68%) had lifetime, 16 (18.18%) respondents had within the last three months, and 40 (45.45%) said their children had. Parents' experience of using Korean medicine was related to that of their children's, but there was no difference in the satisfaction the school doctor program of Korean Medicine. Conclusions : The survey showed that parents of an elementary school where Korean Medicine doctors carried out school doctor program evaluated that the school doctor program of Korean Medicine had a positive effect on students' health. There was no difference between parents' satisfaction on school doctor program by the use of Korean medicine.

Bacteriological Study about the Death of Cultured Doctor Fish, Garra rufa in the Aquarium

  • Lee, Ji-Yoon;Gang, Nam-I;You, Jin-Sol;Ko, Chang-Yong;Lee, Ki-Won;Han, Won-Min;Kim, Eunheui
    • Journal of Marine Life Science
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    • v.1 no.1
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    • pp.18-24
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    • 2016
  • Since April 2012, doctor fish in the breeding tank and in the quarantine tank in Hanwha Aquaplanet Yeosu Aquarium have been dying, accompanied by diffuse bleeding around the mouth, in the chin, and at the bottom of the abdomen. In this study, the cause of death would be examined through the bacteriological study of doctor fish and the rearing water quality in the aquarium. The water quality and the bacterial counts of the rearing water in the exhibit tank and in the quarantine tank were analyzed once a week, starting from August to November 2014. Water quality was measured based on the following data: temperature was in the range of 24.5~26.8℃, pH at 6.77~7.94, DO at 6.15~8.61 ppm, ammonia at 0~0.93 ppm, nitrite at 0.009~0.075 ppm, and nitrate at 1.1~40.9 ppm. Studies revealed that the differences in these water quality factors were not related to the death of doctor fish. Bacterial counts in the rearing waters of Garra rufa slightly increased to 103~104 CFU/ml, just before the death of the doctor fish. Twelve strains of bacteria were isolated from the dead fish and rearing waters. The isolates were identified as Aeromonas veronii, Citrobacter freundii, Pseudorhodoferax aquiterrae, Shewanella putrefaciens, and Vibrio anguillarum on the basis of 16S rRNA gene sequences. The most dominant species was C. freundii, which showed medium sensitivity to florfenicol and norfloxacin, and was resistant to amoxacillin, doxycycline, oxytetracycline, tetracycline, and trimethoprim. Ten isolates were confirmed to be pathogenic to the doctor fish. Doctor fish infected with C. freundii and S. putrefaciens showed high mortality in the experimental groups. These results indicate that the variation in bacterial numbers in the rearing water was related to the death of doctor fish. C. freundii and S. putrefaciens were directly implicated in causing the death of doctor fish in the aquarium.

A study for effectiveness of senior center visiting Korean Medicine doctor program (찾아가는 한의사 주치의 사업 성과분석 연구)

  • Park, Jeong-Su;Shin, Seon Mi;Kim, Hyo-Sun;Sung, Hyun Kyung;Go, Ho-Yeon
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.1
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    • pp.61-67
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    • 2018
  • Objectives : The purpose of this study was to examine the effectiveness and satisfaction of visiting Korean Medicine doctor program. Method : The senior center visiting Korean Medicine doctor program was conducted in ten senior centers in Seongnam city from April 2016 to December 2016. Korean Medicine doctors were assigned senior center one by one. The program consisted of health lectures and health counseling. The health lectures embraces stroke, musculoskeletal disease, dementia, depression and self care for the elderly Results : A total of 194 elderly persons participated the program. The self-health awareness level were changed from $50.86{\pm}25.31$ to $57.17{\pm}24.62$ (p-value=0.003). The physical pain level was decreased from $5.33{\pm}2.99$ to $5.04{\pm}2.86$. The quality of life were changed from $0.791{\pm}0.155$ to $0.792{\pm}0.144$ (p-value=0.923). Overall satisfaction of visiting Korean Medicine doctor program was $9.36{\pm}2.11$. The need for sustainability for visiting Korean Medicine doctor program was $9.76{\pm}0.60$. Conclusions : The study demonstrated that visiting Korean Medicine doctor program had a positive effect on the health awareness level. The overall satisfaction and further need were high. Further program for senior center will be needed.

BAYES EMPIRICAL BAYES ESTIMATION OF A PROPORT10N UNDER NONIGNORABLE NONRESPONSE

  • Choi, Jai-Won;Nandram, Balgobin
    • Journal of the Korean Statistical Society
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    • v.32 no.2
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    • pp.121-150
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    • 2003
  • The National Health Interview Survey (NHIS) is one of the surveys used to assess the health status of the US population. One indicator of the nation's health is the total number of doctor visits made by the household members in the past year, There is a substantial nonresponse among the sampled households, and the main issue we address here is that the nonrespones mechanism should not be ignored because respondents and nonrespondents differ. It is standard practice to summarize the number of doctor visits by the binary variable of no doctor visit versus at least one doctor visit by a household for each of the fifty states and the District of Columbia. We consider a nonignorable nonresponse model that expresses uncertainty about ignorability through the ratio of odds of a household doctor visit among respondents to the odds of doctor visit among all households. This is a hierarchical model in which a nonignorable nonresponse model is centered on an ignorable nonresponse model. Another feature of this model is that it permits us to "borrow strength" across states as in small area estimation; this helps because some of the parameters are weakly identified. However, for simplicity we assume that the hyperparameters are fixed but unknown, and these hyperparameters are estimated by the EM algorithm; thereby making our method Bayes empirical Bayes. Our main result is that for some of the states the nonresponse mechanism can be considered non-ignorable, and that 95% credible intervals of the probability of a household doctor visit and the probability that a household responds shed important light on the NHIS.

Evaluation for Satisfaction of Doctor Coaching Program (의사코칭 프로그램의 만족도 평가)

  • Na, Hyun Sook;Kwon, Young Dae;Noh, Jin-Won
    • The Journal of the Korea Contents Association
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    • v.14 no.12
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    • pp.895-903
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    • 2014
  • Medical communication has the effect of increasing the patient's medical treatment satisfaction and medical facility revisit rate through better understanding of the patient, and decreasing the medical law suit rate. One of the methods to enhance medical communication is through doctor coaching. Doctor coaching is a series of coaching procedure that helps the doctors have a better understanding with the patients by enhancing the communication skills of the doctors. The current study analyzed the effect 'coach and coatee's relationship', 'coaching per se', and 'coaching activity' have on coaching satisfaction. As the result, 'coaching activity' related to the coaching program showed the most influence on the coaching satisfaction On the other hand, 'coach and coatee's relationship' and 'coaching per se' did not show any significant influence while 'coach and coatees relationship' even showed negative correlations. Such result gained agreement amongst the doctors about the medical communication enhancement and necessity of doctor coaching and it also implies that intensifying the coaching qualifications and professionalism is necessary for the doctor coaching model. The coach should not only have knowledge regarding the doctor(medical??) communication, but also should endeavor to obtain understanding and knowledge about coaching strategies.

An Importance-Performance Analysis of the Healthcare Reform on a Doctor-Designation System - Focused on the Perception of Medical Providers' at Tertiary Hospital in Seoul - (선택진료제도 개편에 대한 중요도-성취도 분석(IPA) - 서울시내 상급종합병원 의료종사자 인식을 중심으로 -)

  • Park, Hye Jin;Kim, Hyo Jeong;Kim, Young Hoon
    • Korea Journal of Hospital Management
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    • v.23 no.1
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    • pp.28-40
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    • 2018
  • Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

Study on the awareness of school doctor of Korean medicine in Middle School (중학생, 교사, 학부모 대상 한의사 교의 사업 인식도 조사)

  • Lee, Seung Hwan;Kim, Kyu Bum;Kim, Me-riong;Kim, Changsoo;Son, Hyoungwoo;Jang, Bo-Hyoung;Shin, Yong-Cheol;Ko, Seong-Gyu
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.3
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    • pp.51-63
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    • 2017
  • Objectives : The objective of this study was to establish the direction of school doctor of Korean Medicine. Methods : In 2017, 630 middle school students, 212 teachers, and 294 parents participated in the survey. Frequency analysis and Chi square were used for statistical analysis. Results : The students' perception was relatively high for school physicians, but parents and teachers were not as high as 71.6% and 72.3%, respectively. The students had the most education experience of 'drug abuse, smoking, alcohol prevention'. All students, teachers, and parents were selected as priority for "daily life and health" in the field of health education. 85.6% of students, 95.3% of parents, and 89.4% of teachers answered "helpful" and "very helpful" as health education by Korean medicine doctor. The students', teachers', and parents' wishes for health education by school doctor of Korean Medicine were 'good way to grow in health'. Conclusions : Middle school students, teachers, and parents are all interested in school doctor of Korean Medicine. They should find out what they want and need and reflect on the health education program of middle school students.

A Study on Problem Identification and Diagnosis from Virtual Network (가상 네트워크 망으로부터 문제점 식별 및 진단에 관한 연구)

  • Kim, Jeong-Su
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.8
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    • pp.67-78
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    • 2010
  • Various services such as IPTV, VoIP, multimedia over IP, on-line payment, on-line game, etc. were made possible due to the rapid advance of the network. In order to provide secure and seamless services over the network, the Internet service providers are performing continuous network monitoring using NMS. The main function of NMS is to perform a diagnosis to identify the potential causes of failure from event messages. In this paper, a simulation tool, named as NetDoctor, is presented which is capable of identifying and diagnosing the potential problems in the virtual network, before the network model is constructed. In NetDoctor, a series of various and artificial failure is imposed on the virtual network, and it was analyzed if NetDoctor could identify the problems. The experimental results on virtual network show that the developed tool is very effective in identifying and diagnosing the problems. The presented simulation tool can be used in the design of robust network.

Human Environment for being a Great doctor - from case to construction - (훌륭한 의사를 기르는 인적환경 - 사례에서 구조까지 -)

  • Ryue, Soo-hee
    • Korean Medical Education Review
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    • v.9 no.2
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    • pp.57-66
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    • 2007
  • Purpose How can be a great doctor with excellence and ethics? In this study, I wanted to find out the characteristics of human environment to make a great doctor. Methods: First, I researched factors and construct of the human environment. So I conceived a model for analyzing human environment with two construction model : Howard Gardner's System Model and Bron-fenbrenner's ecological systems model. Second, I analyzed the life of the Oliver R. Evison M.D. and Ki Ryu Jang M.D. Oliver R. Evison was the pioneer of medicine of Korea and establisher of the Severance Hospital and medical college. Dr KiRyu Jang, who was called 'Schweitzer of Korea', was a good doctor of the poor and weak patients in Korea. Third, I tried to find out a new human environment model to make a great doctor. Results One model for analyzing human environment was made of relationship based on emotion. relationship teaching knowledge and skill, and relationship communicating on value. In the light of analyzing of two great doctors. Oliver R. Evison M.D. and KiRyu Jang M.D, I found out special interrelationship, Hardie, Allen, Severance for Evison, Kyosin Kim, Kyucheol Choi etc. for Ki Ryu Jang These special people were religious actors or social thinkers. Conclusions: To be a great doctor to excel and innovate medical field, medical students should have the chance to meet with people based on religious, ethical and social action, discuss on value across social fields, and can construct the idea to make and realize higher value of medical action. In sum, another important human environment for medical students would be a person who could be communicate with true value.

Conservation Treatment and the Development of a Relics Filling Pad to Maintain the Shape of a Doctor's Coat Worn by Seo Jae-pil, the National Registered Cultural Heritage No. 607 (국가등록문화재 제607호 서재필 진료가운 보존처리와 유물 충전재 개발)

  • Lee, Ryangmi;An, Boyeon;Jun, Eunjin
    • Journal of the Korean Society of Clothing and Textiles
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    • v.45 no.3
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    • pp.409-422
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    • 2021
  • A doctor's coat worn by Seo Jae-pil (1864-1951)-National Registered Cultural Heritage No. 607-was conserved with wet cleaning to remove thick wrinkles and brown stains that had been present for a long time. This paper also applied microscopic observation and infrared spectrophotometric analysis to obtain scientific investigation data on the cotton fabric of this doctor's coat. Information about Seo Jae-pil's time as a doctor, the process of changing his English name, and C.D.Williams & Co., which produced the medical coat, revealed that this doctor's coat was worn by Seo Jae-pil between 1892 and 1898 or 1926 and 1939. Additionally, this paper proposes a pad for filling relics that can protect the shape of modern and contemporary clothing, such as Seo Jae-pil's doctor's coat, for display at a museum site. Specifically, this research provides detailed information on the manufacturing of filling pads that can prevent damage to modern and contemporary jackets and coats so that they can be used in the cultural heritage field by developing filling materials for three-dimensional costume artifacts.