• Title/Summary/Keyword: extramural

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Characteristics of Korean Medicine Clinic Affecting the Form of Extramural Herbal Dispensaries - Focusing on the 2021 Korean Herbal Medicine Consumption Survey (원외탕전 형태에 영향을 미치는 한의원의 특성 - 「2021 한약소비실태조사」를 중심으로)

  • Hyunmin, Kim;Jihyeon, Lee;Yooseon, Park;Jong-hyun, Kim;Eunji, Ahn;Bong Hee, Hong;Dongsu, Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.3
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    • pp.17-28
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    • 2022
  • Objectives : This study was conducted to prepare basic data for improving the system related to Extramural herbal dispensaries by analyzing the characteristic factors of Korean medicine clinics that affect the type of Extramural herbal dispensaries. Methods : This study utilized '2021 Korean Herbal Medicine Consumption Survey', with 1,817 final participants. We performed ANOVA to compare the characteristics of Korean medicine clinics according to the type of extramural herbal dispensary. Multinomial logistic regression analysis were conducted to analyze characteristics of Korean medicine clinics affecting the form of extramural dispensaries. Results : Among Korean medicine clinics, 71.22% of the institutions used only the intraherbal dispensaries, 11.12% of the institutions used the Extramural herbal dispensaries in parallel, and 17.67% of the institutions used only the Extramural herbal dispensaries. The characteristics of Korean medicine clinics that increased the probability of concurrently using extramural herbal dispensaries were institution area, bed presence or absence, number of regular workers, region, number of prescriptions for insurance herbal medicines, and number of prescriptions for uninsured herbal medicines. The characteristics of Korean medicine clinics, which increase the probability of using only extramural herbal dispensaries, were age, durations of clinical experience, specialist license, franchise, area, bed presence or absence, number of regular workers, number of prescriptions for uninsured herbal medicines, and price of treatment for diseases. Conclusion : The reason why Korean medicine clinics use extramural herbal dispensaries is the result of a combination of efficient use of clinic size and the preparation of uninsured herbal medicines.

A research of stresses caused by extramural practices by hospital (병원 유형별 교외실습 스트레스 요인에 관한 연구)

  • Jang, Sung-Yeon;Kwon, Soon-Bok
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.6
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    • pp.913-922
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    • 2011
  • Objectives : This study aims to analyze the factors and degree of stress, which dental hygienics students experience during the off-campus practical training period at university/general dental hospitals or dental hospitals/clinics, to strategically plan and operate an efficient practical training, and to exploit such data for development of the said students into professional dental hygienists by nurturing their abilities to effectively cope with the potential educational frustration, demotivation, and skepticism on their occupations in advance. Methods : The stress measurement tool is set for 38 questions in total, The grading system for each question is based on 5-point Likert scale, which interprets that the lower score demonstrates a higher level of stress. The data collected as above are analyzed by SPSS 19.0. Results : The satisfaction "Satisfactory" of extramural practice at departments of dentistry of university and general hospitals and dental hospitals and clinics is 48.3% and 37.7% respectively. Environment area (p<.001) and role & activity area (p<.05) showed a significant difference of stresses between practices at departments of dentistry of university and general hospitals and dental hospitals and clinics. For departments of dentistry of university and general hospitals, the stress in environment area was highest. On the contrary, students who did practices at dental hospitals and clinics showed that the stress is highest at role & activity area. There was a positive correlation of areas of environment, personal relations, role & activity, and ideal & value. However, there was no correlation between treatment fields. Conclusions : In conclusion, educational institutes need to conduct a specialized systematic research establishing close relationships extramural practice organs, in order to minimize students' stress resulting from extramural practices by type and to increase the effect of extramural practices.

A Survey on the Management Status of Extramural Herbal Dispensaries (원외탕전실 관리현황 설문조사 연구)

  • Ahn, Ung-chan;Kim, Hyeon-Dong;Kim, Ji-Hoon;Rho, Tae-Won;Han, Sang-Yong;Kim, Yun-Kyung
    • Herbal Formula Science
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    • v.24 no.1
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    • pp.1-16
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    • 2016
  • Objectives This study was conducted to investigate the management status of extramural herbal dispensary facility, which could serve as a foundation for further research and policy establishment.Method According to herbal dispensary data collected by Ministry of Health and Welfare, 78 sites were confirmed among 1,160 sites which checked extramural herbal dispensary facility. We carried out a survey on them. The survey consisted of 42 questions including general provisions, personnel management, spaces and facilities, equipment and utensils, procedure requirement for production and/or processing.Results From their responses, hygiene was regarded generally admittable. In personnel management, some answers that herbal medicines were prepared not by Korean medicine doctor or pharmacist, but by general worker. On preparation method, dosage frequency and volume were different among preparation facilities. Regarding facility management, prescription inspection was substantially carried out in many extramural preparation facilities, however, some of them was not.Conclusion There was a need for regulation of detailed management including facility, preparation, personnel management, etc., of extramural preparation facility. Furthermore, There was also a need for standardization of procedure on decoction, water management, medicinal herbs management, etc.

Influences of Communication with Parents, Relations with Teachers and Intramural/ Extramural Activities on Peer Relationships (부모와의 의사소통, 교사와의 관계 및 교내외 활동이 청소년의 또래 관계에 미치는 영향)

  • Kim, Young-mi;Sim, Hee-og
    • Korean Journal of Child Studies
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    • v.21 no.4
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    • pp.159-175
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    • 2000
  • This study explored how communication with parents, relations with teachers and intra- and extra-mural activities were related to peer relationships. Data were collected from 453 middle school students in the city of Iksan. Results showed that students with more harmonious communication with parents reported more desirable peer relationships. More familiar and friendly relations with teachers was also associated with more harmonious peer relationships. As adolescents appeared more vigorous in intra- and extra-mural activities, they had friendlier peer relationships. Gender, communication with fathers, relations with teachers, and intra- and extra-mural activities had significant effects on peer relationships. Relations with teachers was the best predictor for peer relationships.

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Surgical Correction of Ectopic Ureter in Dogs (개에서 발생한 이소성 요관의 외과적 교정)

  • Choi, Sung-Jin;Lee, Gi-Ja;Kang, Eun-Hee;Jang, Se-Ung;Hwang, Eui-Hee;Jeong, In-Seong;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.137-140
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    • 2014
  • A Maltese (case 1) and a Labrador Retriever (case 2) presented with urinary incontinence. General conditions were good and screening tests, including a complete blood count, serum chemistry and radiography, were performed. Excretory urography was conducted, and fluoroscopy was performed for case 1 and computed tomography was performed for case 2. The dogs were diagnosed as right extramural ectopic ureter in case 1 and bilateral intramural ectopic ureter in case 2. We performed surgical corrections, including a neoureterocystostomy for extramural ectopic ureter and neoureterostomy for intramural ectopic ureter. After surgery, the dogs were catheterized with an indwelling catheter for 3 days. Urinary incontinence improved completely and the clinical outcomes were good. The choice of adequate surgical procedure is important for correcting ectopic ureters in canines.

Analysis of the Relation between Exhibitions in Busan National Science Museum and 2015 Revised Curriculum - Focusing on the Key Competencies and the 3rd-6th Grades - (국립부산과학관 전시물과 2015 개정 교육과정과의 연계성 분석 - 핵심역량과 3~6학년을 중심으로 -)

  • Jeong, Hae-Lyun;Shin, Dong-hoon
    • Journal of Korean Elementary Science Education
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    • v.37 no.4
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    • pp.352-362
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    • 2018
  • With the advent of the 4th industrial revolution, the educational innovation focusing on the key competencies is occurring in the whole world. In September 2015, the Ministry of Education suggested six key competencies such as self-management competency, knowledge/information processing competency, creative thinking competency, aesthetic sensibility competency, communication competency, and community competency for the 2015 revised national curriculum. Also, this era requires for diverse lessons like subject integrated/converged lesson and intramural/extramural education. Thus, the objective of this study is to research/analyze exhibitions of Busan National Science Museum as extramural educational institute and to relate between the 2015 revised curriculum and exhibitions of science museum. First, the exhibitions of permanent exhibition hall in Busan National Science Museum were researched/analyzed. It analyzed the current status, display type, and explained contents of exhibitions. Second, it analyzed the relations between contents of the exhibition and key competencies in the 2015 revised curriculum. Third, the 2015 revised curriculum for the 3rd and 6th grade related to the selected exhibition contents was analyzed. The analysis on the exhibition contents performed by this study would be helpful for follow-up researches connected to exhibitions of Busan National Science Museum.

A Study on the Comparison of Korea Good Manufacturing Practice (KGMP) Evaluation Criteria with Certification Criteria of Extramural Herbal Dispensaries (원외탕전실 평가인증기준과 KGMP 평가인증 기준과의 비교연구)

  • Hyeong-Gi Kim;Eui-Hyoung Hwang;Eun-Gyeong Lee;Byung-Mook Lim;Young-Jae Shin;Sun-Young Park;Byung-Cheul Shin
    • The Korea Journal of Herbology
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    • v.38 no.6
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    • pp.61-71
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    • 2023
  • Objectives : This study aimed to find out the future direction of accreditation system of Extramural herbal dispensaries (EHD) by comparing the current criteria of EHD and the existing Korea good manufacturing practice (GMP) regulations. Methods : Among the accreditation criteria of EHD, criteria of general herbal medicine was compared with the pharmaceutical GMP of Korea. The regulations of the accreditation of EHD and the regulations of KGMP were compared and organized with similar things based on the index of KGMP. All criteria from both were extracted for each element, classified into key-words and evaluated by dividing them into the same, similar one and no-matching. Results : Among the 189 criteria of KGMP, 77 criteria were consistent with the accreditation of EHD, and 15 criteria were similar. Based on the accreditation of EHD, 70.4% of the criteria were consistent or similar to KGMP. There were a total of 27 key-words only in the GMP criteria and not in the EHD one. Hence, a total of 25 key-words only in the EHD criteria and not in the GMP one. There were 12 similar key-words, and among them, there were 4 key-words in which accreditation of EHD was more specific than the KGMP. Conclusions : The criteria of general herbal medicine in EHD showed a similar or equivalent level of accreditation criteria compared to that of pharmaceutical GMP in Korea, and it ts believed that it should be considered at the current level to reflect the characteristics of herbal medicine.

Interpretation of Rectal MRI after Neoadjuvant Treatment in Patients with Rectal Cancer (수술 전 선행보조치료를 받은 직장암 환자의 직장 자기공명영상의 해석)

  • Nieun Seo;Joon Seok Lim
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.550-564
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    • 2023
  • MRI is currently the imaging modality of choice to evaluate rectal cancer after neoadjuvant treatment. The purposes of restaging MRI are to assess the resectability of rectal cancer and to decide whether organ preservation strategies can be applied in patients with a complete clinical response. This review article indicates the key MRI features needed to evaluate rectal cancer after neoadjuvant treatment using a systematic approach. Assessment of primary tumor response including MRI findings to predict a complete response is discussed. Additionally, MRI evaluation of the relationship between the primary tumor and adjacent structures, lymph node response, extramural venous invasion, and tumor deposits after neoadjuvant treatment is presented. Knowledge of these imaging features and their clinical relevance may help radiologists provide an accurate and clinically valuable interpretation of restaging rectal MRI.

Diagnostic Performance of Rectal CT for Staging Rectal Cancer: Comparison with Rectal MRI and Histopathology (직장암 병기결정에서 직장 CT의 진단능: 직장 MRI 및 병리결과와의 비교분석)

  • Seok Yoon Son;Yun Seok Seo;Jeong Hee Yoon;Bo Yun Hur;Jae Seok Bae;Se Hyung Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1290-1308
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    • 2023
  • Purpose To compare the diagnostic performance of rectal CT with that of high-resolution rectal MRI and histopathology in assessing rectal cancer. Materials and Methods Sixty-seven patients with rectal cancer who underwent rectal CT with rectal distension using sonographic gel and high-resolution MRI were enrolled in this study. The distance from the anal verge/anorectal junction, distance to the mesorectal fascia (MRF), extramural depth (EMD), extramesorectal lymph node (LN) involvement, extramural venous invasion (EMVI), and T/N stages in rectal CT/MRI were analyzed by two gastrointestinal radiologists. The CT findings of 20 patients who underwent radical surgery without concurrent chemoradiotherapy were compared using histopathology. Interclass correlations and kappa statistics were used. Results The distance from the anal verge/anorectal junction showed an excellent intraclass correlation between CT and MRI for both reviewers. For EMD, the distance to the MRF, presence of LNs, extramesorectal LN metastasis, EMVI, T stage, and intermodality kappa or weighted kappa values between CT and MRI showed excellent agreement. Among the 20 patients who underwent radical surgery, T staging, circumferential resection margin involvement, EMVI, and LN metastasis on rectal CT showed acceptable concordance rates with histopathology. Conclusion Dedicated rectal CT may be on par with rectal MRI in providing critical information to patients with rectal cancer.

A Web-based Survey on Korean Medical Doctor's Prescription Status of Jaungo (자운고의 한의사 처방 현황에 대한 웹기반 설문조사)

  • Kang, Min-Seo;Kim, Min-Hee;Jang, Bo-Hyoung;Choi, In Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.2
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    • pp.24-39
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    • 2018
  • Objectives : The purpose of this survey is to examine Korean medical doctor's prescription status of Jaungo. Methods : The questionnaire was distributed via e-mail to Korean medical doctors who were registered in the association of Korean medicine from December 26th 2017 to February 5th 2018. We screened out respondents who didn't meet screening criteria. Results : Total 325 respondents completed answers, and the computerized data were analyzed. 74.7% of respondents were provided Jaungo from outside (extramural herbal dispensaries, pharmaceutical company). Almost all of the respondents (98.2%) were prescribing Jaungo in the form of ointment, and the cream container was the most commonly used container. In chief Indications of Jaungo were skin dryness (83.1%), pruritus (67.7%), burns (64.0%), and atopic dermatitis (60.9%). More than 60% of the respondents were prescribing Jaungo without additional herbs or additives. Most of patients were educated to apply Jaungo thinly to the affected area once or twice a day or frequently. Reason for dissatisfaction about Jaungo of patient were due to staining clothes (59.1%), offensive smell (44.0%), and poor texture (26.5%). Conclusions : Jaungo is a topical herbal agent frequently used in the Korean medicine. This is the first survey figure out current status of topical herbal agent in Korean medical doctors. The result of this study would contribute to progressing treatment method using topical herbal agent.