• Title/Summary/Keyword: medical direction methods

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Research Trend on the Clinical Application of Dong-gi Acupuncture Treatment - Focusing on Korean and Chinese Journals - (동기침법의 임상 활용에 관한 연구 동향 - 한국과 중국을 중심으로 -)

  • Lee, Ji Yun;Lee, Seung Wook;Kim, Do Hyung;Koo, Sung Tae;Lee, In
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.599-609
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    • 2012
  • The purpose of this study is to review the trend of Dong-gi acupuncture treatment and to suggest the future direction of its study. We performed literature search using KISS, RISS, NDSL, DBpia, OASIS, National Assembly Library and CNKI. We categorized literatures by year, diseases or symptoms, type of articles, motion types, acupoints, and clinical methods. There were few Korean researches found, but recently research in China has been growing rapidly. According to the researches, Dong-gi acupuncture treatment has been mainly used for painful symptoms of musculoskeletal diseases using distal acupoints. However, its field of application has been widening. It has been shown to be effective for a variety of diseases like cerebrovascular disease or neurologic disorder. We expect Dong-gi acupuncture treatment to be widely applied for various diseases and more clinical studies performed to prove the curative effect on various diseases.

Analysis of Adult Cardiopulmonary Resuscitation Skill Performed by Emergency Medical Technicians in Fire Department (소방 2급응급구조사의 성인 심폐소생술에 대한 숙련도 분석)

  • 최용철;이창섭;왕순주
    • Fire Science and Engineering
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    • v.18 no.1
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    • pp.13-17
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    • 2004
  • Purpose: The purpose of this study is to predict a reasonable direction to design a pertinent educational program in the future by evaluating an adult CPR(Cardiopulmonary Resuscitation) skill performed by EMTs engaged in fire services organization and comparing the CPR success rate of factors as like a duty place and licensed year. Methods: We studied CPR skill by the use of a CPR manikin(Skillmeter Resusci Annie, Laerdal company). The study population consisted of 320 EMTs. Every EMT performed four cycle after investigating the manikin for 2 minutes. We regarded chest compression with 100 times in a minute as the 100% success rate. We analysed the skill of chest compression, ventilation and chest compression times success rate by the records printed in the CPR paper. Results: The average success rate of chest compression was 59.42$\pm$29.26% and ventilation 49.22$\pm$29.65%. The success rate of manual CPR was different between chest compression and ventilation. Also the success rate of chest compression times was high relatively as a 87.32$\pm$9.14%(p=0.000). For the CPR skill, ventilation was lowest as 49.22%. The factors such as duty place and licensed year did not influence the CPR success rate (p>0.001). Conclusion: We could have conclusion that CPR training should be shared more time in ventilation than in chest compression. Also we could reach to a conclusion that it is important to increase the times of CPR training for improving the accuracy of CPR and that the continuing education of CPR training frequency might be more than four times in a year.

Comparative Analysis of Health Administration and Policy through Inaugural Address of Minister of Health and Welfare (역대 정권별 보건복지부 장관의 취임사를 통한 보건행정 및 정책 비교분석)

  • Kim, You Ho
    • Journal of health informatics and statistics
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    • v.43 no.4
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    • pp.274-281
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    • 2018
  • Objectives: The purpose of this study is to comprehensively compare the trends of health administration and health policy in the field of health care using the semantic network analysis in the inaugural address of the Ministry of Health and Welfare of each regime in Korea. Methods: This study used a language network analysis method that uses Korean Key Words In Context (KrKwic) program and NetMiner program in sequence. The analysis was conducted by Minister Hwa-joong Kim during the Moo-hyun Roh government, Minister Jae-hee Jeon during the Myung-bak Lee government, Minister Young Jin of Geun-hye Park government and Government Jae-in Moon's inaugural address of Neung-Hoo Park Minister, respectively. Results: The key words differentiated by each regime are that the Moo-hyun Roh Government's Minister Hwa-joong Kim had high connection centrality values in the words 'balanced development', 'comprehensive' and 'reform'. Minister Jae-Hee Jeon of Myung-bak Lee Government had high connection centrality values in the words 'poverty' and 'return'. In the case of Minister Young Jin of Geun-hye Park Government had high connection centrality values in the words 'demand', 'Customized' and 'Life cycle'. In the case of Minister Neung-Hoo Park of Jae In Moon Government had high connection centrality values in the words 'Welfare state', 'Embracing' and 'Soundness'. Conclusions: If the role of health administration in the health care field and the health care policies are constantly changed according to the policies of each regime, it is inconsistent and it is difficult to approach from the long term perspective for public health promotion. In the future, health policy should be developed and implemented with a long-term perspective and consistency based on the consensus and participation of the people with less influence on the change and direction of each government's policies.

Perceptions of Well-Being and Beauty Care Tendencies among Women According to Sociodemographic Variables (사회 인구학적 변인에 따른 여성의 웰빙 인식과 미용관리 성향)

  • Kim, Hyunseung;Cho, Sunghyoun
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.21-32
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    • 2019
  • Purpose : The purpose of this study was to analyze perceptions of well-being and characteristics of beauty care tendencies among women, in order to provide basic data for the establishment of a well-being and beauty management direction. Methods : The domains examined for perceptions of well-being included spirit-oriented, material-oriented, self-oriented, and appearance-oriented values. The domains examined for beauty care tendencies consisted of appearance interest, social factors, and beauty care behavior. A survey of 320 women was conducted. In the analysis of the data, t-test and analysis of variance were used to examine the relationship between perceptions of well-being and beauty care tendencies based on sociodemographic variables. A multiple regression analysis was used to analyze the factors affecting beauty care tendencies. Results : The analysis of the perceptions of well-being among the participants indicated that they tended to be more aware of the mental aspects of well-being and seldom recognized well-being as having material aspects. Therefore, they recognized the concept of well-being as something mentally oriented. The analysis of the factors affecting beauty care tendencies indicated that the participants were most greatly influenced by spirit-oriented values, and the more appearance-oriented values were emphasized, the more focus there was on beauty care. Conclusion : This study found that well-being is a luxury, and traditional beauty care involving care of the mind and body can be effectively utilized if the beauty care is based on the recognition of mentally oriented well-being.

Current Status of Home Health in Korea: A Study Based on the 2020 Home Health Nurses' Working Conditions Survey (우리나라 가정간호 현황 분석: 2020년 가정간호 근로실태 조사를 기반으로)

  • Baek, Hee Chong;Lim, Ji Young;Cho, Young Yi;Kim, In A;Jun, Eun-Young;Noh, Jun Hee;Min, Ja Kyung;Kim, Hee Jeong;Song, Chong Rye;Oh, Seung Eun
    • Journal of Home Health Care Nursing
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    • v.27 no.3
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    • pp.356-371
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    • 2020
  • Purpose: This study was conducted to assess the working conditions of home health nurses in hospital-based home health institutions nationwide. Methods: A secondary data analysis study was conducted based on the survey data on the working conditions of home health nurses, jointly conducted by the Korean Home Health Care Nurses Association and the Academic Society of Home Health Care Nurses in September 2020. Results: Of the home health nurses respondents, 82.4% worked in tertiary hospitals and general hospitals. Most of the working hours of home health nurses were 40 hours a week. Traffic accidents accounted for a significant proportion of accidents experienced by the home health nurse while performing their duties. Most of welfare and benefits systems applicable to home health institutions were in place. The time allocated to provision of home health nursing services was usually more than 30 minutes but less than 1 hour. The type of position of the individual in charge of home health care differed according to the type of medical institution. Conclusion: It is recommended that continuous investigation and analysis be conducted in order to establish a direction for improvement of home health nurses' working conditions, based on the related accumulated data.

Effects of Vibrotactile Bio-Feedback Providing Pressure Information in Real Time on Static Balance and Weight Bearing Rate in Chronic Stroke Patients - Pilot Study (실시간 압력정보 제공 진동 촉각 피드백이 만성 뇌졸중 환자의 정적균형능력과 체중 지지율에 미치는 영향 - 예비실험연구)

  • Kil, Ki-Su;Kim, Ho;Shin, Won-Seob
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.1
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    • pp.41-48
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    • 2021
  • Purpose : The purpose of this study is to find out if it helps to improve static balance ability and weight bearing rate for chronic stroke patients with poor balance in clinical intervention through a method of correcting movement errors while performing a task by vibrotactile bio-feedback providing pressure information. Methods : Fifteen chronic stroke patients (12 male and 3 female) were participated in this study. To examine the effects of vibrotactile bio-feedback and general standing without bio-feedback on static balance ability and weight distribution symmetric index in all subjects randomized with R Studio. The static balance ability and weight distribution symmetric index of the participants was evaluated using a force plate. A paired t-test was used for comparison of each conditions. Statistical significance was set at α=0.05. Results : The comparisons of static balance ability and weight distribution symmetric index in chronic stroke patients after two different condition are as follows. In the static balance ability and weight distribution symmetric index, the vibrotactile feedback providing pressure information showed a significant difference compared to none feedback (p<.001). Conclusion : The vibrotactile bio-feedback providing pressure information in real time can support an improve in static balance ability, uniform weight bearing rehabilitation in chronic stroke patients. In the future, it is hoped that a follow-up study that provides a better direction of intervention compared to various feedback interventions commonly used in clinical practice.

The Effect of Insole to Flexible Flat Foot on Dynamic Balance and Ankle Muscle Activity during the Y-Balance Test

  • Lee, Sue Min;Son, Sung Min;Hwang, Yoon Tae;Park, Seol
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.218-223
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    • 2022
  • Purpose: This study sought to identify the effects of an insole applied for the flexible flat-foot condition on dynamic balance and ankle muscle activities during the Y-balance test (YBT). Methods: Thirteen flexible flat-footed adults and an equal number of normal-footed adults were enrolled. The dynamic balance of the subjects was measured using the YBT, which is a reach test. While they were reaching forward with their foot, the percentage maximum voluntary isometric contraction (MVIC) of the tibialis anterior, peroneus longus and medial and lateral gastrocnemius were measured and analyzed. The flat-footed group then applied the ready-made insoles and underwent the YBT again. A comparison of the distance and muscle activity was conducted using YBT, not only between the flat-footed and control group, but also between the flat-footed group before and after the application of the insole. Results: Between the groups, the anterior reach distance in the flat-footed group was significantly lower, but there were no significant differences observed in the posteromedial and posterolateral directions. With the insole, the reach distance of the flat-footed group was significantly increased in the anterior and posterolateral direction compared to the control group. With the insole, the lateral gastrocnemius activity significantly decreased compared to trials without the insole in the flat-footed group, but there were no significant differences in the other muscles. Conclusion: The insole for flat-footed subjects can maintain the medial arch of the foot, and it may help enhance functional and mechanical dynamic balance in people with flat feet.

Qualitative Study on the Experience of Patients with Facial Palsy Symptoms Treated with Korean Medicine after Western Treatment (안면마비 증상을 호소하는 환자의 양방 치료 후 한방 치료 경험에 대한 질적 연구)

  • Yoon, Seok-Yeong;Lee, Ji-Hyun;Kim, Kyuseok;Kim, Jong-Han
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.4
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    • pp.1-30
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    • 2022
  • Objectives : The purpose of this study was to explore the experience of patients with facial palsy symptoms treated with Korean medicine treatment(KMT) after western treatment. Methods : We conducted an individual in-depth interview with 10 participants who had experience in both western and KMT for facial palsy symptoms. This qualitative study adopted the grounded theory of Strauss and Corbin, and collected data was analyzed by using coding(open-axial-selective) that was performed to create paradigm model, which can explain this study's main theme. Results : The central phenomenon of this study was 'choosing Korean medicine treatment after western treatment preceded', and the core category was derived as 'selecting process of KMT after western medical treatment and improvement plan of Korean medicine treatment'. Conclusions : For patients with facial palsy, KMT was perceived as an essential treatment rather than an alternative, and recognized as the main treatment. Patients didn't settle for western treatment which was in progress, actively selected KMT and suggested the specific plan for improvement of KMT. Through this, we should be considered the direction of the KMT for facial palsy symptom which is the common disease of KMT.

Experience of Disaster Response Team in Jecheon Sports Center Fire

  • Ha, Jeongmin;Kim, Hyun-Jung;Kim, Jin-Hwa;Park, Dahye
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.39-48
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    • 2022
  • Purpose : This study aimed to determine the experiences of the disaster response team 9 participants who participated in the disaster after the fire incident occurred in Jecheon Sports Center and their meaning and essence. Methods : Nine disaster response teams were the subjects of the study, and Individual in-depth interviews were conducted. Data were collected online between January 6 and April 30, 2021, from the software ZoomTM. This study was conducted as a qualitative study by applying Giorgi's phenomenological experiential research method, which has an advantage in revealing the essential structure and meaning of experience. Results : Three major themes were derived from the study results: the stimulus through unfamiliar experiences, the grievances due to work environment and regional characteristics, and dullness resulting from hiding and enduring. The following 17 sub-themes were identified: learning through unfamiliar experiences, frustration due to unexpected circumstances, shock from unfamiliar experiences, doing my best in the present, confidence due to increased experience, disunified system, intervention of various interests, the atmosphere that puts responsibility on others, inactive help, unforgettable regional characteristics, working without time to settle, tolerating it in my own way, memories left in the unconsciousness, sudden suffering from memories that come to mind, movement in anxiety and tension, dullness, work with colleagues in the same situation. Conclusion : This study is meaningful in that it attempted to provide basic data in preparing a long-term strategy for effective policy direction and institutional protection based on the systematic mental health management of the disaster response team. Additionally, this study's results can be used as primary data for future research among Disaster Response Team.

Effects of Manual Mobilization and Self-exercise on Hip Joint Mobility, Body Balance, Sargent Jump and Smash Speed in Elite Badminton Players (엉덩관절 관절가동술과 자가-운동이 엘리트 배드민턴 선수의 관절가동성과 신체균형능력, 점프력, 스매시 속도에 미치는 영향 )

  • Hye-Min Ko;Suhn-Yeop Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.1
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    • pp.37-50
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    • 2023
  • PURPOSE: This study examined the effects of various interventions for improving the hip joint range of motion on elite badminton players, including body balance ability, jumping power, smash speed, and joint range of motion. METHODS: The study was conducted on elite badminton players belonging to the S badminton team in Yongin, Gyeonggi-do, and the M badminton team in Suwon, Gyeonggi-do. Twenty-one elite badminton players were selected; they were assigned randomly to Experimental Group 1 (n = 11) and Experimental Group 2 (n = 10). Before and after the intervention, the hip joint range of motion, modified star excursion balance test, Sargent jump, and smash speed were measured. In Experimental Group 1, hip joint manual mobilization was applied by a physical therapist, and hip self-exercise performed by the athletes was applied in Experimental Group 2. This intervention was applied once a day, three times a week, for four weeks. RESULTS: A significant increase in the hip joint range of motion (flexion and extension) and modified star excursion balance test (posteromedial direction) was observed in Experimental Group 1 (hip joint mobilization applied group) compared to Experimental Group 2 (hip joint self-exercise applied group) (p < .05). CONCLUSION: When elite level badminton players require improvement in hip flexion and extension range of motion and posteromedial body balance, hip joint mobilization is more effective than hip self-exercise application.