• Title/Summary/Keyword: medical mission

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A Comparative study among 2nd cycle of Evaluation and Accreditation system on Korean Medicine Education, Global Standards of WFME for Basic Medical Education and WHO guidelines for quality assurance of Traditional Medicine Education in the Western Pacific Region (한의학교육평가원 2주기, 세계의학교육연합회(WFME)의 의학기본교육, WHO 서태평양 지역지부(WHO/WPRO) 인증 기준 간의 비교 연구)

  • Sun, Seung Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.23 no.3
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    • pp.41-57
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    • 2019
  • Objective : The purpose of our study is to compare and analyze the standards for the 2nd cycle of Evaluation and Accreditation system on institute of Korean Medicine Education & Evaluation (2nd IKMEE standards) and WHO guidelines for quality assurance of Traditional Medicine Education in the Western Pacific Region (WHO/WPRO guidelines) around the global standards of World Federation for Medical Education for basic medical education (WFME standard) to identify the shortcomings and improvements of 2nd IKMEE standards. Method : Each article of 2015 revised WFME standard was translated and summarized with focus on its core content. The next step was to review and analyze the corresponding contents of 2nd IKMEE standards in 2016 and the WHO/WPRO guidelines in 2005 for each item, focusing on the WFME standards. Results : All items in the fields of 3. assessment of students and 7. program evaluation in the WFME domain were absent from the 2nd IKMEE standards, and almost none of the WHO/WPRO guidelines. Most items in 1. the mission and outcomes domain, except for some items in the 1.1 mission field, the items of 2.6~2.8 fields in 2. education program domain, the items of 4. student domain except for the items of 4.3 student counseling and support field, and almost all items about quality development in WFME standards did not have a corresponding item in both the 2nd IKMEE standards and the WHO/WPRO standards. Conclusion : 1. The WFME standards are applicable to the criteria development of IKMEE standards. Several items of the WFME standards may need to be modified to apply the educational characteristics of Korean medicine, but consensus or further study is required. 2. Both the 2nd IKMEE standards and the WHO/WPRO standards are very insufficient to meet the WFME standards. In particular, 3. assessment of students and 7. program evaluation in the WFME domain were not in the 2nd IKMEE standards. This standard needs to be supplemented.

Roles of Health Technology Assessment for Better Health and Universal Health Coverage in Korea (우리나라 보건의료 발전을 위한 의료기술평가의 역할)

  • Lee, Young Sung
    • Health Policy and Management
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    • v.28 no.3
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    • pp.263-271
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    • 2018
  • Health technology assessment (HTA) is defined as multidisciplinary policy analysis to look into the medical, economic, social, and ethical implications of the development, distribution, and use of health technology. Following the recent changes in the social environment, there are increasing needs to improve Korea's healthcare environment by, inter alia, assessing health technologies in an organized, timely manner in accordance with the government's strategies to ensure that citizens' medical expenses are kept at a stable level. Dedicated to HTA and research, the National Evidence-based Healthcare Collaborating Agency (NECA) analyzes and provides grounds on the clinical safety, efficacy, and economic feasibility of health technologies. HTA offers the most suitable grounds for decision making not only by healthcare professionals but also by policy makers and citizens as seen in a case in 2009 where research revealed that glucosamine lacked preventive and treatment effects for osteoarthritis and glucosamine was subsequently excluded from the National Health Insurance's benefit list to stop the insurance scheme from suffering financial losses and citizens from paying unnecessary medical expenses. For the development of HTA in Korea, the NECA will continue exerting itself to accomplish its mission of providing policy support by health technology reassessment, promoting the establishment and use of big data and HTA platforms for public interest, and developing a new value-based HTA system.

A Study on the concern and change of form and matter in medical conversation by writing (의학필담 형식과 내용의 상관성 및 변천에대한 연구 - '~ 록(錄)', '~ 의담(醫談)', '~ 필어(筆語)'를 중심으로 -)

  • Kim, Hyung-Tae
    • (The)Study of the Eastern Classic
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    • no.37
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    • pp.217-248
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    • 2009
  • 'Pil-dam-chang-su-jib'(collection of conversation by writing about poetry or sentences) which was remained in Japan through the dispatching of Tong-sin mission belong to the Joseon dynasty is a valuable historical records directly to verify sincere relationships with Korea and Japan in the past. At the center of the 'Pil-dam-chang-su-jib', a conversation of senators who was technocrat both countries at that time was not a little contained. Because they need to exchange information and opinions which they had been curious at an appointed hour, the most impending medical problems of that period had to be brought out in the senator's 'Pil-dam-chang-su-jib' and the value of material is high as much. If you examine the 'Pil-dam' records which was exchanged from senators to senators of both countries at that time, you can directly confirm the universality and difference of the medical science and medicine tradition of various East Asian countries. The purpose of a paper was in consolidation to a base of translation and investigation hereafter to consider the characters embodied in medical conversation in the first half of $18^{th}$ centuries. '~ Rok(錄)' can be an opportunity to organize the customs history through the studying an illness, medicines and a remedy. The necessity of the investigation about medical related conversation by writing is in this place. '~ Ui-dam(醫談)' is considering with the all factors above, the first half of 18th century's medical conversation materials are certificated remarkably valuable materials to the cultural history around the physician at that time. '~ Pil-ur(筆語)' is to use of questions and answers form gives presence and reality at the conversation by writing. So, conversation was let the readers to gain the feeling of movement. Also, the contents are substantially reflected the long history of Eastern medical and revealed medical science, treatment reality at that time. Not correspondent with normal collection of conversation by writing, the medical conversation by writing shows a special quality at rich material to confirm the technocrat's identity. The first half of $18^{th}$ century medical conversation by writing had been a foundation of the rational description system at the coming medical conversation to change the description system according to the envoy's coming situation.

The Necessity of Redefining the Radiological Technologist Independent Law (방사선사법 제정의 필요성)

  • Lim, Woo-Taek;Lim, Cheong-Hwan;Joo, Young-Cheol;Hong, Dong-Hee;Jung, Hong-Ryang;Jung, Young-Jin;Choi, Ji-Won;Yoon, Yong-Su;Kim, Eun-Hye;Yoo, Se-Jong;Park, Myeong-Hwan;Yang, Oh-Nam;Jeong, Bong-Jae
    • Journal of radiological science and technology
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    • v.44 no.5
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    • pp.545-554
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    • 2021
  • According to the changes of the medical environment of the times, it is necessary to discuss the issues of the doctor's medical guidance and to conduct continuous research so that alternatives can be prepared systematically. Furthermore, in order to enhance the professionalism of radiological technologists and to develop the medical technician system, the new Radiological Technologist Independent Act has been established, which contains the overall contents of the scope of work, professional qualifications, and specialized education of radiological technologists, and provides quality medical services to patients through professional procedures and treatment. In order to increase the level of medical care, the purpose, definition, mission, role, and scope of work specified in the Medical Act, Medical Service Technologists, etc. Act, the Enforcement Decree, and the Enforcement Rules were variously analyzed and new directions were presented. First, the definition of a medical technician should use a generic term so that the factors of conflict and prejudice could be resolved. Second, change the doctor's guide to doctor's prescription; and then legislate the authority to sign and write medical records after examination by radiological technologists, thereby prohibiting unlicensed technicians that seriously endanger patient safety. Third, an accurate definition of radiological technologists' roles should be established; not only selection and management of radiological technologists' work but also procedures and treatment for each radiology field should be specified to suit the current medical system. Fourth, a professional radiological technologists' qualification system and a specialized education system should be established in order to secure human resources that could provide patients trust in procedures and treatment based on professional knowledge and experience in the field of radiology. Fifth, the Education and Evaluation Institute should be operated in Korea education system to educate the professional knowledge and competency for students. In addition, it is necessary to in-depth analysis of foreign cases could be applied to the medical system and education system in Korea; it could strive to nurture systematic human resources.

The Problems in the Medical Dispute Mediation Process According to the "Act on Remedies for Injuries from Medical Malpractice and Mediation of Medical Disputes" and the Alternative Propsal (의료분쟁조정제도 운영에 따른 문제점 및 개선 방안)

  • Hwang, SeungYun
    • The Korean Society of Law and Medicine
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    • v.14 no.1
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    • pp.85-116
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    • 2013
  • Korea Medical Dispute Mediation and Arbitration Agency, "K-MEDI" in abbr. herein-after, is established on Apr. 9, 2012 according to the law cited in the title above for the purpose of settling medical disputes in a prompt, fair and efficient manner. Two special professional organizations are established in K-MEDI, one of them is Medical Dispute Mediation and Arbitration Committee(hereinafter referred to as the "Mediation Committee") and the other Medical Malpractice Appraisal Board(hereinaf-ter referred to as the "Appraisal Board"), the mission of the latter is to investigate the facts concerning the disputed medical conduct and to research as to and apprai-se whether the medical conduct was negligent and whether a causal relationship exists. Each panel organized in the Mediation Committee or the Appraisal Board shall be comprised of five mediators or appraisers, including necessarily a judge or a prose-cutor respectively and any disputed case regardless of the scale, the importance or the complicacy shall be handled by a panel. As the system is not thought efficient or economic, the number of the members comprising a panel or total members com-prising the Mediation Committee or the Appraisal Board shoud be adjusted, and the process shoud be versified, including the "Rapid Process," for instance. A petition for the mediation of a medical dispute shall be rejected if the respondent fails to notify K-MEDI of his/her intention to accede to the mediation within 14days from the day on which the petition for the mediation was served(Art. 27 Cl. 7). As the option of an arbitrary decision whether the mediation proceedings shall be commenced or not given to the respondent by the clause is thought unfair, making the process unstable, and moreover, diminishing the purpose of the system established by the law cited above for solving the medical disputes, the clause shoud be amended not to allow the respondent the option of such an arbitrary deci-sion. K-MEDI shall conduct the "Program for Compensation of Medical Accidents"(Art 46) according to which unavoidable injuries caused by the medical accidents in the cour-se of childbirth and the "Advances for Damages"(Art. 47) that are the compensating moneys paid to victims in medical malpractice cases who fail to receive money at all or partly from the operator or the professional of a public health or medical institution although he/she has a final and conclusive right to be paid by them. Some operators or professionals of such institutions claim that both the programs violate their fundamental rights assured by the constitution, and that it be a justifica-tion of refusal to accede to the mediation. As any of the programs needs not to be conducted by K-MEDI, it may be a proper solution to change the conductor of the programs to avoid the unproductive controversy.

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A Study on Major Factors of Psychological Ownership in a General Hospital (병원간호사의 심리적 주인의식 영향요인)

  • Park, Ok-Sim;Ryu, Ji-Hye;Bae, Sung-Kwon
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.39-50
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    • 2016
  • Objectives : The purpose of this study was to understand organizational justice, organizational citizenship behavior, and psychological ownerships, and to confirm whether education on the mission and vision of an organization encourages medical professionals to have an awareness of their organization. Methods : The survey was done with two groups of nurses : one group had education about the missions and visions of the hospital, and the other group had no education about their organization. This study was done at K University Hospital which is located in Busan, Korea. Results : Education about the missions and visions of a medical institution effectively enhances organizational justice, organizational citizenship behavior, and psychological ownerships. Conclusions : If education about the missions and visions of an organization is actively done, the members of that organization will have an increased level of awareness about their organization as well as improved organizational capability.

Reconstruction of oral cancer patients (구강암 환자의 재건술)

  • Yoo, Sang-Il;Ahn, Kang-Min
    • The Journal of the Korean dental association
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    • v.48 no.8
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    • pp.607-614
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    • 2010
  • Reconstruction after ablative oral cancer surgery is challenging mission. Soft tissue and hard tissue could be resected in case of advanced oral cancer. The final goal of oral reconstruction is to gain normal swallowing, chewing and speech. Nowadays, free flap reconstruction after oral cancer resection is more popular than pedicled flap. Microsurgical reconstruction with free flap could be used effectively in complicated cases of oral cavity defect. However, complications could be happened. So not only meticulous preoperative study about the extent of defects but also the donor site dressing after surgery were performed to prevent postoperative complication. The most favorite free flap for soft tissue reconstruction is radial forearm flap. It has a lot of advantages such as pliable, hairless, reliable vessels, appropriate diameter of radial artery and diverse flap design. And the most popular free flap for jaw reconstruction is free fibular flap. In this article, we report the classification of flap for reconstruction and reveal the pits and falls of radial forearm free flap and free fibular flap.

A Survey on Medical Radiation Dose by the Radiographic Conditions of Chest (흉부 X선촬영 조건에 따르는 의료피폭에 관한 조사연구)

  • Huh, Joon;Kim, Sun-Soo;Park, Jun-Chul
    • Journal of radiological science and technology
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    • v.15 no.1
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    • pp.79-87
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    • 1992
  • It is a matter of common knowledge that madical radiation is most accented for of radiation is doses applied to the whole of people, and of them the radation dose by radiography diagnosis is mainly prevalent. In applying X-rays to a certain man for radiography diagnosis a radiologyist will have to have an absolute sense of mission concerning the reduction and prevention of the patient's radiation dose as the radiologyist obligation. Accordingly, the radiography conditions of the patient's chest employed 197 medical facilites were surveyed and skin dose was computated by the IPH Bit system and examined. As a result, it was shown that the average skin dose was $288\;{\mu}Sv$, its minimum value was $1600\;{\mu}Sv$, which was over 32 times its minimum value. This shows that the appropriate radiography method has not been applied at applying X-ray to the patient. It comes from the performance of X-ray equipment, the choice of auxiliary equipment materials etc. But the most important thing is to master the appropriate radiography condition, and therefore this point will have to be kept in mind.

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Efficient Drone Detection method using a Radio-Frequency (RF를 이용한 효과적인 드론 탐지 기법)

  • Choi, Hong-Rak;Jeong, Won-Ho;Kim, Kyung-Seok
    • Journal of Satellite, Information and Communications
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    • v.12 no.4
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    • pp.26-33
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    • 2017
  • A drone performs a mission through remote control or automatic control, which uses wireless communications technology. Recently the increasing use of drones, the drone signal RF detection is necessary. In this paper, we propose an efficient dron RF detection method through simulations considering Wi-Fi, Bluetooth and dedicated protocol dron communication method in ISM(Industry Science Medical) band.. After configuring an environment where a common terminal and a drone signal are mixed, a general terminal and a drone signal are distinguished from each other by using a RF characteristic according to a dron movement. The proposed drone RF detection method is the WRMD(Windowed RSSI Moving Detection) operation and the Doppler frequency identification method. The simulation environments consist to mixed for two signals and four signals. We analysis the performance to proposed drone RF detection technique thorough detection rate.

Functional Assessment of Food Therapy in Multi-dimensional Health and Happiness

  • Jang, Seok-Jong
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.6
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    • pp.109-114
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    • 2017
  • In this paper, I propose the effects of food therapy on subjects' health and happiness. The result has come out that food therapy enhances subjects' multi-dimensional health(medical, functional, self-evaluative) and their happiness. The participants were 230 adults over 30 years old living in Seoul and Gyeonggi district. To examine the effect of food therapy, the study sampled 220 questionnaire out of 230. By the non-equivalent control group design, the health levels were measured in three concepts: medical dimension, functional dimension and self-evaluative dimension. The results are as follows: First, participants who had taken food therapy for 3 months have been enhanced in their subjective and functional health level. Their subjective health enhanced from $2.80{\pm}.44$ to $4.07{\pm}.27$ (p=.000). And their functional health enhanced from $.92{\pm}.07$ to $.94{\pm}.07$(p=.035). Second, participants' happiness has enhanced significantly. Cognitive happiness enhanced from $3.39{\pm}.50$ to $3.84{\pm}.44$(p=.000). And emotional happiness enhanced from $2.76{\pm}.44$ to $3.07{\pm}.34$(p=.000). With this results, in case that people apply food therapy based on Yaksun, they are able to expect their enhancement of health level and happiness. Therefore study shows that Food therapy helps people to pursue their health and happiness improvement and suggest valuable information of a way to enhance quality of life.