• 제목/요약/키워드: medical mistake

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"광제비급(廣濟秘笈)"에 대한 서지학적(書誌學的) 연구(硏究) (The Study of Bibliography on "Kwangje-bikeup"("廣濟秘笈"))

  • 차웅석;박찬국
    • 대한한의학원전학회지
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    • 제10권2호
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    • pp.93-113
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    • 1997
  • Through the study of "Kwangje-bikeup"("廣濟秘笈"), the writer obtained results as follows 1. The Historical Background of "Kwangje-bikeup"("廣濟秘笈") "Kwangje-bikeup"("廣濟秘笈") is a medical book written by Lee-Kyunghwa(李景華), a medical doctor in Sungcheun(成川), Pyungan-do(平安道). It was done through the good offices of Lee-Byungmo(李秉模), who was a governor of Hamgyung-do(咸鏡道), in 1790-the 14th year of Jungjo dynasty(正祖). 2. The Author of "Kwangje-bikeup"("廣濟秘笈") The author of "Kwangje-bikeup"("廣濟秘笈") is Lee-Kyunghwa. Some contemporary historians mistake him for Lee-Kyunghwa who joined the school of Song-siyul. Yet, they are two different people with the same name. Lee-Kyunghwa, the writer of "Kwangje-bikeup"("廣濟秘笈") was born in Sungcheun, Pyungan-do, in the year of 1720. At first he studied Confucianism in order to enter government services. Later he passed the Jinsa exam which was the first exam to become a qualified government offical. However, after he was disillusioned in the discrimination against northwestern people, he chose to study medicine and put his effort and time on medicine. Gradually he won a great reputation as a medical doctor and came to write "Kwangje-bikeup"("廣濟秘笈") at the request of Lee-Byungmo in 1790. 3. Medical books affecting "Kwangje-bikeup"("廣濟秘笈") This book is influenced by "Dongeui-bogam"("東醫寶鑑"), "Suse-bowen"("壽世保元"), "Boncho-gangmok"("本草綱目"), etc. 4. Domestic Herbs in "Kwangje-bikeup"("廣濟秘笈") Lee-Kyunghwa seperately recorded clinical cases with domestic herbs in the last volume, which was associated with the effort to have been made for domestic herbs, since the middle era of Koryo.

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"동의수세보원(東醫壽世保元)" 인용문(引用文) 연구(硏究)에 적용할 수 있는 방법론(方法論)에 관한 고찰(考察)(1) (A study on research methodology of the quoted verses in "Donguisusebowon" (1))

  • 박수현;정창현;백유상;장우창
    • 대한한의학원전학회지
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    • 제25권1호
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    • pp.117-139
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    • 2012
  • Objective : In this study, I would like to emphasize the importance of context in studying quoted verses in "Donguisusebowon". Method : First, methodology applied in researches on "Donguisusebowon" quotations were organized. Next, in order to examine the effects of the aforementioned methodology, several quoted verses were approached in such method. Result : First, the verse, 'In cases of Dry-Feces(大便秘燥), Rheum undulatum Linne(大黃) could be used in the medicinal formulas and treatment, but not Croton tiglium Linne(巴豆)'. In the texts of Shanghanlun(傷寒論), Zhang, Zhongjing(張仲景) prescribed Sammulbaeksan(三物白散) in treating 'Gyeolhyung due to Excessive cold'(寒實結胸), which includes Croton tiglium Linne(巴豆). From this, we can see that Lee, jema's statement in "Donguisusebowon" is false. Conclusion : Lee, jema's mistake was that he accepted Shanghanlun(傷寒論) as quoted in "Donguibogam", instead of the original text, accidently quoting Heo, jun's source of reference.

의학 논문 작성 시 발생하는 흔한 통계적 오류 (Statistical Mistakes Commonly Made When Writing Medical Articles)

  • 전소영;양주연;이혜선
    • 대한영상의학회지
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    • 제84권4호
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    • pp.866-878
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    • 2023
  • 의학 논문을 작성할 때 통계학은 필수적인 요소로 알려져 있고 중요성이 강조되고 있지만 많은 논문에서 통계적 오류가 발생하고 있다. 의학 논문에서 발생할 수 있는 통계적 오류는 설계 단계에서의 오류, 분석 단계에서의 오류, 작성과 해석 단계에서의 오류로 분류할 수 있다. 설계 단계에서는 연구의 가설이나 자료의 수집 및 분석 계획이 명확하지 않으면 오류가 발생한다. 분석 단계에서는 연구의 목적과 자료의 특성을 충분히 고려하지 않고 올바른 분석 방법을 적용하지 않으면 오류가 발생한다. 분석을 수행한 후에는 결과를 해석하여 논문을 작성하게 되고, 이 단계에서 분석 방법을 잘못 작성하거나 결과를 올바르게 해석하지 못하면 오류가 발생한다. 본 논문에서는 의학 논문에서 흔히 발생하는 통계적 오류에 대해 고찰하고 오류를 줄이는데 기여하고자 한다.

조선의 명의(名醫) 유이태(劉以泰.劉爾泰) 연구 (Famous medical doctor Yoo Itae's Study in the Chosun Dynasty)

  • 유철호;유원준;차웅석;홍세영;김남일
    • 대한한의학원전학회지
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    • 제26권4호
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    • pp.117-153
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    • 2013
  • Objective : Two famous medical doctors, Yoo Itae(以泰, 爾泰) and Riu Euitae(義泰), have been well known in academic world and public in Sancheong-gun. Yoo Itae is the progenitor of Majinhak which is the therapy for measles, he wrote a "Majinpyun" as the first book of therapy for measles in Chosun. Riu Euitae, meanwhile, is a fictional medical doctor and a teacher of Heo Jun who became real without confirmation of historical truths by Roh Jeongwoo who heard about a name, Yoo Itae. Roh's assertion was quoted in the report of literatures, papers, novel, and telecast without verification. His assertion is exposed in novel and media and it has seriously distorted the history. The purpose of this study is to rectify the historical distortion. Methods : Various references study was performed. Confirmed a family tree, birth and death year, birthplace, sepulture, words on a tombstone, writing, collections of works anthology and the existence of keepsake. Investigated records of royal family, Sancheong-gun papers, Sancheong Hyanggyo papers, Dongyuhagan, Chosun Hanryuseungram and the record of Sawoo Munjip(anthology). Analyzed Roh Jungwoo's conversation that tells Riu Euitae is a teacher of Heo Jun and contents of an encyclopedia. Listened to testimony of descendants and assertions of historian in rural area. Verified voice recording on books taken from at birthplace and the space of activity. Results : Yoo Itae is well shown in various records and medical writing books, whereas Riu Euitae does not. Riu Euitae is not a real person in the history. Roh Jeongwoo who asserts Riu Euitae is a teacher of Heo Jun admits his mistake. But, the encyclopedia record describing Riu Euitae is a teacher of Heo Jun, government official at Sancheong district office, historians in rural area, historians in rural area who made a family shrine, gravestone, a statue, memorial, historic site of Riu Euitae on Jinju Rui could not suggest any evidences for the existence of Riu Euitae and for record Riu Euitae is a teacher of Heo Jun. Conclusion : Riu Euitae is neither a real person in the history nor a teacher of Heo Jun. Riu Euitae came from pronunciation confusion between 'I' and 'Eui' in Kyungsang province. Riu Euitae is Yoo Itae on Geochang Yoo who was a medical doctor of King, Sukjeong and wrote medical books including , , .

응급의료서비스 중 발생되는 소송사례와 대책 연구 (A Study on Lawsuit Cases and Measures of Emergency Medical Service)

  • 권혜란
    • 한국응급구조학회지
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    • 제13권3호
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    • pp.77-90
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    • 2009
  • Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.

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"난경회주전정(難經滙注箋正)"중(中) 맥진(脈診)에 관한 연구(硏究) (Research about pulse diagnostic technique out of "Nan Jing hoeju jeonjung")

  • 박근정;윤창열
    • 혜화의학회지
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    • 제15권2호
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    • pp.39-52
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    • 2006
  • We came to the conclusion as follows from the research about pulse diagnostic technique (脈診) out of "Nan Jinghoeju jeonjung" (難經滙注箋正). 1. "Nan Jing" is practical medical book for clinician and holds different opinions about three portions and nine takings(三部九候脈法) from Huang Di Nei Jing's Taking the pulse of Bu Jung Chim Chon Kwan Chuk((浮中沈 寸關尺) is a quite creative means which has been a important role to future generation. 2. We pointed the differences between western medical science and traditional medical science. And can explain the pulse in western medicine divided from twelve channels of Oriental Medicine. We can explain special connection between heart and lungs using the theory of systemic & pulmonary circulation in western medicine. And this can be a basement of Lung controls every pulse theory in oriental medicine. 3. We have negative assertion about viewing the human body using theory of Yin and Yang-Five Elements. And have poor opinion of explaining about the matching internal organs to Chon Kwan Chuk using the theory of Yin and Yang-Five Elements. 4. We pointed out the mistake that Porak & Sang hwa act for heart. We took pulses considering heart is a real actual internal organ as others. 5. We denied the theory of Man's Chuk pulse is always weak(男子尺脈恒弱) & Woman's Chuk pulse is always strong(女子尺脈恒盛). The physical form of man and woman is not different from each other considering their inheritances from forefather & same shape of organs. So, we cannot insist on the theory.

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초기에 전환장애로 잘못 진단되었던 위증환자 보고 1례 (A case study of Wei symptom initially misdiagnosed as conversion disorder)

  • 김윤용;변순임;김지영;황의완;조성훈
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.147-156
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    • 2007
  • Conversion disorder is a diagnosis based on a psychological construct that currently has no known neurobiologic substrate. But It is not easy to differentiate a real conversion disorder from a neurological disease or other medical disease. A patient in this case report had been diagnosed as conversion disorder but later it was found that the conversion disorder was misdiagnosis. During the 7 days of treatment, this patient was treated by herb medication, acupuncture and TENS and bad a little improvement. Both way, this patient was evaluated and evantually was diagnosed as Guillain-Barre Syndrome Miller-Fisber Variant, suggesting that the former diagnosis bad been a mistake. In this case report, we will present this patient's case and review the misdiagnosis of conversion disorder.

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Looking Back over a Decade "Final Decision Call after the Accidents of the Fukushima Nuclear Power Plant"

  • Nakajima, Isao;Kurokawa, Kiyoshi
    • Journal of Multimedia Information System
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    • 제7권2호
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    • pp.147-156
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    • 2020
  • The author Nakajima was involved in the field of disaster communications and emergency medical care as guest research scientist at the Fukushima Nuclear Accident Independent Investigation Commission established by the National Diet of Japan and reviewer of the Commission's report, and Kurokawa was the chairman of this Commission. Looking back over a decade, we are on the liability issue of bureaucrats and telecom operators, so it's becoming clear what was hidden at the time. The battery of NTT DoCoMo's mobile phone repeaters had a capacity of only about 24 hours, and communication failures increased after one day. The Government also failed to issue an announcement of "Vent from reactor" under the Telecommunications Act Article No. 129. This mistake lost the opportunity to use the third-party telecommunications (e.g. taxi radios). Furthermore, as a result of LASCOM (telecommunications satellite network for local governments via GEO) and a variety of unexpected communication failures, the evacuation order "Escape!" could not be notified to the general public well. As a result, the general public was exposed to unnecessary radiation exposure. Such bureaucratic slow action in emergencies is common in the response to the 2020 coronavirus.

폐쇄성 수면 무호흡증에 대한 포괄적 치료 - 수면 클리닉에서 치과의 역할 (COMPREHENSIVE TREATMENT OF OBSTRUCTIVE SLEEP APNEA - THE ROLE OF DEPARTMENT OF DENTISTRY IN SLEEP CLINIC)

  • 권대근;조용원;안병훈;황상희;남기영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권2호
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    • pp.150-156
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    • 2004
  • The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

유문사친(儒門事親)에 나타난 소아(小兒)와 관련된 이론(理論)과 치법(治法)에 대한 고찰(考察) (A Study on the Therapeutic Theory of Rumenshiqin (儒門事親) concerning Pediatrics)

  • 김기현;장규태;김장현;정우병
    • 대한한방소아과학회지
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    • 제19권2호
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    • pp.51-68
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    • 2005
  • Objective : Rumenshiqin(儒門事親) was compiled by Zhang Zi Huo(張子和) of the Jin(金) Dynasty of China. He invented unique medical theory and treatment such as three excretive methods(perspiratory, vomitory and purgative therapy). The aim of this study was to make the best use of the therapeutic theory of Rumenshiqin(儒門事親) connected with pediatrics. Methods: We conducted literature search in detail for contents of Rumenshiqin(儒門事親) and reviewed various kinds of books. Results : Zhang Zi Huo(張子和) recognized that children had pure-yang bodies(純陽之體) and emphasized that children need to prevent heat-stagnation(鬱熱) and asthenic yin(損陰). He instructed that a principle of raising such as wearing thin clothes, eating fresh food, harboring little desire and little anger, and taking temperate medicine. He described that pathogenic factors were mistake of rearing, misuse of medicine, exogenous factor, and excessive emotion. Conclusion : According to the above results, it is concluded that his therapeutic theory should be used at present.

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