예방의학의 발전방향

김준연,Kim, Joon-Youn 대한예방의학회 2006 예방의학회지 Vol.39 No.3

It is the actual state of the medical society in our country that many graduates of medical schools want to be clinicians, and accordingly Korea's medical situation is relatively too focused on curative medicine. However, this situation is changing due to several factors including a growing number of doctors, inappropriate regulations for medical fees, changes in social status of doctors themselves, and excessive competition between doctors. Furthermore, we expect more advances in medical field of Korea since Korean government started to attach great importance to sciences and produced policies to support sciences, and as a result, more and more interest and effort in the fields of basic research including preventive medicine is being attached especially by young doctors as compared against the past. However, decline of clinical medicine fields doesn't always mean bright future for the field of preventive medicine. True future is possible and meaningful only when we prepare for it by ourselves. In other words, as the promising future is closed to one who spares no effort, we shouldn't fear to oppose unknown challenges and simultaneously need to support colleagues who bear such a positive mind. It is the most important thing for our preventive medicine doctors to evaluate the past and the present of preventive medicine and to foster a prospective mind to prepare for the future of preventive medicine. I set forth my several views according to directions for the development of preventive medicine which we already discussed and publicized in the academic circle of preventive medicine. Those directions are recommendation of clinical preventive medicine, promotion of preventive medicine specialty, fostering the next generations, improving the quality of genetic epidemiologic study, participation in control of environmental pollution and food safety, contribution to chronic disease control, and preparation to role in medical services for unified Korea.

의학교과서를 통해 본 북한예방의학 내용분석에 관한 연구

문옥륜,이신재,김정철,문용,박송림,이상구,Moon, Ok-Ryun,Lee, Sin-Jae,Kim, Jung-Chul,Wen, Yong,Piao, Song-Lin,Yi, Sang-Gu 대한예방의학회 2000 Journal of Preventive Medicine and Public Health Vol.33 No.3

Objectives : The most frequently cited health related slogan in North Korea is that socialistic medicine is preventive medicine. It implies that North Korea puts preventive medicine at the operational center of its national health care system. This study aimed at examining and comparing preventive medicine practices in North Korea with those of South Korea. Methods : Efforts have been made to obtain a textbook for analysis its contents. Many people have iassisted in the study by joining the interview. Some of these people are as follows : a former professor of PyongYang Medical School, NK physicians living in South Korea, WHO staffs, diplomatic officials, etc. The major items of analysis consisted of industrial medicine and hygiene, nutrition, school health, epidemiology, health statistics and heath policy & management. Results : Public health philosophy is finely noted and well integrated in the operation of the North Korean national health care system, particularly in the area of industrial medicine and hygiene. Preventive medicine with a strong health surveillance system spanning a number of broad social organizations is a major tool to improve the health of the people in North Korea. The emphasis on preventive medicine has a close relationship with the 'Juche Philosophy' and the shortage of pharmaceuticals and medical equipment. To cope with the shortage problem, North Korean health workers are encouraged to grow medicinal herbs. We have found that they put little effort into teaching newly emerging diseases, such as AIDS, VDT syndrome, hazards of EMF, and agricultural chemical poisonings. Of the subjects of the preventive medicine text, 78.9% coincide with those of South Korean industrial health manuals and 34.2% with South Korean epidemiology texts. However, an absolute difference was found to exist between the health policies and management systems. Conclusion : In North Korea, the concept of preventive medicine functions as the basic philosophic strategy of the national health care system. It differs greatly from the South Korean system in both practice and educational content. Its contribution to society is simply incomparable to that of South Korea. More communication and further study is called for in order to improve the preventive medicine practices in the future.

예방의학의 발전 방향

박정한,Park, Jung-Han 대한예방의학회 2006 예방의학회지 Vol.39 No.1

Ever since the foundation of the Korean Society for Preventive Medicine in 1947, members of the Society had made remarkable contributions to the public health development and national health promotion. They had played key roles in establishing national health system, improving environmental hygiene, controlling infectious and chronic diseases, promoting family planning, improving industrial and environmental health, and developing health service management. However, the Society had less actively responded to the changes in health service needs of the population that were caused by a rapid epidemiologic transition in last a few decades. Early detection and treatment of chronic diseases including cancer and cardiovascular diseases and risk reduction by the life style modification are major approaches to the contemporary national health problems and they are the core contents of preventive medicine. The author proposed to develop the clinical preventive medicine specialist who will have additional training in clinical medicine for health screening and life style modification to the current preventive medicine training program and thus will be able to provide comprehensive preventive medical services. Another area that the Society may take the initiative is training preventive medicine specialist in the disaster, including bioterrorism, preparedness and management. The Society should be more active in proposing health policy and health service program and also participate collectively in a large scale health research project of the government. These approaches may not only contribute more effectively to the national health promotion but also improve the identity of the Society.

양생의학 연구의 회고와 전망

김남일(Namil Kim) 한국의사학회 2016 한국의사학회지 Vol.29 No.2

This paper discusses the research of preventive medicine in terms of philosophy and history, publication and people, branch research, applied research, Gi-gong, conduction exercise and so on. Currently, fields of philosophy, history, physical education and Korean Medicine are actively participating in the research on preventive medicine. From the philosophical view, theoretical aspects of preventive medicine are closely examined. From the historical view, the historical context is of focus. From the physical education viewpoint, Gi-gong, gymnastics and physical education philosophy are studied. In the field of Korean medicine where practicality is most important, plans to apply preventive medicine to life are creating new possibilities for research on preventive medicine. In this time where social interest on health is at peak, combined research of basic theory and application will have positive effects on the development of preventive medicine.

21세기 건강증진과 질병예방 교육과정 개발 - 제5차 대한예방의학회 예방의학 학습목표 개정 방향 -

천병철,조수헌,최보율,Chun, Byung-Chul,Cho, Soo-Hun,Choi, Bo-Yul 대한예방의학회 2006 예방의학회지 Vol.39 No.4

The preventive medicine learning objectives, first developed in 1977 and subsequently supplemented, underwent necessary revision of the contents for the fourth time to create the fifth revision. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum, the rapid change of the health and medical environment and the globalization of medicine. The Korean Society of Preventive Medicine formed a task force, led by the Undergraduate Education Committee in 2003, which surveyed all the medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. Based on these data, some temporary objectives were formed and promulgated to all the medical schools. After multiple revisions, an almost completely new series of learning objectives for preventive medicine was created. The objectives comprised 4 classifications and 1 supplement: 1) health and disease, 2) epidemiology and its application, 3) environment and health, 4) patient-doctor-society, and supplementary clinical occupational health. The total number of learning objectives, contained within 13 sub-classifications, was 221 (including 35 of supplementary clinical occupational health). Future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.

예방한의학 연수의 제도 시행에 따른 구체적인 규정의 개발과 시행 방안

신용철,고성규,Shin, Yong-Cheol,Ko, Seong-Gyu 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.1

With the start of the residentship of Korean preventive medicine in 2008, the residency training programs should be established and also operation plan for the residentship of Korean preventive medicine should be setup. This residency training program need to contain the future oriented study objective to be an expert of the preventive medicine and could be updated the changes in health service needs of the population. Specially in the part of Health Promotion(YangSaeng) in Korean Medicine, strengthening in medical practice, not just in knowledge is urgently required. And we should have more concentrations on preventive service for the individual, as in clinical preventive medicine. Training residents by the systematic and well scheduled programs, not just teacher..and assistant..in the academic facilities. These approach may not only contribute for the better future of the preventive medicine, but also improve in disease prevention and health promotion.

우리나라 예방의학교육의 미래: 희망과 도전

맹광호,Meng, Kwang-Ho 대한예방의학회 2006 예방의학회지 Vol.39 No.1

Throughout the century, based on the precedent set by Flexner in the United States, almost every subsequent report on the reform of medical education has pointed out the need for more prevention-oriented teaching in the curriculum. This has been particularly so in countries like Korea where the basic public health services have been so important for the improvement of health of the people. And, in fact, preventive medicine and public health have contributed a great deal to the prevention of communicable diseases and prolongation of life expectancy. Recently, however, along with the educational reform that emphasizing the interdisciplinary teaching, integration of basic science and clinical education, and centralization of responsibility for the medical education curriculum, concerns are being voiced by preventive medicine educators. These concerns are primarily centered around the fear that the implementation of interdisciplinary, centrally administered courses would result in a weakening of content and teaching expertise as well as a loss of departmental power and control. This paper foresees that preventive medicine and public health will be more important in Korea in the future and proposes that preventive medicine educators will have to step forward and turn the challenges of curricula restructuring into opportunities to expand the role of preventive medicine in the curricula of their institutions.

동의보감(東醫寶鑑)을 통해본 예방의학적 신체활동 고찰

이명희(Lee, Myung-Hee),원유미(Won, Yu-Mi),이택균(Lee, Taek-Kyun),박효주(Park Hyo-Joo) 한국체육과학회 2017 한국체육과학회지 Vol.26 No.2

The purpose of this study is to present the value of preventive medicine and the direction and meaning of healthy life for modern-day people with a number of health issues through a literary review of physical activities as part of preventive medicine through the curing method stated in Donguibogam. Heo Jun said that the human body consists of three major components of Jeong, Gi and Shin, which serve as the elements of vital activities engaging in a mutually organic relationship. Apparently, cleansing one’s heart and eliminating vain greed is one of the most fundamental and the best ways to prevent illness from the perspective of today’s preventive medicine. That is, a proper understanding of the condition and status of our body and correct identification of various symptoms will be the best way to maintain health and to prevent diseases in a preventive manner. Once we understand our physical body properly, we will not use our body in a reckless manner, which leads to the phrase of ‘too much is as bad as too little’ from the recuperative perspective of Donguibogam. Therefore, Donguibogam still presents outstanding meanings and implications from the viewpoint of preventive medicine intended to prevent and cure frequent modern-day diseases. I hope that modern people inevitably engaging in irregular and precarious lifestyle will be able to live a healthier life through an ideal harmony of recuperative physical activities and regular and correct diet habits. Health is not given for free. It is required to sustain a steady practice in the right direction. The effort to back up this academically and to suggest the right direction will work in a complementary and harmonious manner in multidisciplinary approach, combining physical education with medicine.

신생아 황달의 예방적 치료에 대한 연구동향

정민정,강기완,Jeong, Minjeong,Kang, Kiwan 대한한방소아과학회 2016 대한한방소아과학회지 Vol.30 No.4

Introduction Jaundice is one of the most common conditions found in neonatal period. Phototherapy is one of the main treatments for neonatal jaundice. However, several adverse effects of the phototherapy have been reported, including DNA damage recently. Therefore, a variety of treatments have been conducted to shorten the duration of phototherapy. Meanwhile, it has been hardly tried to prevent neonatal jaundice, but diverse approaches have been tried in traditional Chinese medicine (TCM) for many years. Therefore, this study aims to analyze the studies for the treatments to prevent neonatal jaundice based on TCM. Materials and Methods Various literatures have been searched via CNKI, and PubMed using the terms "neonatal jaundice" (新生??疸, 胎黃, 胎疸) in category of 'Traditional Chinese Medicine', 'Traditional Chinese Medicinal Herbs' and 'Combination of Traditional Chinese Medicine With Western Medicine'. The search range included randomized controlled trials (RCTs), controlled clinical trials (CCTs), case reports, reviews and animal experiments published from 2013 to 2015. Results A total of 104 studies were found. 93 articles were excluded by reviewing the titles and abstracts. Out of the remaining 11 studies, 9 articles were RCTs, 2 articles were CCTs. The treatment used in neonatal babies in the studies were, using herbal remedies (meditation 5, bath 3 and retention enema 1) and the acupressure. All treatments were initiated within the first 24-48 hours after their birth. Then, there was a study that the subjects taken the herbal medicine were women during pregnancy. The outcome assessments used were the serum total bilirubin (TB), transcutaneous bilirubin measurement (TCB), the incidence of the hyperbilirubinemia, the duration time of the jaundice. Especially, TB, TCB and the incidence of the hyperbilirubinemia have decreased significantly more than that of the control group in the most of the results. No severe adverse events were reported in all articles reviewed. Conclusions Conventional treatment such as, herbal medicine in TCM, seems to be the effective way to prevent neonatal jaundice or hyperbilirubinemia. Therefore, the conventional treatment may be favorable choice for preventive treatment for neonatal jaundice.

예방의학 발전을 위한 전공의 수련 교육개선

김창윤,Kim, Chang-Yoon 대한예방의학회 2006 예방의학회지 Vol.39 No.2

From the start of the residency trainingship in 1963, the residency training programs have been contributed much on the establishment and development of preventive medicine in Korea. But these programs are now have several problems to update the changes in health service needs of the population that were caused by a rapid epidemiologic transition from the acute infectious diseases to chronic diseases in last a few decades. Strengthening in medical practice, not just in knowledge is urgently required. Must have more concentrate on preventive service for the individual, as in clinical preventive medicine. Training residents by the systematic and well scheduled programs, not just 'teacher' assistant' in the academic facilities. Trying the change in the system of Specilty of Preventive Medicine to the well established several subspecialty, so more specific competency can be gained through the training. These approach and reformation may not only contribute for the better future of the preventive medicine, but also improve in disease prevention and health promotion, which required by the society in Korea.