氣功與防止衰老的作用

전신옥,이경섭,남상수,Quan, Xin-Yu,Lee, Kyung-Sub,Nam, Sang-Su 대한예방한의학회 2004 대한예방한의학회지 Vol.8 No.1

The average life span is expanded due to the development of modem society, material and cultural life and increasing level of public health. This means that the aging society is rapidly progressing. Geniatric diseases also have increased due to increasing of the aged population. Along with an increase of the aged patient, the anti-aging, prevention of geniatric disease and quality of life is tending high on social concern and medical issues. Many reports showed the evidence to the positive anti-aging effect of Oriental medicine. Qigong therapy, a kind of Oriental medicine, has been used to prevent aging and life prolongation with positive effect for many thousand years. Therefore, qigong practice is popular and common to middle age and old age in China.

표준화 난임환자를 활용한 한의대생의 진료 및 의사소통 수준연구

안효자,양승정,신헌태,An, Hyo-Ja,Yang, Seung-Jung,Shin, Heon-Tae 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.3

Objective : The purpose of this study is to assess the communication and medical interview level of the students in the college of korean traditional medicine using Standardized Patients(SP). Method : 35 students of 5th grade in the college who are doing their clinical practice class participated and conducted medical interview on standardized infertile female patient. SP and professor who observed the interview evaluated the students' communication skill and medical interview level using the assessment sheet composed of 23 questions. Results : 1. Satisfaction of SP was 1.66 of 3. In the communication section, students conducted well in appropriate voice and no inappropriate interruption but they didn't show good practice in considerate physical examination, understandable explanation relatively. 2. The scores that were acquired by students in informing the time required, obtaining agreement at initiating and closing, family history taking, checking mental status and physical examination 2 were low in the medical interview section. 3. There were some differences in the communication and medical interview scores by the students' sex (p<.01), age(p<.05) and medical camp experience(p<.05). But we couldn't find any evidence about the relation between character type and the communication and medical interview scores(p>.62). Conclusion : On the whole, students who participated this study had difficulties in building relationship with patient and conducting medical interview. They need to improve their ability in those fields by appropriate education before their graduation.

한의학 관련 특허 중 소아 관련 특허동향 연구 - 국내 등록 특허를 중심으로 -

천진홍,김기봉,정아람,Hong, Cheon Jin,Kim, Ki Bong,Ram, Jeong A 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : The purpose of this study is to analyze for the patent application tendency in Korean Oriental Pediatric Medicine. Recently, many studies are published in Korean Oriental Pediatric Medicine. However, in the patent area, the research results are few. Method : For patent analysis, we searched the database kipris (http://www.kipris.or.kr) which managed in the Korean Intellectual Property Office by keywords about Korean Oriental Pediatrics. They are technically analysed by year and IPC, patent's contents, main applicant and organization. Results : 1. Patents by year have been on the rise 2 in 1997 to 32 in 2011. 2. Our findings are Section A61;182, A23;46 in IPC analysis 3. In classification of content, 'application-food' is 67 cases, 'application-functional cosmetic' is 18 cases, 'application-clothes' is 5 cases. 4. Korea Institute of Oriental Medicine have 14 patent cases, that is the most patent agency in possession. Main applicants are person > company > university > laboratory > state or local government. Conclusion : This study shows that it has high frequency of daily necessity in patent cases about oriental pediatrics. The results are more distributed 'applied' field than 'treatment' field. The patent information should be connected research achievement results in Korean Oriental Medicine.

몽골 전통의료의 현황 및 역사적 발달과정

유왕근,Yoo, Wang Keun 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : The aim of this study is to review the historical development and current situation of Mongolian traditional medicine. Method : Systematic literature review for books, journals, governments statistics, reports on mongolian traditional medicine was carried out. Results : The theory of Mongolian traditional medicine is influenced by the philosophy and medical theories of the ancient orient such as India, Tibet and China-theories of hot and cold, principle of yin and yang and five elements. There are very unique treatments like brain tram concussion, fermented horse milk treatment as well as moxibustion, acupuncture, and blood letting. It appears that they are very closed to nomadic life. Training program of each institutes need to be standardized. Mongolian traditional medicine had been almost destroyed by the influence of communist idea from 1930s until the end of the 1980s. Since 1990, Mongolian government put much emphasis on the development of traditional medicine. And now about 3.7% of total beds is traditional medicine one and that there are six TM schools and the total number of traditional medicine in 2012 is 1696. However, there are still the lack of manpower, facilities, standardized training program and scientific research for traditional medicine. Conclusion : Mongolian traditional medicine has been developed over centuries in response to Mongolia's unique geographical and climate conditions and the lifestyles of its people and that made contribution to the health of mongolian people. However, it needs to be strengthened because there are poor infrastructure and training program.

노인의 근골격계 특성에 적합한 기공운동 개발을 위한 기초연구

김이순,이정원,김경철,박태섭,곽이섭,이해웅,Kim, Yi Soon,Lee, Jeong Won,Kim, Gyeong Cheol,Park, Tae Soeb,Kwak, Yi Sub,Lee, Hai-Woong 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : The objective of this study is to develop a Qigong exercise program to reinforce musculoskeletal system of seniors appropriate for physical strength and conditions of seniors aged 65 years or above based on health Qigong exercise of oriental medicine. Method : Qigong exercise motions that can improve strength, muscular endurance, flexibility, and cardiovascular endurance of seniors were developed by primarily performing literature review of Qigong experts on the fields like oriental medicine, Qigong exercise, physical education and health science and secondarily using motion training for increased validity of motions. Results : The Qigong exercise program for musculoskeletal system of seniors was designed with 12 motions repeated 8 times and 20 minutes per session, including shoulder exercises (alternate turning of left and right shoulders, turning both arms back and forth, holding and lifting elbow to put it aside), waist exercises (wrapping the head with hands to bow, twisting waist while looking at the tip of hand, large spinning of ball, putting hands together to pull back), and knee exercises (going up a down while lifting a rock, balancing the body while lifting a knee, lifting and spreading knees while drawing circle with arms, raising both arms to the side while lifting heels, breathing). Conclusion : Once the effects of Qigong exercise for musculoskeletal system of seniors developed in this study are tested, the program is expected to contribute to development of Qigong exercise, a core part of oriental medicine health improvement project.

마황 에틸아세테이트 분획물이 고지방 식이로 유발된 생쥐의 지질대사에 미치는 영향

하태훈,권태우,김영균,Ha, Tae-Hoon,Kwon, Tae-Woo,Kim, Young-Kyun 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : Ephedra Herba has been widely used for patients with common cold, asthma in eastern countries, especially china japan and korea. Recently it has been also used for obesity in clinic with high frequency. This study was designed to investigate the effects of Ephedra Herba ethyl-acetate fraction (EEAF) on hyperlipidemic mice. Method : Effects on total cholesterol, HDL-cholesterol, triglyceride, AST, ALT, fasting blood glucose in serum were measured in this experiment, and in addition, histopathological and gene expression changes in liver tissue was also observed. Results : In our study, EEAF did not affect weight gain in hyperlipidemic mice. Oral administration of EEAF lowered levels of total cholesterol which were elevated by induction of hyperlipidemia. And administration of EEAF lowered fasting blood glucose significantly. By carrying out ontological analysis, large numbers of genes were identified in up or down regulated genes. The expression of the genes that were altered in response to high-fat diet was restored to normal levels in EEAF treated mice, with a recovery rate of 49%. And it was considered that fatty acid metabolism was one of important key pathway of the recovery. Conclusion : Results in our study suggest that EEAF can prevent obese and through regulation of dyslipidemia and hyperglycaemia.

약선 식당에서 사용하는 한약재에 대한 조사연구

전소정,김민지,김창희,권영규,이상재,Jeon, Sojeong,Kim, Minji,Kim, Changhee,Kwon, Youngkyu,Lee, Sangjae 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : This study is a survey research that investigates the kinds of medicinal herbs actually used in Yaksun(medicianal food) restaurants, the frequency and the way of using herbs in Yaksun. Through this study, we assumed that it will be used basis data on further Korean Yaksun research. Method : We conducted survey targeting for 26 Yaksun restaurants and Temple food restaurants serving Yaksun cuisine(medicinal food) menu from July 2012 to January 2013. The questionnaire was composed of several parts including the kinds of medicinal herbs that was used in Yaksun, medicinal food types that use a lot of medicinal herbs, medicinal herbs criteria used in the selection of medicinal food, and education experience learning Yaksun cuisine. Results : Only 11 restaurants answered the questionnaire among the targeting restaurants of survey objects. The number of Herbs was investigated in each restaurant was maximum 65 kinds and minimum 7 kinds (average 32 kinds). All restaurants used Angelicae Gigantis Radix in their restaurant. And Nelumbinis Semen, Zingiberis Rhizoma, Glycyrrhizae Radix, Acanthopanacis Cortex, and Gardeniae Fructus are well used medicinal herbs in Yaksun. Types of medicinal food using a lot of herbs were rices porridges rice cakes, both vegetables salads and stews soups. Almost chefs or restaurant's representatives learned cooking medicinal food at temples, food research centers, university attached institutions, and cooking schools. Conclusion : Medicinal herbs used in Yaksun restaurants are familiar with Korean and easily available. These herbs has better efficacy, taste, scent, color in comparison of the others. For the development of Korean Yaksun, further research of divers parts in Yaksun materials should be conducted.

방문건강관리사업을 통한 재가 관절통증환자 집중관리 프로그램의 효과

박금숙,정헌영,김영희,이경완,Park, Kum Sook,Jeong, Heon Young,Kim, Young Hee,Lee, Gyoung 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.2

Objective : The purpose of this study was to investigate the effects of Intensive management program of home visiting health service for community dwelling Clients with Arthralgia. Method : A nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to an experimental group (n=30) or a control group (n=30). For an experimental group, The Intensive Management program was given as a home visiting health service once a week for 8 weeks. Study outcomes were measured by structured questionnaires from August, 2013 to october. For data analysis, Chi-square test, Fisher's exact probability test, independent t-test, and paired t-test were performed using SPSS version 17.0. Results : Changes in pain, fatigue, medical service utilization and self management compliance were significantly different between the two groups in pretest and posttest(t=-4.828, p < .001), (t=-4.944, p =.001), (t=2.176, p =.039), (t=3.141, p =.003). And there were significant difference between the two groups in left extension and flexion of knee(t=-2.241, p < .031), (t=2.166, p < .037). Conclusion : The intensive management program was effective on decreasing pain, fatigue, medical service utilization, and increasing flexibility of knee joint and self-management compliance of community dwelling clients with arthralgia.

우리나라 전자의무기록의 개선방안

최찬호,Choi, Chan-Ho 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.3

The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

구강건강에 이용되는 보완대체의학 치료: 무작위대조임상연구를 통한 문헌적 고찰

김다희,최광호,황의형,허광호,김용덕,신병철,Kim, Da-Hee,Choi, Gwang-Ho,Hwang, Eui-Hyoung,Heo, Kwang-Ho,Kim, Yong-Deok,Shin, Byung-Cheul 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.3

Objective : This review aims at analyzing Complementary and Alternative Medicine (CAM) therapies, using for oral health to know current use of CAM in dental area by analyzing randomized controlled clinical trials (RCTs). Method : We searched the following 6 electronic databases until 1 July 2014. : Pubmed, Medline, Embase, Allied and Complementary Medicine Database(AMED), Cumulative Index to Nursing and Allied Health Literature(CINAHL), the Cochrane Library. We included parallel RCTs and cross-over RCTs that assessed the efficacy of CAM regardless of blinding and language. Results : A total of 154 RCT articles were included. There were 2-arm parallel study design(69.5%), 3-arm parallel study design(20.8%), 4-arm parallel study design(4.5%) and Cross-over design(5.2%). Complementary and alternative medicine RCTs in oral health tend to increase in the early-2000s and in the mid-2010s. In addition, 154 citations were classified according to diseases and interventions that categorized Natural Products studies(68.2%), Mind and Body Practices studies(31.8%). We classified in detail that vitamin and mineral therapies(29.9%), dietary supplements(24.7%), acupuncture(23.3%), Herbal medicine(13.6%), homeopathy (2.6%), energy therapies(2.6%), Massage(1.9%), biofeedback(0.6%), traditional medicine(0.6%). Conclusion : Increasing publications and diverse interventions regarding CAM for oral health is observed by analyzing RCTs from the literature review. Further studies are needed to be performed as systematic reviews to verify their effectiveness and the research to inquire into side effect.