1.The opinions of doctors about korean traditional medicine and unification of medical care system.
Eon Sook LEE ; Hong Gwan SEO ; Cheol Hwan KIM ; Il Soo KIM
Journal of the Korean Academy of Family Medicine 1998;19(8):662-670
BACKGROUND: There were a lot of problems in the health care system of Korea, which was divided into Western and Korean Traditional Medicine since 1951. In 1976 WHO published program of The promotion and development of traditional medicine. In 1977, Korean Medical Association(KMA) asked unification of health care system to government. But there was no progress because there were the lacks of mutual respect and understanding be-tween doctors of Western and Korean Traditional Medicine. As one health care group competed with the other, so KMA proposed the unification of health system again in 1997. The objectives of this research are to analyze attitude and opinions of western medical doctors on Korean Traditional Medicine and to analyze the opinions on the unification of medical care system in Korea. METHODS: A list of western medical doctor in Seoul and Incheon was obtained from Korean Medical Association. We sampled 937 doctors by stratified random sampling method. We sent them a postal questionnaire with a prepaid return envelope two times during March and April 1997. Of the 937 questionnaire, 266 replies were received. We analyzed the preference score related referral, Korean Traditional Medicine education and unification of medical care system We analyzed the data by Chisquare test, t-test, ANCOVA. RESULTS: This study shows that the western doctors have negative attitude on Korean Traditional Medicine(M=1K8, SD=5.2). They thought Korean Traditional Medicine was not reliable because it was not scientific(79.4%). Doctor, who didn't take oriental medical education, preferred unification of health care system, but it was not statistically significant. Those who experienced oriental medical education used oriental medical treatment more frequently(F=1.17, p=0.04). The more positive attitude they have about Korean Traditional Medicine, the more frequently they refereed the patient to oriental medical doctor(t =3.57, p =0.0004). CONCLUSIONS: Western medical doctors have a negative attitude on Korean Traditional Medicine. Doctors, who did not have oriental medical education, preferred unification of health care system, but it was not statistically significant. In summary, the lack of mutual respect and understanding between doctors of the Western and Korean Traditional Medicine prevent unification of medical care system.
Delivery of Health Care
;
Education
;
Education, Medical
;
Humans
;
Incheon
;
Korea
;
Medicine, Korean Traditional*
;
Medicine, Traditional
;
Referral and Consultation
;
Seoul
;
Surveys and Questionnaires
2.The detection of anti-ENA antibodies in systemic rheumatic diseases.
Sang Cheol BAE ; Gwan Gyu SONG ; In Hong LEE ; Dae Hyun YOO ; Seong Yoon KIM ; Think You KIM
Korean Journal of Medicine 1993;45(4):422-436
No abstract available.
Antibodies*
;
Rheumatic Diseases*
3.Clinical Outcome after Implantation of Intraocular Lens in Pediatric Cataract.
Ke Hahn KIM ; Jong Gwan LEE ; Heung Sik LIM ; Soon Cheol CHA
Journal of the Korean Ophthalmological Society 1998;39(7):1536-1543
Safety and effect of intraocular lens implantation in pediatric cataract patients were studied. And properness of intraocular lens along postoperative refractive changes was evaluated. In the department of ophthalmology, Yeung-Nam University college of medicine, twenty-eight patients were performed lens aspiration with intraocular lens implantation for pediatric cataract from May 1992 to October 1996. Preoperative and postoperative visual acuity, refractive power and postoperative complication along operative methods were evaluated, retrospectively. After follow up period of 6-30 months(mean 17.7 months), visual improvement more than 2 lines was noted 28 eyes(77.8%) by Hahns visual acuity chart. The trends of myopic shift had no significance in statistically, it is proper that we selected intraocular lens power adjust to emmetropia in over 3 years old patients. The difference between preoperative and postoperative refractive power measured within 0 and -2 Diopters in 30 eyes(83%). Aimed intraocular lens power was calculated by using SRK/T fomula for emmetropia and adjustment for refractive error of fellow eye. Best corrected vision was obtained after medical treatment of amblyopia.
Amblyopia
;
Cataract*
;
Child, Preschool
;
Emmetropia
;
Follow-Up Studies
;
Humans
;
Lens Implantation, Intraocular
;
Lenses, Intraocular*
;
Ophthalmology
;
Postoperative Complications
;
Refractive Errors
;
Retrospective Studies
;
Visual Acuity
4.Clinical Features Of Mixed Connective Tissue Disease: 18 Cases In Korea.
In Hong LEE ; Gwan Gyu SONG ; Sung Soo JUNG ; Sang Cheol BAE ; Dae Hyun YOO ; Think You KIM ; Seong Yoon KIM
The Journal of the Korean Rheumatism Association 1994;1(1):39-45
OBJECTIVE: Mixed connective tissue disease(MCTD) was first described by Sharp and coworkers in 1972 as distinct rheumatic diseases characterized by the overlapping features of systemic lupus erythematosus (SLE), systemic sclcrosis (SSc) and dermatomyositis/polymyositis and associated with the serologic marker anti-nRNP antibody at high titer. METHODS: We reviewed 18 cases(all females) of MCTD who were admitted or visited to rheumatism center of Hanyang University Hopital, from October 1989 to September 1992. RESULTS: 1) The average age at onset of MCTD was 38.6 years. The average duration of the disease was 5.3 years. 2) Raynaud's phenomenon was found in 100%. Arthritis was found in 13 cases but rheumatoid factor was found in 15 cases. 3) Hand swelling was found in 15 cases and myositis was found in 56% (10 cases). 4) All patients with MCTD have anti-nRNP antibodies by high titer. In general, the titer does not correlate with disease activity. CONCLUSIONS: These data suggested that the clinical features of MCTD in Korean patients revealed similar to those of previous reports regarding foreign ethnic groups.
Antibodies
;
Arthritis
;
Connective Tissue
;
Ethnic Groups
;
Hand
;
Humans
;
Korea*
;
Lupus Erythematosus, Systemic
;
Mixed Connective Tissue Disease*
;
Myositis
;
Rheumatic Diseases
;
Rheumatoid Factor
5.Perceived Change of Office-based Family Physicians after Implementation of Segregation of Prescription and Dispensing Medicine.
Cheol Hwan KIM ; Hong Gwan SEO ; Hong Jun CHO ; Haeng LEE
Journal of the Korean Academy of Family Medicine 2002;23(6):721-727
BACKGROUND: In the Republic of Korea, the policy for segregation of prescription and dispensing medicine started in July, 2000. This study aimed to know the change of role of office-based family physicians after the policy implementation. METHODS: We chose 560 office-based family physicians who had private clinics from the mailing list of the Korean Association of Family Physicians. We mailed a questionnaire to them and received 215 responses. RESULTS: Overall response rate was 38.4%. The mean age of the study population was 40.9 years. There was no change in the number of employees before and after the policy implementation. The respondents who expected that their income would increase were more than those who expected that their income would decrease. The duration of medication and the proportion of original drugs used increased, but the prescription rate of injections, antibiotics, and digestives decreased. The respondents requested the Korean Academy of Family Medicine to promote strong political activities to improve the status of the office-based family physicians, and to develop reimbursement items and clinical guidelines. CONCLUSION: The perceived change of office-based family physicians was minimal after implementation of the policy for segregation of prescription and dispensing medicine.
Anti-Bacterial Agents
;
Surveys and Questionnaires
;
Humans
;
Physicians, Family*
;
Politics
;
Postal Service
;
Prescriptions*
;
Republic of Korea
6.Efficacy and safety of tofacitinib for active rheumatoid arthritis with an inadequate response to methotrexate or disease-modifying antirheumatic drugs: a meta-analysis of randomized controlled trials.
Gwan Gyu SONG ; Sang Cheol BAE ; Young Ho LEE
The Korean Journal of Internal Medicine 2014;29(5):656-663
BACKGROUND/AIMS: The aim of this study was to assess the efficacy and safety of tofacitinib (5 and 10 mg twice daily) in patients with active rheumatoid arthritis (RA). METHODS: A systematic review of randomized controlled trials (RCTs) that examined the efficacy and safety of tofacitinib in patients with active RA was performed using the Medline, Embase, and Cochrane Controlled Trials Register databases as well as manual searches. RESULTS: Five RCTs, including three phase-II and two phase-III trials involving 1,590 patients, met the inclusion criteria. The three phase-II RCTs included 452 patients with RA (144 patients randomized to 5 mg of tofacitinib twice daily, 156 patients randomized to 10 mg of tofacitinib twice daily, and 152 patients randomized to placebo) who were included in this meta-analysis. The American College of Rheumatology 20% response rate was significantly higher in the tofacitinib 5- and 10-mg groups than in the control group (relative risk [RR], 2.445; 95% confidence interval [CI], 1.229 to 4.861; p = 0.011; and RR, 2.597; 95% CI, 1.514 to 4.455; p = 0.001, respectively). The safety outcomes did not differ between the tofacitinib 5- and 10-mg groups and placebo groups with the exception of infection in the tofacitinib 10-mg group (RR, 2.133; 95% CI, 1.268 to 3.590; p = 0.004). The results of two phase-III trials (1,123 patients) confirmed the findings in the phase-II studies. CONCLUSIONS: Tofacitinib at dosages of 5 and 10 mg twice daily was found to be effective in patients with active RA that inadequately responded to methotrexate or disease-modifying antirheumatic drugs, and showed a manageable safety profile.
Antirheumatic Agents/administration & dosage/adverse effects/*therapeutic use
;
Arthritis, Rheumatoid/*drug therapy
;
Clinical Trials, Phase II as Topic
;
Clinical Trials, Phase III as Topic
;
Humans
;
Janus Kinases/antagonists & inhibitors
;
Methotrexate/therapeutic use
;
Piperidines/administration & dosage/adverse effects/*therapeutic use
;
Protein Kinase Inhibitors/administration & dosage/adverse effects/therapeutic use
;
Pyrimidines/administration & dosage/adverse effects/*therapeutic use
;
Pyrroles/administration & dosage/adverse effects/*therapeutic use
;
Randomized Controlled Trials as Topic
;
Treatment Outcome
7.A case of angioimmunoblastic lymphadenopathy presenting as polyarthritis.
Gwan Gyu SONG ; Seon Ho HWANG ; Ji Hoon KIM ; In Hong LEE ; Sung Soo JUNG ; Sang Cheol BAE ; Dae Hyun YOO ; Young Hae KO ; In Soon KIM ; Seong Yoon KIM
Korean Journal of Medicine 1993;45(3):383-387
No abstract available.
Arthritis*
;
Immunoblastic Lymphadenopathy*
8.Factors Affecting the Reaccumulation of Chronic Subdural Hematoma after Burr-hole Trephination and Closed-system Drainage.
Cheol Hyun CHOI ; Byung Gwan MOON ; Hee In KANG ; Seung Jin LEE ; Joo Seung KIM
Journal of Korean Neurosurgical Society 2004;35(2):192-198
OBJECTIVE: The reaccumulation of hematoma is one of the most frequent problems on the chronic subdural hematoma. The aim of this study is to determine the factors affecting the reaccumulation of hematoma and the reasonable site for the burr-hole trephination to achieve a low reaccumulation rate after burr-hole trephination and closed-system drainage METHODS: The authors studied 93 patients with chronic subdural hematoma in whom the location of burr-hole trephination was randomly placed and precisely determined on postoperative brain computerized tomographic scans or skull roentgenogram. Eighty five patients with chronic subdural hematoma were obtained with brain computerized tomographic scans the postoperative 3 day. The location of the burr-hole trephination, the location of subdural catheter tip, the maximum postoperative width of the subdural space, and the percentage of the ipsilateral subdural space occupied by air postoperatively were measured and analyzed the correlation with the postoperative reaccumulation rates. RESULTS: Patients with the parietal trephination had much more subdural air and a higher of chronic subdural hematoma reaccumulation than those with the frontal one. In addition, patients with residual subdural air on brain computerized tomographic scans obtained the postoperative 3 day also had a higher reaccumulation rate than those without subdural air collections. CONCLUSION: The incidence of postoperative subdural fluid reaccumulation can be reduced by the burr-hole trephination on the frontal convexity and by preventing subdural air accumulation during operation.
Brain
;
Catheters
;
Drainage*
;
Hematoma
;
Hematoma, Subdural
;
Hematoma, Subdural, Chronic*
;
Humans
;
Incidence
;
Rabeprazole
;
Skull
;
Subdural Space
;
Trephining*
9.The detection of antiphospholipid antibodies in systemic rheumatic diseases.
Sang Cheol BAE ; Sung Soo JUNG ; Gwan Gyu SONG ; In Hong LEE ; Hyun Kyoo JANG ; Dae Hyun YOO ; Seong Yoon KIM ; Think You KIM
Korean Journal of Medicine 1993;45(5):639-651
No abstract available.
Antibodies, Antiphospholipid*
;
Rheumatic Diseases*
10.Recognition of tabacco health warning labelling in korean family physicians.
Tong Hyun ROH ; Hong Gwan SEO ; Cheol Hwan KIM ; Shin Hung KIM ; Mi LYOU ; Eon Sook LEE
Journal of the Korean Academy of Family Medicine 2001;22(10):1503-1510
BACKGROUND: Tobacco health warning labelling as one of the smoking education act has been improved in many countries. But there was no change of tobacco health warning labelling after 1989 in korea. So, for the purpose to help developing new tobacco health warning labelling, we searched the recognition rate of tobacco health warning labelling in family physician and their evaluation of labels which were required form 1976 to 1988, and after 1989 in korea. METHOD: Family physicians who were participated in autumn conference 2000 of the Korean Academy of Family Medicine were questioned about their recognition and evaluation of tobacco health warning labelling required form 1976 to 1988 and after 1989. RESULTS: Response rate to questionnaire was 25%(250/1000), but completely filled response rate included in study was 14.5%(145/1000). The recognition rate of tobacco health warning labelling required in 1976-1988(86.7%) was higher then after 1989(61.4%). When compared by sex, age, and smoking status, each results are similar. Respondents evaluated the tobacco health warning labelling required in 1976-1988 that the information was absolutely small and the vagueness of sentences lead smokers misconceived adverse effect of smoking, and also pointed out that the changed labelling after 1989 is not enough to transmit sufficient information. Respondents recognized that because government provided military personnel with tobacco of free charge, it decreased confidence and warning effect of tobacco health warning labelling(72.4%). Respondents answered active campaign of government against smoking would increase the effect of tobacco health warning labelling(92.4%), but the monopoly of tobacco production by government would support (local)government finance(75.9%). CONCLUSION: New tobacco health warning labelling is needed to increase readability, warning, information against smoking, because present labelling is not recognized well and limited to give information against smoking.
Comprehension
;
Surveys and Questionnaires
;
Education
;
Humans
;
Korea
;
Military Personnel
;
Physicians, Family*
;
Smoke
;
Smoking
;
Tobacco
;
Tobacco Products