1.Cultural Morphology of Eating Disorders.
Korean Journal of Medical History 2004;13(1):94-118
2.Hemorrhagic Fever with Renal Syndrome: Historical Aspects.
Korean Journal of Medical History 2004;13(1):37-61
A mysterious disease was first reported from Korea when it had been observed during late spring 1951 in UN Forces operating in the central area close to the 38th parallel. The disease showed distinctive features which included high fever, low blood pressure, hemorrhagic tendency and acute renal failure. Historically it was apparently a similar disease to a clinical entity designated as Epidemic hemorrhagic fever in Manchuria or Hemorrhagic nephrosonephritis in Far Eastern Russia. After Lee Ho-Wang succeeded in demonstrating Hantaan virus which caused hemorrhagic fever with renal syndrome (HFRS), many studies has revealed various biological and epidemiological aspects of the disease. But the origin of the disease in Korea still remains unknown. This article tests some hypotheses which explain the origin of the disease and reviews the relation between the Korean War and HFRS. It is concluded that the emerging of HFRS would be closely related with the establishment of the munitions supply network in early 1951 in Chinese troop.
China
;
English Abstract
;
Hemorrhagic Fever with Renal Syndrome/*history
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History of Medicine, 20th Cent.
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Korea
;
Military Medicine/*history
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Siberia
;
War
3.Reformation of the Medical Educational Institutes and Training of General Doctors during the Early Period of Japanese Rule.
Korean Journal of Medical History 2004;13(1):20-36
The Japanese government downgraded a Korean medical college being attached to the Daehan hospital to a medical training center blaming upon a lack of education in Korea. But the actual curriculum and the years required for completing a course of study in the Korean medical college were equivalent to those of the Japanese medical college. Furthermore, the Japanese government discarded the financial support for medical school students. So they should pay their tuitions and other stipends by themselves. The Japanese government forced a private institute to establish an endowed school by the legal act of college. It enabled to classify a medical education system with the judicial support. For the example of Severance Medical School, it reformed faculty, curriculum and facility according to the legal standard of a college act. Therefore, Severance Medical School was able to be upgraded to a medical college. But there was a limitation even for the government schools under the colonial era. It was not possible to train important medical human resource who enabled to supervise the modern medical system in Korea. On one hand, almost every important medical human resource such as a military doctor, and a professor, who should have trained in Korea in the Great Han Period, was trained in Japan. On the other hand, fostering general doctors, who practiced medicine with hands-on experience, was the purpose of medical education in Korea whether the medical school was governmental or private. Since the purpose of Severance Medical College was to foster general doctors, it was able to grow within the colonial medical system. The purpose of medical missionaries, who promoted the spread of gospel with the western medical support, enforced the Japanese colonial logics that the Japanese government could educate and develop Korea with the introduction of western civilization. Although it was later comparing to the government medical school, Severance Medical College enabled to certify the medical license automatically to the graduates from the school. The reason that the Japanese government allowed for Severance Medical College to issue the automatic medical license was to keep the colonial structure of Japanese in Korea.
Colonialism/*history
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Education, Medical/*history
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English Abstract
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Family Practice/*history
;
History of Medicine, 20th Cent.
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Japan
;
Korea
;
Missions and Missionaries/*history
;
United States
4.Sjogren's Syndrome.
Yonsei Medical Journal 2003;44(6):947-954
Sjogren's syndrome (SS) describes xeropthalmia and xerostomia due to lymphocytic infiltrates of lacrimal and salivary glands. SS may occur alone (primary SS) or in association with several other autoimmune diseases (secondary SS). The clinical features involve a wide variety of organs, including skin, eyes, oral cavity and salivary glands, and systems, including nervous, musculoskeletal, genitourinary and vascular. Sicca symptoms can be found in a number of other disorders including rheumatoid arthritis, systemic lupus erythematosus, scleroderma, primary biliary cirrhosis, and other rheumatic disorders.
Eye Diseases/etiology
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History of Medicine, 20th Cent.
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Human
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Mouth Diseases/etiology
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*Sjogren's Syndrome/complications/diagnosis/history/physiopathology/therapy
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Skin Diseases/etiology
;
Sweden
5.Classification and Nomenclature of Gallstones Revisited.
In Sook KIM ; Seung Jae MYUNG ; Sang Soo LEE ; Sung Koo LEE ; Myung Hwan KIM
Yonsei Medical Journal 2003;44(4):561-570
Over the decades, there has been a great deal progress in the understanding of gallstones owing to the continuous efforts aimed at elucidating their pathogenesis. An optimal classification system is needed because the etiology, pathogenesis, clinical features and treatment can be different according to the classes. Currently, two systems are widely used: one from the National Institutes of Health (NIH) -International Workshop on Pigment Gallstone Disease held in 1981 and the other from Gallstone Research Committee from the Japanese Society of Gastroenterology in 1984. However, some stones cannot be classified into either of these categories. In addition, several terms have been not been clearly defined. In several aspects, both systems need to be reevaluated. This paper reviewed the classification systems and terms that are currently used for gallstones, and raises several points that need to be reconsidered. In the near future, large scaled prospective studies on gallstones need to be carried out on the basis of the external color, chemistry, cutting surface, etc. Only when these studies are completed can an ideal classification system for gallstones be expected.
Cholelithiasis/*classification/history/pathology
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History of Medicine, 19th Cent.
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History of Medicine, 20th Cent.
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Human
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Korea
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*Terminology
6.Hippocrates and the Nineteenth-century French medicine.
Korean Journal of Medical History 2003;12(2):167-178
Hippocrates, the father of medicine, has been represented in many ways throughout the history of medicine. His influence on later medicine took different forms from one epoch to another. Hippocrates' medical doctrine was quite influential until Renaissance period, and with the arrival of modern medicine, the method or the spirit of Hippocrates had been valued more highly than his medical doctrine. Nineteenth century French medicine shows us how the influence of Hippocrates is still vivid even in the nineteenth century. Hippocrates, as the author of the Ai Wate Places became the founder of environmental medicine with the flourishing of meteorological medicine. And in the hands of medical ideologues he also became an proclaimer of the ideology that stressed the correspondence between men, society and nature. Laennec represented Hippocrates as the true pioneer in Clinical Medicine to which he himself made a great contribution. These various images of Hippocrates show us the universal nature of his medicine.
English Abstract
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France
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History of Medicine, 19th Cent.
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History of Medicine, Ancient
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*Medicine
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Philosophy, Medical/*history
7.Abortion in Korea Since 1945.
Korean Journal of Medical History 2003;12(2):129-143
Since prehistorical era, the human has desired to control reproduction artificially. However, abortion, one of the productive methods has been prohibited to a certain degree by law in some countries, but the operation of abortion has been done in practice. Also, controversial arguments on legitimacy of abortion have been raised. In Korea, physicians operates abortions more than 2 million times each year. In spite of serious social problems, arguments on abortion have not been common yet. The efforts to find a good solution for abortion have not been very sufficient. Therefore, this study is to investigate the concerns for the conditions of abortion since 1945 (this year is the independent one from Japan's government) through a historical perspective and to suggest the efficient direction in policy. Since 1945, many women have had no choice but abortion for their basic life. The Korean government of legislated the Crimes of Abortion in Criminal Law in 1953. However, the number of women who underwent abortion increased since 1962 due to the governmental Family Planning Policy. In addition, the Mother and Fatherless Child Health Act was enacted in 1973 that tolerated abortion to some extent. The disparate treatment of abortion between Criminal Law and the governmental policy fueled the confusion to potentially pregnant women. The first reason why Korean women choose abortion is wrongful pregnancy. Compared to other countries, in Korea, abortion were operated for sex selection. To conclude, it is important to be implement positive sex education, proper contraception education by government and social publicization of arguments on abortion.
Abortion, Induced/*history
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English Abstract
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History of Medicine, 20th Cent.
;
History of Medicine, 21st Cent.
;
Korea
;
Public Health Practice/*history
8.Traditional Medicine under Japanese Rule after 1930s.
Korean Journal of Medical History 2003;12(2):110-128
Japan, which occupied Korean from 1910 through the end of World War II, transformed traditional medicine. Japanese colonialists propagandized the "benefits of modern civilization such as western medicine" and rejected the advantages of traditional medicine. This bias against Korean traditional medicine mirrored the government's rejection of its own traditional medicine. So, Korean traditional medicine was marginalized in the national health care system traditional doctors were excluded from public institutions and references to traditional medicine were purged from school textbooks and newspapers. The wars that Japan waged between 1931 and 1944 effected a favorable change toward traditional medicines, however. The wars created a severe shortage of drugs and medical personnel. Thus the colonial government was eager for Koreans to cultivate and gather herbal drugs it also built a large research institute for herbalism at the Keijo Imperial University in 1938. The colonial government made pharmacopoeia for traditional herbal drugs including plant and animal drugs from 1937 to 1942, independently from Japan. Under these conditions the prestige of traditional medicine was greatly improved. Influential newspapers and magazines covered the traditional medicine, and public lectures on traditional medicine drew large audiences. The wartime government abandoned its opposition to traditional medicine and appointed a traditional practitioner to the staff of the public hospital in 1934. Moreover, the government allowed the association of the traditional medical doctors in Seoul to train three hundred more practitioners between 1937 and 1942. Japanese colonial policy toward traditional medicine reflected the contradiction between modernizing ideology and the reality of poor colonial medical care. Japanese propaganda promised that the colonial regime would provide more advanced medicine to Korea, but the promise was an empty one. In this situation, traditional medical doctors and herbalists once again shouldered the main responsibility for the health of the Korean people.
Colonialism/*history
;
English Abstract
;
History of Medicine, 20th Cent.
;
Japan
;
Korea
;
Medicine, Oriental Traditional/*history
9.A Study of Treatise on Medicine by King Sejo.
Im kyung HWANG ; Sang Ik HWANG
Korean Journal of Medical History 2003;12(2):97-109
This paper explores historical backgrounds and contents of Treatise on Medicine written by King Sejo (r.1455-1468) including his views on traditional medicine and pharmacy in the early Chosen period. The Treatise declared by King Sejo in 1463 has been considered as an important and unique manual of medicine because it was the exclusive example written by the king of Chosen. It was the King Sejo's era when the medical milieu in both social and medical aspects was highly encouraged thanks to the previous achievements by King Sejong the Great (r.1418-1450). King Sejo, in particular, who was much interested in practical learning called 'Miscellaneous Studies' emphasized on court medicine. His writing can be understood in such historical frame. Another reason why he wrote the Treatise can be said that he felt necessary for establishing the medical ethic codes for inefficient court medicine-officials. In personal background, he tried to find available remedies since he had been suffered from some chronic diseases. The contents of the Treatise can be broadly fallen to the clinical and ethical aspects, In the former one, the Treatise focuses on treatment without hesitation through the sharp and exact diagnosis by medical doctors. In the latter one, eight categories of medical doctors are discussed according to their moral degrees, sim'eui, sik'eui, yak'eui, hon'eui, kwang'eui, mang'eui, sa'eui, and sal'eui. Finally, musim'ji-eui was supplemented. Among them, sal'eui, medicine-official laking both medical ability and ethical attitude, was classified as the lowest degree, sim'eui, medicine-official sincerely making his all efforts for patients, was thought to be a paragon of medical morality. In conclusion, the Treatise on Medicine by King Sejo played an important role as a manual for the principle of medical practice and for the instruction to enhance ethical attitude among medicine-officials.
English Abstract
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*Famous Persons
;
History of Medicine, 15th Cent.
;
History of Medicine, Early Modern
;
Korea
;
*Medicine
;
State Medicine/*history
;
Textbooks/*history
10.The Development of Private Hospital in Modern Korea, 1885-1960.
Korean Journal of Medical History 2002;11(1):85-110
Modern hospital in Korea was the space of competition and compromise among different forces such as the state power and social forces, imperialism and nationalism, and the traditional and the modern medicine. Hospital in the Japanese colonialism was the object of control for establishing the colonial medical system. Japanese colonialism controlled not only the public hospital but also the private hospital which had to possess more than 10 infectious beds in the isolation building by the Controlling Regulation of Private Hospital. In fact, the private hospital had to possess more than 20 beds for hospital management. As a result, its regulation prevented the independent development of the private hospital. But because the public hospital could not accommodate many graduates of medical school, most of them had to serve as a practitioner. Although some practitioners had more than 20 beds in their clinics, they were not officially included in the imperial medicine. By concentrating on the trend of the number of bed in the hospital, this paper differs from most previous studies of the system of hospital, which have argued that the system of hospital was converted the public-centered hospital system under the colonial medical system into the private-centered hospital system under the U. S. medical system after the Liberation in 1945. After Liberation, medical reformers discussed arranging the public and the private hospital. Lee Yong-seol, who was a Health-Welfare minister, disagreed the introduction of the system of state medicine. Worrying about the flooding of practitioners, he did not want to intervene the construction of hospital by state power. Because the private hospital run short of the medical leadership and the fundamental basis, the state still controlled the main disease in the public health and the prevention of epidemics. This means the state also played important part in the general medical examination and treatment. The outbreak of Korean War in 1950 reinforced the role of state. The leadership of the public hospital verified the trend of the quantity of bed. The number of bed in the private hospital exceeded that of the public hospital in 1966 for the first time. Furthermore, the number of bed in the public hospital doubled that of private hospital in the new general hospital of 1950s. This means the system of hospital after the Liberation was not converted the public-centered hospital system into the private-centered hospital system, but maintained the public-centered hospital system until 1960s.
Colonialism/*history
;
English Abstract
;
History of Medicine, 20th Cent.
;
History of Medicine, 21st Cent.
;
Hospitals, Public/*history
;
Hospitals, Voluntary/*history
;
Japan
;
Korea
;
United States
;
War/*history

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