Obligation of Medical Personnel Under the Medical Law(1).
Journal of the Korean Medical Association.2002;45(1):100-114. doi:10.5124/jkma.2002.45.1.100
No abstract available.
Journal of the Korean Medical Association
2002 (v1, n1) to Present ISSN: 1671-8925
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Present and future of aesthetic plastic surgery in Korea.
Journal of the Korean Medical Association.2011;54(6):581-588. doi:10.5124/jkma.2011.54.6.581
Due to Confucian ethics and socioeconomic factors, aesthetic plastic surgery came late to Korea. However, the field of aesthetic plastic surgery developed rapidly after the establishment of the Korean Society of Aesthetic Plastic Surgeons in 1985. At present, Korean aesthetic plastic surgeons have achieved world leading surgical skills and research abilities. This article review the history and current state of Korean aesthetic plastic surgery with the follow-up study of statics and numerical data. Over the period of 10 years (2001-2010), the Korean plastic surgeons contributed 607 papers to SCI & SCI(E) journals. Among them, the number of pure cosmetic surgical papers was 133 (21.9%). According to biannual survey data from the International Society of Aesthetic Plastic Surgery in 2009, the number of plastic surgeons and aesthetic procedures in Korea became the highest contrast to percentage of the population in the world. As dynamic forces of development for Korean aesthetic plastic surgery, this advocate the medical tourism, non-surgical cosmetic procedures, and adipose-derived stem cells. With developing these items, Korean plastic surgeons will create the brilliant future of the aesthetic plastic surgery in Korea.
Cosmetics ; Follow-Up Studies ; Korea ; Medical Tourism ; Porphyrins ; Research ; Socioeconomic Factors ; Stem Cells ; Surgery, Plastic
Cosmetics ; Follow-Up Studies ; Korea ; Medical Tourism ; Porphyrins ; Research ; Socioeconomic Factors ; Stem Cells ; Surgery, Plastic
The present and future of craniofacial surgery in Korea.
Journal of the Korean Medical Association.2011;54(6):576-580. doi:10.5124/jkma.2011.54.6.576
The five major areas of concern in craniofacial surgery are the cleft lip and palate, hemifacial microsomia, craniosynostosis and its accompanying craniofacial syndromes, maxillofacial surgery, and breakthrough research on the each of these. Furlow's double opposing Z-plasty and 2-flap palatoplasty are often used to correct the cleft palate. Hereafter, the most appropriate surgical timing and methods must be determined through a prospective randomized control study. Currently, Millard's rotation advancement flap technique is generally used to correct the cleft lip. The repair of a cleft lip and especially a bilateral cleft lip is supplemented by presurgical orthodontics. Effort toward mastering the simultaneous repair of the nose continues. For hemifacial microsomia, distraction osteogenesis, orthognathic surgery, and fat injection is employed to correct facial asymmetry. Tissue engineering will soon be introduced as a treatment option. Currently, craniosynostosis is treated with methods such as total calvarial vault remodeling, endoscopic suturectomy, and distraction osteogenesis. In the future, a simpler and less invasive surgical technique must be developed. Maxillofacial (orthognathic) surgery generally refers to the bilateral sagittal split ramus osteotomy and LeFort I osteotomy. In the future, minimally invasive surgical techniques using endoscopes or robots will be introduced. Through the development of recombinant DNA technology, genetic research of craniofacial anomalies has identified many relevant genes. In the future, gene therapy will be plausible. Through advancements in tissue engineering, regeneration of tissue to correct congenital craniofacial deformities through autologous stem cells and scaffolds will be conceivable in the near future.
Cleft Lip ; Cleft Palate ; Congenital Abnormalities ; Craniosynostoses ; DNA, Recombinant ; Endoscopes ; Facial Asymmetry ; Genetic Research ; Genetic Therapy ; Korea ; Nose ; Orthodontics ; Orthognathic Surgery ; Osteogenesis, Distraction ; Osteotomy ; Osteotomy, Sagittal Split Ramus ; Palate ; Prospective Studies ; Regeneration ; Stem Cells ; Surgery, Oral ; Tissue Engineering
Cleft Lip ; Cleft Palate ; Congenital Abnormalities ; Craniosynostoses ; DNA, Recombinant ; Endoscopes ; Facial Asymmetry ; Genetic Research ; Genetic Therapy ; Korea ; Nose ; Orthodontics ; Orthognathic Surgery ; Osteogenesis, Distraction ; Osteotomy ; Osteotomy, Sagittal Split Ramus ; Palate ; Prospective Studies ; Regeneration ; Stem Cells ; Surgery, Oral ; Tissue Engineering
Present and future of plastic and reconstructive surgery in Korea.
Journal of the Korean Medical Association.2011;54(6):574-575. doi:10.5124/jkma.2011.54.6.574
No abstract available.
Korea
Korea
Physicians' roles in biopharmaceutical industry for global competition.
Journal of the Korean Medical Association.2011;54(6):570-572. doi:10.5124/jkma.2011.54.6.570
Physicians with their medical background and high caliber play key roles in a wide variety of areas in biopharmaceutical industry. In fact when we look though the array of people in most global pharmaceutical companies, it is easy to find physicians working in various areas, playing various roles, at different levels such as medical affairs, R&D, clinical operations, marketing, regulatory, pharmacovigilance, etc. Conventional doctor-patient relationship is essential to deliver medical care to individual patients. However, for any treatment to be delivered to patients, there are many physicians working in the industry to make that possible by developing new drugs, making sure they are safe and effective, setting values to new treatments, figuring out ways to lower cost and increase accessibilities, assessing adverse effects to minimize risks, making policies, and so on. In Korea, however, although the situation is getting better nowadays, physicians have themselves limited their scope of involvement in biopharmaceutical industry. The lack of necessary medical expertise is widespread throughout all aspects. Regulatory agencies, pharmaceutical and medical policy making bodies, pharmaceutical companies, bio-venture companies, clinical and preclinical contract research organizations, health information technology industry, medical devices companies, all are in need of physician participation. Global biopharmaceutical industry is one of the most competitive areas that only the toughest can survive. Korea is aiming to become one of the world leaders in this field as we have achieved in IT, electronic, and automobile industries. Physicians' commitment can make the difference.
Automobiles ; Contracts ; Electronics ; Electrons ; Humans ; Korea ; Marketing ; Medical Informatics ; Pharmacovigilance ; Physician's Role ; Policy Making
Automobiles ; Contracts ; Electronics ; Electrons ; Humans ; Korea ; Marketing ; Medical Informatics ; Pharmacovigilance ; Physician's Role ; Policy Making
Developmental assets and the reduction of health risk behaviors among Korean adolescents.
Journal of the Korean Medical Association.2011;54(11):1209-1227. doi:10.5124/jkma.2011.54.11.1209
This study assessed the extent to which developmental assets predict or contribute to the reduction of health risk behaviors among Korean adolescents. The concept of developmental assets was introduced by Benson and his colleagues as building blocks for healthy child and adolescent's development. Their framework of 40 developmental assets encompasses positive external environmental factors and internal personal qualities which strongly influence adolescents' quality of life. We analyzed data from our 'Korean Youth Health Related Behaviors and Developmental Assets Survey.' The survey was based on self-reported questionnaires we distributed to 3,739 grade 9 students at eight schools across two cities in South Korea in 2001. The 40 developmental assets were measured by using 5-point Likert scales, and health risk behaviors were measured in terms of the prevalence or the experience rate. We identified the predictors of each health risk behavior among the 40 developmental assets using multiple logistic regression analyses. We found that the assets of 'restraint', 'positive peer influence', and 'time at home' were commonly the most important predictors associated with decreased reports of most health risk behaviors except depression. 'Self-esteem' was the most important predictor of decreased reports of depression and suicide. Other internal and external developmental assets were identified as important predictors to specific behaviors. We concluded that the positive asset promotion approach would be more effective and important than the risk factor approach in preventing effectively health risk behaviors among adolescents, and that intervention programs should include more comprehensive and adolescent-based strategies to promote adolescents' health and quality of life by a multi-level multi-dimensional approach.
Adolescent ; Child ; Depression ; Humans ; Logistic Models ; Prevalence ; Quality of Life ; Surveys and Questionnaires ; Republic of Korea ; Risk Factors ; Risk-Taking ; Suicide ; Weights and Measures
Adolescent ; Child ; Depression ; Humans ; Logistic Models ; Prevalence ; Quality of Life ; Surveys and Questionnaires ; Republic of Korea ; Risk Factors ; Risk-Taking ; Suicide ; Weights and Measures
Follow-up study on mortality in Korean stroke patients.
Journal of the Korean Medical Association.2011;54(11):1199-1208. doi:10.5124/jkma.2011.54.11.1199
Stroke is the most common cause of death as single-diseases in South Korea. And it generates additional medical cost through high incidence of related disabilities and complications, which would become more important with the rapid aging process in Korean society. This study was preformed to identify stroke patients' mortality and its associated factors. Patients diagnosed as stroke (ICD-10 code I60-I63) in 2003 were identified. Their follow-up mortality rate in 5 years and related factors (stroke type, sex, age, type of first admission hospital, comorbidity score) were analyzed using national health insurance claim data and national cause of death statistics. The mortality rate peaked in early days after attack, and decreased subsequently as the survive time gets longer. The mortality rate was higher in hemorrhagic stroke than ischemic stroke, in female than male, with the older age, and with the higher comorbidity score. It is recommended that the early intervention at general hospital or tertiary referral hospital should be promoted to decrease the mortality rate in stroke patients, and related quality assurance programs have to be enforced.
Aging ; Cause of Death ; Comorbidity ; Early Intervention (Education) ; Female ; Follow-Up Studies ; Hospitals, General ; Humans ; Incidence ; Male ; National Health Programs ; Republic of Korea ; Stroke ; Tertiary Care Centers
Aging ; Cause of Death ; Comorbidity ; Early Intervention (Education) ; Female ; Follow-Up Studies ; Hospitals, General ; Humans ; Incidence ; Male ; National Health Programs ; Republic of Korea ; Stroke ; Tertiary Care Centers
Oral chemotherapeutic agents in current use.
Journal of the Korean Medical Association.2011;54(11):1191-1198. doi:10.5124/jkma.2011.54.11.1191
Currently, 10% of cancer chemotherapy is provided to patients by oral formulation; however, by 2013 this percentage is predicted to increase to 25%. Chemotherapy is traditionally given by injection. Oral chemotherapy has been developed as a more convenient method for treating patients. Oral chemotherapy offers many advantages including the elimination of pain often caused by injections, the lack of fees for administering intravenous drugs, more time at home for patients, and a patient's increased sense of autonomy. The role of oral chemotherapy has been expanding because of the potential advantages in convenience and better quality of life for patients, and in the cost-effectiveness of treatment as compared to intravenous chemotherapy. A number of novel oral targeted and cytotoxic chemotherapeutic agents are entering the market or are in development. Many of the agents display significant clinical activity against various cancers. The growing availability of effective oral chemotherapy treatments, especially the new class of 'targeted biologic therapies', is one of the wonderful recent advances in cancer care. This manuscript describes the progress of clinical development and efficacy of these newly developed chemotherapeutic agents.
Administration, Oral ; Fees and Charges ; Humans ; Quality of Life
Administration, Oral ; Fees and Charges ; Humans ; Quality of Life
Safe sedation in a private clinic.
Journal of the Korean Medical Association.2011;54(11):1179-1188. doi:10.5124/jkma.2011.54.11.1179
Procedural sedation and analgesia are now becoming more frequently required and procedural safety is one of the main interests of private clinic physicians. Efforts to establish safe sedation and analgesia include patient assessment to avoid sedating patients with risk factors, training for drug administration, airway management, and treatment of adverse effects, proper preparation of monitoring and resuscitation equipments and recovery facility, thorough recording of the sedation process as well as the procedure itself, analysis of results and quality assessment. Complications during procedural sedation and analgesia, including nausea and vomiting, respiratory depression, hypoxia and even cardiac arrest, should be prevented and properly treated. In this review, basic requirements for procedural sedation and analgesia are to be described, such as sedatives/analgesics including propofol, midazolam, ketamine, etomidate and dexmedetomidine, and airway management with ventilatory support for respiratory depression. Most of all, proper education and repeated training for airway management with ventilatory support and cardiopulmonary resuscitation are critically important for all the personnel involving the procedural sedation and analgesia.
Airway Management ; Analgesia ; Anoxia ; Cardiopulmonary Resuscitation ; Conscious Sedation ; Dexmedetomidine ; Etomidate ; Heart Arrest ; Humans ; Hypnotics and Sedatives ; Ketamine ; Midazolam ; Nausea ; Propofol ; Respiratory Insufficiency ; Resuscitation ; Risk Factors ; Vomiting
Airway Management ; Analgesia ; Anoxia ; Cardiopulmonary Resuscitation ; Conscious Sedation ; Dexmedetomidine ; Etomidate ; Heart Arrest ; Humans ; Hypnotics and Sedatives ; Ketamine ; Midazolam ; Nausea ; Propofol ; Respiratory Insufficiency ; Resuscitation ; Risk Factors ; Vomiting
Introduction of intensity modulated radiation therapy.
Journal of the Korean Medical Association.2011;54(11):1172-1178. doi:10.5124/jkma.2011.54.11.1172
The role of radiation therapy (RT) in cancer management has grown remarkably during the past few decades. For successful RT, the most important factor is highly conformal radiation delivery focused to the tumor-bearing region while minimizing the surrounding normal tissue damage. RT has evolved from 2-dimensional and 3-dimensional techniques to intensity modulated RT (IMRT) along with the development of computer science and mechanical engineering. IMRT is a special form of 3-dimensional conformal RT techniques, by which the intensities of radiation coming though the beamlets are modulated so that conformal radiation dose distribution around the tumor-bearing region is achieved. IMRT has been covered by the Korean health insurance system since July 2001. The basic principles and process of IMRT are introduced.
Fibrinogen ; Insurance, Health
Fibrinogen ; Insurance, Health
Country
Republic of Korea
Publisher
ElectronicLinks
Editor-in-chief
Abbreviation
Journal of the Korean Medical Association
Vernacular Journal Title
ISSN
1975-8456
EISSN
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
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