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A study on the status and applicability of Korean medicine EMR for establishment of Korean medicine standard EMR certification criteria: Through surveys of Korean medical institutions and Korean medicine EMR companies 韩国医学电子病历的现状和适用性研究,以建立韩国医学标准电子病历认证标准:通过对韩国医疗机构和韩国医学电子病历公司的调查
Pub Date : 2023-12-01 DOI: 10.13048/jkm.23053
You Jin Heo, C. Lee, S. Ryu, Jung Won Byun, J. Roh, N. Jo, B. Seo, Yeoncheol Park, Y. Baek, Jung Hyun Kim, Sun Mi Choi, Young Heum Yoon, Eun-Yong Lee
Objectives: The aim of this study is to explore and investigate the status of EMR currently used in Korean medical institutions and the suitability of the existing certification criteria for Korean medicine EMR certification.Methods: The survey was conducted using a related questionnaire from September to October 2022. The survey for current status and the suitability of the existing certification criteria was conducted separately between Korean medical institutions and Korean medicine EMR companies.Results: In a survey of Korean medical institutions on the current status of EMR, more than 80% answered that the imaging system and Korean medicine EMR could be linked. Most medical institutions did not exchange clinical information between institutions. When asked about the intention to develop standard EMR of Korean medicine in the future, 57% of institutions answered ‘yes’. In future, if Korean medicine EMR certification criteria are developed, all EMR companies are willing to develop the EMR that satisfy them. Looking at the satisfaction survey of the existing EMR certification criteria of the Korean medicine EMR system, it was found that high/low satisfaction was shown in various areas, and in particular, the overall clinical information exchange function was insufficient.Conclusion: In order to introduce the Korean medicine EMR certification criteria, it must be considered of the current status of EMR and applicability of Korean medicine EMR for establishment of Korean medicine standard EMR certification criteria. By developing Korean medicine EMR certification criteria, high-quality medical services can be provided to medical consumers who want Korean medical treatment.
研究目的本研究旨在探索和调查韩国医疗机构目前使用的电子病历的状况,以及现有的韩国医学电子病历认证标准的适用性:调查时间为 2022 年 9 月至 10 月。方法:于 2022 年 9 月至 10 月使用相关调查问卷进行调查,对韩国医疗机构和韩国医药 EMR 公司分别进行现状和现有认证标准适宜性的调查:在对韩国医疗机构的 EMR 现状调查中,80% 以上的医疗机构回答成像系统和韩医学 EMR 可以连接。大多数医疗机构没有在机构间交换临床信息。当被问及今后是否打算开发标准的韩医学电子病历时,57%的机构回答 "是"。今后,如果制定了韩国医学电子病历认证标准,所有电子病历公司都愿意开发符合标准的电子病历。通过对韩医学电子病历系统现有的电子病历认证标准的满意度调查,发现各方面的满意度呈现高/低不等,尤其是整体临床信息交换功能不足:结论:为了引入韩国医学电子病历认证标准,必须考虑电子病历的现状和韩国医学电子病历的适用性,以建立韩国医学标准电子病历认证标准。通过制定韩国医疗电子病历认证标准,可以为希望获得韩国医疗服务的医疗消费者提供高质量的医疗服务。
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引用次数: 0
Fetal safety of medicinal herbs and food ingredients during pregnancy: Recommendations from traditional Korean medicine based on expert opinions 怀孕期间药草和食品成分对胎儿的安全性:基于专家意见的韩国传统医学建议
Pub Date : 2023-12-01 DOI: 10.13048/jkm.23051
H. Jun, Dong Il Kim, Jeong-Eun Yoo, Seung-Jeong Yang, Deok-Sang Hwang, Hyeong Jun Kim, Y. Lee, Dong Chul Kim, Sanghun Lee
Objectives: This study aimed to establish and provide reliable information for general public, based on expert consensus, on the risks of misuse of medicinal herbs for food and pure food ingredients for the fetus during pregnancy.Methods: A panelist of seven traditional Korean medicine (TKM) gynecologists responded to a questionnaire summarizing the fetal safety literature for twenty-five medicinal herbs for food and pure food ingredients derived from medicated diet (藥膳, Yaksun) recipes during three online Delphi rounds anonymously.Results: Ginkgonis Semen (Ginkgo nut), Illici Veri Fructus (Star anise), lavender, bitter gourd, and parsley were agreed at the level 1 of “Do not consume”. These five ingredients were recognized as having significant risks both in the literature evidence and in expert opinion. Rosemary, Citri Unshius Pericarpium, Discoreae Rhizoma, lemongrass, Schisandrae Fructus, Cassiae Semen, Foeniculi Fructus, Mori Fructus, Cinnamomi Cortex, and Astragali Radix were agreed at the level 2 of “consultation with TKM practitioner is required”.Conclusion: Based on the consensus of a seven-member expert panel of TKM gynecologists, consumption of Ginkgonis Semen (Ginkgo nut), Illici Veri Fructus (Star anise), lavender, bitter gourd, and parsley should be avoided by pregnant women. For Rosemary, Citri Unshius Pericarpium, Discoreae Rhizoma, lemongrass, Schisandrae Fructus, Cassiae Semen, Foeniculi Fructus, Mori Fructus, Cinnamomi Cortex, and Astragali Radix, the level 2 advisory may be recommended to use with caution and to consult a TKM practitioner for advice on consumption, dose, and duration.
目的:本研究旨在根据专家共识,为公众建立并提供有关孕期滥用药材和纯食品配料对胎儿危害的可靠信息:本研究旨在根据专家共识,就孕期滥用食用药材和纯食品配料对胎儿的风险为公众提供可靠信息:由七位韩国传统医学(TKM)妇科医生组成的专家小组在三轮在线德尔菲调查中匿名回答了一份调查问卷,该问卷总结了二十五种药食同源食谱(药膳,Yaksun)的胎儿安全文献:结果:银杏、八角、薰衣草、苦瓜和香菜被评为一级 "不可食用"。文献证据和专家意见都认为这五种成分具有重大风险。迷迭香、陈皮、泽泻、柠檬草、五味子、决明子、枸杞子、桑椹、肉桂和黄芪被定为第 2 级,即 "需要咨询 TKM 医生":根据由七名 TKM 妇科医生组成的专家小组达成的共识,孕妇应避免食用银杏叶、八角茴香、薰衣草、苦瓜和香菜。对于迷迭香、陈皮、黄花菜、柠檬草、五味子、决明子、枸杞子、桑椹、肉桂和黄芪,建议谨慎使用,并就食用量、剂量和持续时间咨询 TKM 医生。
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引用次数: 0
Qualitative study on the key elements of obesity counseling in Korean Medicine 关于韩国医学界肥胖咨询关键要素的定性研究
Pub Date : 2023-12-01 DOI: 10.13048/jkm.23043
Sungha Kim, Seung Eun Chung, Kyungsun Han, Sunmi Choi, Jun-Hwan Lee
Objectives: Weight counseling is an inevitable process for patients with obesity who intend to lose weight; however, the contents of real-world counseling practices remain uncertain in Korean medicine (KM) practice. This study aimed to explore the structure and constituents of obesity counseling in KM.Methods: Qualitative methods were used to explore the structure of weight counseling and clinicians' approaches to weight counseling, particularly the advice and main constituents of weight counseling in KM. Nine KM clinicians (4 women, 5 men) from nine clinics completed face-to-face, individual and semi-structured interviews from September 2019 to February 2020 in Seoul, Daejeon, Cheonan, Seongnam, Asan, and Hwaseoug. The interviews were digitally recorded, transcribed verbatim, and categorized based on their constituents.Results: During weight loss counseling, the six principal constituents of KM identified were: planning with patients, motivation, correcting misinformation on weight loss, dietary and exercise advice, medication guidance, and customized guides for each type.Conclusion: Clinicians with in-depth knowledge about obesity prescribed personalized guidance for exercise, diet, and medication through an integrative approach. The study results provide an in-depth understanding of weight counseling in KM. These six constituents could guide the counseling provided by clinicians in obesity care.
目的:对于打算减肥的肥胖症患者来说,体重咨询是一个不可避免的过程;然而,在韩国医学(KM)实践中,真实世界的咨询内容仍不确定。本研究旨在探讨韩医学中肥胖咨询的结构和内容:方法:采用定性方法探讨体重咨询的结构和临床医生的体重咨询方法,特别是韩国医学中体重咨询的建议和主要内容。来自九家诊所的九名知识管理临床医生(四名女性,五名男性)于 2019 年 9 月至 2020 年 2 月在首尔、大田、天安、城南、牙山和华首完成了面对面的个人半结构化访谈。对访谈进行了数字录音、逐字记录,并根据访谈内容进行了分类:结果:在减肥咨询过程中,知识管理的六个主要组成部分是:与患者一起制定计划、激励、纠正减肥误导、饮食和运动建议、用药指导以及针对每种类型的定制指南:结论:对肥胖症有深入了解的临床医生通过综合方法为患者提供了个性化的运动、饮食和用药指导。研究结果让我们对高棉的体重咨询有了深入的了解。这六项内容可以指导临床医生在肥胖症护理中提供咨询。
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引用次数: 0
A Review of Current Clinical Research on Herbal Monotherapy for Coronavirus Disease-19 (COVID-19) 冠状病毒病-19(COVID-19)中草药单一疗法的临床研究综述
Pub Date : 2023-12-01 DOI: 10.13048/jkm.23057
Jee Won Shon, Do Kyung Han, Won Gun An
Objectives: The purpose of this study was to evaluate the effectiveness and safety of traditional herbal medicine as a stand-alone treatment group through major English databases due to the lack of RCTs in Korea, and to provide a review of the herbal interventions used.Methods: Using four databases (Pubmed, EMBASE, OASIS, RISS), combination of words such as “Coronavirus” “RCT” “Herb” “Decoction” “TCM” were used. RCTs using herbal medicines to treat coronavirus were searched. Final 4 studies were selected by two authors according to inclusion and exclusion criteria.Results: A total of 1,435 patients were studied. The Chinese herbs used in the treatment group were Shengmai Yin, JingYinGuBiao granules, Jinhua Qinggan granules, and Bufei Huoxue capsules. The intervention group showed greater attenuation of pneumonia lesions on CT. Also, improvement in 6-min walk distance (6MWD), and negative conversion rate in treatment group were reported. Furthermore, scores on the Fatigue Assessment Inventory (FAI) were lower in the herbal group than in the placebo group. The median time to recovery of COVID-19 related symptoms was shorter in TCM group compared to the control group. Reported adverse effects were diarrhea, liver dysfunction, and excessive menstruation, and two papers did not mention side effects in detail.Conclusion: Herbal medicine alone can increase the conversion rate of viral negativity and relieve COVID-19 related symptoms without significant adverse effects.
研究目的由于韩国缺乏 RCT,本研究旨在通过主要英文数据库评估传统草药作为独立治疗组的有效性和安全性,并对所使用的草药干预措施进行综述:方法:利用四个数据库(Pubmed、EMBASE、OASIS、RISS),将 "冠状病毒""RCT""草药""煎剂""中医 "等词进行组合。检索了使用草药治疗冠状病毒的 RCT。最后由两位作者根据纳入和排除标准选出了 4 项研究:共有 1,435 名患者接受了研究。治疗组使用的中药为生脉散、养阴清热颗粒、金花清热颗粒和藿香正气胶囊。干预组在 CT 上显示肺炎病灶有更大的衰减。此外,治疗组的 6 分钟步行距离(6MWD)和负转阴率也有所改善。此外,中药组的疲劳评估量表(FAI)得分低于安慰剂组。与对照组相比,中药组恢复 COVID-19 相关症状的中位时间更短。报告的不良反应为腹泻、肝功能异常和月经过多,两篇论文未详细提及副作用:结论:单用中药可提高病毒阴转率,缓解 COVID-19 相关症状,且无明显不良反应。
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引用次数: 0
Bojungikgi-tang for Anorexia in Lung Cancer Patients with Treated with Chemotherapy: A Single-arm, Open-label, Single-center Trial 治疗化疗肺癌患者厌食症的保胃汤:单臂、开放标签、单中心试验
Pub Date : 2023-12-01 DOI: 10.13048/jkm.23045
Im-Hak Cho, Seong-Hoon Yoon, Soyeon Kim, B. Kang, C. Seo, Y. Choi, Hyeun-kyoo Shin, Jun-Yong Choi
Objectives: This study was to evaluate the effectiveness and safety of Bojungikgi-tang for lung cancer patients with anorexia.Methods: This was a single-arm, open-label, and single-center trial, and suitable participants took Bojungikgi-tang (Buzhongyiqi-tang in Chinese, Hochuekki-to in Japanese) three times a day before or between meals for six weeks (42 days). After registration of clinical trials (visit 2), they visited the hospital every three weeks (visits 3 and 4) and measured or tested the effectiveness or safety evaluation variables to analyze the results. The primary outcome was the anorexia/cachexia subscale (A/CS) of functional assessment of anorexia/cachexia therapy (FAACT) score.Results: Seventeen lung cancer patients were included in the intention-to-treat (ITT) analysis. Lung cancer patients had higher A/CS of FAACT scores after six weeks of Bojungikgi-tang administration compared to that at the baseline. This was not significant four lung cancer (p=0.1668). In the secondary outcomes, the visual analog scale (VAS) score of anorexia decreased significantly (p=0.0009), and the CD4/CD8 ratio (p=0.0396) and CD4 levels (p=0.0345) significantly increased after six weeks of treatment. No serious adverse events were reported with Bojungikgi-tang in lung cancer patients.Conclusions: Bojungikgi-tang can be an effective and safe treatment for anorexia in lung cancer patients undergoing chemotherapy.
研究目的本研究旨在评估保济丸对肺癌厌食症患者的有效性和安全性:这是一项单臂、开放标签和单中心试验,合适的参与者在饭前或两餐之间服用保济丸(中文名 "补中益气汤",日文名 "保和丸"),每天三次,持续六周(42 天)。临床试验注册后(第 2 次就诊),他们每三周(第 3 次和第 4 次就诊)到医院就诊一次,并测量或测试有效性或安全性评价变量,以分析结果。主要结果是厌食/痛风治疗功能评估(FAACT)的厌食/痛风分量表(A/CS)评分:17名肺癌患者被纳入意向治疗(ITT)分析。与基线值相比,肺癌患者在服用保济丸六周后的厌食/腹痛治疗功能评估(FAACT)评分的A/CS值更高。这在四种肺癌中并不明显(P=0.1668)。在次要结果中,治疗六周后,厌食的视觉模拟量表(VAS)评分显著下降(p=0.0009),CD4/CD8比值(p=0.0396)和CD4水平(p=0.0345)显著上升。肺癌患者服用保济丸后未出现严重不良反应:结论:保肺汤可以有效、安全地治疗肺癌化疗患者的厌食症。
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引用次数: 0
Analysis of Koryo medicine research: clinical medicine topics in Koryo medicine 高丽医学研究分析:高丽医学的临床医学课题
Pub Date : 2023-12-01 DOI: 10.13048/jkm.23044
Eunhee Yi, H. Kim, Dongsu Kim
Objectives: South Korea, the United States, and the United Nations have imposed extensive economic sanctions against North Korea, which increased the use of traditional Korean medicine in North Korea to maintain its national health care system. This study attempts to study the latest trends of traditional Korean medicine research through bibliographic analysis of one of the North Korean medical journals. It will then provide insights into how traditional Korean medicine is used in North Korea.Methods: This study is based on 611 clinical research articles out of 931 articles extracted from 13 volumes of Koryo Medicine (2016 ~ 2019). The articles were classified according to the researched treatment, diseases and use alongside conventional drugs.Results: Based on the analysis of Koryo Medicine, the proportion of clinical research articles investigating the treatment effects was very high (65.6%). Also, clinical research using herbal medicine as treatment was the most common, accounting for 17.69% of the total. Some of the clinical research in Koryo Medicine were conducted in tandem with conventional drug treatment, especially on acupuncture.Conclusion: This study conducted a bibliographic analysis of Koryo Medicine to understand the current status of traditional Korean medicine within North Korea. The analysis identified main diseases, treatment methods, and integration with conventional drugs in the clinical research of traditional Korean medicine. As a country actively seeking to use traditional Korean medicine, North Korea will become an interesting field of global traditional medicine and complementary medicine research.
目标:韩国、美国和联合国对北朝鲜实施了广泛的经济制裁,这增加了北朝鲜对朝鲜传统医学的使用,以维持其国家医疗保健系统。本研究试图通过对一份北朝鲜医学期刊的书目分析,研究朝鲜传统医学研究的最新趋势。本研究试图通过对一份北朝鲜医学期刊的书目分析,研究北朝鲜传统医学研究的最新趋势,进而深入了解北朝鲜传统医学的使用情况:本研究基于从 13 卷《高丽医学》(2016 ~ 2019 年)中摘录的 931 篇文章中的 611 篇临床研究文章。根据研究的治疗方法、疾病和常规药物的使用情况对文章进行分类:根据对《高丽医学》的分析,研究治疗效果的临床研究文章比例非常高(65.6%)。此外,使用草药治疗的临床研究最为常见,占总数的 17.69%。高丽医学的部分临床研究与传统药物治疗同时进行,尤其是针灸治疗:本研究对高丽医学进行了文献分析,以了解朝鲜传统医学的现状。分析确定了朝鲜传统医学临床研究中的主要疾病、治疗方法以及与传统药物的结合。作为一个积极寻求使用朝鲜传统医学的国家,朝鲜将成为全球传统医学和补充医学研究的一个有趣领域。
{"title":"Analysis of Koryo medicine research: clinical medicine topics in Koryo medicine","authors":"Eunhee Yi, H. Kim, Dongsu Kim","doi":"10.13048/jkm.23044","DOIUrl":"https://doi.org/10.13048/jkm.23044","url":null,"abstract":"Objectives: South Korea, the United States, and the United Nations have imposed extensive economic sanctions against North Korea, which increased the use of traditional Korean medicine in North Korea to maintain its national health care system. This study attempts to study the latest trends of traditional Korean medicine research through bibliographic analysis of one of the North Korean medical journals. It will then provide insights into how traditional Korean medicine is used in North Korea.Methods: This study is based on 611 clinical research articles out of 931 articles extracted from 13 volumes of Koryo Medicine (2016 ~ 2019). The articles were classified according to the researched treatment, diseases and use alongside conventional drugs.Results: Based on the analysis of Koryo Medicine, the proportion of clinical research articles investigating the treatment effects was very high (65.6%). Also, clinical research using herbal medicine as treatment was the most common, accounting for 17.69% of the total. Some of the clinical research in Koryo Medicine were conducted in tandem with conventional drug treatment, especially on acupuncture.Conclusion: This study conducted a bibliographic analysis of Koryo Medicine to understand the current status of traditional Korean medicine within North Korea. The analysis identified main diseases, treatment methods, and integration with conventional drugs in the clinical research of traditional Korean medicine. As a country actively seeking to use traditional Korean medicine, North Korea will become an interesting field of global traditional medicine and complementary medicine research.","PeriodicalId":509794,"journal":{"name":"Journal of Korean Medicine","volume":"84 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cold sensitivity classification using facial image based on convolutional neural network 基于卷积神经网络的面部图像冷敏感度分类
Pub Date : 2023-12-01 DOI: 10.13048/jkm.23052
lkoo Ahn, Y. Baek, Kwang-Ho Bae, Bok-Nam Seo, Kyoungsik Jung, Siwoo Lee
Objectives: Facial diagnosis is an important part of clinical diagnosis in traditional East Asian Medicine. In this paper, we proposed a model to quantitatively classify cold sensitivity using a fully automated facial image analysis system.Methods: We investigated cold sensitivity in 452 subjects. Cold sensitivity was determined using a questionnaire and the Cold Pattern Score (CPS) was used for analysis. Subjects with a CPS score below the first quartile (low CPS group) belonged to the cold non-sensitivity group, and subjects with a CPS score above the third quartile (high CPS group) belonged to the cold sensitivity group. After splitting the facial images into train/validation/test sets, the train and validation set were input into a convolutional neural network to learn the model, and then the classification accuracy was calculated for the test set.Results: The classification accuracy of the low CPS group and high CPS group using facial images in all subjects was 76.17%. The classification accuracy by sex was 69.91% for female and 62.86% for male. It is presumed that the deep learning model used facial color or facial shape to classify the low CPS group and the high CPS group, but it is difficult to specifically determine which feature was more important.Conclusions: The experimental results of this study showed that the low CPS group and the high CPS group can be classified with a modest level of accuracy using only facial images. There was a need to develop more advanced models to increase classification accuracy.
目的:面部诊断是传统东亚医学临床诊断的重要组成部分。本文提出了一种利用全自动面部图像分析系统对冷敏感性进行定量分类的模型:方法:我们调查了 452 名受试者的冷敏感度。方法:我们对 452 名受试者进行了冷敏感度调查,通过问卷调查确定受试者的冷敏感度,并使用冷模式评分(CPS)进行分析。CPS 分数低于第一四分位数(低 CPS 组)的受试者属于对冷不敏感组,而 CPS 分数高于第三四分位数(高 CPS 组)的受试者属于对冷敏感组。将面部图像分成训练集/验证集/测试集后,将训练集和验证集输入卷积神经网络学习模型,然后计算测试集的分类准确率:低 CPS 组和高 CPS 组使用面部图像对所有受试者进行分类的准确率为 76.17%。按性别划分,女性的分类准确率为 69.91%,男性为 62.86%。据推测,深度学习模型利用面部颜色或面部形状对低 CPS 组和高 CPS 组进行了分类,但很难具体确定哪个特征更重要:本研究的实验结果表明,仅使用面部图像就能对低 CPS 组和高 CPS 组进行分类,准确率不高。有必要开发更先进的模型来提高分类准确率。
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引用次数: 0
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Journal of Korean Medicine
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