A Study on the disease history of the Chosen Dynasty (change of the view on the disease appeared in some traditional medical books)

학위논문(박사)--서울대학교 대학원 :의학과 의사학전공,2001.Docto

A Study on the Name of "Po Goo Nyo Goan" and Its Marking

This study aims to correct the Chinese characters of (Po Goo Nyo Goan) and its Korean pronunciation by re-examining the circumstances around the establishment of this hospital, and to discover its naming principle which is associated with the Confucian political philosophy of the Joseon Dynasty. Although is the first modern women's hospital in Korea, most historical studies of this institute have been conducted on limited documents and records. Many published studies use the incorrect names in many ways, so the correct name of the hospital is still in confusion, however, was named with four or five of the Chinese characters given by the Joseon government (King Gojong) at the time of its establishment. The Joseon government gave the name of Seonnyeoboguwon to the first modern women's hospital established by Mary Scranton, the name of which was changed to Some records left by the female missionary doctors who worked in show the romanization and meaning of the name of the hospital. The romanization of clarified the Korean pronunciation of "(nyeo)" at that time. English translation name of the hospital has always shown that the place provided "extensive" medical treatment to women. It proves the fact that the first Chinese character of the name is, not which is expressed in many documents today. The hospital was named according to Confucian ideals just like the other modern hospitals established around the same time, such as Jejungwon, Gwangjewon, Gwanghyeyeowon. The Joseon government commonly used similar Chinese characters during the naming of these hospitals, characters that imply the ideal of the good Confucian king's favor for many people of Joseon was unique in having the character "(gwan)" in its name, not "(won)" as in other hospitals. It seems to stem from the characteristic of "women's hospital." Po Gu Nyo Goan, the unprecedented women's hospital, was probably imagined as a hospitable accommodation where women provided kindness to people in need. This may have been the reason why, which has the meaning of accommodation, was chosen instead of that primarily meant medical facilities. Correcting the name of helps to eliminate the confusion in current historiography and to promote the understanding of the historical significance of this hospital

조선 전기(朝鮮前期)의 역병 유행에 관하여

학위논문(석사)--서울대학교 대학원 :의학과 의사학전공,1999.Maste

Medical futility in Korea

With the aging of the society and the increasing availability of modern medical practice, end-of-life issues and decisions about medical futility are becoming a critical problem in Korea. In spite of the big social and cultural changes in Korean society since the twentieth century, the traditional culture still has a strong influence on the current practice regarding end-of-life care. Major end-of-life decisions are still frequently made by the guardian of a patient with the attending physician; however, the concepts of patient autonomy and advance directives are being introduced in Korea. Withdrawal of life-sustaining treatment from patients in irreversible conditions based on their own wishes has been legally permitted since the decision by the Supreme Court in 2010. However, active euthanasia or physician-assisted suicide requested by patients is not permitted for the time being. © 2013 by Imperial College Press. All rights reserved

Social competencies of korean doctors

Communication; Korean doctors; Leadership; Professionalism; Social competenc

Burden of Disease Study and Priority Setting in Korea: An Ethical Perspective

When thinking about priority setting in access to healthcare resources, decision-making requires that cost-effectiveness is balanced against medical ethics. The burden of disease has emerged as an important approach to the assessment of health needs for political decision-making. However, the disability adjusted life years approach hides conceptual and methodological issues regarding the claims and value of disabled people. In this article, we discuss ethical issues that are raised as a consequence of the introduction of evidence-based health policy, such as economic evidence, in establishing resource allocation priorities. In terms of ethical values in health priority setting in Korea, there is no reliable rationale for the judgment used in decision-making as well as for setting separate and distinct priorities for different government bodies. An important question, therefore, is which ethical values guiding the practice of decision-making should be reconciled with the economic evidence found in Korean healthcare. The health technology assessment core model from the European network for Health Technology Assessment (EUnetHTA) project is a good example of incorporating ethical values into decision-making. We suggest that a fair distribution of scarce healthcare resources in South Korea can be achieved by considering the ethical aspects of healthcare

[Medical ethics as professional ethics].

Contemporary medical ethics is far from the traditional concept of "In-Sul (benevolent art)" or "Yul-Li (.., ethics), which emphasizes so much the personality or the character of a doctor. Nowadays, medical ethics should be considered as "professional ethics" which regulates the acts and medical practices of ordinary doctors in their daily practice. The key concepts of the professional ethics are "autonomy", "integrity", and "professional standard" established by medical organizations such as medical societies or associations. Most of Korean doctors have not been familiar with the concept of professional ethics or professionalism, which is due to the modern history of Korea. However, the concept of professional ethics is really critical to Korean doctors from the perspective of professional dignity and social respect to this profession. The current healthcare system of Korea is suffering from many problems of both private and public sector. Nonetheless, the professional ethics is urgently demanded for that very reason

Ethical and regulatory guidelines in clinical trials of xenocorneal transplantation in Korea; The Korean xenocorneal transplantation consensus statement

Background To establish the consensus about the conditions for undertaking clinical trials in xenocorneal transplantation in Korea, specific issues regarding the xenocorneal transplantation on ethical and regulatory aspects are addressed, and the guidelines to conduct clinical trial of the xenocorneal transplantation are proposed. Method and Results Chapter 1 reviews the key ethical requirements and progress of a Korean regulatory framework for clinical trials of xenocorneal transplantation. Chapters 2-7 provide recommendations on source pigs, quality control of porcine corneal procurement, preclinical efficacy required to justify a clinical trial, strategies to prevent transmission of porcine endogenous retrovirus (PERV), patient selection for clinical trials, and informed consent in xenocorneal transplantation using either cellularized or decellularized porcine graft, which are essentially based on the International Xenotransplantation Association (IXA) islet xenotransplantation consensus statement. The consensus statement of the inclusion criteria for the patients' selection has been made by the executive board members in Korean External Eye Disease Society. Conclusions This consensus statement will be a good initiative for Korean Food and Drug Administration to discuss final regulatory guidelines in conducting clinical trials of xenocorneal transplantation in Korea and for International Xenotransplantation Association to develop International Consensus Standards of Xenocorneal Transplantation. © 2013 John Wiley & Sons A/S