Keimyung Medical Journal最新文献

Supply, Demand and Distribution of Physicians in Japan 日本医生的供需和分布情况

Keimyung Medical Journal Pub Date : 2024-08-09 DOI: 10.46308/kmj.2024.00087

Hiroyasu Nishiyama, Yoshihiro Mizuma, Nobuo Handa, Ryong-moon Shin

{"title":"Supply, Demand and Distribution of Physicians in Japan","authors":"Hiroyasu Nishiyama, Yoshihiro Mizuma, Nobuo Handa, Ryong-moon Shin","doi":"10.46308/kmj.2024.00087","DOIUrl":"https://doi.org/10.46308/kmj.2024.00087","url":null,"abstract":"The number of physicians in Japan has been and will continue to be lower than that in other the Organization for Economic Co-operative and Development (OECD) countries. The admission capacity of medical schools, which has the greatest impact on the number of physicians, has been determined through discussions among the Ministry of Health, Labour and Welfare, medical associations, medical organizations, universities, and academics, depending on the medical supply-demand status on that era. In recent years, the maldistribution of medical specialties and regions has become an issue. For the involving this issue, Japanese government takes from multiple perspectives to address this problem, including “regional quotas” in admission quotas for university medical school and, setting a ceiling on the number of residency positions available in each prefecture as well as on recruitment capacity in the specialist physician system. The implementation of “work style reform” for physicians, focuses on shortening physicians’ working hours and has raised concerns regarding a shortage and regional maldistribution of physicians. The government’s policy is based on a key concern: rising healthcare costs could seriously threaten the country’s financial health. Therefore, the government has limited the increase in the number of physicians. Conversely, this year, the government has begun to argue that a regulatory approach is necessary to address the uneven distribution of physicians. Our proposition is to achieve a number of physicians comparable to that of other OECD countries and to create an environment that enables physicians to voluntarily address their regional and departmental maldistribution.","PeriodicalId":166951,"journal":{"name":"Keimyung Medical Journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141921221","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

Estimates of Physicians Supply in Korea 韩国医生供应估计数

Keimyung Medical Journal Pub Date : 2024-06-15 DOI: 10.46308/kmj.2024.00031

Daehyun Kim

引用次数: 0

International Difference of Tobacco Related COVID-19 Severity 烟草相关 COVID-19 严重程度的国际差异

Keimyung Medical Journal Pub Date : 2024-06-10 DOI: 10.46308/kmj.2024.00045

BangBu Youn, Junchae Lee, Sungho Ko, JinYoung Lee, SoHyeon Cheon, Seongwan Hong, Daehyun Kim

{"title":"International Difference of Tobacco Related COVID-19 Severity","authors":"BangBu Youn, Junchae Lee, Sungho Ko, JinYoung Lee, SoHyeon Cheon, Seongwan Hong, Daehyun Kim","doi":"10.46308/kmj.2024.00045","DOIUrl":"https://doi.org/10.46308/kmj.2024.00045","url":null,"abstract":"This study aimed to analyze the correlation between smoking and coronavirus disease 2019 (COVID-19) severity by region and gross domestic product (GDP). The regions were categorized by continent and GDP rankings. Studies conducted be-tween June 3, 2020 and March 27, 2023 were searched to compare the severity of COVID-19 between smokers and non-smokers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Compared with never-smokers, the smokers’ COVID-19 severity scores were 1.48 (confidence interval [CI]: 1.25-1.75) in Asia, 1.24 (CI: 1.05-1.46) in the Middle East, 1.32 (1.21-1.45) in Europe, 1.39 (1.30-1.49) in North America, 1.69 (1.22-2.34) in South America, and 2.87 (1.82-4.53) in Africa. By GDP, the smokers’ COVID-19 severity scores were higher than those of never-smokers: 1.42 (1.32-1.53) in high-GDP countries, 1.33 (1.25-1.41) in middle-GDP countries (11th-50th), and 1.53 (0.85-2.76) in low-GDP countries. The COVID-19 severity in smokers was significantly higher in low-GDP countries than in high-and middle-income countries. The high COVID-19 death rate among smokers in the African continent and low-GDP countries is thought to stem from the lack of medical management systems compared with other countries. In addition to medical treatment, environmental or socioeconomic factors can increase the severity.","PeriodicalId":166951,"journal":{"name":"Keimyung Medical Journal","volume":" 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141364959","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

Utility of Next-Generation Sequencing Panel Including Hereditary Breast and Ovarian Cancer-Related Genes for Pathogenic Variant Detection 包括遗传性乳腺癌和卵巢癌相关基因在内的下一代测序基因组在致病变异检测中的作用

Keimyung Medical Journal Pub Date : 2024-05-24 DOI: 10.46308/kmj.2023.00283

Jae Hee Lee, Do-Hoon Kim

引用次数: 0

A Case of Huge Metastatic Diaphragmatic Leiomyoma with Right Atrial Thrombosis 巨大转移性膈肌瘤伴右心房血栓形成病例

Keimyung Medical Journal Pub Date : 2024-05-24 DOI: 10.46308/kmj.2023.00255

Sang-Hyun Kang

引用次数: 0

Chirotherapy Associated Vertebral Artery Dissection: Case Illustration and Literature Review 脊柱治疗相关的椎动脉交叉：病例说明和文献综述

Keimyung Medical Journal Pub Date : 2024-05-22 DOI: 10.46308/kmj.2024.00017

El Kim

引用次数: 0

Intracranial Hypotension Induced by Cervical Chiropraxis 颈椎推拿引起的颅内低血压

Keimyung Medical Journal Pub Date : 2024-05-22 DOI: 10.46308/kmj.2023.00276

El Kim

引用次数: 0

Long COVID Syndrome: Clinical Presentation, Pathophysiology, Management 长 COVID 综合征：临床表现、病理生理学、管理

Keimyung Medical Journal Pub Date : 2023-12-15 DOI: 10.46308/kmj.2023.00269

Y. Cho, Daehyun Kim

{"title":"Long COVID Syndrome: Clinical Presentation, Pathophysiology, Management","authors":"Y. Cho, Daehyun Kim","doi":"10.46308/kmj.2023.00269","DOIUrl":"https://doi.org/10.46308/kmj.2023.00269","url":null,"abstract":"Long coronavirus disease (COVID) syndrome is persistent symptoms and complications that occurs in at least 10% of severe acute respiratory syndrome coronavirus 2 infections. Symptoms associated with long COVID can vary widely from person to person but commonly include: fatigue, shortness of breath, chest pain or discomfort, joint pain, difficulty concentrating (brain fog), headache, loss of taste or smell, sleep disturbances, palpitations, persistent cough. Possible pathophysiologic theories are viral persistence, dysregulated immune response, autoimmune response, endothelial dysfunction, gut dysbiosis, damage to organs and tissues, neurological involvement, post-viral syndrome. Although current diagnostic and treatment options are insufficient, the management aim to alleviate symptoms, improve quality of life, and support recovery. The possible therapies and interventions that may be considered are symptomatic management, rehabilitation and exercise, respiratory support, cognitive and psychological support, sleep management, nutritional support, support groups and patient education, anti-inflammatory drugs, immuno-modulatory therapies. For patients enduring prolonged suffering from this long COVID syndrome, a multidisciplinary approach is essential for comprehensive management.","PeriodicalId":166951,"journal":{"name":"Keimyung Medical Journal","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138997939","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

Parameatal Urethral Cyst in Adult: Should be Excised 成人旁尿道囊肿:应切除

Keimyung Medical Journal Pub Date : 2023-06-15 DOI: 10.46308/kmj.2023.00108

W. H. Cha, T. Jang, J. Ha

引用次数: 0

Analysis on Validity and Academic Competency of Mock Test for Korean Medicine National Licensing Examination Using Item Response Theory 运用项目反应理论分析韩国医学国家执业资格考试模拟测验的效度和学术能力

Keimyung Medical Journal Pub Date : 2023-06-02 DOI: 10.46308/kmj.2023.00094

H. Chae, Eunbyul Cho, Seon Kyoung Kim, Dahye Choi, Seul Lee

引用次数: 0