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이신형,Lee, Sin-Hyung 한국생명보험의학회 2011 保險醫學會誌 Vol.30 No.1
Chronic thromboembolic pulmonary hypertension(CTEPH) is known as class IV pulmonary hypertension. Unlike other subtype of pulmonary hypertension, surgical treatment such as pulmonary endarterectomy is well known therapeutic strategy. Also there's oral disease-modifying drug which is developed lately. According to recent article, the prognosis of CTEPH is markedly improved. If prognosis of certain disease is improved, insurance rating should be altered. Whether rating change is necessary or not, mortality analysis of CTEPH was performed from recently published source article, Estimated extra-risks are MR of 525% and EDR of 37‰. In conclusion, the extra-risks of CTEPH are still very high.
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이신형,Lee, Sin-Hyung 한국생명보험의학회 2008 保險醫學會誌 Vol.27 No.2
Medical verification of cancer diagnosis in insurance claims is a very important procedure in insurance administrations. Claims staffs are in need of medical experts' opinions about claim administration. This procedure is called medical claim review (MCR) and is composed of verification and advice. MCR verification evaluates the insured’s physical condition by medical records and compares it with product coverage. It is divided into assessment of living assurance benefit, verification of cancer, and assessment of the cause of death. Actually cancer verification of MCR is applicable to coding because the risk ratio in product development is usually coded data. There are some confusing neoplastic diseases in assessing the verification of cancer. This article reviews gastrointestinal stromal tumors (GIST) and mucosa-associated lymphoid tissue tumors (MALToma) of the stomach. The second most common group of stromal or mesenchymal neoplasms affecting the gastrointestinal tract is GIST. Nowadays there are many articles about the pathophysiology of GIST. However there are few confirmative theories except molecular cell biology of KIT mutation and some tyrosine kinase. Therefore, coding the GIST, which has previously been classified as an intermediate risk group according to NIH2001 criteria, for cancer verification of MCR is suitable for D37.1; neoplasm of uncertain or unknown behavior of digestive organs and the stomach. The gastrointestinal tract is the predominant site of extranodal non-Hodgkin's lymphomas. B-cell lymphomas of the MALT type, now called extranodal marginal zone B-cell lymphoma of MALT type in the REAL/WHO classification, are the most common primary gastric lymphomas worldwide. Its characteristics are as follows. First, it is different from traditional stomach cancers such as gastric adenocarcinoma. Second, the primary therapy of MALToma is the eradication of H. pylori by antibiotics and the remission rate is over 80%. Third, it has a different clinical course compared to traditional malignant lymphoma. Someone insisted that cancer verification is not possible for the above reasons. However, there have been findings on pathologic mechanism, and according to WHO classification, MALToma is classified into malignant B-cell lymphoma and it must be verified as malignancy in MCR.
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국가직무능력표준(NCS) 세분류 심리상담 개편과 확대를 위한 연구
이신형 한국상담학회 2022 상담학연구 Vol.23 No.1
한국 사회에서 심리상담의 필요는 여러 사회적 재난상황과 코로나19 팬더믹 상황을 겪으며 더 확대되고 있다. 이와 같이 심리상담의 필요성이 증대됨에 따라 전문상담인력의 사전준비가 필요하다. 상담관련 학회들을 중심으로 사전교육이 실시되고 있지만, 국가적 상황에 공통적으로 활용될 수 있는 형태의 교육이라면 더 효율적일 것이다. 국가직무능력표준(이하 NCS)은 이런 다양한 심리상담의 사회적 필요에 따라 준비된 인력을 교육하고 훈련할 수 있는 좋은 체계이다. 그리고 많은 전문상담사가 진출하여 활동하게 될 산업계에서 심리상담 분야에 대한 고유성과 확장성을 인정받을 수 있는 기반이 된다. 하지만 NCS에서 심리상담은 2015년도 최초 개발 이후, 상담관련 유사영역과 달리 추가 개발이 이뤄지지 않고 있다. 본 연구는 현행 NCS에서 심리상담의 개편과 확장에 대한 부분을 심리상담의 세부 전문분야와 법률적 근거를 통해 다룬다. 또한 현행 NCS에서 소분류 심리상담 하위 신규 세분류로 확장될 수 있는 영역들을 제시하며, 심리상담 영역의 확장을 통해 상담관련 법안 제정 등 다양한 부분과의 연결성을 고려한다.
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이신형,Lee, Sin-Hyung 한국생명보험의학회 2011 保險醫學會誌 Vol.30 No.2
Lung diseases are common in general population and they are also important in insurance medicine. According to current textbook of insurance medicine, there are references of western research which performed at 1980s and early 2000. It's necessary to update the reference. In this article, several respiratory disorders such as Kartagener's syndrome, bronchial asthma, drug-resistant tuberculosis, etc are reviewed in terms of insurance medicine. Reference articles were used in Korean study, if possible. I hope this article being a role of helping many insurance doctors and underwriters in Korea.
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이신형,Lee, Sin-Hyung 한국생명보험의학회 2005 保險醫學會誌 Vol.24 No.-
Among medical claims review, decision of malignancy is very important. According to the pathologic report may be ordinary pathway. Some tumors are not completely studied especially malignancy. Wheather malignancy or benign is the important thing in medical claims review. We here disscuss on the debatable tumors such as carcinoid tumor, gastrointestinal stromal tumor (GIST), desmoid tumor, MALToma, and pseudomyxoma peritonei. Another controversial subject in the medical claims review is selection of pathologic report. If the result of the pathologic report is not same in one patient, We prefer the selsection of the report from more professional hospital. We have called this professional hospital l as "third hospital" or 'refferal hospital".
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이신형 대한영상의학회 1980 대한영상의학회지 Vol.16 No.2
Sialography is a valuable diagnostic procedurein accurate diagnosis diagnosis and therapeutic planning of the diseases of major salivary glands. The purpose of this paper is to review the technical aspect of method and to evaluate established disgnostic criteria in various abnormalities of major salivary glands. Authors present 25 cases of sialography which has been routinely performed in those patients with recurrent selling pain, mass or any combination of these signs and symptoms in the area of major salivary glands at National Medica Center from May 1975 to June 1980. The results were as follows ; 1. 2 cases of the stone and stricture, which were easily diagnosed by the filling defect, obstruction and dilatation or irregular narrowing of the main duct of salivary gland, were in the submaxillary gland. 2. 7 cases of the inflammation in major salivary galnds revealed " pruned tree" appearance, and irregular caliber and shape of intraglandular ducts, and punctate or globular ilatation of the interlobular ductules and acini. 3. Among the 5 cases of salivary gland tumors, 4 cases were in the parotid gland. Sialograhic findings showed displacement of the duct, nonopaciified area and pudding or pooling of the contrast material in the gland parenchyme. 4. The retention of the contrast material in postevascuation film and destruction of duct architecture were important findings in differentiation of inflammation and tumors of major sailvary glands.ry glands.
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