• 사상체질의학회지
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• 제26권3호
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• pp.272-280
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• 2014

Objectives This research was carried out to establish the clinical practice guideline(CPG) for Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology of Soyangin disease. Methods Dongeuisusebowon(sinchuk edition) and several kinds of literatures including journal articles concerning this symptomatology of Soyangin disease were collected and classified. Sasang constitutional specialists' conference was held to make an agreement on the conflicting issues as well. Consensus was drawn as a result of the conference. Results & Conclusions 3 papers were selected as an inclusion and exclusion criteria for the relevant articles to Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology of Soyangin disease. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology consists of two aspects : Yin-Deficit Diurnal-Heat (Eumheo-oyeol) severe pattern and Yin-Deficit Diurnal-Heat (Eumheo-oyeol) critical pattern. In Yin-Deficit Diurnal-Heat (Eumheo-oyeol) severe pattern contains 1 disease, namely, Clear Yang Depletion of Large Intestine (Daejang-cheongyang Moson) pattern (Lower wasting-thirst (Haso) pattern). In Yin-Deficit Diurnal-Heat (Eumheo-oyeol) critical pattern contains 2 diseases, Yin-Deficit Diurnal-Heat (Eumheo-oyeol) pattern and Yin-Deficit Diurnal-Heat (Eumheo-oyeol) advanced pattern. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology has several kinds of symptoms like dry mouth, disliking to drink much water, diurnal body fever, coldness on the back and nausea as well as body fever, chest discomfort, constipation or dry stool as a common symptoms of Interior Heat disease. Clear Yang Depletion of Large Intestine (Daejang-cheongyang Moson) pattern (Lower wasting-thirst (Haso) pattern) has above mentioned symptoms and much urine/turbid urine, thin thigh and knee joints and twinge of joint pain over the body. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) pattern has symptoms like indigestion and epigastric discomfort, abdominal pain and vomiting in addition. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) advanced pattern has symptoms like hematemesis as well.

• 사상체질의학회지
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• 제26권3호
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• pp.241-250
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• 2014

Objectives This research was proposed to present Clinical Practice Guideline(CPG) for Soyangin Disease of Sasang Constitutional Medicine(SCM): Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology. This CPG was developed by the national-wide experts committee consisting of SCM professors. Methods First, it was performed that search and collection of literature related SCM such as "Dongeuisusebowon", Textbook of SCM, Clinical Guidebook of SCM and Fundamental research to standardize diagnosis of Sasang Constitutional Medicine. And journal search related to clinical trial or Human complementary medicine of SCM was performed domestic and overseas. Finally, 1 articles were selected and included in CPG for Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology of Spleen Cold-based Exterior Cold (Bisuhan-pyohan) disease in Soyangin Disease. Results & Conclusions The CPG of Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology in Soyangin Disease include classification, definition and standard symptoms of each pattern. Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology is classified into mild and moderate pattern by severity. Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology mild pattern is classified into initial pattern and advanced pattern. Lesser-Yang Wind-Injury (Soyang-sangpung) symptomatology moderate pattern is classified into Chest-binding (Gyeolhyoong) pattern and Chest-binding (Gyeolhyoong) advanced pattern.

• 사상체질의학회지
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• 제26권3호
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• pp.213-223
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• 2014

Objectives This study was aimed to develop the clinical practice guideline for Soyangin symptomatology. It discussed the principle and method of application of clinical practice guideline for Soyangin symptomatology which focuses on symptomatology, not disease. Methods Based on the previous guidelines, we assessed the guidelines by Appraisal of Guidelines for Research and Evaluation (AGREE II). After AGREE II assessment, we chose and revised the clinical practice guideline. Member of writing committee reviewed and examined "Donguisusebowon" and many articles for developing clinical practice guidelines. Draft of clinical practice guideline was reviewed by advisory committee and approved by Society of Sasang Constitutional Medicine. Results & Conclusions By researching and discussing the Soyangin symptomatology, we establish the evaluation criteria for diagnosis including classification, definition and develop diagnostic algorithm and treatment assessing tool.

• 대한한의학회지
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• 제40권2호
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• pp.1-16
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• 2019

Objectives: The purpose of this study was to increase the utilization of Korean Medicine Clinical Practice Guidelines(KMCGP) for ankle sprain by investigating the recognition of guideline developed in 2015 and evaluating the current status of treatment. Methods: An e - mail questionnaire survey was conducted for Korean medicine doctor(K.M.D) registered in Korean Medicine Association. Survey data were analyzed through Excel. Results: The most common Korean medicine treatments used in clinic were acupuncture(adjacent points)(28.5%), cupping therapy(19.7%) and pharmacopuncture(9.8%). The treatments with high patient satisfaction were acupuncture (adjacent points)(27.9%), moxibustion(22.4%) and herbal medicine(10.4%). Herbal medicine(17.9%), tuina(10.7%) and embedding therapy(9.2%) were difficult to perform during treatment because of cost. In the case of a later revision, respondents most thought it is necessary to update evidence and adjust recommendation ratings. A majority of all respondents said they would like to know about the revised guideline through the Internet. In the expected revision effect, the first order was 'presentation of standardized treatment method', the second was 'establishing the basis of Korean medicine treatment', and the third was 'strengthening the status of Korean medicine as therapeutic medicine'. Many respondents wished to add exercise therapy. In order to increase the utilization rate of the guideline, many respondents thought it should be included in textbooks and 90.6% of respondents answered that they would use more than 50% of the revised guideline. Conclusion: It is necessary to update evidence and adjust recommendation ratings and to promote KMCGP. At the same time treatment methods should be taught to K.M.D

• 대한한방소아과학회지
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• 제36권1호
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• pp.65-77
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• 2022

Objectives The purpose of this study was to understand the public's perception of Korean medical treatment for growth disorders to develop Korean medicine clinical practice guidelines and critical pathways for growth disorders in children and adolescents. Methods A survey was conducted using an online platform targeting 252 adults aged 19 years from May 16, 2021 to May 17, 2021. The questionnaire consisted of questions about the demographic characteristics of respondents; overall perception, experience, and satisfaction with Korean medical treatment for growth disorders; willingness to use or recommend Korean medical treatment for growth disorders; and points for improvement. Results The overall perception of treatment for growth disorders was 3.30 ± 0.892 on a 5-point scale. Concerning the negative reasons, 54.4% of the respondents were concerned about safety; regarding the positive reason, expectations for overall health as well as height growth were the highest at 46.5%. Additionally, there was a high demand for information, such as providing safety information on treatment, presenting evidence for the efficacy of treatment, and standardized clinical process, as points requiring improvement. Conclusions To raise public perception of Korean medical treatment for growth disorders, it is necessary to satisfy the opinions of the public identified through this survey. Therefore, the development and utilization of Korean medicine clinical practice guidelines and critical pathways for growth disorders would play an important role.

• 대한치위생과학회지
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• 제6권2호
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• pp.79-89
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• 2023

연구 배경 및 목적: 치매 유병률은 매년 증가하는 추세를 보이고 있으며, 치매와 구강 건강의 관련성에 대한 선행 연구들이 계속해서 진행되고 있다. 임상 치과위생사는 적절한 치과 의료서비스 제공을 위한 전문적인 역량이 필요하며, 치과위생사의 지식 수준을 객관적으로 측정할 수 있는 도구 개발이 필요하다. 이에 임상 치과위생사의 치매 환자 치과 진료 시 고려사항에 대한 지식 측정도구를 개발하고자 하였다. 연구 방법: 문헌 고찰을 바탕으로 예비문항을 구성하여 전문가 검증, 예비조사, 본조사를 진행하였다. 본조사는 임상 경력이 1년 이상인 치과위생사 220명을 대상으로 설문조사를 시행하였다. 수집된 자료를 바탕으로 타당도 분석, 신뢰도 분석을 진행하여 최종 문항을 선정하였고, 선정된 문항별 정답률을 확인하였다. 연구 결과: 수집된 자료 분석 결과, 총 40개의 예비문항 중 18문항이 삭제되어 총 6개 요인, 22문항이 선정되었으며, 선정된 문항의 Cronbach's α값은 0.791로 나타났다. 하위 항목 별 문항 수는 '치매 환자의 치과 진료 시 주의사항' 5문항, 치매 환자의 약물 부작용' 4문항, 치매 환자의 구강 관리 방법' 4문항, '치매 환자와의 의사소통' 4문항, '치매 환자의 심리적 반응' 3문항, '치매 환자 안내' 2문항으로 구성하였다. 정답률이 가장 높았던 문항은 '치매 환자 안내' 항목의 2번 문항이 98.6%, 정답률이 가장 낮았던 문항은 '치매 환자의 심리적 반응' 항목의 2번 문항이 5.9%로 나타났다. 결론: 본 연구를 통해 타당도와 신뢰도가 검증된 도구는 향후 임상 치과위생사와 치매 관련 후속 연구의 기반으로 활용할 수 있으며, 보수교육, 교육 프로그램 개발, 의료기관 내 업무 지침 개발의 기초 자료로 기여하고자 한다.

• Journal of Digestive Cancer Reports
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• 제8권1호
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• pp.1-50
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• 2020

Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

• 치위생과학회지
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• 제18권6호
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• pp.357-366
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• 2018

본 연구는 치과위생사 직무를 다양한 각도에서 분석하고 검토하여 향후 치과 팀 내 치과진료업무를 효율적으로 분담하고 직무에 따른 교육 과정을 개발하는 데 기초 자료로 활용하기 위하여, 의료법에서 의료행위를 판단하는 기준에 따라 치과위생사 직무의 타당도를 평가하고자 하였다. 본 연구는 2017년 11월 10일부터 20일까지 강릉원주대학교 치과대학의 12명 교수를 대상으로 치과위생사 직무의 타당성을 평가하기 위해 자기기입 설문조사를 실시하였다. 치과위생사 직무가 질병예방과 치료, 환자요양지도, 보건 위생상 위해 발생 여부의 의료행위 판단기준에 해당하는지에 대한 전문가 일치율을 산출하였고, 각 행위를 의료행위 타당성 평가기준에 따라 점수화하여 level 1~4로 최종 분류하였다. 본 연구 결과에 따르면, 응답자의 50% 이상이 치위생 관리에 포함하는 치은출혈, 치주낭, 임상적 부착수준 측정 및 기록과 전문가 치면세균막 관리, 스케일링, 칫솔질 및 구강 관리용품 처방, 교육을 포함한 대상자별 구강보건교육과 치료 후 주의사항에 대한 상담이 세 가지의 의료행위 판단기준에 모두 해당된다고 응답하였다. 치과위생사가 치과임상에서 수행하는 행위는 의료행위 판단 기준에 따라 크게 4가지 범주로 분류하였고, 범주의 수준이 높을수록 수행난이도가 높고, 전문지식과 기술이 요구되는 직무로 판단할 수 있다. 치은출혈, 임상적 부착수준, 치주낭 측정 및 기록과 치면 연마, 전문가 치면세균막 관리, 스케일링, 치근활택술, 국소적 항균제 적용의 항목은 최종 점수 4.3으로 수행난이도와 전문성이 요구되는 Level 4 그룹으로 분류되었다. 우리나라 치과진료현장에서 환자의 안전과 건강권을 보장하면서 효율적으로 진료를 분담하기 위해서는 수행 행위에 따라 필요한 지식의 수준과 적절한 교육, 자격 기준 등에 대한 표준화된 지침이 개발되어 활용될 필요가 있다.

• 대한한방부인과학회지
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• 제23권4호
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• pp.80-94
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• 2010

Purpose: This survey was done in order to determine Korean medical doctors (K.M.D)' expertise on clinical practice guideline for infertility and the degree of concordance with the guideline. Methods: The questionnaires were distributed via e-mail to all members of Korean Medical Doctors Society and Korean Gynecology Society from August $30^{th}$ to September $1^{st}$ in 2010. Two hundred sixty nine of completed questionnaires were analyzed through two groups, members of the Gynecology Society and nonmembers of the Gynecology Society. Results: According to the analysis of the outcome of the survey done by 99 members of the Korean Gynecology Society and 170 non-members, two-thirds of the participants had prior information of the clinical practice guideline. 63.6 percent of the participants feel strong necessity of the development of Korean medical infertility clinical practice guideline. Seventy percent of the participants are willing to participate in developing or reviewing a clinical guideline. On the question in active utilization and concordance to the guideline once the Korean medical infertility guideline is developed, 44% answered they would while 34.6% said they would utilize the guideline after some modifications. On the prospect of the impact of the development and application of Korean medical clinical practice guideline for infertility, majority of the participants marked positively that the standardization of clinical practice for infertility will lead to the nation's participation with the Nation's Support Work and that the development will somewhat contribute to the standardization of the clinical practice. Conclusions: The survey confirmed high demand of the clinical practice guidelines for infertility and the degree of concordance for infertility amongst Korean Medical doctors.

• 한국의료질향상학회지
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• 제4권2호
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• pp.230-240
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• 1997

Background : Hypercholesterolemia is a major independent risk factor of coronary heart disease. Practice guidelines for management of hypercholesterolemia had been made in several developed countries. This study was undertaken to assess the effect of practice guideline reminders and flow-sheets to improve the quality of management of hypercholesterolemia. Methods: Practice guideline reminders and flow-sheets based on National Cholesterol Education Program Adult Treatment Panel II guidelines, were placed on the office desks of outpatient department of family medicine at the Asan Medical Center. Before this intervention, we educated the doctors to use these reminders and flow-sheets. The charts of all patients who had cholesterol levels greater than or equal to 240 mg/dl during 4 months before and after introduction of reminders and flow-sheets, were reviewed retrospectively. We compared the performances of physicians about management of hypercholesterolemia between pre-intervention period and post-intervention period. Results: The detection rate of hypercholesterolemia in post-intervention period was increased to 83.2% compared by 71.5% in pre-intervention period. Risk factor analysis for coronary heart disease increased significantly from 16.9% to 68.7%. Adequacy of management was 19.2% in pre-intervention period and 78.0% in post-intervention period. It showed statistically significant improvement in management of hypercholesterolemia. Conclusion : This study suggested that practice guideline reminders and flow-sheets were the effective methods in improving the quality in management of hypercholesterolemia.