Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.
Kim, Ae-sook;Ryu, Gi-hwan;Jung, Ju-hee;Kim, Hee-young
The Journal of the Convergence on Culture Technology
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v.8
no.4
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pp.375-380
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2022
The purpose of this study is to find out consumers' perception and meaning of convenience store convenience food by using big data. For this study, NNAVER and Daum analyzed news, intellectuals, blogs, cafes, intellectuals(tips), and web documents, and used 'convenience store convenience food' as keywords for data search. The data analysis period was selected as 3 years from January 1, 2019 to December 31, 2021. For data collection and analysis, frequency and matrix data were extracted using TEXTOM, and network analysis and visualization analysis were conducted using the NetDraw function of the UCINET 6 program. As a result, convenience store convenience foods were clustered into health, diversity, convenience, and economy according to consumers' selection attributes. It is expected to be the basis for the development of a new convenience menu that pursues convenience and convenience based on consumers' meaning of convenience store convenience foods such as appropriate prices, discount coupons, and events.
This study was intended to help children to cultivate and develop a sound attitude toward food consumption and eating habits through the analysis of food and nutritional information in news articles and advertisements in three major daily children's newspapers in Korea: The Chosen Children's Daily Newspaper, The Hankook Children's Daily Newspaper, and The Donga Children's Daily Newspaper. The monitoring period was for twelve months, January to December 2003. Two hundred seventy-nine articles and three hundred thirty-five advertisements were analyzed. The results were as follows. 'Cooking and health' were the most frequent subject in food and nutrition articles. The articles' contents are evaluated positively in morality and explanation; but negatively in fairness, specialization, and objectiveness. The articles were insufficient in the explanation of professional terms, scientific bases, and practical measures for real life. It therefore seems that they were difficult for children to understand well. The most frequent themes in the advertisements were 'processed fats and sugars' such as chocolate, candies, and cookies. Frequently, they were exaggerated and accompanied by phrases promoting consumption. They did not provide sufficient well-grounded information, and focused too much on events or gifts to instigate consumer sentiment. In conclusion, the most serious problem was that most food and nutrition information in these children's newspapers was lacking in specialization. More specialized and objective information should be provided in order to enhance the educational value of children's newspapers and their utilization in school education programs. Continuous monitoring should be carried out to discover those news articles and advertisements that contain correct food and nutrition information.
Objective This study aimed to evaluate the effect of herbal medicines on transient hip synovitis (TSH) in children. Methods We searched 10 Korean, English, Japanese, and Chinese databases for studies published up to September 19, 2023. Randomized controlled trials (RCTs) evaluating the effect of herbal medicines on TSH levels in children were included. The Cochrane risk of bias was used to evaluate the quality of the studies. A meta-analysis was conducted according to outcome measurements, such as total effective rate (TER), visual analog score (VAS), time to pain relief, and hip joint mobility disorder disappearance time, using the Review Manager website. Results Eleven RCTs were included in this study. TER in the treatment group was significantly higher than in the control group. The duration of pain relief was significantly shorter in the treatment group than in the control group. The VAS score of the treatment group was significantly lower than that of the control group, although the statistical heterogeneity was substantial. The hip joint mobility disorder disappeared in the treatment group treated with external therapy, which was significantly shorter than in the control group. Regarding safety, two of the 11 studies reported that there were no adverse events. Conclusions Herbal medicines are effective in the treatment of TSH in children. However, the safety of herbal medicines should be carefully considered due to the lack of data.
Background/Aims: This study aimed to evaluate the characteristics of endoscopic retrograde cholangiopancreatography (ERCP) or endoscopic ultrasonography (EUS)-related adverse events (AEs) that eventually lead to medical disputes or claims on medical professional liability. Methods: Medical disputes for ERCP/EUS-related AEs filed in the Korea Medical Dispute Mediation and Arbitration Agency between April 2012 and August 2020 were evaluated using corresponding medical records. AEs were categorized into three sections: procedure-related, sedation-related, and safety-related AEs. Results: Among a total of 34 cases, procedure-related AEs were 26 (76.5%; 12 duodenal perforations, 7 post-ERCP pancreatitis, 5 bleedings, 2 perforations combined with post-ERCP pancreatitis); sedation-related AEs were 5 (14.7%; 4 cardiac arrests, 1 desaturation), and safety-related AEs were 3 (8.8%; 1 follow-up loss for stent removal, 1 asphyxia, 1 fall). Regarding clinical outcomes, 20 (58.8%) were fatal and eventually succumbed to AEs. For the types of medical institutions, 21 cases (61.8%) occurred at tertiary or academic hospitals, and 13 (38.2%) occurred at community hospitals. Conclusions: The ERCP/EUS-related AEs filed in Korea Medical Dispute Mediation and Arbitration Agency showed distinct features: duodenal perforation was the most frequent AE, and clinical outcomes were fatal, resulting in at least more than permanent physical impairment.
Objective This study aimed to evaluate the effect of herbal medicines on alopecia areata (AA). Methods We searched 10 Korean, English, Japanese, and Chinese databases for studies published until April 3, 2024. Randomized controlled trials (RCTs) assessing the effect of herbal medicines on AA were included. The Cochrane risk of bias tool was used to evaluate the quality of the studies. A meta-analysis was conducted according to outcome measurements, such as total effective rate (TER), full recovery rate, and recurrence rate, using the Review Manager software. Results Seventeen RCTs were included in this study, and the TER in the treatment group was 1.48 times higher than that in the control group [Risk ratio (RR): 1.48, 95% confidence interval (CI): 1.40~1.55, I2 = 43%]. The full recovery rate was 2.25 times higher in the treatment group [RR: 2.25, 95% CI: 1.62~3.12, I2 = 53%], and the recurrence rate was 0.22 times lower, than that of the control group [RR: 0.22, 95% CI: 0.070~0.68, I2 = 0%]. Four studies reported that there were no adverse events. Four studies reported mild gastric discomfort, a mild increase in alanine aminotransferase (ALT), and constipation in the treatment group. Conclusions Our meta-analysis showed that herbal medicines are significantly effective in treating AA. However, owing to the low quality of the included studies, future clinical studies are required to determine their potential for clinical applications.
This study analyzes empirically the effect of the degree of interest in cultural marketing on corporate image and how the corporate images affect on consumers' clothes purchasing behavior through the case of a fashion brand, 'Uniqlo'. For this, Chi-square test and independent sample T-test were used for the verification of differences in frequency and average by general characteristics of respondents. To observe the effects between ration scales, it carried out a multiple regression analysis, and also, using AMOS16.0, it verified the suitability of the route model and estimated the coefficients for each route. From the result of analysis, it was found that degree of consumer's interest in cultural marketing affects on corporate images such as corporate confidence and marketing and the corporate image again is closely related to consumer's clothes purchasing behavior and satisfaction. In other words, the consumers who have greater interest in corporations using cultural marketing or who had participated in various cultural events are more likely to think that 'Uniqlo' is a reliable corporation who actively uses cultural factors in marketing. Likely, it was observed that the positive corporate image of 'Uniqlo' has a large influence on purchase of their products and also, it makes consumers feel as if they are participating in mecenat, thus increasing consumer's satisfaction after purchase. This study has a limitation in generalization of study result because it focused on a case of particular brand. However, it is still helpful for the empirical study for growth and reinvigoration of the market for cultural marketing, and through a case of leading corporation, it provides implications to the corporations who use or do not use cultural marketing.
Goo, Ae-Jin;Park, Jin-Park;Lee, Jong-Il;Jhin, Hye-Kyung;Kim, Yeni
Korean Journal of Biological Psychiatry
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v.19
no.4
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pp.205-210
/
2012
Objectives The purpose of this study was to investigate clinical profile, efficacy, and safety of long-term treatment with selective serotonin reuptake inhibitors (SSRIs) in Korean autism spectrum disorders (ASDs) patients. Methods Effectiveness was assessed through a retrospective review of self-reported target symptom improvement at the last follow-up visit. Changes in illness severity and improvement were measured using the Clinical Global Impression-Severity (CGI-S) of illness and Clinical Global Impression-Improvement (CGI-I) Scales. Tolerability was assessed through a review of the reason for discontinuation of SSRI and documented adverse events. Results A total of 21 ASDs patients (aged 9 to 19 years) treated with SSRI during July 2010 to July 2011 in department of child and adolescent psychiatry of Seoul National Hospital were identified. The mean duration of SSRI treatment was 47.9 (standard deviation = 36.9) months (range 0.7-114.5), and the mean fluoxetine equivalent dosage of SSRIs was $27.1{\pm}10.8$ mg. Nineteen (90.5%) patients were using concomitant medication. We found that SSRIs were prescribed for symptoms of agitation, stereotyped behavior, aggression, depression, impulsivity and self-injury in ASDs. Ten patients (47.6%) reported improvement in their target symptom after SSRI treatment based on CGI-I scores (CGI-I ${\leq}$ 2). The side effects were reported in 5 patients (23.8%) ; vomiting (n = 2, 9.5%), excessive mood elevation (n = 1, 4.8%), insomnia (n = 1, 4.8%), somnolence (n = 1, 4.8%) and decreased appetite (n = 1, 4.8%). Self-injurious behavior was reported in one patient (4.8%). Conclusions The results of this study suggest that SSRIs may be used effectively in children and adolescents diagnosed with ASDs. However, safety issues need to be considered carefully when choosing SSRIs for treatment. Future controlled trials are needed to confirm these findings.
Journal of the Korean Association of Geographic Information Studies
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v.14
no.4
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pp.77-91
/
2011
This study tries to find a streambed scouring and sedimentation characteristics through the Rosgen(1994)'s stream classification system while experiencing several flood events. The Jinwee and Osan streams, the tributaries of Anseongcheon were selected. The streams showed type C or type E. By the classification results, two Type C tributaries one Type C stream and one Type E tributary were selected. For the four selected stream reaches, the analysis of streambed change was implemented by using numerical model CCHE2D (Center for Computational Hydroscience and Engineering). To prepare the inlet boundary conditions of each stream, the WMS (Watershed Modeling System) HEC-1 was used and the streamflows of 50, 80, and 100-year return period were generated and the outlet boundary was set to an open boundary condition. The simulation results showed that when the flood pulse periodically the streambed changes also appears regularly. The results can be used to acquire the basic data for stream restoration.
The Korean government has been carrying out the marine ranch development project since 1998 with the purpose of responding to the decrease in coastal fishery resources and fishery income, preparing a systematic management system for the sustainable use of fishery resources and realizing advanced fisheries power by expanding and upgrading fisheries resource development projects. In addition, the government established the Korea Fisheries Resources Agency and promoted projects for the protection and management of fishery resources by increasing basic productivity by artificially creating marine forests in areas where whitening events occur. Since the project of building marine ranches and marine forests requires immense government financial support, it is important to estimate the economic value and thoroughly evaluate the feasibility of the project. In this paper, the project of non-market economic value of the development of marine ranches and the development of marine forests was estimated. CVM (Contingent Valuation Method) was applied as a methodology for benefits estimation. Prior to the analysis, a one-on-one interview survey was conducted with participation of 512 residents and 514 residents respectively for the project of creating a marine ranch and developing a marine forest. A DBDC (Double-Bounded Dichotumous Choice) model was applied in the WTP (Willingness To Pay) analysis model and the socioeconomic variables of the surveyor, such as sex, age, education and income, were reflected in the model. The economic benefits from the two projects, namely, building of marine ranches and developing marine forests were estimated to be equal to 4,608 won and 7,772 won per household per year, respectively. According to the results of the survey, it seems that respondents think that marine forests are more valuable than marine ranches. This is as a result of ordinary citizens' thought that the marine ranches are more cost-effective than the marine forests. The benefits estimated through this study can be used for analysis of economic feasibility prior to carrying out the project of building marine ranches and developing marine forests, and are considered to be the valuable for policy-making purposes and finding social and economic consensus.
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