• Journal of the Korean Society of Physical Medicine
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• v.8 no.3
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• pp.317-326
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• 2013

PURPOSE: The purpose of this research is to check the attitudes and behavior toward the disabilities of occupational therapy students who are going to be the future subjects of medical rehabilitation service, based on this to provide occupational therapy students an alternative to have the right attitude toward the disabilities to find ways to reduce prejudice against them in society meeting in the future. METHODS: The survey was carried out to select randomly 6 cities and provinces nationwide with occupational therapy, to choose 20 students at each grade and have them to fill up the questionnaire themselves after reading the text, and as a result of the survey. RESULTS: The attitudes and behavior toward the disabilities according to the gender, there was more positive significant difference in women than men, the attitudes and behavior toward the disabilities by each grade, the higher grade they were, the more positive significant difference they had. As the results of the attitudes and behavior toward the disabilities whether to take classes related to them, there was a positive significant difference in the students who took classes related to disabilities person, and the results of the attitudes and behavior toward the disabilities whether to participate in a clinical practice and voluntary service, there was a positive significant difference in the students who took part in that service. CONCLUSION: The positive attitudes and behavior toward disabilities were higher in women than men, higher grade students than the lower, the more time for voluntary service and the more contact with disabilities persons. As through the results of this, the comprehensive and continuous education about the disabilities for the students in all Departments related to medical rehabilitation service and the suggestion for continuous research on the fundamental problems should be made in the future.

• Journal of Korean Medicine Rehabilitation
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• v.34 no.3
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• pp.53-63
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• 2024

Objectives This study aims to analyze the effectiveness of manual therapy for the treatment of plantar fasciitis by reviewing existing randomized controlled trials. Specifically, it seeks to identify various manual therapy techniques and evaluate their applicability in clinical settings. Methods The study reviewed literature from six databases (PubMed, the Cochrane Library, China National Knowledge Infrastructure, ScienceON, Research Information Sharing Service, Korean studies Information Service System) up to April 2024. Studies were selected based on criteria including randomized controlled trials involving manual therapy for plantar fasciitis. Results An analysis of ten studies involving 714 patients revealed the use of techniques such as joint mobilization, muscle relaxation, and pressure point techniques. Manual therapy was found to be more effective in reducing pain than both extracorporeal shock wave therapy and routine physical therapy alone. However, caution is needed in generalizing these results due to the limited number of studies analyzed. No significant adverse effects were reported. Conclusions Manual therapy demonstrates potential as an effective treatment for plantar fasciitis, offering benefits in pain management and functional recovery. However, further high-quality randomized controlled trials are necessary to strengthen the clinical evidence and establish standardized treatment protocols.

• Journal of Medicine and Life Science
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• v.20 no.1
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• pp.15-20
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• 2023

Medical schools realize their social accountability in cultivating future doctors as decision-makers of medical care in the future society as an axis of society and carrying out communication, research, and medical service (medical care). This study summarized the social accountability status of eight medical schools in Korea, including the characteristics, activities, and programs in the sociocultural context. The data from the self-evaluation research reports of eight medical schools were classified and organized according to education, research, and medical care services. The medical schools offer related subjects, community service activities, and clinical practice, allowing active participation in local health promotion and disease prevention. Community health information research was conducted considering the difference between the local natural environment in which the medical school is located and the frequency of diseases. Medical schools and hospitals collaborated to conduct domestic and foreign health education volunteer activities. Social accountability must be prioritized, considering the importance of medical schools' functions and roles in a high knowledge-information society. Both doctors' medical capacity and competence to actively participate in developing medical care and health policies for the community should be strengthened.

• Journal of Korean Critical Care Nursing
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• v.12 no.2
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• pp.50-60
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• 2019

Purpose : The purpose of this study was to identify the attributes, antecedents, and consequences of the transition of simulation-based learning (SBL) in nursing schools. Methods : The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched MEDLINE, CINAHL, EMBASE, Google Scholar, and RISS (Korean Education and Research Information Service) databases, resulting in nine studies for an in-depth review. Results : The attributes of transition of SBL include (1) preparing for a professional role, (2) practicing in a real clinical setting, and (3) progressing toward expected competency. Antecedents of the concept include novice status, changing roles, clinical experience in controlled settings, and expected competency in the clinical setting. Conclusion : The transition of SBL includes the important feature of progression toward expected competency. Further research is needed to identify graduate nurses' experiences during this transition to establish a strategy for improving it and developing a measurement tool that reflects attributes of the concept.

• Journal of Biomedical Engineering Research
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• v.18 no.4
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• pp.381-388
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• 1997

In this paper, we present the design and implementation of the interbed network communication protocol, which links patient monitors, central stations, DB servers, and clinical workstations together in a patient monitoring system. We describe the requirements to be met thor real-time patient monitoring, propose 2 services Patient Locator Service(PL:7) and Remote Patient Monitoring Service( RPMS). PLS provides the information about how many patients are currently being monitored and where they are located, while RPMS allows the doctors to monitor their patients'vital sign in real-time. The messages for the services, their formats and exchange scheme are also presented with a whole picture of how they are implemented. We adopted the object-oriented programming paradigm in all the analysis and design processes. In the experiment performed in a real clinical setting, the services turned out to meet all the requirements needed for real-time patient monitoring.

• The Journal of Internal Korean Medicine
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• v.45 no.4
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• pp.744-759
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• 2024

Objectives: This study reviewed randomized controlled trials (RCTs) investigating the effects of Neiguan (PC6) stimulation on blood pressure and suggests a better research process. Methods: We searched for RCTs for effects of Neiguan (PC6) stimulations on blood pressure published until July 2024 using six databases (PubMed, Oriental Medicine Advanced Searching Integrated System (OASIS), Korea Citation Index (KCI), Research Information Service System (RISS), Korean Studies Information Service System (KISS), and Science ON). In total, eight RCTs that met all the inclusion criteria were selected. Results: All the selected studies showed significant effects of Neiguan (PC6) stimulation on blood pressure. In most studies, Neiguan (PC6) stimulation was effective in stabilizing blood pressure and improving various indicators related to blood pressure. Conclusion: Neiguan (PC6) stimulation is an effective treatment for stabilizing blood pressure. However, the selected RCTs were short-term studies and had small number of subjects; so, long-term and large-scale studies are needed.

• Quality Improvement in Health Care
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• v.22 no.1
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• pp.29-37
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• 2016

Readmission which reflects capacity to manage patients and general level of medical services has been known for one of the causes of medical expenditure due to inefficient service. Compared to disease-specific readmission, hospital wide readmission (HWR) is relatively easy to understand, and has merit to get over limitation of collateral medical services assessment; therefore, a growing interest in development and usage of readmission indicator as quality of care indicator focusing on all-disease is detected. In this study, we investigate current state of risk standardized readmission rate indicator used in the United States, the United Kingdom, and Canada, and examine the considerations when using readmission rate as quality indicator in Korea. Differences in risk-adjustment methods were showed among countries. The United States do not control race not to hide socio-demographic factors on readmission. Canada shows differentiation compared to other countries about reflecting community factors. All three-countries utilize readmission rate as monitoring quality of care rather than incentives or penalty due to the fact that readmission rate could not represent the whole quality of hospital and has a limitation at controlling socio-economic factors. Therefore, for usage readmission rate as quality indicator in Korea, preparing readmission classification standard for Korean medical environment and additional methods for acquiring information by using discharge summary is need. Moreover, continued discussion with clinical specialists is needed for obtain clinical reliability and validity.

• Korean Journal of Clinical Pharmacy
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• v.21 no.2
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• pp.90-99
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• 2011

Health Insurance Review & Assessment Service (HIRA) claims database has a high potential to detect signals of new drug interactions. The aim of this study was to evaluate the usefulness of information component (IC) and relative risk (RR) as a tool for signal detection, and to analyze the possible drug interactions caused by clopidogrel using HIRA claims database. This study was performed in elderly patients over 65 years of age who administered clopidogrel from January 2005 to June 2006 in South Korea. Serious Adverse Events (SAEs) as drug interactions of clopidogrel were defined as any ambulatory hospitalization for ischemic diseases within comcomitant medication period of clopidogrel. Information Component (IC) and Relative Risk (RR) were calculated to compare the proportion of drug-SAE pairs in order to select drug specific SAEs. IC and RR signals of clopidogrel drug interaction were screened when IC's 95% confidence interval was greater than 0 and RR's 95% confidence interval was greater than 1 respectively. All detected signals were compared to references such as $Micromedex^{(R)}$ and 2010 Drug Interaction $Facts^{TM}$. Sensitivity, specificity, positive predicted value and negative predicted value were used to evaluate usefulness of this method. Among 13,252,930 cases of elderly patients who co-administered clopidogrel and other drugs, 47,485 cases were detected as SAE. Of these, one-hundred nine cases were detected by the IC-based data-mining approach and ninety one cases were detected by the RR-based data-mining approach. Total One-hundred sixty three unrecognized signals were detected by IC or RR. Twelve signals from IC-based data-mining (57.1%) were corresponded with drug interactions from references and eight signals from RR-based data-mining (38.1%) were corresponded with drug interactions from references. These signals include proton pump inhibitors, calcium channel blockers and HMG CoA reductase Inhibitors, which were known to affect CYP450 metabolism. Further studies using HIRA claims database are necessary to develop appropriate data-mining measure.

• The Journal of Pediatrics of Korean Medicine
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• v.36 no.3
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• pp.1-18
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• 2022

Objectives The purpose of this study was to investigate the current status of interventional clinical trial registration for children with precocious puberty and to secure basic data for the design of clinical trials for traditional Korean medicine treatment of precocious puberty. Methods The following resources were used to search for data: Clinicaltrial.gov, World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), and Clinical Research Information Service (CRIS), using the search terms, 'Precocious puberty', 'child'. All clinical trials which were registered as of June 2022 were used. Results For the intervention and clinical trial design, gonadotropin releasing hormone (GnRH) analog was reported in 41.7% of trials, and single group assignment was performed in 66.7% of the studies. Prior consent had not been reported in 50% of the studies. Tanner stage and GnRH stimulation tests were reported by multiple trials as inclusion criteria, and prior treatment experiences for trial drugs were reported as exclusion criteria. The peak serum concentration of luteinizing hormone following GnRH stimulation test was used as a primary outcome in 45.8% of clinical trials, and other growth-related indicators such as growth rate, height, and predicted adult height were also reported. Conclusions In consideration of the design, eligibility criteria, and outcome measurement of the existing clinical trials identified in this study, it should be referred to in the design of clinical trials for traditional Korean medicine treatment of precocious puberty.

• Journal of Korean Clinical Nursing Research
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• v.19 no.3
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• pp.383-394
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• 2013

Purpose: This study was conducted to investigate the effects of preparatory nursing information and information offering by SMS on anxiety and nursing satisfaction among family members of ICU (Intensive Care Unit) inpatients. It utilized a quasi-experimental research design with a non-equivalent and non-synchronized control group. Methods: The experimental group and the control group were offered a booklet guiding ICU and were offered face-to-face information by nurses using Power Point. The experimental group was additionally offered SMS (short message service) message on patient's safety at night every morning during the hospital stay between 8 and 9 am. All participants in the experimental group and the control group were measured in reference to anxiety at the point of hospitalization and were surveyed anxiety and nursing satisfaction on the third day of hospital stay. Results: The anxiety demonstrated no significant difference between the groups, while the nursing satisfaction was significantly higher in the experimental group than that of the control group. Conclusion: Proving direct information and indirect information via SMS message were considered effective in improving the family member's satisfaction with nursing care. The frequencies of SMS message and the contents of the message and information need to be defined and specified in the given population.