• 제목/요약/키워드: Korean Studies

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근거 중심 치의학 - 2. 근거 수준과 비판적 평가

  • 홍순민
    • 대한치과의사협회지
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    • 제45권3호통권454호
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    • pp.169-181
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    • 2007
  • In this second part of series report on evidence-based dentistry, the level of evidence and the methods for critical appraisal are discussed. The epidemiologic studies, namely clinical studies have some bias per se, and the degree of bias is somewhat predetermined by the study design. The level of evidence can be defined as the reliability of the clinical study and it is dependent on the degree of bias. Thus, it is important to determine the type of the study and to understand its structure before critically appraising them. Systematic reviews of primary studies, randomized controlled trials, nonrandomized clinical trials, cohort studies, case-control studies, and case reports / series constitute the clinical studies and the level of evidence follows the order of the studies listed above. Critical appraisal is the most important procedure in evidence-based dentistry. It is done to determine the credibility of research papers and their usefulness in the clinician s own practice. Critical appraisal is consisted of multiple questions that are helpful for evaluating validity and usefulness of the studies concerning therapy, diagnosis, prognosis, and causation.

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가정학의 새로운 패러다임 구축을 위한 시론 II-통합적 모형 (An Attempt for Constructing a New Paradigm of Home Economics - Ecological Approach and An Integrative Model -)

  • 유영주;손정영
    • 대한가정학회지
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    • 제37권12호
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    • pp.179-192
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    • 1999
  • Thesedays, Home Economic in Korea is faced with the danger of a discord caused by the outer pressure of reorganization in the process educational reformation. The first purpose of this study was to examine the characteristics of the informatized society and the changes of families lived in the informatized society. The second was to assert to strengthen Home Economics in the informatized society. Ultimately we suggested an integrative and interdisciplinary model about Home Economics from the ecological and informative perspective. This model consist with three parts: Human development(Child studies, Gerontology, & Adolescent studies) and family studies division(Family relation studies, family resource management studies, & Consumer studies) Environmental division(Clothing and Textiles, Food and Nutrition, & Housing) and HEIS(Home Economics Information System). This classification is correspond with the one Human-Behavioral Environment and Human-Constructed Environment of Ecological theory.

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이차분석 : 질적연구를 중심으로 (Secondary Analysis: Focusing on Qualitative Research)

  • 이명선
    • 대한간호학회지
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    • 제34권1호
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    • pp.35-44
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    • 2004
  • Purpose: This article explored issues arising from secondary analysis of qualitative data and analyzed the results of qualitative secondary analysis studies published in English, focusing on the methodological aspects. Method: A total of 29 studies were identified as qualitative secondary analysis studies, retrieving from the CINAHL database from 1982 to 3rd week of April 2003. These studies were analyzed by publication year, research method, and type of approach to secondary analysis. Result: The year that the qualitative secondary analysis study first published was 1992 and the number of the studies using secondary analysis has increased after the middle of 1990s. Grounded theory was the one the most frequently used(n=11, 37.9%) and phenomenological study the second most(n=6, 20.7%). In terms of types of approach, fifteen studies(51.7%) focused on the specific concepts that were not explored in the primary studies. Nine(31.0%) focused on the specific types of participants. Six were aimed to integrate contexts or perspectives to generate more general and abstract analysis of qualitative data. Conclusion: The results of this article will stimulate methodological discussion of qualitative secondary analysis and activate qualitative studies using secondary analysis.

휠체어 이용자를 위한 서울 여행정보 제공 시스템 (The Travel Infomration System for Wheelchair Users in Seoul)

  • 최상원;이규리;류다미;정예람;문유진
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2020년도 제61차 동계학술대회논문집 28권1호
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    • pp.287-288
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    • 2020
  • 본 논문에서는 휠체어 이용자들에게 서울 여행 시 필요한 정보를 제공하는 시스템을 구현한다. 이 시스템은 휠체어 이용 시 용이한 대중교통인 지하철역의 편의시설 및 서울 여행지들에 존재하는 부가시설들의 위치에 대한 정보를 제공한다. 방대한 여행정보가 제공되는 상황에서도 상대적으로 이를 누리지 못하는 장애인들에게 본 논문은 여행 및 이동에 필요한 정보를 제공할 수 있다는 특징을 가지고 있다.

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암환자의 영양, 통증 및 피로 관련 논문분석 (Analysis of Researches about Nutrition, Pain and Fatigue of Cancer Patients)

  • 박정숙;김혜옥;문미영;윤매옥;정귀임;황보수자;오윤정
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.541-555
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    • 2002
  • Objectives: This study is aimed to analyze the trend of research on nutrition, pain and fatigue of cancer patients in Korea, suggest direction for future research of nutrition, pain and fatigue of cancer patients. Methods: 74 studies published from 1991 to 2001 were examined according to the year of publication, types of journal, research design, types of disease, care methods, major concepts, tool and research findings. Results: 1) The number of studies related nutrition, pain and fatigue of cancer patients had increased rapidly since the 1996's(78.4%). 2) 42 nutrition, pain and fatigue of cancer patients studies(56.1%) were done for a thesis for a degree and 32 were nondegree research studies(43.9%). 3) 70 studies(94.7%) were quantitative study, which included in 40 descriptive studies(54.1%), 22 experimental studies (29.75), 5 correlative studies(6.8%), 2 comparative studies(2.7%) and 1 case study(1.4%), and 4 studies(5.3%) were qualitative study, which included in 3 content analysis studies(3.9%) and 1 phenomenological study(1.4%). 4) Researches about cancer more than 2 were the most by 48 studies (66.1%), following leukemia researches were 8 studies(10.8%), breast cancer researches were 7 studies(9.5%), gastric cancer researches were 4 studies(5.4%), pediatric cancer researches were 3 studies(4.1%), uterine cancer researches were 2 studies(2.7%). 5) Researches about chemotherapy were the most by 39 studies(52.6%), following analgesic researches were 14 studies(18.9%), researches that do not present treatment method were 9 studies(12.2%), radiation researches were 7 studies(9.5%). 6) In 22 experimental studies, the effects of 13 types of nursing interventions were tested. Research findings were effective almost but muscle relaxation therapy to decrease nausea and vomiting was no effect. Conclusion: We need more researches about research of nutrition, pain and fatigue of cancer patients, especially need to prove the effect of intervention or program for nutrition, pain and fatigue of cancer patients by experimental research designs and need more qualitative researches to identify indepth the meaning of nutrition, pain and fatigue of cancer patients.

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아동학회지에 게재된 측정도구 개발 및 타당화 연구 고찰: 1984-2016년 (A Review of Published Instruments for Children and their Families in the Korean Journal of Child Studies)

  • 김경은;박주희;임지영
    • 아동학회지
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    • 제38권3호
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    • pp.91-111
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    • 2017
  • Objective: This study aimed to review scales and tests developed for or validated with children and their families that were published in the Korean Journal of Child Studies from 1984 to 2016. Specifically, the purpose of the present study was to analyze the contents and format of the selected instruments, as well as to evaluate their psychometric properties. Methods: Using several databases and journal archives from the Korean Journal of Child Studies, searches were implemented using the key terms: instrument, scale, development, and validation. Instruments from 76 selected studies were reviewed based on several characteristics, such as assessment areas, contents, respondents, responding types, and psychometric properties. Results and Conclusion: First, a majority of the reviewed instruments were developed for infants and children, whereas only one was developed for adolescents. With regard to their specific measurement domains, many instruments focused on social emotional development among children. Second, with a few exceptions, the selected studies provided appropriate evidence for the reliability of the instrument, including its internal consistency, inter-rater reliability, and spilt-half reliability. Many studies also reported on the criterion-related or construct validity of the instrument to establish its validity. Future studies need to develop instruments across diverse developmental areas that collect information from multiple sources and raters. In addition, more evidence on the reliability and validity of the reviewed instruments should be provided to demonstrate their psychometric qualities.

Current Status of Intervention Studies on Acupuncture for Parkinson's Disease

  • Kim, Deok Hyun;Sin, Dae Chul;Song, Ho Sueb
    • Journal of Acupuncture Research
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    • 제34권3호
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    • pp.13-21
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    • 2017
  • Objectives : The purpose of this study was to investigate the effect of acupuncture treatment (AT) in the tendency of increase of the need for AT for the treatment of Parkinson's disease (PD) worldwide and to investigate the advancements in AT research in Korea and the future directions of research on this topic. Methods : Until May 2017, the PubMed, Scopus, Medline, and four Korean databases were searched. The searched keywords were "Parkinson's disease", "Acupuncture", and "Intervention study". The intervention groups from all screened original studies were analyzed and the methods used to determine the effect of AT on PD were examined. Results : A total of 17 studies were grouped by country on the basis of the first author's position, of which 10 studies were conducted in China, four in the United States, two in Korea, and one in Brazil. The most common type of intervention was electroacupuncture (nine studies), followed by AT (six studies), and a combination of AT and bee venom AT (two studies). The most frequently used acupoints in AT were Baihui (GV20), Taichong (LR3), Zusanli (ST36), Sanyinjiao (SP6), and Yanglingquan (GB34). The most commonly used tool for evaluation of PD was the Unified Parkinson's Disease Rating Scale III, which assesses motor functions. Conclusion : The screened studies reported that there were no adverse effects of AT on drug therapy, and AT reduced the dose of drugs used in PD treatment. Future studies on PD treatment with AT should use the acupoints GV20, LR3, ST36, SP6, and GB34, and the meridians Gallbladder meridian and Governor Vessel. Clinical studies on PD should use CONSORT or STRICTA to ensure the quality of national studies and allow the development of new tools for the assessment of the effect of AT on PD using the above criteria.

범불안장애의 중의학 약물 임상시험 최신 동향 (The Recent Trends of Clinical Research on General Anxiety Disorder in Chinese Herbal Medicine)

  • 노동진;이상룡;정인철
    • 동의신경정신과학회지
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    • 제20권4호
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    • pp.79-89
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    • 2009
  • Objectives : To address suitable method for designing clinical trial intervening Traditional Korean Herbal Medicine on General anxiety disorder through the recent clinical research in Chinese Herbal Medicine. Methods : Randomized, controlled trials(RCTs) of treatment of general anxiety disorder intervening herbal medicine were searched through CNKI databases. We examined several item of studies and evaluated using Jadad scale. We searched articles in CNKI with the key word "General anxiety disorder or 廣範性焦慮症", among them we selected the clinical trial studies related with herbal medicine except for case reports, studies of acupuncture therapy or west medicines. Results : 11 RCT studies of herbal medicine met inclusion criteria. The Studies used CCMD-3, HAMA as inclusion tool and mainly HAMA as a evaluation tool. Studies were progressed for 2-8 weeks, mostly used various positive control. Experiment medicine were mainly 理氣劑, 安神劑. In most studies, experiment group made similar or higher efficacy in comparison with control group. Mean Jadad score of studies was $1.3{\pm}0.67$, and only one study was double-blinded among 11 studies. Conclusions : RCT studies on general anxiety disorder of chinese herbal medicine tend to focus on investigating effect of herbal medicine through setting positive control group with CCMD-3 and HAMA. But, most studies had low quality of trial, for lack of pattern identification, evaluation and inclusion tool of chinese medicine. Clinical trials of general anxiety disorder should provide good quality by randomization, double-blinding, and multi-site trial.

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뇌진탕 후 증후군의 중의치료에 대한 임상연구 동향 - CNKI검색을 중심으로 (A Review of Clinical Studies for Chinese Medicine Treatment of Post-concussion Syndrome Using the CNKI Database)

  • 박미소;주아라;최요섭;백혜경;황보경;신동국;장승원
    • 대한한방내과학회지
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    • 제42권6호
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    • pp.1184-1198
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    • 2021
  • Objectives: The aim of this study was to investigate the latest clinical studies on Korean medicine treatment of post-concussion syndrome (PCS) in the Chinese National Knowledge Infrastructure Database (CNKI). Methods: We searched the last 10 years of clinical studies discussing Oriental medicine-based treatments for PCS in the CNKI database. The search focused on the authors, publication year, type of study, purpose of the study, method and duration of treatment, evaluation criteria, and results of each article. Results: Of the 22 selected studies, 1 was a non-randomized controlled trial (nRCT), 2 were case series, and 19 were randomized controlled trials (RCTs). Treatments included oral herbal medicine in 16 studies, oriental medicine through external use in 2 studies, acupuncture in 3 studies, and traditional Chinese medicine injection in 2 studies. The most frequently used herb was Cnidii Rhizoma (川芎). All 22 studies confirmed the efficacy of Oriental medicine treatments. Conclusion: More varied and scientifically designed clinical studies are required to develop treatments for PCS. The results of this study could be used as basic data for further PCS studies.

우울, 불안, 치매 환자에 대한 매선 치료: 체계적 문헌 고찰 (Thread-Embedding TThread-Embedding Therapy for Depression, Anxiety, and Dementia: A Systematic Reviewherapy for Depression, Anxiety, and Dementia: A Systematic Review)

  • 조준희;박소현;김보경;임정화
    • 동의신경정신과학회지
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    • 제35권1호
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    • pp.37-68
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    • 2024
  • Objectives: This study aimed to systematically review thread-embedding treatment studies for depression, anxiety, and dementia and examine the effectiveness and safety of thread-embedding treatment. Methods: Ten domestic and international search databases were used for study selection, including CNKI, PubMed, CENTRAL, EMBASE, CINAHL, AMED, PsycArticles, RISS, OASIS, and KCI. We included studies that presented diagnostic or appropriate criteria for depression, anxiety, and dementia, and randomized control studies using thread-embedding therapy. We searched papers published until October 10, 2023. Results: Twenty-one studies were selected, of which 11 studies were conducted on depression, nine on dementia, and one on anxiety disorders. The most commonly used acupoint for depression was Gansu (BL18), whereas zusanli (ST36) and fenglong (ST40) were used for dementia. The most commonly used type of thread was 1-0 United States pharmacopeia (USP) and 1 cm for depression and 2-0 USP and 1 cm for dementia. The treatment period for most of the studies was once every 2 weeks and for 8 weeks. Among the included studies, 17 showed significant improvements in depression scales, such as Hamilton depression rating scale and Self rating depression scale, activities of daily living scales, and cognitive function scales, such as Hasegawa dementia scale and Mini-mental state examination. Six studies reported adverse events, and no studies reported significant adverse events. Two studies reported follow-ups. Conclusions: This study presents limited evidence for the effectiveness and safety of thread-embedding therapy for depression, anxiety, and dementia. Well-designed studies are needed to review the clinical efficacy and safety of thread-embedding therapy in the future.