• Title/Summary/Keyword: Korean medicine education

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Fibromyalgia from the Psychiatric Perspective (정신과적 관점에서의 섬유근통)

  • Lee, Yunna;Lee, Sang-Shin;Kim, Hyunseuk;Kim, Hochan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.99-107
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    • 2020
  • Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

Effects of Depression and Anxiety Symptoms on Specific Cognitive Function by Evaluating Healthy Subjects (정상인을 통해 알아본 우울 증상과 불안 증상이 특정 인지 기능에 미치는 영향)

  • Kim, Kyuho;Nam, Yoon-Young;Han, Jiyeon;Yu, Rina;Ryu, Vin
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.42-48
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    • 2021
  • Objectives : Based on the fact that cognitive functions decline known as comorbid symptoms of depression can precede depression, this study seeks to observe the effects of depressive symptoms and anxiety symptoms on cognitive function in healthy subjects. Methods : To recruit 50 general populations to evaluate cognitive and clinical symptoms and to find out the effects of clinical symptoms on cognitive functions, Pearson correlation and multivariate regression were conducted. Correlation analysis of subdomain cognitive function was conducted for reliability analysis. Results : Trail making test-B that evaluates the execution function correlates with depressive symptoms (r=0.300, p=0.03) and age (r=0.323, p=0.02). Depressive symptoms (β=0.304, p=0.03) and age (β=0.335, p=0.01) were significantly related to Trail making test -B (Adjusted R2=0.148). Subjective cognitive tests correlates with anxiety symptoms (r=0.434, p=0.002). In the correlation between cognitive functional items, Subjective cognitive tests was found to be correlated with other test except Spotter. Conclusions : In this study, depressive symptoms contribute independently to executive functions in addition to demographic characteristics such as age and duration of education. Given that cognitive decline is a common long-term clinical outcome in depression, we expect active early intervention and evaluation of cognitive function to be helpful.

Comparison of Sodium Reduction Practice and Estimated Sodium Intake by Salty Food Preference on Employees and Customers of Sodium Reduction Restaurant in Daegu, Korea (대구시 나트륨 줄이기 실천음식점 종사자와 고객의 짠 음식 선호도에 따른 나트륨 저감화 실천도 및 나트륨 추정섭취량 비교)

  • Lee, Su-Jin;Kim, Keon-Yeop;Lee, Yeon-Kyung
    • Korean Journal of Community Nutrition
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    • v.27 no.1
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    • pp.27-35
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    • 2022
  • Objectives: The purposes of this study were to compare the degree of sodium reduction practice and estimate sodium intake by salty food preference. Methods: Sodium reduction practices, salty food preferences and estimated sodium intake were surveyed for restaurant owners (n = 80), employees (n = 82) and customers (n = 727) at the restaurants participating in the sodium reduction project in Daegu, Korea. Estimated sodium intake was performed by examining sex, age, body mass index (BMI), salty eating habit and dietary behaviors. Results: The degree of sodium reduction practice was significantly higher in salinity meter use (P < 0.001), low salt seasonings (P < 0.001) and efforts to make the foods as bland as possible overall (P < 0.001) in the restaurants participating in sodium reduction project than in homes (P < 0.001). The degree of sodium reduction practice appeared lower in the high salty food preference group than in the low-preference group in such items as efforts to make the foods as bland as possible overall (P < 0.05) and washing the salty taste and then cooking (P < 0.05). The high-preference group showed high-salt dietary behavior, including eating all the soup until nothing was left (P < 0.05) more than the low-preference group, but low-salt dietary behavior included checking the sodium content in processed foods (P < 0 .0 5) less than the low-preference group. The high-preference group was higher in the soup and stew intake frequency than the low-preference group (P < 0.05) and much lower in nuts (P < 0.05) and fruits (P < 0.05) intake frequency. The high-preference group had a higher salty eating habit (P < 0.05), salty taste assessment (P < 0.05) and estimated sodium intake (P < 0.05) than the low-preference group. Conclusions: The present study showed that the salty food preference was strongly associated with lower sodium reduction practice and higher estimated sodium intake.

Collaborative Disaster Governance Recognized by Nurses during a Pandemic (코로나19 대응 간호사가 인식하는 협력적 재난 거버넌스)

  • Rim, Dahae;Shin, Hyunsook;Jeon, Hyejin;Kim, Jieun;Chun, Hyojin;Oh, Hee;Shon, Soonyoung;Shim, Kaka;Kim, Kyung Mi
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.703-719
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    • 2021
  • Purpose: We aimed to identify collaborative disaster governance through the demand and supply analysis of resources recognized by nurses during the COVID-19 pandemic. Methods: We used a descriptive study design with an online survey technique for data collection. The survey questions were developed based on focus group interviews with nurses responding to COVID-19 and expert validity testing. A 42-question online survey focusing on disaster governance was sent to nurses working in COVID-19 designated hospitals, public health offices, and schools. A total of 630 nurses participated in the survey. Demand and supply analysis was used to identify the specific components of disaster governance during a pandemic situation and analyze priority areas in disaster governance, as reported by nurses. Results: Demand and supply analysis showed that supplies procurement, cooperation, education, and environment factors clustered in the high demand and supply quadrant while labor condition, advocacy, emotional support, and workload adjustment factors clustered in the high demand but low supply quadrant, indicating a strong need in those areas of disaster governance among nurses. The nurses practicing at the public health offices and schools showed major components of disaster governance plotted in the second quadrant, indicating weak collaborative disaster governance. Conclusion: These findings show that there is an unbalanced distribution among nurses, resulting in major challenges in collaborative disaster governance during COVID-19. In the future and current pandemic, collaborative disaster governance, through improved distribution, will be useful for helping nurses to access more required resources and achieve effective pandemic response.

The Comparative Analysis of Mental Health Literacy in General Population: The Analysis of National Mental Health Literacy and Attitude Survey in 2021 (일반 인구의 정신건강지식 비교 분석: 2021년 정신건강 지식 및 태도조사 분석)

  • Ji, Hyeon A;Kim, Sa Rah;Lee, Mi Sook;Park, Su Hee;Kim, Yang Sik;Lee, Kang Hee;Jun, Jin Yong
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.38-45
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    • 2022
  • Objectives : The purpose of this study is to analyze Mental health literacy in General population. Methods : We analyze the National Mental Health Literacy and Attitude Survey Data in 2021. We investigate 2016 general population and evaluate sociodemographic characteristics, Mental health literacy and stigma. We utilize 4 Case vignette which consist of Major Depressive Disorder, Schizophrenia, Alcohol Use Disorder and Suicidal Ideation. Results : Schizophrenia (27.6%) have the lower disease recognition compare to Major Depressive Disorder (43.8%) and Alcohol Use Disorder (61.7%) (p<0.001). The stigma of Alcohol use disorder (52.8%) is highest and the stigma of Schizophrenia (47.2%) is the second highest (p<0.001). Conclusions : The education and overcoming the stigma in Mental health is needed in Schizophrenia and Alcohol Use Disorder.

The Utility of Chatbot for Learning in the Field of Radiology (방사선(학)과 분야에서 챗봇을 이용한 학습방법의 유용성)

  • Yoon-Seo Park;Yong-Ki Lee;Sung-Min Ahn
    • Journal of the Korean Society of Radiology
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    • v.17 no.3
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    • pp.411-416
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    • 2023
  • The purpose of this study is to investigate the utilization of major learning tools among radiology science students and assess the accuracy of a conversational artificial intelligence service program, specifically a chatbot, in the context of the national radiologic technologist licensing exam. The survey revealed that 84.3% of radiology science students actively utilize electronic devices during their learning process. In addition, 104 out of 140 respondents said they use search engines as a top priority for efficient data collection while studying. When asked about their awareness of chatbots, 80% of participants responded affirmatively, and 22.9% reported having used chatbots for academic purposes at least once. From 2018 to 2022, exam questions from the first and second periods were presented to the chatbot for answers. The results showed that ChatGPT's accuracy in answering first period questions increased from 48.28% to 60%, while for second period questions, it increased from 50% to 62.22%. Bing's accuracy in answering first period questions improved from 55% to 64.55%, and for second period questions, it increased from 48% to 52.22%. The study confirmed the general trend of radiology science students utilizing electronic devices for learning and obtaining information through the internet. However, conversational artificial intelligence service programs in the field of radiation science face challenges related to accuracy and reliability, and providing perfect solutions remains difficult, highlighting the need for continuous development and improvement.

Influence of Resilience and Depression on Suicidal Ideation in Elderly (회복탄력성과 우울이 노인의 자살생각에 미치는 영향)

  • Park, Jong-Suk;Park, Yong-Kyung;Jeong, Seong-Hwa;Lee, Chae-Shik;Kim, Hong
    • 한국노년학
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    • v.34 no.2
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    • pp.247-258
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    • 2014
  • The aim of this study was to investigate the influence of resilience and depression on suicidal ideation in elderly. The survey was conducted by 335 subjects (aged 65 to 70 years old; both gender) living in Daegu and Gyeongbuk district. Data were collected through interview-based questionnaires which were constructed to include the general characteristics(8 items), suicidal ideation(19 items), depression(15 items), and resilience(27 items). Collected data were analyzed by frequency, t-test, one-way ANOVA, and regression analysis. The present results showed that the main general factors affecting the resilience of elderly were age, the type of dwelling, pin money, and health. The influencing factors on suicidal ideation were health status, depression level, and the resilience in elderly. In particular, the suicidal ideation was more affected by self-regulation and affirmation of the subcategory in resilience. In conclusion, the resilience and depression is need to be considered as one of the main factors for decreasing the suicidal ideation in elderly.

Investigating Academic Success and Satisfaction in Self-paced Learning with 3D Printed Teaching Aids (적층형 3D 프린팅으로 제작한 신경계 교구를 활용한 자기주도학습의 학업성취도와 만족도 조사)

  • Young-Hee Lee;Yong-Ki, Lee
    • Journal of the Korean Society of Radiology
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    • v.17 no.7
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    • pp.1109-1114
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    • 2023
  • This study investigated the effects of utilizing 3D printed teaching aids on academic achievement and learning motivation in a non-face-to-face learning environment during the COVID-19 pandemic. The study was divided into an experimental and a comparison group that applied traditional lecture-based teaching and self-directed learning using 3D printed teaching aids and videos. The results of the study showed that the experimental group using 3D printed brain puzzles improved their academic performance compared to the comparison group using traditional lectures. This may be due to the fact that visual and experiential learning helped students to acquire knowledge on their own. The brain puzzles provided an interesting learning experience for the students, and their overall satisfaction with the class was also positive. These results indicate that teaching with teaching aids can increase students' motivation to learn and improve their academic performance. Therefore, the active introduction of 3D printed teaching aids in the non-face-to-face learning environment caused by COVID-19 is expected to improve the quality of education through innovation in learner-centered teaching methods.

Clinical Outcomes and Cost-Effectiveness of Osteoporosis Screening With Dual-Energy X-ray Absorptiometry

  • Chiao-Lin Hsu;Pin-Chieh Wu;Chun-Hao Yin;Chung-Hwan Chen;King-Teh Lee;Chih-Lung Lin;Hon-Yi Shi
    • Korean Journal of Radiology
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    • v.24 no.12
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    • pp.1249-1259
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    • 2023
  • Objective: This study aimed to evaluate the clinical outcomes and cost-effectiveness of dual-energy X-ray absorptiometry (DXA) for osteoporosis screening. Materials and Methods: Eligible patients who had and had not undergone DXA screening were identified from among those aged 50 years or older at Kaohsiung Veterans General Hospital, Taiwan. Age, sex, screening year (index year), and Charlson comorbidity index of the DXA and non-DXA groups were matched using inverse probability of treatment weighting (IPTW) for propensity score analysis. For cost-effectiveness analysis, a societal perspective, 1-year cycle length, 20-year time horizon, and discount rate of 2% per year for both effectiveness and costs were adopted in the incremental cost-effectiveness (ICER) model. Results: The outcome analysis included 10337 patients (female:male, 63.8%:36.2%) who were screened for osteoporosis in southern Taiwan between January 1, 2012, and December 31, 2021. The DXA group had significantly better outcomes than the non-DXA group in terms of fragility fractures (7.6% vs. 12.5%, P < 0.001) and mortality (0.6% vs. 4.3%, P < 0.001). The DXA screening strategy gained an ICER of US$ -2794 per quality-adjusted life year (QALY) relative to the non-DXA at the willingness-to-pay threshold of US$ 33004 (Taiwan's per capita gross domestic product). The ICER after stratifying by ages of 50-59, 60-69, 70-79, and ≥ 80 years were US$ -17815, US$ -26862, US$ -28981, and US$ -34816 per QALY, respectively. Conclusion: Using DXA to screen adults aged 50 years or older for osteoporosis resulted in a reduced incidence of fragility fractures, lower mortality rate, and reduced total costs. Screening for osteoporosis is a cost-saving strategy and its effectiveness increases with age. However, caution is needed when generalizing these cost-effectiveness results to all older populations because the study population consisted mainly of women.

A study on work environments for dental hygienists: - focusing on kind of workplace. career and service area (치과위생사의 근무환경 연구 -근무기관·경력·지역을 중심으로-)

  • Yoo, Jung-Sook;Kim, Young-Nam;Han, Gyeong-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.2
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    • pp.135-151
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    • 2007
  • The purpose of this study was to examine the work environments of dental hygienists, to find out about what problems there were with their work environments and ultimately to help improve their work environments. It's basically intended to pave the way for furthering the welfare and interests of dental hygienists. The subjects in this study were dental hygienists who were selected by random sampling from among the members of Korean Dental Hygienists Association. Approximately 20 percent of the members each were selected from every region across the nation, and their work environments were investigated in consideration of the kind of their workplaces, service area, career and field of duties. As for the demographic characteristics of the dental hygienists investigated, there were differences between those who worked in the field of health care and the clinical workers. More of the former were older and married, and the former was ahead of the latter in career and education as well. Regarding working hours and leave of absence by kind of workplace, the number of regular average holidays was different according to their place of employment. Dental hospitals(6.66 days) and dental clinics(6.81 days) gave their employees less days off on the whole, whereas public dental clinics(19.29 days) granted the dental hygienists the longest leave of absence. Also, there was a broad gap in the number of regular average holidays among different regions in the nation. The dental hygienists who worked in Gangweon province enjoyed the longest holidays(10.88 days), while those on Jeju Island took the shortest vacation(4.46 days). Concerning monthly mean pay by place of employment, those who worked in public dental clinics were paid the best, and the dental hospital employees received the smallest pay. Their monthly mean pay significantly varied with the kind of their workplaces. As to connections between service area and pay level in the event of the dental hygienists with a four-year career, those who served in Seoul were paid the best(1,820,800 won), followed by Gyeonggi province(1,795,800 won), Gyeongsang province(1,604,200 won), metropolitan cities(1,424,800), Gangweon province(1,300,000 won) and Jeolla province(1,016,700 won). In regard to the starting pay in the different areas, the starting pay was largest in Seoul(1,501,800 won) and smallest in Jeolla province(904,000 won). Concerning work environments by place of employment, the dental hygienists in public dental clinics, general hospitals and university hospitals were far older than the others, and the career of the former was much larger than that of the latter. As to the number of regular leave of absence, public dental clinics, general hospitals and university hospitals were different from dental hospitals and clinics in that regard as well. Concerning monthly pay, public dental clinics paid their employees the best, and dental hospitals and clinics were ahead in terms of pay raise. But the reason seemed that public dental clinics and general hospitals increased the pay of their employees based on a fixed wage system and according to a fixed rate at the same time. As for relations between career and work environments, the pay of the dental hygienists differed with their career. The amount and rate of pay raise were largest for those whose career was between four years and less than six years, and smallest for those whose career was between seven years and less than nine years. The above-mentioned findings of the study suggested that in order to give dental hygienists better treatment, pay and welfare benefits should urgently be improved, and that it's required to take actions to boost their job satisfaction. Besides, they should be given more chances to receive education or to take training courses in pursuit of self-development, and how to narrow gaps in work environments among different regions or fields should carefully be considered.

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