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A Correlation Analysis of Neck Pain, Neck Disability Index and Fear-avoidance Beliefs in Patients with Neck Pain Caused by Traffic Accidents (교통사고로 인한 경추통 환자의 공포 회피반응과 경추통, 목 장애 지수 사이의 관련성 분석)

  • Lee, Cho In;Kim, Jae Soo;Lee, Yun Kyu;Lim, Seong Chul;Jung, Tae Young;Lee, Bong Hyo;Lee, Hyun Jong
    • Journal of Acupuncture Research
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    • v.32 no.1
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    • pp.109-118
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    • 2015
  • Objectives : This study aimed to investigate the correlation between fear-avoidance beliefs and neck pain/neck disability caused by traffic accidents. Methods : We surveyed 52 patients who were injured in traffic accidents. The patients completed baseline measures of pain, disability, fear-avoidance beliefs according to the visual analogue scale(VAS), neck disability index(NDI) and a fear-avoidance beliefs questionnaire (FABQ). At the end of medical treatment, VAS and NDI were reassessed. In order to determine the relationship between FABQ(including its subscales), change of VAS and NDI, Pearson correlation coefficients were used. To examine the accuracy of previously reported cut-off scores, we classified the patients into low and high groups and analyzed the change of VAS and NDI. The relationship was measured by Mann-Whitney U-test and a student's T-test. Results : FABQ and its subscales(total, physical activity and work) were significantly correlated with final VAS and NDI. FABQ-T showed low significant negative correlation with change of NDI. Previously reported cut-off scores did not show a statistical significance in this study Conclusions : This study suggests that screening for fear-avoidance beliefs may be useful for identifying patients at risk of prolonged pain after traffic accidents.

Sperm nuclear DNA fragmentation and chromatin structure in one-day-old ejaculated sperm

  • Jee, Byung-Chul;Suh, Chang-Suk;Shin, Mi-Sun;Lee, Hee-Jun;Lee, Jae-Ho;Kim, Seok-Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.38 no.2
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    • pp.82-86
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    • 2011
  • Objective: To evaluate sperm nuclear DNA fragmentation and chromatin structure after 18 hours' incubation at room temperature. Methods: Twenty-eight male partners who participating IVF treatment were prospectively included in this study. Ejaculated sperm count and motility were assessed. The sperm was then immediately processed by the conventional swim-up method. After utilization of some of the sample for routine clinical use, the remainder of each of the samples was divided into two aliquots. One aliquot was immediately assessed for sperm nuclear DNA fragmentation (TUNEL assay) and chromatin structure (toluidine blue [TB] staining). The other aliquot was incubated at room temperature for 18 hours and then assessed by two methods. Only dark-TB sperms were considered as having abnormal chromatin structure. Data before and after extended incubation were compared using a paired Student's $t$-test. Results: Before and after extended culture, nuclear DNA fragmentation assessed by TUNEL was $4.9{\pm}4.7%$ and $7.0{\pm}6.4%$, respectively ($p$=0.008). The proportion of abnormal chromatin structure (dark-TB sperm) was $8.2{\pm}5.6%$ and $10.3{\pm}6.5%$ ($p$ <0.001), before and after incubation, respectively. Conclusion: After 18 hours' incubation at room temperature, sperm nuclear DNA and chromatin structure were significantly affected. The IVF practitioner should bear this information in mind when performing delayed insemination, especially for $in$ $vitro$ maturation cycles.

Correlation of Temporary Lateral Recumbency and Lung Opacity on Ventrodorsal Radiograph (일시적인 횡와 자세와 흉와위 영상에서 폐 불투과도의 상관관계)

  • Lee, Hyunjik;Jeong, Jiyoon;Choi, Wooshin;Lee, Donghoon;Lee, Youngjae;Chang, Jinhwa;Chang, Dongwoo
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.313-318
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    • 2015
  • The lung opacity on radiography is influenced by various factors. The physical density of the lung and the attenuation ensured on computed tomography (CT) scans is determined by three components : lung tissue, blood, and air. Temporary right lateral recumbency may responsible for the increase of opacity on ventrodorsal projection view. Thus, our aim is to demonstrate that the effect of right lateral recumbency posture on right lung opacity using radiograph and CT scan. In this study, 62 dogs without clinical or radiologic signs of cardiopulmonary disease are selected. Thorax radiographs per 30 seconds for 2 minutes (30s, 60s, 90s, 120s) were performed for 62 dogs. After discussion of the radiographic findings of lung field by two radiologists and a student at Chungbuk national university veterinary medical center a consensus opinion was recorded. Computed tomography per a minute (1 min, 2 min) for 2 minutes were performed for 2 dogs. Mean x-ray attenuation of lung was measured quantitatively using software at two levels (aortic arch and basal level). Among 62 dogs with radiograph comparison, 9.3% of dogs showed influence by postural effect. However, all 2 dogs with computed tomography comparison, showed influence by postural effect. In conclusion, position dependent changes of lung density in CT exam are not consistent with thoracic radiograph.

Interferon-${\gamma}$ Release Assay among Tuberculin Skin Test Positive Students in Korean High Schools

  • Park, Young-Kil;Lee, Seung-Heon;Kim, Su-Young;Ryoo, Sung-Weon;Kim, Chang-Ki;Kim, Hee-Jin;Cho, Eun-Hee;Yoo, Byung-Hee;Lee, Jong-Koo;Ko, Won-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.6
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    • pp.328-333
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    • 2010
  • Background: There are several active tuberculosis (TB) cases in Korean high schools each school year. The risk of transmission in schools is extremely high due to the considerable time spent in closed classrooms. We evaluated the control of latent tuberculosis infection in Korean high schools. Methods: When a student was identified with active TB, tuberculin skin testing was performed on their classmates and on students in their same school grade. When a student had a positive tuberculin skin tests (TST), they underwent follow-up testing with QuantiFERON-TB Gold In-Tube (QFT). The manufacturer recommended a cut-off of 0.35 IU/mL to determine QFT positivity was applied. Results: A total of 131 pulmonary tuberculosis (TB) patients were included based on the criteria for screening TB contacts in the National Tuberculosis Control Program. Seventy-five (57.2%) students tested smear positive. TST were performed on 7,109 students who were classmates of, or in the same grade as, a TB patient. Of the contacts, 1,231 students (17.3%) were TST positive and they were screened with QFT. Six hundred-sixty-six (55.0%) of the tested students returned a positive QFT result and the rate of positivity was significantly associated with the increasing size of TST indurations (p<0.0001). Conclusion: The use of QFT resulted in approximately 45% of TST positive students not being given chemoprophylaxis.

The Relationship between Internet Addiction and Eating Behaviors of College Students (대학생의 인터넷 중독과 식행동과의 관련성)

  • Lee, Jeong;Park, Jong;Ryu, So-Yeon;Kang, Myeng-Guen;Min, Soon;Kim, Hye-Sook;Ha, Yun-Ju
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.11-18
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    • 2010
  • Purpose: The research was to investigate the relationship between Internet addiction and eating behaviors of college students. Methods: Sampled for sake of convenience, 507 college students in Kwang-ju and Chun-nam area were surveyed from September 3rd to September 10th 2008. The contents of the survey consist of general, academic, health behavior, internet usage, internet addiction and eating habit traits. Results: 49.3% of subjects were appeared to be addicted to internet, while male students had higher addiction rate of 54.9% than female student with 40.3%. Significantly, eating behaviors are worse in the group of mild and serious internet addiction, arts students, the group that recognizes its living standard as normal or richer, and also in the group that takes breakfast less seriously. These groups were appearing 47.0% of addiction rate. Conclusion: For college students, internet addiction was proved to be effective significantly in eating behavior. It is required to establish appropriate measures such as internet usage control to settle proper eating behavior of college students.

Professional Socialization of Oriental Medical Students (한의대생의 전문직 사회화과정 연구)

  • Kim Chang-Yup;Kim Kwang-Ho;Lim Byung-Mook
    • Journal of Society of Preventive Korean Medicine
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    • v.6 no.2
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    • pp.48-63
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    • 2002
  • The study aims to investigate the process of professional socialization of oriental medical students, to analyze influencing factors on it, and to compare the results with those of western medical students. Professional socialization, in the context of this study, means the process through which a layperson becomes a profession equipped with professional identity and values. A survey using specially designed questionnaire was carried out in 1999. The data were collected from 11 oriental medical colleges for 2,656 students. A total of 2,597 cases was finally included in the statistical analysis. Analysis of factors related to professional value found that oriental medical students thought highly of human-oriented factors, followed by science and status, and this trend remained unchanged as they moved on to qualification. Among professionalism related items, those involved in professional regulation and dominance factors showed high scores, while showing low scores on items related to bio-ethics and autonomy factors. Unlike items of professional value, those of professionalism showed a notable difference in attitude statistically by schooling level. The average scores of factors for professionalism increased with increasing schooling years. This trend proved that oriental medical students acquired professional norms and attitudes through their educational period. Multiple regression analysis with the factors related to professional value and professionalism as dependent variables found that independent variables had some impact on science, status, and clinical autonomy, but no impact on human, policy autonomy, and professional regulation factors. In conclusion, with increasing schooling years, professional norms and attitudes of oriental medical students were also strengthened. And, in spite of the differences in general propensity, they have a base consciousness in common with western medical students. The difference of mind-set and attitudes related to professionalism in the two groups, however, considering the necessity of future cooperative relations, indicated that a common curriculum between both schools is needed, and the education of social medicine should be strengthened in oriental medical colleges.

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A Study on the Factors affecting Korean Medical Students' Satisfaction with Education (한의대생의 교육 만족도에 대한 영향 요인 연구)

  • Yejin Han
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.253-258
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    • 2024
  • This study investigated Korean medical students' satisfaction with education and examined the factors that affect the satisfaction with education. Based on a total of 372 survey responses, we analyzed the satisfaction with education by sectors, differences in the satisfaction with education between groups, and variables affecting the satisfaction with education. The results showed that the satisfaction with curriculum, instructors, evaluation, environment and overall education were all between 'neutral' and 'satisfied.' In addition, there were significant differences in overall satisfaction by gender and dropout experience, and the variables that significantly influenced overall satisfaction were curriculum, evaluation, and environment. This study is significant in that it investigated Korean medical students' satisfaction with education through the sophisticated measurements in various sectors, and suggested specific improvement strategies to increase educational satisfaction. However, there is a limitation that the results cannot be generalized because the study was limited to students at one university, so it is necessary to expand the scope of the further research to represent the population. Furthermore, it is necessary to collect and analyze data from various aspects, such as collecting qualitative data through student interviews to complement the quantitative data, so as to fully understand learners' needs. It is hoped that this study will encourage theoretical and practical research for improving Korean medicine education.

Clinical Significance of Restless Legs Syndrome in Patients with Late Life Depression (노년기 우울증 환자의 하지불안증후군의 임상적 중요성)

  • Song, Jae Min;Park, Joon Hyuk;Kang, Ji Eon;Lee, Chang In
    • Korean Journal of Biological Psychiatry
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    • v.21 no.3
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    • pp.107-113
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    • 2014
  • Objectives Restless legs syndrome (RLS) is a sleep disorder characterized by uncomfortable and unpleasant sensations in the legs and an urge to move the legs, usually at night. The aim of this study is to investigate the incidence of RLS in patients with late life depression and its influence on various clinical outcomes such as severity of depression, sleep quality, cognitive function, and quality of life and accordingly, to elucidate the clinical significance of RLS in patients with late life depression (LLD). Methods This study enlisted 170 depressive patients aged 65 years or older from an outpatient clinic. Structured diagnostic interviews were performed using the Korean version of the Mini-International Neuropsychiatric Interview. All patients completed the questionnaires, including the International RLS Severity Scale, the Korean version of Short-Form 36-Item Health Survey (SF-36), and the Pittsburgh Sleep Quality Index (PSQI). The severity of depression was evaluated by the Korean form of the Geriatric Depression Scale (KGDS) and the level of global cognition was assessed by the Mini-Mental State Examination in the Korean version of The Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (MMSE-KC). Results The incidence of RLS was 17.6% in LLD patients. RLS was more prevalent among the subjects with major depressive disorder (MDD) than those with minor depressive disorder or subsyndromal depressive disorder. The RLS group showed higher score in the KGDS than the Non-RLS group but the difference did not reach the statistical significance (p = 0.095, Student t-test). The mean PSQI score was significantly higher in the RLS group than in the Non-RLS group (p = 0.001, Student t-test). The MMSE-KC score was also lower in the RLS group than in Non-RLS group (p = 0.009, analysis of covariance). But, there was no difference in the score of SF-36 between the RLS group and the Non-RLS group. Conclusions RLS is common in LLD patients, especially in the patients with MDD and is associated with poor sleep quality and cognitive dysfunction, indicating that RLS is clinically significant in patients with LLD. Therefore, RLS should be considered as an important clinical issue in the management of LLD.

A Basic Study on the Relationship between Academic Achievement, Lifestyle, and the Psychological Characteristics of Korean Medical Students (한의대생의 학업성취도와 생활 양식 및 심리 특성과의 관계에 대한 기초연구)

  • Kwon, Oh Hyeon;Lee, Jae Hyok
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.4
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    • pp.319-326
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    • 2019
  • Objectives: The purpose of this study was to research the correlation between academic achievement, lifestyle, and the psychological characteristics of Korean medical students. Methods: The grade point averages of 73 Korean medical students were collected. Surveys including lifestyle and psychological properties of Korean medical students were conducted. Results: In the MBI-SS (Maslach Burnout Inventory-Student Survey) survey, the scores of the top, medium, and bottom groups showed statistically significant difference in at least one group, and the score of the bottom group was higher than that of the top group. In the SES (Self-Esteem Scale) survey, the scores of the top, middle, and bottom groups showed statistically significant differences in at least one group, and the scores of the top group were higher than those of the medium and bottom groups. Conclusions: Some lifestyle and psychological characteristics of Korean medical students were correlated with academic achievement. Thus, the results could be used as a valuable resource for improving academic achievements of Korean medical students.

A Study on Gin Ga Chu Yo(診家樞要) I (진가추요(診家樞要)에 대한 연구(硏究) I)

  • Kim, Heon;Park, Kyung
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.1
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    • pp.1-22
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    • 2005
  • Background and purpose: Gin Ga Chu Yo(該家樞要) was written in the year 1359 by Hwal Su(滑壽) who was a famous oriental doctor between Won(元) and Myeong(明) dynasty. As specialized in sphygmology(脈學), this book was brought together most things about sphygmology(脈學) before Won(元) dynasty by the author. Moreover he added the self-realized things to this book. Methods: In this book, there are all 20 chapters; Chu Yo Hyeon Eon(樞要玄言), Jwa U Su Bae Jang Bu Bu Wi (左右手配臟腑部立), O Jang(五臟), Sa Si peong Maek(四時平脈), Nae Gyeong Sam Bu Maek Beop(內經三部脈法), Ho Heup Chim Bu Jeong O Jang Beop(呼吸沈浮定五臟法), In Ji Ha Gyeong Jung I Jeong O Jang Beop(因指下輕重以定五臟法), Sam Bu So Ju(三部所主), Ji Maek Su Beop(持脈手法), Maek Gwi Yu Sin(脈實有神), Maek Eum Yang Yu Seong(脈陰陽類成 ), Gyeom Hyeon Maek Ryu(兼見脈類), Je Maek Ui Gi Ryu(諸脈宜忌類), Heom Je Sa Jeung Ryu(驗諸死症類) , Sa Jeol Maek Ryu(死絶脈類), O Jang Dong Ji Maek(五藏動止脈), Bu In Maek Beop(婦人脈法), So A Maek Beop(小兒脈法), Maek Sang Tong Hoe(脈象統會), Maek Sang Ga(脈象歌) and an epilogue in the end. This treatise is made up of principal, notes, study and conclusion, we tried to make a translation faithful to the original. Results and Conclusion: Looking into this book, we can know that it is very detail in analyzing item by item, bright and simple in explaining and it is very useful in studying pulse evaluation(脈診). In his preface, Hwal Su(滑壽) expresses his opinion with firm confidence that 'Do(道) of the World scattered in several scholarships and books of method and technique(方術). Nothing of method and technique(方術 ) is more important than medicine. Nothing of medicine goes before pulse evaluation(脈診).' With such good reasons, as a student of sphygmology(脈學), I think this book is very valuable in studying pulse evaluation. So I add Hangul suffixes(吐) to a part of this book and translate it into Korean.

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