• Korean Medical Education Review
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• v.25 no.3
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• pp.243-257
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• 2023

This study aimed to analyze trends in research on depression among medical students in Korea and to conduct a meta-analysis to determine the average correlation coefficients between depression and related variables. In total, 38 quantitative studies (four theses and 34 journal articles) published between January 1995 and February 2023 were analyzed according to publication year, subjects, analysis methods, and measurement tools. Among them, 15 studies that provided numerical information on the relationships between depression and variables such as self-esteem, social support, grade point average (GPA), stress, and academic stress were selected for meta-analysis. The main findings of this study were as follows. First, quantitative research on depression among medical students began in earnest in 2009, and cross-sectional studies targeting first-year and second-year medical students were the most prevalent. Furthermore, the most commonly used analysis method was difference testing, and the Beck Depression Inventory was the most frequently used measurement tool. Second, the mean correlation coefficients between depression and stress, self-esteem, social support, academic stress, and GPA were 0.534, 0.532, 0.465, 0.390, and 0.102, respectively. The results for self-esteem, stress, and academic stress showed substantial heterogeneity, while those for social support and GPA showed little heterogeneity. These findings suggest that educational interventions, such as social support improvement programs, are necessary to prevent depression among medical students.

• Journal of Oriental Neuropsychiatry
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• v.33 no.1
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• pp.33-48
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• 2022

Objectives: Academic stress poses a significant risk for the mental health of medical students, and a feasible group intervention program for managing academic stress is required. The purpose of this study was to examine the clinical effectiveness of emotional freedom techniques (EFT) on the mental health of Korean medical students. Methods: The class of first-year medical school students (n=36) participated in an after-school EFT group intervention program comprising six sessions (15 minutes/session, three weeks) to analyze its clinical effectiveness as a single-group test-retest clinical study. The changes in the Perceived Stress Scale (PSS), Test Anxiety Inventory (TAI), Positive and Negative Affect Schedule (PANAS), and State-Trait Anxiety Inventory (STAI) scores were examined using a paired t-test and Cohen's D at post-EFT and two-week follow-up. Results: There were significant curtailments at post-EFT and follow-up measures in TAI-Total (t=2.704 and t=3.289), TAI-Worry (t=2.297 and t=2.454), TAI-Emotionality (t=2.763 and t=3.654), PSS-Negative Perspective (t=2.659 and t=3.877), and PANAS-Negative Affect (t=2.885 and t=3.259) subscales, however not in PSS-Positive Perspective (t=-1.279 and t=-1.101) and PANAS-Positive Affect (t=0.194 and t=-0.122) subscales. The trait anxiety (t=2.227) was significantly mitigated in the post-EFT measure and the state anxiety (t=2.30) in the follow-up measure. Conclusions: The EFT group intervention alleviated test stress, negative affect, and anxiety in the Korean medical students. This study contributes to an understanding of academic stress and EFT intervention in the competitive environment of medical education.

• Korean Journal of Health Education and Promotion
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• v.28 no.5
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• pp.35-49
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• 2011

Objectives: This article reviewed research on smoking behaviors and smoking-related health problems among university students to suggest evidences for developing smoking control strategies for them. Methods: Domestic research papers were screened through Research Information Sharing Service (RISS), Koreanstudies Information Service System (KISS), Medical Library Information System (MEDLIS), Korean Medical Database (KMbase), and digital national assembly library. International papers were searched mainly via PubMed. Results: Smoking prevalence among male college students were found to be over 50% in majority of Korean studies. While studies on smoking-related health problems were scant in Korea, several recent studies overseas showed possible effects of smoking on health among young adults, including decreased lung function, respiratory symptoms, cardiovascular problems, glucose intolerance, buccal disease, depressive symptoms, and so forth. Besides, smoking behaviors were closely related with other risk behaviors including drinking, and several psychosocial factors. Conclusions: To explore the smoking problem among college students, the first step should be a national representative survey with scientific methods. More research should be focused on the smoking-related problems among college students. To prevent smoking among college students, smoking prevention education, and smoking cessation counseling, and the initiatives of smoke free campus are needed.

• Journal of Korean society of Dental Hygiene
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• v.14 no.3
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• pp.399-406
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• 2014

Objectives : The purpose of the study is to investigate the oral health behaviors between students studying in Vancouver, Canada and college students in Daejeon, Korea. Methods : A self-reported questionnaire was filled out by 239 students in November, 2013. The questionnaire consisted of oral health behavior including tooth brushing methods between two countries. Chi-square test and t-test were analyzed. The analyses were conducted using R version 2.14.2(R Foundation for statistical Computing, Vienna, Austria). Results : The number of tooth brushing in Korean students was higher than those in Canada. Fifty nine percent of the Koreans brushed their teeth 3 times a day while 62.3% of students in Canada brushed their teeth 2 times a day(p<0.0001). Those who were taught on oral health education tended to brush the teeth more frequently that those who had not. Koreans and Japanese tended to brush teeth more frequently after breakfast than the Taiwanese(p=0.005). Koreans also brushed teeth after dinner more frequently than Japanese, Taiwanese, and other foreigners(p=0.012). Conclusions : This study indicated that Koreans have better oral health behaviors in comparison to students studying abroad.

• Journal of The Korean Society of Clinical Toxicology
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• v.14 no.2
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• pp.136-143
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• 2016

Purpose: In patients with altered mentality caused by drugs or unknown causes, ammonia is checked to facilitate differential diagnosis or diagnose hepatic coma. This helps early prevention and treatment of brain damage due to hyperammonemia. This study was conducted to evaluate clinical characteristics of intoxicated adult patients with hyperammonemia. Methods: We evaluated 95 patients with hyperammonemia among intoxicated patients above the age of 15 who visited our ED from January 2013 to December 2015. We analyzed the demographic characteristics and type of poisoning substance, reason for ingestion, toxicological characteristics such as elapsed time from ingestion to hospital visit, lab, clinical progression and complications. Data were evaluated using the student's t test or Mann-Whitney U test for continuous variables, and Chi-square test and Fisher's exact test for frequency analysis of categorical variables. Results: When compared to healthy individuals, patients with hyperammonemia showed statistical significance on their SOFA score (p=0.016) and poison severity score (p<0.001). Additionally, patients with hyperammonemia showed significantly different initial serum AST level (p=0.012) and maximum serum AST level during the hospital stay (p=0.026) when compared to healthy individuals. Moreover, individuals with sustained hyperammonemia compared to transient hyperammonemia showed clinically significant SOFA scores (p<0.001), poison severity scores (p=0.007), mortality rates in the ICU (p=0.021), as well as different duration of hospital stay (p=0.037), serum creatinine level (p=0.002), erythrocyte sedimentation rate (p=0.025), and serum myoglobin (p=0.015). Conclusion: Most poisoning-induced hyperammonemia cases were transient and recovered without special treatment. Therefore, hyperammonemia is almost non-specific among poisoning patients.

• The Journal of Korean Medicine
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• v.27 no.3 s.67
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• pp.241-250
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• 2006

Backgrounds: Blood stasis is hon as an important pathologic factor for vascular disorder in Oriental medicine. Despite its clinical importance there have been few objective tests for diagnosing blood stasis. Objectives: This study was designed to examine the relationship between blood stasis and arterial stiffness measured by cardio-ankle vascular index (CAVI). Methods: The subjects were 104 ischemic stroke patients with onset after 14 days. Their general characteristics, lipid profiles and uric acid were recorded. The degree of arterial stiffness was assessed by CAVI, and blood stasis was evaluated by diagnostic criteria. The data were analyze4 by chi-square test, student t-test, spearman correlation analysis, and pearson correlation analysis. Then, stepwise multiple logistic regression analysis was applied in order to exclude the interactions among several factors. Results: There were significant differences in right, left and higher CAVI between the blood stasis group and the non blood stasis group (p-value<0.01). Age, systolic blood pressure, triglyceride and CAVI had relationships with blood static scores. In multiple logistic regression analysis, the adjusted odds ratio of blood stasis for arterial stiffness with CAVI above 9 were 7.091 (95% confidence interval, $1.641\sim30.638$). Conclusions: The results demonstrated the relationship between blood stasis and arterial stiffness measured by CAVI. Therefore, we suggest that CAVI should be one of the objective tests for diagnosing blood stasis.

• Journal of Oriental Neuropsychiatry
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• v.30 no.2
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• pp.39-45
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• 2019

Objectives: To study the change of personality types of Korean medical students focusing on the Myers-Briggs Type Indicator. Methods: A survey was conducted on 84 Korean medical students to investigate the change of personality types focusing on the Myers-Briggs Type Indicator. Results: In both freshman and senior student groups, the ISTJ was the most common type. The order of the number of the type changes during the university years was 1 type (45.2%)>2 types (23.8%)>3 types (14.3%)>0 types (11.9%)>4 types (1.8%), and the score of I, S, T, P type increased. Conclusions: As a result of the Korean medical students' MBTI type changes during the university years, the types were changed rather than fixed.

• Journal of Physiology & Pathology in Korean Medicine
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• v.33 no.2
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• pp.151-157
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• 2019

Academic burn-out is a state of emotional, and physical exhaustion caused by prolonged stress over the course of the semester and academic year. It is composed of exhaustion, inefficacy, and cynicism. The purpose of this study was to reveal that the academic burn-out would be significantly different between early and the end stage of semester, and the sub pattern would be different according to Sasang constitution among the healthcare college students. The first survey was conducted in early March 2018 and the second one was done in the end of June 2018. Total 386 questionnaires concerning KS-15 of Sasang Constitution, MBI-SS of academic burn-out and general characteristics such as drinking, smoking and so on were collected and 9 of them were excluded, because of insufficient answers. The academic burn-out score significantly increased from 56 in early stage of semester to 63 in the end stage of semester (p<.001). In sub-pattern analysis, the exhaustion score significantly increased from 21.3 to 26.7 (p<.001), and cynicism score increased from 15.4 to 17 (p<.001). The cynicism score of drinking alcohol group ($16.21{\pm}5.572$) was higher than the non-drinking alcohol group ($14.62{\pm}5.859$), and the exhaustion score of smoking group ($23.75{\pm}6.942$) was significantly higher than that of non-smoking group ($21.05{\pm}6.697$) in early stage of semester. The exhaustion score of female ($27.47{\pm}5.762$) was higher than that of male ($26.02{\pm}6.536$) (p=.024), and the inefficacy score of Taeeumin ($20.13{\pm}5.244$) was significantly higher than that of Soyangin ($18.15{\pm}5.588$) in the end stage of semester. The healthcare college student experiences academic burn-out, and there is significantly different according to gender and SC in sub-pattern. Further study is needed to manage the academic burn-out according gender and Sasang constitution.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.13
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• pp.5531-5536
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• 2015

Background: Increased pricing of cigarettes might be one of the most effective approaches for reducing the prevalence of smoking. This study aimed to investigate the effects of increasing cigarette prices through taxation by a tobacco intervention policy on the changes in smoking prevalence in Korean university students. Materials and Methods: The participants in this study were 23,047 healthy university students aged 18-29 years from a health examination in 2011-2015. We investigated the adjusted prevalence of daily and occasional smoking before and after increasing cigarette prices through taxation. Results: The prevalence of occasional smoking was significantly decreased in 2015 from 2014 in both male (from 10.7% in 2014 to 5.4%) and female (from 3.6% to 1.1%) students, but the prevalence of daily smoking did not decrease significantly. The frequency of individuals who had attempted smoking cessation during the past year was significantly higher among occasional smokers in male students (90.2%) compared with daily smokers (64.9%). For female students, there were no differences in experience of smoking cessation, willingness for smoking cessation, or E-cigarette experience between daily and occasional smokers. Conclusions: We found that a policy of increasing cigarette prices through taxation is associated with decreases in the prevalence of occasional smokers, who have relatively lower nicotine dependence compared with individuals who smoke daily. The results of our study suggest that social support and direct intervention for smoking cessation at the community level are needed for university students alongside the pricing policy.

• Korean Journal of Adult Nursing
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• v.22 no.2
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• pp.130-142
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• 2010

Purpose: The purpose of this study was to analyze attitude toward dignified dying of Korean students majoring in human service area. Methods: The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 34 selected Q-statements from each of 38 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. Results: Four types of attitude toward dignified dying from the subjects were identified. Type I is an expression type for happy emotion, Type II is a dislike type for life prolongation, Type III is a pursuit type for relationship improvement, and Type IV is a perception type for family presence. Conclusion: The results of the study indicate that integrating multi-disciplinary curriculum development related to dignified dying and death education for students majoring in human service area are needed.