• Journal of Korean Academy of Nursing
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• v.41 no.3
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• pp.333-343
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• 2011

Purpose: The aim of this study was to assess the suitability and readability of printed educational materials for patients with hypertension in Korea. Methods: A total of 33 written educational materials related to hypertension were collected from public health centers, hospitals, and internet web site. Among them, we analyzed 19 materials which fit the inclusion criteria: leaflets (n=9), booklets (n=3), and guide book (n=7). Two trained nurses evaluate the materials using suitability assessment tool (SAM; Doak, Doak, & Root, 1996) and graded lexical items for teaching Korean (Kim, 2003). Results: Overall, 14 (73.7%) of 19 materials scored adequate, and 5 (26.3%) scored inadequate. On the average, the education materials contained 36.1% to 50.5% of 1st grade reading level words and 12.9% to 21.6% of 4th grade level and over. Conclusion: The reading level of the materials was higher than a 6th grade reading level. It is proposed that the written educational materials should be developed by health professionals according to suitability and quality by taking the target group's literacy capacity into consideration.

• Child Health Nursing Research
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• v.23 no.3
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• pp.300-311
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• 2017

Purpose: There are many forest and outdoor programs being offered but systematic reviews of effects are lacking. This study was done to identify content, format, and strategies of forest therapy programs for elementary school students. Methods: Literature search using keywords in English and Korean was performed using 6 electronic databases in December 2016. Search participants were elementary school students and interventions conducted in the forest. Seventeen forest therapy studies were selected for evaluation. Risk of Bias Assessment tool for non-randomized study was used for quality assessment. Results: All studies were quasi-experimental designs. Forest therapy programs included various activities in forests such as experience of five senses, meditation in the forest, walking in the forest, ecological play, observation of animals and insects. All studies used psychosocial health variables and forest healing programs had positive effects on sociality, depression, anxiety, self-esteem, stress, aggression, anger, and school adjustment. Limitations of these studies were vague reporting of the study, lack of ethical review and rigorous research designs. Conclusion: Forest therapy for elementary school child can be an effective way to improve psychosocial health. Future studies with rigorous study designs are needed to assess long-term effects of forest therapy on physical and psychosocial health.

• Journal of Oriental Neuropsychiatry
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• v.29 no.2
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• pp.79-97
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• 2018

Objectives: The purpose of this systematic review was to investigate the clinical effects of neurofeedback training on reducing anxiety. Methods: Eight databases were used to extract clinical reports on neurofeedback intervention for anxiety reduction published until 2016. We analyzed the characteristics of selected studies and evaluated biases using the Risk of Bias (RoB) assessment. Results: A total of 22 clinical trials were extracted for the analysis. The risk of bias in most studies was high or unclear. The Chinese Classification of Mental Disorders-3 (CCMD-3) was the most frequently used diagnostic criteria, the Hamilton Rating Scale for Anxiety (HAMA) was the most frequently used assessment tool, and the alpha wave activity increase, sensorimotor rhythm (SMR), and theta wave training were the most frequently used intervention methods. All papers showed a statistically significant decrease of anxiety symptoms; however, significant adverse events were not reported. Conclusions: Neurofeedback intervention might be beneficial for reducing anxiety. However, the quality of the studies used in the analysis was low, and the heterogeneity of the population and interventions was revealed. Therefore, more scientifically designed clinical studies regarding neurofeedback training are required.

• Proceedings of the Korea Water Resources Association Conference
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• 2006.05a
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• pp.1802-1806
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• 2006

It is important to consider the effects of land-use changes on surface runoff, stream flow, and groundwater recharge. Expansion of urban areas significantly impacts the environment in terms of ground water recharge, water pollution, and storm water drainage. Increase of impervious area due to urbanization leads to an increase in surface runoff volume, contributes to downstream flooding and a net loss in groundwater recharge. Assessment of the hydrologic impacts or urban land-use change traditionally includes models that evaluate how land use change alters peak runoff rates, and these results are then used in the design of drainage systems. Such methods however do not address the long-term hydrologic impacts of urban land use change and often do not consider how pollutants that wash off from different land uses affect water quality. L-THIA (Long-Term Hydrologic Impact Assessment) is an analysis tool that provides site-specific estimates of changes in runoff, recharge and non point source pollution resulting from past or proposed land-use changes. It gives long-term average annual runoff for a land use configuration, based on climate data for that area. In this study, the environmental and hydrological impact from the urbanized basin had been examined with GIS L-THIA in Korea.

• Proceedings of the Korea Water Resources Association Conference
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• 2009.05a
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• pp.57-61
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• 2009

본 연구에서는 SWAT(Soil and Water Assessment Tool) 모형을 이용하여 미래 기후변화가 댐 유역의 하천수질에 미치는 영향을 분석하였다. 충주댐 상류유역($6,585.1km^2$)에 대해 민감도 분석을 통해 최적의 유출및 유사관련 매개변수를 선정하였으며, 충주호 유입하천 상류 2개 지점/영월1, 영월2)과 유역 출구점을 대상으로 일별 유출량 및 월별 수질자료를 바탕으로 모형의 보정(1998-2000)및 검증(2001-2003)을 실시하였다. 미래 기후자료는 IPCC(Intergovernmental Panel on Climate Change)에서 제공하는 SRES/Special Report on Emission Scenarios) A2, A1B, B1 기후변화시나리오의 MIROC3.2 hires와 ECHAM5-OM 모델의 결과 값을 이용하였다. 먼저 과거 30년 기후자료(1977-2006, baseline)를 바탕으로 각 모델별 20C3M(20th Century Climate Coupled Model)의 모의 결과 값을 이용하여 강수와 온도를 보정한 뒤 Change Factor(CF) Method로 Downscaling 하였으며, 미래 기후변화 시나리오는 2020s, 2050s, 2080s의 세 기간으로 나누어 각각 분석 하였다. 기후변화 시나리오 적용에 따른 SWAT 모의결과로부터 기후변화가 수문학적 거동 및 하천수질에 미치는 영향을 평가하였다.

• Journal of the Korean Society for Library and Information Science
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• v.54 no.2
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• pp.399-417
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• 2020

In this study, we tried to analyze the relative importance of features for various functions provided by Discovery. We identified a total of 36 assessment items in five categories including contents, search function, serendipity, interactivity, and ease of use based on literature review. In order to objectively evaluate the relative importance of each evaluation element, an AHP technique was adopted. As a result, 'Easy of use' received the highest weighted value among the five categories, followed by 'contents', 'search function', 'interactivity', and 'serendipity'. In addition, among all the 36 assessment items, 'Quality of data for central index' had higher weighted value. These findings can be used as basic data to adopt a discovery tool for libraries.

• Child Health Nursing Research
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• v.24 no.3
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• pp.263-273
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• 2018

Purpose: This study analyzes meaning-centered intervention studies conducted in Korea and abroad to compare and confirm their characteristics and results. Methods: A literature search using keywords in English and Korean was performed using nine electronic databases in December 2017. Search participants included adolescents, and interventions conducted in meaning-centered intervention studies were selected for evaluation. A Risk of Bias Assessment tool for non-randomized studies was used for quality assessment. Results: All studies were based on quasi-experimental designs. The semantic intervention included topics such as freedom, choice, responsibility, pain, death, finding value of life, purpose and meaning of life, and becoming a master of my life. All studies used logotherapy, and included meaningful interventions that influenced the meaning and purpose of the life of adolescents. The life satisfaction of adolescents changed significantly when there is a positive and open relationship with their parents. Therefore, an educational program for parents based on meaning therapy is desperately needed. Conclusion: Meaning-centered interventions were found to be effective interventions for exploring the meaning of life not only for adolescents with problems but also for healthy youth, and as such could be used as basic data for the development of an appropriate intervention for enhancing their life.

• The korean journal of orthodontics
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• v.49 no.3
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• pp.140-149
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• 2019

We are currently living in an era where the use of computer-aided design/computer-aided manufacturing has allowed individualized orthodontic treatments, but has also incorporated enhanced digitalized technology that does not permit improvisation. The purpose of this systematic review was to analyze publications that assessed the accuracy and efficiency of the $Invisalign^{(R)}$ system. A systematic review was performed using a search strategy to identify articles that referenced $Invisalign^{(R)}$, which were published between August 2007 and August 2017, and listed in the following databases: MEDLINE, Embase, Cochrane Library, Web of Knowledge, Google Scholar, and LILACS. Additionally, a manual search of clinical trials was performed in scientific journals and other databases. To rate the methodological quality of the articles, a grading system described by the Swedish Council on Technology Assessment in Health Care was used, in combination with the Cochrane tool for risk of bias assessment. We selected 20 articles that met the inclusion criteria and excluded 5 due to excess biases. The level of evidence was high. Although it is possible to treat malocclusions with plastic systems, the results are not as accurate as those achieved by treatment with fixed appliances.

• The Journal of Korean Medicine
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• v.42 no.4
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• pp.75-101
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• 2021

Objectives: ncluding stroke. The aim of this study was to systematically review the clinical evidence of CT for stroke. Methods: To identify randomized controlled trials (RCTs) reporting the effectiveness and/or safety of CT, seven databases including PubMed, EMBASE, and Cochrane Library were searched for articles published from January 2000 to February 2021 without language restrictions. Meta-analysis was performed using Review Manager 5.4 software and the results were presented as mean difference (MD) or standard mean difference (SMD) for continuous variables and odds ratio (OR) for diverse variables with 95% confidence intervals (CIs). Assessment of the methodological quality of the eligible trials was conducted using the Cochrane Collaboration tool for risk of bias in RCTs. Results: Twenty-two RCTs with 1653 participants were included in the final analysis. CT provided additional benefit in improving upper limb motor function (Fugl-Meyer assessment for upper limb motor function, MD 6.91, 95% CI 4.64 to 1.67, P<0.00001) and spasticity (response rate, OR 3.28, 95% CI 1.31 to 8.22, P=0.08) in stroke survivors receiving conventional medical treatment. These findings were supported with a moderate level of evidence. CT did not significantly increase the occurrence of adverse events. Conclusions: This study demonstrated the potential of CT to be beneficial in managing a variety of complications in stroke survivors. However, to compensate for the shortcomings of the existing evidence, rigorously designed large-scale RCTs are warranted in the future.

• Tuberculosis and Respiratory Diseases
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• v.87 no.1
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• pp.91-99
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• 2024

Background: Tuberculous pleural effusion (TPE) and parapneumonic effusion (PPE) are often difficult to differentiate owing to the overlapping clinical features. Observational studies demonstrate that the ratio of lactate dehydrogenase to adenosine deaminase (LDH/ADA) is lower in TPE compared to PPE, but integrated analysis is warranted. Methods: We conducted a systematic review to evaluate the diagnostic accuracy of the LDH/ADA ratio in differentiating TPE and PPE. We explored the PubMed and Scopus databases for studies evaluating the LDH/ADA ratio in differentiating TPE and PPE. Results: From a yield of 110 studies, five were included for systematic review. The cutoff value for the LDH/ADA ratio in TPE ranged from <14.2 to <25. The studies demonstrated high heterogeneity, precluding meta-analysis. Quality Assessment of Diagnostic Accuracy Studies Tool 2 assessment revealed a high risk of bias in terms of patient selection and index test. Conclusion: LDH/ADA ratio is a potentially useful parameter to differentiate between TPE and PPE. Based on the limited data, we recommend an LDH/ADA ratio cutoff value of <15 in differentiating TPE and PPE. However, more rigorous studies are needed to further validate this recommendation.