• The Journal of Korean Medicine
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• v.28 no.3 s.71
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• pp.23-36
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• 2007

Objective : To poll oriental medical doctors on their opinions about the necessity of standard medical charts and of detailed items in their development. Currently, oriental medical institutions use their own medical charts, but a standard medical chart is necessary for medical information sharing. Methods : Report by 912 of the 10,490 oriental medical doctors surveyed on their general aspects, actual conditions, and requirements. Results : The oriental medical doctors surveyed who worked in oriental medicine clinics, oriental medicine hospitals, and public health centers said medical examination programs should consist of chief complaints (said by 814 respondents or 89.25%), history (792 or 86.84%), ordinal symptoms (753 or 82.57%), diet (727 or 79.71%), emotions and overstrain (654 or 71.71%), side effects and allergies (622 or 68.20%), improvement of symptoms (605 or 66.34%), a questionnaire on particular diseases (558 or 61.18%), social aspects (523 or 57.35%), a physical examination (520 or 57.02%), a questionnaire on syndrome differentiation (514 or 56.36%), diagnosis using medical devices and laboratory tests (471 or 51.64%), and Sasang constitution (357 or 39.14%). Ninety-one percent of the respondents said they intended to use a standard chart, and 82.19% agreed to share patient information with medical institutions. Conclusions : Over 90 percent of the oriental medical doctors surveyed said they need a standard medical examination program. Oriental medical examination items that correspond with the opinions of the oriental medical doctors surveyed and of experts will thus be developed, and the draft chart will be distributed to oriental medical institutions with the developed medical forms and electronic medical chart.

• Journal of Oriental Neuropsychiatry
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• v.28 no.4
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• pp.381-390
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• 2017

Objectives: The purpose of this study is to study the personality traits and cognitive characteristics of the Sasang constitution by comparing the Personality Test and Neuropsychological Test. Methods: A total of 121 subjects were analyzed with the results of a Two Step Questionnaire for the Sasang Constitution Diagnosis (TS-QSCD). Among them, the Personality Tests (SPQ, EPQ, TCI) and the Neuropsychological Tests (A-VLT, CPM, Stroop-CWIT, WCST) were processed and analyzed for Soyangin, Taeeumin, Soeumin. Results: 1. In the results of the SPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Behavior, Emotionality, Cognition, as well as the Total Score. The SPQ-C score and SPQ-T were significantly higher for Soyangin, Soeumin and Taeeumin, in that order. 2. In the results of the EPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Extraversion - introversion. Soeumin showed a significantly higher score than did the Soyangin and Taeeumin in Neuroticism. Soyangin also showed a significantly higher score than Taeeumin in Venturesomeness. 3. For the results of the TCI, the Soyangin showed a significantly lower score than did Taeeumin and Soeumin in Harm-Avoidance, but a significantly higher score in Persistence and Self-Directedness. Soyangin and Taeeumin showed a significantly higher score than did Soeumin for the total score of Self-Directedness+Cooperativeness. 4. The results of the Computerized Neuropsychological Tests (A-VLT, CPM, Stroop-CWIT, WCST) showed no significant differences between the Sasang constitution. Conclusions: The EPQ, TCI score showed significant differences between the Sasang constitution. But the Computerized Neuropsychological Tests developed to evaluate cognitive abilities did not show differences between the constitutional individuals and showed limitations as a research tool. Further studies are needed to devise a research method for ascertaining the cognitive behavioral characteristics of the Sasang constitution.

• Journal of Nutrition and Health
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• v.33 no.6
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• pp.675-683
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• 2000

The purpose of this study was to find out the prevalence of constipation nutrition knowledge on dietary fiber and frequency of dietary fiber foods intake of 3rd grade high school girls in Kangnung and Seoul. The total 412 questionnaires were analyzed. Defecation frequency was irregular in 47.6% of the students 21.6% had less than twice a week. Those who were in a hurry during defecation frequency was irregular in 47.6% of the students 21.6% had less than twice a week. Those who were in a hurry during defecation were 57.9% and those spent more than 10 min. for defecation were 21.8% More than half of the students(56.6%) answered to have constipation and 13.8% had taken laxative pills more than once during the last one month period. The nutrition knowledge score was relatively high 7.63 points out of possible 10. Dietary fiber intake scores measured by food frequency questionnaire were 3.78 for fruits 3.71 points out of possible 10. Dietary fiber food intake scores measured by food frequency questionnaire were 3.78 for fruits 3.71 for vegetables and 3.37 for seaweeds meaning taken once a week to 2-3 times per month. For the diagnosis of defecation difficulty a factor called "constipation index" was introduced which was composed of defecation frequency time spending for defecation easiness in defecation and feeling of residue in the intestine after defecation. The Cronbach a coefficient of constipation index was 71. Constipation index was significantly correlated with stress level(p<0.05) haste during defecation(p<.01) and defecation time(p<.01) The higher the stress level the more hurry during defecation and the later the defecation the higher the constipation index. The students who ate more often vegetables and seaweeds had lower constipation index(p<.05, p<.01)05, p<.01)

• The Korean Journal of Pain
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• v.30 no.3
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• pp.197-206
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• 2017

Background: Pain with neuropathic characteristics is generally more severe and associated with a lower quality of life compared to nociceptive pain (NcP). Short form of the Douleur Neuropathique en 4 Questions (S-DN4) is one of the most used and reliable screening questionnaires and is reported to have good diagnostic properties. This study was aimed to cross-culturally validate the Hindi version of the S-DN4 in patients with various chronic pain conditions. Methods: The S-DN4 is already translated into the Hindi language by Mapi Research Trust. This study assessed the psychometric properties of the Hindi version of the S-DN4 including internal consistency and test-retest reliability after 3 days' post-baseline assessment. Diagnostic performance was also assessed. Results: One hundred sixty patients with chronic pain, 80 each in the neuropathic pain (NeP) present and NeP absent groups, were recruited. Patients with NeP present reported significantly higher S-DN4 scores in comparison to patients in the NeP absent group (mean (SD), 4.7 (1.7) vs. 1.8 (1.6), P < 0.01). The S-DN4 was found to have an AUC of 0.88 with adequate internal consistency (Cronbach's ${\alpha}=0.80$) and a test-retest reliability (ICC = 0.92) with an optimal cut-off value of 3 (Youden's index = 0.66, sensitivity and specificity of 88.7% and 77.5%). The diagnostic concordance rate between clinician diagnosis and the S-DN4 questionnaire was 83.1% (kappa = 0.66). Conclusions: Overall, the Hindi version of the S-DN4 has good internal consistency and test-retest reliability along with good diagnostic accuracy.

• The Journal of Korean Medicine
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• v.37 no.3
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• pp.27-38
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• 2016

Objectives: According to Korean Medicine theory, the skin color of LU10 serves as a diagnostic clue to dyspeptic symptoms. The aims of this study were (1) to find the difference of skin color in LU10 region between functional dyspepsia (FD) and healthy control (HC) and (2) to examine the relationship between LU10 skin color parameters and dyspeptic symptoms. Methods: 39 participants (29 FD and 10 HC) have participated in this study. They were asked to complete gastrointestinal scale (GIS), gastrointestinal symptom rating scale (GSRS), Nepean dyspepsia index (NDI), functional dyspepsia-related quality of life (FD-QoL), visual analogue scale (VAS) for dyspeptic symptoms, food retention questionnaire (FRQ) and cold heat questionnaire (CHQ). $L^*$ (luminance), $a^*$ (red-green balance) and $b^*$ (yellow-blue balance) values of LU10 region were calculated through digital images of the participant's hand. Then we evaluated test-retest reliability of $L^*$, $a^*$ and $b^*$ values of LU10 region. Additionally, we compared $L^*$, $a^*$ and $b^*$ values of LU10 between FD and HC, and examined the relationship between LU10 color parameters and seven questionnaires scores. Results: Only $L^*$ values in LU10 region were significantly higher in FD compared with HC. GIS scores and the subset scores of NDI had a positive correlation with $L^*$ values significantly. Correlation coefficients of test-retest reliability of skin color measurement of LU10 ranged from 0.871 to 0.936 representing very strongly statistically significant (P<0.001). Conclusions: We confirmed the difference of skin color in LU10 region between FD and HC, and relationship between LU10 skin color parameters and dyspeptic symptoms.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.8
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• pp.3747-3751
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• 2016

Background: Polycystic ovary syndrome (PCOS) is a combination of chronic anovulation, obesity, and hyperandrogenism and can affect sexual function in women of reproductive age. It is also associated with endometrial cancer. Our aim was to evaluate the frequency and predisposing factors of sexual dysfunction in PCOS patients. Materials and Methods: In this cross-sectional study, 16 married women with a definite diagnosis of PCOS were recruited. Sexual function was assessed in the domains of desire, arousal, lubrication, orgasm, satisfaction and pain using the female sexual function index (FSFI) questionnaire. Patients were also assessed for mental health using the depression, anxiety and stress (DASS-21) questionnaire. Presence of hirsutism was assessed using the Ferriman-Gallwey (FG) scoring system. Demographic data were obtained from patients during in-person interview. Results: Sexual dysfunction was present in 62.5% of patients with the domains of arousal and lubrication particularly affected (93.8% and 87.5%, respectively). Patients with symptoms of depression and anxiety were significantly more likely to suffer sexual dysfunction than those without these symptoms (p=0.04 and p=0.03 respectively). Patients with stress symptoms reported higher orgasm dysfunction than those without (p=0.02). No significant difference in any of the FSFI score domains was observed between patients with and without hirsutism. Conclusions: PCOS patients markedly suffer from sexual dysfunction and therefore it seems appropriate to be screened for intervention. Poor mental health conditions that may be the result of infertility or other complications of PCOS should also be considered as curable causes of sexual dysfunction in these patients.

• Journal of Acupuncture Research
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• v.23 no.6
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• pp.177-187
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• 2006

Objectives : Bloodletting therapeutics is one of the most popular oriental treatments in Korea. In this study, we operate the Telephone Survey for grasping clinical actual state bloodletting therapeutics in Korea. Methods : The list of the Korean medical doctors with experiences more than 10 years is provided by the Association of the Korean Oriental Medicine. A stratified random sample of Korean medical doctors is drawn for the telephone interviews. We choose a bound on the error of estimation equal to 3.2 percentage, and the sample size is 321 for the national sample. We develop a questionnaire for telephone interviews. We carefully design the questionnaire to minimize non-sampling errors by using the focus group activities and the pretest. We give the details of the results based on the sample design. Also, we present some socialdemograhpic characteristics for the samples. Telephone interviews with them were conducted by the well-trained interviewers of College of Korean Medicine student from 11th May 2006 to 17th May 2006. Results : 1. Two hundred eighty eight(89.4%) out of 322 Korean oriental medical doctors used bloodletting therapeutics. 2. The most common main bloodletting treatment is reported by patients was musculo-skeletal disorder(60.2%). 3. Two hundred ninety one(90.3%) out of 322 Korean oriental medical doctors opposed that commercial using bloodletting without medical diagnosis. Conclusion : Bloodletting therapeutics is one of the most popular oriental treatments in Korea. The majority(89.4%) of Korean medical doctors used bloodletting therapeutics in this survey.

• Korea Journal of Hospital Management
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• v.9 no.3
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• pp.1-17
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• 2004

This study is aimed to assess the general population's attitude toward the continuity of medical care and its related factors. Self administered questionnaire was performed on the 1,120 office workers in the C city, Gang-won province. The questionnaire included the attitude of the continuity of medical institute, the intention of medical service use on a given case, and the variables of the related factors. 58.8% of the total respondents agreed to sustaining treatment without changing medical institutes; on the other hand, 41.2% showed negative attitude. In case that a patient would gain a recommendation of a surgery, hospitalization, or a specific examination, the total respondents' 84.9%, 61.8%, and 50.8% of each recommended situation said that they would visit another doctor and gain a diagnosis. As a result of multiple logistic analysis of determinant factor on continuity, reliability of doctors was statistically significant factor. In order to reduce wastefully used medical resources and offer well-qualified medical service, a system of second opinion among peer group or beforehand agreement could be possibly adopted. In addition, improving the image and reliability of a doctor could be an important factor to make better the behavior of medical service shopping; therefore, an effort to improve the relationship between a doctor and a patient, and restore the reliability of doctors should be paralleled.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.19 no.3
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• pp.175-181
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• 2008

Objectives: This study was conducted to compare the mothers' rearing attitude of ADHD children and that of children with depressive disorder. Methods: The participant consisted of 58 school-aged children diagnosed as ADHD, 14 children diagnosed as depressive disorder based on DSM-IV criteria. Normal control group consisted of 34 school-aged children who are free of any diagnosis of psychiatric disorders. Parental Acceptance-Rejection Questionnaire, Parenting Style Questionnaire, Children's Depression Inventory, Marital Satisfaction Scale, Beck's Depression Inventory were administered to all children and their mothers. Results: The parents of ADHD children showed more aggressive/hostile, neglecting/indifferent and less warm/affectionate parenting styles to their children than those of the depression and control groups. The depressive group perceived their parents as more rejecting than the control groups. Conclusion: The externalizing symptoms of ADHD might provoke parental distress and make it difficult for the parents to show positive rearing attitude toward their children. The depressive children might be more sensitive and perceptive to the negative sign of their parents' rearing attitude.

• Korean Journal of Biological Psychiatry
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• v.17 no.3
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• pp.153-160
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• 2010

Objectives : Recurrence of mood episodes associated with a specific season has been described in various mood disorders. Seasonal change in mood and behavior as a lifetime trait is also observed in healthy individuals. This study aimed at comparing the lifetime trait of seasonal variations of mood and behavior between bipolar disorder patients and controls as well as investigating associated factors of seasonality. Methods : Subjects were ninety-four clinically stable patients with bipolar disorder and 188 age- and sex-matched healthy controls. Seasonality of mood and behavior was assessed retrospectively on lifetime basis using Seasonal Pattern Assessment Questionnaire(SPAQ). Results : The patient group showed a higher median global seasonality score(GSS) of SPAQ and a higher rate of seasonal affective disorder(SAD) compared to the control group(p < 0.0001). For subjects showing prominent seasonality, the seasonal symptom profile and seasonal pattern was similar in both patient and control groups. In addition to the diagnosis, female gender was shown to be a predictor of seasonality in the multiple linear regression analysis(p = 0.045). Conclusion : This study suggests that lifetime trait of seasonality may be related to the susceptibility of bipolar disorder.