• 수면정신생리
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• 제6권1호
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• pp.32-37
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• 1999

목 적 : 본(本) 연구(硏究)는 신경성(神經性) 거식증(拒食症)을 가지고 있는 여대생(女大生)의 DSM-III-R상(上)에 근거한 인격장애(人格障碍)의 빈도(頻度)를 정상대조군(正常對照群)과 비교(比較) 조사하는 것을 목적(目的)으로 한다. 방 법 : Structured Clinical Interview for DSM-III-R을 사용(使用)하여 신경성 거식증을 가지며, 동시에 다른 I 축(軸) 정신장애(精神障碍)를 가지고 있지 않은 62명의 식이장애(食餌障碍) 연구대상군을 모집(募集)하였으며, 같은 도구(道具)를 사용하여 어떠한 I 축(軸) 정신장애(精神障碍)를 가지고 있지 않은, 동수(同數)의 연령(年齡), 성별(性別) 대조군을 모집(募集)하였다. 인격장애(人格障碍)의 빈도(頻度)의 조사를 위해서는, 면접도구(面接道具)인 '인격장애(人格障碍) 진단면접검사(診斷面接檢査)'(Revised Diagnostic Interview for Personality Disorders)와 설문검사(設問檢査)인 '인격장애(人格障碍) 설문검사(設問檢査)'(Personality Disorder Questionnaire-Revised)를 동시에 사용하여 진단적(診斷的) 신뢰도(信賴度)를 높였으며, 특히 경계선(境界線) 인격장애(人格障碍)의 진단(診斷)을 위해서는 '경계선(境界線) 인격(人格) 진단면접검사(診斷面接檢査)'(Diagnostic Interview for Borderlines)를 추가(追加)로 사용하였다. 또한 일반적인 인구역학적 변수(變數)의 조사와 함께 신경성 거식증환자에서 흔히 관찰되는 우울증상(憂鬱症狀)의 평가를 위하여 Beck 우울평가도구(憂鬱評價道具)(Beck Depression Inventory)를 사용하여 우울증(憂鬱症)의 정도를 평가하였다. 결 과 : 신경성 거식증군은 정상대조군과 적 : 본(本) 연구(硏究)는 신경성(神經性) 비교(比較)하여 유의(有意)하게 높은 경계선(境界線) 인격장애(人格障碍), Cluster B 인격장애(人格障碍) 및 전체 인격장애(人格障碍)의 빈도(頻度)를 보였다(Fisher's exact test, p=0.044, p=0.020, p=0.024, respectively, by the Revised Diagnostic Interview for Personality Disorders;p=0.034, p=0.015, p=0.007, respectively, by the Personality Disorder Questionnaire-Revised). 결 론 : 본(本) 연구(硏究)는 한국인(韓國人) 여대생(女大生)집단에서의 신경성(神經性) 거식증군(拒食症群)은 정상대조군(正常對照群)과 비교(比較)하여 통계적(統計的)으로 유의하게 높은 인격장애(人格障碍)를, 특히 경계선(境界線) 인격장애(人格障碍)를 가지고 있음을 보고(報告)하고, 이 결과(結果)의 이론적(理論的), 임상적(臨床的) 의의(意義)에 관하여 논의(論議)한다.

• 의료법학
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• 제13권1호
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• pp.125-153
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• 2012

The adult guardianship system has been introduced through amendments of Korean Civil Code for the first time in the March 2011(Act No. 10429, 7. 1. 2013. enforcement). The adult guardianship system has the main purposes to provide a lot of help vulnerable adults and elderly, and protect them on the welfare related with property act, treatment, care, etc. There could be a controversy about whether the protection Legal Guardian's consent(formerly known as the Mental Health Act) or permission of the Family Court(revised Civil Code) are required to, or the Mental Health Act should be revised, when mental patient will be hospitalized forcibly. The author proposes that mental patient with Adult guardians should be determined by Legal Guardian's consent and approval of the Family Court, but mental patient without Adult guardians could be determined by Legal Guardian's consent. The issue of Withdrawing of life-sustaining treatment could be occurred due to the aging society and the development of modern medicine, and this has provided difficult, various problems to mankind in Legal, ethical, and social welfare aspects. The need of Death with dignity law or Natural death law has been reduced for a revision of the Civil Code. Therefore, on the issue of Withdrawing of life-sustaining treatment, in the future, intervention of the court is necessary in accordance with the revised Civil Code Section, and Organ Transplantation Act and the brain death criteria may serve as an important criterion.

• 한국간호교육학회지
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• 제14권2호
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• pp.262-272
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• 2008

Purpose: This study examined the validity and reliability of the Korean version of the Revised Process of Change for Weight Control Scale (POC-WCS) in adults with metabolic syndrome. Method: A methodological research design with an exploratory factor analysis for validity and correlational coefficients for reliability was used. The Korean version of the Revised POC-WCS was translated into Korean and a translation equivalency was obtained. It was tested with one hundred and fifty-one obese adults with metabolic syndrome in a university hospital. The data were analyzed using Cronbach's alpha and Guttman coefficients and a principal component factor analysis with SPSS/WIN 12.0. Result: The factor analysis identified eight factors explaining 64.7% of the total variance. The Korean version of the Revised POC-WCS included stimulus control (9 items), dramatic relief (6 items), reinforcement management (6 items), helping relationships (4 items), consciousness raising (3 items), self liberation (3 items), self reevaluation (3 items), and social liberation (4 items). The internal consistency was acceptable with Cronbach's alpha (.94) and Guttman coefficient (.92). Conclusion: The Korean version of the Revised POC-WCS had adequate validity and reliability in adults with metabolic syndrome. It can be used to assess the strategies and processes for weight control in a variety of populations with obesity.

• 품질경영학회지
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• 제50권3호
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• pp.503-515
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• 2022

Purpose: As ISO 13485 was revised in 2016, the domestic GMP (Good Manufacturing Practice) system was also revised and implemented in 2019. However, there are many problems in the domestic medical device industry because most of the small and medium-sized enterprises lack human and material resources. Accordingly, this study was conducted to provide education programs for domestic medical device companies to induce information provision and improve the company's quality management ability. Methods: First, analyze existing education. Second, based on the revised GMP system, a survey paper was produced to investigate difficulties and problems experienced by companies. Third, a two-week survey was conducted on domestic medical device manufacturers, and a total of 77 companies responded to this survey. Fourth, educational program development was conducted based on the results of the survey. Results and Conclusion: The developed education program consists of a total of five sessions. In this study, the educational program developed by grasping the needs of the company through a survey consists of a total of five sessions. The first session consisted of theoretical education and the second to fifth sessions of practical education. Through the education program developed in this study, it is expected to contribute to the overall development of medical device quality by establishing a domestic medical device manufacturing environment that secures the safety and performance of domestic medical device companies.

• 대한조현병학회지
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• 제24권1호
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• pp.26-35
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• 2021

Objectives: Social function deficit is known as a core feature of schizophrenia. This study aimed to investigate differences in empathic tendencies and theory of mind (ToM) skills between healthy controls and young individuals with schizophrenia, and to examine the associations between empathic tendencies, ToM skills and schizotypy, and executive function in schizophrenia. Methods: Thirty patients with schizophrenia and 30 healthy controls were enrolled and assessed using the interpersonal relationship index (IRI; perspective taking, fantasy, empathic concern, and personal distress subscales), ToM-Picture Story Task (ToM-PST; sequence and cognitive questionnaire), Wisconsin schizotypy scale (revised physical anhedonia and perceptual aberration), and Stroop tests for empathic tendencies, ToM skills, schizotypy, and executive function. Results: In individuals with schizophrenia, the IRI for perspective taking and ToM-PST score for cognitive function were lower, and the IRI for personal distress was higher than those in healthy controls. The IRIs for perspective taking and fantasy were related to revised physical anhedonia, and that for empathic concern was associated with revised physical anhedonia and perceptual aberration. The ToM-PST score for sequence was associated with the Stroop test score for schizophrenia. Conclusion: These findings indicate deficits in empathic tendencies and ToM skills, which may be independently and primarily associated with schizotypy and executive function in young individuals with schizophrenia.

• Journal of Acupuncture Research
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• 제26권1호
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• pp.173-185
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• 2009

Objectives : Amyotrophic Lateral Sclerosis(ALS) is a progressive disease that causes degeneration of the motor neurons of the brain and spinal cord. The purpose of this case study is to improvement of oriental mediacl treatment on ALS. Methods : The patients were treated by acupuncture, moxibustion, cupping therapy, herbal medication, physical treatment. To determine the effects of Oriental medical treatment, we evaluated weekly used by Korean version of Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised(K-ALSFRS-R), Amyotrophic Lateral Sclerosis Severity Scale(ALSSS). Results : Symptoms such as cervical and shoulder pain, knee pain, cold sweating, insomnia etc were improved after above treatment. But K-ALSFRS-R and ALSSS were no improvement after above treatment. Conclusions : The Oriental medical treatment is effective on local symptoms of ALS, but there were no functional improvement of ALS in this case study. It is necessary to have more examination about ALS.

• Korean Journal of Acupuncture
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• 제29권1호
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• pp.93-108
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• 2012

Objectives : This study aims to review randomized controlled trials on acupuncture for shoulder pain according to Jadad Scale and revised STRICTA. Methods : Seven electronic databases including PUBMED, SCOPUS, RISS were searched for randomized controlled trials (RCT) of acupuncture for shoulder pain. Results : 16 RCTs were included: 14 were published in English and 2 were published in Korean. According to Jadad scale, 15 RCTs had high quality. However, most of the studies could not meet the double blindness criteria. All RCTs meet 12.9 items on average in STRICTA. Conclusions : This systematic review shows four conclusions as follows. Traditional Chinese Medicine is often used in style of acupuncture. Spots of LI15, TE14, GB21 and LI11, stainless steel needle($0.3mm{\times}40mm$), 20 retention time, manual stimulation, $Deqi$, and 2 times a week treatment (total 12) are often used. Double-blinded clinical trials needs to be conducted. It is controversial to use minimal acupunctures on controlled groups of RCTs on acupuncture for shoulder pain. Description about practitioner's background needs clarifying.

• 한국한의학연구원논문집
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• 제18권3호
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• pp.31-38
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• 2012

Jo Taek-seung(曺澤承, 1841-1907), who devoted himself to medical science mostly living in Haenam, and his son Jo Byeong-hu(曺秉侯, 1869-?) are significant in the history of Korean oriental medicine. The medical science of Jo Taek-seung appointed as Jusa(主事) of Hyeminwon(惠民院) in 1902 was handed down to his only son Jo Byeong-hu, who succeeded to his father's medicine and polished up the medicine, and recorded the results "Sanghangyeongheombangyochwal(傷寒經驗方要撮)" in 1933. Jo Taek-seung's portrait has been handed down to Jo Taek-seung's descendents' house in Munane-ri, Haeman. Not only does Jo Taek-seung's portraits well present the features of portrait mode of Joseon Dynasty period in the 19th century in their front view, exposure of two hands, expressive mode, background articles, etc, but also praises, poems, etc. giving information on manufacture intent, etc. to give prominence to the authors recorded by Jo Taek-seung, time of manufacture and position of medical official appears in one screen. In this paper, through disaster-removing poetic sentence showed in Jo Taek-seun'sg portraits, it was found that the author of the portrait is Choi Byeong-uk who worked mostly staying in Seoul and the present portrait was the one re-painted in 1907 by revising the portrait painted in 1894 when Jo Taek-seung was 54 years old, after Jo Taek-seung died. With regard to revised portion, presuming through records on the picture and comparative analysis of mode with portraits of doctors in the 20th century, it seems that the clothing of Confucian scholars in the first version was revised into the clothing of medical officials showing the position of Jo Taek-seung who took office as Jusa of Hyeminwon at the time of re-painting the portrait. Jo Taek-seung's portrait not only becomes important materials in the oriental medicine and historical world in the aspect of manufacture process, mode, etc. of Korean portraits including an aspect of medical official's portraits, but has significant meaning from the aspect of fine art history or clothing history.

• 대한한의학회지
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• 제29권4호
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• pp.123-132
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• 2008

Objective: In this study, the author tried to investigate whether revised Seonbangpaedok-tang (SPT) and Sigyeongcheongpye-tang (SCT) significantly effects both PMA-induced mucin production and MUC5AC gene expression from airway epithelial cells. Objective: In this study, the author tried to investigate whether revised Seonbangpaedok-tang (SPT) and Sigyeongcheongpye-tang (SCT) significantly affects both PMA-induced mucin production and MUC5AC gene expression from airway epithelial cells. Materials and Methods: Confluent NCI-H292 cells were pretreated for 30 min in the presence of SPT and SCT and treated with PMA (10 ng/$m{\ell}$), to assess the effects of the agents on PMA-induced mucin production by enzyme-linked immunosorbent assay (ELISA). Also, the effects of the agents on PMA-induced MUC5AC gene expression from the same cells were investigated. Possible cytotoxicities of the agent were assessed by measuring the rate of survival and proliferation of NCI-H292 cells after treatment of agents during 48 hrs. Results: (1) SPT and SCT did not show significant cytotoxicity to NCI-H292 cells; (2) SPT significantly inhibitedthe expression levels of PMA-induced MUC5AC gene in NCI-H292 cells. SCT slightly decreased the expression levels of PMA-induced MUC5AC gene; (3) SPT significantly decreased PMA-induced mucin production from NCI-H292 cells. However, SCT did not affect mucin production. Conclusion: Theseresults suggest that SPT can not only affect the production of mucin but also the expression of the mucin gene and this explains the traditional use of SPT in oriental medicine. The effects of SPT and SCT with their components should be further investigated using animal experimental models that reflect pathophysiology of airway diseases via ongoing studies.

• 대한한의학회지
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• 제29권4호
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• pp.83-93
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• 2008

Objective: China is likely to nominate their traditional medicine (TCM) as a World Intangible Cultural Heritage. Regarding this movement, is important for Korea to clarify and reestablish the origin of traditional Korean medicine (TKM) to keep pace. Methods: Studied current cultural policy on TCM and revised the standpoint of Chinese scholars through papers. Conclusions: Though many researchers are aware of the necessity of cultural propagation of TKM, studies actually undertaken are scarce. Therefore, Korean researchers need to carry out more research on self distinguishing aspects of TKM and the propagation of its unique characteristics.