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Analysis of the Numeric Rating Scale (NRS) Used in Clinical Studies Based on Randomized Controlled Studies (임상연구에서 사용되고 있는 NRS에 대한 분석 : 무작위대조군연구를 중심으로)

  • Lee, Chan;Cho, Im-hak;Heo, Gi-yoon;Kang, Hee-kyung;Kim, Min-hwa;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Hong, Jin-woo;Kwon, Jung-nam;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.510-531
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    • 2021
  • Objectives: The purpose of this study was to review the status of numeric rating scale (NRS) usage and suggest the potential for use in multicenter retrospective studies of various diseases. Methods: Articles published from 2011 to 2021 that used the keywords "NRS", "Multi-center", and "RCT" were identified in foreign databases, including EMBASE, PubMed, CENTRAL. The articles were analyzed according to their use of "NRS" by symptoms and by disease group using the major classifications of the Korean Standard Classification of Diseases (KCD-7). Results: Classification by symptom in a total of 288 articles illustrates that the NRS was not only commonly used in pain evaluation but also for non-pain symptoms. In usage with non-pain symptoms, chief complaint of patients was the most common at 79%, and other factors included treatment satisfaction, evaluation of daily life, and sleep quality. In disease classification according to the KCD-7, the NRS was commonly used in connection with musculoskeletal and connective tissue diseases but was also utilized in various other disease groups. Conclusions: This study confirms usage of the NRS in multi-center RCTs, as the NRS was widely used in all types of diseases and symptoms. Considering the result and the advantages of the NRS, it is recommended for use as a daily evaluation tool for the collection of common data in multicenter retrospective studies.

A Systematic Review of Acupuncture for Allergic Rhinitis (알레르기 비염의 침 치료에 대한 체계적 고찰)

  • Mun, Byeong-gwon;Lee, Yu-ri;Cho, Na-kyung;Kim, Kyung-soon;Choi, Hong-sik;Kim, Seung-mo
    • The Journal of Internal Korean Medicine
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    • v.41 no.6
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    • pp.1100-1118
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    • 2020
  • Objectives: The purpose of this study was to assess the effects of acupuncture as a treatment for allergic rhinitis (AR). We used a meta-analysis and systematic review to analyze the results of randomized controlled trials (RCTs) that applied acupuncture to AR patients. Methods: The key question assessed the effects of acupuncture on patients with AR, and we included only RCTs. We searched the KoreaMed, NDSL, KMBASE, Koreantk, OASIS, PubMed, EMBASE, and Cochrane databases, with no language restriction. We assessed risk of bias with the Cochrane Risk of Bias tool. The random effects model was used to adjust for the heterogeneity of the included studies, and the effect sizes between two groups were reported as mean differences (MD) and risk ratios (RR). Results: Twelve RCTs were analyzed, with a total of 1788 participants; 824 participants were in the treatment group (i.e., acupuncture) and 964 were in the control group (sham acupuncture, western medicine, or waitlist). The meta-analysis results of 7 RCTs comparing the therapeutic efficacy of acupuncture with that of sham acupuncture showed a statistically significant difference (p<0.05) in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) and the Change of Total Nasal Symptom Score (TNSS). The meta-analysis of 4 RCTs comparing the therapeutic efficacy of acupuncture with western medicine showed statistically significant differences (p<0.05) in the RQLQ but not in the changes in effective rate (p>0.05). Conclusions: Acupuncture can be an effective treatment for AR, but more studies are required to enhance the level of evidence and to confirm safety.

Udam Jeong Sihan(愚潭 丁時翰)'s View on the Ido-seol(理到說) (이도설(理到說)에 대한 우담 정시한(愚潭丁時翰)의 견해)

  • Lee, Won Jun
    • The Journal of Korean Philosophical History
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    • no.50
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    • pp.113-138
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    • 2016
  • The purpose of this research is to establish the foundation for understanding the appearance of development, inheritance and acceptance of Toegye Yi Hwang(退溪李滉, 1501~1570)'s theory after his life by examining Udam Jeong Sihan(愚潭 丁時翰, 1625~1707)'s view on the Ido-seol(理到說), the Toegye's latter theory. After Toegye, Ido-seol was translated as 'The principle of matters reaches the human mind'. Galam Yi Hyunil(葛庵 李玄逸, 1627~1704), the contemporary scholar with Udam, criticized this translation for applying the directivity and motility to 'Li', the immovable principle. However, Udam agreed with the conventional interpretation of Ido-seol and understood it as the consilience of mind which got the entire principle(體) of 'Li(理)' and contained the application(用) of all things. He extended this concept as the level of 'sameness between objects and self [物我爲一]' based on his former theory, the exquisite interpretation of 'application of Li'. The meaning of 'sameness between objects and self[物我爲一]' is not amalgamation but applepie order of matter's principle in mind. The Udam's viewpoint is differ from Galam who tried to overcome the structural limit of Ido-seol by transforming 'Do(到)', the predicate of 'Ido(理到)', into 'Jin(盡)'. It means that he tried to interpret 'Ido(理到)' on the more essential aspect. His view can be the useful tool for understanding the Toegye's neo-Confucianism system with 'Li(理)' as central figure. It suggested that Udam's theory of the principle and the applecation of 'Li' can be the important theory to investigate the formation of Toegye schools' though and its development.

A Study of the Wanpan-changgeuk(完板唱劇) directed by Hur Gyu : Focusing on Changgeuk Dramaturgy (허규 연출 완판창극의 창극술 연구 - <흥보전>(1982)과 <흥보가>(1984)를 중심으로 -)

  • Kim, Hyang
    • (The) Research of the performance art and culture
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    • no.34
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    • pp.73-109
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    • 2017
  • This article studies Hur Gyu's Wanpan-Changgeuk Heungbojeon (1982) and Heungboga (1984), with a specific focus on the dramaturgy of Changgeuk and its meaning as transformed from Pansori Heungboga. The dramaturgy of Wanpan-Changgeuk Heungbojeon and Heungboga served to express criticism toward selling oneself. Beyond their former classical theme of brotherly affection, these productions elicited sorrow at the sight of poverty through a dramaturgy integrating modern theatricality with the Korean dramatic style. The theme of grief for poverty in these Changgeuk plays simultaneously aroused spectators' sympathy and critical thinking about economic aspects. Moreover, the Korean drama style and humor were not used simply as a tool but to exhilarate an emotional response to a life of coexistence. This paper found that Hur Gyu's Wanpan-Changgeuk Heungbojeon and Heungboga recreated a new Changgeuk dramaturgy based on the director's integration of western thinking and Korean traditional culture on stage. Through this, Hur Gyu tried to expand spectators' sympathy and to achieve artistic and popular success. Thus, these value of Hur Gyu's Wanpan-Changgeuk lay not only in its long running-time, but in its dramaturgy of integrating thinking for his Minjokgeuk (nationalist theater).

Survey of the Major Selection by and Occupational Consciousness of Freshmen Majoring in Dental Hygiene (일부 치위생과 신입생의 전공선택과 직업의식에 관한 조사연구)

  • Jang, Sung-Yeon;Choi, Eun-Jung;Hwang, Sun-Young
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.1
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    • pp.29-37
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    • 2021
  • Background: The selection of an occupation is typically based on individuals' personalities and the characteristics of occupations, which significantly affect occupational consciousness. The present study aimed to enhance the occupational achievement level of and provide fundamental data for student counseling in order to develop competitive professional workers by understanding the occupational consciousness of freshmen and motivating them as dental hygienists with career development plans, as freshmen majoring in dental hygiene eventually play a significant role in the field of dentistry as dental hygienists. Methods: The surveys were distributed to 160 freshmen in the dental hygiene department and were subsequently collected. The data from 142 surveys were used for analysis, as 18 surveys were excluded due to insincere responses. The survey contents included questions related to major selection and satisfaction, including motives for selecting a dental hygiene major, prior knowledge on a dental hygiene major and a career as a dental hygienist, satisfaction level of the major, and reasons for dissatisfaction in cases if applicable, as well as questions related to occupational consciousness, including career prospects for dental hygienists, opinions on the occupation, and conditions of job selection. Results: High employment rate with good salary level ranked highest (43.7%) among motives to apply the dental hygiene major, followed by the desire to be a professional worker (21.1%) and recommendation by acquaintances. Of those who responded, 50.7% indicated a normal level of satisfaction with the major, and 69.9% responded that they had prior knowledge regarding the dental hygiene major and/or field of dental hygiene. These results may be due to youth unemployment and the occurrence of job preparation immediately after students enter university, which is a result of the difficulty in job seeking. In terms of career prospects, 48.6% of students responded with "growing a little bit," followed by "growing a lot" (28.9%), "no difference from now" (21.1%), and "other" (1.4%). Regarding opinions on the occupation, 65.5% responded that occupation was an tool with which to make and income or a living, 23.2% responded that occupation was for dreams and self-realization, and 11.3% responded that occupation was for success in life and maintaining social status. Regarding the conditions of job selection, the responses included that the workplace had good working conditions (39.4%), good interpersonal relationships (21.8%), and a higher salary (18.3%). This may reflect the change in work ethics among university students, according to the trend of the times. Conclusion: Based on the results of the present study, we found that educational guidance to enhance the level of satisfaction with the major, and career guidance to understand and apply the clear vision and long-term job security are necessary.

The Influence of adversity quotient on organizational socialization among dental hygienists (치과위생사의 역경지수가 조직사회화에 미치는 영향)

  • Kim, Young-Sun;Lee, Jung-Hwa
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.2
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    • pp.9-18
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    • 2020
  • This study analyzed 183 for dental hygienists working at dental hospitals and clinics in Daegu to survey organizational socialization of them. The adversity index of the study subjects averaged 58.60±9.16 points out of a total score of 100, with the highest individual initiative of 16.58±3.09 points, and a low of 13.86±3.66 points for continuity of the situation. Organizational socialization averaged 123.40±12.82 points out of 190, with the highest personal characteristics of 30.37±3.71 points, and the lowest occupational identity of 10.34±1.94. The adversity index of the participants was significantly higher in graduate school or higher (F=3.112, p=0.047), the lower the intensity of their work (F=2.860, p=0.060), and the more often the degree of turnover (F=5.196, p<0.006). In organizational socialization, age (F=9.290, p<0.001), educational background (F=8.655, p<0.001), and higher position (F=5.425, p=0.005) were significantly higher when working in hospitals (F=4.534, p=0.012). The higher the position (F=5.425, p=0.005), the higher the work experience (F=5.320, p=0.002), the lower the turnover (F=22.935, p<0.001), and the highrer the intensity of the work(F=7.02, p<0.001). The study subjects' organizational socialization showed a significant correlation with the adverse event index (r=0.395, p<0.000). The regression analysis using organizational socialization as a dependent variable showed that the degree of turnover (β=0.300, p<0.001) had a significant effect on organizational socialization. The total explanatory power of this variable was 41.6%, with significant effects on individual initiative (β=0.255, p<0.000) and personal control (β=0.180, p<0.009) among the adverse events index. The above findings confirmed that a high adverse event index of dental hygienists has the effect of increasing organizational socialization. Dental hygienists' adversity index is average, meaning they live a smooth life in smooth conditions, however, when major adversity arises, organizational socialization is highly necessary. In addition, to strengthen the organizational socialization of new dental hygienists, as well as experienced dental hygienists, a customized program should be administered to raise the adverse index of dental hygienists, and provide a human management tool through regular confirmation of the program.

Effect of Korean Medicine Treatment Including Korean Medicine Counselling on Weight Loss in Patients with Morbid Obesity: A Retrospective Chart Review (고도비만 환자 대상 한의 비만 상담을 포함한 한의치료의 체중 감량 효과: 후향적 차트 리뷰)

  • Kim, Sungha;Han, Kyungsun;Kwon, Ojin;Lee, Wongu;Yoon, Chulsang;Lee, Jun-Hwan
    • Journal of Korean Medicine for Obesity Research
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    • v.21 no.1
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    • pp.22-31
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    • 2021
  • Objectives: We conducted a retrospective chart review to investigate the effects of Korean Medicine (KM) treatment on weight loss in patients with morbid obesity (body mass index [BMI]≥30 kg/m2) and to compare the effects of KM counseling and non-counseling on weight loss. Methods: We performed a retrospective chart review of patients with morbid obesity who received KM treatment for at least 1 month. We evaluated the effects of KM treatment on body weight, BMI, body fat, fat mass, EuroQol-5D, and the Korean version of the obesity-related quality of life scale (KOQOL). We also assessed the liver and kidney functions, and adverse events. We performed a comparative analysis between the counseling and non-counseling groups. Results: A total of 37 patients who underwent 4 weeks of KM treatment involving Wolbi-tang, electroacupuncture, and KM counseling were included in this study. Twenty-one patients were assigned to the counseling group and sixteen patients to the non-counseling group. There was a significant decrease in weight, BMI, fat mass, and KOQOL (P<0.05) with improvements in total cholesterol, low-density lipoprotein, and triglycerides. The counseling group had a greater reduction in body weight, BMI, body fat, and fat mass compared to the non-counseling group, although it was not significant. In the BMI below 35 (n=25), the reduction ratio of body weight, body fat mass, and body fat was higher in the counseling group than in the non-counseling group; additionally, body fat decreased significantly in counseling group (P<0.05). No severe adverse effects were observed. Conclusion: KM treatment could be effective for weight loss, especially in patients with morbid obesity, KM counseling could also be a good tool for weight loss, typically in patients with BMI<35 kg/m2.

Change of Voice Parameters After Thyroidectomy Without Apparent Injury to the Recurrent Laryngeal or External Branch of Superior Laryngeal Nerve: A Prospective Cohort Study

  • Lee, Doh Young;Choe, Goun;Park, Hanaro;Han, Sungjun;Park, Sung Joon;Kim, Seong Dong;Kim, Bo Hae;Jin, Young Ju;Lee, Kyu Eun;Park, Young Joo;Kwon, Tack-Kyun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.89-96
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    • 2022
  • Background and Objectives The quality of life after thyroidectomy, such as voice change, is considered to be as important as control of the disease. In this study, we aimed to evaluate changes in both subjective and objective voice parameters after thyroidectomy resulting in normal morbidity of the vocal cords. Materials and Method In this prospective cohort study, 204 patients who underwent thyroidectomy with or without central neck dissection at a single referral center from Feb 2015 to Aug 2016 were enrolled. All patients underwent prospective voice evaluations including both subjective and objective assessments preoperatively and then at 2 weeks, 3, 6, and 12 months postoperatively. Temporal changes of the voice parameters were analyzed. Results Values of the subjective assessment tool worsened during the early postoperative follow-up period and did not recover to the preoperative values at 12 months postoperatively. The maximal phonation time gradually decreased, whereas most objective parameters, including maximal vocal pitch (MVP), reached preoperative values at 3-6 months postoperatively. The initial decrease in MVP was significantly greater in patients undergoing total thyroidectomy, and their MVP recovery time was faster than that of patients undergoing lobectomy (p=0.001). Patients whose external branch of the superior laryngeal nerve was confirmed intact by electroidentification showed no difference in recovery speed compared with patients without electroindentification (p=0.102), although the initial decrease in MVP was lower with electroidentification. Conclusion Subjective assessment in voice quality and maximal phonation time after thyroidectomy did not show recovery to preoperative values. Aggravation of MVP was associated with surgical extent and electroidentification.

An Analysis of Research Trends about Good Death in Korea (좋은 죽음에 대한 국내 연구동향 분석)

  • Kim, Hyunsim;Lee, Soon-Young
    • Journal of Industrial Convergence
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    • v.20 no.6
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    • pp.105-115
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    • 2022
  • This study was attempted to suggest a direction for future research on good death by analyzing and synthesizing research trends on good death. For this purpose, 66 articles related to good death published in academic journals in Korea from 2011 to 2021 were analyzed based on the analysis frame of references. As a result, the year with the most good death studies was 2019 (18.2%). In the analysis by research design, 52 articles (78.8%) were the most quantitative studies, and 36 studies (54.5%) were survey studies. In the field of research, nursing studies were the most researched with 47 articles (71.2%), but multidisciplinary studies were three articles (4.5%). The subjects of the good death study were mainly the aged in the community and nursing students, each of which was 13 (19.7%), but the studies for patients were published only four articles (6.1%). The most used tool was the perception of a good death and conducted in in 38 articles (73.1%). The main research variables were the the perception of good death and hospice palliative and end-of-life care, and family support was used as mediating variables. Therefore, not only multidisciplinary research but also development research for vaious good death instruments may be suggested to comprehensively understand good death.

Structural Components Of The Digital Competence Of The Master Of Production Training Of The Agricultural Profile

  • Kovalchuk, Vasyl;Zaika, Artem;Hriadushcha, Vira;Kucherak, Iryna
    • International Journal of Computer Science & Network Security
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    • v.22 no.7
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    • pp.259-267
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    • 2022
  • With the rapid development and introduction of digital technologies, both everyday human life and technological processes of any production are changing, which stimulates the transformation of the economy and education. Digital technologies are not only a tool, but also a living environment of modern human, which opens up new opportunities: learning at any convenient time, continuing education, the ability to form individual educational learning trajectories and more. However, the digital environment requires teachers to take a modern approach to the organization of the educational process, the formation of new skills and abilities to work in the digital educational environment. As a result of the study, it was found that the system of vocational education should provide training for masters of industrial training who have a high level of digital competence. The purpose of the article is to single out, theoretically substantiate and determine the level of formation of structural components of digital competence of future masters of agricultural training. The structure of digital competence of agricultural master was analyzed on the basis of domestic and foreign scientists researches. Systematized research results indicate that digital competence consists of four components: motivational-value (combination of internal and external motives for the use of digital technologies in future professional activities), cognitive (a set of theoretical knowledge, skills and abilities of future master of industrial training to effectively build educational process with the use of digital technologies), activity-professional (expansion and deepening of knowledge, skills, necessary skills for effective implementation of digital technologies in the educational process) and evaluative-reflexive (ability to analyze and self-analyze own activities and its results taking into account professional characteristics, self-realization in professional activities through the use of digital technologies). These components are comparable with the indicators that describe the knowledge, skills and abilities needed by the future master of industrial training to organize the modern educational process. A questionnaire was conducted to determine the levels of this competence formation, which allows us to conclude that it is necessary to increase the level of formation of all components of digital competence of future masters of industrial training in agriculture. The results of the study can be used as a basis for the development of disciplines that form the special competencies of masters of industrial training in agriculture and programs of advanced training of teachers.