• 대한치과교정학회지
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• 제52권3호
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• pp.182-200
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• 2022

Objective: This study aims to examine the effectiveness of miniscrew assisted rapid palatal expansion (MARPE) treatment in late adolescents and adult patients using cone-beam computed tomography (CBCT). Methods: Literature search was conducted in five electronic databases (PubMed, Embase, Scopus, Web of Science, and Cochrane Library) based on the PICOS keyword design focusing on MARPE. Out of the 18 CBCT screened outcomes, only nine parameters were sufficient for the quantitative meta-analysis. The parameters were classified into three main groups: 1) skeletal changes, 2) alveolar change, and 3) dental changes. Heterogeneity test, estimation of pooled means, publication bias, sensitivity analysis and risk of bias assessment were also performed. Results: Upon database searching, only 14 full-text articles were qualified from the 364 obtained results. Heterogeneity test indicated the use of the random-effects model. The pooled mean estimate were as follows: 1) Skeletal expansion: zygomatic width, 2.39 mm; nasal width, 2.68 mm; jugular width, 3.12 mm; and midpalatal suture at the posterior nasal spine and anterior nasal spine, 3.34 mm and 4.56 mm, respectively; 2) Alveolar molar width expansion, 4.80 mm; and 3) Dental expansion: inter-canine width, 3.96 mm; inter-premolar width, 4.99 mm and inter-molar width, 5.99 mm. The percentage of expansion demonstrated a skeletal expansion (PNS) of 55.76%, alveolar molar width expansion of 24.37% and dental expansion of 19.87%. Conclusions: In the coronal view, the skeletal and dental expansion created by MARPE was of the pyramidal pattern. MARPE could successfully expand the constricted maxilla in late adolescents and adult patients.

• 한국지역지리학회지
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• 제21권3호
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• pp.503-514
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• 2015

본 연구는 교통 인프라 투자의 농촌지역 발전 효과를 체계적이고 실증적으로 분석하기 위하여 기존 문헌연구를 통해 교통 인프라 투자와 농촌지역 발전 간의 다층적인 인과관계를 이해할 수 있는 분석틀을 설정하고, 교통 인프라 투자와 농촌지역 발전의 공간적 패턴을 기술적으로 분석하였으며, 구조방정식 모형을 활용하여 우리나라 농촌지역에서 교통 인프라 투자와 지역발전 간의 직 간접 관계에 대해 탐색적인 실증분석을 실시하였다. 분석 결과, 교통 인프라 투자는 접근성 제고를 통해서 인구기반 활성화와 생산 소득 증대에 뚜렷한 영향을 미칠 뿐만 아니라 인구기반 활성화를 통해서 간접적으로도 생산 소득 증대에 영향을 미치는 것으로 나타났다. 이는 우리나라 농촌지역에서도 지금까지 교통 인프라 투자가 단기적 및 장기적으로 다양한 경로를 통해서 지역발전의 궁극적인 목표인 생산 및 소득의 증대에 긍정적인 영향을 미치고 있음을 시사한다.

• 한국조경학회지
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• 제31권4호
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• pp.25-38
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• 2003

The main problems of disordered and congested urban landscape are due to the lack of holistic management that can control various elements of forming a city. Especially, the color of urban landscape is problematic because it is related to individual and social characteristics as well as to physical characteristics. Therefore, temporary expedients that can solve only visualized problems can not be a proper solution for color problems of urban landscape. This study originated from the question about why the color of disordered and congested urban landscape has not been improved. This study aims at directly improving the urban environmental color by finding out what the actual problems related to color are, and what the solutions would be. The goal of this study is to find a holistic systematic problem-solving method. Problems of urban environmental color are identified from both literature review and questionnaires to the expert group, such as environmental planning, design group, and the landscape executive group. Through mapping of relationships among these problems, the intellectual map was made to layout the structures of problems. Based on this method, the structures of problems of urban environmental color were classified into 5 categories: 1) the items related to the administrative structure, 2) the items related to the color management goal and system, 3) the items related to the color planning and design phase, 4) the items related to the color consulting committee, and 5) the items related to the present state of color use. Thus, in order to solve the color problem in urban landscape, practical strategy is strongly required. It is not a temporary expedient but a holistic approach. The solution for the problems of urban environmental color could be divided into 6 types; ‘regulations amendment’,‘color standard amendment’,‘color management plan’,‘color education’, and ‘advertisement for the goal of color management’. Regulations amendment among these types was proposed as the most effective method due to the close relationship with problem categories. Thus, as the solution for the problems of urban environmental color, the ‘color management system’ was suggested. Detailed contents the suggested color management system were divided into three parts; 1) legislation by regulations, ordinance and acts, 2) management by controling the level of guidelines, and 3) the standards for execution of this system.

• 근관절건강학회지
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• 제25권2호
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• pp.135-147
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• 2018

Purpose: The purpose of this study was to develop evidence-based guidelines for infection control in nursing homes in Korea (ENIK). Methods: Three steps were planned for the development which were developing a draft and testing the content validity. First, the draft was based on evidence and developed through focus group interviews with nurses in nursing homes, a comprehensive review of international guidelines and literature, and systematic reviews of interventions for infection control and outbreaks in long-term care facilities. Clinical applicability was established through reviews of nursing records and job assignments in one nursing home. The final step consisted of experts evaluating the content validity. The ENIK was revised to fit Korean nursing homes. Results: The ENIK consisted of recommendations in 9 compositions and a one-page practical algorithm. The principles of infection control were presented by statements and specific strategies were recommended in resident care programs. The infection control practical algorithm was organized into 3 steps: screening at admission, prevention, and control at the early stage. The practice to control infection was composed of a 5-step process. Conclusion: The ENIK will contribute to improving the competency of infection control practice because it provides standardized practice and is tailored to Korean nursing homes.

• 대한치과교정학회지
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• 제52권5호
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• pp.313-323
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• 2022

Objective: This study aimed to estimate the clinical effects of different types of bone-anchored maxillary protraction devices by using a network meta-analysis. Methods: We searched seven databases for randomized and controlled clinical trials that compared bone-anchored maxillary protraction with tooth-anchored maxillary protraction interventions or untreated groups up to May 2021. After literature selection, data extraction, and quality assessment, we calculated the mean differences, 95% confidence intervals, and surface under the cumulative ranking scores of eleven indicators. Statistical analysis was performed using R statistical software with the GeMTC package based on the Bayesian framework. Results: Six interventions and 667 patients were involved in 18 studies. In comparison with the tooth-anchored groups, the bone-anchored groups showed significantly more increases in Sella-Nasion-Subspinale (°), Subspinale-Nasion-Supramentale(°) and significantly fewer increases in mandibular plane angle and the labial proclination angle of upper incisors. In comparison with the control group, Sella-Nasion-Supramentale(°) decreased without any statistical significance in all treated groups. IMPA (angle of lower incisors and mandibular plane) decreased in groups with facemasks and increased in other groups. Conclusions: Bone-anchored maxillary protraction can promote greater maxillary forward movement and correct the Class III intermaxillary relationship better, in addition to showing less clockwise rotation of mandible and labial proclination of upper incisors. However, strengthening anchorage could not inhibit mandibular growth better and the lingual inclination of lower incisors caused by the treatment is related to the use of a facemask.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권5호
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• pp.376-386
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• 2022

Functional gastrointestinal disorders (FGIDs) are classified as a combination of persistent gastrointestinal symptoms. The Rome IV criteria can elucidate several factors in the pathogenesis of FGIDs. The frequency of FGIDs can differ between clinical and nonclinical settings and between geographic regions. To determine the global prevalence of FGIDs in neonates and toddlers according to the Rome IV criteria. We included cohort and descriptive observational studies reporting the prevalence of FGIDs according to the Rome IV criteria in children aged 0-48 months. We searched the Medline, Embase, Lilacs, and CENTRAL databases from May 2016 to the present day. Furthermore, unpublished literature was searched to supplement this information. The Strengthening the Reporting of Observational Studies in Epidemiology statement was used to evaluate the risk of bias. A meta-analysis of the proportions was performed using MetaProp in R. The results are reported in forest plots. We identified and analyzed 15 studies comprising 48,325 participants. Six studies were conducted in Europe, three in Latin America, two in North America, and four in Asia. Most participants were 12-48 months old (61.0%) and were recruited from the community. The global prevalence of FGIDs was 22.0% (95% confidence interval, 15-31%). The most common disorder was functional constipation (9.0%), followed by infant regurgitation syndrome (8.0%). Its prevalence was higher in the Americas (28.0%). FGIDs, as defined by the Rome IV criteria, are present in 22% of children, and the most common primary disorder is functional constipation. A higher prevalence of FGIDs has been reported in America.

• 척추신경추나의학회지
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• 제17권2호
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• pp.27-37
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• 2022

Objectives This study aimed to investigate the clinical trial trends of Chuna manual therapy (CMT) on gynecologic disease and suggest the effectiveness and safety evidence for further study. Methods We searched nine electronic databases (CENTRAL, CiNii, CNKI, EMBASE, KMbase, KISS, MEDLINE PubMed, NDSL, and OASIS) using the search terms "Chuna" and "Tuina" and identified relevant literature that investigated the CMT as an intervention for gynecologic disease. All relevant papers were extracted and selected to be analyzed. Results Among the 1456 studies that were searched and screened, 18 randomized controlled trials (RCTs) satisfied the designated criteria. A meta-analysis showed that CMT had a curative effect on patients with primary dysmenorrhea, postpartum hypogalactia, breast hyperplasia, postpartum urinary retention, and pelvic pain. Conclusions Based on this study, CMT should be comprehensively considered for gynecologic disease. The treatment response was significantly enhanced after treatment; however, there were some limitations in the study. More well-designed RCTs are needed to ensure that all gynecologic patients have a safe and effective therapy.

• 가정∙방문간호학회지
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• 제30권1호
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• pp.105-114
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• 2023

Purpose: This study aimed to comprehensively analyze the recent revision of the Outcome and Assessment Information Set (OASIS)-D to version E in the United States to identify the most recent trends in home health care and provide suggestions for implementing home health care in Korea. Methods: This study is a comprehensive literature review. We compared all items in OASIS-D and OASIS-E and identified the most significant changes. Additionally, we have discussed the context in depth. Results: The addition of items related to health literacy and medication reconciliation, strengthening assessment in the cognitive and mood domains, and improving items related to pain assessment were identified. These major revisions resulted from a greater emphasis in the healthcare field on social determinants of health. Additionally, the COVID-19 outbreak highlighted the importance of monitoring and managing the symptoms of home care patients in the community. Conclusion: The key items of the OASIS amendment and their background analysis proposed in this study could serve as a cornerstone for the revision of home health care assessment tools or the development of systematic common assessment tools in Korea.

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• 제62권2호
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• pp.75-81
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• 2019

The objective of this study was to perform a systematic review of the literature for application of intranasal sodium citrate in the patients with olfactory dysfunction to help determine the sodium citrate treatments for this condition. Two authors independently searched the data base (Medline, Scopus, and the Cochrane database) for relevant studies from inception to January 2018. Included studies were randomized controlled studies published in English comparing topical sodium citrate application (treatment group) with saline (control group) in patients who had olfactory dysfunction. Outcomes of interest included the change of olfactory identification and threshold during 2 hours post-treatment. Three studies were enrolled in the meta-analysis. Compared with control group, treatment group did not increase posttreatment score of olfactory identification [standardized mean difference (SMD)=-0.03; 95% confidence interval (CI)=-0.29-0.24; I²=0%] and olfactory threshold (SMD=0.18; 95% CI=-0.09-0.45; I²=0%) significantly. In the degree of pre-post improvement of two outcomes, although treatment group statistically showed the significant improvement in olfactory threshold (SMD=0.30; 95% CI=0.05-0.55; I²=17%), the clinical significance of this outcome was meaningless. Similarly, there was no significant difference in olfactory identification between two groups (SMD=0.17; 95% CI=-0.11-0.45; I²=22%). Unlike the recent favorable results, our summated results presented the uselessness for the local application of sodium citrate in improving patient's olfactory function. However, we also had some limitation such as small sample size and inconsistent application methods. Therefore, larger trials and standardized methodology are needed to reach more stronger and exact results.

• 한국심리학회지 : 문화 및 사회문제
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• 제10권spc호
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• pp.69-86
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• 2004

가정폭력은 아동기 경험에 의하여 폭력이 행동 레파토리로 학습된 남성이 사회적 존재로서의 자존감을 손상하는 경험을 반복적으로 하게 되는 경우에 나타나는 스트레스 반응이고, 결혼생활의 조화와 사회적 지지는 이 스트레스를 증폭하거나 완화시키는 완충역할을 한다는 견해가 설득력을 가진다. 가정폭력 사범의 교정을 위한 한국의 현행 제도는 교정과 치료가 교도행정기관에 의해 주도되므로 환자의 입장에서는 치료라기보다 대체형벌로 받아들일 가능성이 높아서 그 효과를 낙관하기 어렵고, 지역사회에서 낙인효과를 유발하여 재적응을 어렵게 만들며, 결과적으로 재범의 가능성을 높일 수 있다. 한국사회에서 가정폭력을 최소화하기 위한 법적 대처는 치료적 사법이념의 패러다임을 제도적 대처방안으로 섬세하게 고려할 필요가 있다. 치료적 사법이념의 핵심은 법원이 지역사회 및 다른 행정기관과 협력하여 범죄자의 치료와, 교정, 그리고 갱생을 위한 적극적이고 능동적인 역할을 해야 한다는 것이다.