• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.19 no.3
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• pp.182-189
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• 2008

Objectives: This study aimed to evaluate preliminarily the clinical effects of cognitive-behavioral treatment in children with anxiety disorders. Methods: Subjects were 11 children between 2nd and 6th grade with anxiety disorder. All subjects were diagnosed through Kiddie-Schedule for Affective Disorder and Schizophrenia Present and Lifetime Version (K-SADS-PL) interview. The CBT program consisted of sessions once a week (60min/session) for 14 weeks with parent education. Results: Children and parents reported significantly improved social skills, social competence and decreased anxiety. However, there were no significant changes in children's negative thoughts and subjective depressive symptoms. Conclusion: Cognitive-behavioral treatment is expected to be effective in children with anxiety disorders such as generalized anxiety disorder, phobia, separation anxiety disorder, and obsessive-compulsive disorder.

• Journal of Physiology & Pathology in Korean Medicine
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• v.20 no.2
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• pp.279-291
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• 2006

Cheong-Gang Medical Chart is 60 years worth of diagnosis records kept by Oriental Medicine Doctor Kim Young Hoon [金永勳, 號 晴崗 1882-1974], who held practice in Seoul's Jong-ro from 1915 till 1974. Kim Young Hoon's eldest son, Kim Ki Su (金琦洙) donated the medical records exceeding a thousand volumes to KyungHee University, and researches are being made presently. The author of Cheong-Gang Medical Chart, Kim Young Hoon, was a medical scholar who studied the essence of the traditional medicine of his time. He was handed down the quintessence of traditional medicine by keeping in touch with the prominent oriental doctors in Seoul at that time, and he constantly applied it to his practice and made records of it. Consequently, his diagnosis charts contain a whole new form of prescriptions, treatment skills, and processes of clinical application that have never been seen before in the texts of Korean Medicine. The writer has written a paper on the present condition of Cheong-Gang Medical Chart, which was published in the Journal of Korean Oriental Medicine in 2004. This manuscript reports the results of the test studies made to develop an efficient database model as a prior step to organizing the medical records into a data bank.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.28 no.4
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• pp.192-196
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• 2017

Social (pragmatic) communication disorder (SCD) is a new diagnosis included under communication disorders in the neurodevelopmental disorders section of Diagnostic and Statistical Manual of Mental Disorders-5. SCD is defined as a primary deficit in the social use of nonverbal and verbal communication. SCD has very much in common with pragmatic language impairment, which is characterized by difficulties in understanding and using language in context and following the social rules of language, despite relative strengths in word knowledge and grammar. SCD and Autism Spectrum Disorder (ASD) are similar in that they both involve deficits in social communication skills, however individuals with SCD do not demonstrate restricted interests, repetitive behaviors, insistence on sameness, or sensory abnormalities. It is essential to rule out a diagnosis of ASD by verifying the lack of these additional symptoms, current or past. The criteria for SCD are qualitatively different from those of ASD and are not equivalent to those of mild ASD. It is clinically important that SCD should be differentiated from high-functioning ASD (such as Asperger syndrome) and nonverbal learning disabilities. The ultimate goals are the refinement of the conceptualization, development and validation of assessment tools and interventions, and obtaining a comprehensive understanding of the shared and unique etiologic factors for SCD in relation to those of other neurodevelopmental disorders.

• Transactions on Electrical and Electronic Materials
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• v.15 no.3
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• pp.170-173
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• 2014

In order to assess the impact of proprioceptive exercises on the position sense ability of the knee joint, we conducted an analysis using Biodex System $3pro^{(R)}$, targeting 42 ordinary people (male=22, female=20). After applying proprioceptive exercise, we measured changes in balance and flexibility, and active articular position sense (AAPS), depending on gender. To find out the change in each measurement item variable, we carried out dependent t-tests. The statistical significance level was set to 0.05. The research showed that after applying the proprioceptive exercise, AAPS was significantly improved for both men and women (p<.01). In the case of women, the flexibility was significantly improved (p<.01). Also, the balance was significantly improved for both men and women (p<.01). Therefore, the proprioceptive exercise program is considered to be very useful in improving muscle and joint function, and preventing injuries. Thus, continuous clinical studies using Biodex system $3pro^{(R)}$ are required for a variety of scientific evaluations of proprioceptive skills.

• Child Health Nursing Research
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• v.12 no.2
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• pp.260-267
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• 2006

Purpose: This pilot study was to develop Korean version of CDI(The Child Development Inventory) and assess the validation and reliability on K-CDI. Method: The K-CDI is assessed by parent-report method that has designed to screen children developmental functioning on 12 months to 6.5 years of age /or older children who are judged to be functioning in the one to six-year range. The inventory assesses areas of child development in the social, self-help, motor, language, letter and number skills. also, it includes various symptoms and behavior problems that young children may have. Participants were 130 children and their mothers who has lived in Seoul or Gyounggi-Do. Data was analyzed on the ratio of item response, Pearson's correlation, and Cronbach alpha. Results: 270 items with 8 sub-developmental realms were confirmed the reliabilities and validity on Korean children. Total 300 items were selected for restandardization. There was a significant correlation between the score of Social Maturity Scale and K-CDI. The corrlation coefficient alpha was .98. Conclusion: This study indicated that CDI is applicable in the clinical and early childhood educational setting for developmental assessment in Korea.

• Women's Health Nursing
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• v.9 no.4
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• pp.410-421
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• 2003

Purpose : The purpose of this study was to develop core competency of midwife practices to improve midwifery education, national examination and clinical practices. Method: Literature and. document review and internet search and survey were used. 127 registered in the Korean Midwifery Association midwives by structured instrument were surveyed to analyze midwife's practices and work situation. Result : Midwifery education program has to be either a post graduate or a graduate program for people with nursing license. Midwifery practice has to be extended to a lifelong health care of all women including non-pregnant women, not just a health care of pregnant women and newborns. Thus, a primary health care of women, laws/ethics, and management skills were included in the core competencies of midwifery practice considering the international trend of future-oriented and extended role of a midwife. Also, newborn care and ability to cope with emergency situations were emphasized based on the midwife´s opinion. Conclusion: This study has to be developed midwifery practices and education and the standard of midwifery practice has to be stated based on that result.

• The Journal of the Korean life insurance medical association
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• v.26
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• pp.21-30
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• 2007

ECG is included in certain medical examinations of insurance application, ECG has low specificity and sensitivity. So ECG is not usually used to diagnose specific diseases. But, ECG is not invasive and costs low. So ECG is usually used in underwriting. Actually in underwriting we meet various ECG patterns and diagnosises. Understanding of various ECG patterns is different between insurance medicine and clinical medicine. So We have to learn various ECG patterns and effects on mortality and morbidity. First considerations of ECG readings are age, sex, blood pressure, family history, smoking historyalcohol history and hyperlipidemia. These are predictors for possibility of disease. Also it is important to review recording ECG with proper skill. In this review I consider several ECG diagnosises that we meet frequently, which is, LVH, RVH, ST abnormalities, LBBS, RBBB, A-B blocks, several kinds of arrhythmia. We have to consider long term mortalities and morbidities of specific ECG patterns although applicants have no symptom and sign. And then we have to make underwriting manual according to specific ECG diagnosises and patterns and underwrite precisely ECG patterns according to insurance products. Nowadays coronary heart disease and other heart diseases are increasing in Korea. So we have to learn various ECG patterns and research mortalities and morbidities of abnormal ECG patterns. Also we have to apply to more broad, precise underwriting skills about ECG patterns and diagnosises.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.2
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• pp.292-303
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• 2013

Purpose: The purpose of this study was to explore nurses' experience of evidence-based nursing practice in general hospitals. Methods: Data were collected from 13 nurses through in-depth interviews about their experiences with evidence-based practice. The research questions were "What kind of evidence are you using in your practice?" and "What are the barriers to and enablers of evidence-based practice that you have experienced?" Qualitative data from field and transcribed notes were analyzed using qualitative content analysis methodology. Results: Major themes of using evidence were identified as 'research as primary valid evidence', 'information from local context and internet as realistic evidence', and 'clinical experience as pragmatic evidence'. Patient experience was not used as evidence in solving nursing problems. Barriers to and enablers of evidence-based practice were linked. They included both external, organizational factors and individual factors. Main issues were 'lack of evidence and poor work environment', and major facilitating factors were 'improving knowledge and skills related to evidence-based practice' and 'communicating and sharing evidence'. Conclusion: The study findings provide useful information for understanding nurses' experience of using external and internal evidence along with their meaning. A multidimensional approach is needed to overcome barriers to and implement evidence-based practice.

• Journal of Korean society of Dental Hygiene
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• v.18 no.5
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• pp.683-691
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• 2018

Objectives: This study aimed to identify measures that can improve the quality of dental hygienists' work by analyzing the effects of role stress, resilience, and professional identity on burnout. Methods: Self-report questionnaires were administered to 339 dental hygienists working in dental institutions located in Seoul, Incheon, and Gyeong-gi, South Korea from August 1 to September 30, 2017. Results: Out of a maximum of 5 points, role stress scored an average of 2.80, resilience scored 3.61, professional identity scored 3.27, and burnout scored 2.78. The factor that most affected the exhaustion of dental hygienists was professional identity (${\beta}=-0.397$), followed by role stress (${\beta}=0.251$), and resilience (${\beta}=-0.150$). Conclusions: The results showed that the role stress, resilience, and professional identity of dental hygienists affected burnout. Efforts to reinforce the resilience and professional identity of dental hygienists may be needed alongside efforts to reduce role stress. Hence, resilience reinforcement programs alongside supplemental education programs that reinforce the work skills required of dental hygienists according to their clinical experience after graduation should be developed.

• The Journal of Korean Physical Therapy
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• v.14 no.4
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• pp.475-486
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• 2002

Orthopaedic manual therapy(OMT) includes knowledge in arthokinematic, biological, behavioral, biomechanical, patholology, anatomy, and clinical science. it allows proper approach to patient evaluation and program development and relieves joint and soft tissue lesions. The OMT has sports injurys, traumatic, developmental, and neuromusculoskeletal disorders of acute and chronic states, and prevention of dysfunction as well as the development, improvement, restoration, or maintenance of joint and muscular mobility, stability, relaxation, strenth, endurance, balance, and functional skills. The purpose of this article has to define and clarify the change and development of basic concepts of orthopaedic manual therapy. OMT is ancient in origin. The book of ' Manipulation Past and Present ' contains pictures recording various types of joint mobilization by Hippocrates. Recently, there are many kinds of manual therapeutic maneuvers to assess and relieve joint and soft tissue lesions developed by James Cyriax, John McM Mennell, Brian R Mullign, Robin McKenzie, Freddy Kaltenborn, Geoffrey Maitland, and Ola Grimsby.