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Clinical Application of Focused Ultrasound in Korean Medicine (집속초음파 치료의 한의 임상 활용에 대한 고찰)

  • Yoomin Choi;Maeum Lee;Nayeon Hur;Eunhee Lee;Hyugyong Choi;Hyung-Sik Seo;Eui-Hyoung Hwang;Insoo Jang
    • Korean Journal of Acupuncture
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    • v.40 no.3
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    • pp.79-89
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    • 2023
  • Objectives : The purpose of this study is to investigate various application methods of focused ultrasound and apply them to clinical use in Korean medicine. Methods : Search was performed using the search engines of electronic databases, including PubMed, ScienceDirect, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ScienceON, Oriental Medicine Advanced Searching Integrated System (OASIS), China National Knowledge Infrastructure (CNKI), Wanfang Data, Japan Science Technology Information Aggregator, Electronic (J-STAGE) and Citation Information by NII (CiNii), from inception to July 2023 without language limitation. Inclusion criteria were clinical studies including randomized controlled trials (RCTs), and animal experimental studies related with focused ultrasound treatments for acupoints or meridian sinews. Results : Total 17 papers, 7 for RCT, 6 for in vivo animal studies, and other experimental studies, were finally selected. Indications used in studies were shoulder pain, back pain, chronic back pain, and degenerative knee arthritis. In experimental studies, studies on animal models of hypoxic ischemic brain damage and hyperlipidemia were also conducted. As for the acupoints, LR3, LI4, and ST36 were used in clinical studies and, in animal experimental studies, GV20, KI1, and ST36 were used. As for the dose, 4 studies below 3 W/cm2 and 3 studies in the range of 0.625 to 5 W/cm2 in clinical studies, and all studies did not exceed 5 W/cm2. In animal experimental studies, 0.5 W/cm2, 2 W/cm2, 7.5 WW/cm2, 15 W/cm2, 10~20 W/cm2 were used. In all three studies describing the penetration depth during irradiation, it was less than 1 cm. Conclusions : We suggest that focused ultrasound is an appropriate treatment tool for stimulating the acupoints to transfer heat energy. Future studies with rigorous and well-designed RCTs for various diseases will be required to ascertain the focused ultrasound stimulate acupoints or meridian sinews.

Survey on Preference of Musical Types and Activities for Improving Elderly Music Therapy (노인의 음악치료 효과 증진을 위한 음악적 유형과 활동에 대한 선호도 조사)

  • Geum Na Hong;Seong Chan Kim;Min Joo Choi
    • Journal of Naturopathy
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    • v.12 no.1
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    • pp.16-23
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    • 2023
  • Background: There is a need for index research on music therapy activities for the elderly in Korea. Purposes: This study aims to suggest application standards in music therapy by surveying the elderly's preference for music therapy activities. Methods: A survey of music-related actions and musical instrument preferences was conducted with 91 older people in 4 nursing homes. The questionnaire consisted of information about music activities, genres of songs, types of instruments, methods of movement, and purpose of participation in activities. Results: The preference for musical activities was for playing musical instruments, followed by singing, music appreciation, flowing movements, and concert-oriented activities. Music genres appeared in the order of popular songs, folk songs, and children's songs. The instrument type preferred drums, followed by shakers and woodblocks. As a movement application method, movement using themes is preferred. Participating in music activities was leisure, followed by stress relief and emotional cultivation. Conclusion: When applying music therapy to the elderly, it predicted that the treatment effect would be high when the elderly focus on playing musical instruments and singing activities preferred by the elderly. Music genres selected from popular music and folk songs, and musical instruments are drums and shakers. Therefore, if you use it, you can expect a more significant effect.

Factors related to the Experience of Violence Damage among Multi-cultural and General Adolescents in Korea: Focusing on health risk behavior (한국 다문화 청소년과 일반 청소년의 폭력피해경험 관련요인 : 건강위험행위를 중심으로)

  • Paek, Kyung-Shin
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.2
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    • pp.193-204
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    • 2022
  • This study was to identify factors related to the experience of violence damage, focusing on health risk behavior of multi-cultural and general adolescents in Korea. Data from the 15th online survey of youth health behavior (2019) was used to analyze 35,574 adolescents. The data were analyzed using complex sample analysis by using SPSS/Win 22.0. The multi-cultural adolescents had significantly higher experience of smoking and habitual drug use and violence damage than those ordinary adolescents. In both multi-cultural and general adolescents, the more they did not live with their family, the more they had smoking experience and habitual drug use experience, the higher they experienced violence. The experience of violence victimization of general youth was significantly related to gender, school, economic status, and drinking experience. To prevent the violence victimization of adolescents, social support for adolescents who do not live with their families is required, and careful attention is needed to adolescents who have smoking and drug use experience. In addition, since multi-cultural youth are more vulnerable to health risk behaviors and violence damage than general youth, educational programs are needed to induce multi-cultural youth to practice correct health behaviors and prevent experiences of violence.

A study on the Korean Company's Overseas Expansion Strategy Through Japan Franchise Business Structure Analysis (일본 프랜차이즈사업 구조 분석을 통한 한국기업의 해외진출 전략에 관한 연구)

  • Cho, Hye-Duk;Lee, Sang-Youn
    • The Korean Journal of Franchise Management
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    • v.4 no.1
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    • pp.73-90
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    • 2013
  • Franchise industry know-how and an excellent management company organically integrated knowledge management resources industry. The franchise industry in the country's economic growth continues to contribute a large bar, has had an impact on the company's growth The franchise industry franchise industry in Japan than in other industries, and long-term steady growth rate despite the recent recession and recovery illustrates a trend Thus, the structure of the franchise industry in Japan by analyzing the company's franchise industry in Korea for overseas expansion strategies are evaluated In this study, a plateau in Japan to get bigger and provide a starting point for the 2009 and 2010 Census of Japan Association of Chain and Franchise all over the franchise system through a comparative analysis of Japanese overseas franchise business structure and strategies, and identify the research Korea based on the company's overseas expansion strategy is aimed at For this purpose, literature review and statistical analysis of the number of chain stores industry results, sales trends over the following four results are derived. 1) services with emphasis laid plans enable one franchise 2) the flow of services to the aging franchise, nursing, health-oriented, early childhood education, beauty and related business expected to grow 3) Recognition of Japanese culture and understanding of the importance of the service sector to account for differences in 4) services business of the need for efforts to increase productivity are summarized Based on the results of this study, Korea Franchise companies in the industry, Japan IS overseas expansion strategy franchise industry awareness of cultural differences in the institutional environment and the strategy should be considered.

Effects of Fall Prevention Program applying HSEP on Physical Balance and Gait, Leg Strength, Fear of Falling and Falls Efficacy of Community-dwelling Elderly (HSEP를 적용한 낙상예방프로그램이 재가노인의 신체균형과 보행, 하지근력, 낙상공포 및 낙상효능감에 미치는 효과)

  • Yoo, In-Young
    • 한국노년학
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    • v.29 no.1
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    • pp.259-273
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    • 2009
  • Purpose: This research was conducted to determine the effects of a multifactorial fall prevention program applying HSEP(Home Support Exercise Program) on physical balance and gait, leg strength, fear of falling and falls efficacy of the community-dwelling elderly. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 20 subjects in the experimental group and 21 in the control group. The fall prevention program consists of HSEP and fall related education. The intervention was performed for once a week in the senior citizen center and twice a week at home for 8 weeks. Results: There were significant differences in physical balance and gait, leg strength(hip extensor, hip flexor, knee flexor, ankle plantarflexor, ankle dorsiflexor) and falls efficacy between the experimental group and control group. Conclusion : The fall prevention program applying HSEP used in this study was very effective in increasing physical balance and gait, leg strength and falls efficacy. Finally this study would recommended that a fall prevention program applying HSEP should be extended to community facilities such as elderly welfare center and nursing home.

The Effect of Forest Experience Program on the Lung Capacity, Health & Fitness, Emotional Intelligence, and Psychological Well-being of Local Children (숲 체험 프로그램이 지역아동의 폐활량과 건강체력, 감성지능, 심리적 안녕감에 미치는 효과)

  • Ju-Young Lee
    • Journal of Industrial Convergence
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    • v.21 no.11
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    • pp.135-145
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    • 2023
  • The purpose of this study is to investigate the effect of a forest experience program on the lung capacity, health & fitness, emotional intelligence, and psychological well-being of local children.This study was conducted on 3rd and 4th grade elementary school students for 12 weeks from July 10 to September 30, 2022, at a local children's center in D City. Changes were analyzed and verified using t-test. Verified. The changes in the lung capacity, health & fitness, emotional intelligence, and psychological well-being of the experimental group and the control group were analyzed and verified using t-test.For the changes in lung capacity and health & fitness, there was a statistically significant difference between the control group and the experimental group in lung capacity (t=24.56, p<.05), and there was also a statistically significant difference between the two groups in cardiorespiratory endurance among the elements of health & fitness (t=16.64, p<.05). As for the changes in emotional intelligence and psychological well-being, there was statistically significant differences between the experimental group and the control group in the emotional intelligence (t=2.31, p<.05) and in psychological well-being (t=3.21, p<.05). Through this study, the positive effects of the forest experience program were confirmed, and it is believed that institutional arrangements are needed to improve children's participation conditions by expanding forest experience education spaces and developing customized forest experience programs to suit the characteristics of the region.

Research on APC Verification for Disaster Victims and Vulnerable Facilities (재난약자 및 취약시설에 대한 APC실증에 관한 연구)

  • Seungyong Kim;Incheol Hwang;Dongsik Kim;Jungjae Shin;Seunggap Yong
    • Journal of the Society of Disaster Information
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    • v.20 no.1
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    • pp.199-205
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    • 2024
  • Purpose: This study aims to improve the recognition rate of Auto People Counting (APC) in accurately identifying and providing information on remaining evacuees in disaster-vulnerable facilities such as nursing homes to firefighting and other response agencies in the event of a disaster. Methods: In this study, a baseline model was established using CNN (Convolutional Neural Network) models to improve the algorithm for recognizing images of incoming and outgoing individuals through cameras installed in actual disaster-vulnerable facilities operating APC systems. Various algorithms were analyzed, and the top seven candidates were selected. The research was conducted by utilizing transfer learning models to select the optimal algorithm with the best performance. Results: Experiment results confirmed the precision and recall of Densenet201 and Resnet152v2 models, which exhibited the best performance in terms of time and accuracy. It was observed that both models demonstrated 100% accuracy for all labels, with Densenet201 model showing superior performance. Conclusion: The optimal algorithm applicable to APC among various artificial intelligence algorithms was selected. Further research on algorithm analysis and learning is required to accurately identify the incoming and outgoing individuals in disaster-vulnerable facilities in various disaster situations such as emergencies in the future.

Education Need of the Visit ing Health Service Workers in Gwangju and Jeollanam-do Public Health Facilities (일부 공공보건기관 방문보건요원의 교육요구도 조사)

  • Kim, Young-Lak;Kim, Shin-Woel;Chung, Eun-Kyung;Choi, Jin-Su
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.51-64
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    • 2002
  • This study was aimed to provide the basic data for the development of effective educational program by reflecting the opinions of the visiting health service workers. The subjects were 144 visiting health service workers in Gwangju and Jeollanam-do area who responded the mail questionnaire. The data were collected from June to July, 2001 using questionnaire composed of the education need, knowledge by subjective appraisal, and experience of education. The major findings of this study were as follows: 1. The number of respondents who received at least one education within recent three years were 43(29.9%) at the central level, 57(39.6%) at the provincial level and 53(36.8%) at the district level. The satisfaction with education was higher at the central level than at the provincial and district level. 2. Knowledges by subjective appraisal on the 'chronic degenerative diseases management' and 'health promotion' was relatively high. while that of 'rehabilitation' was low. 3. The knowledge by subjective appraisal of visiting health service was related with experience of education and license status. The knowledge was higher in registered nurses than in nurse aids. The curricula related to increased level of knowledge of visting health service workers were 'elderly health care', 'rehabilitation' and 'psychiatric-mental health nursing' educations at the central level 'continuing education for the community health practioners' and 'psychiatric-mental health education' at the provincial level and 'elderly health care', 'rehabilitation' 'psychiatric-mental health' and 'acute diseases control' educations at the district level. 4. The respondents preferred elderly health management as the contents of education, officer group education as the method of education, province(30.4%) as the main body of education, exercise and practice as the form of education, 2-3 times per year as the frequency of education, and 3-5days as the period of education. The findings of this study could suggest that future education program should be planned to increae the knowledge level of visiting health service workers by reflecting their educational need.

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The Comparison of Health Behaviors Between Fishing Area Residents and Agricultural Area Residents (농촌지역과 어촌지역 주민들의 건강행태 비교)

  • Nam, Hae-Sung;Rhee, Jung-Ae;Shin, Jun-Ho;Son, Myong-Ho;Kweon, Sun-Seok;Na, Baeg-Ju;Kim, Soon-Young
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.33-50
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    • 2002
  • Objectives: This study compared the difference of health behaviors between fishing area residents and agricultural area residents. Methods: We carried out interview survey for 503 adult persons of fishing villages, the study area. And surveyed 775 adult persons of agricultural villages as a control area in short distance from the study area, and 1425 adult persons of agricultural villages in long distance. The proportion on health behavior was standardized to the nationwide population of the year of 2000 by sex. Results: In male, The proportion of heavy alcohol drinking in the study area was higher than that in both controls significantly. And the proportion of trial to quit alcohol during the past one year in the study area was lower than that in both controls, but it was not significant difference. And the proportion of regular exercise in study area was lower than that in the long distant control, but it was not significant difference. In female, the proportions of drinking, smoking, and regular exercise in the study area were significantly lower than that in the long distant control respectively. There was no significant difference in trial of low salt diet between the study area and the control area. Conclusions: When we plan the health promotion program in fishing village, we must consider alcohol drinking behavior of men and exercise behavior of both sex in addtition to smoking behavior.

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Knowledge, Attitude & Practice for Sexuality of Teachers -Based on over 50 year old teachers- (교사의 성 지식.태도.실태 연구 -50세 이상 교사를 중심으로-)

  • Lee, Eun-Jung;Park, Young-Soo;Choi, In-Sook
    • The Journal of Korean Society for School & Community Health Education
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    • v.5
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    • pp.107-122
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    • 2004
  • To correctly plant the value of sex to the juvenile, we cannot overemphasize the importance of the sexual education in schools. Therefore, the study for teachers' consciousness and view of sex is also necessary, because they are subjects of education and role-models of sex of their students. Especially, if teachers are over fifty in age, it is more important, because it is obvious, as they are in positions of managers and directors of education, that their view of sexual value and consciousness are influencing the aim of education and the course of education. Hereby this study was conducted to check their sexual consciousness, attitude, and condition and to prepare for the basic data needed for the development of a sexual education program suitable to them. The methods of the survey of this study are applied by modifying or supplementing those of precedented studies. They are used after analyzing reliance of items according to Cronbach's $\alpha$ figure calculating law, and modifying or supplementing items lower in reliance. The questionnaire survey was conducted among 1,000 randomly selected from teachers working in middle and high schools in Korea from June 14th in 2004 to June 30th. The survey analyzed 632 questionnaires suitable to it. The outcomes of the survey of this study are like the following: First, the objects of the survey consist of 64.6% men and 35.4% women. Among them, 41.1% are under fifty and the rest are over fifty. As for the periods of marriage, 15.5% are unmarried, 16.3% are under ten years, 18.0% are between ten and twenty, and 50.2% are over twenty. Second, with reagard to sex, 25.6% admit the necessity of a heterosexual friend. 32.0% say that they are conservative to sex. 54.1% are taught sexual education. 67.1% attribute sexual education to nursing teachers. Third, among those who answer that they enoughly know the concept of sex, seenig by age, 25.0% are under fifty and 58.1% are over fifty. Seening by the periods of marriage, 9.2% are unmarried, 28.2% are under ten, 49.1% are between ten and twenty, and 59.0% are over twenty. Among those who answer that they enoughly know the concepts of sexual harassment and sexual violence, seenig by age, in the turns by above-mentioned order, each 47.7% and 76.3%. Seening by the periods of marriage, each 9.2%, 28.2%, 49.1%, and 59.0%. Fourth, among those who answer that "teachers also need sexual education and sexual counsel," by age, each92.7% and 91.4%. By the periods of marriage, each 89.8%, 95.2%, 89.4%, and 92.4%. As a matter of course, we can infer the necessity of the sexual education and sexual counsel for teachers. Fifth, among those who answer that they are satisfied with their sexuality, by age, each 41.1% and 61.3%. By the period of marriage, each 4.1%, 63.1%, 64.1%, and 61.5%. As for the sexual desire like spiritual intercourse, physical intercourse containing sexuality, by age, each 71.9% and 93.5%. By the periods of marriage, each 54.0%, 81.5%, 90.3%, and 93.0%. The survey shows that those over fifty and having long marriage are feeling the stronger desire towards sexuality. Through the outcomes of this survey, a few suggestions are possible: First, it is necessary to check of the teachers' view of sexual value and to study deep about the sexual tendency of them in twenties, thirties, and forties. It is to make them teach their students on the firm basis, and also to develop suitable sexual education and counsel program.

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