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Research on National Korean Medicine Policy Priorities using Delphi-AHP : Focusing on the 4th Comprehensive Plan for Korean Medicine Development (델파이-AHP 기법을 사용한 국가한의약정책 우선순위에 관한 연구 - 제4차 한의약육성발전종합계획을 중심으로 -)

  • Yi, Eunhee;Kim, Dongsu;Park, Soo-Kyung
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.2
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    • pp.1-9
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    • 2022
  • Objectives : The purpose of this study is to identify priorities for the 4th Comprehensive Plan for Korean Medicine Development using Delphi and AHP techniques. Methods : This study uses Delphi-AHP method to first, select the target priority policy based on the policy content of the 4th Comprehensive Plan. In addition, two surveys on the priorities were conducted to reach consensus between experts. The main results of the first survey were also provided to experts participating in the second survey to help form expert consensus. Finally, the final policy priority was chosen based on the second survey result. Results : Survey results showed that of the 39 policies in the 4th Comprehensive Plan, "improve the accessibility of Korean medicines," was the most important goal. This was followed by "support for Korean medicine R&D from clinical research to industrialization," "provide foundation for a pilot project that provides customized medical services" and "strengthen the public medicine function of Korean medicine by expanding the its infrastructure in national and public hospitals." Conclusion : The results showed that capacity building of Korean medicine in primary care, improvement of the health insurance system, and research centered on industrialization are relatively more important goals, while the need to enhance global competitiveness was much less important. These key points can serve as a reference when formulating the 5th Comprehensive Plan for Korean Medicine Development in the future.

Factors influencing dental hygienist's job performance (치과위생사의 직무수행능력 영향 요인)

  • Lee, Ji-Yeon;Cho, Hye-Eun;Moon, Sang-Eun;Kim, Yun-Jeong;Kim, Seon-Yeong;Kang, Hyun-Joo
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.3
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    • pp.209-216
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    • 2022
  • Objectives: This study was conducted to provide basic data for developing a professionalism improvement program for dental hygienists in preparation for the 4th industrial revolution era. Methods: A survey was conducted in 216 dental hygienists from May 3 to June 14, 2021, and statistical processing was performed using frequency analysis, t-test, one-way ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: Communication competence were at higher levels for dental hospital workers (3.98) and university/graduate school (3.94); professionalism was at higher levels for dental hospital workers (3.64), university/graduate school (3.55), and 7 or more dental hygienists at workplace (3.53); self leadership was at higher levels for dental hospital workers (4.11), university/graduate school (4.04), and intermediary manager (4.00); job performance was at higher levels for 11 years or more (4.08), university/graduate school (4.04), intermediary manager (4.04), and 30-34 years of age (4.04). There was positive correlation among communication competence, professionalism, self-leadership, and job performance. Factors affecting job performance were self-leadership (β=0.461), communication competence (β=0.353), 30-34 years of age (β=0.141), and total experience of 8-10 years (β=-0.149). Conclusions: In the era of the 4th industrial revolution, it is necessary to develop a program to strengthen the professional competence of dental hygienists.

Critical Thinking Disposition, Medication Error Risk Level of High-alert Medication and Medication Safety Competency among Intensive Care Unit Nurses (중환자실 간호사의 비판적 사고성향, 고위험약물 투약오류 위험수준 및 투약안전역량)

  • Lee, Yoon Hee;Lee, Youngjin;Ahn, Jeong-Ah;Kim, Hee Jun
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.1-13
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    • 2022
  • Purpose : The study aimed to identify relationship among intensive care unit (ICU) nurses' critical thinking disposition, medication error risk level of high-alert medication, and medication safety competency, as well as the factors affecting medication safety competency. Methods : The participants were 266 ICU nurses of one higher-tier general hospital and one general hospital in Province. The data were collected using structured self-administered questionnaire from August 10 to August 31, 2021. Measurements included the critical thinking disposition questionnaire, nurses's knowledge of high-alert medication questionnaire, the medication safety competency scale. Data were analyzed using hierarchical multiple regressions using SPSS/WIN 28.0. Results : In the multiple regression analysis, the medication safety competence has a statistically significant correlation with the working department, the critical thinking disposition, and medication error risk level of high-alert medication. Conclusion : Based on the results of this study, it is suggested to develop and apply an educational strategy that can strengthen the knowledge and skills of critical thinking disposition and medication error risk level of high-alert medication to improve the ICU nurse's medication safety competency.

Comparison of Tibialis Anterior Muscle Thickness with 4 Different Toe and Ankle Postures: Ultrasonographic Study

  • Jang, Tae-Jin;Hwang, Byeong-Hun;Jeon, In-Cheol
    • The Journal of Korean Physical Therapy
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    • v.34 no.1
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    • pp.12-17
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    • 2022
  • Purpose: Ankle dorsiflexion is an essential element of normal functions, including walking, activities of daily living and sport activities. The tibialis anterior (TA) muscle functioned as a dorsiflexor and as a dynamic stabilizer of the ankle joint during walking and jumping. This study aimed to compare TA muscle thickness using ultrasonography according to the four different toe and ankle postures for the selective TA strengthening exercise. Methods: This study were recruited 26 (males: 15, females: 11) aged 20-30 years, with no injury ankle and calf in the medical history, had normal dorsiflexion and inversion range of motion (ROM). The thickness of the TA muscle was measured by ultrasonography in the four different toe and ankle postures: 1. Ankle dorsiflexion with all toe extension and ankle inversion (ITEDF); 2. Ankle dorsiflexion with all toe flexion and ankle inversion (ITFDF); 3. Ankle dorsiflexion with all toe extension and neutral position (NTEDF); 4. Ankle dorsiflexion with all toe flexion and neutral position (NTFDF). One-way repeated analysis of variance (ANOVA) and Bonferroni correction were used to confirm the significant difference among conditions. The level of statistical significance was set at α=0.01. Results: TA muscle thickness with ITFDF was significantly greater than in any other ankle positions, including ITEDF, NTFDF, and NTEDF (p<0.01). Conclusion: Among the four toe and ankle postures, isometric contraction in ITFDF postures showed the greatest increase in thickness of TA rather than ITEDF, NTEDF, and NTFDF postures. Based on these results, ITFDF can be recommended in an efficient way to selectively strengthen TA muscle.

Effect of Listening Biographies on Frequency Following Response Responses of Vocalists, Violinists, and Non-Musicians to Indian Carnatic Music Stimuli

  • Prajna, Bhat J;Rajalakshmi, Krishna
    • Journal of Audiology & Otology
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    • v.25 no.3
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    • pp.131-137
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    • 2021
  • Background and Objectives: The current study investigates pitch coding using frequency following response (FFR) among vocalists, violinists, and non-musicians for Indian Carnatic transition music stimuli and assesses whether their listening biographies strengthen their F0 neural encoding for these stimuli. Subjects and Methods: Three participant groups in the age range of 18-45 years were included in the study. The first group of participants consisted of 20 trained Carnatic vocalists, the second group consisted of 13 trained violinists, and the third group consisted of 22 non-musicians. The stimuli consisted of three Indian Carnatic raga notes (/S-R2-G3/), which was sung by a trained vocalist and played by a trained violinist. For the purposes of this study, the two transitions between the notes T1=/S-R2/ and T2=/R2-G3/ were analyzed, and FFRs were recorded binaurally at 80 dB SPL using neuroscan equipment. Results: Overall average responses of the participants were generated. To assess the participants' pitch tracking to the Carnatic music stimuli, stimulus to response correlation (CC), pitch strength (PS), and pitch error (PE) were measured. Results revealed that both the vocalists and violinists had better CC and PS values with lower PE values, as compared to non-musicians, for both vocal and violin T1 and T2 transition stimuli. Between the musician groups, the vocalists were found to perform superiorly to the violinists for both vocal and violin T1 and T2 transition stimuli. Conclusions: Listening biographies strengthened F0 neural coding, with respect to the vocalists for vocal stimulus at the brainstem level. The violinists, on the other hand, did not show such preference.

Impact of Peer Attachment on Children's Subjective Well-being : Mediating Effects of Self-esteem (또래애착이 아동의 주관적 행복감에 미치는 영향 : 자아존중감의 매개효과)

  • Kim, Sang woo;Jo, Min a
    • Journal of Korean Physical Therapy Science
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    • v.29 no.3
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    • pp.63-74
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    • 2022
  • Purpose: The purpose of this study is to examine the mediating effect of children's perceived peer attachment on children's subjective well-being and the effects of self-esteem, one of the variables of individual personality characteristics, on peer attachment and subjective well-being. Design: Data from the 2018 Panel Study on Korean Children were used. Methods: The survey method was conducted by the investigator, and the total number of cases was 1,434 people. Results: First, the higher the child's peer attachment leads to higher subjective well-being and self-esteem, and the higher the self-esteem leads to higher subjective well-being. Second, in the relationship between peer attachment and subjective well-being, self-esteem acts as a mediator variable. Third, children's peer attachment affects subjective well-being and self-esteem, and self-esteem affects subjective well-being. The results explain that the degree of children's peer attachment itself affects subjective well-being and self-esteem, and self-esteem also affects children's subjective well-being. Conclusion: Self-esteem is an important factor influencing subjective well-being and has a mediating effect on the relationship between peer attachment and subjective well-being. In other words, it can be understood that children feel subjective well-being through positive interactions with peers, not only in parent relationships. Based on these results, it is necessary to suggest practical interventions to enhance children's subjective sense of well-being and to develop various programs that can strengthen the sub-factors of peer attachment.

A Retrospective Study of Traffic Accident Inpatients in a Korean Medicine Hospital: Correlation of STAI-I, STAI-II, BDI, and CSEI-s scores with Pain Improvement (한방병원에 입원한 교통사고 환자의 후향적 연구: 상태-특성 불안 척도, 벡 우울 척도, 핵심감정척도-단축형과 통증 호전도의 상관관계)

  • Lee, Seung Min;Lee, Cham Kyul;Lee, Eun Yong;Roh, Jeong Du
    • The Journal of Korean Medicine
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    • v.42 no.3
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    • pp.72-85
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    • 2021
  • Objectives: The objective of this study was to investigate the correlation of the scores on the State-Trait Anxiety Inventory-I (STAI-I), State-Trait Anxiety Inventory-II (STAI-II), Beck's Depression Inventory (BDI), and Core Seven Emotions Inventory-short form (CSEI-s) scales with pain improvement. Methods: We retrospectively investigated the medical records of 66 traffic accident inpatients who satisfy the selection criteria. They had received Korean medical treatment including acupuncture, electroacupuncture, pharmacopuncture, herbal medicine, and Chuna during hospitalization. STAI-II, BDI, and CSEI-s scores on hospital day 1, and STAI-I and numerical rating scale(NRS) scores on hospital day 1, 4, 7, and 10 were used for analysis. Pain improvement was evaluated by difference in NRS scores between hospital day 1 and hospital day 4, 7, 10. Results: The STAI-I, BDI, and CSEI-s scores showed significant correlations with pain or pain improvement. Conclusions: This study may be used in the research on psychological state and pain management of traffic accident patients and for patient education. Large-scale, well-designed studies need to be conducted in future to strengthen the results in this regard.

Suggested Improvement Strategies for the Efficient Review and Rational Operation of Institutional Review Board (IRB) Based on the Analysis of IRB Review Results (Institutional Review Board 심의 결과 분석을 통한 효율적 심사 및 합리적 운영에 대한 개선안 모색)

  • Lee, Yoon Jin;Jang, Hye Yun;Jang, Jung-Hee
    • The Journal of KAIRB
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    • v.4 no.1
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    • pp.5-15
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    • 2022
  • To suggest future directions for the improvement in the Institutional Review Board (IRB) review process and efficient operation of IRB, we have analyzed the IRB review results from 460 new research proposals submitted to the Review by the Convened IRB of the Keimyung University Dongsan Hospital IRB from January 2019 to July 2021. IRB is an independently established institutional committee to protect the human subjects by reviewing the research protocol in ethical as well as scientific aspects, so it is necessary to continuously contemplate the ethical versus scientific dilemma of 'what is ethical or scientific and what can actually protect human subjects.' Particularly, in this process, it is necessary to consider diverse ways to strengthen self-supervision through continuous Internal Audit rather than simple reporting outcomes. In addition, if it does not directly affect the protection of the human subjects, the discussion with the committee members is needed so that the comments such as administrative and typographical errors can be reduced as much as possible. Furthermore, as statistical analysis methods can have a significant impact on the safety of human subjects, if a legal basis and/or support related to statistics is provided for the composition of IRB members, a more specialized IRB review will be achieved.

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The Effects of Major Selection Motivation, COVID-19 Anxiety, and Work Values on Employment Preparation Behavior: Focused on Health College Students (전공 선택동기, COVID-19 불안, 직업가치관이 취업준비행동에 미치는 영향: 보건계열 대학생을 중심으로)

  • Kim, Eun-Jung;Park, Sa-Ra;Lim, Seong-Beom
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.49-56
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    • 2022
  • Purpose : The purpose of this study was to examine the effects of the motivation for choosing a major, COVID-19 anxiety, and work values on the employment preparation behavior of health college students and to provide evidence for developing programs for employment preparation behavior in the future. Methods : Employing a random sampling method, a survey was conducted from April 22 to June 3, 2022, using an electronically-disseminated questionnaire with college students majoring in medical technician, health administration, and nursing from D and K colleges located in Daegu. A total of 402 students who fully understood and agreed to the purpose of the study participated. The SPSS statistical program was used to analyze the collected data, which were verified using correlation and regression analyses. Results : The results of the study are: First, employment preparation behavior was positively correlated to major selection motivation, COVID-19 anxiety, and work values. Second, significant relationships were found between employment preparation behavior and motivation behind choosing a major, work values, and COVID-19 anxiety, in that order. The higher the major selection motivation, work values, and COVID-19 anxiety were, the better the employment preparation behavior was. Conclusion : The study's results indicate that it would be meaningful to provide health college students who were highly motivated to select their major and who possess sound work values with well-prepared job training programs. Various activities organized by the school for improving the students' self-satisfaction and self-efficacy, which can strengthen their long-term work values, could also be provided. In addition, due to the continuing COVID-19 pandemic, college students may feel anxious about new infectious diseases that might occur in the future. Therefore, considering the contemporary situation, a helpful educational program will be invaluable to fit the pupils for life's battle after they finish their education.

Analysis of the Meaning of the 2022 Revised Curriculum (2022 개정 교육과정 의미 분석)

  • Han, Yoon Ok
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.59-69
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    • 2022
  • The purpose of this study is to suggest improvement directions by analyzing the meaning of the 2022 revised curriculum. Research methods include literature research, surveys, and interviews. The conclusion is as follows. First, The background of the promotion has been revised to cultivate the competencies necessary for the future society and to strengthen the learner-tailored education. Second, what characterizes the 2022 revised curriculum is that it is being created in collaboration with people as a future-oriented curriculum for the first time in history. Third, the implementation of the 2022 revised curriculum is being directed towards individuality and diversity, decentralization and autonomy, digitally based education, and public performance and accountability. Fourth, the principal contents are curriculum innovation in response to future changes, cultivating community values and capacity building for learners, strengthening education for elementary, middle, and high school students to develop digital and AI literacy, and strengthening the curriculum for all.