• The Journal of the Korea Contents Association
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• v.20 no.12
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• pp.582-592
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• 2020

The purpose of this research is to analyze the psychological dynamics of the characters in the novel 'vegetarian' of the Han Gang and the relationship patterns in the system by applying object relation theory. 'Vegetarianism' has already been analyzed and reinterpreted in various angles, but if you look at it from the object relationship theory and the systematic perspective, you can understand the inevitable history of the generation through psychological analysis and relation dynamics of the person. First, we will analyze the psychological dynamics of the characters by analyzing the meanings and exploring the meaning with the object relation theory and concept. The psychological analysis and the search process of the characters based on the theory are enough evidence for the counselor to reinterpret the life story of the client in the future clinical scene. In addition, in order to realize ethical but practical clinical education, the field of clinical practice will be extended when analyzing the characters using art. It is suggested that the meaning search through various character analysis needs to be accumulated culturally.

• Journal of Convergence for Information Technology
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• v.10 no.8
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• pp.99-107
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• 2020

This study is to design an effective fall-prevention nursing program. Researchers investigated the current condition and risk factors for falls in the small-medium sized rehabilitation hospital with descriptive research. We conducted integrative literature review to reflect the current approach of fall-prevention nursing program. We found that the risk factors for falls are related to the characteristics of clinical setting of the hospital. We suggested the nursing intervention with applying fall risk assessment scale that is sensitive to the elderly population and the intervention that shows maximum effect. In conclusion, this study proposed the way of selecting an effective fall-prevention nursing program based on a clinical setting and prospective of its application. This will contribute to the improvement in nursing practice with the critical view in hospital fall.

• Korean Journal of Biological Psychiatry
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• v.13 no.4
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• pp.234-243
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• 2006

Objectives : Several factors, such as biological markers, clinical correlates, and course of the depressive disorders with psychotic symptoms differ from those without psychotic symptoms. Therefore, specification of a treatment algorithm for depressive disorder with psychotic symptoms is legitimated. This article provides a systematic review of somatic treatments for depressive disorder with psychotic symptoms. Methods : According to the search strategy of the Clinical Research Center for Depression of Korean Health 21 R & D Project, first, PubMed and EMBASE were searched using terms with regard to the treatment of depressive disorders with psychotic symptoms(until July 2006). Reference lists of related reviews and studies were searched. In addition, relevant practice guidelines were searched using PubMed. All identified clinical literatures were reviewed and summarized in a narrative manner. Results : Treatment options, such as a combination of an antidepressant and an antipsychotic versus an antidepressant or an antipsychotic alone are summarized. In addition, issues regarding the electroconvulsive therapy( ECT), combination therapy, and maintenance treatment are discussed. Conclusion : In former times, the combination of an antidepressant and an antipsychotic or ECT were recommended as the first line treatment for depressive disorder with psychotic symptoms. Recently, however, there was a suggestion that there was no conclusive evidence that the combination of an antidepressant and an antipsychotic drug is more effective than an antidepressant alone. More evidence regarding the pharmacological treatment for depressive disorder with psychotic symptoms is needed.

• Korean Journal of Biological Psychiatry
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• v.19 no.4
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• pp.153-158
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• 2012

Understanding of a clinical trial is essential in developing clinical guideline and adopting evidence based practice. In designing and executing clinical trials, following ethical requirements should be considered : social value, scientific validity, fair subject selection, informed consent, favorable risk-benefit ratio, institutional review board, and respect for human subjects. According to the stage of drug development, purpose of trials, accumulated scientific data, clinical trials for drug development are classified as phase 1, 2, 3, and 4. Phases of clinical trials can be overlapped and the judgment of entering into the next phase should be considered highly strategically. In reading, evaluating and interpreting clinical trial reports, various skills and challenges exist. Patient sample composition, trial duration, selection of endpoints, responders and non-responders, placebo effect, patient recruitment, and extrapolation to the real world are the examples of those challenges. Treatment success will come from the well balanced approach of evidence based decision making and consideration of specific single case.

• Journal of Korean Medical classics
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• v.25 no.2
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• pp.89-93
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• 2012

목표 : 미용은 요즘 현대인들에게 관심 받고 있는 분야 중 하나로서 본 논문은 이에 대한 동양 의학적 접근 방법을 토대로 미용에 효과적인 식약(食藥)을 분석하여 임상 연구를 위한 문헌적 근거를 제시하고자 한다. 방법 : "식료본초"의 미용에 관련한 음식 치료의 내용을 위주로 수집 및 정리하여 미용 식약(食藥)의 종류, 용법 및 작용 원리를 분석하고 설명하였다. 연구결과 : 미용 식약(食藥)은 내원, 미용 성질로 분류됨을 알 수 있고 용법은 상용되는 제형, 치료원칙 및 치법, 배합 제조 방식, 예방 및 치료 결합, 입약 부위 등으로 정리 및 분석하여 "식료본초"가 영양 성분과 외모 손상성 질병 치료에 대한 작용원리를 제시해 보았다. 결론 : 본 논문의 주요한 의미는 "식료본초"는 중국의 당(唐)나라 이전 시대의 음식요법의 큰 성과물이며, 중의미용 및 음식요법의 중요한 역할을 할 뿐만 아니라 향후 통계학적인 관점에서 미용 식약(食藥)의 용법과 특징 및 규율을 정리하여 임상에서 실제적인 도움을 줄 것으로 생각된다.

• Sleep Medicine and Psychophysiology
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• v.28 no.1
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• pp.6-12
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• 2021

Insomnia is one of the most common sleep disorders experienced by modern people, and treatment is often not adequate due to various limitations. Digital therapeutics for insomnia are expected to play a revolutionary role in supplementing and satisfying unmet needs in real-world clinical treatment. Digital therapeutics for insomnia were developed based on cognitive-behavioral therapy for insomnia, which is the first standard treatment for insomnia. The effectiveness of digital therapeutics for insomnia developed by several companies has been proven through well-designed clinical research. Various approaches have been used for practical application of digital therapeutics for insomnia. Thus far, meaningful results have been drawn, but there are areas that need to be improved upon based on real-world evidence. Sleep researchers need to validate the safe and effective application of digital therapeutics for the treatment of insomnia.

• Journal of Korean Medicine for Obesity Research
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• v.6 no.1
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• pp.117-132
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• 2006

비만은 단순한 신체적 원인 뿐 아니라 심리적, 사회적, 문화적 문제가 복합되어 있다. 따라서, 의료적 측면에 있어서도 전인적 접근이 강조되어야 하나 서양의 치료는 주로 신체적인 문제에 집중한다. 한의학은 몸과 마음을 따로 보지 않는 전인적인 의학이며 비만과 같은 질환을 접근하는데 강점을 갖는다. 지금까지 비만환자를 위한 한의학의 전인적 접근, 즉 신체 뿐아니라 체계적으로 심리적인 접근을 하려는 노력은 많았으나 보고된 연구 성과가 드물었다. 양성치료는 동양철학과 한의학에 근거하여 비만환자를 위해 개발된 전인적 상담프로그램이다. 기존에 발표된 양성치료에 관한 두 논문에서는 이론적 배경과 임상적 효과에 대한 보고를 하였다면, 본 논문에서는 실제 환자의 사례를 통해 실제 치료의 전개와 역동을 서술하였다.

• The Journal of the Korea Contents Association
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• v.22 no.10
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• pp.359-373
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• 2022

The purpose of this study was to develop evidence-based practice guideline for rapid response to acute deterioration of hospitalized patients. The guideline was developed according to the Clinical Practice Guideline Adaptation Manual. and evaluated using AGREE II tool. The guidelines were checked content validation by an expert group, final 130 recommendations in 5 sections including management, recognition, activation, response, and evaluation. The average of the overall practical application to the guidelines was 4.41±0.78 out of 5, which showed high applicability in clinical work.

• Journal of the Korean Society for information Management
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• v.33 no.3
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• pp.177-193
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• 2016

This study aims to analyze physicians' online information search process to solve the clinical questions at the point of care. To achieve this purpose, ten university hospital-based physicians participated in-depth interviews and observation studies. Based on Wilson's problem solving process, this study analyzed the characteristics of each information search stage and efficiency of online searching. The results showed that participants tend to relatively immediately formulate their clinical questions. However, basic searching strategies were only used and a few preferred information sources were chosen. However, average satisfaction degree of online searching appeared high with 5.7 (7 Likert-scale) and problem-solving index increased after searching. As physicians are likely to use well organized and evidenced-based credible information easily, it implies the needs for an integrated search system within the electronic medical record (EMR). In addition, as other online resources' awareness is lower comparing Google and PubMed, active promotions and training of other resources are needed.

• Journal of dental hygiene science
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• v.9 no.3
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• pp.271-278
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• 2009

The purpose of this study was to investigate the educational status of dental hygiene process of care and to provide foundation for introducing curriculums focused on it. Questionnaire (14 questions) on educational status of clinical dental hygiene based on dental hygiene process of care was distributed in 50 dental hygiene schools with full classes. Research was performed with structured questionnaires on the basis of previous literatures, and interview and email survey was conducted. Collected data were analyzed with Frequency analysis, Descriptive statistics, and Chi-square test using SPSS 12.0, and the results were as follows. The average student to clinical dental hygiene faculty ratio of 22 to one regardless of year of curriculum. Sixty two point five percent of dental hygiene school reported having a curriculum about comprehensive dental hygiene process. Regarding the distribution of lecture and practical curriculums, they were less focused on dental hygiene diagnosis (68.8%), planning (65.6%) and evaluation (68.8%) than on assessment and implementation. Just over half (56.7%) reported having education of dental hygiene process of care during the course of curriculum. In conclusion, it is most desirable to provide integrated education based on dental hygiene process of care by reinforcing dental hygiene diagnosis, planning, and evaluation step.