• 융합정보논문지
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• 제7권6호
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• pp.53-59
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• 2017

본 연구는 우울 및 스트레스와 관련된 국내 연구를 파악하기 위해 시도되었다. 분석대상은 2016년 11월 30일을 기준으로 우울, 스트레스 키워드로 검색된 1,875편의 국회도서관 등재 학위논문으로 하였다. 분석방법은 텍스트마이닝 기법의 하나인 워드 클라우드로 비정형 자료를 시각화하였다. 또한, 치료와 대상자를 분류하기 위해서는 잠재디리클레 할당(LDA), R의 LDA패키지를 사용하였다. 분석 결과, 치료 관련 키워드를 가지고 있는 논문은 전체 논문 중 233건(12.4%)이었다. 치료방법의 적용은 미술치료, 음악치료, 원예치료, 인지행동치료, 임상미술치료, 인지치료, 심리치료, 우울증치료, 집단치료, 웃음치료 순으로 나타났다. 연구 대상자는 청소년, 노인, 환자, 어머니, 아동, 여성, 부모, 대학생 순으로 나타났다. 청소년을 대상으로 한 LDA 토픽분석 결과 자아지지, 치료프로그램, 관계효과, 변인연구의 4개의 토픽으로 분류되었다. 본 연구 결과는 우울과 스트레스 관련 향후 연구에서 연구 대상자와 주제의 다양화 및 새로운 치료방법의 적용과 개발을 탐색하는 기초자료로 활용될 수 있을 것으로 기대된다.

• 대한예방한의학회지
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• 제18권3호
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• pp.91-104
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• 2014

Objective : This study aims to compare the scope of practice of Korean Medicine doctors and western medicine doctors based on laws related to medical practice Method : We searched for laws related to medical practice using terminologies such as "Korean Medical practice", "Korean Medicine", "Principles of Korean Medicine", "western medicine", "Korean Medicine doctor", "western medicine doctor" at the national law information center(http://law.go.kr/main.html). Results : We categorized the laws we found into four categories: diagnosis, treatment, prescription, and all the other areas including public health. In diagnosis, both Korean Medicine doctors and western medicine doctors have a right to issue medical certificates including birth and death. However, diagnosis of a few specific diseases is allowed only to western medicine doctors. In treatment, laws related to emergency medicine and nursing at home were searched. Korean Medicine doctors and western medicine doctors are emergency care providers; however, most of emergency medicine can be done by western medicine doctors. In prescription, the scope of practice is divided by herbal medicine and western medicine. Finally, as public health professionals, both of them need to do lots of public health works. However, in some area such as vaccination, maternal and child health care, and industrial health, only western medicine doctors can practice. Conclusion : This study suggests that, in diagnosis, treatment, prescription, and all the other areas including public health, the scope of practice of Korean Medicine doctors and western medicine doctors has huge difference. There is also lack of consistency in current law, and some laws do not reflect current health care system and health care services.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권1호
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• pp.54-60
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• 2016

Purpose: The aim of this study is to investigate the association between elevated alanine aminotransferase (ALT) and urosepsis in children with acute pyelonephritis (APN). Methods: We retrospectively identified all children who were managed in our hospital with APN during a decade period. In our study a diagnosis of APN was defined as having a positive urine culture and a positive (99m)Tc-dimercaptosuccinic acid scintigraphy. We compared those with elevated ALT and those with normal ALT according to the following variables: age, gender, duration of fever prior to admission, presence of hypotension, C-reactive protein (CRP), creatinine, presence of anemia, white blood cells count, platelet count, blood culture result, and grades of vesicoureteral reflux. In addition, the correlation between elevated ALT and positive blood culture was analyzed in detail. Results: A total of 996 children were diagnosed with APN, of which 883 were included in the study. ALT was elevated in 81 children (9.2%). In the analysis of demographic characteristics, the number of children with elevated ALT was higher in children between 0 to 3 months, boys, and in those with positive blood culture (p=0.002, 0.036, and 0.010, respectively). In multivariate analysis of variables associated with positive blood culture, age younger than 3 months, elevated ALT, elevated CRP, and elevated creatinine showed statistical significance (p=0.004, 0.030, 0.043, and 0.044, respectively). Conclusion: Our study demonstrates the association between elevated ALT and increased prevalence of urosepsis in addition to elevated CRP, elevated creatinine, and age younger than 3 months in children with APN.

• 대한간호
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• 제36권5호
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• pp.74-90
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• 1998

This descriptive study sought to define the relationship between women's health status and the experience of Sanhujori, Korean traditional non-professional postpartal care after delivery and abortion. A convenience sample of 308 women in 7 provinces in Korea including Seoul were studied from December, 1994 to December, 1996 for two years. Mean age of respondents was 50.5 years and mean number of children was 3. The rate of abortion was 91.5% and mean frequency was 2.2 times per woman. 82% of respondents did not have Sanhujori after abortion. The period and subjective evaluation of experience of Sanhujori after delivery were decreased according to the increment of the number of childbirth. The health status implies both subjective health status women perceived and physical symptom distress women are experiencing presently, The respondents expressed the physical symptom distress as painful one. 56.7% of respondents perceived unhealthy, such as sick and 99.6% complained more than one symptom. The factors related to health status were the first and third experience of Sanhujori after delivery, such as the period and subjective evaluation whether she did Sanhujori well or not; whether or not of Sanhujori after abortion and menopause: the number of child: and age. at the level of 1% or 5% of significance statistically. The factors related to the rate of physical sumptom distress were only two: the first experience of Sanhujori after delivery, especially the subjective evaluation and whether women did Sanhujori after abortion or not. at the level of 1% or 5% of significance statistically. In conclusion. this finding reconfirmed the possible relationship between women's health status and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers .to research further on the effects of Sanhujori on the health status. health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and qualty of care for desirable health outcomes. Besides, it is indispensable to refine and reestablish postpartal caring system by finding universal law through international & cross-cultural research on postpartal traditional care for women's life long health toward the 21C

• 디지털융복합연구
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• 제19권12호
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• pp.577-586
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• 2021

본 연구의 목적은 청소년의 스마트폰 의존의 영향 요인들을 확인하고, 요인들 간의 작용하는 직·간접 경로를 통해 스마트폰 의존에 미치는 영향정도를 확인하는 것이다. 한국아동·청소년패널조사(KCYPS 2018)의 2차년도 자료를 이용하였고, SPSS 26.0 및 26.0 AMOS 프로그램을 사용하여 분석하였다. 여섯 개의 경로가 통계적으로 유의한 것으로 판명되었다. 자아존중감과 우울이 청소년의 스마트폰 의존에 직접적으로 영향을 미쳤다. 사회적 위축과 학교 환경은 자아존중감과 우울을 매개 요인으로 청소년의 스마트폰 의존에 영향을 미쳤다. 청소년의 스마트폰 의존은 개인적 요인뿐 아니라 학교 환경과 같은 사회적 요인도 영향을 미치고 있는 것으로 나타났다. 이 연구의 결과는 청소년들의 스마트폰 의존을 예방할 수 있는 프로그램을 개발하는데 근거자료로 제시될 것이다.

• 대한한의학회지
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• 제40권1호
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• pp.24-33
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• 2019

Objectives: The purpose of this study is to analyze the causes of short stature through a clinical review of factors related to childhood height growth. So we can find the way to meet the needs of the heightism which is widely spread among modern people. Methods: Among 160 patients who came to Andong B oriental clinic for the purpose of growth therapy, 112 children whose height was smaller than other normal children were analyzed. When the children first came to the clinic, we checked their height and weight. The parents' height was recorded through a questionnaire. The relationship between obesity index and height growth was examined through growth plate test and Inbody test. We want to identify the genetic factors related to parental factors based on the data of the parent height. Results: For short stature children, weight was often normal or low. When we examined the relationship between parental genetic factors and child growth, we found that they were more influenced by father's height rather than mother's. We investigated the correlation between skeletal maturity and the five viscera. There was no apparent correlation between skeletal maturity and the five viscera but we found that there was some degree of relevance. Conclusions: For short stature children, the weight was often normal or low and parental genetic factors were more influenced by father than by mother. In the case of bone maturity it did not show a direct correlation between the five viscera.

• Clinical and Experimental Pediatrics
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• 제62권6호
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• pp.206-212
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• 2019

Purpose: The present study aimed to determine the prevalence of childhood obesity and overweight in Iranian children under 5 years of age using a systematic review and meta-analysis. Methods: We searched MEDLINE (PubMed), Web of Science, Google Scholar, Scopus, CINHAL, and the Iranian databases, including Scientific Information Database (www.sid.ir), Iranian Research Institute for Information Science and Technology (Irandoc.ac.ir), Iranmedex (www.iranmedex.com), and Magiran (www.magiran.com), for all articles published between January 1989 and August 2017. Sources of heterogeneity were determined using subgroup analysis and meta-regression. Results: Six articles were ultimately included in the meta-analysis to estimate the pooled prevalence, based on which the prevalence of obesity and overweight were estimated to be 8% (95% confidence interval [CI], 6%-10%) and 9% (95% CI, 7%-11%), respectively. The results of the subgroup analysis showed that the prevalence of obesity in boys and girls was 9% (95% CI, 6%-13%) and 7% (95% CI, 4-10%), respectively, and the prevalence of overweight in boys and girls was 10% (95% CI, 5%-15%) and 9% (95% CI, 5%-13%), respectively. Conclusion: Despite high heterogeneity among the results of the articles included in the meta-analysis, the prevalence of obesity and overweight is higher in Iranian children under 5 years of age. Therefore, parents and the health system must pay more attention to the lifestyle, nutritional habits, and physical activity of these children.

• Journal of Hospice and Palliative Care
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• 제23권4호
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• pp.212-227
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• 2020

Purpose: This study presents the process of designing workbooks for advance care planning appropriate for the Korean cultural setting and describes actual case studies. Methods: This study focused on single inductive case studies of the utilization of an advance care planning workbook and recruited individual participants. Results: The workbook for adolescents contained six sessions and the workbook for children contained seven sessions. The workbook sessions led to four major discoveries: 1) considering the Korean cultural context, discussions on life and death must be held indirectly; 2) the role of the counselor as a supporter is crucial for the workbook to be effective; 3) the workbook must be accessible regardless of the seriousness of the illness; and 4) patients must be able to make their own choice between the workbook versions for children and adolescents. Six facilitating factors improved engagement: 1) the role of the counselor as a supporter; 2) building trust with the patient; 3) affirming freedom of expression on topics the patient wished to avoid talking about; 4) having discussions on what private information to keep secret and to whom the information can be disclosed; 5) discovering and regularly discussing relevant topics; and 6) regular communication and information-sharing with the patient's medical service providers. Conclusion: It is necessary to build on actual case studies regarding workbooks for children and adolescents in order to expand the usage of these workbooks to all relevant medical institutions in Korea.

• 사물인터넷융복합논문지
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• 제8권2호
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• pp.25-33
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• 2022

본 연구의 목적은 빅데이터 분석에 기반한 대학입시 홍보 실천 사례를 통해 각 대학에 특화된 고유의 입시홍보 전략 마련은 물론 대학 입시홍보의 페러다임 혁신을 위한 기초자료를 제공하기 위함이다. 이를 위해 대학 홍보 또는 마케팅 관련 선행문헌과 중부권 사례대학을 방문한 예비대학생의 인식, 그리고 검색엔진 데이터베이스의 자료를 빅데이터로 정의하고 분석하였다. 그 결과 대학 '입시홍보' 및 '마케팅' 관련 선행연구들은 학령기 인구감소에 대한 대응방안 마련의 일환으로 2000년대와 2010년대에 비약적으로 늘어났고, 예비대학생들은 방문 경험이 있는 사례대학에 대해 긍정적 인식전환이 있었다. 이에 본 연구는 예비대학생 방문을 촉진하는 입시홍보 전략의 필요성과 사례대학의 지역 및 학과특성에 기반한 입시홍보 전략의 선택과 집중, 우선순위를 제안하고자 한다.

• 보건행정학회지
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• 제33권4호
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• pp.421-431
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• 2023

Background: The coronavirus disease 2019 (COVID-19) pandemic has led to socio-economic issues, highlighting the importance of strengthening health systems for future infectious diseases. This study aims to analyze the relationship between health system preparedness, response levels, and COVID-19 fatality rates across 194 countries. Methods: This study examined various indicators of national health system preparedness and response, including health service delivery, health workforce, health information systems, essential medicines and health products, health financing, and leadership and governance. Results: A correlation was found between the health system and the COVID-19 case fatality rate (CFR). Further examination of specific indicators within health service delivery, health workforce, health information systems, health financing, and leadership/governance showed significant correlations with the CFR. Multiple regression analysis, considering aging and urbanization rates, identified reproductive/maternal/newborn and child health, infectious diseases, nursing and midwifery personnel density, birth registration coverage, and out-of-pocket health expenditure as significant factors affecting the CFR. Conclusion: Countries with strong health system indicators experience lower case fatality rate from COVID-19. Strengthening access to essential health services, increasing healthcare personnel and resources, ensuring reliable health information, and bolstering overall health systems are crucial for preparedness against future infectious diseases.