• Title/Summary/Keyword: Consensus control

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STandards for Reporting Interventions in Controlled Trials of Acupuncture: The STRICTA Recommendations (침의 대조군연구에서 실험처치 보고에 대한 표준-STRICTA 권장안 및 침임상실험에서 최적의 치료, 거짓대조군 및 블라인딩에 관한 동의안)

  • Lee, Hyang-sook;Park, Jong-bae;Seo, Jung-chul;Park, Hi-joon;Lee, Hye-jung
    • Journal of Acupuncture Research
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    • v.19 no.6
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    • pp.134-154
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    • 2002
  • Acupuncture treatment and control group interventions in parallel-group randomised trials of acupuncture are not always precisely reported. In an attempt to improve standards, an international group of experienced acupuncturists and researchers devised a set of recommendations, designating them STRICTA : STandards for Reporting Interventions in Controlled Trials of Acupuncture. In a further consensus-building round, the editors of several journals helped redraft the recommendations. These follow the CONSORT format, acting as an extension of the CONSORT guidelines for the specific requirements of acupuncture studies. Participating journals are publishing the STRICTA recommendations and requesting prospective authors to adhere to them when preparing reports for publication. Other journals are invited to adopt these recommendations. The intended outcome is that interventions in controlled trials of acupuncture will be more adequately reported, thereby facilitating an improvement in critical appraisal, analysis and replication of trials.

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A Study on the German Mandatory Prescription System : Implications for the Korean System (독일 의약분업제도 운영에 관한 연구 : 한국 의약분업제도에의 함의)

  • Lee, Jun-Young
    • Korean Journal of Social Welfare
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    • v.46
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    • pp.349-376
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    • 2001
  • The objectives of this study is to examine the German mandatory prescription system in terms of the applicability and restriction of the pharmaceutical policy in order to obtain some useful implications for solving the problems in Korean prescription system. Recently, in Germany, an issue about the security of the prescription, the price control of the pharmaceuticals and the containment of the increasing prescription expenditure has been intensively discussed. Similar problems are also occurred in Korea. So, the policy measurements of Germany could be used in Korea. But it could not easy to introduce the German policy measurements in Korea because of the social-institutional differences between the two countries, which are following; (1) Korea has a short experience with the mandatory prescription system, (2) the German concept of the management differs from that of the Korea, (3) the subscribers and the patients are excluded from the decision making process, (4) the medical service providers often resist against reform plans. For the stable development of the Korean prescription system the principle of self-government, the collective bargaining concept for cost containment, and social consensus about optimal expenditure of the pharmaceuticals are expected to be needed.

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Associations between Smoking and Depression in Adolescence: An Integrative Review

  • Park, Sun-Hee;Romer, Dan
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.227-241
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    • 2007
  • Background. Although research has established the existence of an association between smoking and depression among adolescents, researchers have not reached consensus on the nature of the association. Objectives. The purpose of this paper is to review the literature, to examine the nature of the relationship between smoking and depression in adolescence, and to suggest future research directions. Methods. A literature search was conducted from the following six databases: (a) Ovid MEDLINE, (b) CINAHL, (c) PubMed Unrestricted, (d) PsycINFO, (e) ERIC, and (f) Sociological Abstracts. The combinations of the words, "depression," "smoking," "tobacco," "adolescent," and "teen" were used for keyword searches to find relevant articles. Results. In 47 of 57 studies, significant associations between smoking and depression were found. However, these significant relationships may either be spurious or unrelated to depression because a substantial number of studies did not adjust for confounders or did not use validated instruments to measure depression. Additionally, if the relationship is causal, its direction remains controversial. Five relationships have been suggested: (a) Depression causes smoking, (b) smoking causes depression, (c) there is a bidirectional relationship between smoking and depression, (d) smoking and depression occur due to confounders, and (e) subgroups with different relationships between the two conditions exist. Conclusions. It is necessary to further explore the relationship between smoking and depression. Future research should consider the need for: (a) longitudinal research designs, (b) more accurate measurement of depression, and (c) the control of confounders between smoking and depression.

Antioxidant Activity and Its Mechanism of Paeonia lactiflora Pall Extract

  • Heo, Jee-In;Kim, Jeong-Hyeon;Lee, Jeong-Min;Kim, Sung-Chan;Park, Jae-Bong;Kim, Jaebong;Lee, Jae-Yong
    • Natural Product Sciences
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    • v.19 no.1
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    • pp.49-53
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    • 2013
  • Paeonia lactiflora Pall (PL) has been used as a traditional herbal medicine in China, Korea, and Japan for more 1,200 years. PL has reported to have antioxidant activity and protective effect of cells from oxidative stress, although the mechanism has not been verified. FOXO3a is a transcription factor that binds to its target gene's consensus FOXO binding site. FOXO3a protein modulates the various biological functions including cell cycle control, apoptosis, DNA repair, and ROS detoxification. Therefore, FOXO3a activity is associated with cancer, aging, diabetes, infertility, neurodegeneration, and immune system dysfunction. Here we found that FOXO3a was activated by PL extract. Transcriptional target genes such as MnSOD, p27, and GADD45 were activated by PL extract. Protein levels of MnSOD and catalase were increased, consequently, ROS level was reduced in HEF cells by PL extract. These findings suggest that PL extract has an antioxidant activity through FOXO activation and thereby activation of FOXO target genes, MnSOD and catalase.

A Delphi Study of Developing Competency Model for Korean Health Teachers (보건교사의 역량모형 개발을 위한 델파이 연구)

  • Park, Kyoung-Sun;Bae, Eul-Kyoo
    • Journal of the Korean Society of School Health
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    • v.25 no.1
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    • pp.1-13
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    • 2012
  • Purpose: This study was intended to identify the competency model for korean health teachers. In order to enhance job effectiveness and talent development of health teachers in schools, this study would provide policy makers and school administrators with a competency model to be used as a valid and reliable tool for selection, development, and appraisal of health teachers. Methods: This study used three-round Delphi technique, which was a series of surveys to obtain a consensus of experts in school health and health education. 31 experts were finally involved in Delphi panel, which consisted of professors, administrators, and school teachers. Results: This study found that the competency model of health teachers was composed of fourteen competencies and 75 performance indicators. The fourteen competencies were as follows: consulting and teaching competency, students understanding competency, health problem solving competency, health assessment competency, relationship building competency, information management competency, curriculum management competency, teaching activity competency, writing competency, professional expertise competency, health business management competency, self control competency, school commitment competency, and achievement orientation competency. Conclusion: Based on the results of this study, policy makers and school administrators would be able to use the competency model as a tool of new health teachers selection, existing health teachers appraisal, and new and existing teachers training and education. Future research needs to classify the levels of each performance indicator as a kind of behavior indices.

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Intra-organizational Conflict and Innovative Performance in Media Industry: An Exploratory Simulation Study

  • Cheon, Youngjoon;Jeong, Seong Bin;Kwak, Kyu Tae
    • Journal of Internet Computing and Services
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    • v.19 no.2
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    • pp.89-98
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    • 2018
  • Media industry is attempting various types of strategic innovation in the content and organization as they enter transition period. However, previous research has casually treated the organizational culture from the management and realized that cognitive/cultural differences between the specific departments yield conflicts. This means the researchers explored less on the decision-making process with the conflict between sub-groups and constituent in the organization. Our study reviewed the most positive method to achieve the innovation outcome through the conflict management within the organization based on the behavioral theory of the firm and applied computer simulation model for analysis to construct the quantitative scenario and infer the result. Conflict always found while media organization experiences innovation within the groups. However, in the long term, securing the independence through the certain state of 'anarchy' which possibly lead consensus implies significance rather to comprise collegiate system for unilateral control. In specific, this study explored the issues in 'conflict management' that has been evaded in media organization research through NK simulation model.

The Effect on Intervention Program and Auditory-Perceptual Discrimination Feature of Postlingual Cochlear Implant Adults about Pathological Voice (병리적 음성에 대한 언어습득 이후 인공와우이식 성인의 청지각적 변별특성과 중재 프로그램의 효과)

  • Bae, Inho;Kim, Geunhyo;Lee, Yeonwoo;Park, Heejune;Kim, Jindong;Lee, Ilwoo;Kwon, Soonbok
    • Phonetics and Speech Sciences
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    • v.7 no.2
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    • pp.9-17
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    • 2015
  • In the present study, we investigated ability of recognition of auditory perception with regards to the quality of voice in postlingual CI adults and proposed a training program to improve within subject reliability. A prospective case-control study was conducted in adults with 7 postlingual deaf who received a CI surgery and 10 normal hearing controls. The pre and post test and training program included parameters of consensus auditory-perceptual evaluation of voice(CAPE-V) with pathological voice sample by using Alvin. In results of pre-post test for monitoring improvements of internal reliability for listeners via the training program, there was statistically significant difference in both test and group. There was statistically significant difference in internal reliability between pre-post test in the normal hearing group, the result was no significant in the CI group. The present study found that CI adults showed less ability in awareness of voice quality compared to normal hearing group. Also the training program improved pitch and loudness in CI adults.

Helicobacter pylori infection and abdominal pain in children (Helicobacter pylori 감염과 소아 복통)

  • Seo, Jeong Kee
    • Clinical and Experimental Pediatrics
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    • v.49 no.2
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    • pp.136-143
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    • 2006
  • The relationship between H. pylori(Hp) infection and recurrent abdominal pain(RAP) in children is not clear. Current data in the literature regarding a causal relationship between Hp infection and childhood RAP are conflicting. However, meta-analysis and most of the recently published studies have not supported an association between Hp infection and an increased prevalence of abdominal pain. Most published studies have some problems and have been criticized on methodological grounds. Most of the existing studies have not been designed to include double-blind placebo controls. And, because of the low incidence of Hp infection in children, they have a problem of obtaining sufficient numbers of the Hp infected children. There is also a concern about the heterogeneity of testing methodology in the studies and diagnostic accuracy problems of the non-invasive tests such as low sensitivity of the serology tests and false positive results of the UBT in children. And conflicting results may be explained, in part, by the poor definition of RAP or dyspepsia for the study subjects. To date, no consensus exists for the treatment of Hp-infected children with RAP. Some authors suggest the clinical efficacy of Hp. But others suggest that eradication of Hp is not associated with improvement of RAP. The problem of the most treatment studies is that they had usually no control groups and the number of the subjects was small. In order to make reasonable decisions about treatment of Hp infection in children with RAP, long-term, randomized, double blind, well controlled studies in large numbers of children will be required.

An overview of the national immunization policy making process: the role of the Korea expert committee on immunization practices

  • Cho, Hee-Yeon
    • Clinical and Experimental Pediatrics
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    • v.55 no.1
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    • pp.1-5
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    • 2012
  • The need for evidence-based decision making in immunization programs has increased due to the presence of multiple health priorities, limited human resources, expensive vaccines, and limited funds. Countries should establish a group of national experts to advise their Ministries of Health. So far, many nations have formed their own National Immunization Technical Advisory Groups (NITAGs). In the Republic of Korea, the Korea Expert Committee on Immunization Practices (KECIP), established by law in the early 1990s, has made many important technical recommendations to contribute to the decline in vaccine preventable diseases and currently functions as a NITAG. It includes 13 core members and 2 non-core members, including a chairperson. Core members usually come from affiliated organizations in internal medicine, pediatrics, obstetrics, microbiology, preventive medicine, nursing and a representative from a consumer group, all of whom serve two year terms. Non-core members comprise two government officials belonging to the Korea Centers for Disease Control and Prevention (KCDC) and the Korea Food and Drug Administration. Meetings are held as needed, but at least twice a year, and sub-committees are formed as a resource for gathering, analyzing, and preparing information for the KECIP meetings. Once the sub-committees or the KCDC review the available data, the KECIP members discuss each issue in depth and develop recommendations, usually by a consensus in the meeting. The KECIP publishes national guidelines and immunization schedules that are updated regularly. KECIP's role is essentially consultative and the implementation of their recommendations may depend on the budget or current laws.

Effect of an Agreement on Means to Achieve Smoking Cessation Goals among College Student Smokers (흡연 대학생의 목표달성방법 합의가 금연목표달성에 미치는 효과)

  • Choi In-Hee
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1362-1370
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    • 2005
  • Purpose: The purpose of this study was to identify the degree of attaining a smoking cessation goal when an agreement on means to achieve smoking cessation among male college student smokers was established. Method: This study was planned as a nonequivalent control group non-synchronized design and the sample was divided into an agreement group and a comparison group by convenience sampling in a college of G city. The data was analysed with SPSS Win10.0 using a Likelihood $x^2-test$, Odds ratio, Paired t-test and ANCOVA. Result: The theory that the degree of smoking cessation will be higher in the agreement group than the Comparison group was rejected (${\delta}$ = 2.567, p = .055). The theory that nicotine dependency will be lower in the agreement group than the comparison group was supported (F = 3.965, P = .049); however, the theory that the number of cigarettes smoked per day will be lower in the agreement group than the comparison group was rejected (F = 1.342, p = .252). Conclusion: It has been shown that an agreement on means to achieve smoking cessation goals is a key factor to success in quitting smoking.