• 제목/요약/키워드: Primary and Secondary School

검색결과 859건 처리시간 0.026초

금연에 대한 침술 병용 치료의 효과 및 안전성 : 체계적 검토를 위한 프로토콜 (The effectiveness and safety of acupuncture combination treatment on smoking cessation: A protocol for systematic review)

  • 최인서;성원석;조민기;김정현;박연철;김은정;백용현;김근우;서병관
    • 대한융합한의학회지
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    • 제3권1호
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    • pp.5-13
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    • 2022
  • Objectives: Smoking had a long negative impact on public health. The ingredients of a cigarette are major risk factors for several diseases. Owing to the problems about economic and quality of life, we need to ensure smoking cessation (SC). There are several approaches for SC including pharmacological therapy, nicotine replacement therapy, education, and behavioral intervention. However, due to some limitations, other alternative approaches are gaining popularity. Acupuncture has been reported to have few side effects and be more effective than some conventional treatments in several articles. However, there are no systematic reviews on the comparison of acupuncture combination treatment with other conventional monotherapies. Methods: Randomized controlled trials that used acupuncture as an adjunct treatment for SC will be searched and data will be summarized according to the predefined criteria. The primary outcome will be the abstinence rate, and secondary outcomes will be adverse events and biochemical indicators. We will use Review Manager to perform a meta-analysis, Cochrane Collaboration Risk of Bias tool for the risk of bias assessment, and the Grades of Recommendation, Assessment, Development and Evaluation approach to determine the quality of evidence. We will investigate the efficacy and safety of acupuncture combination treatment for SC with this study. Ethics and dissemination: This study will provide reliable clinical evidence on additional effect of acupuncture on smoking cessation. We will publish our results in a peer-review journal.

사회적 트라우마의 개성화와 치유를 위한 미디어 테라피 가능성 연구 융(Jung)의 집단 무의식과 개성화 사유를 중심으로 (A Study on Media Therapy Experience for Individuation and Treatment of Social Trauma Focusing on Jung's Collective Unconsciousness and Individuation)

  • 유숙;강진숙
    • 한국언론정보학보
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    • 제80권
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    • pp.167-192
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    • 2016
  • 본 연구의 목적은 세월호 참사로 인한 사회적 트라우마 현상을 분석하고, 미디어를 통한 트라우마 테라피의 의미와 한계가 무엇인지를 탐구하는 데 있다. 이를 위해 융의 집단 무의식과 원형, 개성화의 개념을 적용했고, 세월호 참사의 유가족, 심리상담 전문가, 일반인 자원봉사자와 일대일 심층인터뷰 및 초점집단인터뷰를 진행했다. 그 결과, 연구참여자들은 일차적/이차적 피해 경험에 따라 고립감, 불안 등 각기 다른 형태의 사회적 트라우마를 겪고 있으나, 공동체로서 사회적 트라우마를 함께 극복해나갈 수 있는 가능성을 나타냈다. 둘째, 연구참여자들의 일상생활에서 죽음과 삶, 애도와 기억 등의 원형이 표출되고 있었다는 점, 또한 테라피 활동을 통해 다양한 원형들의 상징이 포착되었다는 점을 확인했다. 마지막으로, 세월호 참사 피해자들을 대상으로 한 미디어 테라피 프로그램은 여러 측면에서 한계가 있지만 시간과 장소에 구애받지 않는 공예 활동의 테라피 효과가 높다는 점은 디지털 미디어를 통한 트라우마 테라피의 가능성을 시사한다. 본 연구는 사회적 트라우마의 문제점을 드러내고 개성화를 통한 치유와 미디어 테라피의 가능성을 고찰하기 위한 기초 자료를 제시했다는 점에 의의가 있다.

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하악 제3대구치의 존재여부 및 매복양상이 하악 우각부 골절과 과두 골절의 발생에 미치는 영향 (The impact of the presence and aspect of mandibular third molars to the mandibular angle and condyle fractures)

  • 이영주;송윤정;홍순민;채상식;강현우;최동주;박준우
    • 대한치과의사협회지
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    • 제50권9호
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    • pp.566-573
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    • 2012
  • Purpose : This study evaluated the impact of the presence and aspect of mandibular third molars to the mandible angle fracture or condyle fractures in Korean. Materials and Methods : A retrospective study was designed for patients attending the division of Oral and Maxillofacial Surgery, Kang-dong sacred heart hospital for treatment of mandibular fracture from January 2006 to September 2010. The primary variable was the presence of mandibular third molar and the secondary variable was the aspects of third molar impaction. Mandibular third molars were classified by the impaction depth and the available space as Pell & Gregory system. Outcome variables were the presence of mandibular angle fracture or condyle fracture. Also the source of trauma, age, sex were studied. Hospital charts, radiographs were used for study. Statistic analysis was done with descriptive statistics, the X2-test, linear-by-linear association. P value under 0.05 was considered significant statistically. Results : The number of involved patients was 86. The ratio of male to female patients was about 9:1 for angle fracture and 7:3 for condyle fracture. The most common source of trauma was assault for angle fracture and fall down for condyle fracture. The presence of mandibular third molar increased frequency of angle fracture and decreased condyle fracture with larger impaction depth. But available space of mandibular third molar did not show high association with angle or condyle fractures. Conclusion: Preventive extraction of mandibular third molar is recommended for patients with high risk of angle fracture. Male patients at their third decade or martial artists, police officer could be the case. But it is not recommended for patients with low risk of angle fracture and high risk of condyle fracture relatively. Elder female patients without any symptom on their third molar could be the case.

LC/MS/MS를 이용한 어린이 소변 중 프탈레이트 대사산물 분석 (Determination of Phthalate Metabolites in Korean Children's Urine by High Performance Liquid Chromatography with Triple Quadrupole Tandem Mass Spectrometry)

  • 고영림;정지연;최경호;김판기
    • 한국환경보건학회지
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    • 제34권4호
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    • pp.271-278
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    • 2008
  • Dialkylated phthalates have been commonly used as plasticizers and a variety of applications. Phthalate diesters have been shown to be developmental and reproductive toxicants. It is very difficult to exactly estimate the dose of dialkylated phthalates taken up by the general population because of environmental contamination. Urinary metabolites of phthalates enabled to estimate internal exposure. The objective of this study was quantitative determination of phthalate metabolites by LC/MS/MS with on-line cleanup method to analyze phthalate metabolites in Korean children's urine. We employed LC/MS/MS with on-line enrichment and column-switching techniques for this biological monitoring. Metabolites determined were 4 primary metabolites; MEHP, MnBP, MiBP, MEP and 2 secondary metabolites of DEHP; 5-OH-MEHP), 5-oxo-MEHP. We analyzed children's urine from 30 boys and 30 girls. The method detection limit of phthalate metabolites were 0.03 ng/mL for MEP, 1.05 ng/mL for MBP, 0.22 ng/mL for MEHP, 0.15 ng/mL for 5-OHMEHP and 0.16 ng/mL for 5-oxo-MEHP, respectively. Switching Column LC/MS/MS was proven to be a useful tool to determine metabolites of phthalate diesters in human urine. The correlation among phthalate metabolites was very high and statistically significant, except MEP. The children's age (months) was negatively correlated to the concentration of phthalate metabolites. The geometric mean concentration of phthalate metabolites (mg/g creatinine) in children's urine were 25.5 for MEP, 130.3 for MnBP, 56.8 for MiBP, 19.5 for MEHP, 85.6 for 5-OH-MEHP and 83.1 for 5-oxo-MEHP, respectively. Levels of estimated daily intake of parent phthalate compounds (${\mu}g$/kg bw/day) were 0.8 for DEP, 5.0 for DnBP, 1.9 for DiBP and $8.9{\sim}14.2$ for DEHP, respectively. Estimated daily intake for DEP and DiBP were lower than those of other studies but the value for DEHP was higher than that of other study.

Clinical Efficacy and Safety of Gyebutang Granules Combined with Acupuncture for the Treatment of Knee Osteoarthritis: Protocol for a Multicenter, Randomized, Assessor-blinded, 2-armed Parallel, Controlled Trial

  • Lee, Cham-Kyul;Kang, Ha-Ra;Lee, Yeon-Sun;Sung, Won-Suk;Lim, Chi-Yeon;Jung, Chan-Yung;Kim, Eun-Jung;Seo, Byung-Kwan;Baek, Yong-Hyeon;Kim, Kyung-Ho;Lee, Eun-Young
    • Journal of Acupuncture Research
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    • 제37권2호
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    • pp.102-109
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    • 2020
  • Background: Due to the aging population in Korea, knee osteoarthritis (KOA) has become an increasingly common condition. Many patients with KOA prefer analgesics, herbal medicines, acupuncture, or exercise, rather than arthroscopic surgery or a knee replacement. Gyebutang (GB) granules are a herbal extract widely used to treat KOA in traditional Korean medicine, but there is insufficient evidence of its efficacy and safety. Methods: A multicenter, randomized, assessor-blinded, 2-armed parallel, controlled clinical trial has been designed to investigate the efficacy and safety of GB combined with acupuncture for the treatment of KOA. There will be 100 patients with KOA enrolled in the study from 3 traditional Korean medicine hospitals. The participants will be randomly allocated to an experimental group (GB and acupuncture) or a control group (celecoxib and acupuncture) in a 1:1 ratio. Both groups will receive acupuncture treatment once a week for 6 weeks; one group will receive GB and the other will receive celecoxib for the same duration. Results: The primary outcome will be the change of knee osteoarthritic pain, based on scores on a 100 mm visual analog scale. The secondary outcomes will be scores on a numeric rating scale, the Western Ontario and McMaster Universities osteoarthritis index, patient global assessment, European quality of life 5-dimension 5-level scale, and adverse events. Conclusion: The results of this study will provide evidence of efficacy and safety of GB as a treatment for patients with KOA.

옴니채널에서 식품쇼핑의 사용자 경험 디자인 연구 (A Study on Food Shopping User Experience Design of Omni-channel)

  • 김지해;김승인
    • 디지털융복합연구
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    • 제14권7호
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    • pp.403-409
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    • 2016
  • 본 연구는 옴니채널 환경의 식품쇼핑 경험연구이다. 안전한 먹거리에 대한 관심은 IT의 발전에 따라 소비자의 다양한 요구에 합리적 방식으로 진화하며 이를 충족한 다양한 채널 증가로 이어졌다. 옴니채널은 소비자의 필요와 욕구를 채우는 것뿐 아니라 고객 행동 이해와 경험 가치를 부여한 실증적 사용자 유형 고찰이 필요했다. 온라인 설문 결과, (1)오프라인 식품쇼핑은 대 소형 마트, 1개월에 2~3회, 품질상태 고려, 신선식품을 직접 구매하기 위해 방문 (2)온라인 식품쇼핑은 온라인 커머스, 1개월에 2~3회, 가격/혜택을 고려, 과일/견과를 주로 구매로 나타났다. 이후 고관여자 8인의 심층면접에서 식품구매여정 4단계를 통해 식품쇼핑 경험을 파악하였다. '건강'과 '식단'을 식품쇼핑 핵심 가치로 한 퍼소나는 가족과 건강을 중요시하고 '절약'을 우선하는 프라이머리 퍼소나와 일과 개인을 중시하며 '자동수급'을 하는 원하는 세컨더리 퍼소나로 세분된 방안을 제시하였다. 본 연구를 통해 옴니채널 식품쇼핑 경험을 위해서는 건강하고 균형 잡힌 식생활의 맥락에서 기능과 서비스 방안을 모색하는 데 도움이 될 것으로 기대한다.

알코올성 지방간 환자에 있어 전침 치료의 효과: 무작위 배정 대조군 연구 (The Effects of Electroacupuncture for Treatment of Patients with Non-Alcoholic Fatty Liver Disease: Prospective Randomized Controlled Study)

  • 이창형;김병석;최애련;김경순;곽민아;김승모
    • 한방비만학회지
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    • 제15권1호
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    • pp.1-8
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    • 2015
  • Objectives: The aim of this study was to evaluate the effectiveness and safety of electroacupuncture for non-alcoholic fatty liver disease (NAFLD). Methods: A randomized, controlled pilot trial was conducted. Twenty-two participants were randomized into one of the two groups: an acupuncture group (n=11) and wait-list group (n=11). The treatment group received 8 sessions of electroacupuncture over 8 weeks. Twenty points (CV4, CV12, both LR14, GB26, ST25, ST34, ST40, ST36, SP4, SP6, LR3) were selected for needling. The control group did not receive acupuncture treatment during study period and followup were done in the 4th and 8th weeks after randomization in both groups. The primary outcome was body fat computed tomography and the secondary outcomes included blood test (aspartate aminotransferase, alanine transferase, triglyceride, total cholesterol, high density lipoproteincholesterol, low density lipoprotein-cholesterol, blood sugar test, ${\gamma}$-guanosine triphosphate) and body composition test (body mass index, weight, body fat mass, body fat rate, waist hip ratio). Safety was assessed at every visit. Results: There was no significant differences in between the experimental group and control group. There were no adverse events. Conclusions: The results suggest that In patients with NAFLD, electroacupuncture treatment did not induce worsening of liver disease and liver function, but it was no improvement symptoms of fatty liver. Study of herb medicine treatments and other acupuncture therapy of NAFLD are required later.

SCM 도입 요인 중요도 분석 (Importance Analysis of SCM Adoption Factors)

  • 김우용;양해술
    • 한국산학기술학회논문지
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    • 제10권9호
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    • pp.2290-2299
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    • 2009
  • 본 연구에서는 선행 연구를 통해 제시된 공급사슬관리 시스템의 다양한 도입 요인에 대해서 그 중요도를 분석하기 위하여 AHP 기법을 이용하여 연구하였다. 지금까지 연구된 공급사슬관리 시스템의 도입 요인에 대해서 국내외 문헌을 통하여 SCM의 도입 요인을 조직 특성, 거래 특성, 관계 특성, 정보 특성 등 4개의 특성으로 범주화하였으며, 각 특성에 대한 세부 도입 요인으로 조직 특성 요인은 도입 전략, CEO 지원, 정보 기술 성숙도, 평가측정시스템 개발, 혁신 선도자 등 5개 요인, 거래 특성 요인은 거래 기간, 납기/품질, 목표 공유 등 3개 요인, 관계 특성 요인은 신뢰, 협력, 갈등, 상호 의존성, 몰입 등 5개 요인, 정보 특성 요인은 정보의 질, 정보 공유, 정보 교환 등 3개 요인을 설정해서 총 16개의 세부 도입 요인으로 분석하였다. AHP 기법을 이용하여 SCM 도입 요인의 중요도를 분석한 결과 SCM 도입 요인에 관한 1차 계층 요인 중에서는 조직 특성(0.387)의 중요도가 가장 높게 분석되었으며, 관계 특성(0.291), 정보 특성(0.167), 거래 특성(0.155) 순으로 분석되었다. 1차 계층 요인의 중요도와 2차 계층 요인의 중요도를 동시에 고려해서 분석한 결과에서는 가장 중요한 도입 요인이 CEO 지원(.169)이었고, 그 다음으로 신뢰(.124), 도입 전략(.089), 목표 공유(.081), 정보 교환(.069), 협력(.064), 정보 공유(.057) 요인 순으로 분석되었다.

퇴행성 슬관절염에 대한 맞춤형 침 치료 효과 검증 무작위 대조군 임상연구(RCT) (ISRCTN 40706107) (Individualized Acupuncture versus Standardized Acupuncture in Symptomatic Treatment of Osteoarthritis of the Knee-a Randomized Controlled Trial (ISRCTN 40706107))

  • 변혁;김선웅;안지현;김용석;서정철;최선미;박지은;;;;이승덕
    • Journal of Acupuncture Research
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    • 제24권4호
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    • pp.183-195
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    • 2007
  • Objectives : To determine whether individualized acupuncture (IA) provides greater pain relief and improved function compared with standardized acupuncture (SA) in patients with osteoarthritis of the knee. Methods: Design is a randomized single blind controlled trial with two intervention arms (IA vs SA) of 6 weeks' duration and 3 months follow up. An orthopedist diagnosed 50 patients' symptoms as knee osteoarthritis. Interventions were applied by 2 residents studying the acupuncture and moxibustion specially in Dongguk University International Hospital. Primary outcome measure is pain as measured by visual analogue scale (VAS). Secondary measures of pain and disability include WOMAC, SF-36, LFI and KHAQ. Results : The 50 participants were well matched for age, sex, bad side, VAS, WOMAC, SF-36, LFI and KHAQ scores at the baseline. 3 participants dropped out. There have not been any adverse events in both groups. Participants in both groups experienced great improvement in all measures except SF-36at 3 and 6 weeks. At 18 weeks, the IA group experienced significantly greater improvement than the SA group in VAS but not in WOMAC, SF-36, LFI and KHAQ. Conclusions : Manipulation of IA seems to provide pain relief longer for osteoarthritis of the knee when compared with SA.

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