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Study on the Validation of Sasang Digestive Function Inventory (SDFI) for Analyzing Pathophysiological Digestive Symptoms and Diagnosing Sasang Types (소화기 소증 분석과 사상체질 진단을 위한 사상소화기능검사(SDFI)의 타당화 연구)

  • Chae, Han;Lee, Jeongyun;Lee, Yong-jae
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.3
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    • pp.1-15
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    • 2021
  • Introduction The clinical usefulness of Sasang Digestive Function Inventory (SDFI) for analyzing Sasang type-specific pathophysiological symptom was illustrated repeatedly. It was revised to enhance its validity, reliability and clinical usefulness, however its clinical studies supporting these were not sufficient yet. Methods 193 healthy university students responded once to Nepean Dyspepsia Index-Korean (NDIK), Functional Dyspepsia-Related Quality of Life (FDQOL), and Dutch Eating Behavior Questionnaire (DEBQ), and twice to SDFI with four weeks of interval. The Body Mass Index (BMI) and Ponderal Index (PI) were also calculated. The 4-week test-retest reliability and correlation coefficients between NDIK, FDQOL, DEBQ, and SDFI were examined using Pearson's correlation. The significant differences between Sasang types in SDFI and its subscales were examined using ANCOVA with the age as covariate. Results The range of test-retest reliability for SDFI and its subscales was from 0.801 to 0.887. The SDFI-total correlated positively with BMI (r=0.323) and DEBQ-External Eating (r=0.433), while the SDFI-Digestion negatively with NDIK (r=-0.472) and FDQOL-total (r=-0.364). The SDFI-Habit correlated positively with BMI (r=0.310) and DEBQ-total (r=0.481), and the SDFI-Appetite with DEBQ-total (r=0.322). The SDFI-total, SDFI-Digestion, and SDFI-Habit scores of Tae-Eum type (35.6±6.25, 12.38±3.24 and 9.89±3.38, respectively) were significantly bigger than those of So-Eum type (29.84±8.31, 9.93±4.28 and 7.66±3.96). Discussion The SDFI was found to be an objective clinical measure with sufficient concurrent validity for measuring eating behavior and quality of life related to overeating and dyspepsia, and illustrated distinctive differences between Sasang types. It might be useful for the effective medical education and integrative medical practice.

Syncope and pneumomediastinum during the maxillary sinus elevation with an air-syringe: a case report (주사기를 이용한 상악동 거상술 시 발생한 실신 및 종격동기종에 관한 증례보고)

  • Kim, Su Wan;Lee, Jonggeun;Song, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.3
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    • pp.171-176
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    • 2021
  • Pneumomediastinum is a very rare and potentially catastrophic complication of dental procedures. Its common causes are tooth extraction, endodontic treatment, and subgingival curettage using handpieces and high-pressure air/water syringes. We present a case of massive pneumomediastinum with subcutaneous emphysema in a 61-year-old female who underwent bone grafting into the maxilla for pretreatment of dental implantation using a syringe. The patient suffered from abrupt severe odynophagia and loss of consciousness. The patient transferred to emergency department and images work-up revealed a pneumomediastinum and subcutaneous emphysema on the entire face and neck. We performed conservative treatments including prophylactic antibiotics, oxygen inhalation, and fasting meals, and then discharge after 7 days uneventfully. The patient's syncope might be resulting from hypotension and pain shock induced by pneumomediastinum with a sudden chest compression. The pneumomediastinum could be resulting from concurrent perforation and massive air infiltration into the maxillary sinus during bone grafting. We suggest that pneumomediastinum needs prompt diagnosis and management because of the risk of airway obstruction when a patient present syncope in the dental room.

A Study on Standardization of a Career Preparation Behavior Scale for College Students (대학생용 진로준비행동검사의 표준화 연구: 4년제 대학생을 대상으로)

  • Seo, Hee-jung;Yun, Myung-hee
    • Journal of vocational education research
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    • v.33 no.3
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    • pp.105-125
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    • 2014
  • The purposes of this study are to develop the standardized tests of career preparation behavior of career preparation behavior for college students. For these, the 'Career Preparation Behavior Scale for College Students' which was developed in 2011 was reviewed and revised. After 609 students were involved and analyzed for the pretest, 1,244 subjects were collected by taking into account gender, grade, major, and location of colleges for developing a standardized test. The Career Preparation Behavior Scale consisted of 3 subareas and 30 items: 11 items for learning area, 12 items for counseling and information collecting area, 7 items for employment action area. The levels of reliabilities, construct validity, discriminant validity, and the concurrent validity were relatively high. Also, the suitability index of the structural model was analyzed to check the structural significance. The degree of career reparation behavior among norm groups was increased in general according to the grades. Scores of students majoring in humanities and social sciences received significantly high scores compared with those of majoring in science and technology or in art and music. But the levels of satisfaction on career preparation behavior were no difference according to gender, grade, and major. 'The Standardized Career Preparation Behavior Scale for College Students' would be used for conducting career education or programs for college students in the future.

Ecological Replacement of Native Rapeseed Weevil (Ceutorhynchus albosuturalis) by Invasive Alien Species, Cabbage Seedpod Weevil (C. obstrictus) on Rapeseed Flowers in Korea (유채 꽃에서 자생종 유채좁쌀바구미(Ceutorhynchus albosuturalis)의 외래침입종 유럽좁쌀바구미(C. obstrictus)로의 생태적 대체)

  • Kim, Kyongyoung;Lee, Wonhoon;Hong, Ki-Jeong
    • Korean journal of applied entomology
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    • v.57 no.4
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    • pp.323-328
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    • 2018
  • Despite rising global concerns over the potential impacts of invasive alien species on indigenous species, the consequences of such introductions are lacking. The cabbage seedpod weevil (CSPW, Ceutorhynchus obstrictus) was found invaded into Korea in the early of 1990s. A large-scale survey in Korea reveals that, in about 20 years post-arrival, the invasive CSPW has become the most abundant on rape flowers and spread almost parts of South Korea including Is. Jeju and Is. Ulleung. Its spread is concurrent with the habitat retraction to cruciferous weeds of the native rapseed weevil (RSW, C. albosuturalis). However, Is. Yeoseo located between the mainland and Is. Jeju, showed their ratio with about 1:1. It suggests that the population of CSPW recently entered this island. Although underlying mechanisms of the decline of native species and increase of invaded species remain unknown, the potential roles of exploitative competition cannot be ruled out. Given that invasive weevil can rapidly replace native congeners, increased level of surveillances is demanding to discourage further invasion of othe alien pests.

The treatment outcome of T2 laryngeal squamous cell carcinoma in one institution with long term follow-up: Radiotherapy alone vs Chemoradiotherapy (T2 후두 편평세포암종에서 단독 방사선치료와 항암방사선병합치료의 비교 연구)

  • Jin, Seong-Min;Kim, Jae-Gu;Park, Kyeong-Suk;Chung, Ik-Joo;Chung, Woong-Ki;Lee, Dong-Hoon;Lee, Joon-Kyoo;Lim, Sang-Chul;Yoon, Tae-Mi
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.2
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    • pp.11-15
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    • 2018
  • Background/Objectives: The efficacy of radiotherapy alone versus chemoradiotherapy has been studied in patients with T2N0M0 laryngeal squamous cell carcinoma. Materials & Methods: Thirty nine patients with newly diagnosed T2N0M0 laryngeal squamous cell carcinoma were treated with either radiotherapy(RT group, 66-70Gy) or chemoradiotherapy(CRT group, cisplatin based concurrent chemoradiation with or without 2 cycles induction chemotherapy including cisplatin, $5-FU{\pm}$ docetaxel / radiation therapy same with above mentioned). The mean follow-up was 73.5 months. Results: The overall survival (OS), disease specific survival (DSS), disease free survival (DFS), and larynx preservation survival (LPS) at 5 years were 70%, 79%, 67%, and 71%. The complete response rate was 82.4% in RT group, and was 95.5% in CRT group. OS (57% vs 80%), DSS (69% vs 86%), DFS (52% vs 77%), and LPS (63% vs 77%) at 5 years were higher in CRT group than RT group, but it was not statistically significant. In subsite analysis, CRT group tends to improve DFS, compared to RT group, in glottic cancer (p=0.06). The toxicities were tolerable and no fatal case was observed in both groups. Conclusion: Chemoradiotherapy is effective as primary therapy for T2 laryngeal squamous cell carcinoma and showed manageable treatment induced toxicity.

A Study on Records Management System through Kyeonggukdaejeon(經國大典) (『경국대전』의 기록관리 규정)

  • Baek, Seon-hyeo
    • The Korean Journal of Archival Studies
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    • no.15
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    • pp.95-140
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    • 2007
  • This study is focused on clarifying the Joseon Dynasty Period's records management system mentioned on Kyeonggukdaejeon(經國大典). Through out investigations of the legislations of public records in 'creating stage', it was revealed. that is, records in creating stage had characters of original records and those was managed as the records themselves and circulated by sending and receiving, and finally those was kept and used in each agency. Through out investigations of the legislations of public records in 'management stage', it was revealed that is, as the Records Management Organization the Chunchukwan(春秋館) was a government agency that is composed by 15 central government agencies' concurrent officials(兼任史官) and took charge of both records creating and records management, and was a central government body for compilation of the Sillok(實錄). As National Archives the Sillok was not accessible at that time. In this point the Sillok is basically different from modem archives that is preserved for use. And the Sillok was compiled from original records, In this point the Sillok is basically different from modern archives that is arranged from original records.

Development and Validation of Tool for the Assessment of Employment Preparedness for People with Visual Impairments (시각장애인 고용준비도 검사지 개발 및 타당화 연구)

  • Jun, Young Hwan;Lee, Tae Hun;Lee, Jae Ho
    • 재활복지
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    • v.21 no.1
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    • pp.27-46
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    • 2017
  • The purpose of this study is to develop tool for the assessment of employment preparedness for people with visual impairments. First, we developed a draft assessment factors. Expert opinion survey, delphi survey, pilot test were conducted to modify contents of the factors. Actual assessments were carried out to test the reliability and validity of the developed tool targeting job seeker with visual disabilities. The total number of valid samples are 253. Principal component analysis, confirmatory factors analysis, and correlation analysis were used for the validity test. Chronbach' alpha analysis was used for the reliability test. As a result of the reliability analysis, the reliability coefficient showed good level of 0.88-0.92. As a result of the factor analysis, it was confirmed that the composition concept of 9 factors were well reflected. The correlation coefficient between employment preparedness tool and job screening tool was 0.501, Which was statistically significant. Therefore, it was evaluated as having a concurrent validity. Finally, it was confirmed that the assessment of employment preparedness for people with visual impairments was valid as assessment tool.

The Study of the Disability Education Experience of the Mothers for their Children with Brain Lesions - Hermeneutic Grounded Theory Methodology - (중증뇌병변장애인 자녀를 둔 어머니들의 장애자녀 교육경험에 관한 연구 -해석학적 질적연구-)

  • Kang, Sun Kyung;Choi, Yoon
    • 재활복지
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    • v.20 no.4
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    • pp.79-106
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    • 2016
  • This study examined the meanings of the disability education of the mothers who reared their children with brain lesions. For this purpose, Rennie's hermeneutic grounded theory was applied and the consented 7 mothers participated in this study. With the in-depth interviews, 53 meaning units, 16 subordinate categories and 7 hermeneutic categories were classified. These 7 hermeneutic categories were 'wailing miserably everyday', 'social mobilization of the surroundings', 'straight forward', 'smash rock with the eggs', 'looking at a faraway', 'learning together' and 'subjectivation of disability education.' The experience of disabled children education process was concurrent experience of frustration and hoping that moving toward a big hope through the resignation stage, the chasing stage, the vision stage, the challenge stage, and the small achievement stage. Repetitive common patterns of behavior revealed three types: wishy-washy type, realistic-strategy type, and indomitable-challenge type. Moreover, the core category of educational experience was concluded to be 'a pedagogical process of turning despair from severe disabilities into hope through education.' Based on the analysis results, concrete intervention plans for social welfare practice were suggested to support the disabled children's lives with high quality of education.

Development and Validation of 25~36 Months Old Infant's Happiness Scale for Teachers (교사용 25~36개월 영아 행복감 척도 개발 및 타당화 연구)

  • Min, Sun-Hee;Kim, Young-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.130-143
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    • 2019
  • The purpose of this study is to identify factors of 25~36 months old infant's happiness and to develop a scale to measure infant happiness. The subjects were 250 infants aged 25~36 months. The results of this study are as follows: First, the components and items of infant's happiness scale selected through the literature, the previous measurement tool, and the focus group interview were 8 components and 29 items. The items were composed of 4 items of problem behavior, 4 items of achievement through immersion, 4 items of relationship with friends, 4 items of relationship with teacher, 3 items of physical environment, 4 items of positive emotion, 3 items of negative emotion, and 3 items of health. Second, as a result of validation of validity for infant's happiness scale, the item fit was confirmed with CFI=0.89, TLI=0.88, and RMR=0.05. Also, the construct validity was confirmed with convergent validity and discriminant validity. The concurrent validity was significantly correlated with the components of the previously developed measurement tools, and the reliability was appeared with 0.71-0.89. The infant's happiness scale developed in this study ensured reliability and validity as a measurement to measure infant happiness. Therefore, this scale is expected to be used as a major test tool to develope and verify a program for promoting infant happiness.

Concurrent Innate Immunity Activation and Anti-inflammation effects of Dialyzed Coffee Extract in RAW 264.7 Cells, Murine Macrophage Lineage (RAW 264.7 세포에서 투석시킨 커피 추출액의 선천면역활성화와 항염증의 동시발생)

  • Yoon, Cheol Soo;Lee, Suk Keun
    • The Korean Journal of Oral and Maxillofacial Pathology
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    • v.41 no.3
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    • pp.121-129
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    • 2017
  • Coffee (Coffea spp.) is one of the most important agricultural commodities, being widely consumed in the world. Various beneficial health effects of coffee have been extensively investigated, but data on habitual coffee consumption and its bio-physiological effect have not been clearly explained as well as it is not proved the cause and effect between drinking coffee and its bio-physiological reactions. We made the dialyzed coffee extract (DCE), which is absorbable through gastrointestinal tract, in order to elucidate the cellular effect of whole small coffee molecules. RAW 264.7 cells, a murine macrophage lineage, were directly treated with DCE, i.e., DCE-2.5 (equivalent to 2.5 cups of coffee a day), DCE-5, and DCE-10, for 12 hours, and their protein extracts were examined by immunoprecipitation high performance liquid chromatography (IP-HPLC). RAW 264.7 cells differently expressed the inflammation-related proteins depending on the doses of DCE. RAW 264.7 cells treated with DCE showed marked increase of cathepsin C, cathepsin G, CD20, CD28, CD31, CD68, indicating the activation of innate immunity. Particularly, the macrophage biomarkers, cathepsin G, cathepsin C, CD31, and CD68 were markedly increased after DCE-5 and DCE-10 treatments, and the lymphocyte biomarkers, CD20 and CD28 were consistently increased and became marked after DCE-10 treatment. On the other hand, RAW 264.7 cells treated with DCE showed consistent increase of IL-10, an anti-inflammatory factor, but gradual decreases of different pro-inflammatory proteins including $TNF{\alpha}$, COX-2, lysozyme, MMP-2, and MMP-3. In particular, the cellular signaling of inflammation was gradually mitigated by the reduction of $TNF{\alpha}$, COX-2, IL-12, and M-CSF, and also the matrix inflammatory reaction was reduced by marked deceases of MMP-2, MMP-3, and lysozyme. These anti-inflammatory expressions were consistently found until DCE-10 treatment. Therefore, it is presumed that DCE may have dynamic effects of innate immunity activation and pro-inflammation suppression on RAW264.7 cells simultaneously. These effects were consistently found in the highest dose of coffee, DCE-10 (equivalent to 10 cups of coffee a day in man), that might imply the small coffee molecules were accumulated in RAW 264.7 cells after DCE-10 treatment and produce synergistic cytokine effects for innate immunity activation and anti-inflammatory reaction concurrently.