• 의학교육논단
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• 제24권2호
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• pp.103-112
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• 2022

The purpose of this study was to explore, using topic modeling, the social value of doctors and medicine demanded by society as reflected in published newspaper articles in Korea. Ultimately, this study aimed to reflect social needs in the process of developing the Patient-Centered Doctor's Competency Framework in Korea. For this purpose, a total of 2,068 newspaper articles published from 2016 to 2020 were analyzed. Through topic modeling of these newspaper articles over the past 5 years, 18 topics were derived and divided into four categories. Focusing on the derived topics and keywords, the topics derived in specific years and the proportion of topics by year were analyzed. The results of this study make it possible to grasp the needs of society projected through the press for doctors and medicine. Due to the nature of the press, topics that frequently appeared in newspaper articles were mainly social phenomena related to requirements for doctors, particularly dealing with economic and legal aspects. In particular, it was confirmed that doctors are now required to have a wider range of competencies that go beyond their required medical knowledge and clinical skills. This study helped to establish doctor's competencies by analyzing social needs for doctors through the latest research methods, and the findings could help to establish and improve doctor's competencies through ongoing research in the future.

• Journal of Nutrition and Health
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• 제55권6호
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• pp.699-708
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• 2022

Purpose: Adequate nutrition is to be provided for normal growth and development during early childhood. Currently, childcare teachers provide lunch to most children in Korea. The purpose of this study was to investigate the portion size provided by teachers and examine the effect of education on food serving size. Methods: The subjects were childcare teachers (n = 120) in charge of children aged 3-5 years at a daycare center in Hanam-si. The survey was conducted through questionnaires which included questions on the general characteristics of the teachers, their nutritional education status, and the source of nutrition information. In addition, the portion sizes of items on the menu currently provided to children were measured and the data were analyzed. To assess the effectiveness of education in determining serving size, the subjects were randomly equally divided into two groups. In the first group (n = 60) theoretical education on nutrition and serving sizes was given, whereas in the second (n = 60), practical education on these topics was provided. Results: The difference between the actual portion size of rice and the serving size announced on the menu was observed to decrease along with the increase in the experience of the teacher, although the differences in the main dish and kimchi were higher. The gap between the serving size mentioned in the menu and the portion size distributed widened as the age of the teachers increased. Notably, the difference between the portion size and the serving size of food decreased after both practical and theoretical education. Furthermore, the effect of education on the serving size of the main dishes (p < 0.001), side dishes (p < 0.01), and kimchi (p < 0.01) was observed to be greater in the practical education group than in the theoretical education group. Conclusion: Regular education should be provided to teachers on the serving sizes mentioned in the menu, as the quantity of food served depends on the experience and age of teachers. In the case of rice, theoretical education alone sufficed to ensure a proper serving size. However, hands-on training on the main and side dishes, and kimchi would be much more helpful.

• 한국노년학
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• 제30권4호
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• pp.1329-1344
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• 2010

본 연구는 라디오 노인 대상 프로그램의 제작자들이 어떠한 인식을 가지고 노인 대상 프로그램을 제작하는 지를 고찰했다. 이를 위해 현재 노인 대상 라디오 프로그램 제작에 참여하고 있는 PD, 작가, 진행자를 심층 인터뷰했다. 연구결과, 첫째로, 제작자들은 노인대상 프로그램의 청취자들이 충직한 청취자 군을 형성하고 있다고 파악했다. 노인들은 프로그램 내용면에서는 건강, 정보, 노래 부르기를 선호하고, 진행자와 의사사회관계를 형성했다. 둘째, 방송사들은 이윤 획득이나 청취율보다는 공익 구현과 방송사의 이미지 제고를 위해 노인대상 프로그램을 편성했다. 노인 대상 프로그램은 모두 새벽 시간대에 편성되고 있다는 고정관념과는 달리 채널의 성격에 따라 오후 황금시간대 편성이 되기도 했다. 대상 시청자층은 60세 이상 노인에서 40대, 50대로 확대되는 경향이 나타났다. 셋째로 라디오 프로그램의 제작자의 역할에서는 진행자와 작가의 역할이 돋보였다. 진행자는 해당 프로그램을 상징하는 존재로서 청취자를 결집하는 구심점이 되었다. 작가는 장기간 집필하면서 프로그램의 명맥을 있는 역할을 하며 전문 작가 군을 형성하고 있다. 반면 PD는 방송사의 편성 방침에 따라 6개월-1년 단위로 교체되어 프로그램의 운영이나 내용 면에서 새로움과 변화를 가져오는 역할을 하는 것으로 확인되었다.

• 한국의사학회지
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• 제36권1호
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• pp.99-112
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• 2023

This paper analyzes the historical context, the author, and the organization of contents of Dongseo uihak youi (Essentials of Eastern and Western Medicines), which was written by Do Jinwoo. In the colonial situation of the early twentieth century, the tradition of Korean medicine faced crises and challenges in many ways. Members of the Korean medicine community were simultaneously faced with continuing the tradition of Korean medicine and becoming healthcare providers with a specific role within the healthcare system of the time. Dongseo uihak youi is the result of the collective and official efforts of the Association of Korean Medicine of the time to maintain its tradition where only Western medicine was officially allowed to be taught and tested after the promulgation of the Rules of the Medical Student (ŭisaeng). Dongseo uihak youi was the first Korean medicine book to precisely describe and compare the names of diseases in Eastern and Western medicines. Dongseo uihak youi contained not only medical theories and prescriptions but also laws and forms, in that the purpose of the book was not simply to cultivate clinical skills but also to demarcate the boundary of medical knowledge and activities required of a practitioner of Korean medicine in the modern colonial health care system of the time.

• Korean Circulation Journal
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• 제54권3호
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• pp.126-137
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• 2024

Background and Objectives: The impact of off-hours admission (such as weekends, nighttime, and non-working hours) vs. regular hours (weekdays and daytime working hours) on the mortality risk of patients undergoing surgery for type A aortic dissection (TAAD) repair is still uncertain. To address this uncertainty, we undertook a comprehensive systematic review and meta-analysis. We aimed to assess the potential link between off-hours admission and the risk of mortality in patients undergoing TAAD repair surgery. Methods: We conducted a thorough search of the PubMed, Embase, and Cochrane Library databases, covering the period from their inception to May 20, 2023. Our inclusion criteria encompassed all studies that examined the potential relationship between off-hour admission and mortality in individuals who had undergone surgery for TAAD repair. The odds ratios (ORs) were extracted and combined utilizing a random effects model for our synthesis. Results: Nine studies with 16,501 patients undergoing TAAD repair surgery were included in the meta-analysis. Overall, patients who underwent surgery during the weekend had higher in-hospital mortality (pooled OR, 1.41; 95% confidence interval [CI], 1.14-1.75; p=0.002) than those treated on weekdays. However, the mortality risks among patients who underwent TAAD surgery during nighttime and non-working hours were not significantly elevated compared to daytime and working hours admission. Conclusions: Weekend surgery for TAAD was associated with a higher in-hospital mortality risk than weekday surgery. However, further studies are warranted to identify and develop strategies to improve the quality of round-the-clock care for patients with TAAD.

• Korean Circulation Journal
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• 제54권6호
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• pp.295-310
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• 2024

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 has led to a global health crisis with substantial mortality and morbidity. To combat the COVID-19 pandemic, various vaccines have been developed, but unexpected serious adverse events including vaccine-induced thrombotic thrombocytopenia, carditis, and thromboembolic events have been reported and became a huddle for COVID-19 vaccination. Vaccine-related myocarditis (VRM) is a rare but significant adverse event associated primarily with mRNA vaccines. This review explores the incidence, risk factors, clinical presentation, pathogenesis, management strategies, and outcomes associated with VRM. The incidence of VRM is notably higher in male adolescents and young adults, especially after the second dose of mRNA vaccines. The pathogenesis appears to involve an immune-mediated process, but the precise mechanism remains mostly unknown so far. Most studies have suggested that VRM is mild and self-limiting, and responds well to conventional treatment. However, a recent nationwide study in Korea warns that severe cases, including fulminant myocarditis or death, are not uncommon in patients with COVID-19 VRM. The long-term cardiovascular consequences of VRM have not been well understood and warrant further investigation. This review also briefly addresses the critical balance between the substantial benefits of COVID-19 vaccination and the rare risks of VRM in the coming endemic era. It emphasizes the need for continued surveillance, research to understand the underlying mechanisms, and strategies to mitigate risk. Filling these knowledge gaps would be vital to refining vaccination recommendations and improving patient care in the evolving COVID-19 pandemic landscape.

• Korean Circulation Journal
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• 제52권10호
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• pp.785-794
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• 2022

Background and Objectives: Self-monitoring of blood pressure (SMBP) is a reliable method used to assess BP accurately. However, patients do not often know how to respond to the measured BP value. We developed a mobile application-based feed-back algorithm (SMBP-App) for tailored recommendations. In this study, we aim to evaluate whether SMBP-App is superior to SMBP alone in terms of BP reduction and drug adherence improvement in patients with hypertension. Methods: Self-Monitoring of blood pressure and Feed-back using APP in Treatment of UnconTrolled Hypertension (SMART-BP) is a prospective, randomized, open-label, multicenter trial to evaluate the efficacy of SMBP-App compared with SMBP alone. Patients with uncomplicated essential hypertension will be randomly assigned to the SMBP-App (90 patients) and SMBP alone (90 patients) groups. In the SMBP group, the patients will perform home BP measurement and receive the standard care, whereas in the SMBP-App group, the patients will receive additional recommendations from the application in response to the obtained BP value. Follow-up visits will be scheduled at 12 and 24 weeks after randomization. The primary endpoint of the study is the mean home systolic BP. The secondary endpoints include the drug adherence, the home diastolic BP, home and office BP. Conclusions: SMART-BP is a prospective, randomized, open-label, multicenter trial to evaluate the efficacy of SMBP-App. If we can confirm its efficacy, SMBP-App may be scaled-up to improve the treatment of hypertension.

• 한국식품영양학회지
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• 제10권2호
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• pp.219-227
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• 1997

본 연구는 유치원 및 어린이집 교사들의 어린이 영양에 관한 태도를 조사하고 그들의 영양에 관한 교육 경험이 영양지식에 미치는 영향에 관해 조사, 분석하였으며 그 결과는 다음과 같이 요약된다. 1. 응답 교사가 어린이 5대 생활지도 중에서 가장 중요 점을 두는 것은 사회생활이 50.5%로 가장 높았으며 건강생활은 37.3%로 2번째로 나타났다. 2. 어린이 영양교육의 필요성에 대해서 교사들의 36.3%가 '매우 필요하다'고 응답하였으며 58.8%가 '필요하다'고 응답하여 95.1%가 필요성을 인식하고 있는 것으로 조사되었다. 3. 영양프로그램 참가 기회가 주어진다면 교사들의 28.4%가 반드시 참가하겠다고 응답하였고 55.9%가 참가하려고 노력하겠다고 응답하여 전체의 84.3%가 긍정적인 답을 하였다. 4. 급식시간과 영양교육의 관련성에 대한 생각을 묻는 질문에 '어린이들의 사회화에 필요한 시간'이라는 응답이 55.4%, '영양에 관해 교육할 기회'가 30.9%로 나타났다. 5. 어린이의 영양교육방법은 38.3%가 '급식시간을 활용하여 교육한다'고 응답하였으나 '특별히 주제를 정하고 시청각 교재를 활용하여 영양교육을 한다'는 경우는 3.9%로 나타났다. 또한 '급식시간의 영양교육활용 가능성은 인정하나 활용하지는 않는다' 응답한 교사가 47.5%로 조사되었다. 6. 교사들의 영양지식에 관한 점수는 총 20점 만점에 10.9$\pm$3.0으로 나타났다. 7. 영양교육 프로그램 차가 경험이 있는 교사는 전체의 18.6%였으며 그들의 영양지식 점수는 11.0$\pm$3.0, 경험이 없는 교사는 10.3$\pm$3.1이었다. 재학시 영양과목 이수 경험이 있는 교사는 전체의 44.6%였으며 그들의 영양지식 점수는 11.1$\pm$2.9, 이수 경험이 없는 교사는 10.6$\pm$3.2로 나타나 영양교육 경험이 있는 교사들이 다소 높은 점수를 나타냈으나 검정 결과 유의성은 나타나지 않았다.

• 대한지역사회영양학회지
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• 제12권6호
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• pp.854-863
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• 2007

This study was performed to compare nutritional supplementation habits for Korean professional soccer players with those for the non-athletic male adults. Information about prevalence and kinds of supplements taken, information sources, nutrition knowledge were collected. Data were obtained from 53 football players working for Korean professional football clubs and 44 non-athletic males, who answered a list of questionnaires which had been prepared in advance. The prevalence of supplement use in the soccer player group (96%) was strikingly higher than in the nonathletic male group (34%). Vitamins were taken most frequently, followed by red ginseng, multivitamin, Chinese medicine and amino acids supplements in the soccer player group, with each player taking 2.96 kinds of supplements in average. Multivitamin was the most popular supplement in the non-athletic male group. The major reason for taking supplements was not to feel and recover from fatigue in both groups. It appeared that the non-athletic males started to use supplements mostly by recommendation of friends or colleagues. Meanwhile, soccer players took supplements on their needs, with half of them (50.1%) provided with nutrition information. The most important information source was coaches for soccer players group, and mass media for the non-athletic male group. The average scores of soccer players group on basic nutrition and athletic nutrition were lower than the respective values of the non-athletic males. Among the soccer players, 68% had taken more than 3 kinds of supplements during the last year; nonetheless, more than half could not perceive the effectiveness of the supplements. Our results show that supplementation practices were widespread in soccer players, and suggest that nutrition education for proper use of supplements and overall health care is needed for soccer players.

• Journal of Oral Medicine and Pain
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• 제33권1호
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• pp.1-8
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• 2008

타액에 존재하는 여러 항균물질은 상호작용을 통하여 부가적이거나 상승작용을 나타내고 때로는 저해작용을 나타내는 것으로 알려져 있다. 본 연구는 in vitro 상에서 lysozyme과 peroxidase 사이의 상호작용을 효소활성 측면에서 조사하고자 시행되었다. Lysozyme과 peroxidase의 상호작용은 hen egg-white lysozyme(HEWL)과 bovine lactoperoxidase(bLP)를 혼합하는 방법으로 조사되었고, peroxidase system이 lysozyme에 미치는 영향은 potassium thiocyanate와 hydrogen peroxide를 추가적으로 첨가하는 방법으로 조사되었다. Lysozyme 활성은 Micrococcus lysodeikticus 기질용액의 혼탁도 변화를 측정하는 방법으로 측정되었고, peroxidase 활성은 NbsSCN 법으로 측정되었다. Wilcoxon signed rank 법을 이용하여 lysozyme과 peroxidase 효소활성 변화를 대조군과 비교하였다. 생리적 농도범위에서 bLP는 HEWL의 효소활성을 증가시켰으며(P < 0.05), 그 효과는 bLP의 농도증가에 따라 영향을 받았다. 하지만 HEWL는 bLP의 효소활성에 영향을 주지 못하였다. Thiocyanate는 HEWL의 효소활성에 영향을 주지 못하였고, potassium thiocyanate와 hydrogen peroxide를 추가한 peroxidase system도 HEWL 효소활성의 추가적인 상승을 유도하지는 못하였으며, hydrogen peroxide의 농도변화도 영향을 미치지 못하였다. 본 연구의 결과는 타액 항균 물질을 포함하고 있는 구강건강용품이나 구강에서 lysozyme과 peroxidase의 상호작용을 이해하는데 필요한 중요한 정보를 제공해준다.