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AGREE II를 이용한 턱관절 장애의 국내외 기개발 임상진료지침의 평가
윤예지,박혜성,김형석,전준영,박재현,신우철,김세윤,배준형,윤정민,김고운,하인혁,이윤재,김미령,송미연,조재흥,Yoon, Ye-Ji,Park, Hye-Sung,Kim, Hyungsuk,Jeon, Junyung,Park, Jae-Hyun,Shin, Woochul,Kim, Seyoon,Bae, Jun-hyeong,Yun, Jung-min,Kim, Koh-Woon 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4
Objectives This study is aimed to identify and evaluate the already developed clinical practice guidelines (CPGs) of temporomandibular disorders (TMD) and contribute to making decisions in developing Korean medicine CPG of TMD. Methods We searched electronic database and selected CPGs of TMD according to the inclusion and exclusion criteria. Then, we made appraisal of selected CPGs by using AGREE II (Appraisal of Guidelines for Research & Evaluation II). Results Four CPGs are included and appraised with AGREE II. Among 6 domains of AGREE II, all CPGs failed to score over 60% in four domains. Only one CPG mentioned acupuncture as an adjunctive treatment for myofascial TMD. Conclusions It is difficult to indicate that included CPGs are with sufficient quality to recommend and it appears not to be appropriate to apply these already developed CPGs in Korean medicine clinical fields. Therefore, developing a new Korean medicine clinical practice guideline of TMD is required.
좌골신경통 백서모델에서 침치료의 효과: 체계적 문헌고찰 및 메타분석
윤예지 ( Ye-ji Yoon ),김수전 ( Soojeon Kim ),조재흥 ( Jae-heung Cho ),김고운 ( Koh-woon Kim ),송미연 ( Mi-yeon Song ) 한방재활의학과학회 2020 한방재활의학과학회지 Vol.30 No.1
Objectives While sciatic neuropathy is one of the common symptoms which have the lifetime incidence of 13~40%, still there is no consensus about the standardized and the most effective conservative treatment. In addition, the importance of systematic review and meta-analysis of preclinical are growing as they could suggest possible effective treatment strategy for future studies. Therefore, we conducted systematic review and meta-analysis to estimate analgesic effect of acupuncture on sciatica in rat models. Methods Systematic search was conducted for all controlled comparative preclinical trials which assessed analgesic effect of acupuncture in sciatica rat models. Database of PubMed, EMBASE, Web of Science, CNKI and 6 Korean databases were used. The primary outcome was pain, which is evaluated by stimulus behavior tests in rat models. We assessed the methodological quality with Systematic Review Centre for Laboratory Animal Experimentation’s risk of bias tool. RevMan 5.3 was used for meta-analysis and subgroup analysis was conducted according to treatment site, acupuncture point, treatment period and frequency used in electroacupuncture. Results 14 studies were finally included following our inclusion criteria. The data from meta-analysis indicated that the acupuncture significantly improved the result values of behavior tests for pain evaluation, compared to no-treatment control group in animal models (standardized mean difference=4.43, 95% confidence interval 3.16 to 5.69, Z=6.84, p<0.00001; χ<sup>2</sup>=68.02, p<0.00001; I<sup>2</sup>=82%). The results of subgroup analysis indicate that acupuncture treatment of unilateral site, distal acupoints, longer treatment period and applying 2/100 Hz frequency in electroacupuncture could be more effective. Conclusions Systematic review and meta-analysis of animal studies are getting important for the future clinical studies and the improvement of heatlh care. Therefore the results of the study would provide evidence and better design for the forthcoming studies. (J Korean Med Rehabil 2020; 30(1):79-93)
학자금 대출이 재학 중 일경험을 매개로 예체능계열 대졸자의 전공일치 취업에 미치는 영향
윤예지 ( Yoon Yea Ji ),김이경 ( Kim Ee Gyeong ) 인하대학교 교육연구소 2021 교육문화연구 Vol.27 No.1
본 연구는 학자금대출 상환 부담 정도가 예체능계열 대졸자의 전공일치 취업에 미치는 영향에 대해 분석하고 재학 중 일경험의 매개효과를 분석할 목적으로 수행되었다. 이를 위해 2018 대졸자직업이동경로조사(2017GOMS)의 데이터 중 학자금대출 경험이 있는 4년제 일반대학 예체능계열 대졸자 311명의 응답자료를 토대로 기술통계, 다중회귀분석, 로지스틱 회귀분석 방법을 활용하였다. 연구 결과, 첫째, 예체능계열 대졸자의 학자금대출 상환부담정도는 상당히 높았고 전공일치 취업 수준은 보통 정도였으며, 재학 중 일경험이 있는 학생이 더 많은 것으로 확인되었다. 둘째, 학자금대출 상환부담정도가 높을수록 전공일치 취업은 통계적으로 유의하게 낮아지는 것으로 확인되었다. 셋째, 학자금대출 상환부담정도는 재학 중 일경험의 하위요소 가운데 경험일자리 전공일치도와 유의한 관계가 있었다. 넷째, 재학 중 일경험의 하위요소인 경험일자리 전공일치도는 학자금대출 상환부담정도와 전공일치 취업과의 관계에서 매개효과를 가지는 것으로 확인되었다. 본 연구는 전국적 데이터에 기반하여 그동안 체계적으로 조사되지 않았던 4년제 예체능계열 대졸자의 학자금대출 상환 부담 정도와 재학 중 일경험, 전공일치 취업 간의 관계를 검증하였는데 의의가 있다. 또한 청년들이 전공을 통해 축적한 교육과 기술, 지식과 일치하는 일자리에 취업할 수 있는 여건을 만들어 주기 위해서는 높은 교육비용으로 인한 가계 부담을 줄일 수 있도록 하는 것이 중요하며, 이는 학자금대출 상환부담정도에 따라 취업 후 전공과 직무 간의 일치 수준에 차이가 있다는 점을 확인하였다는 데 의의가 있다. 이러한 결과를 토대로 예체능계열을 대상으로 한 정부 학자금지원 제도의 개선, 대학 차원에서의 진로 및 취업지원제도 마련이라는 정책적 시사점을 제시하였다. The purpose of this study was to analyze the effect of the degree of student loan repayment burden on the employment of college graduates in the arts and sports field, and to analyze the mediating effect of work experience while in school. To this end, technical statistics, multiple regression analysis, and logistic regression analysis were used based on the response data of 311 college graduates in the arts and sports department of a four-year general university, among the data from the 2017 GOMS. As a result of the study, first, it was confirmed that the degree of repayment of student loans for college graduates in the arts and sports field was quite high, the level of employment with the same major was moderate, and more students with work experience while enrolled were confirmed. Second, it was confirmed that the higher the degree of student loan repayment burden, the less statistically significant job-matched employment. Third, the degree of repayment of student loans had a significant relationship with the degree of agreement between the majors in the work experience during enrollment. Fourth, it was confirmed that the degree of concordance between experience and job, which is a sub-factor of work experience while attending school, has a mediating effect in the relationship between the degree of repayment of student loans and employment with matching majors. This study is meaningful in verifying the relationship between the degree of repayment of student loans for college graduates in the arts and sports fields of four years, which has not been systematically investigated until now, based on national data, work experience while attending school, and employment with matching majors. In addition, it is important to reduce the burden on households caused by high education costs in order to create conditions for young people to find employment in jobs that match the education, skills, and knowledge accumulated through their major. This is due to the burden of repaying student loans. Accordingly, it is meaningful to confirm that there is a difference in the level of agreement between major and job after employment. Based on these results, policy implications were suggested improving the government's student financial aid system for arts and sports fields and preparing career and employment support systems at the university level.