윤리적 행동에 영향을 미치는 개인-환경 요인에 대한 심리학 연구 고찰

조은별 ( Cho¸ Eunbyul ) 국민대학교 스포츠윤리연구소 2021 스포츠와 윤리 Vol.1 No.1

본 연구는 심리학 연구가 윤리적 행동에 미치는 요인들을 탐구한 주요 결과들을 고찰하여 스포츠윤리 및 스포츠윤리교육에 적용할 수 있는 시사점을 제안하는 것을 목적으로 하였다. 윤리적 행동에 미치는 영향을 심리학 연구의 접근방식에 따라 개인 요인, 환경 요인, 개인 요인과 환경 요인의 상호작용으로 구분하여 관련 연구들을 정리하였다. 개인요인으로 인지 부조화, 자기조절, 자아고갈을 주제로 한 연구를 살펴보았고, 환경 요인으로는 모델링, 동조효과, 윤리적 풍토에 대한 연구를 정리하였다. 심리학 연구에서 논의하는 윤리적 행동의 발현 기제에 대한 관점을 적용하여, 스포츠 맥락에서 윤리적 행동을 강화하고 비윤리적 행동을 감소하기 위한 스포츠윤리 연구 및 스포츠윤리 교육의 구체적인 방안들이 개발될 수 있을 것이다. 연구 결과를 바탕으로 시사점과 추후 연구의 방향을 제안하였다. This study aimed to explore psychological factors effecting on ethical behavior and to propose implications that can be applied to sport ethics domain and sport ethics education by reviewing academic researches of psychology. Psychological studies, which focus on ethical behavior and its predictors, have been divided into three dimension based; individual factors, environmental factors, and interaction factors between individual and environmental factors. Studies on cognitive dissonance , self-regulation, and ego depletion as individual factors were explored, and studies on modeling, conformity effects, and ethical climate were summarized as environmental factors. Applying the perspective on the mechanism of ethical behavior discussed in psychological research, specific methods and strategies of sports ethics research and sports ethics education could be developed to strengthen ethical behavior and reduce unethical behavior in sports contexts. Based on the findings, I propose implications and directions for further research.

Trends in Current Clinical Research on Herbal Medicines and Gut Microbiota

Eunbyul Cho,Mi-Kyung Jeong 한국콘텐츠학회(IJOC) 2024 International Journal of Contents Vol.20 No.1

Gut microbiota, regarded as the second genome of the human body, has become a key modulator of cancer treatment. It is an emerging topic in precision medicine, and many studies have reported that the variability in most diseases and individuals is related to gut microbiota characteristics. Numerous clinical studies on cancer treatment have demonstrated a correlation between therapeutic responses to immunotherapeutic cancer drugs and gut immunity or the microbiome. In this paper, we present the current clinical research on herbal medicines and gut microbiota and explore the possibility of integrative cancer treatment with herbal medicines and immunotherapeutic cancer drugs. We identified six clinical trials enrolled in the Clinical Research Information Service and five clinical studies on gut microbiota and herbal medicines in MEDLINE via PubMed. Generally, clinical studies have used 16S rRNA sequencing to analyze the gut microbiota. Study findings have suggested that the gut microbiota can be used as a biomarker to predict the pharmacological effects of herbal medicines. Gut microbiota modifications by herbal medicines may inhibit tumor progression. Herbal medicines are metabolized to active substances through interactions with the microbiome and control the dysbiosis of the gut microbiome. Further research on the possibility of individualized precision medicine by analyzing the gut microbiota after administering herbal medicine is needed.

Effects of the COVID-19 Pandemic on the Medical Use of Elderly Patients with Hypertension: A Nationwide Cohort Study in Korea

Eunbyul Cho,Sujeong Han,Jae-ryun Lee,Hyejin Lee,Bumjo Oh 대한가정의학회 2024 Korean Journal of Family Medicine Vol.45 No.5

Background: The coronavirus disease 2019 (COVID-19) pandemic has disrupted healthcare services, including chronic disease management, for vulnerable groups, such as older individuals with hypertension. This study aimed to evaluate hypertension management in South Korea’s elderly population during the pandemic using treatment consistency indices such as the continuity of care (COC), modified, modified continuity index (MMCI), and most frequent provider continuity (MFPC). Methods: This study used the Korea Disease Control and Prevention Agency-COVID-19-National Health Insurance Service cohort (K-COV-N cohort) from the National Health Insurance Service between 2017 and 2021. The research included a total of 4,097,299 hypertensive patients aged 65 years or older. We defined 2018 and 2019 as the baseline period before the COVID-19 pandemic and 2020 and 2021 as the COVID-19 period and calculated the indices of medical continuity (number of visits, COC, MMCI, and MFPC) on a yearly basis. Results: The number of visits decreased during the COVID-19 period compared to the baseline period (59.64±52.75 vs. 50.49±50.33, P<0.001). However, COC, MMCI, and MFPC were not decreased in the baseline period compared to the COVID-19 period (0.71±0.21 vs. 0.71±0.22, P<0.001; 0.97±0.05 vs. 0.96±0.05, P<0.001; 0.8±0.17 vs. 0.8±0.17, P<0.001, respectively). Conclusion: COVID-19 had no significant impact on the continuity of care but affected the frequency of outpatient visits for older patients with hypertension. However, this study highlights the importance of addressing healthcare inequalities, especially in older patients with hypertension, during pandemics and advocates for policy changes to ensure continued care for vulnerable populations.

Trends in Current Clinical Research of Herbal Medicines and Gut Microbiota

Eunbyul Cho,Mi-Kyung Jeong 한국콘텐츠학회 2022 한국콘텐츠학회 ICCC 논문집 Vol.2022 No.12

Assessment of Acupuncture and Moxibustion Medicine Clinical Practice Using the Objective Structured Clinical Examination

Cho, Eunbyul,Lee, Ju-Hyun,Kwon, O Sang,Hong, Jiseong,Cho, Nam Geun Korean AcupunctureMoxibustion Medicine Society 2021 대한침구의학회지 Vol.38 No.3

Background: The objective structured clinical examination (OSCE) is a widely used method to assess the clinical performance of students in clinical practice. Although OSCE has been used for undergraduate students of Korean medicine, this has not been widely reported. Methods: In 2020, the practical course for acupuncture and moxibustion medicine (acupuncture, electroacupuncture, pharmacopuncture, auricular acupuncture, and burning acupuncture) was taught using flipped learning, according to clinical practice guidelines, and assessed by the OSCE. The appropriateness of this model of education and its evaluation using OSCE were evaluated using a 5-point Likert scale, and the results were analyzed. Results: Of the respondents, 67% reported that the OSCE accurately reflected their competency, and 82% reported that online video lectures helped them to improve their clinical skills. The average adequacy score of the model was > 3.7/5, and the average adequacy score of the checklist used in the OSCE was > 4.1/5 for all 5 clinical application skills. The difference in the mean self-efficacy score between students who had taken the OSCE and those students who had not taken the OSCE, was highest in the burning acupuncture group (0.923). Conclusion: This study showed that students' satisfaction with the OSCE was high and flipped learning was an effective education model. In the future, models representing the human body or simulated patients should be used to evaluate students' skills and attitude.

Mobile Lifestyle Intervention with Partial Meal Replacements Improves Liver Functions in Metabolic Dysfunction Associated Steatotic Liver Disease; A Randomized Controlled Trial

( Eunbyul Cho ),( Sunwoo Kim ),( Soonkyu Kim ),( Ju Young Kim ),( Hwa Jung Kim ),( Yumi Go ),( Yu-jeong Lee ),( Haesol Lee ),( Siye Gil ),( Sung Kwan Yoon ) 대한간학회 2024 춘·추계 학술대회 (The Liver Week) Vol.2024 No.1

Complex Korean Medicine Treatment after Elbow Replantation Following Traumatic Amputation: A Case Report

Eunbyul Cho,Shin-Hyeok Park,Hyesoo Jeon,Nam Geun Cho 대한침구의학회 2023 대한침구의학회지 Vol.40 No.1

Very few studies have been reported on upper extremity replantation following traumatic amputation. This case study aimed to report the progress of a patient treated with complex Korean medicine for 1 year after elbow replantation. The patient mainly complained of forearm sensory loss, muscle weakness, and hand pain after undergoing upper limb amputation and emergency replantation. He was hospitalized for approximately 50 days and then received outpatient treatment for approximately 10 months, followed by electroacupuncture, moxibustion, Chuna, herbal medicine, and transcutaneous electrical nerve stimulation. The muscle strength of the wrist joint improved to good (flexion) and fair (extension), and the forearm sensation was partially recovered approximately 10 months after the onset. To our knowledge, this is the first case report on replantation rehabilitation in Korean medicine, and it suggests that complex Korean medicine treatment might be beneficial for patients undergoing replantation after upper extremity amputation.

학술연구와 소셜 빅데이터의 창의성에 대한 인식 비교 : 텍스트마이닝을 활용한 주제어 분석을 중심으로

조은별(Cho, Eunbyul),민지연(Min, Jiyeon),박수원(Park, Soowon) 한국창의력교육학회 2020 창의력교육연구 Vol.20 No.3

본 연구는 학술연구를 중심으로 구축된 형식지와 소셜 빅데이터를 중심으로 형성된 암묵지를 비교하여 창의성에 대한 인식을 확인하고, 창의성 연구의 방향을 모색하는 것을 목적으로 한다. 주제어 ‘창의성’으로 검색되는 학술연구와 웹페이지의 텍스트를 수집하여 텍스트마이닝을 실시하였다. 연구 결과, 창의성에 관한 학술연구의 형식지와 소셜 빅데이터의 암묵지는 다른 양상을 나타냈다. 빈도 분석 결과, 학술연구에서는 창의성 교육과 관련된 단어가, 소셜 빅데이터에서는 인지적 능력으로서 창의성 및 창의성이 적용되는 다양한 분야와 관련된 단어가 높은 빈도를 보였다. 유사도 분석 결과, 학술연구에서는 창의성이 다양한 관점을 고려하며 기존의 정렬 방식에서 벗어나 이루어지는 의사결정력과 유사한 의미로 인식되었고, 소셜 빅데이터에서는 문제의 근본적 쟁점을 집념을 가지고 다루는 능력, 지식을 표상하는 능력과 유사하게 인식되었다. 토픽 모델링 결과, 학술연구는 창의성 발현 기제 및 교육과 관련된 5개 주제로 정리되었고, 소셜 빅데이터는 기업 및 정부 주도 사업과 같이 구체적인 해결 과제가 부여된 맥락에서의 창의성과 관련된 7개 주제로 정리되었다. 창의성에 대한 형식지와 암묵지의 차이는 우리 사회의 창의성에 대한 지식 구축과 활용에 제약이 될 수 있다. 연구 결과를 종합하여, 창의성에 대한 형식지와 암묵지 간의 순조로운 변환을 통해 창의성과 관련된 지식 구축과 활용이 활성화되기 위한 방안을 제안하였다. The purpose of this study was to verify the perception of creativity by comparing explicit knowledge built around academic articles and tacit knowledge (or explicit knowledge) formed around social big data and to seek the future direction of creativity research. Using text-mining techniques, we analyzed text of academic articles and web-sites about ‘creativity’. The results of frequency analysis showed that keywords about creativity education showed the highest frequency in academic article whereas ‘creativity as cognitive ability’ and ‘kinds of field or domain to be needed creativity’. To find the meaning of ‘creativity’ in the context of each dataset, words with the highest similarities with ‘creativity’ were examined. The results of similarity analysis revealed that ‘various perspectives’, ‘rearrange’, and ‘decision making’ showed the highest similarity in academic articles, whereas ‘representation’ and ‘commitment’ emerged as the highest similarity in social big data. The topic modeling results showed that the main keywords of academic articles could be categorized into ‘direction of creativity development’, ‘effect of creativity education’, ‘development of creativity program’, ‘mechanisms of creativity’, and ‘social impact of creativity’, whereas the main topics in social big data were ‘competition for creative ideas’, ‘support system’, ‘government-level project’, ‘creative environment’, ‘corporate recruitment’, ‘government s direction of policy of creativity’, and ‘ability to cope with corporate crisis’. Finally, we suggested that the future theories and principles about creativity need to be identified and developed in through conversion between explicit and tacit knowledge of creativity.

경골 고평부 골절 수술 후 관절가동추나의 적용 : 증례보고 2례

조은별(Eunbyul Cho),조남근(Nam geun Cho) 척추신경추나의학회 2020 척추신경추나의학회지 Vol.15 No.2

Objectives The purpose of this study was to report the effect of Korean medicine treatment, including the application of joint mobilizing chuna, by reporting two cases after tibial plateau fracture surgery. Methods Two patients with tibial plateau fractures were treated using joint mobilizing chuna, myofascial chuna, acupuncture, and herbal medication. The effect of the treatments was evaluated using the range of motion, manual muscle test, numeric rating scale, and Korean Knee Injury and Osteoarthritis Outcome Score. Results In both cases, the range of motion, muscle strength, and pain were significantly improved. In particular, the range of motion for knee joint flexion increased by 47° in case 1 and 30° (right) and 42° (left) in case 2. Conclusions Korean medicine treatment, especially joint mobilizing chuna, may be an effective intervention for rehabilitation after tibial plateau fracture surgery.

공최(LU6)를 활용한 치질치료의 근거에 대한 문헌고찰

조은별 ( Eunbyul Cho ),김청수 ( Cheoung Su Kim ),남연경 ( Yeonkyeong Nam ),권오상 ( O Sang Kwon ),양승범 ( Seung Bum Yang ),김재효 ( Jae-hyo Kim ) 경락경혈학회 2021 Korean Journal of Acupuncture Vol.38 No.4

Objectives : Acupoint LU6 (Gongchoe) is known as an acupoint for the treatment of pain and bleeding caused by hemorrhoids. The purpose of this study was to critically review acupoint LU6 for treating hemorrhoids. Methods : We searched both ancient and modern literature of acupuncture and moxibustion using keywords “Gongchoe” and “hemorrhoids”. We further performed an online ancient literature search for crosscheck. The searched literature was stratified by country (Korea, China, and Japan), and data were organized chronologically. Concerning literature related to hemorrhoids, data based on acupuncture treatment were compiled. Results : The bone proportional measurement of the forearm had been 12.5 cun until the Qing Dynasty but was recorded as 10 cun in “Shinkyushinzui,” and the majority of modern Japanese and Korean literature indicated it as 10 cun. Gongchoe for treating hemorrhoids has been reported in the literature, including “Shinkyushinzui” (Japan, 1941), “Shiyoungzongguo-zhenjiujingxuexue” (Taiwan, 1963), “Gyeonghyeolhak” (Korea, 1971), and “Jinzhenmeihuashichao” (China, late Qing dynasty), but except “Jinzhenmeihuashichao”, the location is different from the World Health Organization (WHO) standard acupoint location as it is 7 cun from the wrist out of 10 cun of the forearm bone proportional measurement. In addition, classical guides published until the Qing Dynasty did not report acupoint LU6 for the treatment of hemorrhoids. Conclusions : It is necessary to distinguish between Gongchoe in “Shinkyushinzui” and LU6 in WHO standard acupuncture point locations. Gongchoe (LU6)’s primary treatment for hemorrhoids has not been described in the classical literature, and further clinical evidence is needed to support it. When using Gongchoe for hemorrhoids, we should consider that the location of Gongchoe is closer to the LU5 than the standard acupuncture point locations and it is meaningful not only for treatment but also for diagnosis.