This study focused its investigation on esoteric Buddhist treatment methods during Goryeo. In Goryeo, they published dharani scriptures related to illness. Beomseo-chongji-jip (梵書摠持集), a collection of dharanis, contains few dharanis for treatment. The publication of a dharani scripture was a precondition of dharani-based Buddhist prayers. There had been cases of treating illness through Buddhist prayers based on a dharani since ancient times, and Hyetong (惠通) of Samgukyusa (三國遺事) is a good example. The religious sect of esoteric Buddhism that inherited the line of Hyetong in Goryeo was Chongji-jong (摠持宗), which seems to have been partially responsible for royal medicine and engaged in relief activities for people to end an infectious disease. During the period of Yuan (元)’s interventions, Yeom Seung-ik (廉承益) became a favorite of the king for his ability of treating illness through his spells. He was not a Buddhist monk, and his case reflects the wide spread of disease-treating spells among common people those days.
The establishment of a ritual was one of the traditional therapies. In Goryeo, various esoteric Buddhist rituals were held for therapeutic purposes. Marijicheon-doryang (摩利支天道場), Gongjakwang-doryang (孔雀王道場), and Buljeongsim-doryang (佛頂心道場) were established to expel infectious diseases, and Sojae-doryang (消災道場) and Boseong-doryang (寶星道場) were established to treat the illness of kings and queens. They were intended to treat illness by eliminating the causes of epidemics and diseases by the virtue of dharanis.
Esoteric Buddhist therapies containing Taoist elements were also developed. The utilization of Eight-Gate Transformation (奇門遁甲) and talismans are the exampels. In early Joseon, Buddhist monks of Chongji-jong were said to have contributed to the treatment of diseases by using Eight-Gate Transformation. They were used to predict a good direction for the treatment of a patient. This practice of Chongji-jong Buddhist monks in early Joseon seems to have inherited the heritage of Goryeo, which suggests that Eight-Gate Transformation was one of the therapies practiced by esoteric Buddhist monks in Goryeo. Talismans are commonly known to be used in Taoism and shamanism, but Buddhist scriptures, especially esoteric Buddhist scriptures, contain a variety of talismans. Buljeongsim-darani-gyeong has talismans on its last page and records that one can treat his or her illness by burning the talisman and taking its ash. This therapy proposed by this scripture seems to have enjoyed considerable popularity in Goryeo, when its simplified versions comprised only of dharani phrases and talismans were made.
These various esoteric Buddhist therapies demonstrate that human beings made utmost efforts to overcome their personal and social crises. Therapies are a total reflection of a society’s contemporary politics, religion, ideas, and culture. Esoteric Buddhist therapies may seem like superstitions in the eyes of modern people, but they must have been reliable treatment methods whose efficacy was guaranteed within the thinking system of people during Goryeo.

This study focused its investigation on esoteric Buddhist treatment methods during Goryeo. In Goryeo, they published dharani scriptures related to illness. Beomseo-chongji-jip (梵書摠持集), a collection of dharanis, contains few dharanis for treatment. The publication of a dharani scripture was a precondition of dharani-based Buddhist prayers. There had been cases of treating illness through Buddhist prayers based on a dharani since ancient times, and Hyetong (惠通) of Samgukyusa (三國遺事) is a good example. The religious sect of esoteric Buddhism that inherited the line of Hyetong in Goryeo was Chongji-jong (摠持宗), which seems to have been partially responsible for royal medicine and engaged in relief activities for people to end an infectious disease. During the period of Yuan (元)’s interventions, Yeom Seung-ik (廉承益) became a favorite of the king for his ability of treating illness through his spells. He was not a Buddhist monk, and his case reflects the wide spread of disease-treating spells among common people those days.
The establishment of a ritual was one of the traditional therapies. In Goryeo, various esoteric Buddhist rituals were held for therapeutic purposes. Marijicheon-doryang (摩利支天道場), Gongjakwang-doryang (孔雀王道場), and Buljeongsim-doryang (佛頂心道場) were established to expel infectious diseases, and Sojae-doryang (消災道場) and Boseong-doryang (寶星道場) were established to treat the illness of kings and queens. They were intended to treat illness by eliminating the causes of epidemics and diseases by the virtue of dharanis.
Esoteric Buddhist therapies containing Taoist elements were also developed. The utilization of Eight-Gate Transformation (奇門遁甲) and talismans are the exampels. In early Joseon, Buddhist monks of Chongji-jong were said to have contributed to the treatment of diseases by using Eight-Gate Transformation. They were used to predict a good direction for the treatment of a patient. This practice of Chongji-jong Buddhist monks in early Joseon seems to have inherited the heritage of Goryeo, which suggests that Eight-Gate Transformation was one of the therapies practiced by esoteric Buddhist monks in Goryeo. Talismans are commonly known to be used in Taoism and shamanism, but Buddhist scriptures, especially esoteric Buddhist scriptures, contain a variety of talismans. Buljeongsim-darani-gyeong has talismans on its last page and records that one can treat his or her illness by burning the talisman and taking its ash. This therapy proposed by this scripture seems to have enjoyed considerable popularity in Goryeo, when its simplified versions comprised only of dharani phrases and talismans were made.
These various esoteric Buddhist therapies demonstrate that human beings made utmost efforts to overcome their personal and social crises. Therapies are a total reflection of a society’s contemporary politics, religion, ideas, and culture. Esoteric Buddhist therapies may seem like superstitions in the eyes of modern people, but they must have been reliable treatment methods whose efficacy was guaranteed within the thinking system of people during Goryeo.

PURPOSE: School meal programs should be part of the educational process to promote good eating habits for students. The purpose of this study was to develop an evaluation scale for educational school meal programs and evaluate the achievement level of educational school meal programs using the developed scale. METHODS: The evaluation scale for educational school meal programs consisted of 23 items in eight categories and was developed using content validity ratio (CVR) analysis and analytic hierarchy process (AHP) by 15 related experts. The results of a survey on nutrition teachers or dietitians at 91 elementary, middle, and high schools in Gyeonggi province, South Korea were analyzed to evaluate the achievement levels of educational school meal programs. RESULTS: Overall, total average score was 45.7 out of 100, with significant differences among schools (p = 0.005). Elementary schools (51.9) showed a higher average score than middle (41.5) and high schools (37.1). The score for the category of regular nutrition and dietary education was the lowest (5.7 out of 33.7). In addition, school meal environment (5 out of 10), educational activities through school meal time (9.2 out of 19), and extra-curricular experiential activities (3.5 out of 10) also showed inadequate levels. CONCLUSION: The results show that the overall level of educational school meal programs is not adequate and needs to be improved, especially at middle and high schools. Government support polices need to be implemented to encourage educational activities related to school meal programs.
Eating ; Education ; Gyeonggi-do* ; Humans ; Korea* ; Meals* ; Nutritionists

BACKGROUND/OBJECTIVES: School meals are not just meals consumed at school, they are part of the culture, education, and life experience at school. Nevertheless, few studies have revealed the influence of school meals on students' school lives. The purpose of this study was to investigate the effect of satisfaction with the school meal program on students' school happiness. SUBJECTS/METHODS: A survey conducted in December 2015 asked 2,336 students (1,062 elementary school students, 880 middle school students, and 394 high school students) about their satisfaction with the school meal program and their school happiness. Multiple regression analyses were used to examine the relation between the students' school meal satisfaction and their happiness level. RESULTS: The average level of satisfaction with school meals of elementary school students was 4.1 out of 5 points, comparatively higher than that of middle and high school students, with a significant difference between school levels (P < 0.001). In addition, school happiness, as well as overall happiness, of elementary school students was higher than that of middle and high school students (P < 0.001). The school meal operation factor (0.232, P < 0.001) had the most influence on students' school happiness, followed by the school meal environment factor (0.219, P < 0.001) and school meal quality factor (0.136, P < 0.001). Overall satisfaction (0.097, P = 0.001) and school meal hygiene factor (0.095, P = 0.001) also had significant influences on students' school happiness. CONCLUSIONS: Students' satisfaction with the school meal program was related to their school happiness. Therefore, plans to enhance students' satisfaction with a school meal program needs to be implemented, with emphasis on placing a priority on school meal operation and school environment factors, in order to improve students' level of happiness.
Education ; Happiness* ; Humans ; Hygiene ; Korea* ; Life Change Events ; Meals*

BACKGROUND/OBJECTIVES: This study investigated the importance and performance level of sodium reduction practices in school meal service by school nutrition teachers and dietitians, and compared them according to school level and placement of the school nutrition teacher. SUBJECTS/METHODS: An online survey was conducted with 608 nutrition teachers and dietitians in schools in the Republic of Korea from September 28 to November 12, 2021 (response rate: 57%). The questionnaire comprised 11 items related to sodium reduction practices (purchasing, food preparation and serving, and education). The importance and performance level of each item was rated on a 5-point scale. The mean differences were analyzed using t-tests or one-way analyses of variance and Duncan’s post-hoc tests. An importance-performance analysis was performed on sodium reduction practices. RESULTS: Participating in sodium reduction education, sodium reduction education for cooks, and sodium reduction education for students were assessed to have high importance but low performance. Overall, the higher the school level, the lower was the importance level of sodium reduction practices. The performance in kindergartens and elementary schools was higher than that in middle and high schools. The importance in the purchasing category perceived by dietitians was lower as compared to nutrition teachers. In addition, the performance in the purchasing, food preparation and serving, and education categories perceived by dietitians was lower than those of nutrition teachers. CONCLUSION Sodium reduction education for nutrition teachers and dietitians, cooks, and students should prioritize practicing sodium reduction in school meal service. Specific guidelines for managing sodium reduction at all stages—purchasing, food preparation, and serving—should also be developed. The results could be used as basic data to reduce the sodium content in school meals.

Anogenital wart caused by human papillomavirus (HPV) is the most common sexually transmitted infection. High-risk strains, such as types 16 and 18, cause penile cancer in men, cervical and vulvar cancers in women, and head and neck cancers and anal cancer in both sexes. Since these malignant tumors can be prevented through vaccination, the importance of vaccination is emphasized. However, because HPV is known to cause cervical cancer, vaccination is only being administered to women. Some countries vaccinate men as well, but in South Korea, only girls are included in the National Immunization Program. However, screening for HPV in men is not possible, and the virus causes various malignant tumors, with a sharp increase in head and neck cancers, as well as a surge in genital warts in the country. In addition, HPV worsens sperm quality. Moreover, the need for vaccines is increasing as the known methods for preventing HPV-related diseases in men are decreasing and the disease burden is increasing. As cost-effectiveness studies have shown that the cost-effectiveness of vaccination is lower for men than for women, it is unlikely that male vaccination will be included in national immunization programs. Many countries overseas, especially a very small number of OECD (Organization for Economic Cooperation and Development) countries including South Korea, are implementing mandatory vaccination for women. Vaccinating men and women, would be cost-effective and efficient in achieving herd immunity. In addition to herd immunity, the inclusion of male vaccination in the National Immunization Program is imperative given the rapidly increasing incidence of diseases in men.

Anogenital wart caused by human papillomavirus (HPV) is the most common sexually transmitted infection. High-risk strains, such as types 16 and 18, cause penile cancer in men, cervical and vulvar cancers in women, and head and neck cancers and anal cancer in both sexes. Since these malignant tumors can be prevented through vaccination, the importance of vaccination is emphasized. However, because HPV is known to cause cervical cancer, vaccination is only being administered to women. Some countries vaccinate men as well, but in South Korea, only girls are included in the National Immunization Program. However, screening for HPV in men is not possible, and the virus causes various malignant tumors, with a sharp increase in head and neck cancers, as well as a surge in genital warts in the country. In addition, HPV worsens sperm quality. Moreover, the need for vaccines is increasing as the known methods for preventing HPV-related diseases in men are decreasing and the disease burden is increasing. As cost-effectiveness studies have shown that the cost-effectiveness of vaccination is lower for men than for women, it is unlikely that male vaccination will be included in national immunization programs. Many countries overseas, especially a very small number of OECD (Organization for Economic Cooperation and Development) countries including South Korea, are implementing mandatory vaccination for women. Vaccinating men and women, would be cost-effective and efficient in achieving herd immunity. In addition to herd immunity, the inclusion of male vaccination in the National Immunization Program is imperative given the rapidly increasing incidence of diseases in men.

Anogenital wart caused by human papillomavirus (HPV) is the most common sexually transmitted infection. High-risk strains, such as types 16 and 18, cause penile cancer in men, cervical and vulvar cancers in women, and head and neck cancers and anal cancer in both sexes. Since these malignant tumors can be prevented through vaccination, the importance of vaccination is emphasized. However, because HPV is known to cause cervical cancer, vaccination is only being administered to women. Some countries vaccinate men as well, but in South Korea, only girls are included in the National Immunization Program. However, screening for HPV in men is not possible, and the virus causes various malignant tumors, with a sharp increase in head and neck cancers, as well as a surge in genital warts in the country. In addition, HPV worsens sperm quality. Moreover, the need for vaccines is increasing as the known methods for preventing HPV-related diseases in men are decreasing and the disease burden is increasing. As cost-effectiveness studies have shown that the cost-effectiveness of vaccination is lower for men than for women, it is unlikely that male vaccination will be included in national immunization programs. Many countries overseas, especially a very small number of OECD (Organization for Economic Cooperation and Development) countries including South Korea, are implementing mandatory vaccination for women. Vaccinating men and women, would be cost-effective and efficient in achieving herd immunity. In addition to herd immunity, the inclusion of male vaccination in the National Immunization Program is imperative given the rapidly increasing incidence of diseases in men.

Anogenital wart caused by human papillomavirus (HPV) is the most common sexually transmitted infection. High-risk strains, such as types 16 and 18, cause penile cancer in men, cervical and vulvar cancers in women, and head and neck cancers and anal cancer in both sexes. Since these malignant tumors can be prevented through vaccination, the importance of vaccination is emphasized. However, because HPV is known to cause cervical cancer, vaccination is only being administered to women. Some countries vaccinate men as well, but in South Korea, only girls are included in the National Immunization Program. However, screening for HPV in men is not possible, and the virus causes various malignant tumors, with a sharp increase in head and neck cancers, as well as a surge in genital warts in the country. In addition, HPV worsens sperm quality. Moreover, the need for vaccines is increasing as the known methods for preventing HPV-related diseases in men are decreasing and the disease burden is increasing. As cost-effectiveness studies have shown that the cost-effectiveness of vaccination is lower for men than for women, it is unlikely that male vaccination will be included in national immunization programs. Many countries overseas, especially a very small number of OECD (Organization for Economic Cooperation and Development) countries including South Korea, are implementing mandatory vaccination for women. Vaccinating men and women, would be cost-effective and efficient in achieving herd immunity. In addition to herd immunity, the inclusion of male vaccination in the National Immunization Program is imperative given the rapidly increasing incidence of diseases in men.

Anogenital wart caused by human papillomavirus (HPV) is the most common sexually transmitted infection. High-risk strains, such as types 16 and 18, cause penile cancer in men, cervical and vulvar cancers in women, and head and neck cancers and anal cancer in both sexes. Since these malignant tumors can be prevented through vaccination, the importance of vaccination is emphasized. However, because HPV is known to cause cervical cancer, vaccination is only being administered to women. Some countries vaccinate men as well, but in South Korea, only girls are included in the National Immunization Program. However, screening for HPV in men is not possible, and the virus causes various malignant tumors, with a sharp increase in head and neck cancers, as well as a surge in genital warts in the country. In addition, HPV worsens sperm quality. Moreover, the need for vaccines is increasing as the known methods for preventing HPV-related diseases in men are decreasing and the disease burden is increasing. As cost-effectiveness studies have shown that the cost-effectiveness of vaccination is lower for men than for women, it is unlikely that male vaccination will be included in national immunization programs. Many countries overseas, especially a very small number of OECD (Organization for Economic Cooperation and Development) countries including South Korea, are implementing mandatory vaccination for women. Vaccinating men and women, would be cost-effective and efficient in achieving herd immunity. In addition to herd immunity, the inclusion of male vaccination in the National Immunization Program is imperative given the rapidly increasing incidence of diseases in men.