• Title/Summary/Keyword: 보완의학

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Match Injuries Related to Adolescent Taekwondo Athletes (성장기 태권도 선수의 경기 손상)

  • Kim, Seong-Tek;Kim, Chang-Yoon;Sin, Hyun-Ho
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.99-104
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    • 2007
  • Purpose: To research match injuries related to Taekwondo in adolescent athletes and find out preventing injuries. Materials and Methods: We analyzed 162 match injuries of middle and high school athletes, who were surveyed in 2005 and 2006 national tournament. Results: Among 162 match injuries, injuries in foot and hand were the most common and there were 35 cases in serious injuries such as fracture, open dislocation, open fracture of epiphyseal plate and so on. The very fast speed and destructive power of Takwondo athlete can cause open dislocation of great toe and can cause fracture of foot and upper extremity when kicking. Conclusion: We consider that injured athletes need proper treatments and sufficient rest not to accumulate training injuries and match injuries and need to improve mats of stadium, braces for feet and hands and put on braces for elbows to prevent match injuries.

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Study on Level of Evidence and Recommendations of Complementary and Alternative Medicine for Cancer by Using Natural Standard Methodology (Natural Standard Methodology를 이용한 암 보완대체의학의 근거 및 권고수준에 대한 연구)

  • Kim, Jung-Sun;Yoo, Hwa-Seung;Cho, Chong-Kwan;Son, Chang-Gue;Cho, Jung-Hyo;Lee, Yeon-Weol
    • The Journal of Internal Korean Medicine
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    • v.29 no.1
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    • pp.160-176
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    • 2008
  • Objective : We designed this study to analyse the Natural Standard methodology and apply the results to new study and evaluation methods. Methods : We investigated the main stream of complementary and alternative medicine (CAM), the methodology of Natural Standard, guideline in CAM, and concrete 35 cancer-related herbs and dietary supplements in 98 ones. Results : There are 35 graded herbs and supplements associated with cancer in natural standard contents: 9 foods, 17 herbs, 7 amino acids, enzymes and vitamins, and 2 herbal mixture formulas. Most of them get a grade of C: unclear or conflicting scientific evidence. Conclusion : Natural Standard aims to provide high-quality, reliable information about CAM therapies to clinicians, patients, and healthcare institutions. The more demands for and use of CAM grows, the more the needs for related studies increases. According to this international and multidisciplinary collaborative effort, we have to develop how to study and evaluate the results. We need guidelines in association with the evidence and recommendations of CAM.

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Neural mechanism of acupuncture therapy for aiding in smoking cessation (금연치료 요법으로의 침 자극에 대한 신경학적 기전)

  • Yeom, Mi-Jung;Lee, Hye-Jung;Shim, In-Sop;Park, Hi-Joon;Hahm, Dae-Hyun
    • Korean Journal of Acupuncture
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    • v.24 no.1
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    • pp.13-25
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    • 2007
  • 목 적 : 흡연에 따른 건강적 피해가 많이 알려져 있음에도 불구하고 특히 여성 및 청소년 계층의 흡연이 증가하고 있으며 폐암 사망자수는 급격히 늘어나고 있는 상황이다. 완전한 금연이 실패하는 주요 이유는 담배의 중독성에서 비롯되며 금단현상을 극복하지 못해 일어나는 것으로 알려져 있다. 흡연의 중독성은 담배 주요성분 중의 하나인 니코틴(nicotine)에 의해 유발되며 따라서 모든 금연 요법 및 금연 치료보조제 들은 이 니코틴 작용을 어떻게 효과적으로 억제 또는 대체하느냐에 초점을 맞추고 있다. 최근 금연치료 요법으로 한방 침이 주목 받고 있으며 본 논문을 통해 한방 침의 금연효과에 대한 신경학적 기전을 고찰하고자 한다. 방 법 : 금연을 돕는 전형적인 보조 치료제 및 치료법이 몇 종류 개발되어 사용 중에 있으며 대표적으로 니코틴 대체 요법(nicotine replacement therapy, NRT)이나 항우울제로 사용되는 bupropion 등을 들 수 있다. 이 치료 방법들은 뇌의 도파민계 신경전달 체계에 영향을 미쳐 금연 효과를 발휘하게 되는데 실질적인 금연성공확률은 그리 높지 않은 것으로 알려져 있다 따라서 침의 자극에 대한 도파민계 신경전달 조절효과를 중심으로 고찰함으로써 침의 금연효과에 대한 의과학적 기전을 설명하고자 하였다. 결 과 : 침자극은 우수한 금연효과를 가져올 수 있는 치료법으로 기존의 금연 치료요법 및 치료제 들을 보완할 수 있는 보다 확실한 치료요법 중의 하나이며 특히 금연 후에 오는 금단현상을 효과적으로 완화시키는 작용을 한다. 그리고 이 같은 효과는 부분적으로 도파민계를 비롯한 신경전달계를 조절함으로써 가능한 것으로 판단된다. 결 론 : 본 논문을 통해 니코틴에 의한 금단현상의 신경학적 기전과 금연과 관련된 신경전달체계에 대한 침자극의 효능에 대해 고찰하였으며 기존의 금연보조치료법을 대체할 수 있는 우수한 의학적 치료법으로써의 침치료법을 제시하였다.

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Hair Growth-promoting Effect of Resina Pini and Its Main Constituent, Abietic Acid, in Mouse Model of Alopecia (탈모마우스모델에서의 송지추출물 및 그 성분인 아비에트산의 모발성장효과)

  • Park, Gunhyuk;Kim, Yong-ung
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.42 no.3
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    • pp.203-209
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    • 2016
  • Recently, increased attention has been directed toward medicinal extracts and their active ingredients as potential new drug candidates for androgenic alopecia. Resina Pini (RP), a resinous exudation obtained from Pinus sp. (Pinaceae), has been used as a traditional medicine for the treatment of infection, pain related to dental caries, and periodontal disease. Previously, we suggested that RP and its main constituent, abietic acid (abieta-7,13-dien-18-oic acid; AA), may play important roles against androgenic alopecia as $5{\alpha}$-reductase inhibitors. However, to date, there is no evidence that AA has hair growth-promoting effects in vivo. In this study, we found that 10 ~ 300 mg/kg RP and 3 ~ 30 mg/kg AA significantly promoted hair growth in a C3H/HeN mouse model of alopecia. To our knowledge, this is the first report of the hair growth-promoting effects of RP and AA in vivo. From these results, RP and its main constituent AA can promote hair growth in mouse by inhibiting $5{\alpha}$-reductase activity and may be effective alternative therapies for androgenic alopecia.

Complementary and Alternative Medicine for Oral Health : a Literature Review of Randomized Controlled Clinical Trials (구강건강에 이용되는 보완대체의학 치료: 무작위대조임상연구를 통한 문헌적 고찰)

  • Kim, Da-Hee;Choi, Gwang-Ho;Hwang, Eui-Hyoung;Heo, Kwang-Ho;Kim, Yong-Deok;Shin, Byung-Cheul
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.23-39
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    • 2014
  • Objective : This review aims at analyzing Complementary and Alternative Medicine (CAM) therapies, using for oral health to know current use of CAM in dental area by analyzing randomized controlled clinical trials (RCTs). Method : We searched the following 6 electronic databases until 1 July 2014. : Pubmed, Medline, Embase, Allied and Complementary Medicine Database(AMED), Cumulative Index to Nursing and Allied Health Literature(CINAHL), the Cochrane Library. We included parallel RCTs and cross-over RCTs that assessed the efficacy of CAM regardless of blinding and language. Results : A total of 154 RCT articles were included. There were 2-arm parallel study design(69.5%), 3-arm parallel study design(20.8%), 4-arm parallel study design(4.5%) and Cross-over design(5.2%). Complementary and alternative medicine RCTs in oral health tend to increase in the early-2000s and in the mid-2010s. In addition, 154 citations were classified according to diseases and interventions that categorized Natural Products studies(68.2%), Mind and Body Practices studies(31.8%). We classified in detail that vitamin and mineral therapies(29.9%), dietary supplements(24.7%), acupuncture(23.3%), Herbal medicine(13.6%), homeopathy (2.6%), energy therapies(2.6%), Massage(1.9%), biofeedback(0.6%), traditional medicine(0.6%). Conclusion : Increasing publications and diverse interventions regarding CAM for oral health is observed by analyzing RCTs from the literature review. Further studies are needed to be performed as systematic reviews to verify their effectiveness and the research to inquire into side effect.

Pulse Diagnosis Algorithm and Digital Filter Design for Development of Digital Biomedical System (전자 맥진기 시스템 개발을 위한 맥파분석 알고리즘과 디지털 필터 설계)

  • Kim, Sang-Ho;Lim, Duk-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4473-4482
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    • 2010
  • The examination of pulse, which is a typical palpation technique in the oriental medicine, has been used conventional analog system for discrimination of 28 pulses. However, the clipping phenomenon in the pulses, which used same feature extraction technique with ECG signals, has been occurred in analog system due to feature extraction method and over amplification from the input signals. It caused inaccurate to analyze the pulse signals. In this paper, we propose a digital filter design technique based on Prony's method for signal modeling and C-spline interpolation for feature extraction from pulse signal to compensate analog pulse detection system. In addition, we suggest a compensated electronic pulse detection system comprising new pulse analyzing algorithm and shape analysis technique for pulses, which were difficult to use in analog system. The feasibility for new proposed system has been confirmed comparing output signals between electronic pulse detection system having proposed filter design techniques with pulse analyzing algorithm and conventional analog system.

A Review on Reporting Quality of Acupuncture Intervention for Visceral Pain: Assessment with STRICTA (내장 통증에 사용된 침 중재 분석 및 보고의 질 평가)

  • Lee, In-Seon;Cheon, Soyeon;Park, Ji-Yeun
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.19-35
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    • 2019
  • Objectives : The purpose of this study is to review which acupoints and meridians are selected to treat visceral pain in articles published in international journals and to investigate quality of reporting acupuncture intervention according to the STRICTA guidelines. Methods : Electrical and hand search were conducted in PubMed, EMBASE, MEDLINE, and Cochrane Library for acupuncture studies on visceral pain in human and animals. Reporting quality of intervention was evaluated using the revised STRICTA guidelines. Results : We included 51 articles (7 clinical studies and 44 animal studies) in this study. The most frequently adopted meridians and acupoints were Stomach meridian, Spleen meridian, Conception Vessel meridian, and ST36, CV4, SP6, LI4, PC6, SP9, ST25, ST37 in clinical studies. In animal studies, Stomach meridian, Conception Vessel meridian, Pericardium meridian and ST36, ST37, CV12, PC6 were most frequently used. Animal studies showed significantly lower quality of reporting compared to clinical studies. According to the analysis on the effect of year of publication of articles, announcement of STRICTA guidelines did not improve the quality of reporting for studies on visceral pain. Conclusions : These results suggest that both proximal and distal acupoints based on meridian theory were used to study the underlying mechanisms of visceral pain both in human and animal studies. Guidelines of acupuncture intervention reporting for animal study is necessary to improve the quality of evidence, and it will also allow us the integrative understanding of the mechanisms and clinical effects of acupuncture treatment in human and animal.

An Analysis of the Disagreement in Disease Coding in South Korean Medical Institutions: Focusing on the Health Insurance Claim Data of Outpatients (우리나라 의료기관의 질병 코딩 불일치성 분석 : 외래환자 건강보험 청구 자료를 중심으로)

  • Jeon, Yun-Hee;Kang, Gil-Won
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.533-540
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    • 2018
  • The purpose of this study was to use the data from the Health Insurance Review and Assessment Service to analyze the disagreement in disease coding given by different medical institutions on the same disease of the same patient and provide basic data that could help improve the quality of national public health statistics. 9,976,826 patients' data records from the Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) of 2014 were analyzed. The disagreement in disease coding differed by movement paths for medical institutions; the disagreement rate tended to increase when moving from a medical institution other than public health centers to a public health center and decrease remarkably when moving from a specialized general hospital to another. Therefore, this analysis of disagreement in disease coding among medical institutions suggests the need to supplement the system so that domestic medical institutions can realize consistent disease coding.

A Study on the Smart Care System Using Real-time Object Tracking Technology (실시간 객체 추적 기술을 활용한 스마트 케어 시스템에 대한 연구)

  • Kim, HyeJeong;Kang, MinGu;Lee, HyeGyu;Ko, Dongbeom;Kim, JeongJoon;Park, Jeongmin
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.6
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    • pp.243-250
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    • 2018
  • This paper designs and implements a smart care system for the senior citizen who lives alone. Recently, as the level of living has increased due to the rapid improvement of medicine, living standard and environment, the proportion of the elderly population is increasing. In addition, the proportion of the elderly living alone, which is increasing with the aging society, suggests that the provision of services such as the elder care system and emergency notification is becoming an important issue. However, since the existing emergency notification technology analyzes fixed CCTV images, it is difficult to monitor in the blind spot of CCTV and to move to a place where the camera is not installed. There is a problem that it can not be performed. Therefore, in this paper, we design and develop a smart care system that utilizes robot and object tracking technology that can move in real time to overcome these shortcomings. This enables real-time monitoring regardless of the location, and prompts for assistance in case of an emergency, so that it can provide convenience to cares and assistants.

Consideration of Cut-off Value for Fibrosis Serum Marker by Liver Fibrosis Stage in Chronic Hepatitis C Patients (만성 C형간염 환자에서 간섬유화 등급별 혈청표지자들의 Cut-off값에 대한 고찰)

  • Nam, Ji-Hee;Kim, Jung-Hoon
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.539-546
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    • 2019
  • Liver biopsy is invasive and it is a risk of complications. Nevertheless, liver biopsy is gold standard for predicting liver fibrosis. To compensate for these shortcomings, in this study, the liver fibrosis stage was divided using Fibroscan(R) in 200 chronic hepatitis C patients. And, the usefulness and cut-off values of fibrosis index based on four factors(FIB-4), AST to platelet ratio index(APRI) and AST/ALT ratio(AAR) calculated as serum tests were investigated by analyzing ROC curve. As a result, using FIB-4 and APRI rather than AAR is appropriate for evaluation of liver fibrosis. And using APRI to predict significant Fibrosis(F2) and FIB-4 is considered useful for predicting cirrhosis(F4). By applying the advantages of the serum based liver fibrosis marker, which are convenient and repeatable, liver fibrosis follow-up term can be reduced, and furthermore, the prevalence of liver cirrhosis and hepatocellular carcinoma(HCC) can be reduced.