• 대한한방부인과학회지
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• 제36권3호
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• pp.114-128
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• 2023

Objectives: This study was conducted to reflect Korean Medicine doctors (KMD)' perception of lifestyle management in the process of developing a Korean Medicine (KM) Clinical Practice Guidelines (CPG) of female infertility. Methods: We sent four e-mails containing links to online questionnaires to 25,286 KMD belonging to the Association of Korean Medicine. The questionnaire consisted of sexual intercourse, weight, diet, exercise, drinking, smoking, caffeine intake, stress etc. KMD responded to self-administered questionnaires, and we analyzed 786 responds. Results: KMD put stress first among the infertile women's lifestyle management items, weight and sexual intercourse were next. Also KMD put stress first among the spouses' lifestyle management items, drinking and sexual intercourse were next. In relation to sexual intercourse, 'Recognizing the Fertile Window' was the most important. In relation to stress in the emotional domain, 'Depression' and 'Anxiety' were the most important, and in relation to stress in the relationship domain, 'Deteriorating of marital relationship' was the most important. Conclusions: We surveyed the status of KMD' awareness of infertility lifestyle management for patient education, and reflected it in the modification of the CPG for female infertility.

• 동의신경정신과학회지
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• 제35권1호
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• pp.15-26
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• 2024

Objectives: The objective of this study is to develop a specialized clinical research protocol for acupuncture treatment specifically designed for disaster survivors based on insights from an expert survey. Methods: An expert panel comprising specialists in neuropsychiatry, acupuncture, and clinical research methodology was assembled. Initial data to inform the clinical research protocol design was collected utilizing open-ended responses, multiple-choice questions, and a 5-point Likert scale to gauge agreement levels. Next, this data was disseminated to a panel of experts. A cohesive clinical research protocol was then formulated during a core panel meeting by integrating insights from a panel of 10 experts. Results: The protocol developed herein entails a non-randomized controlled study involving participants aged 19~64 years old who have been identified as high-risk or cautious according to the National Trauma Center screening test. The study design includes the establishment of an active control group, which allows for the assessment of an additional effect through comparison with conventional therapy. The selected acupuncture approach involves a combination of manual acupuncture and ear acupuncture. For clinical outcome assessment, the Clinician-Administered Posttraumatic Stress Disorder Scale for DSM-5 was proposed to gauge trauma symptoms. Representative scales for various domains such as depression, anxiety, anger, insomnia, pain, and quality of life were also provided for reference. Conclusions: The developed protocol is anticipated to streamline the swift design and initiation of clinical trials during disaster scenarios. It is also designed to be scalable, thereby enabling its application in both non-randomized control group studies and single-group before-and-after comparisons.

• 대한한방소아과학회지
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• 제38권2호
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• pp.1-10
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• 2024

Objectives This study aimed to assess the reliability and validity of the Five-Visceral Weak Children Questionnaire (FWCQ) in childhood anorexia and to propose optimal cutoff values. Methods We conducted two surveys, spaced one month apart, targeting the parents of 366 children aged 2-9 years who had been diagnosed with anorexia for at least one month. To evaluate the reliability of the FWCQ, we calculated Cronbach's alpha coefficient and employed the test-retest method. Additionally, correlation analysis was performed between the FWCQ and each visceral question, and discriminant validity was assessed by comparing responses from the anorexic and normal groups. Furthermore, we determined the cutoff value of the spleen weak score, which is closely associated with appetite, for the anorexic group. Results The first survey yielded responses from 336 participants, followed by 171 responses in the second survey conducted one month later. The FWCQ demonstrated high internal consistency (Cronbach's alpha = 0.776), and test-retest results were consistent. The correlation coefficients between the FWCQ and each visceral question were all statistically significant. Moreover, significant discriminant validity was observed between the anorexic and normal groups in the FWCQ score and the heart, spleen, and kidney weak scores. The optimal cutoff value for the spleen weak score in the anorexic group was found to be 5.5 points (with a sensitivity of 73.44% and specificity of 66.47%). Conclusions The FWCQ exhibited strong reliability and validity in children with anorexia.

• 감성과학
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• 제25권4호
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• pp.95-106
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• 2022

본 연구는 라텍스 매트리스가 수면의 질과 편안함에 미치는 영향을 평가하기 위하여 수행되었다. 대상자들은 임상의의 진찰을 통해 중증의 불면증을 비롯한 수면에 영향을 줄 수 있는 질병이 없는 건강한 성인 11명(남 5명, 여 6명, 나이 37.7세, 키 167.8cm, 체중 67.0kg)으로 구성되었다. 대상자들은 개인 생활공간에서 7일 동안 사용하던 스프링 매트리스에서 수면을 취하였고, 이를 웨어러블 디바이스(Fitbit)와 수면일지, PSQI, ISI, 만족도 설문을 사용하여 기록하였다. 이어서 대상자들의 매트리스를 라텍스 매트리스로 교체하여 14일 동안 사용하게 하였고, 이를 기록하였다. 그 결과 Fitbit 상에서 라텍스 매트리스를 사용 후 주중 수면 시간이 62.9분, 주말 수면 시간은 53.2분 증가하는 것으로 나타났으며, ISI 설문에서는 3.8점이 유의하게 감소하였다. PSQI 설문에서는 poor sleeper가 10명에서 7명으로 줄었으나 통계적으로 유의하지는 않았고, 만족도 설문에서는 허리, 목, 어깨의 편안함이 유의하게 증가하였다. 이러한 결과로 미루어 볼 때, 라텍스 매트리스는 객관적 및 주관적 수면의 질에 긍정적인 영향을 미칠 수 있을 것으로 보여진다.

• 혜화의학회지
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• 제21권2호
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• pp.105-112
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• 2013

In oriental medicine, the skin of the face and the body is the mirror of the viscera and bowels. Skin aging is measured according to the elasticity and glossiness of the skin, which is perceived as a matter of fluid-humor within the realms of oriental medicine. Fluid-humor refers to normal body fluid that makes the skin moist and supple and the hair bright and glossy. If the body is lacking fluid-humor, the hair and skin will be dry and coarse. 'The improvement of fluid-humor (nutrition)' is facilitated based on the oriental physiological change theory for middle-aged women. A new study is therefore necessary to develop oriental herbal cosmetics for young women in their 20s. As yet, there has been no study on the effect of herbal cosmetics formulated for middle-aged women and used by young women in their 20s. This study aims to investigate the effect of 'the improvement of fluid-humor' for the skin of young women in their 20s within the theory of oriental medicine. This kind of study is essential for oriental skin care and the development of diverse oriental herbal cosmetics. To determine the effect of oriental herbal cosmetics on young women in their 20s based on the theory of oriental medicine, which says that a shortage of fluid-humor causes skin aging, this study has examined the skin conditions of young women in their 20s and how satisfied they are with oriental herbal cosmetics through an objective equipment-based measurement and subjective questionnaire survey.

• 한국산학기술학회논문지
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• 제15권3호
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• pp.1448-1457
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• 2014

평균수명이 연장되면서 노인인구비율 증가와 함께 각종 노인성 질환이 증가하고 있다. 노인성 질환을 대상으로 한약재를 이용한 치료적 접근위주의 연구는 시도되고 있으나, 건강관리 차원에서 예방적 접근방법으로 한방건강 음료로서의 한방차에 대한 연구는 미미한 실정이다. 본 연구는 노인요양시설을 이용하는 노인을 대상으로 한방차의 섭취가 생리적 기능과 행동변화에 미치는 효과를 확인하기 위한 비동등성 대조군 전후 설계의 유사 실험연구이다. 대상자는 실험군 20명, 대조군 18명으로 총 38명이었다. 2013년 5월부터 6월까지 1회 100ml씩, 일 3회, 30일간 본 연구에서 개발한 한방차를 적용하였고, 양자분석기로 생리적 기능을, 구조화된 설문지로 행동변화를 측정하였다. 수집된 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 분석 결과 실험군에서 생리적 기능 중 혈류순환(t=-4.466, p<.001), 간기능(t=-2.855, p=.007), 뇌기능(t=-2.545, p=.015), 골밀도(t=-6.125, p<.001), 혈당(t=-4.180, p=<.001)과 행동변화의 하위지수인 정서적 요인(t=2.389, p=.023)에서 유의한 변화가 나타났다. 따라서 노인의 생리적 기능 향상과 정서적 안정에 긍정적인 효과가 나타난 한방차의 음용은 노인요양시설에서 노인 건강을 위한 효과적인 중재 방법으로 활용될 수 있다고 사료된다.

• 대한한의학회지
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• 제42권1호
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• pp.1-11
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• 2021

Objectives: This pilot study aimed to evaluate the agreement between traditional face-to-face Korean medicine (KM) pattern identification and non-face-to-face KM pattern identification using the data from related questionnaires, tongue image, and pulse features in patients with cancer. Methods: From January to June 2020, 16 participants with a cancer diagnosis were recruited at the one Korean medicine hospital. Three experienced Korean medicine doctors independently diagnosed the participants whether they belong to the cold pattern or not, heat pattern or not, deficiency pattern or not, and excess pattern or not. Another researcher collected KM pattern related data using questionnaires including Cold-Heat Pattern Identification (CHPI), tongue image analysis system, and pulse analyzer. Collected KM pattern related data without participants' identifier was provided for the three Korean medicine doctors in random order, and non-face-to-face KM pattern identification was carried out. The kappa value between face-to-face and non-face-to-face pattern identification was calculated. Results: From the face-to-face pattern identification, there were 13/3 cold/non-cold pattern, 4/12 heat/non-heat pattern, 14/2 deficiency/non-deficiency pattern, and 0/16 excess/non-excess pattern participants. In cold/non-cold pattern, kappa value was 0.455 (sensitivity: 0.85, specificity: 0.67, accuracy: 0.81). In heat/non-heat pattern, the kappa value was 0.429 (sensitivity: 0.75, specificity: 0.72, accuracy: 0.75). The kappa value of deficiency/non-deficiency and excess/non-excess pattern was not calculated because of the few participants of non-deficiency, and excess pattern. Conclusions: The agreement between traditional face-to-face pattern identification and non-face-to-face pattern identification seems to be moderate. The non-face-to-face pattern identification using questionnaires, tongue, and pulse features may feasible for the large clinical study.

• 동의신경정신과학회지
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• 제34권3호
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• pp.125-139
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• 2023

Objectives: This was a preliminary study to re-verify the reliability and validity of the Core Seven Emotions Inventory-Short Form (CSEI-s) and to establish standards for an objective scoring system such as T-scores and percentile for the normative group. Methods: Subjects were sampled through population-proportional regional allocation based on adults aged 20 or older and 65 or younger who voluntarily consented. Reliability was analyzed by performing an internal consistency (Cronbach's α) test and calculating means and standard deviations for each scale. The validity was analyzed between the CSEI-s and STAXI-K, SADS, COMOSWB, HADS, K-PANAS, Core emotions VAS. Results: The CSEI-s revealed notable gender discrepancies in aspects such as thought (思), fear (恐), and fright (驚), with women generally scoring higher than men. CSEI-s scores showed statistically significant differences in joy (喜) and thought (思) between those in their 20s and those in their 50s and 60s. As a result of the validity analysis, the seven-factor configuration was found to be statistically valid, and as a result of the correlation analysis with the coexistence scale, the correlation between each emotion and the seven emotions was found to be statistically significant. Cronbach's α for the CSEI-s was .891, showing statistically significant reliability. Conclusions: A preliminary study was conducted to standardize the shortened form of the Core Emotion Scale, and the reliability and validity were confirmed. A main survey of more people should be conducted in the future. Future results can contribute to revitalizing the development of oriental medicine evaluation tools and establishing an evidence base by standardizing the CSEI-s.

• 한방재활의학과학회지
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• 제33권3호
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• pp.149-160
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• 2023

Objectives This study is for reporting current status and strategies of thread embedding acupuncture (TEA) in temporomandibular joint disorder (TMD) using web-based survey. Methods Survey was conducted online via E-mail among Korean medicine doctors registered with the Association of Korean Medicine. The questionnaire is developed by Korean medicine doctor in Kyung Hee University Hospital at Gangdong. The survey consisted mainly of multiple-choice questions on the current status and strategies of TEA for TMD. Results Total of 427 doctors responded. TEA was mostly used for 'Cosmetic purpose and others' with 287 respondents (67.2%), and 102 respondents (23.9%) having experience with TEA for TMD. The most common purpose for TEA for TMD was 'Improving muscle contraction and tension' with 290 respondents (67.9%). The average interval was reported 2.12 weeks, and the most common response for the number of treatments was five sessions with 127 respondents (29.7%). The most common criterion for determining the treatment site was based on anatomical structure, accounting for 92.7%. The most effective anatomical structure was the 'Masseter muscle' with 83.1%, followed by the 'Temporal muscle' with 51.8%. TEA direction for TMD was dominant in 'affected side' for all muscles. Conclusions Through a survey, we can investigate clinical usage of TEA for TMD. This study can be helpful in creating standardized criteria for TEA on TMD in the future.

• 대한한방내과학회지
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• 제29권2호
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• pp.512-521
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• 2008

Objective : The purpose of this study was to evaluate the Sasang constitution and body composition of the two groups devided by chest PA. Method : This study was carried out on 60 students of Semyung University. The students were selected according to the aspect ratio of rt. lung from chest PA. They were divided into two groups(length group and width group) and administered QSCCII & body composition analysis. Result : The 30 students of the length group were classified as Soumin(15), Soyangin(9), and Taeumin(6). The 30 students of the width group were classified as Taeumin(20), Soyangin(9), and Soumin(1). In the width group, weight, total body water, amount of total body fat, muscles, viceral fat area(VFA), waist hip ratio(WHR), were significantly higher than in the length group. Conclusion : There were significant relationships between the shape of lung and constitution and body composition. These findings indicate that actual organ condition could be expressed in body shape.