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Therapeutic Potential of Active Components from Acorus gramineus and Acorus tatarinowii in Neurological Disorders and Their Application in Korean Medicine

  • Cheol Ju Kim;Tae Young Kwak;Min Hyeok Bae;Hwa Kyoung Shin;Byung Tae Choi
    • Journal of Pharmacopuncture
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    • v.25 no.4
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    • pp.326-343
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    • 2022
  • Neurological disorders represent a substantial healthcare burden worldwide due to population aging. Acorus gramineus Solander (AG) and Acorus tatarinowii Schott (AT), whose major component is asarone, have been shown to be effective in neurological disorders. This review summarized current information from preclinical and clinical studies regarding the effects of extracts and active components of AG and AT (e.g., α-asarone and β-asarone) on neurological disorders and biomedical targets, as well as the mechanisms involved. Databases, including PubMed, Embase, and RISS, were searched using the following keywords: asarone, AG, AT, and neurological disorders, including Alzheimer's disease, Parkinson's disease, depression and anxiety, epilepsy, and stroke. Meta-analyses and reviews were excluded. A total of 873 studies were collected. A total of 89 studies were selected after eliminating studies that did not meet the inclusion criteria. Research on neurological disorders widely reported that extracts or active components of AG and AT showed therapeutic efficacy in treating neurological disorders. These components also possessed a wide array of neuroprotective effects, including reduction of pathogenic protein aggregates, antiapoptotic activity, modulation of autophagy, anti-inflammatory and antioxidant activities, regulation of neurotransmitters, activation of neurogenesis, and stimulation of neurotrophic factors. Most of the included studies were preclinical studies that used in vitro and in vivo models, and only a few clinical studies have been performed. Therefore, this review summarizes the current knowledge on AG and AT therapeutic effects as a basis for further clinical studies, and clinical trials are required before these findings can be applied to human neurological disorders.

A Survey on Open Source based Large Language Models (오픈 소스 기반의 거대 언어 모델 연구 동향: 서베이)

  • Ha-Young Joo;Hyeontaek Oh;Jinhong Yang
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.4
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    • pp.193-202
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    • 2023
  • In recent years, the outstanding performance of large language models (LLMs) trained on extensive datasets has become a hot topic. Since studies on LLMs are available on open-source approaches, the ecosystem is expanding rapidly. Models that are task-specific, lightweight, and high-performing are being actively disseminated using additional training techniques using pre-trained LLMs as foundation models. On the other hand, the performance of LLMs for Korean is subpar because English comprises a significant proportion of the training dataset of existing LLMs. Therefore, research is being carried out on Korean-specific LLMs that allow for further learning with Korean language data. This paper identifies trends of open source based LLMs and introduces research on Korean specific large language models; moreover, the applications and limitations of large language models are described.

Diagnostic accuracy of clinical tests to rule out elbow fracture: a systematic review

  • Giorgio Breda;Gianluca De Marco;Pierfranco Cesaraccio;Paolo Pillastrini
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.182-190
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    • 2023
  • Elbow traumas represent a relatively common condition in clinical practice. However, there is a lack of evidence regarding the most accurate tests for screening these potentially serious conditions and excluding elbow fractures. The purpose of this investigation was to analyze the literature concerning the diagnostic accuracy of clinical tests for the detection or exclusion of suspected elbow fractures. A systematic review was performed using the Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies (PRISMA-DTA) guidelines. Literature databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Diagnostic Test Accuracy, Cochrane Library, the Web of Science, and ScienceDirect were searched for diagnostic accuracy studies of subjects with suspected traumatic elbow fracture investigating clinical tests compared to imaging reference tests. The risk of bias in each study was assessed independently by two reviewers using the Quality Assessment of Diagnostic Accuracy Studies 2 checklist. Twelve studies (4,485 patients) were included. Three different types of index tests were extracted. In adults, these tests were very sensitive, with values up to 98.6% (95% confidence interval [CI], 95.0%-99.8%). The specificity was very variable, ranging from 24.0% (95% CI, 19.0%-30.0%) to 69.4% (95% CI, 57.3%-79.5%). The applicability of these tests was very high, while overall studies showed a medium risk of bias. Elbow full range of motion test, elbow extension test, and elbow extension and point tenderness test appear to be useful in the presence of a negative test to exclude fracture in a majority of cases. The specificity of all tests, however, does not allow us to draw useful conclusions because there was a great variability of results obtained.

Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction

  • Emanuela C. Peshel;Claire M. McNary;Catherine Barkach;Elizabeth M. Boudiab;Daniella Vega;Farid Nossoni;Kongkrit Chaiyasate;Jeremy M. Powers
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.361-369
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    • 2023
  • The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case-control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction.

Pre-pregnancy Diet to Maternal and Child Health Outcome: A Scoping Review of Current Evidence

  • Fadila Wirawan;Desak Gede Arie Yudhantari;Aghnaa Gayatri
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.111-127
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    • 2023
  • Objectives: Pre-pregnancy diet has an important role in preparing for healthy generation. However, evidence on this issue has been scarce. A scoping review synthesising current evidence will support the demand to map 'what has been researched' on pre-pregnancy diet and maternal and child health. Methods: Systematic search was performed using PICOS (Population, Intervention, Comparison, Outcomes, and Study design) framework in electronic databases. Articles were screened for eligibility, summarized, and the quality was assessed using the National Institute of Health assessment tool. The review structure complies with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guide. Results: Forty-two articles were included after full-text screening. Twenty-five studies were in high-income countries (HICs), six in each upper-middle income, five in lower-middle income countries (LMICs), and one in low-income countries (LIC). Based on the regions: North America (n=16), Europe (n=5), South America (n=4), Australia (n=4), Asia (n=5), Middle East (n=2), and sub-Saharan Africa (n=1). The two-most observed diet-related exposures were dietary pattern (n=17) and dietary quality (n=12). The most assessed outcome was gestational diabetes mellitus (n=28) and fetal and newborn anthropometry (n=7). The average quality score±standard deviation was 70±18%. Conclusions: Research related to pre-pregnancy diet is still concentrated in HICs. The context of diet may vary; therefore, future research is encouraged in LMICs and LICs context, and Mediterranean, South-East Asia, Pacific, and African regions. Some maternal and child nutrition-related morbidity, such as anemia and micronutrient deficiencies, have not been discussed. Research on these aspects will benefit to fill in the gaps related to pre-pregnancy diet and maternal and child health.

Review on the Association between Exposure to Extremely Low Frequency-Magnetic Fields (ELF-MF) and Childhood Leukemia (극저주파 자기장의 소아백혈병 발생 위험 고찰)

  • Dong-Uk Park
    • Journal of Environmental Health Sciences
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    • v.49 no.2
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    • pp.57-65
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    • 2023
  • Background: The association between exposure to extremely low frequency-magnetic fields (ELF-MF) and childhood leukemia has been controversial. There is a need to clarify this relationship by summarizing key conclusions from systematic review articles. Objectives: The major aim of this study is to summarize key conclusions from systematic review articles on the association between exposure to ELF-MF and childhood leukemia based on childhood exposure to ELF-MF, proximity from childhood household to high voltage cables, and parental occupational exposure to ELF-MF. Methods: This study was conducted through a brief literature review focusing on systematic, meta-analysis, and pooled analysis methods. We conducted a literature search in PubMed using the key words "ELF-MF" and "childhood leukemia" singly or combined. Results: In 2002, the World Health Organization (WHO)'s International Agency for Research on Cancer (IARC) reviewed two manuscripts to conduct pooled analysis and concluded that there is a significant association between exposure to >0.3 μT or 0.4 μT and childhood leukemia. We found a total of four manuscripts for systematic or pool analysis that have been published since the IARC's conclusion. They consistently concluded that there was a significant association between exposure to >0.4 μT and childhood leukemia compared to ELF-MF exposure to below 0.1 μT. The proximity of children's households to high voltage cable lines and occupational exposure by their parents to ELF-MF during certain periods prior to or during pregnancy were inconsistently associated with childhood leukemia. The study found that many EU countries have implemented precautionary policies to prevent potential childhood leukemia due to exposure to ELF-MF. Conclusions: This study recommends implementing a precautionary policy that includes legal exposure limits for ELF-MF to minimize exposure to ELF-MF.

Study on the Expansion of School Library Catalog Considering Educational Context (교육적 맥락을 고려한 학교도서관 목록 정보의 확장에 관한 연구)

  • Lee, Byeong-Ki
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.20 no.4
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    • pp.85-100
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    • 2009
  • This study suggested the expansion strategies of school library catalog considering educational context which should be used teaching and learning process. To achieve the purpose of research, this study derived educational context categories by comparing and analyzing teaching and learning related factors, information resource related factors. Also, this study analysed case system considering educational context. Based on the results, this study designed the catalog data elements as an element to be added to an existing school libraries system(DLS). The derived data element is end user(teacher, students), instructional situations (teaching method, instructional object, curriculum, evaluation type), resource type(feature, discipline, format), reading situation(contextual reading, literature topic), related materials(teacher representation, student representation).

Neurofeedback Training for Upper Extremity Functional Recovery in Stroke Patients : A systematic review (뇌졸중 환자의 팔 기능 회복을 위한 뉴로피드백 훈련 : 체계적 고찰)

  • Sun-Ho Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.177-188
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    • 2023
  • Purpose : To identify trends in studies on the intersection of neurofeedback (NF) training and rehabilitation interventions for patients with stroke, as conducted over the past decade. Methods : This review included studies published from 2012 to 2022. A comprehensive database search was conducted using keywords such as "stroke", "electroencephalogram (EEG)", "brain wave", "nerve feedback", and "upper extremity function". Results : A total of 703 studies were initially retrieved. Of these, literature predating 2012, duplicate literature, non-experimental studies, and studies that did not target patients with stroke were excluded. After this screening, we retrieved the full texts of 15 articles and re-checked whether each study met the inclusion criteria of this study. The advisory members who participated in this study consisted of people with doctoral degrees and more than 5 years of clinical experience related to the rehabilitation of patients with stroke. Disagreements were resolved through discussions. Ultimately, 8 papers met the inclusion criteria and were included in the final analysis. Despite differences in the type and duration of NF training, the combination of NF training and rehabilitation intervention was found to be effective in promoting the functional recovery of the upper extremities, eliciting positive EEG changes, and inducing neurological changes in the brain. Conclusion : A meta-analysis involving a wider search range is needed in future studies. In addition, efforts are required to generalize the clinical application of these interventions. This can be achieved by supplementing the research methodologies through extensive review studies that encompass a diverse array of study designs.

An Overview on Importance of Writing in Mathematics Education (수학교육에서 글쓰기의 중요성에 관한 소고)

  • Kim, Jeonghyeon;Choi-Koh, Sangsook
    • Communications of Mathematical Education
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    • v.37 no.4
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    • pp.591-614
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    • 2023
  • For a long time, mathematics education institutions such as NCTM(National Council of Teachers of Mathematics) have emphasized the essential role of writing, and recent surveys by the Ministry of Education report a decline in foundational academic skills in the post-COVID19 period. The purpose of this study is to redefine the significance of mathematics writing in mathematics education, focusing on competencies highlighted in the field, particularly in the areas of problem-solving, communication, and reasoning. The research findings indicate that writing in problem-solving enhances cognitive organization, fostering the ability to grasp concepts and methods. Writing in communication builds confidence through the meta-cognitive process, and writing in inference allows self-awareness of step-by-step identification of areas lacking understanding. Particularly in the future society where artificial intelligence(AI) is utilized, changes in the learning environment necessitate research for the establishment of authenticity judgment through writing and the cultivation of a proper writing culture.

An Overseas Research Trends in Dream Analysis -Focused on Overseas Journals- (꿈분석 해외 연구동향 -해외학술지 중심-)

  • Hyun-Min Kong;Dong-Yeol, Shin
    • Industry Promotion Research
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    • v.8 no.4
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    • pp.139-146
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    • 2023
  • The purpose of this study is to examine the research trends of overseas journals related to dream analysis over the five-year period between 2019 and 2023, and to draw implications for future domestic research directions related to dream analysis. For this purpose, 84 overseas journals searched on Google scholar from 2019 to 2023 were selected and analyzed for research trends, including publication year, journal by topic, theory of use, major research topics, and research methods. The results of the analysis showed that, first, the number of published studies increased from 2019 to 2021 and then decreased, and related studies were active in each country during the COVID-19 period. Second, there was a tendency to interpret the unconscious through dream analysis and apply it to various fields. Third, the trend of research methods was 53 studies using qualitative research, 24 studies using quantitative research, 5 mixed studies, and 2 meta-analyses. Finally, we discuss our findings and suggest further research in the field of dream analysis.