• Physical Therapy Korea
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• v.17 no.2
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• pp.51-59
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• 2010

The Functional Independence Measure (FIM) is widely used to determine the dependency of activity of daily living in rehabilitation patients. The purposes of this study were to evaluate the unidimentionality of the FIM physical items and to analyze the validity of cross-functional levels in stroke survivors in Korea. Thirteen physical items of FIM were rated according to an ordinal scale of a 7-level classification. Two hundred and seventy-nine patients participated in the study (age range 18~92 years and 57% male). Six items-eating, bladder control, bowel control, transfer to and from the bed/wheelchair, transfer to and from the toilet, and bathing-showed misfits with the Rasch model. The most difficult item was 'bathing', the easiest item was 'bowel control'. Although there were several differences within functional levels, the hierarchical order of item measures was rather similar. 'Bathing' was the most difficult in high level patients (above 60), however 'stairs' was most difficult in the middle level (41~60) group. In the low level group (below 40), 'toileting' was the most difficult. In conclusion, the present study has shown several differences of item difficulty among functional levels. This result will be useful in planning interventions, and developing rehabilitation programs for stroke survivors.

• The Korean Society of Law and Medicine
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• v.10 no.2
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• pp.427-453
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• 2009

This study aims to review legal problems of similar medical practice and suggest methods of improvement. Similar medical practice refers to all medical practices conducted in the state that human qualification is not fulfilled. It may cause serious damages on health and lives of national people. Currently, similar medical practices are recognized as unlicensed medical practices and prohibited based on the Medical law and additionally punished by then special law in Korea. However, the current Medical Law does not provide clear and accurate concept of medical practices so that it is difficult to regulate similar medical practices. The issue of complementary and alternative therapy related to similar medical practices is also in special state different from other countries. In addition, since similar medical practices lack of evidences in terms of safety, the dangerousness of accidents is high and it may affect badly on health of national people and health care policies. Methods of improvement in order to resolve problems regarding similar medical practices are: first, concept and scope of medical practice should be clear, accurate and concrete. Second, complementary and alternative therapies related to similar medical practices need to be strictly examined and the supervisory right should be given to doctors should be given even though a part of it is allowed. Third, research institutes specialized in the field should be established for scientific examination of complementary and alternative therapy and objective research results should be open to the public. Finally, since damage cases caused by similar medical practices by non-medical personnel, national management and supervision for similar medical practices should be reinforced.

• Journal of Korean Neurosurgical Society
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• v.63 no.5
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• pp.671-672
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• 2020

• Advances in Traditional Medicine
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• v.2 no.1
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• pp.1-16
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• 2002

• Review of Korea Contents Association
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• v.10 no.2
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• pp.37-42
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• 2012

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.14 no.1
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• pp.40-46
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• 2003

Background and Objectives : The vocal fold granuloma has been associated with vocal abuse, gastroesophageal reflux, endotracheal intubation and habitual throat clearing etc.. Granuloma is benign growth of hypertrophic granulation tissue. It is usually located on the posterior third of vocal fold, in one or both vocal process of the arytenoid cartilage In spite of the voice therapy, steroid therapy, anti-reflex therapy and surgical procedure. The distinct advantage and uniform success rate of each methods have not been generally shown. Authors report that localized injection of botulinum toxin type A (BOTOX$^{\circledR}$) is the promising method both as an initial treatment and as an alternative treatment in patients who do not respond to standard therapy or who are poor surgical candidates. Materials and Method : We carried out a retrospective study of 9 patients with the diagnosis of vocal fold granuloma on the videostroboscopic examination from Jan 2000 to Mar 2003. The botulinum toxin type A was injected into one or both thyroarytenoid muscle or lateral cricoarytenoid muscle under the electromyography. The average dosage ranges from 6U to 8U per injection. Results : Unilateral vocal fold granuloma in 7 patients had been resolved completely within 2-3 months after first injection : 5 patients received th\ulcorner GER medical therapy in addition to the Botulinum toxin injections, 2 patients was resolved completely who had shown recurrence after $CO_2$ laser vaporization. 2 patients who had shown recurrence after $1^st$ injection were also completely resolved within 6 months after further injections. Conclusion : We expect that localized injection of Botulinum toxin type A can provide an alternative treatment for the refractory cases to the traditional forms of therapy and avoid the recurrence in conjunction with proper medical and voice therapy against GER and vocal abuse.

• Journal of Chest Surgery
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• v.27 no.10
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• pp.858-861
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• 1994

Prosthetic valve thrombosis is rare but it is one of fatal complication after heart valve surgery. Improvements of the valve design and the material have decreased the frequency of thrombosis but have not eliminated completely. And some cases of prosthetic valve thrombosis during pregnancy were reported inspite of adequate anticoagulation therapy.Urgent surgical intervention is indicated for prosthetic valve thrombosis but it is associated with high operative risk, therefore medical thrombolytic therapy such as urokinase or streptokinase therapy is regarded as an alternative therapy. This is a case report of the successful thrombolytic therapy for valve thrombosis in a pregnant patient after mechanical mitral valve replacement.

• The Journal of Korean Physical Therapy
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• v.14 no.2
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• pp.98-106
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• 2002

To understand the trends in research in the fields of physical therapy, all issues of the Journal of Korean Society of Physical Therapy were reviewed from volume 1 in 1989 to volume 13, number 2 in 2001 in regard to research themes, research objects, and research designs. The number of articles dramatically increased in recent years. Although exercise physiology, biomechanics, and therapeutic exercise were major subjects of interest, alternative treatment modalities such as massage, taping, acupuncture were fields of increasing interests. There were also increasing interests in medical engineering and basic science. Cerebrovascular accidents, elderly people, sportsmen were research objects of increasing frequency. In regard to research designs, experimental research designs such as randomized controlled designs and nonequivalent controlled designs were increasingly adopted in clinical research.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6537-6540
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• 2013

Background: Music therapy is a common complementary and alternative therapy in addition to medical treatment for patients with cancer. If music therapy, which is known has a positive effect on human emotions and behaviors, is a useful additional therapy, it should be more integrated into pyscho-oncology. In this study, we aimed to determine medical oncologist attitudes to music therapy for patients with cancer and knowledge about musicology and music therapy in Turkey. Materials and Methods: This survey study included questions about participant attitudes and knowledge regarding music therapy as well as demographic characteristics. The population of the study were 402 physicians working in medical oncology in Turkey and the sample covered 112 participants in the the survey. For statistical analyses the chi-square test, Fischer exact test, and Mann-Whitney U analysis are applied. Results: In our study the rate for medical oncologists who were interested in music therapy was 28% (n=112). Some 30% (n=34) of medical oncologists recommended music therapy for their patients and 55% (n=61) recommended music therapy to prevent anxiety in patients with cancer. Conclusions: In this study, for more harmony with patients and in order to ensure management of adverse effect, it was concluded that music therapy should be regrded as an additional therapy in oncology clinics.

• Korean Journal of Oriental Medicine
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• v.16 no.3
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• pp.95-105
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• 2010

Background and Purpose : Forest-Therapy has received attention as a treatment of regulating living habits with the increase of chronic disease. Forest-Therapy and Korean Medicine are in same as their philosophy to adapt to nature and they can suggest new alternative treating of chronic diseases. Now we want to look the possibility of development of Forest-Therapy program adopting Korean Medicine with the analysis of research status and cases of Forest-Therapy. Methods : We searched articles in Korea by using keyword 'Forest-Therapy', 'Forest & Therapy' 'Forest' and 'Therapy' Korean. Results : Even though the domestic research about Forest-Therapy is still insufficient, there is a need of try referring the cases of Germany and Japan. Forest-Therapy program was used to get psychological stability, release stress and treat alcohol diseases. There was some cases that adopt the nature to clinical field actively. The clinical articles were mainly published about stress and health. Conclusions : It seems that running the constitutional program that considers different among individuals adopting Sasang constitutional medicine, utilizing Forest-Therapy Doctor through the participation of Public Oriental Medicine Doctor, and operating experience program applying Herb have sufficient possibility.