• 대한약침학회지
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• 제24권2호
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• pp.84-90
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• 2021

Objectives: Our study aimed to determine the attitudes of second- and final-year medical students and doctors (teaching faculty) of modern medicine towards complementary and alternative medicine (CAM) using the Complementary, Alternative, and Integrative Medicine Attitude Questionnaire (CAIMAQ). Methods: We invited 248 second-year medical students, 245 final-year medical students, and 48 faculty members to participate in the study. The CAIMAQ consists of 30 items, divided into five categories assessing various aspects of CAM, and scored using a 7-point Likert scale. The median scores obtained were compared between groups; a p-value < 0.05 was considered statistically significant. Results: A total of 138 medical students and faculty responded and participated in the study, of which, 24 (17.4%) were faculty, 40 (29%) were final-year medical students and 74 (53.6%) were second-year medical students. The overall attitude towards the various CAM concepts and therapies was positive. In general, the faculty were significantly less likely to consider referring patients for CAIM treatments, integrating them with conventional medicine, referring patients to alternative healthcare providers, considering the use of subtle energy fields as an ethical form of treatment, or considering CAIM treatments to be less invasive and harmful compared with conventional medicine. There was no significant difference in the attitudes of second- and final-year students. Conclusion: The attitude of medical students and doctors towards CAM is positive, and although the medical faculty have reservations in recommending specific types of CAM therapies or integrating them with conventional care, building evidence for supporting CAM therapies in specific diseases is likely to increase its uptake among health care professionals.

• The Journal of Advanced Prosthodontics
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• 제14권5호
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• pp.273-284
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• 2022

PURPOSE. Computer-aided design and manufacturing (CAD-CAM) of implant abutments has been shown to result in surface contamination from site-specific milling and fabrication processes. If not removed, these contaminants can have a potentially adverse effect and may trigger inflammatory responses of the peri-implant tissues. The aim of the present study was to evaluate the bacterial disinfection and cleaning efficacy of ultrasonic reprocessing in approved disinfectants to reduce the microbial load of CAD-CAM abutments. MATERIALS AND METHODS. Four different types of custom implant abutments (total N = 32) with eight specimens in each test group (type I to IV) were CAD-CAM manufactured. In two separate contamination experiments, specimens were contaminated with heparinized sheep blood alone and with heparinized sheep blood and the test bacterium Enterococcus faecium. Abutments in the test group were processed according to a three-stage ultrasonic protocol and assessed qualitatively and quantitatively by determination of residual protein. Ultrasonicated specimens contaminated with sheep blood and E. faecium were additionally eluted and the dilutions were incubated on agar plates for seven days. The determined bacterial counts were expressed as colony-forming units (CFU). RESULTS. Ultrasonic reprocessing resulted in a substantial decrease in residual bacterial protein to less than 80 ㎍ and a reduction in microbiota of more than 7 log levels of CFU for all abutment types, exceeding the effect required for disinfection. CONCLUSION. A three-stage ultrasonic cleaning and disinfection protocol results in effective bacterial decontamination. The procedure is reproducible and complies with the standardized reprocessing and disinfection specifications for one- or two-piece CAD-CAM implant abutments.

• 대한한의학회지
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• 제25권1호
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• pp.142-151
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• 2004

Objectives : To document the use and out-of-pocket expenditure of complementary and alternative medicine(CAM) in Korean adult population. Methods : Nationwide, random-sampled, and population-weighted telephone survey was conducted. The sample size of respondents was 1,000(age over 18). The respondents were asked about their use, out-of pocket expenditure of CAM in the past 12 months. SAS 8.0 statistic package was used for checking the relevance between each variables by performing $x^2-test$ and variance evaluation. Results : In 2001, 64.0% of people experienced more than one alternative therapy and the beneficiary took therapy average figure of 2.07. Alternative therapies were generally used for health promotion(73.7%) rather than curing the disease(26.3%). The most common therapies included Medication(30.2%), Physical-therapy(21.9%) health implements(20.8%), herb medication(19.2%), diet therapy(14.3%) etc. Average annual out-of-pocket expenditure was ￡<192,186. Use varied according to age, living province, income, and education, while cost expenditure did according to sex, health condition, income, education. Conclusions : The use of CAM in Korea is very large and the expenditure for them is 22.6% of national medical expenditure. It shows great need of political and academic approach.

• 여성건강간호학회지
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• 제22권1호
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• pp.1-10
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• 2016

Purpose: This study was conducted to identify the pattern and factors associated with women's use of complementary and alternative medicine (CAM) during postpartum in Korea. Methods: With a descriptive survey design, data of 423 postpartum women were collected via online and offline surveys. Results: A total of 251 women (59.3%) reported CAM use during postpartum. Eating animal-based foods (65.3%), plant-based health foods (52.2%), and using oriental medicine (31.8%) were commonly used in postpartum women. The reason for using CAM were physical recovery (39.1%), breastfeeding (29.7%), weight loss (24.8%), prevention of postpartum complications (5.1%), and others (1.3%). People who recommended CAM use was mainly family (41.3%), and expense of using CAM was 751,188 Korea won. Most women discussed CAM use with doctor (44.9%), and 29.3% of women didn't even consult CAM use with health care providers. Most of (72.3%) women were satisfied with CAM use. Higher level of education and monthly income, being employed, primipara, normal range of gestational weight gain, no abortion experience, and no maternal complication were significantly associated with CAM use in postpartum women. Conclusion: Results of this study were somewhat different from those of western research. Findings offer baseline data of CAM use in postpartum women, and health care providers need to understand it when they care for them.

• 대한예방한의학회지
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• 제14권1호
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• pp.137-149
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• 2010

In recent decades, as the utilization of complementary and alternative medicine in the United State have been growing rapidly, regulatory controls surrounding complementary and alternative medicine(CAM) aims to ensure patient protection against unproven practices and to provide safe and effective treatments. Regulation and policy method on licensing CAM practitioners varies across the states. Over 85% of the states have the licensing system for acupuncturists, chiropractors, and naturopaths. For acupuncture, although the requirements for formal education are various across the states, a unified written examination has been adopted by almost entire states which have acupuncturist licensing law. Medicare, the public medical insurance, does not cover CAM practices except chiropractic and biofeedback. In some states, however, Medicaid programs cover some CAM therapies including acupuncture, naturopathy, and massage therapy. 67% of Health Maintenance Organizations, the private health plans, provide at least one modality of CAM services. In conclusion, government policies have been strengthened to ensure patient protection, and will continue to integrate CAM practices that are proven to be safe and effective into mainstream health care system.

• 환경생물
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• 제26권4호
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• pp.271-278
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• 2008

본 연구는 C$_3$식물인 닭의장풀과 CAM식물인 돌나물이 수분스트레스에 대해 어떠한 생리적인 반응의 차이를 보이는가를 살펴본 것이다. 식물은 정상적인 환경 조건하에서 보여주는 대표적인 특징은 생장이다. 닭의장풀은 수분스트레스에 처해졌을 때 생장이 거의 멈추었으나 돌나물은 생장에 커다란 영향을 받지 못하였다. 닭의장풀의 수분함유량의 변화는 3주 째 12% 감소하였다. 수분 함유량의 변화는 식물의 고사와 밀접하게 관련되어 있다. 돌나물의 수분함유량의 변화는 거의 없었다. 이는 돌나물은 수분스트레스에 대한 저항 반응을 보여주었으나 닭의장풀은 그렇지 못했다는 것을 의미한다. 이어진 실험에서도 비슷한 양상이 나타났다. 엽록소 함량의 변화, 광합성 II의 활성을 나타내는 형광 Fv/Fm 비율수치는 닭의장풀에서 심각한 감소가 일어났다. 아울러 기공의 형태적인 특성과 생리적인 반응도 두 종이 다른 양상을 보여주었다. 따라서 돌나물은 수분스트레스에 대한 저항 능력을 가지고 있으나 닭의장풀은 수분 스트레스에 취약했다. 수분 스트레스 전 닭의장풀의 수분 함유량은 돌나물보다 약 6% 많으며, 생장률이 매우 빠르며 열매를 맺는다. 반면에 돌나물은 생장이 느리며, 줄기의 길이 증가도 닭의장풀에 비해 작았다. 잘 성숙된 닭의장풀은 키가 1m에 이르는 것도 있으나, 돌나물은 포복경의 특성으로 인해, 실제 줄기의 생장은 30cm를 넘지 못한다.

• 디지털융복합연구
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• 제12권1호
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• pp.457-466
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• 2014

본 연구는 보건소 건강교실을 이용하는 고혈압 당뇨병 환자의 보완대체요법(CAM)에 대한 이용실태 및 인식을 알아보기 위하여 시도된 서술적 조사연구이다. 대상은 보건소 건강교실을 이용하는 고혈압 당뇨병환자 177명을 면대면 인터뷰를 통해 자료를 수집하였고, 자료는 SPSS WIN 18.0 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, Independent t-test, Pearson correlation분석을 실시하였다. 연구결과 대상자의 56.5%가 CAM을 이용해 본 경험이 있었고, 의료인과 상의한 경험이 있는 사람은 전체의 16.0%에 불과하였다. CAM에 대한 일반적 인식점수는 $3.11{\pm}0.58$점으로 CAM 재이용의도 및 권유의도 및 관련교육 참여의도 간에 통계적으로 유의한 양의 상관관계가 있었다(r=.604, r=.516, r=.419, p<.001). 결론적으로, 만성질환자들의 CAM이용 현황 및 인식에 대하여 의료인들 및 보건당국이 관심을 가져야 할 필요가 있으며, 추후 만성질환자들의 올바른 CAM이용을 위한 효과적인 실행전략 및 정책 마련에 유용한 기초자료로 이용될 수 있다.

• 지역사회간호학회지
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• 제17권4호
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• pp.563-572
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• 2006

Purpose: This study was conducted to investigate community health practitioners' knowledge of, use patterns of, and attitudes toward CAM. Method: The subjects of this study were 817 community health practitioners (CHPs) from 9 Provinces in Korea selected through convenient sampling. They completed and submitted self-report questionnaires at the annual meeting of CHPs or sent completed questionnaires to us by mail. Result: Of the CHPs, 8.1% had a certificate of CAM-related education program, and 39.9% worried about the efficacy of CAM. They knew about massage (74.0%), finger pressure (68.1%), hand acupuncture (67.8%), diet (65.5%) and herb (64.7%). They had used herb (43.3%), massage (36.8%), hand acupuncture (32.7%) and vacuum (31.2%) with positive effects and recommended residents to use them. Attitude toward CAM tended to be positive in those with certificates of CAM, those with high academic qualification, those aged 40 or below, and those working in Chungcheong-do. Conclusion: This study showed that CHPs were interested in CAM while they worried about the therapeutic effects of it. Further studies to draw cross-sectional and national data on the use patterns of CAM from the various population and standardized instruments to investigate the types of CAM were suggested.

• 대한예방한의학회지
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• 제19권1호
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• pp.11-22
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• 2015

Objective : This study aims to figure out what the medical students' attitudes toward traditional Korean medicine (TKM) are and how TKM education affects them. Method : We performed content analysis on 283 assignments submitted by senior students who took a 'TKM and complementary alternative medicine (CAM)' course in a medical school in 2010 and 2011. The assignment was to write an report after reviewing a research article about 'TKM or CAM' or interviewing a person engaging in a related field. Results : 193(68.2%) students chose a article review and 90(31.8%) students chose an interview. Significantly more students chose TKM topic in interview group than in article review group(p=0.021). Most frequent questions in interview are as follows; 'comparison of TKM and western medicine'(15.7%), 'education in TKM school'(8.8%), and 'TKM and evidence based medicine'(8.8%). Among students who expressed their attitudes toward TKM, 52.4% of them showed positive attitudes before entering medical school, however, 54.6% of them showed negative attitudes in medical school years. Among students who indicated attitude change before and after the TKM course, 35.9% of them changed positively. Conclusion : TKM education might have positive effects on medical students' attitude toward TKM. It is necessary to expand TKM education and introduce effective education stategy in order to alleviate medical students' misunderstanding and prejudice against TKM.

• 근관절건강학회지
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• 제23권3호
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• pp.187-196
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• 2016

Purpose: The purpose of this study was to investigate the perception and utilization patterns of complementary and alternative medicines (CAM) in patients with fibromyalgia syndrome. Methods: A total of 92 fibromyalgia syndrome patients participated in this study. Data were collected using a structured questionnaire and were analyzed with SPSS/WIN 23.0 program. Results: As a result, 59.8% of subjects had an experience of CAM and 33.7% of subjects have used until now. There were significant differences of the use of CAM between the group of CAM users and non-CAM users by education ($x^2$=4.04, p=.044), period of illness ($x^2$=15.03, p=.001), and period of treatment ($x^2$=12.10, p=.002). Relatively large numbers of patients understanded as that CAM was effective (58.7%) and fibromyalgia syndrome was controllable (75.0%). Moreover, there were significant differences of the use of CAM by the perception of CAM effects ($x^2$=4.15, p=.042), fibromyalgia syndrome ($x^2$=6.55, p=.038), and best treatment for fibromyalgia ($x^2$=11.03, p=.001). Conclusion: These results could be utilized as a basic data for developing nursing intervention for fibromyalgia syndrome.