• Title/Summary/Keyword: Case Review

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A Systematic Review of Chuna Manual Therapy for Adolescent Idiopathic Scoliosis

  • Jung, Ga Hyeon;Lee, Hyun;Kong, Hae Jin;Ryu, Hwa Yeon;Ku, Yong Ho;Kang, Jae Hui
    • Journal of Acupuncture Research
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    • v.36 no.3
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    • pp.119-130
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    • 2019
  • This study analyzed randomized controlled trials (RCTs) and case studies investigating Chuna manual therapy and variations of this term, for adolescent idiopathic scoliosis. On June $15^{th}$, 2019, 6 online databases were used to retrieve studies. A total of 527 articles were retrieved, and 14 RCTs and 20 case studies were selected for review. Typically, the frequency of Chuna therapy was 1-2 times/week. The most common period of treatment was 12 months in RCTs and 3-6 months in case studies. Cobb's angle was the most frequent evaluation index used (11 RCTs and 20 case studies). In control groups, brace treatment was used in 8 RCTs. In 6 RCTs and 20 case studies, Cobb's angle significantly decreased after Chuna therapy, and in 4 RCTs, Chuna therapy was as effective as brace treatment, with no significant difference between groups. Adverse events were not reported except for minor reactions in only 3 case studies. This review suggested that Chuna therapy for adolescent idiopathic scoliosis was more advantageous than and as effective as brace treatment in most cases, although the risk of bias in 13 RCTs was unclear.

Radiofrequency in arthroscopic shoulder surgery: a systematic review

  • Neeraj Vij;Joseph N. Liu;Nirav Amin
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.423-437
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    • 2023
  • Background: Radiofrequency has seen an increase in use in orthopedics including cartilage lesion debridement in the hip and knee as well as many applications in arthroscopic shoulder surgery. The purpose of this systematic review is to evaluate the safety and usage of radiofrequency in the shoulder. Methods: This systematic review was registered with PROSPERO (international registry) and followed the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. Embase and PubMed were searched using: "shoulder," "rotator cuff," "biceps," "acromion" AND "monopolar," "bipolar," "ablation," "coblation," and "radiofrequency ablation." The title and abstract review were performed independently. Any discrepancies were addressed through open discussion. Results: A total of 63 studies were included. Radiofrequency is currently utilized in impingement syndrome, fracture fixation, instability, nerve injury, adhesive capsulitis, postoperative stiffness, and rotator cuff disease. Adverse events, namely superficial burns, are limited to case reports and case series, with higher-level evidence demonstrating safe use when used below the temperature threshold. Bipolar radiofrequency may decrease operative time and decrease the cost per case. Conclusions: Shoulder radiofrequency has a wide scope of application in various shoulder pathologies. Shoulder radiofrequency is safe; however, requires practitioners to be cognizant of the potential for thermal burn injuries. Bipolar radiofrequency may represent a more efficacious and economic treatment modality. Safety precautions have been executed by institutions to cut down patient complications from shoulder radiofrequency. Future research is required to determine what measures can be taken to further minimize the risk of thermal burns.

Intra-Root Cavernous Angioma of the Cauda Equina : A Case Report and Review of the Literature

  • Chun, Sang-Woo;Kim, Sang-Jin;Lee, Tae-Hoon;Koo, Hye-Soo
    • Journal of Korean Neurosurgical Society
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    • v.47 no.4
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    • pp.291-294
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    • 2010
  • Authors experienced intra-root cavernous angioma which is very rare case among cavernous angiomas of cauda equina. Our intra-root cavernous angioma was confirmed by findings from operating field and microscopic examination. We report this case with review of the literature.

Impulse Control Disorders associated with Pramipexole/Ropinirole Use in Non-Parkinson's Disease: A Scoping Review (파킨슨 병 이외의 적응증을 가진 환자의 Pramipexole 혹은 Ropinirole 사용과 관련된 충동 조절 장애: 주제 범위 문헌 고찰)

  • Jeong, Tae hyun;Suh, Seoung Min;Song, Hyun Jin;Jeon, Nakyung
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.4
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    • pp.250-258
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    • 2020
  • Background: Dopamine receptor agonists (DRAs) have been associated with impulse control disorders (ICDs) in Parkinson's disease (PD) in preliminary studies. Whether the association holds true when DRAs are used to treat non-PD, such as restless legs syndrome, prolactinoma, and several mood disorders is uncertain. Objective: The present study aimed to understand the research gaps related to the risk of ICDs associated with pramipexole or ropinirole (PRX/ROP) use as a treatment for specific underlying diseases, excluding Parkinson's disorders. Methods: We conducted a scoping review, systematically searching databases to identify literature on the types, prevalence, and factors associated with ICD in non-PD patients receiving PRX/ROP. All relevant information that helped understand the epidemiology of ICDs among non-PD patients taking PRX/ROP were extracted and analyzed. We also evaluated the potential associations between PRX/ROP and ICDs, utilizing the Naranjo scale or statistical analysis, depending on the type of literature. Results: We included 24 articles (19 case reports or case series and 5 population-based studies) in this scoping review. Evaluating the 19 case reports or case series using Naranjo scores led to the discovery of a possible link between PRX/ROP exposure and ICDs. However, important information to assess causality is frequently missing. Moreover, the population-based studies lack diversity in the study populations and enough study samples to draw conclusive results. Conclusion: Our scoping review suggests that the currently available literature requires more details in future case reports and for well-powered studies in various disease conditions where PRX/ROP is frequently used.

A study on the Critical Design Review in case of Urban MAGLEV Train (도시형 자기부상열차 실용화사업의 상세설계검토(CDR) 수행 사례)

  • Chung, Kyung-Ryul;Park, Chulho;Song, Seonho
    • Journal of the Korean Society of Systems Engineering
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    • v.4 no.1
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    • pp.45-51
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    • 2008
  • This paper presents template for Critical Design Review(CDR) in case of Urban MAGLEV Program. CDR was executed to confirm for design result based on requirements at last design stage. The integrated template for effective CDR includes requirements, specification and verification items. CDR needs to confirm satisfaction of requirements for design result and define verification method for technical validity. This template will help a consistent and integrated design review. And it is specially useful in huge and complex project.

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A Literature Review of Case Series of Soyang Person in Journal of Sasang Constitutional Medicine from 2007 to 2016 (사상의학회지에 10년간 게재된 소양인 증례연구(Case series) 논문 동향조사: 2례 이상을 중심으로)

  • Sung, Soo-Hyun;Park, Jang-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.2
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    • pp.83-94
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    • 2017
  • Objectives This study aimed to provide a basis for treatment of soyang person by investigate published case series of soyangin Methods We have reviewed case series of soyangin in the Journal of Sasang Medicine from 2007 to 2016. Results A total of 16 case series related to soyangin were reported. Among them, herbal medicine was used in 16 papers (100.0%), of which 'Hyeongbangjihwang-tang' was the most frequently used, reported in five papers (31.3%). For acupuncture of 12 papers (75.0%), acupoint 'ST36' was the most frequently used, reported in four papers (33.3%). Conclusions Most of the included case series were effective in treating patients of soyangin. However, the number of papers was insufficient to suggest standardized treatment for "diseases-Sasang medicine pattern-treatment" systems.

A review of analysis methods for secondary outcomes in case-control studies

  • Schifano, Elizabeth D.
    • Communications for Statistical Applications and Methods
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    • v.26 no.2
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    • pp.103-129
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    • 2019
  • The main goal of a case-control study is to learn the association between various risk factors and a primary outcome (e.g., disease status). Particularly recently, it is also quite common to perform secondary analyses of the case-control data in order to understand certain associations between the risk factors of the primary outcome. It has been repeatedly documented with case-control data, association studies of the risk factors that ignore the case-control sampling scheme can produce highly biased estimates of the population effects. In this article, we review the issues of the naive secondary analyses that do not account for the biased sampling scheme, and also the various methods that have been proposed to account for the case-control ascertainment. We additionally compare the results of many of the discussed methods in an example examining the association of a particular genetic variant with smoking behavior, where the data were obtained from a lung cancer case-control study.

The Review on the Trend of Teeth and Temporomandibular Joint(TMJ) Diseases Articles that Published in the Journals of Korean Medicine (국내 한의학 학술지에 게재된 치아 및 측두하악관절 질환 관련 논문들의 경향성 고찰)

  • Kwon, Kang;Kim, Chul-Yun;Lee, Dong-Jin;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.3
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    • pp.1-25
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    • 2014
  • Objective : For activation of study on filed of odontology in Korean medicine academia, we analyzed the trend of articles that published in journals of Korean medicine. Methods : Using search words of odontology, in internet reference sites we collected papers and classified those into three categories like as review article, original article, case report. Observation points of each item are as follows. Inclusive item of papers; publication year, journal, number of authors, disease. Item of review article; subject of paper, Item of original article; number of patients, period of research, remedy. Item of case report; remedy, valuation of criteria, number of cases. Results : The total number of articles searched was 88, consisting of 23 review articles, 46 original articles and 19 case reports. The percentage of 'TMJ diseases' ranked highest(47.7%) in classification by disease. The most reviewed subject was 'Remedy' (16 times). '25 or less' person ranked highest(50%) in the number of patient in original articles. Acupuncture, chuna manual medicine and herbal medicine were mostly applied in case reports. The number of 'one case' reported case reports was highest(52.6%).

The Review on the Acne Related Articles Published in the Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (한방안이비인후피부과학회지에 게재된 여드름과 관련된 논문에 관한 고찰)

  • Kim, Ji-Soo;Park, Soo-Yeon;Choi, Jeong-Hwa;Kim, Jong-Han;Rhee, Doo-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.3
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    • pp.26-39
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    • 2014
  • Objective : This study was carried out to analyze the trends of Acne related articles that have been published in the Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology(JKOOD). Method : We studied 29 research papers relevant to Acne that published in JKOOD from 1998 to 2013. All the paper were classified into three categories; original article, review article and case report. We sub-classified the original articles into three categories; descriptive study, analytic study and experimental study. We analyzed the case report according to various types of treatment. Results : 1. The number of searched journals is 29 papers; 17 original ordicles, 4 review articles, 8 case reports. 2. Classification of 17 original articles into three categories; 10 experimental studies, 7 descriptive studies, 0 analytic study. 3. Method of Evaluation; Korean Acne Grading System(KAGS) is used frequently in descriptive studies and experimental studies. 4. Treatment in Case reports; 7 Case reports used External medical treatments. Conclusions : It is needed to develop the methods of grading system in acne related to Oriental medicine to obtain objectivity of studies. The number of analytic study, clinical trial and experimental study is need to increase.

Trends in the Quality of Primary Care and Acute Care in Korea From 2008 to 2020: A Cross-sectional Study

  • Yeong Geun Gwon;Seung Jin Han;Kyoung Hoon Kim
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.3
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    • pp.248-254
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    • 2023
  • Objectives: Measuring the quality of care is paramount to inform policies for healthcare services. Nevertheless, little is known about the quality of primary care and acute care provided in Korea. This study investigated trends in the quality of primary care and acute care. Methods: Case-fatality rates and avoidable hospitalization rates were used as performance indicators to assess the quality of primary care and acute care. Admission data for the period 2008 to 2020 were extracted from the National Health Insurance Claims Database. Case-fatality rates and avoidable hospitalization rates were standardized by age and sex to adjust for patients' characteristics over time, and significant changes in the rates were identified by joinpoint regression. Results: The average annual percent change in age-/sex-standardized case-fatality rates for acute myocardial infarction was -2.3% (95% confidence interval, -4.6 to 0.0). For hemorrhagic and ischemic stroke, the age-/sex-standardized case-fatality rates were 21.8% and 5.9%, respectively in 2020; these rates decreased since 2008 (27.1 and 8.7%, respectively). The average annual percent change in age-/sex-standardized avoidable hospitalization rates ranged from -9.4% to -3.0%, with statistically significant changes between 2008 and 2020. In 2020, the avoidable hospitalization rates decreased considerably compared with the 2019 rate because of the coronavirus disease 2019 pandemic. Conclusions: The avoidable hospitalization rates and case-fatality rates decreased overall during the past decade, but they were relatively high compared with other countries. Strengthening primary care is an essential requirement to improve patient health outcomes in the rapidly aging Korean population.