• Title/Summary/Keyword: Clinical Effectiveness

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Study on the Dossisosihotang (도씨소시호탕(陶氏小柴胡湯)에 대한 연구(硏究))

  • Sheen, Yeong-il
    • Journal of Korean Medical classics
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    • v.30 no.2
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    • pp.99-112
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    • 2017
  • Objectives : 28 prescriptions with the name 'Dossi' can be found in Yixuerumen, and all these prescriptions are highly useful due to their clinical effectiveness. Among them, Dossisosihotang has an important role as the essential prescription utilizing harmonizing and releasing formula. Therefore, this paper aims to ponder upon this prescription. Methods : Dossisosihotang's origin and effectiveness were studied, and the findings served as the basis for analyzing the varied forms of this prescription which came about in the later generations in order to consider more detailed usage of this prescription. Results & Conclusions : Dossisosihotang directs its patient to consume sosihotang added with chenpi, shaoyao, chuanxiong, then simmered, and added with three spoons worth of raw wormwood juice. Its origin can be traced back to shachechuifa's 'Sihossanghaeeum,' and it is mainly effective for treating the blood aspect syndrome of lesser yang disease such as women's cold damage and heat entering the blood chamber. In treating the symptom of half-exterior and half-interior, taohua developed prescriptions depending on the syndrome, such as Sihijigyungtang, Sihohamhyoungtang, Samhosambacktang, Siryungtang, Sihosamultang, Sigalhaegitang, and Samhoseoggotang. These prescriptions became widely known for their clinical efficacy, leading to many later generations of clinical doctors to use them.

Evaluation of the Implementation of Problem-Based Learning in Korean Medical Education (한의학교육에서 문제바탕학습 시행에 따른 만족도)

  • Cha, Ho-Yeol;Kim, Na-Hyeong;Hong, Jin-Woo;Shin, Sang-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.351-359
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    • 2012
  • This study aims to evaluate the student satisfaction of problem-based learning(PBL) in Korean medical curriculum. A questionnaire was given to clinical clerkship students of Pusan National University School of Korean medicine. These items covered overall evaluation of module & learning environment, tutoring, individual learning, group learning and effectiveness for clinical clerkship in PBL. By most of all respondents, PBL was recognized as a more effective learning method. Most respondents were satisfied with the group learning, individual learning and effectiveness for clinical clerkship. However, satisfaction was lower for tutors and module. The results of this study demonstrated that the students had a high level of satisfaction in PBL. It might be concluded that PBL was successfully implemented into the Korean medical curriculum.

Development and Effects of a Simulation-based Education Program for Newborn Emergency Care (시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발 및 효과)

  • Yoo, So Young
    • Journal of Korean Academy of Nursing
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    • v.43 no.4
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    • pp.468-477
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    • 2013
  • Purpose: This study was conducted to develop a simulation-based education program for newborn emergency care based on most needed topics found from the needs assessment. This study consisted of two phases: developing the program and evaluating its effectiveness. Methods: The effectiveness of the program was tested in July, 2012, with 49 junior nursing students from C Nursing College in Seoul, who did not have any clinical experience in newborn care. The experimental group was given a three-hour lecture, three hours of clinical training, and a two-hour simulation program, whereas the control group only had the three-hour lecture. Results: There was significant improvement in knowledge in both groups, but no significant differences according to educational methods. The experiment group was more confident of their care ($4.32{\pm}.29$) than the control group ($3.60{\pm}.29$) with the difference being significant (t=8.85, p<.001), and the experimental group was also more satisfied with the program (${\chi}^2$=4.60, p=.032). Conclusion: As the results indicate 'the neonatal emergency care program' increased learners' knowledge, confidence and satisfaction with the program, it should be integrated into clinical training in pediatric nursing curriculum and in-service programs for nurses. To increase generalization further verification studies with various learner groups are needed.

Impact of Applying 'Nursing Process Program' to Nursing Practice - Based on I.C.U Nursing Practice - (임상실습에서의 간호과정 전산프로그램 활용결과 분석 - 일 간호대학의 중환자 실습을 중심으로 -)

  • Park Soon-Ok;Park Hyoun-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.1
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    • pp.24-34
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    • 2001
  • This study was done to identify the effectiveness of applying a 'Nursing Process Program' to the nursing students' clinical practice. The data collection period was from September 2000 to January 2001, and the subjects of the study were 39 students who were doing clinical practice in the ICU. The results are as follows : 1. Most subjects had a personal computer, had experience in using computers for one year and usually did word processing and internet, and wanted computerization of nursing work. The average results of the questions on the need for, and the effectiveness of applying a 'Nursing Process Program' to clinical practice were, on five point scales, 4.07 and 4.21 respectively. 2. There were no significant differences in the mean scores for suhjects' attitudes toward computers and computer anxiety between before and after using a 'Nursing Process Program'. 3. The total case study frequency using a 'Nursing Process Program' was 68, and 'Risk for infection' was the most frequent nursing diagnosis.

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Systematic Review for the Development of the Clinical Study with Economical Assessment Protocol on Atopic Dermatitis (아토피 피부염의 임상연구병행 경제성평가 프로토콜 개발을 위한 체계적 문헌고찰연구)

  • Gwon, Ji-Yae;Seon, Ji-Hye;Yun, Hwa-Jeong;Kim, Nam-Kwen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.1
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    • pp.17-28
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    • 2017
  • Objectives : The aim of this study is reviewing the literature to extracting the key parameter and finding the calibration parameter for the clinical study with economical assessment protocol on atopic dermatitis. Methods : Literature search is performed using PUBMED for literature published from Janurary 2000 to December 2016. We included randomized controlled trials(RCTs) with economic assessment in which human participants. Results : Among the articles published from January 2000 to December 2016, The 1464 articles were found. After reviewing the title, abstract and full text, the five articles were selected. Selected articles are classified 3 CEA(cost effective analysis)study, 1 CMA(cost minimizing analysis)study and 1 cost analysis study. Conclusions : We found highly reliable key parameters and calibration parameters, which might be necessary factors for developing research protocol of economic evaluation alongside clinical trial about atopic dermatitis patients.

Case Report of a Brain-stem Infarction Patient with Complaints of Diplopia and Eye-movement Impairment Treated with Traditional Korean Medicine (복시 및 안구운동장애를 호소하는 뇌간경색 환자의 한방 치험 1례)

  • Noh, Hyeon-seok;Kim, Su-min;Ha, You-kyung;Yi, Chan-sol;Choi, Dong-jun
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.345-351
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    • 2016
  • Objective: This clinical study reports on the effectiveness of traditional Korean medicine on a patient with diplopia and eye-movement impairment caused by brain-stem infarction.Method: A patient with diplopia and eye-movement impairment caused by brain-stem infarction was treated with herbal medicine (Bogan-san), acupuncture, and moxibustion. We used the visual analogue scale (VAS) of diplopia and measured the patient's eye-movement range to evaluate the effectiveness of the treatment.Results: The diplopia VAS decreased and eye-movement range improved after treatment with traditional Korean medicine.Conclusion: This clinical study suggests that traditional Korean medicine could greatly contribute to the treatment of diplopia and eye-movement impairment caused by brain-stem infarction.

A Study on Amendment of Approval Specifications for Traditional Korean Medicines (한약제제 허가기준 개선방안 연구(I))

  • Han Byong-Hyon;Hwang Gwi-Seo
    • Journal of Society of Preventive Korean Medicine
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    • v.5 no.1
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    • pp.57-75
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    • 2001
  • This study was conducted to improve the current regulation guidelines for developing traditional Korean medicines with effectiveness and productivity, in order to cope with the upcoming ICH on specifications on oriental herbal drugs. Also, major purposes of this study are to motivate R&D and to pioneer foreign markets for domestic herbal drug companies. First, after examining concepts of traditional Korean medicines and comparing the numbers and differentiation of herbal drugs registered on Pharmacopeia among Korea, China, and Japan, the current new drug development requirements for traditional Korean medicines were reviewed in detail, followed by comparison of foreign regulation systems including USA, EU, China, and Japan. Second, empirical cases on failure of development for new traditional Korean medicines under the current regulation system in the domestic companies including Dong-A, Kwangdong, and Samchondang, were collected and analyzed. As a result, hanbangsaengyak, the new category for traditional Korean medicines was newly developed on the basis of scientification of data between saengyak and hanyak, from the perspectives of harmonization between oriental medicine and western medicine and of balance between food and drug, in terms of industrialization, publicity, modernization, and effectiveness of administration. In addition, the new regulation requirements for the new hanbangsaengyak preparations were discussed by establishing principles of reinforcing preclinical test and of simplifying clinical trials in Korea. Finally, the further researches to articulate the complete specifications for pre-clinical and clinical requirements for traditional Korean medicines were strongly suggested.

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A Clinical Report of Seborrheic Dermatitis (지루성 피부염의 한방 치험 1례)

  • Bae, Hyeon-Jin;Jo, Ga-Won;Choi, Yong-Ju;Heo, Eun-Sun;Hwang, Chung-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.4
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    • pp.200-208
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    • 2014
  • Objective : The purpose of this report is to know the effect of Sopung-san and Cheonggisamseup-tang(消風散 合 淸肌滲濕湯) on seborrheic dermatitis. Methods : We experienced one case of seborrheic dermatitis patient with Sopung-san and Cheonggisamseup-tang. To evaluate the effectiveness of this treatment, we used the Visual Analogue Scale(VAS) about symptoms of flare, itching, and observe scales. Results : After the treatment, the grade of flare and itching VAS was decreased, and clinical symptoms were improved including scales. Conclusion : The result indicate that Sopung-san and Cheonggisamseup-tang is helpful in the treatment of seborrheic dermatitis. And an author consider that additional clinical studies are needed to verify the effectiveness of herbal medicine with objective assessment tools.

Recent Clinical Research Trends of Chuna Treatment in Obese Children through CAJ and Pubmed (CAJ와 Pubmed를 이용한 비만아동의 추나치료에 대한 최신임상연구 동향)

  • Ryu, Hyang;Kim, Seo Hyung;Kim, Ki Bong;Cheon, Jin Hong
    • The Journal of Pediatrics of Korean Medicine
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    • v.33 no.2
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    • pp.48-68
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    • 2019
  • Objectives The purpose of this study is to obtain knowledge from clinical studies conducted in China to examine the effectiveness of Chuna treatment and its potential in childhood obesity. Methods 6 clinical studies up to March, 2018 about childhood obesity were reviewed using 'CAJ', Chinese Academic Journal from China National Knowledge Infrastructure (CNKI) and 'Pubmed'. Result 1. 6 eligible randomized control studies were selected based on our inclusion criteria. Then, the studies are analyzed by demographic information, treatment method, evaluation methods, and results. 2. Ordinary acupoints (正經穴) is the most common acupoint-applying method of Chuna therapy. The most frequently used acupoints were Zhongwan (CV12), Tianshu (ST25), Zusanli (ST36), Qihai (CV6), Fenglong (ST40) and Guanyuan (CV4). Conclusion In most of the studies, the overall effectiveness in the treatment group was better than that of the control group. The results of this study can be used for future studies of Chuna therapy in the child obesity.

Effectiveness of dental implantation with the partial split-flap technique on vertical guided bone regeneration: a retrospective study

  • Cho, Young-Dan;Kim, Sungtae;Ku, Young
    • Journal of Periodontal and Implant Science
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    • v.51 no.6
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    • pp.433-443
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    • 2021
  • Purpose: This study aimed to evaluate the effectiveness of the partial split-flap technique with a K-incision on vertical guided bone regeneration (vGBR) and to retrospectively analyze the clinical and radiographic outcomes of dental implantation using this approach. Methods: In total, 78 patients who received 104 dental implants with vGBR, categorized as (1) pre-GBR and post-implantation and (2) simultaneous GBR and implantation, were enrolled. Data analysis was based on periapical radiographs, clinical photos, and dental records. The 2-sample t-test was used to compare the 2 surgical procedures. Results: The baseline vertical bone level, augmented bone height (ABH), and treatment duration were significantly higher in the pre-GBR procedure group. The survival rates of the implants were 96.1% and 94.8% in implant- and patient-based analyses, respectively. In Cox regression analysis, high rates of implant failure were found in the presence of ABH of ≥4 mm, smoking, and diabetes. Conclusions: Within the limitations of this retrospective study, the partial split-flap technique using a K-incision for vGBR showed stable clinical outcomes and favorable dental implant survival.