• 제목/요약/키워드: Complementary design

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Current Research Trends in Randomized Controlled Trials Investigating the Combined Effect of Korean Medicine and Western Medicine Treatment

  • Ha, Dohyung;Kim, Seoyeon;Baek, Yong Hyeon;Won, Jiyoon;Nam, Seri;Shin, Jeeyoung;Kwon, Oh-Hoon;Kim, Soo-Yeon;Lee, Hyangsook
    • Journal of Acupuncture Research
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    • 제37권1호
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    • pp.13-18
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    • 2020
  • This review examined recently published (July 2014 to June 2017), randomized controlled trials (RCTs) which investigated the safety and effectiveness of combined Korean medicine/complementary alternative medicine (CAM) and Western medicine, to indicate the direction for integrative medical practice. The Korean Medicine Convergence Research Information Center evidence-based medicine database (KMCRIC EBM DB) was used to retrieve relevant RCTs indexed in the last 3 years. Study design, country, sample size, disease/condition with the Korean Standard Classification of Diseases code, interventions, direction of outcomes, and adverse events were extracted and summarized. A total of 93 RCTs were included in this review. Acupuncture/moxibustion was the most commonly used intervention (n = 47; 51%), and 19% (n = 18) of the studies treated musculoskeletal disorders, followed by circulatory disorders (n = 16; 17%), and mental and behavioral disorders (n = 9; 10%). Integrative treatment was reported as more effective than monotherapy in approximately 83% of these studies. Adverse events were poorly reported in most studies. This review suggests that integrative treatments are feasible, effective, and safe for various diseases/conditions, based on the evidence from recently published RCTs. Future studies on integrative healthcare are warranted.

원형 콘크리트 충전 강관 (CFT)의 비선형 유한 요소 해석 기법 개발 (Development of Non-linear Finite Element Modeling Technique for Circular Concrete-filled Tube (CFT))

  • 문지호;고희중;이학은
    • 대한토목학회논문집
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    • 제32권3A호
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    • pp.139-148
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    • 2012
  • 원형 콘크리트 충전 강관 (CFT)은 강관과 콘크리트 내부채움재로 이루어진 합성구조로 급속 시공이 가능하고 치수 대비 강도의 효율성이 좋아 교량의 교각이나 건축물의 기둥으로 사용되고 있다. CFT에 대한 실험적 연구는 지난 수년간 꾸준히 연구되어 왔지만 이러한 실험 연구만으로 CFT의 거동을 파악하기는 충분하지 않다. 따라서, CFT의 실험 연구를 보완하고 보다 다양한 제원 및 하중 조건을 고려하여 CFT의 구조 거동을 파악하기 위해서는 수치해석 모델이 필요하다. 본 연구는 CFT의 비선형 유한 요소 해석 기법을 개발하는데 목표가 있다. 개발된 CFT의 유한 요소 해석 모델 기법은 다양한 하중이 작용하는 실험 결과들과 비교하여 그 타당성을 입증하였으며, 제안된 유한 요소 해석 모델은 CFT의 구속 효과 및 CFT의 구조 거동을 잘 모사할 수 있었다.

귀반사요법이 여자대학생들의 월경통, 일상생활 장애, 부정적인 정서 및 자율신경계 반응에 미치는 효과 (Effects of Auricular Acupressure on Menstrual Pain, Difficulties in Daily Life, Negative Feelings and Autonomic Nervous Responses in Female College Students)

  • 김난영;김민아;최소은
    • Journal of Korean Biological Nursing Science
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    • 제17권2호
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    • pp.159-168
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    • 2015
  • Purpose: The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, difficulties in daily life, negative feelings and autonomic nervous responses among college students. Methods: A Randomized Controlled Trial design was used. The treatment group A (n=12) receivedauricular acupressure therapy on the first or second day of their menstrual period. Treatment group B (n=18) regularly received an auricular acupressure therapy once a week for a month. The control group (n=19) received no auricular acupressure therapy. An independent t-test was used to examine pre-post test differences in the group. The ANOVA and Scheffe test were used to examine pre-post test differences among the group. Results: Subjects in treatment group A showed significantly less menstrual pain, difficulties in daily life, and negative feelings than the control group did. The participants in treatment group B also showed significantly less difficulties in daily life and negative feelings than the control group. Conclusion: The findings support that auricular acupressure therapy on menstrual periods is effective in controlling menstrual pain, difficulties in daily life, and negative feelings. As the method is simple, it would be useful for female students to learn to use this method to alleviate the symptoms related to menstruation through self care.

2.4 GHz WLL 단말기용 GaAs MESFET MMIC 송신기 설계 및 제작 (Design and Fabrication of a GaAs MESFET MMIC Transmitter for 2.4 GHz Wireless Local Loop Handset)

  • 성진봉;홍성용;김민건;김해천;임종원;이재진
    • 한국전자파학회논문지
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    • 제11권1호
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    • pp.84-92
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    • 2000
  • 2.4 GHz 대역 WLL 단말기용 GaAs MESFET MMIC 송신기를 설계하고 제작하였다. 설계된 송신기는 이중 평형 능동형 혼합기와 전압 부궤환 구조를 갖는 2단 구동증폭기로 구성하였다. 특히, 한 쌍의 소스 접지-게이트 접지(Common-Source. Common -Gate: CSCG) 구조를 사용하여 IF 입력 선호의 비대칭성으로 인한 동작영역 감소를 보상하였다. 또한 MESFET의 단자간 위상 특성을 이용하여 국부 발진기(La) 신호의 누설 전력을 억제 하였다. 제작된 칩의 크기는 $0.75\times1.75 mm^2$이었고 측정 결과 2.7 V. 55.2 mA에서 386 dB의 변환이득. 11.6 dBm 의 출력$P_{idB}$ 구동증폭기의 RF 출력 -5dBm에서 - 31.5 dBc의 IMD3의 특성을 얻었다. 따라서 제작된 송신기는 WLL 단말기에 적용 가능하다.

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이압요법이 병원여성근로자의 월경곤란증에 미치는 효과 (The Effect of Auricular Acupressure Therapy on Dysmenorrhea for Women Working in the Hospital)

  • 오은주;장옥점;정현자;이혜진;김은정
    • 임상간호연구
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    • 제14권1호
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    • pp.113-123
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    • 2008
  • Purpose: This study was done to provide support material to traditional nursing interventions through investigation of the effect of Auricular acupressure therapy for female staff in the hospital who have dysmenorrhea but cannot be absent from work even with severe symptoms affecting their work and therefore cannot get proper pain management. Method: The participants in this study were 62 women were working in the G-university hospital in Jin-ju, assigned to experimental (30) and 32 control groups (32). The study method was a quasi-experimental, nonequivalent control group non-synchronized design. The experimental group received acupressure treatment (a pin was attached to tape) on the special stimulation points in the inside of the ear, 5 times for 5 seconds, morning, afternoon, and night. Tape without the pressure pin was applied to the same points for women in the control group to evaluate placebo effect. Data were collected from May to November 2007 and were analyzed using SPSS PC+ 12 version. Descriptive statistics, t-test, $x^2-test$, Fisher's exact test, paired t-test, were used to analyze the data. Results: The experimental group showed a significant decrease in dysmenorrhea compared to the control group (t=-2.743, p<.01). In the sub-part, the experimental group showed menstruation related pain (t=-3.726, p<.01), menstruation related to behavioral change (t=-2.421, p<.05) and symptoms however, there was no significant difference related to attention deficit, water retention, and negative image. Conclusion: Application of auricular acupressure therapy was approved for this study and although auricular acupressure therapy was not effective for all of the symptoms, it was effective for dysmenorrhea.

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독일의 사례를 통해 본 농업인재해 보장체계 구축 방안 (A Scheme of Compensation System for Farmers' Accidents through the Example of Germany)

  • 민병욱;김효철;이경숙
    • 농촌지도와개발
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    • 제18권3호
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    • pp.351-384
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    • 2011
  • The purpose of this study is to look at the case of the German compensation system for farmers' accidents and to build a basic scheme in our country's compensation system for farmers' accidents. When you view examples of Germany, the social insurance scheme for farmers accidents in korea should be design as an independent institution from the existing industrial accident insurance, and it comes to relationships with other social insurance system, preferably with complementary personalities. A general rule of the compensation system applies to all farmers in principle but the coverage limits part-time farmers. Financial burden consists of the mix of insurance premium and state aid. The type and level of benefits is similar to the current industrial accident insurance, which give priority to places on economic security for keeping farmworks, such as cost for using temporary farmers, rather than income loss. In terms of financial system, pay-as-you-go system would be better because of immediate payment with the introduction of the compensation system. The compensation system might be managed and administrated by the existing nationwide organization. Of course, for operating of system review and further research on the technical details such as premium issues and funding problems of government support, the exact classification of the target coverage, premiums based on estimated income for the farmers' estimation, the exact statistical data on the accumulation of agricultural disaster is needed.

주의력결핍 과잉행동장애에서 오메가-3의 효과에 대한 고찰 (Review on the Efficacy of Omega-3 in the Treatment of Attention-Deficit Hyperactivity Disorder)

  • 박소영;이소영;이문수
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제27권1호
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    • pp.31-38
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    • 2016
  • Pharmacotherapy is considered the first line therapy in attention-deficit hyperactivity disorder (ADHD). Many patients also choose complementary medicine such as dietary supplements. Omega-3 has shown some efficacy for improving ADHD symptoms in several studies. The goal of this review is to integrate the previous research findings on omega-3 and understand the issues worth considering in the treatment of ADHD. The terms "attention deficit disorder with hyperactivity", "omega-3", and "dietary supplements" were searched on PubMed, Cochrane, and Google scholar. The search was further limited to clinical trials, reviews, and meta-analyses. Trials that examined treatments for ADHD, used randomized design, and placebo-controlled trials were included. Eighteen clinical trials with a total of 1,141 participants were included in this review. Fifteen trials had parallel designs, comparing an omega-3/6 polyunsaturated fatty acid (PUFAs) or a combination of both to a placebo and three compared omega-3/6 PUFAs to a placebo and psycho-stimulants. Seven of the included trials showed significant improvements in groups receiving omega-3/6 PUFAs compared to placebo groups, however, 11 trials showed no significant differences. Evidence that PUFAs supplementation provides benefits for ADHD was yet limited. Mixed results were due to selection variability criteria, variability of supplementation, and short follow-up intervals.

Comparative Study on the Effects of Herbal Medicine and Western Medicine on the Liver Function Based on Cross-Sectional Design

  • Park, Hae-Mo
    • 대한예방한의학회지
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    • 제14권1호
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    • pp.49-58
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    • 2010
  • Objective : The purpose of this study is to examine safety of herbal medicine on liver function and compare with western medicine. Method : 303 subjects of skin disease(vitiligo and psoriasis) were chosen at a local oriental medical clinic, and tested with a spot liver function test from Sept 1, 2006 to Dec 31, 2006. Subjects were grouped into untreated, herbal medicine, western medicine, and combination group by treatment record. Total bilirubin, AST, ALT and LDH was compared in each group, odds ratio and regression coefficient was calculated. Results : Subjects comprised of 116 individuals receiving western medication(38.28%), 54 receiving herbal medication(17.82%), 107 receiving combined forms of medication(35.31%), and 26 individuals without any types of medication(8.58%). With the mean age of 37.0 yr. 204 were male(67.3%), 99 were female(32.7%). Comparing variables of liver functions, there was no significant difference between the control and experiment groups. After adjusting potential confounders, monthly $\beta$(SE) of multiple regression -0.009~0.000 for the herbal group, -0.005~0.000 for the western group, and -0.001~0.001 for the combination group. No significant difference between the groups. OR of T-bilirubin were 1.02, 1.05, and 1.04. AST were 0.92, 0.94, and 0.98. ALT were 0.85, 0.99, and 0.97. LDH were 0.96, 1.06, 1.00 for the herbal, western, and combination group, respectively. Conclusion : Comparing with western medication, herbal medication did not cause special ill-effect on the liver function based on liver function tests.

경관단위분류를 통한 경관가치평가 및 경관계획적 활용 (Landscape Assessment and Landscape Planning based on Landscapetope Classification)

  • 권오성;이현택;나정화;조현주
    • 한국환경복원기술학회지
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    • 제17권1호
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    • pp.65-79
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    • 2014
  • This study selected Nakdong River basin zone in Daegu as an example area to conduct landscapetope classification and aesthetic value assessment of landscape according to the classified landscapetope. The main result of this research can be summed up as following. First, the result of landscapetope type classification showed 28 types of landscapetope including complex residential area (AA), natural stream type with copious vegetation (BA), forest type centered on mixed forest of soft and hardwood (EB) along with 129 types of imputed specific landscapetope. The result of the total first assessment using B-VAT showed the first grade 10 types, II grade 4 types, III grade6 types, IV grade 3 types, 5 types for V grade with the lowest value. The second assessment conducted toward the landscapetope types with the grade higher than the average (including III grade) in the result of the first assessment showed that there are 66 spaces for the sites (1a, 1b) with special meaning for aesthetic landscape evaluation. And also, there were 69 spaces for those (2a, 2b, 2c) with meaning for aesthetic landscape evaluation. The design model of this research is largely divided into improvement goal and specific execution plan. First, the improvement goal is divided into 6 categories including conservation area, complementary area, and restoration area, and the specific execution plan is divided into 14 categories including special landscape management area, general landscape management area, conservation of hill areas with optically good condition. A comprehensive master plan was suggested by directly applying the set landscape planning model to the subject place of this research.

기-액 상변화 열전달을 이용한 대형 조리용기 개발을 위한 2 성분 작동유체의 열전달 특성실험 (Experimental Study on Heat Transfer Characteristics of Binary Working Fluid for Clean Large Cauldron Using Liquid-Vapor Phase Change Heat)

  • 정태성;강환국
    • 대한기계학회논문집B
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    • 제38권11호
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    • pp.899-905
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    • 2014
  • 본 연구는 고효율 청정 조리용기 개발을 위한 기초 연구로서 기-액 상변화를 이용하여 조리용기의 등온성을 향상시키고자 $100-200^{\circ}C$의 작동온도 범위에 적합한 작동유체를 선정하고 이들 작동유체의 열전달 특성실험을 수행하였다. 이를 위하여 2 상 밀폐 열사이폰을 제작하고 두 가지 작동유체에 대한 비등 및 응축 열전달 특성과 시동특성에 대한 실험하였으며, 실험 결과로부터 2 가지 유체를 혼합한 2 성분 유체 열사이폰의 시동 및 열전달 성능의 상호 보완 가능성을 분석하였다.