• 제목/요약/키워드: Database Search

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알츠하이머병의 신경영상 기법을 이용한 침치료 임상연구: 문헌고찰 (Clinical Studies of Acupuncture Treatment for Alzheimer's Disease Using Neuroimaging Method: A Review of Literature)

  • 이동혁;김주희;권보인
    • 동의생리병리학회지
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    • 제34권5호
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    • pp.222-228
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    • 2020
  • The purpose of this article was to investigate the current state of studies on clinical trials of acupuncture treatment for Alzheimer's disease using neuroimaging method. We searched for clinical trials of acupuncture treatment for Alzheimer's disease(AD) and mild cognitive impairment(MCI) using neuroimaging method in the MEDLINE (Pubmed) database on March 18, 2020. Once the online search was finished, studies were selected manually by the inclusion criteria. Finally, we analyzed the characteristics of selected articles and reviewed the neural substrates of acupuncture treatment in AD. Total ten studies were included in this study. The most frequently applied modality for AD was functional MRI. The most frequently selected acupoints for AD were KI3, LR3 and LI4. One of studies showed that acupuncture treatment could improve the symptoms of MCI. Through the analysis, we demonstrated that neuroimaging method could capture the neural substrates associated with AD. Moreover, acupuncture may induce differential response according to the disease status. Finally, real acupuncture could produce more extensive activation/deactivation than sham acupuncture. We hope that neuroimaging method can contribute to the clinical research of acupuncture treatment for AD through large-scale RCT and diverse imaging modality.

자폐 스펙트럼 장애 아동의 섭식 문제를 위한 부모교육의 효과: 체계적 고찰 (The Effect of Parent Education on Feeding Problems in Children With Autism Spectrum Disorder: A Systematic Review)

  • 최연우;김경미
    • 대한감각통합치료학회지
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    • 제18권3호
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    • pp.39-52
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    • 2020
  • 목적 : 본 연구는 자폐 스펙트럼 아동의 섭식 문제에 대한 부모교육의 효과를 알아보고자 체계적 고찰을 실시하였다. 연구방법 : 2000년 1월부터 2019년 5월까지 게재된 논문을 대상으로, Cochrane library, Embase, Ovid, Pubmed 데이터베이스를 이용하여 검색하였다. 총 6개의 논문을 최종 선택하여 연구의 근거 수준에 따라 질적 분석을 실시하였고, PICO(Patient, Intervention, Comparison, Outcome) 에 따라 정리하였다. 결과 : 최종 선정된 논문 중 4편이 근거 수준 1이고, 나머지는 근거 수준 3으로 나타났다. 부모교육의 기반이 되는 중재 접근법 중 행동치료가 기반이 되는 논문이 3편으로 가장 많았으며, 모두 근거 수준 1에 해당하였다. 결론 : 본 연구는 섭식 문제를 가진 자폐 스펙트럼 아동의 가정에 도움을 주는 다양한 방법의 부모교육을 알아봄으로써 임상에서 적용할 수 있는 부모교육의 방향을 모색하는 데 의의가 있다.

뇌성마비 아동의 운동학습 효과 체계적 고찰 (The effect of motor learning in children with cerebral palsy: A systemic review)

  • 김정현
    • 대한물리치료과학회지
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    • 제28권1호
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    • pp.33-45
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    • 2021
  • Background: Children with cerebral palsy have difficulty acquiring motor skills through motor learning due to lack of motor planning of the central nervous system and musculoskeletal dysfunction. Motor learning is the acquisition or modification of movements with the aim of developing skilled movements and behaviors. Cerebral palsy improve motor function through motor learning, and effective motor learning mainly depends on practice parameters such as learning feedback. Therefore, we investigate the effect of motor learning in children with cerebral palsy and try to present the possibility of clinical application. Design: A systemic review. Methods: Research papers were published from Jan, 2010 to Dec, 2020 and were searched using PubMed and Medline. The search terms are 'task specific training' OR 'motor learning' OR 'feedback(Mesh term)' OR 'goal activity' AND 'cerebral palsy(Mesh term)'. A total of eight papers were analyzed in this study. The paper presented the quality level based on the research evidence, and also presented PEDro (Physiotherapy Evidence Database) scores to evaluate the quality of design studies in randomized clinical trials. Results: The results showed that motor learning coaching in children with cerebral palsy improved motor function in post and follow up tests. Also, self-control feedback of motor learning is more effective than external control feedback. 100% external control feedback of motor learning is effective in the acquisition phase and 50% external feedback of motor learning is effective in the retain phase. Conclusion: These results suggest that it will be an important data for establishing evidence on the effect of motor learning arbitration methods in children with cerebral palsy to develop clinical applicability and protocols.

서버와 리더의 위장공격 탐지가 가능한 랜덤 ID기반 RFID 상호 인증 프로토콜 (A Random ID-based RFID Mutual authentication protocol for detecting Impersonation Attack against a back-end server and a reader)

  • 여돈구;이상래;장재훈;염흥열
    • 정보보호학회논문지
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    • 제20권4호
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    • pp.89-108
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    • 2010
  • 최근에 경량화된 해쉬 기반 RFID(Radio Frequency Identification) 상호 인증 프로토콜의 연구결과가 많이 발표되고 있다. 대부분의 프로토콜이 백엔드 서버와 리더 구간을 안전하다고 가정하고 있어, 백앤드 서버와 리더의 위장 공격을 고려하지 않고 있다. 현실적으로 공격자 입장에서는 태그 공격보다는 백엔드 서버나 리더 공격이 공격대비 높은 효율성을 가질 것이다. 본 논문에서는 보다 현실성 있는 해쉬 기반 RFID 상호 인증 프로토콜을 설계하기 위해 전 구간을 안전하지 않은 공개 채널로 가정한다. 기존 연구에서 지원하는 상호인증을 지원하고, 재전송 공격 및 태그와 리더의 위장공격, 태그 위치추적공격, 서비스 거부 공격에 안전하다. 추가로, 모든 개체의 위장 공격으로부터 안전하고, 태그 탐색을 하는 개선된 백엔드 서버 검색률을 지원하는 안전하고 효율적인 RFID 상호 인증 프로토콜을 제안한다. 마지막으로 기존 연구와의 안전성 분석과 효율성 분석을 제시한다.

럭셔리 패션 브랜드의 디지털 마케팅 전략 분석 (Analysis of digital marketing strategies of luxury fashion brands)

  • 박지수;이영주
    • 한국의상디자인학회지
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    • 제23권1호
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    • pp.87-102
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    • 2021
  • The purpose of this study is to consider effective digital marketing strategies through analysis of luxury fashion brands. This study conducted both quantitative analysis and case studies of the brands Louis Vuitton, Gucci, Burberry, and Chanel. To measure the brand image of the luxury fashion brands, the survey was distributed to Millennials, and total of 277 responses were used for the final analysis by using SPSS 25.0 statistical program. Other than survey, this paper analyzed digital marketing strategies of luxury fashion brands through brand-related papers, website and social media of each brand, Samsung Designnet's database, and news posted on search engines. The results of this study are as follows: First, according to the result of examining brand image of luxury fashion brands, there was no significant difference between brands, except Gucci. Second, this study analyzed each luxury fashion brand to understand the characteristics of digital marketing, and common characteristics were identified. Third, by analyzing the brand image and digital marketing strategies of luxury fashion brands, it was confirmed that Gucci's brand image and digital marketing strategies were consistent, while there was a difference between Burberry's brand image and digital marketing strategy. Therefore, this article proposes the following digital marketing strategies that are suitable for luxury fashion brands. First, is the connection of on/offline channels. Second, is the use of AI technology. Third, is a blockchain-based platform.

액상형 전자담배 용액에 의한 급성 니코틴 중독: 증례보고의 체계적 고찰 (Acute Nicotine Poisoning due to Electronic Cigarette Liquid: Systematic Review of Case Reports)

  • 양시용;좌민홍;유제성;정현수;정성필
    • 대한임상독성학회지
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    • 제18권2호
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    • pp.51-56
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    • 2020
  • Purpose: Acute nicotine poisoning by liquid nicotine in electronic cigarettes is becoming an increasing problem worldwide. The current systematic review aimed to determine the harm of acute nicotine poisoning by reviewing published case reports. Methods: An online literature search with PubMed, Embase, Cochrane Library, and KoreaMed database was performed to identify relevant studies addressing acute nicotine poisoning with electronic cigarettes. Two investigators searched the case reports written in English or Korean. Results: Twenty-six cases were included in this study. The routes of intoxication included ingestion in 18 cases, intravenous injection in three cases, subcutaneous injection in two cases, and ocular exposure in two cases. Ten cases had a cardiac arrest, and seven of them died. Seven out of 12 cases with intentional poisoning had a cardiac arrest. Nine children under 18 years were reported, and three of them had a cardiac arrest. Sixteen cases without a cardiac arrest recovered well, except for one case with sudden sensorineural hearing loss. Conclusion: The authors reviewed the risks of electronic cigarette liquid in terms of acute poisoning through a systematic review. The nicotine solution of an e-cigarette can be life-threatening in cases of acute poisoning. Therefore, active emergency treatment with early recognition is necessary. In addition, various management methods and regulations for preventing acute nicotine poisoning, such as restriction of distribution and nicotine concentration, should be considered.

비염에 대한 추나요법의 효과: 체계적 문헌 고찰과 메타분석 (Chuna Manual Therapy for Rhinitis: Systematic Review and Meta Analysis)

  • 조주찬;박인화;허인
    • 척추신경추나의학회지
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    • 제16권1호
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    • pp.35-42
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    • 2021
  • Objectives The objective of this study was to evaluate the effect of chuna manual therapy for rhinitis. Methods We performed a literature search using ten electronic databases (PubMed, Embase, Cochrane Library, Chinese Academic Journals(CAJ), Research Information Sharing Service(RISS), Dbpia, National Digital Science Library(NDSL), Koreanstudies Information Service System(KISS), Korean Medical database(KMbase), and Oriental Medicine Advanced Searching Integrated System(OASIS)) and two academic journals up to the end of April 2021. We included randomized controlled trials (RCTs) which appraised the effect of chuna manual therapy (CMT) in the treatment of rhinitis. The risk of bias was evaluated from the Cochrane Risk of Bias tool. Results 4 appropriate RCTs were included and analyzed. The efficacy rate of the CMT group was statistically higher compared to the control group treated with medicine[RR 1.14 (95%CI 1.06 1.22), P<0.01]. Conclusions Based on results, CMT could be effective in rhinitis. However, evidence were limited due to small number of studies, lack of well-designed RCT and regional bias. Further well-designed research should be required to obtain stronger evidence.

통증과 우울증의 병합 동물모델에 대한 최신 연구 동향 분석 (A Review on the Pain and Depression Comorbidity Animal Models)

  • 송지혜;국혜정;박병진;김송이;박지연
    • Korean Journal of Acupuncture
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    • 제38권2호
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    • pp.75-99
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    • 2021
  • Objectives : The purpose of this study is to analyze animal behavioral changes and related neurobiological mechanisms in recent studies using animal models with pain and depression. Methods : We conducted database search in Pubmed, NDSL, and EMBASE up to January 2021. Included studies were classified as depression-like behavior observed in pain model, pain-like behavior observed in depression model, and pain and depression comorbidity model. The results of pain- and depression-like behaviors, the changes of neurobiological mechanisms, and the treatment methods such as drugs, natural substance-derived chemicals, or acupuncture were analyzed. Results : We included 124 studies (81 studies in depression-like behavior observed in pain model, 19 studies in pain-like behavior observed in depression model, and 24 studies in pain and depression comorbidity model). Pain and depression comorbidity animal models were induced using various methods by drugs or surgery. Von frey test, a method for evaluating mechanical allodynia was the most commonly used for measuring pain-like behavior and the forced swimming test was the most commonly used for measuring depression-likes behavior. The changes of neurobiological factors, such as decrease of 5-hydroxytryptamine and increase of oxidative stress and pro-inflammation cytokines were generally changed in the frontal cortex, hippocampus, thalamus, and spinal cord in all types of models. For treating pain and depression-like behaviors, various types of drugs such as antidepressant, tranquilizer, analgesic, and natural substance-derived chemicals were used. Acupuncture treatment was used in 4 studies. Conclusions : In the future, more diverse studies on the combined model of pain and depression need to be conducted. In addition, it is necessary to establish a mechanistic basis for the development of various treatments by identifying the common mechanisms of pain and depression.

Effectiveness of miniscrew assisted rapid palatal expansion using cone beam computed tomography: A systematic review and meta-analysis

  • Siddhisaributr, Patchaya;Khlongwanitchakul, Kornkanok;Anuwongnukroh, Niwat;Manopatanakul, Somchai;Viwattanatipa, Nita
    • 대한치과교정학회지
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    • 제52권3호
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    • pp.182-200
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    • 2022
  • Objective: This study aims to examine the effectiveness of miniscrew assisted rapid palatal expansion (MARPE) treatment in late adolescents and adult patients using cone-beam computed tomography (CBCT). Methods: Literature search was conducted in five electronic databases (PubMed, Embase, Scopus, Web of Science, and Cochrane Library) based on the PICOS keyword design focusing on MARPE. Out of the 18 CBCT screened outcomes, only nine parameters were sufficient for the quantitative meta-analysis. The parameters were classified into three main groups: 1) skeletal changes, 2) alveolar change, and 3) dental changes. Heterogeneity test, estimation of pooled means, publication bias, sensitivity analysis and risk of bias assessment were also performed. Results: Upon database searching, only 14 full-text articles were qualified from the 364 obtained results. Heterogeneity test indicated the use of the random-effects model. The pooled mean estimate were as follows: 1) Skeletal expansion: zygomatic width, 2.39 mm; nasal width, 2.68 mm; jugular width, 3.12 mm; and midpalatal suture at the posterior nasal spine and anterior nasal spine, 3.34 mm and 4.56 mm, respectively; 2) Alveolar molar width expansion, 4.80 mm; and 3) Dental expansion: inter-canine width, 3.96 mm; inter-premolar width, 4.99 mm and inter-molar width, 5.99 mm. The percentage of expansion demonstrated a skeletal expansion (PNS) of 55.76%, alveolar molar width expansion of 24.37% and dental expansion of 19.87%. Conclusions: In the coronal view, the skeletal and dental expansion created by MARPE was of the pyramidal pattern. MARPE could successfully expand the constricted maxilla in late adolescents and adult patients.

가상현실 기반 신체활동 치유 프로그램이 성인의 체력요인에 미치는 효과 - 체계적 고찰 - (The Effect of Virtual Reality-based Physical Activity Therapy Program on Physical Fitness Factors in Adult - Systematic Reviews -)

  • 박상균;;김대식;이왕록
    • 농촌계획
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    • 제28권2호
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    • pp.33-40
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    • 2022
  • The purpose of this study is to review the effect of previous research data with virtual reality-based Physical Activity Therapy Programs(PATPs) in adult on the physical fitness factors. Research articles were retrieved from 2008 to 2021 with the Research Information Sharing Service(RISS) and Pubmed database. The main search terms were 'care', 'therapy', 'healing', 'exercise' or 'physical activity', and 'virtual reality'. The criteria for selecting articles of this study were the originality, duplication, Randomized controlled trial(RCT) experiment and subject. Finally, 18 papers were selected among 318 articles, which were excluded if any of the criteria was not satisfied. Most of papers(15) were conducted in the last 5 years, because of the high interest due to the development of virtual reality implementation technology and COVID-19 pandemic. The participants were mainly patients(8), and the types of diseases were stroke(2). The physical fitness factors were mostly balance ability(7), muscle strength(7), and range of motion(6). All the physical fitness factors were significantly improved after PATPs. However, 11 studies were conducted for less than 4 weeks, including 6 studies were performed a bout of acute exercise. Also, 14 studies did not clearly present the intensity of PATPs. In addition, there were 9 studies, that simply applied games without specialized programs. In conclusion, it seems that virtual reality-based PATPs have a positive effect on physical fitness factors. However, VR-based PATPs should be specialized and developed in order to verify their effectiveness for the further research.