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Minireview for Chronic Fatigue Syndrome and its Medical Attention recently

  • Son, Chang-Gue
    • The Journal of Korean Medicine
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    • v.40 no.4
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    • pp.84-90
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    • 2019
  • Objectives: Chronic fatigue syndrome (CFS) is a debilitating illness impairing seriously quality of life, while CFS would be an optimized target disorder of Korean medicine. This study aims to present the recent information especially in aspect of medical policy and new diagnosis criteria for CFS. Methods: The literature survey was conducted using the terms of "chronic fatigue syndrome", "myalgic encephalomyelitis" and "fibromyalgia" in PubMed database and Google database in its entirety from January 2011 to February 2019. The in-depth review was made focusing on the changes in policy and medical perspective for CFS. Results: Recently large medical attentions and researches for CFS have been existed worldwide. By supporting of USA government, IOM made a report which leaded to a turning point in clinical practices and research in 2015. This report recommended a new name of CFS to systemic exertion intolerance disease (SEID), and new diagnostic criteria focusing on post-exertional malaise, unrefreshing sleep, cognitive impairment and orthostatic intolerance. The medical perspective also was changed into "a serious, chronic, complex, systemic disease" from a psychological-like disorder, and then UAS and EU governments sharply increased the research grants. Conclusions: This study provided practitioners in Korean medicine (KM) a core information about the recent changes in CFS-related perspectives. This review would be helpful for KM-derived researches or therapeutics development for CFS.

Auricular Acupuncture Treatment of Insomnia in Traditional Medicine (불면증에 대한 이침치료의 최근 동향 (2005-2009년 임상 논문 중심으로))

  • Nam, Ji-Sung;Jeong, Hyun-Suk;Lee, Dae-Hyun;Jang, In-Soo;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.103-113
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    • 2009
  • Objectives : The purpose of this study is to review the auricular acupuncture treatment of insomnia in current traditional medicine. Methods : We reviewed the 18 studies about auricular acupuncture of insomnia which were published from 2005 through 2009. We selected those studies from PubMed, ScienceDirect, CNKI, KMbase, Korean studies Information Service System, and Korean traditional knowledge portal. Results : Selected 18 studies were divided into 8 case reports and 10 control studies. Auricular acupuncture points frequently used were Sinmun(神門), Heart(心) and acupuncture points frequently used were Baekhoe(百會, GV20), Sinmun(神門, HT7). According to specific parts of symptom, some points were added. Most of studies reported that Auricular acupuncture treatment of insomnia were very effective. Conclusions : There have been many auricular acupuncture treatment of insomnia in traditional medicine, and we believe that these studies could be applied to the clinical practices in Korea.

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A Proposal to Change Welfare Policy Principles for Agent Orange Exposed Korean Veterans (고엽제 피해자에 대한 국가 보상 현황 및 보훈 정책 원리 수정 제안)

  • Chung, Injae
    • Journal of Environmental Health Sciences
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    • v.40 no.2
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    • pp.157-170
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    • 2014
  • Objectives: Agent Orange TCDD has been related to serious diseases among Korean veterans who were exposed to it. Decades after the end of the war, however, its effects are still being debated. The object of this study was to examine various unmet needs raised among Agent Orange exposed veterans and their families and to find grounds of a new welfare policy for providing alternative legislation. Methods: Literatures concerning Agent Orange, TCDD, the associated diseases, compensation for veterans and Supreme Court sentencing were searched using PubMed, ProQuest, press news and relevant homepages. Results: Agent Orange exposed veterans are eligible for various benefits from the government, including disability compensation for diseases associated with exposure. The Ministry of Patriots and Veterans Affairs has classified certain diseases into two categories, Agent Orange sequela diseases and sequela suspect diseases and has provided differential benefits based on separated laws. Big differences exist in benefits to veterans and their families between the two laws. The absence of definite standards to classify the Agent Orange associated diseases was confirmed by recent Supreme Court sentencing which ruled in favor of US manufacturers. Conclusion: It appears that the evidence for cause and effect of Agent Orange related diseases would never be perfect. The results suggest a need to change welfare principles from presumptive or indefinite disease basis to exposure experiences combined with integrated disability evaluation. We propose to extend eligibility by enacting a new law for Agent Orange exposed Korean veterans.

Husserlian Phenomenology in Korean Nursing Research: Analysis, Problems, and Suggestions

  • Kim, Hye-Kyung;Jun, Myunghee;Rhee, Stephanie;Wreen, Michael
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.1
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    • pp.5-15
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    • 2020
  • Purpose: This paper is a critical review of descriptive phenomenological methodology in Korean nursing research. We propose constructive suggestions for the improvement of descriptive phenomenological methodology in light of Husserl's phenomenological approaches. Methods: Using the key words of 'phenomenology,' 'experience,' and 'nursing,' we identify and analyze 64 Korean empirical phenomenological studies (selected from 282 studies) published in 14 Korean nursing journals from 2005 to 2018. The PubMed and the Korea Citation Index were used to identify the studies. Results: Our analysis shows that all the reviewed articles used Giorgi's or Colaizzi's scientific phenomenological methodology, without critical attention to Husserl's philosophical phenomenological principles. Conclusions: The use of scientific phenomenology in nursing research, which originated in North America, has become a global phenomenon, and Korean phenomenological nursing research has faithfully followed this scholarly trend. This paper argues that greater integration of Husserlian phenomenological principles into scientific phenomenological methodology in nursing research, such as participant-centered bracketing and eidetic reduction, is needed to ensure that scientific phenomenology lives up to its promise as a research methodology.

A Study on the Comparison and Analysis of Leakage Current according to Environmental Variation of EHV insulators(36,000LBS) by Pollution Level (송전용 자기애자(36,000LBS)의 오손 등급별 환경변화에 따른 누설전류 분석 및 비교 연구)

  • Choi I. H.;Choi J. H.;Jung Y. H.;Lee D. I.;Jung G. J.;Shin T. W.;Bang H. K.
    • Proceedings of the KIEE Conference
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    • summer
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    • pp.527-529
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    • 2004
  • This paper researched leakage current characteristics of EHW insulators(36,000lbs) to artificially contaminated clay and kaolin through construction of long-periods testing facility. Insulators were contaminated and classified into the ESDD level(B, C and D) under IEC Pub. 60507 standards method. As a result of tests, leakage current of the heavily contaminated D level to clay was approximately 2,260 $[\muA]$, which is contaminated to kaolin was approximately 3,200 $[\muA]$, during initial rainfall. However after raining, leakage current of naturally washed contamination insulators was lower at approximately 300 $[\muA]$. As regular temperature $20^{\circ}C$, leakage current increased greatly in case humidity density was over $72\%$. But, leakage current was not influenced by temperature variation in case of regular $\%$ humidity.

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Development of a Conceptual Framework for Nursing Simulation Education Utilizing Human Patient Simulators and Standardized Patients (시뮬레이터와 표준화 환자를 이용한 간호 시뮬레이션 교육의 이론적 기틀 개발)

  • Suh, Eun-Young E.
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.2
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    • pp.206-219
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    • 2012
  • Purpose: Incorporating simulation modalities into nursing education is known to be effective in enhancing education outcomes. Standardizing the nomenclature of simulation modalities and developing a comprehensive conceptual framework for guiding the development of simulation modules are mandated given the prevalence and disorganization of simulation education. This article, thus, was aimed to summarize literature and propose a conceptual framework for structuralizing simulation education in Korea. Methods: A comprehensive literature review on CINAHL, PubMed, RISS, KISS, DBpia and renowned Korean nursing journals was conducted including articles from 2002 to 2011. Results: The nomenclature of simulation modalities was clarified and summarized. Twenty-eight studies on the effects of simulation education were summarized in a table demonstrating the state of the science in simulation research. In addition, 'a conceptual framework for three-dimensional nursing simulation education' was proposed, described in detail, and diagramed. According to 'the 3D simulation framework', each three axes, i.e., the scope of practice, complexity, and student competency, has three phases in accomplishing a high level of competency. Conclusion: The proposed '3D simulation framework' is hoped to be a theoretical guide in designing a clinical curriculum utilizing simulation and developing detailed simulation modules in clinical practicum courses.

Review of Cognitive Behavioral Therapy as an Intervention Program for Internet Addicts: A Theoretical Framework and Implications with Physiological Perspectives (인터넷 중독 중재 프로그램으로서의 인지행동요법: 생리적 관점에서의 이론적 기틀 및 활용에 대한 고찰)

  • Kim, Nahyun;Hong, Seung Hee
    • Journal of Korean Biological Nursing Science
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    • v.17 no.3
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    • pp.219-227
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    • 2015
  • Purpose: This study was conducted to review physiological mechanisms of internet addiction and to construct a theoretical framework for cognitive behavioral therapy for internet addicts. Methods: We searched for relevant literature in the PubMed and RISS databases using the terms "internet addiction", "internet game addiction", "internet abuser", and "online game". Only English, full-text articles published from 2000 to 2015 were included in this review of physiological indicators of internet addiction. Finally, 12 articles were selected for review. Results: The theoretical framework developed based on the review proposes that excessive internet use itself may induce physiological stress responses with an increase of stress-related hormones and neurotransmitters. Prolonged abnormal responses of these physiological features produce negative structural and functional changes in the prefrontal cortex, which is mainly involved in cognitive and executive functions. These changes may result in decreased cognitive function. As a stressor, excessive internet use leads to transforming voluntary use into involuntary, habitual use and thus promotes the development of internet addiction. Conclusion: The proposed theoretical framework encompasses cognitive processes that may contribute to the effects of internet use-induced physiological stress on internet addiction. We believe that this framework has important implications for developing cognitive behavioral strategies for internet addicts.

The Methylenetetrahydrofolate Reductase C677T Polymorphism and Breast Cancer Risk in Asian Populations

  • Rai, Vandana
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5853-5860
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    • 2014
  • Background: Methylenetetrahydrofolate (MTHFR) is the key enzyme of the folate metabolic pathway and several studies have pointed to association between the MTHFR C677T polymorphism and breast cancer risk. Although significant association was observed in some studies, in others no clear link could be established. Objective: A meta-analysis of published Asian case control studies was therefor carried out to shed further light on any C677T breast cancer association. Materials and Methods: PubMed, Springer Link, Google Scholar and Elsevier databases were searched for case control studies of associations between MTHFR C677T polymorphism and breast cancer risk. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated to assess the association. A total of 36 studies including 8,040 cases and 10,008 controls were included in the present meta-analysis. Results: Overall, a significantly elevated breast cancer risk was associated with the T allele and TT genotype in homozygote comparison and dominant genetic models when all studies were pooled into the meta-analysis (T vs C (allele contrast model): OR=1,23, 95%CI=1.13-1.37, p=0.000 ; TT vs CC(homozygote model): OR=1.38, 95%CI=1.16-1.63, p=0.0003; TT+CT vs CC (dominant model): OR=1.12, 95%CI=1.01-1.23, p=0.02). Conclusions: The present meta-analysis strongly suggested a significant association between the MTHFR C677T polymorphism and risk of breast cancer in Asian populations.

Comparison of Costochondral Graft and Customized Total Joint Reconstruction for Treatments of Temporomandibular Joint Replacement

  • Lee, Woo-Young;Park, Young-Wook;Kim, Seong-Gon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.4
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    • pp.135-139
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    • 2014
  • Purpose: We review published research on temporomandibular joint (TMJ) total replacement that compares costochondral graft and customized total joint reconstruction (especially TMJ concepts), focusing on effectiveness. Methods: We searched PubMed databases, including prospective, retrospective, case-control or longitudinal studies and significant statistical analysis. In data analysis, we divided outcomes into 'Acceptable' or 'Non-acceptable'. Results: There were seven articles found dealing with costochondral graft and 180 patients. The majority of patients had satisfactory treatment outcomes (n=109, 61%). There were six articles including 275 patients using the alloplastic material TMJ concepts. Almost all patients had satisfactory treatment outcomes (n=261, 95%). Conclusion: Comparing customized total joint reconstruction with costochondral graft, use of TMJ concepts resulted in increased quality of life and fewer complications. In conclusion, we judged that alloplastic material such as TMJ concepts is more effective device in total joint replacement than costochondral graft.

Design of Nickel Alloys Using the Theoretical Values Calculated from the Electronic State Energies (에너지 전자상태 계산으로 도출된 이론값을 이용한 니켈 합금 설계)

  • Baek, Min-Sook;Kang, Pub-Sung;Baek, Kyeong-Cheol;Kim, Byung-Il;Yoon, Dong-Joo
    • Korean Journal of Materials Research
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    • v.25 no.11
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    • pp.642-646
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    • 2015
  • Super alloys, which can be divided into three categories, i.e. Ni-base, Co-base, and Fe-base alloys, are widely used for high temperature applications. Since superalloys contain many alloying elements and precipitates, their chemistry and processing parameters need to be carefully designed. In this study, we designed a new Ni alloy to prevent corrosion due to water vapor and gases at high temperatures. The new alloy was designed using the theoretical value of the resulting energy electronic state calculation($DV-X{\alpha}$ method). The components that were finally used were Cr, Mo, and Ti, with Ni as a base. For these alloys, elements were selected in order to compare their values with that of the average theoretical basis for an Inconel 625 alloy. Finally, two kinds of Ni alloy were designed: Ni-28Cr-4Mo-2Ti and Ni-20Cr-10Mo-1Ti.