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Chuna Manual Therapy for Patients after Total Knee Arthroplasty: A Systematic Review and Meta-Analysis (슬관절 전치환술 환자에 적용한 추나치료: 체계적 문헌고찰 및 메타분석)

  • Lee, Eun-Byeol;Lee, Yun-Jin;Kim, Hyeon-Ji;Ahn, Hee-Duk;Yang, Doo-Hwa
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.1
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    • pp.13-23
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    • 2021
  • Objectives To assess the effectiveness of chuna manual therapy for patients with total knee arthroplasty. Methods We searched 9 electronic databases(KISS, NDSL, RISS, OASIS, KMBASE, Cochrane Library, PubMed, CNKI, Wangfang data) using the keywords 'total knee arthroplasty OR total knee replacement' and 'tuina OR chuna' to identify RCTs that investigated the effectiveness of Chuna manual therapy after total knee arthroplasty. Results 23 RCTs were selected based on inclusion criteria. The systematic review showed positive effect of using chuna manual therapy after total knee arthroplasty. Conclusions 23 studies reported that chuna manual therapy had significant effects on total knee arthroplasty. However, many studies were exposed to probable high risk of bias. Also, all of the studies were published in one overseas country. Therefore, further research is required using well-designed RCTs to support the effectiveness of chuna manual therapy.

Medication Use Review Tools for Community Dwelling Older Patients: A Systematic Review (지역사회 거주 노인을 위한 약물사용검토 도구에 대한 체계적 문헌고찰)

  • Park, Ji-Young;Jun, Kwanghee;Baek, Yang-Seo;Park, So-Young;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.1
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    • pp.61-78
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    • 2021
  • Background and Objective: The use of potentially inappropriate medications (PIMs) increases the risk of negative health outcomes, including drug-related admissions. Tools for structured medication review have been developed to ensure optimal medication use and safety. Here, we aimed to evaluate medication use review (MUR) tools for community-dwelling older patients. Methods: We performed a systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). We searched PubMed, Embase, and the Cochrane Library from 1991 to 2020, excluding tools that are specifically applied to hospitalized patients or nursing home residents. We identified the most common inappropriate medications, drug-disease interactions, drug-drug interactions and prescribing omissions presented among tools. Results: From among 9,788 identified reports screened, 60 met our inclusion criteria; finally, 27 were eligible for data analysis considering originality and up-to-dateness. Most tools presented explicit criteria (93%), and only one was specific to community-dwelling elderly. The most common PIM was tricyclic antidepressants. Use of diltiazem and verapamil in patients with heart failure and the combination of nonsteroidal anti-inflammatory analgesics and warfarin were the most frequent disease-specific PIM and drug-interaction, respectively. Conclusions: Although several medication review tools have been developed for older adults, specific guidelines for community-dwelling populations remain limited. Furthermore, the list of PIMs differed among available tools. In future, specific but integrating MUR tools need to be developed for clinical practice considering this population.

Influencer Attribute Analysis based Recommendation System (인플루언서 속성 분석 기반 추천 시스템)

  • Park, JeongReun;Park, Jiwon;Kim, Minwoo;Oh, Hayoung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.11
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    • pp.1321-1329
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    • 2019
  • With the development of social information networks, the marketing methods are also changing in various ways. Unlike successful marketing methods based on existing celebrities and financial support, Influencer-based marketing is a big trend and very famous. In this paper, we first extract influencer features from more than 54 YouTube channels using the multi-dimensional qualitative analysis based on the meta information and comment data analysis of YouTube, model representative themes to maximize a personalized video satisfaction. Plus, the purpose of this study is to provide supplementary means for the successful promotion and marketing by creating and distributing videos of new items by referring to the existing Influencer features. For that we assume all comments of various videos for each channel as each document, TF-IDF (Term Frequency and Inverse Document Frequency) and LDA (Latent Dirichlet Allocation) algorithms are applied to maximize performance of the proposed scheme. Based on the performance evaluation, we proved the proposed scheme is better than other schemes.

Tabu Search based Optimization Algorithm for Reporting Cell Planning in Mobile Communication (이동통신에서 리포팅 셀 계획을 위한 타부서치 기반 최적화 알고리즘)

  • Jang, Kil-woong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.9
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    • pp.1193-1201
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    • 2020
  • Cell planning, which determines the cell structure for location management of mobile terminals in mobile communications, has been dealt with as an important research task to determine network performance. Among the factors influencing the cell structure planning in mobile communication, the signal cost for location management plays the most important role. In this paper, we propose an optimization algorithm that minimizes the location management cost of all the cells used to plan the cell structure in the network with reporting cell structure in mobile communication. The proposed algorithm uses a Tabu search algorithm, which is a meta-heuristic algorithm, and the proposed algorithm proposes a new neighborhood generation method to obtain a result close to the optimal solution. In order to evaluate the performance of the proposed algorithm, the simulation was performed in terms of location management cost and algorithm execution time. The evaluation results show that the proposed algorithm outperforms the existing genetic algorithm and simulated annealing.

A meta-study on the analysis of the limitations of modern artificial intelligence technology and humanities insight for the realization of a super-intelligent cooperative society of human and artificial intelligence (인간 및 인공지능의 초지능 협력사회 실현을 위한 현대 인공지능 기술의 한계점 분석과 인문사회학적 통찰력에 대한 메타 연구)

  • Hwang, Su-Rim;Oh, Hayoung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.25 no.8
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    • pp.1013-1018
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    • 2021
  • Due to the recent accident caused by the automated vehicle, discussions on the ethical aspects of AI have been actively underway. This paper confirms that AI is inevitably connected to ethical components through the concepts and techniques related to robots-AI, and argues that ethical aspects are built-in, not post facto. Furthermore, this devises a solution to the trolley dilemma that can serve as a clue to ethical problems associated with automated vehicles. Preferentially, that process contains writing Bayesian networks. Next, only important and influential data are left after the pre-processing stage, and crowd-sourcing & extrapolation is used to calculate the exact figures of the networks. Through this process, this argues that humans' subjects are certainly included in implementing algorithms and models and discusses the necessity and direction of engineering liberal arts, especially education of ethics that distinguished from major education to prevent distortions and biases abouts AI systems.

East Asian Traditional Medicine Treatment for Patients after Heart Valve Replacements: A Systematic Review with Meta-Analysis (심장판막 치환술 후 한의학적 치료에 대한 체계적 문헌고찰 및 메타분석)

  • Ahn, Mu-hyeok;Kim, Ji-ho;Shin, Bong-jin;Kwon, Jung-nam
    • The Journal of Internal Korean Medicine
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    • v.43 no.4
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    • pp.720-737
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    • 2022
  • Objectives: To compare the effectiveness and safety of East Asian traditional medicine treatments (EATMT) versus conventional management in patients following heart valve replacement surgery. Methods: We searched several databases, including the Korean Studies Information Service System, PubMed, China National Knowledge Infrastructure, and Citation Information by NII. The search range included randomized controlled trials from each first issue until June 27, 2021. Two review authors independently extracted the data. We assessed the risk of systematic errors by evaluating risk domains using the "Risk of bias" tool. Results: We included 5 trials in the review. In the EATMT, the investigators reported significant improvements in reshaping of the heart structure: left ventricular end diastolic diameter (MD -4.43, 95% CI -6.06 to -2.79; 130 participants; 2 studies; high evidence). Comparisons with usual care revealed a significant decrease in gastrointestinal complications rate (OR 0.30, 95% CI 0.20 to 0.47; 503 participants; 2 studies; high evidence). We assessed 4 studies as having a low risk of bias and 1 study as having a high risk of bias. Conclusion: This systematic review suggests that East Asian traditional medicine interventions may be effective in preventing and alleviating complications, but we found evidence of important trade-offs between known benefits and known adverse effects in cardiac dysfunction and inflammation following heart valve replacement. Consequently, additional high-quality studies should be conducted.

Effects of Chuna Manual Therapy after Hip Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (고관절 치환술 후 추나치료 효과: 체계적 문헌고찰 및 메타분석)

  • Lee, Eun-Byeol;Kim, Hyeon-Ji;Kim, Chae-Young;Ahn, Hee-Duk
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.95-103
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    • 2022
  • Objectives This study was conducted to assess the effect of chuna manual therapy after hip arthroplasty. Methods We searched across 9 electronic databases (PubMed, Cochrane Library, Wangfang data, China National Knowledge Infrastructure [CNKI], Oriental Medicine Advanced Searching Integrated System [OASIS], National Digital Science Library [NDSL], Korean Medical Database [KMBASE], Koreanstudies Information Service System [KISS], Research Information Sharing Service [RISS]) to find randomized controlled clinical trials for chuna manual therapy after hip arthroplasty. Results On inclusion criteria, 11 appropriate studies were included and analyzed. The deep vein thrombosis incidence of the chuna manual therapy group was statistically lower than the conventional treatment group (p=0.0002). Chuna manual therapy significantly improved the Harris hip score compared with conventional treatment (p<0.00001). Also, chuna manual therapy combined with herbal fumigation therapy significantly elevated the hip joint function score of Harris hip score compared with the conventional therapy group (p<0.00001). Conclusions The systematic review showed that chuna manual therapy had significant effects on hip arthroplasty. Nonetheless, considering the high risk of bias and geographic bias, further research with well-designed studies is required to support the effectiveness of chuna manual therapy.

Effectiveness of Cognitive Behavioral Therapy for Sleep Disorder: An overview of Systematic Review (수면장애에 대한 인지행동 치료 효과에 대한 체계적 문헌 고찰 개관)

  • Lee, Jang Won;Yeo, Jin Ju;Kim, Kyung Sik;Hyun, Min Kyung
    • The Journal of Korean Medicine
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    • v.43 no.2
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    • pp.75-91
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    • 2022
  • Objectives: The purpose of this overview was to summarize the evidence regarding the effectiveness of Cognitive Behavioral Therapy (CBT) for sleep disorders through systematic reviews (SRs) and meta-analyses (MAs). Methods: An overview of systematic review was conducted according to the study protocol (reviewregistry1320). A comprehensive literature search was performed using three databases (Pubmed, Cochrane Central Register of Controlled Trials, and Web of Science) and three Korean databases (KoreaMed, KMbase, and ScienceON). Final studies were selected by three authors according to inclusion and exclusion criteria, and data needed for analysis were extracted by a pre-planned extraction framework. Methodological quality of systematic review was assessed using the 'Assessment of multiple systematic reviews 2 (AMSTAR2)'. Results: Fourteen SRs and MAs were included, of which eleven SRs were performed MAs. Twelve studies studied insomnia among sleep disorders, and the rest are nightmares and sleep disturbances with PTSD. Ten studies reported the effect of CBT on sleep disorders measured by insomnia severity index (ISI) and sleep onset latency (SOL), and all reported a significant improvement effect. Eight studies reported the effect of CBT on sleep disorders measured by wake time after sleep onset (WASO), and seven studies reported a significant improvement effect. The methodological quality of the studies evaluated with AMSTAR 2 was mainly low or very low because of omission of protocol registration and excluded study list. Conclusions: Practical guidelines and studies show that CBT is effective for sleep disorders, but access to CBT needs to be improved.

Comparison of healing assessments of periapical endodontic surgery using conventional radiography and cone-beam computed tomography: A systematic review

  • Sharma, Garima;Abraham, Dax;Gupta, Alpa;Aggarwal, Vivek;Mehta, Namrata;Jala, Sucheta;Chauhan, Parul;Singh, Arundeep
    • Imaging Science in Dentistry
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    • v.52 no.1
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    • pp.1-9
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    • 2022
  • Purpose: This systematic review aimed to compare assessments of the healing of periapical endodontic surgery using conventional radiography and cone-beam computed tomography (CBCT). Materials and Methods: This review of clinical studies was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. All articles published from 1990 to March 2020 pertaining to clinical and radiographic healing assessments after endodontic surgery using conventional radiography and CBCT were included. The question was "healing assessment of endodontic surgery using cone-beam computed tomography." The review was conducted by manual searching, as well as undertaking a review of electronic literature databases, including PubMed and Scopus. The studies included compared radiographic and CBCT assessments of periapical healing after periapical endodontic surgery. Results: The initial search retrieved 372 articles. The titles and abstracts of these articles were read, leading to the selection of 73 articles for full-text analysis. After the eligibility criteria were applied, 11 articles were selected for data extraction and qualitative analysis. The majority of studies found that CBCT enabled better assessments of healing than conventional radiography, suggesting higher efficacy of CBCT for correct diagnosis and treatment planning. A risk of bias assessment was done for 10 studies, which fell into the low to moderate risk categories. Conclusion: Three-dimensional radiography provides an overall better assessment of healing, which is imperative for correct diagnosis and treatment planning.

A Survey on Open Source based Large Language Models (오픈 소스 기반의 거대 언어 모델 연구 동향: 서베이)

  • Ha-Young Joo;Hyeontaek Oh;Jinhong Yang
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.4
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    • pp.193-202
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    • 2023
  • In recent years, the outstanding performance of large language models (LLMs) trained on extensive datasets has become a hot topic. Since studies on LLMs are available on open-source approaches, the ecosystem is expanding rapidly. Models that are task-specific, lightweight, and high-performing are being actively disseminated using additional training techniques using pre-trained LLMs as foundation models. On the other hand, the performance of LLMs for Korean is subpar because English comprises a significant proportion of the training dataset of existing LLMs. Therefore, research is being carried out on Korean-specific LLMs that allow for further learning with Korean language data. This paper identifies trends of open source based LLMs and introduces research on Korean specific large language models; moreover, the applications and limitations of large language models are described.