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

  • Kim, Jung-Hyun
    • Journal of Korean Physical Therapy Science
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    • v.28 no.1
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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.

Effectiveness of Additional Administration of a Banha-sasim-tang Formulation to Patients with Gastrointestinal Symptoms (KCD K-code) Not Improved by Western Medicines: A Retrospective Chart Review (합성의약품으로 호전되지 않은 소화기 증상 환자(KCD K-코드)에 대한 반하사심탕 제제 병용의 효과 : 후향적 차트 분석)

  • Kim, Cheol-hyun;Kim, Kwangho;Lee, Young-ung;Kang, Sunny;Kang, Geonhui
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1349-1355
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    • 2021
  • Objectives: The aim of this study was to evaluate the effectiveness of additional administration of Banha-sasim-tang formulation to patients with gastrointestinal symptoms that did not improve with Western medicines. Methods: The patients who met the inclusion and exclusion criteria were analyzed retrospectively. A paired t-test was performed on the Nepean Dyspepsia Index-Korean version (NDI-K) scores before and after administering the Banha-sasim-tang formulation. Results: A total of 27 subjects were included. The mean duration of taking the Banha-sasim-tang formulation was 15.6±3.1 days. The most commonly used Western medicine before taking the Banha-sasim-tang formulation was rebamipide. The means of the NDI-K score were 57.4±21.8 before administering Banha-sasim-tang formulation and 34.9±16.5 after administration, and the difference was statistically significant (p<0.0001). No serious side effects were encountered while taking the Banha-sasim-tang formulation. Conclusions: For patients whose gastrointestinal symptoms do not improve with Western medicines, additional administration of Banha-sasim-tang formulation may be an option. However, as this study is a retrospective chart review, prospective, large-scale, double-blind studies are needed in the future.

Effectiveness of Electroacupuncture for Patients with Failed Back Surgery Syndrome: A Systematic Review and Meta-analysis

  • Shin, Donghoon;Shin, Kyungmoon;Jeong, Hwejoon;Kang, Deok;Yang, Jaewoo;Oh, Jihoon;Lim, Jinwoong
    • Journal of Acupuncture Research
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    • v.39 no.3
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    • pp.159-169
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    • 2022
  • Failed back surgery syndrome (FBSS) is a term that applies to symptoms such as persistent or recurring low back pain, paresthesia, sciatica, or numbness after spine surgery. Electroacupuncture (EA) has been reported to have excellent analgesic effects although there have been no systematic reviews on the effects of EA on FBSS. Therefore, a systematic review and meta-analysis of the effectiveness of EA on FBSS was conducted. Eight databases were searched for studies that used EA for FBSS and 7 randomized controlled trials (RCTs) were included. RCTs of EA as combination therapy for FBSS compared with conventional treatment demonstrated improvement in the level of pain, lumbar functional scale scores, and quality of life. However, meta-analysis showed that reduction in pain was not statistically significant, while evaluation of lumbar function significantly improved, although the quality of evidence in the RCTs was generally low. RCTs comparing EA alone with conventional treatment demonstrated an improved level of pain, lumbar function, and effective rate of treatment. Meta-analysis showed that pain was significantly decreased in the EA alone group compared with the control group, although the quality of evidence was low. To improve the quality of evidence, high-quality RCTs are required in the future.

Scoring systems for the management of oncological hepato-pancreato-biliary patients

  • Alexander W. Coombs;Chloe Jordan;Sabba A. Hussain;Omar Ghandour
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.26 no.1
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    • pp.17-30
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    • 2022
  • Oncological scoring systems in surgery are used as evidence-based decision aids to best support management through assessing prognosis, effectiveness and recurrence. Currently, the use of scoring systems in the hepato-pancreato-biliary (HPB) field is limited as concerns over precision and applicability prevent their widespread clinical implementation. The aim of this review was to discuss clinically useful oncological scoring systems for surgical management of HPB patients. A narrative review was conducted to appraise oncological HPB scoring systems. Original research articles of established and novel scoring systems were searched using Google Scholar, PubMed, Cochrane, and Ovid Medline. Selected models were determined by authors. This review discusses nine scoring systems in cancers of the liver (CLIP, BCLC, ALBI Grade, RETREAT, Fong's score), pancreas (Genç's score, mGPS), and biliary tract (TMHSS, MEGNA). Eight models used exclusively objective measurements to compute their scores while one used a mixture of both subjective and objective inputs. Seven models evaluated their scoring performance in external populations, with reported discriminatory c-statistic ranging from 0.58 to 0.82. Selection of model variables was most frequently determined using a combination of univariate and multivariate analysis. Calibration, another determinant of model accuracy, was poorly reported amongst nine scoring systems. A diverse range of HPB surgical scoring systems may facilitate evidence-based decisions on patient management and treatment. Future scoring systems need to be developed using heterogenous patient cohorts with improved stratification, with future trends integrating machine learning and genetics to improve outcome prediction.

The Admission Interview in Medical Schools (의과대학에서의 입학면접)

  • Roh, HyeRin
    • Korean Medical Education Review
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    • v.12 no.2
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    • pp.13-18
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    • 2010
  • This study is aimed to reflect non-cognitive traits that should be assessed in admissions interviews for medical school applicants, with the goal being to increase the reliability of the admissions interview. The admissions interview is valued for its ability to assess noncognitive and nonteachable attributes of good doctors, especially which cannot be evaluated with other admission assessment tools. Various characteristics of applicants including age, gender, exam scores, and nonverbal communication were found to have influenced the interview results. Bias from interviewers was a significant factor in the results of the interview. A Structured interview in multiple stations such as the Multiple Mini-Interview showed the highest reliability and validity. To make the interview fair, no information about the applicants was provided to the interviewers and interviewers were recruited from different backgrounds. There have been few research papers on admission interviews in Korea. Active research on the qualities of good doctors and effective and reliable admission interview methods should be encouraged. A strategy should be developed to overcome the philosophical obstacles that medical school professors want to admit academically excellent applicants.

A case study on the development of high school students' English reading ability using English newspapers (영자신문을 활용한 고등학생의 영어 독해능력 향상에 관한 사례 연구)

  • Lee, Jeong-Won;Lee, Tae-Ok
    • English Language & Literature Teaching
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    • v.13 no.1
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    • pp.159-180
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    • 2007
  • The present study proposes a set of activities of teaching English reading through English newspapers to narrow the gap between the English required in authentic situation and the one taught in schools. Newspapers can provide students with opportunities to review what they have studied in the classes. The purpose of this study is, therefore, to investigate how extra-curricular activities using English newspapers have an influence on the development of the three low-achieving high school students' English reading ability. The five-month study yielded that the activities using English newspapers exerted positive effects on the students' interest in English and their English scores. It suggests that using English newspapers as teaching materials may be a desirable way both to motivate students to study English harder and to develop their English reading ability.

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An Evaluation of the Operational Effectiveness of the Local Military Manpower Administrations Using IDEA Model (IDEA모델을 이용한 지방병무청 운영효율성 평가)

  • Lee Jae-Yeong
    • Korean Management Science Review
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    • v.22 no.1
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    • pp.1-13
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    • 2005
  • This paper proposed a quantitative evaluation method to measure the operational effectiveness of the local military manpower administrations. The proposed method compared the relative operational effectiveness level for 12 local military manpower administrations in Korea.. The method used the IDEA (imprecise Data Envelopment Analysis) model which Is able to measure relative operational effectiveness level, and also used two input variables (labor cost, operational cost) and three output variables (number of military applicants, number of civil application approved & processed, management accuracy level). Through the model output analysis, we presented the relative effectiveness scores, the reason for non-effectiveness, and the relationship between non-effective ness level and input/output variables for each local military manpower administration. We also presented a few recommendations how to improve the effectiveness level on particular local military manpower administration.

Investigation and Empirical Validation of Industry Uncertainty Risk Factors Impacting on Bankruptcy Risk of the Firm (기업부도위험에 영향을 미치는 산업 불확실성 위험요인의 탐색과 실증 분석)

  • Han, Hyun-Soo;Park, Keun-Young
    • Korean Management Science Review
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    • v.33 no.3
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    • pp.105-117
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    • 2016
  • In this paper, we present empirical testing result to examine the validity of inbound supply and outbound demand risk factors in the sense of early predicting the firm's bankruptcy risk level. The risk factors are drawn from industry uncertainty attributes categorized as uncertainties of input market (inbound supply), and product market (outbound demand). On the basis of input-output table, industry level inbound and outbound sectors are identified to formalize supply chain structures, relevant inbound and outbound uncertainty attributes and corresponding risk factors. Subsequently, publicly available macro-economic indicators are used to appropriately quantify these risk factors. Total 68 industry level bankruptcy risk forecasting results are presented with the average R-square scores of between 53.4% and 37.1% with varying time lag. The findings offers useful insights to incorporate supply chain risk to the body of firm's bankruptcy risk level prediction literature.

An Empirical Study on the e-Service Quality of Public Administration Considered CRM (CRM을 고려한 공공행정 e-서비스 품질에 관한 실증적 연구)

  • Lee, Chae-Eon;Gim, Gwang-Yong
    • Journal of Information Technology Services
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    • v.5 no.2
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    • pp.1-23
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    • 2006
  • An Empirical study was done for finding the e-service quality of public administration focused on customer relationship management(CRM). The e-service quality of public administration was categorized as system quality, information quality, service quality, and CRM after doing a literature review in e-service quality and public administration. The validity and reliability of a questionnaire were examined through factor analysis and regression analysis was done using the customer satisfaction and efficiency improvement of public administration as dependent variables and the 7 factor scores from the factor analysis as independent variables. The results show for that 6 factors are not only very important in explaining the customer satisfaction but also partially important for efficiency improvement of public administration. In particular, CRM has significant effect on both customer satisfaction and efficiency improvement of public administration.

Hotel Service Quality Evaluation Based on LQI using Sentiment Analysis of Online Reviews (온라인 후기에 내재된 고객의 감성분석과 LQI 차원별 호텔 서비스 품질 평가)

  • Sakong, Won;Ha, Sung Ho;Park, KyungBae
    • The Journal of Information Systems
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    • v.25 no.3
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    • pp.217-245
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    • 2016
  • Purpose With the increasing number of foreign travelers visiting Korea, it is a heavy question to evaluate service quality of typical domestic hotel companies. Our research aims to evaluate service quality of domestic hotels in Korea from the perspective of foreign travelers in order to provide the quality improvements that call attention for the hotel management. Design/Methodology/Approach In this paper, topics of sentiment followed Lodging Quality Index(LQI) dimensions classifying lodging service quality appropriately. Also, we employed word2vec algorithm which calculates similarity and affinity among the vocabularies accurately. To calculate sentiment of each dimension, we adopted scores from SentiWordNet. Findings From the result, we found the number of foreign travelers particularly satisfied with cleanliness, politeness, and problem solving skills. In contrast, it has also been found out that both promptness of services and efficiency of communication do not fulfill the requirements of travelers.