• Title/Summary/Keyword: Stroke Knowledge

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Review on Reliability and Validity of Questionnaire of Pattern Identification in Traditional Chinese Medicine -Using China National Knowledge Infrastructure- (중의 변증 설문도구의 신뢰도 및 타당도 고찰 -China National Knowledge Infrastructure를 이용하여-)

  • Yeo, Min Kyung;Dong, Sang Oak;Lee, Young Seop;Jang, Eun Su
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.3
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    • pp.246-255
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    • 2015
  • The purpose of this study is to investigate the reliability and validity of the questionnaire of pattern identification (PI) in traditional chinese medicine (TCM), through the systematic review of china national knowledge infrastructure (CNKI) database. We searched the articles related with reliability and validity of the questionnaire of PI and published from January 1994 to December 2013. Seventeen questionnaires were analyzed in this study. The twelve (70.6%) questionnaires were developed on the base of specific disease, and five (29.4%) ones were developed on the base of non-specific disease. Three of PI questionnaires showed low inter-item consistency reliability. Exploratory factor analysis of construct validity, content validity, and criterion validity analysis were commonly used on the assessment of validity, but none of them was analysed at the same study. There was only one questionnaire of the ischemic stroke that examined the sensitivity and specificity of both training and test groups in spite of the absence of a gold standard.

Effects of an Educational Program for the High Risk Group of Cardio-cerebrovascular Disease: Awareness of the Warning Signs and Symptoms of Acute Myocardial Infarction and Stroke in the Aged at Senior Centers (심뇌혈관질환 고위험군 대상 교육프로그램의 효과: 경로당노인의 심근경색과 뇌졸중에 대한 경고증상 인지도)

  • Song, Jung-Kook;Park, Hyeung-Keun;Hong, Seong Chul
    • Journal of agricultural medicine and community health
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    • v.40 no.3
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    • pp.126-136
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    • 2015
  • Objectives: This study was performed to investigate the effects of a health education program for the aged on knowledge about the warning signs and symptoms of acute myocardial infarction and stroke. Methods: Data from 337 elderly people (159 participated and 178 non-participated) at senior centers in Jeju-si were collected by 1 to 1 interview from January to March 2012, one year after the education program provided. Two stages of study were performed: Cross-sectional, case-control study on the level of knowledge about the warning signs and symptoms; and multivariate logistic regression to fine out predictors of optimal awareness. Results: No significant discrepancy of knowledge level between case and control group was found. The knowledge level as high as a surge was shown in both groups one year later. A surge of knowledge had been shown after the education provided in one month. The factors affecting the optimal level of knowledge were education (Odds ratio 3.01; Confidence Interval 1.72-5.26; P-value <0.001) and 7 days of watching TV news per week (2.97; 1.68-5.23; P<0.001). However, participation in the health education was not significant (1.60; 0.98-2.61; P=0.059). Conclusions: The effects of a targeted program in high-risk groups for cardio-cerebrovascular disease are only guaranteed in the enhancement by a population-based mass-media education campaign.

Risk Factors of Cerebrovascular Disease According to the Level of Blood Pressure among the Prospective Tele-medicine Users (재택진료 잠재적 이용자의 혈압 수준에 따른 뇌혈관 질환 위험요인 분포)

  • Song, Hee-Young;Park, So-Mi;Hwang, Sung-Oh
    • Journal of Korean Biological Nursing Science
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    • v.6 no.2
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    • pp.31-42
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    • 2004
  • Purpose: This study was undertaken to investigate bio-medical and behavioral risk factor of stroke according to the level of blood pressure among the prospective tele-health users. Method: A descriptive study was conducted using interviews with a structured questionnaire. Of the households in the village, 24 households were selected for inclusion in the study. Among all of the residents from these households, a total of 48 residents who completed all the blood tests as well as the questionnaire. Results: Among bio-medical risk factors including demographic characteristics, physiologic variables, and health history, only triglyceride(TG) was significantly different among normal, prehypertension, and hypertension groups(F=3.78, p<.05). However, regarding behavioral variables, those who were classified as prehypertension and hypertension group reported more frequent drinking, those who were in prehypertension group reported highest scores of stress and lowest frequency of exercise, and those who were in normal and hypertension group showed higher scores of interest on health and lower scores of perceived seriousness of disease and health knowledge than those who were in prehypertension group. Conclusion: Identification and implementation of modifiable risk factors of stroke according to the level of blood pressure are crucial for health care utilizing tele-medicine.

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Semantic Network Analysis of Physiotherapy Research: Based on Studies Published in the Journal of IAPTR

  • Go, Junhyeok;Yeum, Dongmoon;Kim, Nyeonjun;Choi, Myungil
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.4
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    • pp.1926-1933
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    • 2019
  • Background: Physical therapy has been widely studied in various fields, however, the academic trends and characteristics has not been systematically analyzed. Semantic network analysis is used as an approach for this study. Objective: To explore academic trends and knowledge system in the physiotherapy research in the Journal of International Academy Physical Therapy (J of IAPTR) Study design : Literature review Method: Semantic network analysis was conducted using the titles of 272 articles published in the Journal of IAPTR from 2010 to 2019. Results: Frequency analysis revealed following most frequently used key words; Stroke (27 times), Balance (21 times), Elder (13 times), Forward head posture (FHP, 11 times), Muscle activity (9 times). The relationship between the presented keywords is divided into six subgroups (FHP and pain, walk and quality, elder and balance, stroke and apoptosis, muscle strength and function) according to their correlation and frequency to be used together. Conclusion: The study is considered to be of help to researchers who want to identify research trends in physiotherapy.

A Stroke-Based Text Extraction Algorithm for Digital Videos (디지털 비디오를 위한 획기반 자막 추출 알고리즘)

  • Jeong, Jong-Myeon;Cha, Ji-Hun;Kim, Kyu-Heon
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.3
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    • pp.297-303
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    • 2007
  • In this paper, the stroke-based text extraction algorithm for digital video is proposed. The proposed algorithm consists of four stages such as text detection, text localization, text segmentation and geometric verification. The text detection stage ascertains that a given frame in a video sequence contains text. This procedure is accomplished by morphological operations for the pixels with higher possibility of being stroke-based text, which is called as seed points. For the text localization stage, morphological operations for the edges including seed points ate adopted followed by horizontal and vortical projections. Text segmentation stage is to classify projected areas into text and background regions according to their intensity distribution. Finally, in the geometric verification stage, the segmented area are verified by using prior knowledge of video text characteristics.

Review of Clinical Research about the Treatment of Aphasia after Cerebrovascular Disease (뇌혈관질환 후 실어증의 한의학적 치료에 대한 국내 임상연구에 대한 고찰)

  • Koh, Ji-yoon;Son, Ah-hyun;Shin, Hyeon-su
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1105-1115
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    • 2018
  • Objectives: The aim of this review is to investigate clinical studies on Oriental medicine treatment for aphasia after cerebrovascular disease. Methods: Using the keywords 'Aphasia', 'Oriental medicine', 'Stroke' 'Cerebral infarction', 'Cerebral hemorrhage', and 'Clinic', we searched domestic databases, including "NDSL (National Discovery for Science Leaders)", "Korean Traditional Knowledge Portal", "OASIS (Oriental Medicine Advanced Searching Integrated System)", and "RISS (Research Information Sharing Service)". Each keyword was not searched individually, but combined in various ways. To investigate recent trends, we limited our search to papers published after 2000. Papers that did not include a specific treatment method or did not match the subject "Aphasia after stroke" were excluded. Results: Using the searching method, 13 studies were found. Of these, 12 studies were in the form of case reports, while one was in the form of a non-randomized controlled trial. These studies showed positive results for the use of Oriental medicine in terms of the Korean version of the Western Aphasia Battery (K-WAB), the evaluation form on functional performance capability and accuracy of articulatory organs developed by Lee, aphasia screening test refered in 'Assessment in Speech-Language Pathology' and adapted properly to Korean, the Communicative Ability in Daily Living Test (CADLT), the Korean Version-Boston Naming Test (K-BNT), and language assessment items included in CNS, and NIHSS. Conclusions: Of the 12 case reports, 11 studies showed positive results of the use of Oriental medicine for treatment of aphasia after cerebrovascular disease. However, more sophisticated and large-scale clinical research on aphasia should be conducted.

Carotid Vessel Wall MRI Findings in Acute Cerebral Infarction Caused by Polycythemia Vera: A Case Report (적혈구 증가증으로 인한 급성 뇌경색에서 경동맥 혈관벽 자기공명영상 소견: 증례 보고)

  • Jun Kyeong Park;Eun Ja Lee;Dong-Eog Kim;Hyun Jung Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.178-183
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    • 2022
  • Polycythemia vera (PV) is a rare myeloproliferative disease that causes elevated absolute red blood cell (RBC) mass due to uncontrolled RBC production. Moreover, this condition has been associated with a high risk of ischemic stroke and large vessel stenosis or occlusion, with many studies reporting cerebral infarction in PV patients. Despite these findings, there have been no reports on the vessel wall MRI (VW-MRI) findings of the narrowed vessels in PV-associated ischemic stroke patients. To the best of our knowledge, this is the first report in English regarding the carotid VW-MRI findings of a 30-year-old male diagnosed with PV after being hospitalized due to stroke.

Influences of Knowledge, Self-efficacy, and Social Support on Sick Role Behavior in Patients with Coronary Artery Disease (관상동맥질환자의 질병관련 지식, 자기효능감, 사회적 지지가 환자역할행위에 미치는 영향)

  • Kim, Soonhee;Lee, Sunhee
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.228-240
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    • 2014
  • Purpose: This study was conducted in order to determine the influences of knowledge, self-efficacy, and social support on sick role behavior in patients with coronary artery disease. Methods: The participants were 192 patients with coronary artery disease in D city. Data were collected from January 1, 2014 to April 30, 2014 using a questionnaire. Data analysis was performed using SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation, and stepwise multiple regression. Results: Factors having an influence on sick role behavior were age (70 years old ${\beta}$=.275, p<.001), occupation (Office job ${\beta}$=-.230, p<.001), knowledge (${\beta}$=.204, p<.001), self-efficacy (${\beta}$=.188, p<.001), underlying disease (stroke ${\beta}$=.142, p=.008), and family type (live with their children ${\beta}$=-.128, p=.038). These factors explained 56% of the variance in sick role behavior. Conclusions: More positive knowledge and self-efficacy are needed for the sick role behavior. In addition, results of the study indicated that age, occupation, underlying disease, and family type were very important in predicting health behaviors of patients with coronary artery disease. Thus, it would be necessary to include patients' characteristics in designing an education program for people with coronary artery disease.

Clinical Practice Guideline for acupuncture in Post-stroke urinary incontinence (뇌졸중 후 요실금에 대한 침치료 임상진료지침)

  • Lee, Ji-Won;Shin, Byung-Cheul;Lee, Myeong-Soo;Lim, Sung-Min;Yoo, Jung-Hee;Cho, Chung-Sik;Moon, Sang-Kwan;Yook, Tae-Han;Joo, Jong-Cheon;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.4
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    • pp.317-325
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    • 2017
  • Objectives This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the stroke patients with Post-stroke Urinary Incontinence(PSUI). Methods Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on PSUI, compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine. Results & Conclusions 8 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of acupuncture treatment for PSUI. The moderate evidence was presented that over 3 times a week of the acupuncture should be performed over 4 weeks on the acupoints, such as BL23, CV3, SP6, CV4, CV6, ST28, BL28, BL32, GV20, BL22, GV4 or ST36, for 15-30 minutes. 1-150 Hz frequency is suggested if electro-acupuncture treatments is performed with. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. There was a moderate evidence to support safety of acupuncture treatment for PSUI. We recommend acu-points of constitutional acupuncture for Sasangin on the healthy side.

Review of Clinical Research about Acupuncture for Spastic Hmiplegia after Stroke - Research on China Academic Journal (뇌졸중 후 경련성 편마비의 침치료에 대한 최신 임상 연구 동향 - CAJ 검색을 중심으로)

  • Jo, Myeong Jae;Kim, Da Hye;Kim, Seon U;Park, Cheol U;Kim, Young Kwang;Jang, Hye Yeon;Kim, Min Uk
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.1
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    • pp.28-35
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    • 2021
  • To analyze the clinical efficacy of acupuncture for spastic hemiplegia after stroke, this study was accomplished by considering Randomized Controlled Trials. We searched for papers that performed acupuncture for spastic hemiplegia after stroke in the China Academic Journal of the China National Knowledge Infrastructure, from January 1, 2017 to June 30, 2020. In total, 23 reports were included in this review. There are 18 studies conducted with more than 50 subjects and less than 100 subjects. The largest number of treatment was 20 times. 28days(4weeks) was the largest number of treatment period, which accounted 10 studies. The most frequently used evaluation index was The Fugl-Meyer Assessment(FMA) and Clinical Efficacy, each used 21 times and 17 times. The most frequently used acupuncture point was LI3, which was used 13 times. The retention time was 30 minutes and 11 studies were conducted. Western medicine treatment was the most common control group in 15 studies. Most of studies showed result of the intervention group was statistically significant, compared with the control group. These results suggest that acupuncture for spastic hemiplegia after stroke was effective and it was statistically more significant than the control group. However, it is difficult to confirm a conclusion, because the quality of most of studies was low.