• 제목/요약/키워드: Trials

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Antidepressant-Induced Adverse Effects and Management Strategy - Focused on Sexual Dysfunction - (항우울제의 부작용과 대처 방안(1) - 성기능 장애를 중심으로 -)

  • Kim, Jeong-Gee;Lee, Soo Jin
    • Korean Journal of Biological Psychiatry
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    • v.13 no.4
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    • pp.252-259
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    • 2006
  • Sexual dysfunction is a relatively common adverse effect in the use of antidepressants. The sexual side effects may result in a lack of compliance with the prescribed antidepressants. The author reviewed the prevalence and updated treatment for the antidepressant-induced adverse effects focusing on sexual dysfunction. The incidence of sexual dysfunction is reported to exceed more than 50% especially with SSRIs. In order to obtain a quantified baseline and as an ongoing evaluation tool, clinicians may use some of the established questionnaires and validated instruments such as the Arizona Sexual Experience scale and Changes in Sexual Functioning Questionnaire. Clinicians should be aware that delayed ejaculation and orgasm, symptoms most frequently associated with antidepressants, are not usually associated with depression itself. Although many antidotes have been proposed, few have been subjected to double-blind trials. Some evidences have suggested that bupropion and buspiron may be the effective antidotes for SSRI induced sexual dysfunction. Additional trials will be requied to define what role, if any, bupropion and buspiron might have in the treatment of SSRI-induced sexual side effects. The available evidence is rather limited, with only small number of trials assessing each strategy. While further randomized data is awaited, for men with antidepressant induced erectile dysfunction, the addition of sidenafil or tadalafil may appear to be an effective strategy.

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Review of Clinical Trials on Infrared Thermography Using Search of Papers in Medline within 5 Years (적외선 체열영상을 이용한 최신 해외 임상연구 동향)

  • Hwang, Deok-Sang;Park, Kyoung-Sun;Kim, Eun-Gyung;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.8 no.1
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    • pp.13-17
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    • 2010
  • Purpose : This study is to the recent trends of clinical trial using infrared thermography and to review its application in medicine. Methods : We searched for papers which had used infrared thermography in Medicine within 5 years, using English. Results : A total of 23 papers were but 8 were found, but 8 were not related to non-invasive infrared thermography. The other 15 papers were clinical trials about the effect of acupuncture and therapeutic massage, evaluation of post-hepatic neuralgia, sleep disorder, and regional circulation. Conclusion : These results suggest that infrared thermography can be used as a reliable and helpful method in many clinical trials.

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The effects of EMG-triggered functional electrical stimulation on upper extremity function in stroke patients

  • Kim, Young
    • Physical Therapy Rehabilitation Science
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    • v.2 no.1
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    • pp.1-6
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    • 2013
  • Objective: The aim of this review is to explore the latest intervention trends and effects of EMG-triggered functional electrical stimulation on the upper extremity functions in stroke patients. Design: Systematic review on clinical trials. Methods: A systematic literature search was performed to identify clinical trials evaluating the effects of EMG-triggered functional electrical stimulation (EMG-FES) and task-oriented EMG-triggered FES on the hand functions in stroke patients. Literature review was conducted with the following key words: hand function, functional electrical stimulation, task-oriented, stroke. Results: Ten clinical trials were included; 8 of them were randomized controlled trial, 1 was block-randomized, and 1 was a pre-post comparison study. A positive effect of electrical stimulation was reported in the patient groups that were treated with functional electrical stimulation combined with specific tasks, and volitional muscle contraction-triggered stimulation that was synchronized with tasks. Motor capabilities of the hand and arm were improved after the rehabilitation. Conclusions: EMG-triggered electrical stimulation may be more effective than non-triggered electrical stimulation in facilitating the hand functions in stroke patients in terms of muscle strength and voluntary muscle contraction of the paretic hand and arm. Triggered electrical stimulation can be even more effective when it is combined with specific tasks.

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Effects of Kamiguibi-tang on Learning Ability of Ehtanol-induced Rats (가미귀비탕이 알콜 중독된 흰쥐의 학습능력에 미치는 영향)

  • Lee Sang Ryong;Cui Xun;Lim Jong Pil
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.4
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    • pp.1050-1053
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    • 2003
  • This study was carried out to investigate effects of Kamiguibi-tang extract on learning ability of ethanol-treated rats. The rats were divided into 3 groups; normal, control and sample group. Control group administered ethanol at a dose of 3g/kg bw.(25 v/v %), while sample group administered the Kamiguibi-tang extract(200mg/kg) 30 min. before treating same dose of ethanol as control group orally. All groups were subjected to trials of straight channel on the 1 st day and to those of multiple T-maze during the following 3 days. The time required in normal group for the straight or T-maze of the 2nd and 3rd trials was significantly shorter than that of the 1 st, while the control group showed no significance. But in the straight channel or multiple T-maze trials, the sample group showed significant decrease in the time required against the control group and also showed significant decrease in the number of selecting errors.

Systematic Review of Cupping Including Bloodletting Therapy for Musculoskeletal Diseases in Korea

  • Cho, Hyeon-Joo;Kwon, Young-Dal
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.3
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    • pp.789-793
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    • 2007
  • To evaluate the effectiveness of cupping and bloodletting therapy in the treatment of musculoskeletal diseases. Systematic searches were conducted on KSI, KISTI, DB Pia, KIOM Database, and Koreamed until January 2007 Hand-searches included conference proceedings and our own files. There were no restrictions regarding the language of journals published in Korea. Controlled trials of dry cupping, wet cupping, or blood letting for patients with musculoskeletal disease were considered for inclusion. Trials testing other forms of dry cupping therapy were included. Methodological quality was assessed by two doctors. 20 possibly relevant studies were identified and 5 studies were included. One trial tested wet cupping for ankle sprain and reported positive result. Two trials tested blood letting for low back pain, one was positive and the other one was neutral. One trial tested the types of dry cupping for low back pain, and Ki-gong cupping therapy was superior to other two types of cupping. One trial compared wet cupping with dry cupping for low back pain and the result was negative. The effectiveness of bloodletting plus acupuncture for treating patients with low back pain is superior to acupuncture in spite of low quality. One trial of wet cupping for ankle sprain had effects in reducing pain. However, I suggest that the rigorous RCTs of cupping and blood letting therapy will be conducted in well designed features.

Analysis of Failed Spinal Cord Stimulation Trials in the Treatment of Intractable Chronic Pain

  • Jang, Hyun-Dong;Kim, Min-Su;Chang, Chul-Hoon;Kim, Sang-Woo;Kim, Oh-Lyong;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.43 no.2
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    • pp.85-89
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    • 2008
  • Objective: The purpose of this study is to identify the factors affecting the failure of trials (<50% pain reduction in pain for trial period) to improve success rate of spinal cord stimulation (SCS) trial. Methods: A retrospective review of the failed trials (44 patients, 36.1 %) among the patients (n=122) who underwent SCS trial between January 1990 and December 1998 was conducted. We reviewed the causes of failed trial stimulation, age, sex, etiology of pain, type of electrode, and third party support. Results: Of the 44 patients, 65.9% showed unacceptable pain relief in spite of sufficient paresthesia on the pain area with trial stimulation. Four of six patients felt insufficient paresthesia with stimulation had the lesions of the spinal cord. Seventy five percent of the patients experienced unpleasant or painful sensation during stimulation had allodynia dominant pain. Third-party involvement, sex, age and electrode type had no influence on the outcome. Conclusion: We conclude that SCS trial is less effective for patients with neuropathic pain of cord lesions, postherpetic neuropathy or post-amputation state. Further, patients with allodynia dominant pain can feel unpleasant or painful during trial stimulation.

A Review on the Methods of Sample Size Determination in Nursing Research (간호학 연구에서의 표본크기 결정 방법에 대한 고찰)

  • Lee, Jae-Won;Park, Mi-Ra;Lee, Jung-Bok;Lee, Sook-Ja;Park, Eun-Sook;Park, Young-Joo
    • Women's Health Nursing
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    • v.4 no.3
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    • pp.375-387
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    • 1998
  • In clinical trials of nursing research, the sample size determination is one of the most important factor. Although sample size must be considered at the design stage, it has been disregarded in most clinical trials. The power analysis is usually performed before study begins to compute sample size and the power can also be calculated at the end of study in order to justify study result. The power analysis is essential especially when the clinical trials can not show significant differences. In this paper, we review the statistical methods for power analysis and sample size formulae in nursing research. Sample size formulae and the corresponding examples are discussed according to the six types of studies ; mean for one sample, proportion for one sample, means in two samples, proportions in two samples, correlation coefficient and ANOVA.

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Prediction of Design Ice Load on Icebreaking Vessels under Normal Operating Conditions (정상운항 상태에서 쇄빙선박에 작용하는 설계 빙하중 추정)

  • Choi, Kyung-Sik;Jeong, Seong-Yeob;Nam, Jong-Ho
    • Journal of the Society of Naval Architects of Korea
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    • v.46 no.6
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    • pp.603-610
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    • 2009
  • Ice load is one of the important design parameters for the construction of icebreaking vessels. In this paper, the design ice load prediction for the icebreaking vessels under normal operating condition in ice-covered sea is discussed. The ice loads under normal operating condition are expected from sea trials in moderate ice conditions. In this sense the extreme ice loads during heavy ramming or accidental collision are not considered. Current study describes the global ice load on the hull of the icebreaking vessels. Available ice load data from full-scale sea trials are collected and analyzed according to various ship-ice interaction parameters including displacement, stem angle, speed of a ship and flexural strength and thickness of sea ice. The ice load prediction formula is compared with the collected full-scale sea trials data and it shows a good agreement.

A Study on Full-scale Maneuvering Trials using Bow Thruster (선수 스러스터를 이용한 실선스케일 조종시험에 관한 연구)

  • Park, Jong-Yong;Lee, Jun-Ho
    • Journal of the Society of Naval Architects of Korea
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    • v.57 no.1
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    • pp.52-59
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    • 2020
  • This study aims to investigate the bow thruster performance of the research vessel "NARA" by full-scale maneuvering trials. The thruster test method refers to ITTC's recommended procedures and guidelines. Turning tests with the bow thruster are performed at speed conditions of 0, 2, and 4 knots. The test results indicate that the Rate of Turn (ROT) increased when the ship is in a higher speed condition. Due to the position of the propeller and the housing of the bow thruster, there is difference in the efficiency of the bow thruster according to the turning direction. Zigzag tests with the bow thruster were conducted at speed conditions of 2 and 4 knots. At speeds above 4 knots, it seems difficult to change the course only with the bow thruster.

A Systematic Review of Acupuncture for Tennis Elbow

  • Oh, Ji Hye;Lee, Yun Kyu;Kim, Jae Soo;Lee, Hyun Jong;Lim, Sung Chul
    • Journal of Acupuncture Research
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    • v.36 no.4
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    • pp.211-219
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    • 2019
  • This review analyzed randomized controlled trials and case reports to identify the effectiveness, and level of evidence showing that acupuncture treatment aids the recovery of patients with tennis elbow. A literature search was performed between $1^{st}$ to $10^{th}$ September, 2019 which used PubMed, the Cochrane library, the Korean databases Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System to retrieve Korean and international studies. Amongst the 243 articles retrieved there were 9 randomized controlled trials and 18 case reports. The level of evidence for the recovery of patients with tennis elbow, for efficacy and safety of acupuncture was low. It was observed that the studies had a high risk of bias, missing acupuncture details, multiple combinations of treatments rather than a single treatment, insufficient indicators of assessment, and lacked robustness. Compliance with international standards such as using consolidated standards of reporting trials, will improve the quality of evidence.