• 제목/요약/키워드: complementary and integrative medicine

검색결과 57건 처리시간 0.021초

네트워크 분석에 기반한 항암화학요법으로 유발된 말초신경병증의 최적 경혈 조합 (Optimal Combination of Acupoints Based on Network Analysis for Chemotherapy-Induced Peripheral Neuropathy)

  • 김민우;김중일;이진현;조동찬;강수빈;이지원;박태용;고연석
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.107-124
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    • 2022
  • Objectives This study aimed to identify optimal combinations of acupoints used to treat chemotherapy-induced peripheral neuropathy (CIPN). Methods We searched four international databases (MEDLINE, EMBASE, the Allied and Complementary Medicine Databases [AMED], and China National Knowledge Infrastructure [CNKI]) and five Korean databases (DBpia, Research Information Sharing Service [RISS], Korean Studies Information Service System [KISS], Oriental Medicine Advanced Searching Integrated System [OASIS], and KoreaMed) to identify randomized controlled trials (RCTs) that used acupuncture to treat CIPN. Network analysis was performed on the acupoints used in more than three included articles. We constructed a network by calculating the Jaccard similarity coefficient between acupoints and applied minimum spanning tree. Then, modularity analysis, degree centrality (Cd), and betweenness centrality (Cb) were used to analyze properties of the acupoints. Results A total of 25 articles were included. 24 acupoints were extracted from 25 articles. The combinations of acupoints having the highest Jaccard similarity coefficient were {EX-UE9, EX-LE10} and {ST36, SP6}. In the modularity analysis, acupoints were classified to six modules. ST40, EX-UE11, and KI6 had the highest Cd value while ST40, GB34 had the highest Cb value. Conclusions This study found the systematic framework of acupoint combinations used in CIPN studies. This study is expected to provide new perspectives of CIPN treatment to therapists. A RCT is in progress of using the network of this study as a guideline. If significant results are derived from the RCT, it will be possible to lay the groundwork to consider acupuncture for CIPN treatment.

내장 통증에 사용된 침 중재 분석 및 보고의 질 평가 (A Review on Reporting Quality of Acupuncture Intervention for Visceral Pain: Assessment with STRICTA)

  • 이인선;전소연;박지연
    • Korean Journal of Acupuncture
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    • 제36권1호
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    • pp.19-35
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    • 2019
  • Objectives : The purpose of this study is to review which acupoints and meridians are selected to treat visceral pain in articles published in international journals and to investigate quality of reporting acupuncture intervention according to the STRICTA guidelines. Methods : Electrical and hand search were conducted in PubMed, EMBASE, MEDLINE, and Cochrane Library for acupuncture studies on visceral pain in human and animals. Reporting quality of intervention was evaluated using the revised STRICTA guidelines. Results : We included 51 articles (7 clinical studies and 44 animal studies) in this study. The most frequently adopted meridians and acupoints were Stomach meridian, Spleen meridian, Conception Vessel meridian, and ST36, CV4, SP6, LI4, PC6, SP9, ST25, ST37 in clinical studies. In animal studies, Stomach meridian, Conception Vessel meridian, Pericardium meridian and ST36, ST37, CV12, PC6 were most frequently used. Animal studies showed significantly lower quality of reporting compared to clinical studies. According to the analysis on the effect of year of publication of articles, announcement of STRICTA guidelines did not improve the quality of reporting for studies on visceral pain. Conclusions : These results suggest that both proximal and distal acupoints based on meridian theory were used to study the underlying mechanisms of visceral pain both in human and animal studies. Guidelines of acupuncture intervention reporting for animal study is necessary to improve the quality of evidence, and it will also allow us the integrative understanding of the mechanisms and clinical effects of acupuncture treatment in human and animal.

암 치료에서의 침술의 가치 (The Value of Acupuncture in Cancer Care)

  • 최정은;조종관;이연월;유화승
    • 대한암한의학회지
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    • 제15권1호
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    • pp.1-17
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    • 2010
  • 암 환자에의 침술 임상 연구는 종양학에서 새롭고 도전적인 분야이다. 임상 연구 결과는 환자와 종양학자들을 위한 임상적으로 타당한 답변을 우리에게 지속적으로 제공할 것이다. 침은 환자들에게 그들의 치료 계획에 활동적으로 참가할 수 있는 능력을 주면서 암과 암 치료관련 증상을 다루는데 안전하고 유효한 치료법이라는 일반적으로 이용될 수 있는 증거가 제시되었다. 미래의 연구는 임상 연구가, 임상의사, 그리고 환자의 연루를 요구한다. 혁신적 연구 방법의 발전 역시 중요하다. 더 많은 증거가 지속적으로 나오면서 종양 침술이 결국에는 종양학적 치료행위의 표준에 통합될 것이 기대된다. DFCI와 기타 주요 암 센터와 같은 주요 대학병원과 연구기관 에서의 침술의 성공적인 통합은 암 치료에 있어 침의 가치와 소용을 강조한다.

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문제 행동을 가진 초등학생의 영양 상태와 모발 미네랄 함유량 (Nutritional Status and Hair Mineral Content of Elementary School Children with Behavioral Problems)

  • 강승완;김진영;조상운;박유경
    • 대한영양사협회학술지
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    • 제18권2호
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    • pp.97-114
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    • 2012
  • This study was performed to assess the nutritional status and hair mineral content of children with behavioral problems and compare the values with a gender, age-matched control group. The subjects were recruited from S elementary school children in Seoul, Korea. Students scored higher than 60 points were diagnosed with behavioral problems according to the Korean-Child Behavior Checklist. Nutritional assessment of the two groups (behavior problem group: male n=15, female n=24; $9.6{\pm}1.6$ years, control group: male n=16, female n=18; $9.5{\pm}1.9$ years) was performed using a nutritional survey and by measuring hair mineral contents. In the results, food frequency questionnaire analysis showed that the intakes of anchovy (P<0.05), soybean curb (P<0.01), radish (P<0.05), bean sprouts (P<0.05), spinach (P<0.05), carrot (P<0.05), pumpkin (P<0.05), lettuce (P<0.05), cabbage (P<0.01), apple (P<0.05), and milk (P<0.01) were higher in the control group than the behavior problem group, whereas intakes of ramyeon (P<0.05), cookies (P<0.05), and coke (P<0.01) were higher in the behavior problem group than the control group. Intakes of most nutrients such as plant-derived protein (P<0.05), fiber (P<0.05), plant-derived calcium (P<0.05), phosphorus (P<0.05), plant-derived iron (P<0.05), vitamin B2 (P<0.05), vitamin B6 (P<0.05), vitamin C (P<0.01), vitamin E (P<0.05), and folate (P<0.05) were significantly higher in the control group than the behavior problem group. Hair analysis showed that the levels of arsenic (P<0.05), mercury (P<0.001), uranium (P<0.05), iron (P<0.001), boron (P<0.01), and germanium (P<0.001) were lower, but the levels of phosphate (P<0.05), chromium (P<0.001), sodium (P<0.05), and sulfur (P<0.001) were higher in the behavior problem group than the control group. Conclusively, behavioral problems constitute a complicated condition in which nutritional factors may play major roles. However, it is still under investigation as to whether or not modification of dietary habits or nutritional supplementation can improve children's behavior, since symptoms require a broad understanding of the environmental and genetic interactions.

고려인삼학회의 발전사 (The Development History of the Korean Society of Ginseng)

  • 오훈일
    • 인삼문화
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    • 제3권
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    • pp.74-89
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    • 2021
  • 고려인삼학회는 1975년 9월 26일 회원 100여 명으로 창립되었고, 1976년 12월 1일 고려인삼학회지(Korean Journal of Ginseng Science) 창간호를 야심차게 영문으로 발간하였다. 그러나 1977년 Vol. 2 발간 이후 국·영문 혼용으로 변경하였고, 1978년에는 학회 내부사정으로 학술지를 발간하지 못하였다. 1998년부터 학회지명을 Journal of Ginseng Research(JGR)로 변경하여 연 4회 발간하였다. JGR은 2010년 Vol. 34부터 33년 만에 다시 영문 전용으로 출판되었으며, 2010년에 SCIE 및 SCOPUS에 등재되었다. 2012년에는 PubMed Central에 등재되었으며, 2016년부터 Elsevier사에서 JGR을 출판하게 되었다. JGR은 Impact Factor가 계산된 첫해인 2012년에 IF 2.259를 기록하였고, 2015년에 3.898로 3.0을 넘어섰으며 2019년에 5.487에 달해 SCI에 등재된 우리나라 학술지 122개 중 2위를 기록하였다. 한편, Integrative & Complementary Medicine 분야에서 세계 1위를 기록하였다. 고려인삼학회는 1998년부터 4년마다 국제인삼심포지엄을 주관하여 개최하고 있고, 심포지엄 프로시딩을 발간하고 있다. 2007년 인삼정보지인 『고려인삼과 산업』을 연 2회씩 발간하여 현재 제14권 1호를 발간하였다. 2019년 고려인삼학회는 인삼의 인문사회과학적 연구를 조명하기 위한 『인삼문화』를 창간하였다. 고려인삼학회는 『고려삼의 이해』, 『고려인삼연구 20년사』, 『고려인삼학회 30년사』, 『생활속의 고려인삼』 등 많은 도서를 출판하였다.

국내에 보고된 한국 한의학의 암치료 임상연구에 대한 계통적 고찰 (Systemic Review of Clinical Studies about Oriental Medical Treatment of Cancer in Korea)

  • 박봉기;이종훈;조종관;신현규;엄석기;유화승
    • 대한한방내과학회지
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    • 제29권4호
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    • pp.1061-1074
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    • 2008
  • Objectives : Recently, the number of cancer patients who use complementary and alternative medicine (CAM), including oriental medicine, are increasing. Also, evidence for efficacy and safety of cancer CAM is reported continuously. This study was designed to evaluate the quality of the published papers for clinical studies about oriental medical cancer treatment in Korea. Methods : We searched for clinical research papers on the websites of the Korean oriental medical society and subsidiary academies, Korean traditional knowledge portal. Koreanstudies information service system (KISS), etc. We used the reference words 'cancer', 'malignant tumor', 'leukemia', 'lymphoma', 'multiple myeloma', 'melanoma', etc, We then chose studies that had been presented between 1991 and 2008 and analyzed them by publication year, design, cancer type, intervention, subject and journal. Results : There were 86 clinical research papers that were published between 1991 and 2008. The number of clinical studies has increased in a time-dependent manner. Case reports and case series studies account for 78% of total clinical research. Studies of lung cancer account for 17%. Studies of cancer-related symptoms of cancer patients account for 38%. Studies of Hang-Am-Dan account for 33%. Studies published in the journal of the Korean Society of Oriental Internal Medicine account for 35%. Conclusion : The clinical research papers about oriental medicine are increasing over time, but most of the studies are retrospective case reports or case series. Well-designed and prospective clinical trials would be recommended to provide more reliable evidence.

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보완대체의학에 대한 대학생의 인식 및 적용요인에 관한 연구 (Recognition and Application Factors of College Students on Complementary and Alternative Medicine)

  • 정미라;조승아;백대진
    • 한국융합학회논문지
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    • 제8권12호
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    • pp.417-423
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    • 2017
  • 본 연구의 목적은 대학생들을 대상으로 보완대체의학에 대한 인식 및 적용요인, 적용실태, 성별에 따른 만족도, 유용성에 관한 연구로 추후 보완대체의학의 활용방안을 마련하고자 시도되었다. 본 연구는 충남에 소재한 H대학교 대학생들을 대상으로 한 서술적 조사 연구이다. 본 연구 결과 인식, 적용요인 및 실태로는 보완대체의학을 현대의학의 보조 수단으로 인식한 응답이 150명(50.3%), 적용요인으로 정신적 심리적 안정감이 61명(20.3%), 적용질환으로는 근골격계 질환자가 101명(33.7%)으로 가장 높게 나타났으며, 성별에 따른 보완대체의학에 대한 만족도에서는 여성이 남성보다 높게 나타났다. 보완대체의학의 유용성 적용 시 장점은 2.60이었으며, 개선점과 특징은 2.32, 일반적 인식은 2.80을 보여 유용성에 대한 지식수준이 낮은 것으로 나타났다. 본 연구결과 사회의 기반이 되는 대학생들의 질병예방과 건강유지를 위하여 보완대체의학의 올바른 인식 보급이 필요하다. 또한 보완대체의학의 인식과 적용요인, 성별에 따른 만족도를 분석한 결과 향후 보완대체의학 프로그램 개발을 위한 정보로 제시할 수 있을 것이다.

How Does Yoga Breathing Affect Prefrontal QEEG Quotients?

  • Kim, Eunmi
    • 감성과학
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    • 제16권1호
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    • pp.75-84
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    • 2013
  • The underlying changes in biological processes that are associated with reported changes in mental and physical health in response to yoga breathing ($pr{\bar{a}}n{\bar{a}}y{\bar{a}}ma$) have not been systematically explored yet. In this study, the effects of a yoga breathing program on prefrontal EEG were tested with middle-aged women. Participants were collected as volunteers and controlled into two groups. Two channel EEG was recorded in the prefrontal region (Fp1, Fp2) from the yoga breathing group (n=17) and control group (n=17). QEEG quotients were transformed from the EEGs and analyzed by the ANOVAs on gain scores. As a result, ${\alpha}/{\delta}$ (left, right) and CQ (correlation quotient) for yoga breathing participants were significantly decreased compared to control group (p<.05). ${\alpha}/{\beta}_H+{\alpha}/{\delta}$ (left, right) were increased significantly (p<.05). For those significantly changed QEEG quotients, the interaction effects of Group x prefrontal alpha (${\alpha}$) and beta (${\beta}$) asymmetry were tested. Only the ${\alpha}$ asymmetry showed main effect on the gain score of ${\alpha}/{\beta}_H+{\alpha}/{\delta}$ (right) with F (1, 34)=5.694 (p<.05). Pearson's correlation coefficient between ${\alpha}$ asymmetry and gain score of ${\alpha}/{\beta}_H+{\alpha}/{\delta}$ (right) was .374 (p<.05). The gain score of ${\alpha}/{\beta}_H+{\alpha}/{\delta}$ (right) was increased for the right ${\alpha}$ dominance of yoga breathing group. On the contrary it was decreased for the left ${\alpha}$ dominance of yoga breathing group as well as the control regardless of the dominance. The result of this study implies that yoga breathing increases stress resistance and is effective in the management of physical stress. Emotionally relaxed people may have greater instantaneous stress reduction after yoga breathing. Moreover, yoga breathing could be also beneficial for depressed who may be more vulnerable to stress.

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통합의료서비스 모델 개발 및 임상 현장 적용을 위한 인식조사 - 의사직 대상 설문 - (A Survey Study on the Perception for Development of Integrated Medical Service Model and Its Application in Clinical Field - A Survey study with Doctors and Korean Medicine Doctors -)

  • 서상우;김형석;이승현;공문규;이범준;허성혁;권승원;박봉진;윤동환;이의주;오현주;김승범;최혜숙;김관일;정원석
    • 대한한의학회지
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    • 제44권1호
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    • pp.65-75
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    • 2023
  • Objectives: Objectives: In this study, we define a medical service type that combines Western medicine, Korean medicine, and complementary and alternative medicine (CAM) as an integrated medical service. This study, as part of tertiary hospital-based integrated medical service model and clinical field application, aims to collect status and opinions on integrated medical service for medical staff in the field. Methods: This is a survey study, and was conducted on doctors from Kyung Hee University Hospital and Korean medicine doctors from Kyung Hee University Korean Medicine Hospital. Respondents were recruited on a first-come, first-served basis until the number of respondents reached 120. The investigation was conducted for a total of 16 days from October 4, 2021 to October 19, 2021 by e-mail. Results: Recognition of integrated medical services was confirmed to be 45.8%, and 49.2% responded positively to the necessity of it. As a group of diseases that require the establishment of integrated medical services in the future, 'disorders of musculoskeletal systems and connective tissues' was the highest. The most expected advantages of providing integrated medical services were 'increased satisfaction of patients and guardians' and 'increased treatment effects.' Conclusions: In this study, we investigated the perception of doctors and Korean medicine doctors on integrated medical services that combine Western medicine, Korean medicine, and CAM. It has been confirmed that medical staff generally have a positive perception of integrated medical services, and if the scientific basis for the effect of integrated medical services is supported, the rate of positive perception is expected to increase.

의-한의 동시 진료 및 통합의료서비스에 대한 인식조사 - 3차 상급종합병원 이용자를 대상으로 - (A Study on the Perception of Concurrent Use of Western and Korean Medicine Care and Integrated Medical Service in Korea - Targeting tertiary hospital users -)

  • 서상우;김형석;이승현;공문규;이범준;허성혁;권승원;박봉진;윤동환;이의주;오현주;김승범;최혜숙;김관일;정원석
    • 대한한의학회지
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    • 제43권2호
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    • pp.51-60
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    • 2022
  • Objectives: Currently, Korea's medical services are divided into Western medicine and Korean medicine, and people who are not satisfied with the existing treatments are looking for complementary and alternative medicine(CAM). Therefore, this study attempted to confirm patients' perception of the ongoing collaborative treatment and integrated medical service that added CAM to collaborative treatment based on tertiary hospital users. So that we can confirm the expected advantage and disadvantage of integrated medical service system and the necessity of supporting medical expenses for it. Methods: The survey was conducted on 100 people who experienced tertiary hospital treatment and other 100 people who experienced both tertiary hospital treatment and Korean medicine treatment at the same period. The survey was conducted until the number of respondents in both group reached 100. The survey was conducted through e-mail and was conducted from September 27, 2021 to October 8, 2021. Results: For the advantages of collaborative treatment 'increased in psychological stability,' and for disadvantages 'longer time spent for treatment' were the most common. If integrated medical services are implemented in the future, expected advantages include 'consideration of various treatments.' and expected disadvantages include 'increased medical cost.' The needs to expand support for health insurance for integrated medical services were 75.5% among responders. Conclusions: We were able to find out the (expected) advantages and disadvantages of the collaborative medical care and the integrated medical system that medical users experienced or expected, also confirmed positive answers to the expansion of health insurance support for the integrated medical system.