• Title/Summary/Keyword: double blind method

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Short Time Effect of Caffeine on Heart Rate Variability and the Effect of Acupuncture at Neiguan (PC6): A Randomized Double Blind Pilot Study (카페인이 HRV에 미치는 영향과 내관 자침의 효과에 대한 예비연구 : 무작위 이중맹검시험)

  • Jeong, Hyeon-Suk;Yang, Chang-Sop;Nam, Ji-Sung;Jang, In-Soo;Kim, Lak-Hyung;Seo, Eui-Seok
    • The Journal of Internal Korean Medicine
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    • v.29 no.3
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    • pp.778-786
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    • 2008
  • Objectives : This study was to investigate the short time effect of caffeine on heart rate variability(HRV) and the effect of Neiguan(PC6) acupuncture stimulation on HRV. Methods : 27 healthy adult volunteers were randomly allocated to two groups: Neiguan group (N=13) or placebo group (N=14). The study was carried out under a randomized double-blinded placebo-controlled trial method. Each group orally received the same tablets with 200 mg caffeine. After 1 hour, acupuncture was applied to the Neiguan(PC6) points for the Neiguan group, and for the placebo group was applied to a non-acupuncture point. Both groups were estimated with HRV 3 times, before and after caffeine ingestion, 20 minutes after acupuncture stimulation. Results : After taking caffeine, pulse rate, mean-HRV, and pNN50(the proportion derived by dividing NN50 by the total number of NN intervals) decreased, SDNN(standard deviation of all normal-to-normal (NN) intervals), RMSSD (the root square of successive differences), TP log, HF(high frequency), and HRV index was increased. There were significant changes to the autonomic nervous system after taking caffeine. There were no significant differences between the two groups after acupuncture at Neiguan. Conclusion : Caffeine could induce general activation of the autonomic nervous system. Neiguan acupuncture stimulation may not have significant influence on the autonomic nervous system.

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The Clinical Effect of Bosingunyang-tang on Chronic Non-bacterial Prostatitis/Chronic Pelvic Pain Syndrome : Randomized Double-blind, Placebo-controlled Clinical Trial

  • Song, Moon-Koo;Kang, Ji-Suck;Kang, Cheol-Ho;Ahn, Young-Min;Ahn, Se-Young;Doo, Ho-Kyung;Lee, Byung-Cheol
    • The Journal of Internal Korean Medicine
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    • v.29 no.3
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    • pp.800-809
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    • 2008
  • Objective : Although chronic prostatitis/chronic pelvic pain syndrcme(CP/CPPS) is a common disease, there is no consensus on the etiology or pathology and treatment. This was a double-blinded, placebo-controlled, randomized clinical trial, investigating the therapeutic effects of the traditional Korean medicine, Bosingunyang-tang(BSGYT). Method : Participants who met US National Institutes of Health (NIH) consensus criteria for CP/CPPS were entered after applying inclusion/exclusion criteria. They were randomized to the BSGYT or placebo group. and treated three times a day for 6 weeks. NIH-Chronic Prostatitis Symptom Index (NIH-CPSI) was used to estimate the clinical symptoms of CP/CPPS. Prostaglandin E2 and ${\beta}$-endorphin in prostatic fluid, collected by 2-glass pre-massage and post-massage test, were analyzed as factors associated with pain and inflammation. Result : The mean decrease in NIH-CPSI total score of the BSGYT group was 11.0 points, which is 5.7 points more than the placebo group. (Mann Whitney test P=0.038) Also the BSGYT group showed three times higher response rate than the placebo group in NIH-CPSI pain subscale score. (Fisher's exact test P=0.027) In those responders, prostaglandin E2 decreased significantly. (Wilcoxon's signed-ranks test P=0.037). No specific side effects were observed. Conclusion : After a 6-week treatment period, BSGYT improved clinical symptoms of CP/CPPS patients by decreasing PGE2 level in prostatic fluid.

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A Review on External Treatment for Atopic Dermatitis in Korean Journals (아토피 피부염의 외치법에 대한 고찰;국내 논문을 중심으로)

  • Shin, Sang-Ho;Kim, Mi-Bo;Byun, Seok-Mi;Lee, Ho-Sub;Park, Sun-Gyoo;Ko, Woo-Shin;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.21 no.2
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    • pp.80-93
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    • 2008
  • Objective : The purpose of this study is to investigate the results of preceding research related external treatment for Atopic dermatitis(AD). Methods : We studied the 13 research papers that had been published in The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology, The Journal of Korean Oriental Pediatrics, The Journal of Korean Oriental Internal Medicine, The Journal of Korean Oriental Medicine, Korean Journal of Oriental Physiology & Pathology and so on. Results : About 13 treatises, 3 treatises were for the literatual study, I treatise was for the clinical research about the effects of external therapy, 3 treatises were for the effects of herbal medicine along with external treatment on AD development in NC/Nga mice, 6 treatises were for the case of AD. Conclusion : These treatises showed that external treatment is effective method to improve AD. To develop the better external treatment on AD, we have need of studies on the well used prescriptions and herbs through double-blind, randomized, placebo-controlled methods, clinic research and so on.

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Study of Complementary Medical Therapy for Allergic Rhinitis in PubMed (PubMed를 통해 살펴 본 알레르기 비염에 대한 보완 의학적 최신 연구 경향)

  • Jung, Hye-Mi;Cho, Min-Jung;Seo, Un-Kyo
    • The Journal of Internal Korean Medicine
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    • v.30 no.3
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    • pp.534-549
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    • 2009
  • Objectives : To study trends in complementary medical therapy for the allergic rhinitis. This study analyzed research on allergic rhinitis in PubMed. Methods : We searched PubMed related to complementary medical therapy for allergic rhinitis. We analyzed 25 research papers and examined published journals, years countries, and their methods, objectives, results, interventions, participants, periods and instruments of assessment. Results : The method of studies was mostly randomized, double-blind, placebo-controlled trial. There were research papers concerning treatment and prevention with herbal medicine, acupuncture, diet, etc. There were more positive results compared to negative results for treatment and prevention. Most studies were carried out during the winter/spring period. The median for number of participants was 90.54 persons. Diagnostic criteria for enrolment were nasal symptoms, allergic skin test, serum, nasal discharge allergen specific IgE eosinophil, etc. Assessment for outcomes were nasal symptoms, serum, nasal discharge allergen specific IgE eosinophil and Quality of Life Questionnaire. Conclusions : It is necessary to study effects of acupuncture and herb medicines for allergic rhinitis and more in-depth research about trends in complementary medical therapy for allergic rhinitis.

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A Performance Assessment of Real-time Multichannel Audio Codec

  • Kim, Sunghan;Jang, Daeyoung;Hong, Jinwoo
    • The Journal of the Acoustical Society of Korea
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    • v.16 no.3E
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    • pp.56-61
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    • 1997
  • In this paper, we describe a real-time implementation of a multi-channel auido codec system that is based on the MPEG-1 audio algorithm. The major feature of this system is that it has a flexible multi-DSP system that can be adapted for various applications with using up to four TMS320C40 DSPs. The purpose of this paper is to present the problems of the system and is to describe the optimized methods to solve the problems in the view of hardware and software. Our audio codec is composed of an encoder an a decoder system and the bit rate of bitstream is up to 384 kbps. Fast input/output interfaces, DSP overloads, and inter-DSP communications methods with high speed are considered in multi-DSP H/W. Also, to run real-time in S/W, optimizing methods of algorithm are considered. After implementation of system, the subjective assessment method, and 'triple stimulus/hidden reference/double blind' that recommended by ITU-R TG10/3 is adopted for the quality of our system. All test items except one are awarded difference grades(diffgrade) better than 1-. Form the results, multi-channel audio system can be used for HDTV service.

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Effect of Ondansetron combined with Dexamethasone on Postoperative Nausea & Vomiting and Pain of Patients with Laparoscopic Hysterectomy (Ondansetron과 Dexamethasone의 병합 투여가 복강경하 질식 전자궁 적출술 환자의 수술 후 오심 및 구토, 통증에 미치는 효과)

  • Nam, Mi-Ok;Yoon, Hae-Sang
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.44-52
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    • 2009
  • Purpose: The purpose of this study was to compare the effects of ondansetron combined with dexamethasone on Post-Operative Nausea and Vomiting (PONV) and pain with ondansetron alone in patients with laparoscopy assisted vaginal hysterectomy under general anesthesia. Methods: Data were collected from April 1 through September 30, 2005 using a double blind method. Ondansetron 4 mg and dexamethasone 10 mg were administered to the experimental group (25 patients), and ondansetron 4 mg only to the control group (25 patients). The medications were administered through an intravenous line at the beginning peritoneum suture. PONV by Index of Nausea Vomiting and Retching (INVR), nausea by Visual Analogue Scale (VAS), and pain (VAS) were assessed at postoperative 1 hr, 3 hr, 6 hr, 24 hr, and 48 hr. Data were analyzed using repeated measures ANOVA, and Bonferroni methods. Results: The experimental group that received ondansetron combined with dexamethasone had less PONV (p=.048), and nausea (p=.012) than control group that received ondansetron alone. However, there was no difference in pain (p=.557) between the patients in the two groups. Conclusion: We conclude that the administration of ondansetron combined with dexamethasone is more effective than the administration of ondansetron alone to reduce PONV in patients with laparoscopic hysterectomy.

Brachytherapy in Coronary Artery Disease (관상동맥질환의 방사성동위원소 치료)

  • Song, Ho-Chun
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.113-119
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    • 2006
  • Coronary artery disease is a loading cause of morbidity and mortality across the world. Percutaneous coronary intervention has become the major technique of revascularization. However, restenosis remains a major limitation of this procedure. Recently the need for repeat intervention due to restenosis, the most vexing long-term failure of percutaneous coronary intervention, has been significantly reduced owing to the introduction of two major advances, intracoronary brachytherapy and the drug-eluting stents. Intracoronary brachytherapy has been employed in recent years to prevent restenosis lesions with effective results, principally in in-stent restenosis. Restenosis is generally considered as au excessive form of normal wound healing divided up in precesses: elastic recoil, neointimal hyperplasia, and negative vascular remodeling. Restenosis has previously been regarded as a proliferative process in which neointimal thickening, mediated by a cascade of inflammatory mediators and other factors, is the key factor. Ionizing radiation has been shown to decrease the proliferative response to injury in animal models of restenosis. Subsequently, several randomized, double blind trials have demonstrated that intracoronary brachytherapy can reduce the rates of both angiographic restenosis and clinical event rates in patients undergoing percutaneous coronary intervention for in stent restenosis. Some problems, such as late thrombosis and edge restenosis, have been identified as limiting factors of this technique. Brachytherapy is a promising method of preventing and treating coronary artery restenosis.

Effect of Caffeine Administration on Energy Substrate Change During Submaximal Exercise (최대하 운동부하시 Caffeine의 투여가 운동선수의 혈중 Energy Substrate 변화에 미치는 영향)

  • 조홍관
    • Journal of Nutrition and Health
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    • v.27 no.2
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    • pp.162-171
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    • 1994
  • The purpose of this study was to describe the effects of caffeine ingestion on the metabolic responses during submaximal exercise. Ten male of rowing player aged 18-22yrs. participated in the study. No subjects had any remarkable medical history and none were taking medications. According to the administration of dehydrated caffeine(CA) (6mg/kg) or placebo(PA), they were classified into two groups such as caffeine group and placebo group. A randomized, double-blind, crossover protocol was employed using either CA or PA. Subjects underwent a submaximal bicycle ergometer. Blood was drawn intravenously prior to 60 min., at rest, at 30, and 45 min. of exercise, and recovery period. Plasma concentrations of glucose, free fatty acid and lactate were obtained using enzymatic method. Followings were obtained by the tests and analyses; 1) Blood glucose(BG) of 45 minute of exercise was significantly decreased in CA group of 76.3$\pm$14.8 mg/100ml compared with PA group of 94.9$\pm$11.2 mg/100mg(p<0.5). 2) Free fatty acid(FFA) of 30minute of exercise was significantly increased in CA group of 720$\pm$80 $\mu$Eq/1 compared with PA group of 360$\pm$120 $\mu$Eq/1(p<0.5). After exercise, FFA was significantly higher in CA group than those in PA group(p<0.1). 3) Blood lactate(BL) was not significantly different between the two. After exercise, BL was significantly different in 30 minute(p<05).

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The Latest Trends of Treatment for Acne Vulgaris in PubMed (PubMed를 통해 살펴 본 최신 여드름 치료 연구 경향 최근 3년 간 북미, 유럽 논문을 중심으로)

  • Lee, Woo-Gun;Kim, Bong-Hyun;Jeon, Sun-Woo;Kim, Kyu-Seok;Nam, Hae-Jeong;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.2
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    • pp.41-56
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    • 2011
  • Objective : The purpose of this study is to study trends in Western(North America and Europe) medical treatments for the acne vulgaris. This study analyzed research on acne vulgaris in PubMed. Methods : We searched PubMed related the latest medical treatments for acne vulgaris. We analyzed 21 research papers and examined published journals, years, countries, and their methods, results, interventions, participants, periods and instruments of assessment. Results : The method of studies was mostly double-blind, randomized controlled trial. There were research papers concerning treatment with light-lazer, topical agents, and oral contraceptives. There were more positive results compared to negative results for efficacy of treatment. The median for number of participants was 364.0 persons. The median for periods was 67.8 days. Assessment for outcomes were lesion counts, adverse effects, VAS, etc. Conclusions : It is necessary to study latest trends of Western medical treatments for acne vulgaris and understand strengths and weaknesses of those. It will be helpful to more in-depth develop clinical treatments of Oriental Medicine for acne vulgaris.

Complexity Reduction of Blind Algorithms based on Cross-Information Potential and Delta Functions (상호 정보 포텐셜과 델타함수를 이용한 블라인드 알고리듬의 복잡도 개선)

  • Kim, Namyong
    • Journal of Internet Computing and Services
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    • v.15 no.3
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    • pp.71-77
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    • 2014
  • The equalization algorithm based on the cross-information potential concept and Dirac-delta functions (CIPD) has outstanding ISI elimination performance even under impulsive noise environments. The main drawback of the CIPD algorithm is a heavy computational burden caused by the use of a block processing method for its weight update process. In this paper, for the purpose of reducing the computational complexity, a new method of the gradient calculation is proposed that can replace the double summation with a single summation for the weight update of the CIPD algorithm. In the simulation results, the proposed method produces the same gradient learning curves as the CIPD algorithm. Even under strong impulsive noise, the proposed method yields the same results while having significantly reduced computational complexity regardless of the number of block data, to which that of the e conventional algorithm is proportional.