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Efficacy of Acupuncture in Treating Upper Abdominal Pain in Cancer Patients: Study Protocol for A Randomized Controlled Pilot Clinical Trial (암환자의 상복부 통증 치료에 대한 침의 효과: 무작위배정 대조군 연구 예비임상시험 프로토콜)

  • Jung, Jin-Yong;Lee, Hyun-Jong;Seo, Jung-Chul;Min, Bo-Mi;Cho, Min-Su;Shin, Im-Hee;Roh, Woon-Seok;Kwak, Min-Ah
    • Korean Journal of Acupuncture
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    • v.31 no.1
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    • pp.33-39
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    • 2014
  • Objectives : This study was designed to evaluate the feasibility of further acupuncture research as an effective and safe treatment for reducing cancer-related upper abdominal pain in patients treated with Neurolytic celiac plexus block(NCPB). Methods : This study is a randomized controlled pilot clinical trial of 3-week duration. Fourteen patients will be recruited and randomly allocated to 2 groups: an acupuncture plus NCPB group(experimental group) and a NCPB group(control group). All patients will undergo one session of NCPB, but only the experimental group will receive three acupuncture sessions a week for 2 weeks(6 in total). The primary outcome will be measured using the visual analogue scale, and the secondary outcome will be measured using the Painvision system and the consumption of additional analgesics. Assessments will be made at baseline and at 1, 2, and 3 weeks thereafter(that is, the 3-week assessment will be made 1 week after treatment cessation). Conclusions : This clinical trial will inform the design of a full-scale trial. The outcomes will provide information to facilitate the incorporation of acupuncture into existing pain management methods such as NCPB in the treatment of cancer-related upper abdominal pain patients.

The Effect of Five Senses Experience in the Forest on Young Children's Self-efficacy and Respectful Recognition of Life (숲에서의 오감체험활동이 유아의 자아효능감 및 생명존중인식에 미치는 영향)

  • Jang, Cheoul-soon;Koo, Chang-duck;Hwang, Yeun-ju
    • Korean Journal of Environment and Ecology
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    • v.30 no.5
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    • pp.908-914
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    • 2016
  • Both interests in nature-friendly education and demands for nature experience program are steadily increasing in children education field in korea. This study aims to find out that five-sense experience-activity with healing factors of forest can have an effect on both self-efficacy and respectful recognition of life of children. 5-year-old young children were chosen as the subjects for this study. Test group participated two times a week in the special forest class in a children education institute in Chungju oo-dong while control group did not. Both test group and control group were composed of 20 young children respectively and each group were 11 boys and 9 girls respectively. The five senses experience activity program was conducted two sessions a week from 8 August to 20 September in 2016 and each session was one hour (60 minutes) long. Five senses experience activity is an activity that young children awaken their five senses in the forest, recognize seasonal change with their five senses, build up their selves and become intimate with nature. Before and after the program self- efficacy test and respectful recognition of life test were conducted and the data was analyzed using SPSS 18.0 program. The results indicated that after participating five senses experience activity program both children's self-efficacy which means having positive-thinking and self-confidence and respectful recognition of life which means valuing nature coexisting with nature were improved significantly(p<0.05). Through five senses experience activity young children felt nature freely and to their heart's content with their bodies and five senses experience activity had better positive impacts on children's self- efficacy and respectful recognition of life than classroom activities.

The Effect of 4-Week Health Promotion Summer Camp on the Metabolic Syndrome and Insulin Resistance among Obese Elementary Students (비만 초등학생의 4주 여름 건강증진캠프 참여가 대사증후군 및 인슐린저항성에 미치는 효과)

  • Kim, Hee-Jung;Jekal, Yoonsuk
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.4
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    • pp.1117-1128
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    • 2021
  • The purpose of the current study was to investigate the effects of 4-week health promotion intervention program consisting of high-intensity aerobic exercise to improve energy consumption and cardiorespiratory capacity, circuit training to strengthen muscular strength and endurance and education for lifestyle changes on the obesity level, physical fitness, insulin resistance and metabolic syndrome among overweight or obese elementary school students. Twenty three overweight or obese children as obese group and 15 normal body weight children as normal group were recruited. The health promotion program consisted of two exercise sessions and one education session, 3days/week in 4-week. Obesity level(body mass index, waist circumference, %body fat), physical fitness(muscular strength, muscular endurance, flexibility, cardiopulmonary fitness), insulin resistance(homeostasis model assessment of insulin resistance) and metabolic syndrome risk factors(blood pressure, fasting glucose, triglycerides, high density lipoprotein cholesterol) were measured. There was not significant decrease in obesity level; however, there were significant improvement in physical fitness, insulin resistance and metabolic syndrome risk factors after program participation among obese children. As a result, through participation in the summer camp consisting mainly of exercise, the improvement of the physical fitness level and the decrease of insulin resistance had an effect on the reduction of the metabolic syndrome frequency.

The Effects of Group Cooking Program on Executive Function of the Non-disabled Children in Community Children's Center (집단 요리활동 프로그램이 지역아동센터 비장애 아동의 실행기능에 미치는 영향)

  • Lee, Cho-Hee;Gwon, Sun-Jeong;Lee, Seung-Min;Je, Young-Hyeon;Jo, Ye-Na;Kim, Eun-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.59-67
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    • 2018
  • Objective : This study was conducted to investigate the effects of occupation-based group cooking program on executive function for children in community children's center. Methods : The children who participated in the study were 7 to 9 years old. This study was based on a one-group pre-posttest design, which the group cooking program included making of sandwiches, frog-shaped hamburgers, patbingsu, sausage gimbap, and flowerpot cupcake. This study consisted of five activity sessions, which each session lasted for 120 minutes. Effectiveness of the program was measured by using the STROOP Color and Word Test, Children's Color Trails Test and Assessment of Motor and Process Skills. Results : The differences between pre and posttest scores on STROOP Color and Word Test and the process skill score of Assessment of Motor and Process Skills were statistically significant. There was no difference significantly between pre and posttest scores in Children's Color Trails Test-2. Conclusion : This study demonstrated that the group cooking program intervention has effects on cognitive inhibition executive function and performance executive function of children in the community children's center. This study suggests that occupation-based intervention can be applied to various clients in the community setting.

The Effects of High-intensity Interval Exercise and Moderate-intensity Continuous Exercise on Emotional Response and Neurotransmitters in Low-active Women (비활동성 여성의 고강도 인터벌 운동과, 중강도 지속적 운동이 감정적 반응과 신경전달물질에 미치는 영향)

  • Choi, Jaeil
    • 한국체육학회지인문사회과학편
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    • v.58 no.4
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    • pp.447-459
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    • 2019
  • This study was conducted to investigate the differences between emotional responses and neurotransmitters in moderate-intensity continuous exercise (MICE) and high-intensity interval exercise (HIIE) in 30 low-active women. Both groups performed a designed acute treadmill exercise and repeated the same exercise three times at intervals of one week. MICE performed a 25-minute continuous exercise at 90% VT(ventilation threshold) after a 5-minute warm-up session at 50% VT and then cooled down for 5 minutes at 50% VT level. The HIIE was repeated 6 times for 2 minutes at 115% VT level, and the intermediate active recovery was repeated 4 times for 2 minutes at 85% VT level. The results of the statistical analysis are as follows. MICE was showed positive effect for feeling scale and PACES after exercise in the first experiment, but negative effect in the third experiment. Conversely, HIIE was showed negative effect for feeling scale and PACES after exercise in the first experiment, but positive effect in the third experiment. Neurotransmitters were significantly increased in all three groups after 10 minutes of exercise compared to before exercise. In summary, HIIE exercise may be a strategy to increase exercise compliance for low-active women.

Effect of Ginseng on the acquisition of conditioned avoidance response in rats (인삼이 흰쥐의 조건회피반응 습득에 미치는 영향)

  • Hong, Sa-Ack;Park, Chan-Woong;Chang, Hyoun-Kab
    • The Korean Journal of Pharmacology
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    • v.12 no.1
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    • pp.63-67
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    • 1976
  • The purpose of the present study was to see the Panax Ginseng has any influence upon the acquisition of the conditioned avoidance response(CAR) in rats. Sixty male rats of Holtsman strain were used. The animal weighed between 20 and 300 gm at the beginning of the experiment. Training of avoidance conditioning was done in a two-way shuttle box which was separated into two compartments by a guilotine door. The conditioned stimulus (CS) was a light beam and the unconditioned stimulus (UCS) was an electric shock. The shock was presented 10 sec. after onset of the CS and continued until the subject crossed to the opposite safety compartment within 20 sec. after onset of UCS. Each S was received 30 trials a day (one session) for 6 consecutive sessions. The number of CR which avoided successfully without having shock and the number of fecal balls during the conditioning were served as an index of learning performance and emotionality. The results obtained as follows. All doses of Ginseng saponin treated animals showed more CR than control, but did not differ significantly from control. Ginseng saponin treated animals with the doses of $50{\sim}100\;mg/kg$ defecated the fecal balls significantly less frequent than the placebo control during CAR.

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Effects of Maternal-Child Health Education Program for Nurses in Tigray, Ethiopia on Their Knowledge and Confidence (에티오피아 일개 지역 간호사를 위한 모자보건교육 프로그램이 간호사의 모자보건 지식과 수행자신감에 미치는 효과)

  • Bang, Kyung-Sook;Lee, Insook;Chae, Sun-Mi;Yu, Juyoun;Park, Jisun;Kim, Hyungkyung
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.275-282
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    • 2014
  • Purpose: The purpose of this study was to identify effects of a maternal-child health education program for nurses in Tigray, Ethiopia. Methods: One-group pre-posttest design was used. The maternal-child health (MCH) education program was given to nurses from 5 health centers in Tigray, Ethiopia. Knowledge and confidence levels were measured before and after each education session. Data were analyzed using paired t-test. Results: The topics of the 5 educational sessions were family planning, antenatal care, care during labor, immunization, and integrated management of neonate, and child illness. Knowledge scores (1st: Z=3.931, p=.001; 2nd: Z=6.189, p <.001; 3rd: Z=5.658, p <.001, 4th: Z=8.734, p <.001, 5th: Z=14.167, p <.001) and confidence levels (1st: Z=8.467, p <.001; 2nd: Z=4.183, p <.001; 3rd: Z=4.992, p <.001) improved significantly. Conclusion: The findings of this study imply that the MCH education program for nurses was effective in developing the maternal-child health capacity of the nurses in Tigray, Ethiopia.

A Comparison Between Music and Non-music Conditions in Reciprocal Attention Intervention for Improving Joint Attention Behaviors of Children With Autism Spectrum Disorder (자폐범주성장애 아동의 공동주의 기술 향상을 위한 단계적 상호 주의 중재효과: 음악 조건과 비음악 조건 비교)

  • Jeong, Pil Eun
    • Journal of Music and Human Behavior
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    • v.14 no.2
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    • pp.19-43
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    • 2017
  • This study aimed to examine the effects of a reciprocal attention intervention on the joint attention behaviors of children with autism spectrum disorder (ASD) by comparing the music and nonmusic conditions. An alternating treatment design was applied as one of the single subject designs and the reciprocal attention intervention included music and nonmusic conditions implemented alternately within a session. The participants were four children between the ages 4 and 5 years and each participant who participated in 23 intervention sessions that followed the sequence of baseline (3 sessions), treatment (15 sessions), and follow-up (5 sessions). The music condition consisted of structured joint instrument playing, trials for attentional shift, and interactive instrument playing. The nonmusic condition consisted of joint toy play, trials for attentional shift, and turn taking-based play. The occurrence of target behaviors (i. e., joint attention behavior, eye gaze, and joint action) was analyzed across sessions. At pretest and posttest, the Early Social Communication Scale was administered. All participants showed increasing tendency in all target behaviors, but such occurrence was greater in the music condition than in the nonmusic condition. The findings support the use of a reciprocal attention intervention with musical stimuli to effectively improve joint attention in this population.

Historical Review for the Government Contractor Defense (Government Contractor Defense(정부계약자항변)에 대한 연혁적 고찰)

  • Shin, Sung-hwan
    • Journal of Advanced Navigation Technology
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    • v.21 no.3
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    • pp.230-242
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    • 2017
  • A significant rise in product-liability cost is expected due to the newly passed product liability amendment Bill approved during the assembly plenary session on March 30, 2017. Korean government legal service(KGLS) filed a damage suit against Korea aerospace industries, Ltd.(KAI) and Hanwha Techwin Co., Ltd., the manufactures of the KUH-1 Surion helicopter crashed. KGLS alleged claims under the product liability Act, the warrant liability Act and the non-performance of contract act. The accountability limits of military aircraft manufacturers was a highly divisive issue among related scholars and legal practitioners. The bottom line was that military aircraft manufacturers had no product-liability insurance available. The United States courts have, therefore, developed the government contractor defense(GCD) and it was recognized by the U.S. Supreme Court in Boyle v. United Technologies corporation(1988). product liability insurances for military aircraft manufacturers are excessively expensive and it cannot be added onto the military procurement cost accounting. However, having an aircraft accident without one can be ruinously expensive. Therefore, the manufacturers should promptly set up appropriate risk management measures. This thesis will first review the advance GCD theory, and then find a way to either reform government contract related regulations.

The Effect of Behavioral Response and Arthritic Tissue on Swimming Exercise and Achyranthes Radix Extracts in Type II Collagen-Induced Arthritic Rat (제 2형 콜라겐 유도 관절염에서 수중운동과 우슬추출물이 행동반응과 관절 조직에 미치는 영향)

  • Choi, Ki-Bok;Kim, Gye-Yeop;Nam, Ki-Won;Kim, Kyong-Yoon;Kim, Eun-Jung
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.117-124
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    • 2009
  • Purpose: This study examined the effects of swimming exercise and Achyranthes Radix extracts on the inflammatory and behavioral responses in type II collagen-induced arthritic rats for 28 days. Methods: Sprague-Dawley rats were allocated randomly to one of the following four groups: only type II collageninduced (group Ⅰ), application of swimming exercise after type II collagen-induced (group II), application of Achyranthes Radix ointment after type II collagen-induced (group III), application of swimming exercise and Achyranthes Radix ointment after type II collagen-induced (group IV). Arthritis was established in SD rats by an intradermal injection of Chick type II collagen plus incomplete Freund's adjuvant at the base of the tail of the animals. The swimming exercise program consisted of a 25 min swimming session/day with a load corresponding to 5.5% of the weight bearing, three days/week for four weeks. The Achyranthes Radix ointment (0.1g) was applied twice a day for five days. The changes in behavior, H & E stain, and cyclooxygenase-2 (COX-2) level in the knee joint were assessed. Results: The gross and histological examination, after RA induction showed reddening, edema and erythema. The H & E stain revealed the destruction of articular cartilage, bony erosion and the infiltration of inflammatory cells after RA induction. The mechanical allodynia test results were significantly higher in group I than in groups II, III and IV (p<0.01). The immunohistochemistrical response of COX-2 in the knee joint showed that groups II, III, IV had a lower response effect than group I. Conclusion: Swimming exercise training and Achyranthes Radix ointment decreased the inflammatory responses and enhanced the behavioral responses in the arthritic rats.

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