• Title/Summary/Keyword: physical evidence

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A Survey on Korean Medicine Doctor' Opinion and Treatment for Developing Korean Medicine Clinical Practice Guideline for Premenstrual Syndrome (월경전증후군 한의표준임상진료지침 개발을 위한 한의사의 의견과 치료에 대한 실태조사)

  • Kim, Nu-Ree;Kim, Jeong-Hun;Jung, Seo-Yoon;Kim, Pyung-Wha;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.4
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    • pp.77-90
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    • 2022
  • Objectives: This study was aimed to figure out korean medicine doctors' opinion and treatment of Korean medicine clinical practice guidelines (CPG) for premenstrual syndrome (PMS). Methods: We conducted a questionnaire survey targeting korean medicine doctors belonging to the Korean Association of Oriental Medicine by e-mail and text and analyzed the answers. Results: 1. The average monthly number of patients visiting the respondents' clinics for PMS was 2.7, the main age group was 20-30s (80.8%) and the treatments the patients given before were mostly western treatments such as painkiller and combined oral contraceptives. 2. The treatment period for PMS was mostly less than 3 months (69%), and the frequency of acupuncture treatment was the most twice per week (41.1%). 3. The most effective herbal medicine for affective symptoms was Soyo-san, and for physical symptoms was Gyejibokryung-hwan. The most commonly used acupuncture point was 三陰交 (SP6). 4. Other opinions of the clinicians about Korean medicine clinical practice guideline of PMS were the need for promotion of PMS, convenience of taking herbal medicines and price competitiveness. Conclusions: We figured out korean medicine doctors' opinion of PMS CPG, clinical diagnosis and treatment.

The Effects of Major Selection Motivation, COVID-19 Anxiety, and Work Values on Employment Preparation Behavior: Focused on Health College Students (전공 선택동기, COVID-19 불안, 직업가치관이 취업준비행동에 미치는 영향: 보건계열 대학생을 중심으로)

  • Kim, Eun-Jung;Park, Sa-Ra;Lim, Seong-Beom
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.49-56
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    • 2022
  • Purpose : The purpose of this study was to examine the effects of the motivation for choosing a major, COVID-19 anxiety, and work values on the employment preparation behavior of health college students and to provide evidence for developing programs for employment preparation behavior in the future. Methods : Employing a random sampling method, a survey was conducted from April 22 to June 3, 2022, using an electronically-disseminated questionnaire with college students majoring in medical technician, health administration, and nursing from D and K colleges located in Daegu. A total of 402 students who fully understood and agreed to the purpose of the study participated. The SPSS statistical program was used to analyze the collected data, which were verified using correlation and regression analyses. Results : The results of the study are: First, employment preparation behavior was positively correlated to major selection motivation, COVID-19 anxiety, and work values. Second, significant relationships were found between employment preparation behavior and motivation behind choosing a major, work values, and COVID-19 anxiety, in that order. The higher the major selection motivation, work values, and COVID-19 anxiety were, the better the employment preparation behavior was. Conclusion : The study's results indicate that it would be meaningful to provide health college students who were highly motivated to select their major and who possess sound work values with well-prepared job training programs. Various activities organized by the school for improving the students' self-satisfaction and self-efficacy, which can strengthen their long-term work values, could also be provided. In addition, due to the continuing COVID-19 pandemic, college students may feel anxious about new infectious diseases that might occur in the future. Therefore, considering the contemporary situation, a helpful educational program will be invaluable to fit the pupils for life's battle after they finish their education.

Experience of Participating in the Forest Therapy of Cancer Survivors through Focus Group Interviews (포커스 그룹 인터뷰를 통한 암 경험자의 산림치유 참여 경험)

  • Chae, Young-Ran;Cheon, In-Sun;Lee, Sun-Hee;Kang, Hyo-Young;Jo, Young-Mi;Kang, So-Yean;Park, Su-Youn
    • Journal of Korean Society of Rural Planning
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    • v.28 no.3
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    • pp.13-23
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    • 2022
  • The purpose of this study was to identify the effects experienced by cancer survivors through the forest therapy, and to provide evidence for applying the forest therapy program. Nineteen cancer survivors who participated in the forest therapy program hosted by K University were targeted, and qualitative data were collected through three focus group interviews. All interviews were recorded and transcribed and analyzed by subject-specific content analysis method. According to the research results, the attributes of forest therapy experienced by cancer survivors were 'Escape from bondage', 'Time to empty and fill the mind', 'Healing from positive forest stimulation', 'Self met in a space of rest', 'Initiative for life'. Five themes and fifteen sub-themes of 'recovery' were derived. These research results revealed a healing experience of feeling comfortable and physically relaxed through communication with the forest, discovering the self, and regaining initiative in life. It can be seen that the forest therapy is helpful in overcoming the physical, emotional, and psycho-social discomforts of cancer survivors.

Analysis of Domestic and Foreign Research Trends on the Korean Medical Treatment of Avascular Necrosis of the Femoral Head (대퇴골두 무혈성 괴사의 한의학적 치료에 대한 국내·외 연구동향 분석)

  • Eun Sang Park;Hyeon Ho Hwang;Ki Hyun Park;Jun Hyo Bae;Ji Eun Koo;Kyu Hyun Hwang;Jun Hyuk Kang
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.1
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    • pp.47-59
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    • 2023
  • Objectives This paper is an analysis of domestic and foreign trends for the Korean medical treatment of avascular necrosis of the femoral head. Methods Domestic and foreign databases were searched and analyzed for Korean medical treatment interventions, research types, and treatment effects for avascular necrosis of the femoral head. Results There were 10 case reports in Korea, 2 case reports and 3 randomized controlled studies abroad. A total of 12 treatment interventions were used, and the types include acupuncture, herbal medicine, phamacopunture, electroacupuncture, cupping, physical therapy, chuna, acupotomy, moxibustion, warm acupuncture, laser acupuncture, and motion style treatment. As for the evaluation index, visual analogue scale, range of motion and harris hip score were the most common with 7 cases each. Conclusions Through this study, it was possible to understand the trends of domestic and foreign research on the treatment of avascular necrosis of the femoral head with Korean medicine. However, due to the small number of literature and no randomized control studies in Korea, treatment evidence is insufficient. It is considered that further research is needed in the future.

Diagnostic accuracy of clinical tests to rule out elbow fracture: a systematic review

  • Giorgio Breda;Gianluca De Marco;Pierfranco Cesaraccio;Paolo Pillastrini
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.182-190
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    • 2023
  • Elbow traumas represent a relatively common condition in clinical practice. However, there is a lack of evidence regarding the most accurate tests for screening these potentially serious conditions and excluding elbow fractures. The purpose of this investigation was to analyze the literature concerning the diagnostic accuracy of clinical tests for the detection or exclusion of suspected elbow fractures. A systematic review was performed using the Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies (PRISMA-DTA) guidelines. Literature databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Diagnostic Test Accuracy, Cochrane Library, the Web of Science, and ScienceDirect were searched for diagnostic accuracy studies of subjects with suspected traumatic elbow fracture investigating clinical tests compared to imaging reference tests. The risk of bias in each study was assessed independently by two reviewers using the Quality Assessment of Diagnostic Accuracy Studies 2 checklist. Twelve studies (4,485 patients) were included. Three different types of index tests were extracted. In adults, these tests were very sensitive, with values up to 98.6% (95% confidence interval [CI], 95.0%-99.8%). The specificity was very variable, ranging from 24.0% (95% CI, 19.0%-30.0%) to 69.4% (95% CI, 57.3%-79.5%). The applicability of these tests was very high, while overall studies showed a medium risk of bias. Elbow full range of motion test, elbow extension test, and elbow extension and point tenderness test appear to be useful in the presence of a negative test to exclude fracture in a majority of cases. The specificity of all tests, however, does not allow us to draw useful conclusions because there was a great variability of results obtained.

Experience of Cardiac Rehabilitation in Patients with Coronary Artery Disease: a Qualitative Study (관상동맥질환자의 심장재활 치료 경험: 질적 연구)

  • Seok-Hee Lee;Go-Eun Kim;Jeehee Pyo;Minsu Ock
    • Quality Improvement in Health Care
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    • v.28 no.2
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    • pp.14-29
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    • 2022
  • Purpose:In order to improve the quality of cardiac rehabilitation, it is important to examine the experiences of the patients and how they feel about each part of the process. We used a qualitative research methodology to conduct an in-depth review of the experiences of patients who participated in cardiac rehabilitation. Methods: According to semi-structured guidelines, in-depth interviews were conducted with a total of five patients undergoing cardiac rehabilitation. Results: A total of 232 codes was derived; these codes were split into 4 categories and 10 subcategories. Although the patients were apprehensive about the diagnosis of heart disease, it also gave them a chance to reflect on their health behaviors of the past. In addition, they began to appreciate their families and support networks more as the disease progressed. The participants did not know about cardiac rehabilitation until the medical staff recommended it, but they participated in the program with the expectation that they could become healthier. The participants felt that they became more physically and mentally healthy while undergoing cardiac rehabilitation. Rehabilitation served as an opportunity to improve other health behaviors as well. However, they emphasized that it is necessary to continuously maintain improved health behavior, find an exercise method that is suitable for one's physical ability and not monotonous, and prepare a plan to reduce the time and economic burden of cardiac rehabilitation. Conclusion: The participants' positive experiences confirmed in this study will be used as evidence for the expansion of cardiac rehabilitation programs.

Analysis of Nursing Interventions Frequently Used with Cancer Patients (암환자에게 제공된 다빈도 간호중재 분석 - 5개 종합병원을 중심으로 -)

  • Moon, Kyung Hee;Ahn, Mee Jung;Kim, Phill Ja;Park, Jung Yeon;Kim, Myung Ae;Park, Ihn Sook;Bae, Su Hyun;Lee, So Jung;Kwon, In Gak;Kim, So-Sun
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.107-122
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    • 2009
  • Purpose: The purpose of this study was to identify nursing interventions frequently used with cancer patients. Nursing records from 5 general hospitals for patients with stomach, liver, lung or colon cancer were analyzed. Method: A descriptive study methodology was used and nursing records for 15 patients in each disease category at each hospital, who were admitted and discharged during June 2007 were analyzed. Results: Five domains of NIC were found and the physiological(basic) domain was most frequent (31.52%). Twenty two classes of NIC were identified with risk management for safety being most frequent (22.49%). For the 119 nursing interventions identified, the most frequent was pain management with 7,827 (12.31%), followed by prevention of falls (11.76%), surveillance (6.79%) and wound care (5.12%). Nursing activities of pain management and prevention of falls were comparable to activities listed in literature on guidelines for evidence based and best practices in nursing care. Eight of the 17 nursing activities for pain management, and 9 of 14 for fall prevention were consistent with these guidelines. Conclusion: In this study, nursing interventions were found to be focused on physical care, monitoring patients' condition and education. We have to develop diverse nursing interventions and a convenient recording process.

Electroacupuncture for Lumbar Spinal Stenosis: A Systematic Review and Meta-Analysis (요추 척추관 협착증에 대한 전침 치료의 효과: 체계적 문헌고찰 및 메타분석)

  • Bok-Yeon Na;Woo-Seok Shon;Young-Jun Kim;Chang-Hoon Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.3
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    • pp.67-78
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    • 2023
  • Objectives To evaluate the evidence supporting the efficacy and safety of electroacupuncture for lumbar spinal stenosis. Methods We searched eight electronic databases (PubMed, EMBASE, Cochrane Library, Chinese Academic Journals, Research Information Sharing Service, ScienceOn, KMBASE, DBpia) and related two journals up to March 2023. We included randomized controlled trials of testing electroacupuncture for lumbar spinal stenosis patients. The methodological quality of relevant randomized controlled trials assessed by the Cochrane risk of bias tool. Results Among 90 articles that were searched, seven randomized controlled trials involving 474 participants were finally selected in this systematic review. Electroacupuncture was more effective on lumbar spinal stenosis compared with other treatments including analgesics, acupuncture, bed rest and exercise therapy, but showed ambiguous effect compared with physical therapy. Most of the side effects and adverse reactions were reported as minor and temporary. Conclusions Electroacupuncture for lumbar spinal stenosis was more effective than analgesics, acupuncture, bed rest and exercise therapy. In terms of safety, it was limited because there are many papers that do not mention side effects and adverse reactions related to electroacupuncture. Additional studies are needed to determine the effect of electroacupuncture on lumbar spinal stenosis.

The Evidence for the High Sea Level of MIS 5e and the Paleo-coastal Sediments from Sinji-myen, Wando-gun, Jeollanam-do, Korea (전남 완도군 신지면 일대의 고해안퇴적층과 최종간빙기 고해수면 증거)

  • Shin, Won Jeong;Lee, Jae Ho;Byun, Jongmin;Kim, Jong Yeon
    • Journal of The Geomorphological Association of Korea
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    • v.26 no.1
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    • pp.59-78
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    • 2019
  • The physical and chemical characteristics of more than 5 m sandy deposits behind the beach in Sinji-do Island are investigated and its burial ages are estimated using Optically Stimulated Luminescence. By the estimated burial ages of the sandy deposits, this section is divided into four sub-units: Unit I (6.2 ka), Unit II (23.2 ka), Unit III (115.9 ka), and Unit IV (115.9 to 127.5 ka). It can be proposed that the Unit I of a coarse sand deposited during the Holocene Climatic Optimum. Unit II, supposed to be the aeolian sediments, formed during the Last Glacial Maximum (LGM). It can be supposed that the study area was not affected by the marine processes during the LGM, directly. Unit III is more consolidated deposits of coarse silt to fine sand and deposited during the Last Interglacial Period. Unit IV mainly consist of beach gravels with sandy matrix deposited during the Marine Isotope Stage 5e (MIS 5e), and thus indicates that the sea level of the southwest sea had risen 3 to 5 m above present sea level during the MIS 5e.

Genetic Insights into Domestication Loci Associated with Awn Development in Rice

  • Ngoc Ha Luong;Sangshetty G. Balkunde;Kyu-Chan Shim;Cheryl Adeva;Hyun-Sook Lee;Hyun-Jung Kim;Sang-Nag Ahn
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2022.10a
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    • pp.33-33
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    • 2022
  • Rice (Oryza sativa L.) is a widely studied domesticated model plant. Seed awning is an unfavorable trait during rice harvesting and processing. Hence, awn was one of the target characters selected during domestication. However, the genetic mechanisms underlying awn development in rice are not well understood. In this study, we analyzed the genes for awn development using a mapping population derived from a cross between the Korean indica cultivar 'Milyang23' and NIL4/9 (derived from a cross between 'Hwaseong' and O. minuta). Two quantitative trait loci (QTLs), qAwn4 and qAwn9 were mapped on chromosome 4 and 9, respectively, increased awn length in an additive manner. Through comparative sequencing analyses parental lines, LABA1 was determined as the causal gene underlying qAwn4. qAwn9 was mapped to a 199-kb physical region between markers RM24663 and RM24679. Within this interval, 27 annotated genes were identified, and five genes, including a basic leucine zipper transcription factor 76 (OsbZIP76), were considered candidate genes for qAwn9 based on their functional annotations and sequence variations. Haplotype analysis using the candidate genes revealed tropical japonica specific sequence variants in the qAwn9 region, which partly explains the non-detection of qAwn9 in previous studies that used progenies from interspecific crosses. This provides further evidence that OsbZIP76 is possibly a causal gene for qAwn9. The O. minuta qAwn9 allele was identified as a major QTL associated with awn development in rice, providing an important molecular target for basic genetic research and domestication studies. Our results lay the foundation for further cloning of the awn gene underlying qAwn9.

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