• Physical Therapy Rehabilitation Science
• /
• 제6권4호
• /
• pp.202-207
• /
• 2017

Objective: The self-decisions of the client regarding the meaningful work as a therapeutic approach of client-orientation. The Cognitive Orientation to daily Occupational Performance (CO-OP) is an occupation-oriented problem-solving approach. The purpose of this study was to describe the goals and intervention protocols of CO-OP in those affected by stroke. Design: A systematic review. Methods: Using EBSCOhost, PubMed, and ProQuest databases, we searched studies published in the past decade that utilized the CO-OP intervention. An initial search revealed 71,171 potential articles. After applying our search criteria to screen the titles, abstracts, and full-text, we included 7 articles that met our inclusion and exclusion criteria. In this study, we used the patient, intervention(s), comparison, outcome method to analyze the 7 selected studies. We analyzed the frequency of goals and intervention protocols. Results: Seven articles met our selection criteria; these studies included participants with an almost normal cognitive function from inpatient and outpatient rehabilitation facilities. CO-OP was used for 237 goals; the most used goal was the instrumental activities of daily living. The training procedure used 3 types of self-selecting goals in the activities. One of the goals was not trained, but was only evaluated to determine the generation effect. The most common outcome measurements included the Canadian Occupational Performance Measure and the Performance Quality Rating Scale. Conclusions: This research provided information about the effectiveness of CO-OP and selecting the correct evaluation tool to assess the efficiency of the intervention. This study suggests that treatment with CO-OP in occupational therapy is effective and that it outlines common protocols.

• 대한상한금궤의학회지
• /
• 제4권1호
• /
• pp.13-28
• /
• 2012

Objective : The purpose of this study is to suggest medical approach to musculoskeletal system disorders using the decoction of Sanghan-Geumgwe. We studied cases of Ling-Gui-Gan-Zao-Tang prescribed patients to evaluate the clinical efficacy in musculoskeletal system disorders Method : We devised medical approach of Sanghan-Geumgwe in musculoskeletal disorders as follows. First, we chose ryeon-je(攣劑) and soo-je(水劑) herb medicine, commonly used in musculoskeletal disorders. In the selected herb group, we designated ryeon-je(攣劑) to be first key herbs, Soo-Je(水劑) as the second key herb, and other herb groups as third key herb. In this sequential selection and exclusion process, herbs were chosen based upon yak-neung-hyo-seon (藥能效選). Combination of those selected herbs drew pre-prescription group, finally prescription were made by the prescription criteria. Results : Based on the medical approach of decoctions of Sanghan-Geumgwe, we chose Ling-Gui-Gan-Zao-Tang to treat many kinds of musculoskeletal system disorders. And we achieved higher results on treatment for musculoskeletal system disorders. Conclusions : The medical approch using the decoctions of Sanghan-Geumgwe is very useful in choosing accurate prescriptions for patients with musculoskeletal system disorders in clinic.

• 한국콘텐츠학회논문지
• /
• 제11권12호
• /
• pp.250-257
• /
• 2011

사법의 민주적 정당성을 강화하고 투명성을 높임으로써 국민의 신뢰확보를 위하여 마련된 국민참여재판이 시행된지 벌써 3년 10개월이 지났다. 형사사법절차에 국민이 참여하는 절차적 민주주의와 공정하고 신중한 재판이 실현되고 있다는 점에서 긍정적 평가를 받을 수 있다. 그러나 국민참여재판은 극소수의 사건을 재판대상으로 하여 배심원의 평결에 권고적 효력만 인정하고 구속력을 인정하지 않는 한계가 있다. 뿐만 아니라 대상사건의 한정, 피고인의 선택제, 배제결정제도, 법관의 평의관여 및 배심원의 다수결평결 등의 문제점을 여전히 갖고 있다. 따라서 본고는 국민참여재판에 대한 몇 가지 쟁점과 문제점을 검토한 후 이에 대한 대안을 제시하는 것을 연구의 초점으로 한다.

• 대한한의학회지
• /
• 제41권1호
• /
• pp.93-106
• /
• 2020

Objectives: The aim of this review is to ascertain whether Bojungikgi-tang and its modifications is more effective than non-specific management in chronic fatigue syndrome (CFS). Methods: We collected clinical trials to investigate the effects of Bojungikgi-tang and non-specific management on general symptoms, fatigue, and sleep quality in CFS patients. The databases used for data retrieval were Pubmed, Central Cochrane, CNKI, VIP, CiNii, OASIS, RISS, and Koreamed. We performed selection/exclusion process from the found records according to prespecified criteria, and assessed the final included trials according to the Cochrane risk of bias tool. The included studies were classified on the basis of interventions in experimental group. Results: Seven randomized controlled trials (476 participants) were eligible and their results were synthesized in the meta-analysis. The synthesis showed a substantial effect of Bojungikgi-tang (relative risk 0.20 [95% CI 0.13 to 0.31], Z=7.44, P<0.00001; I²=0%) and combination of Bojungikgi-tang and Sosiho-tang (relative risk 0.15 [95% CI 0.08 to 0.28], Z=5.85, P<0.00001; I²=0%) compared with non-specific management on improvement of general symptoms. However, we could not find sufficient clinical research records to determine their effects of improvement on fatigue and sleep quality. Conclusions: Bojungikgi-tang and its modifications are more effective than non-specific management for improvement of general symptoms in CFS post-treatment.

• 대한한의학회지
• /
• 제41권3호
• /
• pp.247-259
• /
• 2020

Objectives: This review aims to investigate clinical studies related to bee venom pharmacopuncture for cancer patients and to analyze the research trend for further study. Methods: We searched for clinical studies using bee venom pharmacopuncture therapy on patients with cancer through the electronic databases including Pubmed, Cochrane library, OASIS, KISS, NDSL, and KMBASE. There was no restriction on language and publication date, and after selection/exclusion process, the study design, target disease, intervention details including acupoints, treatment frequency and period, outcomes, study results and adverse events were extracted. Results: Thirteen clinical studies were finally selected. There were a randomized controlled trial RCT about the effect of sweet bee venom pharmacopuncture on cancer-related pain, and three case series about chemotherapy-induced peripheral neuropathy. In case reports, there were nine studies about oligodendroglioma, plexiform neurofibroma, breast cancer, prostate cancer, lung cancer, urachal adenocarcinoma, malignant melanoma, and atypical squamous cells of undetermined significance. The bee venom therapy affected the improvement of outcomes such as symptoms, quality of life, tumor response, and lab findings. Conclusions: The present study found that bee venom therapy is applicable to the treatment of cancer patients, and showed some effect on various symptoms. However, due to insufficient number and quality of studies, well designed and high-quality clinical trials are necessary to confirm the effectiveness and safety of bee venom pharmacopuncture therapy in patients with cancer.

• 한국응용과학기술학회지
• /
• 제23권1호
• /
• pp.45-53
• /
• 2006

In this study, we prepared porous cation exchange membrane using polystyrene such as, EPS (expanded polystyrene), SAN (styrene acrylonitrile copolymer) and HIPS (high impactive polystyrene). These polystyrenes were sulfonated by acetyl sulfate to make porous cation exchange membrane such as, SEPS, SSAN, SHIPS. SEM was employed to confirm porous structure of membrane, and IR spectroscopy was used to confirm sulfonation rate of ion exchange membrane. Water and methanol content were also increased with amount of sulfuric acid in reactants. SSAN-20 showed the highest value in water and methanol content. Fixed ion concentration and conductivity was also increased with an amount of sulfuric acid in reactants. Methanol permeability for SEPS-20, SSAN-20, SHIPS-20 was found to be $1.326\;{\times}\;10^{-5}\;cm^2/s$, $1.527\;{\times}\;10^{-5}\;cm^2/s$ and $1.096\;{\times}\;10^{-5}\;cm^2/s$ respectively. From the result of electrodialysis experiment in 0.03 M $Pb(NO_3)_2$ aqueous solution, anion exclusion and cation selection effects were confirmed.

• Safety and Health at Work
• /
• 제11권3호
• /
• pp.249-261
• /
• 2020

Background: Hearing loss is one of the most prevalent worker health conditions worldwide. Although the effect of noise exposure on hearing is well researched, other workplace exposures may account for significant hearing loss. The aim of this review was to determine whether occupational hand-arm vibration exposure through use of power or pneumatic tools, independent of noise exposure, is associated with permanent hearing loss. Do workers suffer from hand-arm vibratione-induced hearing loss? Methods: Peer-reviewed articles published in English between 1981 and 2020 were identified through five online databases with five search keywords. Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, including online database search methodology, study selection, article exclusion, and assessment of potential study design confounders and biases, were followed. Results: Database searches retrieved 697 articles. Fifteen articles that reported 17 studies met the criteria for review. All but two studies revealed statistically significant associations between occupational exposure to hand-arm vibration and hearing loss. The majority of the study results revealed associations between hand-arm vibration and hearing loss, independent of potential age and noise confounders. Conclusion: Few studies have examined the association between occupational exposure to hand-arm vibration and hearing loss. Dose response data were limited as only one study measured vibration intensity and duration. Although the majority of studies identified statistically significant associations, causal relationships could not be determined. Further research using standardized and uniform measurement protocols is needed to confirm whether the association between occupational exposure to hand-arm vibration and permanent hearing loss is causal and the mechanism(s).

• 한방재활의학과학회지
• /
• 제23권4호
• /
• pp.83-93
• /
• 2013

Objectives To present reviews of studies comparing surface-electromyography (SEMG) values between low back pain group and control group. Methods We searched 8 databases including KoreaMed, Google, KISS (Korean studies Information Service System), RISS (Research Information Sharing Service), OASIS (Oriental medicine Advanced Searching Integrated System), Pubmed, Ovid-MEDLINE and EMBASE. After searching, we conducted study selection by using inclusion and exclusion criteria and quality-assessment. We reviewed the selected studies concerning about the subject's measuring position, findings, sensitivities and specificities. Results 27 Studies were searched and reviewed. In static surface electromyography, more muscle activities observed in low back pain subjects than in controls. In dynamic surface electromyography, the low back pain subjects showed more muscle activites during flexion, while the control group showed more muscle activities during extension. Faster muscle fatigue observed in isometric muscle analysis. Conclusions Surface electromyography values will be able to be objective marker for evaluating low back pain. Further research is needed to determine additional unified protocol such as the type of SEMG and its directions.

• 한국영재학회:학술대회논문집
• /
• 한국영재학회 2001년도 춘계 학술세미나
• /
• pp.43-72
• /
• 2001

Identification and discrimination the mathematical giftedness must be based on it's definition and factors. So, there must be considered not only IQ or high ability in mathematical problem solving, but also mathematical creativity and mathematical task commitment. Furthermore, we must relate our ideas with the programs to develop each student's hidden potential not to settle only. This study is focused on the discrimination of the recipients who would like to enter the elementary school level mathematical gifted education program. To fulfill this purpose, I considered the criteria, principles, methods, tools and their application. In this study, I considered three kinds of testing tools. The first was KEDI - WISC personal IQ test, the second is mathematical problem solving ability written test(1st type), and the third was mathematical creativity test(2nd type) which were giving out divergent products. The number of the participant of these tests were 95(5-6 grade). According to the test, students who had ever a prize in the level of national mathematical contest got more statistically significant higher scores on 1st and 2nd type than who had ever not, but they were not prominent on the phases of attitude, creative ability or interest and willing to study from the information of the behavior characteristics test. Using creativity test together with the behavior characteristics test will be more effective and lessen the possibility of exclusion the superior.

• 대한한방부인과학회지
• /
• 제32권3호
• /
• pp.245-262
• /
• 2019

Objectives: The purpose of this study is to review clinical studies of traditional Korean medicine treatment (herb medicine) on vaginal atrophy. Methods: Key words "Vaginal atrophy", "Vulvovaginal atrophy", "Vaginal dryness", "Atrophic vaginitis", "Herb medicine", "Acupuncture", "Moxibustion", "Catgut embedding" were searched on 11 database systems (PMC, CENTRAL, EMBASE, CNKI, KTKP, KISS, NDSL, OASIS, DBpia, KMBASE, RISS) on May 31th 2019. In all searches, limits were set for MeSH (human) and language (English, Chinese or Korean). Results: 18 controlled clinical trials were collected in accordance with the selection and exclusion criteria. The types of intervention were herbal medicine, and types of herbal medicine were decoction, cream, suppository, oil, ect. The study results and methods of intervention were analyzed. Conclusions: Among the 18 trials, 5 studies showed that herbal medicine with hormone or antiprotozoal therapy was more effective than hormone or antiprotozoal therapy alone. And 2 studies showed that herbal medicine treatment was more effective than oil treatment of topical use. There was no abnormal vaginal bleeding, breast swelling and pain in TCM group.