• Title/Summary/Keyword: selection & exclusion

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The Systematic Review on Clinical Studies of Traditional Korean Medicine Treatment for Obesity in Menopausal Women (폐경 여성의 비만에 응용되는 한방치료에 대한 문헌 고찰)

  • Nam, Eun Young
    • Journal of Korean Medicine for Obesity Research
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    • v.19 no.1
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    • pp.56-67
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    • 2019
  • Objectives: The purpose of this study is to review clinical studies of herb medicine and acupuncture treatment on obesity in menopausal women. Methods: Key words "Obesity", "Menopause", "Herb medicine", "Acupuncture", "Moxibustion", "Catgut embedding" were searched on 9 database systems (PubMed Central, Cochrane Controlled Register of Trials, Embase, China Academic Journals, Korean Traditional Knowledge Portal, Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System, National Digital Science Library, DBpia) on April 30th 2019. Results: 1 case report and 17 clinical trials were collected in accordance with the selection and exclusion criteria. Among the 17 trials, 6 were randomized controlled trials, 1 was controlled clinical trial, and 10 were single-arm trials. The types of intervention were herb medicine, electroacupuncture, acupuncture, auricular acupuncture, warm needle acupuncture, moxibustion, laser acupuncture, and catgut embedding. The study design, study results and method of intervention were analyzed. Conclusions: 1 case report described the effectiveness of pharmacopuncture, 4 trials described the effectiveness of herbal medicine, 2 of electroacupuncture, 1 of laser acupuncture, and 2 of catgut embedding. Among the 17 trials, 2 studies showed that herbal medicine treatment was more effective than no treatment or selective serotonin reuptake inhibitors, and 1 study showed that electroacupuncture was more effective than hormone therapy. All of 18 selected studies reported the effectiveness of weight reduction and abdominal obesity reduction after the traditional Korean medicine treatment for obesity in menopausal women.

Paljak Roofs and Modern Joseon Architecture in North Korea: Selection and Exclusion (팔작지붕과 북한의 현대 조선식 건축: 선택과 배제)

  • Park, Dongmin
    • Journal of architectural history
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    • v.28 no.2
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    • pp.65-76
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    • 2019
  • Modern Joseon Architecture is North Korea's unique building style that interprets Korean traditional architecture in a modern way, and its most distinctive design feature is the Paljak roof that decorates the upper part of the buildings. This paper argues that continuous attempts at characterizing the nature of traditional Korean architecture in the late 1950s and early 1960s developed the theoretical rationale for the exclusive use of the Paljak roof in Modern Joseon Architecture. It also argues that the construction of the Pyongyang Grand Theater and the Okryu Restaurant during this period became a decisive moment for the formalization of the Paljak roof. The double roof rafters and gables and the "cheerful yet solemn" roofline were considered as main characteristic features of the Korean roof and the Paljak roof perfectly fits this description. Particularly, in North Korean society where Kim Il Sung became idolized as an impersonalized deity, an anecdote in which Kim Il Sung fixed a prominent gabled roof in the Pyongyang Grand Theater into a Paljak roof has allowed for the roof to gain an exclusive status. Hence, almost all Modern Joseon Architecture since the 1960s accepted the Paljak roof's monopoly position, rather than experimenting with other traditional roof types.

Analysis of Trends in Willingness to Pay Research in Healthcare Service of Korea

  • Seo, Soyoung;Jang, Soong-Nang
    • Research in Community and Public Health Nursing
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    • v.32 no.1
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    • pp.24-39
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    • 2021
  • Purpose: This study was to review the previous studies on the 'Willingness to Pay (WTP)' for healthcare services and suggest future implications for nursing research. Methods: Using the scoping review method, we used RISS, KISS, KMbase, Koreamed, PubMed, EMbase, CINAHL as searching engines. According to the selection and exclusion criteria, 40 appropriate studies were selected and analyzed. Results: 24 studies were categorized into medical service field among medical, public health, and nursing service fields. A total of 16 studies were related to healthcare system (policies), 13 studies were to the healthcare intervention, and 11 studies were categorized into the health management. Most of the methods for eliciting WTP (70%) were about a contingent valuation method (CVM), and the use of double bounded dichotomous choice (DBDC) tended to increase. In the nursing field, five WTP studies were identified: two studies published in the early years of 2000, which were conducted on hospital-based home health visit services. Recent studies were mostly about counseling and education by advanced practice nurses (APNs). Conclusion: WTP studies on healthcare services were largely published from the medical fields and health policy areas with the CVM method. In the field of nursing, studies have been conducted on the subject of limited service areas. More active exploration of research topics is required, particularly under the current policy setting, where discussion of the public health insurance fee for nursing practice is essential.

An Analysis of the Domestic Study Trends on Interventions of Korean Medicine for Abnormal Uterine Bleeding (비정상 자궁 출혈의 한의학적 치료에 대한 국내 연구 동향 분석)

  • Lee, Ji-Won;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.3
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    • pp.74-87
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    • 2022
  • Objectives: This study was performed to analyze the domestic study trends on abnormal uterine bleeding treated with Korean medicine. Methods: We searched the studies of abnormal uterine bleeding treated with Korean medicine via searching four Korean web databases. After that, we analyzed 15 studies which were selected according to the selection and exclusion criteria. Results: All 15 selected studies were case reports, and the total number of patients included was 33. Herbal medicine was used in all patients, and Igwiseungyang-tang-gami and Jeonsaenghwalhyol-tang-gami were the most commonly used. Other Korean medicine treatment such as acupuncture and moxibustion were performed. Acupuncture point most frequently used in acupuncture treatment were 三陰交 (SP6), 太衝 (LR3), 合谷 (LI4), and in moxibustion treatment were 關元 (CV4), 中脘 (CV12), 氣海 (CV6). In all studies, uterine bleeding was reduced after treatment. Conclusions: This study shows that Korean medicine could be helpful in treating abnormal uterine bleeding. In order to increase the basis for clinical use in the future, high quality of additional studies should be conducted.

The Effect of Tapping on the Trunk and Lower Limb Muscle Activities during Abdominal Drawing-in Bridging Exercises with Verbal Command (테이핑 적용 후 구두지시 복부 드로우-인 교각운동이 몸통과 다리의 근 활성도에 미치는 영향)

  • Lee, Jung-Hyun;Kim, Seong-Yeol
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.165-172
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    • 2021
  • Purpose : This study was conducted to find out the effect on the activity of trunk and lower limbs muscles during abdominal drawing-in bridging exercises by verbal cue on the unstable supporting surface after pelvic rearward sloping taping for trunk stabilization movement. Methods : The study subjects were recruited by using the on-campus bulletin boards for healthy adult males and females in their 20s attending K University in Changwon-city, South Gyeongsang Province. The subjects were 30 persons (15 males and 15 females) who agreed to the study purpose in accordance with the criteria for selection and exclusion. Results : The results were obtained by measuring the muscle activity of the trunk and lower limbs during abdominal drawing-in bridging exercises by verbal cue on the unstable supporting surface after pelvic fixed tapping. The effects on erector spinae and hamstring muscles was statistically significantly lower (p<.05), it was confirmed that there were no statistically significant differences between the multifidus and gluteus maximus muscle (p>.05). Conclusion : Through this study, it was found that the excessive flexion of the waist was significantly reduced from erector spinalis and hamstring muscle after abdominal drawing-in bridging exercises by verbal cue on the unstable supporting surface after pelvic rearward sloping tapping compared to the general bridging exercises.

Review of Antiphospholipid Antibody Positive Recurrent Abortion Treated with Herbal Medicine (항인지질항체 양성 습관성 유산의 한약 치료에 대한 무작위 대조군 임상 연구 분석)

  • Ji-Youn, Song;Dong-Chul, Kim
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.1
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    • pp.1-22
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    • 2023
  • Objectives: This study was performed to analyze randomized controlled trial, which studied the effect of herbal medicine treatment on Antiphospholipid antibody positive recurrent abortion. Methods: We searched for randomized controlled trial of last 20 years based on Antiphospholipid antibody positive recurrent abortion and herbal medicine. The paper search was conducted through 7 online databases on July 16, 2022. Results: 9 studies were selected after selection and exclusion criteria. 5 studies compared combined treatment of herbal and western medicine, with western medicine alone. 4 studies compared herbal medicine alone with western medicine. Comparing with control group, the treatment group showed much improvement on conversion rate of anti-phospholipid antibodies, serum hCG and progesterone levels, pregnancy duration or fertility rates, and various symptoms. Conclusions: In this study, we found out benefit of herbal medicine with Antiphospholipid antibody positive recurrent abortion. For reliable evidence, further research is needed to establish safety of herbal medicines, standardize symptom criteria and specify the treatment course.

A Study on the Clinical Study of Herbal Medicine for Postmenopausal Osteoporosis (폐경기 골다공증에 대한 한약 임상 연구 고찰)

  • Young-Eun Kim;Hee-Yoon Lee;Jang-Kyung Park;Young-Jin Yoon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.3
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    • pp.129-153
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    • 2023
  • Objectives: The purpose of this study is to report the clinical effectiveness and safety of herbal medicine treatment for postmenopausal osteoporosis. Methods: Researchers searched papers through 5 online databases including The Cochrane Library Central, Pubmed, China Academic Journal (CAJ), Oriental medicine Advanced Searching Integrated System (OASIS) and Korean studies Information Service System (KISS). Randomized controlled trials (RCTs) that used herbal medicine as treatment were included. Results: Twenty three studies were selected by the selection and exclusion criteria. The treatment group was treated with herbal medicine alone or with herbal medicine and conventional medicine. The control group was treated with conventional medicine. Most common evaluation index was Bone Mineral Density (BMD) followed by total efficacy rate and level of bone metabolism markers, level of sex hormones, etc. Compared with the control group, the treatment group was more effective and safer in all of 23 studies. Conclusions: Herbal treatment alone could be an effective and safe option in treating postmenopausal osteoporosis. Moreover herbal treatment with conventional medicine could improve its therapeutic effect on postmenopausal osteoporosis as well.

Saenghwa-tang Treatment on Postpartum Prolonged Lochia and Uterine Subinvolution: a Systematic Review and Meta-Analysis (산후 오로부절 및 자궁 복구 불완전에 대한 생화탕(生化湯) 치료의 효과 : 체계적 문헌고찰과 메타분석)

  • Ji-Youn Song;Dong-Chul Kim
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.4
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    • pp.121-139
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    • 2023
  • Objectives: This study was performed to analyze randomized controlled trial, which studied the effect of Saenghwa-tang treatment on postpartum prolonged lochia and uterine subinvolution. Methods: Researchers searched for randomized controlled trial of based on postpartum prolonged lochia, uterine subinvolution and Saenghwa-tang. The paper search was conducted through 6 online databases on August 10, 2023. Results: 8 studies were included after selection and exclusion criteria. 5 studies compared Saenghwa-tang alone with western medicine. 3 studies compared combined treatment of Saenghwa-tang and western medicine, with western medicine alone. Comparing with control group, the treatment group showed statistically significant improvement on total effective rate, uterine involution, serum fibrinogen, D-dimer, viscosity of blood and plasma, Erythrocyte aggregation, and various symptoms. Conclusions: This study suggests that Saenghwa-tang has benefit for treating prolonged lochia and uterine subinvolution. For reliable evidence, further research is needed to establish safety of Saenghwa-tang, standardize diagnosis criteria and specify the treatment course.

The effect of aromatherapy on pain in individuals with diabetes: a systematic review and meta-analysis

  • Mi-Kyoung Cho;Mi Young Kim
    • Journal of Korean Biological Nursing Science
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    • v.26 no.2
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    • pp.71-82
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    • 2024
  • Purpose: This study systematically analyzed the impact of aromatherapy on pain in individuals with diabetes. Methods: A search was performed in seven electronic databases based on the PICO-SD (Population, Intervention, Comparison, Outcome, Study Design) framework. The population (P) of interest was individuals with diabetes, and the intervention (I) included aromatherapy targeting pain reduction. The comparison (C) consisted of control groups that received no intervention, another intervention, or usual care. The outcome (O) measured was pain. The quality of the selected literature was assessed using the Joanna Briggs Institute checklist. In MIX 2.0 Pro, the pooled overall effect of pain was calculated using Hedge's g and a random-effects model, and heterogeneity was calculated using the Q statistic and Higgin's I2 values. Meta-regression and exclusion sensitivity analyses were performed. Results: Five articles and seven studies were included, showing a significant pooled overall effect of aromatherapy on diabetes-related pain (Hedge's g = -1.83, 95% CI: -2.76 to -0.91). Meta-regression demonstrated that effectiveness in reducing pain was associated with studies conducted in West Asia, those with IRB approval, and those receiving funding. Additionally, interventions involving subjects under 60, lavender oil (vs. turpentine oil or blended oils), massage therapy (vs. topical application), fewer hours per session, and more repeated measurements (vs. pre/post measurements) were associated with pain reduction. Conclusion: Aromatherapy, especially with lavender oil, effectively manages diabetes-related pain. Short-duration massage application is also effective. A personalized selection of oil type and application method could optimize therapeutic outcomes for individuals with diabetes.

Electroacupuncture Treatment for Post-Stroke Foot Drop: A Systemic Review of Randomized Controlled Trials

  • Hye Jeong Jo;Go Eun Chae;Hyun Woo Kim;Young Jin Lee;Ahra Koh;Ji Eun Choi;So Jung Kim;Woo Young Kim
    • Journal of Acupuncture Research
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    • v.41 no.2
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    • pp.75-86
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    • 2024
  • A review of randomized controlled trials (RCTs) using electroacupuncture (EA) to treat patients with foot drop was performed to analyze the effectiveness of EA for this condition. Relevant studies (n = 183) from 7 databases (Cochrane Library, Excerpta Medica Database, PubMed, China National Knowledge Infrastructure, Korean Studies Information Service System, Research Information Sharing Service, and Oriental Medicine Advanced Searching Integrated System) were selected based on the inclusion and exclusion criteria, and 12 RCTs met the selection criteria. In all 12 studies, EA showed significantly positive changes. In most indicators, positive changes were observed in the EA group compared with that in the control group. Significant increases were confirmed in muscle strength-related indicators such as the Fugl-Meyer motor scale, surface electromyography, active range of motion, and gait-related indicators such as the Tinetti score, maximum walking speed, and Berg balance scale. No notable adverse events were reported. EA is suggested as an effective treatment for post-stroke foot drop; however, more RCTs are required.