• Title/Summary/Keyword: systematic reviews

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Analysis of Research Trends on the Korean Medicine Treatments of Subacromial-Subdeltoid Bursitis (견봉하-삼각근하 점액낭염의 한의치료에 대한 국내외 연구동향 분석)

  • Hyunsuk Park;Dong-Jin Jang;Jonghyun Lee;Sungjae Yoo;Minji Sun;Junsoo Kim;Yongjun Kim;Jeong-Hee Noh;Si-Hyoung Kim;Jung-Min Yun
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.2
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    • pp.85-100
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    • 2024
  • Objectives This study aims to analyze clinical studies on subacromial-subdeltoid (SA-SD) bursitis and propose future directions for clinical research on SA-SD bursitis. Methods We searched eight databases to investigate research trends in Korean medicine treatments for SA-SD bursitis up to November 2023. A total of thirty-one studies were included in this analysis. Results Among the included studies, there were six case reports from Korea, fifteen case reports, and ten randomized controlled trials from abroad. Various interventions were uesd, including acupuncture, pharmacopuncture, manual therapy, electro-acupuncture, cupping, physiotherapy, acupotomy, warm-acupuncture, herbal medicine, and moxibustion. The evaluation tools used in these studies included the total effective rate, visual analogue scale, range of motion, and numeral rating scale. Conclusions This study provides an overview of the research trends in Korean medicine treatments for SA-SD bursitis. However, given the low quality and small sample sizes of the studies, the evidence supporting effect of Korean medicine treatments for SA-SD bursitis was insufficient. Further clinical trials and systematic reviews are required.

Economic Challenges and Solutions in the Korean Peninsula Unification Process (한반도 통일 과정의 경제적 과제와 해결 방안)

  • Kyong-Seok Hong;Kyoung-Haing Lee;Sang Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.437-442
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    • 2024
  • The unification of the Korean Peninsula is not only a national aspiration but also holds significant economic implications. By maximizing the economic synergy between South and North Korea and reconstructing the North Korean economy, balanced development across the peninsula can be promoted. However, the unification process will face various economic challenges, including the substantial costs of unification, integrating different economic systems, and bridging the economic disparity between the two Koreas. This paper aims to analyze these anticipated economic issues and propose systematic and phased solutions. Specifically, it discusses the objective estimation of unification costs and funding strategies, suggests effective integration methods for the disparate economic systems of the two Koreas, and identifies policy tasks to reduce economic disparities. The paper reviews existing studies on unification costs, explores strategies for the balanced development of South and North Korean economies through industrial restructuring and gradual transition to a market economy, and proposes concrete measures such as the expansion of North Korea's social overhead capital (SOC) and the development of human capital. The goal is to establish a solid economic foundation for peaceful unification and create opportunities for the economic resurgence of the Korean Peninsula.

Exploring the Connectivity of ESG Core Values from a Christian Perspective and the Direction of Christian Education Utilizing Design Thinking (기독교 관점에서 바라본 ESG핵심 가치의 연결성과 디자인씽킹을 활용한 기독교 교육의 방향성 탐구)

  • Suyeon Kim
    • Journal of Christian Education in Korea
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    • v.77
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    • pp.151-169
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    • 2024
  • Purpose of the Study : This research aims to examine the core values of ESG (Environmental, Social, and Governance) from a Christian perspective and explore the direction of Christian education that fosters character traits such as service, compassion, responsibility, and sharing through the process of design thinking. Content and Method of the Study : By investigating the background and definition of ESG, ESG practices in businesses, and the current status and values of ESG education in universities, this study examined the core values of ESG from a Christian perspective. Subsequently, the study explored and proposed directions for applying ESG education methods infused with character traits such as service, compassion, responsibility, and sharing through the process of design thinking. Conclusion and Recommendations : Through this study, the core values of ESG have been derived as elements from a Christian perspective, and exploration has been made on how to integrate them into the design thinking process. Consequently, this study has identified the potential to integrate ESG into the design thinking process with a focus on elements from the perspective of Christian education. This could serve as foundational material for education seeking to apply ESG through the integration of design thinking, and it is hoped that it will be helpful as a basis for further research. Subsequent studies should aim to construct a more systematic framework for the direction proposed in this study through expert reviews.

In a Time of Change: Reflections on Humanities Research and Methodologies (변화의 시대, 인문학적 변화 연구와 방법에 대한 고찰)

  • Kim Dug-sam
    • Journal of the Daesoon Academy of Sciences
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    • v.49
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    • pp.265-294
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    • 2024
  • This study begins with a question about research methods in humanities. It is grounded in the humanities, focusing on the changes that have brought light and darkness to the humanities, and focusing on discourse regarding research methods that explore those changes. If the role of the humanities is to prevent the proverbial "gray rhino," unlike the sciences, and if the humanities have a role to play in moderating the uncontrollable development of the sciences, what kind of research methods should humanities pursue. Furthermore, what kind of research methods should be pursued in the humanities, in line with the development of the sciences and the changing environment? This study discusses research methods in the humanities as follows: first, in Section 2, I advocate for the collaboration between humanities and scientific methods, utilizing accumulated assets produced by humanities and continuously introducing scientific methods. Prediction of change is highly precise and far-reaching in engineering and the natural sciences. However, it is difficult to approach change in these fields in a macro or integrated manner. Because they are not precise, they are not welcome in disciplines that deal with the real world. This is primarily the responsibility of humanities. Where science focuses on precision, humanities focuses on questions of essence. This is because while the ends of change have varied throughout history, the nature of change has not varied that much. Section 3 then discusses the changing environment, proposals for changes to humanistic research methods, reviews and proposals inductive change research methods, and makes some suggestions for humanistic change research. The data produced by the field of humanities accumulated by humankind in the past is abundant and has a wide range of applications. In the future, we should not only actively accept the results of scientific advances but also actively seek systematic humanistic approaches and utilize them across disciplinary boundaries to find solutions at the intersection of scientific methods and humanistic assets.

Intracranial stenting compared to medical treatment alone for intracranial atherosclerosis patients: An updated meta-analysis

  • Adam A. Dmytriw;Jerry Ku;Ahmed Y. Azzam;Osman Elamin;Nicole Cancelliere;Anish Kapadia;James D. Rabinov;Christopher J. Stapleton;Robert W. Regenhardt;Vitor Mendes Pereira;Aman B. Patel;Victor X.D. Yang
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.26 no.2
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    • pp.152-162
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    • 2024
  • Objective: Stroke is the second-leading cause of death globally. Intracranial atherosclerotic stenosis (ICAS) represents 10-15% of ischemic strokes in Western countries and up to 47% in Asian countries. Patients with ICAS have an especially high risk of stroke recurrence. The aim of this meta-analysis is to reassess recurrent stroke, transient ischemic attack (TIA), and other outcomes with stenting versus best medical management for symptomatic ICAS. Methods: The search protocol was developed a priori according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The OVID Medline, Embase, Web of Science, and Cochrane Library databases were searched from inception to August 14th, 2022. Results: This meta-analysis included four randomized controlled trials (RCTs), with a total number of 991 patients. The mean age of participants was 57 years. The total number of intracranial stenting patients was 495, and the number of medical treatment patients was 496. The included studies were published between 2011 and 2022. Two studies were conducted in the USA, and the other two in China. All included studies compared intracranial stenting to medical treatment for ICAS. Conclusions: In patients with ischemic stroke due to symptomatic severe intracranial atherosclerosis, the rate of 30-day ischemic stroke, 30-day intracerebral hemorrhage, one-year stroke in territory or mortality favored the medical treatment alone without intracranial stenting. The risk of same-territory stroke at last follow-up, disabling stroke at last follow-up, and mortality did not significantly favor either group. Intracranial stenting for atherosclerosis did not result in significant benefit over medical treatment.

A Study on the Evaluative Models and Indicators for Diagnosis of Urban Visual Landscape - Focusing on Seoul City - (도시경관 진단을 위한 평가모델 및 지표개발 연구 - 서울시를 중심으로 -)

  • Kim, Seung-Ju;Im, Seung-Bin
    • Journal of the Korean Institute of Landscape Architecture
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    • v.37 no.1
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    • pp.78-86
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    • 2009
  • Recently, there seems to besome problems in the urban visual landscape as a result of continuous economic growth and industrial development. At the same time, the public has begun to be aware of the importance of visual resources, and the necessity for visual landscape conservation and improvement. Therefore, the development of evaluative indicators for systematic visual landscape planning and design is urgent. The purpose ofthis study is to discover evaluative models and indicators for the diagnosis of urban visual landscapes. This study included the selection of 18 physical indicators(statistical data) by literature reviews, adoption of field and questionnaire surveys at 12 autonomous districts in Seoul and surrounding major mountain valleys and river streams(i.e. Mt. Nam and Han-River). The content of the questionnaire is scenic beauty. Moreover, the linear regression analysis between the scenic beauty mean scores and the physical indicator scores figure out the scenic beauty prediction model. As this study suggests, the most important indicators in urban visual landscapes are 'Greens', 'Park' and 'the number of apartment buildings(higher than 20 stories).' Based on the results, greens and parks should be priority elements to considerin urban landscape planning and design. Moreover, since the number of apartment buildings that are higher than 20 stories has a negative correlation with the scenic beauty score, it can be used as basic data for landscape planning. For the scenic beauty prediction models and evaluative indicators suggest a direction of urban management, each indicator becomes basic data for visual landscape planning and design. In following studies, if physical indicators and case studies are added, the scenic beauty prediction models and evaluative indicators could be more synthetic and systematic. Moreover, the development of physical indicators in three dimensions(3D)(i.e. results from visual district analysis, view surface analysis) could be expected to obtain more general and varied results.

Herbal Medicine for the Treatment of Rosacea: A Systematic Review and Meta-analysis of Randomized Controlled Trials (주사(Rosacea)의 한약 치료에 대한 체계적 문헌고찰 및 메타분석)

  • Kang, Eun-Jeong;Kam, Eun-Young;Kim, Seo-Hee;Yoon, Seok-Yeong;Jeon, Seok-Hee;Choi, Jung-Wha;Kim, Jong-Han;Park, Soo-Yeon;Jung, Min-Yeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.3
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    • pp.27-54
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    • 2021
  • Objectives : This review was conducted to validate the effectiveness and safety of herbal medicine combined with conventional therapy for rosacea. Methods : Randomized controlled trials(RCTs) reporting the effects of herbal medicine treatment on rosacea were searched through eight electronic databases from 2016 to March 17, 2020. This study collection and data extraction were performed by two independent reviews. The Cochrane risk-of-bias tool was used for the evaluation of the risk of bias in all included RCTs. Mean differences(MD) and Risk ratio(RR) of 95% Confidence intervals(Cls) were calculated and data synthesis was conducted using Review Manager(RevMan, ver.5.4) Results : Eighteen RCTs were included and all trials compared the combined therapy of herbal medicine with conventional western therapy to conventional therapy alone. The effective rate of the combination of herbal medicine with western medicine(RR 1.20, 95% CI : 1.13-1.28, p<0.00001, I2=0%), the effective rate of the combination of herbal medicine with laser-based therapy(RR 1.12, 95% CI : 1.04-1.21, p=0.004, I2=18%) and the effective rate of the combination treatment group using herbal medicine, western medicine and external drugs were all statistically higher that of the control group(RR 1.19, 95% CI : 1.11-1.28, p<0.00001, I2=0%). The score of non transient erythema(MD -0.36, 95% CI : -1.01 0.29, p=0.27, I2=93%), flushing(MD -0.69, 95% CI : -0.97, 0.41, p<0.00001, I2=32%), papules or pustules(MD 0.10, 95% CI : -0.15, 0.35 p=0.44, I2=0%) were also seen in the herbal medicine and western medicine combination group. The overall risk of bias of the included studies was some concerns. No serious adverse effects were observed. Conclusions : This review found the safety and effectiveness of the combined therapy of herbal medicine with conventional western therapy for rosacea.

2007 Korean National Growth Charts: review of developmental process and an outlook (2007 한국 소아 청소년 성장도표 : 개발 과정과 전망)

  • Moon, Jin Soo;Lee, Soon Young;Nam, Chung Mo;Choi, Joong-Myung;Choe, Bong-Keun;Seo, Jeong-Wan;Oh, Kyungwon;Jang, Myoung-Jin;Hwang, Seung-Sik;Yoo, Myung Hwan;Kim, Young Taek;Lee, Chong Guk
    • Clinical and Experimental Pediatrics
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    • v.51 no.1
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    • pp.1-25
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    • 2008
  • Purpose : Since 1967, The Korean Pediatric Society and Korean Government have developed Korean Growth Standards every 10 years. Last version was published in 1998. During past 40 years, Korean Growth Standards were mainly descriptive charts without any systematic nor statistical standardization. With the global epidemic of obesity, many authorities such as World Health Organization (WHO) and United States' Centers for Disease Control (CDC) have been changed their principles of growth charts to cope with the situations like ours. This article summarizes and reviews the whole developmental process of new 2007 Korean Growth Charts with discussion. Methods : With the initiative of Division of Chronic Disease Surveillance in Korea Centers for Disease Control and Prevention, we have performed new national survey for the development of new Standards in 2005 and identified marked increase of childhood obesity and plateau of secular increment of final height in late adolescents. We have developed new Growth Standards via adapting several innovative methods, including standardization of all available raw data, which were acquired in 1997 and 2005 national survey and full application of LMS method. Results : We could get new standardized charts; weight-for-age, length/height-for-age, weight-for-height, head circumference-for-age and BMI-for-age. Other non-standardized charts based on 2005 survey data were also published; waist circumference-for-age, mid-arm circumference-for-age, chest circumference-for-age and skinfold-for-age. Clinical guideline was also developed. Conclusion : Developmental process and results of new Korean Growth Charts are comparable with other internationally well-known Growth Standards, WHO 2006 Growth Standards and CDC Growth Charts. 2007 Korean Growth Charts are relevant especially in Korea and Korean ethnic groups.

Development of nutrition quotient for Korean preschoolers (NQ-P): Item selection and validation of factor structure (취학전아동 대상 영양지수 개발 : 평가항목 선정과 구성 타당도 검증)

  • Lee, Jung-Sug;Kang, Myung-Hee;Kwak, Tong-Kyung;Chung, Hae Rang;Kwon, Sehyug;Kim, Hye-Young;Hwang, Ji-Yun;Choi, Young-Sun
    • Journal of Nutrition and Health
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    • v.49 no.5
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    • pp.378-394
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    • 2016
  • Purpose: Screening of preschool-age children for nutrition programs to improve dietary intake and behaviors requires cost-effective and easily administered validated assessment tools. The purpose of this study was to develop a parent/caregiver-administered instrument for measuring diet quality and behaviors of preschoolers as a nutrition quotient for preschoolers (NQ-P). Methods: Development of NQ-P was carried out in three steps: item generation, item reduction, and validation. The 24-h dietary record was selected as the gold standard reference tool. The 38 items of the NQ-P checklist were derived from a systematic literature review, expert in-depth interviews, statistical analysis of the fifth Korean National Health and Nutrition Examination Survey data, and national nutrition policies and recommendations. Self-administered questionnaires were delivered to parents who recorded 24-h dietary intakes of 100 responders aged 3~5 yr. Pearson's correlation was used to measure the level of agreement between questionnaires. Item reduction was performed, and 20 items were selected based on survey results, expert reviews, and priorities of national nutrition policy and recommendations. The 412 nationwide subjects sampled through daycare centers completed the 20-item checklist questionnaire. The construct validity of the NQ-P was assessed using confirmatory factor analysis, LISREL. Results: After analyses of exploratory factors, NQ-P items identified three dimensions of diet (balance, moderation, and environment). The three-factor structure accounted for 49.28% of the total variance. Standardized path coefficients were used as weights of the items. The NQ-P and three-factor scores of the subjects were calculated by the obtained weights of the questionnaire items. Conclusion: A food behavior checklist for preschoolers' NQ would be a useful and suitable instrument for evaluating nutrition adequacy and dietary quality of Korean preschoolers.

Developing and testing the reliability of a measurement tool for an urban area food environment in Korea - Focusing on food stores - (우리나라 도시지역의 식환경 측정을 위한 조사도구 개발 및 신뢰도 검정 - 식품상점을 중심으로 -)

  • Jang, Mi Jin;Shin, Sangah;Kim, Seong-Ah;Chung, Sangwon;Paik, Hee Young;Choe, Jeong-Sook;Hong, Eun Joo;Joung, Hyojee
    • Journal of Nutrition and Health
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    • v.47 no.5
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    • pp.351-363
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    • 2014
  • Purpose: The aim of this study was to develop a reliable measurement tool to assess the urban food environment, particularly focusing on food stores in Korea. Methods: The items for the measurement tool were selected through systematic literature reviews and adjusted to the Korean food environment. A total of 25 food stores in an urban area were recruited for the pilot test to evaluate the time required for completion of the survey, ease of response, willingness to participate, difficulties in conducting the survey, and appropriateness, and 34 food stores were recruited for assessment of the reliability of the tool using percent agreement and kappa value. Results: The measurement tool is composed of questions regarding food store characteristics, accessibility, and food availability. On average, 26 minutes was required to survey a single food store, and the subjects and interviewers answered that the process was not difficult for the survey. The percent agreement for the inter-rater and test-retest reliability ranged from 93.9~98.8% and 91.9~97.9, respectively. The kappa values ranged from 0.78 to 0.97, which was very high. Percent agreement and kappa value of food with healthy option were lower than those of the general food in the inter-rater reliability (p = 0.0027, p = 0.0095 respectively) as well as in the test-retest reliability (p = 0.0081, p = 0.0290, respectively), although they were still high enough (86.4~98.0% for percent agreement, 0.64~0.96 for kappa value). Conclusion: The newly developed measurement tool for assessment of food store environment appears to be feasible and reliable; therefore, it can be applied to research on the association between food environment and dietary behaviors as well as health outcomes.