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Myocardial Protective Effects of Shenfu Injection after Mitral Valve Replacement Surgery; A Systematic Review and Meta Analysis. (승모판의 인공판막 치환술후 삼부주사액의 심근보호효과에 관한 체계적 문헌고찰 및 메타분석)

  • Bong-Jin Shin;Ji-Ho Kim;Mu-Hyeok Ahn;Jung-Nam Kwon
    • The Journal of Korean Medicine
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    • v.43 no.3
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    • pp.164-180
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    • 2022
  • Objectives: The purpose of this study was to evaluate the effects of shenfu injection on myocardial protective effects after mitral valve replacement surgery. Methods: We searched four international databases (PUBMED, Embase, Web of Science and CNKI) and three domestic electronic databases (OASIS, RISS and NDSL) for relevant studies. We used following keywords 'shenfu', 'valve replacement', 'mitral valve' at PUBMED, Embase and Web of Science; '二尖瓣', '参附注射液', '瓣膜' at CNKI and '이첨판', '판막', '삼부' at domestic databases. The search range included randomized controlled trials. When appropriate, meta-analyses were performed. Results: Seven randomized controlled trials were selected. All studies used Shenfu injection after mitral valve replacement surgery. We analyzed myocardial damage, cardiac function, patients' recovery rate, with various evaluation indicators. We also used meta-analysis for CK-MB, cTnI, MDA and voluntary recovery of heartbeat. CK-MB was analyzed in two subgroups: 8 hours and 24 hours after surgery. Std was -2.34(95% CI -4.10, -0.58) for 8 hours and -1.95(95% CI -4.79 to 0.88) for 24 hours. 8 hours showed statistically significant difference. cTnI appeared significant decrease with Std of -2.13(95% CI -2.60, -1.66). MDA showed significant decrease with Std of -0.95(95% CI -1.43 to -0.47). Voluntary recovery of heartbeat significantly increased with the odd ratio of 4.34(95% CI 1.76, 10.70). Conclusions: We suggest that Shenfu injection after Mitral valve replacement surgery may have significant myocardial protective effects in terms of reducing myocardial damages, reactive oxygen species, increasing cardiac function and patients' recovery after surgery. However, the evidence is limited, further research is required.

A Review of Acupuncture on Hot Flashes during Adjuvant Endocrine Therapy in Breast Cancer Patients (유방암 환자의 호르몬 보조 요법 중 발생한 안면홍조에 대한 침 치료의 고찰)

  • Woo-Jin Jung;Da-Won Lee;Min-Jeong Kwon;Hyun-A Sim;Jong-Hyun Lee;Jae-Joong Jung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.37 no.3
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    • pp.49-62
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    • 2024
  • Objects: This study was conducted to examine the effect of acupuncture on hot flashes symptoms that occurred after adjuvant endocrine therapy in breast cancer patients. Methods: A total of 7 electronic databases, including Pubmed, Cochrane Central, Embase, and CNKI, were used to search for randomized controlled trials studies on acupuncture treatment for hot flashes that occurred after adjuvant endocrine therapy in breast cancer patients. Studies published from January 2014 to March 2024 were targeted, and Breast Cancer, Hot Flashes, Acupuncture, and Electroacupuncture were used as search keywords. The intervention method, treatment period and follow-up period, results, side effects, and acupuncture points were analyzed. Results: According to the inclusion criteria, 7 studies were finally selected. Acupuncture, electroacupuncture, acupuncture and enhanced self-care were combined as intervention methods of the treatment group, and the most common control group was the use of sham acupuncture. The selected study was evaluated by the symptoms of hot flashes, quality of life, depression, and quality of sleep. In terms of hot flashes, quality of life, and depression, a significant number of treatment groups showed improvement results than control group. The most commonly used acupuncture points in the study were 百會 (GV20), 關元 (CV4), 氣海 (CV6) each of which was used twice. Conclusions: According to this study, the improvement of symptoms was confirmed when acupuncture and electroacupuncture treatment were used for hot flashes that occurred during breast cancer adjuvant endocrine therapy.

Review of the Application of Acupuncture for the HIV-associated Distal Sensory Neuropathy (HIV/AIDS 연관 말초신경병증에의 침 치료 활용가능성에 대한 고찰)

  • Kim, Tae-Hoon;Shin, Seon-Ho;Na, Juno;Jeong, Min-Jeong;Jang, In-Soo
    • The Journal of Internal Korean Medicine
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    • v.35 no.3
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    • pp.343-353
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    • 2014
  • Objectives: To discuss the application of the acupuncture therapy for the HIV-associated distal sensory neuropathy. Methods: We searched papers using KTKP, Oasis, CNKI, PubMed, Science Direct, CINAHL, J-STAGE, and CiNii with the keywords "HIV", "Peripheral neuropathy" and "acupuncture". The search range included randomized controlled trials (RCTs) and clinical case series. Reviews and animal experiments were not included. Not matched with inclusion criteria were excluded. Results: A total 675 studies were found. 670 were excluded by scanning titles and abstracts and finally 5 articles were selected. One of the five articles noted that acupuncture was not effective in HIV-SN, but two articles reanalyzing the former, pointed out the statistical errors and noted acupuncture significantly reduced pain, attrition and mortality. Other RCT and the other case series concluded acupuncture had a beneficial effect in HIV-SN. Conclusions: Acupuncture seems to be effective to improve HIV-SN symptoms, however further large-scale RCTs are warranted.

An Analytical Study on Research Trends of Reading and Reading Instruction in Overseas: Focused on Library and Information Science (국외 독서 및 독서교육 연구동향 분석: 문헌정보학 분야를 중심으로)

  • Kim, Pan Jun
    • Journal of the Korean Society for information Management
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    • v.32 no.3
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    • pp.69-97
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    • 2015
  • This study aims to analyse the research areas and trends of reading (reading instruction) abroad in the respect of LIS, and suggest future research tasks. First, I reviewed the controlled keywords in SU field of LISTA database and the entries of DDC 23, and identified the research areas of reading and reading instruction in overseas. Second, I analysed the research trends of this field by applying a intellectual structure analysis on 2,115 research articles (1914~2014) retrieved from a representative database in the areas of Library and Information Science (LISTA). Third, Based on the results of these analysis, I suggested the future research tasks of this field in the domain of library and information science.

Content Analysis of Exercise Programs for the Elderly in Korean and Foreign Articles (노인 운동프로그램의 내용분석 - 국내외 논문중심으로 -)

  • Sung, Ki-Wol
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.56-68
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    • 2007
  • Purpose: The present study analyzed the contents of exercise programs for the elderly in Korean and foreign articles. Method: This study analyzed 27 Korean and 20 foreign exercise-related articles selected from Web DBs using keywords 'exercise', 'exercise program' and 'exercise effect'. The collected data were analyzed using SPSS 11.5 through descriptive statistics, $x^2$ test and Fisher's exact test. Results: In the description of population, random sampling and informed consents, foreign articles were higher than Korean articles. In research design, foreign articles randomized controlled trials (RCTs) higher than Korean articles. The contents of exercise programs in the Korean and foreign articles were aerobic, walking and stretching. On the effects of exercise programs in the Korean articles, walking showed the highest frequency in the physical strength as well as muscle strength, balance and flexibility. In the foreign articles, walking and stretching showed high frequency in physical strength. Conclusion: Contents significant in exercise programs for the elderly were walking and stretching. In addition, regular exercise had a positive effect on muscle strength, flexibility and balance in the elderly.

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Development of Web-based Robot Programming Education Supporting System (웹 기반의 로봇 프로그래밍 교육 지원 시스템 개발)

  • Yoo, In-Hwan
    • The Journal of Korean Association of Computer Education
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    • v.10 no.4
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    • pp.1-16
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    • 2007
  • The effect of existing programming education has shown a limitation coming from its methodology. Thus, the researcher developed a Web-based robot programming support system and explored its possibility for overcoming problems in existing programming education and ultimately for enhancing creativity and problem-solving abilities of students. The developed system let students learn robot programming just with a PC or PDA connected to the Internet without additional hardware and software. Different types of robots linked with a server computer can be controlled by using different programming languages. It is possible to use Korean keywords for programming as well. Specially, this system was evaluated positively by the groups whose computer abilities are excellent and student of introductory or intermediate level programming course. Furthermore, the programming education that uses robot and the Hangul programming technology were given very positive reception by elementary school students.

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Review on Clinical Trials of Acupuncture Application for Obesity Treatment in SCOPUS (Scopus 검색을 통한 비만 치료에 응용되는 침 연구에 대한 최근 동향 고찰;2006년 이후를 기준으로)

  • Jeong, Jae-Hyuk;Hwang, Deok-Sang;Lee, Chang-Hoon;Kim, Yong-Suk;Lee, Kyung-Sub
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.1
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    • pp.23-32
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    • 2008
  • Objectives We aimed at reviewing the clinical trials of the acupuncture application for obesity treatment, recently. Methods We searched the clinical trials papers with keywords of obesity, weight loss, overweight, obese and acupuncture and limited method to clinical trial since 2006 in the search site, Scopus. Results & Conclusion We reveiwed 13 articles searched. Recently, acupuncture application for obesity treatment were 3 types ; traditional acupuncture, auricular acupuncture and electroacupuncture. In the 13 articles, 6 articles were uncontrolled trials and 7 were controlled trials. Acupuncture application were effective method to decrease weight and to improve complication such as Polycystic ovarian syndrome, insulin resistance and psychological symptoms.

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Effect of Tai Chi as Therapeutic Exercise on Blood Pressure : Rapid Systematic Review (운동요법으로서 태극권이 혈압에 미치는 영향 : 신속 체계적 고찰)

  • Hwang, Eui-Hyoung;Heo, Kwang-Ho;Lee, Guem-San
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.1
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    • pp.101-113
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    • 2013
  • Objectives : The purpose of this study is to systematically analyze the effect of Tai Chi as therapeutic exercise on depressing blood pressure. Methods : We reviewed articles published in the PubMed, Chinese Academic Journals(CAJ) and five Korean databases. The searching keywords were "Tai chi AND blood pressure" and "Tai chi AND hypertension". We evaluated the quality with Cochrane risk of bias tool. Results : In the 114 articles searched, 7 randomized controlled clinical trials were selected. Yang(楊) style Tai chi, exercising over 30 minutes a time and over three times a week, had an effect on decreasing blood pressure. However, Wu(吳) style Tai chi was not effective in decreasing blood pressure. Conclusions : Usual exercises for hypertension patients should be performed in the form of moderate exercises intensity for 10-26 weeks by 30-60 minute a time, over 3 times a week. The study of Tai Chi on blood pressure needs to follow this criteria in the future.

Consideration of the Effectiveness of Moxibustion and Acupuncture for the Treatment of Fetal Breech Presentation (태아 둔위의 침구치료에 대한 효용성 고찰)

  • Kang, Kiwan;Lee, Eun;Lee, Seungho;Jang, Insoo
    • Korean Journal of Acupuncture
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    • v.30 no.1
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    • pp.16-20
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    • 2013
  • Objectives : The objective of this study is to report the efficacy of acupuncture and moxibustion for the treatment of fetal breech presentation. Methods : We searched papers in PubMed, using the keywords "breech and moxibustion" and "breech and acupuncture". Search range includes randomized clinical trials(RCTs), controlled clinical trials(CCTs), case reports, and case series. Each original article must have an abstract in English. Finally, 7 RCTs from 102 were included in this review. Results : As a result of analyzing the 7 RCTs, five trials hold that moxibustion or acupuncture at BL67 has been shown to produce a positive effect for the correction of breech presentation and the other two trials indicated no beneficial effect. However, one of the latter could not come to a conclusion owing to the unsatisfactory compliance record of the participants. Conclusions : Acupuncture and moxibustion may be effective to correct fetal breech presentation. In this regard, the related clinical researches are worth to be conducted.

Effects of Sling Exercise on Balance and Gait in Patients with Stroke: Meta-Analysis of Studies in Korea

  • Cho, Woonsu;Lee, Seongjin;Kim, Byeonggeun
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.3
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    • pp.2164-2172
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    • 2020
  • Background: Stroke patients have multiple disorders, but most have problems with balance and gait. Post-stroke rehabilitation exercise has been shown to be very important for functional recovery. Objectives: To systematically review and meta-analyze the effects of sling exercise (SE) on patients with stroke in studies published in Korea. Design: Meta-analysis. Methods: Five databases, namely, RISS, KISS, NDSL, DBpia and Earticle, were used to collect articles on vibration. Keywords such as "Stroke," "Hemiplegia," "Sling," and "Sling Exercise" were used in the search for published articles. Interventions and comparisons were SE and other exercise (OE). Outcome measures were berg balance scale (BBS) and timed up and go (TUG). Consequently, eight studies were selected in the second screening using meta-analyses. Results: Based on the results of the meta-analysis, SE was effective for BBS in the comparison of SE and OE [2.71, 95% CI (1.42, 4.01)]. It was effective for TUG in the comparison of SE and OE [-1.89, 95% CI (-3.01, -0.77)]. Conclusion: Based on eight limited studies, SE improved BBS and TUG over OE, suggesting improved stroke balance and gait. Therefore, more studies and large-scale sample randomized controlled trials are needed to confirm clinical application.