• 제목/요약/키워드: Journal of Oriental Neuropsychiatry

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폐암 변증도구 개발을 위한 기초연구 (Preliminary Study to Develop the Instrument on Pattern Identification for Lung Cancer)

  • 김종민;전형준;박소정;김선영;조종관;정인철;유화승
    • 동의생리병리학회지
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    • 제28권6호
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    • pp.585-592
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    • 2014
  • This study is to develop a standard tool for pattern identifications in Korean Medicine for Lung Cancer. The advisor committee for this study was organized by 12 Korean Medicine professors from the Korean Association of Traditional Oncology. The item and structure of instrument were based on review of published literature. We took the consultation twice from the advisor committee and additional advices by e-mail correspondences. We divided the symptoms and signs of lung cancer into 6 pattern identifications. - lung spleen both deficiency (肺脾兩虛), lung kidney both deficiency (肺腎兩虛), dampness phlegm obstructing the lung (濕痰蘊肺), qi stagnation blood stasis (氣滯血瘀), yin deficiency toxin heat (陰虛毒熱), and heat toxin accumulation (熱毒蘊結). We obtained the mean weights which reflected the standard deviations from each symptoms of the 6 pattern identifications which were scored on a 5-point scale by 12 experts. We designed the Korean medicine pattern identification tool for lung cancer. It was composed of 57 questions in the question-and-answer format. Though there are some limits that this study is not proved about validity and reliability, the instrument is meaningful and expected to be applied to the subsequent research.

과체중 및 비만 환자에서 한·양방 의료 이용과 관련된 요인분석: 제2기 한국의료패널 자료를 중심으로 (Analysis of Factors Related to the Use of Both Korean and Western Medicine Treatment in Patients with Overweight and Obesity: Based on the Korea Health Panel Annual Data 2019)

  • 권찬영
    • 한방비만학회지
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    • 제24권1호
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    • pp.41-53
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    • 2024
  • Objectives: We used the Korea Health Panel Annual Data 2019 to analyze factors related to visits to both Korean medicine and Western medicine (WM) outpatient clinics among patients with overweight and obesity. Methods: The inclusion criteria for this study are as follows: 1) adults over 18 years of age, 2) overweight or obese with a body mass index of 25.0 or more, 3) visited WM outpatient clinics at least once during 2019. Total 2,963 individuals were included in WM group or integrative medicine (IM) group. Using the Andersen healthcare utilization model, factors related to healthcare utilization of the participants were classified. Binomial logistic regression analysis was used to analyze factors associated with IM use. Results: Among the participants, 80.49% (n=2,385) were assigned to WM group and 19.51% (n=578) to IM group. As a result of the regression analysis, factors significantly related to the use of IM included the elderly over 65 years of age, sex (men), college or higher education level, residential area (Gwangju/Jeolla/Jeju), presence of cancer, and presence of musculoskeletal disease. The main diagnosis associated with both WM and IM use was most frequently musculoskeletal conditions. Also, IM group received WM treatment for musculoskeletal conditions more frequently compared to WM group. Conclusions: This study is the first to analyze healthcare utilization patterns among overweight or obese patients in Korea. The current findings suggest that the presence of musculoskeletal conditions, especially in this population, may be strongly associated with concurrent use of IM services.

역량중심 경혈학실습 교육을 위한 교수학습매뉴얼 개발 및 활용방안 (Development of Teaching and Learning Manual for Competency-Based Practice for Meridian & Acupuncture Points Class)

  • 조은별;홍지성;남연경;신혜규;김재효
    • Korean Journal of Acupuncture
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    • 제39권4호
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    • pp.184-190
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    • 2022
  • Objectives : In our previous study, we developed the prototype of a lesson plan for meridian and acupuncture clinical skills education by applying the rapid prototyping to instructional systems design. The present study aimed to develop a teaching-learning manual, including the lesson plans, practice notes, and instructions for devices. We also aimed to present a guideline on how to use the manual in class. Methods : The manual and materials for teachers and learners were developed based on the solutions and the prototype derived from our previous study. Practical classes on meridian and acupuncture points consist of four major subjects, and the lesson plan and practice note were designed according to each topic. Results : Flipped learning, George's five-step method, peer role-play, and peer-led objective structured clinical examination (OSCE) were applied as main methodologies in the meridian and acupuncture points practical class. The teaching-learning manual, including practice notes, detailed lesson plan, OSCE checklist, and instruction manual for devices, was developed to be utilized at each stage of the learning activity. Conclusions : The application of the teaching-learning manual is expected to provide effective clinical skills education, strengthen learners' communication skills, establish professional identity, assess learners' performance, and provide immediate feedback. The educational effect of the manual for the existing class should be identified, and its feasibility should be verified by implementing it on another group. This manual could be helpful in designing classes for other subjects of Korean medicine, especially for clinical skills education.

심계 허약아 진단을 위한 절단값의 산정 ; K-CBCL 총문제행동점수를 기준으로 (Set the Cut Off Values for Diagnosing Heart Weak Children ; By Using K-CBCL Total Behavior Problems Score)

  • 정민정;임정화;황보민;윤영주;김기봉
    • 대한한방소아과학회지
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    • 제24권3호
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    • pp.58-67
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    • 2010
  • Objectives: The objective of this study was to evaluate the correlations between the Weak Children Questionnaire result and K-CBCL score. Also, this study was designed to define the cut off values of Heart Weak Scores by using 'K-CBCL' which represents the total behavior problems scores 50T in order to detect Heart Weak in Children Methods: 271 elementary school students in Daejeon answered the questionnaire and the data was analyzed. Results: There were high correlations between Heart Weak Score and K-CBCL which in a total behavior problems scores. The cut off values of Heart Weak Score, K-CBCL, a total behavior problems scores 50T, were calculated by ROC curve analysis. To diagnose as a Heart Weak Children, the correspondent cut off values for Heart Weak Score were 11 in boys and 8 in girls. Conclusions: To diagnose as a Heart Weak in Children, the correspondent cut off values for Heart Weak Score were 11 in boys and 8 in girls.

급성 요폐 및 하부요로증상의 소양인(少陽人) 육미지황탕가감방(六味地黃湯加減方) 치험 1례 (A Case-Report of Soyangin with Acute Urinary Retention and Lower Urinary Tract Symptoms Treated by Yukmijihwang-tanggagambang)

  • 조승완;오지연;김원영;임은철;이여경;홍승효;김동영
    • 사상체질의학회지
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    • 제32권2호
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    • pp.71-79
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    • 2020
  • 이상 증례에서 고령의 소양인(少陽人) 환자에게 사상의학적 육미지황탕가감방(六味地黃湯加減方) 투약으로 급성 요폐의 소실과 하부요로증상 등의 소실 및 호전을 점진적으로 관찰하여 이에 보고하는 바이다.

Research Trends of Pharmacopuncture: a bibliometric analysis using VOSviewer (2007-2023)

  • Chan-Young Kwon
    • 대한약침학회지
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    • 제26권3호
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    • pp.227-237
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    • 2023
  • Objectives: Pharmacopuncture is considered a unique new type of acupuncture in Korean medicine (KM). This study was performed to investigate the research trends regarding pharmacopuncture through a bibliometric analysis using VOSviewer. Methods: The Web of Science Core Collection was searched for this study. The search terms were pharmacopuncture and pharmaco-puncture. The search was conducted on May 23, 2023, and 185 studies retrieved up to this date were included. Software VOSviewer version 1.6.19 was used to perform the bibliometric analysis. After data clearing, keyword co-occurrence and cooperation pattern analyses were performed. Results: The number of studies on pharmacopuncture have gradually increased since the mid-2000s, with the most published in 2020 (46 studies). The quality of the studies has also steadily increased, and recently, several randomized controlled trials of pharmacopuncture have been conducted. Moreover, this treatment has been investigated in the context of KM clinical practice guideline development in Korea. The scope of pharmacopuncture studies to date seems to be limited to musculoskeletal pain and bee venom pharmacopuncture. The researchers from Jaseng Medical Foundation have been the core researchers in the field of pharmacopuncture in Korea. They collaborated with researchers from universities or government-funded research institutes. However, small-scale research teams from KM clinics and university researchers were also identified as independent clusters. Conclusion: Pharmacopuncture research has grown both quantitatively and qualitatively, but the scope needs to be further expanded. There is also a gap between the use of pharmacopuncture by KM doctors in clinical settings and pharmacopuncture research. Based on these findings, some suggestions for future studies in this field are discussed. Furthermore, these findings may be used as data to expand and globalize pharmacopuncture research in the future.

온라인 포털에서의 주요 비급여 한의치료 검색 트렌드와 그 의미에 대한 고찰: 네이버 데이터랩을 이용하여 (A Study on Major Uninsured Korean Medicine Treatments Search Trends and Their Meanings in an Online Portal: Using Naver Data Lab)

  • 권찬영
    • 대한한의학회지
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    • 제44권3호
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    • pp.74-86
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    • 2023
  • Objectives: The purpose of this study was to examine search trends and their meanings for major uninsuired Korean medicine (KM) treatments through analysis of an online portal search results. Methods: Keywords searches were performed using Naver Datalab on 4 July 2023. From January 2016 to June 2023, monthly relative search volume (RSV) for keywords 'pharmacopuncture', 'Chuna', and 'needle-embedding therapy', and 'herbal decoction' were extracted with a score between 0 and 100. For the obtained RSVs, longitudinal changes over time, characteristics according to sex and age group, and correlations between them were investigated. Results: The ranking of RSV for each keyword has changed from 'Chuna', 'herbal decoction', 'needle-embedding therapy', and 'pharmacopuncture' to 'Chuna', 'herbal decoction', 'pharmacopuncture', and 'needle-embedding therapy' after 2019. Overall, the RSV of needle-embedding therapy continuously decreased, while that of pharmacopuncture continuously increased. In 2019, a rapid increase in the RSV of Chuna was observed, and in 2020, a rapid increase in the RSV of herbal decoction was observed. There was a difference in the longitudinal change pattern of RSV for the keywords by age group. Importantly, in the elderly, changes in RSV were observed in a favorable pattern to KM treatment. Conclusion: Our findings enable estimation of the public's interest and its changes for the four uninsuired KM treatment, and can be used as basic data to strengthen health insurance coverage in Korea. Specifically, changes in interest in KM treatments according to sex and age can be referred to.

어머니와 아동의 기질과 양육태도 관계 연구 (Associations between Mother and Child Temperament and Parenting Attitude)

  • 유경;김락형
    • 대한한방소아과학회지
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    • 제26권4호
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    • pp.38-43
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    • 2012
  • Objectives: The purpose of this study was to investigate the relations between mother's temperament and child's and parenting attitude. Methods: One hundred twenty healthy mothers (above 20 ys) who has a child (7-11 ys) participated after informed consent. The temperament of the children was analyzed by the Junior Temperament and Character Inventory 7-11 (JTCI 7-11) by their mothers. The temperament of the mothers was analyzed by the Temperament and Character Inventory-Revised Short (TCI-RS) and the parenting attitude of the mothers was analyzed by the Parenting Attitude Test (PAT). The relations between mother and child temperament and parenting attitude were assessed using the Pearson correlation coefficient. Results: There were some significant correlations between maternal temperaments and child's temperaments and maternal parenting attitude. Maternal temperament and parenting attitude: Novelty seeking (NS) of mother had low positive correlations with punishment, high expectation and inconsistency. Harm avoidance (HA) had low positive correlations with high involvement and high expectation, and had weak negative correlations with supportive expression and rational explanation. Reward dependence (RD) had low positive correlation with rational explanation. Persistence (P) had low positive correlations with supportive expression, rational explanation and superintendence, and weak negative correlation with high expectation. Child's temperament and parenting attitude: NS of child had low positive correlations with achievement press, high involvement, punishment, high expectation and inconsistency. Low positive correlations were found in many sets such as HA and high expectation, RD and supportive expression and rational explanation, P and supportive expression and rational explanation. Conclusions: These results suggest that there are significant relations between mother and child temperament and parenting attitude the temperament of mother and child.

학령기 아동에서 어머니-아동 기질 관계와 양육스트레스 연구 (Relationships between Mother-Child Temperamental Interactions and Parenting Stress in Korean School-Aged Children)

  • 유경;김락형;유승택
    • 대한한방소아과학회지
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    • 제29권3호
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    • pp.12-20
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    • 2015
  • Objectives : The purpose of this study was to investigate the relationships between mother's and child's temper and parenting stress. Methods : One hundred twenty healthy mothers (above 20 yrs old) who has a school-aged child (7-11 yrs old) participated after informed consent. The temperament of the children was analyzed by the Junior Temperament and Character Inventory 7-11 (JTCI 7-11) by their mothers. The temperament of the mothers was analyzed by the Temperament and Character Inventory-Revised Short (TCI-RS) and the mother's parenting stress was analyzed by the Korean Parenting Stress Index (K-PSI). The relationships between mothers' and child's temperament and parenting stress were assessed using the Pearson correlation coefficient and multiple regression test. Results : There were significant correlations between maternal temperaments and child's temperaments and maternal parenting stress. There was a positive correlation between mother's harm avoidance characteristic, child's novelty seeking degree and parenting stress. On the other hand, there was a negative correlation between child's persistence and parenting stress. In addition, interactions between child and mother temperament dimensions predicted higher levels of parenting stress. Parenting stress was higher in the group of high mother's harm avoidance with child's high novelty seeking and high mother's harm avoidance with low child's persistence. Conclusions : These results are showing that there are significant relationships between mother and child temperament and parenting stress in mothers with school-aged children.

백회(百會)($GV_{20}$) 단순 자침과 전침 자극이 정신적 스트레스를 가한 정상 성인의 심박변이도에 미치는 영향 비교 (Effect of Simple Acupuncture and Electroacupuncture at Bai Hui($GV_{20}$) on Heart Rate Variability in Healthy Adults with Stress Task)

  • 김지나;이지수;홍정수;김수정;문성일
    • Journal of Acupuncture Research
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    • 제29권3호
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    • pp.89-99
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    • 2012
  • Objectives : This study was performed to investigate the effect of simple acupuncture and electroacupuncture at Bai Hui($GV_{20}$) on heart rate variability in healthy adults with stress task. Methods : 40 healthy volunteers participated in this study. HRV was recorded before and after stress. And then simple acupuncture(SA group) was applied at $GV_{20}$ or electroacupuncture(EA group) was applied at the same spot in each treatment group for 20 minutes. No treatment was performed in control group for 20 minutes. Then HRV was recorded. Results : 1. In all groups, LF norm, LF/HF, HF norm showed significant changes after mental stress. 2. Control group showed no significant change. In SA group, HF norm LF, LF norm and LF/HF showed a significant change after treatment. In EA group, Mean HR, HF, LF norm, HF norm and LF/HF showed a significant change after treatment. In both treatment groups, there were significant differences after treatment compared to control group. 3. In EA group, HF and HF norm decreased significantly after treatment compared to SA group. Conclusions : These results suggest that simple acupuncture and electroacupuncture at $GV_{20}$ affect the balance of the autonomic nervous system and that electroacupuncture at $GV_{20}$ enhances parasympathetic activation more than simple acupuncture.