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폐색성 혈전 혈관염의 침 치료에 대한 체계적 문헌고찰 (A Systematic Review of Acupuncture Treatment for Thromboangiitis Obliterans)

  • 최지민;전석희;임용하;정민재;김선종
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.37-49
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    • 2022
  • Objectives The purpose of this study is to present evidence by analyzing the research trends in acupuncture treatment in the last 10 years for thromboangiitis obliterans. Methods Randomized controlled trials about acupuncture on thromboangiitis obliterans were searched China National Knowledge Infrastructure (CNKI), PubMed, EMBASE, Cochrane Library, Oriental Medicine Advanced Searching Integrated System (OASIS), ScienceON, Koreanstudies Information Service System (KISS) and Research Information Sharing Service (RISS) from January 1, 2011 to November 13, 2021. Only randomized controlled trials were selected and we assessed the risk of bias (RoB) according to the revised Cochrane RoB2 criteria. Results A total of 5 randomized controlled trials (RCTs) were selected in this review and all were conducted in China. A total of 326 participants were in 5 RCTs. SP10, ST36, GB34 was the most commonly used treatment point. There were four types of acupuncture used: manual acupuncture, embedding acupuncture, pharmacopuncture, electroacupuncture. The most commonly used indicator for evaluation was the total efficacy rate, and all five studies were significantly higher. Conclusions All selected studies showed the group treated with acupuncture treatments on thromboangiitis obliterans were statistically more effective than the control group. However, the number of studies is too small and the interpretation of the results is limited due to the inclusion of subjective evaluation. So more objective and systematic studies should be conducted continuously.

척수손상으로 인한 운동 및 감각 기능 손상에 대한 전침의 효과: 체계적 문헌 고찰 및 메타 분석 (Effect of Electroacupuncture on Impairment of Motor and Sensory Functions after Spinal Cord Injury: A Systematic Review and Meta-analysis)

  • 정수은;김규희;박정현;이영훈;박상은;조성우
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.37-54
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    • 2022
  • Objectives This review investigates the effectiveness of electroacupuncture for impairment of motor and sensory functions after spinal cord injury. Methods The databases used for the search were PubMed, Cochrane Library, EMBASE, China National Knowledge Infrastructure (CNKI), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), KMBASE, and Oriental Medicine Advanced Searching Integrated System (OASIS). The literature were searched using a total of 9 domestic and foreign databases. Randomized controlled trials (RCTs) using electroacupuncture as an intervention was selected. The selected studies are analyzed the risk of bias through Cochrane risk-of-bias tool, and meta-analysis was perfomed using RevMan version 5.3 (The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen, Denmark). Results A total of 14 RCT studies were selected through 9 domestic and foreign databases, and analyzed. As a result of meta-analysis, when electroacupuncture was performed together with rehabilitation treatment or western drug treatment, it was effective in the recovery of motor and sensory functions of spinal cord injury patients. Conclusions This review suggests that electroacupuncture can be applied as an effective treatment for the recovery of motor and sensory functions of spinal cord injuries. However, there are several limitations, including the small number and heterogeneity of the included studies, as well as their poor methodological quality. Therefore, further, higher-quality studies should be required.

신경근전기자극치료가 암환자의 근육 손실에 미치는 영향: 체계적 문헌고찰을 위한 프로토콜 (Effects of Neuromuscular Electrical Stimulation on Muscle Wasting with Cancer Patient: Study Protocol for a Systematic Review)

  • 박은수;김종희;김수담;김동현;오민석;이은정;유화승
    • 한방재활의학과학회지
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    • 제33권2호
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    • pp.49-55
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    • 2023
  • Objectives The purpose of this study is to analyze randomized controlled trials about neuromuscular electrical stimulation for muscle wasting with cancer patient and evaluate it's motor functionality effect. Methods Studies will be searched from 7 online databases (PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure [CNKI], Korean studies Information Service System [KISS], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS]). Participants will be cancer patients with muscle loss, regardless of cause, gender, race or age, interventions will be neuromuscular electrical stimulation. Other treatments than interventions will be the control group and the main outcome will be reviewed by motor functionality effect. Results Randomized controlled trials about neuromuscular electrical stimulation for muscle wasting should be included in the study. Primary outcomes include motor functionality effect. Secondary outcomes evaluate adverse event. The data uses Review Manager Software 5.4. Conclusions The conclusion of this study will provide a basis for determining whether neuromuscular electrical stimulation treatment for muscle wasting with cancer patient treatment is an effective and safe treatment method in clinical practice.

알레르기 질환에서 장내미생물 조절을 통한 한약의 효과 연구동향 (Current Trends of Traditional Herbal Medicine Research on Allergic Disease with Dysbiosis)

  • 이윤정;김민희
    • 한방안이비인후피부과학회지
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    • 제37권1호
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    • pp.57-68
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    • 2024
  • Objectives : The purpose of this study is to analyze the current trends of various herbal medicine research on allergic disease with dysbiosis. Methods : Electronic searches were performed using Pubmed, Research Information Sharing Service(RISS), Korean studies Information Service System(KISS), Oriental medicine Advanced Searching Integrated System(OASIS). Results : We analyzed ten studies on the effect of herbal medicine on allergic disease with dysbiosis. Eight studies were animal experimental studies, and two were randomized clinical trial(RCT) study and one-group pretest-posttest research, respectively. Among the studies, three studies were on atopic dermatitis, two on allergic rhinitis, and five on asthma. All different herbal medicines were used in the studies. Changes in gut microbiota composition were observed in nine studies except for 1 RCT study. In eight animal experimental studies, there was significant reduction in allergy-related inflammatory markers. Six studies evaluated the change of metabolites related to gut microbiota and three of them showed significant increase in short-chain fatty acids(SCFA). Conclusion : This study provides current trends of studies on herbal medicine research on allergic disease with dysbiosis. Most research is conducted using animal experiments, and this is a relatively recent trend. These studies offer basic knowledge on the correlation between herbal medicine, gut microbiota, and anti-inflammatory effects in allergic disease.

군발성 두통에 대한 최근 침치료 연구 동향 (Recent Clinical Research on Acupuncture Therapy for Cluster Headache)

  • 김성은;이애리;이인
    • 대한한방내과학회지
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    • 제44권6호
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    • pp.1197-1211
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    • 2023
  • Objectives: This study presents evidence by analyzing the research trends in acupuncture treatment for cluster headache in the last 10 years. Methods: Randomized controlled trials (RCTs) about acupuncture for cluster headache were searched from the China National Knowledge Infrastructure, PubMed, Cochrane Library, Oriental Medicine Advanced Searching Integrated System, ScienceON, Korean Studies Information Service System, and Research Information Sharing Service. The search terms were the combinations of "cluster headache", "acupuncture", and "needle therapy", and the articles were restricted to those published between 2013 and 2023. Only RCTs were selected. The risk of bias (RoB) was assessed according to the revised Cochrane RoB2 criteria. Results: Six RCTs were selected and analyzed in this review. All selected studies were conducted in China. All RCTs comprised 628 participants. Manual acupuncture was used in all studies. Acupuncture targeting the sphenopalatine ganglion was performed in two papers published after 2020. ST8, Ex-HIN3, and GB14 were the most frequently used acupoints in acupuncture treatment. The most commonly used indicators for evaluation were headache attack frequency, clinical efficacy, and the visual analog scale. In each study, adding acupuncture treatment to conventional therapy had significant effects in relieving the symptoms of cluster headaches. Conclusion: The results suggest that acupuncture is an effective treatment for cluster headache. To ensure objective evidence for the effectiveness of acupuncture treatment in cluster headache, it is important to continue large-scale case reports and RCTs.

어깨충돌증후군에 대한 침치료의 효과: 체계적 문헌고찰 및 메타분석 (Therapeutic Effects of Acupuncture for Shoulder Impingement Syndrome: A Systematic Review and Meta-Analysis)

  • 안정훈;배건희;김병준;박인화;허인;차윤엽
    • 한방재활의학과학회지
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    • 제34권1호
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    • pp.83-95
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    • 2024
  • Objectives This review was conducted to evaluate the therapeutic effects of manual acupuncture (MA) for shoulder impingement syndrome (SIS). Methods We searched 12 electronic databases (DBpia, Korean studies Information Service System [KISS], Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], China National Knowledge Infrastructure [CNKI], CINAHL, Clinical Key, Cochrane Library, Embase, JAMA, PubMed, Web of Science) to find randomized-controlled clinical trials (RCTs) investigating therapeutic effects of MA for treating SIS. Shoulder Pain and Disability Index scores and numeric pain rating scale or visual analogue scale were analyzed as the main evaluation criteria. Results Among 181 studies, 169 were screened and only 12 RCTs were eligible in our review. Finally, 11 RCTs could be statistically analyzed. MA was more effective than sham treatment and physical therapy in terms of reducing pain (p=0.003, p=0.0007 each). Electroacupuncture (EA) showed more significant effect than physical therapy (PT) for improving shoulder pain (p<0.00001) and shoulder functionality (p<0.00001). Conclusions These results suggest that MA and EA could be superior option for treating SIS than sham treatment or PT. However this review has its limitations due to the small sample size and lack of well-designed RCTs that were included in the study. Further well-designed RCTs are necessary to provide high-level evidence.

재발성 요추간판탈출증의 한의학적 치료에 대한 국내·외 연구 동향 체계적 문헌고찰 및 메타분석 (A Review on the Effect of Traditional Medicine Treatments in Korea and China for Recurrent Lumbar Disc Herniation: Systematic Review and Meta-Analysis)

  • 고아라;이영진;최지은;김소정;김현우;조혜정;채고은
    • 한방재활의학과학회지
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    • 제34권3호
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    • pp.13-26
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    • 2024
  • Objectives This study aimed to examine the efficacy of Korean traditional medicine treatments for recurrent lumbar disc herniation by analyzing randomized controlled trials (RCTs). Methods The following 6 databases were used Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, ScienceON, PubMed, and China National Knowledge Infrastructure. Only RCTs were selected. The risk of bias was assessed by Cochrane's risk of bias tool. Results A total of 10 RCTs were analyzed, which utilized 8 types of interventions, including acupuncture, moxibustion, warm needling, electroacupuncture, herbal medicine, cupping, and chuna manual therapy. Acupuncture and moxibustion were the most frequently used treatments. There were 7 outcome measures, including the effective rate, visual analog scale, Japanese Orthopedic Association. The effective rate was assessed in all studies. Meta-analysis results indicated that warm needling therapy and traditional Chinese medicine interventions were more effective compared with the control. Conclusions In this study, warm needling therapy and herbal medicine interventions demonstrated beneficial effects. As the meta-analysis was conducted with only a subset of RCT studies, further large-scale, systematic RCT studies are needed.

청상보하탕에 대한 국내 임상연구 동향 분석 (A Literature Review of Domestic Clinical Studies on Chungsangboha-tang (Qingshangbuxia-tang))

  • 박지원
    • 대한한의학방제학회지
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    • 제32권3호
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    • pp.325-343
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    • 2024
  • Objective : To understand how Chungsangboha-tang (CSBHT) is being utilized in clinical practice and research in Korea, clinical studies related to CSBHT published in domestic academic journals were analyzed. Methods : The search was conducted using the following six databases: Korean Traditional Knowledge Portal, Oriental Medicine Advanced Searching Integrated System, ScienceON, Research Information Sharing Service, Koreanstudies Information Service System, and The Journal of Internal Korean Medicine. After selecting relevant literature published before June 24, 2024, the studies were classified and analyzed according to their research design. Results : The final selection comprised 20 studies categorized as follows: 1 non-randomized controlled trial and 10 before-and-after studies in prospective clinical research, along with 7 case reports and 2 retrospective chart reviews in retrospective clinical studies. Among the 233 participants included in these studies, 169 had asthma, 53 had chronic cough, and 5 had chronic obstructive pulmonary disease. Additionally, other conditions reported included Churg-Strauss syndrome, pulmonary Langerhans cell histiocytosis, non-tuberculous mycobacterial pulmonary disease, bronchiectasis, and pulmonary hypertension. CSBHT was administered as a decoction in 13 studies, as granules in 6 studies, and both in one study. The most frequently used assessment tools were pulmonary function tests and quality of life evaluations. For safety assessment, liver function test results and adverse events were reported. Conclusion : To enhance the utilization of CSBHT in Korean medicine clinical practice, continuous accumulation of domestic clinical research is essential. Moreover, meticulously designed randomized controlled trials are necessary to elevate the level of evidence.

디지털콘텐츠 유통을 위한 스마트카드기반의 다중인증처리방법설계 및 구현 (Design and implementation of smart card-based multi-authentication mechanism for digital contents delivery)

  • 김용;이태영
    • 정보관리학회지
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    • 제19권1호
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    • pp.23-46
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    • 2002
  • 폭발적인 디지털콘텐츠의 성장과 함께, 지식과 정보를 중계하고 유통시키는 조직으로서 도서관과 정보센터는 지식소유자와 이용자사이에서의 새로운 역할을 수행하여야 한다 정보화사회에서 무형의 정보와 지식에 경제적인 가치가 더하게 되므로서 전자지불시스템은 이러한 중계서비스를 수행하기 위하여 필수적으로 요구되고 있다. 그러나 네트웍상에서 디지털콘텐츠를 전자적으로 사고 팔기 위해서는 데이터와 사용자의 정보에 대한 보안이 필수적으로 요구된다. 지식중계시스템(전자도서관)은 이용자가 안전하고 편리하게 인터넷을 통하여 자신이 필요로 하는 디지털콘텐츠를 입수 및 구매할 수 있어야 한다. 그러나 정보의 공유와 개방을 목표로 개발된 인터넷이 갖고 있는 기본적인 취약성 때문에 거래내용, 신용카드정보, 은행계좌정보. 혹은 관련 비밀번호, 사용자 정보 등의 중요정보들이 쉽게 노출될 수 있다. 이러한 인터넷과 같은 개방망에서의 전자거래의 보안성을 높이기 위한 방법으로서 본 연구에서는 기존의 인증시스템과 관련된 암호관련 기술을 살펴보고 보다 보안성을 높일 수 있는 방법으로서 고려되고 있는 스마트카드가 가지고 있는 장점을 온라인상의 전자거래에 적용하는데 있어서의 사용자와 스마트카드에 대한 인증방법을 제안하고 있으며 특히 개방형 네트워크상에서 의 스마트카드를 기반으로 하는 전자중계시스템에서의 사용자 및 스마트카드에 대한 동시적 다중인증 및 암호통신에 대한 프로토콜을 설계하고 이를 구현하였다.

웹 페이지의 내재 규칙 습득 과정에서 규칙식별 역할에 대한 효과 분석 (Effect of Rule Identification in Acquiring Rules from Web Pages)

  • 강주영;이재규;박상언
    • 지능정보연구
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    • 제11권1호
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    • pp.123-151
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    • 2005
  • 오늘날 자원의 보고라 할 수 있는 웹에는 자연어로 표현된 텍스트와 테이블들로 구성된 무수히 많은 문서들이 존재하고 있다. 이러한 웹 문서들로부터 규칙을 습득하고 습득된 규칙과 웹 문서간의 일관성을 유지하기 위해, 본 논문에서는 확장형 규칙 표식 언어 (extensible Rule Markup Language, XRML) 체계를 개발하였다. XRML은 웹 페이지에 내재되어 있는 규칙을 식별하여 자동으로 정형화된 규칙을 생성할 수 있도록 지원하는 규칙 식별 표식 언어 (Rule Identification Markup Language, XRML)와 구조화된 규칙 표현을 위한 규칙 구조 표식 언어 (Rule Structure Markup Language)로 구성된다. 특히, RIML은 HTML안에 내재되어 있는 규칙을 HTML 문서에 직접 명시할 수 있도록 설계되었기 때문에, RIML을 통해 웹페이지에 있는 규칙들을 식별하고 이 식별된 규칙은 RSML으로 표현된 정형화된 규칙으로 자동 변환될 수 있다. 본 논문에서는 RIML의 설계 시 웹페이지로부터 규칙을 식별하는 과정에서 발생하는 공유되는 변수 (variables) 및 값 (values),생략된 어구 ,동의어와 같은 몇 가지 중요한 현상들을 발견하고 이를 해결하고자 하였다. 제안된 XRML 접근 방법의 성능을 측정하고자, 3개의 대표적인 온라인 서점인 Amazon.com, BarnesandNoble.com, Powells.com의 실제 웹페이지들로부터 배송 및 환불과 관련된 규칙을 습득하여 XRML의 효과를 측정하는 실험을 수행하였다. 실험 결과에 따르면, 웹페이지로부터 규칙은 $97.7\%$의 매우 높은 정확성을 가지고 습득되었으며, 생성된 규칙의 완전성은 $88.5\%$로 측정되어, XRML이 특정 주제에 관한 전문가 시스템을 구축하기 위해 웹페이지로부터 규칙을 추출할 때 효율적인 도구가 될 수 있음이 예시되었다.

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