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A Systematic Review on the Physical Rehabilitation of Children with Cerebral Palsy: Focusing on Domestic Literature

  • Kwon, Ae-Lyeong;Kim, Ki-Jeon
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.198-204
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    • 2022
  • Purpose: This paper sought to classify, analyze, and investigate domestic research papers on the physical rehabilitation of children with cerebral palsy, and to suggest a direction for rehabilitation after the coronavirus disease 2019 (COVID-19) pandemic. Methods: A literature search was conducted from June 1 to June 30, 2022, and only papers published in domestic journals during the past 10 years were searched. The main search term was "rehabilitation for children with cerebral palsy", and "rehabilitation" such as "exercise rehabilitation," "equestrian rehabilitation", and "aquatic rehabilitation" were reviewed when they appeared in the titles and abstracts. A total of 18 books were selected according to the exclusion criteria. Results: Rehabilitation by area was divided into exercise rehabilitation, Bobath rehabilitation, equestrian rehabilitation, and aquatic rehabilitation. Analysis was undertaken based on the period of rehabilitation, area wise from 2012 to 2017, except for aquatic rehabilitation, which was studied once in 2020. The intervention effects of exercise rehabilitation were summarized as PICO (Participants, Intervention, Comparison, Outcome), and most of the studies showed improvements in the subject's physical functions. Conclusion: Research on the physical rehabilitation of children with cerebral palsy is being conducted in multiple directions and through several methods. In addition to the Bobath and Vojta approaches, equestrian rehabilitation, aquatic rehabilitation using the buoyancy of water, and computer rehabilitation are conducted. For the physical rehabilitation of children with cerebral palsy in the context of COVID-19, programs that are linked with families and those that incorporate Information Communications Technology (ICT) could be developed.

Outcomes of Closed versus Open Rhinoplasty: A Systematic Review

  • Gupta, Rohun;John, Jithin;Ranganathan, Noopur;Stepanian, Rima;Gupta, Monik;Hart, Justin;Nossoni, Farideddin;Shaheen, Kenneth;Folbe, Adam;Chaiyasate, Kongkrit
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.569-579
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    • 2022
  • Open and closed rhinoplasty are two main approaches to perform nasal modifications. According to current literature, there is no current consensus among plastic surgeons and otolaryngologists on which technique is preferred in terms of aesthetic result, complications, and patient satisfaction. This study uses published research to determine whether open or closed rhinoplasty leads to superior patient outcomes. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed and a literature search was conducted in four databases based on our search strategy. Articles were then imported into COVIDENCE where they underwent primary screening and full-text review. Twenty articles were selected in this study after 243 articles were screened. There were 4 case series, 12 retrospective cohort studies, 1 prospective cohort study, 1 case-control, and 2 outcomes research. There were three cosmetic studies, eight functional studies, and nine studies that included both cosmetic and functional components. Sixteen studies utilized both open and closed rhinoplasty and four utilized open rhinoplasty. Both techniques demonstrated high patient and provider satisfaction and no advantage was found between techniques. Based on available studies, we cannot conclude if there is a preference between open or closed rhinoplasty in terms of which technique leads to better patient outcomes. Several studies determined that open rhinoplasty and closed rhinoplasty leads to comparative patient satisfaction. To make outcome reporting more reliable and uniform among studies, authors should look to utilize the Nasal Obstruction and Septoplasty Effectiveness scale and the Rhinoplasty Outcome Evaluation.

Importance-Performance Analysis of Mountain Village Promotion Projects in the Forest Sector by Upper-Level Local Governments

  • Kang, Byung-Hoon;Kim, Seong-Hak;Chae, Jin-Hae
    • Journal of People, Plants, and Environment
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    • v.24 no.6
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    • pp.707-718
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    • 2021
  • Background and objective: Due to the recent crisis of extinction in local areas, the mountain village promotion policy is recognized as an important task. This study examined the priorities of major policy projects in the forest sector that affect mountain village promotion. Methods: For research methods, literature search, expert advisory meetings, and a survey were conducted. The survey was conducted on 42 policy stakeholders from June 1 to August 13, 2021. The literature search was based on policy projects in the forest sector by 8 upper-level local governments including mountain villages. For questionnaire items, 173 forest policy projects were classified into 27 types through expert review, and the importance and performance of each type were rated on a 5-point Likert scale. Paired t-test, IPA, Locus for Focus model, and Borich needs assessment were used as the analysis methods, and the statistical program SPSS 21.0 was used as the analytical tool. Results: The results showed that 'creating forest-related jobs' and 'supporting cultivation of professional forestry workers' both showed high importance and performance, implying that they would show an effect in mountain village promotion. 'Creating forests for environmental improvement', 'discovering forest cultural assets' 'establishing and boosting forest tourism', 'providing forest therapy services', 'creating forest-related jobs', 'supporting community revitalization', and 'urban-rural exchanges' were found to be the types that needed improvement and concentration for mountain village promotion. In particular, 'creating forests for environmental improvement' and 'discovering forest cultural assets' were derived as priority considerations for mountain village promotion policies. Conclusion: In summary, it was found that in order to promote mountain villages, various content projects must be improved and carried out to enhance the physical environment and revitalize mountain villages.

Literature Review and Applicability of Extracorporeal Shock Wave with Meridian and Acupoint Theory (경혈 경락 이론에 근거하여 사용된 체외 충격파 문헌 검색 및 활용 가능성 연구)

  • Jong-Hyeog, Jeong;Yoon-A, Kim;Sang-Hyun, Lee;Byung-Jun, Kim;Eui-Hyoung, Hwang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.6
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    • pp.213-220
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    • 2022
  • We investigated the current status of research using extracorporeal shock waves on the basis of meridian and acupoint theory. By March 2022, five foreign databases (CAJ, Pubmed, Web of Science, EMBASE, Cochrane Library) and six Korean databases (Dbpia, RISS, KMBASE, scienceON, KISS, NDSL) were searched with the terms using 'Extracorporeal shock wave' and '(Acupoint or Acupuncture point)'. The search terms were adapted according to the language of the database. There were no restrictions on the study design. As a result of the search, twenty-seven papers were selected for analysis. One study was searched in English database, and the remaining twenty-six studies were searched in Chinese database. There were nineteen pain-related diseases, four obsterics and gynecology diseases, two bone-related diseases, and two other diseases. The most frequently used acupoints were GB34, ST36, and KI3. A total of six adverse events were reported in five papers. The use of extracorporeal shock wave on the basis of meridian and acupoint theory is considered to have sufficient meaning in Korean Medicine. It is expected to use extracorporeal shock wave as a new treatment method for Korean Medicine doctors in the near future.

Neurofeedback Training for Upper Extremity Functional Recovery in Stroke Patients : A systematic review (뇌졸중 환자의 팔 기능 회복을 위한 뉴로피드백 훈련 : 체계적 고찰)

  • Sun-Ho Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.177-188
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    • 2023
  • Purpose : To identify trends in studies on the intersection of neurofeedback (NF) training and rehabilitation interventions for patients with stroke, as conducted over the past decade. Methods : This review included studies published from 2012 to 2022. A comprehensive database search was conducted using keywords such as "stroke", "electroencephalogram (EEG)", "brain wave", "nerve feedback", and "upper extremity function". Results : A total of 703 studies were initially retrieved. Of these, literature predating 2012, duplicate literature, non-experimental studies, and studies that did not target patients with stroke were excluded. After this screening, we retrieved the full texts of 15 articles and re-checked whether each study met the inclusion criteria of this study. The advisory members who participated in this study consisted of people with doctoral degrees and more than 5 years of clinical experience related to the rehabilitation of patients with stroke. Disagreements were resolved through discussions. Ultimately, 8 papers met the inclusion criteria and were included in the final analysis. Despite differences in the type and duration of NF training, the combination of NF training and rehabilitation intervention was found to be effective in promoting the functional recovery of the upper extremities, eliciting positive EEG changes, and inducing neurological changes in the brain. Conclusion : A meta-analysis involving a wider search range is needed in future studies. In addition, efforts are required to generalize the clinical application of these interventions. This can be achieved by supplementing the research methodologies through extensive review studies that encompass a diverse array of study designs.

Neuroanatomical Localization of Rapid Eye Movement Sleep Behavior Disorder in Human Brain Using Lesion Network Mapping

  • Taoyang Yuan;Zhentao Zuo;Jianguo Xu
    • Korean Journal of Radiology
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    • v.24 no.3
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    • pp.247-258
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    • 2023
  • Objective: To localize the neuroanatomical substrate of rapid eye movement sleep behavior disorder (RBD) and to investigate the neuroanatomical locational relationship between RBD and α-synucleinopathy neurodegenerative diseases. Materials and Methods: Using a systematic PubMed search, we identified 19 patients with lesions in different brain regions that caused RBD. First, lesion network mapping was applied to confirm whether the lesion locations causing RBD corresponded to a common brain network. Second, the literature-based RBD lesion network map was validated using neuroimaging findings and locations of brain pathologies at post-mortem in patients with idiopathic RBD (iRBD) who were identified by independent systematic literature search using PubMed. Finally, we assessed the locational relationship between the sites of pathological alterations at the preclinical stage in α-synucleinopathy neurodegenerative diseases and the brain network for RBD. Results: The lesion network mapping showed lesions causing RBD to be localized to a common brain network defined by connectivity to the pons (including the locus coeruleus, dorsal raphe nucleus, central superior nucleus, and ventrolateral periaqueductal gray), regardless of the lesion location. The positive regions in the pons were replicated by the neuroimaging findings in an independent group of patients with iRBD and it coincided with the reported pathological alterations at post-mortem in patients with iRBD. Furthermore, all brain pathological sites at preclinical stages (Braak stages 1-2) in Parkinson's disease (PD) and at brainstem Lewy body disease in dementia with Lewy bodies (DLB) were involved in the brain network identified for RBD. Conclusion: The brain network defined by connectivity to positive pons regions might be the regulatory network loop inducing RBD in humans. In addition, our results suggested that the underlying cause of high phenoconversion rate from iRBD to neurodegenerative α-synucleinopathy might be pathological changes in the preclinical stage of α-synucleinopathy located at the regulatory network loop of RBD.

Food is Medicine Initiative for Mitigating Food Insecurity in the United States

  • Vidya Sharma;Ramaswamy Sharma
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.2
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    • pp.96-107
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    • 2024
  • Objectives: While several food assistance programs in the United States tackle food insecurity, a relatively new program, "Food is Medicine," (FIM) initiated in some cities not only addresses food insecurity but also targets chronic diseases by customizing the food delivered to its recipients. This review describes federal programs providing food assistance and evaluates the various sub-programs categorized under the FIM initiative. Methods: A literature search was conducted from July 7, 2023 to November 9, 2023 using the search term, "Food is Medicine", to identify articles indexed within three major electronic databases, PubMed, Medline, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Eligibility criteria for inclusion were: focus on any aspect of the FIM initiative within the United States, and publication as a peer-reviewed journal article in the English language. A total of 180 articles were retrieved; publications outside the eligibility criteria and duplicates were excluded for a final list of 72 publications. Supporting publications related to food insecurity, governmental and organizational websites related to FIM and other programs discussed in this review were also included. Results: The FIM program includes medically tailored meals, medically tailored groceries, and produce prescriptions. Data suggest that it has lowered food insecurity, promoted better management of health, improved health outcomes, and has, therefore, lowered healthcare costs. Conclusions: Overall, this umbrella program is having a positive impact on communities that have been offered and participate in this program. Limitations and challenges that need to be overcome to ensure its success are discussed.

Research Trends on the Human Anatomy Structure of Acupoints Using Imaging Devices in China (영상기기를 활용한 경혈의 인체 해부구조에 대한 중국 내 연구 동향)

  • Soyoung Kim;Purumea Jun;Sanghun Lee
    • Korean Journal of Acupuncture
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    • v.41 no.3
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    • pp.68-78
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    • 2024
  • Objectives : Acupuncture is recognized as a significant therapeutic method in traditional medicine, underscoring the importance of precise understanding of acupoint locations and anatomical structures. The aim of this study is to investigate trends in anatomical studies of acupoint using imaging devices in China through literature search. Methods : This study utilized Chinese databases CNKI, WANFANG, and WEIPU to search for articles. The analysis focused on the publication status of articles by year, types of imaging devices, research subjects and methods, and criteria for acupoint locations. Results : A total of 15 articles were selected in this study. The first article was published in 1996. Articles were published at a rate of less than one per year until 2020, but rapidly increased to three and six in 2021 and beyond. Studies using ultrasonography were the most prevalent, followed by Magnetic Resonance Imaging(MRI) and Computed Tomography(CT) scans. There were eight studies conducted on healthy volunteers, six studies observing both healthy volunteers and cadavers, and also studies involving patients with specific medical conditions. Various criteria were employed to determine acupoint locations, including the WHO standard, national administration of traditional Chinese medicine nomenclature and location of acupoints, as well as references from literature. Conclusions : In China, researches are actively being conducted to observe the anatomical structure of acupoints using various imaging devices. Recent trends indicate an increase in studies utilizing ultrasound and there is a growing focus on exploring the locations that elicit the sensation of "obtaining qi" rather than just the anatomical locations of acupoints. Through this study, it is hoped that the appropriate utilization of imaging devices will lead to various studies aimed at elucidating the characteristics of the anatomical tissues actually stimulated during acupuncture, thereby increasing the safety and efficacy of acupuncture treatments.

The Effect of Cultural Competence Program in Nurse: A Systematic Review and Meta-analysis (간호사의 문화적 역량 프로그램 효과분석: 체계적 문헌고찰 및 메타분석)

  • Sung-Hee Choi;Jin-A Mo
    • Journal of Industrial Convergence
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    • v.22 no.9
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    • pp.81-92
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    • 2024
  • The purpose of this study is to conduct an analysis on the effect of cultural competence Program in nurse. It analyzes the effectiveness of cultural competence program by conducting a systematic literature review and meta-analysis. To achieve the research objectives, a literature review was conducted on papers retrieved from domestic and international thesis search databases using "cultural competence programs" as key words. This search was conducted up to February 8, 2022. A total of 236 abstracts searched were reviewed. According to the selection and exclusion criteria of the paper, the final four were selected. The effectiveness of the nurse's cultural competence program was significantly improved in cultural competence, cultural awareness, but there was no significant correlation with cultural skills and cultural knowledge. The results of this study will be provided as foundational data for developing a program that enhances the cultural competence of nurses.

A Scoping Review on the Safety of Yeongji (Ganoderma lucidum) (영지(Ganoderma lucidum)의 안전성에 대한 주제범위 문헌고찰)

  • Seyeon Lee;Hansung Yoon;Haeun Kim;Kibeom Ku;Mariah Kim;Irang Nam;Changwoo Han
    • The Journal of Internal Korean Medicine
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    • v.45 no.4
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    • pp.710-725
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    • 2024
  • Purpose: A scoping review was conducted to assess the toxicity and safety of Ganoderma lucidum. Methods: A literature search was conducted in several medical databases (EMBASE, Scopus, PubMed, Cochrane Library, ScieneON, and RISS) to identify studies related to G. lucidum. We extracted clinical manifestations of adverse events described in the included studies and analyzed whether the incidence of each adverse event was higher in the G. lucidum group compared to the placebo group. Results: An initial search yielded 1,409 studies, of which 31 studies met the criteria and included in the final analysis (7 randomized controlled trials, 5 nonrandomized studies, and 19 case reports). Several gastrointestinal, respiratory, neurological, and dermatological manifestations were reported as adverse events in the included literature. However, no serious adverse events with a causal relationship to G. lucidum were reported in studies other than case reports, and no statistically significant differences in the incidence of any adverse events were observed between the G. lucidum group and the placebo group (p>0.05). Conclusion: Our findings do not seem to support the claim that G. lucidum poses a safety risk when consumed as food or as an ingredient in food. However, given the existence of some adverse events where a causal link to G. lucidum cannot be entirely ruled out, further research and ongoing monitoring are still warranted.