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Effectiveness of Auricular Blood-letting Therapy for Headaches: A Systematic Review and Meta-Analysis (두통에 대한 이혈 방혈요법의 유효성 분석: 체계적 문헌고찰 및 메타분석)

  • Kyoungeun Lee;Min-Ryeong Park;Ji-Won Lee;In-Jun Hwang;Boram Lee;Jong Cheol Seo;Chan-Young Kwon
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.3
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    • pp.259-274
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    • 2023
  • Objectives: The purpose of this study was to provide clinical evidence to support the use of auricular blood-letting therapy (ABT) for headaches. Methods: Studies were identified by a comprehensive search of five databases. Randomized controlled trials (RCTs) that investigated the effects of the ABT for headaches were included. Two authors independently extracted the data and assessed the methodological quality of the included studies using Cochrane's risk-of-bias tool. If two or more studies reported the same outcome, a meta-analysis was performed. Meta-analysis results for dichotomous variables are expressed as risk ratios (RRs) and 95% confidence intervals (CIs). Results: A total of eight RCTs were included in this review. The total effective rate (TER) was the most commonly used outcome measurement. Among the eight RCTs, five were included in the metaanalysis. The TER was not statistically significantly different in the ABT group compared to the medication group (two studies, n=55, RR=1.24, 95% CI: 0.78 to 1.96, p=0.36, I2 =86%). However, the TER of the combined ABT and medication group was significantly different compared to the medication alone group (four studies, n=159, RR=1.23, 95% CI: 1.12 to 1.35, p<0.0001, I2 = 0%). Pain and mental health-related outcomes in the combined ABT and medication group were significantly different from the control groups. The methodological quality of the included RCTs was generally low. Conclusions: ABT combined with medication may be effective for treating headaches. However, the number of studies included was small, so the results were insufficient, and statistically significant effects were not confirmed for a single implementation of ABT. Thus, well-designed further studies based on the findings of this study are recommended.

Analysis of the Effectiveness of Topographic Features in Visibility Analysis (가시권 분석에서의 지형 요소의 활용 가능성에 관한 연구)

  • KIM, Young-Hoon
    • Journal of The Geomorphological Association of Korea
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    • v.17 no.1
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    • pp.73-84
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    • 2010
  • This paper is to analyze effectiveness and efficiency of topographic features in visibility analysis. For this research aim, this paper compares the analysis results of topographic features and relationships between topographic features and their visibility analysis on surfaces. This paper employs peak, pass, pit, ridge and valley features from the topographic features for which five areas including mountain and plain areas in Britain are selected and their DEM data are generated. The summaries of the analysis results are as follows: Firstly, it is clear that relationship between high elevation points and their visibility is not highly correlated. This means that highly elevated points are not necessarily better visible areas and they are not suitable for searching for large visible areas. Secondly, the positions that can see large visible areas are highly correlated with their elevation and are distributed within a certain range which has small deviation of their correlation between visibility and elevation. This means that to search for large visible areas, it is necessary to employ the positions located at relatively high elevation area. Thirdly, for all of the five areas, the visibility results of the topographic features are compared with maximal visibility resulted from a while surface areas, and it is identified that topographic features show similar visibility performances of that maximal visibility. From the results stated above, it can be inferred that topographic features and its topographic characteristics are enable to be a research motivation to the visibility analysis topics. Furthermore, the results of this paper can be contributed to explore suitable variables and factors for solving multiple viewshed problems.

A Systematic Review of Occupational Therapy Interventions for Children With Cerebral Palsy: Focus on Single-Subject Research Design (뇌성마비 아동을 위한 작업치료 중재에 대한 체계적 고찰: 국내 단일대상연구를 중심으로)

  • Shin, Chae-Eun;Choi, Yoo-Im
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.25-42
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    • 2023
  • Objective : The purpose of this study was to identify the characteristics of a single-subject research study and qualitative levels in which occupational therapy interventions were performed on children with cerebral palsy. Methods : This study targeted papers, published in Research Information Sharing Service (RISS), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), and E-article from May 20 to 29, 2022. The search terms were 'cerebral palsy' AND 'single subject research design' OR 'individual subject study'. Eleven papers, were finally selected and analyzed. Results : Most of the studies were medium in methodological quality, and the subjects were pre-school age and spastic hemiplegia. Among the single-subject designs, intervention-removal designs were the most common, and among them, ABA designs were the most common. Interventions included assistive devices, constraint-induced therapy, neurodevelopmental therapy, and sensory integration therapy were 2, and upper extremity exercise, interactive metronome, and CO-OP were 1. Dependent variables were measured with 2 to 4 measurement tools, Significant improvements were found in postural control ability, gait and balance, hand function, and upper extremity function. Conclusion : This study confirmed that it is helpful to apply cerebral palsy occupational therapy by presenting the characteristics of cerebral palsy, intervention sessions and effects, measurement tools and methodological quality levels.

A Study on customer experience centered innovation model for Funeral Mutual Enterprise - Centered on Funeral service - (상조기업의 고객경험 기반 혁신모델 연구 - 장례서비스 산업을 중심으로 -)

  • Ahn, Jinho;Lee, Jeungsun
    • Journal of Service Research and Studies
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    • v.11 no.2
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    • pp.67-77
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    • 2021
  • This study is a study on the methodology of establishing an innovation strategy centering on the customer experience, which is essential in order to transform the existing collection and preservation-centered mutual aid company service into a visitor-centered service. To this end, we conducted literature research on environmental changes in the funeral industry from the perspective of service science and the significance and value of customer experiences within them, good customer experiences and bad customer experiences from the perspective of customer experience management. A study was conducted to present and prove a specific model. The customer experience-oriented innovation strategy of the funeral industry means to search for various alternatives that can reach the target state from the present state, focusing on the customer, and select the most appropriate transformation plan among them. As an effect of application, it was found that it is a source of differentiation by generating positive emotions to customers, and that customer experience data is highly helpful in making important decisions for the actual resource input of the parent company. This innovation model was presented, and its value was firstly proved by analyzing the difference from the existing evaluation method. Finally, as a result of analyzing the causal relationship through regression analysis using the customer experience measurement procedure, customer experience diagnosis/evaluation, customer experience innovation strategy, and cooperative company's performance as variables, the relationship proved to be significant.

Intervention of Swallowing Disorder in Dementia Patient: A Systematic Review (치매환자의 삼킴장애 중재에 관한 체계적 고찰)

  • Park, Chi-Soo;Ham, Min-Joo;Hong, Deok-Gi;Yoo, Doo-Han
    • Therapeutic Science for Rehabilitation
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    • v.11 no.1
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    • pp.21-33
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    • 2022
  • Purpose : The purpose of this study was to establish scientific evidence though a systematic review, of the existing interventional methods and their respective effects, for swallowing disorders among dementia patients. The interventional methods were based on patient characteristics. Methods : An electronic literature search was performed using five electronic databases from 2010 to 2020. The keywords were 'Dementia', 'Alzheimer disease', 'Deglutition disorder', 'Swallowing disorder', 'Dysphagia'. Five articles met the inclusion criteria. Results : One study with moderate-to-severe and four studies with severe dementia patients were included. The interventions consisted of one remedial intervention, three compensatory interventions, and one comprehensive intervention. Compensatory intervention, including behavioral and psychological management, were used in moderate-to-severe patients. For the severe patients, remedial, compensatory, and comprehensive intervention were used to address the feeding tube problem. The interventions used in each study had a positive effect on the outcome variables associated with swallowing ability. Conclusion : The purpose of the intervention and the intervention factors changed depending on the patient's dementia stage. The intervention was effective when considering the progressive stage of the patient. These results may serve as a guide in designing effective interventions for swallowing disorders in dementia patients.

Tensile Force Estimation of Externally Prestressed Tendon Using SI technique Based on Differential Evolutionary Algorithm (차분 진화 알고리즘 기반의 SI기법을 이용한 외부 긴장된 텐던의 장력추정)

  • Noh, Myung-Hyun;Jang, Han-Taek;Lee, Sang-Youl;Park, Taehyo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.1A
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    • pp.9-18
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    • 2009
  • This paper introduces the application of DE (Differential Evolutionary) method for the estimation of tensile force of the externally prestressed tendon. The proposed technique, a SI (System Identification) method using the DE algorithm, can make global solution search possible as opposed to classical gradient-based optimization techniques. The numerical tests show that the proposed technique employing DE algorithm is a useful method which can detect the effective nominal diameters as well as estimate the exact tensile forces of the externally prestressed tendon with an estimation error less than 1% although there is no a priori information about the identification variables. In addition, the validity of the proposed technique is experimentally proved using a scale-down model test considering the serviceability state condition without and with the loss of the prestressed force. The test results prove that the technique is a feasible and effective method that can not only estimate the exact tensile forces and detect the effective nominal diameters but also inspect the damping properties of test model irrespective of the loss of the prestressed force. The 2% error of the estimated effective nominal diameter is due to the difference between the real tendon diameter with a wired section and the FE model diameter with a full-section. Finally, The accuracy and superiority of the proposed technique using the DE algorithm are verified through the comparative study with the existing theories.

Examination of the Learning Motivational Process Models Based on Self-determination theory (자기결정이론을 토대로 한 학습동기 경로 모형 검증)

  • Min-hee Lee ;Taeyun Jung
    • Korean Journal of Culture and Social Issue
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    • v.14 no.1
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    • pp.77-99
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    • 2008
  • The purpose of this paper is to examine learning motivational process models, based on Self-Determination Theory(SDT) in academic settings. I examined if SDT's assumptions would fit for Korean adolescents, using a learning motivation scale(LMS), Basic Needs-autonomy, competence, and relatedness-Satisfaction Scale(BNSS), academic grades and life-quality scales, and also tried to search for the adequate motivational process models for Korean adolescents through regression analysis and structural equation model analysis. The results of this study are as follows. Basic needs satisfaction influences positively on the development of self-determinative motivation, which influences positively on academic achievement. But academic achievement and self-determinative motivation doesn't always influence on subjective well-being positively. And Korean adolescents who study autonomously or achieve good grades, are not better in a dimension of subjective well-being than others. Basic needs satisfaction while growing is more important than any other variables to improve adolescents' autonomous motivation, academic achievement and subjective life qualities.

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The Effect of Self-enhancement Perception and Confidence of Investment of Individual Investors on Risky Investment Behaviors (개인투자자의 자기고양적 지각과 투자확신이 위험투자행동에 미치는 영향)

  • Mi Young Han ;Jae Hwi Kim
    • Korean Journal of Culture and Social Issue
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    • v.13 no.3
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    • pp.89-109
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    • 2007
  • This study is an exploratory study on stock investment behaviors of individual investors in psychological perspective. The study is based on many behavioral finance studies which overconfidence of individual investors has an effect on irrational investment decision making and investment behaviors such as excessive trading. Accordingly, this study was to investigate the factors of self-enhancement perception on confidence of investment of individual investors and to find whether these psychological biases lead to irrational investment behaviors. The results indicated that there were sex differences in the factors of self-enhancement perception on individual investors' confidence of investment. In case of male investors, they were confident of their ability of investment but in case of female investors, they were confident of optimistic expectation of return. Also, male investors were more confident of investment than female investors. In addition, the result showed that risky investment behaviors of individual investors were influenced by psychological factors such as favorable self-evaluation, confidence of self-controllability, optimistic expectation of return and confidence of investment in part. This study suggests that further researches need to search after other variables which can mediate between psychological factors and investment behaviors of individual investors.

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A Study on Measures to Improve the Production and Service of Records of Presidential Overseas Trips: Focusing on "Records Collection" of the Presidential Archives Website (대통령 해외순방 기록의 생산과 서비스 개선방안 연구 대통령기록관 웹사이트 '기록컬렉션'을 중심으로)

  • Jeon, Na Hyeong
    • The Korean Journal of Archival Studies
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    • no.78
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    • pp.5-42
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    • 2023
  • Since presidential overseas trips are carried out as the head of state representing the Republic of Korea, the resulting records of such trips have high academic and historical significance and value both in contemporary times and for future generations. This study analyzes the status of production and service of overseas trip records, focusing on whether the records of the president's overseas trips are being produced properly and provided sufficiently to the public, and examines development plans for improvement. Currently, as a result of examining a total of 282 overseas trips provided by the Presidential Archives website, it is difficult for users to understand which records are being produced for even the basic records regarding the trips are not posted. In addition, the website is provider-centered, making users feel alienated rather than being considered in terms of search and provided records. In this study, for the production of high-quality overseas travel records, the "Presidential Overseas Trip Records Production Guidelines" established during the 'Participatory Government' will be supplemented, improved and applied. This archive policy will not be subject to any external variables, including changes in the government, and is suggested that it be consistent and unaffected. In addition, in order to improve the service provided, the following is proposed: first, provision of 'comprehensive information' that allows users to understand the overall context of the trip; second, use of the "file-record" layer and hyperlink function; third, a system that allows the stages of production and service of overseas trip records to be interconnected. In order to carry out these tasks, it would be essential to establish and operate an organization dedicated to records, such as the Secretariat of Archives and Records Management during the 'Participatory Government' period.

Trend in Measles Seroprevalence in the Western Pacific Region: A Systematic Review

  • Ji Won Park;Young June Choe
    • Pediatric Infection and Vaccine
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    • v.31 no.1
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    • pp.1-11
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    • 2024
  • Despite improvements in vaccine coverage, a resurgence of measles has been reported, especially in the infant and adult populations in recent years. We conducted a systematic review of seroprevalence studies conducted in the Western Pacific Region (WPR) to provide insights into seropositivity trends in different countries. This systematic review aimed to collect data from all available measles seroprevalence studies to characterize the differences in population immunity against measles in different countries. We searched the online databases PubMed and Embase to identify: 1) observational studies that investigated seroprevalence in all age groups, and 2) results reported as antibody levels. The following variables were extracted from different study arms: paper identification (title, first author, publication year), inclusion and exclusion criteria, study site, age of subjects, number of subjects, country/area, population, methods, and seropositivity (%). The search yielded a total of 69 studies included in the review. Among the 1-6-year-old group, seropositivity remained relatively high, at 81-100% in China, 86-94% in Korea, and 77-91% in Australia. In adolescents aged 7-18-years old, seropositivity was relatively constant in China and Australia over time; however, a decreasing trend was noted in Korea in 2011 (66%), 2014 (69%), and 2014 (50%) in this age group. A similar downward trend was observed among Korean adults aged 19-39 years in 2011 (74%), 2019 (71%), and 2019 (64%). Children are likely to be protected by universal vaccination programs in WPR countries and regions. However, susceptible individuals with waned immunity may be present among the adult population.