• Title/Summary/Keyword: Single Case Studies

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Korean Medicine Treatment for Urticaria -Analysis of Case Studies (두드러기의 한의치료 임상-국내 증례연구 분석)

  • Jaewoon Ha;Yungyeong Hwang;Youngju Yun
    • Journal of Society of Preventive Korean Medicine
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    • v.27 no.1
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    • pp.1-16
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    • 2023
  • Objective : To investigate syndrome identification, herbal prescriptions, acupuncture point and other treatment, this study systematically reviewed case studies on Korean medicine (KM) treatment for urticaria. Method : Literature searches were performed on four Korean database; OASIS, RISS, KTKP and NDSL. Studies published before December 2022 were categorized and analyzed according to the herbal prescriptions. Results : Thirty-three studies including 16 case series and 17 single case reports were included in our review and the total number of patients was 523. Ancient prescriptions (古方) were used in 7 studies and prescriptions of Sasang constitutions were used in 8 studies and 18 studies used prescriptions of posterity (後世方). Wind-Heat (風熱) and syndrome identifications associated with digestive function were used frequently. Nineteen studies used acupuncture combined with herbal medicine and mainly used acupoints were ST36 (足三里), LI4 (合谷), LI11 (曲池), LR3 (太衝), SP6 (三陰交), CV12 (中脘), SP10 (血海). External herbal medicine was used in only 3 studies. Conclusion : To increase the cure rate of KM, various prescriptions should be used according to the symptom and stage of urticaria. Diversification of herbal formulations and the development of new external medicines are also necessary to conduct additional clinical studies with a high level of evidence.

The Effectiveness of Team-based Case-based Learning Approach on the Learning Outcome: A Single Course Level in a University Setting

  • Hye Yeon Sin
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.4
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    • pp.328-335
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    • 2022
  • Background: Case-based learning (CBL) is becoming an important approach for improving interprofessional collaboration education. Previous studies have examined learners' satisfaction with interprofessional education (IPE) in medical institutions. However, there are few studies on the implementation of university-led CBL interventions and their direct effects on learning outcomes. The aim of this study was to evaluate the effectiveness of CBL interventions on changes in the participants' perception and knowledge acquisition ability. Methods: The CBL approach consisted of team-based case-based learning, self-directed learning, and post-feedback. It was conducted as a single course for pharmacy students in their 5th year in a university setting. Changes in the participants' perceptions and self-assessments of competence levels were evaluated using survey responses. The effect of the CBL intervention on knowledge acquisition ability was directly evaluated using the exam score. Results: The majority agreed or strongly agreed that team-based case-based learning, and self-directed learning helped them to improve their knowledge and skills to a higher level and to increase the self-assessment of competency level. The average score of knowledge acquisition ability (average score of 75.0, p=0.0098) was significantly higher in the CBL intervention group than the lecture-based learning intervention group (average score of 52.0). Conclusion: The participants positively perceived that CBL intervention helped them to effectively improve their knowledge and the self-assessment of competency level. It also enhanced knowledge acquisition ability. These data, based on the survey responses, suggest that it is necessary to implement CBL interventions in a university-led single professional education.

A Systematic Literature Review on Teaching Mathematical Word Problems for Elementary School Students with Disabilities (초등학교 장애학생 수학 문장제 문제 국내 연구 동향 및 질적지표에 의한 분석: 단일대상연구를 중심으로)

  • Park, Jiyoon;Kang, Sora
    • Education of Primary School Mathematics
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    • v.26 no.1
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    • pp.29-43
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    • 2023
  • The purpose of this study was to synthesize intervention studies, which utilized single case experimental design, on teaching mathematical word problems for elementary school students with disabilities and evaluate each of their methodological rigor. The researchers reviewed all studies from 2000 to 2022 that involved teaching mathematical word problems to individuals with disabilities. A total of 12 studies was included for a final analysis. Most of the interventions were delivered by researchers for about 30-40 minutes per session to elementary school students with disabilities. Schema-based instruction, cognitive-metacognitive strategy, and technology-based instruction were used as intervention methods, and explicit instruction was mostly used in conjunction with them. On the other hand, the researchers found that none of research articles met quality indicators for single case experimental design according to Cook et al. (2015). Limitation and directions for future research were also discussed.

Homogeneity in Case/Control Numbers and North Indian Caste Criteria in Cervical Cancer/Female Urology Genetic-Studies at a Premier Medical Research Institute in Lucknow, India

  • Pandey, Saumya;Chandravati, Chandravati
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.6185-6187
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    • 2013
  • Cervical cancer has emerged as a major public health problem in Lucknow and New York in the $21^{st}$ century. Cancer genetic studies are essential to identify/stratify disease-susceptible individuals in a population-based cohort. Sample size homogeneity and North Indian caste in female urology genetic-studies are significant issues in meaningful interpretation of data. A review of scientific literature using Pubmed database was conducted, including an assessment of cervical cancer genetic studies conducted as part of the author's doctoral dissertation at a premier Lucknow-based medical research Institute. Sample size numbers and caste criteria in the North Indian cohort ($N{\leq}400$ subjects) were evaluated with homogeneity in the sample cohort data set(s). Subgroup caste-stratification of North Indian cohort is equally essential, for instance, Brahmin (e.g. Pandey), Vaishya (e.g. Mittal), Rajput (e.g. Singh) and Kshudra (e.g. Yadav) during the conception and design of genetics-based studies. Sample size homogeneity in histopathologically confirmed case and control numbers and caste-based stratification in a North Indian cohort is essential in single nucleotide polymorphism (SNP) studies in cervical cancer susceptible populations to draw more definitive conclusions.

Domestic Research Trend of the Ossicification of the Posterior Longitudinal Ligament in Korean Medicine (후종인대 골화증의 국내 한의학적 연구 동향)

  • Ahn, Min-Youn;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.3
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    • pp.59-65
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    • 2016
  • Objectives The purpose of this review is to analyze domestic research trend of the ossification of posterior longitudinal ligament in Korean medicine. Methods We searched articles in Korean databases such as OASIS, RISS, NDSL and sorted the articles by journals, published year, institutions and research type. Results 9 suitable theses were reviewed. They were published between 2002 till 2011. Most of the theses were published in The Acupuncture, the journal of Korean Acupuncture & Moxibustion Medicine Society. There were 6 case reports, 2 case series and single disease review. Conclusions There were only 9 studies about the ossification of posterior longitudinal ligament in Korean medicine and most of them were case reports. To reinforce the evidence of effectiveness of Korean medicine, additional studies are required and well designed studies such as randomized controlled trials need to be carried out.

Influence of a community of buildings on tornadic wind fields

  • Li, Zhi;Honerkamp, Ryan;Yan, Guirong;Feng, Ruoqiang
    • Wind and Structures
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    • v.30 no.2
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    • pp.165-180
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    • 2020
  • To determine tornadic wind loads, the wind pressure, forces and moments induced by tornadoes on civil structures have been studied. However, in most previous studies, only the individual building of interest was included in the wind field, which may be suitable to simulate the case where a tornado strikes rural areas. The statistical data has indicated that tornadoes induce more significant fatalities and property loss when they attack densely populated areas. To simulate this case, all buildings in the community of interest should be included in the wind field. However, this has been rarely studied. To bridge this research gap, this study will systematically investigate the influence of a community of buildings on tornadic wind fields by modeling all buildings in the community into the wind field (designated as "the Community case under tornadic winds"). For comparison, the case in which only a single building is included in the tornadic wind field (designated as "the Single-building case under tornadic winds") and the case where a community of buildings are included in the equivalent straight-line wind field (designated as "the Community case under straight-line winds") are also simulated. The results demonstrate that the presence of a number of buildings completely destroys the pattern of regular circular strips in the distribution of tangential velocity and pressure on horizontal planes. Above the roof height, the maximum tangential velocity is lower in the Community case under tornadic winds than that in the Single-building case under tornadic winds because of the higher surface friction in the Community case; below the roof height, greater tangential velocity and pressure are observed in the Community case under tornadic wind fields, and more unfavorable conditions are observed in the Community case under tornadic winds than under the equivalent straight-line winds.

Review of Clinical Studies on Oriental Medicine Treatment for Obesity in the Korean Literature (비만의 한방 치료에 대한 국내 임상 논문 고찰)

  • Moon, Su-Jeong;Kong, Jae-Cheol;Kwon, Young-Dal;Song, Yong-Sun;Han, A-Lum;Kwon, Young-Mi;Lee, Su-Kyung
    • Korean Journal of Oriental Medicine
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    • v.16 no.3
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    • pp.85-93
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    • 2010
  • The aim of this review is to investigate clinical studies on oriental medicine treatment for obesity in Korean literature and to propose for the better method of clinical studies in order to seek more effective treatment. Electric searches were performed with NDSL, National assembly library, RISS4U, DBPIA, KISS, KMBASE, KoreaMed, Korean traditional knowledge portal and Oasis. Also, 21 major journals associated with oriental medicine in Korea were searched manually. Eighty three studies were included and analyzed in terms of study design, subjects, interventions, results and evaluation of safety. The numbers of controlled, non-controlled and case studies are respectively 26(31%), 43(52%) and 14(17%). Studies using sample size less than 30 accounts for 49% and studies using subjects diagnosed as obese or overweight by specific criteria were 35(42%). Studies which used more than 2 interventions or co-interventions were 76%. Clinical studies which used single herbal medicine were few and clinically studied single herbal medicine were limited to ephedra. More than half of 83 studies were studied for 8 weeks and less. 12% of 69 studies(except case studies) were not statistically analyzed and studies which evaluated safety of intervention were 22(27%) and reported adverse events were 9(11%). To improve the quality of clinical studies on oriental medicine treatment for obesity, studies need to use restricted number of interventions and subjects need to specifically diagnosed as overweight or obese. In addition, various kinds of single herbs need to be clinically studied based on experimental studies and herbalogy.

Relevance Epistasis Network of Gastritis for Intra-chromosomes in the Korea Associated Resource (KARE) Cohort Study

  • Jeong, Hyun-hwan;Sohn, Kyung-Ah
    • Genomics & Informatics
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    • v.12 no.4
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    • pp.216-224
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    • 2014
  • Gastritis is a common but a serious disease with a potential risk of developing carcinoma. Helicobacter pylori infection is reported as the most common cause of gastritis, but other genetic and genomic factors exist, especially single-nucleotide polymorphisms (SNPs). Association studies between SNPs and gastritis disease are important, but results on epistatic interactions from multiple SNPs are rarely found in previous genome-wide association (GWA) studies. In this study, we performed computational GWA case-control studies for gastritis in Korea Associated Resource (KARE) data. By transforming the resulting SNP epistasis network into a gene-gene epistasis network, we also identified potential gene-gene interaction factors that affect the susceptibility to gastritis.

Review of Clinical Studies of Traditional Chinese Medicine on Genito-Pelvic Pain/Penetration Disorder in Women (음부-골반통/삽입질환에 대한 중의학 임상연구 동향)

  • Nam, Eun-Young
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.3
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    • pp.214-226
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    • 2019
  • Objectives: The purpose of this study is to review clinical studies of Traditional Chinese medicine (TCM) on Genito-Pelvic Pain/Penetration Disorder (GPPPD) in women. Methods: Key words "Dyspareunia", "Vaginismus" were searched on Chinese National Knowledge Infrastructure Database (CNKI) on April 21th 2019. Results: 2 case reports and 7 clinical trials were collected in accordance with the selection and exclusion criteria. Among the 7 trials, 4 were controlled trials, and 3 were single-arm trials. The types of intervention were herb medication in 8 studies, and compound TCM treatment including acupuncture, moxibustion, and cupping therapy in 1 study. All 4 controlled trials were about dyspareunia and conducted by herbal medicine of TCM. The study results and methods of intervention were analyzed. Conclusions: 2 case reports described the effectiveness of compound TCM treatments (acupuncture, moxibustion, cupping therapy) and herb medicine in dyspareunia. In 4 controlled trials, 2 trials described the effectiveness of herb medicine (oral or vaginal agent) compared to western treatment in dyspareunia, and other 2 trials described no effectiveness of herbal enema compared to danazol. In 3 single-arm trials, 1 trial of dyspareunia and 2 trials of vaginismus described the effectiveness of herb medicine. All the 9 selected studies reported improved or disappeared symptoms of GPPPD, or high effective rate after TCM treatment. There was limitation that the selected studies were retrieved from only one site of CNKI, and generalized results could not be derived, further studies should be carried out. Additional well-designed clinical studies on GPPPD in women are needed in Korea.

A Review Studies on the Treatment of Anorexia Nervosa in Traditional Chinese Medicine (신경성 식욕부진증의 치료에 관한 임상연구 동향 -중의학 논문을 중심으로-)

  • Min-Jae Kim;Chan-Young Kwon
    • Journal of TMJ Balancing Medicine
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    • v.13 no.1
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    • pp.1-12
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    • 2023
  • Objectives: This study was performed to review the research trends in the treatment of anorexia nervosa (AN) in Traditional Chinese Medicine (TCM). Methods: Studies were searched through The China National Knowledge Infrastructure (CNKI) database. The search term for the subject were 'Eating Disorder', and 'Anorexia Nervosa'. Clinical research that conducted TCM treatment for AN patients were included. Studies were analyze according to study design, therapy method, diagnostic criteria, population and intervention. Results: 23 articles were selected. According to study design, studies were classified into two randomized controlled trial (RCT), three single group before-and-after studies, and 18 case reports. According to therapy method, they included 19 herbal medicine studies, two acupuncture treatment studies, and two complex treatment studies. The most common pattern identification was 'liver depression with spleen deficiency' (肝鬱脾虛), and the most used herb was 'Root of Bupleurum falcatum' (柴胡). Most of the studies showed effective results in increasing appetite and weight. Conclusions: The results of our study demonstrate that TCM treatments for AN has been effective in alleviating chief symptoms. However, in terms of evidence-based medicine, lack of RCT on TCM treatments for AN and absence of objective diagnostic criteria in case reports are limitations. Therefore well-designed further clinical studies should be performed based on the results of this study are recommended.

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