• 대한한방내과학회지
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• 제42권5호
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• pp.967-975
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• 2021

This study investigated the case of a nineteen-year-old female patient with chronic nausea, vomiting, and abdominal distension, who was diagnosed with CNVS and Spleen-Qi deficiency. Subjective symptoms were recorded with the Numerical Rating Scale (NRS) every morning, and the Gastrointestinal Symptom Rating Scale (GSRS) was used on the days of admission and discharge. For eleven days following admission, she took Bojungikki-tang-gagam and received acupuncture and moxibustion therapy. After three days of treatment, her nausea and vomiting ceased, and abdominal distension improved from NRS 3 to 0 after seven days of treatment. The GSRS score for the specific symptoms improved from 3 to 2; however, the total score remained largely unchanged (from 20 to 21). This case suggests that Korean medical treatment may improve CNVS.

• 대한한의학회지
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• 제42권4호
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• pp.61-74
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• 2021

Objectives: This study aimed to analyse: 1) the clinical effectiveness and safety of traditional Korean Medicine (TKM) and frequency of TKM therapies used and their relationship with conventional treatments. Methods: This prospective observational study enrolled children with cerebral palsy (CP) aged 6-78 months (n=126). The children who used herbal medication for >30 days or acupuncture treatment >12 sessions within 6 months were defined as the integrated rehabilitation (IR) group; the remaining participants were included in the conventional rehabilitation (CR) group. Results: Changes in the Gross Motor Function Measure-66 (GMFM-66) were greater in the IR group (6.4±6.1) than in the CR group (4.6±5.8). The reduction in the number of other health problems was greater in the IR group than in the CR group. The GMFM-66 improvement was greatest in gross motor function classification system level 1. There was no between-group difference in the frequency of rehabilitation therapy (10.9±6.6 and 12.0±9.9 in the IR and CR groups, respectively). Conclusion: TKM may offer additional benefits in terms of the GMFM-66 score and other health problems. However, there is a need for further randomized controlled trials involving a restricted CP type and a controlled treatment type and intensity to confirm these findings.

• 대한한방내과학회지
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• 제22권4호
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• pp.669-674
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• 2001

Objectives: The purpose of this study was to examine the efficacy of Hangamdan(Kangaidan) on 60 patients who have suffered from breast cancer. Methods: Hangamdan(Kangaidan) was administered to patients for over 1 months continuously. We checked improvement of clinical symptoms, changes of chemistry hematological test. Results: The results obtained are summarized as follows. Hangamdan(Kangaidan) has significant effect on the improvement of clinical symptoms. The effects of maintenance and improvement in the symptoms with traditional oriental therapy(83.3%) and combined treatment of western and oriental therapy(92.1%) were observed. The effects of the symptoms were diarrhea(37.3%), abdominal pain (25.3%), general body weakness(22.9%), nausea(20.5%) and etc. in orders. And analysis of hematology attached by breast cancer, maintenance and increasing of WBC(89.9%), RBC(74.7%), Hgb(81.1%), Platelet(92.4%) were observed. After taken Hangamdan(Kangaidan), maintenance and decreasing of AST(85.9%), ALT(94.8%), ${\gamma}$-GTP(87.5%), BUN(88.3%), Creatinine(90.9%) were observed. And increasing of IL-12(25%), IFN-${\gamma}$(83%) were observed. Conclusions: From the above results, it is suggested that Hangamdan(Kangaidan) have significant effects on recovery of immune modulation.

• Journal of the Korean Data and Information Science Society
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• 제23권4호
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• pp.727-738
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• 2012

본 연구의 목적은 요추 추간판 탈출증 환자에게 치료적 모달리티와 칵스 신연교정치료 효과에 대하여 알아보고자 한다. 요추 추간판 탈출증 환자 15명 (나이 36.62, 범위 20-50, 남자 7명과 여자 8명)을 대상으로 4주간 적용하였다. 치료적 모달리티와 칵스 신연교정치료를 첫 2주 동안 주 6일, 12회 적용하였으며, 마지막 2주간은 주 3일 6회 적용하였다. 모든 실험대상자에게 4주 동안 18회를 적용하였다. 측정은 오스웨스트리 요통장애지수, 근력, 하지 직거상 검사는 실험 전, 치료 2주 후, 치료 4주 후 변화의 차이를 일요인 반복측정을 이용하였으며, 추간판 탈출지수는 실험 전, 치료 4주 후 변화 차이를 대응표본 t-검정을 이용하여 측정하였다. 치료적 중재 기간에 따라 치료 전, 2주 후, 4주 후 측정결과 오스웨스트리 요통장애 지수, 하지 직거상 검사, 그리고 근력은 치료 2주 후, 치료 4주 후가 치료 전에 비하여 통계학적 유의한 변화가 있었다. 그러나 추간판 탈출지수는 치료 전에 비하여 감소함을 나타냈으나 통계학적으로 유의한 변화는 없었다. 결론적으로 요추 추간판 탈출증 환자에게 치료적 모달리티와 칵스 신연교정치료가 요통장애지수, 하지 직거상 검사, 근력개선에 효과적이란 결론을 얻었다. 이것은 칵스 신연교정치료의 안전성과 효과의 확인, 그리고 요추 추간판 탈출증 환자에게 비수술적 치료법으로서의 근거를 제시하였다.

• 재활치료과학
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• 제10권3호
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• pp.7-22
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• 2021

목적 : 본 연구에서는 뇌졸중 환자의 손상된 인지기능 회복을 위한 가상현실 중재의 효과를 체계적인 문헌고찰과 메타분석을 통하여 검증하고자 하였다. 연구방법 : 체계적 문헌고찰을 위하여 최근 10년 동안의 국내·외 무작위 대조 임상시험 연구들을 대상으로 조사하였다. 검색을 위한 학술 데이터베이스로는, 영어로 작성된 연구의 검색을 위해 PubMed와 MEDLINE, CINAHL을 사용하였고, 국문으로 작성된 연구의 검색을 위해서는 DBpia와 한국학술정보, 스콜라 학지사·교보문고, 학술교육원을 사용하였다. 정보의 추출은 PICO 방식으로 시행하였다. 계량적 메타분석을 위하여, 결과변인의 하위그룹을 전반적인 인지기능, 집중력과 기억력, 실행기능으로 분류하여 결과변인을 합성하였다. 결과 : 최종 9편의 무작위 대조 임상시험이 선정되었고, 참여대상자의 총인원은 실험군이 140명, 대조군이 131명이었다. 효과크기는 랜덤효과모델로 산출하였다. 하위그룹들에 대한 가상현실 중재의 효과크기는 전반적인 인지기능이 0.422(95% CI: 0.101~0.742; p=0.010)로 중간효과크기에 가까웠고, 집중력과 기억력이 0.249(95% CI: -0.107~0.605; p=0.170)로 작은효과크기, 실행기능은 0.666(95% CI: 0.136~1.195; p=0.014)으로 중간효과크기를 나타내었다. 결론 : 가상현실 환경의 다양한 자극과 본 연구의 결과를 고려할 때, 가상현실 중재는 통합적인 인지기능에 대한 중재에 적용되어야 할 것이다. 또한 전통적인 뇌졸중 인지재활 중재와 더불어 추가적인 중재로 활용되는 것이 적절할 것이다.

• 대한치과교정학회지
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• 제54권2호
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• pp.79-88
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• 2024

Objective: Alveolar bone loss is a common adverse effect of intrusion treatment. Mandibular incisors are prone to dehiscence and fenestrations as they suffer from thinner alveolar bone thickness. Methods: Thirty skeletal class II patients treated with mandibular intrusion arch therapy were included in this study. Lateral cephalograms and cone-beam computed tomography images were taken before treatment (T1) and immediately after intrusion arch removal (T2) to evaluate the tooth displacement and the alveolar bone changes. Pearson's and Spearman's correlation was used to identify risk factors of alveolar bone loss during the intrusion treatment. Results: Deep overbite was successfully corrected (P < 0.05), accompanied by mandibular incisor proclination (P < 0.05). There were no statistically significant change in the true incisor intrusion (P > 0.05). The labial and lingual vertical alveolar bone levels showed a significant decrease (P < 0.05). The alveolar bone is thinning in the labial crestal area and lingual apical area (P < 0.05); accompanied by thickening in the labial apical area (P < 0.05). Proclined incisors, non-extraction treatment, and increased A point-nasion-B point (ANB) degree were positively correlated with alveolar bone loss. Conclusions: While the mandibular intrusion arch effectively corrected the deep overbite, it did cause some unwanted incisor labial tipping/flaring. During the intrusion treatment, the alveolar bone underwent corresponding changes, which was thinning in the labial crestal area and thickening in the labial apical area vice versa. And increased axis change of incisors, non-extraction treatment, and increased ANB were identified as risk factors for alveolar bone loss in patients with mandibular intrusion therapy.

• 한국융합학회논문지
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• 제11권8호
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• pp.323-330
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• 2020

본 연구는 12주간의 규칙적인 신체활동 참여가 여성노인의 노화관련 호르몬(성장호르몬, DHEA-S, 에스트로겐) 및 심혈관 위험요소(아디포넥틴, hs-CRP)에 어떠한 영향을 미치는지 알아보는데 그 목적이 있다. 연구대상자는 65세-75세 여성노인 20명(운동집단 10명, 비교집단 10명)을 대상으로 하였다. 주 3회(60분씩) 12주간 한국무용 프로그램을 실시하였고 집단내 차이검증은 paired t-test로, 집단별 항목들의 변화량 차이 검증은 independent t-test를 실시하였다(p<0.05). 본 연구의 결과 에스트로겐(p=0.025), 성장호르몬(p=0.009), DHEA-S(p=0.009), 아디포넥틴(p=0.014)은 운동집단에서 운동 12주 후 유의하게 증가하였고 hs-CRP(p=0.010)는 운동 12주 후 유의하게 감소하였다. 에스트로겐(p=0.006), DHEA-S(p=0.002), 아디포넥틴(p=0.008), hs-CRP(p=0.004)는 집단간 변화량의 차이도 나타났다.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• 한국식품과학회지
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• 제38권1호
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• pp.147-151
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• 2006

본 연구에서는 저열량식이요법의 부작용 증세중 체력저하를 개선할 수 있도록 동의보감의 처방중 체력 증진과 연관된 보음(補陰), 보혈(補血) 기능을 갖는 사물탕(四物楊)을 기반으로 하여 개발된 생약 조성물의 체력 증진 기능을 규명하고자 실시하였다. 저열량식이요법의 모델로서 섭취 식이량의 50%를 제한하는 제한식이를 2주간 실시한 결과 제한식이를 섭취한 군은 강제 수영 모델에서 총 수영 시간이 감소하고 근육내 ATP 함량의 감소, 혈액중 젖산 함량의 증가가 나타나 식이 제한에 의해서 체력 감소가 나타남을 확인할 수 있었다. 본 연구에서 사용된 산야초 추출물을 동일하게 식이제한을 한 실험동물에게 섭취시킨 결과 총수영시간의 증가와 근육내 ATP의 증가, 젖산 함량의 감소가 나타나 저열량식이에 의한 부작용인 체력 저하를 산야초 추출물이 완화시킬 수 있는 기능이 있음을 확인 할 수 있었다. 또한, 산야초 추출물의 투여는 체력과 높은 연관성이 있는 것으로 알려진 혈중 IGF-1의 농도를 증가시키는 것이 관찰되어 체력 향상에 도움을 주는 것으로 추측된다. 식이 제한 환경에서 나타날 수 있는 천연물 추출물의 독성을 확인하기 위하여 간기능 지표인 GOT, GPT를 측정한 결과 특별한 변화가 나타나지 않아 산야초 추줄물의 안전성을 확인할 수 있었다.

• Journal of Acupuncture Research
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• 제26권1호
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• pp.49-57
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• 2009

Objectives : During the past three decades there has been a significant evolution of laser acupuncture application in the nature of the clinical approach and the research of traditional medicine and laser therapy field. However, there have been no standard and guideline of laser equipment can be applied as laser acupuncture. This study aims to investigate the condition of laser equipment required as a laser acupuncture method. Methods : First, we performed literature search using the Medline(from 1999 to Oct 2008) to confirm types and ranges of laser equipments that can be applied as laser acupuncture. In addition, we investigated the characters of acupoints such as sites and depths, and compared with penetrating depths of each laser. Results : A total of 37 articles for clinical studies using laser acupuncture were selected, and 41 lasers were used. GaAs laser was used three times, GaAlAs laser 14, InGaAlP 18, HeNe laser 4, and Argon laser and CO2 laser were used one time, respectively. From all 361 points of fourteen meridians, depths of 341 points(94.5%) were 1 cun(2.3-3.2cm) or less. The mean depth of all points was 0.48 cun(1.1-1.5cm). Hence, it appeared that the majority of therapeutic lasers satisfied with the condition. HeNe, InGaAlP, GaAlAs, GaAs lasers are recommended for laser acupuncture, however, it may plausible that other surgical lasers could be used as the laser acupuncture, because it have the biostimulation effect to some extent, too. Conclusions : It is suggested that to select appropriate laser type and give the adequate output power to reach the acupoints under the skin using laser acupuncture. Further evaluation and research for the condition of laser acupuncture are warranted.