• Title/Summary/Keyword: electronic evidence

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Application of GB12 (Wangu) Acupoint in Dizziness: Case Series (현훈 치료 시 완골혈(完骨穴) (GB12) 적용에 관한 증례보고)

  • Sanghyeon Park;Hyeonsun Park;Jiho Lee;Seohyun Park;Dongho Keum
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.2
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    • pp.95-103
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    • 2023
  • The objective of this study was to assess the effectiveness of GB12 (Wangu) acupoint for dizziness. This study retrospectively analyzed the electronic medical records of 12 hospitalized patients complaining of dizziness were treated 5 times a week with a combined Korean medicine treatment including Jungsongouhyul pharmacopuncture on bilateral GB12 (Wangu) acupoint, and dizziness was evaluated by using a numerical rating scale (NRS). As a result of medical record analysis, NRS of 12 patients was significantly decreased after treatment (p<0.001), and no adverse events were reported in all 12 cases. We suggest that the treatment of GB12 (Wangu) could be effective in patients with dizziness, and to obtain exact evidence of effectiveness, further studies are needed.

Effectiveness of Acupuncture for Laryngopharyngeal Reflux Disease: A Systematic Review and Meta-Analysis

  • Jihun Oh;Jaewoo Yang;Jungmin Yang;Minsoo Kang;Sukyoung Kim;Minjun Lee;Jinwoong Lim
    • Journal of Acupuncture Research
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    • v.40 no.3
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    • pp.188-200
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    • 2023
  • Laryngopharyngeal reflux (LPR) disease is a condition in which the stomach contents return to the larynx and pharynx via the esophagus, causing mucosal injury. While conventional treatments, such as proton pump inhibitors, have limitations, acupuncture has been shown to reduce LPR symptoms. However, its effectiveness has not been systematically assessed. This study aimed to systematically evaluate the effectiveness of acupuncture in treating LPR. We review 10 electronic databases with a consistent search strategy, and 2 independent reviewers screened the articles based on the inclusion and exclusion criteria. This study selected and analyzed 7 randomized controlled trials after the screening to assess primary outcomes, including reflux symptom index and reflux finding score, and secondary outcomes, including upper and lower esophageal sphincter pressure. The results revealed the statistically significant effectiveness of acupuncture in combination with conventional treatment in reducing LPR symptoms compared with conventional treatment alone. The most commonly used acupuncture points were CV22, ST36, and LR3. However, the meta-analysis demonstrated low reliability, as assessed using the GRADE Tool. Further research is needed to improve the evidence and draw clear conclusions regarding the clinical use of acupuncture for treating LPR.

Systematic Review of Osteoporosis Preventive Intervention Studies based on Health Belief Model (건강신념모델 기반의 골다공증 예방 중재연구에 대한 체계적 문헌고찰)

  • Noh, Eun-Young;Ryu, So Im
    • Journal of muscle and joint health
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    • v.30 no.2
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    • pp.70-82
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    • 2023
  • Purpose: This study aims to systematically clarify and enhance the understanding of osteoporosis prevention interventions based on Health Belief Model (HBM). The analysis includes HBM constructs, intervention characteristics, and outcomes from prior studies. Methods: We extensively searched eight electronic databases to identify peer-reviewed studies that implemented HBM-based interventions for osteoporosis prevention until June 2023. Results: Initially, 638 articles were identified, and after a rigorous evaluation process, 11 articles were included in the evidence synthesis. The analysis revealed that HBM-based interventions significantly improved likelihood of taking action including knowledge, HBM constructs and adopting preventive behaviors such as calcium intake and exercise. However, most interventions included in this study did not fully encompass all five HBM constructs or specify the particular components adopted. Conclusion: There is a need for additional research and intervention refinement for a more comprehensive understanding of osteoporosis preventive interventions. This should involve a concerted effort to incorporate all HBM constructs into the context of osteoporosis prevention. Thus, more effective interventions promoting optimal preventive behaviors and reducing the burden of osteoporosis can be developed.

Psychosocial interventions for patients with alcohol use disorder: A systematic review (알코올 사용 장애 환자를 위한 심리 사회적 중재 프로그램에 대한 체계적 문헌고찰)

  • Kim, Mi Hye;Hyun, Myung Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.1
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    • pp.72-85
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    • 2023
  • Purpose: The aims of this study were to identify the psychosocial interventions for patients with alcohol use disorder and to assess the effects of those interventions. Methods: A systematic literature search was conducted using PubMed, the Cochrane Library, Embase, CINAHL, PsycINFO, KoreaMed, KMBASE, RISS, KISS, Science ON, and DBpia to identify studies reported in English or Korean from 2012 to 2021. Results: From the 4,051 studies extracted, 14 studies were selected for review. The majority of the psychosocial interventions were focused on cognitive therapy or cognitive-behavior therapy. Most of the studies reported that the interventions made positive effects on alcohol consumptions. In addition, the psychosocial interventions for patients with alcohol use disorder were effective on coping, support, alcohol avoidance behavior, and hostility bias. Most of the studies reporting positive effects of psychosocial intervention programs applied computers, mobile phones, or similar electronic devices. Conclusion: The findings of this systematic review suggest that the use of computers or mobile devices in psychosocial intervention programs will be effective. It can be said that this systematic review reflects the current trends involving the development of information and communication technology. This systematic review can provide basic data for establishing evidence and suggesting future directions for psychosocial interventions for patients with alcohol use disorder.

Clinical Efficacy of herbal medicine for Chemo-Radiotherapy-induced oral mucositis

  • SongWon Park;MinJee Kim;Seong-Woo Lim
    • The Journal of Korean Medicine
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    • v.43 no.4
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    • pp.89-101
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    • 2022
  • Objectives: The purpose of this systematic review was to evaluate the effects of herbal medicine on Chemo-Radiotherapy-induced oral mucositis. Methods: Electronic databases were used to search for studies published through 10 years until October 2022, and a randomized controlled study was conducted to evaluate efficacy of herbal medicine on chemo-radiotherapy-induced oral mucositis. Study quality was assessed using the Cochran's risk bias tool. Results: Two-hundred and three articles were initially searched, and 11 studies (head and neck cancer, breast cancer, colorectal cancer, esophageal cancer etc. undergoing radio-chemotherapy were included in analysis. The effect of herbal medicine on chemo-radiotherapy-induced oral mucositis, 9 studies reported that herbal medicine was more effective than the placebo group or conventional treatment. One study reported that the effect of the herbal compound treatment group was similar to that of the conventional herbal medicine, and one study reported that there was no difference in effect between the two herbal medicines and the group without treatment. Conclusion: This study suggests that herbal medicine effectively relieves the symptoms of chemo-radiotherapy-induced oral mucositis. However, there is limited evidence that herbal medicine may relief chemo-radiotherapy-induced oral mucositis, so further investigation is needed.

Basic Human Needs in the Elderly Receiving Palliative Care: A Scoping Review

  • Thaciane Alves, Mota;Manuela Bastos, Alves;Ailton de Oliveira, Dantas;Erica Brandao, de Moraes;Anderson Reis, de Sousa;Rudval Souza, da Silva
    • Journal of Hospice and Palliative Care
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    • v.25 no.4
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    • pp.178-192
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    • 2022
  • Purpose: This scoping review identified scientific evidence on basic human needs (BHNs) in the elderly receiving palliative care. Methods: Systematic searches were conducted using six electronic databases (PubMed, CINAHL, Scopus, Lilacs, IBECS, and Web of Science). The initial search resulted in 1,227 articles, of which 104 were identified as potentially relevant. Fifty-three articles that met the inclusion criteria were identified and included in the final analysis. Results: Using the three hierarchical dimensions of the BHN model, 17 needs were organised, with five in the psychobiological dimension, 10 in the psychosocial dimension, and two in the psychospiritual dimension. These needs reflect the importance of care with dignity and relief from suffering for the elderly in palliative care. Conclusion: Recognising impaired BHNs in elderly people receiving palliative care will contribute to better care plans for the elderly, considering the multiple bio-psycho-social-spiritual dimensions of BHNs. This review points to a predominance of psychosocial needs.

Does minimally invasive canal preparation provide higher fracture resistance of endodontically treated teeth? A systematic review of in vitro studies

  • Sila Nur Usta;Emmanuel Joao Nogueira Leal Silva;Seda Falakaloglu;Mustafa Gundogar
    • Restorative Dentistry and Endodontics
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    • v.48 no.4
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    • pp.34.1-34.12
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    • 2023
  • This systematic review aimed to investigate whether minimally invasive root canal preparation ensures higher fracture resistance compared to conventional root canal preparation in endodontically treated teeth (ETT). A comprehensive search strategy was conducted on the "PubMed, Web of Science, and Scopus" databases, alongside reference and hand searches, with language restrictions applied. Two independent reviews selected pertinent laboratory studies that explored the effect of minimally invasive root canal preparation on fracture resistance, in comparison to larger preparation counterparts. The quality of the studies was assessed, and the risk of bias was categorized as low, moderate, or high. The electronic search yielded a total of 1,767 articles. After applying eligibility criteria, 8 studies were included. Given the low methodological quality of these studies and the large variability of fracture resistance values, the impact of reduced apical size and/or taper on the fracture resistance of the ETT can be considered uncertain. This systematic review could not reveal sufficient evidence regarding the effect of minimally invasive preparation on increasing fracture resistance of ETT, primarily due to the inherent limitations of the studies and the moderate risk of bias.

Efficacy of Muscle Energy Technique for Temporomandibular Disorders: A Systematic Review and Meta-analysis (턱관절 장애에 대한 근에너지 기법의 효과: 체계적 문헌 고찰 및 메타분석)

  • HongRyoul Yoon;JungWon Byun;SoonJoong Kim
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.18 no.2
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    • pp.31-42
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    • 2023
  • Objectives This study aimed to conduct a systematic review evaluating the effectiveness of muscle energy technique(MET) in temporomandibular joint disorders (TMD). Methods Searches were conducted in 11 electronic databases until October 2023. Randomized controlled trials(RCT) comparing the effect of MET for TMD were included. All studies were evaluated using the Cochrane Risk of Bias tool. Results Nine documents that fulfilled all the criteria were obtained for analysis. All studies showed some concerns in high risk of bias, but showed a significant improvement in pain and maximum mouth opening compared to baseline of MET or control group. MET was not better than extracorporeal shock wave therapy or myofascial release in some outcomes. Conclusions MET seems to be an effective treatment for TMD in some regards, however, can be considered as an adjunct therapy which has weak evidence. Further studies are required due to the inconclusive data and poor homogeneity found in this review.

Gwibi-tang for Renal Anemia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (귀비탕이 신성빈혈에 미치는 효과에 대한 체계적 문헌 고찰 및 메타분석)

  • Mikyung Kim;Chang-ho Han
    • The Journal of Korean Medicine
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    • v.44 no.3
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    • pp.201-224
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    • 2023
  • Objectives: The purpose of this study was to evaluate the effect of Gwibi-tang (GBT) on renal anemia. Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to investigate changes in anemia levels before and after oral administration of GBT in patients with renal anemia. Relevant literature published up to May 25, 2023, was searched in 10 academic electronic databases. Results: Data from 489 patients from 7 RCTs were obtained and analyzed. All participants were receiving erythropoietin-stimulating agent treatment, and most of them were under hemodialysis. Additional administration of GBT to the participants significantly increased the hemoglobin concentration (10.55 g/L, 95% CI 6.99 to 14.11) compared to the control group. Hematocrit, red blood cell count, serum ferritin concentration, transferrin saturation, and the total effective rate for anemia was also significantly higher in the GBT-treated group than in the control group. Conclusions: This study suggests that GBT may be considered to be a promising option for the effective management of patients with renal anemia under conventional treatment. However, the limitations of this study, including the quantitative and qualitative weakness of the RCTs, the lack of safety-related evidence, and the absence of long-term follow-up data, should be taken into account when interpreting the results of this study.

An Integration of TAM and D&M Model in the Ministry of Social Affairs and Labor in Kuwait

  • Faisal L F H Almutairi;Ramayah Thurasamy;Jasmine A.L. Yeap;Muhammad Khaleel
    • International Journal of Computer Science & Network Security
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    • v.24 no.6
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    • pp.187-199
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    • 2024
  • This study based on TAM and D&M model to examine the Kuwaiti employee performance using the electronic document and records management system (EDRMS) in the Ministry of social affairs and labor. Additionally, this study has proposed the moderating effect of work cooperation on employee performance Data of 345 employees were collected from Ministry of social affairs and labor in Kuwait. Smart PLS 3.0 was used to analyze the data. Results indicated that perceived ease of use and perceived usefulness have a positive influence on employee performance. However, findings do not support the relationship between system usage and user satisfaction. Additionally, the results show that there is a significant positive moderating effect of work cooperation. This research provides strong evidence for defining the key factors affecting system usage but also in view of its limits. It should be evaluated. Not all the factors affecting the intentions of end-users to use EDRMS have been fully covered. There are major variables, for example, facilitating state and perceived compatibility are important factors that can be covered in future research. This research is an addition to the current literature and the first attempt in this area to the best of authors' knowledge.