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Systematic Review of External Qigong Therapy for Joint Pain (관절 통증에 대한 외기 방사 기공 요법의 체계적 문헌고찰)

  • Lee, Hyeon-Yeop;Hwang, Man-Suk;Heo, In;Shin, Byung-Cheul;Heo, Kwang-Ho;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.4
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    • pp.187-193
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    • 2014
  • Objectives The aim of this study is to analyze the therapeutic effect of external Qigong therapy for treatment of other people's disease on joint pain. Methods We searched articles from Pubmed, Chinese Academic Journals (CAJ) and Oasis online databases. Searching keywords were 'external qigong', 'external qi gong', 'qi therapy', '外气', '关节' and '기공'. After searching the articles, we performed quality assessment using Cochrane risk of bias (RoB) tool and risk of bias assessment tool for non-randomized study (RoBANS). Results Among the 117 articles were searched, 2 randomized controlled clinical trials (RCTs) and 2 single-group before and after studies were finally selected. All of 4 studies showed that external Qigong therapy has significant effect on joint pain. Conclusions Although external Qigong therapy has therapeutic effect on joint pain, it is not common therapy yet. However, external Qigong therapy requires more interests and studies in the future, because it is faithful therapy for Korean medicine theory.

The Domestic Trends of Korean Medical Treatments for Neck Pain Caused by Whiplash Injury (편타성 손상으로 인해 발생된 경부통의 한의학적 치료에 대한 국내 연구 동향)

  • Jeong, Seong-Hyun;Lee, Hyun-Ho;Lee, Gi-Eon;Choi, Ji-Hoon;Kim, Donghoo;Lee, Jong-Ha
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.11-19
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    • 2017
  • Objectives We attempted to investigate the trends of Korean Medical treatments for neck pain caused by whiplash injury by analyzing domestic clinical studies. Methods We searched for studies listed on Korean electronic databases (KTKP, OASIS, RISS, KMbase, NDSL, KCI, and National Assembly Library). Clinical studies were chosen according to the inclusion criteria. Subsequently, we compared and analyzed the data. Results The search yielded 35 studies, of which there were 12 randomized controlled trials (RCTs), 15 non-randomized controlled trials (NRCTs), 6 case reports, and 2 before-after studies. Among these, 54.7% of participants were in the acute stage of the damage period. Pharmacopuncture was used the most in main treatment methods. Only 14.3% of studies mentioned approval by an institutional review board (IRB) and only 8.6% of studies considered side effects. Conclusions There is some evidence that Korean Medical treatment is effective for neck pain caused by whiplash injury. Since all studies, however, were exposed to the risk of bias. Therefore, future studies of a higher quality are required.

Review on the study of Gyejibokryeong-hwan - Had been published in Korea from 1990 to 2014 - (계지복령환의 실험적 연구 및 치험례, 임상연구에 대한 고찰 (1990년부터 2014년까지 발행된 국내 학술지를 중심으로))

  • Jung, Hoon;Kim, So-Yun;Park, Jung-Oh;Lee, Eun-Jung;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.24 no.1
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    • pp.47-60
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    • 2015
  • Objective : The aim of this review is to analyze the study tendency in papers on Gyejibokryeong-hwan had been published in Korea from 1990 to 2014. Methods : We searched the four electronic database(NSDL, RISS, Korean traditional knowledge portal, OASIS) and checked relevant Korean journals from 1990 to 2014. We classified the papers by publication date, speciality, study method, and field of study, and analysed the study tendency. Results : After analyzing the papers, these results are revealed : 1. 2.12 papers were published annually on average. 2. As for the speciality of the journal, most of the papers were published in Traditional Korean Medicine, and a few were in Pharmacology. 3. As for the study method, in vitro was 32%, in vivo was 30%, and clinical case was 21%, 4. As for the subject of the studies, beneficial effect was 86%, toxicity was 8%, safety, stability and qualitative analysis was 2% each. 5. As for the studies about effectiveness on the diseases, 30% at gynecologic disease and 30% at vascular disease like arteriosclerosis. There were new studies for a variety of fields like cancer, urologic, and musculoskeletal diseases. Conclusions : These results suggest that Gyejibokryeong-hwan can be used as cure medicine, but there are not sufficient evidence based papers, so there should be further studies in order to establish Gyejibokryeong-hwan as a cure medicine.

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The Assessment of Risk of Bias on Clinical Trials of Korean Medicine for Alopecia (탈모증의 한약제제 임상연구에 대한 비뚤림 위험 평가)

  • Ryu, Deok-hyun;Roh, Seok-sun
    • Journal of Haehwa Medicine
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    • v.24 no.1
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    • pp.25-36
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    • 2015
  • Objective : This study aims to evaluate a risk of bias by Risk of Bias tool and RoBANS(Risk of Bias Assessment tool for Non-randomized Study) tool for clinical trial papers proving treatment effect of herbs to alopecia and provides the newest reason of effectiveness of herbs to alopecia. Methos : Data were collected through electronic database including NDSL, KISS, KMBASE, Koreantk, OASIS, KoreaMed, KISTI, Pubmd, Cochrane CENTRAL and CINAHL. Two experts in Oriental Medince assessed risk of bias of randomized controlled trials by Cochrane group's Risk of Bias tool and non-randomized controlled trials by RoBANS tool after searching, reviewing and selecting papers. Results : Total number of selected trials is 20 including 4 randomized controlled trials, 13 non-randomized controlled trials and 3 case reports. This study evaluates the risk of bias of 17 papers including 4 randomized controlled trials and 13 non-randomized controlled trials except 3 case reports by risk of bias tool and RoBANS tool. All papers of randomized controlled trials are evaluated unclear for random sequence generation and allocation concealment as there are no word on them. And all papers of non-randomized controlled trials are evaluated unclear for blinding of outcome assessments and relatively low for others. Conclusion : We must try to specify concretely methods of allocation concealment after planning and practicing it for reducing a selection bias in randomized controlled trials. Also report a reason of missing value and blinding outcome assessments. And we have to agonize and mention methods of blinding of researchers for reducing a detection bias in non-randomized controlled trials.

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Distributed Identity Management Model using SAML in Digital Ecosystem (디지털 생태계에서 SAML을 이용한 분산 아이디 관리모델)

  • Jang, In-Yong;Youm, Heung-Youl
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.9 no.6
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    • pp.141-154
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    • 2009
  • Digital Ecosystem is a new word for dynamic IT business environments. Digital Ecosystem can consist of various enterprise federations such as competing, collaborating and stable or unstable ones. They make it difficult to implement identity management for the environment. Existing solutions are either too restricting and inflexible to support the dynamic nature of ecosystems since they are too complex and difficult to adopt. This paper is to propose an distributed identity management model for automated processing of identity information between ecosystems. It is featured with being practical, clear and easy to deploy. And it is based on the new OASIS SAML3.0 standard to provide interoperability between existing identity technologies. This paper presents the basic and extended identity model for single service and multiple services. The model presented in this paper can be applied to enterprise context easily.

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The Review on the Studies Using Delphi Method in the Journals of Korean Medicine from 2006 to 2015 (한의학계에서 델파이 방법을 사용한 연구에 대한 문헌고찰(국내 학술지를 중심으로))

  • Park, Chang-Hyun;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.59-64
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    • 2015
  • Objectives The aim of this review is to analyse the study tendency in papers related with delphi method which are published in Korea from 2006 to 2015. Methods We searched the electronic database (NDSL, RISS, Korean traditional knowledge portal, OASIS) and checked relevant Korean journals from 2006 to 2015. 23 research papers were found and they were analyzed according to the year of publishment, the titles of journals which have the papers, the time of repeated survey and purpose of technique application. Results 1. As we analyzed by years, 2.3 papers were published per year on average. 2. As we analyzed by jounals in which papers were published, 39% of total papers were published in The Journal of the Society of Korean Medicine Diagnostics, 30% were in Korean Journal of Oriental Physiology & Pathology, taking up 69% of total papers. 3. As we analyzed by the number of survey taken in each research, 11 papers surveyed 2 times, 7 papers surveyed 3 times, 1 paper suerveyed one time. 4. As we analyzed by the purpose of technique application, 91% of papers were aimed at the development of questions, 9% of papers were aimed at policy recommendation. Conclusions These results suggest that although many researches were trying to quantify the symptom of patient, to demonstrate on exact data and to accomplish the scientification of diagnosis, the number of paper is insufficient. Therefore, it seems that more researches must be taken afterward.

Chuna Manual Therapy for Nocturnal Crying; A Systematic Review (소아 야제에 대한 추나요법 효과; 체계적 문헌고찰)

  • Hwang, Man-Suk;Shin, Byung-Cheul;Heo, Kwang-Ho;Heo, In;Kim, Byung-Jun;Kim, Ki-Bong;Cheon, Jin-Hong;Park, Jae-Hong;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.51-57
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    • 2015
  • Objectives To evaluate the evidence supporting the effectiveness of Chuna manual therapy for nocturnal crying. Methods We conducted search across the 3 electronic databases (Pubmed, CAJ and Oasis) to find all of randomized controlled clinical trials(RCTs) that used Chuna manual therapy as a treatment for nocturnal crying. The methodological quality of each RCTs was assessed using the Cochrane Risk of Bias tool and nRCTs was assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study tool. Results Two RCTs and three nRCTs met our inclusion criteria. The meta-analysis showed positive results for the use of Chuna manual therapy in terms of the efficacy rate when compared to medication treatments alone. Positive results were also obtained, in terms of the efficacy rate, when comparing Chuna manual therapy combined with acupoint application therapy to Chuna manual therapy alone, but was not statistically significant. Conclusions Our systematic review found encouraging but limited evidence of Chuna manual therapy for nocturnal crying. We recommend clinical trials which compare the effectiveness of Chuna manual therapy with usual care to obtain stronger evidence without the demerits of trial design.

A Systematic Review of Bee Venom Acupuncture for Knee Osteoarthritis (무릎 골관절염의 봉독 약침 치료에 대한 체계적 문헌 고찰)

  • Gu, Ji-Hyang;Kim, Eunseok;Park, Yang-Chun;Jung, In Chul;Lee, Eun-Jung
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.47-60
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    • 2017
  • Objectives The aim of this research is to assess the effects of bee venom acupuncture for knee osteoarthritis. Methods For a systematic review, we constructed a key question as the effect of bee venom acupuncture for knee osteoarthritis and selected RCTs and nRCTs. We searched the following 15 databases without a language restriction: Pubmed, EMBASE, Cochrane CENTRAL (CENTRAL), CINAHL, AMED, seven Korean medical databases (KoreaMed, Kmbase, KISS, NDSL, KISTI, Koreantk, OASIS) and three Chinese databases including CNKI, Wanfang and VIP database. Results A total of 300 potentially relevant studies were identified; only 13 studies were selected for systematic review. Almost studies showed that bee venom acupuncture has significant effect on knee osteoarthritis. 5 studies comparing bee venom acupuncture with acupuncture were included in the meta-analysis. The effect size of standardized mean difference (SMD) was analyzed as 'small effect' with 0.47 (95% CI: 0.10~0.83, Z=2.49, p=0.01). Conclusions The research showed that bee venom acupuncture can significantly reduce pain, stiffness and improve the quality of life of patients with knee osteoarthritis. However, most of the studies included in the analysis were evaluated as methodologically high risk of bias. This suggests that there is limitation applying this study. In the future, more Randomized Controlled trial should be actively conducted.

Systematic Review of Soyeom Pharmacopuncture Therapy for Pain (임상에서 흔히 접하는 통증에 대한 소염약침요법의 체계적 문헌고찰)

  • Kim, Myeong-Kyu;Seo, Ha-Ra;Ha, Hyun-Ju;O, Tae-Yeong;Jeon, Dong-Hwi;Li, Yu-Chen;Lee, Jae-eun;Lee, Eun-Jung;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.95-105
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    • 2017
  • Objectives To evaluate the evidence supporting the effectiveness of Soyeom pharmacopuncture therapy for Pain. Methods We conducted search across 6 electronic databases (Pubmed, CAJ, Oasis, RISS, DBPIA and KoreanTK) and 2 journals to find clinical trials that used Soyeom pharmacopuncture therapy as treatment for pain. The methodological quality of Randomized controlled clinical trials (RCTs) was assessed using the Cochrane Risk of Bias (RoB) tool, while NRCTs (Non-Randomized controlled clinical trials) were assessed using the Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool. Results Among 75 articles that were searched, 5 RCTs and 2 NRCTs were finally selected. Among 7 selected studies, all studies showed that Soyeom pharmacopuncture therapy has significant effect on Pain. Conclusions Our systematic review found encouraging but limited evidence of Soyeom pharmacopuncture therapy for Pain. We recommend clinical trials which compare the effectiveness of Soyeom pharmacopuncture therapy with other pharmacopuncture therapies to clarify the effectiveness of Soyeom pharmacopuncture therapy from other pharmacopuncture therapies.

Manual Therapy for Wrist Pain: A Systematic Review and Meta-analysis (손목 통증의 수기 치료에 대한 체계적 문헌 고찰과 메타분석)

  • Lee, Ye-Ji;Jeon, Cheon-Hoo;Kim, Hyo-Bin;Jeon, Ju-Hyun;Kim, Eun-Seok;Kim, Jin-Youp;Choi, Kang-Min;Kim, Young-Il
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.1
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    • pp.75-87
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    • 2020
  • Objectives : This study aimed to evaluate the effectiveness of manual therapy for wrist pain. Methods : We searched electronic databases (PubMed, Embase, Cochrane, CAJ, KISS, RISS, NDSL, OASIS, and KMBASE) for randomized controlled trials for manual therapy as a treatment for wrist pain. Results : A total of 9 randomized controlled trials were selected and meta-analysis was conducted on 6 studies. Three studies with different design of the intervention/control group were excluded from the meta-analysis. A high risk of bias was observed for both performance bias and detection bias. Conclusions : Our systematic review verified the clinical effect of manual therapy on wrist pain. Based on the results of this study, it is expected that clinical studies on wrist diseases and high-level follow-up studies will be conducted.