氣功與防止衰老的作用

전신옥,이경섭,남상수,Quan, Xin-Yu,Lee, Kyung-Sub,Nam, Sang-Su 대한예방한의학회 2004 대한예방한의학회지 Vol.8 No.1

The average life span is expanded due to the development of modem society, material and cultural life and increasing level of public health. This means that the aging society is rapidly progressing. Geniatric diseases also have increased due to increasing of the aged population. Along with an increase of the aged patient, the anti-aging, prevention of geniatric disease and quality of life is tending high on social concern and medical issues. Many reports showed the evidence to the positive anti-aging effect of Oriental medicine. Qigong therapy, a kind of Oriental medicine, has been used to prevent aging and life prolongation with positive effect for many thousand years. Therefore, qigong practice is popular and common to middle age and old age in China.

근골격계 질환에 대한 경근무늬측정검사(모아레)의 한의약적 임상응용 고찰

류홍선,송애진,정명수,Ryu, Hongsun,Song, Aejin,Chong, Myongsoo 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : This study aims to classify and analyze literature related to moire topography, as a diagnostic device of Korean medicine, discuss research trends and major results, and demonstrate the value of moire topography. Methods : To investigate moire topography research trends, Korean keywords that signify 'moire' were searched in a Korean journal search engine. Initially, 2,988 papers were found in the research, and, after classifying them and removing those that are duplicate in other databases, only 37 papers were applicable for the literature review in this study. To analyze research trends, the 37 papers were analyzed based on the publication year, research field, journal, and research type, and, clinical articles were classified based on the diagnosis purpose, subject characteristics, diagnosis method, test method, and test result, for analysis. Results : Moire topography research in South Korea was first conducted in 1995 and most active in 2003, mostly in the field of Korean medicine. In the journal analysis, The Journal of Korea CHUNA Manual Medicine for Spine & Nerves published the highest number of papers, most of which were clinical articles and the rest were literature review. And, in the analysis of clinical papers, based on the diagnosis purpose, muscle somatotype measurement was most common, followed by diagnosis of scoliosis. In terms of subjects, most studies focused on elementary, middle, and high school students, and, in terms of the diagnosis method, other tests were used in most studies. The analysis of moire topography methods showed that most studies measured the shoulder, back, and hip, and the most common measurement method in the studies measured the difference in contour lines on the left and right by designating a central line of the body. In terms of the result, most moire topography brought about significant diagnosis results, and many studies demonstrated its use for musculoskeletal diseases in particular. Conclusions : Moire topography is believed to be highly significant for diagnosis and treatment of musculoskeletal diseases and further research will be needed to support it.

국내외 코호트 사업 고찰 및 한의학 코호트 구축

김지영,백영화,이시우,고광필,유종향,Kim, Jiyoung,Baek, Younghwa,Lee, Siwoo,Ko, Kwang Pil,Yoo, Jonghyang 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : In this study, we investigated the trends of cohort project in domestic and overseas, and suggested the necessity of cohort on korean medicine and the direction of research. Methods : The papers which include cohort in the title and published by 2015 were searched using PubMed. In order to study the history of cohort in domestic and overseas, research trend was investigated based on the websites of each cohort projects and traditional medicine searching engine named OASIS. Results : Using PubMed, 42,802 papers were searched. Most of the studies over 50 % of total articles, however, were conducted in these 6 years. Nevertheless, cohort studies are being actively proceed, the korean medicine based on cohort studies are nonexistent. Therefore, further discussion about cohort study on korean medicine is necessary to gather physiological index and clinical index of korean medicine consistently. Conclusions : Systematically constructed cohort on korean medicine would be the foundation which collects information, such as gene information, bio information, dietary habit, life style, and Pattern identification (辨證), and integrates them. The analysis of massive clinical materials could suggest the basis of Prevention and treatment of korean medicine considering the difference between personal.

근거 중심 Kampo medicine 임상진료지침의 현황

사사키 유이,황정운,김경한,박유리,심호종,박동선,전윤정,김지환,장보형,신용철,고성규,Sasaki, Yui,Huang, Ching Wen,Kim, Kyeong Han,Park, Yu Lee,Shim, Ho Jong,Park, Dong Sun,Jeon, Yoon Jeong,Kim, Ji-Hwan,Jang, Bo-Hyoung,Shin, Yong-Cheol,Ko, 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : In 2007, a survey of how Kampo was regarded in Japanese clinical practice guidelines (CPGs) was first conducted by the Special Committee for Evidence Based Medicine (EBM), namely the Japan Society for Oriental Medicine (JSOM). A manual for CPG development was also published in 2007 by the Japan Council for Quality Health Care, and the revised edition came out in 2014. The purpose this study is to review the current state in CPGs applied to Kampo after 2007, while focusing on how Kampo products being regarded evidence based branch of medicine by CPG developers. Methods : Sources include the Kampo CPGs website of Japan Society for Oriental Medicine (JSOM) and MINDS (Medical Information Network Distribution Service) website of Japan Council for Quality Health Care. Results : Among the 784 CPGs existing by the end of 2015, 91 CPGs were considered containing descriptions of Kampo. Furthermore, 28 type A Kampo CPG (KCPG) which had quality of evidence and strength of recommendation with references were found. Also, most of type A KCPGs relied on the MINDS Handbook for Clinical Practice Guideline Development that was published in 2007. Conclusions : The number of KCPGs are increasing yearly. However, there is still not much Kampo evidence found in CPGs in Japan. Overall, it could be said that we need to not only make evidence vertically but preach it horizontally well.

뇌성마비 아동의 한방치료 이용실태와 중단원인 연구

박병욱,박요한,유선애,허영진,김성철,윤영주,Park, Byungwook,Park, Yohan,Yu, Sunae,Hur, Youngjin,Kim, Sungchul,Yun, Youngju 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : The purpose of this study was to investigate the real status of the utilization of Korean medicine (KM) treatment among children with cerebral palsy (CP). Methods : In a prospective observational multicenter study for children with CP aged from 6 months to 78 months, we analyzed 69 questionnaires of children currently receiving or have received KM treatment such as acupuncture and Korean herbal medicine for CP. Results : Of all the 170 participants, 32 children was currently getting KM treatment and they were getting acupuncture therapy 2.5 times per week on average. The mean expenditure per month for acupuncture and herbal medicine was respectively 32,000won and 501,000won. 37 children have discontinued KM treatment. The most frequent reason for quitting acupuncture therapy was 'inconvenience' (40.7%), followed by 'suffering of children' (33.3%). The average duration of taking Korean herbal medicine was 3.78 months and the highest reason of stopping medicine was 'rejection of children' (32.3%), followed by the 'cost burden' (22.6%). 75% of currently KM using group answered they have experienced positive effect of KM and the rate was 48.6% among the group who have ceased KM. There was a significant difference between the two groups(p=0.025). Conclusions : Further study will be required to increase the therapeutic effect and utilization of KM among the children with CP. More efforts should be made to develop less invasive acupuncture method and various shape of KM herbal medicine and to expand the insurance coverage of KM for children with CP.

한의대생의 글쓰기가 자존감에 미치는 영향

문준석,신헌태,Moon, JoonSeok,Shin, HeonTae 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : Self-esteem is a necessary inner factor for the korean medicine undergraduate, who will perform a various treatment relationship as a future health care provider. Writing is closely related with improving self-esteem by providing insight towards oneself. Methods : The level of self-esteem and current state of writing among 251 undergraduates studying korean medicine in Dongshin University were looked into through a structural survey. Results : Self-esteem score was 3.12 on a scale of 4 which was relatively high, but they showed defensive self-esteem tendency. Meanwhile writing variables appeared to be more influential to the self-esteem of undergraduates than personal characteristics. Also among writing variables, emotional writing and writing 2 to 3 times or more a month was related to high self-esteem which defensive self-esteem tendency is low. Majority of the undergraduates, however, turned out to be writing essay and writing 2 to 3 times a month. Conclusions : The following result suggests the need of writing classes as well as writing involved in emotion for self-esteem and improve medical communication in the curriculum of korean medical college.

고등학생의 한의약 의료 이용 형태 및 인식에 관한 연구

정성헌,김기량,정준수,성현경,이주아,강소현,김영지,공경환,고호연,Jung, Sung-Hun,Kim, Gi-Ryang,Jeong, Joon-Soo,Sung, Hyun-Kyung,Lee, Ju-Ah,Kang, So-Hyeon,Kim, Young-Ji,Kong, Kyung-Hwan,Go, Ho-Yeon 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : This study is to research on usage patterns, recognition of system to Korean medicine among high school students who are the potential future medical consumer. Methods : Based on the questionnaire used by KIHASA(Korea Institute for Health and Social Affairs) in 2011 and KHIDI(Korea Health Industry Development Institute) in 2014, modifications were made to make questionnaire more suitable for this research. This self-administered questionnaire was conducted among 1,025 highschool students of 3 high schools in Ulsan city on september, 2015. Except 19 cases which considered statistically insignificant or with unreliable responses, 1,007 cases were analyzed by p-paired test and ANOVA test through the SPSS 22.0 for Win program. Results : Most of the high school students(66.5%) do not have an experience on Korean medical care. The number of students' first experience on Korean medical care is the largest during their elementary school (34.9%), which means the treatment was mostly for restorative reasons like growth care. The later the time of their first experience on Korean medical care, the higher ratio was shown on their recent utilization of Korean medical care. Korean medicine was rarely covered in most cases of public health education at school, and this public health education and usage pattern on Korean medicine have positive correlation. Compared 'Group who have used Korean medical care in 1 years except recent 3 months' to the 'Group who have used Korean medical care in 3 recent months', the former showed higher recognition in Korean medical care and insurance system. Conclusions : The proportion of Korean medicine is as low as 4.5% to whole medical market, and most of the consumers are senior. In addition, the aging phenomenon of Korean medical consumer have been continued. This specialized study on usage patterns and recognition among youth can be the basic research data which can be used for promotion, education and establishment of health policy and health care system.

한의약건강증진사업 담당자 인식도 조사

김경한,장수빈,정명주,최대범,황정운,김제명,사사키 유이,주용준,신용철,장보형,고성규,Kim, Kyeong Han,Jang, Soobin,Jung, Myung-Ju,Choi, DaePum,Huang, Ching Wen,Kim, Je-Myung,Sasaki, Yui,Ju, Yong-Jun,Shin, Yong-Cheol,Jang, Bo-Hyoung,Ko, Seo 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : This study was aimed to survey the perception of public official on public health promotion programs in Traditional Korean Medicine (PHPP-TKM). Methods : Data were collected from 129 public officials who were in charge of PHPP-TKM business in the public health centers using the structured questionnaire. Collected data were analyzed through frequency analysis and T-test using SPSS 13.0. Results : Even though stroke prevention programs are implemented most often at present, respondents hope to practice dementia prevention programs in the future. The obstructive factor was measured by 5-point Likert scale, and the most obstructive factor was that there were neither standard manuals nor methodological guidelines for the programs($3.73{\pm}0.97$). The second most obstructive factor was that TKM-PHPP duplicated other public health programs($3.67{\pm}1.07$). The plan to activate TKM-PHPP was also measured by 5-point Likert scale. The most suggested plan was to develop competitive programs ($4.20{\pm}0.88$). The second most suggested plan was that of various integration of public health programs ($4.14{\pm}0.80$). Conclusions : The result of survey questionnaire suggests to develop various integrated programs, and to draw up a standard manual to activate the TKM-PHPP in public health centers.

구강건강에 이용되는 보완대체의학 치료: 무작위대조임상연구를 통한 문헌적 고찰

김다희,최광호,황의형,허광호,김용덕,신병철,Kim, Da-Hee,Choi, Gwang-Ho,Hwang, Eui-Hyoung,Heo, Kwang-Ho,Kim, Yong-Deok,Shin, Byung-Cheul 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.3

Objective : This review aims at analyzing Complementary and Alternative Medicine (CAM) therapies, using for oral health to know current use of CAM in dental area by analyzing randomized controlled clinical trials (RCTs). Method : We searched the following 6 electronic databases until 1 July 2014. : Pubmed, Medline, Embase, Allied and Complementary Medicine Database(AMED), Cumulative Index to Nursing and Allied Health Literature(CINAHL), the Cochrane Library. We included parallel RCTs and cross-over RCTs that assessed the efficacy of CAM regardless of blinding and language. Results : A total of 154 RCT articles were included. There were 2-arm parallel study design(69.5%), 3-arm parallel study design(20.8%), 4-arm parallel study design(4.5%) and Cross-over design(5.2%). Complementary and alternative medicine RCTs in oral health tend to increase in the early-2000s and in the mid-2010s. In addition, 154 citations were classified according to diseases and interventions that categorized Natural Products studies(68.2%), Mind and Body Practices studies(31.8%). We classified in detail that vitamin and mineral therapies(29.9%), dietary supplements(24.7%), acupuncture(23.3%), Herbal medicine(13.6%), homeopathy (2.6%), energy therapies(2.6%), Massage(1.9%), biofeedback(0.6%), traditional medicine(0.6%). Conclusion : Increasing publications and diverse interventions regarding CAM for oral health is observed by analyzing RCTs from the literature review. Further studies are needed to be performed as systematic reviews to verify their effectiveness and the research to inquire into side effect.

이차자료원을 활용한 한의학 연구 고찰

김경한,장수빈,성주원,이한우,최윤호,신용철,장보형,고성규,Kim, Kyeong Han,Jang, Soobin,Sung, Joo Won,Lee, Han Woo,Choi, Yoon Ho,Shin, Yong-Cheol,Jang, Bo-Hyoung,Ko, Seong-Gyu 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.1

Objectives : The aim of this study is to review studies that utilized domestic secondary data in Traditional Korean Medicine (TKM). Methods : We identified variables and values related to TKM of 24 secondary data sources, and searched studies from 6 databases (PubMed, RISS, KISS, NDSL, KMBASE, OASIS). Results : There were 13 secondary data sources including variables and values related TKM, and 23 articles were included in this study. Conclusions : It is necessary to develop high-quality secondary data sources that are suitable to TKM system in accordance with national policy.