• 한국전문물리치료학회지
• /
• 제15권3호
• /
• pp.26-34
• /
• 2008

The purposes of this study were to assess and modify the original classification categories of the modified Oswestry Low Back Pain Disability Questionnaire (ODQ) and to determine the unidimensionality of the modified ODQ applying Rasch Analysis. The data were obtained from 108 work-related low back pain patients by physical therapists. Construct validity of the scale using the Rasch model required the structure of the rating scale to be modified from 6 response levels to 4 response levels. Eight items from the modified ODQ fit the Rasch model. The items, "pain intensity" and "social life" showed misfit statistics. In general, the order of item difficulty of the remaining 8 items showed a logical item difficulty hierarchy with the "changing degree of pain" item being the most difficult and the "walk" item being the easiest. The results showed that further study is needed to expand the construct of ODQ including additional higher-level items related to work activities. This study may be useful for establishing a standard method to assess the functionality of low back pain patients.

• Journal of Acupuncture Research
• /
• 제40권3호
• /
• pp.188-200
• /
• 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.

• 한국지반공학회:학술대회논문집
• /
• 한국지반공학회 2001년도 정보화시공 학술발표회
• /
• pp.103-122
• /
• 2001

For prediction of ground movement per the excavation step, observational results of ground movement during the construction was very different with prediction during the analysis of design. step because of the uncertainty of the numerical analysis modelling, the soil parameter, and the condition of a construction field, etc. however accuratly numerical analysis method was applied. Therefore, the management system through the construction field measurement should be achieved for grasping the situation during the excavation. Until present, the measurement system restricted by ‘Absolute Value Management system’only analyzing the stability of present step was executed. So, it was difficult situation to expect the prediction of ground movement for the next excavation step. In this situation, it was developed that ‘The Management system TOMAS-EXCAV’ consisted of ‘Absolute value management system’ analyzing the stability of present step and ‘Prediction management system’ expecting the ground movement of next excavation step and analyzing the stability of next excavation step by‘Back Analysis’. TOMAS-EXCAV could be applied to all uncertainty of earth retaining structures analysis by connecting ‘Forward analysis program’ and ‘Back analysis program’ and optimizing the main design variables using SQP-MMFD optimization method through measurement results. The application of TOMAS-EXCAV was confirmed that verifed the three earth retaing construction field by back analysis.

• 음성과학
• /
• 제5권2호
• /
• pp.41-55
• /
• 1999

This paper aims to acoustically analyze the merger of back vowels in North Korean dialects which I believe, are here investigated for the first time since 1945. North Korean back vowels are distinctive from South Korean back vowels because they merge mainly on the back vowel space, while front vowels merge mainly in Seoul standard language and other South Korean dialects. In this paper the future of the vowel systems caused by the merger of the vowels in Korean dialects will also be investigated. North Korean dialects examined include dialects of the Pyungan, the Hamkyung, and the Hwanghae Provinces. North Korean back vowels are distinctive from South Korean back vowels because they merge mainly on the back vowel space, while front vowels merge mainly in Seoul standard language and other South Korean dialects.

• 복식
• /
• 제56권2호
• /
• pp.101-111
• /
• 2006

The purpose of this research is to define body shapes of Plus-sized women at ages between 21 and 69 whose satisfied the Plus-sized judgment criteria took part in this study. This research also classifies different body types, and provides basic data for designing prototypes according to each body type. Based on factor analysis of the measured data, nine key factors are grouped. And four different body types are classified based on the cluster analysis using factor marks. Type 1 refers to those who are tall and characterized by 'Y' body shape when looked from the front. Looking from the side, this type is comparatively balanced obese type which has flat breast and abdomen, and which has a jutting back and buttocks. Type 2 refers to those who are the shortest of all the obese with 'X' front. This type is Sway-back shape which has jutting back and abdomen but flat buttocks when looked from the side. Type 3 is characterized by 'H' body shape when looked from the front. This type is Pway-back shape which has flat back, abdomen and buttocks when looked from the side. The prominent breast part of this type is the most outstanding figure. Type 4 is characterized by 'X' when looked from the front. This type has a jutting waist and prominent buttocks when looked from the side.

• 한국지반공학회지:지반
• /
• 제13권1호
• /
• pp.123-136
• /
• 1997

구조물의 형상 변화를 연속적으로 고려할 수 있는 유한요소법 원리에 기초하여 탄성지반내에 단계적 터널굴착시 임의의 굴착단계에서 발생한 증분변위와 굴착전 암반내에 존재하는 초기응력의 크기가 선형관계에 있음을 유도하였다. 즉, 총변위가 아닌 임의 단계에서 계측된 증분변위만으로 탄성지반내 초기음력의 역산이 가능함을 이론적으로 증명하였다. 이러한 이론적 관계식에 기초하여 다단계 터널굴착시 계측된 증분변위를 이용하여 초기응력을 역산할 수 있는 역해석 프로그램을 작성하였다. 간단한 예제를 통하여 구성한 프로그램의 정확성과 현장 적용 가능성을 검토하였다.

• 한국전기전자재료학회:학술대회논문집
• /
• 한국전기전자재료학회 1999년도 추계학술대회 논문집
• /
• pp.461-463
• /
• 1999

In this paper, we have systematically investigated the variation of electrical characteristics with back-gate bias of n-channel SOI MOSFET\\`s. When positive bias is applied back-gate surface is inverted and back channel current is increased. When negative bias is applied back-gate surface is accumulated but it does not affect to the electrical characteristics.

• 한국터널지하공간학회 논문집
• /
• 제18권2호
• /
• pp.183-193
• /
• 2016

운영 중 터널의 역해석을 통한 안정성 평가는 다루기 어려운 개념이다. 특히, 해저터널처럼 라이닝이 상대적으로 두껍게 시공된 경우에 발생하는 내공변위가 작기 때문에, 일반적으로 터널 역해석에 사용되는 변위 기반의 터널 역해석에는 한계가 있을 것으로 판단된다. 여기서는 FLAC3D 프로그램에 내장된 FISH 언어를 사용해서, 다양한 역해석 알고리즘 중에 차분진화 알고리즘의 구축을 통한 터널 역해석에 대한 적용성을 확인하였다. 또한, 변위 기반의 알고리즘 구축과 더불어 응력 계측값 등 다양한 인자의 적합성을 확인하여 터널 라이닝의 안정성을 평가하고자 한다.

• The Journal of Korean Physical Therapy
• /
• 제20권4호
• /
• pp.21-28
• /
• 2008

Purpose: We measured the Oswestry Low Back Pain Disability Index (OLBPDI) and related factors in patients with low back pain. Methods: The sample consisted of 50 patients who received physical therapy at the physical therapy units of the Andong Seoul Sintong Clinic, St. Luke Clinic, and Yeongju Seoul Sintong Clinic in Andong and Yeongju city from October, 2007, to February, 2008. The OLBPDI questionnaire was administered by 5 physical therapists as a cross-sectional study. Student's t-test and analysis of variance (ANOVA/Tukey and Scheffe) were used to analyze OLBPDI score differences. We also used nonparametric statistic analysis (Wilcoxon rank sum test, Median test). Pearson correlation analysis (Spearman correlation analysis) was used to analyze the relationship between OLBPDI and the visual analogue scale (VAS). Multiple regression analysis was performed to determine the effects of independent variables on pain scores as defined by the OLBPDI. Results: The average patient age was 37.1 years (range: 18$\sim$78 years old), and time from onset was 21.7 months (1$\sim$180). OLBPD and VAS scores were 12.70 (3.0$\sim$28.0) and 5.14 (1$\sim$8), respectively. OLBPDI scores were 14.4 in patients taking medicine and 11.57 in those who did not. There was a statistically significant relationship between OLBPDI and VAS (r=0.54, p=0.0001; r=0.55, p=0.0001 by Spearman coefficient). Gender ($\beta$=6.14, p=0.0124), age ($\beta$=-2.01, p=0.0324), weight ($\beta$=0.31, p=0.0222), time from onset ($\beta$=1.54, p=0.0044), and VAS score ($\beta$=1.59, p=0.0004) were significantly associated with OLBPD by multiple regression analysis. Conclusion: Variables associated with OLBPD were gender, age, weight, time from onset, and VAS score. Collecting information on the pain index using OLBPDI was acceptable to patients with low back pain. Further research should explore the pain index by using larger sample sizes and longer follow-up periods.

• 척추신경추나의학회지
• /
• 제17권2호
• /
• pp.131-139
• /
• 2022

Objectives This study aimed to analyze the medical utilization of low back pain (LBP) patients after back surgery and estimate the medical costs of Korean and Western medicine collaborative treatment, odds ratio, and hazard ratio between the two groups using the 2019 Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS-2019). Methods Data management and descriptive analysis, logistic regression, and survival analysis were conducted for defining and estimating the LBP patients after back surgery in the NPS 2019 dataset. Results A total of 216,424 patients out of 991,189 were identified as having LBP. Among the patients with LBP, 1,734 were treated with surgery while 214,690 were not. Among those who had surgery, 937 were treated with conventional treatments only and 797 underwent Korean medicine treatments. The odds ratio of the logistic regression analysis was 0.7129, suggesting that Korean medical treatment experience group had a 28.7% lower risk of reoperation than the Western medical treatments only group. The hazard ratio of the survival analysis was 0.9145; thus, the risk probability of reoperation was estimated to be approximately 8.55% lower. The 50% risk of reoperation was 69 days (0.5044) for the conventional group, and 97 days (0.5008) for the Korean medical group in the survival analysis using the Kaplan-Meier graph. Conclusions These results could be utilized in future studies in conducting economic evaluation for estimating cost-effectiveness of Western medicine and Korean medicine treatment compared to Western medicine alone in LBP patients after back surgery in a South Korean perspective. mended and should be applied while taking the necessary precautions.