• 제목/요약/키워드: CSM

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경추증성 척수증의 한의학적 치료에 대한 국내외 연구 동향 (A Review of the Korean Traditional Medicine for Cervical Spondylotic Myelopathy)

  • 변다영;이기언;노지애;김효준;허석원;한시훈
    • 한방재활의학과학회지
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    • 제29권2호
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    • pp.149-158
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    • 2019
  • Objectives This study was performed to research the trends of Korean traditional medicine treatment for cervical spondylotic myelopathy (CSM). Methods Clinical studies about Korean traditional medicine of CSM were searched in 7 online databases. We extracted the characteristics of selected studies according to author, publication year, country, research design, treatment methods, evaluation tools, and adverse events. Results Nineteen studies were selected in online databases. The included studies consist of 8 uncontrolled trial, 7 case reports, 3 randomized controlled trials and 1 non-randomized controlled trials. In these studies, various Korean traditional medicine treatments were performed, and herbal medicine was the most common. The most commonly used outcomes was effective rate. Conclusions This study showed that Korean traditional medicine could be an effective treatment for CSM. It was suggested that various studies should be conducted to provide objective evidence of the therapeutic effects of Korean traditional medicine treatment for CSM.

등가단자유도 방법의 영향을 고려한 다경간 교량의 내진성능 평가를 위한 비탄성 정적해석 (Nonlinear Static Analysis for Seismic Performance Evaluation of Multi-Span Bridges Considering Effect of Equivalent SDOF Methods)

  • 송종걸;남왕현;정영화
    • 대한토목학회논문집
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    • 제26권3A호
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    • pp.473-484
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    • 2006
  • 역량스펙트럼 방법은 비선형 거동을 하는 구조물의 최대 변위응답을 간편하게 산정하는데 사용된다. 역량스펙트럼 방법을 사용하여 다경간 교량의 내진성능을 평가하기 위해서는 구조계를 대표하는 하나의 응답을 등가단자유도계 방법을 이용하여 다자유도 응답들로부터 유도하여야 한다. 등가단자유도 방법은 비탄성 정적해석에 의해 산정된 힘-변위 곡선들로부터 역량곡선을 계산하는데 사용된다. 역량스펙트럼 방법에 사용되는 등가단자유도 방법의 정확성을 평가하기 위하여, 몇 개의 등가단 자유도방법과 결합된 역량스펙트럼 방법에 의해 산정된 최대변위응답을 설계지진스펙트럼에 대응되는 인공지진을 사용한 비탄성 시간이력해석의 변위응답과 비교하였다.

비탄성 요구도 스펙트럼을 이용한 교량구조물의 역량스펙트럼 해석에 대한 강도감소계수의 영향 (Effects of Strength Reduction Factors for Capacity Spectrum Analysis of Bridge Structures using Inelastic Demand Spectrum)

  • 송종걸;김학수;장동휘
    • 대한토목학회논문집
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    • 제28권1A호
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    • pp.25-37
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    • 2008
  • 역량스펙트럼 방법은 그래픽적인 방법으로 간단하게 지진해석을 수행한다. 개발 초기에 역량스펙트럼 방법은 빌딩구조물에 주로 사용되었으나 최근에는 교량구조물에도 사용할 수 있도록 확장되었다. 역량스펙트럼 방법은 비탄성 정적해석으로부터 구한 역량곡선과 유효감쇠 혹은 강도감소계수를 사용하여 선형탄성 설계스펙트럼을 감소시켜 구한 요구도 스펙트럼에 기반을 두고 있다. 본 논문에서는 감소된 요구도 스펙트럼은 강도감소계수에 대한 몇 개의 제안식을 사용하여 구한 비탄성 요구도 스펙트럼을 사용한다. 역량스펙트럼 해석에 대한 강도감소계수의 영향은 세가지 종류의 대칭 및 비대칭 교량에 대하여 평가하였다. 몇 개의 강도감소계수를 적용한 역량스펙트럼 방법의 정확성을 평가하기 위하여, 역량스펙트럼 방법에 의한 최대변위를 8개의 인공지진에 의한 비탄성 시간이력해석 결과와 비교하였다. 강도감소계수 제안식 중 SJ 제안식에 의한 역량스펙트럼 해석의 최대변위가 비탄성 시간이력해석 결과와 가장 일치하는 결과를 나타냄을 알 수 있었다.

일주기 유형에 따른 삶의 만족도와 양극성 경향 (Life Satisfaction and Bipolarity according to Circadian Typology)

  • 박환진;이혜경;신용진;이건석
    • 생물정신의학
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    • 제22권3호
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    • pp.135-139
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    • 2015
  • Objectives The purpose of this study was to investigate the relationships among circadian typology, bipolarity and life satisfaction of university students. Methods A total 1232 participants completed questionnaires, which included Composite Scale of Morningness (CSM), Satisfaction with Life Scale (SWLS), and Mood Disorder Questionnaire (MDQ). Statistical analyses were done using correlation analysis, and analysis of covariance. Results The CSM score was positively associated with SWLS score (r = 0.232 ; p < 0.001). The morningness group has higher life satisfaction than the eveningness group (p < 0.001). The eveningness group has higher bipolarity than the morningness group (p < 0.001). The CSM score was negatively associated with MDQ score (r = -0.128 ; p < 0.001). Conclusions Bipolarity and life satisfaction were associated with circadian typology. Morningness was the important determinant of life satisfaction and bipolarity.

Performance Analysis of CMAP-WDMA MAC Protocol for Metro-WDMA Networks

  • Yun, Chang-Ho;Cho, A-Ra;Park, Jong-Won;Lim, Yong-Kon
    • Journal of information and communication convergence engineering
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    • 제7권4호
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    • pp.480-488
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    • 2009
  • A channel-shared modified accelerative pre-allocation wavelength division multiple access (CMAP-WDMA) media access control (MAC) has been proposed for metro-WDMA networks, as an extension of modified pre-allocation wavelength division multiple access (MAP-WDMA) MAC protocol. Similarly, CAP WDMA as an extension of accelerative pre-allocation wavelength division multiple access (AP-WDMA) MAC protocol. Performance of CMAP- and CAP-WDMA was extensively investigated under several channel sharing methods (CSMs), asymmetric traffic load patterns (TLPs), and non-uniform traffic distribution patterns (TDPs). The result showed that the channel utilization of the CMAP-WDMA always outperforms that of CAP-WDMA at the expense of longer channel access delay for channel shared case while CMAP-WDMA provided higher channel utilization at specific network conditions but always shorter channel access delay than CAP-WDMA for non-channel shared case. Additionally both for CMAP- and CAP-WDMA, determining an effective CSM is a critical design issue because TDPs and TLPs can be neither managed nor expected while CSM is manageable, and the CSM supporting the best channel utilization can be recommended.

Development of a nonlinear seismic response capacity spectrum method for intake towers of dams

  • Cocco, Leonardo;Suarez, Luis E.;Matheu, Enrique E.
    • Structural Engineering and Mechanics
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    • 제36권3호
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    • pp.321-341
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    • 2010
  • The seismic-induced failure of a dam could have catastrophic consequences associated with the sudden release of the impounded reservoir. Depending on the severity of the seismic hazard, the characteristics and size of the dam-reservoir system, preventing such a failure scenario could be a problem of critical importance. In many cases, the release of water is controlled through a reinforced-concrete intake tower. This paper describes the application of a static nonlinear procedure known as the Capacity Spectrum Method (CSM) to evaluate the structural integrity of intake towers subject to seismic ground motion. Three variants of the CSM are considered: a multimodal pushover scheme, which uses the idea proposed by Chopra and Goel (2002); an adaptive pushover variant, in which the change in the stiffness of the structure is considered; and a combination of both approaches. The effects caused by the water surrounding the intake tower, as well as any water contained inside the hollow structure, are accounted for by added hydrodynamic masses. A typical structure is used as a case study, and the accuracy of the CSM analyses is assessed with time history analyses performed using commercial and structural analysis programs developed in Matlab.

Space Management on Campus of a Mobile BIM-based Augmented Reality System

  • Ji, Seung-Yeul;Kim, Mi-Kyoung;Jun, Han-Jong
    • Architectural research
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    • 제19권1호
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    • pp.1-6
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    • 2017
  • Over the past decade, building information modeling (BIM) has gained a foothold in the construction sector. However, as digital data generated in the virtual space of a computer environment, BIM-based data have an inherent limitation in their application efficacy under field conditions. To overcome this, the present study employs augmented reality (AR) to reduce the discrepancy between the digital data generated in virtual spaces and real-world conditions. We assessed the potential applicability of an AR-based interface by analyzing existing examples of Apple, Google, and Facebook, which reflect the recent developments of technologies focusing on user experience. We then proceeded with an AR study, restricting the scope of application to a mobile environment in which an efficient information transmission between a digital model and real life can take place. Object-oriented software engineering was employed to ensure an efficient implementation of a BIM-based AR system for campus space management (CSM) in a mobile environment. Finally, we conducted a module test to check the reliability of the CSM method by using an AR-based mobile system with a prototype of the model used in university campuses, and extracted and itemized the supplementary requirements for CSM by using BIM tools for running AR applications.

Effect of sociodemographic variables on complete denture satisfaction

  • Singh, Balendra Pratap;Pradhan, Kedar Nath;Tripathi, Arvind;Tua, Reema;Tripathi, Shuchi
    • The Journal of Advanced Prosthodontics
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    • 제4권1호
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    • pp.43-51
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    • 2012
  • PURPOSE. The objective of this study was to evaluate the effect of sociodemographic factors on quality of satisfaction towards denture treatment. MATERIALS AND METHODS. One hundred subjects (filling inclusion criteria) who were wearing a denture for at least two months were enrolled and divided into five groups on the basis of sociodemographic variables (age, gender, literacy level, socio-economic and marital status). Questionnaires consisting of 38 questions (positive and negative attitude towards denture satisfaction) related to patients' perception of clinical outcome in different domains such as mastication, appearance, speech, comfort, health, denture care and social status were scored by the subjects. Questions reflecting positive attitude were scored as 2, 1, or 0 (yes, uncertain and no, respectively) and reversely for the negative questions. Statistical analysis was done by using Statistical Package for Social Sciences (${\alpha}$= .05). RESULTS. Level of denture satisfaction was higher in age subgroup belonging to 45 - 65 years of age in relation to comfort, health and denture care. Female and male showed significant priority for denture treatment because of esthetic and function respectively. Level of satisfaction was statistically significant with literacy level. Upper high income group showed significantly higher level of satisfaction only in case of social status. Married group showed significantly higher satisfaction level only with comfort. CONCLUSION. Patients' sociodemographic variables were influential factors on denture satisfaction.

공분산구조분석을 이용한 자체충족률 모형 검증 (Formulating Regional Relevance Index through Covariance Structure Modeling)

  • 장혜정;김창엽
    • 보건행정학회지
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    • 제11권2호
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    • pp.123-140
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    • 2001
  • Hypotheses In health services research are becoming increasingly more complex and specific. As a result, health services research studies often include multiple independent, intervening, and dependent variables in a single hypothesis. Nevertheless, the statistical models adopted by health services researchers have failed to keep pace with the increasing complexity and specificity of hypotheses and research designs. This article introduces a statistical model well suited for complex and specific hypotheses tests in health services research studies. The covariance structure modeling(CSM) methodology is especially applied to regional relevance indices(RIs) to assess the impact of health resources and healthcare utilization. Data on secondary statistics and health insurance claims were collected by each catchment area. The model for RI was justified by direct and indirect effects of three latent variables measured by seven observed variables, using ten structural equations. The resulting structural model revealed significant direct effects of the structure of health resources but indirect effects of the quantity on RIs, and explained 82% of correlation matrix of measurement variables. Two variables, the number of beds and the portion of specialists among medical doctors, became to have significant effects on RIs by being analyzed using the CSM methodology, while they were insignificant in the regression model. Recommendations for the CSM methodology on health service research data are provided.

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Treatment of Cervical Myelopathy with Acupotomy Combined with Korean Medicine Treatments: Two Clinical Cases

  • Park, Yu-Kyeong;Woo, Sangha;Kim, Jae Hoon;Lee, Jung Hee;Lee, Yun-Kyu;Lee, Hyun-Jong;Kim, Jae Soo
    • Journal of Acupuncture Research
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    • 제38권1호
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    • pp.79-84
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    • 2021
  • The degenerative spinal cord disease cervical spondylotic myelopathy (CSM), and cervical myelopathy caused by trauma, can result in debilitating symptoms affecting quality of life. This study used acupotomy and other Korean medicine treatments (acupuncture, herbal medicine, and physical therapy) to improve the symptoms of CSM and cervical myelopathy. The visual analog scale, the modified Japanese Orthopaedic Association scale (mJOA scale), the Nurick grading system, and the American Spinal Injury Association impairment scale were used as the evaluation criteria to determine the effectiveness of treatment. The functional status of both patients improved from mild to moderate, with improved gait, local sensation, and level of pain. The degree of spinal cord injury remained the same. The findings of this study suggest that combined Korean medicine treatments including acupotomy may be helpful in the treatment of CSM and cervical myelopathy.