• Title/Summary/Keyword: Condition rating

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Effects of Nonsurgical Spinal Decompression Treatment on the Level of Pain and Quality of Life in Patients with Cervical or Lumbar Disc Herniation: A Retrospective Observational Study

  • Kim, Beom Seok;Lee, Ye Ji;Kim, Hyo Bin;Sung, Ki Jung;Jeon, Ju Hyun;Kim, Eun Seok;Kim, Young Il
    • Journal of Acupuncture Research
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    • v.37 no.4
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    • pp.259-269
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    • 2020
  • Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment. Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14th to August 25th, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0. Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample t test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B. Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.

재생아스팔트 포장의 구조설계 기술

  • Choe, Jun-Seong
    • 한국도로학회지:도로
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    • v.5 no.4 s.18
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    • pp.36-46
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    • 2003
  • 포장구조체에서 요구되는 강도를 갖게 하는 구조 설계의 방법은 경험적 절차부터 반역학적 절차까지 발전되어 왔다. 재생 가열아스팔트혼합물이 기존의 가열아스팔트혼합물(HMA)과 비교하여 비슷하거나 때에 따라 더 좋은 성능을 가져오므로, AASHTO설계지침서에서는 본질적으로 재생(recycled) HMA 재료와 신생(virgin) HMA 재료간의 차이가 없다고 기술하고 있으며, 기존 HMA 재료에 사용되는 덧씌우기설계법의 구조회복 분석방법(structural rehabilitation analysis method)을 재생포장설계에도 권장하고 있다. 재생 가열아스팔트의 설계를 위한 AASHTO 방법은 설계교통량, 교통량 및 수행능력예측의 신뢰수준, 공용기간, 그리고 포장상태 평가지수에 의하여 결정된 포장구조체에서 요구되는 포장두께지수(SN)에 기초한다. 포장두께지수(SN)는 포장층 두께, 상대강도계수, 각 층의 배수조건들의 곱의 조합으로서 나타내어질 수 있다. 덧씌우기로 간주될 수 있는 재생된 층의 포장두께지수(SN)는 기존 포장에서의 포장두께지수와 보강된 포장에서 요구되는 포장두께지수의 차이에 의하여 계산되어질 수 있다. 상대강도계수의 값은 AASHTO 설계지침에 명시되어 있다. AI 방법은 교통량, 노상의 회복탄성계수, 그리고 설계두께를 계산하기 위한 표층과 기층의 종류를 사용한다. 이 방법은 재생된 가열혼합물질과 기존의 가열혼합물질과는 거의 비슷한 성능을 나타낸다고 본다. 또다른 AI 방법에 의하면 재생된 층은 덧씌우기층이라고 간주하고, 현재의 포장두께와 요구되어지는 포장두께 사이의 차를 이용하여 재생될 층의 두께를 산정한다. 소요되는 덧씌우기 두께는 포장의 현장 상태지수(condition rating)와 각 종류에 따른 포장체와 포장재료가 아스팔트 콘크리트층의 등가두께로 전환되어 나타나는 방법에 근거하여 결정될 수 있다. 또 다른 방법은 포장체 각 층의 물성과 하중을 이용한 컴퓨터 프로그램에 의하여 산정된 하중-변형 응답에 의한 설계 방법을 포함한다. 이런 방법들에서는 포장체는 탄성이나 점탄성층 위에서 탄성이나 점탄성 거동을 보인다고 가정한다. 재생 상온혼합물에서의 AASHTO 설계 방법은 가열혼합물의 설계방법과 유사하다. 그러나, 재생 상온혼합물에서의 상대강도계수는 시공방법에 좌우되므로, 기술자의 판단을 근거로 하여 결정되어져야 한다. AI방법에서는 포장구조체를 다층탄성구조라고 보고, 노상의 강도와 설계 교통량을 근거로 요구되는 포장두께를 결정한다. 재생 상온혼합물 기층의 두께는 재생 상온혼합물 기충 위에서 가열아스팔혼합물에 대하여 산정된 덧씌우기 두께를 이용하여 결정할 수 있다. 아스팔트 표면의 재생은 기존 포장의 구조적 능력을 정상적으로 개선할 수 없으므로, 표면 재생의 두께를 설계하는 방법은 없다. 그러나, 임의의 덧씌우기 두께는 기존의 덧씌우기 설계법에 기초하여 산정 할 수 있다. 만약 덧씌우기가 승차감만을 개선시킨다고 여겨진다면, 혼합물에서 사용되어지는 최대 골재 크기에 기초한 최소 두께를 결정할 수 있다.

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A Study on the Impermeable Effect by Grouting in the Subsea Tunnel (해저터널에서 주입에 의한 차수효과 연구)

  • Kim, Seunghwan;Lim, Heuidae;Yoon, Seongmin
    • Journal of the Korean GEO-environmental Society
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    • v.18 no.6
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    • pp.5-19
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    • 2017
  • In this study, the effect of rock mass curtain grouting was investigated by analyzing the correlation between the parameters of the RMR & grout injection volume, Lugeon value & RQD, Lugeon value & cement injection volume. In order to investigate the effect of rock mass curtain grouting, we analyzed the grout injection volume of 315 curtain grouting holes at 9 tunnel face of NATM Subsea tunnels in gneiss area. The total grout injection volume in the Subsea tunnels study was slightly changed in some tunnels face but decreased with increasing the rating of parameters in spacing of discontinuity (R3, Js) and groundwater condition (R5). The geological anomalies of seismic survey (3D, TSP) and the inflow of probe hole were found to be more correlated of relative than the parameters of RMR. The unit injection volume was found to decrease with higher ratings in the parameters of the RMR except the weathering degree of the discontinuity (Jc, R4). The correlation between RQD and Lugeon values is not significant, but it can be confirmed that the Lugeon value tends to decrease as the RQD value increases.

A comparative analysis of the simulation results of total window thermal transmittance(Uw) according to the evaluation method - Focused on comparison of the single window simulation results - (창세트 전체 열관류율(Uw) 평가 방법에 따른 시뮬레이션 결과 비교 분석 - 단창 창세트에 대한 시뮬레이션 결과 비교를 중심으로 -)

  • Lee, Yong-jun;Oh, Eun-joo;Kim, Sa-kyum;Choi, Hyun-jung;Kim, Yu-min
    • KIEAE Journal
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    • v.16 no.3
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    • pp.77-82
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    • 2016
  • Purpose: The aim of this study is to calculate U-factor of the window using international standard methods and compare quantitative and tendency difference focused on ISO standard 15099 and ISO standard 10077. And the result of ISO standard calculation methods is verified using thermal performance experiment to evaluate applicability of domestic certification system. This study is utilized a basis for activation of domestic window certification system. Method: First, 16 cases are selected that is combined a variety of frame, Glazing, spacer, etc. The selected cases were simulated using WINDOW&THERM based on ISO 15099 and 10077 calculation method. Second, experiment was conducted based on Korean standard condition. Then, it was compared the error of experiment and simulation results. Through this process, ISO 15099 and 10077 calculation methods were evaluated accuracy and utilization. Result: The results show that the difference of ISO 15099 and ISO 10077-2 is maximum 5.4%. The results of comparing U-factor errors based on the Korea standard experiment test found 2.4%. Consequently, it will be possible to combination calculation methods of ISO 15099 and ISO 10077 for a single window.

The Effects of Complex Exercise Program on Postural Change, Gait and Balance Ability in Elementary School Students with Forward Head Posture - Case Study (전방머리자세를 가진 초등학생에게 복합운동프로그램이 자세변화와 보행, 균형능력에 미치는 영향: 사례연구)

  • Lee, Yoon-sang;Ahn, Seung-won;Jung, Sang-mo;Park, Hyun-sik;Ju, Tae-seong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.23 no.1
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    • pp.63-72
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    • 2017
  • Background: The purpose of this case study was to investigate into the effect of complex exercise program on the postural change, gait and balance ability in elementary school students with forward head posture. Methods: Four patients with forward head posture were recruited. They were evaluated pre-treatment, and after 6weeks, using neck disability index (NDI), numeric pain rating scale (NPRS), balance ability, foot pressure (fore foot/rear foot peak pressure ratio, F/R ratio), gait ability (cadence, toe out angle, stance phase). Results: First, the angle of forward head posture (craniovertebral angle; CVA and cranialrotation angle; CRA) was decreased in all subjects. The NPRS and NDI were decreased in all subjects. Also, The cadence, toe out angle and F/R ratio were increased in all subjects. The stance phase of gait cycle was positively change in all subjects. Lastly, the static balance ability improved in all subjects. Conclusion: According to the results above, the complex exercise program for students with forward head posture can help improve the postural change, gait and balance ability. Also, the complex exercise program was able to select interventions depending on the patient's condition and the desired goal.

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Clinical Usefulness of M-test on Patients with Chronic Neck Pain: A Single Arm Pre-post Comparison Study (M-test에 근거한 만성 경항통 환자의 진단 및 치료: 전후비교 임상연구)

  • Cho, Woo-Young;Chung, Seok-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.4
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    • pp.67-75
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    • 2016
  • Objectives The purpose of this study was to investigate the clinical usefulness of M-test (Meridian test) as an adjunctive evaluation and treatment in patients with chronic neck pain. Methods This study was a single arm pre-post comparison study. Thirty-six eligible subjects with chronic neck pain were recruited from August to September, 2015. M-test was used for evaluating the condition of meridian, which can induce the limitation of ROM and body discomfort. Subjects were offered intradermal acupuncture treatment on one-acupoint for 48 hours. Cervical numeric rating scale (NRS), cervical range of motion (ROM), neck disability index (NDI) and surface electromyography (SEMG) were measured before and after the treatment. Total NRS and the number of movement limitation of M-test were also measured before and after the treatment. Results Among the 36 participating subjects, 4 subjects were lost to follow-up or excluded in accordance with the criteria. Significant differences on Cervical NRS and NDI were found after the treatment (p<0.001). There was a significant difference in the range of left cervical rotation (p<0.05). Root mean square (RMS) of SEMG significantly decreased on the right sternocleidomastoid muscle (p<0.05), but significantly increased on the right trapezius muscle (p<0.05). Median frequency (MdF) of SEMG significantly increased on both sternocleidomastoid muscles. There appears to be significant differences after the treatment in total NRS and the number of movement limitation of M-test (p<0.05). Conclusions These results suggest that the evaluation and treatment of M-test based on the meridian and collateral theory were effective on cervical NRS and NDI, and also improved the movability of human body.

Using Genre Rating Information for Similarity Estimation in Collaborative Filtering

  • Lee, Soojung
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.12
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    • pp.93-100
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    • 2019
  • Similarity computation is very crucial to performance of memory-based collaborative filtering systems. These systems make use of user ratings to recommend products to customers in online commercial sites. For better recommendation, most similar users to the active user need to be selected for their references. There have been numerous similarity measures developed in literature, most of which suffer from data sparsity or cold start problems. This paper intends to extract preference information as much as possible from user ratings to compute more reliable similarity even in a sparse data condition, as compared to previous similarity measures. We propose a new similarity measure which relies not only on user ratings but also on movie genre information provided by the dataset. Performance experiments of the proposed measure and previous relevant measures are conducted to investigate their performance. As a result, it is found that the proposed measure yields better or comparable achievements in terms of major performance metrics.

Evaluation of the rehabilitation system with active load control by using EMG biofeedback (재활운동을 위한 능동형 근전도 바이오피드백 시스템 평가)

  • Jung, H.D.;Kim, J.Y.;Lee, Y.H.;Mun, C.W.;Mun, C.S.;Choi, H.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.1
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    • pp.51-58
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    • 2012
  • In this study, the active exercise load control system was developed that monitors patient's muscular condition based on EMG signals and controls the load by biofeedback in real-time. In order to select appropriate muscular parameter for the system, the pre-exercise test was performed to obtain EMG signals from healthy 12 males. Subsequently, the main exercise test was performed to evaluate the active exercise load control system based on IEMG: a selected muscular parameter, on healthy 10 males without musculoskeletal disorder. The accuracy and availability of developed system were confirmed through observing changes between exercise load and IEMG. A correlation was analyzed between the fatigue of muscles and RPE indicating the individual subjective fatigue. As a result, the active exercise load control system that was suggested in this study could be useful to control the initial load-balancing and the amount of exercise appropriate for individual in rehabilitation exercise therapy.

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Comparison on the Driver Characteristics and Subjective Workload according to the Road Direction Change using Driving Simulator (도로주행방향 변화에 따른 운전 특성 및 주관적 부하의 운전 시뮬레이터 기반 비교 평가)

  • Jeon, Yong-Wook;Daimon, Tatsuru;Kawashima, Hironao;Kwon, Kyu-Sik
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.32 no.1
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    • pp.26-33
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    • 2009
  • The directions of the road are divided into two, the right-hand side and left-hand side of the road, by the convention and specific native method in the world. This paper deals with the characteristics and behaviors of drivers who are accustomed to driving on right-hand side of the road, drive with a handle on the left-hand side, and comparing with left-hand side drivers. The driver's eye movements were measured by eye camera and questionnaires were used for measuring subjective evaluation such as driving mental workload. The experimental results indicated even if the experts who had much experience on right-hand side driving, they had lower driving skill than novice driver, accustomed to driving on left-hand side. In terms of mental workload, MCH rating scale and MNASA-TLX, the right-hand side drivers were in lower stress condition than the left-hand side drivers because of having much driving experience. However, they conducted a few mistakes by confusing the position of turn signal and windshield wiper because of their driving habit or traits and it lead to operation mistakes. These results can be applied effectively to develop the driving support information with changed environments.

Prototype Development of 3-Phase 3.3kV/220V 6kVA Modular Semiconductor Transformer (3상 3.3kV/220V 6kVA 모듈형 반도체 변압기의 프로토타입 개발)

  • Kim, Jae-Hyuk;Kim, Do-Hyun;Lee, Byung-Kwon;Han, Byung-Moon;Lee, Jun-Young;Choi, Nam-Sup
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.62 no.12
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    • pp.1678-1687
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    • 2013
  • This paper describes a prototype of 3-phase 3.3kV/220V 6kVA modular semiconductor transformer developed in the lab for feasibility study. The developed prototype is composed of three single-phase units coupled in Y-connection. Each single-phase unit with a rating of 1.9kV/127V 2kVA consists of a high-voltage high-frequency resonant AC-DC converter, a low-voltage hybrid-switching DC-DC converter, and a low-voltage hybrid-switching DC-AC converter. Also each single-phase unit has two DSP controllers to control converter operation and to acquire monitoring data. Monitoring system was developed based on LabView by using CAN communication link between the DSP controller and PC. Through various experimental analyses it was verified that the prototype operates with proper performance under normal and sag condition. The system efficiency can be improved by adopting optimal design and replacing the IGBT switch with the SiC MOSFET switch. The developed prototype confirms a possibility to build a commercial high-voltage high-power semiconductor transformer by increasing the number of series-connected converter modules in high-voltage side and improving the performance of switching element.