• 제목/요약/키워드: Condition rating

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Managing Mental Health during the COVID-19 Pandemic: Recommendations from the Korean Medicine Mental Health Center

  • Hyo-Weon Suh;Sunggyu Hong;Hyun Woo Lee;Seok-In Yoon;Misun Lee;Sun-Yong Chung;Jong Woo Kim
    • The Journal of Korean Medicine
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    • 제43권4호
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    • pp.102-130
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    • 2022
  • Objectives: The persistence and unpredictability of coronavirus disease (COVID-19) and new measures to prevent direct medical intervention (e.g., social distancing and quarantine) have induced various psychological symptoms and disorders that require self-treatment approaches and integrative treatment interventions. To address these issues, the Korean Medicine Mental Health (KMMH) center developed a field manual by reviewing previous literature and preexisting manuals. Methods: The working group of the KMMH center conducted a keyword search in PubMed in June 2021 using "COVID-19" and "SARS-CoV-2". Review articles were examined using the following filters: "review," "systematic review," and "meta-analysis." We conducted a narrative review of the retrieved articles and extracted content relevant to previous manuals. We then created a treatment algorithm and recommendations by referring to the results of the review. Results: During the initial assessment, subjective symptom severity was measured using a numerical rating scale, and patients were classified as low- or moderate-high risk. Moderate-high-risk patients should be classified as having either a psychiatric emergency or significant psychiatric condition. The developed manual presents appropriate psychological support for each group based on the following dominant symptoms: tension, anxiety-dominant, anger-dominant, depression-dominant, and somatization. Conclusions: We identified the characteristics of mental health problems during the COVID-19 pandemic and developed a clinical mental health support manual in the field of Korean medicine. When symptoms meet the diagnostic criteria for a mental disorder, doctors of Korean medicine can treat the patients according to the manual for the corresponding disorder.

Mindfulness-based Practices in Workers to Address Mental Health Conditions: A Systematic Review

  • Quentin Durand-Moreau;Tanya Jackson;Danika Deibert;Charl Els;Janice Y. Kung;Sebastian Straube
    • Safety and Health at Work
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    • 제14권3호
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    • pp.250-258
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    • 2023
  • The effectiveness of mindfulness techniques in addressing mental health conditions in workers is uncertain. However, it could represent a therapeutic tool for workers presenting with such conditions. Our objective was to assess the effects of mindfulness-based practices for workers diagnosed with mental health conditions. We conducted a systematic review of randomized controlled trials. Participants included were workers with a mental health condition. Interventions included any mindfulness technique, compared to any nonmindfulness interventions. Outcomes were scores on validated psychiatric rating scales. A total of 4,407 records were screened; 202 were included for full-text analysis; 2 studies were included. The first study (Finnes et al., 2017) used Acceptance and Commitment Therapy (ACT) associated or not with Workplace Dialogue Intervention (WDI), compared to treatment as usual. At 9 months follow-up, for the ACT group, depression scores improved marginally (standardized mean difference [SMD]: -0.06, p = 0.021), but anxiety scores were worse (SMD: 0.15, p = 0.036). Changes in mental health outcomes were not statistically significant for the ACT + WDI group. In the second study (Grensman et al., 2018), no statistically significant change in mental health scales has been observed after completion of mindfulness-based cognitive therapy compared to cognitive behavioral therapy. Substantial heterogeneity precluded meta-analysis. This systematic review did not find evidence that mindfulness-based practices provide a durable and substantial improvement of mental health outcomes in workers diagnosed with mental health conditions.

A Case Study of A Patient Complaining of Disequilibrium Due to Proprioceptive Disorder (고유수용감각이상으로 인한 균형장애를 호소하는 환자 치험 1례)

  • Kyeong-Hwa Lee;Hye-Min Heo;Dong-Ju Kim;Hye-Jin Lee;Seung-Yeon Cho;Seong-Uk Park;Jung-Mi Park;Chang-Nam Ko
    • The Journal of the Society of Stroke on Korean Medicine
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    • 제24권1호
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    • pp.1-12
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    • 2023
  • ■Objectives This work reports the case of a patient complaining of disequilibrium due to proprioceptive disorder whose condition improved following Korean medicine treatment. ■Methods The patient was hospitalized for 15 days and treated with herbal medicine, mainly doinseunggi-tang-gami, and acupuncture, electroacupuncture, and moxibustion. Disequilibrium was clinically estimated using Korean dizziness handicap inventory(K-DHI) and the patient's subjective discomfort in this regard was also checked by numeral rating scale. The degree of improvement in blood stasis syndrome was evaluated using modified Blood Stasis Questionnaire II(modified BSQ-II) to assess the clinical effects of the treatment. ■Results After treatment, the K-DHI classification improved from severe to mild, and the patient's subjective discomfort was greatly improved from NRS 6 to NRS1. In addition, the degree of improvement in blood stasis syndrome improved from blood stasis group to blood stasis risk group compared to time of admission. ■Conclusion These results suggest that Korean medicine is effective in treating disequilibrium caused by proprioceptive disorder.

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Connection between Acoustical Parameters and Solo Performance on a Concert Hall Stage (콘서트홀 무대에서 음향지표와 독주 연주와의 상관관계)

  • Kim, Yong-Hee;Lee, Chang-Woo;Seo, Chun-Ki;Jeon, Jin-Yong
    • The Journal of the Acoustical Society of Korea
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    • 제27권6호
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    • pp.296-302
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    • 2008
  • This study investigated that the preference model of soloist performers for both vocal and instrumental types in terms of a stage support parameter, ST1. The test was carried out on a stage of a fan-shaped multi-purpose hall with orchestra shell. Objective measurements were carried out at 15 positions on the stage to evaluate various stage condition. The results showed that ST1 varies between -19.9 and -11.3 dB. Vocal and instrumental players participated in performance evaluation test as they played at 5 selected positions according to ST1 values. Players' preference was evaluated by 5-point rating and rank ordering method. As a result, it was found that the preference model of vocalist is different from that of instrumentalist. It was also found that the ST1 does not correlate well with the performer's preference.

Exercise Using Isokinetic Strength Training Equipment and Physical Function Improvement

  • Hyon-Min Tae;Su-Yeong Eom;Byoung-Kwon Lee;Dae-Sung Park
    • Physical Therapy Rehabilitation Science
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    • 제13권1호
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    • pp.8-17
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    • 2024
  • Objective: This study aims to explore the relationship between isokinetic strength training and the enhancement of physical function in older adults. It also evaluates the effectiveness of isokinetic strength training equipment. Method: This study randomly divided twenty healthy adults into two groups.The experimental group engaged in isokinetic strength training for 30 minutes, three times a week, over a four-week period. In contrast, the control group did not participate in any exercise regimen. We assessed several outcome measures including physical functions (sit-to-stand test, flexibility, Timed Up and Go test), grip strength, balance, thigh circumference, the Korean version of the Patient Health Questionnaire-9 (PHQ-9), and the Korean version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Additionally, the experimental group's self-perceived improvement in lower limb condition was evaluated using the Global Rating of Change (GROC) scale. Results: The experimental group showed significant improvements compared to the control group in various aspects: reduced sit-to-stand test duration (7.00±2.05 seconds), increased flexibility (4.69±3.90 cm), improved grip strength (1.54±1.74 kg), increased thigh circumference (left: 1.29±1.19 cm, right: 1.19±1.27 cm), enhanced Timed Up and Go test performance (-1.47±0.86 seconds), better balance (eyes open stance: -8.08±4.03 cm, eyes closed stance: -0.27±0.13 cm/s), and a decrease in depression severity (-0.15±1.51 points). Furthermore, significant increases were observed in the experimental group's maximal isokinetic strength at 90°/s for both flexion (19.62±7.03 Nm) and extension (19.60±14.65 Nm) over the study period. Conclusion: The findings suggest that isokinetic strength training equipment can significantly enhance physical functions in seniors when incorporated into an exercise regimen.

Clinical Features Affecting the Efficacy of Systemic Clonazepam for Management of Burning Mouth Syndrome (구강작열감증후군의 치료를 위한 전신적 클로나제팜의 투여 시 환자의 임상적 특징에 따른 효능의 차이에 관한 연구)

  • Min, Bo-Kyong;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • 제37권3호
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    • pp.161-167
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    • 2012
  • Burning mouth syndrome(BMS) is defined as chronic, painful burning sensation in the oral mucosa. Treatments for BMS include medication and psychiatric interventions. Capsaicin, alpha-lipoic acid, and topical and systemic clonazepam showed more effective in reducing the symptoms of BMS in the previous studies. The purpose of this study is to evaluate of the therapeutic efficacy of systemic clonazepam in BMS and to elucidate the relationships between such a efficacy and various clinical features, including age, pain intensity, pain duration, previous dental history and condition of oral mucosa. A retrospective clinical records audit was performed of patients diagnosed with BMS between January 2011 and August 2012. Patients were prescribed 0.5 mg clonazepam two times daily. Pain was assessed by patients on an 11-point numeric rating scale (NRS; 0 to 10) before and 1-2 weeks after systemic administration of clonazepam. The efficacy of clonazepam was evaluated in terms of patient's age, initial pain intensity, pain duration, presence or absence of precipitating event, condition of the tongue, presence or absence of denture. A total of 50 patients (46 women, 4 men) were included in this study. The patients were divided into two or three groups according to above clinical features. The amount of mean NRS reduction in patients with severe initial pain was $3.33{\pm}2.74$, whereas that in patients with mild initial pain was $1.64{\pm}1.54$. The amount of mean NRS reduction in oldest patients was $3.53{\pm}1.94$ (${\geq}$70yrs), and those in another younger patients were $2.88{\pm}1.80$(< 60yrs) and $1.54{\pm}2.86$(60yrs ${\leq}$ age < 70yrs), respectively. It was concluded that the older patients and the patients with higher intensity of initial pain tend to show better efficacy of clonazepam. However, There were no statistically significant differences according to pain duration, presence or absence of precipitating events, tongue fissuring, and wearing dentures.

Policy Directions to Build on Nature-Friendly Park Facilities - Based on an Evaluation on the Nature-Friendliness of Park Facilities in National Parks - (자연친화적인 공원시설 설치를 위한 정책방향 - 국립공원 공원시설의 자연친화성 평가를 근거로 -)

  • Park, Chang-Sug;Bae, Min-Ki;Kim, Tae-Jin
    • Journal of the Korean Institute of Landscape Architecture
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    • 제37권5호
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    • pp.1-12
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    • 2009
  • The purpose of this research was to propose policy directions for the design and construction of nature-friendly park facilities (PF) in national parks. In order to do that, nature-friendliness evaluation indicators(NEIs) used in green building rating systems and related articles were reviewed. After the initial literature review was complete, NEIs for park facilities based on location, design, construction, operation, and management sectors were developed. Data was obtained through a questionnaire completed by 79 managers at 19 national parks in Korea in 2008. The answers were analyzed using descriptive statistical methods, a t-test, a multi-dimensional analysis, and a factor analysis. This research found that: 1) The results indicated that based on relative weight calculation, the location condition was evaluated as the most important; 2) The evaluation results regarding the degree of nature-friendliness of park facilities showed that location condition was ranked higher than design and construction--in addition, the evaluated values of indicators related to energy efficiency were ranked the lowest; 3) the level of nature-friendliness of shelter was given the highest level, but resting facility was the lowest level; 4) Overall, park facilities at Mt. Seorak, Mt. Odae, and Taean Coast national parks showed high levels of nature-friendliness. But park facilities at Mt. Gyeongju and Mt. Songni national parks showed low levels of nature-friendliness. The results of this research shall contribute to the establishment of tailor-made management policies, the development of detailed guidelines for increased energy efficiency and visitor satisfaction, and the preservation of ecosystems and natural resources in Korea's national parks.

Analysis of error source in subjective evaluation results on Taekwondo Poomsae: Application of generalizability theory (태권도 품새 경기의 주관적 평가결과의 오차원 분석: 일반화가능도 이론 적용)

  • Cho, Eun Hyung
    • Journal of the Korean Data and Information Science Society
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    • 제27권2호
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    • pp.395-407
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    • 2016
  • This study aims to apply the G-theory for estimation of reliability of evaluation scores between raters on Taekwondo Poomsae rating categories. Selecting a number of game days and raters as multiple error sources, we analyzed the error sources caused by relative magnitude of error variances of interaction between the factors and proceeded with D-study based on the results of G-study for optimal determination of measurement condition. The results showed below. The estimated outcomes of variance component for accuracy among the Taekwondo Poomsae categories with G-theory showed that impact of error was the biggest influence factor in raters conditions and in order of interaction in subjects and between subjects, also impact of variance component estimation error on expression category was the major influence factor in interaction and in order of the between subjects and raters. Finally, the result of generalizability coefficient estimation via D-study showed that measurement condition of optimal level depend on the number of raters was 8 persons of raters on accuracy category, and stable reliability on expression category was gained when the raters were 7 persons.

Analysis of Research for the Actual State and Management of Automated Horticultural Facilities (경북지역 현대화 원예시설의 관리실태 조사분석)

  • 정현교;이기명;박규식
    • Journal of Bio-Environment Control
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    • 제5권2호
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    • pp.174-186
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    • 1996
  • This study was carried out in order to understand the plan, design, constructing and actual condition of management of modernized horticultural facilities in Kyungpook Province which had been constructed from 1992 to 1995 funded by Government support. The aim of this study is to provide reference data for success of the forth project. It was performed by making up a question about driving of project and management condition of equipment after constructing. The results obtained from this study are as follows: 1. 73.5% of facilities horticulture farmhouse recognized that the prospect of greenhouse is bright, but 92.5% of the farmhouse also recognised that they need technical consultation on protected horticulture farming. Therefore, technical educations would must be enhanced about foundation of greenhouse and cultivation technique. 2. The holding times of explanatory meetings, cause of understanding to farmhouse, were one or two times in greenhouse construction, and 62.5% of the farmhouse expressed the insufficiency at the explanation and educational data. For this reason, it was judged that the construction contract had been delayed more than 5 months in 49.3% of the farmhouse after the decision of project budget. 3. In constructing after a contract, the rates of construction delay is 53.4% and defect occurrence is 41.1%. The biggest reasons of construction delay was insufficiency of worker and materials supply. Each percentage is 29.1%. And the reason of defect occurrence is badness of machinery equipment(62.9% ). 4. In management of greenhouse, a pipe-constructed plastic film greenhouse changes plastic film every one and three years because of sticking dust on plastic film. It was needed to about in cleaning technique of coverings. Because that used 3-5 years only half of the expected life span. 5. The order of broken rating in the subsidiary equipment is like this lollop ventilator (42.8%), a general control system(33.3%) especially, in the case of a general control system, the rate of all family can control is 52.7%. so, it is time to develop easy control equipment which every one could use as soon as possible. 6. When choose heat generator as decide capacity, the most priority is the mount of heat generator the percent is 45.5% heat generator and as decide model, the private purchase's percent is 77.3%. It is higher than a public bidding heat generator the percent is 22.7% heat generator when it compare with a public bidding. In the case of $CO_2$ generator, using rate is only 19.0%. The using rate is very low, so it needs education how to use depends on the way of the subsidiary equipment. 7. In the case of seedlings, it is asked to use factory-processed seedling effectively. because it's difficult to get security of labors(58.8%), hoped crops (55.9%) access same crops(29.4%) much more and changing of crops depends on market situation. that is the main reason the lack of knowhow.

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Trust Management and Privacy Protection for Mobile Digital ill Wallets (모바일 전자 ID 지갑에 적합한 신뢰 관리 및 개인 정보보호 방안)

  • Jang, Gong-Soo;Yun, Ju-Seung;Lee, Hang-Suk;Jung, Han-Wul;Park, Young-Su;Choi, Dea-Sun;Jin, Seung-Hun
    • Journal of KIISE:Information Networking
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    • 제36권4호
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    • pp.297-308
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    • 2009
  • In 2008, ETRI developed a new mobile digital ID wallet, in which anyone can store personal information and PKI credential. When the wallet is used, privacy protection is one of the most important problems and personal information should be protected under various usage scenarios such as exchanging sensitive information in on/off-line environments, joining as a new member in the web site, etc. In this paper, we propose a triangular trust management scheme that can effectively manage trustness and also protect sensitive personal information. This scheme relies on three techniques: PKI, reputation and condition (situation context). We implemented prototype of our scheme, and tested it under various scenarios, which showed that the proposed scheme can effectively be used for diverse cases.