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A Pilot Clinical Study on the Accuracy and Safety of Ultrasound-guided Gyeontonghyeol (BP-LE6) Acupuncture: A Prospective Randomized, Single Blinded Crossover Study

  • Kim, Jong Uk;Kim, Bo Hyun;Kim, Seok Hee;Shin, Jin Hyeon;Choi, Yoo Min;Song, Beom Yong;Yook, Tae Han;Jeon, Young Ju;Lee, Sanghun
    • Journal of Acupuncture Research
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    • v.36 no.4
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    • pp.272-276
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    • 2019
  • Background: The purpose of this study was to assess the accuracy and safety of procedures using ultrasound equipment for acupuncture treatment. Methods: A pilot, prospective randomized, single blinded, crossover clinical study on the accuracy and safety of ultrasound-guided Gyeontonghyeol (BP-LE6) acupuncture treatment was conducted. Patients (n = 13) with shoulder pain were randomly divided into 2 groups. During Visit 1, ultrasound-guided BP-LE6 acupuncture was administered to the experimental group. In the control group, patients received BP-LE6 acupuncture (without checking ultrasound images) by manipulating the ultrasound probe as if administering ultrasound-guided acupuncture. Visit 2 was arranged within 7-14 days and the remaining procedures, other than those administered in Visit 1, were performed. In both the experimental group and control group, the number of needle insertions, and time required for the treatment to result in the patients feeling de-qi was recorded. The numeric rating scale (NRS) score for shoulder pain was recorded before and after the acupuncture treatment. Results: The number of needle insertions was $5.31{\pm}3.50$ times in the experimental group, and $6.62{\pm}3.38$ times in the control group, however, there was no statistically significant difference between the groups (p > 0.05). The mean time required to perform the procedure was $151.54{\pm}48.59$ seconds in the experimental group and $86.69{\pm}37.17$ seconds in the control group, which was statistically significantly different (p < 0.05). The changes observed in numerical rating scale scores between groups were not statistically significantly different. Conclusion: Although there was no statistically significant difference, administering acupuncture using ultrasound guidance may lead to accurate needling with a reduced number of needle insertion attempts. A large-scale clinical study of better design should be conducted in the future.

A Study on the Web Service Quality and User Satisfaction at Open Market (오픈마켓의 웹서비스 품질과 사용자 만족)

  • Son, Yong-Shim;Seo, Chang-Gab
    • Journal of Digital Convergence
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    • v.11 no.6
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    • pp.113-127
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    • 2013
  • The open market are expanding service quality which was used as rating scale in the field of marketing. In accordance with open market, they convert it to e-service quality and use it. Udo et al.[6] suggested web service quality combining e-SEVQUAL[2] and extended Information Success Model[7]. This study suggests four influence factors of e-service quality in the open market; website privacy and security, web site contents, web site convenience, and images of the open market companies. The study conducted survey on 301 college students and life long education center students in Busan. The study found that all four influence factors have positive effects on the web service quality and ultimately web service quality has beneficial effects on the satisfaction in open market users' information system.

Development of 3,300V 1MVA Multilevel Inverter using Series H-Bridge Cell (3,300V 1MVA H-브릿지 멀티레벨 인버터 개발)

  • 박영민;김연달;이현원;이세현;서광덕
    • The Transactions of the Korean Institute of Power Electronics
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    • v.8 no.6
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    • pp.478-487
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    • 2003
  • In this paper, a type and special feature of Multi-level inverter used in medium-voltage and high-capacity motor driver is introduced. Especially, a power quality and structural advantages of H-Bridge Multi-level inverter is described. It presented the specific structure of power circuit, design method, controller composition and PWM techniques of the cascaded H-Bridge Multi-level inverter which is developed. The feasibility of the developed product based on 3,300V lMVA 7-level H-bridge inverter was studied by experiments and we get conclusion that 1)generate of near-sinusoidal output voltage; 2)is low dv/dt at output voltage; 3)reduce the harmonic injection at input; Experiment demonstrate that it is very economical in productivity because of using the existing production technique and examination equipment, and has the reliability and a good maintenance due to the structure of Power Cell unit combination as well as low cost IGBT.

The validity and reliability of the Healthy Lifestyle Screening Tool

  • Kim, Cheong Hoon;Kang, Kyung-Ah
    • Physical Therapy Rehabilitation Science
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    • v.8 no.2
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    • pp.99-110
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    • 2019
  • Objective: The aim of the present study was to develop a valid and reliable scale that measures the healthy life styles among young adults. Design: A methodological study design was employed to develop and validate the Healthy Lifestyle Screening Tool (HLST). Methods: The validity and reliability of the HLST were established in accordance with DeVellis' 8 steps guideline for tool development. The question items were generated based on literature reviews and interviews, which were then classified into 12 categories. The HLST was administered to 272 students attending a Korean university. The reliability was tested using Cronbach's alpha. The validity of the scale was examined with the mean inter-item correlations (MIIC) and factor analysis, and was also examined for content validity by experts. Results: The reliability of the HLST was found to be acceptable, as indicated by a Cronbach's alpha of 0.71. In the validity test, items with less than 80% "agreement" ratings on the content validity index by experts were revised. The MIIC values were greater than 0.25. A factor analysis of 36 items extracted 9 factors (i.e., four items per factor), which together explained 50.4% of the variance. The HLST consists of 36 items that measure 9 factors based on a 4-point Likert rating scale, with 4 items per factor, as follows: sunlight, water, air, rest, exercise, nutrition, temperance, trust, and general physical condition. High scores on the HLST are indicative of a healthy lifestyle (HL). Conclusions: The HLST is a valid and reliable scale that can be used to measure HL among young adults. Identification of HL by using the HLST can provide guidance to integrated therapeutic approaches along with conventional physical therapy.

Effect of 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands evaluated by quantitative sensory testing

  • Okayasu, Ichiro;Komiyama, Osamu;Ayuse, Takao;De Laat, Antoon
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.6
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    • pp.361-365
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    • 2018
  • Background: Recently, we examined the effects of 2% lidocaine gel on the tactile sensory and pain thresholds of the face, tongue and hands of symptom-free individuals using quantitative sensory testing (QST); its effect was less on the skin of the face and hands than on the tongue. Consequently, instead of 2% lidocaine gel, we examined the effect of 8% lidocaine spray on the tactile sensory and pain thresholds of the skin of the face and hands of healthy volunteers. Methods: Using Semmes-Weinstein monofilaments, QST of the skin of the cheek and palm (thenar skin) was performed in 20 healthy volunteers. In each participant, two topical sprays were applied. On one side, 0.2 mL of 8% lidocaine pump spray was applied, and on the other side, 0.2 mL of saline pump spray was applied as control. In each participant, QST was performed before and 15 min after each application. Pain intensity was measured using a numeric rating scale (NRS). Results: Both the tactile detection threshold and filament-prick pain detection threshold of the cheek and thenar skin increased significantly after lidocaine application. A significant difference between the effect of lidocaine and saline applications was found on the filament-prick pain detection threshold only. NRS of the cheek skin and thenar skin decreased after application of lidocaine, and not after application of saline. Conclusion: The significant effect of applying an 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands can be objectively scored using QST.

Ecological Green Roofs in Germany

  • Kohler, Manfred
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.7 no.4
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    • pp.8-16
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    • 2004
  • The industrialization of central Europe more than 100 ago marked the beginning of densely concentrated buildings in quickly growing cities. A cheap type of roofing material of that time was tar. But it was dangerous because it was high inflammable. Then some roofer had a splendid idea. They used sandy material as a final layer atop the impermeable tar layer. These roofs were much more fire resistant than the typical roofs. In this sandy layer some plant species began to grow spontaneously. This was the beginning of the green roof history of modern Europe. A number of these green roofs survived both world wars. In the early 80's in Berlin alone, 50 such buildings existed and they continued to be waterproof until the present day. Since the 1992 Earth Summit of 1992 in Rio de Janeiro(http://www.johannesburgsummit.org/html/basic_info/unced.html) the term "sustainable development" became of central interest of urban designers. In city regions green roofs had become synonymous with this term. With a small investment, long-lasting roofs can be created. Further back in history, more exciting examples of green roofs can be found. The hanging gardens of antiquity are well-known. There are also green roofs built as insulation against cold and heat all over the world. For over 20 years, roof greening in central Europe has been closely examined for various reasons. Roof greening touches several different disciplines. Of primary interest is the durability of the roofs. But ecologists are also interested in green roofs, for instance in biodiversity research. The beneficial effect of greening on water proofing was also proven. For some time, the issue of fire protection was investigated. According to tests, green roofs received a harsh careful rating. Their fire protective property is considered similar to that of tile roofs. Another recent impulse for the green roof movement in Germany has come from the evident improvement of storm water retention and the reduced burden on the sewer system. The question of whether and how much energy green roofs can save has become an urgent question. The state of the research and also various open questions from a central European point of view will be discussed in the context of international collaboration. Apart from academic considerations, those who involve themselves in this issue take a predominantly positive view of the numerous existing green roofs in Germany. In some cities, green roofs are the typical construction technique for new buildings. A few outstanding examples will conclude this review. In Germany, about 20 companies, some of which operate internationally, specialize in green roof consulting. Learning from each other in an open-ended way with respect to different construction techniques and applications in various climatic regions can only be accomplished through such international collaboration as is taking place here.