• Title/Summary/Keyword: EQ_5D

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The Association between Health-related Quality of Life and Depression on Activity Restriction in Osteoarthritis: A Cross-sectional Study

  • Lee, Do-Youn;Kim, Seong-Gil
    • The Journal of Korean Physical Therapy
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    • v.32 no.6
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    • pp.329-334
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    • 2020
  • Purpose: The purpose of this study is to provide basic evidence on the need to approach osteoarthritis patients through a psychological factors-considering rehabilitation program by understanding how activity restrictions in osteoarthritis affect health-related quality of life and depression. Methods: This study assessed 3,761 osteoarthritis patients from the Korea National Health and Nutrition Examination Survey. The subjects were divided into two categories: with and without activity restriction. Results: The prevalence of osteoarthritis in women was higher than that of men (men: 19.7%; women: 80.3%), and high BMI increased the prevalence of osteoarthritis. The EQ-5D index of subjects with activity restriction was 0.84±0.18 (points), while in those without activity restriction was 0.93±0.12, and the diagnosis of depression was 15.8%, 8.2%. There was a statistically significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with activity restriction was 2.098 compared with no activity restriction. Conclusion: Activity restriction of osteoarthritis patients significantly decreases the health-related quality of life and increase the probability of depression. Therefore, early diagnosis of depression symptoms to prevent deterioration of symptoms in patients with osteoarthritis and to increase compliance with rehabilitation treatment, and to provide arbitration, including treatment that can alleviate depression.

Korean Medicine Treatments for Depression Induced by Plica Syndrome Operation and Worsen by Traffic Accident: A Case Report (추벽증후군 수술 후 발생하여 교통사고 후 심화된 우울증에 대한 한의학적 치료 1례)

  • Jin-Young Kang;Chae-Won Son;Eun-Sol Kang;Joon-shik Shin;Byung-mo Park
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.445-452
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    • 2023
  • Objectives: The purpose of this study is to report the efficacy of using Korean medicine treatment for depression induced by Plica syndrome operation and worsen by a traffic accident. Methods: We treated a patient's depression with Korean medicine treatments (Uwhangchungsimwon, acupuncture, pharmacoacupuncture, cupping, moxibustion, interferential current therapy). To evaluate the results of this treatment, we measured Beck Depression Inventory (BDI), EuroQol-Five Dimensions (EQ-5D), Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results: Improvements of BDI, EQ-5D, NRS, ODI and WOMAC were observed after the treatments. Conclusions: This study suggests that Korean medicine treatment for depression may be effective.

Capacity Evaluation of Composite Beams Composed of End-Reinforced Concrete and Center-Steel (단부 RC조 중앙부 S조로 이루어진 합성보의 내력 평가)

  • Lee, Seung Jo;Park, Jung Min;Kim, Ki Wook;Kim, Wha Jung
    • Journal of Korean Society of Steel Construction
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    • v.17 no.2 s.75
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    • pp.151-159
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    • 2005
  • This study investigated the capacity evaluation of composite beam of the end-reinforced concrete, the center steel with attached main-bar of stud-bolt welting and flange with main parameter, such as shear span depth ratio (a/d=1.5, 2.5, 3.5), reinforcing method, reinforcing length, and steel main-bar ratio. The test results are summarized as follows: As the RC section becomes longer, the capacity ratio of Vsrc, test/Vsrc, the gradually decreased, with the tendency of decrease being remarkably more than a/d=3.5. The reinforcing method showed superior result both vertically and horizontally. And, capacity increase ratio displayed tendency that main-bar fixing length is obvious in 0.15L, and underestimate experimental value usually in Vsrc, Eq(3)~(5) equation. The capacity estimation was proposed equation by regression analysis with change of shear span depth ratio and main-bar fixing, steel main-bar ratio.

Comparison of Greenhouse Gas Emission from Liquid Swine Manure According to Aeration Levels in Summer (돈분뇨 액비의 폭기수준에 따른 여름철 온실가스 배출량 비교)

  • Choi, Dong-Yoon;Park, Kyu-Hyun;Cho, Sung-Back;Yang, Seong-Hak;Hwang, Ok-Hwa;Kwag, Jung-Hoon;Ahn, Hee-Kwon;Yoo, Yong-Hee
    • Journal of Animal Environmental Science
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    • v.17 no.3
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    • pp.163-170
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    • 2011
  • This study was carried out to investigate greenhouse gas (GHG), $CH_4$ and $N_2O$, emission from liquid swine manure according to aeration levels in summer. To evaluate the influence of operation methods on GHG emissions, liquid swine manure were applied with different rates of aeration (store without aeration, $1m^3/ton/h$, $2.5m^3/ton/h$, and $5m^3/ton/h$). Following are the results of this study. The liquid swine manure applied no aeration, $1m^3/ton/h$, $2.5m^3/ton/h$, and $5m^3/ton/h$ aeration rates released 315.6, 13.9, 17.9 and $9.6{\mu}g/m^2/s$ of $CH_4$ and 0.173, 0.157, 0.131, and $0.241{\mu}g/m^2/s$ of $N_2O$, respectively. Liquid swine manure applied no aeration released the most amount of GHG ($6,681.4{\mu}g/m^2/s$ $CO_2$-Eq.) and followed by $5m^3/ton/h$ ($276.4{\mu}g/m^2/s$ $CO_2$-Eq.), $2.5m^3/ton/h$ ($416.0{\mu}g/m^2/s$ $CO_2$-Eq.), and $1m^3/ton/h$ ($340.8{\mu}g/m^2/s$ $CO_2$-Eq.). Our results reveal that the aerated system may reduce GHG emissions compared to no aeration. Consequently, aeration and mixing were effective at reducing GHG emissions during liquid swine manure storage.

Examination of Method of an Aircraft Noise Reduction -Mainly the Window Installation Conditions- (항공기소음 저감방안에 대한 검토 -창호설치조건을 중심으로-)

  • Yang, Jae-Hoon;Kim, Kyoung-Woo;Yang, Kwan-Seop
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2008.04a
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    • pp.260-263
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    • 2008
  • 공항에 인접한 주거지역에서 항공기 소음문제로 인하여 거주자들에게 소음피해가 발생하고 있다. 이러한 항공기소음을 저감하기 위한 방법 중 건물외피를 차음성능이 높은 구조로 변경하여 건축물의 차음량을 개선시키는 수음원 대책이 일반적으로 사용되고 있다. 특히 건축물 방음시설 설치는 건물외피 중 외부소음에 가장 취약한 창호의 차음량을 증가시키는 것이 효과적인데, 본 연구에서는 기존 창호에 비하여 차음성능이 높은 창호를 교체 설치하여 건축물의 차음량 개선치를 $L_{max}$, SEL, $L_{eq}$로 각각 검토 비교함과 동시에 창호의 기밀성능을 위한 기밀재 및 추가 모헤어의 설치조건에 따른 차음성능을 검토해 보았다. 측정결과 방음시설 설치 후 항공기소음을 $L_{max}$, SEL, $L_{eq}$로 차음량 개선치를 각각 평가한 결과 1.8dB 이내의 편차를 갖는 것으로 나타났으며, 창의 차음성능 개선치는 기밀재 설치 후 $R'45^{\circ}$,w가 5dB, 기밀재 및 추가 모헤어 설치 후 8dB로 나타났다.

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Development of Main Steam Line Break Mass and Energy Release Analysis with RETRAN-3D Code

  • Park, Young-Chan;Kim, Yoo
    • Journal of Energy Engineering
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    • v.12 no.2
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    • pp.93-100
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    • 2003
  • An estimation methodology of the mass and energy (M/E) release due to the main steam line break (MSLB) has been developed with the RETRAN-3D code. In the case of equipment qualification (EQ), the over-estimated temperature would exceed the design limits of some cables or valves. In order to have a more flexible EQ profiles from the MSLB M/E release, the methodology with the best-estimated code was used. The major conditions affecting the MSLB M/E were found to be the initial SG level, heat transfer between primary and secondary sides, power level, operable protection system, main or auxiliary feedwater availability, and break conditions. The RETRAN-3D models were developed for the Kori unit 1 (KRN-1) which is typical two loop Westinghouse (WH) designed plant. Particularly, a detailed model of the steam generators was developed to estimate a more realistic two-phase heat transfer effect of the steam flow. After the modeling, the methodology has been developed through the sensitivity analyses. The M/E release data generated from the analyses have been used as the input to the inside containment pressure and temperature (P/T) analysis. According to the results at the point of view containment P/T, the Kori unit 1 can have more margin of 5∼15 ㎪ in pressure and 8∼15$^{\circ}C$ in temperature.

The Association between Resistance Exercise Frequency, Muscular Strength, and Health-Related Quality of Life in Korean Cancer Patients: The Korea National Health and Nutrition Examination Survey (KNHANES) 2014-2016 (한국 암환자들의 근력운동 빈도, 근력과 건강관련 삶의 질과의 관계: 국민건강영양조사 2014-2016년)

  • An, Ki-Yong;Kang, Dong-Woo;Min, Ji Hee
    • 한국체육학회지인문사회과학편
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    • v.57 no.5
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    • pp.269-279
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    • 2018
  • The purpose of this study is to examine the association between resistance exercise frequency, muscular strength, and health-related quality of life in Korean cancer patients. We performed complex sample general linear model and logistic regression analysis using data from a total of 647 cancer patients in the 2014~2016 Korean National Health and Nutrition Examination Survey (KNHANES). Participants who were participating in resistance exercise 0~1 day per week had lower EQ-5D index (0.852±0.016 vs. 0.890±0.020; p=0.006) and a significantly higher risk of having problems in mobility (Odd ratio[OR]=4.07; 95% confidence interval [CI]=1.31-12.63) compared to those who were participating in resistance exercise ≥ 5 days per week. Participants with low hand-grip strength had lower EQ-5D index (0.850±0.018 vs. 0.911±0.016; p<0.001) and a significantly higher risk of having problems in mobility (OR=4.94, 95% CI=2.14-11.41), usual activities (OR=5.18, 95% CI=1.56-17.14), and pain/discomfort (OR=2.46, 95% CI=1.33-4.55) compared to those with high hand-grip strength. This study showed that resistance exercise frequency and muscular strength were associated with health-related quality of life in Korean cancer patients.

A Case Report of Complex Korean Medicine Treatment Including Modified Gamiguibi-tang in a Paraneoplastic Cerebellar Degeneration Patient with Dysarthria and Weakness of Distal Extremity (구음장애와 사지원위부 무력감을 호소하는 신생물딸림소뇌변성 환자에 대한 가미귀비탕가감방을 포함한 한의복합치료 1례)

  • Ji-hyeon Kang;Seo-hyun Kim;Chae-eun Kim;Hee-ju Won;Kyungmin Baek
    • The Journal of Internal Korean Medicine
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    • v.45 no.3
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    • pp.497-507
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    • 2024
  • Objectives: This study investigated the treatment response to Korean medicine of a paraneoplastic cerebellar degeneration (PCD) patient with dysarthria and weakness of distal extremity. Case presentation: A 53-year-old female diagnosed with PCD complained of dysarthria and weakness of distal extremity. During 32-day hospitalization, she was treated with Korean medicine, namely, herbal medicine (modified Gamiguibi-tang), acupuncture (15 minutes twice a day at CV23, HT7, LI4, LR3, ST36, SP6, GB20, TE17, PC6, GV20, Ex-HN1, GV24 etc.), moxibustion, and cupping, combined with Western medicine (prednisolone, azathioprine) and physical therapy. Post-treatment, the patient global assessment (PGA) score of dysarthria fell from 100 to 60; grasp power rose from 15 kg to 19 kg and 13 kg to 17 kg in the right and left hands, respectively; and the 5-level EQ-5D version (EQ-5D-5L), EQ visual analogue scale (EQ-VAS), and Beck depression inventory (BDI-II) scores changed from 10 to 8, 0 to 80, and 34 to 7 respectively. Follow-up visits continued for about a month after discharge, improvement in symptoms maintained, and there were no significant side effects. Conclusions: Given the lack of standard treatment for PCD, Korean medicine can be tried clinically for the treatment of PCD patients with dysarthria and weakness of distal extremity. However, further studies with control groups are needed.

Golf participation after rotator cuff repair: functional outcomes, rate of return and factors associated with return to play

  • Thomas R Williamson;Patrick G Robinson;Iain R Murray;Andrew D Murray;Julie M McBirnie;C Michael Robinson;Deborah J MacDonald;Nicholas D Clement
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.109-116
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    • 2023
  • Background: Golf is a popular sport involving overhead activity and engagement of the rotator cuff (RC). This study aimed to determine to what level golfers were able to return to golf following RC repair, the barriers to them returning to golf and factors associated with their failure to return to golf. Methods: Patients preoperatively identifying as golfers undergoing RC repair at the study centre from 2012 to 2020 were retrospectively followed up with to assess their golf-playing status, performance and frequency of play and functional and quality of life (QoL) outcomes. Results: Forty-seven golfers (40 men [85.1%] and 7 women [14.9%]) with a mean age of 56.8 years met the inclusion criteria, and 80.1% were followed up with at a mean of 27.1 months postoperatively. Twenty-nine patients (76.3%) had returned to golf with a mean handicap change of +1.0 (P=0.291). Golf frequency decreased from a mean of 1.8 rounds per week preinjury to 1.5 rounds per week postoperatively (P=0.052). The EuroQol 5-dimension 5-level (EQ-5D-5L) index and visual analog scale (EQ-VAS) score were significantly greater in those returning to golf (P=0.024 and P=0.002), although functional outcome measures were not significantly different. The primary barriers to return were ipsilateral shoulder dysfunction (78%) and loss of the habit of play (22%). Conclusions: Golfers were likely (76%) to return to golf following RC repair, including mostly to their premorbid performance level with little residual symptomatology. Return to golf was associated with a greater QoL. Persistent subjective shoulder dysfunction (78%) was the most common barrier to returning to golf.

5 Cases of Patients with Multiple Fractures of Ribs after a Traffic Accident who Improved with the Combination of Korean Medical Admission Treatment: Case Series (교통 사고로 발생한 다발 늑골 골절 환자의 한방복합입원치료로 호전된 증례 보고 5례)

  • Lee, Ji-won;Roh, Ji-ae;Choi, Gyu-cheol;Kim, Dong-jin;Hong, Jeong-su;Kim, Gook-beom;Kim, Hyo-jun;Kim, Sun-a;Kim, Hye-gyeong;Jeong, Wu-jin
    • The Journal of Internal Korean Medicine
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    • v.40 no.3
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    • pp.506-516
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    • 2019
  • Objectives: This study aimed to report five patients who had multiple rib fractures after a traffic accident who improved with the combination of Korean medical admission treatment. Methods: We collected the data of traffic accident patients with multiple rib fractures who were admitted to the Daejeon Jaseng Hospital of Korean Medicine from April 2018 to May 2018 to receive the combinational Korean medical treatment. We observed these cases of patients treated by Acupuncture, Pharmacopuncture, Herbal medicine, Oriental physical therapy, Chuna treatment. We measured the validity of the treatment with a numerical rating scale (NRS) and the European Quality of Life-5 Dimension (EQ5D) at admission, at two weeks, and at the discharge date of hospitalization. Results: At the end of the treatment, all patients showed a decrease in NRS scores and in increase in EQ5D. The median NRS score was 6 (5-7) at the date of admission and 4 (2-7) at two weeks and then decreased to 3 (2-6). The median EQ5D score was 0.513 (0.350-0.752) at the date of admission and 0.692 (0.418-0.913) at two weeks, and then increased to 0.783 (0.671-0.913). Conclusions: After the combination of Korean medicine admission treatment, five patients with multiple rib fractures after a traffic accident showed that the treatments were effective. However, the number of subjects was insufficient and individual efficacy was not measured in this study. Therefore, further studies are needed on this topic.