• Title/Summary/Keyword: Facet Analysis

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Acupuncture for Facet Joint Syndrome: A Review of Clinical Study (후관절 증후군의 침 치료에 대한 문헌 연구 보고)

  • Ji-Hyang Gu
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.1
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    • pp.13-29
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    • 2023
  • Objectives To evaluate the evidence supporting the effectiveness of acupuncture for facet joint syndrome. Methods We conducted search across 9 electronic databases (PubMed, EMBASE, Cochrane CENTRAL (CENTRAL), KoreaMed, Kmbase, Koreanstudies Information Service System (KISS), ScienceOn, China National Knowledge Infrastructure (CNKI), and Wanfang) to find clinical trials that used acupuncture as treatment for facet joint syndrome. The methodological quality of randomized controlled clinical trials (RCTs) were assessed using the Cochrane Risk of Bias (RoB) tool, while non-randomized controlled clinical trials (nRCTs) were assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool. Results Nine RCTs and one nRCT met our inclusion criteria. Fire needle was more effective than medial branch block in terms of visual analogue scale (VAS) after 1 month (p=0.02). Also, Fire needle was more effective than Ibuprofen in terms of VAS and oswestry disability index (ODI) (p<0.05). However, in the rest of the study results, the intervention group did not show a statistically significant difference than the control group. Conclusions Although our review found encouraging but limited evidence of acupuncture for facet joint syndrome, most of the studies included in the analysis were evaluated as methodologically high risk of bias. From now on further well-designed RCTs should be encouraged.

A Study on an Automatic Classification Model for Facet-Based Multidimensional Analysis of Civil Complaints (패싯 기반 민원 다차원 분석을 위한 자동 분류 모델)

  • Na Rang Kim
    • Journal of Korea Society of Industrial Information Systems
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    • v.29 no.1
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    • pp.135-144
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    • 2024
  • In this study, we propose an automatic classification model for quantitative multidimensional analysis based on facet theory to understand public opinions and demands on major issues through big data analysis. Civil complaints, as a form of public feedback, are generated by various individuals on multiple topics repeatedly and continuously in real-time, which can be challenging for officials to read and analyze efficiently. Specifically, our research introduces a new classification framework that utilizes facet theory and political analysis models to analyze the characteristics of citizen complaints and apply them to the policy-making process. Furthermore, to reduce administrative tasks related to complaint analysis and processing and to facilitate citizen policy participation, we employ deep learning to automatically extract and classify attributes based on the facet analysis framework. The results of this study are expected to provide important insights into understanding and analyzing the characteristics of big data related to citizen complaints, which can pave the way for future research in various fields beyond the public sector, such as education, industry, and healthcare, for quantifying unstructured data and utilizing multidimensional analysis. In practical terms, improving the processing system for large-scale electronic complaints and automation through deep learning can enhance the efficiency and responsiveness of complaint handling, and this approach can also be applied to text data processing in other fields.

Therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain: cost utility analysis based on a randomized controlled trial

  • Manchikanti, Laxmaiah;Pampati, Vidyasagar;Kaye, Alan D.;Hirsch, Joshua A.
    • The Korean Journal of Pain
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    • v.31 no.1
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    • pp.27-38
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    • 2018
  • Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

A Study on a Facet-Based Ontology Design for Archival Records of Finding Dispersed Families (이산가족 찾기 기록 패싯 기반 온톨로지 모델 설계에 관한 연구)

  • Lee, Eun Uk;Park, Heejin
    • Journal of Korean Society of Archives and Records Management
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    • v.18 no.4
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    • pp.231-257
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    • 2018
  • This paper aims to suggest a facet-based ontology model that can help sort and access records of dispersed families to address these problems. The facet systematically defines the categories of target concepts, which can create diverse and multiple access points. Using the top-down and bottom-up approaches, the facets, which consist of five upper classes and 18 lower classes, were derived for the records of dispersed families. The proposed ontology model was evaluated by real users. The results show that, overall, the ontology is complete and relevant in terms of access points, availability of context information of the records, and description elements for search and use of the records on dispersed families.

Study on Validity and Reliability of Five Facet Mindfulness Questionnaire (FFMQ) for Measuring Mindfulness Meditation Program Before and After (마음챙김명상 프로그램 전후 측정도구로써 5요인마음챙김척도(FFMQ)의 신뢰성과 타당성 연구)

  • Choi, Sung-Youl
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.2
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    • pp.181-190
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    • 2015
  • Objectives: The purpose of this study was to analyze the Validity and Reliability of the Five Facet Mindfulness Questionnaire (FFMQ), using mindfulness meditation performed before and after. Methods: The study was conducted with 87 students at the university of Korean medicine who provided informed consent. The demographic characteristics and FFMQ were analyzed with regard to their validity and reliability on the effect of mindfulness using SPSS (Statistical Package for the Social Sciences, IBM, United States of America) 21.0 Version. Results: 1. The reliability and factor analysis of FFMQ : The five sub-factors of mindfulness showed strong internal consistency (Cronbach's ${\alpha}$ >.70). 2. Correlation analysis of the sub-factors in pre-FFMQ showed a positive correlation between Nonreactivity and Awareness, Nonreactivity and Scribing, Nonreactivity and Nonjudging, Nonreactivity and Total score, Observing and Scribing, Observing and Total score, Awareness and Nonjudging, Awareness and Total score. 3. Correlation analysis of the sub-factor in post-FFMQ showed a positive correlation between Scribing and Nonreactivity, Scribing and Observing, Scribing and Awareness, Awareness and Nonjudging. In contrast, Observing had a negative correlation with Nonjudging. Conclusions: The results of the study reconfirmed that FFMQ was useful as a reliable and valid tool for measuring mindfulness meditation.

Correlations between the Clinical Results and Radiologic Evaluation after Surgical Treatment of Calcaneal Fracture (종골 골절의 수술적 치료 후 방사선학적 평가와 임상적 결과의 상관 관계: 종골 골절의 술 후 방사선학적인 평가)

  • Park, Hyun-Woo;Kim, Yeon-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.157-160
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    • 2010
  • Purpose: The purpose of this study is to find out the correlation factors for prognosis of calcaneal fractures. Materials and Methods: 120 cases (feet) of calcaneal fractures, all of them followed up for more than 1 year after surgical procedures, consisted of 101 men (105 feet) and 13 women (15 feet) were reviewed retrospectively. The collected clinical data were as follows : injury mechanism, surgical procedures, time to procedure, time to work and the radiologic data: Bohler angle, heel width, displacement of posterior facet. AOFAS hindfoot score and VAS score were checked. With ANOVA test and multiple regression analysis, the data processed statistically. Results: According Sanders classification, type II was 37 cases (31%), type III 66 cases (55%), and type IV 17 cases (14%). On plane radiography, the Bohler angle improved to average 28.4 degree from 5.6 degree, and the displacement of posterior facet was corrected to average 1.2 mm. AOFAS hindfoot score was checked average 81.7 points postoperatively, and the meaningful difference existed between types of Sanders classification. The Bohler angle represented the outline of the calcaneus had the better correlation with the clinical outcome of calcaneal fractures rather than the anatomical reduction of the posterior facet did. And the width of calcaneus had good correlation with the clinical score. Conclusion: We should also concern about the outline of calcaneus, the width of calcaneus and the Bohler angle representing anatomical reduction, not only the acute reduction of the posterior facet.

Biomechanical Changes of the Lumbar Segment after Total Disc Replacement : Charite$^{(R)}$, Prodisc$^{(R)}$ and Maverick$^{(R)}$ Using Finite Element Model Study

  • Kim, Ki-Tack;Lee, Sang-Hun;Suk, Kyung-Soo;Lee, Jung-Hee;Jeong, Bi-O
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.446-453
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    • 2010
  • Objective : The purpose of this study was to analyze the biomechanical effects of three different constrained types of an artificial disc on the implanted and adjacent segments in the lumbar spine using a finite element model (FEM). Methods : The created intact model was validated by comparing the flexion-extension response without pre-load with the corresponding results obtained from the published experimental studies. The validated intact lumbar model was tested after implantation of three artificial discs at L4-5. Each implanted model was subjected to a combination of 400 N follower load and 5 Nm of flexion/extension moments. ABAQUS$^{TM}$ version 6.5 (ABAQUS Inc., Providence, RI, USA) and FEMAP version 8.20 (Electronic Data Systems Corp., Plano, TX, USA) were used for meshing and analysis of geometry of the intact and implanted models. Results : Under the flexion load, the intersegmental rotation angles of all the implanted models were similar to that of the intact model, but under the extension load, the values were greater than that of the intact model. The facet contact loads of three implanted models were greater than the loads observed with the intact model. Conclusion : Under the flexion load, three types of the implanted model at the L4-5 level showed the intersegmental rotation angle similar to the one measured with the intact model. Under the extension load, all of the artificial disc implanted models demonstrated an increased extension rotational angle at the operated level (L4-5), resulting in an increase under the facet contact load when compared with the adjacent segments. The increased facet load may lead to facet degeneration.

Comparison of Ultrasound Guided Soyeom Pharmacopuncture Therapy Effect and Unguided Soyeom Pharmacopuncture Therapy Effect on Cervical Facet Joint of Acute Cervical Pain Patient Caused by Traffic Accidents: A Retrospective Study (교통사고로 유발된 급성 경추통 환자의 경추 후관절에 시행한 초음파 유도하 치료군과 비유도 치료군의 소염 약침 치료 효과 비교: 후향적 관찰 연구)

  • Yang, JaeEun;Oh, Min Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.3
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    • pp.109-117
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    • 2022
  • Objectives To compare the therapeutic effect of ultrasound guided soyeom pharmacopuncture therapy and unguided soyeom pharmacopuncture therapy on cervical facet joint of patient who have cervical pain caused by traffic accidents. Methods The study was planned as a retrospective study that analyzes the patient's medical records. We analyzed medical records of 20 patients with acute cervical pain caused by traffic accidents from April 1, 2022 to May 31, 2022. 10 patients (Group A) were treated ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint, 10 patients (Group B) were treated unguided soyeom pharmacopuncture therapy on cervical facet joint. We used visual analogue scale (VAS) and neck disability index (NDI) to evaluate improvements in cervical functions and pain, five point Likert scale to estimate patient's satisfaction. We used the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA) for statistical analysis. Results Group A showed a significant decrease in the VAS on the 5th day of the soyeom pharmacopuncture therapy (p=0.001). However, there was no statistically significant difference of VAS between two groups (p=0.142). Group A showed significant decrease in the NDI on the 5th day of the therapy (p=0.002). Also, there was statistically significant difference on NDI between two groups (p=0.018). Difference of five point Likert scale between two groups was not statistically significant (p=0.407). Conclusions In patients of acute cervical pain caused by traffic accidents, ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint showed significant efficacy on reduction of neck disability compared with unguided therapy.

Analysis of Energy Concentration Characteristics of Heliostat used in 200kW Tower Type Solar Thermal Power Plant (200kW 탑형 태양열발전시스템에서 사용되는 Heliostat의 집열특성 분석)

  • Park, Young-Chil
    • Journal of the Korean Solar Energy Society
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    • v.31 no.3
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    • pp.80-88
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    • 2011
  • Heliostat in the tower type solar thermal power plant is a sun tracking mirror system to reflect the solar energy to the receiver and the optical performance of it affects to the efficiency of whole power plant most significantly. Thus a solid understanding of heliostat's energy concentration characteristics is the most important step in designing of the heliostat field and the whole power plant. The work presented here is the analysis of energy concentration characteristics of heliostat used in 200kW solar thermal power plant, where the receiver located at 43m high in tower has $2{\times}2$m rectangular shape. The heliostat reflective surface is formed by 4 of $1{\times}1$m flat plate mirror facet and the mirror facet is mounted on the spherical frame. The direct normal incident radiation models in vernal equinox, summer solstice, autumnal equinox and winter solstice are first derived from the actually measured data. Then the intercept ratio, heat flux distribution and total energy collected at the receiver for the heliostats located in the various places of the heliostat field are investigated. Finally the effect of mirror facet installation error on the optical performance of the heliostat is analyzed.

Near field scanning optical interferometer using facet reflection of a tapered optical fiber (광섬유 탐침의 반사를 이용한 파면 분석 근접장 주사 광간섭계)

  • 유장훈;임상엽;이현호;박승한
    • Korean Journal of Optics and Photonics
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    • v.15 no.3
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    • pp.248-253
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    • 2004
  • We propose a near- field scanning optical interferometer (NSOI) based on the facet reflection of a nano-sized moveable tapered optical fiber. The interferometer can measure the position and the wave-front of a focused spot simultaneously. The interfering fringes are generated by the reflected beams from the sample surface and from the fiber facet. The wave-front analysis at the focusing position is obtained by using a phase shifting technique with a four-step algorithm. It is found that the resolution for controlling the focal position of our proposed NSOI is less than λ/3 and the measured wave-front aberration at the focal position is in good agreement with the ones obtained by a Twyman-Green interferometer.