• Title/Summary/Keyword: Functional Rating

Search Result 256, Processing Time 0.024 seconds

Analysis of the Degenerative Disc Change and Its Relationship to Living Function (추간판의 퇴행성 변화와 생활기능의 관련성 분석)

  • Sin, Jung-Sub;Yoon, Se-Won
    • The Journal of Korean Physical Therapy
    • /
    • v.18 no.6
    • /
    • pp.43-49
    • /
    • 2006
  • Purpose: Changes of degenerative disc have been analyzed or with the Magnetic Resonance Imaging (MRI) to assign appropriate meaning, and the relationship between the degenerative changes of the discs and its living function has been evaluated through the living function evaluation scores collected by functional rating index. Methods: in April, 2006, a physical examination was conducted for physical laborers to be employed as on-site laborer in a steel industrial complex located at a region. A month later, these 20 laborers who participated in lumbar vertebra MRI tests have been investigated for one-to-one mobile phone functional rating index test. Excluding 3 of 14 respondents whom scored 0 in functional rating index, the rest of respondents' degenerative disc grade changes shown in MRI and its relationship to living functional rating index have been performed. Results: The Dabbs method of measuring disc height resulted to show significant increase as the disc height changes from L1-2 level to L5-S1 level (p<0.01). However, there was no statistical significance with a relationship between disc height and functional rating index, and disc height average. The Magnetic Resonance Imaging analysis regard on the degree of disc degeneration and its relationship to living functional rating proved to have significant relationship (p<0.05). Conclusion: The degenerative changes monitored by Magnetic Resonance Imaging show significant relationship (p<0.05) to living function. However, this relationship could vary depend upon the characteristics of study population. So, it suggested that the future studies should be performed by considering population's age and job career.

  • PDF

Development of Oriental Medical Rating Scale of Knee Pain and Validity Assessment (한의학적 슬통 평가 척도 개발 및 타당성 평가)

  • Lee, Eun Sol;Oh, Ji Yun;Yu, A Mi;Lee, Eun Yong;Kim, Eun Jung;Lee, Seung Deok;Kim, Kap Sung
    • Journal of Acupuncture Research
    • /
    • v.30 no.5
    • /
    • pp.51-64
    • /
    • 2013
  • Objectives : This study is performed to develop the oriental medical rating scale of knee pain and to assess its validity. Methods : 250 knee pain patients completed the previously accepted rating scale of knee pain(VAS, WOMAC(pain, function, stiffness), 6 minute walk test(number of steps, distance)) and oriental medical rating scale of knee pain which was developed by Hwang et al at 2012, before and after the 6 weeks acupuncture treatment. Comparing these results, we assessed the validity of oriental medical rating scale. Results : Comparing oriental medical rating scale of knee pain before acupuncture treatment with VAS, WOMAC(pain, function, stiffness) and 6 minute walk test(number of steps, distance), oriental medical rating scale showed correlation with VAS, WOMAC(pain, function, stiffness) and showed the highest correlation with WOMAC(function). Comparing the change of oriental medical rating scale of knee pain after 6 weeks of acupuncture treatment with the change of VAS, WOMAC(pain, function, stiffness) and 6 minute walk test(number of steps, distance) after 6 weeks, change of oriental medical rating scale showed correlation with the change of VAS, WOMAC(pain, function, stiffness) and showed the highest correlation with the change of WOMAC(function). Through factor analysis of oriental medical rating scale items, 4 factors(pain, swelling, deformation of the knee, thermal sense of the knee), 17 items were extracted. Conclusions : Oriental medical rating scale of knee pain reflected the patient's pain, functional limitation and stiffness well. And oriental medical rating scale reflected the patient's functional improvement after the treatment well.

Analysis on Ampacity of Overhead Transmission Lines Being Operated

  • Yan, Zhijie;Wang, Yanling;Liang, Likai
    • Journal of Information Processing Systems
    • /
    • v.13 no.5
    • /
    • pp.1358-1371
    • /
    • 2017
  • Dynamic thermal rating (DTR) system is an effective method to improve the capacity of existing overhead line. According to the methodology based on CIGRE (International Council on Large Electric systems) standard, ampacity values under steady-state heating balance can be calculated from ambient environmental conditions. In this study, simulation analysis of relations between parameters and ampacity is described as functional dependence, which can provide an effective basis for the design and research of overhead transmission lines. The simulation of ampacity variation in different rating scales is described in this paper, which are determined from real-time meteorological data and conductor state parameters. To test the performance of DTR in different rating scales, capacity improvement and risk level are presented. And the experimental results show that the capacity of transmission line by using DTR has significant improvement, with low probability of risk. The information of this study has an important reference value to the operation management of power grid.

A Study on the Management of Performance Rating System in Nursing Organization (간호조직내 인사고과제도운영에 관한 고찰)

  • Ha, Na-Sun
    • The Korean Nurse
    • /
    • v.31 no.5
    • /
    • pp.53-64
    • /
    • 1992
  • A nurse is give much weight in the professions of hospital.The effective achievement of a goal of hospital organization needs to get nurses to contribute the structure positively through the rational personnel management of the nurses.The operation of performance rating system is necessary to improve because the nurses hold negative opinions about the resonable management of that system in most Korean hospitals.Therefore, the prupose of this research was to suggest an efficient method to solve the problem in connection with the management of nurses performance rating system.The results of the study are summarized as follows.1. As the performance rating implies the evaluation of employee's functional accomplishment and ability, and essential condition of the job was surveyed according to the job analysis of nursing activities and nurse position.That is to say, Nusrses' performances and capability is estimated in comparision with the condition of the job. 2. It is required adequacy for evaluation factors in performance rating.That is, $\circled1$ as for those who work in psychiatry or newborn baby room they should be appraied in terms of different factors from those applicable to whom work in a general staffs. $\circled2$ Evaluation factors should be concrete so that the quality and quantity of work and the potential ability of them can be correctly appraised. 3. In order to realize the object of perfamance rating system, the training on chief nurses are quite important. Also, careful practices and continuous supplementary training are required before the system is introduced.First of all, the appropriate evaluation can be mad by continuing to record the rating objects every day for the purpose of obtaining the objectivity of rating. 4. In course of transfering of the position and training, the induction of self-rating system and presentation of self-description is required to supplement functionally the performance rating system. 5. For the efficiency of nurses' performance rating system, the results of performance rating system must be reflected in promotion, allocation and training course, which makes the nurses have the motives and the organization accomplish the goal of modern nursing through its activation.

  • PDF

Concordance Rate Between the Ratings of Clinician and Self Ratings of Worker on a Functional Capacity Evaluation

  • Choi, Bong-sam
    • Physical Therapy Korea
    • /
    • v.23 no.4
    • /
    • pp.71-80
    • /
    • 2016
  • Background: Functional capacity evaluations (FCEs) are designed to systematically assess the capacity to perform work-related tasks and to determine worker's ability to return to the previous job following work-related injuries. These evaluations may be rated either by clinician or worker. There has been a lack of consensus between the two scoring methods. Objects: This study aimed: 1) to confirm if the data are fit to the Rasch rating scale model and 2) to investigate the item-level concordance rate between the ratings of clinician and injured worker of the FCE. Methods: A cross-sectional study was conducted with a sample (n=124) of a rehabilitation program with the Occupational Rehabilitation Data Base for workers with low back pain. The functional capacity evaluation at admission and discharge was administered to clinicians and workers. The data were analyzed using both classical test theory-based Pearson's r and intra-class coefficient followed by item-level analysis with Rasch rating scale model. Results: All items of the FCE, except sitting items rated by clinician at admission and handling items rated by both clinician and worker throughout admission and discharge, were acceptable fit statistics with minor out of ranges for a misfit criterion. This may indicate that the items of the FCE overall fit to the Rasch rating scale model. Few problematic items responding differently to clinician and worker both at admission and discharge were detected with the differential item functioning analysis despite the excellent concordance rate using the two conventional statistics-sitting and handling items at admission and handling item at discharge. Conclusion: The item-level speculations using Rasch analysis of the FCE demonstrate that the ratings of clinician and self ratings of worker were psychometrically acceptable though there was an apparent discrepancy between the raters both at admission and discharge.

Patients' Self-rating and Nurses' Rating on Health Literacy of Hospitalized Patients (입원환자 의료정보이해능력에 대한 환자 자가평가와 간호사 평가)

  • Park, Soonjoo
    • The Journal of the Korea Contents Association
    • /
    • v.17 no.4
    • /
    • pp.434-443
    • /
    • 2017
  • The study was carried out to identify the relationship of patients' self-rating and nurses' rating on health literacy of hospitalized patients. Data were collected using the Korean Functional Health Literacy Test (KFHLT) which was revised for hospitalized patients and Single Item Literacy Screener. A total of 178 subjects, which consisted of 89 hospitalized patients and 89 nurses taking care of them, were recruited from medical and surgical wards of E university hospital. Collected data were analyzed using SPSS 23.0 program. The results showed that the average health literacy score of the subjects was $11.45{\pm}4.22$ out of 17 and the average correct answer rate was 67.3%. Patient health literacy was significantly different by age, education, occupation and reading handouts. The patients' self-rating had significant correlation with health literacy measured by KFHLT while nurses' rating did not. There was no significant correlation between patients' self-rating and nurses' rating. The findings suggest that patients' self-rating might be available to assess patient health literacy in hospitals and a careful approach is required when nurses use a single-item rating.

A Study of Clients with Total Laryngectomy for the Adaptation of Daily Activities - Functional Status, Self-esteem and Depression - (후두전적출자의 일상생활 적응을 위한 연구 - 기능상태, 자아존중감 및 우울 -)

  • Han, Hye-Jin;Park, Jin-Hee;Park, Ho-Ran;Moon, Young-Im
    • Journal of Korean Public Health Nursing
    • /
    • v.19 no.2
    • /
    • pp.274-283
    • /
    • 2005
  • Purpose: To survey the functional status, self-esteem and depression of a community of indwelling clients with total laryngectomy, and to evaluate the correlation among these three variances. Methods: From May 2002 to October 2002, 76 clients who had undergone total laryngectomy more than three months ago were surveyed with using Baker's functional status in head & neck cancer-self report, Rosenberg's self rating self-esteem scale and Zung's self rating depression scale. Results: 1. The functionaI status score was $48.67{\pm}10.12$. The subjects aged 70 years or older had significantly higher scores than the subjects aged $50{\sim}59$ years. The group of clients who were operated on more than five years ago showed higher scores than the patients operated on within a year. 2. The self-esteem score was $30.47{\pm}6.44$. 3. The depression score was $47.26{\pm}8.01$. The subjects who bad three family members and the subjects who had five family members had significantly higher scores than the subjects who had two family members. 4. A significant correlation found between the functional status and self-esteem. Significant negative correlations were found between the functional status and depression and also between self-esteem and depression. Conclusion: Remarkable correlations were observed among functional status, self-esteem and depression. Nurses should consider the status of layngectomy patients and pay more attention to their pre- and post- operative nursing care and rehabilitation.

  • PDF

Responsiveness Comparisons of Self-Report Versus Therapist-Scored Functional Capacity for Workers With Low Back Pain

  • Choi, Bongsam;Park, So-Yeon
    • Physical Therapy Korea
    • /
    • v.19 no.3
    • /
    • pp.91-97
    • /
    • 2012
  • The primary aim of this study was to compare responsiveness of self-report by worker and therapist-scored functional capacity instrument. Self-report and therapist-scored interval-level person measures and item difficulties were compared at admission and discharge. Therapist and worker ratings were collected on 230 clients from 27 rehabilitation sites using the newly developed Occupational Rehabilitation Data Base (ORDB) functional capacity instrument. ORDB comprises several subscales measuring relevant variables of "a return-to-work model" in work-related rehabilitation clinics. The functional capacity scale deals with 10 DOT job factors. The rating scale categories were 1-severely impaired, 2-moderately impaired, 3-mildly impaired, and 4-not impaired. Only data from clients with low back pain (n=98) with complete data (both admission and discharge scores) were used for the present study. Therapists and workers completed the functional capacity instrument at admission and discharge. Rasch analysis [1-parameter item response theory model (IRT)] was applied to calibrate item difficulty and person ability measure of therapist and workers ratings. Effect sizes for therapist and self-report ratings were slightly different, .69 and .30, respectively. Therapist and worker ratings were more consistent at discharge (r=.54) than at admission (r=.32). Workers have a tendency to be more severe in their ratings (show higher item difficulties) than therapists at admission and discharge. Therapists and workers report similar magnitudes of improvement following treatment program. These findings challenge the belief that injured workers may unreliable source for monitoring therapeutic outcomes. Self-report measures have the advantage of conserving therapist time for treatment (versus evaluation). While the therapist and self-report ratings are comparable at discharge, there is less consistency at admission. Comparable therapist-worker ratings may be achieved by controlling for rating severity using IRT methodologies.

A Case Report on Functional Dyspepsia Treated with Korean Medicine in a Patient with Panic Disorder and Lower Back Pain (공황장애와 요통을 동반한 기능성 소화불량 환자에 대한 한방치료 1례)

  • Kwon, Minjin;Kim, Tae-Ju;Lee, Yu-jin;Kim, Na Young;Kwon, Oh bin;Lee, Do Hoon;Jang, Seon Woo
    • The Journal of Internal Korean Medicine
    • /
    • v.43 no.5
    • /
    • pp.918-928
    • /
    • 2022
  • Objectives: This study reports on the efficacy of Korean medical treatments for a functional dyspepsia patient with panic disorder and lower back pain. Methods: A 51-year-old male patient with functional dyspepsia was treated with herbal medicines and acupuncture for 17 days. The treatment effect was evaluated by measurements drawn from the Numerical Rating Scale, range of motion, Oswestry Disability Index, European Quality of Life 5 Dimensions Scale, and Gastrointestinal Symptom Score. Results: Following the treatment, the patient showed a decrease on the Numerical Rating Scale and Oswestry Disability Index and in Gastrointestinal Symptom Score, as well as an improvement in range of motion and European Quality of Life 5 Dimensions score. Conclusions: Korean medical treatments appear to be effective in reducing functional dyspepsia. Further clinical research on patients with functional dyspepsia is needed.

Improvement of Functional Dyspepsia with a Herniated Intervertebral Disk through Korean Medical Treatment: A Case Report (추간판탈출증 환자에서 발생한 기능성 소화불량에 대한 한방통합치료 호전사례)

  • Oh, Eun-je;Park, Mu-jin;Song, Woo-sub;Oh, Joo-hee;Bae, Gun-hee;Lee, Soo-kyeong;Jang, Dong-jin
    • The Journal of Internal Korean Medicine
    • /
    • v.43 no.5
    • /
    • pp.809-816
    • /
    • 2022
  • Objective: This study investigated the efficacy of using Korean medical treatments on a patient with functional dyspepsia. Methods: A 61-year-old female patient with functional dyspepsia and C/L-spine HIVD was treated with herbal medicine (Gamihyangsayukgunja-tang), acupuncture, pharmacopuncture, chuna manual therapy, and cupping therapy for 18 days. The treatment effects on the functional dyspepsia were evaluated using the Numerical Rating Scale score, Gastrointestinal Symptom Score, and Bristol Stool Scale results. Results: Following treatment, the patient showed decreases on the Numerical Rating Scale and Gastrointestinal Symptom Score and improvement on the Bristol Stool Scale. Conclusions: Korean medical treatment improved the condition of a patient with functional dyspepsia.