• Title/Summary/Keyword: Improvement Index

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The Effects of Electroacupuncture for Treatment of Patients with Non-Alcoholic Fatty Liver Disease: Prospective Randomized Controlled Study (알코올성 지방간 환자에 있어 전침 치료의 효과: 무작위 배정 대조군 연구)

  • Lee, Chang-Hyeong;Kim, Byung-Seok;Choi, Ae-Ryun;Kim, Kyung-Soon;Kwak, Min-A;Kim, Seung-Mo
    • Journal of Korean Medicine for Obesity Research
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    • v.15 no.1
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    • pp.1-8
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    • 2015
  • Objectives: The aim of this study was to evaluate the effectiveness and safety of electroacupuncture for non-alcoholic fatty liver disease (NAFLD). Methods: A randomized, controlled pilot trial was conducted. Twenty-two participants were randomized into one of the two groups: an acupuncture group (n=11) and wait-list group (n=11). The treatment group received 8 sessions of electroacupuncture over 8 weeks. Twenty points (CV4, CV12, both LR14, GB26, ST25, ST34, ST40, ST36, SP4, SP6, LR3) were selected for needling. The control group did not receive acupuncture treatment during study period and followup were done in the 4th and 8th weeks after randomization in both groups. The primary outcome was body fat computed tomography and the secondary outcomes included blood test (aspartate aminotransferase, alanine transferase, triglyceride, total cholesterol, high density lipoproteincholesterol, low density lipoprotein-cholesterol, blood sugar test, ${\gamma}$-guanosine triphosphate) and body composition test (body mass index, weight, body fat mass, body fat rate, waist hip ratio). Safety was assessed at every visit. Results: There was no significant differences in between the experimental group and control group. There were no adverse events. Conclusions: The results suggest that In patients with NAFLD, electroacupuncture treatment did not induce worsening of liver disease and liver function, but it was no improvement symptoms of fatty liver. Study of herb medicine treatments and other acupuncture therapy of NAFLD are required later.

Acupuncture for glaucoma: A systematic review and meta-analysis of randomized controlled trials (녹내장의 침치료 효과에 대한 체계적 문헌고찰 및 메타분석)

  • Yi, Gil-Hee;Jung, Chan-Yung;Chang, Seok-Joo;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.3
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    • pp.45-68
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    • 2020
  • Objectives : This study aims to evaluate the effectiveness and safety of manual and electroacupuncture on glaucoma. Method : We searched 11 electronic databases using index words to identify randomized clinical trials. Meta-analysis of weighted mean difference (WMD) or standardized mean difference (SMD) were used to evaluate the outcomes. Cochrane bias risk assessment tool was used to assess the risk of bias in each clinical study. The collected data was analyzed using RevMan software (ver. 5.3). Results : At the initial stage of data retrieval, 549 papers were searched. After reviewing 37 full texts, a total of 10 RCT studies (426patients, 715 eyes) were selected and 8 RCT studies (357 people, 617 eyes) were involved in meta-analysis. Meta-analysis of 8 RCTs showed that acupuncture alone was more effective in reducing intraocular pressure(IOP) than conventional treatment (WMD = -5.73, 95% CI: [-12.30, 0.83], P = 0.09, I2 = 97%) The combination of acupuncture or electroacupuncture with conventional treatment was also effective in lowering IOP (WMD = -1.84, 95% CI: [-2.31, -1.37], P <0.00001, I2 = 45%). It was estimated that the combination of acupuncture with conventional treatment was also effective for improving visual field (VF) (WMD = -2.17, 95% CI: [-4.32, -0.02], P = 0.05, I2 = 89%) but improvement in visual acuity (VA) was not significant (MD = 0.06, 95% CI: [-0.03, 0.15], P = 0.23, I2 = 0%). Subgroup analyzes were performed only for the studies that used open glaucoma as the study's disease and combination of acupuncture or electroacupuncture with conventional therapy would have an effect on lowering intraocular pressure (WMD = -1.68)., 95% CI: [-2.46, -0.90], P <0.0001, I2 = 29%). Conclusion : This study suggests that acupuncture treatment for glaucoma may be effective in reducing intraocular pressure and helpful in improving visual field defects. However, due to the small sample size, high risk of bias and high heterogeneity in the methodology, it is expected that further studies will be needed to verify the results. Further studies in large-scale samples based on a minimized biased methodology would be necessary.

Evaluate efficacy of fermented soybean(Bio-Peptone)cream in pruritus : Randomized, double-blinded, placebo-controlled, parallel-group clinical experiment study (피부 가려움증에 대한 대두(大豆) 발효물(Bio-Peptone)크림의 유효성 평가 : 무작위 배정, 양측 눈가림, 위약크림 대조, 평행 설계 연구)

  • An, Jae-Hyun;Jung, Hyun-A;Kim, Eun-Ju;Kim, Ae-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.3
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    • pp.27-44
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    • 2020
  • Objectives : The authors conducted randomized, Double-blinded, and placebo-controlled parallel-group clinical experiment study to evaluate efficacy of fermented soybean(Bio-Peptone)cream in pruritus. Methods : The research had been conducted for 4 months from the date of IRB approval(May 26 in 2017) to Sept 2017. The experiment started by randomly distributing 25 subjects with pruritus into experimental group and control group, respectively. The experimental group applied fermented soybean(Bio-Peptone)cream twice a day, in the morning and evening, for one week on itchy area. The effect of the product was evaluated by comparing the PSS(Patient subjective score), moisture level by measuring skin moisture content(Corneometer) and transepidermal water loss(Tewameter), and the Korean version of Skindex-29(index of quality of life improvement) before applying the cream, after applying the cream for one week and after stop applying the cream for one week. The control group conducted identical experiment with the experimental group, except the control group applied placebo instead of the fermented soybean(Bio-Peptone)cream. Results : Pruritus, criterion of the first validation testing, indicates fermented soybean(Bio-Peptone)cream tend to reduce pruritus compare to placebo, although the result is not statistically noticeable. Significant difference in reduction of prutitus, the second validation test was not discovered in both groups. Corneometer and life quality tend to be improved with soy cream than placebo, but not statistically effective and both groups did not show any difference in terms of Tewameter measurement. Conclusions : The result of clinical experiment didn't prove that the fermented soybean(Bio-Peptone)cream is more effective in reducing pruritus than placebo, statistically. The clinical use of soybean product for pruritus requires further studies to be verified.

A Study on the Improvement of Item for Discrimination Increasing in Post Evaluation of Public Building Construction Project (공공건축공사 사후평가 변별력 향상을 위한 항목개선 연구)

  • Yoon, Tai-Hyong;Lee, Soo-Yong
    • Korean Journal of Construction Engineering and Management
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    • v.12 no.2
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    • pp.21-31
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    • 2011
  • The Ministry of Land, Transport & Maritime Affairs(former-The Ministry of Construction and Transportation)establish & promulgated the guide line of The Law of Post Evaluation on May 10, 2001(Article 58824-318) to public construction project under the Operation Law of Construction Engineering Management the 18 clause of Article 38 in order to induce & collect useful data about construction project when plan new similar project in the future about the initial planning phase, former and past accomplished businesses to construction works, results, efficiency, effectiveness. Ever since The Ministry revised 5 times, the former contents are composed for SOC, big volume civil project, and revised contents Article 2010-14(Jan 15, 2010) included some architectural project, but that was not definite the evaluation contents, direction & objective standard. So evaluation index implements are ambiguous about accomplished project. This research arranged the correctness evaluation indicators, criterions for decide the grades in order to helpful informations for similar architectural project in the future.

Education Efficiency Analysis of Architectural Design Firms Using a Combined AHP and DEA Model (DEA/AHP 결합모형을 이용한 건축 설계사무소의 교육효율성 분석)

  • Seo, Hee-Chang;Oh, Jung-Keun;Kim, Jae-Jun
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.3
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    • pp.78-87
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    • 2013
  • The modern society has been drastically changed from the industrial economic society to the knowledge based society, to catch up with the knowledge and the change of technology required for the modern people, the people can not live in the modern society without the continued study or education. In case of architectural design firm, it is concentrating on the productivity of enterprise by cultivating the working level through the self education focused on the improvement of inner capacity. In connection with this, the efficiency of enterprises are analyzed by carrying out the Data Envelopment Analysis(DEA) utilizing the financial ratio index in the various field of industries recently, the analysis study for the efficiency utilizing DEA is increased in the construction industries as well. However, in case of construction industries, the study focused on the efficiency of administration only has been progressed, it is the real situation that the approach for the analysis of education efficiency of each enterprise is very insufficient. Therefore, this study analyzed the education efficiency of architectural design firm after the selection of input and output variables by utilizing the DEA model and utilizing the AHP analysis technique by deducting the variables through the preceding study in relation to the education efficiency and the interview with the specialists.

Evaluation of Musculoskeletal Subjective Symptoms and Stress in the Industrial Workers (산업장 근로자의 근골격계 자각증상과 스트레스의 평가)

  • Kim Ki-Chul;Park Sung-Jung;Jahng Doo-Sub;Kim Sam-Tae;Kim Yoo-Chul;Kwon So-Hee;Jung Hae-Kyoung;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.8 no.1
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    • pp.19-32
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    • 2004
  • This study was conducted to evaluated musculoskeletal subjective symptoms and the degree of stress of industrial workers to present fundamental materials of preventive oriental medicine for improving their health and quality of life. During the medical examination with oriental medicine method, presence of subjective symptoms of musculoskeletal pain, Psychosocial Well-being Index(PWI) and life style were checked by using questionnaire method in 474 industrial workers. The collected data were analyzed with crosstabs, ANOVA and T-test. The results were as follows; 1. In general differences according to musculoskeletal subjective symptoms, education level of high school graduation had significantly higher distribution than that of below middle school or above university graduation in the pain present group. 2. In the musculoskeletal subjective symptoms and the degree of stress, all of Factor1, Factor2. Factor3, Factor4. and PWI had higher score in pain present group than in pain free group and the difference was statistically significant. 3. According to degree of stress and general character of subjects, single and education level of high school graduation had high score in Factor2, Factor3 and PWI. Factor1 and Factor3 was high in income group of low 1.49 million won. Factor2, Factor4, and PWI was high significantly in income group of 1.50 - 2.99 million won. In job type, manufacturing worker group had significantly high score in Factor3. 4. In degree of stress and life style difference, there was significant difference in PWI score in the field of alcohol chinking, smoking, exercise, obesity except sleeping hours. In the present study. as a result, it is found out that musculoskeletal subjective symptoms present group had higher score in psychosocial stress across the fields than symptom-free group and it is recommended that continuous studies on the relationship of job-related musculoskeletal disorders and psychosocial stress should be performed for improvement and prevention of mental and physical health of industrial worke

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Comparative Study on the Clinical Characteristics and Effects of Korean Medical Treatment between the Upper and Lower Lumbar Single Level Disc Herniation (상부요추와 하부요추 단분절 추간판 탈출증 환자의 임상적 특성과 한방치료 효과 비교연구)

  • Lee, Ju-Young;Kim, Yong-Hyeon;Kim, Kwang-Hwi;Kim, Tae-Yeon;Lee, Tae-Geol;Lee, Sang-Woon;Chu, Hui-Yeong;Jung, Hui-Kyeong;Jung, Bum-Hwan
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.4
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    • pp.43-50
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    • 2018
  • Objectives Upper lumbar disc herniation (LDH) (L1/2, L2/3) has specific anatomical characteristics and different outcome after conventional treatment compared to lower LDH (L3/4, L4/5, L5/S1). The purpose of this study was to compare the clinical features and effects of korean medical treatment of upper LDH between lower LDH. Methods We retrospectively reviewed the clinical data collected from 121 patients who was had admitted at the Haeundae Jaseng Hospital of Korean Medicine from June 1st, 2014 to August 31th, 2018. The patients who had treated at L1/2, L2/3 level LDH were grouped and compared with those treated at the L3/4, L4/5, L5/S1 level. We reviewed the patient characteristics such as age, the positive rate of Straight Leg Raise Test (SLR test), the presence or absence of previous lumbar surgery. Numeric Rating Scale (NRS) and Oswestry Disability Index (ODI) were evaluated at adimission and discharge. Results Mean age was significantly higher at upper LDH group and positive rate of SLR test was higher at lower LDH group. There was no significant difference of gender and previous lumbar surgery between two groups. Each group had a significant improvement of NRS, ODI scores. But between two groups, there was no significant difference of NRS, ODI scores. Conclusions Upper LDH group was older than lower LDH group. SLR test was useful tool to exclude upper LDH. Korean medical treatment was significantly effective to both upper and lower LDH groups. Further well designed prospective comparative studies are needed.

Durability Characteristics in Concrete with Ternary Blended Concrete and Low Fineness GGBFS (삼성분계 콘크리트와 저분말도 슬래그를 혼입한 콘크리트의 내구 특성)

  • Kim, Tae-Hoon;Jang, Seung-Yup;Kwon, Seung-Jun
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.7 no.4
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    • pp.287-294
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    • 2019
  • GGBFS(Ground Granulated Blast Furnace Slag) has been widely used in concrete for its excellent resistance chloride and chemical attack, however cracks due to hydration heat and dry shrinkage are reported. In many International Standards, GGBFS with low fineness of 3,000 grade is classified for wide commercialization and crack control. In this paper, the mechanical and durability performance of concrete were investigated through two mix proportions; One (BS) has 50% of w/b(water to binder) ratio and 60% replacement ratio with low-fineness GGBFS, and the other (TS) has 50% of w/b and 60% replacement ratio with 4000 grade and FA (Fly Ash). The strength difference between TS and BS concrete was not great from 3 day to 91 day of age, and BS showed excellent performance for chloride diffusion and carbonation resistance. Two mixtures also indicate a high durability index (more than 90.0) for freezing-thawing since they contain sufficient air content. Through improvement of strength in low fineness GGBFS concrete at early age, mass concrete with low hydration heat and high durability can be manufactured.

A Study on the Environment and Disasters of Goryeong County (고령군의 환경과 재난에 관한 연구)

  • Jeon, Young-Gweon
    • Journal of the Korean association of regional geographers
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    • v.15 no.1
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    • pp.1-15
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    • 2009
  • This study aims to provide preliminary data needed for establishing policies on the environment and disasters of Goryeong county. The main results are as follows. First, the present master plan of the region does not reflect local socio-economic and environmental conditions and the local people's opinion. Second, The air conditions of Gyeongbuk province and Goryeong county are within the permitted limit of air pollution of Korea. Third, the analysis of water pollution index in Nakdong river system shows improvement of water quality in both Andong and Goryeong. Fourth, the conditions of waste collection and disposal are improved in both Gyeongbuk province and Goryeong county. Fifth, in case of environmental pollutant emitting facilities of Gyeongbuk province, the proportion of 1st to 4th grade(relatively much more environmental pollutant emitting quantity than 5th grade) tends to be increasing. Sixth, environmental pollutant emitting facilities of Goryeong county are remarkably increasing in Dasan, Gaegin, Ssangrim, involving industrial complex. Finally, in case of disasters, it is relatively stable in Yecheon, Gumi, Uiseong, Yeongju and Cheongdo, while relatively unstable in Seongju, Gunwi, Yeongcheon, Chilgok, Mungyeong, Bonghwa and Goryeong.

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An Empirical Analysis of Industrial Design′s Functional Role in the Causal Model of Quality Competitiveness : Korean Manufacturing Sector (품질경쟁력 인과모형 하에서 산업디자인의 기능적 역할에 관한 실증적 분석 : 한국 제조업 부문을 중심으로)

  • 임채숙;윤종영
    • Archives of design research
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    • v.17 no.3
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    • pp.111-122
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    • 2004
  • The purpose of this study are two the first is to identify the positioning of product design and analyze its functional relationship with product development, manufacturing, marketing and sales in the comprehensive competitiveness evaluation model ; and the second is to estimate the determinants of QCI(quality competitiveness index), analyze the impact of product design on QCI, and compare the aforementioned results for the seven industrial sectors and the five product patterns. For this empirical analysis, this study surveyed 400 Korean manufacturing firms during August-October 2003. The major empirical findings are summarized as follows : First, the hypothesis on the positive effect of product design on QCI is accepted at a highly significant level (p < 0.001) for all : the manufacturing sector, seven industrial sectors, and five product categories. Second, the correlation analysis and factor analysis lead to the result that the effect of product design on QCI is estimated to be relatively very low, in comparison to those of product functionality and basic performance on QCI. These findings imply that Korean manufacturing sector has been still in the prematured stage at which product design has not played an important role yet. This study concludes that product design in line with other functions (product development, manufacturing, marketing, and sales) should make a good contribution to the improvement of QCI in the future.

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