• Title/Summary/Keyword: Manual Intervention

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Nursing Practice Guideline for Prevention of Venous Thromboembolism According to the Guideline Adaptation Process (간호분야 실무지침의 수용개작 방법론에 따른 정맥혈전색전증예방 간호실무지침의 개발)

  • Cho, Yong Ae;Gu, Mee Ock;Eun, Young;Kim, Kyung Sook;Lee, Seon Heui;Yoon, Ji Hyun;Hwang, Jung Hwa;Lee, Kyeong Yoon;Park, Mi Joung
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.2
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    • pp.118-131
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    • 2016
  • Purpose: This study was conducted to develop a useful evidence-based guideline for preventing venous thromboembolism(VTE) in Korea adapting previously developed VTE guidelines. Methods: The guideline adaptation process was performed using 24 steps according to the nursing practice guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed VTE prevention guideline was consisted of 16 domains and 163 recommendations. The number of recommendations in each domain were: 4 general issues, 4 risk factors, 2 intervention at occurrence of VTE, 14 mechanical interventions, 30 pharmacological interventions, 19 VTE prevention for medical patient, 10 stroke patient, 16 cancer patient, 14 pregnancy, 6 for long distance traveller, 5 for abdominal surgery, 10 thoractic surgery, 10 orthopedic surgery, 5 neurosurgery, 4 other surgical patient, 2 urological surgery, 1 ENT surgery, 1 plastic surgery, 3 day surgery, 3 education of VTE prevention. Fourteen point three percent, 61.1%, and 24.6% of the recommendations were graded A, B, and C, respectively. Conclusion: The findings suggest that the new VTE prevention guideline can be more efficiently used to prevent VTE in hospital settings.

The Effects of Mirror Therapy with Functional Electrical Stimulation Therapy on Upper Extremity Motor Function and Activities of Daily Living for the Stroke Patients (뇌졸중 환자에 대한 기능적 전기 자극치료를 병행한 거울치료가 상지 기능수행과 일상생활활동에 미치는 효과)

  • Lee, Minjae;Koo, Hyunmo
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.3
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    • pp.123-130
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    • 2018
  • Purpose : The purpose of this study was to investigate the effects of mirror therapy with functional electrical stimulation to improve upper extremity motor function and activities of daily living (ADL) in stroke patients. Method : Thirty patients were randomly assigned to the experimental and control groups 15 patients in each. All subjects received the general occupational therapy consisting of five 30 min sessions per week for 8 weeks, in addition to 30 min of mirror therapy with functional electrical stimulation for the experimental group and 30 min of functional electrical stimulation for the control group for each session. To measure the functions of the upper limb and performance capacities in ADL, the Fugl-Meyer Assessment (FMA), and Manual Function Test (MFT), Modified Barthel Index (MBI) were used before and after the interventions. Results : Both the experimental and control groups showed a statistically significant increase in post-treatment FMA, MFT and MBI scores compared to their pre-treatment scores (p<.05). In addition, intergroup comparisons revealed a statistically significant increase in the scores of all assessments for the experimental group compared to those for the control group (p<.05). Conclusion : Based on these results, it is reasonable to conclude that mirror therapy with functional electrical stimulation is an effective intervention for improving upper limb motor function and ADL performance in stroke patients.

The Effect of Ankle Balance Traning on Unstable and Stable Surface on Proprioception, Balance and Muscle Strength in Obese Middle-Aged Woman (불안정 지지면과 안정 지지면에서의 발목균형훈련이 비만중년여성의 고유수용성감각, 균형 및 근력에 미치는 영향)

  • Han, Junho;Lee, Hyojeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.3
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    • pp.59-71
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    • 2018
  • Purpose : The purpose of this study was to compare the effects of ankle balance training on unstable and stable surfaces to discover on which surface the proprioception, balance and muscle strength of obese middle aged women improves more. Method : Thirty obese middle-aged women were randomly recruited and divided into two groups (training on an unstable surface, training on a stable surface). The subjects in each group participated in the training for six weeks, three times per week for 30 minutes each session. Proprioception was measured using Dualer IQ digital inclinometer; sway length (SL) and sway area (SA) of center of pressure, and limit of stability (LOS) were measured for balance; muscle strength before and after the training was measured using manual muscle testing. Results : There were significant improvements in the subscales of the proprioception, balance and muscle strength in those who participated in ankle balance training on the unstable surface, and in those who participated on the stable surface. However, before and after the intervention, there were no differences between those who had the balance traning on the unstable surface and those who had the balance traning on the stable surface. Conclusion : Unstable and stable surface ankle balance training are both effective in improving the proprioception, balance and muscle strength of obese middle-aged woman.

Seamless Lawful Interception Handover for 3G IP Multimedia Subsystem (IMS)

  • In, Hoh Peter;Lee, Myoung-Rak;Kim, Do-Hoon;Kim, Nung-Hoe;Yoon, Byung-Sik
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.5 no.7
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    • pp.1329-1345
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    • 2011
  • After the 9.11 terror attack, lawful Interception (LI) has emerged as an important tool for anti-terrorist activity. Law enforcement agents and administrative government bodies effectively monitor suspicious target users of permanent IP-based network devices by LI in Packet Data Networks (PDNs). However, it is difficult to perform LI in monitoring migrating users from a location to another, who change their IPs due to the proliferation of portable Internet devices enabling 3G IP Multimedia Subsystems (IMS). The existing, manual handover technique in 3G IMS makes it even more difficult to continue the LI activities due to time-lag reissuance of LI authority warrants when the target users move to a new LI jurisdiction via a roaming service. Our proposed model is a seamless LI handover mechanism in 3G IMS to support mobility detection of the target users. The LI warrants are transferred to the new LI agent automatically with the target users when they move to a new LI jurisdiction. Thus, time-lag human intervention of reissuance of the LI warrants is removed and enables the LI authorities to continue monitoring. In the simulation of our proposed mechanism, the quality of lawful interception achieves a mean score of over 97.5% out of the possible 100% maximum score, whereas the quality of the existing mechanism has a mean score of 22.725%.

Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia

  • Kwon, Chang-Young;Suh, Hyo-Weon;Choi, Eun-Ji;Chung, Sun-Yong;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.4
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    • pp.235-248
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    • 2016
  • Objectives: The aim of this review was to investigate whether evidence of complementary and alternative medicine (CAM) was reflected in clinical practice guidelines (CPGs) for insomnia based on relevant clinical trials. Methods: We conducted a systematic search on domestic and international CPG databases and medical databases. In addition, we conducted manual searches of relevant articles. Three authors independently searched and selected relevant studies; any disagreement was resolved by discussion. We extracted and analyzed the following data: published language, country, development group, participants, interventions, presence or absence of recommendations for CAM, level of evidence, grade of recommendation for CAM, and methods of development. Results: We identified 8,241 records from domestic and international databases, and 22 CPGs were included. Eleven of the 22 CPGs mentioned CAM interventions including herbal medicine, relaxation, acupuncture moxibustion, Tai Chi, meditation, hypnosis, biofeedback, Tuina, and external herbal medicine. However, most of the CPGs indicated 'no recommendation' or 'weak recommendation' for CAM interventions. Only Valeriana dageletiana Nakai and relaxation were considered to have experimental evidence. Valeriana dageletiana Nakai was recommended for improvement of sleep latency, sleep maintenance, total sleeping time, and sleep cycle. Relaxation was recommended as effective intervention for relieving physical and psychological arousal. Conclusions: Despite systematic reviews and randomized controlled trials on CAM for insomnia, most of the CPGs for insomnia did not reflect the evidence obtained. Further CPGs for insomnia should be developed by considering the current advanced studies in the field of CAM.

Design and Implementation of Text Classification System based on ETOM+RPost (ETOM+RPost기반의 문서분류시스템의 설계 및 구현)

  • Choi, Yun-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.2
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    • pp.517-524
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    • 2010
  • Recently, the size of online texts and textual information is increasing explosively, and the automated classification has a great potential for handling data such as news materials and images. Text classification system is based on supervised learning which needs laborous work by human expert. The main goal of this paper is to reduce the manual intervention, required for the task. The other goal is to increase accuracy to be high. Most of the documents have high complexity in contents and the high similarities in their described style. So, the classification results are not satisfactory. This paper shows the implementation of classification system based on ETOM+RPost algorithm and classification progress using SPAM data. In experiments, we verified our system with right-training documents and wrong-training documents. The experimental results show that our system has high accuracy and stability in all situation as 16% improvement in accuracy.

A Scalable Index for Content-based Retrieval of Large Scale Multimedia Data (대용량 멀티미디어 데이터의 내용 기반 검색을 위한 고확장 지원 색인 기법)

  • Choi, Hyun-HWa;Lee, Mi-Young;Lee, Kyu-Chul
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.726-730
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    • 2009
  • The proliferation of the web and digital photography has drastically increased multimedia data and has resulted in the need of the high quality internet service based on the moving picture like user generated contents(UGC). The keyword-based search on large scale images and video collections is too expensive and requires much manual intervention. Therefore the web search engine may provide the content-based retrieval on the multimedia data for search accuracy and customer satisfaction. In this paper, we propose a novel distributed index structure based on multiple length signature files according to data distribution. In addition, we describe how our scalable index technique can be used to find the nearest neighbors in the cluster environments.

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Detection of Music Mood for Context-aware Music Recommendation (상황인지 음악추천을 위한 음악 분위기 검출)

  • Lee, Jong-In;Yeo, Dong-Gyu;Kim, Byeong-Man
    • The KIPS Transactions:PartB
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    • v.17B no.4
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    • pp.263-274
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    • 2010
  • To provide context-aware music recommendation service, first of all, we need to catch music mood that a user prefers depending on his situation or context. Among various music characteristics, music mood has a close relation with people‘s emotion. Based on this relationship, some researchers have studied on music mood detection, where they manually select a representative segment of music and classify its mood. Although such approaches show good performance on music mood classification, it's difficult to apply them to new music due to the manual intervention. Moreover, it is more difficult to detect music mood because the mood usually varies with time. To cope with these problems, this paper presents an automatic method to classify the music mood. First, a whole music is segmented into several groups that have similar characteristics by structural information. Then, the mood of each segments is detected, where each individual's preference on mood is modelled by regression based on Thayer's two-dimensional mood model. Experimental results show that the proposed method achieves 80% or higher accuracy.

Effects of Purposeful Activities Combined with Music on Upper Extremity Function, Therapeutic Motivation, and Mood in Acute Stroke Patients (음악을 병행한 목적있는 활동이 급성기 뇌졸중 환자의 상지기능, 치료동기와 기분에 미치는 효과)

  • Moon, Jong-Hoon;Kim, Kye-Ho;Lee, Soon-Hyun;Won, Young-Sik
    • PNF and Movement
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    • v.15 no.3
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    • pp.267-279
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    • 2017
  • Purpose: The aim of the investigation was to identify the effects of purposeful activities combined with music on upper extremity function, motivation, and mood in acute stroke patients. Methods: For the study, 19 acute stroke inpatients were recruited at a general hospital in Korea. The patients were allocated between an experimental group (n=9) and a control group (n=10). The experimental group performed purposeful activities with their preferred music, and the control group carried out purposeful activities without music. The 2 groups received the treatments 30 min per day, 5 days per week, for 4 weeks. Measurements were taken before and after intervention, including a manual function test (MFT) for measuring upper extremity function, a volitional questionnaire (VQ) for assessing motivation, and the Beck depression inventory (BDI) and Beck anxiety inventory (BAI) for assessing mood. Results: In post-treatment measurement, both groups showed greater MFT, VQ, and BDI scores than in pre-treatment. Significantly greater VQ and BDI changes were represented in the experimental group as compared to the control group. Conclusion: Based on the findings of this study, purposeful activities combined with music have a positive effect on motivation and depression in acute stroke patients.

Effect of Posterior-Anterior Mobilization of the Thoracic Spine on Pain, Respiratory Function, and Thoracic Circumference in Patients With Chronic Low Back Pain

  • Park, Ju-jung;Chon, Seung-chul
    • Physical Therapy Korea
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    • v.25 no.4
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    • pp.37-45
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    • 2018
  • Background: Posterior-anterior (PA) vertebral mobilization, a manual therapy technique has been used for relieving pain or stiffness treating in spinal segment for in clinical practice, however evidence to gauge efficacy is yet to be synthesised. Objects: This study aimed to investigate the effect of PA mobilization of the thoracic spine on the respiratory function in patients with low back pain (LBP). Methods: The study participants included 30 patients with chronic LBP. They were randomly allocated to the experimental and control groups. The experimental and control groups received PA mobilization of the T1-T8 level of the thoracic spine and placebo mobilization, respectively. All patients received interventions for 35 minutes a day, five times a week, over 2-week period, respectively. Forced vital capacity (FVC), forced expiratory volume in 1 second ($FEV_1$), peak expiratory flow (PEF), forced expiratory flow 25~75% ($FEF_{25{\sim}75%}$), and chest wall expansion were measured before and after the intervention. Statistical analysis was performed using independent t-test and two-way analysis of variance, and Pearson's correlation analysis was used to compare the correlation between respiratory function and chest measurement. Results: The experimental group showed significant improvements in FVC, $FEV_1$, PEF, $FEF_{25{\sim}75%}$ (p<.05), and chest wall expansion (p<.05) compared with the control group. Conclusion: PA mobilization of the upper thoracic spine may be beneficial for improving respiratory function parameters including FVC, $FEV_1$, PEF, $FEF_{25{\sim}75%}$, and chest wall expansion in patients with chronic LBP.