• 제목/요약/키워드: Practice Parameter

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전반적 발달장애의 한국형 치료 권고안 : 임상양상, 역학, 경과, 원인, 동반질환 (The Korean Practice Parameter for the Treatment of Pervasive Developmental Disorders : Clinical Manifestation, Epidemiology, Course, Causes, and Comorbidity)

  • 유한익;조인희;유희정;구영진;정운선;안정숙;안동현;손정우
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제18권2호
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    • pp.88-96
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    • 2007
  • Pervasive developmental disorders are characterized by lifelong impairments in fundamental social and/or communication skills and by the presence of seemingly purposeless and repetitive behaviors, interests, or activities. A number of possible biological etiologies, including genetic, structural and functional brain abnormalities, have been identified in patients with pervasive developmental disorders. In addition, clinicians should take the possibility of comorbid psychiatric conditions into consideration when making the differential diagnosis of pervasive developmental disorders.

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상상훈련이 뇌졸중 환자의 보행 및 삶의 질에 미치는 영향 (The Effect of Mental Practice on Gait and Quality of Life in Stroke Patients)

  • 김진섭
    • 디지털융복합연구
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    • 제10권4호
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    • pp.271-277
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    • 2012
  • 본 연구는 상상연습 훈련이 뇌졸중 환자의 보행과 삶의 질에 미치는 영향을 평가하였다. 본 연구 참여자는 실험군 10명과 대조군 10명으로 무작위 추첨으로 배정되었다. 두 그룹 모두 중추신경계 발달치료를 1회당 1시간씩 주당 6회, 6주간 훈련을 받았다. 실험군은 상상연습 훈련을 6주 동안 1회당 10분씩 주당 3회를 추가하여 훈련을 받았다. 본 연구에서는 시공간적인 보행지수, 10m 보행 검사, 삶의 질을 평가하였다. 상상연습 훈련 후 뇌졸중 환자의 보행 능력을 평가한 결과 보행속도, 활보장, 두발지지기, 한발지지기, 10m 보행 검사에서 유의하게 향상되었다. 뇌졸중 영향 척도를 통하여 삶의 질을 평가한 결과 근력, 사회참여, 뇌졸중회복 항목에서 유의한 향상을 보였다. 본 연구 결과를 바탕으로 상상연습훈련은 뇌졸중 환자의 보행 능력과 삶의 질을 향상하는데 효과가 있음을 확인하였다. 따라서 상상연습훈련을 이용한 보행훈련은 뇌졸중으로 인한 편마비 환자들에게 유용한 훈련으로 제안할 수 있을 것이다.

주의력결핍 과잉행동장애 한국형 치료 권고안(IV) - 비약물적 치료 - (The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (IV) - Non-Pharmacologic Treatment -)

  • 신윤미;김의정;김윤신;방수영;이은하;이철순;장형윤;홍민하;신동원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권2호
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    • pp.84-95
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    • 2017
  • Attention-deficit hyperactivity disorder (ADHD) is a neuropsychiatric disorder that begins in early childhood and can persist throughout adulthood. ADHD causes difficulties in various area of life, such as academic achievement, peer relationships, family functioning, employment and marriage. Although ADHD is known to respond well to medication, such treatment is more effective when combined with psychosocial (non-pharmacologic) therapy in terms of alleviating the core symptoms and improving appropriate functions. Psychosocial treatment interventions are divided into psychoeducation, behavioral parent training, school intervention, cognitive behavior therapy, social skill training, parent-child interaction therapy, play therapy, other treatments (coaching, complementary and alternative medicine), neurofeedback and Cogmed. Adult ADHD cognitive behavioral therapy is described separately. These practice parameters summarize the evidence for psychosocial treatment. Based on this evidence, specific recommendations are provided for psychosocial interventions.

전반적 발달장애의 한국형 치료 권고안 : 약물치료 (The Korean Practice Parameter for the Treatment of Pervasive Developmental Disorders : Pharmacological Treatment)

  • 조인희;유한익;손정우;유희정;구영진;정운선;안동현;안정숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제18권2호
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    • pp.109-116
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    • 2007
  • The objective of this review is to establish practice parameters for pharmacological treatment of children and adolescents with pervasive developmental disorders. We performed a detailed review of the literature, including a wide range of controlled clinical trials, open trials, case reports, and side-effect profiles of related drugs. Few medications have a treatment indication for pervasive developmental disorders, and few studies with well-controlled methodology are available for evaluating treatment results. Pharmacological treatments focus on associated target symptoms because symptom reduction may improve educational and social ability and enhance quality of life. Well-controlled trials have been conducted for some SSRI(selective serotonin reuptake inhibitor) antidepressants, risperidone, and methylphenidate, and showed reduction of some target symptoms. Since the medications are not specific to autism and do not treat core symptoms of the disorder, their potential side effects should be carefully considered. Family education is necessary to give proper information on target symptoms, limitation of drug treatments, and risks.

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전반적 발달장애의 한국형 치료 권고안 : 비약물적 치료 (The Korean Practice Parameter for the Treatment of Pervasive Developmental Disorders : Non-Pharmacological Treatment)

  • 구영진;조인희;유희정;유한익;손정우;정운선;안동현;안정숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제18권2호
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    • pp.117-122
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    • 2007
  • Practice parameters for non-pharmacological treatment of children and adolescents with pervasive developmental disorders are based on the scientific literature for evidence-based practices. Appropriate educational and behavioral interventions are important in improving the long-term outcome in pervasive developmental disorders. Early and sustained intervention appears to be particularly important. The goal for interventions is to gain pragmatic skills for verbal communication, playing with peers, daily living routines, self-management, and social adaptation. Appropriate involvement and collaboration with parents and family are essential for well-functioning intervention programs. The life-long nature of autism implies that the clinician should maintain an active role in long-term treatment planning and family support. Vocational training and training for more independent living are important for adolescents with autism. Professionals should be knowledgeable about local and national resources and opportunities for family support as well as support of the individual.

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Robust Parameter Design via Taguchi's Approach and Neural Network

  • Tsai, Jeh-Hsin;Lu, Iuan-Yuan
    • International Journal of Quality Innovation
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    • 제6권1호
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    • pp.109-118
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    • 2005
  • The parameter design is the most emphasized measure by researchers for a new products development. It is critical for makers to achieve simultaneously in both the time-to-market production and the quality enhancement. However, there are difficulties in practical application, such as (1) complexity and nonlinear relationships co-existed among the system's inputs, outputs and control parameters, (2) interactions occurred among parameters, (3) where the adjustment factors of Taguchi's two-phase optimization procedure cannot be sure to exist in practice, and (4) for some reasons, the data became lost or were never available. For these incomplete data, the Taguchi methods cannot treat them well. Neural networks have a learning capability of fault tolerance and model free characteristics. These characteristics support the neural networks as a competitive tool in processing multivariable input-output implementation. The successful fields include diagnostics, robotics, scheduling, decision-making, prediction, etc. This research is a case study of spherical annealing model. In the beginning, an original model is used to pre-fix a model of parameter design. Then neural networks are introduced to achieve another model. Study results showed both of them could perform the highest spherical level of quality.

MRAS를 이용한 매입형 영구자석 동기전동기의 상수 추정 및 적응제어기법 (Parameter estimation of permanent magnet synchronous motor and adaptive control by MRAS)

  • 양현석
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.697-702
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    • 2016
  • 매입형 영구자석 동기전동기의 원활한 제어를 위해서는 전동기의 상수인 고정자 저항이나 각종 인덕턴스의 값, 그리고 쇄교 자속의 값 등을 정확하게 알아야 한다. 그러나 이러한 상수들은 전동기 운행에 따른 전동기 온도의 상승이나 각 작동점 등의 변화에 따라 계속적으로 변하기 때문에 이들의 값을 정확하게 추정하는 것은 매우 어렵다. 이러한 문제점을 극복하기 위해서 실시간으로 상수의 값을 추정하는 기법이 필요한데 본 논문에서는 MRAS(Model Reference Adaptive System) 기법을 이용한 상수의 추정 및 적응제어 기법을 제시한다. 시스템의 관계식이 이들 상수에 대해 비선형으로 구성되어 있어 일반적인 제어기법을 적용하는데 문제가 있어 일부 논문에서는 상수의 일부를 안다고 가정하였지만 본 논문에서는 이러한 가정 없이 모든 상수를 추정하는 제어기법을 제시하고 적응제어 기법의 수렴성을 입증하였다. 제시하는 알고리즘의 우수성은 시뮬레이션을 통해 입증하도록 한다.

Parameter Estimation of Single and Decentralized Control Systems Using Pulse Response Data

  • Cheres, Eduard;Podshivalov, Lev
    • Bulletin of the Korean Chemical Society
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    • 제24권3호
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    • pp.279-284
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    • 2003
  • The One Pass Method (OPM) previously presented for the identification of single input single output systems is used to estimate the parameters of a Decentralized Control System (DCS). The OPM is a linear and therefore a simple estimation method. All of the calculations are performed in one pass, and no initial parameter guess, iteration, or powerful search methods are required. These features are of interest especially when the parameters of multi input-output model are estimated. The benefits of the OPM are revealed by comparing its results against those of two recently published methods based on pulse testing. The comparison is performed using two databases from the literature. These databases include single and multi input-output process transfer functions and relevant disturbances. The closed loop responses of these processes are roughly captured by the previous methods, whereas the OPM gives much more accurate results. If the parameters of a DCS are estimated, the OPM yields the same results in multi or single structure implementation. This is a novel feature, which indicates that the OPM is a convenient and practice method for the parameter estimation of multivariable DCSs.

감마 일반화 선형 모형에서의 산포 모수 추정량에 대한 효율성 연구 (Comparing the efficiency of dispersion parameter estimators in gamma generalized linear models)

  • 조성일;이우주
    • 응용통계연구
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    • 제30권1호
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    • pp.95-102
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    • 2017
  • 감마 일반화 선형모형은 포아송 분포 또는 이항 분포에 기반한 일반화 선형모형에 비해 적은 관심을 받아왔다. 따라서 감마 일반화 선형모형에서는 오래전에 개발된 통계적인 기법이 아직도 사용되고 있으며, 특히 산포 모수에 대해서는 근사 추정치가 여전히 사용되고 있다. 본 논문에서는 감마 일반화 선형 모형의 산포 모수에 대해 다양한 추정량들을 알아보고 수치 연구를 통해 그들의 효율성을 비교한다. 수치 실험의 결과 최대 가능도 추정량과 Cox-Reid의 수정된 최대 가능도 추정량이 기존의 근사 추정량에 비해 좋은 성능을 보임을 확인하였다.

Unified modelling approach with concrete damage plasticity model for reliable numerical simulation: A study on thick flat plates under eccentric loads

  • Mohamed H. El-Naqeeb;Reza Hassanli
    • Computers and Concrete
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    • 제34권3호
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    • pp.307-328
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    • 2024
  • The concrete damage plasticity (CDP) model is widely used to simulate concrete behaviour using either implicit or explicit analysis methods. To effectively execute the models and resolve convergence issues in implicit analysis, activating the viscosity parameter of this material model is a common practice. Despite the frequent application of implicit analysis to analyse concrete structures with the CDP model, the viscosity parameter significantly varies among available models and lacks consistency. The adjustment of the viscosity parameter at the element/structural level disregards its indirect impact on the material. Therefore, the accuracy of the numerical model is confined to the validated range and might not hold true for other values, often explored in parametric studies subsequent to validations. To address these challenges and develop a unified numerical model for varied conditions, a quasi-static analysis using the explicit solver was conducted in this study. Fifteen thick flat plates tested under load control with different geometries and different eccentric loads were considered to verify the accuracy of the model. The study first investigated various concrete material behaviours under compression and tension as well as the concrete tensile strength to identify the most reliable models from previous methodologies. The study compared the results using both implicit and explicit analysis. It was found that, in implicit analysis, the viscosity parameter should be as low as 0.0001 to avoid affecting material properties. However, at the structural level, the optimum value may need adjustment between 0.00001 to 0.0001 with changing geometries and loading type. This observation raises concerns about further parametric study if the specific value of the viscosity parameter is used. Additionally, activating the viscosity parameter in load control simulations confirmed its inability to capture the peak load. Conversely, the unified explicit model accurately simulated the behaviour of the test specimens under varying geometries, load eccentricities, and column sizes. This study recommends restricting implicit solutions to the viscosity values proposed in this research. Alternatively, for highly nonlinear problems under load control simulation, explicit analysis stands as an effective approach, ensuring unified parameters across a wide range of applications without convergence problems.