• 제목/요약/키워드: Standardized manual

검색결과 122건 처리시간 0.022초

부인과 암 이후 이차적인 다리 림프 부종 환자에게 적용한 림프흡수 마사지의 효과 (Effects of Manual Lymph Drainage on Patients with Secondary Lymphedema of Legs After Gynecologic Cancer)

  • 정성관;이승병
    • 대한정형도수물리치료학회지
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    • 제22권2호
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    • pp.35-39
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    • 2016
  • Background: The superficial lymphatic system is divided into areas called lymphatic territories which are separated by watersheds. When the lymphatic system fails to remove its load either due to surgery, radiotherapy or some congenital malformation of it then the fluid and the proteins and wastes contained within it accumulates in that territory. Anastomotic connections exist across the watersheds and while they can work unaided manual lymph drainage (MLD) can significantly help drainage across them into unaffected lymphatic territories. The purpose of the study is to examine the effectiveness of a manual technique in moving fluids and softening hardened tissues using a tape measure and Patient-Specific Functional Scale. Methods: We examined the movement of fluids from the affected limbs of lymphedema patients who underwent a standardized 30-min treatment using the Dr. Vodder method of MLD. We chose a typical cross section of patients with secondary leg or secondary arm lymphedema. The lymphedema patient was also measured after the conclusion of treatment and underwent a follow-up control measurement, within 8 weeks. Both evaluation tools indicated a movement of fluid to different and unblocked lymphatic territories as well as a softening of tissues in some of the affected limbs. Results: MLD is an effective means of fluid clearance when it accumulates as a consequence of a failure of the lymphatic system. It seems likely that MLD has a systemic effect on the lymphatic system and that it can improve flow from otherwise normal tissues. Conclusions: It is hypothesized that a series of treatments would result in even more significant improvements.

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추나치료에 적용된 골반변위 진단법에 대한 체계적 문헌고찰 (Systematic Review of the Diagnosis of Pelvic Deviation for Chuna Manual Therapy)

  • 이준석;박경원;김현태;박선영;신병철
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.83-94
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    • 2022
  • Objectives This systematic review aimed to analyze research about pelvic deviation diagnosis for Chuna manual therapy (CMT) and to review the diagnosis methods, indices, and results of diagnosis. Methods Ten electronic databases were systematically searched up to January 4th 2022. Clinical studies and reviews containing pelvic deviation diagnosis for CMT or using CMT as a treatment of pelvic deviation were selected and evaluated. CMT diagnosis in clinical studies and reviews were isolated and analyzed by 2 independent reviewers. Results Thirteen clinical studies and three reviews were included in the evaluation. X-ray analysis and manual testing were the two main methods used in CMT diagnosis of pelvic deviation. For manual testing in clinical studies, leg length insufficiency testing was the most frequently used measurement index and the most common diagnostic results were anterior and posterior rotation. In the X-ray analysis, Obturator foramen and femur head line were the most frequently used measurement index and the most common diagnostic results were anterior rotation and posterior rotation. Conclusions The systematic review found that manual testing and X-ray analysis were mainly used for the diagnosis of pelvic deviation in CMT among clincial and review articles. As there was little research about diagnosing pelvic deviation in CMT and any existing research presented only low standards of evidence, further research should be updated with using a more standardized approach.

NIIRS ESTIMATION USING THE GENERAL IMAGE-QUALITY EQUATION FOR MONITORING IMAGE DEGRADATION

  • Kim, Dong-Wook;Kim, Tae-Jung;Kim, Hee-Seob
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2008년도 International Symposium on Remote Sensing
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    • pp.53-56
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    • 2008
  • Generally, the quality of satellite images is expressed by GSD (Ground Sample Distance), MTF (Modulation Transfer Function) and SNR (Signal to Noise Ratio). However, these factors are technology-oriented and do not explain interpretability of satellite images. We need a standardized index which shows standard of interpretability. In this study, we estimated NIIRS (National Imagery Interpretability Rating Scale) through the GIQE (General Image Quality Equation) which is able to judge image interpretability with the standardized index. Traditionally, NIIRS has been determined manually by specialized image analysts. We used the GIQE in order to reduce inefficiency and high costs cause by manual interpretation and to produce accurate NIIRS. For monitoring image degradation, we estimated GIQE physical parameters from image analysis and carried out time series analysis about the quality of the KOMPSAT-1 images. On all of the tests, we were able to identify the image degradation due to the changing time. This indicates that NIIRS derived from GIQE will be used for image degradation indicator.

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석조문화재 오염물 제거 방안의 표준화 수립 및 가치정립 I -설문조사의 통계를 중심으로- (Formation of Standardization and Valuation of Decontamination for Stone Culture Heritage I -Based on the Questionnaire-)

  • 김진형;정용재;김사덕
    • 보존과학연구
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    • 통권28호
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    • pp.169-182
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    • 2007
  • It is very difficult to attain stable and satisfactory result satisfaction from newly developed materials and methodologies for conservation of cultural properties. In order for an effective conservation method, it is necessary that the manual for application of the proper materials and its methodology should be set up. However, stone conservation value must be established in advance of the manual, because the philosophical concepts and the technical methodology are not standardized. In this study, therefore, the conservators' opinion about the conservation for stone artifacts was collected. The opinions were based on the questionnaire about cleaning of surface contamination on masonry, and hereafter those will be referred to the conservation method about stone artifacts.

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혁신경영시스템 국제표준 개발 동향 및 도입 방안에 관한 탐색적 연구 (An Exploratory Study on the Trends and Introductions of Innovation Management System International Standards)

  • 박세훈;천동필
    • 품질경영학회지
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    • 제46권4호
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    • pp.761-784
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    • 2018
  • Purpose: The purpose of this study is to introduce the development trend of international standard in the innovative management system and propose the application method of the standard for SME certification system. Methods: This study is based on literature studies and case studies considering the initial stage of development of standards as well as lack of domestic and international research examples. In the literature review, we focused on the characteristics of the innovation management system standards at the national, regional and global level. We examined case studies of Spain and Portugal as case studies. Besides, the evaluation items and certification status of domestic innovative SMEs certification were also searched to find out how to introduce them in Korea. Results: The results of this study can be summarized in three major points. First, new international standards of innovation management are being developed under the ISO management system standard and are currently in the DIS stage. Second, in the case of Spain adopting the national innovation management system standard, it has been reported that the innovation management system standard has a significant effect on the innovation ability and management performance. Third, it was not easy to establish a standardized innovation process between the innovation based on creativity and the standardized based product. The Oslo manual was not enough to provide enough guidance in this area. Conclusion: Companies that want to strengthen their organizational innovation capabilities from a management system point of view and Policymakers that want to plan the upgrading and integrated certification operating system of the domestic innovation SME certification need to consider the ISO 50500 series as a global level standard other than the Oslo manual.

근육뼈대계 질환에 대한 도수치료의 효과: 메타분석 (Effects of Manual Therapy on Musculoskeletal Diseases : A Meta-Analysis)

  • 이정우;공광식;김동연;고운
    • 대한통합의학회지
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    • 제9권1호
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    • pp.203-217
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    • 2021
  • Purpose: The purpose of this meta-analysis was to examine the high-level evidence of the effects of manual therapy on musculoskeletal diseases. Methods: Domestic databases were searched for studies that conducted clinical trials associated with manual therapy on chronic musculoskeletal diseases. A total of 591 studies published between 2005 and 2018 were identified, with 18 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with pain and physical function. The 18 studies included in the study were evaluated by using the R meta-analysis (version 4.0). The quality of 18 randomized control trials was evaluated by using the Cochrane risk of bias (ROB). The effect sizes were computed as the corrected standardized mean difference (SMD). Subgroup and meta-regression analyses were also used. Egger's regression test was carried out in order to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were also conducted in order to analyze the data error. Results: The following factors showed the large effect size of manual therapy on chronic musculoskeletal diseases: pain (Hedges's g = 2.66; 95% CI = 1.47 ~ 3.85), and physical function (Hedges's g = 2.15; 95% CI: 1.22 ~ 3.08). The subgroup analysis only showed a statistical difference in the type of manual therapy (pain) and outcome (physical function). No statistically significant difference was found in the meta-regression analysis. Publication bias was found in the data, but the results of the trim-and-fill method showed that such bias did not largely affect the obtained data. Furthermore, there were no data errors in the cumulative meta-analysis and sensitivity analysis. Conclusion: This study provides evidence for the effectiveness of manual therapy on chronic musculoskeletal diseases in pain and physical function. Subgroup analysis suggests that only the type of manual therapy for pain and the type of outcome for physical function differed in effect size.

전산화된 표준간호서식 프로그램 개발에 관한 연구;일 대학병원 중심으로 (A Study on the Development of Computerized Program for the Standardized Nursing Documentation Form;Based on A University Hospital)

  • 이소정;최경숙
    • 간호행정학회지
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    • 제11권3호
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    • pp.335-345
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    • 2005
  • Purpose: This study was designed to develop a computerized program for patient classification and record of basic nursing care. Method: The study was carried out from February to May 2004 at the four general wards in A university hospital using three steps; investigation of needs for program development, program design and development, and program application and evaluation. Result: Results of this study showed that users were mostly satisfied with the program and set a high value on the usefulness and performance of this program. Accordingly it was found that this program could be of help to assist nurses in classifying the patients and taking records of their nursing service. Conclusion: The program is likely to contribute to enhance the efficiency in providing appropriate and effective nursing service to the patients by easily identifying the overall particulars of patients and improving repeated manual works. And Record of basic nursing care is a part of several nursing records. As such the continual development on the computerized program for various fields of nursing service is needed.

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제주 문화상품 갈옷의 패턴 그레이딩 DB를 위한 기초 연구 (Foundational Research for DB of Pattern Grading of Galot, Jeju Cultural Merchandise)

  • 권숙희;홍선철
    • 대한가정학회지
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    • 제45권1호
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    • pp.111-125
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    • 2007
  • By examining the existing Galot products in the market, we aimed to discover areas for new development and lay out the foundational system for establishing a database(DB) of their pattern grading. For the analysis, the team focused mainly on Galot in forms of casual korean traditional clothes, since they have the largest market share. The main accomplishments from this research are as follows. First, because adult females are the largest segment to consider in deciding the size system for grading, we selected three sizes that have to be compatible with the KS Clothing Standardized Sizing. Second, for basic pattern grading, we applied the reference size indicated in KS Clothing Standardized Size, and also used half dart sloper and dartless sloper. Third, we categorized designs according to the presence or absence of a dart, the structure of closure, and the shape of the sleeve and neck. We indicated the grading points with numbers and body area in Korean to make it easier for the users to understand when using the computer system and doing manual work. To further increase the user convenience, we provided diagrams for categorized designs, pattern grading layout, and a table for calculated grading points variation.

요통의 기능 평가방법에 대한 고찰 (The Study Of Functional Disability Scales for Low Back Pain)

  • 문상현;류한진;이종수;윤유석
    • 대한추나의학회지
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    • 제4권1호
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    • pp.39-53
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    • 2003
  • Objectives : The object is to the difference among the funtional disability scale for low back pain and to use Methods : I researched the contents of funtional disability scale for low back pain Results & Conclusions : 1. The funtional disability scale for low back pain is specific-condition and general-health 2. A proposal of set core of funtional disability scale for low back pain is back specific function, generic health state, pain, work disability, satisfaction 3. Oswestry disability index or Rolland disability questionnaire. wase used for standard specific-condition scale and SF-36 was used for standard general-health scale 4. SF-36 is able to use the funtional disability scale for low back pain independence 5. In the future, scale for low back pain shulod be standardized in multiple dimension by computer

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파악력 평가도구 개발모형에 관한 연구 (A Study of Hand-Grip Strength Assessment Equipment Prototype for Visual Perception)

  • 김은정;박지환
    • 대한정형도수물리치료학회지
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    • 제17권1호
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    • pp.24-28
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    • 2011
  • Background: The purpose of this study is to make a grip strength checker to make people measure their grip strength easily, based on standardized grip strength checker chart. Method: In this study, we measured right hand grip strength of 80 women residents of Deajeon (women in their 30s to 60s, 20 in each) 2 times per day for 5days in same conditions from 20th of November 2010 to 24th of November. it was measured by Jamar Hydraculic Hand Dynamometer made lately to compare with the current measuring equipment. No matter how big their hands are, their hands were fixed at second level. Measured as they sit on a chair and let their shoulders gathered and not be rotated, let their arms be 90 degree, wrist and forearm be at the middle for the first time, and took another after they took a rest, and measured the average of the two. Result: There was not a meaningful difference between the current measuring equipment and the equipment made lately (p>.05). Conclusion: It is thought that the equipment made lately can be believed. In addition, we want people to realize their own grip strength easily by this study.

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