• Title/Summary/Keyword: condition rating

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A Case Report of a Patient with Wernicke's Encephalopathy Complaining of Quadriplegia, Ataxia, and Impaired Cognition Improved by Korean Medicine Treatment (한의치료로 호전되었던 사지마비, 운동실조, 인지저하를 호소하는 베르니케 뇌병증 환자 증례보고 1례)

  • Shim, Sang-song;Lee, Hyun-seung;Ahn, Jae-yoon;Chae, Han-nah;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.777-786
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    • 2020
  • Background: This study is a report on a case of a Wernicke's encephalopathy with quadriplegia, ataxia, and impaired cognition, whose condition was improved by Korean medicine treatment. Case report: A 51-year-old man diagnosed with Wernicke's encephalopathy was treated with acupuncture, Banhabakchulchunma-tang mixed with Ondam-tang-gami (半夏白朮天麻湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Berg Balance Scale (BBS), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), Modified Barthel Index (MBI), and a numeric rating scale (NRS). After 22 days of treatment, his clinical symptoms showed improvement. The motor function improved (MMT Rt. side Gr. 4+G/4+G, Lt. side Gr. 4G/4+G → Rt. side Gr. 5-N/4+G, Lt. side Gr. 5-N/4+G), Ataxia was relieved (BBS 3→33), cognition improved (K-MMSE 15→27), ADL scores showed improvement (FIM 58→90, MBI 40→75), and the NRS score decreased for headache (3→0). Conclusion: Korean medicine treatment could be effective in the treatment of patients with Wernicke's encephalopathy.

Dip Estimation for Overhead Transmission Conductor using Catenary Angle (카테너리 각도를 이용한 가공송전도체의 이도 추정)

  • Kim, Sung-Duck;Sohn, Hong-Kwan;Jang, Tae-In
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.21 no.5
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    • pp.112-119
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    • 2007
  • Under normal operating condition, the conductor of overhead transmission line could be always hold it's clearance within the safety margin that is specified in the line design guide of power company. Hence it may be very important to measure/or monitor the dip of the conductor, when building a new line, re-tensioning for an aged conductor, or monitoring dynamic line rating to maximize power capability. In this paper, we suggest a new method to estimate the dip and tension by catenary angle of the conductor. Since most conductors in overhead transmission lines show typical catenary curves, it can be uniquely determined the catenary curve for the conductor from the catenary angle at tower. Based on the catenary curve, the dip or horizontal tension can be easily estimated. Through some simulation and simple experimental results, it is verified that the suggested method can be effectively applied to measure/or monitor conductor dips and tensions in the overhead transmission lines.

A Single-Phase DC-AC Inverter Using Two Embedded Z-Source Converters (2대의 임베디드 Z-소스 컨버터를 이용한 단상 DC-AC 인버터)

  • Kim, Se-Jin;Jung, Young-Gook;Lim, Young-Cheol;Choi, Joon-Ho
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.6
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    • pp.1152-1162
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    • 2011
  • In this paper, a single-phase DC-AC inverter using two embedded Z-source converters is proposed. The proposed inverter is composed of two embedded Z-source converters with common DC source and output AC load. The output AC voltage of the inverter is obtained by the difference of output capacitor voltages of each converter. The output voltage of each converter take shape of the asymmetrical AC waveform centering zero voltage. Therefore, the proposed inverter can generate the same output voltage despite low VA rating L-C elements, compared to the conventional inverter using high DC voltage with AC ripple. To verify the validity of the proposed system, the PSIM simulation was achieved under the condition of rapid increase of DC source (110[V]${\rightarrow}$150[V]) and R-load (50[${\Omega}$]${\rightarrow}$300[${\Omega}$]). For controlling the voltage of the inverter system, the one-cycle controller was adopted. As results, the proposed inverter output the constant AC voltage (220[V]rms/60[Hz]) for all conditions. Also, the R-L load and nonlinear diode load were adopted for the proposed inverter loads, and we could know that the its output voltage characteristics were as good as the pure R-load. Finally, the RMS and THD of output AC voltage were examined for the different loads, input DC voltages and reference voltage signals.

Modification of Strain-dependent Hydraulic Conductivity with RMR (RMR에 따른 변형률 의존 수리전도도 변화 해석)

  • 윤용균
    • Tunnel and Underground Space
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    • v.13 no.1
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    • pp.44-51
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    • 2003
  • Changes of the hydraulic conductivity resulting from the redistribution of stresses by underground excavation are examined using the strain-dependent hydraulic conductivity modification relation, where the modulus reduction ratio and induced strain are the major parameters. The modulus reduction ratio is defined in terms of RMR(Rock Mass Rating) to represent the full gamut of rock mass condition. Though shear dilation has the effect on the modification of hydraulic conductivity, the extent of it depends on RMR When the extensional strain is applied to a fracture, the hydraulic conductivity increases with the decrease of RMR Loading configuration has the effect on the modification of hydraulic conductivity, where the differential stress mode with a magnitude of the minimum principal stress $($\sigma$_x)$ fixed and a magnitude of the maximum principal stress $($\sigma$_y)$ varied is found to exert the greatest effect on the change of hydraulic conductivity.

Effects of Intraarticular Prolotherapy on Sacroiliac Joint Pain (천장관절 증후군 환자에서 관절강 내 증식치료의 효과)

  • Lee, Jae Dam;Lee, Dae Wook;Jeong, Cheol Won;Lee, Hyung Gon;Yoon, Myung Ha;Kim, Woong Mo
    • The Korean Journal of Pain
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    • v.22 no.3
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    • pp.229-233
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    • 2009
  • Background: Sacroiliac (SI) joint pain is a challenging condition that causes lower back or buttock pain; however, there is no universally accepted long-term treatment. There have been several reports of ligament prolotherapy for SI joint pain, but these have had inconsistent results, probably due to the lack of a specific diagnosis for patient selection and variability in the volume, number and sites of injection. Therefore, this study was conducted to assess the efficacy of intraarticular prolotherapy for relieving SI joint pain diagnosed by local anesthetic intraarticular injection. Methods: Twenty-two patients with SI joint pain confirmed by 50% or more improvement in response to local anesthetic block underwent intraarticular prolotherapy with 25% dextrose water every other week three times. The numeric rating scale (NRS) for pain and Oswestry disability index (ODI) were assessed at the initial visit and after completion of a series of prolotherapy and the NRS was checked during monthly follow-up sessions to evaluate the long-term effectiveness of this technique. Results: Twenty patients completed prolotherapy and followed up as scheduled. The NRS and ODI were significantly improved from 6 (4-8) and $34.1{\pm}15.5$ to 1 (0-3) and $12.6{\pm}9.8$ (P < 0.01), respectively, at 1 month after prolotherapy. The mean duration of pain relief of 50% or more was 12.2 months (95% CI, 10.0-14.3) as determined by Kaplan-Meier survival analysis. Conclusions: Intraarticular prolotherapy provided long-term relief of sacroiliac joint pain and may have more benefits than ligament prolotherapy or neurolysis.

Irrigation Frequency for Kentucky Bluegrass (Poa pratensis) Growth (관수빈도에 따른 Kentucky Bluegrass 생육)

  • Lee, Sang-Kook
    • Asian Journal of Turfgrass Science
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    • v.26 no.2
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    • pp.123-128
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    • 2012
  • Kentucky bluegrass (Poa pratensis) is most widely used in golf courses and athletic fields. Weakness of Kentucky bluegrass is shallow root zone and has weak tolerance to shade. One of the biggest disadvantages is high demand of water. Water content is important factor to maintain excellent color and quality of turfgrass. There are two irrigation methods which are 'deep and infrequent (DI)' and 'Light and frequent (LI)'. The objective of the study is to investigate Kentucky bluegrass growth treated by different irrigation frequency. Three irrigation frequency were made; no irrigation, every other day, and weekly. The same amount of water was used between every other day and weekly irrigation except no irrigation. No irrigation mean no artificial water supply and precipitation only. No irrigation treatment produced turfgrass quality lower than acceptable rating of six in July and August. Under the weather condition of 2011, no irrigation could not maintained acceptable turfgrass quality. No significant differences were found for Kentucky bluegrass quality between DI and LI.

The estimation of river discharge by using the mean velocity equation in a unsteady condition (평균유속공식을 이용한 부정류 하천유량 산정)

  • Choo, Tai Ho;Chae, Soo Kwon;Yoon, Hyeon Cheol;Yun, Gwan Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6558-6564
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    • 2013
  • As the average indicator for amount of water flowing in any cross section of a river, the mean discharge has been reported to be a very important factor for examining water circle constructions in a river basin, the design and construction of a hydraulic structure, and water front area use and management. The stage-discharge curve based on discharge and stage data measured in a normal season were basically derived. Using this derivation, the necessary discharge data was obtained. The values produced in this manner corresponded to the measured data in a uniform flow state well, but showed limited accuracy in a flood season (unsteady flow). In the present paper, the mean velocity in unsteady flow conditions, which exhibited loop form properties, was estimated using the new mean velocity formula derived from Chiu's 2-D velocity. The results of RMSE and Polar graph analyses showed that the proposed equation exhibited approximately nineteen times the accuracy compared to the Manning and Chezy equations.

Factors Affecting Medical Service Utilization of Disabled (장애인의 의료이용에 영향을 미치는 요인)

  • Hwang, Hong-Gu;Jung, Hyun-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.219-225
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    • 2017
  • This article examined the condition of medical service utilization and the usage degree for the disabled in Korea, and analyzed factors affecting medical service utilization. This paper offers data for improving the health of disabled Korea residents and for enhancing medical service utilization. We analyzed data for disabled residents aged 19 from the 6th Korea National Health and Nutrition Examination Survey. Results found significant effects depending on gender, age, average monthly income, types of disorders, disability rating, and status of smoking. Concerning gender, men had a higher probability of lacking medical treatment compared with women, had increased probability of having a disability, and smokers had a higher probability of lacking treatment compared with nonsmokers. Therefore, for resolving medically untreated disabled Korean residents, government needs to improve the policy system and to managethe inequality of handicapped welfare work.

Acupuncture Treatment of Adhesive Capsulitis of the Shoulder: A Randomized Controlled Pilot Trial

  • Kim, Jung-Eun;Kim, Sung-Phil;Kim, Ae-Ran;Park, Hyo-Ju;Kwon, Ojin;Jung, So-Young;Cho, Jung-Hyo;Kim, Joo-Hee;Choi, Sun-Mi
    • Journal of Acupuncture Research
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    • v.35 no.3
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    • pp.120-128
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    • 2018
  • Background: Adhesive capsulitis (AC) is a common condition that includes shoulder pain and limited movement. Despite more than 100 years of AC treatment, the most efficacious treatment remains unclear. The aim of this study was to evaluate the feasibility of a randomized controlled trial (RCT) using acupuncture for AC. Methods: Thirty participants with AC were randomly assigned to acupuncture (A) or sham acupuncture (SA) groups. The participants received 15 acupuncture sessions over 6 weeks, and follow-up occurred for an additional 4 weeks thereafter. The primary clinical outcome was the numeric rating scale (NRS) for shoulder pain 6 weeks from the baseline. Secondary outcomes included range of motion (ROM) in the shoulder, the shoulder pain and disability index (SPADI), the EuroQol-5 dimensions (EQ-5D), the Pittsburgh sleep quality index (PSQI), and the patient global impression of change (PGIC). Results: Thirty participants were enrolled out of 37 screened individuals. Recruitment was conducted between August 2014 until May 2015. A total of 28 participants (93%) completed the 6-week intervention, and 26 participants (87%) completed the study. NRS, ROM, SPADI, EQ-5D, PSQI, and PGIC scores improved in both the experimental group and the sham group after 6 weeks, but the difference between the groups was not statistically significant. Adverse events were reported by 12 participants, although these events were not associated with acupuncture. Conclusion: A future RCT for AC may be feasible with some modifications to the recruitment plan and the secondary outcome measurement methods.

Effects of Nonsurgical Spinal Decompression Treatment on the Level of Pain and Quality of Life in Patients with Cervical or Lumbar Disc Herniation: A Retrospective Observational Study

  • Kim, Beom Seok;Lee, Ye Ji;Kim, Hyo Bin;Sung, Ki Jung;Jeon, Ju Hyun;Kim, Eun Seok;Kim, Young Il
    • Journal of Acupuncture Research
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    • v.37 no.4
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    • pp.259-269
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    • 2020
  • Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment. Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14th to August 25th, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0. Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample t test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B. Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.