• Title/Summary/Keyword: effective measures

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A Narrative Review of the Korean Medicine Treatments for Achilles Tendinopathy (아킬레스 건병증의 한의학적 치료에 대한 국내외 연구 동향 분석)

  • Yoon, Kyung-Young;Hwang, Dong-Wook;Bae, In-Su;Youn, Jun-Heum;Lee, Yu-Jin;Jang, Won-Suk;Yoo, Sang-Joon;Lee, Do-Hoon;Kang, Dong-Hyeob;Son, Ja-Yean;Yang, Seok-Gyu;Cho, Hyun-Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.4
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    • pp.33-45
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    • 2022
  • Objectives The purpose of this review was to investigate clinical treatment trends of Achilles tendinopathy. Methods Clinical studies about Korean medicine treatments on Achilles tendinopathy were searched in 5 databases. The included studies were classified according to the authors, published years, study designs, purposes of study, methods, interventions outcome measures and adverse event. Results In 23 studies, total number of patients were 1,135. The included studies consist of 14 randomized controlled trials (RCT), 5 non-RCT, 2 retrospective study and 2 case reports. Patients were conducted with 9 kinds of treatment, which is acupuncture, electro-acupuncture, pharmacopuncture, acupotomy, moxibustion, cupping, Chuna, herbal medicine, physiotherapy. Most studies used visual analogue scale as primary outcome. Conclusions Based on the results of the collected studies, the use of Korean medicine treatment on Achilles tendinopathy seem to be effective. Despite the large number of RCTs, the level of research cannot be guaranteed, so it is considered that more rigorous researches are needed in future studies.

A Phenomenological Study on the Burnout of Specialized Counselors in the 117 Report Center - Application of the Integrated Working System of Government Departments- (117 신고센터 전문상담 요원의 소진에 관한 현상학적 연구 -정부 부처 통합근무 체제 적용-)

  • Youn, Yang-suk;Kim, Eun-hye
    • Industry Promotion Research
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    • v.7 no.3
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    • pp.85-91
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    • 2022
  • In modern society, the field of life is expanding to complex and diverse fields according to changes in lifestyle. As people's consciousness also changes, various social problems are involved, and countermeasures are being taken in various ways. In particular, as the issue of school violence has become a subject of interest, government-related ministries have jointly set up a reporting center and professional counselors are receiving and consulting on damage reports. Counselors experience mental and physical exhaustion in the course of their work. Therefore, the need to contribute to effective counseling work is raised by studying the factors that cause burnout. This study collected the experiences of 10 counselors working at 117 reporting centers from February 2019 to May 2020 through interviews and analyzed them with Colaizzi's phenomenological research method. The exhaustion factors derived from the results of the study were first experiences such as conflict between counselors during the period of institutional integration in the "117 reporting center experience", and secondly, professional counselors experienced emotional exhaustion, inhumanization, and lack of achievement. In order to prevent and overcome the exhaustion factors of counseling agents, it was necessary to prepare measures to promote fraud. This is expected to be useful data for improving the working environment of special job counselors in the era of industrialization and informatization in which various anonymous counseling methods are used.

Analysis of Twitter Post with 'Self-Iinjury' and 'Ssuicide' Using Text Mining (텍스트 마이닝기법을 활용한 '자해' 및 '자살' 관련 트위터 게시물 분석)

  • Yuri Lee;Hoin Kwon
    • Korean Journal of Culture and Social Issue
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    • v.29 no.1
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    • pp.147-170
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    • 2023
  • This study explored keywords and key topics by collecting posts related to 'self-Iinjury' and 'suicide' through Twitter. The study subjects were selected as posts containing related hashtags related to self-injury and suicide from October 29, 2019 to November 30, 2020. Text mining based on collected posts resulted in a total of 11 key topics: -6 related to 'self-Iinjury' and 5 related to 'suicide'. The main message in the topic is as follows. First, looking at the main messages contained in the topic, they honestly expressed self-harm and suicide experiences that are difficult to express offline online, and used SNS as a channelpath for requesting help requests. Second, there were common and discriminatory characteristics in posts related to 'self-Iinjury' and 'suicide'. Although topics related to 'self-Iinjury' mainly revealed emotional control and interpersonal functions of self-harm, messages related to 'suicide' showed more clearly messages about suicide prevention addressing and social problems. These results are meaningful in that they can understand the opinions of people who have experienced self-harm and suicide accidents and the public voice on self-harm and suicide-related issues could be better understood, and that this study seeks for effective self-harm and suicide prevention and intervention measures for self-harm and suicide issues.

A Study on Weight Loss Effect and Safety of Integrated Korean Medicine Treatment on Obese Patients in Local Clinics: A Restrospective Chart Review (한의원 진료환경에서 비만환자 대상 한의통합치료의 체중 감량 효과 및 안전성에 관한 연구: 후향적 차트 리뷰)

  • Ojin Kwon;Changsop Yang;Young Jin Kim;Won Hae Ku;Won Gu Lee;Ki Byung Kim;Kyung Hwan Jegal
    • Journal of Korean Medicine for Obesity Research
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    • v.22 no.2
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    • pp.125-135
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    • 2022
  • Objectives: A restrospective chart review were conducted to investigate the overall weight loss effect of the integrated Korean medicine treatment on obese patients (body mass index [BMI] ≥25 kg/m2) in Korean medicine clinic and analyze the difference in the effect according to lifestyle behaviors. Methods: The medical records of 43 obese patients were retrospectively analyzed including body weight, BMI, waist circumference, hip circumference, and body composition who received integrated Korean medicine treatment for 4 weeks at 24 Korean medicine clinics in Daejeon metropolitan city. All outcome measures were evaluated again 8 weeks after the end of treatment at week 12 for follow-up. EuroQol-5D (EQ-5D), the Korean version of the obesity-related quality of life scale (KOQOL) and patient's satisfaction were also evaluated. The analysis was divided according to the treatment period and observation period, and subgroup analysis was performed according to drinking and exercise habits. Results: Body weight, body fat, waist circumference, hip circumference, body fat were significantly reduced at week 4 and week 12. Theses weight reduction effects were significantly greater within treatment period (0 to 4 week) than observation period (4 to 12 week). Especially in the non-exercise group, the changes in body fat mass and body fat percent showed a significant difference between the treatment period and the observation period. KOQOL were also significantly improved at 12 week, but not in EQ-5D. No severe adverse events were observed. Conclusions: The integrated Korean medicine treatment could be effective to treat obesity including weight loss. It is necessary to prevent additional weight regain through regular exercise even after Korean medicine treatment.

The Validation of the Systems Thinking Assessment Tool for Measuring the Higher-order Thinking Ability of Vietnamese High School Students

  • Hyonyong Lee;Nguyen Thi Thuy;Hyundong Lee;Jaedon Jeon;Byung-Yeol Park
    • Journal of the Korean earth science society
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    • v.44 no.4
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    • pp.318-330
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    • 2023
  • This study aimed to verify the validity of a measurement tool for Vietnamese high school students' systems thinking abilities. Two quantitative assessment tools, the Systems Thinking Measuring Instrument (Lee et al., 2013) and the Systems Thinking Scale (Dolansky et al., 2020), were used to measure students' systems thinking after translation into Vietnamese. As a result, it was revealed that Cronbach-α for each tool (i.e., STMI and STS) was .917 and .950, respectively, indicating high reliability for both. To validate the construct validity of the translated questionnaire, exploratory factor analysis was performed using SPSS 26.0, and confirmatory factor analysis was performed using AMOS 21.0. For concurrent validity, correlation analysis using structural equation modeling was performed to validate the translated questionnaire. Exploratory factor analysis revealed that 10 items from the STMI and 12 items from the STS loaded on the intended factors and appropriate factor loading values were obtained. For confirmatory factor analysis, a structural equation model organized with 10 items from the STMI and 12 items from the STS was used. The result of this showed that the convergent validity values of the model were all appropriate, and the model fit indices were analyzed to be χ2/df of 1.892, CFI of .928, TLI of .919, SRMR of .047, and RMSEA of .063, indicating that the model consisting of the 22 items of the two questionnaires was appropriate. Analysis of the concurrent validity of the two tools indicated a high correlation coefficient (.903) and high correlation (.571-.846) among the subfactors. In conclusion, both the STMI and STS are valid quantitative measures of systems thinking, and it can be inferred that the systems thinking of Vietnamese high-school students can be quantitatively measured using the 22 items identified in our analysis. Using the tool validated in this study with other tools (e.g., qualitative assessment) can help accurately measure Vietnamese high school students' systems thinking abilities. Furthermore, these tools can be used to collect evidence and support effective education in ODA projects and volunteer programs.

A Study on The Necessity of Establishing an IT-Based Local Government Safety and Health Management Information Integration System (IT 기반 지자체 안전보건 관리 정보 통합 시스템 구축 필요성에 관한 연구)

  • Seo-Yeon Choi
    • The Journal of the Korea institute of electronic communication sciences
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    • v.18 no.4
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    • pp.701-708
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    • 2023
  • Local governments are required to take measures to prevent occupational accidents under Articles 4(2) and 4(3) of the Occupational Safety and Health Act, and this study suggested the necessity of establishing an IT-based integrated safety and health information sharing system for serious accident reduction and safety and health management through the case of Incheon Metropolitan City. Recently, as local governments have established labor and health ordinances and basic plans, the need for an independent integrated safety and health management system based on local industrial characteristics has increased. It is necessary to establish a cooperation and support system with basic local governments and hub institutions, share integrated safety and health information with related institutions and organizations, and play a pivotal role in regional safety and health management by managing occupational accident statistics and implementing basic policies. The system through local governments' safety and health management will reduce serious accidents in the region, and the comprehensive safety and health management system for small businesses and projects ordered by local governments will strengthen the operability of the site, which will be effective in preventing critical accidents and industrial accidents.

A Study on Water-level Rise Behavior Curve using Historical Record (기왕자료를 이용한 수위상승거동곡선에 관한 연구)

  • Kwak, Jaewon;Kim, Gilho
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.5
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    • pp.601-610
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    • 2023
  • The comprehension of water-level behavior in rivers is essential for effective flood and river environmental management. The objective of this study is to propose a methodology that can be used by field engineers engaged in actual practice, to readily identify the characteristics of water-level behavior during flood events. To this end, a total of 45 historical water-level records from 2010 to 2022 year, which provide flood information for the flood vulnerable districts of the Han River, were obtained. A Water-level Rise Behavior Curve (WRBC) was developed and suggested to quantify the amount of water-level rise per unit time during flood. As a result, the water-level rises by more than 80% of the total rise within the first 6.2 hours, followed by a gradual rise. The time required to achieve a particular equilibrium varied depending on the area and runoff characteristics of the upstream. Furthermore, the study revealed that the WRBC provides a statistical representation of the water-level rise trend during floods, and can be effectively utilized for flood mitigation measures in waterfront spaces and irrigation facilities.

Inferring Pedestrian Level of Service for Pathways through Electrodermal Activity Monitoring

  • Lee, Heejung;Hwang, Sungjoo
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.1247-1248
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    • 2022
  • Due to rapid urbanization and population growth, it has become crucial to analyze the various volumes and characteristics of pedestrian pathways to understand the capacity and level of service (LOS) for pathways to promote a better walking environment. Different indicators have been developed to measure pedestrian volume. The pedestrian level of service (PLOS), tailored to analyze pedestrian pathways based on the concept of the LOS in transportation in the Highway Capacity Manual, has been widely used. PLOS is a measurement concept used to assess the quality of pedestrian facilities, from grade A (best condition) to grade F (worst condition), based on the flow rate, average speed, occupied space, and other parameters. Since the original PLOS approach has been criticized for producing idealistic results, several modified versions of PLOS have also been developed. One of these modified versions is perceived PLOS, which measures the LOS for pathways by considering pedestrians' awareness levels. However, this method relies on survey-based measurements, making it difficult to continuously deploy the technique to all the pathways. To measure PLOS more quantitatively and continuously, researchers have adopted computer vision technologies to automatically assess pedestrian flows and PLOS from CCTV videos. However, there are drawbacks even with this method because CCTVs cannot be installed everywhere, e.g., in alleyways. Recently, a technique to monitor bio-signals, such as electrodermal activity (EDA), through wearable sensors that can measure physiological responses to external stimuli (e.g., when another pedestrian passes), has gained popularity. It has the potential to continuously measure perceived PLOS. In their previous experiment, the authors of this study found that there were many significant EDA responses in crowded places when other pedestrians acting as external stimuli passed by. Therefore, we hypothesized that the EDA responses would be significantly higher in places where relatively more dynamic objects pass, i.e., in crowded areas with low PLOS levels (e.g., level F). To this end, the authors conducted an experiment to confirm the validity of EDA in inferring the perceived PLOS. The EDA of the subjects was measured and analyzed while watching both the real-world and virtually created videos with different pedestrian volumes in a laboratory environment. The results showed the possibility of inferring the amount of pedestrian volume on the pathways by measuring the physiological reactions of pedestrians. Through further validation, the research outcome is expected to be used for EDA-based continuous measurement of perceived PLOS at the alley level, which will facilitate modifying the existing walking environments, e.g., constructing pathways with appropriate effective width based on pedestrian volume. Future research will examine the validity of the integrated use of EDA and acceleration signals to increase the accuracy of inferring the perceived PLOS by capturing both physiological and behavioral reactions when walking in a crowded area.

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Analysis of effects of drought on water quality using HSPF and QUAL-MEV (HSPF 및 QUAL-MEV를 이용한 가뭄이 수질에 미치는 영향 분석)

  • Lee, Sangung;Jo, Bugeon;Kim, Young Do;Lee, Joo-Heon
    • Journal of Korea Water Resources Association
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    • v.56 no.6
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    • pp.393-402
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    • 2023
  • Drought, which has been increasing in frequency and magnitude due to recent abnormal weather events, poses severe challenges in various sectors. To address this issue, it is important to develop technologies for drought monitoring, forecasting, and response in order to implement effective measures and safeguard the ecological health of aquatic systems during water scarcity caused by drought. This study aimed to predict water quality fluctuations during drought periods by integrating the watershed model HSPF and the water quality model QUAL-MEV. The researchers examined the SPI and RCP 4.5 scenarios, and analyzed water quality changes based on flow rates by simulating them using the HSPF and QUAL-MEV models. The study found a strong correlation between water flow and water quality during the low flow. However, the relationship between precipitation and water quality was deemed insignificant. Moreover, the flow rate and SPI6 exhibited different trends. It was observed that the relationship with the mid- to long-term drought index was not significant when predicting changes in water quality influenced by drought. Therefore, to accurately assess the impact of drought on water quality, it is necessary to employ a short-term drought index and develop an evaluation method that considers fluctuations in flow.

Variation of Earth Pressure Acting on the Cut-and-Cover Tunnel Lining due to Geotextile Mat Reinforcement (지오텍스타일 매트의 설치에 의한 개착식 터널 라이닝에 작용하는 토압의 변화)

  • Bautista, F.E.;Park, Lee-Keun;Im, Jong-Chul;Joo, In-Gon
    • Journal of the Korean Geotechnical Society
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    • v.23 no.3
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    • pp.25-40
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    • 2007
  • Excessive earth pressure is one of the major mechanical factors in the deformation and damage of Cut-and-Cover Tunnel lining in shallow tunnels and portals of mountain tunnels (Kim, 2000). Excessive earth pressure may be attributed to insufficient compaction and consolidation of backfill material due to self-weight, precipitation and vibration caused by traffic (Komiya et al., 2000; Taylor et al., 1984; Yoo, 1997). Even though there were a lot of tests performed to determine the earth pressure acting on the tunnel lining, unfortunately there were almost no case histories of studies performed to determine remedial measures that reduce differential settlement and excessive earth pressure. In this study the installation of geotextile mat was selected to reduce the differential settlement and excessive earth pressure acting on the cut-and-cover tunnel lining. In order to determine settlement and earth pressure reduction effect (reinforcement effect) of geotextile mat reinforcement, laboratory tunnel model tests were performed. This study was limited to the modeling of rigid circular cut-and-cover tunnel constructed at a depth of $1.0D\sim1.5D$ in loose sandy ground and subjected to a vibration frequency of 100 Hz. Model tests with varying soil cover, mat reinforcement scheme and slope roughness were performed to determine the most effective mat reinforcement scheme. Slope roughness was adjusted by attaching sandpaper #100, #400 and acetate on the cut slope surface. Mat reinforcement effect of each mat reinforcement scheme were presented by the comparison of earth pressure obtained from the unreinforced and mat reinforced model tests. Soil settlement reduction was analyzed and presented using the Picture Analysis Method (Park, 2003).