• 제목/요약/키워드: manual method

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자궁경부 액상세포검사의 수기 검사법에 대한 고찰 - $SurePath^{TM}$ 검사법을 준용한 수기 검사법으로 - (Evaluation of the Manual Method of Liquid-Based Uterine Cervicovaginal Cytology - By The Manual Method Based on $SurePath^{TM}$ Methodology)

  • 박종명;장진욱;임소여;서인수;이종기
    • 대한세포병리학회지
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    • 제15권2호
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    • pp.86-91
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    • 2004
  • Liquid-Based Uterine Cervicovaginal Cytology is known to be a sensitive and effective screening method for cervical neoplasm $MonoPrep^{TM},\;ThinPrep^{TM},\;and\;SurePath^{TM}$ methods have been recently used as Liquid-Based Uterine Cervicovaginal Cytology techniques, and the $SurePath^{TM}$ method has been used in Sung-Yoon Reference Laboratory since 2003. The goal of Liquid-Based Uterine Cervicovaginal Cytology is to separate cervical epithelial cells from non-target cells, red blood cells and neutrophils. This report describes a study which evaluated cellularity, stainablilty, and cellular changes of epithelial cels in samples processed using a manual technique as compared to samples processed using $SurePath^{TM}$ automated method. The samples processed by means of a manual technique contained a cellularity of epithelial cells similar to that of the samples processed using the $SurePath^{TM}$ automated method. In addition, we compared variable density gradient reagents, including dextran, dextrose, and sucrose, to $SurePath^{TM}$ gradient media in order to evaluate cell fractionation and cellularity of epithelial cells. 10% dextran of gradient media shows good fractionation. The samples processed with 10% dextran demonstrated sufficient cellularity of epithelial cells and shows the fewest cellular changes. In conclusion, using a manual technique on these samples is easier to read than those results obtained using the $SurePath^{TM}$ automated method.

도수치료기법들 간의 평가와 치료 개념에 대한 비교 (The Comparison about a Evaluation and Treatment Concept of the Manual Therapy Techniques)

  • 김호봉;김선엽;김영민
    • 대한정형도수물리치료학회지
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    • 제11권1호
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    • pp.49-64
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    • 2005
  • This study largely compared the general concept, examination, and treatment of various manual therapy techniques. These various manual therapy techniques, however, are still in the developing stage, so no one approach is yet perfect. Clinically, manual therapy techniques are widely being used to treat the dysfunctional neuromusculoskeletal with the common practice of mobilization, manipulation, exercise, and patient education. Anyone of the above approaches must not be selectively chosen as the best method. Manual therapists should treat patients in the clinic with the full knowledge of these proper manual therapy techniques depending on the patient's symptoms in each of the anatomical, biomechanical, and pathological views.

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물리치료사의 환자 운반 시 작업 부하 분석에 NIOSH 들기 공식 적용: 사례연구 (Application of NIOSH Lifting Equation to Analysis of Workload for Patients Transferring by Physical Therapist: a Case Study)

  • 이인희
    • The Journal of Korean Physical Therapy
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    • 제21권3호
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    • pp.119-124
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    • 2009
  • Purpose: The National Institute for Occupational Safety and Health (NIOSH) lifting equation (NLE) is a useful tool to ergonomically analyze a workload. The NLE has high reliability and it can assess tasks by analyzing the work process. The purpose of this case study was to try using the NLE to analyze the workload of transferring patients by physical therapists in the hospital setting. Methods: We observed a physical therapist (PT) transferring patients from a wheelchair to a tilt table and a therapeutic table in one day. Two types of patient transferring methods were evaluated; (1) the manual single person method of stand, pivot and transfer, and (2) manual two person lifting under the thigh and grasping the waist for totally dependent patients. Results: The NIOSH lifting indexes of a person grasping the waist during the manual two person lifting were 5.52~4.48 according to the patient's weight. The NIOSH lifting indexes were 3.34 and 4.48 for the tasks performed by the manual single person method. Conclusion: Because transferring patients is not done very frequently, patients transferring tasks by a PT are not included as one of the musculoskeletal disorder related risky work criteria of the Korea Ministry of Labor. But the NIOSH lifting indexes of a person grasping the waist during the manual two person lifting and the manual single person method were over the NIOSH recommended weight limit threshold.

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한국 수기치료(手技治法)에 대한 연구 (A Study of Manual Therapy of Korea)

  • 김효정;홍지헌;이전형;김중선
    • 대한물리의학회지
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    • 제2권2호
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    • pp.213-218
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    • 2007
  • Purpose : this purpose of this study is to research manual therapy of korea. Methods : This is literature study with books, articles, and web site for manual therapy of korea Results : Manual therapy of korea is prevention and treatment a disease with stimulated in body by hand. Manual therapy of korea include jiap, anma, chuna, body correction, massage and so forth. Conclusion : Manual therapy of korea has been developed by means of variety method and its scientific effects has been proven. Therefore, Manual therapy of korea must development as filed of physical therapy.

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기계식 해체공사의 안전관리 매뉴얼 개발 (Development of Safety Management Manual for Deconstruction Works - Focused on the Mechanical Deconstruction Method -)

  • 최종수;허성태
    • 한국안전학회지
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    • 제24권1호
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    • pp.43-49
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    • 2009
  • The primary focus of this study is to develop a practical safety management manual that can be served as a guideline for building deconstruction works over the entire deconstruction processes; say, pre- and during the deconstruction process. Built upon the analysis findings of domestic deconstruction codes and laws, deconstruction manuals from several countries, and actual deconstruction practices, a safety manual is proposed. Total of 940 safety items are included in the manual according to the predetermined 15 safety categories. To improve the efficiency of end users' utilization, the proposed manual is embodied in the form of e-safety manual. Detailed descriptions and discussions on research findings are elaborated. in the main text.

수기 액상세포검사를 이용한 자궁목 세포진 검사의 임상적 효용성: 고식적 세포진 검사와의 비교 (Clinical Efficacy of Manual Liquid-Based Cervicovaginal Cytology Preparation: Comparative Study with Conventional Papanicolaou Test)

  • 박종명;이종기;서인수
    • 대한세포병리학회지
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    • 제16권1호
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    • pp.10-17
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    • 2005
  • This study was performed to compare manual liquid-based preparation with conventional Papanicolaou tests in view of the cytologic diagnoses and specimen adequacy. The specimens of 5,979 women from 33 local clinics and 1 general hospital were prepared by both manual liquid-based preparation and conventional Papanicolaou test. The cytologic diagnoses and specimen adequacy were evaluated in Department of Fathology in Kyoungpook National University School of Medicine. A conventional Papanicolaou test was always prepared first, after that residual material on the sampling device was rinsed into a liquid preservative, and then thin-layer slides were prepared using manual method of liquid-based cervicovaginal cytology. Conventional and liquid-based slides were read independently, and cytologic diagnoses and specimen adequacy were classified using the Bethesda System. Of the cases, 5,763 (96.3%,) had the same interpretation, and there was no significant diagnostic difference in 5,853 (97.8%) cases. When evaluating cases with more than one diagnostic class difference, the manual liquid-based preparation demonstrated a statistically significant overall improvement (2.1%) in the detection of squamous intraepithelial lesion and invasive cancer. Using manual method of liquid-based preparation, there was 14.1%, reduction in unsatisfactory slides through excellent cellular presentation. In conclusion, the manual liquid-based preparation produces standardized quality, superior sensitivity and improved adequacy as compared to the conventional method.

벨트를 이용한 도수견인이 허리뼈 척추사이원반 탈출증 환자의 허리뼈 척추사이 공간에 미치는 효과 (The Effects of Manual Traction Using Belt on Lumbar Intervertebral Space of Lumbar HIVD)

  • 정성관;이호준;이승병
    • 대한정형도수물리치료학회지
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    • 제28권3호
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    • pp.1-7
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    • 2022
  • Background: Manual traction with a belt is a physiotherapy treatment method that reduces disk pressure and widens the disk space. In clinical settings, it is applied to numerous patients with herniated intervertebral disk (HIVD). This study aimed to identify the effects of manual traction with a belt on the intervertebral space in patients with lumbar HIVDs. Methods: The intervention was performed on 17 patients with lumbar HIVDs who were divided into two groups: one with eight patients having HIVD at L4~L5 and another group with nine patients having HIVD at L5~S1. The participants received manual traction with a belt twice a week for 12 weeks, and radiographic imaging was used to visualize the intervertebral space and compare it before and after treatment. Results: Manual traction with a belt increased the lumbar intervertebral space at L4~L5 and L5~S1 in patients with L4~L5 HIVD. A significant difference was observed in the L4-L5 distance (p<.01); however, no significant difference was observed in the L5~S1 distance (p>.05). The intervertebral space significantly increased at both L4~L5 and L5~S1 in patients with L5~S1 HIVD (p<.05). Conclusion: Thus, manual traction with a belt increased the intervertebral space in patients with L4~L5 and L5~S1 HIVDs. These results are expected to guide studies on manual traction with belts in clinical settings in the future. Further studies using the present research as an objective study method are anticipated.

A Three-Dimensional Deep Convolutional Neural Network for Automatic Segmentation and Diameter Measurement of Type B Aortic Dissection

  • Yitong Yu;Yang Gao;Jianyong Wei;Fangzhou Liao;Qianjiang Xiao;Jie Zhang;Weihua Yin;Bin Lu
    • Korean Journal of Radiology
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    • 제22권2호
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    • pp.168-178
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    • 2021
  • Objective: To provide an automatic method for segmentation and diameter measurement of type B aortic dissection (TBAD). Materials and Methods: Aortic computed tomography angiographic images from 139 patients with TBAD were consecutively collected. We implemented a deep learning method based on a three-dimensional (3D) deep convolutional neural (CNN) network, which realizes automatic segmentation and measurement of the entire aorta (EA), true lumen (TL), and false lumen (FL). The accuracy, stability, and measurement time were compared between deep learning and manual methods. The intra- and inter-observer reproducibility of the manual method was also evaluated. Results: The mean dice coefficient scores were 0.958, 0.961, and 0.932 for EA, TL, and FL, respectively. There was a linear relationship between the reference standard and measurement by the manual and deep learning method (r = 0.964 and 0.991, respectively). The average measurement error of the deep learning method was less than that of the manual method (EA, 1.64% vs. 4.13%; TL, 2.46% vs. 11.67%; FL, 2.50% vs. 8.02%). Bland-Altman plots revealed that the deviations of the diameters between the deep learning method and the reference standard were -0.042 mm (-3.412 to 3.330 mm), -0.376 mm (-3.328 to 2.577 mm), and 0.026 mm (-3.040 to 3.092 mm) for EA, TL, and FL, respectively. For the manual method, the corresponding deviations were -0.166 mm (-1.419 to 1.086 mm), -0.050 mm (-0.970 to 1.070 mm), and -0.085 mm (-1.010 to 0.084 mm). Intra- and inter-observer differences were found in measurements with the manual method, but not with the deep learning method. The measurement time with the deep learning method was markedly shorter than with the manual method (21.7 ± 1.1 vs. 82.5 ± 16.1 minutes, p < 0.001). Conclusion: The performance of efficient segmentation and diameter measurement of TBADs based on the 3D deep CNN was both accurate and stable. This method is promising for evaluating aortic morphology automatically and alleviating the workload of radiologists in the near future.

경근 추나 치료를 적용한 척추유합술 후 슬굴곡근 단축 환자 치험 1례 (A Case Report of Hamstring shortening after Spinal Fusion, Treated by Chuna Manual Therapy)

  • 최희승;김민영;최영일;추원정;남항우
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.133-143
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    • 2011
  • Objectives : The present study introduces the clinical application of Hamstring Chuna Manual Therapy to a patient who underwent the pain after spinal fusion. Methods : A patient who had the pain after spinal fusion was hospitalized at Bucheon Jaseng hospital of Oriental Medicine for 35 days. During the hospital treatment, the pain was relieved by Hamstring Chuna Manual Therapy. The improvement of the patient was measured by VAS(Visual Analogue Scale) score, SLR(Straight-Leg Raising) test, and walking distance. Results : The values of the patient's VAS score, SLR test, and walking distance measured before and after Hamstring Chuna Manual Therapy presented that the pain was relieved after Hamstring Chuna Manual Therapy. Conclusions : Therefore, this case demonstrates that Hamstring Chuna Manual Therapy is effective treatment method for relieving pain in the spine.

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정형물리치료학의 학습모형 개발에 관한 연구 (A Study on the Learning Model of Orthopedic Manual Therapy)

  • 박지환
    • 대한정형도수물리치료학회지
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    • 제6권1호
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    • pp.27-33
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    • 2000
  • PURPOSE; The main purpose of this study is to develop a new learning model of Orthopedic Manual Therapy. METHOD; From 1997 to 1999, this survey was made of 318 students who had attended in Orthopedic Manual Therapy subject. RESULT; Results show that regard satisfaction with lecture was as 'good' by 235 person(73.3%). And the most interest subject among the therapists was orthopedic manual therapy(44.63%), next NDT(25.62%). CONCLUSION; This study suggest a new learning model of orthopedic manual therapy used by Role-play model and Coner study model. So we can be lecture effectively to focus students.

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