• Title/Summary/Keyword: outcome measurement

검색결과 424건 처리시간 0.027초

불안에 대한 태극권 치료의 해외 임상연구 동향 (A Review on Clinical Research Trends in the Treatment of Tai Chi on Anxiety)

  • 김주영;홍민호;구병수;김근우
    • 동의신경정신과학회지
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    • 제30권3호
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    • pp.275-285
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    • 2019
  • Objectives: This study was performed to review the research trends in the treatment of Tai Chi on anxiety. Methods: We searched for articles in Pubmed and China National Knowledge Infrastructure (CNKI) from January 2009 to December 2018. The selected studies were evaluated by Jadad Scale. Results: One pre-post comparison study and seven controlled clinical trials were selected. HAMA (Hamilton Rating Scale for Anxiety) and STAI (State Anxiety Inventory) were the most frequently used diagnostic criteria. For outcome measurement, STAI was again the most commo. From Jadad Quality Assessment Scale of 8 articles, the overall quality of the studies was low. Conclusions: According to this study, it seemed that Tai Chi treatment on anxiety disorder is an effective and safe intervention. Therefore, based on this study, more clinical research on diverse forms of treatments of anxiety disorder should be performed in Korean medicine in the near future.

내재적 피드백을 위한 질문이 만성 뇌졸중 환자의 기능회복과 과제수행에 미치는 영향 (The Effect of Questions for Internal feedback on Functional Recovery and Task performance in chronic stroke patients)

  • 선화정;김희수;우지혜;유영열
    • 대한치료과학회지
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    • 제10권2호
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    • pp.21-30
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    • 2018
  • Objective: The purpose of this study was to investigate questions and instructions for internal feedback effects on functional recovery and task performance while chronic stroke patients practised task-specific training. Method: Twenty-four chronic stroke patients were randomly divided into two groups; when patients performed same tasks, one was treated using questions and the other using instructions for internal feedback Both lasted 30 minutes, 5 times a week for 8 weeks. Outcome measures included Erasmus MC Modifications to the Nottingham Sensory Assessment (EmNSA), Measurement Properties of the Motor Evaluation Scale for Upper Extremity in Stroke patients (MESUPES), Chedoke Arm and Hand Activity Inventory (CAHAI), Korean version of Modified Barthel Index (K-MBI). Results: There were no significant differences between the two groups in EmNSA and K-MBI(p>.05). But, in MESUPES and CAHAI, there was significant difference between the two groups(p<.05). Conclusion: In this study, questions for internal feedback during task-specific training are more effective in improving upper extremity motor function and task performance than instructions for internal feedback.

Comparison of AT1- and Kalman Filter-Based Ensemble Time Scale Algorithms

  • Lee, Ho Seong;Kwon, Taeg Yong;Lee, Young Kyu;Yang, Sung-hoon;Yu, Dai-Hyuk;Park, Sang Eon;Heo, Myoung-Sun
    • Journal of Positioning, Navigation, and Timing
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    • 제10권3호
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    • pp.197-206
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    • 2021
  • We compared two typical ensemble time scale algorithms; AT1 and Kalman filter. Four commercial atomic clocks composed of two hydrogen masers and two cesium atomic clocks provided measurement data to the algorithms. The allocation of relative weights to the clocks is important to generate a stable ensemble time. A 30 day-average-weight model, which was obtained from the average Allan variance of each clock, was applied to the AT1 algorithm. For the reduced Kalman filter (Kred) algorithm, we gave the same weights to the two hydrogen masers. We also compared the frequency stabilities of the outcome from the algorithms when the frequency offsets and/or the frequency drift offsets estimated by the algorithms were corrected or not corrected by the KRISS-made primary frequency standard, KRISS-F1. We found that the Kred algorithm is more effective to generate a stable ensemble time scale in the long-term, and the algorithm also generates much enhanced short-term stability when the frequency offset is used for the calculation of the Allan deviation instead of the phase offset.

소아 기능성 복통의 한약치료에 대한 임상연구 동향 - 중의학 논문을 중심으로 - (Review of Clinical Researches for Herbal Medicine Treatment on Functional Abdominal Pain in Children.)

  • 박세미;유선애
    • 대한한방소아과학회지
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    • 제35권1호
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    • pp.104-121
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    • 2021
  • Objectives The purpose of this study is to evaluate the efficacy and safety of herbal medication for the treatment of functional abdominal pain in children by analyzing randomized controlled trials conducted in China. Methods Literatures from China National Knowledge Infrastructure published up to 23 November, 2020 were searched. Then they were collected and analyzed by their publication year, demographic information, treatment methods used, duration of illnesses, duration of treatments, follow-up periods, outcome measurement and adverse events. Results A total of 27 studies were selected for the analysis. In all studies, the total efficacy of the herbal medicine treatment group was reported to be higher than that of the control group. The most frequently used medical herb was Root of Glycyrrhiza uralensis Fischer (甘草). The most frequently used classes of herbal medications are Qi regulating medicine (理氣藥), Qi tonics (補氣藥), Aromatic wet medicine (芳香化濕藥), and Digestant (消食藥). The adverse events rate for the herbal medicine treatment group were significantly lower than those in the Western medicine treatment group. Conclusions This study showed that herbal medicine treatment can be effective and safe option for treating pediatric functional abdominal pain. However, additional well-designed clinical studies are needed to solidify the findings.

Towards grain-scale modelling of the release of radioactive fission gas from oxide fuel. Part I: SCIANTIX

  • Zullo, G.;Pizzocri, D.;Magni, A.;Van Uffelen, P.;Schubert, A.;Luzzi, L.
    • Nuclear Engineering and Technology
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    • 제54권8호
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    • pp.2771-2782
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    • 2022
  • When assessing the radiological consequences of postulated accident scenarios, it is of primary interest to determine the amount of radioactive fission gas accumulated in the fuel rod free volume. The state-of-the-art semi-empirical approach (ANS 5.4-2010) is reviewed and compared with a mechanistic approach to evaluate the release of radioactive fission gases. At the intra-granular level, the diffusion-decay equation is handled by a spectral diffusion algorithm. At the inter-granular level, a mechanistic description of the grain boundary is considered: bubble growth and coalescence are treated as interrelated phenomena, resulting in the grain-boundary venting as the onset for the release from the fuel pellets. The outcome is a kinetic description of the release of radioactive fission gases, of interest when assessing normal and off-normal conditions. We implement the model in SCIANTIX and reproduce the release of short-lived fission gases, during the CONTACT 1 experiments. The results show a satisfactory agreement with the measurement and with the state-of-the-art methodology, demonstrating the model soundness. A second work will follow, providing integral fuel rod analysis by coupling the code SCIANTIX with the thermo-mechanical code TRANSURANUS.

회전근개 수술 후 한의 치료에 대한 비용효과성 평가 연구 : A Scoping Review (Study on Cost-effectiveness Evaluation of Treatment of Korean Medicine after Rotator Cuff Surgery: A Scoping Review)

  • 공나경;김남권;김현민;이혜윤
    • 동의생리병리학회지
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    • 제36권2호
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    • pp.48-53
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    • 2022
  • This scoping review was conducted to identify the trends of cost-effectiveness studies on treatment of Korean medicine after rotator cuff surgery and indicators used in those studies. In researching stage, "patients after rotator cuff surgery", "cost-effectiveness evaluation" and "treatment of Korean medicine" were set as the keywords in "Pubmed", "Google scholar" and Korean databases (RISS, OASIS, KCI). There were no studies containing all three keywords, and after searching separately for "cost-effectiveness evaluation" and "treatment of Korean medicine", each 7 studies were reviewed. The indicators used in the study were identified such as study design, characteristics of subjects, outcome measurement and others. This study identified the need for cost-effectiveness evaluation on the treatment of Korean medicine after rotator cuff surgery. We expect that those indicators will be used to implement other studies afterwards.

China National Knowledge Infrastructure 검색을 통한 내측경골 피로증후군 치료의 중의 임상 연구 동향 분석 (Review of Studies for Traditional Chinese Medicine on Treatment of Medial Tibial Stress Syndrome through China National Knowledge Infrastructure Search)

  • 박정현;정수현
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.157-165
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    • 2023
  • Objectives The purpose of this study was to analyze trends in traditional Chinese treatment of medial tibial stress syndrome (MTSS) and suggest directions for future research in Korea. Methods We investigated clinical studies using traditional Chinese medicine for treatment of MTSS through China National Knowledge Infrastructure search. Fourteen studies published from 2000 to 2022 were adopted and analyzed. We examined authors, type of study design, publishied year, intervention, treatment effectiveness. Results Among 14 studies, 8 were case reports and 6 were randomized controlled trials. Four interventions were used in 14 studies. Acupuncture and physical therapy were most frequently used interventions, each used in 12 studies. For evaluation of treatment effectness, 7 outcome measurements were used, effective rate was the most commonly used measurement. All of 14 studies showed good treatment results. Conclusions Through this study, we were able to identify current trends of Chinese medicine treatment for MTSS. Based on this, more study should be conducted to accumulate evidence for Korean medicine treatment of MTSS.

측두하악관절 원판변위 환자의 보존적 치료결과 (Outcome of Conservative Treatment for Patients with Disc Displacement of Temporomandibular Joint)

  • 김경희;김익환;고명연;안용우
    • Journal of Oral Medicine and Pain
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    • 제32권3호
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    • pp.305-318
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    • 2007
  • 측두하악관절에 나타나는 가장 흔한 질환인 원판변위를 보이는 환자들에서 보존적 치료결과를 평가하기 위해 1994년부터 2006년까지 13년간 부산대학교병원 구강내과에 내원하여 측두하악관절장애로 진단받은 후 보존적 치료를 시행한 환자 중 88명의 정복성 관절원판변위환자와 60명의 비정복성 관절원판변위환자를 실험군으로, 74명의 근육장애환자를 대조군으로 하여 초진시와 치료종결시의 주관적 증상 및 임상소견을 비교, 분석하여 다음과 같은 결과를 얻었다. 1. 정복성 관절원판변위 환자군, 비정복성 관절원판변위 환자군, 근육장애 환자군은 행동치료, 물리치료, 약물치료, 교합안정장치치료 등의 보존적 치료에 의해 통증, 관절음, 개구제한, 편이개구량이 현저히 개선되었다. 2. 초진시 통증은 근육장애군에서, 관절음은 정복성 관절원판변위 환자군에서, 개구제한은 비정복성 관절원판변위 환자군에서 매우 심했고, 편이 개구량은 정복성 관절원판변위 환자군에서 가장 컸으며 치료종결시 통증은 비정복성 관절원판변위군에서, 관절음은 정복성 관절원판변위 환자군에서, 개구제한은 비정복성 관절원판변위 환자군에서 가장 심했고, 편이 개구량은 정복성 관절원판변위 환자군에서 가장 컸다. 3. 초진시 관절음을 호소했던 환자가 보존적 치료로 관절음이 완전히 사라진 경우는 약 60%였다. 4. 정복성 및 비정복성 관절원판변위 환자에게는 행동치료, 물리치료, 약물치료, 교합안정장치치료를 시행했을 때 비교적 양호한 결과를 보였고, 근육장애 환자에게는 치료방법에 따른 결과는 별 차이가 없었다. 5. 보존적 치료에 따른 결과는 성, 연령, 급, 만성별로 차이가 없었다. 6. 근육장애는 6개월 미만, 10회 정도의 치료에 양호한 예후를 보였으나, 원판변위는 6개월 이상 2년 이하의 기간, 10-20회 정도의 치료에 예후가 좋았다.

BSC를 이용한 건설R&D 스타기술의 성과분석 방법론 개발 (Methodology Development for Analyzing Performance of Star Technology using BSC in Construction)

  • 박환표;홍태훈;진경호
    • 한국건설관리학회논문집
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    • 제9권5호
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    • pp.194-203
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    • 2008
  • 건설R&D 사업은 1994년에 12억원으로 시작하여 2004년에는 300억원으로 총 1,257억원(총 418건)을 투자하였지만, 과제당 연구비가 약 3억원으로 소형과제 위주로 추진됨으로써, 건설현장에 적용할 수 있으며, 사업화가 가능한 연구결과물은 거의 없었다. 또한 건설R&D 성과측정에 대한 관심이 상대적으로 적었고 그 중요성도 인식하지 못했던 것이 사실이었다. 특히 건설 R&D 성과측정 결과를 비교하기 위한 정형화된 방법론 및 계량화된 측정 자료를 가지고 있지 못해서 연구성과를 기반으로 한 지속적인 연구개발 투자보다는 매년 기술수요조사에 대응하는 형태의 연구개발투자가 이루어졌다. 따라서 본 연구에서는 스타기술 평가를 위한 성과지표들을 선정하기 위해 Balanced Score Card (BSC) 방법론을 응용하여 건설분야 R&D에 맞도록 생산성, 지식축적, 인력양성, 공공복지 4가지로 수정하며 건설R&D 성과분석 방법론을 제안하였다. 이렇게 계량화된 성과자료는 건설 R&D 투자의 근거자료가 되고 그동안 측정하기 어려웠던 건설기술의 가치에 대한 신뢰성을 제고하여 건설R&D 예산을 지속적으로 확보하기 위한 중요한 기본 자료로 활용될 수 있을 것이다.

하악 구치부에서 임의로 부여된 교합과 실제 교합의 삼차원 유한요소해석결과의 비교 (Comparison of the outcomes of three-dimensional finite element analysis under arbitrary and realistic occlusal loading conditions in mandibular posterior region)

  • 이원섭;;김명수;박영석;임영준;김명주;권호범
    • 구강회복응용과학지
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    • 제36권2호
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    • pp.112-120
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    • 2020
  • 목적: 본 연구의 목적은 하악 구치부에서 두 가지 서로 다른 부하 양식에 따른 생역학적 결과를 비교하는 것이었다. 연구 재료 및 방법: 하악 구치부 자연치열 및 임플란트 모델을 제작하였으며, 임의로 부여된 교합과 아큐라 디지털 교합측정장치로 획득한 실제 교합 두 가지 하중 조건을 부여하였다. 임의로 부여된 교합의 경우, 총 100 N 하중을 교합점에 균일하게 배분하였으며, 실제 교합의 경우는 총 100 N 하중을 아큐라(Accura, Dmetec Co. Ltd., Seoul, Korea)로 측정된 정보에 근거하여 교합점에 차등 배분하였다. 하중에 대한 응력과 변위를 유한요소해석을 이용하여 분석하였다. 결과: 유한요소해석 결과, 서로 다른 부하 조건 하에서 등가응력 및 변위 모두 상당한 차이를 보였다. 결론: 유한요소해석 수행 시 정확한 측정에 기반한 실제 교합에 가까운 부하 조건을 재현하는 것이 추천된다.