• Title/Summary/Keyword: quality dimension

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A Case Report on Reflux Esophagitis Treated with Korean Medicine in a Patient with Spinal Stenosis (한방병원에 입원한 역류성 식도염을 동반한 척추관협착증 환자에 대한 한방 치료 1례)

  • Kim, So-won;Kong, Geon-sik;Song, Jin-young;Park, Jin-hun;Wang, Yen-min;Kim, Sang-yoon;Lee, Hyung-chul;Eom, Guk-hyeon;Kang, Man-ho;Park, Sung-hwan
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.800-807
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    • 2021
  • Objectives: This study investigated the efficacy of Korean medical treatment for reflux esophagitis. Methods: We used Korean medical treatment (herbal medicines, acupuncture, herbal acupuncture, and therapy) to treat a hospitalized patient with reflux esophagitis. To evaluate the treatment, we measured the symptoms using the Reflux Symptom Index (RSI) and the Visual Analogue Scale (VAS) for heartburn, acid reflux, chest pain, foreign body sensations in the throat, chronic cough, hoarseness, and bronchial asthma. The generic health status was evaluated using the European Quality of Life Five-Dimension (EQ-5d) Scale. Results: The RSI and EQ-5d scores improved following treatment, but the VAS scores showed that only heartburn, acid reflux, and chest pain symptoms were relieved. Conclusions: This study suggests that Korean medicine may be effective for treating reflux esophagitis.

A Case Report inculding Pharmacopuncture Therapy at Lumbar Facet joints for a Patient with Lumbar Disc Herniation with Lower Back Pain and Leg Radiating Pain that Worsen during Pregnancy (요추 후관절 약침 치료를 병행한 임신 중 요통 및 하지방사통이 악화된 요추 추간판 탈출증 환자 증례 보고)

  • Kim, Su-Jin;Kim, Sun-A;Kim, Min-Kyung;Lee, Si-Won;Kyung, Da-Hyun;Bae, Ji-Eun;Kwon, Yong-Su;Huh, Hyo-Seung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.1
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    • pp.93-103
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    • 2021
  • Objectives: The purpose of this study was to report a case of a pregnant woman diagnosed with lumbar disc herniation that improved in lumbar pain and radiating leg pain through combined korean medical treatment including pharmacopuncture at lumbar facet joints in situations surgical and pharmacological treatment is limited due to pregnancy. Methods: A combination of treatment including pharmacopuncture at lumbar facet joints, acupuncture, cupping, and herbal medicine was provided for 1 month to a woman at 21 weeks pregnant who was diagnosed with lumbar disc herniation. Her progress was assessed with Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5Dimension (EQ-5D) before and after treatment. Results: After the treatment, the pain decreased and the quality of life was enhanced. No adverse events were observed. Conclusions: The findings indicate that combined korean medical treatment including pharmacopuncture at lumbar facet joints can be safe and effective alternative to treat lumbar disc herniation during pregnancy.

Automated Measurement Method for Construction Errors of Reinforced Concrete Pile Foundation Using a Drones (드론을 활용한 철근콘크리트 말뚝기초 시공 오차 자동화 측정 방법)

  • Seong, Hyeonwoo;Kim, Jinho;Kang, HyunWook
    • Korean Journal of Construction Engineering and Management
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    • v.23 no.2
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    • pp.45-53
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    • 2022
  • The purpose of this study is to present a model for analyzing construction errors of reinforced concrete pile foundations using drones. First, a drone is used to obtain an aerial image of the construction site, and an orthomosaic image is generated based on those images. Then, the circular pile foundation is automatically recognized from the orthomosaic image by using the Hough transform circle detection method. Finally, the distance is calculated based on the the center point of the reinforced concrete pile foundation in the overlapped data. As a case study, the proposed concrete concrete pile foundation construction quality control model was applied to the real construction site in Incheon to evaluate the proposed model.

Efficacy and Safety of Banhahubak-Tang for Depression Treatment: Study Protocol for a Randomized, Waitlist-Controlled Trial

  • Seung-Ho, Lee;Yunna, Kim;Dohyung, Kwon;Seung-Hun, Cho
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.389-400
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    • 2022
  • Objectives: Depression is a highly prevalent disease, and the market for antidepressant drugs continues to grow at a steady rate. Although current antidepressants are reported to be effective, because of their low remission rate and side effects, new antidepressants are needed. The use of Banhahubak-tang (BHT) to treat the symptoms of depression is supported by experimental evidence. The proposed study will evaluate the efficacy and safety of BHT in treating depression. Methods: A randomized, waitlist-controlled, parallel clinical trial will be conducted to assess the efficacy of BHT in depression. A total of 84 participants with depression will be randomized into the intervention group or waitlist-control group at a 1:1 ratio. Patients in the intervention group will be administered BHT three times a day for four weeks and followed up for four more weeks after therapy completion. Patients in the waitlist-control group will undergo the same intervention and follow-up after a four-week waiting period. The primary outcome is change in the Korean version of the Hamilton Depression Rating Scale (K-HDRS) scores for major depressive disorders after four weeks. The secondary outcomes include scores on the K-HDRS, Korean Symptom Check List 95 (KSCL-95), Insomnia Severity Index (ISI), State-Trait Anxiety Inventory-Korean version (STAI-K), State-Trait Anger Expression Inventory-Korean version (STAXI-K), and the Instrument on Pattern Identifications for Depression and EuroQol-5 Dimension (EQ-5D). Conclusions: This trial will provide high-quality clinical evidence of the efficacy and safety of BHT in the management of depression.

A Case Report of Complex Korean Medicine Treatment Application Including Chuna Manual Therapy for Functional Recovery After Sacroiliac Joint Fusion (천장관절융합술 후 기능 회복에 대한 추나요법을 포함한 한의복합치료 증례보고 1례)

  • Yun-Hee Han;Shin-Hyeok Park;Hyeon-jun Woo;Won-Bae Ha;Jung-Han Lee
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.63-72
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    • 2022
  • Objectives This case study aimed to investigate the effect of complex Korean medicine treatment including Chuna manual therapy on sacroiliac joint (SIJ) pain status post SIJ fusion with sacroiliac screw fixation. Methods Complex Korean medicine treatments including Chuna manual therapy were provided to patients with SIJ widening due to a traffic accident trauma. Measurement of range of motion and manual muscle test to evaluate functional activities of daily living was conducted before and after treatment. Moreover, outcome estimates were performed using the numeric rating scale, pain disability index, and EuroQol 5-dimension five-level questionnaire. Results After complex treatment, functional activities of daily living improved. Sacroiliac joint pain decreased and the quality-of-life score improved. Conclusions This study suggests that treatment with complex Korean medicine treatment including Chuna manual therapy may improve traumatic SIJ widening status post SIJ fusion. A postoperative rehabilitation protocol based on accumulated research results considering a multidisciplinary approach should be prepared to ensure holistic treatment.

A Case Report of Post Hysterectomy Syndrome Treated with a Combination of Korean Medical Treatment (자궁절제술 후 증후군 환자의 복합 한방 증례 보고)

  • Jae-Won Park;Su-Jin Kim;Ji-Eun Bae;Ji-Eun Koo;Jun-Hyo Bae;Joo-Young Yoon;Jun-Kyu Lim;Yu-Sun Jeon;Yong-Jun Kim
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.91-100
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    • 2022
  • Objectives The purpose of this study was to report a case of a woman diagnosed with post hysterectomy syndrome treated with combined Korean medical treatment. Methods A combination of treatment including chuna manual therapy, pharmacopuncture at the lumbar facet joints, acupuncture, cupping, and herbal medicine was provided for 1 month. Progress was assessed using the Numeric Rating Scale, Oswestry Disability Index, EuroQol-5Dimension, and Hot Flush Score before and after treatment. Results After treatment, the symptoms were reduced and the quality of life was enhanced, although there was no improvement in the abnormal sensation in the anterior part of the thigh. No adverse events were observed. Conclusions The findings indicate that a combination of Korean medical treatment can be a safe and effective alternative treatment in reducing LBP and hot flushes after hysterectomy.

Adaptive quantization for effective data-rate reduction in ultrafast ultrasound imaging (초고속 초음파 영상의 효과적인 데이터율 저감을 위한 적응 양자화)

  • Doyoung Jang;Heechul Yoon
    • The Journal of the Acoustical Society of Korea
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    • v.42 no.5
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    • pp.422-428
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    • 2023
  • Ultrafast ultrasound imaging has been applied to various imaging approaches, including shear wave elastography, ultrafast Doppler, and super-resolution imaging. However, these methods are still challenging in real-time implementation for three Dimension (3D) or portable applications because of their massive data rate required. In this paper, we proposed an adaptive quantization method that effectively reduces the data rate of large Radio Frequency (RF) data. In soft tissue, ultrasound backscatter signals require a high dynamic range, and thus typical quantization used in the current systems uses the quantization level of 10 bits to 14 bits. To alleviate the quantization level to expand the application of ultrafast ultrasound imaging, this study proposed a depth-sectional quantization approach that reduces the quantization errors. For quantitative evaluation, Field II simulations, phantom experiments, and in vivo imaging were conducted and CNR, spatial resolution, and SSIM values were compared with the proposed method and fixed quantization method. We demonstrated that our proposed method is capable of effectively reducing the quantization level down to 3-bit while minimizing the image quality degradation.

Golf participation after rotator cuff repair: functional outcomes, rate of return and factors associated with return to play

  • Thomas R Williamson;Patrick G Robinson;Iain R Murray;Andrew D Murray;Julie M McBirnie;C Michael Robinson;Deborah J MacDonald;Nicholas D Clement
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.109-116
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    • 2023
  • Background: Golf is a popular sport involving overhead activity and engagement of the rotator cuff (RC). This study aimed to determine to what level golfers were able to return to golf following RC repair, the barriers to them returning to golf and factors associated with their failure to return to golf. Methods: Patients preoperatively identifying as golfers undergoing RC repair at the study centre from 2012 to 2020 were retrospectively followed up with to assess their golf-playing status, performance and frequency of play and functional and quality of life (QoL) outcomes. Results: Forty-seven golfers (40 men [85.1%] and 7 women [14.9%]) with a mean age of 56.8 years met the inclusion criteria, and 80.1% were followed up with at a mean of 27.1 months postoperatively. Twenty-nine patients (76.3%) had returned to golf with a mean handicap change of +1.0 (P=0.291). Golf frequency decreased from a mean of 1.8 rounds per week preinjury to 1.5 rounds per week postoperatively (P=0.052). The EuroQol 5-dimension 5-level (EQ-5D-5L) index and visual analog scale (EQ-VAS) score were significantly greater in those returning to golf (P=0.024 and P=0.002), although functional outcome measures were not significantly different. The primary barriers to return were ipsilateral shoulder dysfunction (78%) and loss of the habit of play (22%). Conclusions: Golfers were likely (76%) to return to golf following RC repair, including mostly to their premorbid performance level with little residual symptomatology. Return to golf was associated with a greater QoL. Persistent subjective shoulder dysfunction (78%) was the most common barrier to returning to golf.

A Study of on the design of bags applying TRIZ (트리즈를 적용한 가방 디자인 연구)

  • Paek, Kyung Ja
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.305-311
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    • 2022
  • In this study, we wanted to apply the creative problem-solving theory of TRIZ to explore the possibilities of applying it in fashion design as well, and to develop a creative bag design so that one product design can be transformed into a form for another purpose. Through TRIZ's 4 invention principles, Local Quality No. 3, Universality No. 6, Nesting No. 7, and Another dimension No. 17, the solution was derived and applied, and the final design was developed, and it was found to satisfy the functionality and usability of 2 types of bag form and apron shape. Accordingly, it was confirmed that TRIZ as an invention principle technique can be fully utilized in fashion design. It is hoped that it will increase the possibility of developing a converged design in the future and be used as a basic example material for designing products that are highly utilized in everyday life.

3-step digital complete denture restoration using facialscan: a case report (안면 스캔을 이용한 3회 내원 디지털 총의치 수복: 증례보고)

  • Yeongseok Kwon;Seoung-Jin Hong;Janghyun Paek;Ahran Pae;Hyeong-Seob Kim;Kung-Rock Kwon;Kwantae Noh
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.356-366
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    • 2023
  • Support, retention, and stability of dentures are key factors in the use of complete dentures in edentulous patients. With the development of digital dentistry, attempts are being made to replace traditional treatment methods. Also, struggle to reduce the number of patient visits and to manufacture high-quality digitally fabricated dentures are ongoing. In this case, a digital denture was restored using a tray capable of obtaining centric relation through gothic arch tracing and a facial scan. By replacing the traditional complete denture restoration method, the number of patient visits was reduced and esthetic results with satisfactory denture support, retention, and stability were obtained.