• 제목/요약/키워드: De-rating

검색결과 36건 처리시간 0.021초

A Pilot Clinical Study on the Accuracy and Safety of Ultrasound-guided Gyeontonghyeol (BP-LE6) Acupuncture: A Prospective Randomized, Single Blinded Crossover Study

  • Kim, Jong Uk;Kim, Bo Hyun;Kim, Seok Hee;Shin, Jin Hyeon;Choi, Yoo Min;Song, Beom Yong;Yook, Tae Han;Jeon, Young Ju;Lee, Sanghun
    • Journal of Acupuncture Research
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    • 제36권4호
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    • pp.272-276
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    • 2019
  • Background: The purpose of this study was to assess the accuracy and safety of procedures using ultrasound equipment for acupuncture treatment. Methods: A pilot, prospective randomized, single blinded, crossover clinical study on the accuracy and safety of ultrasound-guided Gyeontonghyeol (BP-LE6) acupuncture treatment was conducted. Patients (n = 13) with shoulder pain were randomly divided into 2 groups. During Visit 1, ultrasound-guided BP-LE6 acupuncture was administered to the experimental group. In the control group, patients received BP-LE6 acupuncture (without checking ultrasound images) by manipulating the ultrasound probe as if administering ultrasound-guided acupuncture. Visit 2 was arranged within 7-14 days and the remaining procedures, other than those administered in Visit 1, were performed. In both the experimental group and control group, the number of needle insertions, and time required for the treatment to result in the patients feeling de-qi was recorded. The numeric rating scale (NRS) score for shoulder pain was recorded before and after the acupuncture treatment. Results: The number of needle insertions was $5.31{\pm}3.50$ times in the experimental group, and $6.62{\pm}3.38$ times in the control group, however, there was no statistically significant difference between the groups (p > 0.05). The mean time required to perform the procedure was $151.54{\pm}48.59$ seconds in the experimental group and $86.69{\pm}37.17$ seconds in the control group, which was statistically significantly different (p < 0.05). The changes observed in numerical rating scale scores between groups were not statistically significantly different. Conclusion: Although there was no statistically significant difference, administering acupuncture using ultrasound guidance may lead to accurate needling with a reduced number of needle insertion attempts. A large-scale clinical study of better design should be conducted in the future.

오픈마켓의 웹서비스 품질과 사용자 만족 (A Study on the Web Service Quality and User Satisfaction at Open Market)

  • 손영심;서창갑
    • 디지털융복합연구
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    • 제11권6호
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    • pp.113-127
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    • 2013
  • 오픈마켓의 지속적 성장으로 인해 업체간의 경쟁이 예상되므로 높은 품질확보를 통한 기존 사용자의 이탈방지와 새로운 사용자창출을 위해 노력하고 있다. 마케팅분야에서 서비스 품질에 대한 평가척도로 사용되던 서비스 품질을 확대하여 오픈마켓에 맞게 e-서비스 품질로 변환하여 사용하기도 한다. Udo et al.[6]은 정보시스템의 관점에서 Parasuraman et al.[2]의 e-서비스 품질과 DeLone and McLean[7]의 정보시스템 성공모델을 결합하여 웹서비스 품질로 제안하고 있다. 본 연구에서는 Udo et al.[6]의 모형을 기반으로 한 오픈마켓의 웹 서비스 품질 영향요인으로 웹사이트 개인정보보호, 웹사이트 컨텐츠, 웹사이트 편의성 그리고 오픈마켓 이미지를 제안하였다. 부산지역에 거주하는 대학생과 대학 내 평생교육원 수강생 301명을 대상으로 설문한 결과 네 가지는 모두 오픈마켓의 웹 서비스 품질에 긍정적인 영향을 미치며 궁극적으로 웹서비스 품질은 오픈마켓 사용자의 정보시스템 만족에 긍정적인 영향을 미치는 것을 발견하였다.

3,300V 1MVA H-브릿지 멀티레벨 인버터 개발 (Development of 3,300V 1MVA Multilevel Inverter using Series H-Bridge Cell)

  • 박영민;김연달;이현원;이세현;서광덕
    • 전력전자학회논문지
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    • 제8권6호
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    • pp.478-487
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    • 2003
  • 본 논문에서는 고압 대용량 전동기 구동용 멀티레벨 인버터의 종류 및 특징을 간략히 살펴보고, 특히 입출력 전력품질이 우수하고 전압별 시리즈화가 용이한 H-브릿지 멀티레벨 인버터의 구조적 특징 및 장점을 기술하였다. 연구 개발된 3,300V lMVA 용량의 Cascaded H-브릿지 멀티레벨 인버터의 구체적인 전력회로 구조 및 설계방법, 제어기 구성 그리고 PWM 기법을 제시하였다. 또한, 실용량의 시험을 통해 H-브릿지 멀티레벨 인버터는 출력 전압 Step이 여러 단계이고 dv/dt가 적으며 입력단 THD를 크게 낮출 수 있어 성능 면에서도 여타 방식보다 우수함을 입증하였다. 또한 생산적인 측면에서도 저압 소자를 사용하여 설계하므로 기존의 생산/시험 기술과 설비를 이용할 수 있어 매우 경제적이며 Power Cell 단위 결합 구조이므로 신뢰성 측면이나 보수/유지 측면에서도 유리하다는 결론을 얻었다.

The validity and reliability of the Healthy Lifestyle Screening Tool

  • Kim, Cheong Hoon;Kang, Kyung-Ah
    • Physical Therapy Rehabilitation Science
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    • 제8권2호
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    • pp.99-110
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    • 2019
  • Objective: The aim of the present study was to develop a valid and reliable scale that measures the healthy life styles among young adults. Design: A methodological study design was employed to develop and validate the Healthy Lifestyle Screening Tool (HLST). Methods: The validity and reliability of the HLST were established in accordance with DeVellis' 8 steps guideline for tool development. The question items were generated based on literature reviews and interviews, which were then classified into 12 categories. The HLST was administered to 272 students attending a Korean university. The reliability was tested using Cronbach's alpha. The validity of the scale was examined with the mean inter-item correlations (MIIC) and factor analysis, and was also examined for content validity by experts. Results: The reliability of the HLST was found to be acceptable, as indicated by a Cronbach's alpha of 0.71. In the validity test, items with less than 80% "agreement" ratings on the content validity index by experts were revised. The MIIC values were greater than 0.25. A factor analysis of 36 items extracted 9 factors (i.e., four items per factor), which together explained 50.4% of the variance. The HLST consists of 36 items that measure 9 factors based on a 4-point Likert rating scale, with 4 items per factor, as follows: sunlight, water, air, rest, exercise, nutrition, temperance, trust, and general physical condition. High scores on the HLST are indicative of a healthy lifestyle (HL). Conclusions: The HLST is a valid and reliable scale that can be used to measure HL among young adults. Identification of HL by using the HLST can provide guidance to integrated therapeutic approaches along with conventional physical therapy.

Effect of 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands evaluated by quantitative sensory testing

  • Okayasu, Ichiro;Komiyama, Osamu;Ayuse, Takao;De Laat, Antoon
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제18권6호
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    • pp.361-365
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    • 2018
  • Background: Recently, we examined the effects of 2% lidocaine gel on the tactile sensory and pain thresholds of the face, tongue and hands of symptom-free individuals using quantitative sensory testing (QST); its effect was less on the skin of the face and hands than on the tongue. Consequently, instead of 2% lidocaine gel, we examined the effect of 8% lidocaine spray on the tactile sensory and pain thresholds of the skin of the face and hands of healthy volunteers. Methods: Using Semmes-Weinstein monofilaments, QST of the skin of the cheek and palm (thenar skin) was performed in 20 healthy volunteers. In each participant, two topical sprays were applied. On one side, 0.2 mL of 8% lidocaine pump spray was applied, and on the other side, 0.2 mL of saline pump spray was applied as control. In each participant, QST was performed before and 15 min after each application. Pain intensity was measured using a numeric rating scale (NRS). Results: Both the tactile detection threshold and filament-prick pain detection threshold of the cheek and thenar skin increased significantly after lidocaine application. A significant difference between the effect of lidocaine and saline applications was found on the filament-prick pain detection threshold only. NRS of the cheek skin and thenar skin decreased after application of lidocaine, and not after application of saline. Conclusion: The significant effect of applying an 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands can be objectively scored using QST.

Ecological Green Roofs in Germany

  • Kohler, Manfred
    • 한국환경복원기술학회지
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    • 제7권4호
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    • pp.8-16
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    • 2004
  • The industrialization of central Europe more than 100 ago marked the beginning of densely concentrated buildings in quickly growing cities. A cheap type of roofing material of that time was tar. But it was dangerous because it was high inflammable. Then some roofer had a splendid idea. They used sandy material as a final layer atop the impermeable tar layer. These roofs were much more fire resistant than the typical roofs. In this sandy layer some plant species began to grow spontaneously. This was the beginning of the green roof history of modern Europe. A number of these green roofs survived both world wars. In the early 80's in Berlin alone, 50 such buildings existed and they continued to be waterproof until the present day. Since the 1992 Earth Summit of 1992 in Rio de Janeiro(http://www.johannesburgsummit.org/html/basic_info/unced.html) the term "sustainable development" became of central interest of urban designers. In city regions green roofs had become synonymous with this term. With a small investment, long-lasting roofs can be created. Further back in history, more exciting examples of green roofs can be found. The hanging gardens of antiquity are well-known. There are also green roofs built as insulation against cold and heat all over the world. For over 20 years, roof greening in central Europe has been closely examined for various reasons. Roof greening touches several different disciplines. Of primary interest is the durability of the roofs. But ecologists are also interested in green roofs, for instance in biodiversity research. The beneficial effect of greening on water proofing was also proven. For some time, the issue of fire protection was investigated. According to tests, green roofs received a harsh careful rating. Their fire protective property is considered similar to that of tile roofs. Another recent impulse for the green roof movement in Germany has come from the evident improvement of storm water retention and the reduced burden on the sewer system. The question of whether and how much energy green roofs can save has become an urgent question. The state of the research and also various open questions from a central European point of view will be discussed in the context of international collaboration. Apart from academic considerations, those who involve themselves in this issue take a predominantly positive view of the numerous existing green roofs in Germany. In some cities, green roofs are the typical construction technique for new buildings. A few outstanding examples will conclude this review. In Germany, about 20 companies, some of which operate internationally, specialize in green roof consulting. Learning from each other in an open-ended way with respect to different construction techniques and applications in various climatic regions can only be accomplished through such international collaboration as is taking place here.