• 제목/요약/키워드: Facet analysis

검색결과 141건 처리시간 0.023초

후관절 증후군의 침 치료에 대한 문헌 연구 보고 (Acupuncture for Facet Joint Syndrome: A Review of Clinical Study)

  • 구지향
    • 한방재활의학과학회지
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    • 제33권1호
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    • pp.13-29
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    • 2023
  • Objectives To evaluate the evidence supporting the effectiveness of acupuncture for facet joint syndrome. Methods We conducted search across 9 electronic databases (PubMed, EMBASE, Cochrane CENTRAL (CENTRAL), KoreaMed, Kmbase, Koreanstudies Information Service System (KISS), ScienceOn, China National Knowledge Infrastructure (CNKI), and Wanfang) to find clinical trials that used acupuncture as treatment for facet joint syndrome. The methodological quality of randomized controlled clinical trials (RCTs) were assessed using the Cochrane Risk of Bias (RoB) tool, while non-randomized controlled clinical trials (nRCTs) were assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool. Results Nine RCTs and one nRCT met our inclusion criteria. Fire needle was more effective than medial branch block in terms of visual analogue scale (VAS) after 1 month (p=0.02). Also, Fire needle was more effective than Ibuprofen in terms of VAS and oswestry disability index (ODI) (p<0.05). However, in the rest of the study results, the intervention group did not show a statistically significant difference than the control group. Conclusions Although our review found encouraging but limited evidence of acupuncture for facet joint syndrome, most of the studies included in the analysis were evaluated as methodologically high risk of bias. From now on further well-designed RCTs should be encouraged.

패싯 기반 민원 다차원 분석을 위한 자동 분류 모델 (A Study on an Automatic Classification Model for Facet-Based Multidimensional Analysis of Civil Complaints)

  • 김나랑
    • 한국산업정보학회논문지
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    • 제29권1호
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    • pp.135-144
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    • 2024
  • 시민의 의견인 민원은 다양한 사람들이 여러 주제에 대하여 반복·지속적으로 실시간 쏟아내기 때문에 담당자가 이를 읽고 분석하는데 한계가 있다. 이에 본 연구에서는 빅데이터 분석을 통해 주요 현안에 대한 여론 및 요구 사항을 파악하기 위하여 정성적인 분석에 패싯을 기반으로 한 정량적인 다차원 분석을 위한 자동 분류 모델을 제안하였다. 구체적으로 첫째, 패싯 이론과 정치분석모형을 기반으로 민원 특성을 분석하고 이를 정책 단계에 활용할 수 있는 새로운 분류 프레임워크를 제시하였다. 둘째, 민원 분석 및 처리에 따른 행정 업무를 감소시키고, 시민들의 정책참여를 용이하게 하기 위해 딥러닝을 활용하여 패싯 분석 프레임에 의해 자동으로 속성을 추출하고 분류 하였다. 본 연구결과는 학문적으로 민원 빅데이터의 특성을 이해하고 분석하는데 중요한 단초를 제공하여 향후 많은 후속 연구를 창출할 수 있을 것으로 기대되며, 공공분야를 넘어 교육, 산업, 의료 등 다른 분야에서의 비정형 데이터의 계량화를 위한 가이드 라인과 다차원 분석의 활용에 대한 이론적 근거를 제시할 수 있다. 실무적으로 대용량 전자 민원에 대한 처리체계 개선 및 딥러닝을 통한 자동화로 민원처리 업무의 효율성과 신속성을 높일 수 있으며, 다른 분야의 텍스트 데이터의 처리에 활용될 수 있을 것이다.

Therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain: cost utility analysis based on a randomized controlled trial

  • Manchikanti, Laxmaiah;Pampati, Vidyasagar;Kaye, Alan D.;Hirsch, Joshua A.
    • The Korean Journal of Pain
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    • 제31권1호
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    • pp.27-38
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    • 2018
  • Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

이산가족 찾기 기록 패싯 기반 온톨로지 모델 설계에 관한 연구 (A Study on a Facet-Based Ontology Design for Archival Records of Finding Dispersed Families)

  • 이은욱;박희진
    • 한국기록관리학회지
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    • 제18권4호
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    • pp.231-257
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    • 2018
  • 본 연구는 이산가족 찾기 기록 검색을 위한 패싯 기반 온톨로지 모델을 제안하였다. 온톨로지 모델링을 위한 패싯 분석은 상향식 방법으로 KBS 아카이브 이산가족 찾기 기록과 국가기록원 기록의 원문 내용과 기술요소를 분석하고, 하향식 방법을 통해 이산가족 찾기 기록의 특성인 방송 기록과 사건 중심 기록의 특성을 분석하여 패싯을 도출하였다. 패싯은 KBS 이산가족기록, 출처, 인물, 원본기록, 사건의 5개 상위클래스와 18개의 하위클래스로 구성되었다. 설계된 이산가족 찾기 기록 온톨로지 모델은 실제 이용자에 의해 평가가 수행되었으며, 대체로 이산가족 찾기 기록 검색과 이용 측면에서 접근점, 기록의 맥락 정보 제공, 기술요소 제공에 있어서 충분하고 적절하다고 평가되었다.

마음챙김명상 프로그램 전후 측정도구로써 5요인마음챙김척도(FFMQ)의 신뢰성과 타당성 연구 (Study on Validity and Reliability of Five Facet Mindfulness Questionnaire (FFMQ) for Measuring Mindfulness Meditation Program Before and After)

  • 최성열
    • 동의신경정신과학회지
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    • 제26권2호
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    • pp.181-190
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    • 2015
  • Objectives: The purpose of this study was to analyze the Validity and Reliability of the Five Facet Mindfulness Questionnaire (FFMQ), using mindfulness meditation performed before and after. Methods: The study was conducted with 87 students at the university of Korean medicine who provided informed consent. The demographic characteristics and FFMQ were analyzed with regard to their validity and reliability on the effect of mindfulness using SPSS (Statistical Package for the Social Sciences, IBM, United States of America) 21.0 Version. Results: 1. The reliability and factor analysis of FFMQ : The five sub-factors of mindfulness showed strong internal consistency (Cronbach's ${\alpha}$ >.70). 2. Correlation analysis of the sub-factors in pre-FFMQ showed a positive correlation between Nonreactivity and Awareness, Nonreactivity and Scribing, Nonreactivity and Nonjudging, Nonreactivity and Total score, Observing and Scribing, Observing and Total score, Awareness and Nonjudging, Awareness and Total score. 3. Correlation analysis of the sub-factor in post-FFMQ showed a positive correlation between Scribing and Nonreactivity, Scribing and Observing, Scribing and Awareness, Awareness and Nonjudging. In contrast, Observing had a negative correlation with Nonjudging. Conclusions: The results of the study reconfirmed that FFMQ was useful as a reliable and valid tool for measuring mindfulness meditation.

종골 골절의 수술적 치료 후 방사선학적 평가와 임상적 결과의 상관 관계: 종골 골절의 술 후 방사선학적인 평가 (Correlations between the Clinical Results and Radiologic Evaluation after Surgical Treatment of Calcaneal Fracture)

  • 박현우;김연준
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.157-160
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    • 2010
  • Purpose: The purpose of this study is to find out the correlation factors for prognosis of calcaneal fractures. Materials and Methods: 120 cases (feet) of calcaneal fractures, all of them followed up for more than 1 year after surgical procedures, consisted of 101 men (105 feet) and 13 women (15 feet) were reviewed retrospectively. The collected clinical data were as follows : injury mechanism, surgical procedures, time to procedure, time to work and the radiologic data: Bohler angle, heel width, displacement of posterior facet. AOFAS hindfoot score and VAS score were checked. With ANOVA test and multiple regression analysis, the data processed statistically. Results: According Sanders classification, type II was 37 cases (31%), type III 66 cases (55%), and type IV 17 cases (14%). On plane radiography, the Bohler angle improved to average 28.4 degree from 5.6 degree, and the displacement of posterior facet was corrected to average 1.2 mm. AOFAS hindfoot score was checked average 81.7 points postoperatively, and the meaningful difference existed between types of Sanders classification. The Bohler angle represented the outline of the calcaneus had the better correlation with the clinical outcome of calcaneal fractures rather than the anatomical reduction of the posterior facet did. And the width of calcaneus had good correlation with the clinical score. Conclusion: We should also concern about the outline of calcaneus, the width of calcaneus and the Bohler angle representing anatomical reduction, not only the acute reduction of the posterior facet.

Biomechanical Changes of the Lumbar Segment after Total Disc Replacement : Charite$^{(R)}$, Prodisc$^{(R)}$ and Maverick$^{(R)}$ Using Finite Element Model Study

  • Kim, Ki-Tack;Lee, Sang-Hun;Suk, Kyung-Soo;Lee, Jung-Hee;Jeong, Bi-O
    • Journal of Korean Neurosurgical Society
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    • 제47권6호
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    • pp.446-453
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    • 2010
  • Objective : The purpose of this study was to analyze the biomechanical effects of three different constrained types of an artificial disc on the implanted and adjacent segments in the lumbar spine using a finite element model (FEM). Methods : The created intact model was validated by comparing the flexion-extension response without pre-load with the corresponding results obtained from the published experimental studies. The validated intact lumbar model was tested after implantation of three artificial discs at L4-5. Each implanted model was subjected to a combination of 400 N follower load and 5 Nm of flexion/extension moments. ABAQUS$^{TM}$ version 6.5 (ABAQUS Inc., Providence, RI, USA) and FEMAP version 8.20 (Electronic Data Systems Corp., Plano, TX, USA) were used for meshing and analysis of geometry of the intact and implanted models. Results : Under the flexion load, the intersegmental rotation angles of all the implanted models were similar to that of the intact model, but under the extension load, the values were greater than that of the intact model. The facet contact loads of three implanted models were greater than the loads observed with the intact model. Conclusion : Under the flexion load, three types of the implanted model at the L4-5 level showed the intersegmental rotation angle similar to the one measured with the intact model. Under the extension load, all of the artificial disc implanted models demonstrated an increased extension rotational angle at the operated level (L4-5), resulting in an increase under the facet contact load when compared with the adjacent segments. The increased facet load may lead to facet degeneration.

교통사고로 유발된 급성 경추통 환자의 경추 후관절에 시행한 초음파 유도하 치료군과 비유도 치료군의 소염 약침 치료 효과 비교: 후향적 관찰 연구 (Comparison of Ultrasound Guided Soyeom Pharmacopuncture Therapy Effect and Unguided Soyeom Pharmacopuncture Therapy Effect on Cervical Facet Joint of Acute Cervical Pain Patient Caused by Traffic Accidents: A Retrospective Study)

  • 양재은;오민석
    • 한방재활의학과학회지
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    • 제32권3호
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    • pp.109-117
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    • 2022
  • Objectives To compare the therapeutic effect of ultrasound guided soyeom pharmacopuncture therapy and unguided soyeom pharmacopuncture therapy on cervical facet joint of patient who have cervical pain caused by traffic accidents. Methods The study was planned as a retrospective study that analyzes the patient's medical records. We analyzed medical records of 20 patients with acute cervical pain caused by traffic accidents from April 1, 2022 to May 31, 2022. 10 patients (Group A) were treated ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint, 10 patients (Group B) were treated unguided soyeom pharmacopuncture therapy on cervical facet joint. We used visual analogue scale (VAS) and neck disability index (NDI) to evaluate improvements in cervical functions and pain, five point Likert scale to estimate patient's satisfaction. We used the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA) for statistical analysis. Results Group A showed a significant decrease in the VAS on the 5th day of the soyeom pharmacopuncture therapy (p=0.001). However, there was no statistically significant difference of VAS between two groups (p=0.142). Group A showed significant decrease in the NDI on the 5th day of the therapy (p=0.002). Also, there was statistically significant difference on NDI between two groups (p=0.018). Difference of five point Likert scale between two groups was not statistically significant (p=0.407). Conclusions In patients of acute cervical pain caused by traffic accidents, ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint showed significant efficacy on reduction of neck disability compared with unguided therapy.

200kW 탑형 태양열발전시스템에서 사용되는 Heliostat의 집열특성 분석 (Analysis of Energy Concentration Characteristics of Heliostat used in 200kW Tower Type Solar Thermal Power Plant)

  • 박영칠
    • 한국태양에너지학회 논문집
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    • 제31권3호
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    • pp.80-88
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    • 2011
  • Heliostat in the tower type solar thermal power plant is a sun tracking mirror system to reflect the solar energy to the receiver and the optical performance of it affects to the efficiency of whole power plant most significantly. Thus a solid understanding of heliostat's energy concentration characteristics is the most important step in designing of the heliostat field and the whole power plant. The work presented here is the analysis of energy concentration characteristics of heliostat used in 200kW solar thermal power plant, where the receiver located at 43m high in tower has $2{\times}2$m rectangular shape. The heliostat reflective surface is formed by 4 of $1{\times}1$m flat plate mirror facet and the mirror facet is mounted on the spherical frame. The direct normal incident radiation models in vernal equinox, summer solstice, autumnal equinox and winter solstice are first derived from the actually measured data. Then the intercept ratio, heat flux distribution and total energy collected at the receiver for the heliostats located in the various places of the heliostat field are investigated. Finally the effect of mirror facet installation error on the optical performance of the heliostat is analyzed.

광섬유 탐침의 반사를 이용한 파면 분석 근접장 주사 광간섭계 (Near field scanning optical interferometer using facet reflection of a tapered optical fiber)

  • 유장훈;임상엽;이현호;박승한
    • 한국광학회지
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    • 제15권3호
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    • pp.248-253
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    • 2004
  • 광섬유 탐침의 끝 단에서 반사하는 광을 이용하는 근접장 주사 광간섭계를 제안하고 제안한 근접장 주사 광간섭계를 이용하여 초점의 위치와 집광 초점면에서의 파면을 분석하였다. 파면의 분석은 광섬유 탐침의 끝 단에서 반사된 빛과 시료표면에서 반사된 빛을 간섭시키고, 탐침의 끝 단을 λ/4씩 위상천이 시키면서 4장의 간섭무늬를 얻은 후, 위상천이 알고리즘을 통하여 광학 수차를 구하는 방법을 이용하였다. 실험 결과 근접 주사시의 초점의 위치를 파장의 3분의 1 이하로 제어할 수 있음을 알 수 있었으며, 제안한 근접장 주사 광간섭계를 이용하여 구한 집광 초점면에서의 파면 수차 값이 트와이만-그린 간섭계를 이용하여 구한 파면 수차값과 잘 일치함을 확인할 수 있었다.