• 제목/요약/키워드: Functional criteria

검색결과 607건 처리시간 0.025초

기능성 소화불량증 환자에서 로마기준 III 아형분류 및 脾氣虛證과 심상유두 수의 상관성 분석 (Fungiform Papillae and its Correlation with Rome III Classification and Spleen Qi Deficiency in Functional Dyspepsia)

  • 최제인;김진성
    • 대한한방내과학회지
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    • 제36권3호
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    • pp.308-322
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    • 2015
  • Objectives: Whether there exists a distinct pathogenesis in subgroups of functional dyspepsia (FD), the classification of epigastric pain syndrome (EPS), and postprandial distress syndrome (PDS) remains controversial. We aimed to investigate the number of fungiform papillae (FP) in the subgroups of FD and its correlation with the severity of dyspepsia symptoms and spleen qi deficiency. Methods: Patients with FD were enrolled from August to November 2014. All patients were evaluated using a questionnaire and divided into 2 groups according to the Rome III criteria for FD. The severity of dyspepsia symptoms and spleen qi deficiency were separately assessed by Nepean Dyspepsia Index-Korean (NDI-K) version and Spleen qi deficiency questionnaire (SQDQ). The number of FP was measured on the anterior part of tongue, within an area of 9 mm 2, using a digital cam Results: The NDI-K score, SQDQ score, and number of FP in the EPS group were significantly greater than those in the PDS group. Also, the EPS group had more patients diagnosed with spleen qi deficiency. The number of FP showed a significant positive correlation with epigastric pain and burning. Furthermore, the number of FP was significantly associated with the score of some items in NDI-K and SQDQ, even though not with the total score. Conclusions: Thus, measurement of the number of FP could be a new evaluation indicator for allocation into FD subtypes and to investigate the severity of dyspepsia symptoms and spleen Qi deficiency reflecting visceral hypersensitivity.

근전도-생체되먹임 훈련이 무릎넙다리통증의 기능적 능력과 Q-각에 미치는 영향 (Effects of EMG-Biofeedback Training on Functional Ability and Q-angle in Patellofemoral Pain Syndrome)

  • 박승규;강재영
    • The Journal of Korean Physical Therapy
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    • 제26권2호
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    • pp.68-73
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    • 2014
  • Purpose: The purpose of this study was to investigate the effect of closed kinetic chain exercise using EMG-biofeedback for selective training of the vastus medialis oblique on functional ability and Q-angle in subjects with patellofemoral pain syndrome. Methods: Thirty participants who met the criteria were included in this study. Participants were randomly allocated to the control group (Group I, n=10), closed kinetic chain exercise group (Group II, n=10), and closed kinetic chain exercise using EMG-biofeedback group (Group III, n=10). Intervention was performed in three groups, three times per week, for a period of six weeks. Kujala patellofemoral score and Q-angle were measured before and after the experiment. Results: Some significant differences in kujala patellofemoral score were observed in group II and group III, compared with group I (p<0.01). There was no significant difference on in Q-angle at knee flexion angle $0^{\circ}$. However, some significant differences in Q-angle at knee flexion $60^{\circ}$ were observed in group III, compared with group I (p<0.01). Conclusion: Closed kinetic chain exercise using EMG-biofeedback that provides real-time biometric information on selected muscles in order to increase the efficiency of treatment may be helpful in improvement of functional ability and Q-angle in patellofemoral pain syndrome.

Motor Function Recovery in Stroke Patients with Corona Radiata Infarct: 4 Case Studies

  • Kim, Chung-Sun;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
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    • 제22권3호
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    • pp.31-35
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    • 2010
  • Purpose: The aim of this study was to use fMRI and clinical prognosis criteria to evaluate therapeutic interventions in stroke patients with corona radiata infarct and acquire fundamental information about recovery mechanisms. Methods: Four subjects (2 men, 2 women) who had strokes with corona radiata infarct were recruited. For all subjects, motor functions such as motricity index (MI), modified brunnstrom classification (MBC), functional ambulatory category (FAC), and bathel index (BI) were evaluated. Evaluations were done at least 4 times over a period of approximately 6~7 months from stroke onset. We compared the final evaluation with the first. Results: All patients with corona radiata infarct showed improvement in motor outcomes with the passing of time. The strength of all patients improved from zero or trace levels to normal or good levels in the MI (Motricity Index) test. Other motor outcomes including the modified brunnstrom classification (MBC), the functional ambulatory category (FAC), and the bathel index (BI) also improved with the passing of time. Conclusion: Stroke patients with corona radiata infarcts change for the better over time. Therefore, one can introduce clinical interventions by the aspect of progress in functional motor recovery.

기능성 소화불량에 대한 사군자탕의 치료효과 - 체계적 문헌고찰과 메타분석 (The Effect of Sagunja Decoction on Functional Dyspepsia - A Systematic Review and Meta-Analysis)

  • 김경림;제유란;김경민
    • 대한한방내과학회지
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    • 제42권3호
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    • pp.259-278
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    • 2021
  • Objectives: This study examines the effect of Sagunja-tang on functional dyspepsia (FD) through a systematic review and meta-analysis of a randomized controlled trial (RCT). Methods: A search for RCTs that tested the effect of Sagunja-tang on functional dyspepsia was conducted in Medline, Embase, PubMed, CENTRAL, CiNii, CNKI, NDSL, RISS, OASIS, and KISS databases on November 8, 2020, with no limit on the year of publication. A meta-analysis was performed by synthesizing the findings, including total efficiency, clinical symptom score, myosin light-chain kinase (MLCK) level (pg/mL, and gastric half-emptying time (min). RevMan 5.4.1 software was used for data analysis. The quality of the literature was evaluated using Cochrane's risk of bias (RoB) tool. Results: A total of 14 RCTs met the selection criteria. As a result of the meta-analysis, the treatment group had higher total efficacy and MLCK levels (gastric antrum, jejunum) than the control group, and the clinical symptom score and gastric half-emptying time were lower. However, due to the low quality of the included RCT and the small sample size, the results may be slightly biased.

IFCS에 의한 오픈소스 소프트웨어 선정기법 (A Method of Selecting Open Source Software by IFCS)

  • 전혜영;김정숙;류성열
    • 정보처리학회논문지D
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    • 제17D권2호
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    • pp.119-128
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    • 2010
  • OSS를 활용한 소프트웨어 개발의 사용영역이 날로 확대되고 있으며 기존의 OSS 선정기법에 관한 연구들은 이론적으로 잘 정립되어 있으나 실용적이지 못하며, 평가지표의 수가 많고 선정기법이 어려워 실제 적용하기에 비효율적이다. 본 논문에서는 이런 문제점을 해결하기 위해 선정평가지표를 최적화하고, 선정단계를 실용화하여 보다 쉽게 사용할 수 있는 선정기법을 제안한다. 기존의 연구를 바탕으로 공통으로 사용되고 있는 평가지표를 식별하고 배제와 그룹화를 통해 최종 14개의 평가지표와 31개의 평가항목을 추출하여 이해하기 쉽도록 재 정의한다. 그리고 정의된 평가지표를 초기평가(I), 기능평가(F), 특성평가(C), 보완평가(S) 등 4개 단계로 나누어 평가하는 단계적 선정기법을 제안한다. 제안한 OSS 선정기법의 적정성을 평가하기 위하여 OSS 사이트에서 MySQL 데이터베이스 관리 툴 29개를 후보로 선정하고 제안한 선정기법을 적용한 결과 평가시간의 감소되고 사용방법이 간결해졌다.

소아·청소년의 알레르기 질환 (천식, 알레르기비염, 아토피피부염)과 기능성 위장관 질환과의 관계 (단면 조사 연구) (The Relationship between Allergic Diseases and Functional Gastrointestinal Disorders in Children and Adolescents)

  • 김민주;김덕곤;이진용
    • 대한한방소아과학회지
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    • 제28권1호
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    • pp.32-42
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    • 2014
  • Objectives The purpose of this study is to establish relationship between allergic diseases and functional gastrointestinal disorders in children and adolescents using objective criteria and questionnaires. Methods This study surveyed 237 children and adolescents who visited the department of Pediatrics of ${\bigcirc}{\bigcirc}$ Korean Medicine Hospital from September 23rd, 2013 to December 26th, 2013. The Korean version of International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire and the Korean-translated Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III (QPGS-Rome III) were used. We analyzed the data by using PASW Statistics 18.0 with Chi-square test, Fisher's exact test and Linear by linear association. Results There was no significant difference between prevalence of allergic diseases and functional gastrointestinal disorders. Also, there was no strong relationship between the number of allergic diseases and the functional gastrointestinal disorders. However, some parts showed significant relationships - such as asthma symptoms ever and belch; asthma symptoms last 12 months and belch; allergic rhinitis diagnosis ever and belly aches and abdominal pain around and below the belly button; allergic rhinitis treatment last 12 months and belly aches and abdominal pain around and below the belly button; and atopic dermatitis diagnosis ever and irritable bowel syndrome (respectively; p=0.046, p=0.008, p=0.004, p=0.029, p=0.035). And as the number of allergic diseases increases, the prevalence of functional gastrointestinal disorders are 19.4%, 31.3%, 41.7%, 31.0% respectively. Conclusions Although there was no significant relationship between allergic diseases and functional gastrointestinal disorders, some gastrointestinal symptoms were related to allergic diseases.

이진탕(二陳湯) 가미방(加味方) 투여 후 호전된 기능성 소화불량 환자 3례에 대한 증례보고 (Three Cases Report of Functional Dyspepsia Patients Who were Administered by LJTG(Ljintang-Gamibang(二陳湯 加味方)))

  • 김봉석;임희용;김동우;최빈혜;허진일;김대준;조종관;변준석;오중한
    • 대한한방내과학회지
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    • 제26권3호
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    • pp.641-651
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    • 2005
  • It is well known that functional dyspepsia is one of the most common diseases. Functional dyspepsia, as defined by Rome I and II criteria, is a known and important gastrointestinal disorder. Symptoms of functional dyspepsia are postprandial fullness, postprandial discomfort, epigastric bloating, epigastric lump sensation, early satiety, nausea, vomiting, regurgitation, eruction, hunger pain, postprandial epigastric pain, heartburn, soreness and anorexia. Treatment of these symptoms are recorded in the Donguibogam(東醫寶鑑). This study is a comparative study between initial medical examination and end of medical treatment with LJTG mentioned in the Donguibogam. After treatment with LJTG, patients showed improvement in all symptoms associated with functional dyspepsia, including general condition. The results of this study suggest that LJTG is an effective treatment for functional dyspepsia.

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여대생에서의 월경전기증후군 및 월경전불쾌장애의 특성 (Characteristics of PMS and PMDD in Female College Students)

  • 이문수;양재원;고영훈;고승덕;조숙행
    • 정신신체의학
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    • 제20권1호
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    • pp.22-31
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    • 2012
  • 연구목적 : Premenstrual Symptoms Screening Tool(PSST)를 통해서, DSM-IV상의 월경전불쾌장애(premenstrual dysphoric disorder, PMDD)에 대한 진단기준을 사용하여 월경전기증후군(premenstrual syndrome, PMS) 및 PMDD의 빈도, 기능장애, 위험인자들, 월경에 대한 태도, PMS 및 PMDD의 발현 양상 들을 조사하여 보았다. 방 법 : 서울 및 수도권의 중소도시인 수원에 소재하는 대학교에 다니는 여학생들을 대상으로 하여 월경에의 태도 질문지, PSST를 사용한 단면 조사연구를 시행하였다. 결 과 : 총 1410명에게 질문지가 배부되었으며, 그 중 1063부에 대하여 분석하였다. 응답자들은 PSST의 결과에 따라 3군[정상/경도 PMS군(n=759, 71.4%), 심한 PMS군(n=180, 16.9%), PMDD군(n=124, 11.7%)]으로 분류하였다. 각 군별로는 기본적인 역학적 변수 및 위험 인자(음주, 커피 소비, 월경통의 강도, PMS의 가족력)들의 분포에서 유의한 차이가 있었다. 응답자들을 또한 월경에 대한 태도에 따라 3군으로 구분하였다[긍정적 태도군(n=168), 부정적 태도군(n=122), 양가적 태도군(n=773)]. 심각한 월경전기 증상들을 호소하는 이들의 비율은 이 3가지 태도군 간에 유의한 차이가 있어서, 부정적 태도군은 다른 군들에 비해 더 많은 월경전기 증상들을 보고하였다. 결 론 : PMS와 PMDD는 한국의 젊은 여성들에서 널리 발견된다. 일부 응답자들은 그들이 PMDD에 대한 DSM-IV의 진단기준을 완전히 충족시키지 못하였음에도 유의한 기능손상을 보고하였다. 일반적으로, 월경에 대한 부정적인 태도는 더 많은 월경전기 증상들의 경험과 관련이 있었다.

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품질경쟁력 평가지표 지원시스템 개발 (Development of Quality Competitiveness Assessment System(QCAS))

  • 신완선;박만희;정사범;이상철
    • 산업공학
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    • 제14권4호
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    • pp.409-420
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    • 2001
  • In this paper, We study the development of Quality Competitiveness Assessment System(QCAS), which is a computer software developed to support the assessment criteria. It, first, describes the structure of the assessment criteria and the quality competitiveness model developed for promoting quality management. QCAS is then further explained by delineating its design, functional characteristics, and feedback from the experts. A systematic procedure is also proposed for possible application of QCAS in real world situations. Finally, This research propose a systematic procedure that can be used to apply QCAS in setting up a long-term plan for continuous quality improvement.

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Medical Exercise Therapy의 이론과 적용에 관한 연구 (Medical Exercise Therapy Theory and Its application)

  • 구희서
    • The Journal of Korean Physical Therapy
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    • 제12권3호
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    • pp.361-368
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    • 2000
  • MET is one of the few physical therapy having its own criteria. Mr. Holten approached the Norwegian Health Authority in 1967 to get his MET System recognized as a treatment method of its own. He was granted his approval for his exercise system's specivic criteria connecteed with the treatment method. In MET, the patient exercises himself without manual participation by physiotherapists, however, under continuous supervision.. The apparatus should be designed that functional quality (arthrogenous, circulatory, respiratory, neuromuscular) in question is optimally influenced when the patient carries out exercise in a certain range against a graded resistance. The therapy reassesses the scheme of treatment at least every fifth session and the maximum number of patients being 5 person per hour. The important principles in medical exercise Therapy are stabilization of hyperfunction through the system of autostabilization and mobilization of hypofunction through automobilization. In MET excrcises are adjusted to the patient's reactions. MET equipment is therefore made to meet requirements for treating patients with painful pathological dysfunction in the musculo-skeletal system.

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