• Title/Summary/Keyword: Grading system

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Clinical Study on a Case of Cervical Myelopathy (경추증성 척수증 환자 1례에 대한 임상적 고찰)

  • Lee, Ok-ja;Yoon, Min-young;Kim, Hong-hun;Cho, Nam-geun
    • Journal of Acupuncture Research
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    • v.20 no.4
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    • pp.220-229
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    • 2003
  • Objective : Cervical myelopathy is one of the most severe disease, as well as a common diesaes. However, its clinical study and report about efficiency of oriental treatment are absolutely insufficient. Therefore, we report the treatment about 1 case of Cervical myelopathy like followings. Methods : From November 27th, 2002 to January 11th, 2003, we observed patient hospitalized because of cervical myelopathy, and for its valuation, JOA score(Japanese Orthopedic Association score), Nutric grading, VAS(visual analog scale), and D.I.T.I(Digital Infrared Thermal Imaging)were used. Results : After being hospotalized for 50 days, the patients' JOA score, Nuric grading system, and VAS were improved each from 7 to 13, from grade IV to grade II, and from 8 to 2. Conclusions : We considered that oriental treatment has an useful effect on cervical myelopathy patients' treatment and recovery. But continuous studies, such as comparative studies accompanied by more treatment case.

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A Comparative Study on Improvement of Bell's Palsy and Ramsay Hunt Syndrome According to Treatment Duration (Bell's Palsy와 Ramsay Hunt Syndrome 환자군의 치료 기간에 따른 호전도의 비교 연구)

  • Kim, Hee-Chul;Kim, Jeong-Ho;Kim, Young-Il
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.31-39
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    • 2008
  • Objectives : The aim of this study is comparing the improvement of Bell's palsy and Ramsay hunt syndrome according to treatment duration. Methods : The 11cases diagnosed as Ramsay hunt syndrome and 30cases of Bell's palsy who visited Cheong-ju Oriental Medical hospital from February 2006 to June 2008 were evaluated. We used Yanagihara's unweighted Grading System to confirm the improvement. Results : In the analysis of cause, except the "none", the most common cause was "Overwork" in both two group. After 5-day treatment the score was getting worse but after 10-day treatment score was improved in both group. The improvement of Bell's palsy group was better than that of Ramsay hunt syndrome group after 5-day and 10-day treatment, but there was no significance. Conclusions : In comparison of Yanagihara's unweighted grading score checked before treatment, after 5-day, 10-day and 15-day treatment between Bell's palsy and Ramsay hunt sundrome, there was no statistical significant difference.

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Transient vibration analysis of FG-MWCNT reinforced composite plate resting on foundation

  • Kumar, Puneet;Srinivas, J.
    • Steel and Composite Structures
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    • v.29 no.5
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    • pp.569-578
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    • 2018
  • This paper aims to investigate the transient vibration behavior of functionally graded carbon nanotube (FG-CNT) reinforced nanocomposite plate resting on Pasternak foundation under pulse excitation. The plate is considered to be composed of matrix material and multi-walled carbon nanotubes (MWCNTs) with distribution as per the functional grading concept. The functionally graded distribution patterns in nanocomposite plate are explained more appropriately with the layer-wise variation of carbon nanotubes weight fraction in the thickness coordinate. The layers are stacked up in such a way that it yields uniform and three other types of distribution patterns. The effective material properties of each layer in nanocomposite plate are obtained by modified Halpin-Tsai model and rule of mixtures. The governing equations of an illustrative case of simply-supported nanocomposite plate resting on the Pasternak foundation are derived from third order shear deformation theory and Navier's solution technique. A converge transient response of nanocompiste plate under uniformly distributed load with triangular pulse is obtained by varying number of layer in thickness direction. The validity and accuracy of the present model is also checked by comparing the results with those available in literature for isotropic case. Then, numerical examples are presented to highlight the effects of distribution patterns, foundation stiffness, carbon nanotube parameters and plate aspect ratio on the central deflection response. The results are extended with the consideration of proportional damping in the system and found that nanocomposite plate with distribution III have minimum settling time as compared to the other distributions.

Five Clinical Cases of Facial Chuna Manual Therapy with Korean Medicine Treatment for Acute Bell's Palsy

  • Jung Min Son;Hye Soo Youn;Eun Chang Lee;Choong Hyun Park;Sun Woo Kwon;Ji Yoon Lee;Da Young Han;Haeni Seo
    • Journal of Acupuncture Research
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    • v.40 no.1
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    • pp.67-77
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    • 2023
  • This study individually analyzed the effects of Korean Facial Chuna Manual Treatment (K-FCMT) combined with Korean medicine (KM) treatment (acupuncture, electroacupuncture, pharmacopuncture, and herbal medicine) on five patients with acute Bell's palsy who visited Dongsuwon Korean Medicine Hospital between August 1 and 31, 2022. During inpatient treatment, two of the five patients received K-FCMT 5-6 times a week, and the other three received the same frequency during outpatient treatment for approximately 2 weeks. Patients with a House-Brackmann grading scale (HBGS) score of ≤4 and Yanagihara unweighted grading system (Y-score) ≥7-8 began to recover after the 2nd-3rd sessions of K-FCMT, which entered the recovery phase quickly. As patients entered the recovery phase (7-9th sessions of K-FCMT), symptoms improved to HBGS scores of 1-2 and Y-scores of 35-40 points. This study suggests the possibility of applying K-FCMT combined with KM treatment to patients in the acute stage of Bell's palsy.

Improvement of the Sequelae of Peripheral Facial Nerve Palsy in a Patient with Hemophilia Mainly Treated with Facial Chuna Manual Therapy: A Case Report

  • Geumm Mi Lee;Jae Hyung Kim;Ga Young Choi;Jung Hee Lee;Jae Soo Kim;Hyun Jong Lee
    • Journal of Acupuncture Research
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    • v.41
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    • pp.143-148
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    • 2024
  • A patient with sequelae of peripheral facial nerve palsy (FNP) was mainly treated with facial chuna manual therapy (FCMT) for over 6 months. The patient was diagnosed with hemophilia B and C, so invasive treatments, such as acupuncture and pharmacopuncture, were precluded. The facial nerve grading system 2.0 (FNGS) and the House-Brackmann Grading Scale (HBGS), Peitersen, Murata, Mehta, and numeric rating scale (NRS) systems were used to measure treatment effectiveness. Each scale showed improvement: FNGS, 3 to 2; HBGS, 3 to 2; Peitersen scale, 2 to 1; Murata scale, 9 to 4; Mehta scale, 14 to 1; and NRS, 8.5 to 2.5. An overall improvement was evident in facial muscle strength, particularly in synkinesis. If acupuncture and pharmacopuncture are unavailable, FCMT alone may be effective in treating FNP sequelae.

Studies on the Main Level-Grading Factors for Establishment of LFQC (Liquid Fertilizer Quality Certification) System of Livestock Manure in Korea (가축분뇨 액비품질인증제도 구축을 위한 목표요소에 관한 연구)

  • Jeon, Sang-Joon;Kim, Soo-Ryang;Kim, Dong-Gyun;Rho, Kyung-Sang;Choi, Dong-Yoon;Lee, Myung-Gyu
    • Journal of Animal Environmental Science
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    • v.18 no.2
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    • pp.111-122
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    • 2012
  • Establishment of the LFQC (Liquid Fertilizer Quality Certification) system is very urgent issue for recycling livestock manure as renewable resources in Korea faced with environmental problem of manure application to land due to intensive livestock farming. In this study, we investigated relevant laws and regulations on livestock manure fertilizer, certifications of eco-friendly agricultural products, government policies on livestock manure management to establish reasonable direction of Korean LFQC (Liquid Fertilizer Quality Certification) system. As a result from this study, the liquid fertilizers in 'LFQC' system could be classified as three levels according to the usage patterns in field; 1st. Individual Farm Level (IFL), 2nd. Joint Farm Level (JFL), and 3rd. Commercial Level (CML). And finally, we found some characteristics in 'Main Level-Grading Factors' of liquid fertilizer such as fertilizing value, harmfulness, stability, uniformity, economic effect, storage potential, commercial value, functionality. Those items were considered to be the key factors for the establishment of 'LFQC' system. More research on 'Evaluation Standards' for concrete guideline and on the 'Main Level-Grading Factors' be needed to complete Korean LFQC system.

The effectiveness of oriental medical therapy compared to oriental-western medical therapy on acute bell's palsy (급성기 말초성 안면신경마비에 대한 한방치료와 한양방 병용치료의 효과비교)

  • Cho, Ki-Ho;Jung, Woo-Sang;Hong, Jin-Woo;Hwang, Jae-Woong;Na, Byung-Jo;Park, Seong-Uk;Moon, Sang-Kwan;Park, Jung-Mi;Ko, Chang-Nam;Kim, Young-Suk;Bae, Hyung-Sup
    • The Journal of Korean Medicine
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    • v.29 no.1
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    • pp.146-155
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    • 2008
  • Objectives : This study was to assess the effectiveness of oriental medical therapy (OM) on acute Bell's palsy, comparing its outcome with that of oriental-western medical therapy (OWM). Methods : Subjects were enrolled atKyung Hee Medical Center from March 2007 to December 2007. We prescribed Igigeopung-san and acupuncture therapy to both the OM and OWM groups, and prednisolone only to the OWM group. Effectiveness was assessed by the House-Brackmann facial nerve grading system (HBGS) and Yanagihara's unweighted grading system (YUGS) every week. Results : There were 31 patients in the OM group and 34 in the OWM group. About grading system scores and weekly score gaps, no significant differences were revealed between the two groups, but statistical significant difference was detected at recovery time. After 2 weeks of treatment, the OM group's HBGS score showed significant difference from baseline score, but the OWM group showed it after 1 week. After 3 weeks of medication, pain was reduced in 22% of OM group patients, but 50% in the OWM group (p=0.028). We made the same comparison study for patients treated within 4 days from onset, but there was no significant difference between the two groups. 3 cases of adverse effect of hyperglycemia were found in the OWM group, which could be due to hyperglycemic side-effect of prednisolone. Conclusion : This work could help us to understand the effectiveness of OM compared to OWM on acute Bell's palsy.

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Effect of the Use of Antibiotics on Meat Quality Grade of Broiler Carcass (항생제 사용 유무가 계육의 품질 등급에 미치는 영향)

  • Jung, S.;Lee, J.C.;Choe, J.H.;Jo, C.
    • Korean Journal of Poultry Science
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    • v.36 no.3
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    • pp.223-229
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    • 2009
  • The objective of this study was to investigate the effect of the supplementation of antibiotics on meat quality grade of broiler carcasses under the Korean meat grading system. A total of 34,000 broiler carcasses, which were randomly selected 100 broilers from each farm in 340 broiler farms (305 farms with antibiotics; 35 farms without antibiotics), were used in this study. Average daily weight gain of broilers was not significantly affected by the use of antibiotics. The ratio of quality grade A was higher in the broiler carcasses from the farms with antibiotics supplementation (78.87%) than those without antibiotics (73.46%, P<0.05). The numbers of carcass defects, which are down-grade factors of meat grading system, were much higher in the broiler carcasses produced from the farms without antibiotics supplementation when compared with those with antibiotics. In particular, the incidence of the carcass defect on conformation was approximately 1.8 times higher in the carcasses from the farms without antibiotics supplementation than those with antibiotics, which showed the highest negative correlation with quality grade A. Therefore, the improvement of farm management system, the use of antibiotics alternatives from natural products, and a proper incentive should be considered in various ways to encourage farmers to reduce antibiotics usage in their farm and earn consumers' trust for antibiotics-free products.

Analysis of Allowable Stresses of Machine Graded Lumber in Korea (국내 기계등급구조재의 허용응력 분석)

  • Hong, Jung-Pyo;Oh, Jung-Kwon;Park, Joo-Saeng;Han, Yeon Jung;Pang, Sung-Jun;Kim, Chul-Ki;Lee, Jun-Jae
    • Journal of the Korean Wood Science and Technology
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    • v.43 no.4
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    • pp.456-462
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    • 2015
  • 365 pieces of domestic $38{\times}140{\times}3600mm$ Red pine structural lumber were machine graded conforming to a softwood structural lumber standard (KS F 3020). The allowable bending stresses calculated for each grade were compared with the values currently tabulated in the standard. Four calculation methods for lower $5^{th}$ percentile bending stress were non-parametric estimation with 75% confidence level, 2-parameter and 3-parameter Weibull distribution fit, and bending modulus of rupture (MOR)-modulus of elasticity (MOE) regression based method. Only the data set of Grades E8, E9, and E10 were statistically eligible for the $5^{th}$ percentile calculation. The MOR-MOE regression based method only was able to estimate the lower $5^{th}$ percentile values theoretically for the full range of grades. The results showed that all allowable bending stresses calculated were lower than the design values tabulated in the standard. This implies that the current machine grading system has the pitfall of structural safety. Improvement in current machine grading system could be achieved by introducing the bending strength and stiffness combination grade system.

Comparison of the Efficacy between Needle-embedding Therapy and Sweet Bee Venom Pharmacopuncture Therapy on Peripheral Facial Paralysis (말초성 안면신경마비에 대한 매선요법과 SBV 약침치료의 효능 비교)

  • Kim, Jung Hee;Jeong, Jae Yeob;Lee, Seoung Whon;Shin, So Yeon;Park, Jae Heung;Kim, Cheol Hong;Jang, Kyung Jeon;Song, Choon Ho;Yoon, Hyun Min
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.35-44
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    • 2013
  • Objectives : This study was designed to compare the effect between needle-embedding therapy and sweet bee venom pharmacopuncture therapy on early stage of peripheral facial paralysis. Methods : We investigated 60 patients with peripheral facial paralysis. Subjects were randomly divided into two groups and dropped out 20 patients. : needle-embedding therapy group(group A, n=20, dropped out 9 cases among 29 cases) and sweet bee venom pharmacopuncture therapy group(group B, n=20, dropped out 11 cases among 31 cases). needle-embedding therapy was performed for group A three times a week dividing face into three areas during 4 weeks and Sweet bee venom pharmacopuncture therapy was performed for group B two or three times a week during 4 weeks. To evaluate the effect of treatment applied for two groups, we used Yanagihara's unweighed grading system and House-Brachmann grading system at before treatment, after one week from visit, two weeks from visit, three weeks from visit, and four weeks from visit. Results : After treatment, Yanagihara's score and House-Brachmann grading system were improved in each group except during first week. But there was no significant difference in improvement between group A and group B. Conclusions : Needle-embedding therapy would be as effective to improve symptoms of early stage of peripheral facial paralysis as sweet bee venom pharmacopuncture therapy.