• 제목/요약/키워드: Intensity measures

검색결과 401건 처리시간 0.033초

근막이완술과 목 견인이 만성 목 통증 환자의 통증, 관절가동범위, 목 기능 장애지수에 미치는 영향: 무작위 대조 연구 (The Effect of Myofascial Release and Cervical Traction on Pain, Range of Motion and the Neck Disability Index in Patients with Chronic Neck Pain: A Randomized Controlled Trial )

  • 김영민;신호용
    • 대한물리의학회지
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    • 제19권1호
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    • pp.107-117
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    • 2024
  • PURPOSE: This study examined the effects of the myofascial release and cervical traction after applying conservative physical therapy to patients chronic neck pain. METHODS: Patients were randomly divided into two groups, namely myofascial release (7 subjects) and cervical traction (7 subjects). Each group performed their therapy 45 minutes per day, two times a week, for four weeks. Pain intensity was measured using the visual analog scale (VAS). Function was measured with the neck disability index (NDI). The cervical range of motion (CROM) was measured with a cervical range of motion (CROM) goniometer. RESULTS: After four weeks of therapy, the VAS (p < .05) and NDI (p < .05) significantly decreased, and ROM significantly increased in both groups (p < .05). There were also significant differences between the two groups for these three measures, except for neck flexion and neck extension(p<.05). CONCLUSION: Myofascial release and cervical traction are more effective than cervical traction alone for reducing VAS and NDI and increasing ROM in patients with chronic neck pain.

The Impact of Climate Change on Fire

  • Eun-Hee JEON;Eun-Gu, HAM
    • 웰빙융합연구
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    • 제7권4호
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    • pp.15-20
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    • 2024
  • Purpose: Climate change is greatly affecting the frequency and intensity of fires around the world. The main effects of climate change on fires are rising temperatures, dry seasons and extreme droughts, changes in precipitation, increased strong winds, extended fire danger periods, and changes in natural ecosystems. Several factors due to climate change are increasing the risk of large-scale fires, such as wildfires. Research design, data and methodology: Rising temperatures caused by climate change will make forests and grasslands drier, make it easier for wildfires to occur in drier environments and spread quickly to wider areas, and the generated wildfires will release large amounts of greenhouse gases into the atmosphere, such as carbon dioxide (CO2), and the released greenhouse gases will strengthen the global greenhouse effect, further raising the temperature. As temperatures rise, the risk of wildfires increases in drier environments, and this process is repeated, leading to a vicious cycle of intensifying climate change as more fires occur and more greenhouse gases are released. Results: In conclusion, climate change is increasing the risk of fire occurrence and this phenomenon is expected to become more frequent and severe in the future. Conclusions: In order to cope with the increasing fire risk caused by climate change, fire prevention and management. Fire detection and response systems need to be strengthened, supportive policies and international cooperation are needed to restore ecosystems, and these measures, along with fire prevention, management and countermeasures, should take into account long-term climate change and adaptation as well as short-term responses.

Analgesic efficiency of dexketoprofen trometamol in third molar surgery: a systematic review and meta-analysis

  • Bishwa Prakash Bhattarai;Diane Isabel Selvido;Dinesh Rokaya
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제24권5호
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    • pp.305-318
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    • 2024
  • This study aims to compare the analgesic efficacy of dexketoprofen trometamol (DT) with other analgesic drugs for pain relief after third molar surgery. The PubMed, Scopus, and Web of Science databases were searched to identify randomized controlled trials comparing DT with other analgesics for third molar surgery. The outcome measures were the sum of pain intensity differences (SPID), total pain relief (TOTPAR) at the 6th and 8th postoperative hours, time to rescue medication, and tolerability. In total, four studies met our inclusion criteria. A total of 660 third molar surgeries were performed: 365 in the DT group and 295 in the active control group. Compared to other analgesics, DT produced significantly better pain relief at the 6th postoperative hour: SPID (MD, 0.33; P = 0.01) and TOTPAR (MD, 0.41; P = 0.02). However, there were no statistically significant differences in the efficiency of pain relief at the 8th postoperative hour, time to rescue medication, or tolerability. Overall, a 25 mg dose produced the best results for pain relief. In conclusion, DT (25 mg) is a viable alternative to contemporary analgesics for pain relief after third molar surgery, particularly during the early postoperative period.

가족발달단계에 따른 간호요구영역에 관한 연구 (Study of The Area of Nursing Need by the Family Developmental Stage)

  • 최부옥
    • 대한간호학회지
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    • 제7권2호
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    • pp.43-59
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    • 1977
  • The Community Health Service considers the family as a service unit and places the emphasis of its service on the health problems and the nursing needs of the family rather than the individual. From the conceptual point of view that tile community health service is both health maintenance and health promotion of the family, the community health nurse should have a knowledge of the growth and development of the family and be responsible for the comprehensive support of normal family development. The community health nurse often is in a position to make a real contribution to normal family development. In order to investigate the relationship between the areas of nursing need and family development, the following objectives were established 1. To discover the general characteristics of the study population by the stage of family development. 2. To discover specific nursing needs in relation to the family developmental stage, and to determine the intensity of the nursing needs and the ability of the family to cope with these needs. 3. To discover overall family health nursing problems in relation to the family developmental stage and determine the intensity of the nursing need and the problem solving ability of family. Definitions : The family developmental stages as classified by Dually were used stage 1. Married couples(without children) stage 2. Childbearing Families (oldest child birth to 30 months of age) stage 3. Families with preschool children (oldest child 2½-to 6 years) stage 4. Families with schoolchildren (oldest child 6 to 13 years). stage 5. Families with teenagers (oldest child 13 to 20 years) stage 6. Families as launching centers (first child gone to last child′s leaving home). stage 7. Middle- aged parents (empty nest to retirement) stage 8. Aging family member (retirement to death of both spouses) The areas of nursing need were defined as those used in the study, "A Comprehensive Study about Health and Nursing Need and a Social Diagram of the Community", by tile Nursing research Institute and Center for population. and Family Planning, July 1974. The study population defiled and selected were 260 nuclear families ill two myron of Kang Hwa Island. Percent, mean value and F- test were utilized in tile statistical analysis of the study result. Findings : 1. General characteristics of the study population by tile family developmental stage ; 1)The study population was distributed by the family developmental stage as follows : stage 1 : 3 families stage 2 : 13 families stage 3 : 24 families stage 4 : 41 families stage 5 : 50 families stage 6 : 106 families stage 7 : 13 families stage 8 : 10 families 2) Most families had 4 or 5 members except for those in stage, 1, 7, and 8. 3) The parents′ present age was older in the higher developmental stage and their age at marriage was also younger in the higher developmental stages. 4) The educational level of parents was primarily less than elementary school irrespective of the developmental stage. 5) More than half of parents′ occupations were listed as laborers irrespective of the developmental stage, 6) More than half of the parents were atheists irrespective of the developmental stage. 7) The higher the developmental stage(from stage 2 to stage 6 ), the wider the distribution of children′s ages. 8) More than half of the families were of middle or lower socio-economic level. 2. Problems in specific areas of nursing need by family developmental stage, the intensity of nursing need and the problem solving ability of the family : 1) As a whole, many problems, irrespective of the developmental stage, occurred in tile areas of Housing and Sanitation, Eating Patterns, Housekeeping, Preventive Measures and Dental care. Problems occurring ill particular stages included the following ; stage 1 : Prevention of Accident stage 2 : Preventive Vaccination, Family Planning. stage 3 : Preventive Vaccination, Maternal Health, Family Planning, Health of Infant and Preschooler. stage 4, 5 : Preventive Vaccination, Family Planning, Health of School Children. stage 6 : Preventive Vaccination, Health of School Children. 2) The intensity of the nursing need in the area of Acute and Chronic Diseases was generally of moderate degree or above irrespective of the developmental stages except for stage 1. Other areas of need listed as moderate or above were found in the following stages: stage 1 : Maternal Health stage 3 . Horsing and Sanitation, Prevention of Accident. stage 4 . Housing and Sanitation. stage 5 : Housing and Sanitation, Diagnostic and Medical Care. stage 6 : Diagnostic and Medical care stage 7 : Diagnostic and Medical Care, Housekeeping. stage 8 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Dental Care, Eating Patterns, Housekeeping. 3) Areas of need with moderate problem solving ability or less were as follows : stage 1 : Diagnostic and Medical Care, Maternal Health. stage 2 : Prevention of Accident, Acute and Chronic Disease, Dental Care. stage 3 : Housing and Sanitation, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of Infant and preschooler, Eating Patterns. stage 4 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of New Born, Health of Infant and Preschooler, Health of school Children, Eating Patterns, Housekeeping. stage 5 . Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Preventive Vaccination, Maternal Health, Eating Patterns. stage 7, 8 : Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measures, Dental Care, Preventive Vaccination, Eating Patterns , Housekeeping. Problem occurrence, the degree of nursing need and the degree of problem solving ability 1 nursing need areas for the family as a whole were as follows : 1) The higher the stages(except stage 1 ), the lower the rate of problem occurrence. 2) The higher the stage becomes, the lower the intensity of the nursing need becomes. 3) The higher the stages (except stages 7 and 8), the higher. the problem solving ability. Conclusions ; 1) When the nursing care plan for the family is drawn up, depending upon the stage of family development, higher priority should be give to nursing need areas ① at which problems were shown to occur ② where the nursing need is shown to be above moderate degree and ③ where the problem solving ability was shown to be of moderate degree. 2) The priority of the nursing service should be Placed ① not on those families in the high developmental stage but on those families in the low developmental stage ② and on those areas of need shown in stages 7 and 8 where the degree nursing need was high and the ability to cope low.

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탄력밴드 운동이 여성노인의 체조성, 혈중지질 및 AMPK에 미치는 영향 (Effects of Elastic Band Exercise on Body Composition, Blood lipids and AMPK in the Elderly Women)

  • 최미리나;하수민;김도연
    • 한국응용과학기술학회지
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    • 제36권3호
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    • pp.995-1007
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    • 2019
  • 본 연구는 12주간 탄력밴드 운동이 체조성, 혈중지질 및 AMPK에 미치는 영향을 구명하기 위해 만 65세 이상 75세 이하의 여성 노인을 대상으로 운동군 12명, 대조군 12명으로 구분하여 실시하였다. 탄력밴드 운동 방법은 주 3회, 60분으로 1-4주는 OMNI-RES 3-4의 저강도, 5-8주는 OMNI-RES 5-6의 중강도, 9-12주는 OMNI-RES 7-8의 고강도로 실시하였다. 탄력밴드 운동 전 후 그룹 및 시기 간 상호작용을 검증하기 위하여 two way repeated measures ANOVA로 처리하였고, 측정된 자료의 그룹 내 차이는 paired t-test, 그룹 간 차이는 independent t-test, 집단 간 오차를 최소화하기 위해 공변량 분석 analysis of covariance ANCOVA를 실시하였으며, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과, 체지방률은 운동군이 유의하게 감소하였으며(p<.05), 골격근량이 유의하게 증가하였다(p<.01). 혈중지질 중 TC, TG, LDL-C는 운동군과 대조군 모두 유의한 차이가 나타나지 않았으며, HDL-C는 대조군이 유의하게 감소하였다(p<.05). AMPK는 운동군이 유의하게 감소하였고(p<.001), 대조군은 유의한 차이가 나타나지 않았으나, 공변량분석 결과에 의하면 운동 후 그룹 간 AMPK는 유의한 차이가 나타났다(p<.05). 이상의 결과를 종합해 볼 때 OMNI 저항운동 척도를 이용한 12주간 탄력밴드 운동이 여성노인의 체조성 및 AMPK에 긍정적인 영향을 미친 것으로 사료된다.

한강유역 축분퇴비공장 근로자의 작업환경 만족도 평가 (Evaluation on the Degree of Satisfaction with Working Environment for Workers Engaged in the Composting Plant with Livestock Manure in the Han-river Watershed)

  • 김기연;최홍림;김치년
    • Journal of Animal Science and Technology
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    • 제44권2호
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    • pp.261-270
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    • 2002
  • 본 연구에서는 한강유역에 위치한 축분퇴비공장의 작업환경 조사를 위한 현장 평가로서, 설문조사 및 악취물질 측정을 통해 근로자들의 작업환경 만족 수준과 이에 영향을 주는 요인들을 규명하였다. 연구결과, 축분퇴비공장 근로자들의 작업환경 만족도에 영향을 주는 요인들로 일반 건강수준, 악취, 작업량, 분진, 흡연으로 조사되었으며, 이 중 일반 건강수준, 악취, 작업량이 전체 작업환경 만족도의 61.3%를 대변하는 것으로 나타났다. 통계적 유의성을 나타낸 작업환경변수로는 일반 건강수준(p$<$0.01), 악취 작업량 분진(p$<$0.05) 등 이었다. 결론적으로 일반 건강수준이 높은 근로자일수록 작업환경 만족도가 높았으며, 작업량이 상대적으로 많고 악취와 분진에 쉽게 노출된 공장의 근로자일수록 작업환경 만족도가 낮은 것으로 분석되었다. 흡연을 하는 근로자는 작업환경 만족도가 낮게 나타냈으나, 통계적 유의성은 없는 것으로 분석되었다. 따라서 한강유역 축분퇴비공장 근로자들의 작업환경 만족도를 제고시키기 위해서는 공정 중 악취와 분진농도의 발생을 저감시켜야 할 것으로 판단된다. 그러므로 축분퇴비공장의 악취 및 분진농도의 발생을 최소화할 수 있는 처리공정 및 관리체계 정립이 시급하며, 이는 궁극적으로 축분퇴비공장 작업자의 건강 뿐만 아니라 주변 마을 정주민의 생활환경개선효과를 유발할 수 있다.

CT 혈관 조영 영상에서 뼈 소거법 기반의 하지 혈관 자동 추출 (Automatic Lower Extremity Vessel Extraction based on Bone Elimination Technique in CT Angiography Images)

  • 김수경;홍헬렌
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제36권12호
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    • pp.967-976
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    • 2009
  • 본 논문에서는 CT 및 CT 혈관 조영 영상에서 강체 정합 및 뼈 소거법을 이용한 하지 혈관 자동 추출 방법을 제안한다. 첫째, 뼈의 부분적인 움직임을 반영하기 위하여 해부학 정보를 바탕으로 하지를 자동 구역화하고, 둘째, CT와 CTA 영상간 움직임을 산정하기 위하여 거리지도 기반의 강체 정합을 수행한다. 셋째, CTA 영상에서 복잡한 구조를 갖는 뼈를 제거하고 뼈에 인접한 혈관이 깎이는 것을 방지하기 위하여 뼈 소거법과 혈관 마스킹 기법을 제안한다. 넷째, 정합오차 및 연골 등의 잡음을 줄이기 위하여 혈관 추적 기반의 후 처리 과정을 통하여 보정한다. 제안 방법의 평가를 위해 육안 평가와 정확성 평가 그리고 수행시간을 측정하였다. 육안 평가를 위해 차감 기법, 정합 후 차감 기법, 제안 방법을 적용한 결과를 볼륨렌더링과 최대 강도 투영영상을 사용하여 비교하였다. 정확성 평가를 위해 CTA 영상과 차감 기반 기법 및 제안 방법을 적용한 결과의 밝기값 분포도를 분석하였다. 실험 결과 뼈는 제거되고 가는 혈관 및 다른 조직의 손실 없이 혈관이 정확하게 추출되었음을 볼 수 있었고, 13명의 환자 데이터 전채에 대한 전체 수행시간은 약 40포 정도로 측정되었다.

베트남 급성장 도시지역의 기후변화 홍수재해 위험성 분석 (Flooding Risk under Climate Change of Fast Growing Cities in Vietnam)

  • 김소윤;이병재;이종소
    • 한국방재안전학회논문집
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    • 제13권2호
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    • pp.1-9
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    • 2020
  • 베트남의 도시들은 지리적 특성으로 인해 기후변화에 따른 홍수 위험성이 높은 상황인데, 빠르게 도시지역이 확장됨에 따라 홍수위험성은 더욱 가중되고 있다. 본 연구에서는 도시확장강도지수를 활용하여 지난 10년간(2007년-2017년) 베트남 국가차원에서의 도시확장 추세를 확인한 후, 기후변화 영향이 크고 확장속도가 빠른 지역으로서 후에시를 선정하여 홍수발생가능성을 확인하였다. 그 결과 홍강델타, 메콩델타, 해안지역의 주요 도시 주변으로 확장되었으며, 후에시의 경우 확장속도가 빠른 지역일수록 예상침수면적이 높은 것으로 나타났다. 이는 향후에 홍수재해 위험성이 더욱 커질 수 있음을 의미한다. 재해취약성분석 제도 등 국내의 도시방재정책은 베트남 급성장지역에서 기후변화를 고려한 도시계획 수립 시 도움이 될 것이다.

여재에 따른 도로면 유출수의 배수 및 처리특성 (Drainage and Treatment Characteristics of Runoff by Media)

  • 김석구;윤상린;김영임;이용재;김이호;김종오
    • 한국물환경학회지
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    • 제20권5호
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    • pp.500-505
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    • 2004
  • While more attention has been paid in recent years to urban point source pollution control, no considerable measures have been taken to control urban non-point source pollution. Contaminants from non-point sources deposited on urban impermeable surfaces such as road and highway are easily released to the public waters by rainfall, leading to the deterioration in water quality in urban area. The present study investigated a system using filter media to reduce the level of contamination in urban road runoff. Three different media, designated as J-P (polypropylene, blowing type), B-P (polypropylene, fiber type), and P-F (Polyvinyl alcohol, cube and sheet type) were evaluated on the basis of pollutant removal efficiency as well as hydraulic property. Experiments were peformed using a 1/4-scale treatment unit at various pollutant roading and rainfall intensity with real rainwater runoff collected from road surfaces. The results at different rainfall intensities shows that the medium J-P is superior to the other media for water permeability. J-P was not blocked at 10 mm/hr rainfall and its permeability was stable. On the other hand, B-P and P-F resulted in substantial overflow ratio even at I mm/hr rainfall intensity. Comparing treatment efficiencies for suspended solids, all media showed similar removal ranged from 91 % to 95%. However, J-P seems to be better than the other media considering its higher water permeability. J-P and P-F, both hydrophobic, yielded over 76% of heavy metal removal. But, the hydrophilic media B-P showed much smaller removal ranging from 26% to 47%. This indicates that J-P and P-F are beneficial to remove heavy metal due to their hydrophobic property. The treatment efficiencies over PAHs (poly aromatic hydrocarbons) showed the similar removal efficiency ranging from 66% to 97% for all three media.

LMDI 분해 분석을 이용한 국내 철도 노선별 온실가스 배출 특성 분석 (LMDI Decomposition Analysis on Characteristics of Greenhouse Gas Emission from the Line of Railroad in Korea)

  • 이재형;임지재;김용기;이재영
    • 한국철도학회논문집
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    • 제15권3호
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    • pp.286-293
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    • 2012
  • 국가의 온실가스 감축목표를 달성하기 위한 방안으로 온실가스 목표관리제를 시행하고 있다. 온실가스 감축목표를 달성하기 위해서는 온실가스 인벤토리가 구축되어야 하며, 효과적인 온실가스 감축 수단을 도출하기 위해서는 온실가스 배출 특성을 분석해야 한다. 국내외에서는 온실가스 배출 및 에너지 사용 특성을 분석하기 위한 방법론으로 로그평균디비지아지수(LMDI: Log Mean Divisia Index) 분석 기법이 자주 사용되고 있다. 본 논문에서는 온실가스 배출특성을 LMDI 분석 방법론을 통해 전환효과, 원단위효과, 생산효과, 거리효과 등의 4가지 요인으로 나누어 분석하였다. 분석 대상은 한국철도공사가 관리하는 광역철도 및 도시철도를 대상으로 하였으며, 자료의 분석 기간은 2000년부터 2007년까지로 설정하였다. 분해분석결과 2000년과 2007년 사이의 철도수송에 따른 온실가스 배출량의 총효과는 96,813톤$CO_2eq$으로 나타났다. 철도 수송에 따른 온실가스 배출량 증가에 영향을 미치는 효과는 생산효과와 거리효과로 나타났으며, 온실가스 배출량 감소에 영향을 미치는 효과는 전환효과와 원단위효과로 나타났다.