• Title/Summary/Keyword: Quality of needle

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Value of Contrast-Enhanced Ultrasonography in the Differential Diagnosis of Enlarged Lymph Nodes: a Meta-Analysis of Diagnostic Accuracy Studies

  • Jin, Ya;He, Yu-Shuang;Zhang, Ming-Ming;Parajuly, Shyam Sundar;Chen, Shuang;Zhao, Hai-Na;Peng, Yu-Lan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.6
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    • pp.2361-2368
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    • 2015
  • Objective: To evaluate the diagnostic accuracy of contrast-enhanced ultrasonography (CEUS) in differentiating between benign and malignant enlarged lymph nodes using meta-analysis. Materials and Methods: Pubmed, Embase, SCI and Cochrane databases were searched for studies (up to September 1, 2014) reporting the diagnostic performance of CEUS in discriminating between benign and malignant lymph nodes. Inclusion criteria were: prospective study; histopathology as the reference standard; and sufficient data to construct $2{\times}2$ contingency tables. Methodological quality was assessed using Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2). Patient clinical characteristics, sensitivity and specificity were extracted. The summary receiver operating characteristic curve was used to examine the accuracy of CEUS. A meta-analysis was performed to evaluate the clinical utility in identification of benign and malignant lymph nodes. Sensitivity analysis was performed after omitting outliers identified in a bivariate boxplot and publication bias was assessed with Egger testing. Results: The pooled sensitivity, specificity and AUROC were 0.92 (95%CI, 0.85-0.96), 0.91 (95%CI, 0.82-0.95) and 0.97 (95%CI, 0.95-0.98), respectively. After omitting 3 outlier studies, heterogeneity decreased. Sensitivity analysis demonstrated no disproportionate influences of individual studies. Publication bias was not significant. Conclusions: CEUS is a promising diagnostic modality in differentiating between benign and malignant lymph nodes and can potentially reduce unnecessary fine-needle aspiration biopsies of benign nodes.

Application of the Rapid Prototyping Instructional Systems Design in Meridianology Laboratory (경혈학실습 체제적 교수설계를 위한 RPISD 모형 적용 연구)

  • Cho, Eunbyul;Kim, Jae-Hyo;Hong, Jiseong
    • Korean Journal of Acupuncture
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    • v.39 no.3
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    • pp.71-83
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    • 2022
  • Objectives : Instructional design is the systematic approach to the Analysis, Design, Development, Implementation, and Evaluation of learning materials and activities. We aimed to apply the rapid prototyping to instructional systems design (RPISD) in meridianology laboratory, a subject in which students train acupuncture to develop lesson plan. Methods : The needs of the stakeholders including client, subject matter expert and students were analyzed using the performance needs analysis model. Task analysis was implemented by observation and interview. First prototype was drafted and implemented in meridianology laboratory class once. The second prototype was modified from the first, by usability evaluation of the stakeholders. Results : The client requested an electronically documented manual to improve the quality of acupuncture training. The learner requested an extension of practice time and detailed practice guidelines. The main problems of students' performance were some cases of violation of clean needle technique, the lack of communication between the operator and recipient in direct, and lack of confidence in their own performance. Stakeholders were generally satisfied with the proposed first prototype. Second prototype of lesson plan was produced by modifying some contents. Conclusions : A lesson plan was developed by applying the systematic RPISD model. It is expected that the developed instructional design may contribute to the quality improvement of meridianology laboratory education.

The State of Clinical Trials on Acupotomy for Lumbar Disc Herniation in China (요추 추간판 탈출증에 대한 중국 내 도침 임상 연구의 현황 분석)

  • Jun, Purumea;Liu, Yan;Park, Ji-Eun;Jung, So-Young;Han, Chang-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.39-54
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    • 2017
  • Objectives This study aimed to search the Chinese literature on acupotomy for lumbar disc herniation and to analyze their methodologies. Methods Using 4 Chinese databases (CBM [www.sinomed.ac.cn], CNKI [www.cnki.net], WANFANG [www.wanfangdata.com], and WEIPU [www.cqvip.com]), we searched for clinical trials conducted in China over the past 10 years on acupotomy for lumbar disc herniation. The search terms used were "(腰椎椎間板脫出症 or 椎間板脫出症 or 椎間板脫出) and (针刀or 针刀松解术)" and we selected only meta-analyses that were published before December 2016. From among these meta-analyses, we excluded duplicates and selected the remaining 36 randomized controlled trials (RCTs) for our final analysis. Results The largest numbers of acupotomy papers were published in 2008 and 2013 (8 papers each). The average number of subjects was 120; the most common treatment method used for the control group was standard acupuncture (in 11 papers), and the most common concurrent treatment in the treatment group was massage (in 10 papers). The most common site of needle insertion was between the spinous processes, or at less than 0.5 cm on either side of the spinous processes (in 24 papers). The most common site of adhesion lysis was at the transverse process (in 24 papers). Two studies were blinded, and the mean Jadad score was 1.17. Conclusions A large number of RCTs on the use of acupotomy for lumbar disc herniation are conducted every year in China, and the procedure has been shown to be very effective, with few adverse effects. However, the average quality of the studies was not very high. Based on our study, we expect several high-quality clinical trials on acupotomy to be conducted in Korea in the future.

A Study on Application Methods of Knit Design for Manufacturers using CAD System (캐드를 이용한 니트디자인의 생산업체 활용 방안)

  • Yang, Kyung-Ae
    • Korean Journal of Human Ecology
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    • v.8 no.1
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    • pp.165-178
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    • 1999
  • Knitwears it was only for the innerwear, but which has become more available for sportswear and highly valuable formal-dresses for women's apparel and is set a trend toward high value-added products worldwide. Also the industry connected knitwears is more widely applicative than woven industry and is running on the well founded basement for the small enterprises. This study notes that what problems are caused and which utilities can be expected when we design knitwears by Primavision and Texpia CAD system considered the programs for development of domestic knitwears industry. There are much various benefits for designing knitwears from CAD system as shortening working hours, convenience, accuracy, quality control and productivity. It doesn't depend on designer's technique, sense and experiences, but provides, through building the design accuracy, chance to have a precise communication with buyers to be satisfied with the multiplicity, uniqueness and high-quality resulting from reducing the mistake on the operation. But there are some problems for using CAD design system those are no selections for the form, type and thickness of the yarn. Even though it is knitted by the same gauge, the texture conditions show complete difference if the form and thickness is different with. The gauge control without regarding those ought to be improved and the yarn designing function should be appended like in a tektite design. And the CAD design system can not reflect the variables of operating knitting machine and needle. The CAD design system provides the manufacturers with merits those they can change the colors easily to select which one appeals to the customer and check the effects of producing and modeling on monitor. But, in the each producing progress, there are still problems to reduce the practical steps, so intensive care is required of each part.

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The Impact of the Morphological Characteristics of Leaves on Particulate Matter Removal Efficiency of Plants

  • Son, Deokjoo;Kim, Kwang Jin;Jeong, Na Ra;Yun, Hyung Gewon;Han, Seung Won;Kim, Jeongho;Do, Gyung-Ran;Lee, Seon Hwa;Shagol, Charlotte C.
    • Journal of People, Plants, and Environment
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    • v.22 no.6
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    • pp.551-561
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    • 2019
  • This study was conducted to find out differences in the removal efficiency of particulate matter (PM) depending on the type of plants and the morphological characteristics of leaves. A total of 12 plants were used, with three plants selected for each type of leaves (big leaf, small leaf, compound leaf, needle leaf). We measured the removed amount of PM10 and PM2.5, the structure of the abaxial leaf surface, and the weight of the wax layer of each plant. Plants with the high removal efficiency of PM included Pachira aquatica Aubl., Ardisia crenata, and Dieffenbachia 'Marianne', and plants with the low removal efficiency included Nandina domestica Thunb, Schefflera arboricola, and Quercus dentata. The abaxial leaf surface having a high removal efficiency of PM had many large wrinkles, and the abaxial leaf surface having a medium removal efficiency was flat and smooth. On the other hand, there were many fine hairs on the abaxial leaf surface with a low removal efficiency. According to the plant leaf type, the PM10 removal efficiency of plants with needle leaves was about three times higher than that of other plants. In particular, the wax layer of conifers weighed 6-24 times higher than those of other plants. The stomata of conifers were evenly distributed on the adaxial and abaxial leaf surfaces; however, the stomata of Sciadopitys verticillata appeared in the form of papillae unlike general stomata. Therefore, the removal efficiency of PM varied depending on the macro-, and micro-morphological characteristics of plant leaves such as the structure of the abaxial leaf surface, and the weight of the wax layer. Based on this research, selecting plants that are effective in reducing PM in consideration of the plant type and leaf characteristics will improve indoor air quality and decrease exposure of PM to human body.

A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Neck Pain (경항통에 침치료를 시행한 무작위대조군연구(RCT)들에 대한 계통적 연구)

  • Kim, Hyun-Wook;Kim, Sung-Soo;Kang, Jung-Ah;Nam, Dong-Woo;Kim, Eun-Jung;Hong, Kwon-Eui;Kim, Sung-Chul;Lee, Jae-Dong;Kim, Kap-Sung;Lee, Geon-Mok
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.103-123
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    • 2009
  • Objectives : The aim of this study is to review RCTs of acupuncture treatment for neck pain and to establish standards of acupuncture treatment for neck pain. Methods : We searched articles in Pubmed using ICD 10. Study quality was assessed using the FEAS and Jadad score. Results and Conclusions : Three review studies and nineteen clinical trials were searched and reviewed. Among the nineteen clinical trials reviewed, positive outcome was reported in thirteen studies. Most frequently used meridians were GB, BL, SI, GV and LI, The most frequently used acupuncture points were $GB_{20}$, $GB_{21}$, $LI_4$, $BL_{10}$, $GV_{14}$ and $SI_3$. More than two needles were inserted in the studies and needle retention time was more than 10 minutes. The most frequently used needle length was 40mm, and diameter was 0.25mm and 0.30mm. The mean number of treatment sessions were more than 10 times. Frequency of treatment was more than once a week, And treatment duration was more! than 5 weeks. The total FEAS scores ranged from 3 to 15.5, and the mean value was 9.39. Jadad score ranged from 2 to 5, and the mean value was 3.42. The number of studies scoring over three points on the Jadad scale was sixteen.

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Identification and Physical Characteristics of the Ancient Charcoals Excavated from Chudong-ri Site, Korea (서천 추동리 문화유적에서 채취된 숯의 수종식별과 물리적 특성)

  • Kim, Myung-Jin;Lee, Jong-Shin;Park, Soon-Bal
    • Journal of Conservation Science
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    • v.24
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    • pp.13-22
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    • 2008
  • The identification of species, hygroscopic property, and ability of ethylene gas absorption of 23 ancient charcoals excavated from wooden coffin burials and roof-tile kilns of Chudong-ri cultural site were investigated. All of the 12 charcoals excavated from wooden coffin burials were broad-leaved trees. Among the total 12 samples, 9 samples were Lepidobalanus and others were Celtis spp.. On the other hand, other 11 charcoals from roof-tile kilns were needle-leaved tree, Pinus spp.(hard pine). The broad-leaved tree charcoals from wooden coffin burials showed a higher moisture absorption capacity than needle-leaved tree charcoals from roof-tile kilns. The ethylene gas absorption was greater in the Lepidobalanus charcoal than that of Celtis spp. and Pinus spp. (hard pine) charcoal. The broad-leaved tree charcoal having high absorption ability of substances was due to a large microporous and specific surface area. Therefore, it was estimated that broad-leaved tree charcoals were filled in order to make favorable condition in tomb. The wood quality of pine is soft and easy to burn because of low specific gravity, as well as high calorific value by resin in wood. We could assume that the pine wood was used as fuel for roof-tile kilns because of easy control of heating and thermal power.

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Acupuncture and Herbal Medicine Improved the Quality of life of Obese Women (한방치료를 받은 여성 비만환자의 삶의 질 연구)

  • Jung, Soon-Kwan;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.4
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    • pp.1034-1038
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    • 2007
  • To examine the difference of health-related quality of life (QoL) of obese patients between before and after treatment of Korean traditional medicine. This study was assessed in 18 obese-women (age 29.72${\pm}$7.38) treated by acupuncture and herbal medicine using SF-36 quality of life questionnaire between January and July 2006, a 36 item instrument yielding 8 dimensions (Social functioning, Role limitation-Physical, Role limitation-Emotion, Mental health, Vitality, Bodily pain, and General health) and a total score. Their weight was measured by Inbody 3.0 (Biospace co. Korea). QoL and body composition was assessed twice at baseline (B) and 4 weeks after treatment. Auricular acupuncture and electrical needle stimulation to abdomen, thigh, and arm fat was used twice a week and complex herb formula was prescribed according to their constitution and symptoms for 4 weeks. Herb medication was taken 2 times a day. Respective variables were analyzed with Wilcoxon signed ranks test and the level set for statistical significance was p <0.05. The mean of the body weight (P=0.000;B64,68${\pm}$6.86, 4 WKs 60.47${\pm}$5.69), fat percentage (P=0.000;B33.14${\pm}$4.86, 4 WKs 30.16${\pm}$5.34), body mass index (P=0.000;B25.18${\pm}$2.44, 4 WKs 23.46${\pm}$2.09) and fat weight (P=0.000;B21.66${\pm}$5.06, 4 WKs 18.41${\pm}$4.57) of some obese patients decreased significantly between before and after treatment for 4 weeks. Physical functioning (P=0.48;B27.06${\pm}$3.17, 4 WKs 28.00${\pm}$1.71), Mental health (P=0.01 ;B18.83${\pm}$5.25, 4 WKs 22.00${\pm}$3.73), Vitality (P=0.028;B13.89${\pm}$3.03, 4 WKs 15.44${\pm}$2.53), Bodily pain (P=.0014;B8.84${\pm}$1.75, 4 WKs 10.15${\pm}$1.78), and the total scores (P=0.001;B104.99${\pm}$12.60, 4 WKs 114.58${\pm}$11.11) of SF-36 were increased significantly after treatments. These data show some differences in QoL and BMI between before and after treatment on obesity and suggest that the treatment with acupuncture and herbal medicine have a positive impact on several domains of QoL of some obese patients. Further randomized clinical trials (RCTs) including follow-up are needed to examine whether acupuncture and herb medicine have a positive effect on QoL of treatment group compared with control group.

Quality Characteristics, Shelf-life, and Bioactivities of the Low Salt Squid Jeot-gal with Natural Plant Extracts (천연식물추출물을 첨가한 저염 오징어젓갈의 품질특성, 유통기한 및 생리활성)

  • Hong, Won Jun;Kim, Sang Moo
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.5
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    • pp.721-729
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    • 2013
  • To improve the quality and functionality of the low salt squid Jeot-gal, extracts from three types of medicinal and edible plants (bay leaf, green tea, pine needle) were added. The quality characteristics, bioactivities, and shelf-lives of these preparations were determined at three different fermentation temperatures. The pH decreased more rapidly at higher temperatures, while the amount of volatile basic nitrogen (VBN), total viable cells, and amino nitrogen ($NH_2$-N) increased. The shelf-lives of Jeot-gal with natural plant extracts at $10^{\circ}C$ were 34~35 days, similar to the control. The major free and compositional amino acids of Jeot-gal were glutamic acid, proline, and alanine, while the major nucleotides (and related compounds) were hypoxanthine and inosine. In bioactivity assays, samples supplemented with plant extracts showed higher bioactivities than the control. The DPPH radical scavenging activity of ethanol extracts from Jeot-gal were stronger than the water extracts; in contrast, the water extracts were stronger for hydrogen peroxide scavenging activity. However, superoxide dismutase (SOD)-like activity and ${\beta}$-glucuronidase inhibitory activity were moderately low at 20 mg/mL. Based on sensory evaluation results, the quality of low salt squid Jeot-gal with natural plant extracts is similar to the control. Therefore, low salt squid Jeot-gal with natural plant extracts can be commercialized as a functional fermented food.

Nutrient Environments of Japanese Cedar(Cryptomeria japonica) Forests in Cheju Island II. Nutrient Characteristics of Different Site Quality (제주도(濟州道) 삼나무(Cryptomeria japonica) 조림지(造林地)의 영양환경(營養環境)에 관한 연구(硏究) II. 지위(地位)에 따른 토양(土壤) 및 임목(林木)의 양분(養分) 특성(特性))

  • Jin, Hyun-O
    • Korean Journal of Soil Science and Fertilizer
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    • v.25 no.3
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    • pp.255-262
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    • 1992
  • For the purpose of investigation the local characteristics of the nutrient status in the Japanese cedar in Cheju island, the author have carried out chemical analysis of the soils and needles of established Japanese ceder forests in four site quality classified by height growth. Results were summarized as follows. 1. Site quality was related closely to exch. Ca, exch. Mg in the surface soil and to N, K and Ca concentrations in the needle. 2. Appropriate concentration of nutrients in the surface soil and current year's needles are exch. Ca>4.0(me/100g), exch. Mg>2.0(me/100g) and N>1.5(%), K>0.8(%), Ca>1.5(%). 3. In addition, the Ca : Mg : Na ratio of the exch. cation(me/100g) may be useful as an indicator in the assesment of site quality of Japanese cedar forests in Cheju island.

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