• 제목/요약/키워드: Rating classification

검색결과 252건 처리시간 0.019초

시력장애와 사지마비를 호소하는 시신경척수염 환자의 한방 증례 보고 1례 (A Case Report of Treatment of a Patient with Neuromyelitis Optica and Suffering from Vision Disorder and Quadriplegia with Korean Traditional Medicine)

  • 우성진;신재욱;장우석;백경민
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.658-667
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    • 2017
  • Objectives: This is a case report regarding the effect of Korean traditional medicine on vision disorder and quadriplegia in a patient with neuromyelitis optica. Methods: We treated a patient who was diagnosed with neuromyelitis optica with Korean traditional medicine, including acupuncture, moxibustion, and herbal medicine (Gigugyanghyeol-tang gamibang) for 106 days. We evaluated the patient with the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), Modified Barthel Index (MBI), Modified Ashworth Scale (MAS) Grade, and Numeric Rating Scale-11 (NRS-11). Results: After treatment, the patient's symptoms were improved. The ISNCSCI scores increased from 42 to 66 in motor score, from 152 to 196 in sensory score, and from A to D in the ASIA impairment scale; the MBI score increased from 9 to 33, while the score of the MAS Grade decreased from I+ to I, and the NRS-11 scores of vision disorder, spasticity, and tingling decreased from 10 to 7, 3, and 2-3, respectively. Conclusions: Korean traditional medicine may be effective for treatment of vision disorder and quadriplegia in patients with neuromyelitis optica.

전산화 단층촬영 유도하 복강신경총 차단이 암성통증관리에 미치는 영향 (CT-guided Celiac Plexus Block Using Anterior Approach)

  • 이정구;이주영;정정길;이창수
    • The Korean Journal of Pain
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    • 제12권1호
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    • pp.87-94
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    • 1999
  • Backgroud: We have performed the CT-guided celiac plexus block (CPB) using anterior approach to evaluate the safety and efficacy of the procedure and to determine the role of CT. Methods: CPB were done in 10 patients (5 men and 5 women: mean age, 58.1 years) with intractable upper abdominal pain due to terminal malignancy of the stomach (n=3), pancreas (n=4), gallbladder (n=2), and liver (n=1). To permit an anterior approach, patients lay supine on the CT scan table during the procedure. One 21-guage Chiba needle was placed just anterior to the diaphragmatic crus between the celiac and superior mesenteric arteries and 10~12 ml of dehydrated alcohol was injected. Degree of pain relief following the procedure was assessed and pain was graded on a numeric rating scale (NRS) from 0 to 10. Results: The results suggest a direct relation between the degree of celiac invasion and the response to the CPB. With CT guidance, it is possible for us to direct the needle into more accurate region, allowing alcohol to be deposited in specific ganglion area. Conclusions: CT-guided CPB using an anterior approach was an easy and effective way of reducing intractable upper abdominal pain due to terminal malignancies. CT-guidance allowed precise needle placement and safe procedure. Careful classification of cases is important to predict the degree of pain relief using the grading system based on the degree of involvement of the celiac plexus.

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공간분석에 의한 산불발생확률모형 개발 및 위험지도 작성 (Developing the Forest Fire Occurrence Probability Model Using GIS and Mapping Forest Fire Risks)

  • 안상현;이시영;원명수;이명보;신영철
    • 한국지리정보학회지
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    • 제7권4호
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    • pp.57-64
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    • 2004
  • 우리나라는 산불을 효율적으로 방지하기 위하여 기상, 지형, 임상을 중심으로 산불발생위험을 판정할 수 있는 알고리즘 및 관련인자의 DB구축을 통한 웹기반 산불위험예보시스템을 개발하여 활용 중에 있다. 그러나 우리나라의 경우, 자연적으로 산불이 발생하는 미국, 캐나다와 달리 인위적인 산불이 대부분을 차지하고 있어 우리나라에 적합한 지형 및 연료인자와 산불발생에 관한 기초연구가 지속적으로 필요한 실정이다. 따라서 본 연구는 현재 실용화하고 있는 산불위험예보시스템의 알고리즘 개선을 위한 기초연구로서 산불발생지역에 대한 GIS를 이용한 공간분석과 로지스틱 분석을 이용하여 산불발생위험지역을 구분할 수 있는 산불발생확률모형을 개발하였다.

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악간고정 없는 하악골 골절의 관혈적 정복술: 후향적 연구 (Open reduction of mandibular fracture without maxillomandibular fixation: retrospective study)

  • 이충현;김철환
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권4호
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    • pp.255-263
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    • 2011
  • Introduction: Maxillomandibular fixation (MMF) is essential before surgery under general anesthesia in maxillofacial trauma patients. MMF is used basically to reconstruct the occlusion and occlusal stability to recover the facial shape and oral functions. The arch bar and wire is a traditional method for MMF, but it can not only bring pressure to the periodontal ligaments and teeth but also cause a penetrating injury to the surgeons. Materials and Methods: In this study, 198 patients with an open reduction using a manual reduction without MMF from September 2005 to May 2010 in Dankook University Dental Hospital were subjected to a follow-up evaluation during the postoperative 4 months periods. This study evaluated the incidence of complications according to the condition of the patient (gender, age), the state of bony union of the fracture sites and a numeric rating scale evaluation for postoperative pain scoring. Results: 1. The complications were classified into major and minor according to the seriousness, and the major complication rate was as low as 2.02%. Only 2 cases of re-operations (1.01%) were encountered. In the classification according to the fracture line, plate fracture was observed in both cases of mandibular symphysis fracture, and angle fractures and loosening of two screws were noted in the case of mandibular angle fracture. 2. The complication rate was similar regardless of gender and age. 3. The degree of bony union was satisfactory, and the complication rate was reduced as the bony union improved. 4. More patients complained of pain as the operation time was increased. Conclusion: The use of MMF is not always necessary if a skilled assistant is provided to help manually reduce the fracture site. Compared to other studies of mandibular fracture surgery using MMF, the complication rate was similar using only manual reduction and the patients' discomfort was reduced without MMF.

SNS 기반 여론 감성 분석 (Sentiment Analysis for Public Opinion in the Social Network Service)

  • 하상현;노태협
    • 문화기술의 융합
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    • 제6권1호
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    • pp.111-120
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    • 2020
  • 본 연구는 소셜네트워크서비스(SNS)상의 빅데이터를 이용한 텍스트 분석기법의 응용으로서 설문 조사 기반의 여론 조사 방법론과 달리 비정형적 언어 기반의 감성 여론 조사 방법론을 제안한다. 기존의 설문 기반 여론 분석모형에 대한 대안적 방법으로 주관성에 기초한 감성 분류 모형을 이용하였다. 이를 위하여, 제20대 국회의원 선거운동 기간 중 선거 관련 실시간 트위터 자료를 수집하여 속성 기반 감성 분석을 이용한 여론의 극성과 강도에 대한 실증 분석을 수행하였다. 개별 SNS에서 사용된 단어의 극성을 분류하기 위해 Lasso 및 Ridge 회귀 모형을 이용하여 극성에 영향력이 큰 변수를 추출하였다. 추출된 변수가 극성에 미치는 긍정 및 부정에 대한 영향을 구분하고, 영향력의 강도를 분석하였다. 대중들이 소셜네트워크상에서 표현한 내용을 바탕으로 한 여론에 대한 긍정 및 부정의 감성 분석을 통해 여론의 향방을 예측하고 극성분석 모형의 정확도를 측정하여, 여론 조사 분야에서 감성 분석 방법론의 적용가능성을 확인하였다.

승모판 협착증 환자에 대한 한방치험 1례 (A Case Report of a Mitral Stenosis Patient Treated with Korean Medicine)

  • 신혜령;김철현;추홍민;이영웅;김광호;원진희;송봉근
    • 대한한방내과학회지
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    • 제41권3호
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    • pp.457-466
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    • 2020
  • Introduction: This study aimed to report on the effectiveness of using Korean medicine to improve symptoms of mitral stenosis. While some patients that do not require surgery due to mild mitral stenosis are treated with medication, the medication does not always alleviate the symptoms. Thus, we administered Korean medicine treatments to those patients because there are not many case reports on using this approach to treat symptoms of mitral stenosis. Case Presentation: A 48-year-old male patient with mitral stenosis complained of symptoms, such as palpitation, dyspnea, chest pain, fatigue, and swelling in both legs. To reduce the patient's symptoms, we administered Korean medical treatments, including herbal medicine (Samulanshin-tang-gamibang) and acupuncture. To evaluate the results, we used the numeric rating scale (NRS) and the New York Heart Association (NYHA) functional classification. After 17 days of treatment, the NRS score decreased for palpitation (8→2), dyspnea (8→1), chest pain (5→0), fatigue (96→2), and swelling in both legs (6→2). The NYHA class also changed from Class II to Class I. No adverse reaction was noted. Conclusion: According to the results, Korean medicine treatments can be considered to be effective for mitral stenosis patients. To confirm this finding, a prospective study is needed in the future.

능동형 음장조성시스템 연출음의 적정 소리레벨 제시를 위한 연구 (Study to Propose the Suitable Reproducing Sound Level of SAFRS)

  • 전지현;신용규;국찬;장길수
    • 한국소음진동공학회논문집
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    • 제17권6호
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    • pp.547-552
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    • 2007
  • SAFRS(spontaneous acoustic field reproduction system) is a system to sense changes of surroundings and produce sounds which can go well with environment elements sensed by the system in to the space. The sounds were judged by individual evaluation and, the classification of the preferred sounds according to the mood of the space was suggested in the former study. Effectiveness of SAFRS with field application was validated by prior studies which dealt with researching acoustic environment, evaluating images of sounds, and rating environment with existence and nonexistence of sound resources such as fountains and the system after applied in D university. In this study, for more effective field application of SAFRS, research for the acoustic environment around sound resources and subjective evaluation of the preference of the sounds from the resources were made and it was considered that the results of the experiments should be primary information to propose proper sound level to be offered by the system. The results of the study are as follows; 1) It was considered that the ambience of the center road was dependent upon produced sounds by the system and water sounds of the fountain and that of walk way was mostly dependent upon produced sounds. 2) The results of the subjective evaluation showed that the distance from sound resources was suggestive; the more distant from produced sounds the less full and clear the sounds, the less distant from the sounds of water the more delight and idyllic ambience, and the less distant from the forest the more idyllic ambient and diversity. 3) The results upwards were telling that an average value of six elements for the evaluation was even at the place set back 10.2m from center road and walk way. And harmony of all sounds of the place should be considered to propose suitable sound level of SAFRS.

조현병의 침 치료에 대한 중의학 임상연구 동향 (A Review on Clinical Research Trends in the Treatment of Acupuncture on Schizophrenia in Traditional Chinese Medicine)

  • 홍민호;송수진;김주영;구병수;김근우
    • 동의신경정신과학회지
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    • 제29권4호
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    • pp.281-290
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    • 2018
  • Objectives: The objective of this study was to review the research trends in the treatment of acupuncture on schizophrenia in traditional Chinese medicine. Methods: Articles in the China National Knowledge Infrastructure (CNKI) from September 2008 to August 2018 were reviewed. The selected articles were evaluated by the Jadad Scale. Results: 11 articles were selected from a total of 33 articles. 1 study was single group before-and-after study while the other 10 studies were randomized controlled trial studies. Chinese Classification of Mental Disorders-3 was most frequently used as a diagnostic criterion. Brief Psychiatric Rating Scale was most commonly used as an outcome measurement. From Jadad Quality Assessment Scale of the 11 articles, the quality of the studies generally was low. Conclusions: BaekHoi (GV20) and YinDang (EX-HN3) are most commonly used in acupuncture treatment. According to this study, acupuncture treatment in addition to western medication on schizophrenia is more effective as compared to the controls. In future, this study could be primary data for development of more clinical research on the treatment of schizophrenia in Korean medicine.

아산화질소(N2O)와 공기(Air)를 사용한 마취 수술의 기낭압 조정이 수술 후 인후통과 쉰목소리에 미치는 영향 (The Effect of Intracuff Pressure Adjustment on Postoperative Sore Throat and Hoarseness after Nitrous Oxide and Air Anesthesia)

  • 구안나;유미
    • 대한간호학회지
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    • 제49권2호
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    • pp.215-224
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    • 2019
  • Purpose: To investigate the differences in postoperative sore throat and hoarseness by adjustment of endotracheal tube cuff pressure (CP) during nitrous oxide ($N_2O$) and air anesthesia. Methods: A one-equivalent control group pretest-posttest design was used. Data were collected from August 8 to October 19, 2017 and analyzed using the independent t-test and repeated measures ANOVA. Eighty-four participants were enrolled and divided into three groups: 28 in the Control Group (CP adjusted every 30 minutes using $N_2O$), 28 in Experimental Group 1 (CP adjusted every 10 minutes using $N_2O$), and 28 in Experimental Group 2 (non-adjusted CP using air), all of whom underwent urologic, gynecologic, and orthopedic surgeries at the G University hospital. Sore throat was assessed using a numeric rating scale; hoarseness was evaluate using the Stout classification at 1, 6, and 24 hours after surgery. Results: Scores for sore throat and hoarseness were significantly different between the groups at each measurement time, and scores were consistently higher in the control group. During subsequent measurements, sore throat and hoarseness scores were significantly lower at 6 hours. Cuff pressure changed significantly using air anesthesia (${\chi}^2=10.41$, p=.015) up to 2 hours after induction. Severe sore throat and hoarseness was observed for up to 6 hours after surgery. Conclusion: Cuff pressure adjustment at short time intervals would be helpful in reducing postoperative sore throat and hoarseness. Nursing intervention focused on prevention of sore throat and hoarseness should be required up to 6 hours postoperatively in patients undergoing endotracheal intubation.

황구지천 유역의 오염부하 특성 및 지류 영향 평가 (Evaluation on Pollution Load Characteristics and Influence of Tributaries in the Hwangguji Stream)

  • 임수진;임병란;이한샘;강주형;안태웅;신현상
    • 한국물환경학회지
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    • 제37권4호
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    • pp.249-262
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    • 2021
  • This study investigated the pollution characteristics of the main pollution zone in the Hwangguji watershed and the influence of the tributary on the main stream. The characteristics of the main pollution zone, including, the water quality index (WQI), stream rating, load duration curve (LDC), delivery load density (DLD), and contribution of the tributary to the mainstream, were evaluated by time-series visual heatmap. The WQI of the mainstream of Hwangguji was lowered to the poor (IV) level from the inflow point of Suwon stream (SW) and the LDC excess rate in the T-P was higher than that of BOD5, especially for the wet season, suggesting that management of non-point source with T-P is preferred. The contribution (%) of the tributaries in the upstream section of Hwangguji watershed were BOD5 14.54%, TOC 15.67%, T-N 5.43%, and T-P 6.97%. In particular, the Suwon sewage treatment plant located in the mainstream showed a high contribution of BOD5 (64.40%) and T-P (53.54%), respectively, due to the high discharge rate (6.019 m3/sec). Meanwhile, Sammi and Gal stream have a large impact on the mainstream with high DLD and poor WQI. Thus, both streams were considered as pollution hot spots. These results provide useful basic data for preparing more effective water quality improvement and management plans in the watershed.