• Title/Summary/Keyword: Score Improvement

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A Clinical Study about Factors and Improvement Score on Sasang Constitution of Bell's Palsy Patients. (특발성 구완와사로 입원한 환자에 대한 사상체질별 유형분석)

  • Kim, Jeong-Ho;Go, Sueng-Kyoung;Kim, Young-Il;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.24 no.3
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    • pp.19-28
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    • 2007
  • Objectives : This study was conducted in order to analyze the admission patients of facial nerve paralysis by Sasang constitution. Methods: A clinical study was done on 61 admission patients who were diagnosed and treated as facial nerve paralysis (Bell's palsy) from September, 2005 to May 2006 at the Dept. of Acupuncture and Moxibution, Chung-ju Hospital, college of Daejeon Oriental Medicine. We classified 61 patients according to Sasang constitution by QSCC II, attack side, sex, cause factor, concomitant symptom and Yanagihara' s score at the admission and discharge, and analyzed the improvement of Yanagihara's score between Sasang constitution groups. Results: 1. By sex, the ratio of Taeumin was higher than that of Soyangin in female. 2. By attack side, there is no significant difference between constitution groups In concomitant symptoms and cause factors. 3. By improvement of Yanagihara's scores between admission and discharge, the improvement score in Soyangin was a little bit higher than that in Soeumin, but there is no significant difference. Conclusion : The results suggest that there is no significant difference in all aspects except sex in Sasang constitution. But it is considered that we need to keep on studying afterwards because we had limits in getting enough patients.

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The Clinical Effects of Heating-Conduction Acupuncture Therapy(tentatively called) for Anterior Talofibular Ligament Injury Induced by Acute Ankle Sprain (전열침(가칭)이 급성 족관절 염좌로 인한 전거비 인대 손상에 미치는 임상적 효과)

  • An, Soon-Sun;Jang, Hyo-Kil;Heo, Dong-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.127-134
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    • 2009
  • Objectives : The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on anterior talofibular ligament injury induced by acute ankle sprain. Methods : From October 31, 2008 to July 21, 2009, the 11 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medicine hospital, Dae-Jeon university with acute ankle sprain were performed heating-conduction acupuncture therapy on anterior talofibular ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with Pressure algometer and visual analogue scale(VAS) were applied before treatment and after 1st, 2nd treatment. Results : 1. The pain threshold score and the VAS score showed statistical significant improvement after 1st treatment. 2. The pain threshold score and the VAS score showed improvement but had no statistical significance after 2nd treatment. 3. The difference between left and right were not statistical significant in pain threshold score and VAS score. Conclusions : Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with anterior talofibular ligament injury induced by acute ankle sprain.

Factors Affecting Outcomes in Cataract Surgical Patient - Pilot study - (백내장 수술환자의 진료결과에 미치는 요인 - 사전 연구를 중심으로 -)

  • Park, Eun-Cheol;Hong, Young Jae;Lim, Seung Jeong;Kang, Hyung-Gon;Choi, Yoon Jung;Kim, Han Joong;Cho, Woo Hyun;Sohn, Myongsei
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.120-127
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    • 1998
  • Background : This study is to identify preoperative patient characteristics associated with a lack of improvement on one or more measures peri operatively, postoperative 3-4 months, and postoperative 12 months. Methods : For the assessment, prospective study was performed with 92 patients who had undergone either one eye or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. The criteria of improvement were (1) Snellen visual acuity, (2) a cataract-related symptom score(possible range: 0, 0 of 6 symptoms present or bothersome, to 18, all 6 symptoms very bothersome), and (3) VF-14 score - a measure of functional impairment in patient with cataract - (possible range: 0, inability to perform any of the applicable activities, to 100, no difficulty in performing any of the applicable activities). Results : Although 14 patients (15.2%) failed to improve on one or more of the outcome measures assessed, no one failed to improve on all three measures. Both eyes of surgery than one eye, preoperative cataract symptom score of 1-4, 5 or higher than 0 were associated independently with the increased likelihood of improvement (odds ratio 8.95, 7.16, 8.87 respectively). And the preoperative level of Snellen visual acuity was not associated with the likelihood of improvement Conclusion : We conclude that specific preoperative characteristics (both eyes, cataract symptom score) are independent predictors of patient outcome after cataract surgery.

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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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Suggestion of Using Defense Quality Score based on Taguchi Loss Function in Korea Defense Area (다구찌 손실함수 개념을 응용한 국방품질스코어 적용 가능성에 대한 연구 : 군수품 사례 위주)

  • Ahn, Namsu;Park, Sangwon;Chae, Jongmok;Lee, Youngwoo;Oh, Byeongin
    • Journal of Korean Society for Quality Management
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    • v.41 no.3
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    • pp.443-456
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    • 2013
  • Purpose: Recently, many quality issues are aroused in military forces, such as failures in K-series weapons, combat boots defects and 40mm ammunition explosion accident. To address these problems, this paper suggests to use so called, Defense Quality Score, which is based on Taguchi loss function and developed in this research. Methods: Current defense specification states only the minimum requirement to produce the military supplies. Therefore, it is not easy to indue the continuous quality improvement of the supplies. This research suggests to use the defense quality score which measures the current status of defense supplies'quality characteristics. Results: We applied the defense quality score concept into the hot pepper sauce and long time stockpiled ammunition. We first categorize the quality characteristics into three categories, then assign the certain amount of score based on the importance of the characteristics. Lastly, we applied the modified Taguchi loss function to calculate the achieved score of the characteristics. The perfect score is 100 and the closer to the score, the better product it indicates. Conclusions: In this research, we developed the modified Taguchi loss function to apply into the korean defense supplies. The loss function is utilized to calculate the achieved level of satisfaction of the supplies based on the defense specifications. The application of defense quality score may help to stimulate the continuous quality improvement and encourage the good will quality competition among the military providers.

Retrospective Study about the Effectiveness of a long-term Korean Medicine Treatment on 1035 Atopic Dermatitis Patients (아토피피부염 환자 1035명의 장기간의 한의학적 치료효과에 대한 후향적 연구)

  • Cho, Ah-Ra;Han, Su-Ryun;Park, Gun;Seo, San
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.1
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    • pp.85-99
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    • 2015
  • Objective : The purpose of this study is to report the effectiveness of a long-term Korean Medicine Treatment on 1035 atopic dermatitis patients Methods : Objective SCORAD Index(OSI) is used for measuring the degree of atopic dermatitis with photos of total 1035 atopic dermatitis patients who has visited oriental clinic from January 9, 2011 to October 31, 2013. Then, OSI was estimated according to gender, age, period of treatment and intensity. Results : 1. The ratio of male to female was 44.4 : 55.6. All patients were constituted with 26.5% of 0~11 year-old group, 15.7% of 12~18 year-old and 57.9% of 19 and more year-old. 2. The ratio of OSI improvement was significantly higher in women than in men after 3 month treatment, but there was no significant difference after 6, 9 and 12 months. 3. The OSI improvement of 0~11 year-old group was significantly higher than the other groups after 3 month treatment. But at the other periods of treatment, there was no significantly difference of the improvement among 3 different groups of age. 4. After 3, 6, 9 and 12 month treatment, the score of OSI was significantly lower than before treatment. After 12 month treatment, the score of OSI was lowest compared to the other periods of treatment. 5. The final OSI score of 87.7% patients was decreased compared to the initial. 6. All patients had been divided with 1.93% of the mild, 22.7% of the moderate and 75.4% of the severe by OSI intensity at initial visit. At final visit, the composition of patients was changed to 14.6% of the mild, 53.7% of the moderate and 31.7% of the severe. 7. The mild patients had got 42.56% of OSI improvement at the final. And the moderate had got 37.72% of OSI improvement at the final. 8. The severe patients had got 36.76% of OSI improvement at the final. And 89.2% of the severe had got decreased final OSI score compared to the initial. Conclusion : There was a definite decreasing of OSI score on the significant rate of Atopic dermatitis patients who had been treated by Korean medicine treatment at least for 3 months.

Scoring Methods for Improvement of Speech Recognizer Detecting Mispronunciation of Foreign Language (외국어 발화오류 검출 음성인식기의 성능 개선을 위한 스코어링 기법)

  • Kang Hyo-Won;Kwon Chul-Hong
    • MALSORI
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    • no.49
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    • pp.95-105
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    • 2004
  • An automatic pronunciation correction system provides learners with correction guidelines for each mispronunciation. For this purpose we develope a speech recognizer which automatically classifies pronunciation errors when Koreans speak a foreign language. In order to develope the methods for automatic assessment of pronunciation quality, we propose a language model based score as a machine score in the speech recognizer. Experimental results show that the language model based score had higher correlation with human scores than that obtained using the conventional log-likelihood based score.

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Asymptotic Relative Efficiency for New Scores in the Generalized F Distribution

  • Choi, Young-Hun
    • Communications for Statistical Applications and Methods
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    • v.11 no.3
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    • pp.435-446
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    • 2004
  • In this paper we introduced a new score generating function for the rank dispersion function in a multiple linear model. Based on the new score function, we derived the asymptotic relative efficiency, ARE(11, rs), of our score function with respect to the Wilcoxon scores for the generalized F distributions which show very flexible distributions with a variety of shape and tail behaviors. We thoroughly explored the selection of r and s of our new score function that provides improvement over the Wilcoxon scores.

Effect of an Inpatient Rehabilitation Program for Recovery of Deconditioning in Hematologic Cancer Patients After Chemotherapy

  • Cha, Seungwoo;Kim, Inho;Lee, Shi-Uk;Seo, Kwan Sik
    • Annals of Rehabilitation Medicine
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    • v.42 no.6
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    • pp.838-845
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    • 2018
  • Objective To investigate the effect of a rehabilitation program in terms of De Morton Mobility Index (DEMMI) score, in hematologic cancer patients after chemotherapy. Methods Hematologic cancer patients admitted for chemotherapy were reviewed. They received a rehabilitation program during their hospital stay. DEMMI score measurement was performed, before and after rehabilitation. Demographics, diagnosis, chemotherapy information, rehabilitation program duration, mortality, body mass index (BMI), and laboratory test results were collected. For analysis, patients were classified according to diagnosis (multiple myeloma, leukemia, and others), mortality, and additional chemotherapy. Results There was statistically significant improvement in DEMMI score of 10.1 points (95% confidence interval, 5.9-14.3) after rehabilitation. It was more evident in the multiple myeloma group, and they revealed less mortality. When patients were divided according to mortality, survivors received the program earlier, and in a shorter period than in mortality cases. Although survivors revealed higher initial DEMMI score, improvement after rehabilitation did not differ significantly. Conclusion In hematologic cancer patients, rehabilitation program was effective for recovery from deconditioning, revealing significant increase in DEMMI score. Multiple myeloma patients may be good candidates for rehabilitation. Rehabilitation could be sustained during chemotherapy and for high-risk patients.

The Clinical Effects of Heating-conduction Acupuncture Therapy with General Acupuncture Therapy for Lateral Ligament Injury Induced by Ankle Sprain Grade II (전열침(傳熱鍼)과 일반 침의 병행치료가 발목 염좌로 인한 외측인대 2도 손상에 미치는 임상적 효과)

  • Jahng, Sun-Jeong;Jang, Hyo-Kil;Heo, Dong-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.191-203
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    • 2011
  • Objectives: The purpose of this study is to investigate the clinical effects of heating-conduction therapy on lateral ligament injury induced by ankle sprain grade II. Methods: The 67 outpatients who were diagnosed as ankle sprain grade II were performed heating-conduction acupuncture therapy on lateral ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with pressure algometer and visual analogue scale(VAS) were applied pretreatment and after 1st, 2nd treatment. Results: 1. The pain threshold and VAS score after 1st and 2nd treatment with an isolated injury of the anterior talofibular ligament showed statistically significant improvement compared with pretreatment. 2. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular and the calcaneofibular ligament showed statistically significant improvement compared with pretreatment. 3. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament showed statistically significant improvement compared with pretreatment. 4. After 1st and 2nd treatment on the posterior talofibular ligament and after 2nd treatment on the anterior taofibular and calcaneofibular ligament with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament the pain threshold showed statistically significant improvement compared with pretreatment. 5. Between isolated injury and combined injury of lateral ligament, the difference in pain threshold and VAS score was not statistically significant. Conclusions: Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with an isolated injury and combined injury of lateral ligament induced by ankle sprain grade II.