• 제목/요약/키워드: Tender point

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A View from the Bottom: Project-Oriented Risk Mining Approach for Overseas Construction Projects

  • Lee, JeeHee;Son, JeongWook;Yi, June-Seong
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.97-100
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    • 2015
  • Analysis of construction tender documents in overseas projects is a very important issue from a risk management point of view. Unfortunately, majority of construction firms are biased by winning contracts without in-depth analysis of tender documents. As a result, many contractors have incurred loss in overseas projects. Although a lot of risk analysis techniques have been introduced, most of them focus project's external unexpected risks such as country conditions and owner's financial standing. However, because those external risks are difficult to control and take preemptive action, we need to concentrate on project inherent risks. Based on this premise, this paper proposes a project-oriented risk mining approach which could detect and extract project risk factors automatically before they are materialized and assess them. This study presents a methodology regarding how to extract potential risks which exist in owner's project requirements and project tender documents using state of the art data analysis method such as text mining, data mining, and information visualization. The project-oriented risk mining approach is expected to effectively reflect project characteristics to the project risk management and could provide construction firms with valuable business intelligence.

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동의보감(東醫寶鑑) 외형편(外形篇) 수문(手門)의 침구법(鍼灸法)에 대한 소고(小考) (A bibliographical study on Acupuncture and Moxibustion in the Hand Section (in the Oehyeong Chapter) of the Dong Ui Bo Gam)

  • 이기병;이준무
    • Korean Journal of Acupuncture
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    • 제26권4호
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    • pp.183-194
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    • 2009
  • Objectives : This study aims to show the rationale of point-selection with regard to acupuncture and moxibustion as described in the Hand section(the Oehyeong chapter) of Dong Ui Bo Gam. Methods : First, the cause of each disease in the Hand section(the Oehyeong chapter) of Dong Ui Bo Gam was summarized, based on which the rationale of acupoint-selection with regard to the cause of disease, physiology of the Oriental medicine, properties of each acupoints, flow of meridian pathways and specific acupoints, etc. Results and Conclusions : The most of the acupoints referred to in the Hand section(the Oehyeong chapter) of Dong Ui Bo Gam, belong to the area surrounding the tender point. Still, when a point around the tender point is taken, it does not simply mean it works because of its proximity to the spot of a specific symptom. Rather, such acupoint-selection should be explained by the cause of disease, physiology of the Oriental Medicine and properties of each acupoint along with aspects such as the flow of meridian pathways and properties of specific acupoint.

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섬유근통 증후군에 대한 문헌고찰 (The Literature Review of FibroMyalgia Syndrome)

  • 김명철;김진상
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.23-37
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    • 2004
  • Fibromyalgia syndrome(FMS) is a chronic pain disorder of unknown etiology characterized by widespread musculoskeletal aches and pains, stiffness, and general fatigue, disturbed sleep and sleepiness. Frequently misdiagnosed, FMS is often confused with myofascial pain syndrome, polymyalgia rheumatica, polymyositis, hypothyroidism, metastatic carcinoma, rheumatoid arthritis (RA), juvenile rheumatoid arthritis, chronic fatigue syndrome, or systemic lupus erythematosus, any of which may occur concomitantly with FMS. The management of FMS often begins with a thorough examination and a diagnosis from a physician who is formally trained in tender-point/trigger-point recognition. An initial diagnosis provides reassurance to the patient and often reduces the anxiety and depression patterns associated with FMS. The most common goals in the management of FMS are (1) to break the pain cycle, (2) to restore sleep patterns, and (3) to increase functional activity levels. Because FMS is a multifactorial syndrome, it is likely that the best treatment will encompass multiple strategies. Medication with analgesics and antidepressants and also physiotherapy, are often prescribed and give some relief. The other most effective intervention for long-term management of FS to date is physical exercise. Physical therapists can instruct patients in the use of heat at home (moist hot packs, heating pads, whirlpools, warm showers or baths, and hot pads) to increase local blood flow and to decrease muscle spasm and tension. Also instruct patients in the proper use of cold modalities (ice packs, ice massage, and cool baths) to anesthetize localized areas of pain (tender points) and break the pain cycle. Massage and tender-point massage also may promote muscle relaxation. To date, the two most important interventions for the long-term management of FS are patient education and physical exercise. Lately, is handling FMS and Chronic Fatigue syndrome(CFS) together, becuase FMS and CFS are poorly understood disorders that share similar demographic and clinical characteristics. Because of the clinical similarities between both disorders it was suggested that they share a common pathophysiological mechanism, namely, central nervous system dysfunction.

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반응표면분석을 이용한 트레할로스와 변성전분 혼합사용 떡의 품질 특성 (Quality Characteristics of a Korean Rice Cake (Karedduk) with Mixture of Trehalose and Modified Starch by Using Response Surface Methodology)

  • 김상숙;정혜영
    • 한국식품영양과학회지
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    • 제38권3호
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    • pp.377-383
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    • 2009
  • 트레할로스와 변성전분인 썬텐더의 혼합사용에 의한 떡의 품질 특성을 반응표면분석에 의해 분석하였다. 중심합성계획법에 따라 쌀가루 기준으로 트레할로스는 0, 3, 6, 9 또는 12% 농도로 첨가하고 변성전분인 썬텐더는 0, 0.3, 0.6, 0.9 또는 1.2% 농도로 혼합사용하여 제조한 가래떡을 $5^{\circ}C$ 저장 2, 24, 48시간 후 텍스처 변화를 Texture Analyzer에 의해 측정하였고, $5^{\circ}C$ 저장 24시간 후 관능적 묘사특성 효과를 분석하였다. 경도의 경우 가래떡의 $5^{\circ}C$ 저장 2시간 후 실험군과 무첨가군을 비교하였을 때 첨가량에 따른 일정한 변화가 없었으나 저장 24시간과 48시간 후에서는 트레할로스의 첨가 수준이 증가할수록 경도가 감소하는 경향이었다. 반응표면분석 결과 저장 24시간 후 무첨가군 가래떡과 비교하여 떡의 경도를 가장 많이 낮출 수 있는 두 물질의 혼합 최적 조건은 트레할로스는 9.5826%, 썬텐더 0.2216%일 때 떡의 경도가 591.5440으로 가장 낮게 산출되었고 썬텐더보다는 트레할로스가 떡의 굳음 방지에 효과적이었다. 가래떡을 $5^{\circ}C$ 저장 24시간 후 관능적 묘사 특징 중에서 부착성, 경도, 응집성 및 단맛의 경우 실험군과 무첨가군을 비교하였을 때 유의적인 차이가 있었으며, 트레할로스의 첨가량이 높을수록 부착성, 응집성 및 단맛은 증가하였고 경도는 감소하였으며 사용된 트레할로스와 썬텐더의 양은 쓴맛과 떫은맛에는 크게 영향을 주지 않는 것으로 나타났다.

섬유조직염 환자에 대한 기초 조사연구 (Survey on Fibromyalgia Syndrome)

  • 한상숙;강현숙
    • 근관절건강학회지
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    • 제4권1호
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    • pp.74-86
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    • 1997
  • This investigation has been conducted based on the medical chart of 344 patients who have been diagnosed of fibromyalgia syndrome during Oct. 9, 1996 through Nov. 20 at the Rheumatism Hospital of H. University located in Seoul. 280 which have been included in the analysis. 1. Only one patient was male in 280 patients, age distribution was from 28 to 76, in which the average age was 52.4. 2. Percentage of treatment duration was 6 months in 46.1%, 3 years in 22.1% and 2 years in 12.5%. Considering these results, it can be predicted that the number of patients might be increased and accumulated in the future. 3. Percentage of patients having primary fibromyalgia syndrome was 39.3%, having combination with osteoarthritis was 36.7% and the rest case have combination with rheumatoid arthritis at the same time. 4. The percentage of cases having patients 10-12 tender points was 37.1%, while the most of cases have pain at 12-19 tender points. The common locations of the tender point were at lateral epicondyle of elbow in 92.0%, at midpoint of upper border Trapezius in 84.8%, at upper part of scapula Supraspinatus in 82.9%, at medial fat pad proximal to the joint line knee in 81.85%, at intertransverse of $C_{5-7}$ Low cervical in 73.4% and at 2nd distal costochondral Junction 2nd rib in 72.0%. And most of the patients had joint functional disability at all in 47.1% with average 2.41 joint functional disability. 5. Age was not a variable influencing the number of tender points and the number of joint functional disability.

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손상(損傷) 인대(靭帶) 부위 아시혈(阿是穴)의 직접구(直接灸)를 이용한 부위별 염좌치험(捻挫治驗) 3례 (A Case Report about the Sprain Treated with Direct Moxibustion on Painful Point of Injured Ligament)

  • 조윤철;나경원;정원석
    • 한방재활의학과학회지
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    • 제15권1호
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    • pp.163-169
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    • 2005
  • Objective : Direct moxibustion applied on painful point of injured ligament, not acu-point, is effective method to treat acute pain and chronic weakness of injured ligaments. We recently experienced 3 case of sprain treated with direct moxibustion on painful point of ligaments. Methods : Patients who injured in lateral collated ligament, anterior talo-fibular ligament, and collateral ligament of finger were treated by direct moxibustion on tender points of injured ligaments. Results and conclusion : There was successful results that pain and ROM was improved. It seems that burns due to moxibustion facilitate repair of ligament and control inflammation.

섬유조직염 환자의 질병 특성과 치료행태 (Disease Characteristics and Behavior Pattern of Treatment for Patient with Fibromyalgia)

  • 한상숙;강현숙
    • 근관절건강학회지
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    • 제6권1호
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    • pp.22-36
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    • 1999
  • The purpose of the study was to identify disease characteristics and behavior pattern of treatment for patients with Fibromyalgia. This study was carried out between May to Aug. in 1998 through direct interview in Rheumatism clinic at H. University Hospital and subject in this study were 125 outpatients diagnosed with Fibromyalgia. Collected data were analyzed by descriptive statistics and t-test, ANOVA using SPSS Window program. The results of this study are as follows. 1. General Characteristics : All of the persons with Fibromyalgia were female who were mostly in their forties(37.5%). A third of them(38.4%) were graduated from high school. The greatest part of them(54.4%) were christians but little part of them(16.8%) were employed 2. Disease Characteristics : They have struggled with Fibromyalgia for 10 years on an average. About half of them(56.9%) suffered from Fibromyalgia only but the others had another diseases which were in greatest part occupied by Osteoarthritis. The number of tender point which is a feature of Fibromyalgia differed according to measuring criteria. Yunus criteria. however, was proved to be the most proper measuring criteria than any other method as it showed high correlations between symptoms and physical activities. The most serious symptoms that complained the patients among subjective symptoms are pain, sleep disorder, and fatigue in sequence, and activities most hard to do among physical activities are washing by hand, scrubbing by hand, and shopping in sequence. 3. Behavior Pattern of Treatment : The largest part of them(42.4%) had received medical treatment after they were determined to have the disease and most of them were taking medicine as prescribed by physician(88.8%) or other medicines(16.8%), Of them, two thirds stated that the medicine they took were effective. Around a third of them took exercises mostly composed of swimming. The medical institution they visited in the past were orthopedic surgical department, Oriental hospital, physical therapy department in sequence and, in a slight percent(11.4%), psychiatric department. 4. Relations between Disease Characteristics and Behavior pattern of Treatment : It shows that number of tender point and level of symptom are significantly different according to duration of disease and medical intervention. As a results, it can be suggest that persons with Fibromyalgia need to take exercises and medicine continually regardless of medical treatment as it is a chronic disease whose symptoms are hardly mitigated.

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성에 따른 의복이미지 평가의 차이에 관한 연구 (A Study on Difference of Clothing Image Evaluation by Gender)

  • 유경숙
    • 복식
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    • 제52권3호
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    • pp.87-98
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    • 2002
  • The purpose of this research is to investigate the difference on c1othing image evaluation in the ratings between men and women. For this study, pilot test was conducted to 50 clothing majored university students to explore the stimulus of 'cute', 'casual', 'sexy', 'elegant', 'intelligent', 'formal', 'romantic', 'individual', 'refined' for the 9 each image styles from the 32 spring wears in fashion magazine $\ulcorner$FARBE$\lrcorner$(March. 2000). On the basis of the preliminary survey, the question items explored the 15 pairs of polar adjectives as seven-point Likert Scale. The main survey was preceded 94 female and 111 man of university students from March 13 to 24 in 2000, twice for 7-days interval. There were significant differences between the two sexes for each style image ratings. It was found that the female was recorded mote ordinary, stable. refined. superior, plain, like than the male for intelligent style. Meanwhile, the intelligent style was evaluated well on in years by female, but male young. The female tended that elegance style was more stable, warm and less young than the male. The cute style was evaluated more light, tender, feminine, young by the female than the male, find the female looked warm while the male cool. The formal style was more stable, unrefined. solid, unfamiliar dislike, old by the female than the male. The casual style was revealed plain and warm by the female while splendor and cool by the male, the female more active, tender, familiar than the male and individual, attractive and poor quality than the female. The sexy style was evaluated more active, good appearance, young than the female, tender than the male and the female dislike a bit while the male like. The female evaluated the refined style for more stable. refined. superior good appearance and nature than the male. The romantic style was evacuated more like, refined, superior, good appearance nature and familiar by the male, but the female a bit unfamiliar. The individual style was revealed that the female evaluated cool and a bit dislike while the male warm and like, and the male more refined, feminine, young than female.

The Correlation between Tongue Pain and Tenderness of Tongue by Digital Palpation in Burning Mouth Syndrome Patients: A Preliminary Study

  • Ryu, Ji-Won;Yoon, A-Hyang;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • 제44권2호
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    • pp.54-58
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    • 2019
  • Purpose: The aim of this study is to evaluate the correlation between tongue pain and tenderness of tongue by digital palpation (DP) in Burning Mouth Syndrome (BMS) patients. Methods: One hundred thirty-four consecutive patients (60 BMS with tongue pain and 74 non-BMS) who attended the Department of Oral Medicine (Chosun University Dental Hospital, Gwangju, Korea) from January 2018 to December 2018 were included in this study. The examined sites were anterior, lateral (right and left) and central part of the tongue. The pain sites were reported by the patients and the tender points on DP test were recorded by the clinicians. DP test was performed by well-trained clinicians with palpation of the tongue with 0.5 kg pressure using the thumb and index finger. Obtained results for BMS and non-BMS group were compared using t-test (p<0.05). Results: 1. The BMS group had higher tender score on DP test of the tongue and there was a significant difference between the BMS and non-BMS groups. 2. The accuracy of the pain site and the tender point was shown to be 0.68 total (anterior 0.68; right lateral 0.69; left lateral 0.70; central 0.61). Conclusions: This study suggests that the tenderness to DP of the tongue could be related to the painsites in the BMS patients. Further study is needed to confirm the usefulness of DP test of the tongue to examine the BMS patients.

한방 복합치료로 호전된 섬유근통 증후군 치료 1례 (One Case Report of Fibromyalgia Syndrome(FMS) Patient Improved by Korean Medical Combined Treatment)

  • 김민철;김성호
    • 대한한의학방제학회지
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    • 제20권1호
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    • pp.149-158
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    • 2012
  • Objectives : The purpose of this study is to evaluate the effect of oriental medical combined treatment on the fibromyalgia syndrome patient. Methods : Oriental medical combined treatment was administered during 3 weeks at 2 times admissions. The improvement of clinical symptom was evaluated by VAS(visual analogue scale), SF-MPQ(short form-McGill pain questionnarie) and PRS(pain rating scale), change of tender points. Results : After treatment, the patient's VAS score was reduced to 3-5, 4-5 point. First admission, there is no observable change in the SF-MPQ. But, Second admission, SF-MPQ score was reduced from 16 to 6. The PRS score was reduced from 72 to 24, from 75 to 48 respectively. Tender points was reduced generally. Conclusions : Oriental medical combined treatment for the fibromyalgia syndrome patient was effective. Although this case presented valuable result, further research is encouraged to confirm the effectiveness of this treatment with large number of patient.