• Title/Summary/Keyword: Training manual

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The Changes of Defibrillation Time Depending on the Manual External Defibrillator Device (제세동 시행도구에 따른 제세동 지연시간의 변화)

  • Park, Si-Eun;Shin, Dong-Min
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.1
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    • pp.81-90
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    • 2012
  • Objectives: This study is to research delay time comparison for later defibrillation after hands off according to the changes in defibrillation electrodes. Study purpose: In defibrillation treatment that is the only way for cardiac arrest by arrhythmia, it is to find defibrillator device which can minimize late defibrillation delay time after important affect of hands off. Study object and method: After hands off according to the defibrillator device, we collected total 40 people for emergency medicine doctor, internal medicine doctor, general surgeon, nurse, emergency medical technician who are working at 2 CN, CS University hospitals in Gwangju Jeollanamdo district to find out hand off shock interval(HOSI). We then researched their general properties like occupation sector, experiences in clinic, gender, completion of AHA ACLS-P training and more. Then 40 participants continued ventricular fibrillation cardiac arrest simulation training (using human-model mannequin) designed by researcher and performed their roles as defibrillation operator. Each of participant used manual paddle and performed 4 times of defibrillation (150J) during 8 minutes of CPR and in 8day, the defibrillator devices were replaced from manual paddle to self-adhesive electrodes pads and 4 times of defibrillation (150J) under same simulation condition as manual paddle were performed. Study result: In comparison for delay time of later defibrillation after hands off of manual paddle and self adhesive electrodes pad, the self adhesive electrodes pad ($7.0{\pm}0.5sec$) seemed to reduce delay time of later defibrillation significantly (p<0.05) compared to manual paddle ($10.0{\pm}0.9sec$). The self adhesive electrodes pad, according to the general properties of participants, had no particular change in delay time after later defibrillation for the statistics (p>0.05) but the manual paddle had statistically significant differences for the occupation sector, experiences in clinic and gender (p<0.05). Conclusion: In defibrillation, the self adhesive electrodes pad($7.0{\pm}0.5sec$) showed short HOSI compared to manual paddle ($10.0{\pm}0.9sec$) significantly (p<0.05) and it applied identically for both existence and non-existence of ACLS-P training completion, experiences in clinic, gender and occupation sector. The manual paddle had also significant difference in experiences in clinic and occupation sector (p<0.05). which means the effect on HOSI according to the job mastery. Therefore, if the clinic experience is short or in case for the occupations without frequent defibrillation treatment has a danger of lowering success rate for the defibrillation using manual paddle. Therefore, it is true that using self adhesive electrodes pad for defibrillation electrodes when performing manual defibrillation in pre-hospital as well as in-hospital steps can generally minimize delay time of later defibrillation after hands off.

Survey of Difficulty, Safety, and Frequency of techniques by Education Training Members of Korean Society of Chuna Manual Medicine for Spine & Nerves (척추신경추나의학회 교육위원 대상 시술별 난이도, 안전성, 사용빈도 설문조사 연구)

  • Park, Sun-Young;Lee, Sang-Hyun;Heo, In;Hwang, Man-Suk;Hwang, Eui-Hyoung;Shin, Byung-Cheul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.147-156
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    • 2019
  • Objectives : This study aimed to report the evidence of difficulty, safety, and frequency of the use of Chuna Manual Therapy. Methods : The survey questions were developed using the consensus from a professor who majored in Rehabilitation Medicine of Korean Medicine (RMKM). November 26th to December 31st 2018, the questionnaire was given to education training members of the Korean Society of Chuna Manual Medicine for Spine & Nerves by paper. Twenty-nine(23%) of the questionnaires were retrieved. Difficulty, safety, and frequency of the use of Chuna Manual Therapy were reported based on the questionnaire. Results : In this study, the more difficult techniques were observed to be less safe. In particular, the adjustment techniques applied to the cervical and lumbar spine was answered with high difficulty. Although these techniques are high difficulty and low safety, the reason for its versatility also suggests that the technique has a high therapeutic effect and necessity. Conclusions : This is the first consensus on experts'opinions on Chuna Manual Therapy for education. We hope that this report is helpful for Korean medicine doctors who operate technique and expected to make clinical evidence of Chuna Manual Therapy.

A Study on Incremental Learning Model for Naive Bayes Text Classifier (Naive Bayes 문서 분류기를 위한 점진적 학습 모델 연구)

  • 김제욱;김한준;이상구
    • The Journal of Information Technology and Database
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    • v.8 no.1
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    • pp.95-104
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    • 2001
  • In the text classification domain, labeling the training documents is an expensive process because it requires human expertise and is a tedious, time-consuming task. Therefore, it is important to reduce the manual labeling of training documents while improving the text classifier. Selective sampling, a form of active learning, reduces the number of training documents that needs to be labeled by examining the unlabeled documents and selecting the most informative ones for manual labeling. We apply this methodology to Naive Bayes, a text classifier renowned as a successful method in text classification. One of the most important issues in selective sampling is to determine the criterion when selecting the training documents from the large pool of unlabeled documents. In this paper, we propose two measures that would determine this criterion : the Mean Absolute Deviation (MAD) and the entropy measure. The experimental results, using Renters 21578 corpus, show that this proposed learning method improves Naive Bayes text classifier more than the existing ones.

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The Case Report about Osteoporotic Compression Fracture Treated with Band Training (밴드트레이닝으로 호전된 골다공증성 압박골절 환자 1례 보고)

  • Jang, Gun;Cho, Tae-Young;Cho, Hyun-Chol;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.147-156
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    • 2005
  • Objective : The objective of this study is to evaluate the treatment effect of Band training in Osteoporotic Compression Fracture. Methods : Band training, Herb medicine and Acupuncture were performed for 56days admission in a patient who had Osteoporotic Compression Fracture. Result : ROM of Lumbar, Milgram test and Dorsiflexion has improved. VAS and ODI score were also decreased.

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Comparison of the Effects of Balance Training on the Stable and Unstable Supporting Surfaces for the Functional Ankle Instability (기능적 발목 불안정성에 대한 안정지지면과 불안정지지면에서의 균형훈련의 효과 비교)

  • Kim, Young-Min
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.2
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    • pp.1-7
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    • 2014
  • Purpose: The purpose of this study was to compare the effects of the balance training on the stable and unstable supporting surfaces for the subjects with functional ankle instability. Methods: Twenty-nine subjects with functional ankle instability were randomly assigned to the stable group (n=14) and the unstable group (n=15). Balance training was conducted twenty minutes a day on the stable surface for the stable group and on the airostep for the unstable group three times a week for four weeks. Balance training program was consisted of ten steps by eye opened or closed and two or one leg standing. X-speed for transverse balance and Y-speed for longitudinal balance were measured with eye opened and closed in affected leg standing position. Results: There were significant improvements of balance ability in eye opened (p<.01) and eye closed standing (p<.01) in stable group. Unstable group also showed significant improvements of balance ability in eye opened (p<.01) and eye closed standing (p<.01). There were no statistical differences in the magnitude of improvement between the groups (p<.05). Conclusions: Based on such results, it can be said that balance training on the stable surface is effective as much as training on the unstable surface for the subjects with functional ankle instability.

Improvement of engine driver on the railway training & education system to Korea railways through MIL-STD training & education (MIL-STD 교육훈련 절차 벤치마킹을 통한 국내 철도 운전업무종사자 교육훈련에 대한 개선연구)

  • Kim, Jung-Ho;Kim, Sa-Kil;Byun, Seong-Nam
    • Proceedings of the KSR Conference
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    • 2007.11a
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    • pp.703-712
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    • 2007
  • In this study proposes training & education improvement of domestic railway by intensively benchmarking MIL-STD training & education manual. Through this MIL-STD-1397D & Railway Safety Good Practice in Training, we composed 3 steps of training & education, that proposes to specific process.

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The Effects of Trunk Stabilization Training on the Self Posture Control Efficacy, Physical Self-Description and Perception Stress in High School Students (일부 고등학생의 체간 안정화 훈련이 의식적 자세조절 효능감, 신체적 자기개념, 지각된 스트레스에 미치는 영향)

  • Lee, Dae-Ro;Kong, Sun-Woong;Jung, Yeon-Woo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.1
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    • pp.33-39
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    • 2013
  • Background: The purpose of this study was to find out the effect of trunk stabilization training on the self posture control efficacy, physical self-description and perception stress in high school students. Methods: 92 voluntary students (73 females, 19 males) participated in this study. They received trunk stabilization training for 40 minutes per day and a time per week during 6 weeks period. Trunk stabilization training was an approach of education in proper posture and coordination of movement. In the evaluation, the self posture control efficacy scale (SPCES) was used to measure the posture control efficacy, the physical self-description questionnaire (PSDQ) was used to measure the physical self description and the perception stress scale (PSS) was used to measure the stress. All measurement of each subject were measured before and after stabilization training. Results: The SPCES were significantly different before and after (p<.05). The PSDQ and PSS were no significantly different before and after (p>.05) but the means were increased slightly. Conclusion: Conclusionally these results suggest that the trunk stabilization training increased the self posture control efficacy and would give help to control Students themselves.

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A Strategic Study on Development Processing and Master Plan of the OMT in Korea (한국 정형도수치료의 발전 과정과 미래에 관한 정책연구)

  • Kim, Ho-Bong;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.10 no.1
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    • pp.43-55
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    • 2004
  • This thesis is designed to discuss the development of the Korean Academy of Orthopedic Manual Therapy and establish a development strategy for the future. The development has been achieved with the enthusiasm and interest of physical therapists from all over the country over the past 10 years since the establishment and the Academy has been receiving attention from the medical part. The Korean Academy of Orthopedic Manual Therapy will develop a variety of training programs for the research and development of orthopedic manual therapy and will establish a development strategy and master plan for the future in order to lay a foundation for orthopedic manual therapy.

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A Comparison of The Effects of Manual Therapy Plus Stabilization Exercise with Manual Therapy Alone in Patients with Chronic Mechanical Neck Pain (만성 역학적 목 통증을 가진 환자에게 도수치료만 적용할 때와 도수치료와 안정화운동을 함께 적용할 때 목 통증과 신체기능에 미치는 효과 비교)

  • Lee, Nam-Yong
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.1
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    • pp.63-74
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    • 2022
  • PURPOSE: This study aimed to compare the effects of manual therapy with stabilization exercises to manual therapy alone, on neck pain and body functions in patients with chronic mechanical neck pain. METHODS: Twenty patients with chronic mechanical neck pain were recruited and randomly allocated into two groups. A control group(n = 10) was given the manual therapy alone and an experimental group(n = 10) was given the manual therapy with stabilization exercises. The intervention was carried out 3 days per week for 4 weeks. The cervical resting pain, the most painful motion pain, craniocervical flexor endurance, forward head posture and neck disability index were used to assess participants at baseline and after 4 weeks. RESULTS: A comparison of the parameters before and after the intervention showed that both groups experienced significant improvements in the resting pain, the most painful motion pain, craniocervical flexor endurance, and forward head posture except for the forward head posture in the control group. A comparison of the parameters between the groups did not show a significant difference. CONCLUSION: The results of this study suggest that the combined intervention of manual therapy with stabilization exercise does not seem to be more effective than manual therapy alone for improving neck pain, craniocervical flexor endurance, forward head posture, and the neck disability index in patients with chronic mechanical neck pain.

Effects of Robot-Assisted Arm Training on Muscle Activity of Arm and Weight Bearing in Stroke Patients (로봇-보조 팔 훈련이 뇌졸중 환자의 팔에 근활성도와 체중지지에 미치는 영향)

  • Yang, Dae-jung;Lee, Yong-seon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.1
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    • pp.71-80
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    • 2022
  • Background: This study investigated the effect of robot-assisted arm training on muscle activity of arm and weight bearing in stroke patients. Methods: The study subjects were selected 20 stroke patients who met the selection criteria. 10 people in the robot-assisted arm training group and 10 people in the task-oriented arm training group were randomly assigned. The experimental group performed robot-assisted arm training, and the control group performed task-oriented arm training for 6 weeks, 5 days a week, 30 minutes a day. The measurement tools included surface electromyography and smart insole system. Data were analyzed using independent sample t-test and the paired sample t-test. Results: Comparing the muscle activity of arm within the group, the experimental group and the control group showed significant differences in muscle activity in the biceps brachii, triceps brachii, anterior deltoid, upper trapezius, middle trapezius, and lower trapezius. Comparing the muscle activity of arms between the groups, the experimental group showed significant difference in all muscle activity of arm compared to the control group. Comparing the weight bearing within the groups, the experimental group showed significant difference in the affected side and non-affected side weight bearings and there were significant differences in anterior and posterior weight bearing. The control group showed significant difference only in the non-affected side weight bearing. Comparing the weight bearings between groups, the experimental group showed significant difference in the affected side and non-affected side weight bearings compared to the control group. Conclusion: This study confirmed that robot-assisted arm training applied to stroke patients for 6 weeks significantly improved muscle activity of arm and weight bearing. Based on these results, it is considered that robot-assisted arm training can be a useful treatment in clinical practice to improve the kinematic variables in chronic stroke patients.