• Title/Summary/Keyword: back-analysis

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Application of Rasch Analysis to the Modified Oswestry Low Back Pain Disability Questionnaire for Work-Related Low Back Pain Patients (수정된 오스웨스트리 허리기능 장애 설문지의 라쉬분석: 산업장에서의 업무관련 요통환자를 대상으로)

  • Park, So-Yeon;Oh, Jae-Seop;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.26-34
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    • 2008
  • The purposes of this study were to assess and modify the original classification categories of the modified Oswestry Low Back Pain Disability Questionnaire (ODQ) and to determine the unidimensionality of the modified ODQ applying Rasch Analysis. The data were obtained from 108 work-related low back pain patients by physical therapists. Construct validity of the scale using the Rasch model required the structure of the rating scale to be modified from 6 response levels to 4 response levels. Eight items from the modified ODQ fit the Rasch model. The items, "pain intensity" and "social life" showed misfit statistics. In general, the order of item difficulty of the remaining 8 items showed a logical item difficulty hierarchy with the "changing degree of pain" item being the most difficult and the "walk" item being the easiest. The results showed that further study is needed to expand the construct of ODQ including additional higher-level items related to work activities. This study may be useful for establishing a standard method to assess the functionality of low back pain patients.

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Effectiveness of Acupuncture for Laryngopharyngeal Reflux Disease: A Systematic Review and Meta-Analysis

  • Jihun Oh;Jaewoo Yang;Jungmin Yang;Minsoo Kang;Sukyoung Kim;Minjun Lee;Jinwoong Lim
    • Journal of Acupuncture Research
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    • v.40 no.3
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    • pp.188-200
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    • 2023
  • Laryngopharyngeal reflux (LPR) disease is a condition in which the stomach contents return to the larynx and pharynx via the esophagus, causing mucosal injury. While conventional treatments, such as proton pump inhibitors, have limitations, acupuncture has been shown to reduce LPR symptoms. However, its effectiveness has not been systematically assessed. This study aimed to systematically evaluate the effectiveness of acupuncture in treating LPR. We review 10 electronic databases with a consistent search strategy, and 2 independent reviewers screened the articles based on the inclusion and exclusion criteria. This study selected and analyzed 7 randomized controlled trials after the screening to assess primary outcomes, including reflux symptom index and reflux finding score, and secondary outcomes, including upper and lower esophageal sphincter pressure. The results revealed the statistically significant effectiveness of acupuncture in combination with conventional treatment in reducing LPR symptoms compared with conventional treatment alone. The most commonly used acupuncture points were CV22, ST36, and LR3. However, the meta-analysis demonstrated low reliability, as assessed using the GRADE Tool. Further research is needed to improve the evidence and draw clear conclusions regarding the clinical use of acupuncture for treating LPR.

Development of Back Analysis Program for Total Management Using Observational Method of Earth Retaining Structures under Ground Excavation (지반굴착 흙막이공의 정보화시공 종합관리를 위한 역해석 프로그램 개발)

  • 오정환;조철현;김성재;백영식
    • Proceedings of the Korean Geotechical Society Conference
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    • 2001.10c
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    • pp.103-122
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    • 2001
  • For prediction of ground movement per the excavation step, observational results of ground movement during the construction was very different with prediction during the analysis of design. step because of the uncertainty of the numerical analysis modelling, the soil parameter, and the condition of a construction field, etc. however accuratly numerical analysis method was applied. Therefore, the management system through the construction field measurement should be achieved for grasping the situation during the excavation. Until present, the measurement system restricted by ‘Absolute Value Management system’only analyzing the stability of present step was executed. So, it was difficult situation to expect the prediction of ground movement for the next excavation step. In this situation, it was developed that ‘The Management system TOMAS-EXCAV’ consisted of ‘Absolute value management system’ analyzing the stability of present step and ‘Prediction management system’ expecting the ground movement of next excavation step and analyzing the stability of next excavation step by‘Back Analysis’. TOMAS-EXCAV could be applied to all uncertainty of earth retaining structures analysis by connecting ‘Forward analysis program’ and ‘Back analysis program’ and optimizing the main design variables using SQP-MMFD optimization method through measurement results. The application of TOMAS-EXCAV was confirmed that verifed the three earth retaing construction field by back analysis.

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The Merger of Back Vowels in North Korean (북한 후설모음의 융합(merger) 현상)

  • Kahng, Soon-Kyong
    • Speech Sciences
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    • v.5 no.2
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    • pp.41-55
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    • 1999
  • This paper aims to acoustically analyze the merger of back vowels in North Korean dialects which I believe, are here investigated for the first time since 1945. North Korean back vowels are distinctive from South Korean back vowels because they merge mainly on the back vowel space, while front vowels merge mainly in Seoul standard language and other South Korean dialects. In this paper the future of the vowel systems caused by the merger of the vowels in Korean dialects will also be investigated. North Korean dialects examined include dialects of the Pyungan, the Hamkyung, and the Hwanghae Provinces. North Korean back vowels are distinctive from South Korean back vowels because they merge mainly on the back vowel space, while front vowels merge mainly in Seoul standard language and other South Korean dialects.

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A Study on Body Shapes from Classification of Plus-Sized Women (Plus-size 여성의 상반신 체형연구)

  • Sung Ok-Jin;Ha Hee-Jung
    • Journal of the Korean Society of Costume
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    • v.56 no.2 s.101
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    • pp.101-111
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    • 2006
  • The purpose of this research is to define body shapes of Plus-sized women at ages between 21 and 69 whose satisfied the Plus-sized judgment criteria took part in this study. This research also classifies different body types, and provides basic data for designing prototypes according to each body type. Based on factor analysis of the measured data, nine key factors are grouped. And four different body types are classified based on the cluster analysis using factor marks. Type 1 refers to those who are tall and characterized by 'Y' body shape when looked from the front. Looking from the side, this type is comparatively balanced obese type which has flat breast and abdomen, and which has a jutting back and buttocks. Type 2 refers to those who are the shortest of all the obese with 'X' front. This type is Sway-back shape which has jutting back and abdomen but flat buttocks when looked from the side. Type 3 is characterized by 'H' body shape when looked from the front. This type is Pway-back shape which has flat back, abdomen and buttocks when looked from the side. The prominent breast part of this type is the most outstanding figure. Type 4 is characterized by 'X' when looked from the front. This type has a jutting waist and prominent buttocks when looked from the side.

Development of the Back Analysis Technique Using Incremental Displacements Measured in a Multistep Excavation (다단계 터널굴착시 계측된 증분변위를 이용한 역해석 기법의 개발)

  • 이연규;이정인
    • Geotechnical Engineering
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    • v.13 no.1
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    • pp.123-136
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    • 1997
  • By applying the finite element theory which is capable of handling the geometrically altered structure in a successive manner, the linear relationship between incremental displacements and the magnitude of the initial stress field was derived. Based on this relationship, back analysis code having the capability of dealing multi-step excavation problem was built and verified With this back analysis code, the measurements of the incremental displacements in a particular excavation step make it possible to back-calculate the initial stress state. illustrative examples showed the applicability of this code to a practical problem.

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Analysis of the electrical characteristics with back-gate bias in n-channel thin film SOI MOSFET (N-채널 박막 SOI MOSFET의 후면 바이어스에 따른 전기적 특성 분석)

  • 이제혁;임동규;정주용;이진민;김영호
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 1999.11a
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    • pp.461-463
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    • 1999
  • In this paper, we have systematically investigated the variation of electrical characteristics with back-gate bias of n-channel SOI MOSFET\\`s. When positive bias is applied back-gate surface is inverted and back channel current is increased. When negative bias is applied back-gate surface is accumulated but it does not affect to the electrical characteristics.

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DEA optimization for operating tunnel back analysis (운영 중 터널 역해석을 위한 차분진화 알고리즘 최적화)

  • An, Joon-Sang;Kim, Byung-Chan;Moon, Hyun-Koo;Song, Ki-Il;Su, Guo-Shao
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.18 no.2
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    • pp.183-193
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    • 2016
  • Estimation of the stability of an operating tunnel through a back analysis is a difficult concept to analyze. Specially, when a relatively thick lining is constructed as in case of a subsea tunnel, there will be a limit to the use of displacement-based tunnel back analysis because the corresponding displacement is too small. In this study, DEA is adopted for tunnel back analysis and the feasibility of DEA for back analysis is evaluated. It is implemented in the finite difference code FLAC3D using its built-in FISH language. In addition, the stability of a tunnel lining will be evaluated from the development of displacement-based algorithm and its expanded algorithm with conformity of several parameters such as stress measurements.

Oswestry Low Back Pain Disability Index and Related Factors in Patients with Low Back Pain (일부 요통환자들의 오스웨스터리요통장애지수 및 관련요인)

  • Yi, Seung-Ju
    • The Journal of Korean Physical Therapy
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    • v.20 no.4
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    • pp.21-28
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    • 2008
  • Purpose: We measured the Oswestry Low Back Pain Disability Index (OLBPDI) and related factors in patients with low back pain. Methods: The sample consisted of 50 patients who received physical therapy at the physical therapy units of the Andong Seoul Sintong Clinic, St. Luke Clinic, and Yeongju Seoul Sintong Clinic in Andong and Yeongju city from October, 2007, to February, 2008. The OLBPDI questionnaire was administered by 5 physical therapists as a cross-sectional study. Student's t-test and analysis of variance (ANOVA/Tukey and Scheffe) were used to analyze OLBPDI score differences. We also used nonparametric statistic analysis (Wilcoxon rank sum test, Median test). Pearson correlation analysis (Spearman correlation analysis) was used to analyze the relationship between OLBPDI and the visual analogue scale (VAS). Multiple regression analysis was performed to determine the effects of independent variables on pain scores as defined by the OLBPDI. Results: The average patient age was 37.1 years (range: 18$\sim$78 years old), and time from onset was 21.7 months (1$\sim$180). OLBPD and VAS scores were 12.70 (3.0$\sim$28.0) and 5.14 (1$\sim$8), respectively. OLBPDI scores were 14.4 in patients taking medicine and 11.57 in those who did not. There was a statistically significant relationship between OLBPDI and VAS (r=0.54, p=0.0001; r=0.55, p=0.0001 by Spearman coefficient). Gender ($\beta$=6.14, p=0.0124), age ($\beta$=-2.01, p=0.0324), weight ($\beta$=0.31, p=0.0222), time from onset ($\beta$=1.54, p=0.0044), and VAS score ($\beta$=1.59, p=0.0004) were significantly associated with OLBPD by multiple regression analysis. Conclusion: Variables associated with OLBPD were gender, age, weight, time from onset, and VAS score. Collecting information on the pain index using OLBPDI was acceptable to patients with low back pain. Further research should explore the pain index by using larger sample sizes and longer follow-up periods.

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An Exploratory Health Outcome Analysis of Lumbar Surgery Patients Utilizing Korean Medical Services: Using Health Insurance Review and Assessment Service-National Patients Sample (HIRA-NPS 2019) Data (건강보험심사평가원 환자표본 데이터 분석을 통한 한의 의료 이용 요추 수술 환자의 탐색적 성과 분석)

  • Hye-Yoon Lee;Namkwen Kim;Yun-kyung Song
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.131-139
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    • 2022
  • Objectives This study aimed to analyze the medical utilization of low back pain (LBP) patients after back surgery and estimate the medical costs of Korean and Western medicine collaborative treatment, odds ratio, and hazard ratio between the two groups using the 2019 Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS-2019). Methods Data management and descriptive analysis, logistic regression, and survival analysis were conducted for defining and estimating the LBP patients after back surgery in the NPS 2019 dataset. Results A total of 216,424 patients out of 991,189 were identified as having LBP. Among the patients with LBP, 1,734 were treated with surgery while 214,690 were not. Among those who had surgery, 937 were treated with conventional treatments only and 797 underwent Korean medicine treatments. The odds ratio of the logistic regression analysis was 0.7129, suggesting that Korean medical treatment experience group had a 28.7% lower risk of reoperation than the Western medical treatments only group. The hazard ratio of the survival analysis was 0.9145; thus, the risk probability of reoperation was estimated to be approximately 8.55% lower. The 50% risk of reoperation was 69 days (0.5044) for the conventional group, and 97 days (0.5008) for the Korean medical group in the survival analysis using the Kaplan-Meier graph. Conclusions These results could be utilized in future studies in conducting economic evaluation for estimating cost-effectiveness of Western medicine and Korean medicine treatment compared to Western medicine alone in LBP patients after back surgery in a South Korean perspective. mended and should be applied while taking the necessary precautions.