• Title/Summary/Keyword: outcome measure

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The Comparison of Symmetry of Vertical Ground Reaction Force on Pattern of Sit to Stand in the Chronic Stroke Patients (만성뇌졸중 환자의 일어서기 자세에 따른 수직지면반발력의 대칭성의 비교)

  • Shin, Hwa-Kyung;Jung, Jin-Woo;Kim, Youn-Joung
    • Korean Journal of Applied Biomechanics
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    • v.23 no.3
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    • pp.253-259
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    • 2013
  • The purpose of this study is to evaluate the influence of posture elements on symmetrical weight bearing during STS (sit-to-stand) in patients with chronic stroke. The subjects were patients diagnosed with stroke: a total of 24 patients (16 males and 8 females) participated in this study. All the participants performed STS tasks(3 foot postures and 2 arm postures). Two force plates (AMTI) were used to measure the peak vertical ground reaction force(Peak Fz) and the symmetrical ratio to peak vertical ground reaction force. The data were analyzed using independent t-test and 2-way repeated analysis of variance. The results of this study were as follows: 1) The peak Fz placed more weight on the paretic leg during STS and 2) The symmetrical ratio to the peak Fz showed a significant difference according to the foot and arm posture (p<.05), and had the highest AYM_GA ($0.87{\pm}0.12$). These results indicate that arm and leg postures during STS in patients with chronic stroke had the highest AYM_GA. We believe that the outcome of this study will be a reference for the prognosis of STS in patients with stroke.

An Analytic Framework to Assess Organizational Resilience

  • Patriarca, Riccardo;Di Gravio, Giulio;Costantino, Francesco;Falegnami, Andrea;Bilotta, Federico
    • Safety and Health at Work
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    • v.9 no.3
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    • pp.265-276
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    • 2018
  • Background: Resilience engineering is a paradigm for safety management that focuses on coping with complexity to achieve success, even considering several conflicting goals. Modern sociotechnical systems have to be resilient to comply with the variability of everyday activities, the tight-coupled and under-specified nature of work, and the nonlinear interactions among agents. At organizational level, resilience can be described as a combination of four cornerstones: monitoring, responding, learning, and anticipating. Methods: Starting from these four categories, this article aims at defining a semiquantitative analytic framework to measure organizational resilience in complex sociotechnical systems, combining the resilience analysis grid and the analytic hierarchy process. Results: This article presents an approach for defining resilience abilities of an organization, creating a structured domain-dependent framework to define a resilience profile at different levels of abstraction, and identifying weaknesses and strengths of the system and potential actions to increase system's adaptive capacity. An illustrative example in an anesthesia department clarifies the outcomes of the approach. Conclusion: The outcome of the resilience analysis grid, i.e., a weighed set of probing questions, can be used in different domains, as a support tool in a wider Safety-II oriented managerial action to bring safety management into the core business of the organization.

Study on Hardening Depth by Induction Hardening Analysis of Sprocket Using FEA and Experiment Results (유한요소해석을 통한 스프라켓의 유도경화 해석과 실험에 의한 경화 깊이에 대한 연구)

  • Choi, Jin Kyu;Nam, Kwang Sik;Kim, Jae Ki;Choi, Ho Min;Yeum, Sang Hoon;Lee, Seok Soon
    • Journal of the Korean Society for Precision Engineering
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    • v.33 no.5
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    • pp.393-400
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    • 2016
  • High frequency induction heating (HFIH) is used in many industries and has a number of advantages, including reliability and repeatability. It is a non-contact method of providing energy-efficient heat in the minimum amount of time without using a flame. Recently, HFIH has been actively studied using the finite element method (FEM), however, these studies only focused on the accuracy of the analysis. In this paper, we can measure joule heat distributions by the electromagnetic analysis for HFIH and the temperature distribution from the heat transfer analysis by applying joule heat for a sprocket. The sprocket is heated over $850^{\circ}C$ due to joule heat and then cooled to under $200^{\circ}C$ by using cooling $20^{\circ}C$ water. These processes were used to calculate the FEM and then compared to our experimental results. The calculated outcome may be used to predict hardening depth in HFIH.

A Study on Development of Performance Indicators for Korean Public Libraries (공공도서관의 성과지표 개발에 관한 연구)

  • Kim, Gyu-Hwan;Nam, Young-Joon
    • Journal of the Korean Society for Library and Information Science
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    • v.42 no.4
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    • pp.113-139
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    • 2008
  • Under rapidly changing circumstances, public libraries are required to evaluate the performance with an integrated point of view to cope with a variety of changes. In other words, it is necessary to develop integrated library performance appraisal indicators which are both quantitative and qualitative. Recently, ISO and IFLA attempt to adopt an integrated performance evaluation system based on the Balanced Scorecard(BSC). Therefore, this study defines four aspects of the library appraisal including input, process, output and outcome, and suggests a new library appraisal system and indicators of each appraisal aspect. In the concrete, appraisal aspects were derived from ISO appraisal system, and an appraisal system and indicators were presented based on the comparison and analysis of the ones respectively used inside and outside of Korea. Finally, this study proposes the method of suitability evaluation of those performance indicators by librarians and professors in Korea.

Combined effect of folate and adiposity on homocysteine in children at three years of age

  • Cho, Su Jin;Lee, Hye Ah;Park, Bo Hyun;Ha, Eun Hee;Kim, Young Ju;Park, Eun Ae;Park, Hyesook
    • Nutrition Research and Practice
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    • v.10 no.1
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    • pp.74-80
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    • 2016
  • BACKGROUND/OBJECTIVES: Cardiovascular diseases is a major cause of death and is responsible for 23.8% of deaths in Korea. Clinical symptoms manifest in adulthood, but susceptibility begins in utero. Elevated homocysteine levels and adiposity might be linked to a greater risk in children as well as adults. We hypothesized that those who have simultaneous risk for folate and adiposity would be affected with elevated homocysteine levels at 3 years of age. SUBJECTS/METHODS: From the ongoing birth cohort at Ewha Womans University Mok-Dong Hospital, we compared adiposity parameters, serum homocysteine, and folate levels in 238 children (118 boys and 120 girls) at three years of age. The relationship between birth outcome, current weight and body mass index (BMI), postnatal growth, and homocysteine level were assessed using correlation and general linear model. Additionally, we assessed the combined effect between blood folate status and adiposity on current homocysteine levels. RESULTS: Birth characteristics were not correlated with homocysteine. Current weight, BMI, upper-arm circumference, skinfold thickness, waist circumference, and hip circumference were positively correlated with homocysteine at three years of age (P < 0.05). Folate level was negatively correlated with homocysteine at three years of age (P < 0.0001). A relative high anthropometric measure which is compatible with adiposity and low folate level was associated with high homocysteine levels. CONCLUSION: We found a combined effect of adiposity and folate levels with homocysteine levels at three years of age. This implicates the beneficial role of folate supplementation in the high-risk population at an early age.

Velocity Estimation of Moving Targets on the Sea Surface by Azimuth Differentials of Simulated-SAR Image

  • Yang, Chang-Su;Kim, Youn-Seop;Ouchi, Kazuo
    • Korean Journal of Remote Sensing
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    • v.26 no.3
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    • pp.297-304
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    • 2010
  • Since the change in Doppler centroid according to moving targets brings alteration to the phase in azimuth differential signals of synthetic aperture radar (SAR) data, one can measure the velocity of the moving targets using this effect. In this study, we will investigate theoretically measuring the velocity of an object from azimuth differential signals by using range compressed data which is the interim outcome of treatment from the simulated SAR raw data of moving targets on the background of sea clutter. Also, it will provide evaluation for the elements that affect the estimation error of velocity from a single SAR sensor. By making RADARSAT-1 simulated image as a specific case, the research includes comparisons for the means of velocity measurement classified by the directions of movement in the four following cases. 1. A case of a single target without currents, 2. A case of a single target with tidal currents of 0.5 m/s, 1 m/s, and 3 m/s, 3. A case of two targets on a same azimuth line moving in a same direction and velocity, 4. A case of a single target contiguous to land where radar backscatter is strong. As a result, when two moving targets exist in SAR image outside the range of approximately 256 pixels, the velocity of the object can be measured with high accuracy. However, when other moving targets exist in the range of approximately 128 pixels or when the target was contiguous to the land of strong backscatter coefficient (NRCS: normalized radar cross section), the estimated velocity was in error by 10% at the maximum. This is because in the process of assuming the target's location, an error occurs due to the differential signals affected by other scatterers.

Effectiveness of Arch Support Taping is Subjects With Excessive Foot Pronation: A Meta-analysis

  • Park, So-yeon
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.70-76
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    • 2019
  • Background: An excessive pronated foot is defined as a flattening or complete loss of the medial longitudinal arch. Excessive foot pronation is considered to have high risk factors of overuse injuries in the lower limb. Various treatments have been investigated in attempts to control excessive pronation. Objects: This meta-analysis identifies the effects of an anti-pronation taping technique using different materials. Methods: The electronic databases used include MEDLINE, the Physiotherapy Evidence Database (PEDro), Science Direct, the Korean Studies Information Service System (KISS), the Research Information Sharing Service (RISS), the Korea National Library, and the Korean Medical Database (studies published up to July 31, 2019). The database search used the following keywords: "foot drop" OR "foot arch" OR "foot pronation" OR "flat foot (pes planus)" AND "taping" OR "support." Eight eligible studies were analyzed to determine the effectiveness of anti-pronation taping in study and control groups. Results: The overall random effect size (Hedges'g) of the anti-pronation taping technique was 0.147 (95% confidence interval [CI]: -.214 to .509). When the effect (Hedges' g) was compared by the type of tape material, rigid tape (RT; Lowdye taping) was .213 (95% CI: -.278 to .704) and kinesiotape (KT; arch support taping) was -.014 (95% CI: -.270 to .242). Based on this meta-analysis, it was not possible to identify the extent to which anti-pronation taping was effective in preventing navicular drop, improving balance, or changing foot pressure. Only three of the eight eligible studies applied KT on excessive pronated feet, and the outcome measure areas were different to those of the RT studies. The KT studies used EMG data, overall foot posture index (FPI) scores, and rear foot FPI scores. In contrast, the RT studies measured navicular heights, various foot angles, and foot pressure. Conclusion: This review could not find any conclusive evidence about the effectiveness of any taping method for patients with pronated feet. Future studies are needed to develop the anti-pronation taping technique based on the clinical scientific evidence.

A Study on the Methodology of Acupuncture Clinical Trial on the Postmenopausal and Perimenopausal Hot Flashes (갱년기 안면홍조에 대한 침 임상시험 방법론 연구)

  • Roh, Jin-Ju;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.4
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    • pp.193-206
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    • 2008
  • Purpose: In spite of many arguments on the result of WHI (Women's Health Initiative) study, no one can deny the necessity for researches on the alternative treatment to HRT (hormone replacement therapy). In this study, the author wanted to investigate the method of precedent acupuncture RCTs (randomized controlled trials) to make out the appropriate acupuncture study design on postmenopausal and perimenopausal hot flashes in Korea. Methods: Precedent studies were investigated using Pubmed search and key-words "acupuncture and hot flash", "acupuncture and menopause", "acupuncture and vasomotor", limited to RCT, from 2000 to 2008 April. Results: As a result. 10 studies were searched. In the hereafter studies, multi-center clinical trials which consist of population group of postmenopausal and perimenopausal women that would be pre-stratified and more than 50 patients per treatment arm seem adequate. Sham control study can make out the proper consequence because many people are get used to acupuncture in Korea. Flexible choice of acupoints addressed an individual's symptoms using standardized algorithm is recommended. Treatment consist of 4 weeks' observation, 11 acupuncture sessions during 7 weeks, follow-up of 3 months or more after treatment and hot flash score as a primary outcome measure seem appropriate. After all, higher level of description according to global standard must be obtained in the study report and publishing. Conclusion: The researchers should develope the methodology of acupuncture clinical trial on the postmenopausal and perimenopausal hot flashes.

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Changes in Thickness of Transverse Abdominis, Internal Oblique, and External Oblique through the Abdominal Drawing-in Maneuver Exercise Incorporating a Stabilizer or the Bridge Exercise (교각자세 또는 스태빌라이저를 이용한 복부 드로우-인 운동의 배가로근, 배속빗근, 배바깥빗근 두께 변화)

  • Yoon, Sam-Won;Goo, Bong-Oh
    • PNF and Movement
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    • v.19 no.3
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    • pp.321-329
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    • 2021
  • Purpose: The abdominal drawing-in maneuver (ADIM) is an exercise that selectively strengthens deep abdominal muscles. It is reported to be effective in strengthening those muscles when using a pressure biofeedback unit. However, multiple factors of bridge exercise seem to bring exercise result of ADIM without stabilizer as they influence execution of ADIM. Therefore, the purpose of this study was to compare changes in the thickness of deep abdominal muscles through the ADIM exercise incorporating either a stabilizer or the bridge exercise. Methods: Thirty healthy adults who had voluntarily given their consent were selected as the subjects. A diagnostic sonograph was used to measure the thickness of the subjects' transverse abdominis, internal oblique, and external oblique muscles. First, the thickness of the subjects' deep abdominal muscle was measured while maintaining the ADIM using the stabilizer. After three minutes of rest, the thickness was measured again while the subjects maintained the ADIM with the bridge exercise. Results: In both exercises, the thickness of the transverse abdominis showed a statistically significant increase, with a more significant increase while executing the ADIM using the bridge exercise. In both exercises, the thickness of the internal oblique showed a statistically significant increase, with a more significant increase while executing the ADIM using the bridge exercise. The thickness of the external oblique showed a statistically significant increase only in the ADIM using the bridge exercise. Conclusion: Though strengthening is not as selective as the ADIM using a stabilizer, the ADIM using the bridge exercise has a more increased thickness of the transverse abdominis and the internal oblique than that of the internal oblique. Based on the outcome of this study, the ADIM using the bridge exercise without a stabilizer can selectively strengthen deep abdominal muscles even more.

Development and Psychometric Assessment of a Self-evaluation Questionnaire for Gastroesophageal Reflux Disease

  • Jung, Hye-kyung;Choi, Myung-Gyu;Baek, Myung-Ki;Wu, Justin CY
    • Journal of Neurogastroenterology and Motility
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    • v.24 no.4
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    • pp.584-592
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    • 2018
  • Background/Aims There is uncertainty about how to measure outcomes reported by patients in gastroesophageal reflux disease (GERD). This study was conducted to develop an instrument and to determine of the definition of respondent for a patient reported outcomes to assess the efficacy of a treatment used for GERD treatment. Methods A structural process has developed a self-evaluation questionnaire for GERD (SEQ-GERD); health-related quality of life questionnaire for GERD (GERD-QOL) was translated through cross-cultural validation. Two-week reproducibility was evaluated and construct validity was assessed by correlating the SEQ-GERD with the Patient Assessment of Gastrointestinal Disorders (PAGI-SYM), the reflux disease questionnaire (RDQ), and GERD-QOL. Changes in SEQ-GERD scores were compared to assess the discriminative validity following 4 weeks of proton pump inhibitor administration. Results A total of 83 Korean patients were included (mean age $46{\pm}14$ years, females 61.4%). The internal consistency of the 19-item SEQ-GERD was good (alpha = 0.60-0.94) and the test-retest reliability was high (intra-class correlation coefficient = 0.67-0.95). The SEQ-GERD highly correlated with the GERD domain of the PAGI-SYM (correlation coefficient r = 0.894, P < 0.001), the RDQ-GERD (r = 0.877, P < 0.001), and GERD-QOL (r = -0.536, P < 0.05). SEQ-GERD scores significantly varied according to the overall treatment effectiveness scale of drug responsiveness and significantly decreased after drug treatment (mean differences according to the overall treatment effectiveness scale, P = 0.020). Conclusion This study supports that SEQ-GERD is reliable and valid, and can be used to evaluate the treatment response in patients with GERD.