• Title/Summary/Keyword: quality measurement tool

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The Effectiveness and Safety of Acupuncture for Recovery of Patients with Vertebral Compression Fractures: A Systematic Review and Meta-analysis (척추 압박 골절 환자의 회복에 대한 침 치료의 유효성 및 안전성 평가: 체계적 문헌 고찰과 메타분석)

  • Bae, Ji min;Lee, Myeong su;Choi, Ji won;Yang, Gi young;Kim, Kun hyung
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.1-18
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    • 2019
  • Objectives : The purpose of this study was to evaluate the effectiveness and safety of acupuncture treatment for recovery of patients with vertebral compression fracture(VCF). Methods : We searched ten English and Chinese and seven Korean database up to April 2018. Randomised controlled trials(RCTs), quasi-RCTs, non-radomised Controlled Trials(CCTs) were eligible. Quasi-RCTs and CCTs were assessed only for safety assessment. Pain and adverse events were primary outcome of this review. Quality of life, dysfunction, patient satisfaction, incidence of new vertebral compression fracture were regarded as secondary outcomes. The risk of bias was assessed by two independent authors using the Cochrane risk of bias tool. Level of evidence was tabulated using the GRADE methods. Results : Of 1656 screened, 15 RCTs, 1 quasi-RCT and 3 CCTs were included. Number of participants per study ranged from 45 to 135. Most of the studies had unclear or high risk of bias and considerable heterogeneity in terms of type of intervention, comparison and time-points for outcome measurement. Compared to usual care alone, acupuncture combined with usual care showed short-term favorable results for pain relief in patients with VCF(5 studies, n=252, MD -1.05 point on a 0 to 10 point scale, 95% CI -1.45 to -0.65, $I^2=74%$). Four studies reported mild and temporary adverse events, and no serious adverse events were reported. One study descriptively reported that acupuncture was effective for improving quality of life without providing numerical outcomes. There were no reports of patient satisfaction and incidence of new VCF. Conclusions : Level of evidence is very low for the effectiveness and safety of acupuncture for pain, harms and other clinical outcomes in patients with VCF. Included studies suffered from incomplete reporting, high or unclear risk of bias and substantial heterogeneity between studies. Future high-quality RCTs are needed to assess whether acupuncture is beneficial for recovery of patients with VCF.

Development of Habitat-riparian Quality Indexing System as a Tool of Stream Health Assessment: Case Study in the Nakdong River Basin

  • Jeong, Kwang-Seuk;Joo, Gea-Jae;Kim, Dong-Kyun;Lineman, Maurice;Kim, Sang-Hyeon;Jang, Il;Hwang, Soon-Jin;Kim, Jin-Hong;Lee, Jae-Kwan;Byeon, Myeong-Seop
    • Korean Journal of Ecology and Environment
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    • v.41 no.4
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    • pp.499-511
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    • 2008
  • The major focus of this study is to evaluate a newly developed stream naturalness index system 'Habitat-riparian Indexing System (HIS).' There have been many studies that have assessed stream naturalness in order to provide information required for restoration. The results of these studies were enough for the purpose of the studies; however, the methodologies were limited especially with respect to rapid measurement and the representation of ecological habitats. Therefore, we derived crucial variables from a popularly utilized method and merged them with other criteria obtained from overseas approaches, resulting in the development of the HIS method. The stability of HIS was evaluated by comparing the results with the Stream Naturalness Index (SNI) of Cho (1997). We monitored 100 stream sites in the Nakdong River system using the two different methods for two sampling periods (spring and autumn), and the results were compared using statistical analyses. The determination coefficients between the index values from two methods were c.a. 0.6 for both seasons, and statistics revealed that HIS had a relatively higher stability, providing index values for stream environments. The results of this work suggest a possibility of the utility of HIS for other stream habitats.

Analysis of the Watershed Information and Pollutants Load using GIS in Mankyung and Dongjin Rivers (지리정보체계를 이용한 만경강.동진강의 유역정보 및 오염부하량 분석)

  • Ko, Jae-Won;Jeong, Shin-Taek;Kim, Chul;Cho, Hong-Yeon
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.13 no.3
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    • pp.237-244
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    • 2001
  • The watershed information of the Mankyung River and Dongjin River is obtained and analysed using the GIS tool. The informations i.e., digital map, land use, point sources, weather station, water quality measurement station, and pollutants load unit are managed by DB system. The slope, rainfall, and generated pollutants loads of COD, TN and TP which are the input data of the rainfall-runoff-pollutants load model are estimated. From the analysis of the collected and generated data, the almost watershed area is composed of agricultural lands except the upstream regions. The population and industrial area are densely located in Cheonju City and Iksan City, whereas the farming areas are widely distributed.

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The verbal analysis method of user′s self-concept for the design direction of product development (제품디자인 방향설정을 위한 사용자 자아개념의 언어적 분석방법)

  • 강범규;김성현
    • Archives of design research
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    • v.15 no.4
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    • pp.399-408
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    • 2002
  • According to the improvement in quality of life and the progress of user's taste in this modern society, people great deal with the symbolic meaning of product which express user's self-concept(image). Therefore, this kind of information of users' image is needed to deal importantly for the product design development processes, particularly, the early stage of design development such as the concept design development stage. But, there is not much analysis tools which deal qualitative data of users for the design development. From this reason, the supply of information of user's image through the development of verbal analysis method of user's self-concept will help a designer. For this purpose, this study not only developed the twenty-one factors in order to evaluate user's self-concept, but also suggested that the new approach method that can classify user's group within the same characteristic of user's image using the twenty-one developed verbal measurement items with tools of statistical analysis for the design direction of product. The developed this verbal analysis tool was testified through the case study in this research work.

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Prediction of Pear Fruit Firmness by Analysis of Laser-induced Light Backscattering Images (레이저 역산란 광 영상분석에 의한 배 경도 예측)

  • Lee, Kyeong-Hwan;Suh, Sang-Ryong;Yu, Seung-Hwa;Yoo, Soo-Nan;Choi, Young-Soo
    • Journal of Biosystems Engineering
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    • v.36 no.5
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    • pp.369-376
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    • 2011
  • The overall goal of this study was to examine the feasibility of predicting firmness of pear fruit by analyzing laser-induced light backscattering images. Thirty-five image analysis characteristics extracted from the laser-induced light backscattering images were used to build partial least squares regression (PLSR) models for predicting firmness of pear fruit. Experiments were conducted with three sets of pear samples which were in same "Shingo" cultivar, harvested in a same season, but produced in different counties. In every experiments with fruit samples produced in a same county, the correlation coefficients of prediction ($r_p$) and root mean square errors of prediction (RMSEP) of the models were 0.550~0.761 and 4.039~6.154 N, respectively. In an experiment with mixed fruit samples produced in different counties, the $r_p$ and RMSEP of the model were 0.669 and 5.02 N, respectively. The experiment results indicate that the analysis of laser-induced light backscattering images could be a useful tool for predicting firmness of pear fruit nondestructively.

Rapid Near Infrared Transmittance Analysis of Ingredients on the Casing Materials (근적외선 투과 분광분석법을 이용한 가향액 중 가향제 분석)

  • Han, Jung-Ho;Jung, Han-Joo;Yang, Burm-Ho;Rhee, Moon-Soo;Kim, Yong-Ok
    • Journal of the Korean Society of Tobacco Science
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    • v.28 no.2
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    • pp.111-116
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    • 2006
  • It is very important to add uniformly casing materials on tobacco for taste and flavor. However, analysis of casing materials was spent much time, effort and money. The object of this study was the development of a rapid method for the determination of glycerine, propylene glycol(PG), sucrose, glucose, fructose and water in the casing materials using the NIR transmittance method. Hundreds of calibration samples, with extended ranges (50%, 75%, 100%, 125%, and 150% of standard addition) in each constituent, were prepared in the casing materials at the various temperatures $(25^{\circ}C\;and\;30^{\circ}C)$. Calibration equation was developed by modified partial least square (MPLS) method using second derivative. The standard error of calibration and $R^2$ between added value and NIR estimated value results were $0.007{\sim}0.034\;and\;0.996{\sim}1.000$ for the casing sample set, respectively. The standard error of prediction and R2 between added value and NIR estimated value results were $0.010{\sim}0.034\;and\;0.997{\sim}1.000$ for the casing sample set, respectively. The analysis result was not different significantly between the NIR and added value. These results show that the NIR measurement system is an effective tool to ensure quality on the casing materials.

Development of Usability Evaluation Criteria for Senior-Friendly Autonomous Transportation Robot

  • Kim, Seon Chil;Kim, Sun Jung;Choi, Kyongon
    • Journal of the Ergonomics Society of Korea
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    • v.33 no.5
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    • pp.407-422
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    • 2014
  • Objective: The purpose of the study is to develop quantitative usability evaluation criteria for senior-friendly autonomous transportation robot. Background: The Republic of Korea has become the most rapidly aging society, and is anticipated to enter the post-aged society in 2026. To raise the quality of life of a senior with limited mobility and to reduce the burden of caregivers, many high-tech assistive products with information technologies are developed nowadays. The senior-friendly autonomous transportation robot is one person robot vehicle to move a senior to the destination for hospitals, nursing homes or silver town complex. With built-in navigation system and environmental monitoring censors, it automatically seeks the path to the destination and avoids collision to obstacles and pedestrians on the way. Due to the early stage of the product, few usability studies in this field have been done, mostly on general service robots to assist seniors, power wheelchairs and delivery robots. ISO and KS standards for the service robots are focused on safety. Method: Based on the reference usability index, the early draft of the usability evaluation questionnaires was developed. After small group tests and interviews, the experts modified the initial draft to the Usability Evaluation Criteria for Senior-Friendly Autonomous Transportation Robot (UEC-SFATR). Result: UEC-SFATR consisted of 4 subscales - Safety, Controllability, Efficiency and Satisfaction. All of the 4 subscales of UEC-SFATR were passed the reliability criteria by 4 groups of seniors, divided by gender and familiarity of smart-devices. Conclusion: UEC-SFATR covers wider area of user experiences of the SFATR and is a good measurement tool to help both the users and developers of the robot. Application: This study provides guide to the future product development and product competitiveness evaluation by quantifying user experiences for the SFATR.

Pharmacopuncture for Stroke: An Overview of Meta-Analyses (뇌졸중의 약침 치료에 대한 메타분석의 통합적 고찰)

  • Kim, Mikyung;Han, Chang-ho
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1081-1100
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    • 2019
  • Objectives: This study is an overview of the meta-analysis and systematic review of randomized controlled trials investigating the clinical effectiveness and safety of pharmacopuncture for patients with stroke. Methods: Core electronic databases were searched from their inception to 21 May 2019. A measurement tool to assess systematic reviews (AMSTAR 2) was applied to screen high-quality studies. The results of these studies were summarized, and additional meta-analysis was conducted. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to evaluate the certainty of evidence. Results: Sixteen studies met eligibility criteria. Four were excluded owing to insufficiency of AMSTAR 2 or low data reliability. The finally selected 12 studies were about pharmacopuncture using either a single herb extract, such as Dengzhan xixin, Sanch, Ginkgo biloba, or Acanthopanax, or a mixture of herbs, such as Compound danshen, Shenxiong, Xingnaojing, or Mailuoning. Most of the patients were from China, with acute ischemic stroke. All the studies using a pharmacopuncture versus a non-pharmacopuncture design reported the significant superiority of pharmacopuncture on every outcome measure. On the other hand, in a few studies, pharmacopuncture was inferior to active control in improving neurological deficit. Few studies reported adverse events. Conclusions: It is difficult to apply the results of this study directly to Korea, because the level of evidence is generally low and the clinical settings and social acceptance of pharmacopuncture therapy differ in Korea and China. Further studies are warranted to confirm the domestic applicability of evidence generated in China and to create evidence that supports the domestic situation.

Analysis of the Characteristics of the Feed motor Current for the Estimation of the Cutting Force in General Cutting Environment (일반적 상황에서 2차원 절삭력 추정을 위한 이송모터 전류의 거동분석)

  • Jeong, Young-Hun;Yun, Seong-Hyun;Cho, Dong-Woo
    • Journal of the Korean Society for Precision Engineering
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    • v.19 no.4
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    • pp.93-100
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    • 2002
  • The current from the feed motor of a machine tool contains substantial information about the machining state. There have been many researches that investigated the current as a measure for the cutting farces. However it has been reported that this indirect measurement of the cutting farces from the feed motor current is only feasible in low frequency. In this research, it was presented that the bandwidth of the current monitoring can be expanded to 130 Hz. And the unusual behavior of the current was examined in this bandwidth. The cross-feed directional cutting force influences the machined surface of the workpiece, which makes it necessary to estimate this force to control the roughness of the machined sulfate. The current exists in the stationary feed motor, and it can give the useful information on the quality of the machined surface. But the unpredictable behavior of the current prevents applying the current to prediction of the cutting state. Empirical approach was conducted to resolve the problem. As a result, the current was shown to be related to the accumulation of the accumulation of the infinitesimal rotation of the motor. rotation of the motor. Subsequently the relationship between the current and the cutting force was identified.

A Study on Home Care Service and the Level of Client Satisfaction (일 대학병원의 가정간호서비스 내용 및 만족도 조사)

  • Kim, Young-Hae;Park, Nam-Hee;Kim, Duk-Sun;Lee, Hwa-Za;Kim, Jung-Sun
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.73-84
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    • 2003
  • This study was done to examine the home care service provided by home care nurses and the level of client satisfaction. Data were collected from 110 clients who received the home care service at the P-hospital in Pusan from 23th April, 2001 to 30th November, 2002. The tool for measurement of satisfaction was composed of 16 items and was 4 score scale. Data was analyzed by using SPSS/WIN 10.5 program, the results of this study are summarized as follows; 1) 77.3% among 110 clients were over sixty years old. By the disease pattern. subjects were distributed into cancer(52.7%), cerebro-vascular disease(22.7%) and the others. 36.4% of clients were received home visits from 10 to 20 times by home care nurse. 2) The total number of home care services was 20,828. And most of the clients received the health education and training. 3) The mean score of satisfaction on provided home care services was $3.36\pm0.45$, out of 4. among 16 items. 'The home care nurses were kind enough' was highest ($3.59\pm0.49$), the total level of satisfaction of home care services was very high. with total mean score $53.84\pm7.16$. As mentioned above. the satisfaction level of home care services was very high. so we can except that the prospect of home care services is very challengeable. Therefore. we should try to expand the service recipients with promotional education to the home care clients under the cooperation with medical staff and make more efforts to develop the management system about clients' information. to improve the quality of the service, to assure close ties with the public health centers for the continuous home care service linking.

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