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Clinical Study of Lumbar Spine Stenosis Treated by Using Acupotomy Combined with Oriental Medical Treatments

  • Yuk, Dong-Il;Sung, In-Su;Song, Da-Hyung;Kim, Min-Jung;Hong, Kown-Eui
    • Journal of Pharmacopuncture
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    • v.16 no.3
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    • pp.46-51
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    • 2013
  • Objectives: The aim of this study is to evaluate the effect of acupotomy in patients with degenerative lumbar spine stenosis. Methods: A total of 437 patients who had been diagnosed as having lumbar spine stenosis and who had been admitted to Daejeon Oriental hospital from June 1, 2008, to September 31, 2012, were included in this study. The patients underwent acupotomy once, twice or three times on the lumbar spine, according to their symptoms. Then, the patients were asked to complete the verbal numeric rating scale (VNRS) and the oswestry disability index (ODI) before and after acupotomy and underwent a global assessment. The resulting data were analyzed. Results: The gender ratio of the participants was 1:1.54, and the mean age was $65{\pm}10.0$ yr. The number of patients over the age of 65 yr was less than that of the patients under the age of 65 yr in the ratio of 1:1.3. The average disease period was $30.17{\pm}56.63$ months. The verbal numeric rating scale (VNRS) significantly decreased from 10 to an average of $7.10{\pm}2.50$ after one acupotomy, $6.30{\pm}2.60$ after two acupotomies, and $5.50{\pm}2.50$ after three acupotomies. The ODI was significantly decrease from $20.60{\pm}8.70$ to $17.80{\pm}8.60$ after once acupotomy, $17.10{\pm}8.50$ after two acupotomies, and $16.70{\pm}8.60$ after three acupotomies. High scores were also observed on the global assessment. Conclusion: These results provide evidence that acupotomy is effective to relieve pain and to improve quality of life in patients with degenerative lumbar spinal stenosis.

Applying Rasch Analysis for Validation of School Function Assessment (학교기능평가(School Function Assessment)도구의 구성타당도 검증을 위한 라쉬분석의 적용)

  • Park, Kyoung-Young
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.269-276
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    • 2014
  • The purpose of this study is to investigate validation of the School Function Assessment(SFA) for Korean Version using Rasch analysis. The subjects were recruited 98 students with disabilities in Seoul, Kyoung-Ki, Chung-cheung. The data were analysed using Rasch analysis to investigate unidimensionality and rating scale model. The 4 items out of SFA Part II were found to be misfts. The 18 items out of physical tasks, the 14 items out of cognitive/behavioral tasks in Part III were found to be misfit. All rating scale in SFA was appropriate. Further studies are needed to investigate validity and criterion cut-off score for many students with disabilities.

Concordance Rate Between the Ratings of Clinician and Self Ratings of Worker on a Functional Capacity Evaluation

  • Choi, Bong-sam
    • Physical Therapy Korea
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    • v.23 no.4
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    • pp.71-80
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    • 2016
  • Background: Functional capacity evaluations (FCEs) are designed to systematically assess the capacity to perform work-related tasks and to determine worker's ability to return to the previous job following work-related injuries. These evaluations may be rated either by clinician or worker. There has been a lack of consensus between the two scoring methods. Objects: This study aimed: 1) to confirm if the data are fit to the Rasch rating scale model and 2) to investigate the item-level concordance rate between the ratings of clinician and injured worker of the FCE. Methods: A cross-sectional study was conducted with a sample (n=124) of a rehabilitation program with the Occupational Rehabilitation Data Base for workers with low back pain. The functional capacity evaluation at admission and discharge was administered to clinicians and workers. The data were analyzed using both classical test theory-based Pearson's r and intra-class coefficient followed by item-level analysis with Rasch rating scale model. Results: All items of the FCE, except sitting items rated by clinician at admission and handling items rated by both clinician and worker throughout admission and discharge, were acceptable fit statistics with minor out of ranges for a misfit criterion. This may indicate that the items of the FCE overall fit to the Rasch rating scale model. Few problematic items responding differently to clinician and worker both at admission and discharge were detected with the differential item functioning analysis despite the excellent concordance rate using the two conventional statistics-sitting and handling items at admission and handling item at discharge. Conclusion: The item-level speculations using Rasch analysis of the FCE demonstrate that the ratings of clinician and self ratings of worker were psychometrically acceptable though there was an apparent discrepancy between the raters both at admission and discharge.

Efficacy and Tolerability of Osmotic Release Oral System-Methylphenidate in Children with Attention-Deficit Hyperactivity Disorder According to Comorbid Psychiatric Disorders (주의력결핍 과잉행동장애 아동에서 공존질환에 따른 OROS-Methylphenidate의 효과와 안전성)

  • Yoon, Hyung-Jun;Yook, Ki-Hwan;Jon, Duk-In;Seok, Jeong-Ho;Hong, Na-Rei;Cho, Sung-Shick;Hong, Hyun-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.19 no.3
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    • pp.147-155
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    • 2008
  • Objectives: The purpose of this study was to evaluate the efficacy and tolerability of osmotic release oral system-methylphenidate (OROS-MPH) in children with attention-deficit hyperactivity disorder (ADHD) and comorbid psychiatric disorders. Methods: This was an 8-week open label study of OROS-MPH monotherapy. The subjects were 113 children with ADHD aged 6-12 years. Outcome measures were the Korean version of the parent ADHD Rating Scale (K-ARS), Korean version of the Conners Parent Rating Scale (K-CPRS), Clinical Global Impression-Severity and Clinical Global Impression-Improvement. Side effects were monitored using Barkley's Side Effect Rating Scale. We compared the change-over-time in the mean scores of the outcome measure according to the comorbidity of disruptive behavior disorder, depressive disorder, anxiety disorder, and tic disorder. Results: The mean K-ARS and K-CPRS scores were significantly decreased, regardless of the comorbidity. The mean doses of OROS-MPH and dropout rate did not differ significantly according to comorbidity. The OROS-MPH was well tolerated, regardless of the comorbidity. However, children with tic disorder reported a higher frequency of tics or nervous movements between the $2^{nd}\;and\;8^{th}$ week than those without tic disorder. Conclusion: The OROS-MPH is effective for decreasing the symptoms of ADHD, and it is well tolerated, even by patients with comorbid psychiatric disorders.

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Right Caudate Volumetric Differences in Young Healthy Adults with Different Dopamine DRD2/ANKK1 Taq 1a Polymorphisms (정상 젊은 성인에서 도파민 DRD2/ANKK1 Taq 1a 유전자다형성에 따른 우측 미상핵 용적의 차이)

  • Jeon, Yu-Jin;Choi, Ye-Ra;Kim, Ji-Hyun H.;Jung, Ji-Young J.;Kim, Da-Jung J.;Yu, Suk-Gyeong;Im, Joo-Yeon Jamie;Lee, Jung-Hyun H.
    • Korean Journal of Biological Psychiatry
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    • v.18 no.4
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    • pp.254-259
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    • 2011
  • Objectives The aim of this study was to assess variations in caudate volume according to dopamin receptor D2/ankyin repeat and kinase domain containing 1 (DRD2/ANKK1) Taq 1a polymorphisms in young healthy adults and to evaluate the relationship between caudate volumes and psychiatric symptoms as measured by the Brief Psychiatric Rating Scale. Methods Genetic information regarding DRD2/ANKK1 Taq 1a and T1-weighted brain magnetic resonance images were acquired from 30 young healthy adults. Automatic segmentation of caudate was performed using the FreeSurfer program. Results Individuals with A2 homozygotes of DRD2/ANKK1 Taq 1a polymorphisms (n = 10) had greater right caudate volumes compared to those with A1 allele (s)(18.4% greater ; p = 0.019). Right caudate volumes were negatively associated with total scores of the Brief Psychiatric Rating Scale (${\beta}$=-0.50 ; p = 0.016). Conclusions Our findings suggest the possibility that DRD2/ANKK1 Taq 1a polymorphisms may underlie the psychiatric symptoms by influencing the structure of the right caudate.

Clinical Study for Visual Application of Circle Pattern with 3G Color on Attention Deficit/Hyperactivity Disorder Patients (주의력결핍-과잉행동장애 (ADHD) 환아에 대한 집중력 개선과 심리적 안정을 위한 3G 색과 원문양의 시각적 활용의 효과 연구)

  • Choi, Hyeon;Kim, Jeong-Sin;Lee, Eun-Hye
    • The Journal of Korean Medicine
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    • v.31 no.1
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    • pp.47-56
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    • 2010
  • Objective: Many drug or non-drug therapies are reported to be effective in reducing the severity of attention deficit/hyperactivity disorder (ADHD). The aim of this study was to assess the effect of color and pattern on the severity of ADHD in young ADHD patients. Method: We randomly assigned 30 children into two groups and had them participate in 15-minute block play sessions once in a week. The experimental group used blocks with green (3G, Munsell color system) circle patterns on them, while the control group played with plain white blocks. We also provided a set of playing cards with the corresponding patterns. This trial continued for 4 weeks and 29 children (96.7%) completed. The primary outcome measurement was the ADHD rating scale-IV and was evaluated on every visit. Results: After the trial, ADHD score decreased in both groups but not significantly ($34.4{\pm}8.0$ to $30.0{\pm}4.3$; $34.0{\pm}6.0$ to $30.3{\pm}3.2$). However, there were significant differences in 4 items of ADHD rating scale between the two groups. These consisted of 3 inattention (Q3, Q7, Q15) and 1 hyperactivity-impulsivity (Q12) items and the reduction between the first and final visits was significant (p=0.0240, p=0.0498, p=0.0237 and p=0.0012 respectively). Conclusion: Repeated exposure to a green circle pattern might not influence the total score of ADHD rating scale but reduced 3 inattention items and 1 hyperactivity-impulsivity significantly in children with ADHD. Proper visual stimuli are partially helpful for pediatric ADHD.

A Study of Quality Evaluation for SDR System Operating Software (SDR 시스템의 운용소프트웨어 품질평가에 관한 연구)

  • Kim, Min-Soo;Lee, Kun-Joon;Ha, Sung-Jae;Cho, Sang-Young
    • Journal of the Korean Institute of Intelligent Systems
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    • v.24 no.6
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    • pp.657-664
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    • 2014
  • In this paper, we described evaluation software that can propose rating scale and evaluate automatically on SDR(Software-Defined Radio) transmitter system. To deduct suitable rating scale, we extracted requirements based on the operating environment, operating application and operating method because SDR operating software is subordinative to the hardware. And we implementation evaluation software to automatically quality evaluation using rating scale draw from the requirements. The implemented evaluation software has automatically evaluation functions using script, can update the evaluation factor and show visual evaluation result. The implemented evaluation software is used to useful the high quality SDR operating software development.

An study on the annoyance and loudness for the different background noises in complex building (배경소음이 다른 동일 건물내 사업장의 소음 수인한도 및 인지 정도에 관한 연구)

  • Lee, Tai-Gang;Jang, Gil-Soo;Kim, Sun-Woo
    • KIEAE Journal
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    • v.10 no.5
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    • pp.109-114
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    • 2010
  • There are many business in complex building, and recently noise claims have increased in those buildings. It is one of the most desirable methods reducing the noise level to establish the noise criteria considering the admittable noise level between the source and receiving room, which are to be derived from the subjective response in the real conditions. Because the degree of annoyance and loudness for the intruding noises in complex building could be changed with background noise level, it is suggested to be researched the relationship between the noise levels and subjective response. In this study, the subjective response for three different background levels in receiving business or rooms were investigated for the typical eight business noise source including aerobic music. The results can be summarized as follows. In conditions of low background noise level(40 dB(A)), there is a tendency of intentionally attention situation (listening) in a subjective test. The other hand in conditions of relatively high background noise level(50 dB(A)), there is a unconscious situation (heraing). As the degree of moderately heard or annoyed in SD rating scale means that the noise is easily recognized in neighboring shops, usually the limit of noise criteria were decided on this rating point, so it will be reasonable to be adopted the criteria rating scale as slight heard or annoyed degree (SD criteria 3).

Effect of omega-3 plus methylphenidate as an alternative therapy to reduce attention deficit-hyperactivity disorder in children

  • Mohammadzadeh, Soleiman;Baghi, Narmin;Yousefi, Fayegh;Yousefzamani, Bahar
    • Clinical and Experimental Pediatrics
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    • v.62 no.9
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    • pp.360-366
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    • 2019
  • Background: Attention deficit-hyperactivity disorder (ADHD) is one of the most common chronic behavioral disorders in school-aged children. Purpose: This study aimed to evaluate the effect of omega-3 supplementation as an alternative therapy for ADHD, which can be caused by vitamin and mineral deficiencies. Methods: This was a double-blinded clinical trial study. Sixty-six children with ADHD (aged 6-12 years) referred to our child and adolescent psychiatric educational and therapeutic clinic were selected based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria. Instruments including the Parent ADHD Rating Scale were used to assess ADHD at 0, 2, 4, and 8 weeks during the study. Results: The results showed no statistically significant difference between the methylphenidate with omega-3 group and methylphenidate with placebo group based on the Parents ADHD Rating Scale between week 0 ($P{\geq}0.96$) and week 8 ($P{\geq}0.75$). There were no significant intergroup differences between the Inattention ($P{\geq}0.48$) and hyperactivity/impulsivity ($P{\geq}0.80$) subscale scores on the Parents ADHD Rating Scale. The most common drug complications in the methylphenidate with placebo and methylphenidate with omega-3 groups were anorexia (27 [54%] vs. 41 [60.29%], respectively) and diarrhea (10 [20%] vs. 8 [11.76%], respectively), but the differences were not statistically significant (P>0.05). Conclusion: Our results demonstrate that a specific dose of omega-3 for 8 weeks had no effect on ADHD.

The Relationship between Syntactic Complexity Indices and Scores on Language Use in the Analytic Rating Scale (통사적 복잡성과 분석적 척도의 언어 사용 점수간의 관계 탐색)

  • Young-Ju Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.229-235
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    • 2023
  • This study investigates the relationship between syntactic complexity indices and scores on language use in Jacobs et al.(1981)' analytic rating scale. Syntactic complexity indices obtained from TAASSC program and 440 essays written by EFL students from the ICNALE corpus were analyzed. Specifically, this study explores the relationship between scores on language use and Lu(2011)'s traditional syntactic complexity indices, phrasal complexity indices, and clausal complexity indices, respectively. Results of the stepwise regression analysis showed that phrasal complexity indices turned out to be the best predictor of scores on language use, although the variance in scores on language use was relatively small, compared with the previous study. Implications of the findings of the current study for writing instruction (i.e., syntactic structures at the phrase level) were also discussed.