• 제목/요약/키워드: Chart review

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한의원 진료환경에서 비만환자 대상 한의통합치료의 체중 감량 효과 및 안전성에 관한 연구: 후향적 차트 리뷰 (A Study on Weight Loss Effect and Safety of Integrated Korean Medicine Treatment on Obese Patients in Local Clinics: A Restrospective Chart Review)

  • 권오진;양창섭;김용진;구원회;이원구;김기병;제갈경환
    • 한방비만학회지
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    • 제22권2호
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    • pp.125-135
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    • 2022
  • Objectives: A restrospective chart review were conducted to investigate the overall weight loss effect of the integrated Korean medicine treatment on obese patients (body mass index [BMI] ≥25 kg/m2) in Korean medicine clinic and analyze the difference in the effect according to lifestyle behaviors. Methods: The medical records of 43 obese patients were retrospectively analyzed including body weight, BMI, waist circumference, hip circumference, and body composition who received integrated Korean medicine treatment for 4 weeks at 24 Korean medicine clinics in Daejeon metropolitan city. All outcome measures were evaluated again 8 weeks after the end of treatment at week 12 for follow-up. EuroQol-5D (EQ-5D), the Korean version of the obesity-related quality of life scale (KOQOL) and patient's satisfaction were also evaluated. The analysis was divided according to the treatment period and observation period, and subgroup analysis was performed according to drinking and exercise habits. Results: Body weight, body fat, waist circumference, hip circumference, body fat were significantly reduced at week 4 and week 12. Theses weight reduction effects were significantly greater within treatment period (0 to 4 week) than observation period (4 to 12 week). Especially in the non-exercise group, the changes in body fat mass and body fat percent showed a significant difference between the treatment period and the observation period. KOQOL were also significantly improved at 12 week, but not in EQ-5D. No severe adverse events were observed. Conclusions: The integrated Korean medicine treatment could be effective to treat obesity including weight loss. It is necessary to prevent additional weight regain through regular exercise even after Korean medicine treatment.

근사 꼬리분포의 유형별 적용 모형 고찰 (Review of Application Models According to the Classification of Asymptotic Tail Distribution)

  • 최성운
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2010년도 추계학술대회
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    • pp.35-39
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    • 2010
  • The research classifies three types of asymptotic tail distributions such as long(heavy, thick) tailed distribution, medium tailed distribution and short(light, thin) tailed distribution. The extreme value distributions(EVD) classified in this paper can be used in SPC(Statistical Process Control) control chart and reliability engineering.

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우리나라 지자기측량에 관한 연구 (A Study on The Geomagnetic Survey in Korea)

  • 최재화;조규전;김세걸;최윤수;윤홍식
    • 한국측량학회지
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    • 제9권1호
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    • pp.1-15
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    • 1991
  • 이 연구에서는 지자기측량에 관한 기초이론을 고찰하고 국립지리원에서 관측한(1980-1989) 지자기측량 데이타를 처리 분석하였다. 이 결과를 토대로 우리나라 자기원를 작성하였으며, 향후 지자기측량 기술발전을 위한 기본방향도 제시하였다.

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Characteristics of a Megajournal: A Bibliometric Case Study

  • Burns, C. Sean
    • Journal of Information Science Theory and Practice
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    • 제3권2호
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    • pp.16-30
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    • 2015
  • The term megajournal is used to describe publication platforms, like PLOS ONE, that claim to incorporate peer review processes and web technologies that allow fast review and publishing. These platforms also publish without the constraints of periodic issues and instead publish daily. We conducted a yearlong bibliometric profile of a sample of articles published in the first several months after the launch of PeerJ, a peer reviewed, open access publishing platform in the medical and biological sciences. The profile included a study of author characteristics, peer review characteristics, usage and social metrics, and a citation analysis. We found that about 43% of the articles are collaborated on by authors from different nations. Publication delay averaged 68 days, based on the median. Almost 74% of the articles were coauthored by males and females, but less than a third were first authored by females. Usage and social metrics tended to be high after publication but declined sharply over the course of a year. Citations increased as social metrics declined. Google Scholar and Scopus citation counts were highly correlated after the first year of data collection (Spearman rho = 0.86). An analysis of reference lists indicated that articles tended to include unique journal titles. The purpose of the study is not to generalize to other journals but to chart the origin of PeerJ in order to compare to future analyses of other megajournals, which may play increasingly substantial roles in science communication.

관리도에서 Markov연쇄의 적용: 복습 및 새로운 응용 (Implementation of Markov Chain: Review and New Application)

  • 박창순
    • 응용통계연구
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    • 제24권4호
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    • pp.657-676
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    • 2011
  • 통계적 공정관리절차의 특성은 해석적 해를 얻기가 어려운 경우가 많이 있으나 Markov연쇄를 적용하면 가능한 경우가 많이 있다. 이 논문에서는 공정 통계량이 Markov특성을 따르는 경우, Markov연쇄를 생성하는 방법과 이를 이용한 공정관리 절차의 특성을 도출하는 방법에 대해 설명하고 있다. 관리도의 통계적 설계, 경제적 설계 및 변량 표본 추출비 설계 등의 특성 규명을 위한 Markov연쇄의 적용에 대한 기존의 알려진 방법을 복습하고 또한 새로운 공정관리 분야인 재조정 관리도에의 적용방법에 대한 연구결과도 보여주고 있다. 공정관리의 특성연구에서 해석적 해가 가능한 경우에도 이 과정이 복잡하여 Markov연쇄를 병행 사용하면 특성 규명이 명확해지며, 모의실험보다는 짧은 시간에 더 정밀한 결과를 얻을 수 있어 널리 이용되고 있다.

관리도에서 Markov연쇄의 적용: 복습 및 새로운 응용 (Implementation of Markov chain: Review and new application)

  • 박창순
    • 응용통계연구
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    • 제34권4호
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    • pp.537-556
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    • 2021
  • 통계적 공정관리절차의 특성은 해석적 해를 얻기가 어려운 경우가 많이 있으나 Markov연쇄를 적용하면 가능한 경우가 많이 있다. 이 논문에서는 공정 통계량이 Markov특성을 따르는 경우, Markov연쇄를 생성하는 방법과 이를 이용한 공정관리 절차의 특성을 도출하는 방법에 대해 설명하고 있다. 관리도의 통계적 설계, 경제적 설계 및 변량표본 추출비 설계 등의 특성 규명을 위한 Markov연쇄의 적용에 대한 기존의 알려진 방법을 복습하고 또한 새로운 공정관리 분야인 재조정 관리도에의 적용방법에 대한 연구결과도 보여주고 있다. 공정관리의 특성연구에서 해석적 해가 가능한 경우에도 이 과정이 복잡하여 Markov연쇄를 병행 사용하면 특성 규명이 명확해지며, 모의실험보다는 짧은 시간에 더 정밀한 결과를 얻을 수 있어 널리 이용되고 있다.

일개 대학병원 내 한방물리요법을 받은 환자들의 후향적 의무기록 분석 (Trends and Characteristics of Patients Who Have Been Received the Physical Therapy of Korean Medicine at an University Hospital: A Retrospective Medical Chart Review)

  • 황의형;이현엽;허광호;조현우;황만석;신미숙;김정화;박성하;신병철
    • 한방재활의학과학회지
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    • 제24권1호
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    • pp.55-63
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    • 2014
  • Objectives The aim of this study was to offer the fundamental data for the physical therapies of Korean medicine through analyse the database of one university hospital. Methods As this study was retrospective analysis, following items were selected and analysed in the electronic medical record (EMR) database. (1) sex, (2) inpatient or outpatient, (3) medical department, (4) diagnosis, (5) kind of insurance. Results Although all kind of physical therapies were used, interferential current therapy (ICT) was the most used physical therapy. And department of rehabilitation medicine of Korean medicine prescribed physical therapies most among the 8 specialty departments. As physical therapies were used in various kinds of diseases, they were especially used in musculoskeletal diseases and nervous system diseases. Conclusions The analysis of actual condition of using physical therapies in a real clinical setting of Korean medicine could be a useful fundamental data for the application of modernized physical therapies.

Platybasia in 22q11.2 Deletion Syndrome Is Not Correlated with Speech Resonance

  • Spruijt, Nicole E.;Kon, Moshe;Molen, Aebele B. Mink Van Der
    • Archives of Plastic Surgery
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    • 제41권4호
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    • pp.344-349
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    • 2014
  • Background An abnormally obtuse cranial base angle, also known as platybasia, is a common finding in patients with 22q11.2 deletion syndrome (22q11DS). Platybasia increases the depth of the velopharynx and is therefore postulated to contribute to velopharyngeal dysfunction. Our objective was to determine the clinical significance of platybasia in 22q11DS by exploring the relationship between cranial base angles and speech resonance. Methods In this retrospective chart review at a tertiary hospital, 24 children (age, 4.0-13.1 years) with 22q11.2DS underwent speech assessments and lateral cephalograms, which allowed for the measurement of the cranial base angles. Results One patient (4%) had hyponasal resonance, 8 (33%) had normal resonance, 10 (42%) had hypernasal resonance on vowels only, and 5 (21%) had hypernasal resonance on both vowels and consonants. The mean cranial base angle was $136.5^{\circ}$ (standard deviation, $5.3^{\circ}$; range, $122.3-144.8^{\circ}$). The Kruskal-Wallis test showed no significant relationship between the resonance ratings and cranial base angles (P=0.242). Cranial base angles and speech ratings were not correlated (Spearman correlation=0.321, P=0.126). The group with hypernasal resonance had a significantly more obtuse mean cranial base angle ($138^{\circ}$ vs. $134^{\circ}$, P=0.049) but did not have a greater prevalence of platybasia (73% vs. 56%, P=0.412). Conclusions In this retrospective chart review of patients with 22q11DS, cranial base angles were not correlated with speech resonance. The clinical significance of platybasia remains unknown.

당뇨 환자의 체중감량을 위한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰 (Gamitaeeumjowee-Tang for weight loss in diabetic patients: A retrospective chart review)

  • 이아름;이다연;김민지;이향숙;최가혜;김서영;임영우;박영배
    • 대한한의학회지
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    • 제42권1호
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    • pp.46-58
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    • 2021
  • Objectives: The purpose of this study is to report weight changes and analyze adverse events in diabetic patients with Gamitaeeumjowee-Tang for weight loss. Methods: A retrospective chart review of weight change and adverse events was performed during the 10-week weight loss program using Gamitaeeumjowee-tang with low-calorie diets for diabetics(n=61). Weight and BMI changes were compared before and after the program and calculated the percentage of people who lost more than 5% of their weight, also identified whether subjects felt satiated or not. Adverse events were evaluated in terms of causality, severity and system-organ classes. Results: After 10-week weight loss program, significant weight loss (5.9±2.32kg, 7.73% reduction from baseline) and BMI reduction (2.9±0.86) were reported (n=61). Those who lost more than 5 percent of their body weight accounted for 88.5%, and also 88.5% of the participants felt full to help control their appetite. In assessing the causality of adverse events, 'Unlikely' was the most common (66%) and in severity evaluations, almost all symptoms were mild. Insomnia was the most frequently reported during the first 8 weeks, and constipation was reported the most afterwards. Conclusions: A combination of Gamitaeeumjowee-tang and low-calorie diets for 10 weeks appears to help weight reduction without serious adverse events in diabetic patients. Future well-designed prospective clinical studies testing the effectiveness and safety of this weight loss program are warranted.

비만 환자의 한의복합치료 후 비만 개선 효과: 후향적 연구 (Effect of Complex Korean Medicine Treatment on Obese Patient: A Retrospective Study)

  • 김병준;이은정;김용진;구원회;이원구;김기병;오민석
    • 한방비만학회지
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    • 제22권1호
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    • pp.47-53
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    • 2022
  • Objectives: The purpose of this study was to observe the effect of improving obesity after 4 week complex Korean medicine treatment in obese patients by retrospectively analyzing. Methods: A retrospective chart review was conducted on 44 patients who received obesity treatment at 23 Korean medicine clinics in Daejeon city. We analyzed weight, body mass index (BMI), body fat percentage, body fat mass, muscle mass, hip and waist circumference, EuroQol-5D (EQ-5D), Korean version of obesity-related quality of life scale (KOQOL), and satisfaction surveys at 4 and 8 weeks after treatment. Results: The weight, BMI change after 4 weeks and 8 weeks was decreased significantly. In addition, there were significant differences in fat mass, muscle mass, waist circumference, and hip circumference. Life quality scale EQ-5D and KOQOL showed decreased significantly. In the evaluation of overall satisfaction, safety, help level, recommendation intention, and revisit intention, more than 89% answered positively that they were satisfied. There were no serious side effects. Conclusions: It was significant effect on weight loss and obesity improvement after complex Korean medicine. And quality of life evaluation and satisfaction survey also show positive results.