• Title/Summary/Keyword: Comprehensive evaluation

Search Result 1,465, Processing Time 0.03 seconds

Hybrid argon plasma coagulation in Barrett's esophagus: a systematic review and meta-analysis

  • Sagar N. Shah;Nabil El Hage Chehade;Amirali Tavangar;Alyssa Choi;Marc Monachese;Kenneth J. Chang;Jason B. Samarasena
    • Clinical Endoscopy
    • /
    • v.56 no.1
    • /
    • pp.38-49
    • /
    • 2023
  • Background/Aims: Patients with Barrett's esophagus are at increased risk of developing esophageal adenocarcinoma. Endoscopic therapies aim to eradicate dysplastic and metaplastic tissues. Hybrid argon plasma coagulation (hybrid-APC) utilizes submucosal fluid injection to create a protective cushion prior to ablation that shields the submucosa from injury. We performed a pooled meta-analysis to evaluate the safety and efficacy of hybrid-APC. Methods: We conducted a systematic search of major electronic databases in April 2022. Studies that included patients with dysplastic and non-dysplastic Barrett's esophagus undergoing treatment with hybrid-APC were eligible for inclusion. Outcome measures included complete remission of intestinal metaplasia (CR-IM), stricture formation, serious adverse events, and number of sessions necessary to achieve CR-IM. Results: Overall pooled CR-IM rate for patients undergoing hybrid-APC was 90.8% (95% confidence interval [CI], 0.872-0.939; I2=0%). Pooled stricture rate was 2.0% (95% CI, 0.005-0.042; I2=0%). Overall serious adverse event rate was 2.7% (95% CI, 0.007-0.055; I2=0%). Conclusions: Results of the current meta-analysis suggest that hybrid-APC is associated with high rates of CR-IM and a favorable safety profile. Interpretation of these results is limited by the inclusion of retrospective cohort and case series data. Randomized controlled trials that standardize treatment and outcome evaluation protocols are necessary to understand how this treatment option is comparable to the current standards of care.

Experience of Adaptation to Work In Comprehensive Nursing Service Units of Nurses (간호·간병통합서비스병동 간호사의 업무 적응 경험)

  • Suhyun Park;Seohyun Won;Bosun Kim;Jinhyang Yang;Seonhye Heo
    • The Journal of the Convergence on Culture Technology
    • /
    • v.10 no.3
    • /
    • pp.69-88
    • /
    • 2024
  • Purpose : This study was conducted to examine the Experience of Adaption to Work in Comprehensive Nursing Service Units of Nurses. Methods : Empirical data were collected from 8 nurses through in-depth interviews. Eight participants who had more than 6 months of clinical experience in the general ward and had more than 6 months of work experience in Comprehensive Nursing Service Units were selected as participants. The main question was what does it mean to work in Comprehensive Nursing Service Units? All interviews were recorded and transcribed, and then analyzed using Giorgi's interview. Results: As a result of the analysis, five topics were derived. 'Facing a changed work environment', 'A sense of unexpected heterogeneity in work', 'Evaluation of immediate reality.', 'Finding strategies and promoting balance', 'Growing up as a professional nurse.' Conclusion: Based on these findings, There is a need to build a system that can adapt to work and continue to develop programs for capacity building in Comprehensive Nursing Service Units of Nurses.

Developing an IFC-based database for construction quality evaluation

  • Xu, Zhao;Li, Bingjing;Li, Qiming
    • International conference on construction engineering and project management
    • /
    • 2017.10a
    • /
    • pp.301-312
    • /
    • 2017
  • Quality evaluation and control represent increasingly important concerns for construction quality management. There is an evident need for a standard data model to be used as the basis for computer-aided quality management. This study focuses on how to realize evaluation of construction quality based on BIM and database technology. In this paper, the reinforced concrete main structure is taken as an example, and the BP neural network evaluation model is established by inquiring current construction quality acceptance specification and evaluation standard. Furthermore, IFC standard is extended to integrate quality evaluation information and realize the mapping of evaluation information in BIM model, contributing to the visualization and transfer sharing of evaluation information. Furthermore, the conceptual entity model is designed to build quality evaluation database, and this paper select MySQL workbench system to achieve the establishment of the database. This study is organized to realize the requirement of visualization and data integration on construction quality evaluation which makes it more effective, convenient, intuitive, easy to find quality problems and provide more comprehensive and reliable data for the quality management of construction enterprises and official construction administratiors.

  • PDF

A Study on the Risk Assessment System for Human Factors (휴먼에러를 중심으로 한 위험요인 도출 방법론에 관한 연구)

  • Jung, Sang Kyo;Chang, Seong Rok
    • Journal of the Korean Society of Safety
    • /
    • v.29 no.3
    • /
    • pp.79-84
    • /
    • 2014
  • Human error is one of the major contributors to the accidents. A lot of risk assessment techniques have been developed for prevention of accidents. Nevertheless, most of them were interested in physical factors, because quantitative evaluation of human errors was difficult quantitatively. According to lack of risk assessment techniques about human errors, most of industrial risk assessment for human errors were based on data of accident analysis. In order to develop an effective countermeasure to reduce the risk caused by human errors, a systematic analysis is needed. Generally, risk assessment system is composed of 5 step(classification of work activity, identification of hazards, risk estimation, evaluation and improvement). This study aimed to develop a risk identification technique for human errors that could mainly be applied to industrial fields. In this study, Ergo-HAZOP and Comprehensive Human Error Analysis Technique were used for developing the risk identification technique. In the proposed risk identification technique, Ergo-HAZOP was used for broad-brush risk identification. More critical risks were analysed by Comprehensive Human Error Analysis Technique. In order to verify applicability, the proposed risk identification technique was applied to the work of pile head cutting. As a consequence, extensive hazards were identified and fundamental countermeasures were established. It is expected that much attention would be paid to prevent accidents by human error in industrial fields since safety personnel can easily fint out hazards of human factors if utilizing the proposed risk identification technique.

An Analysis on the Unified Policy of the Administrative System for the Public Library: Focusing on the First and the Second Comprehensive Library Advancement Plan (도서관 행정체계 일원화 정책 분석 연구 - 제1, 2차 도서관발전종합계획을 중심으로 -)

  • Cha, Sung-Jong
    • Journal of the Korean Society for Library and Information Science
    • /
    • v.48 no.4
    • /
    • pp.241-266
    • /
    • 2014
  • The purpose of this study is to investigate the importance and validity of the unified policy of the administrative system for the public library through the analysis and evaluation of the outcomes and plans about the policy on the first and second Comprehensive Library Advancement Plan. In addition, this study seeks to the strategies for the public library administrative system unification by reviewing the issue details of the unification strategies. The first Comprehensive Library Advancement Plan was found to be just proclamatory without concrete and practical results through its performance analysis. The policy tasks were evaluated to lack in feasibility and specificity in the second Comprehensive Library Advancement Plan which was performed on a group of library professionals. Policy decision to determine who would be responsible for the unification into the local government was found to be valid by the results of previous research findings, policy evaluation by experts and in-depth interview survey for field practitioners. Substantial and detailed action-oriented strategy rather than bluffing and macro policy is necessary for the unification of the library administrative system. It is because we have found there exist significant issues in terms of unified approach, structure of the organization, personnel transfer and grade adjustment, property transfer, etc. through the analysis.

Application of Inclusive Environmental Impact Assessment for Newly-Proposed Airport in Korea (동남권 신공항 건설에 대한 포괄적 환경영향평가 기법의 적용)

  • Lee, Hee-Su;Park, Jong-Chun;Kim, Hyo-Seob;Jang, Chang-Hwan
    • Journal of Ocean Engineering and Technology
    • /
    • v.25 no.4
    • /
    • pp.54-58
    • /
    • 2011
  • The need and importance of developing and utilizing the oceans, not only as sources of renewable energy and mineral resources, but also as countermeasures to global warming such as for CCS (carbon capture and storage), have continued to increase, especially in countries with limited land areas and resources. Therefore, it is necessary to assess the sustainability of an ocean utilization technology or system not only from an economic point of view but also from an ecological one. For this purpose, it might be effective to develop a comprehensive evaluation method and/or index, by which the assessment of and decisions about a technology and system can be made more objectively. It would also be useful to have an environmental simulation model, which was developed and reported in a previous research. The aim of this study was to modify a reasonable and quantitative index, with which a comprehensive evaluation system can be established, to assess environmental sustainability and risk.

Study on the Competitiveness Evaluation of Urban Cultural Tourism Creative Industry in Pan-Yangtze River Delta

  • Mengmeng, Shao
    • The Journal of Industrial Distribution & Business
    • /
    • v.9 no.12
    • /
    • pp.15-21
    • /
    • 2018
  • Purpose - In order to improve the comprehensive competitiveness of cultural tourism creative industries in the region, different grade cities should adapt to local conditions and differentiated development as the angle. It can promote the optimization of regional tourism industry structure, and make relevant suggestions accordingly. Research design, data, and methodology - Based on the characteristics of cultural tourism creative industry, 24 indicators are selected from four aspects. The comprehensive competitiveness evaluation index system of cultural tourism creative industry is constructed. The essay use factor analysis to quantitatively evaluate 27 cities in the Pan-Yangtze River Delta, and use cluster analysis to classify the competitiveness of cultural tourism creative industries in each city into five types. Results - The results of cluster analysis show that the whole area presents five kinds of step-like features, which are mature leading type, the advantageous development type, comparatively advantageous type, well-grounded type and difference-promotion type. Conclusions - The factor analysis method was used to quantitatively evaluate 27 cities in the Pan-Yangtze River Delta, and cluster analysis was used to classify the cultural tourism creative industry competitiveness of each city into fives type city. Based on the differentiation of cultural tourism creative industry competitiveness and 27 cities in the Pan-Yangtze River Delta, the relevant strategies were proposed.

A Study on the Development of Statistics in Korean Medicine (한의약 분야 통계 개선방안에 관한 연구)

  • Kim, Dae-Young;Oh, Yun-Jung;Mun, Hye-Sun;Han, Chang-Yon
    • Korean Journal of Oriental Medicine
    • /
    • v.13 no.1 s.19
    • /
    • pp.125-128
    • /
    • 2007
  • Objective : This study aims to review the current status and problems of Korean Medicine and attempts to come up with the means to present a comprehensive and effective set of statistical data. Methods : We have analyzed the current statistics and tried to show how to establish an effective system to gather and organize statistics related to Korean Medicine, including national surveys by the Ministry of Health and Welfare or other relevant insititutions. Results : The existing statistics in Korean Medicine were established not as a result of national demand based on comprehensive analysis but due to the demand of the government ministries such as the Ministry of Health and Welfare or other relevant institutions. Thus, the statistics have been revealed to possess limitations such as a lack of systemization and consistency. In addition, the statistics analyze only the current industrial status of Korean Medicine, and as a result the information in unable to show systematic data for innovation, which is indispensable for the advancement and development of the Korean Medicine industry. Conclusion : To improve the statistical data in Korean Medicine, the statistics need to get over not only the level of management or regulation in Korean Medicine, but also the production of fragmentary statistics. It has to ultimately reflect the innovative activities in Korean Medicine nationally, and show what we need to advance and develop the industry.

  • PDF

Congestion Analysis in the Inner Harbour of Ulsan Using a Scenario (시나리오를 이용한 울산 내항의 혼잡 분석)

  • Ha, Chang-Seung;Baek, Ih-Huhm
    • Journal of Fisheries and Marine Sciences Education
    • /
    • v.19 no.2
    • /
    • pp.278-287
    • /
    • 2007
  • Since traffic congestion ratio at any given port fluctuates on the number of arriving and departing vessels, the total tonnage of freight volume being handled, and the number of berth in operation and other factors, there exists a need to numerically analyze the waterway traffic volume. However, there are no effective regulations in regards to the waterway traffic analysis prior to expansion of a port facility. The current analysis requires the traffic analysis in relation only to the width of the waterway, which clearly falls short of achieving a comprehensive evaluation study that could be used in consideration of port expansion.This study provides five scenarios to execute a comprehensive evaluation study and base for the sensitivity study by analyzing the scenarios. As a result of the sensitivity analysis, the A, B, and C scenarios varies the average arrival ratio of the berth shows 1.1, 1.19, and 1.28 times of delays respectively. Also, The D and E scenarios take place malfunctions of pier shows 1.21 and 1.53 times of delays respectively. Therefore, various strategies of harbor development and method of harbor management are needed for the flexible correspondence to the environmental changes such as the excessive increasing of the freight volume and often taking place of malfunctioning.

A Comprehensive Measure of Evaluation for Non-Normal Process Capability with Beta Distributions (베타분포를 하는 비정규 공정능력평가의 종합적 측도)

  • 김홍준;김진수;전창희
    • Journal of Korean Society of Industrial and Systems Engineering
    • /
    • v.22 no.52
    • /
    • pp.69-79
    • /
    • 1999
  • The main objective of this study are to propose two methods that would be a comprehensive measure of evaluation for non-normal process capability with Beta distributions. First method is introduced using process capability index $C_{psk}$ by the Pearson system and Johnson system. The Pearson system and the Johnson System selected for process capability index calculation have a equivalent result of this study that the ranking of the seven indices in terms of sensitivity to departure of the process median from the target value from the most sensitive one up to the least sensitive are $C^{*}_{pm}$ , $C_{psk}$ , $C_{s}$ , $C_{pmk}$ , $C_{pm}$ , $C_{pk}$ , $C_{p}$ . Second method show using the percentage nonconforming by the Pearson, Johnson and Burr functions. In thus study, we find that the Pearson system and the Burr system are a reasonable method to estimate percentage nonconforming. But, the exact procedure for deriving this estimate will be based on Beta distribution. Accordingly, if a process is not normally distributed , but normal-based techniques are used serious errors can result.

  • PDF