• 제목/요약/키워드: Effectiveness Index

검색결과 1,258건 처리시간 0.029초

병원중심 가정간호 사업의 평가 연구 -외래 관절염 환자를 대상으로 - (Effects of Hospital-based Home Care Demonstration Project on Physical and Emotional Problems and Cost - effectiveness of Patients having Arthritis)

  • 임난영;김성윤;이은옥;이인숙
    • 근관절건강학회지
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    • 제3권1호
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    • pp.4-22
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    • 1996
  • Purposes of this study were to identify a hospital-based home care model and to improve the physical, emotional and economical effectiveness of arthritic patients through medical and nursing team approach. The design in nonequivalent control group pretest-posttest design with matched samples in terms of age, sex and disease severity. Fifty two patients in each group were assigned in Seoul, Kyunggi, Kangwon and Kwangju. Before and after 6-month period of home care, level of pain, duration of morning stiffness, Richie Index, ADL, self efficacy, depression, cost expenditure were measured. Nine patients were excluded from the control group in the period of study because of denial of participation. Contents of home care provided to the experimental group include mainly distribution of prescribed drugs, 'assessment of patients' condition and side-reactions of drug. All of the information related to the home care patient were reported to the physician. On the bases of these data, the physician prescribe the specific drugs to each patient. Each patient visited the physician every 2 or 3 month for laboratory test. Patients assigned to the control group visited the outpatient clinic once a month as usual. Null hypotheses were selected because physicians concerned about the ineffective change of patients' conditions due to indirect communication with patients through nurses. Level of pain, Richie index, ADL, self-efficacy, depression, duration of morning stiffness and direct medical cost were the home care provided to them. If a family member accompany in a home care group can save 10,676 Won/month in Seoul, 34,000 Won/month in other districts. Other in-direct cost for transportation and meal can also be saved. In conclusion, those patients with low level of ADL, high level of pain and Richie index, living in the remote area definitely need the home care.

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노출지수를 이용한 요추 X선 촬영의 조사야 유효성 평가 (Effect of Field Size on the Clinical Exposure Index for Lumbar Spine X-ray Examination)

  • 박혜민;윤용수;김정수;정회원
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권3호
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    • pp.183-187
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    • 2021
  • The field size of the lumbar spine X-ray examination, which belongs to the most frequent examination in general radiography, is 5 times wider than the width of the lumbar spine. Exposure index (EI) as per International Electrotechnical Commission has a proportional relationship with the dose incident on the image receptor for clinical protocols in addition to RQA5, which is a calibration beam quality. In this study, the effectiveness of the set field size was evaluated through the change of EI according to the size of field during lumbar spine X-ray examinations. Lumbar anterior-posterior and lateral examinations was performed using a whole-body phantom, and the national average exposure conditions of Korea investigated in 2017 were introduced for the X-ray exposure. As a result of comparing the EI displayed on the console of digital radiography system for the three field size in ① 18 × 36 cm2 ② 25 × 36 cm2 ③ 36 × 36 cm2, the EI values showed a tendency to increase as the field size increased. Since the patient dose, such as organ dose around the lumbar spine, increases as the field size becomes larger, thus, if the EI obtained from the field size at a level that does not interfere with diagnosis is set as a reference, the effectiveness of the field size can be evaluated through the EI displayed on the console when the lumbar spine X-ray examination is conducted.

기능성 소화불량 환자에 대한 한의복합치료 효과 : NDI-K(Nepean Dyspepsia Index-Korean version)를 통한 기능성 소화불량증상, algometer를 통한 압력통각역치 측정을 통하여 (The Effect of Korean Medical Complex Treatment on Functional Dyspepsia Patients : Through Measurement of Functional Dyspepsia Symptoms through NDI-K (Nepean Dyspepsia Index-Korean Version), Pressure Pain Threshold through an Algometer)

  • 노기환;최규호;이상현;최서형;노현민
    • 동의생리병리학회지
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    • 제36권3호
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    • pp.100-104
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    • 2022
  • The purpose of this study is to observe the effectiveness of the Korean medical complex treatments for functional dyspepsia (FD). And we observed NDI-K (Nepean dyspepsia index-Korean version) and algometer on acupoints to confirm the treatment effectiveness. In this retrospective study, we investigated 77 patients with FD symptoms who admitted to 00 Korean Hospital for 2 weeks from April 14, 2020 to March 31, 2021. All patietns were treated with herbal medicines, acupuncture, pharmacopuncture, moxa treatment, aroma therapy, So-jeok and So-jeok II therapy. On the day of admission and discharge, NDI-K, algometer on acupoints (CV12, CV10, ST25, ST27, SP14) were examined twice. Among the NDI-K values, all 14 items except for poor breathing were decreased statistically significantly. The algometer values were increased statistically significantly in all acupoints (CV12, CV10, ST25, ST27, SP14). These results suggest that Korean medical treatment can be useful in the treatment of FD.

Symptomatic Schmorl's Node로 인한 요통과 비신경근성 하지통을 호소하는 환자에 대한 보존적 치료 치험 2예: 증례보고 및 문헌고찰 (Two Case of Symptomatic Schmorl's Node: A Case Report and Literature Review)

  • 강신우;최성환;박현선;박서현;금동호
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.133-144
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    • 2022
  • The objective was to propose effectiveness of conservative treatments including Korean medical treatments for symptomatic Schmorl's nodes (SNs). We conducted retrospective study that analyzed the medical records of two patients with the symptomatic SNs. They were treated by conservative treatments including Korean medical treatments for 3 weeks. We evaluated numeric rating scale (NRS), Oswestry disability index (ODI) and EuroQol-5 dimension (EQ-5D) index. After treatment, NRS, ODI were decreased and EQ-5D index was increased. We performed literature search to analyze the mechanisms of its treatment and evaluate clinical trials. There were three major mechanisms: (1) Improving constructive stability of vertebrae, (2) alleviating pain, and (3) controlling autoimmunity. When comparing operative treatment (OT) trials and conservative treatment (CT) trials, we couldn't find conclusive basis that support which one is more effective. As OT trials reported some severe adverse events, CT trials reported mild adverse events. The conservative treatments that we used encompasses those mechanisms and is relatively safe. To obtain exact evidence of effectiveness, further studies are needed.

노인건강증진을 위한 복합운동프로그램의 효과 검증 (Verification of the Effectiveness of a combined Exercise Program for Improving the Health of the Elderly)

  • 백순기
    • 산업융합연구
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    • 제21권12호
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    • pp.75-81
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    • 2023
  • 본 연구는 노인건강증진을 위한 복합운동프로그램의 효과 검증에 있다. 이를 위해 65세 이상 노인을 대상으로 운동군 10명과 통제군 10명을 선정하였다. 본 연구의 처치프로그램은 12주간 복합운동프로그램으로 유산소운동과 무산소운동을 주 3회 60일간 실시하였다. 운동 참여 전에 혈중지질과 염증지표 검사를 실시하였으며 복합운동프로그램을 종료하면서 혈중지질과 염증지표 검사를 재 실시하였다. 검사결과는 SPSS통계프로그램을 이용하여 기초통계와 집단간의 처치효과를 검증하였다. 이를 기본으로 이와 같은 결과 및 결론을 얻었다. 첫째, 노인건강증진을 위한 복합운동프로그램은 운동군과 통제군의 혈중지질에서 TC, LDL, TG에서 유의미한 차이를 나타내었으며, 처치프로그램에 대한 상호작용효과가 있었다. 둘째, 노인건강증진을 위한 복합운동프로그램은 운동군과 통제군의 염증지표에서 IL-6, TNF-a에서 유의미한 차이를 나타내었으며, 처치프로그램 대한 상호작용효과가 있었다.

Fecal Microbiota Transplantation via Commercial Oral Capsules for Chronic Enteropathies in Dogs and Cats

  • Min-Ok Ryu;Soh-Yeon Lee;Se-Hoon Kim;Hwa-Young Youn;Kyoung-Won Seo
    • 한국임상수의학회지
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    • 제41권3호
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    • pp.150-156
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    • 2024
  • This retrospective case series assessed the effectiveness of commercially available oral fecal microbiota transplantation (FMT) for treating chronic enteropathies in eight animals, five dogs, and three cats, between 2020 and 2023 at the Seoul National University Veterinary Medical Teaching Hospital. Chronic enteropathies, often resistant to conventional therapies, present a significant challenge in veterinary medicine. To assess oral capsule FMT's effectiveness (Doggybiome® one capsule daily for dogs and Kittybiome® one capsule daily for cats) as a universal adjunctive therapy for chronic enteropathies across species not responding to traditional treatments. This retrospective case series applied a uniform evaluation of gastrointestinal symptoms and treatment efficacy, utilizing established scoring systems (Canine Inflammatory Bowel Disease Activity Index [CIBDAI] and Canine Chronic Enteropathy Clinical Activity Index [CCECAI] for dogs, Feline Chronic Enteropathy Activity Index [FCEAI] for cats) before and one month after FMT. This approach ensured consistency in hypothesis testing across the study population. Results revealed significant improvements in clinical indices post-FMT, with notable reductions in the CIBDAI, CCECAI, and FCEAI scores (p < 0.05). Additionally, symptoms such as anorexia, lethargy, diarrhea, vomiting, and weight loss showed marked improvement, with normalization of appetite and activity levels observed in most cases. No adverse effects were reported, indicating the safety and tolerability of this treatment. This study highlights the potential of oral capsule FMT as a viable therapeutic option for dogs and cats with chronic enteropathies unresponsive to conventional treatments, providing a new avenue for clinical management. Further research is warranted to expand these findings and explore the microbiome changes associated with FMT in veterinary patients.

몰리브덴광 부유선별 공정 최적화를 위한 기초 선광 특성 평가 (Evaluation of Basic Beneficiation Characteristics for Optimizing Molybdenum Ore Flotation Process)

  • 한성수;서주범
    • 자원리싸이클링
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    • 제33권2호
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    • pp.37-45
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    • 2024
  • 몰리브덴은 높은 내열성, 내부식성에 의해 다양한 산업에 적용되어, 우리나라의 핵심광물로 선정된 중요한 금속이다. 그러나 최근 몰리브덴 광맥의 저품위화로 인해 생산에 어려움을 겪고 있어, 몰리브덴 선광 공정에 대한 효율 향상이 필요하다. 본 연구에서는 국내 몰리브덴광 선광 공정의 효율 향상을 위한 기초 선광 특성 평가 연구를 수행하였다. 기초 선광 특성은 광물학적 분석, 분쇄일지수, 부유선별 속도 분석으로 평가되었다. 분석 결과, 단체분리가 가능한 몰리브덴광의 입자 크기는 ~100 ㎛였으며, 분쇄 일지수는 14.57 kWh/t로 산출되었다. 또한 부유선별 속도 분석을 통해, 부유선별 단위 공정 각각의 최적 부유선별 시간을 제공함으로써 최적화를 위한 운영 조건을 확립하였다. 마지막으로 본 연구에서 제공한 몰리브덴광 기초 선광 특성 정보는 향후 산업 규모의 몰리브덴 선광 플랜트의 분쇄 및 부유선별 공정을 진단하는 데 활용될 예정이다.

수지침요법이 중년여성의 비만지표에 미치는 영향 (Influence of the Koryo Hand Acupuncture Therapy on the Obesity Index of Middle-age Women)

  • 차지영
    • 성인간호학회지
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    • 제22권6호
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    • pp.615-623
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    • 2010
  • Purpose: The purpose of this study was to evaluate the influence of the Koryo Hand Acupuncture Therapy on middle-age women s obesity index. Methods: A total of 38 middle-age women were assigned to either a control or an intervention group. The intervention group received Koryo Hand Acupuncture Therapy three times a week for ten weeks. The two sample t-test was used to compare the body mass index, fat mass, and waist-to-hip ratio between the intervention (n=18) and the control group (n=20). Results: In both groups, body mass index did not change significantly following the intervention. The intervention group lost $1.00{\pm}1.10kg$ of fat mass (p=.00) and the decrease was significant between the intervention and control group (p=.00). Both groups had increase in waist-to-hip ratio, however, the increase was only significant for the control group (p=.00). Conclusion: The application of Koryo Hand Acupuncture Therapy influenced the change of fat mass, but not clinically significant. It may be useful to repeat the study and to examine other factors that may have interfered with the effectiveness of the intervention. The use of Koryo hand acupuncture therapy should be further studied.

차량 고급감 향상을 위한 흡배기계 음질지수 개발 (A Development of Sound Quality Index of an Intake and Exhaust System for High Quality Improvement of Luxury Vehicles)

  • 이종규;조덕형;서대원;임윤수;원광민
    • 한국소음진동공학회논문집
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    • 제22권3호
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    • pp.234-243
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    • 2012
  • In this paper, a sound quality indices for the evaluation of vehicle intake and exhaust noise were developed through a correlation analysis of objective measurement data and subjective evaluation data. At first, intake and exhaust orifice noise were measured at the wide-open throttle sweep condition. And then, acoustic transfer function between intake orifice noise and interior noise at the steady state condition was measured. Also, acoustic transfer function for exhaust system was measured as the same method. Simultaneously, subjective evaluation was carried out by the paired comparison and semantic differential method by 27 engineers. Next, the correlation analysis between the psycho-acoustic parameters derived from the measured data and the subjective evaluation was performed. The most critical factor was determined and the corresponding sound quality index for the intake and exhaust noise was obtained from the multiple factor regression method. At last, the effectiveness of the proposed index was investigated.

COMPARISON OF RED TIDE DETECTION BY A NEW RED TIDE INDEX METHOD AND STANDARD BIO-OPTICAL ALGORITHM APPLIED TO SEA WIFS IMAGERY IN OPTICALLY COMPLEX CASE-II WATERS

  • Shanmugam Palanisamy;Ahn Yu-Hwan
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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    • pp.445-449
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    • 2005
  • Various methods to detect the phytoplankton/red tide blooms in the oceanic waters have been developed and tested on satellite ocean color imagery since the last two and half decades, but accurate detection of blooms with these methods remains challenging in optically complex turbid waters, mainly because of the eventual interference of absorbing and scattering properties of dissolved organic and particulate inorganic matters with these methods. The present study introduces a new method called Red tide Index (Rl), providing indices which behave as a good measure of detecting red tide algal blooms in high scattering and absorbing waters of the Korean South Sea and Yellow Sea. The effectiveness of this method in identifying and locating red tides is compared with the standard Ocean Chlorophyll 4 (OC4) bio-optical algorithm applied to SeaWiFS ocean imagery, acquired during two bloom episodes on 27 March 2002 and 28 September 2003. The result revealed that OC4 bio-optical algorithm falsely identifies red tide blooms in areas abundance in colored dissolved organic and particulate inorganic matter constituents associated with coastal areas, estuaries and river mouths, whereas red tide index provides improved capability of detecting, predicting and monitoring of these blooms in both clear and turbid waters.

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