• 제목/요약/키워드: Effectiveness Index

검색결과 1,258건 처리시간 0.028초

한국 담배규제 정책의 평가: 담배규제정책 전문가 의견 조사를 토대로 (Evaluation of Tobacco Control Policy in Korea: Development and Application of the Korean Tobacco Index for Policy Monitoring and Evaluation)

  • 황지은;오유미
    • 보건행정학회지
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    • 제24권4호
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    • pp.342-348
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    • 2014
  • Background: Due to lack of regular and systematic evaluation tool, Korea's tobacco control policy has not been examined its overall process of implementation including efficiency and adequacy of the policies. This study developed policy monitoring and evaluation model to assess policy implementation and effectiveness of tobacco control in Korea. Methods: Based on World Health Organization operational manual for assessment, MPOWER (monitor tobacco use and prevention policies, protect from tobacco smoke, offer help to quit tobacco use, warn about the dangers of tobacco, enforce bans on tobacco advertising promotion and sponsorship, and raise taxes on tobacco) related policies were reviewed by rating policy efforts, programme management, people (human resources and their development), provision of organization, provision of fund and partnerships (range, 0 to 5). Results: As a result of the experts' assessment, overall Korean tobacco control policies scored 2.61 points, which is poor. In relation to each 'MPOWER' policies, 'W' scored the highest points (2.93), followed by 'O' (2.91), 'M' (2.87), 'P' (2.86), and 'E' (2.23). 'R' scored the lowest points of 1.87, meaning government efforts in tobacco price policy is insufficient. Conclusion: This study concludes that Korean tobacco control policy should strengthen tax and price measures, while programme infrastructure, people, and funds for policy enforcement should be secured. Furthermore, rather than focusing on one specific measure, a balanced approach reflecting various aspects of tobacco controls should be considered in order to decrease smoking rates and prevent smoking initiation.

자하거 대용량 약침 및 한의학적 치료를 적용한 척추관 협착증 증례 보고 (Case Report of Patients Diagnosed with Spinal Stenosis Treated by Hominis Placenta Megadose Pharmacopuncture Combined with Korean Medicine Treatment)

  • 송광찬;서지연;조명의;송승배;최봉석;류원형;김두리;전용현
    • 동의생리병리학회지
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    • 제32권2호
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    • pp.141-147
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    • 2018
  • The purpose of this research is to show the effectiveness of spinal stenosis treated by Hominis Placenta Megadose pharmacopuncture combined with Korean medicine treatment. We used Hominis Placenta Megadose pharmacopuncture treatment on patients who received treatment at Bucheon Jaseng Korean medicine hospital from March, 2016 to October, 2016. Also we checked Numeric Rating Scale(NRS), Oswestry low back pain Disability Index(ODI) to follow the scale showing the improvement of the symptoms of the patients. All 4 patients showed the improvement of NRS, ODI scales. This research suggests Hominis Placenta Megadose pharmacopuncture combined with Korean medicine treatment can help treat spinal stenosis.

Clinical efficacy of intermittent magnetic pressure therapy for ear keloid treatment after excision

  • Jun, Dongkeun;Shin, Donghyeok;Choi, Hyungon;Lee, Myungchul
    • 대한두개안면성형외과학회지
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    • 제20권6호
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    • pp.354-360
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    • 2019
  • Background: Keloids are benign fibro-proliferative lesion, related to excessive inflammatory reactions in certain anatomical areas, including the auricles. Their specific etiology remains unclear; nonetheless they exhibit tumor-like characteristics of significant recurrence and cause emotional distress, even with various treatment strategies. We applied intermittent magnetic pressure therapy on ear keloids in combination with surgical excision, and present its effectiveness herein. Methods: Ear keloid patients were treated with surgical excision followed by magnetic pressure therapy. The keloid tissues underwent excision and keloid marginal flaps were utilized for wound closure. Intermittent magnetic pressure therapy was applied 2 weeks after the surgical procedure. The pressure therapy consisted of a 3-hour application and 2-hour resting protocol (9 hr/day), and lasted for 6 months. The results were analyzed 6 months after the therapeutic procedures, using the scar assessment scale. Results: Twenty-two ear keloids from 20 patients were finally reviewed. Among the keloids that completed the therapeutic course, 20 ear keloids out of 22 in total (90.9%) were successfully eradicated. Two patients (2 keloids) exhibited slight under-correction. Postoperative complications such as wound dehiscence or surgical site infection were not noted. The scar assessment scale demonstrated a significant improvement in each index. The intermittent pressure therapy led to patient compliance, and avoided pressure-related pain and discomfort. Conclusion: Excision followed by intermittent pressure application using a magnet successfully reduced the burden of fibro-proliferative keloids, and had good patient compliance. The role of intermittent pressure application and resting should be studied with regard to keloid tissue remodeling.

Seismic response and damage development analyses of an RC structural wall building using macro-element

  • Hemsas, Miloud;Elachachi, Sidi-Mohammed;Breysse, Denys
    • Structural Engineering and Mechanics
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    • 제51권3호
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    • pp.447-470
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    • 2014
  • Numerical simulation of the non-linear behavior of (RC) structural walls subjected to severe earthquake ground motions requires a reliable modeling approach that includes important material characteristics and behavioral response features. The objective of this paper is to optimize a simplified method for the assessment of the seismic response and damage development analyses of an RC structural wall building using macro-element model. The first stage of this study investigates effectiveness and ability of the macro-element model in predicting the flexural nonlinear response of the specimen based on previous experimental test results conducted in UCLA. The sensitivity of the predicted wall responses to changes in model parameters is also assessed. The macro-element model is next used to examine the dynamic behavior of the structural wall building-all the way from elastic behavior to global instability, by applying an approximate Incremental Dynamic Analysis (IDA), based on Uncoupled Modal Response History Analysis (UMRHA), setting up nonlinear single degree of freedom systems. Finally, the identification of the global stiffness decrease as a function of a damage variable is carried out by means of this simplified methodology. Responses are compared at various locations on the structural wall by conducting static and dynamic pushover analyses for accurate estimation of seismic performance of the structure using macro-element model. Results obtained with the numerical model for rectangular wall cross sections compare favorably with experimental responses for flexural capacity, stiffness, and deformability. Overall, the model is qualified for safety assessment and design of earthquake resistant structures with structural walls.

Results of Intravesical Chemo-Hyperthermia in High-risk Non-muscle Invasive Bladder Cancer

  • Ekin, Rahmi Gokhan;Akarken, Ilker;Cakmak, Ozgur;Tarhan, Huseyin;Celik, Orcun;Ilbey, Yusuf Ozlem;Divrik, Rauf Taner;Zorlu, Ferruh
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3241-3245
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    • 2015
  • Purpose: To examine the effectiveness of mitomycin-C and chemo-hyperthermia in combination for patients with high-risk non-muscle-invasive bladder cancer. Materials and Methods: Between November 2011-September 2013, 43 patients with high-risk non-muscle-invasive bladder cancer undergoing adjuvant chemo-hyperthermia in two centers were evaluated retrospectively. Treatment consisted of 6 weekly sessions, followed by 6 sessions. Recurrence and progression rate, recurrence-free interval and side effects were examined. Analyzed factors included age, gender, smoking status, AB0 blood group, body mass index, T stage and grade, concominant CIS assets. The associations between predictors and recurrence were assessed using multivariate Cox proportional hazard analyses. Results: A total of 40 patients completed induction therapy. Thirteen (32.5%) were diagnosed with tumor recurrence. Median follow-up was 30 months (range 9-39). Median recurrence-free survival was 23 months (range 6-36). The Kaplan-Meier-estimated recurrence-free rates for the entire group at 12 and 24 months were 82% and 61%. There was no statistically significant difference between patient subgroups. Cox hazard analyses showed that an A blood type (OR=6.23, p=0.031) was an independent predictor of recurrence-free. Adverse effects were seen in 53% of patients and these were frequently grades 1 and 2. Conclusions: Intravesical therapy with combination of mitomycin-C and chemohyperthermia seems to be appropriate in high-risk patients with non-muscle-invasive bladder cancer who cannot tolerate or have contraindications for standard BCG therapy.

한국 서해 참조기(Larimichthys polyactis)의 육안판별법과 GSI판별법에 의한 성숙체장 추정 (Estimating Length at Sexual Maturity of the Small Yellow Croaker Larimichthys polyactis in the Yellow Sea of Korea Using Visual and GSI Methods)

  • 강희중;마지영;김현지;김한주
    • 한국수산과학회지
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    • 제53권1호
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    • pp.50-56
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    • 2020
  • Determination of the precise size at sexual maturity is very important for science-based stock assessment and fisheries resource management. In this study, two different models, (1) a visual method and (2) a gonadosomatic index (GSI) method, were employed to estimate length at sexual maturity of the small yellow croaker Larimichthys polyactis in the Yellow Sea of Korea. The visual method is a common qualitative method using visual gonadal identification. Conversely, the GSI method is a quantitative method using the GSI, which can be easily and precisely collected. We compared results from these methods to determine the best approach, and to examine the practicality of the GSI method. Logistic regression of the maturity ogive was conducted using a general linear model (GLM) with the R statistics program. Also, the bootstrapped 95% confidence intervals of all estimates were calculated. The best-fit model was the visual method (RMc2=0.805, AUC=0.989, L50=15.1). Among models using the GSI method, the model computing GSIref=0.94 was the best-fit model (RMc2=0.792, AUC=0.989, L50=15.2). There was no significant difference between the two models, evidencing the effectiveness and accuracy of the GSI method.

경찰공무원의 조직문화인식과 조직몰입이 사회적 태만에 미치는 영향 (The Effects of Police Organizational Culture & Organizational Commitment on Social Loafing)

  • 주재진
    • 한국콘텐츠학회논문지
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    • 제16권1호
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    • pp.438-444
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    • 2016
  • 집단과 조직에서 수행되는 업무가 필수적인 경찰활동의 특성 상 경찰공무원의 사회적 태만 정도를 줄이고 조직에 몰입하는 방안을 모색하는 것은 대단히 중요한 일이다. 이 연구는 지금가지 사회적 태만에 영향을 미치는 요인에 관한 연구들이 진행되어왔으나, 개인적 요인과 문화적 요인을 종합적으로 고려한 통합적인 연구들은 상대적으로 부족한 상황에 대한 인식에서 출발했다. 이 연구에서는 경찰공무원을 대상으로, 조직문화 인식과 조직몰입이 사회적 태만에 미치는 영향력을 살펴보았다. 조직문화인식의 하위 요인으로 '합리문화', '발전문화' '위계문화' '집단문화'의 4개 변수를, 조직몰입의 문화의 하위변수로는 '감정몰입', '지속몰입', '규범몰입'의 3개 변수를 선정하였고, 종속변수로는 사회적 태만을 선정하였다. 실증분석 결과, 조직문화인식 중 집단문화는 사회적 태만에 정(+)적인 영향을 미치고, 합리문화는 사회적 태만에 부(-)적인 영향을 미치는 것으로 나타났다. 그리고 조직몰입의 하위변수 중 감정몰입과 지속몰입은 부(-)적인 영향을, 규범몰입은 정(+)적인 영향을 미치는 것으로 나타났다.

A Feasibility Study on Adopting Individual Information Cognitive Processing as Criteria of Categorization on Apple iTunes Store

  • Zhang, Chao;Wan, Lili
    • 한국정보시스템학회지:정보시스템연구
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    • 제27권2호
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    • pp.1-28
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    • 2018
  • Purpose More than 7.6 million mobile apps could be approved on both Apple iTunes Store and Google Play. For managing those existed Apps, Apple Inc. established twenty-four primary categories, as well as Google Play had thirty-three primary categories. However, all of their categorizations have appeared more and more problems in managing and classifying numerous apps, such as app miscategorized, cross-attribution problems, lack of categorization keywords index, etc. The purpose of this study focused on introducing individual information cognitive processing as the classification criteria to update the current categorization on Apple iTunes Store. Meanwhile, we tried to observe the effectiveness of the new criteria from a classification process on Apple iTunes Store. Design/Methodology/Approach A research approach with four research stages were performed and a series of mixed methods was developed to identify the feasibility of adopting individual information cognitive processing as categorization criteria. By using machine-learning techniques with Term Frequency-Inverse Document Frequency and Singular Value Decomposition, keyword lists were extracted. By using the prior research results related to car app's categorization, we developed individual information cognitive processing. Further keywords extracting process from the extracted keyword lists was performed. Findings By TF-IDF and SVD, keyword lists from more than five thousand apps were extracted. Furthermore, we developed individual information cognitive processing that included a categorization teaching process and learning process. Three top three keywords for each category were extracted. By comparing the extracted results with prior studies, the inter-rater reliability for two different methods shows significant reliable, which proved the individual information cognitive processing to be reliable as criteria of categorization on Apple iTunes Store. The updating suggestions for Apple iTunes Store were discussed in this paper and the results of this paper may be useful for app store hosts to improve the current categorizations on app stores as well as increasing the efficiency of app discovering and locating process for both app developers and users.

상심자추출복합물의 퇴행성관절염 개선 효능에 대한 동물실험 및 임상연구 (Animal and Clinical Study of the Efficacy of Mulberry Extract Complex on Degenerative Arthritis)

  • 김진구;하정구;이화;정종문
    • 대한본초학회지
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    • 제30권3호
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    • pp.25-34
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    • 2015
  • Objectives : This study was performed to investigate the efficacy and safety of the Mulberry Extract Complex in a placebo-controlled randomized clinical trial and animal study on degenerative arthritis. Methods : Animal study: Mulberry Extract Complex is composed of extracts of mulberry (Morus alba L.) fruit, mulberry leaves and black beans (Glycine max (L.) Merr.). To evaluate the serum level of interleukin-2, interferon-$\gamma$, and prostaglandin E2, an animal model of degenerative arthritis induced by monosodium iodoacetate was employed. Clinical study: The efficacy index (VAS, K-WOMAC) was compared among patients with symptoms of degenerative arthritis before and after Mulberry Extract Complex ingestion as well as the one in groups. Evaluations of the improvement by the subjects and by doctor assessment were also performed. Results : Animal study: Mulberry Extract Complex reduced the serum level of interferon-$\gamma$ and prostaglandin E2 in an animal model with degenerative arthritis. Clinical study: The VAS change showed statistical significance in the experimental groups after 4 weeks (PP set) and 8 weeks (ITT set) of ingestion. When the K-WOMAC was analyzed using a modified ITT set to determine the effectiveness, statistically significant results were obtained in the fields of pain & symptom within the Mulberry Extract Complex group as well as between the Mulberry Extract Complex and placebo groups after 8 weeks of ingestion. Results from the improvement evaluation by subjects and the assessment of improvement by doctors showed statistical significance in the experimental groups (PP set) after 8 weeks. Conclusions : Mulberry Extract Complex could be useful for the improvement of various symptoms of degenerative arthritis based on its anti-inflammatory activity and its reduction of VAS and K-WOMAC pain scores.

The Effectiveness of Endoscopic Radiofrequency Denervation of Medial Branch for Treatment of Chronic Low Back Pain

  • Jeong, Sun Yoon;Kim, Jin Sung;Choi, Won Suh;Hur, Jung Woo;Ryu, Kyoung Sik
    • Journal of Korean Neurosurgical Society
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    • 제56권4호
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    • pp.338-343
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    • 2014
  • Objective : The aim of this study is to evaluate the clinical results of endoscopic radiofrequency ablation of medial branch in patients with chronic low back pain originating from facet joints. Methods : Between October 2010 and December 2013, 52 consecutive patients had suffering from chronic low back pain had undergone endoscopic radiofrequency denervation of medial branch of dorsal ramus. The clinical outcomes of these 52 patients were reviewed retrospectively. Preoperative and postoperative Visual Analogue Scale (VAS) and Korean version of Oswestry Disability Index (K-ODI), and patients' satisfaction with the procedure were assessed. Results : The pain scores on the VAS for back pain had improved significantly from a preoperative mean of 7.1 to a postoperative mean of 2 at the last follow-up (p<0.001). The clinical outcomes based on the K-ODI had also improved significantly from a preoperative mean of 26.5% to postoperative mean of 7.7% at the last follow-up (p<0.001). 80% of patients were satisfied with the procedure. There were no complications associated with the procedure. Conclusion : Our preliminary results demonstrate that endoscopic radiofrequency denervation of medial branch could be an effective alternative treatment modality for chronic back pain originating from facet joints that provides long-term pain relief.