• 제목/요약/키워드: Medical evaluation

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Impact and Evaluation of International Cancer Control Congresses

  • Sarwal, Kavita;Trapido, Edward J.;Sutcliffe, Simon;Qiao, You-Lin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.1159-1163
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    • 2013
  • International meetings on various aspects of cancer- its etiology, its diagnosis, its treatment, its palliation, and its prevention and control are held frequently. Many have similar themes, and many seek and receive the same speakers and audiences. A fundamental question arises: what difference does any individual meeting/congress/conference make or add to our understanding of the relevant issues? While many meetings conduct evaluations at the end of the Congress, few use evaluation as a tool to guide design, implementation, and evaluation of both short and long term impacts, and address the question of "what difference did the Congress make". The International Cancer Control Congresses, which are held biennially in different regions of the world, took the opportunity to use evaluation in this way, and ask the relevant questions. This paper describes that evaluation session of the ICCC4, held in Seoul, Korea in November 2011, which was part of the larger evaluation issue.

시판 후 의료기기 임상평가를 위한 체계적 문헌고찰 활용 방안 연구: 안과용전기수술기 사례를 중심으로 (A Study on the Application of Systematic Literature Review for Post-Market Clinical Evaluation of Medical Devices: Focused on the Ophthalmic Electrosurgical system)

  • 김병관;최영숙;김미선;양석조
    • 대한의용생체공학회:의공학회지
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    • 제41권1호
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    • pp.35-41
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    • 2020
  • In this study, we examined whether the systematic literature review method used in the field of evidence-based medicine could be used for post-market clinical evaluation of medical devices by modifying them to fit the regulatory perspective of medical devices in Korea. For this purpose, systematic literature review was modified and applied to conduct a clinical literature survey on the ophthalmic electrosurgical system(Trabectome®, NeoMediX Corp) used for the treatment of glaucoma. A total of six documents were finally selected, and clinical safety and efficacy information on the indications of the ophthalmic electrosurgical system were effectively presented. In addition, general safety information and unexpected safety information could be distinguished through comparison with medical device adverse event reporting cases. The method used in this study is expected to be used in various ways throughout post-market medical device safety management system and for the purpose of regulation improvement, especially in the field of ophthalmic electrosurgical system.

CT 정도관리를 위한 인공지능 모델 적용에 관한 연구 (Study on the Application of Artificial Intelligence Model for CT Quality Control)

  • 황호성;김동현;김호철
    • 대한의용생체공학회:의공학회지
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    • 제44권3호
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    • pp.182-189
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    • 2023
  • CT is a medical device that acquires medical images based on Attenuation coefficient of human organs related to X-rays. In addition, using this theory, it can acquire sagittal and coronal planes and 3D images of the human body. Then, CT is essential device for universal diagnostic test. But Exposure of CT scan is so high that it is regulated and managed with special medical equipment. As the special medical equipment, CT must implement quality control. In detail of quality control, Spatial resolution of existing phantom imaging tests, Contrast resolution and clinical image evaluation are qualitative tests. These tests are not objective, so the reliability of the CT undermine trust. Therefore, by applying an artificial intelligence classification model, we wanted to confirm the possibility of quantitative evaluation of the qualitative evaluation part of the phantom test. We used intelligence classification models (VGG19, DenseNet201, EfficientNet B2, inception_resnet_v2, ResNet50V2, and Xception). And the fine-tuning process used for learning was additionally performed. As a result, in all classification models, the accuracy of spatial resolution was 0.9562 or higher, the precision was 0.9535, the recall was 1, the loss value was 0.1774, and the learning time was from a maximum of 14 minutes to a minimum of 8 minutes and 10 seconds. Through the experimental results, it was concluded that the artificial intelligence model can be applied to CT implements quality control in spatial resolution and contrast resolution.

한의 오장변증진단평가 도구 개발을 위한 기초 연구 (Preliminary Study to Develop the Instrument of Korean Medical Pattern Identification and Functional Evaluation for Five Organ)

  • 장은수;윤용기;유호룡;유정은;김인창;박지연;정인철
    • 동의생리병리학회지
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    • 제31권2호
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    • pp.126-137
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    • 2017
  • This study was aimed to develop the instrument of Korean medical pattern Identification and Functional Evaluation for Five Organ. This study followed seven steps, consisted of first composition of research members, second set-up of the aim, third review for advanced research, fourth finding an important index, fifth puting on the weight for index, sixth advice from linguist and last development of draft of questionnaire. Twenty two in and out researchers joined and put the weight on each question. We developed a draft version of questionnaire of Korean medical pattern identification and functional evaluation for five organ. Most questions between pattern identification and functional evaluation of five organ have similar weight, but several ones have difference in order. Generally, specific symptom represented specific location or related with pain have relatively higher weight on pattern identification, and weakness question gained weight on functional evaluation. We develop the questionnaire of Korean medical pattern identification and functional evaluation for five organ. Following study, which will evaluate the reliability and validity, is needed.

C-arm CT의 필수 성능평가 기준 마련을 위한 연구 (A Study on Establishment of Essential Performance Evaluation Criteria for C-arm Computed Tomography)

  • 김은혜;박혜민;김정민
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권2호
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    • pp.127-134
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    • 2022
  • In order to overcome the image quality limitations of the conventional C-arm, a flat panel detector (FPD) is used to enhance spatial resolution, detective quantum efficiency, frame rate, and dynamic range. Three-dimensional (3D) visualized information can be obtained from C-arm computed tomography (CT) equipped with an FPD, which can reduce patient discomfort and provide various medical information to health care providers by conducting procedures in the interventional procedure room without moving the patient to the CT scan room. Unlike a conventional C-arm device, a C-arm CT requires different basic safety and essential performance evaluation criteria; therefore, in this study, basic safety and essential performance evaluation criteria to protect patients, medical staff, and radiologists were derived based on International Electrotechnical Commission (IEC) standards, the Ministry of Food and Drug Safety (MFDS) standards in Korea, and the rules on the installation and operation of special medical equipment in Korea. As a result of the study, six basic safety evaluation criteria related to electrical and mechanical radiation safety (leakage current, collision protection, emergency stopping device, overheating, recovery management, and ingress of water or particulate matter into medical electrical (ME) equipment and ME systems: footswitches) and 14 essential performance evaluation criteria (accuracy of tube voltage, accuracy of tube current, accuracy of loading time, accuracy of current time product, reproducibility of radiation output, linearity and consistency in radiography, half layer value in X-ray equipment, focal size and collimator, relationship between X-ray field and image reception area, consistency of light irradiation versus X-ray irradiation, performance of the mechanical device, focal spot to skin distance accuracy, image quality evaluation, and technical characteristic of cone-beam computed tomography) were selected for a total of 20 criteria.

전국종합병원 의료서비스 연구 (A Study on a National Scale on Medical Service in General Hospitals)

  • 장경;이응석;고승균;고현민
    • 산업경영시스템학회지
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    • 제29권3호
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    • pp.7-14
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    • 2006
  • Nowadays, many people are deeply interested in health and well-being. Ministry of Health and Welfare showed the results of evaluation of medical service of seventy eight general hospitals in 2005. The number of its medical service variables was eighteen and the evaluation was carried out in eight regions on a national scale. Our study used the result data of the evaluation and presented the descriptive and inferential research findings. Thus, relations between the eight regions in Korea and 18 variables were studied, using ANOVA, etc., the significant results were found, and through regression analysis we estimated slope parameters of significant variables and could let the persons concerned know which variables were more important or less important and suggested which variables should specially be strengthened for higher ranking of the overall evaluation and for acquisition of the excellent grade, A.

수술실간호사 업무수행평가 도구개발 (Development of Performance Evaluation Tool for Operating Room Nurses)

  • 박성애;박광옥;김명숙;윤계숙;이윤영
    • 임상간호연구
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    • 제14권1호
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    • pp.71-84
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    • 2008
  • Purpose: The purpose of this study was to develop a performance tool to evaluate operating room nurses. Method: In the first stage, 59 preliminary items were selected after two focus group meetings were carried out using as background a reference review. At this stage 59 items were developed. Next, the selected preliminary items were modified by an expert group of nurses with over 10 years experience, nurses holding doctoral degrees and professors in nursing. In the third and fourth stage, these items were analyzed by the expert group to determine validity and tested by hospital nurses with over 10 years experience to determine reliability Results: For the final tool, the 59 items, 47 items for the performance evaluation dimension and 12 items for the competence evaluation dimension were found to be valid and reliable. Cronbach's $\alpha$ was .9622, a promising alpha value for the total instrument. Conclusion: This tool is an efficient performance evaluation instrument providing meaningful feedback for operating room nurses.

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의학교육에의 교육순환모델(Learning Cycle)의 적용과 쟁점 (Applications and issues of the Learning Cycle to medical education)

  • 김보현;김상현
    • 의학교육논단
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    • 제10권2호
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    • pp.19-24
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    • 2008
  • Purpose: The 'learning cycle' proposed by Guilbert in 1981 has been accredited as an effective and useful model for curriculum design. Three components of learning cycle, learning objective, instructional method, and assessment are connected organically and form basic structure of curriculum. In this study, we intend to analyze how the learning cycle and its three components are applied to present medical curriculum and examine the points at issue of the learning cycle in medical education. Also, we try to identify the educational significance of the leaning cycle in medical education. Results: First, concerning the learning objective, it was identified that impractical and abstract expressions are major controversial points. Also, there is a need to make learning objectives covering entire medical curriculum. Second, because of various structural problems, it is hard to practice new and various instructional methods. Third, even though there is a growing need for medical curriculum to develop and utilize more various and detailed assessment and evaluation, it was revealed that only are standardized and traditional assessments mainly used. Conclusion: Synthetically, we have some suggestions as follows. First, it is necessary to specify and actualize the learning objectives. Also, instructional methods and assessments should be diversified. And finally, there is a need to build organic and delicate medical curriculum by applying the learning cycle to medical education more actively.