• 제목/요약/키워드: Outcomes analysis

검색결과 3,458건 처리시간 0.049초

Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage

  • Eisuke Suzuki;Yuji Fujita;Kunihiro Hosono;Yuji Koyama;Seitaro Tsujino;Takuma Teratani;Atsushi Nakajima;Nobuyuki Matsuhashi
    • Clinical Endoscopy
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    • 제56권5호
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    • pp.650-657
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    • 2023
  • Background/Aims: Endoscopic ultrasound gallbladder drainage (EUS-GBD) is gaining attention as a treatment method for cholecystitis. However, only a few studies have assessed the outcomes of permanent stenting with EUS-GBD. Therefore, we evaluated the clinical outcomes of permanent stenting using EUS-GBD. Methods: This was a retrospective, single-center cohort study. The criteria for EUS-GBD at our institution are a high risk for surgery, inability to perform surgery owing to poor performance status, and inability to obtain consent for emergency surgery. EUS-GBD was performed using a 7-Fr double-pigtail plastic stent with a dilating device. The primary outcomes were the recurrence-free rate of cholecystitis and the late-stage complication-avoidance rate. Secondary outcomes were technical success, clinical success, and procedural adverse events. Results: A total of 41 patients were included in the analysis. The median follow-up period was 168 (range, 10-1,238) days. The recurrence-free and late-stage complication-avoidance rates during the follow-up period were 95% (38 cases) and 90% (36 cases), respectively. There were only two cases of cholecystitis recurrence during the study period. Conclusions: EUS-GBD using double-pigtail plastic stent was safe and effective with few complications, even in the long term, in patients with acute cholecystitis.

Clinical Outcomes of Intracardiac Echocardiography-Guided Contrast Agent-Free Cryoballoon Ablation in Atrial Fibrillation Patients With Renal Insufficiency

  • Dong Geum Shin;Jinhee Ahn;Sang Hyun Park;Sang-Jin Han;Hong Euy Lim
    • Korean Circulation Journal
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    • 제54권3호
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    • pp.113-123
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    • 2024
  • Background and Objectives: Previous studies have reported an association between impaired renal function and poor outcomes after radiofrequency catheter ablation in patients with atrial fibrillation (AF). However, outcomes of cryoballoon ablation (CBA) in patients with renal insufficiency are not fully elucidated. This study aimed to compare outcomes of CBA in AF patients with chronic kidney disease (CKD) versus those without CKD and to assess changes in renal function over 12 months following CBA. Methods: A total of 839 patients (65.1% with non-paroxysmal AF [PAF]) who underwent de novo CBA were prospectively enrolled. We divided patients into two groups based on creatinine clearance rate (CCr) and performed intracardiac echocardiography (ICE)-guided contrast agent-free CBA. Results: In comparison with patients without CKD (CCr >50, n=722), those with CKD (CCr ≤50, n=117) were older and predominantly female, had a lower body mass index, and showed a higher prevalence of heart failure and hypertension. Mean CHA2DS2-VAS score was significantly higher in CKD group than in non-CKD group. Procedure-related complications were not significantly different between two groups. During a mean follow-up period of 25.4±11.9 months, clinical recurrence occurred in 182 patients (21.7%) and not significantly different between two groups. In multivariate analysis, non-PAF and left atrial size were independent predictors of AF recurrence. CCr levels significantly improved over 12 months after CBA in CKD group. Conclusions: ICE-guided contrast-agent-free CBA showed comparable long-term clinical outcomes without increasing procedure-related complications and improvement of renal function over 12 months following CBA in AF patients with CKD.

4P Model for Strategic Research Planning: Focusing on the Cases of Korea Research Institute of Chemical Technology

  • Choi, Kyungsun;Choe, Hochull;Ko, Youngjoo
    • Asian Journal of Innovation and Policy
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    • 제7권2호
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    • pp.287-309
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    • 2018
  • The demand for efficient utilization of input resources and productive outcomes is increasing as the government's R&D investments in Government-funded research institutes (GRIs) expand. These changes call for improving research-planning activities, which are defined as a set of activities wherein objectives are established, strategies for acquisition and expenditures of research resources are devised, and utilizations of research outcomes are addressed. This study introduces the integrated 4P analysis model that identifies the relationships among patents, papers, products, and projects. It looks into 4P analysis structure and its efficiency as a research planning means through case studies of the Korea Research Institute of Chemical Technology. This study introduces 4P analysis applied to KRICT, which can be utilized for outcome-oriented research planning of GRIs. At the same time, it investigates into the benefits and implications of 4P analysis. It proffers policy suggestions on such aspects as how research planning of GRIs should go through changes in a strategic and systematic way.

Thermal Analysis of the Natural Convection Cooling Type Transformer

  • Oh Yeon-Ho;Song Ki-Dong;Sun Jong-Ho
    • KIEE International Transaction on Electrical Machinery and Energy Conversion Systems
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    • 제5B권2호
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    • pp.142-145
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    • 2005
  • The life expectancy of a transformer largely depends on the temperature-rise it experiences. If the temperature-rise exceeds limits specified in the design standards, the aging of insulating materials is accelerated and the capability of the cooling medium is deteriorated. Consequently, applicable limits for the temperature-rise are essential in designing the transformer and the coolers, demanding the estimation of the transformer's thermal behavior. In order to analyze the temperature characteristics of the transformer, numerical analysis by way of the commercial CFD code has been carried out, and temperature-rise testing to verify computed results was performed. The results obtained in this study show that there is a good agreement between computed outcomes and experimental outcomes.

시스템엔지니어링 기법을 활용한 경량전철사업의 자료 및 산출물 관리 체계 구축에 관한 연구 (A study on the management system of data and documents for the LRT Project using the systems engineering approach)

  • 최요철;한석윤;김용걸
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2011년도 춘계학술대회 논문집
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    • pp.239-246
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    • 2011
  • This paper is a study on the management system of data and documents for the LRT Project using the systems engineering approach. It is addressed a computed based management system using the Systems Engineering Approach toward system thinking to manage effectively and efficiently data and documents. Because the unified efforts was insufficient data and outcomes of project management and systems engineering during the existing LRT Project, we proposed the unified computer management system for the project management and systems engineering efforts using the systems engineering methodology like as a operation concept, collection and analysis of requirements, and functional architecture analysis. This will offer supply efficiently data and outcomes management for the LRT project and then support the automatical document publish output.

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반응표면모델(RSM)에 의한 평면연삭조건 최적화 및 평가 (Analysis and Optimization of Grinding Condition by Response Surface Model)

  • 김상오;곽재섭;구양;심성보;정영득;하만경
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2005년도 춘계학술대회 논문집
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    • pp.1257-1260
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    • 2005
  • Grinding process has unique characteristics compared with other machining processes. The cutting edges of the grinding wheel don't have uniformity and act differently on the workpiece at each grinding. The response surface analysis is one of various methods for optimizing and evaluating the process parameters to achieve the desired output. In this study, the effect of the grinding parameters on outcomes of the surface grinding was analyzed experimently. To predict the grinding outcomes and to select the grinding conditions before grinding, the second-order response surface models for the grinding force and the surface roughness were developed.

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Entrepreneurial Learning and Indian Tech Startup Survival: An Empirical Investigation

  • Krishna, HS
    • Asian Journal of Innovation and Policy
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    • 제7권1호
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    • pp.55-78
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    • 2018
  • This paper investigates the linkage between the mode of transformation of entrepreneurial learning into outcomes and the subsequent impact of these learning outcomes in enhancing the survival of high-tech startups in India. The study uses data from 45 high-tech startups headquartered across different locations in India for the purpose of analysis. Survival Analysis of the data is conducted to determine which mode of learning transformation and what type of en trepreneurial decision making preference have a significant influence on the survival of Indian high-tech startups and to what extent do they impact their survival. The results indicate that entrepreneur's prior startup experience, explorative mode of learning transformation, causal decision making of the entrepreneur and availability of funding for the startup as the key factors that reduce the time to survival of Indian high-tech startups. They also provide key insights on how these factors impact the startup survival in this region.

Simulation Study of Two Supply Chain Collaboration Programs: Consignment and VMI

  • Ryu, Chung-Suk
    • 유통과학연구
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    • 제14권4호
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    • pp.21-31
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    • 2016
  • Purpose - This study examines how consignment and Vendor-Managed Inventory perform as supply chain collaboration programs. By using three key collaborative features, this study defines the collaboration programs and develops theoretical models of different supply chain systems. Research design, data and methodology - This study conducts sophisticated analysis on the supply chain systems by applying simulation modeling based on time-phased operations. The simulation model represents a two-stage supply chain system where a supplier sells a single item to a buyer, and it incorporates various operations. Results - In general, the simulation outcomes support that more advanced collaboration programs outperform less advanced ones. The analysis on the simulation outcomes identifies the significant value of information sharing in both collaboration programs. The specific conditions where the particular collaboration system outperforms the others are recognized. Conclusions - The outcome of this study supports that the supply chain system can improve its performance by having more collaborative features. This study provides business practitioners with guidelines to identify the circumstances that the specific collaboration program can fully exploit its advantages.

관계혜택에 따른 미국 패밀리 레스토랑의 시장세분화에 관한 연구 (A Study on Market Segmentation of American Family Restaurants Based on Relational Benefits)

  • 김현정
    • 한국조리학회지
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    • 제20권4호
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    • pp.266-279
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    • 2014
  • 본 연구는 관계혜택에 따라 패밀리 레스토랑의 시장을 세분화하고 각 세분시장 간의 인구통계학적 특성, 레스토랑 방문행태, 관계의 질, 관계성과에 차이가 있는지를 살펴보는데 그 목적이 있다. 이를 위해 미국 내 패밀리 레스토랑 고객을 대상으로 얻은 총 510부의 자료를 빈도분석, 요인분석, 신뢰도 분석, 군집분석, 다변량 분산분석, 판별분석, 교차분석, 일원배치 분산분석을 통해 분석하였다. 요인분석 결과 확신적, 특별대우, 사회적 혜택 등 세 개의 관계혜택요인을 도출하였으며, 군집분석 결과 관계혜택의 정도에 따라 '높은 관계혜택 소비자,' '중간 관계혜택 소비자,' '낮은 관계혜택 소비자'의 세 개의 세분시장이 도출되었다. 세 개의 세분시장그룹은 연령(p<0.05)과 교육수준(p<0.05)에 차이가 있었다. 또한 관계혜택을 높게 인식하는 소비자일수록 레스토랑의 방문빈도(p<0.001), 관계의 질(p<0.001), 관계성과(p<0.001)가 보다 높게 나타났으며, 그 뒤를 중간 관계혜택 소비자, 낮은 관계혜택 소비자 순으로 높게 인식하는 것으로 나타났다. 결과적으로 패밀리 레스토랑은 높은 관계의 질과 관계성과를 얻기 위해 고객들에게 높은 관계혜택을 제공해야할 것이다. 이에 대한 실무적인 시사점을 제시하였다.