• Title/Summary/Keyword: Treatment schedule

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Use of Economic Evaluation in the Listing and Pricing of Pharmaceuticals (의약품 보험 급여 및 가격 결정과 경제성 평가의 활용)

  • Lee, Tae-Jin
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.2
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    • pp.69-73
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    • 2008
  • To curb a rapid increase in expenditures for pharmaceuticals, the Korean government introduced a positive list system and a negotiation process for drug prices at the end of 2006. Economic evaluation of pharmaceuticals has begun to have a pivotal role in the listing and pricing of drugs for the Korean National Health Insurance. There are some points to discuss regarding the use of economic evaluation in the listing and pricing in the context of the Korean system. First, the listing and pricing processes have been fragmented, evoking complaints from pharmaceutical companies and delaying the access of new drugs to patients. Second, there is a concern that the positive list system may limit the range and availability of drugs for patients to choose for treatment. Third, the time schedule for de-listing of existing drugs may not be realistic. Fourth, it is not always easy to provide reliable evidence of cost-effectiveness due to a lack of materials. Fifth, there is no consensus on the range of the ICER (incremental cost-effectiveness ratio) acceptable to the Korean society. In conclusion, in the near future, it will be necessary to evaluate the achievements that the economic evaluation has provided to the Korean society.

Evaluation of Nutrition Education for Insulin Dependent Diabetic Students (인슐린 의존성 당뇨병 학생을 대상으로 실시한 영양교육의 효과)

  • 이정희;박동연;윤진숙
    • Journal of Nutrition and Health
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    • v.28 no.10
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    • pp.1015-1021
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    • 1995
  • This study was conducted to evaluate changes in nutritional knowledge, attitudes, behavior intention and behavior in a sample of 27 insulin dependent diabetic students participating in diabetics' camp. Nutritional knowledge related to diabetes, attitudes toward diabetes treatment and behavior intention about dietary changes were tested before and after nutrition education. Six months after nutrition education, an open ended questionnaire about their actual behavior changes was mailed to all participants and 17 of them responded. Pre-and post-testing showed that nutrition education was effective in significant changes in knowledge and in promoting positive attitudes and behavior intention. Increases of knowledge were consistently the same regardless of sex, level of education, regularity of diet, and duration of disease. Compared to male students, female students showed more positive change in knowledge, attitudes and behavior intention. It also appeared that middle school students showed more positive improvement in knowledge, attitudes and behavior than elementary and high school students. A follow-up test showed that their actual behavior changes were not squared with their behavior intention. They pointed out difficulties in having proper amount of meals and snack and the conflict with school time schedule as the major reason for discordance. These findings suggest that nutrition education for diabetics can be effective to improve their knowledge, attitudes and behavior intention and understanding about barriers to behavior change is important for better compliance to the disease.

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Influence of (-)-Hydroxycitrate on food Intake, Body Weight and Lipogenesis in Rats ((-)-Hydroxycitrate의 식이 투여가 흰쥐의 식이 섭취량, 체중, 지방대사 및 합성에 미치는 영향)

  • 김상배
    • Journal of Nutrition and Health
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    • v.30 no.2
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    • pp.123-131
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    • 1997
  • The influence of (-0-Hydroxycitrate(HCA), shown to be a competitive inhibitor of adenosine 5-triphosphate(ATP) citrate lyase, on food intake and body weight, serum triglyceride and cholosterol level, in vivo rates of fatty acid and cholesterol synthesis, and fat cell number and size was investigated. 3 groups of female, 5 weeks old Sprague Dawley rats, 8 animals each, were ad libitum meal-fed or pair-fed(3 hours from 10 : 00 to 13 : 00) AIN based high glucose diet for a total period of 8 weeks. Providing normolipidemic rats orally with 400mg of HCA formula containing approximately 20mg of HCA 1 hour prior to daily feeding schedule significantly depressed in vivo hepatic rates of fatty acid and cholesterol synthesis in the liver and adipose tissue. Serum triglyceride and cholesterol levels were significantly reduced by HCA. At the end of treatment period, the rats administered with HCA resulted in a significantly reduction in body weight gain. The reduction in weights was attributable to a significant decrease in fat cell size with a smaller extent, but not significant, reduction in fat cell number. Rats receiving HCA demonstrated less food intake than the controls ; however, this decreased caloric intake was not fully responsible for the HCA induced depression of hepatic and adipocytic lipogenesis, since experiment using pair-fed cojntrol rats showed, less magnitude but similar results. Both a anorectic and an antilipogenic properties of HCA seem to be responsible for this weight reduction activity of HCA. The outcome of this study suggest that metabolic regulation may be a feasible approach to the control of obesity and hyperlipidemia.

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Fabrication of BSCCO Superconductor Tube for Current Lead Application (전류인입선 응용을 위한 BSCCO 초전도 튜브의 제조)

  • Choi, Jung-Suk;Jun, Byung-Hyuk;Hyun, Ok-Bae;Kim, Chan-Joong
    • Progress in Superconductivity
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    • v.10 no.2
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    • pp.103-107
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    • 2009
  • $Bi_2Sr_2Ca_1Cu_2O_x$(BSCCO 2212) superconductors for current lead were fabricated by centrifugal melting process(CMP). BSCCO 2212 powder was melted at $1200^{\circ}\C$ in a resistance furnace using a Pt crucible and poured in a rotating cylindrical mold preheated at $550^{\circ}\C$ for 2 hour. The solidified BSCCO-2212 samples were heat-treated by partial melting process in oxygen atmosphere. The current-voltage curves at 77 K of the samples were obtained by transport measurement, and the microstructure was investigated by scanning electron microscope. The $J_c$ values at 77 K of the tubes partially melted at $840^{\circ}C,\;860^{\circ}C\;and\;880^{\circ}C$ were 492, 430 and 398 $A/cm^2$, respectively. It was observed that the plate-like grains in BSCCO 2212 tube was more developed in the sample heat-treated at $840^{\circ}C$. It was found that the critical current of the BSCCO 2212 samples was dependent on the partial melting schedule regarding the grain shape and size of the BSCCO 2212.

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Primary Esophageal Repair of Long-gap Esophageal Atresia - Report of One Case - (원간격결손 식도폐쇄증의 일차적 식도복원)

  • Lee, Myung-Duk
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.53-58
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    • 1995
  • A delayed primary esophago-esophagostomy of a case of long-gap esophageal atresia without tracheoesophageal fistula was performed in success with three months' intermittent periodic bougienage of the upper pouch via mouth as well as the lower esophagus through Janeway gastrostomy. Meanwhile, an effective continuous sump suction from the upper pouch seemed to be a critical part of the patient management. The extra length of esophagus for primary anastomosis could be achieved by a circular myotomy. Stricture at the myotomy site, found 4 months later, was treated with periodic pneumatic baloon dilations only with temporary symptomatic reliefs. After 4 months' trials, operative esophagoplasty was performed successfully. A careful follow-up schedule for the myotomy site would be required for early detection of stricture. The previous neonatal patient is currently 8 years old, healthy school-boy, and has a normal barium swallow without stricture or gastroesophageal reflux.

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The Study for Integrated Strategy and Successful Building of SCM (SCM의 통합전략과 성공적 구축에 관한 연구)

  • 김경우
    • Journal of the Korea Society of Computer and Information
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    • v.8 no.4
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    • pp.176-185
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    • 2003
  • The SCM is on the effective treatment solution that has process schedule, material supplying, inventory management for perfect product these days. The SCM is innovative process activity to attain effective whole. It depends on the structure of approach because supplying network is consist of organization, budgeting, responsibility and authority. The major objective of the thesis was to propose the integration model and structure method technique of the SCM. Thus, to implement strategy model, firstly, it is determined repairs and non-effectiveness of supplying network. secondly, to set up future vision and goal, it is considered success factor of supplying net. thirdly, no gaps introduce between present and future of supplying net fourthly as above-mentioned consequence, Alternative is to set up integration and implementing model according to enterprise administration strategy .

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A Case Series of Hwa-Byung Patients Using Instrument of Pattern Identification for Hwa-Byung and Instrument of Oriental Medical Evaluation for Hwa-Byung (화병 변증도구와 한의 평가도구를 적용한 화병 치험 3례)

  • Park, Dae-Myung;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.1
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    • pp.25-35
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    • 2011
  • Objectives : This case series was conducted to report the efficacy of traditional Korean medicine treatments for Hwa-Byung. Methods : Patients were diagnosed with Hwa-byung through Hwa-Byung diagnostic interview schedule(HBDIS). instrument of pattern identification for Hwa-Byung was applied to develop an individualized traditional Korean medicine treatment plan. SCL-90-R, STAI, STAXI, BDI, and instrument of oriental medical evaluation for Hwa-Byung were measured. After 2 weeks of tradiational Korean medicine treatments and K-MBSR practice, STAI, STAXI, BDI, and instrument of oriental medical evaluation for Hwa-Byung were re-assessed to determine the progress of Hwa-Byung. Results : After treatments, chief complaints have improved. STAI, STAXI, BDI and instrument of oriental medical evaluation for Hwa-Byung score have decreased. Conclusions : According to the study, traditional Korean medicine treatments using instrument of pattern identification for Hwa-Byung have shown positive results in managing Hwa-Byung symptoms evaluated by instrument of oriental medical evaluation for Hwa-Byung.

Appraisal of re-irradiation for the recurrent glioblastoma in the era of MGMT promotor methylation

  • Kim, Il Han
    • Radiation Oncology Journal
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    • v.37 no.1
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    • pp.1-12
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    • 2019
  • Despite recent innovation in treatment techniques and subsequently improved outcomes, the majority of glioblastoma (GBL) have relapses, especially in locoregional areas. Local re-irradiation (re-RT) has been established as a feasible option for recurrent GBL of all ages with safety, tolerability, and effectiveness both in survival and quality of life regardless of fractionation schedule. To keep adverse effects under acceptable range, cumulative dose limit in equivalent dose at 2 Gy fractions by the linear-quadratic model at α/β = 2 for normal brain tissue (EQD2) with narrow margin should be observed and single/hypofractionated re-RT should be undertaken very carefully to recurrent tumor with large volume or adjacent to the brainstem. Promising outcome of re-operation (re-Op) plus re-RT (re-Op/RT) need to be validated and result from re-RT with temozolomide/bevacizumab (TMZ/BV) or new strategy is expected. Development of new-concept prognostic scoring or risk group is required to select patients properly and make use of predictive biomarkers such as O(6)-methylguanine-DNA methyltransferase (MGMT) promotor methylation that influence outcomes of re-RT, re-Op/RT, or re-RT with TMZ/BV.

The Sludge Collection Scheduling and Vehicle Routing Strategies (하수처리시설의 슬러지 수거 일정계획 수립 및 수거차량 경로결정)

  • Cho, Joong-Mou;Noh, Eui-Soo;Kim, Min-Je;Heo, Eun-Jung;Choi, Gyung-Hyun
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.30 no.1
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    • pp.105-114
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    • 2007
  • In this paper, we propose sludge collection strategies which allocate each sewage store of village to sewage treatment plants and decide the schedule of sludge collection in order to collect sludge efficiently. The strategies aim to decrease transportation cost with deciding proposed vehicle routing and scheduling the sludge collection. When we decide route of vehicles, we consider the collection time in sewage store of village, distance between sewage store of villages and vehicle information as average velocity of vehicle, operation time of vehicle driver. We also develop the SCMS (Sludge Collection Management System) based on windows system with real data which is used in certain circumstance. And we experiment to figure out vehicle route and transportation cost throughout changing input data.

An Overview of Seabed Storage Methods for Pipelines and Other Oil and Gas Equipment

  • Fatah, M.C.;Mills, A.;Darwin, A.;Selman, C.
    • Corrosion Science and Technology
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    • v.16 no.2
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    • pp.76-84
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    • 2017
  • In the construction of subsea oil and gas developments, it is increasingly common that subsea oil and gas equipment will be installed in subsea well before final hookup and production. Installation of wellheads, subsea hardware, pipelines, and surface facilities (platforms, FPSO, FLNG, connected terminals, or gas plants) are increasingly driven by independent cost and vessel availability schedules; this gives rise to requirements that the subsea facilities must be stored in the seabed for a specific time. In addition, schedule delays, particularly in the installation or startup of the connected platform, FPSO, FLNG, or onshore plant may cause unexpected extensions of the intended storage period. Currently, there are two methods commonly used for storage subsea facilities in the seabed: dry parking and wet parking. Each method has its own risks, challenges, and implications for the facility life and its integrity. The corrosion management and preservation method selection is a crucial factor to be considered in choosing the appropriate storage method and achieving a successful seabed storage. An overview of those factors is presented, along with a discussion on the internal corrosion threats and assessments.