• 제목/요약/키워드: Utility Measurement

검색결과 232건 처리시간 0.029초

Clinical Utility of an Automated Pupillometer in Patients with Acute Brain Lesion

  • Park, Jeong Goo;Moon, Chang Taek;Park, Dong Sun;Song, Sang Woo
    • Journal of Korean Neurosurgical Society
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    • 제58권4호
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    • pp.363-367
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    • 2015
  • Objective : The purpose of this study was to evaluate the clinical utility and validity of using a pupillometer to assess patients with acute brain lesions. Methods : Pupillary examinations using an automated pupillometer ($NeurOptics^{(R)}NPi^{TM}$-100 Pupillometer) were performed every 4 hours and were simultaneously assessed using the Glasgow Coma Scale (GCS) and for intracranial pressure (ICP), from admission to discharge or expire in neuro-intensive care unit (NICU). Manual pupillary examinations were also recorded for comparison. By comparing these data, we evaluated the validity of using automated pupillometers to predict clinical outcomes. Results : The mean values of the Neurologic Pupillary index (NPi) were different in the groups examined manually. The GCS correlated well with NPi values, especially in severe brain injury patients (GCS below 9). However, the NPi values were weakly correlated with intracranial pressure (ICP) when the ICP was lower than 30 cm $H_2O$. The NPi value was not affected by age or intensity of illumination. In patients with a "poor" prognosis who had a Glasgow Outcome Scale (GOS) of 1 or 2, the mean initial NPi score was $0.88{\pm}1.68$, whereas the value was $3.89{\pm}0.97$ in patients with a "favorable" prognosis who had a GOS greater than 2 (p<0.001). For predicting clinical outcomes, the initial NPi value of 3.4 had the highest sensitivity and specificity. Conclusion : An automated pupillometer can serve as a simple and useful tool for the accurate measurement of pupillary reactivity in patients with acute brain lesions.

Comparing Endoscopy and Upper Gastrointestinal X-ray for Gastric Cancer Screening in South Korea: A Cost-utility Analysis

  • Chang, Hoo-Sun;Park, Eun-Cheol;Chung, Woo-Jin;Nam, Chung-Mo;Choi, Kui-Son;Cho, Eun;Cho, Woo-Hyun
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2721-2728
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    • 2012
  • Background: There are limited data evaluating the cost-effectiveness of gastric cancer screening using endoscopy or upper gastrointestinal x-ray in the general population. Objective: To evaluate the cost-effectiveness of population-based screening for gastric cancer in South Korea by decision analysis. Methods: A time-dependent Markov model for gastric cancer was constructed for healthy adults 30 years of age and older, and a deterministic sensitivity analysis was performed. Cost-utility analysis with multiple strategies was conducted to compare the costs and effects of 13 different screening alternatives with respect to the following eligibility criteria: age at the beginning of screening, screening interval, and screening method. The main outcome measurement was the incremental cost-effectiveness ratio. Results: The results revealed that annual endoscopic screening from ages 50-80 was the most cost-effective for the male population. In the females, biennial endoscopy screening from ages 50-80 was calculated as the most cost-effective strategy among the 12 screening alternatives. The most cost-effective screening strategy may be adjustable according to the screening costs and the distribution of cancer stage at screening. The limitation was that effectiveness data were obtained from published sources. Conclusions: Using the threshold of $19,162 per quality-adjusted life year on the basis of the Korean gross domestic product (2008), as suggested by the World Health Organization, endoscopic gastric cancer screening starting at the age of 50 years was highly cost-effective in the Korean population. The national recommendation for gastric cancer screening should consider the starting age of screening, the screening interval, and the screening modality.

20-30대 미혼여성의 라이프스타일 유형이 뷰티행동인식에 미치는 영향 (The Influence of the Type of Single Females' Life Style in Their 20s through 30s on the Recognition of the Behavior for Beauty)

  • 홍수남
    • 한국의상디자인학회지
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    • 제16권1호
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    • pp.77-89
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    • 2014
  • This study looked into the effect of the life style of single females in 20s and 30s on beauty behavior recognition, and spss 17.0 is used for data analysis method. As for the statistical analysis method in order to validate the measurement tools, reliability verification is conducted and life style groups are sampled using K-means taking into account factor scores by life style. To find out the difference between general beauty behavior recognition and life style, descriptive statistics and One Way ANOVA were carried out, and Duncan Test was implemented for the post examination method. Multiple regression analysis was also carried out to figure out the effect of life style on beauty behavior recognition. The result is as follows. First, according to the results of reliability verification and factor analysis for the lifestyle type and the recognition of the behavior for beauty, the types of the life style of the subjects were divided into Economic Utility, Convention Conservatism, Self Development, Showy Consumption, and Appearance Oriented, and the recognition of the behavior for beauty was named as Makeup and Hair, Cosmetic Surgery, Body Care, and Skin Care. Second, as to the recognition of the behavior for beauty based upon the lifestyle, the Appearance Oriented in Showy Consumption recorded the highest. Third, the analysis of the influence of the style on the recognition of the behavior for beauty showed that the behavior recognition for Makeup and Hair and for Skin Care was affected by the life style of Self Development, Showy Consumption, and Appearance Oriented; the behavior recognition for Cosmetic Surgery was affected by the life style of Conventional Conservatism, Showy Consumption, and Appearance Oriented; and again the behavior recognition for Body Care was by that of Economical Utility and Showy Consumption.

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Utility of Toe-brachial Index for Diagnosis of Peripheral Artery Disease

  • Park, Seong-Chul;Choi, Chang-Yong;Ha, Young-In;Yang, Hyung-Eun
    • Archives of Plastic Surgery
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    • 제39권3호
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    • pp.227-231
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    • 2012
  • Background : The ankle brachial pressure index (ABI) is a simple, useful method for diagnosing peripheral artery disease (PAD). Although the ABI is an objective diagnostic method, it has limited reliability in certain scenarios. The aim of the present study was to determine the accuracy and reliability of the toe brachial index (TBI) as a diagnostic tool for detecting stenosis in PAD, associated with normal or low ABI values. Methods : ABI and TBI values were measured in 15 patients with diabetic gangrene who were suspected of having lower extremity arterial insufficiency. The ABI and TBI values were measured using a device that allowed the simultaneous measurement of systolic blood pressure in the upper and lower extremities. In addition, the ABI and TBI values were compared pre- and post-angiography. Results : Patients with an ABI of 0.9-1.3 showed almost no difference between the 2 measurements. The patients with TBI >0.6 had no arterial insufficiency. The patients with TBI <0.6 required vascular intervention with ballooning. After the angiography, the gangrenous wounds decreased in size more rapidly than they did prior to the intervention. Conclusions : Our findings suggest that TBI is the method of choice for evaluating lower limb perfusion disorders. This result requires further studies of TBI in a larger number of patients. Future long-term studies should therefore evaluate the utility of TBI as a means of screening for PAD and the present findings should be regarded as preliminary outcomes.

지식경영이 해운선사의 서비스 역량에 미치는 영향에 관한 연구 (A Study on the Influence of Shipping Firms' Knowledge Management on their Service Capabilities)

  • 최윤석;이상윤
    • 한국항만경제학회지
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    • 제28권3호
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    • pp.91-110
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    • 2012
  • 현대 경영학에서 지식은 기업의 경쟁력을 창출할 수 있는 새로운 전략적 자원으로서 인식되고 있다. 치열한 경쟁구도 하에 있는 해운기업 지식경영의 효용성에 주목할 필요가 있다. 해운서비스 네트워크 내외부에서 획득되는 자료와 정보, 지식을 효과적으로 분류, 공유, 이전함으로써 기업특유의 역량을 발전시킬 수 있을 것이다. 본 연구에서는 정기선사의 지식경영이 해운서비스 역량의 강화에 어떠한 영향을 미치는지를 분석하였다. 이를 위해 해운기업의 지식경영의 수준을 측정하기 위해 지식사슬모형을 설계하였으며 국적 및 외국적 선사로부터 수거한 80부의 설문지를 바탕으로 모형의 타당성과 신뢰성을 검증하였다. 실증분석 결과 지식사슬모형을 구성하는 지원활동과 주요활동이 선사의 해운서비스 역량을 강화하는데 유의적인 효과를 미치는 것으로 나타났다. 본 연구는 지식경영의 효용성이 해운산업분야에서도 적용될 수 있음을 보여주고 있으며 해운기업들이 지식의 전략적 중요성을 인식하고 전사적 차원에서 지식경영을 추구해야함을 권고하고 있다.

Assessment of Magnetic Field Mitigation and Electrical Environmental Effects for Commercially Operating 154kV Transmission Lines with Passive Loop

  • Lee, Byeong-Yoon;Myung, Sung-Ho;Ju, Mun-No;Cho, Yeun-Gyu;Lee, Dong-Il;Lim, Yun-Seog;Kim, Sang-Beom
    • Journal of Electrical Engineering and Technology
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    • 제9권3호
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    • pp.991-996
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    • 2014
  • Power frequency magnetic field is still a critical problem for new construction of overhead power transmission lines in Korea because most people have been concerned about possibly carcinogenic effects of it. Although reference level of power frequency(60Hz) magnetic field has been set to 200uT in ICNIRP guidelines published in 2010, Korean government has no intention of adjusting 83.3uT specified by law in 2006 to this new reference level in consideration of people's concerns for the time being. Regardless of the current regulated magnetic field value, electric utility company has been trying to reduce magnetic field in the residential area in the vicinity of overhead power transmission lines to take into account of public concerns on the long-term effect of magnetic fields. In an effort to reduce magnetic field, engineering side has made considerable efforts to develop passive loop based, cost-effective mitigation technique of power frequency magnetic field more than ten years. In order to verify developed power frequency magnetic field mitigation technique based on passive loop, a horizontal type of passive loop was designed and installed for commercially operating 154kV overhead power transmission line for the first time in Korea. The measurement results before and after the installation of passive loop showed that magnetic field could be reduced to about 20%. The electrical environmental effects such as AN, RI and TVI were assessed before and after the installation of passive loop and these values were complied with the requirements specified by electric utility. It has been confirmed from the field test results that passive loop could be commercially and cost-effectively utilized to mitigate power frequency magnetic field.

교통사고 상해증후군의 한의치료에 대한 경제성평가를 위한 주제범위 문헌고찰 (A Scoping Review for Economic Evaluation of Korean Medicine for Whiplash Associated Disorders)

  • 강신우;황윤경;황만석;이혜윤
    • 척추신경추나의학회지
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    • 제16권2호
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    • pp.97-105
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    • 2021
  • Objectives This study is aimed to evaluate cost-effectiveness of treatment of Korean Medicine for whiplash associated disorders (WAD) and to suggest the direction of future research. Methods We searched papers in Pubmed database to use some keywords indicating whiplash injury syndrome, treatment of Korean Medicine and cost-effectiveness. After searching, appropriate papers were selected depending on the exclusion criteria. The selected papers were analyzed in the sections of author, publication year, intervention and control groups, outcome measurement, the list including in the cost, cost-effectiveness, cost-utility and study design. Results Four studies about effect of Korean medicine and 3 studies about economic evaluation were finally included. Acupuncture was effective for balance disorder and neck pain. Economic evaluation studies used analytical decision model or cost-consequence analysis. Cost-effectiveness analysis using visual analog scale and cost-utility analysis using quality adjusted life years were performed. Initiating timing of proper management affected the consequence of treatments. Direct and indirect medical costs including supportive devices, and non-medical costs such as litigation were considered. Conclusions We conclude that studies haven't been conducted so far to evaluate the cost-effectiveness of Korean Medicine in whiplash injury syndrome. Thus, future studies are needed in this section.

CDMA기반 전자부자 흐름 패턴 시스템 설계 및 구현 (A Design and Implementation of CDMA based Electronic Float Flow Pattern System)

  • 김동현;이채석;김종덕
    • 한국정보통신학회논문지
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    • 제16권12호
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    • pp.2619-2627
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    • 2012
  • 전자 부자 흐름 패턴 시스템은 위치 측위 기술과 여러 가지 통신 기술을 이용하여 원격에서 부자의 위치를 모니터링 함으로써 하천의 유량을 예측할 수 있다. 현재 자연하천의 흐름 패턴을 분석하기 위해 여러 형태의 수동 부자들이 사용되고 있다. 수동 부자를 이용한 유량 측정은 유량을 측정하기위해 거리와 시간을 직접 측정한 후 이것을 이용한다. 이러한 방법은 측정방법과 정확한 유량 측정 측면에서 효율적이지 못하다. 이러한 문제를 극복하기 위해 본 연구진은 CDMA, GPS 그리고 2.4GHz기반의 RF모듈을 이용하여 전자부자를 설계 및 구현했다. 그리고 전자부자의 위치정보와 흐름 패턴 정보를 알기 위한 모니터링 시스템을 설계 및 구현하였다. 더불어 배터리로 동작하는 전자부자에서 짧은 life cycle은 전자부자를 이용한 흐름 패턴 시스템에서의 효용성을 떨어뜨린다. 이를 극복하기 위해 전자부자 흐름 패턴 시스템의 전자부자를 위한 전원 절약 기법을 설계하였다.

옥내 전력선 통신 채널 임피던스 특성 측정 (Measurement of Channel Impedance Characteristics for Indoor Power Line Communications)

  • 허윤석;김철;홍봉화;이대영;전계석
    • 대한전자공학회논문지TC
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    • 제42권11호
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    • pp.79-86
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    • 2005
  • 본 논문에서는 정상적으로 전기가 공급되고 있는 전력선상에서 주파수의 함수로 표현되는 임피던스 측정 방법을 기술한다. 측정방법으로 전력선 통신사용 주파수 $30Khz\~1Mhz$ 대역의 미소 신호를 연속적으로 전력선에 주입하고, 구현한 임피던스 측정 장치는 측정된 전압과 전류의 크기와 위상으로부터 옥내 채널 임피던스를 계산한다. 임피던스 측정에 있어 광대역 주파수 범위의 임피던스 대 주파수 특성을 수행한다. 구현된 임피던스 측정 장치는 옥내에서 발생하는 부하에 의해 변화하는 전력선 임피던스를 측정하여 전력선 통신 환경을 분석할 수 있는 장비이다. 측정된 데이터는 데이터베이스화 하여 전력선 통신 모뎀의 통신성능 평가 및 테스트 환경 기준 설정에 유용하게 사용될 수 있을 것이다.

Incorporating Ex-Ante Risk in Evaluating Public R&D Programs: A Counterfactual Analysis of the Korean Case

  • Kim, So Young
    • STI Policy Review
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    • 제4권2호
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    • pp.41-54
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    • 2013
  • R&D is inherently an uncertain endeavor, yet now more than ever those performing R&D with public funding are called upon to clarify the utility of their research. Calls for public accountability are mounting with the increase in constraints on government budgets due to the recent worldwide economic recession, in response to which both policymakers and researchers pay much more attention to rigorously assessing publicly funded R&D. A key issue complicating R&D evaluation in these circumstances is how to adequately account for the nature and degree of risk involved in a given R&D program or project. This study deliberates on certain issues involving the measurement of ex-ante risk in public R&D evaluation: (i) information asymmetry between R&D sponsors and performers, (ii) ambiguity in the measurement of returns in both prospective and retrospective evaluation, and (iii) the dilemma between measurement error and omitted variable bias for empirical estimation of R&D performance. The study then presents an analysis of hypothetical evaluation results that apply risk-relevant weights to the annual evaluation outcomes of South Korea's national R&D programs funded during 2006~2012. In this counterfactual re-evaluation of public R&D program performance, high-risk R&D programs turn out to receive higher evaluation than non-high-risk programs. The current study suggests that R&D evaluation ignoring ex-ante risk is not only conceptually invalid since R&D activities are intrinsically uncertain endeavors, but unfair as R&D performers are asked to be accountable for the results that were in fact out of their reach.