• Title/Summary/Keyword: outcome measures

Search Result 717, Processing Time 0.025 seconds

Two Cases of Non-Small Cell Lung Cancer Treated with Intravenous Cultivated Wild Ginseng Pharmacopuncture (산삼약침 혈맥주입을 시행한 비소세포성폐암 환자 2례)

  • Bang, Sun-Hwi;Kwon, Ki-Rok;Yoo, Hwa-Seung
    • Journal of Pharmacopuncture
    • /
    • v.11 no.2
    • /
    • pp.13-19
    • /
    • 2008
  • Objectives To investigate the therapeutic effects of intravenous cultivated wild ginseng(Panax ginseng C.A. Meyer) pharmacopuncture(CWGP) in treating patients with non-small cell lung cancer(NSCLC). Design Prospective case series. Setting This study was conducted at the East-West Cancer Center of Dunsan Oriental Hospital, Daejeon University. Patients Two non-small cell lung cancer patients. Intervention Two non-small cell lung cancer patients were injected CWGP(20mL/day) mixed with 0.9% normal saline(100mL) intravenously. Each patient received a total of 16 and 9 cycles, respectively. One cycle is composed of 14 days. Outcome Measures The effect of intravenous CWGP was measured by scanning with computed tomography(CT) after every 2 cycle and Positron emission tomography- computed tomography(PET/CT) after every 6 cycles. Response and progression was evaluated using the Response Evaluation Criteria in Solid Tumors(RECIST) Committee classification of complete response(CR), partial response(PR), progressive disease(PD) and stable disease(SD). Results They were treated with intravenous CWGP for 8 and 5 months respectively. time later, each tumor remains stable disease(SD). Conclusion These cases may give us a possibility that intravenous CWGP offers potential benefits for non-small cell lung cancer patients.

An analysis of unplanned reoperation ('계획에 없던 재수술' 의 분석)

  • Kim, Eun-Gyung;Cho, Sung-Hyun;Kim, Chang-Yup;Oh, Byung-Hee
    • Quality Improvement in Health Care
    • /
    • v.2 no.1
    • /
    • pp.118-124
    • /
    • 1995
  • Background: Clinical indicators are objective measures of process or outcome of patient care in quantitative terms. This study aims to review the medical records of patients who 'return to operating room during the same admission', which is one of the critical clinical outcomes, and describe the result by unplanned reoperation rate. Methods: Computerized patient registry was used for selecting subject conditions. For medical records retrieved, two nurse evaluators identified the presence of explicit reoperation planning in medical records. Results: Overall reoperation rate was 2.8% and unplanned reoperation rate 1.3%. The main category of reoperation cause was the postoperative bleeding. Duration of stay from previous operation to reoperation of the unplanned group, 12.7 days, was shorter than that of the planned(p< .05). The differences did not reach statistical significance in age, sex and length of stay. Conclusion: Results suggested that unplanned reoperation rate was lower than 'threshold' level other institutions had established. However, this result could become comparable only after management of medical records would be improved and risk adjusted.

  • PDF

A Study on the Application of C.R.P. Method for Safety Diagnosis of Structures (구조물 안전진단을 위한 C.R.P 기법의 응용에 관한 연구)

  • 신봉호;한성희;윤철규;엄재구
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
    • /
    • v.11 no.1
    • /
    • pp.47-54
    • /
    • 1993
  • Recently, collapse of structures is frequently occurred, so precautionary measures against accidents are requested. In this study, periodic deformations of structure are surveyed using C.R.P technique and these were used to estimate absolute deformation associated with geodetic network. Also, as compared with inclinometer outcome, correlation of these results was obtained. As a results of this study, a difficult problem of control survey was resolved as control points arranged on intervisible parts of structure. And the transformation parameters for absolute deformation analysis were determined incorporating reference network with control network. This eventually led to possibility for analysis of ground behavior, moreover we were able to overcome a limitation of traditional method that could measure only a part of objects.

  • PDF

The Trends in Foreign Clinical Trials for Pediatric Asthma in Complementary and Alternative Medicine (소아 천식 치료의 국외 보완대체의학 임상 연구 동향)

  • Bang, Mi Ran;Kim, Jang Hyun;Min, Sang Yeon
    • The Journal of Pediatrics of Korean Medicine
    • /
    • v.29 no.3
    • /
    • pp.1-11
    • /
    • 2015
  • Objectives : The purpose of this study is to analyze the trends in foreign clinical trials for pediatric asthma in complementary and alternative medicine (CAM). Methods : We reviewed 31 randomized controlled trials (RCT) for pediatric asthma treatment in CAM published from 2005 to 2015 in PubMed and analyzed their treatments, compounds of herbal medicines, acupoints, methods of assessment, and treatment results. Results : The treatments used in the studies were herbal medicines, acupuncture, acupoint application, breathing training, supplement, normocaloric diet, yoga, massage therapy, and art therapy. The frequently used herbs were Asari Herba Cum Radix (細辛). Ephedrae Herba (麻黃), Astragali Radix. The most common acupoints were Feishu (肺兪, BL13). The methods of assessment in pediatric asthma were symptom scale, questionnaire of Quality of Life, lung function test, laboratory studies, and medication usage. In 28 out of 31 studies, treatment group gets better than non-treated group. Conclusions : This study shows that CAM is effective in treating pediatric asthma. More clinical studies using objective outcome measures are needed to prove its efficacy clearly.

Performance Improvement of TRN Batch Processing Using the Slope Profile (기울기 프로파일을 이용한 일괄처리 방식 지형참조항법의 성능 개선)

  • Lee, Sun-Min;Yoo, Young-Min;Lee, Won-Hee;Lee, Dal-Ho;Park, Chan-Gook
    • Journal of Institute of Control, Robotics and Systems
    • /
    • v.18 no.4
    • /
    • pp.384-390
    • /
    • 2012
  • In this paper, we analyzed the navigation error of TERCOM (TErrain COntour Matching), which is TRN (Terrain Referenced Navigation) batch processing, caused by scale factor error of radar altimeter and proved the possibility of false position fix when we use the TERCOM's feature matching algorithm. Based on these, we proposed the new TRN batch processing algorithm using the slope measurements of terrain. The proposed technique measures on periodic changes in the slope of the terrain elevation profile, and these measurements are used in the feature matching algorithm. By using the slope of terrain data, the impact of scale factor errors can be compensated. By simulation, we verified improved outcome using this approach compared to the result using the conventional method.

Effects of Progressive Resistance Training on Body Composition, Physical Fitness and Quality of Life of Patients on Hemodialysis

  • Song, Woo-Jung;Sohng, Kyeong-Yae
    • Journal of Korean Academy of Nursing
    • /
    • v.42 no.7
    • /
    • pp.947-956
    • /
    • 2012
  • Purpose: To investigate the effect of progressive resistance training (PRT) on body composition, physical fitness, quality of life, lipid and nutritional profile of patients on hemodialysis (HD). Methods: A non equivalent comparison group pretest and posttest design study was used with 40 participants who were randomly assigned to the exercise group (20 participants) and the comparison group (20 participants). The exercise group received PRT for 30 minutes per session, 3 sessions a week, for 12 weeks, while the comparison group received usual care. The PRT consisted of upper and lower body exercises using elastic bands and sandbags. Outcome measures evaluated were: body composition, physical fitness, quality of life, and lipid profile. Results: Skeletal muscle mass, grip, leg muscle strength, and quality of life all improved significantly in the exercise group. Body fat rate, total cholesterol and triglyceride rate decreased significantly in the exercise group. Conclusion: These results suggest that PRT improves body composition, physical fitness, quality of life, and lipid profile of patients on HD. PRT using elastic bands and sandbags can be utilized as part of a regular care plan for these patients.

Modification of Severe Violent and Aggressive Behavior among Psychiatric Inpatients through the Use of a Short-Term Token Economy

  • Park, Jae Soon;Lee, Kyunghee
    • Journal of Korean Academy of Nursing
    • /
    • v.42 no.7
    • /
    • pp.1062-1069
    • /
    • 2012
  • Purpose: Meager research has been carried out to determine the effectiveness of the token economy among patients behaving violently in mental hospitals. The purpose of this study was to examine the effectiveness of the Short-Term Token Economy (STTE) on violent behavior among chronic psychiatric in-patients. Methods: A nonequivalent control group design method was utilized. Participants in an experimental group (n=22) and control group (n=22) took part in this study from January to April, 2008. Observation on aggressive behavior among male in-patients in one hospital as a baseline was made during the week before the behavior modification program and measurement of aggressive behavior was done using the Overt Aggression Scale (OAS), which includes verbal attacks, property damage and physical attacks. Results: The aggressive behavior scores of the experimental group decreased, those of the control group, scores showed an increase after the eight-week behavior modification program utilizing STTE. Conclusion: The results of the study indicate that STTE is effective in reducing the incidence of aggressive behavior among male in-patients in psychiatric hospitals. The outcome of this study should be helpful in reducing the use of coercive measures or psychoactive medication in controlling the violent behavior among in-patients in hospitals.

Effects of a Rehabilitation Nursing Program on Muscle Strength, Flexibility, Self efficacy and Health Related Quality of Life in Disabilities (장애인을 위한 재활간호프로그램이 근력, 유연성, 자기 효능감과 건강관련 삶의 질에 미치는 효과)

  • Lee Hea-Young
    • Journal of Korean Academy of Nursing
    • /
    • v.36 no.3
    • /
    • pp.484-492
    • /
    • 2006
  • Purpose: The purpose of this study was to investigate the effects of a rehabilitation nursing program(RNP) for persons with disabilities. Method: a quasi-experimental pretest and post test study was used to examine the changes of patient's muscle strength, flexibility, self efficacy and health related quality of life at the completion of an 8-week education and physical exercise with a Thera-Band and Exercise Ball course. The subjects consisted of 40 adults who were disabled. Twenty-two experimental and 18 control subjects completed pre and post-test measures. Outcome variables were flexibility, hand grip, elbow flexor and extensor, knee flexor and extensor, self efficacy and quality of life. Independent t-test and ANCOVA were used to examine group differences by using SPSS 12.0 Result: Mean comparisons of the change scores revealed that the experimental group increased significantly in knee extremity flexor(p=0.035), extensor(p=0.039), flexibility(p=0.008), self efficacy(p=0.000), and quality of life(p=0.000). No significant group differences were found in each patient's hand grip, elbow flexor and extensor. Conclusion: RNP can improve lower extremity flexibility, muscle strength, self efficacy and health related quality of life in people with disabilities. The intervention to tailor exercise and education to the unique needs of the disability was suggested for further study.

A Comparison of the Effects of Self-mobilization and Strengthening Exercise of the Thoracic Region in Young Adults with Thoracic Hyperkyphosis (흉추 자가관절가동술과 근력강화운동이 흉추 후만이 증가된 젊은 성인의 전방머리자세에 미치는 효과)

  • Song, Jeong-Eun;Kim, Suhn-Yeop;Jang, Hyun-Jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.19 no.2
    • /
    • pp.11-18
    • /
    • 2013
  • Background: The objective of this study was to compare the efficacies of thoracic self-mobilization and strengthening exercise in young adults with thoracic hyperkyphosis. Methods: The subjects were 30 young adults (11 males, 19 females) with thoracic hyperkyphosis. They were randomly assigned to one of three groups: thoracic self-mobilization, thoracic strengthening exercise, and control group. The thoracic self-mobilization group performed active dynamic exercises, which included thoracic extension and rotation in supine and standing positions. The strengthening exercise group performed resistance exercises involving the back extensor muscle, with an elastic band and dumbbells. The outcome measures were the thoracic kyphosis angle and forward head posture (craniovertebral angle [CVA] and cranial rotation angle [CRA]). Results: Compared with the baseline values, the thoracic kyphosis angle had decreased while the CVA had increased in both training groups (p<.05), but the CRA was significantly decreased in only the strengthening exercise group. Thoracic self mobilization reduced kyphosis and improved CVA, while thoracic strengthening exercise reduced kyphosis and improved CVA and CRA. Conclusion: This study suggests a promising exercise intervention that can improve posture in young adults with thoracic hyperkyphosis.

  • PDF

The Effects of Robot-Assisted Gait Training for the Patient With Post Stroke: A Meta-Analysis (뇌졸중 환자에게 적용한 로봇보행 재활훈련의 효과: 메타분석)

  • Park, So-Yeon
    • Physical Therapy Korea
    • /
    • v.22 no.2
    • /
    • pp.30-40
    • /
    • 2015
  • Robot-assisted rehabilitation therapy has been used to increase physical function in post-stroke patients. The aim of this meta-analysis was to identify whether robot-assisted gait training can improve patients' functional abilities. A comprehensive search was performed of PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Physiotherapy Evidence Database (PEDro), Academic Search Premier (ASP), ScienceDirect, Korean Studies Information Service System (KISS), Research Information Sharing Service (RISS), Korea National Library, and the Korean Medical Database up to April, 2014. Fifteen eligible studies researched the effects of robot-assisted gait training to a control group. All outcome measures were classified by International Classification of Functioning, Disability, and Health (ICF) domains (body function and structures, activity, and participation) and were pooled for calculating the effect size. The overall effect size of the robot-assisted gait training was .356 [95% confidence interval (CI): .186~.526]. When the effect was compared by the type of electromechanical robot, Gait Trainer (GT) (.471, 95% CI: .320~.621) showed more effective than Lokomat (.169, 95% CI: .063~.275). In addition, acute stroke patients showed more improvement than others. Although robot-assisted gait training may improve function, but there is no scientific evidence about the appropriate treatment time for one session or the appropriate duration of treatment. Additional researchers are needed to include more well-designed trials in order to resolve these uncertainties.