• 제목/요약/키워드: prospective method

검색결과 483건 처리시간 0.033초

Response Evaluation of Chemotherapy for Lung Cancer

  • Hwang, Ki-Eun;Kim, Hak-Ryul
    • Tuberculosis and Respiratory Diseases
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    • 제80권2호
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    • pp.136-142
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    • 2017
  • Assessing response to therapy allows for prospective end point evaluation in clinical trials and serves as a guide to clinicians for making decisions. Recent prospective and randomized trials suggest the development of imaging techniques and introduction of new anti-cancer drugs. However, the revision of methods, or proposal of new methods to evaluate chemotherapeutic response, is not enough. This paper discusses the characteristics of the Response Evaluation Criteria In Solid Tumor (RECIST) version 1.1 suggested in 2009 and used widely by experts. It also contains information about possible dilemmas arising from the application of response assessment by the latest version of the response evaluation method, or recently introduced chemotherapeutic agents. Further data reveals the problems and limitations caused by applying the existing RECIST criteria to anti-cancer immune therapy, and the application of a new technique, immune related response criteria, for the response assessment of immune therapy. Lastly, the paper includes a newly developing response evaluation method and suggests its developmental direction.

Dynamic interaction analysis of vehicle-bridge system using transfer matrix method

  • Xiang, Tianyu;Zhao, Renda
    • Structural Engineering and Mechanics
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    • 제20권1호
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    • pp.111-121
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    • 2005
  • The dynamic interaction of vehicle-bridge is studied by using transfer matrix method in this paper. The vehicle model is simplified as a spring-damping-mass system. By adopting the idea of Newmark-${\beta}$ method, the partial differential equation of structure vibration is transformed into a differential equation irrelevant to time. Then, this differential equation is solved by transfer matrix method. The prospective application of this method in real engineering is finally demonstrated by several examples.

액션러닝 교수법을 적용한 예비유아교사의 부모교육 수업 사례연구 (Case Study Using Action Learning on Parent Education Program for Prospective Early Childhood Teachers)

  • 김숙령;박정원
    • 한국콘텐츠학회논문지
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    • 제17권12호
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    • pp.148-157
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    • 2017
  • 본 연구는 예비유아교사 대상 부모교육 수업을 액션러닝으로 운영한 사례를 분석하여 부모교육 수업에서 액션러닝이 어떻게 활용 될 수 있는지 그 효과를 제시하였다. 대전에 위치한 P대학교 유아교육학과에 재학중인 예비교사 32명(유아교육학과 30명, 복수전공자 2명)을 대상으로 12주간 동안 이론과 실제 액션러닝 프로그램을 실시하였다. 자료 수집은 학생들이 매주 작성한 성찰일지, 조별과제, 심층면담자료, 동료 및 자기 평가를 통해 이루어졌으며 질적 사례연구 접근으로 분석하였다. 질적 분석 결과는 다음과 같다. 액션러닝 교수법은 학생 주도적, 그룹수업 경험을 통해 다양한 사고를 접하고 사고의 폭을 확장할 수 있었다. 예비 부모로서, 예비 유아교사로서 부모로서의 역량과 부모접하기 역량을 향상시킬 수 있는 경험을 하였다. 실제 갈등 상황을 해결해 보는 경험을 통한 실천적 지식의 획득은 어려운 부분도 있었지만, 부모역할과 유아교사 역할이 힘들 수 있음을 인식하는 경험과 앞으로 발생할 수 있는 실제 상황 해결에 자신감을 가질 수 있는 계기가 되었다.

반성적 저널에 나타난 (예비) 유아교사들의 그림책 읽어주기 활동에 대한 반성적 사고 및 의미 분석 (Reflective Thinking and Meaning Analysis of (Prospective) Early Childhood Teachers' Storybook Reading Activities in Reflective Journals)

  • 김정화
    • 한국보육지원학회지
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    • 제16권5호
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    • pp.127-154
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    • 2020
  • Objective: This study aimed to show and analyze the flow, content, and meaning of (prospective) early childhood educators reflective thoughts entailed in the process of planning, implementing and evaluating storybook reading by analyzing reflective journals written by technical college students enrolled in an advanced major curriculum after they completed a storybook reading assignment. Methods: The subjects of this study were 39 technical college students enrolled in an advanced major curriculum that participated in a 15-week-long 'storybook seminar' course. This study analyzed journals on storybook reading written by the students as an assignment for the storybook seminar course. Results: As a result, four categories of selecting a storybook, planning the reading of the selected storybook, actual reading of the storybook and subsequent activities were extracted according to the implementation process of storybook reading. Through this series of experiences, (prospective) early childhood educators had a childt-centered view of reading picture books, changed the method of reading picture books, re-recognized the importance of early childhood literature education, and developed a will to develop professionalism through reflective thinking. Conclusion/Implications: This study finds its meaning in showing the reflective thinking that occur within early childhood educators that plan, implement and evaluate storybook reading.

학교경영컨설턴트의 역량 분석 : 전문가와 예비컨설턴트의 인식을 중심으로 (An Analysis on the Competency of School Management Consultants : The Perceptions of Professional and Prospective Consultants)

  • 박수정
    • 한국콘텐츠학회논문지
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    • 제14권4호
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    • pp.425-434
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    • 2014
  • 이 연구는 학교경영컨설팅을 수행하는 컨설턴트가 갖추어야 하는 역량에 대하여 전문가와 예비컨설턴트의 인식을 중심으로 분석함으로써 학교경영컨설턴트의 역량 강화와 학교컨설팅 연구에 대한 시사점을 도출하고자 수행되었다. 이러한 연구 목적을 달성하기 위하여 전문가와 예비컨설턴트를 대상으로 역량 중요도와 역량 보유도를 조사하였다. 연구 결과, 학교경영컨설턴트가 갖추어야 하는 주요 역량은 '학교경영컨설팅의 배경 개념 원리', '학교경영컨설팅의 과정방법', '학교경영의 내용', '경청과 공감', '의사소통', '문제해결', '팀워크와 협력', '대인관계', '진정성', '헌신'으로 분석되었다. 전문가와 예비컨설턴트가 인식하는 학교 경영컨설턴트 역량의 중요도 인식에는 차이가 있었고, 예비컨설턴트가 인식하는 학교경영컨설턴트 역량의 중요도와 보유도는 컨설팅 경험을 통하여 변화를 보였다. 이 연구의 결과는 학교경영컨설턴트의 교육과 자격에 반영할 수 있고,학교경영컨설팅의 '학습성' 원리를 확인하였다는 점에서 의의가 있다.

청소년의 월경전기 변화 (Premenstrual Changes in Adolescents)

  • 조숙행
    • 정신신체의학
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    • 제4권2호
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    • pp.198-206
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    • 1996
  • To assess premenstrual changes in adolescents, a self rating retrospective premenstrual assessment from(PAF) and a prospective daily rating form(DRF) were administered to 230 high school students who reported premenstrual changes. The results were as follows 1) According to typological categories of retrospective premenstrual assessment form, the most commonly reported changes in mood and behavior were major depressive syndrome(40.0%), impulsive syndrome(20.9%). Especially among the subtype of depressive syndrome, hostility feature and withdrawal feature were most frequent. The most commonly reported changes in physical condition were general discomfort(73.5%), fatigue(33.9%). 50.9% of all subjects reported impaired social function. 2) 41.2% of the subjects who met the criteria for typological categories of retrospective premenstrual assessment form were confirmed by prospective daily rating form. 3) According to different criteria of percent change method of assessing symptom change, 38.7% of all subjects had at least one mild premenstrual change and 23.5% had at least one moderate premenstrual change. 4) Using prospective daily rating form, overall psychological changes were confirmed more frequently than physical changes. Of the mild premenstrual changes, 'low energy, tired & weak', 'less or impaired work' were most common changes. Of the moderate premenstrual changes, the most common change was 'low energy, tired & weak'. 5) As attitude toward menstruation, 44.9% of the subjects with confirmed premenstrual changes had more negative attitude(disgusted) toward menstruation. 6) The subjects with confirmed mild or moderate premenstrual changes had only dysphoric mood changes or both physical and dysphoric mood changes, but did not have only physical changes. These results suggest that retrospective reports of premenstrual changes were partially confirmed by daily prospective ratings. A substantial number of adolescents appeared to experience premenstrual changes, and the most common confimed premenstrual change of mild or moderate severity was 'low energy, tired and weak'.

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기존의 창상봉합과 Histoacryl Blue®를 이용한 창상봉합의 비교 분석: 전향적 무작위 임상실험 (Comparing Conventional Suture Method Versus Wound Closure Using Tissue Glue(Histoacryl Blue®): a Prospective Randomized Clinical Trial)

  • 최종우;현경배;김용욱;박병윤
    • Archives of Plastic Surgery
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    • 제32권1호
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    • pp.19-23
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    • 2005
  • Tissue adhesives have gained popularity for quicker and painless closure of lacerations. The use of tissue glue is currently popular for the closure of superficial lacerations, especially in children. Histoacryl $Blue^{(R)}$(2-N-butylcyanoacrylate) is a topical wound closure that precludes the need for foreign bodies to close wounds. The purpose of this study was to compare the applications of Histoacryl $Blue^{(R)}$(HAB) and conventional suture, regarding cosmetic outcome. To compare the short term and long term results of various repair methods, we designed the prospective, randomized, blind study. Patients with laceration undergoing repair were randomly allocated to conventional suture, subcutaneous suture plus HAB, and HAB only groups. The exclusion criterions were large wound that require large tension for repair or avulsion wound. An independent, blinded observer assessed cosmetic result at 7-10 days after repair and 3-9 months postoperatively. Physician's satisfaction with wound appearance was recorded on 100 mm Visual Analogue Scale(VAS)(0=worst, 100=best). The difference in VAS score between conventional suture method and subcutaneous suture plus HAB methods were not significant. Tissue glue being easy to use with no complications and still resulting in equivalent cosmetic outcomes has several benefits. Especially in the case of children, the wound closure with Histoacryl $Blue^{(R)}$ could be a good alternative for repair of laceration in emergency room.

외식산업의 BSC 구축에 대한 연구 - 국내 패밀리 레스토랑의 성과측정항목의 가중치 개발을 중심으로 - (Determinants of Relative Weights on Financial and Non-Financial Performance Measures in the Food service Industry)

  • 오윤석;정순여
    • 한국조리학회:학술대회논문집
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    • 한국조리학회 2006년도 제41차 정기하계학술세미나
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    • pp.21-44
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    • 2006
  • Measuring and evaluating the business performance plays a very important role in managing business. It is because business performance, in any types of industry, can be evaluated and managed properly only when the measurement of its performance is estimated, and because its performance can be improved through an efficient and effective management. Therefore it is essential to build up the performance evaluation system to raise management efficiency of the foodservice industry, to reinforce competitive power of the food service industry. This study tried to propose a novel point of prospective and method in which the performance evaluation in any family restaurant should be illuminated and be performed. In this study, BSC provided the main conceptional framework for evaluating the performance of a family restaurant, and evaluation items of BSC four prospectives - financial, customers, internal business process, and learning and growth-were adjusted so as to be fitted into the business field. Furthermore, this study verified the validity of the proposed performance evaluation method through specific case analyses and used AHP to quantify its validity objectively. Finally, this study found the fact that non-financial prospectives, compared to financial prospectives, should be more importantly considered as the performance evaluation index of the family restaurants. Especially, the study showed that the proportion of performance evaluation indexes related to Customers prospective and Learning and Growth prospective revealed very highly, therefore variables such as customer satisfaction index, per employee productivity, education and training, customer response rate, employee satisfaction index should be emphasized as key factors at the process of selecting indexes and measuring their performance evaluation of the food service industry.

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미래지향적인 관점에서 본 치아우식증 예방과 음용수 불소화 (Prospective on Prevention of Dental Caries and Water Fluoridation)

  • 박기철;김완규
    • 대한치과의사협회지
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    • 제38권1호통권368호
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    • pp.86-93
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    • 2000
  • Water fluoridation in conjunstion with wide use of fluoride dentifrices has been a major factor responsible for the decline in dental caries during the second half of the 20th century throughout the world. The history of water of water fluoridation is a classic public health program leading to epidemiologic investigation and community-based public health dentistry program. Although other fluoride-containing products are available, water fluoridation remains as the most safe and cost-effective method of delivering fluoride to omost communities. regardless of age. educational attainment. or income levels,. This review deals with pros and cons of water fluoridation and prospective analysis of state-of-the-art on issues related to the use of fluoride. An "optimal" fluoride concentration of 0.7-1.2 ppm has been recommended for preventing dental caries with a minimal dental fluorosis and no systemic health consequences.

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지역사회 의료공급자의 지불보상체계상의 특징이 지역사회 주민의 의료이용에 미치는 영향: 미국사례분석 (The Effect of Payment Method of Community Medical Provider on Medical Care Use of Community Residents)

  • 임재영
    • 보건행정학회지
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    • 제15권2호
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    • pp.16-36
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    • 2005
  • Due to the existence of asymmetry of information between doctor and patient, it has been believed that doctor might affect patient's decision making process of purchasing medical care. Based on this notion, doctor's reimbursement method has been suggested as an effective policy device of improving efficiency of patient's medical care use by way of its affecting doctor's practice pattern. By using the Community Tracking Study (CTS) household and physician data set, which includes not only various information on patient's medical care use, but doctor's practice arrangements and sources of practice revenue, this paper investigates the effect of community doctor's characteristics of reimbursement method on community patient's medical care use under the control of patient's socio-demographic characteristics and community doctor's practice type. In the process of estimating econometric model, the endogeneity problem of individual health insurance purchase was corrected by using 2818. And due to the existence of sample selection problem, Heckman's two-step estimation method was used for strengthen the robustness of estimation which was adversely affected by sample selection problem The empirical results show that as the average value of community doctor's portion of practice revenue determined by prospective method out of total revenue increases, the community patient's total out-of-pocket medical cost decreases. This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would be more conscious about practice cost, which might affect doctor's practice pattern and by which his/her patient's use of medical care would decrease.