• Title/Summary/Keyword: prospective study

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Laparoscopic Reinforcement Suture (LARS) on Staple Line of Duodenal Stump Using Barbed Suture in Laparoscopic Gastrectomy for Gastric Cancer: a Prospective Single Arm Phase II Study

  • Kim, Min Chan;Kim, Sang Yun;Kim, Kwan Woo
    • Journal of Gastric Cancer
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    • v.17 no.4
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    • pp.354-362
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    • 2017
  • Purpose: Laparoscopic gastrectomy is accepted as a standard treatment for patients with early gastric cancer in Korea, Japan, and China. However, duodenal stump leakage remains a fatal complication after gastrectomy. We conducted a prospective phase II study to evaluate the safety of the new technique of laparoscopic reinforcement suture (LARS) on the duodenal stump. Materials and Methods: The estimated number of patients required for this study was 100 for a period of 18 months. Inclusion criteria were histologically proven gastric adenocarcinoma treated with laparoscopic distal or total gastrectomy and Billroth II or Roux-en-Y reconstruction. The primary endpoint was the incidence of duodenal stump leakage within the first 30 postoperative days. The secondary endpoints were early postoperative outcomes until discharge. Results: One hundred patients were enrolled between February 2016 and March 2017. The study groups consisted of 65 male and 35 female patients with a mean age (years) of 62.3. Of these, 63 (63%) patients had comorbidities. The mean number of retrieved lymph nodes was 38. The mean operation time was 145 minutes including 7.8 minutes of mean LARS time. There was no occurrence of duodenal stump leakage. Thirteen complications occurred, with one case of reoperation for splenic artery rupture and one case of mortality. Conclusions: Based on the results of this prospective phase II study, LARS can be safely performed in a short operation period without development of duodenal stump leakage. A future randomized prospective controlled trial is required to confirm the surgical benefit of LARS compared to non-LARS.

A Report on the Collecting Status of the Prospective Clinical Data Included the Constitutional Prescription (전향적 체질치료 임상증례 수집현황에 대한 보고)

  • Kim, Sang-Hyuk;Kim, Ho-Seok;Park, Ki-Hyun;Lee, Siwoo
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.1
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    • pp.57-66
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    • 2016
  • Objectives The purpose of this study is to report on the collecting status of the prospective clinical data, that is designed to find clinical factors for determining the constitutional prescription.Methods We collected the prospective clinical data of 1208 subjects in the 10 oriental hospitals and 2 oriental clinic, from September 2012 to July 2015. Subjects were diagnosed and prescribed by the Sasang Constitution specialist. We counted the usage frequency of each constitutional herbal formula. Besides we check the main chief complaints on each constitutional herbal formula.Results & Conclusions In TE type, Yeoldahanso-tang, Cheongsimnyeonja-tang were used in high frequency. In SE type, Palmulgunja-tang, Gwakhyangjunggi-san were used in high frequency. In SY type, Hyeongbangjihwang-tang, Yanggyeoksanhwa-tang were used in high frequency. The both of high frequency-prescriptions in TE types were for the Interiorheat disease, expecially liver-heat lung-dry symptomatology. The main chief complaint of high frequency-prescriptions was fatigue in every constitution. We hope that the process of constitutional prescription would be standardized through the subsequent researches.

Perimenstrual Symptoms of Korean Women Living in the USA: Applicability of the WDHD(Women's daily health diary) on Prospective Report

  • Kim Hae won
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1395-1401
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    • 2004
  • Purpose. To compare perimenstrual (premenstrual, menstrual, postmenstrual) symptoms by concurrent reporting using the Women's Daily Health Diary (WDHD) and by retrospective reporting using the Moos Menstrual Distress Questionnaire (MMDQ). Methods. A prospective and retrospective study was conducted among 31 Korean women, aged 27 to 48 yrs, living in the USA. Results. On the prospective report using the WDHD, the most severe complaints were fatigue or tiredness ($1.48{\pm}.98$), sensation of weight gain ($.88{\pm}98$), increased appetite ($.79{\pm}.96$) in premenstrual phase, fatigue or tiredness ($1.34{\pm}.85$), backaches ($1.06{\pm}.79$), and bloating or swelling of the abdomen ($.93{\pm}.86$) during the menstrual phase. On the retrospective report using the MMDQ, the most severe complaints during the premenstrual phase were fatigue ($2.26{\pm}1.65$), irritability ($2.06{\pm}1.48$), and backaches ($1.97{\pm}1.68$) and during the menstrual phase backaches ($2.35{\pm}1.62$), fatigue ($2.29{\pm}1.75$), and cramps ($2.23{\pm}1.80$). According to both measurements of PMS symptomology during the premenstrual and menstrual phases, the most frequently reported symptom was fatigue or tiredness. Highly rated symptoms on the MMDQ and on the WDHD were found to be similar. Conclusion. The WDHD was found to be suitable for daily prospective PMS assessment, which will be necessary for the screening and management of women with severe PMS.

Identifying Prospective Visitors and Recommending Personalized Booths in the Exhibition Industry

  • Moon, Hyun Sil;Kim, Jae Kyeong;Choi, Il Young
    • Journal of Information Technology Applications and Management
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    • v.21 no.1
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    • pp.85-105
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    • 2014
  • Exhibition industry is important business domains to many countries. Not only lots of countries designated the exhibition industry as tools to stimulate national economics, but also many companies offer millions of service or products to customers. Recommender systems can help visitors navigate through large information spaces of various booths. However, no study before has proposed a methodology for identifying and acquiring prospective visitors although it is important to acquire them. Accordingly, we propose a methodology for identifying, acquiring prospective visitors, and recommending the adequate booth information to their preferences in the exhibition industry. We assume that a visitor will be interested in an exhibition within same class of exhibition taxonomy as exhibition which the visitor already saw. Moreover, we use user-based collaborative filtering in order to recommend personalized booths before exhibition. A prototype recommender system is implemented to evaluate the proposed methodology. Our experiments show that the proposed methodology is better than the item-based CF and have an effect on the choice of exhibition or exhibit booth through automation of word-of-mouth communication.

Suggestion of Implementing "Assessment of Mathematics Learning" Class for Educating Prospective Teachers (학생평가 전문성을 갖춘 수학교사 양성을 위한 "수학학습평가" 강좌의 교육 내용과 방법에 대한 제안)

  • Kim, Sun-Hee
    • School Mathematics
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    • v.8 no.3
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    • pp.301-326
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    • 2006
  • Teacher's competence in student assessment is an essential ability to mathematics teachers and should be improved qualitatively. This study suggests how college of education should make efforts in educating prospective teachers who will have competence in student assessment. First, $\ulcorner$Assessment of Mathematics Learning$\lrcorner$ must be set as a required subject. Second, the contents of the subject should be consisted to improve the competence of the prospective teachers in student assessment. Therefore, the contents based on the standards of teacher's competence in student assessment are suggested in this paper. Third, teaching methods should be practiced by using exemplary samples of teacher's assessment on students in addition to lecture.

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Simulation on the Change of Practice Pattern after the Introduction of 7 Diagnosis-related Groups Prospective Payment System in a University Hospital (7개 질병군 포괄수가제 도입에 따른 일개 대학병원의 진료행태 변화 모의실험)

  • Shin, Sam-Chul;Kang, Gil-Won;Kim, Sang-Won
    • Health Policy and Management
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    • v.23 no.2
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    • pp.103-111
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    • 2013
  • Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.

A Study on the Process of Solving Context Problems by Prospective Teachers (예비 교사들의 맥락 문제 해결 과정 분석)

  • Shin, Bo Mi
    • Journal of Educational Research in Mathematics
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    • v.22 no.4
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    • pp.535-555
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    • 2012
  • The aim of this study is to analyze how the context problems by prospective teachers are solved. In order to achieve this aim, this study examined the conceptual nature of context based on previous studies. I developed context problems about linear programming with reference to the results of the examination about the natural characterization of context. These problems were given to 44 prospective teachers and qualitative methods were used to analyze the data obtained from the written solutions by the participants. This study also developed the framework descriptors for this analysis in the light of the Mathematics Scoring Rubric from Illinois Department of Education(2005). The data was analyzed and interpreted in terms of this framework and the specific characteristics shown in the process of problem solving by the teachers were categorized into four types as a result.

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A Systematic Review of Clinical Studies for Herbal Medicine of Dementia - based on Korean Literature - (치매의 한약물 치료에 대한 체계적 임상논문 고찰 - 국내문헌을 중심으로 -)

  • Kwon, Yong-Ju;Cho, Hye-Young;Whang, Wei-Wan;Cho, Seung-Run
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.4
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    • pp.151-161
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    • 2010
  • Objectives : This study aimed to evaluate any clinical studies regarding the herbal medicine for dementia focusing on Korean literature for future rigorous clinical research. Methods: Every article relevant to dementia was initially obtained from oriental medical related journals by electronic search at journal web sites or manual searches. Journals were limited to those registered with the Korea Research Foundation. From initial findings. two independent reviewers selected clinical articles and these articles were further analyzed separately by predefined criteria according to prospective and retrospective studies. For randomized controlled trial and non randomized controlled trial. quality assessment was also conducted. Results: From ninety seven patients initially obtained articles. twenty three patients were finally analyzed. One article was randomized controlled study. Four articles were prospective whereas eighteen patients were retrospective. In the qualitative evaluation of prospective articles. there was deduction regarding pre-calculated study size and prospective data collecting. Assessment measurement most frequently used was Mini Mental State Examination. The order of frequency of use herbs were identified. Conclusions : According to our study. the herbal medicine for dementia in general showed a positive effect in the cognitive aspects of dementia patients. Further well-designed randomized controlled studies should be conducted.

A Study on the Antecedents of Career Indecision for Prospective Librarians (예비사서의 경력 미결정 요인에 관한 연구)

  • Choi, Jung-Hee;Choi, Byung-Woo;Ahn, In-Ja
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.17 no.1
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    • pp.265-283
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    • 2006
  • This study attempts to analyze factors that influence the level of career indecision for prospective librarians. To this end, an empirical study was conducted on the students from the department of Library & Information Science at universities located in Seoul, Kyunggi and Choong Chung Areas. Exogenous variables included personal, organizational and institutional characteristics. The result of analysis using the Structural Equation Model reveals that personal characteristics of students affect the level of career indecision whereas organizational and institutional characteristics do not have any statistical significance in career indecision. This suggests that, in order to raise the career decision level of prospective librarians. there is a need to develop programs to enhance occupational ego-identity and self-efficacy and to provide organizational and institutional supports, including better curriculum, improved practical ability and qualifications as librarians. This study also discusses its limits and areas for future research.