• Journal of Gastric Cancer
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• 제18권4호
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• pp.313-327
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• 2018

The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.

• 한국도로학회논문집
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• 제14권6호
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• pp.149-158
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• 2012

PURPOSES : This research is to evaluate the effects of zig-zag marking. METHODS : Based on the literature review, This research adopt Comparison Group method which was developed by Hauer. RESULTS : The findings are as follows. Effectiveness of treatment at all site 1.06, intersection 0.92, median bus lane 1.93, school zone 0.50, below 6-lane 0.48, above 6-lane 1.19, cat vs person 0.57, car vs car 1.36, car only 1.29. CONCLUSIONS : Though the analysis, it was founded that zig-zag marking on the small scale road(below 6-lane) and school zone contribute to reduce traffic accidents(effectiveness of the treatment : 0.50, 0.48). But the accidents at large scale road and median bus lane where installed zig-zag marking demonstrated negative result.(effectiveness of the treatment indicates exceed 1.0).

• 동의생리병리학회지
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• 제36권2호
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• pp.48-53
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• 2022

This scoping review was conducted to identify the trends of cost-effectiveness studies on treatment of Korean medicine after rotator cuff surgery and indicators used in those studies. In researching stage, "patients after rotator cuff surgery", "cost-effectiveness evaluation" and "treatment of Korean medicine" were set as the keywords in "Pubmed", "Google scholar" and Korean databases (RISS, OASIS, KCI). There were no studies containing all three keywords, and after searching separately for "cost-effectiveness evaluation" and "treatment of Korean medicine", each 7 studies were reviewed. The indicators used in the study were identified such as study design, characteristics of subjects, outcome measurement and others. This study identified the need for cost-effectiveness evaluation on the treatment of Korean medicine after rotator cuff surgery. We expect that those indicators will be used to implement other studies afterwards.

• Korean Journal of Acupuncture
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• 제33권2호
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• pp.84-88
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• 2016

Objectives : To assess and compare the effectiveness of acupuncture treatment of depression in epilepsy children and adolescent's parents. Methods : 20 cases of depression in epilepsy children and adolescent's parents were investigated in Southern TCM Centre, Southern University College, Malaysia. Subjects were randomly divided into two groups; Acupuncture treatment group and Herbal medication treatment group. Family relationships questionnaires and Hamilton Depression Rating Scale were used before, after 4 weeks and 8 weeks treatments in order to investigate the effectiveness of treatment. Results : After 4 weeks Acupuncture treatment group showed significant reduction in the Hamilton Depression Rating Scale. On the other hand, after 8 weeks both groups showed significant reduction in Hamilton Depression Rating Scale. Conclusions : The result suggests that the effectiveness of Acupuncture treatment is comparable with treat of Herbal medication treatment to reduce parent's Hamilton Depression Rating Scale.

• The Journal of Advanced Prosthodontics
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• 제8권1호
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• pp.53-61
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• 2016

PURPOSE. This study conducted an analysis of cost-effectiveness of the implant and conventional fixed dental prosthesis (CFDP) from a single treatment perspective. MATERIALS AND METHODS. The Markov model for cost-effectiveness analysis of the implant and CFDP was carried out over maximum 50 years. The probabilistic sensitivity analysis was performed by the 10,000 Monte-Carlo simulations, and cost-effectiveness acceptability curves (CEAC) were also presented. The results from meta-analysis studies were used to determine the survival rates and complication rates of the implant and CFDP. Data regarding the cost of each treatment method were collected from University Dental Hospital and Statistics Korea for 2013. Using the results of the patient satisfaction survey study, quality-adjusted prosthesis year (QAPY) of the implant and CFDP strategy was evaluated with annual discount rate. RESULTS. When only the direct cost was considered, implants were more cost-effective when the willingness to pay (WTP) was more than 10,000 won at $10^{th}$ year after the treatment, and more cost-effective regardless of the WTP from $20^{th}$ year after the prosthodontic treatment. When the indirect cost was added to the direct cost, implants were more cost-effective only when the WTP was more than 75,000 won at the $10^{th}$ year after the prosthodontic treatment, more than 35,000 won at the $20^{th}$ year after prosthodontic treatment. CONCLUSION. The CFDP was more cost-effective unless the WTP was more than 75,000 won at the $10^{th}$ year after prosthodontic treatment. But the cost-effectivenss tendency changed from CFDP to implant as time passed.

• 한국임상약학회지
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• 제32권3호
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• pp.191-203
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• 2022

Background: Direct-acting antivirals are recommended for the treatment of chronic hepatitis C virus in Korea. However, evaluation of direct-acting antiviral regimens in a real-world setting is limited. The aims of this study were to investigate the effectiveness and safety of direct-acting antiviral treatment in Korean patients infected with chronic hepatitis C virus genotype 1b or 2 at a tertiary care hospital. Methods: This was a retrospective study conducted with patient data obtained between August 2015 and August 2019 at Jeonbuk National University Hospital. The primary effectiveness endpoint was sustained virological response 12 weeks post-treatment (SVR12) via intention-to-treat (ITT) and modified intention-to-treat (mITT) analyses. Results: Of the 270 patients, 47.0% were infected with genotype 1b and 53.0% with genotype 2. ITT analysis revealed that SVR12 was achieved in 78.9% of all patients, 77.2% in genotype 1b patients, and 80.4% in genotype 2 patients. Of the 21.1% of all patients who did not achieve SVR12, the majority of treatment failures were non-virologic failures (19.7%). mITT analysis revealed that SVR12 was achieved in 98.2% of all patients, 98.0% in genotype 1b patients, and 98.3% in genotype 2 patients. Almost half of all patients experienced one or more adverse events (43.3%), leading to 2.6% discontinuing scheduled treatment. The most common adverse event was anemia. Conclusions: Direct-acting antiviral-based treatment regimens showed high effectiveness and safety. Non-virological factors, such as premature treatment discontinuation due to adverse events or loss of follow-up, were the major disruptors in achieving SVR12.

• Journal of Forest and Environmental Science
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• 제29권2호
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• pp.109-115
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• 2013

Fast-grown wood generally contains a high proportion of juvenile wood that results in inferior dimensional stability and durability against biological deteriorations. In the present research, the Acacia mangium wood from plantation forests in Vietnam was treated with high temperature in air. The effects of heat treatment on physical properties of Acacia mangium wood, including mass loss (ML), water absorption (WA), water-repellent effectiveness (WRE) and anti-swelling efficiency (ASE) were examined. The results showed that the dimensional stability and the water-repellent effectiveness are increased by about 15-46% and 8-18%, respectively. However, the mass and dimension of wood are decreased. The results also indicated that both treatment temperature and treatment duration significantly affect the wood properties of Acacia mangium. It is thus concluded that heat treatment demonstrates an interesting potential to improve the wood quality of Acacia mangium for solid timber products. This technology provides an environmentally safe method of protecting sustainable common woods to give a new generation of value-added biomaterials with increased stability without the use of toxic chemicals.

• 대한한의학회지
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• 제28권1호통권69호
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• pp.72-86
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• 2007

Objectives : The purpose of this study was to evaluate and compare the cost-effectiveness of Eastern, Western, and collaborative treatments and suggest a cost-effective approach for patients with frozen shoulder pain. Methods : Using the data of fifty-two patients, treatment effectiveness was measured by CSA, SPABI, and ROM scales and changes from the baseline score were evaluated. Data source for cost estimation was based on the national health insurance (NHI) payment system. Because the price in NHI was differentiated by health care institutions, five collaborative types were considered in assessing costs. Cost-effective ratios were computed for economic evaluation. Results : Compared with Eastern treatment, collaborative and Western treatments showed better effects on CSA scale after 4 weeks' treatment. The collaborative approach was also the most effective treatment on SPADI and ROM scales. The direct cost per patient receiving Eastern treatment was less than other treatments. In general, collaborative treatment dominated Eastern and Western treatments in cost-effectiveness an analysis. However, the cost-effectiveness ratio of Eastern treatment resulted in \9,000 compared to \29,000 of collaborative treatment on SPADI. Four different indicators of ROM scales resulted in different approaches as the cost-effective treatment. Conclusions : Considering cost-effectiveness ratios, collaborative treatment was the best treatment on CSh and SPADI scales after 4 weeks' treatment. As for ROM scales, the recommended alternatives were Eastern treatment for patients with abduction and adduction disabilities, Western treatment for those with flexion disability, and collaborative approach fir those with extension disabiliry.

• 생물정신의학
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• 제7권2호
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• pp.198-205
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• 2000

Objectives : Risperidone and clozapine belong to a new generation of antipsychotics that are reportedly more effective and better tolerated than conventional neuroleptics. However, each of these agents costs far more per unit than conventional neuroleptics. The purpose of our retrospective study was to ascertain the total cost and effectiveness of treatment before and after administration of risperidone and clozapine in "revolving door" schizophrenia patients. Method : Data collected on revolving door schizophrenics for 2 years before clozapine and risperidone treatment and for at least 2 years after clozapine and risperidone treatment. Direct cost of inpatient and outpatient treatment was measured. Effectiveness was scaled as "years of mild disability gained". Result : Both risperidone and cloazpine result in higher costs and additional benefits to patients, for example, increased mild disability, reduced number of relapse, and reduced hospital length-of-stay. An ICER of risperidone was less than Rc and ICER of clozapine was greater than Rc. According to decision-analytic this model, risperidone had favorable cost-effectiveness ratios relative to clozapine. Conclusion : We have assumed that risperidone is more cost-effective than clozapine.

• 보건행정학회지
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• 제9권3호
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• pp.70-94
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• 1999

This paper was performed for a cost-effectiveness analysis of pharmacologic treatment of hypercholesterolemia. Agents modeled were cholestyramine, gemfibrozil. bezafibrate, lovastatin, pravastatin, simvastatin. Pharmacologic effectiveness was estimated by regression from reported clinical trials. Pharmacologic effects were expressed as the percent change of blood cholesterol level. Cost estimates included patients' travel expenses and time loss as well as resource consumption in the health care sector. Bezafibrate was the most efficient agent for reducing total cholesterol levels, having an cost over 1 year of ￦31.400 per percent reduction in total cholesterol. Simvastatin (10mg/d) was also efficient(￦33,100 per percent reduction). Chole styramine(8g/d) was least efficient at ￦90,200. For low-density lipoprotein cholesterol. simvastatin(10mg/d) was most efficient, at ￦23,200 per percent reduction, followed by lovastatin(20mg/d) at ￦28,000. Gemfibrozil was least efficient at ￦77,800 per percent reduction. For high-density lipoprotein cholesterol. bezafibrate(400mg/d) was most efficient at ￦39,300 per percent increase of high-density lipoprotein cholesterol. Cholestyramine was least efficient at ￦514,700. Analyses combining low-density lipoprotein cholesterol and high-density cholesterol effects suggest that bezafibrate(600mg/d) and simvastatin (10mg/d) were most efficient for reducing cardiovascular risk. The cost-effectiveness analysis results show that both simvastatin and bezafibrate could be efficient treatment. Simvastatin provide more effective treatment at higher cost, whereas bezafibrate is more cost-effective, as it may be less effective, at lower cost. Therefore, clinicians should choose reasonable treatment according to the patient's needs This pharmacoeconimc analysis will provide a guideline for efficient pharmacologic treatment and also be reference data for pricing new drugs.