• 제목/요약/키워드: treatment time

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생존자료분석에서 성향 점수를 이용한 treatment delay effect 추정법에 대한 연구 (Propensity score methods for estimating treatment delay effects)

  • 정주이;송현진;한승봉
    • 응용통계연구
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    • 제36권5호
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    • pp.415-445
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    • 2023
  • 생존 자료에서 Hade 등 (2020) 은 시간-의존 교란 변수가 환자의 처치 시점에 영향을 미칠 때, 해당 효과를 보정하여 treatment delay effect를 올바르게 추정하기 위해 성향 점수 매칭 방법을 이용하였다. 이 때, treatment delay effect란 환자가 관심 있는 지연 시점만큼 늦게 처치를 받는 경우 제 때 받는 경우에 비해 사건 발생 위험에 미치는 영향을 의미한다. 본 연구에서는 또 다른 성향 점수 기반 모형인 Cox-MSM 모형 또한 해당 효과를 올바르게 추정할 수 있는지 모의 실험을 통해 확인 및 기존 매칭 모형과 비교하였다. 모의실험 결과, 세 가지 모형 모두 다양한 시나리오 내에서 treatment delay effect를 올바르게 추정함을 확인하였다. 특히 모든 시나리오 내에서 Cox-MSM의 제곱근평균제곱오차의 값이 가장 낮았으며, restricted Cox matching 모형에서 가장 큰 값을 가지는 것으로 나타났다. 결론적으로, 성향 점수에 기반하나 매칭이 아닌 방법 또한 treatment delay effect 적용이 가능하다는 결과를 제공한다. 추후 G-formula과 같이 성향 점수 기반이 아닌 모형에서도 적용이 가능한지에 대한 상세 연구가 필요하다고 사료된다.

한의학 치료율 제고 방안에 관한 연구 (Treatment Rate-up Methods in the Oriental Medicine)

  • 이선동
    • 대한예방한의학회지
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    • 제3권1호
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    • pp.35-54
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    • 1999
  • This thesis shows about the meaning of treatment rate increasing, the current treated level and the reason of low treatment rate and increasing methods. 1. Treatment rate incresing means high treat level within short time, keeping treatment effect for a long time as well as raising treatment rate. 2. The current by diseases each others completed treatment rate of oriental medicine is 14.0% to 89.7%$(mean:\;{\pm}40.0%)$. Therefore the rate is show too low. 3. The reasons of low treatment rate; low academic level of oriental, academic limitation, clinic and prevention problem of oriental medicine, lack of medical approch suitable for current diseases and symptoms, mostly incurrable diseases using oriental medicine, lack of preventive education, disappropriate medical service and nonspecialty of the treatment, etc. 4. The next methods for incresing the treatment rate must be improved; such as accurate establishment of process that diagnosis symptoms and treats them, system research of microdiagnosis, positive treatment with medicine and nonmedicine method at the same time, appropriate subdivision and actualization of clinical basic research, research of dose and response, diversity of treatment methods and forms, development of treatment service and prevention based on health level, enormous change as cure medicine and opening-up of new disease field, specialization of medical examination, reinforcement of public medical part and herbal drugs use with same origin, mental and pysical stability of patients, accurate extract and oral drinking ways, etc.

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치과치료시 소아의 나이에 따른 행동 조절의 난이도 및 소요시간에 관한 연구 (DIFFICULTY IN MANAGING THE BEHAVIOR AND TIME REQUIRED FOR TREATING THE PEDODONTIC PATIENTS IN ASSOCIATION WITH THEIR AGE)

  • 김광철
    • 대한소아치과학회지
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    • 제21권2호
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    • pp.469-485
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    • 1994
  • The present study was undertaken to examine the relationship between time required for each step in the treatment process for pedodontic patients. and age of the patients, and experience of special training for pedodontics and career of dental practitioners. Information of these matters was gained from 580 questionnaires collected from 69 practitioners (62 male and 7 female). The questionnaires included questions about the patients' sex(303 male and 207 female) and age. The patients were categorized into 5 different age groups : Group 1, age $1{\sim}3$-year ; Group 2, $4{\sim}6$-year ; Group 3, $7{\sim}9$-year ; Group 4, $10{\sim}12$-year ; Group 5, $13{\sim}15$-year. The questions about the dental practitioners were the years of experience in private dental practice(5 years or more than 5 years) and whether or not they took the special training for pedodontics in the authorized institutes. The practitioners were asked to answer the questions about Frankl scale of the patients' behavior during the treatment, and time spent for managing the patients to be subjected to local anesthetic injection (the first behavior control), time for the injection, and time for the subsequent treatment. The results obtained by analyzing the information collected from the questionnaires were as follows : 1. The younger the patients, the lower the Frankl scale was counted at the time of the first behavior control, injection, and the subsequent treatment(p<0.001). 2. The lowest Frankl scale was scored during the injection regardless of the age of the patients. 3. Time for management and treatment was decreased in the order of age Groups 1 and 2< Group 3 < Groups 4 and 5. 4. The patients showed a more positive frankl scale in response to the treatment performed by those who were more-experienced in dental practice as compared with those were less-experienced. 5. Pedodontic training experience of the practitioners did not appear to influence the patients with respect to the treatment time and Frankl scale.

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치과의원 외래환자 예약관리체계의 계량적 평가 (Quantitative Evaluation of Appointment System for Outpatients in Dental Clinic)

  • 이형주;장혜정
    • 한국병원경영학회지
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    • 제8권2호
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    • pp.49-69
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    • 2003
  • This study purported to evaluate the performance of the appointment system for outpatients in primary care dental clinic. The data of patients' time flow for 1,245 patients in Y Dental Clinic were collected for one month in 2002 and then analyzed. Specifically, the time periods of treatment and patients' waiting as well as rates of appointment and it's failure are estimated. The accuracy of expected treatment time period was also evaluated. The results showed that 72% of patients visited the clinic with appointments, and only 56% kept their appointments. The patient's waiting time period turned out to be 11 minutes in Y clinic. The expected treatment time period is turned out to be very important because they influence significantly on patient's waiting time period. Practically, the expected treatment time period should be overestimated about 9 minutes in general, and the characteristics of dentist, each patient's diagnosis and age need to be especially considered. Hospitals and clinics also need to make the systematic and detailed critical pathways for a variety of patient cases by analyzing the patients' treatment pattern. With the improved appointment systems, healthcare institutions will approach the goal of effective and efficient management of the institution and also satisfy their customers.

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제주도 자생 참억새의 종자발아에 관한 연구 (Studies on Seed Germination of Miscanthus sinensis Native to Jeju Island)

  • 이종석;한승원
    • 한국환경복원기술학회지
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    • 제10권1호
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    • pp.9-15
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    • 2007
  • The study was conducted to find out the harvesting time, storage duration, cold treatment and sterilization on seed germination of Miscanthus sinensis. The optimum harvesting time of the Miscanthus seed in native to Jeju island was December. And the seed germination passible 3 years after harvesting. When the seeds had cold treatment, seed germination nate was 74% rather than 63% of non-treatment. For seed sterilization treatment, soaking in solution of Benomyl 7% during from 3 hours to 12 hours germinated 9% over. But the non-treatment on 24 hours treatment reduced the seed germination of Miscanthus sinensis.

Incoloy 825 합금의 기계적 성질에 미치는 열처리의 영향 (Effect of Solution Heat Treatment on Mechanical Properties in Incoloy 825 Alloy)

  • 박영태;김도훈;강창룡
    • 열처리공학회지
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    • 제30권3호
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    • pp.99-105
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    • 2017
  • This study was carried out to investigate the effect of heat treatment on the microstructure and mechanical properties in 90% hot forged Incoloy 825 alloy. With increasing solution treatment temperature, the grain size increased and the volume fraction of total precipitates decreased, and the precipitates disappeared at $1,000^{\circ}C$. With increasing aging time at $700^{\circ}C$, the volume fraction of precipitate increased and the precipitates size increased. Most of the precipitates consist $Cr_{23}C_6$ carbide, and a small amount of TiC carbide was also observed. With decreasing solution treatment temperature and increasing aging time, tensile strength and hardness increased, and the elongation and impact value decreased. With increasing aging time, the impact value decreased sharply by the increased of the precipitate size.

기능적전기자극 치료와 신경발달치료가 편마비 환자의 하지 경직에 미치는영향 (The Influence of Functional Electric Stimulus Treatment and Neurological Development Treatment on the lower limbs' Spasticity of the Patients with Hemiplegia)

  • 최현지;오정림;박래준
    • The Journal of Korean Physical Therapy
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    • 제15권3호
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    • pp.388-411
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    • 2003
  • The purpose of this study has been conducted to reduce the lower limbs' spasticity of the patients with hemiplegia caused by cerebral stroke of apoplexy and find differences about spasticity effects among each group. The objects of this study covered 24 patients with hemiplgia who are either in the oo hospital in Daegu or under treatment from home to hospital. The objects fall into three groups which are a group of neurological development treatment, a group of functional stimulus treatment and a group of neurological development treatment and functional stimulus treatment. The result of this study were as follows : 1) The neurological development treatment has been found to reduce the lower limbs' spasticity of patients with hemiplegia caused by cerebral stroke of apoplexy and compared to before-treatment, the MAS value of spasticity has been shown to be statistically meaningful ,and gradually over the period of between 4 weeks and 8 weeks(P <.05). 2) The functional electric stimulus treatment has been shown to reduce the lower limb's spasticity of patients with hemiplegia caused by cerebral stroke of apoplexy and compared to before-treatment, the MAS value of spasticity was statistically meaningful and compared to 4 weeks, even at the time of 8 weeks, the MAS value of spasticity have shown statistical meaningness. (P <.05) 3) When neurological development treatment and functional electric stimulus treatment was applied at the same time, the lower limbs' spasticity of patients with hemiplegia was reduced meaningfully(P <.05). Compared to before-treatment at the time of 4 weeks, the MAS value of spasticity was statistically meaningful and compared to 4 weeks at the time of 8 weeks the MAS value of spasticity was also statistically meaningful(P <.05) 4) In the case of time-based MAS value of each group, functional electric stimulus treatment reduced the spasticity more meaningfully than neurological development treatment, and the group of same application of functional electric stimulus treatment and neurological development treatment showed better statistical meaningness than functional electric stimulus treatment alone(P <.05) and finally the group of same application of neurological development treatment and functional electric stimulus treatment showed more meaningful difference than neurological development treatment alone(P <.05)

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CNKI로 검색한 소아 수두의 한약 내복 치료에 대한 임상연구 동향 - 2000년대 이후 RCT 연구를 중심으로- (Review of Clinical Studies of Oral Herbal Medicine Treatment for Pediatric Chickenpox using CNKI Database - Focused on Chinese Randomized Controlled Trials after 2000s -)

  • 최정윤;김장현;민상연
    • 대한한방소아과학회지
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    • 제34권3호
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    • pp.18-36
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    • 2020
  • Objectives The purpose of this study is to analyze Chinese randomized controlled trials (RCTs), and to evaluate the effectiveness and safety of the oral herbal medicine treatment for pediatric chickenpox. Methods We searched RCTs after 2000s from the China National Knowledge Infrastructure (CNKI). Afterwards, the year of publication, demographic information, duration of chickenpox, intervention, treatment duration, outcome measure, results and adverse events were investigated and analyzed for this study. Results 21 RCTs out of 219 studies were collected and analyzed. Although each composition of the herbal medicine was different, they have common ingredients such as 清熱解毒, 散結消腫, 疏散風熱, 涼血解毒, 解表散風 in order to make efficacy of 清熱解毒, 散結消腫, 疏散風熱, 涼血解毒, 解表散風. The oral herbal medicine showed better efficacy and safety to improve clinical symptoms such as total efficacy, cure rate, antipyretic time, antipruritic time, scab time, anti-rash time, hospitalization period and herpes recovery time compared to the western medicine treatment. Conclusions These results show that the oral herbal medicine treatment on chickenpox in children may be more effective in reducing of clinical symptoms compared to the western medicine treatment.

주철의 가스질화침탄처리 (A Study on the Gaseous Nitrocarburising of Cast Irons)

  • 김영희;윤희재
    • 열처리공학회지
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    • 제16권2호
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    • pp.71-77
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    • 2003
  • We investigate the phase formation in the compound layer of cast irons during the gaseous nitrocarburising of four different cast irons, that contain different types of graphites in the shape and size. We examine the change in the surface roughness with the nitrocarburising time. The observation of cross-sectional microstructure and X-ray diffraction analysis indicate that the compound layer consists of single ${\varepsilon}-Fe_{2-3}(N,C)$ phase and that its thickness increases in a parabolic manner with the treatment time. The surface roughness parameters, Rz and Ra increase with increasing treatment time. In other words, the roughness parameters increase as the thickness of compound layer increases. The parameters also depend on the shape and size of graphite in the individual cast irons.

Evaluation of Muscle Tension in Hemiplegia Patients with a Real-time Monitoring System during High Intensity Laser Therapy

  • Lee, Sang-Kwan;Lee, Hyeong-O;Youn, Jong-In
    • Journal of the Optical Society of Korea
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    • 제19권3호
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    • pp.277-283
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    • 2015
  • In this study, we evaluated the muscle tension in hemiplegia patients using a real-time monitoring system combined with high-intensity laser treatment (HILT) device. Five hemiplegia patients were treated with HILT in the left forearm muscle for 8 minutes, and the muscle was relaxed for 8 minutes following the treatment. Both the gradient of the force-displacement curves and the muscle hardness decreased during the therapy, and the effects were maintained following the treatment. The results show that muscle tension decreased rapidly during laser irradiation, and the efficacy of the treatment depended on the duration of the illness. Consequently, we conclude that this combined HILT and real-time muscle tension monitoring system is useful for evaluating the therapeutic procedure and for treatment of muscle pain.