• Title/Summary/Keyword: Effectiveness Score

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Cases Report about Vascular Dementia Treated with Bojungikki-tang-gamibang (보중익기탕가미방을 투여한 혈관성 치매 환자 증례군 보고)

  • Kim, Dae-Jun;Park, Mee-Yeon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.144-148
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    • 2011
  • The purpose of this case series was to investigate the effectiveness of Bojungikki-tang-gamibang for vascular dementia. The case subjects were nine patients who were diagnosed as vascular dementia by Mini-Mental State Examination-Korean (MMSE-K) and Hachinski's ischemic score. They were inpatients at the Kumi Oriental Medical Hospitalof Daegu Haany University from February in 2008 to Aprile in 2009. They were treated with Bojungikki-tang-gamibang. Results of before and after therapy were evaluated and scored using Korean-version Dementia Rating Scale (K-DRS). The results were analyzed using statistical methods, such as Wilcoxon signed rank test and Mann-Whitney U test. The study showed that the K-DRS score significantly increased after treatment (P<0.05). In summary, this cases report suggests that Bojungikki-tang-gamibang appears to be effective in the treatment of vascular dementia.

A Case Report of a Patient with Thalamus Cerebral Infarction Treated with TMJ Balancing Therapy and Traditional Korean Medicine (턱관절음양균형요법과 한방 치료를 적용한 시상 부위 뇌경색 환자에 대한 증례보고)

  • Chae, In-cheol;Yoo, Ho-ryong
    • Journal of TMJ Balancing Medicine
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    • v.10 no.1
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    • pp.21-25
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    • 2020
  • Objectives: The aim of this study was to report the effectiveness of TMJ balancing therapy and Traditional Korean Medicine (TKM) treatments on a thalamus cerebral infarction patient with hemiparesis and gait disturbance. Methods: The patient was treated with TMJ balancing therapy, along with korean herbal medicine, acupuncture, moxibustion, cupping and physical therapy. The motor function was evaluated through the Manual Muscle Test (MMT), Grasp power and Functional Ambulatory Category (FAC). And the daily life ability was evaluated by the Korean version of the Modified Barthel Index (K-MBI) and Korean National Institute of Health Stroke Scale (K-NIHSS). Results: After 17 days of TMJ balancing therapy and TKM treatments, the score of MMT did not improved, but the score of FAC, K-MBI, K-NIHSS improved. Conclusions: This study suggested that TMJ balancing therapy and TKM treatments could be effective for hemiparesis and gait disturbance in patients with thalamus cerebral infarction.

A Case of Chronic Diarrhea with Symptoms Named 'San (疝)' Every Fall (매 해 가을에 반복하는 설사를 주증으로 내원한 산증환자(疝症患者) 치험 1례)

  • Ha, Soo-jin;Lee, Jin-moo;Lee, Chang-hoon
    • The Journal of Internal Korean Medicine
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    • v.40 no.3
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    • pp.541-550
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    • 2019
  • Objective: The aim of this clinical study was to describe the case of a patient who experienced chronic diarrhea related to seasonal changes that improved with herbal medicine treatment. Methods: A patient with diarrhea and globus hystericus was treated following treatment with Hoehyangbanchong-san-hap-Ukgan-san and Gamisachil-tang. A defecation and urination diary, the Bristol Stool Form Scale, and the Visual Analog Scale (VAS) were used to evaluate the effectiveness of this treatment. Results: During treatment, the patient's Bristol Stool Form Scale score changed from Type 7 to Type 4, and the VAS score was significantly decreased. The symptoms of diarrhea and globus hystericus almost subsided. Conclusion: In this case, Korean traditional herbal medicine reduced the clinical symptoms of diarrhea and globus hystericus.

Effects of Hand Acupressure to Male Manufacturing Workers with Shoulder Pain (견비통을 가진 남성 제조업 근로자에 대한 수지요법 적용의 효과)

  • Kim, Yeon-Ok;Kim, Jee-Won
    • The Korean Journal of Health Service Management
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    • v.13 no.2
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    • pp.121-133
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    • 2019
  • Objectives: The purpose of this study was to determine the effectiveness of hand acupressure in relieving shoulder pain among male manufacturing workers. Methods: A nonequivalent control group was employed using a nonsynchronized design. Data were collected from two manufacturing plants located in metropolitan area U. The data were analyzed with a ${\chi}^2$-test and an independent t-test to perform a homogeneity test, and with repeated ANOVA measures to perform an hypothesis test using the SPSS 21.0 program. Results: Hypothesis 1 that "the experimental group provided with hand moxibustion would score lower for low shoulder pain than the control group" was supported (F=306.05, p<.001). Hypothesis 2, that "the experimental group provided with hand moxibustion would have a wider range of motion than the control group" was also supported with increased flexion(F=7.73, p<.001), extension(F=7.89, p=.001), abduction(F=21.23, p<.001), and horizontal abduction(F=20.89, p=.028). Hypothesis 3, that "the experimental group provided with hand moxibustion would score lower for quality of sleep than the control group" was not supported (F=56.10, p=.091). Conclusions: Hand moxibustion is effective in relieving shoulder pain for male manufacturing workers, in relieving low shoulder pain and increasing the range of motion.

Effect of Delayed Clozapine Initiation on Acute Treatment Response in Treatment-Resistant Schizophrenia (클로자핀의 지연된 사용이 치료저항성 조현병 환자의 급성기 약물 반응에 미치는 영향)

  • Yang, So Yung;Choi, Jung-Kyu;Park, Sunyoung;Park, Jaesub
    • Korean Journal of Schizophrenia Research
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    • v.24 no.2
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    • pp.52-59
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    • 2021
  • Objectives: Recent studies have reported that delayed initiation of clozapine can affect clinical response in patients with treatment-resistant schizophrenia (TRS). This study aimed to explore the relationship between delayed initiation of clozapine and acute treatment response. Methods: Sixty-five inpatients with TRS who started clozapine for the first time were included through a retrospective chart review. Acute treatment response was defined as a 30% reduction in the Positive and Negative Syndrome Scale score or a Clinical Global Impression of Improvement score of 1 (very much improved) or 2 (much improved) at 4 weeks after initiating clozapine. Results: After meeting the TRS criteria, the mean delay for initiating clozapine was approximately 13.8 months. The delay was shorter in patients who showed a better response to clozapine in logistic regression analysis (p=0.037). Conclusion: Our findings suggest that reducing the delay in initiating clozapine increases the effectiveness of clozapine in patients with TRS.

Hyperparameter Tuning Based Machine Learning classifier for Breast Cancer Prediction

  • Md. Mijanur Rahman;Asikur Rahman Raju;Sumiea Akter Pinky;Swarnali Akter
    • International Journal of Computer Science & Network Security
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    • v.24 no.2
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    • pp.196-202
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    • 2024
  • Currently, the second most devastating form of cancer in people, particularly in women, is Breast Cancer (BC). In the healthcare industry, Machine Learning (ML) is commonly employed in fatal disease prediction. Due to breast cancer's favorable prognosis at an early stage, a model is created to utilize the Dataset on Wisconsin Diagnostic Breast Cancer (WDBC). Conversely, this model's overarching axiom is to compare the effectiveness of five well-known ML classifiers, including Logistic Regression (LR), Decision Tree (DT), Random Forest (RF), K-Nearest Neighbor (KNN), and Naive Bayes (NB) with the conventional method. To counterbalance the effect with conventional methods, the overarching tactic we utilized was hyperparameter tuning utilizing the grid search method, which improved accuracy, secondary precision, third recall, and finally the F1 score. In this study hyperparameter tuning model, the rate of accuracy increased from 94.15% to 98.83% whereas the accuracy of the conventional method increased from 93.56% to 97.08%. According to this investigation, KNN outperformed all other classifiers in terms of accuracy, achieving a score of 98.83%. In conclusion, our study shows that KNN works well with the hyper-tuning method. These analyses show that this study prediction approach is useful in prognosticating women with breast cancer with a viable performance and more accurate findings when compared to the conventional approach.

Improvement of Facial Paralysis after Parotidectomy with Integrated Korean Medicine Treatment: A Case Report

  • Choong Hyun Han;Young Han Nam;Young Kyung Kim;Youn Young Choi;Eun Sol Won;Hwa Yeon Ryu;Jae Hui Kang;Hyun Lee
    • Journal of Acupuncture Research
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    • v.41 no.2
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    • pp.121-128
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    • 2024
  • This study presents a case of facial nerve injury that occurred after parotidectomy for a benign tumor of the parotid gland that improved with integrated Korean medicine (IKM). On June 24, 2023, the patient presented with facial nerve injury based on a facial nerve conduction study after parotidectomy, with a score of five on Yanagihara's unweighted grading system (Y-system) and a grade of five on the House-Brackmann facial grading scale (H-B scale). During the 15 days of admission, IKM treatments, including acupuncture, pharmacopuncture, moxibustion, herbal steam therapy, physiotherapy, herbal medicine, and thread embedding acupuncture treatment, were performed. After treatment, the strength of the orbicularis oculi, orbicularis oris, and masticatory muscles improved, with a Y-system score of 17 and an H-B scale of III. In conclusion, the findings of this study confirm the applicability and effectiveness of IKM in the treatment of facial paralysis following parotidectomy.

Study on Fault Diagnosis and Data Processing Techniques for Substrate Transfer Robots Using Vibration Sensor Data

  • MD Saiful Islam;Mi-Jin Kim;Kyo-Mun Ku;Hyo-Young Kim;Kihyun Kim
    • Journal of the Microelectronics and Packaging Society
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    • v.31 no.2
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    • pp.45-53
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    • 2024
  • The maintenance of semiconductor equipment is crucial for the continuous growth of the semiconductor market. System management is imperative given the anticipated increase in the capacity and complexity of industrial equipment. Ensuring optimal operation of manufacturing processes is essential to maintaining a steady supply of numerous parts. Particularly, monitoring the status of substrate transfer robots, which play a central role in these processes, is crucial. Diagnosing failures of their major components is vital for preventive maintenance. Fault diagnosis methods can be broadly categorized into physics-based and data-driven approaches. This study focuses on data-driven fault diagnosis methods due to the limitations of physics-based approaches. We propose a methodology for data acquisition and preprocessing for robot fault diagnosis. Data is gathered from vibration sensors, and the data preprocessing method is applied to the vibration signals. Subsequently, the dataset is trained using Gradient Tree-based XGBoost machine learning classification algorithms. The effectiveness of the proposed model is validated through performance evaluation metrics, including accuracy, F1 score, and confusion matrix. The XGBoost classifiers achieve an accuracy of approximately 92.76% and an equivalent F1 score. ROC curves indicate exceptional performance in class discrimination, with 100% discrimination for the normal class and 98% discrimination for abnormal classes.

Clinical Outcomes and Cost-Effectiveness of Osteoporosis Screening With Dual-Energy X-ray Absorptiometry

  • Chiao-Lin Hsu;Pin-Chieh Wu;Chun-Hao Yin;Chung-Hwan Chen;King-Teh Lee;Chih-Lung Lin;Hon-Yi Shi
    • Korean Journal of Radiology
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    • v.24 no.12
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    • pp.1249-1259
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    • 2023
  • Objective: This study aimed to evaluate the clinical outcomes and cost-effectiveness of dual-energy X-ray absorptiometry (DXA) for osteoporosis screening. Materials and Methods: Eligible patients who had and had not undergone DXA screening were identified from among those aged 50 years or older at Kaohsiung Veterans General Hospital, Taiwan. Age, sex, screening year (index year), and Charlson comorbidity index of the DXA and non-DXA groups were matched using inverse probability of treatment weighting (IPTW) for propensity score analysis. For cost-effectiveness analysis, a societal perspective, 1-year cycle length, 20-year time horizon, and discount rate of 2% per year for both effectiveness and costs were adopted in the incremental cost-effectiveness (ICER) model. Results: The outcome analysis included 10337 patients (female:male, 63.8%:36.2%) who were screened for osteoporosis in southern Taiwan between January 1, 2012, and December 31, 2021. The DXA group had significantly better outcomes than the non-DXA group in terms of fragility fractures (7.6% vs. 12.5%, P < 0.001) and mortality (0.6% vs. 4.3%, P < 0.001). The DXA screening strategy gained an ICER of US$ -2794 per quality-adjusted life year (QALY) relative to the non-DXA at the willingness-to-pay threshold of US$ 33004 (Taiwan's per capita gross domestic product). The ICER after stratifying by ages of 50-59, 60-69, 70-79, and ≥ 80 years were US$ -17815, US$ -26862, US$ -28981, and US$ -34816 per QALY, respectively. Conclusion: Using DXA to screen adults aged 50 years or older for osteoporosis resulted in a reduced incidence of fragility fractures, lower mortality rate, and reduced total costs. Screening for osteoporosis is a cost-saving strategy and its effectiveness increases with age. However, caution is needed when generalizing these cost-effectiveness results to all older populations because the study population consisted mainly of women.

The Effectiveness of Cardiopulmonary Resuscitation Training Targeted for Nursing Students (간호학생에게 실시한 심폐소생술 교육의 효과)

  • Han Jung-Suk;Ko Il-Sun;Kang Kyu-Sook;Song In-Ja;Moon Seong-Mi;Kim Sun-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.493-506
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    • 1999
  • The purpose of the study is to evaluate the effectiveness and competence level of trainees of Cardiopulmonary resuscitation training targeted for nursing students. 70 nursing students of Y nursing college are recruited as subjects from Dec. 1st, 1998 through Dec. 8th. 1998. For the pre-test. demographic data related to CPR and knowledge of CPR were evaluated. For the post-test, the next week of pre-test, three difference groups of subjects were tested their knowledge of CPR. CPR training was designed by two components which were 90 mins lecture and demonstration by one professor and individual practice using two educational models with two professors. As the tool of measurement estimating pre or post knowledge of CPR. questionnaires were developed based on self-diagnosis questionnaires of American Heart Association(AHA). The questionnaires were multiple choices (50 questions) and open end questions regarding CPR process. Each multiple choices questions valued 2 points (Score varied min. 0 point to max 100 points.). Collected data were computerized and analyzed by SPSS-WIN. Frequency and percentage of each questions analyzed. The differences of the knowledge and competency level of subjects between pre and post test was analyses by paired t-test. The followings are research outcome. 1. In the pre-test, 95% of subjects answered that they already knew what CPR was. but only 82% described correctly what CPR was. 49% learned CPR before, and 80s5 of them learned at high school. 2. 37 questions scores increases, and 10 questions scores decreased. 3 questions didnt change their score. After getting training, ratio of 80% correct score significantly increased 4 times. 3. In post-test. knowledge level of trainees increased compared to that of pre-test. (t=-15.075, p=.000) 4. Competence level also increased (t=-14.86, p=.00). In result, after getting CPR training, most CPR knowledge increased except open the air tract, toddler CPR, and alternative behavior when the air tract is blocked. CPR training needs to extend the educational scope not only CPR lecture but also psychomotor skill practice. CPR trainees are in need of appropriate feedback as well as enough opportunities of skill practice.

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