• 제목/요약/키워드: Evaluation Procedures

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골 이식술에 의해 치료된 골연하 결손부의 방사선학적 변화 양상의 관찰 (Radiographic evaluation of infra-bony defects treated by bone graft procedures)

  • 류상호;박진우;서조영;이재목
    • Journal of Periodontal and Implant Science
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    • 제38권3호
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    • pp.437-444
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    • 2008
  • Purpose: A number of techniques and materials have been used for periodontal regeneration and bone graft procedures with guided tissue regeneration(GTR) have been suggested as alternatives to osseous surgery in the management of local infra-bony defects. However, the long-term stability and treatment outcome following bone graft procedure of infra-bony defects is poorly documented. The purpose of this study was to assess radiographic change in infra-bony defects over 2 years after bone graft procedures with various graft materials. Material and Methods: Patients attending the department of periodontics of Kyungpook National University Hospital were studied. Patients showed clinical and radiographic evidence of infra-bony defect(s). 44 sites of 34 patients aged 31 to 69 (mean age 48.3) were treated by bone graft procedure with a bone graft material. Baseline and 2-year follow-up radiographs were collected and evaluated for this study. Radiographic assessment includes a bone fill, bone crest change, defect resolution, and % of defect resolution. Pre- and post-treatment differences between variables (maxilla and mandible, defect depth, defect angle, bone graft materials) using the paired t-test were examined. Result: We observed $1.15{\pm}1.95\;mm$ of bone fill, $0.40{\pm}1.19\;mm$ of crestal resorption, $1.55{\pm}1.77\;mm$ of defect resolution, and $40{\pm}44%$ of percentage of defect resolution. Deeper initial defect depth, narrower initial defect angle showed significantly greater bone fill, defect resolution, and % of defect resolution. But no significant difference was observed in graft sites and graft materials. Conclusion: If good oral hygiene maintenance and periodic recall check of patients is assured, bone graft procedure using various graft materials is one of the appropriate treatment modality for regenerative therapy of infra-bony defects.

환자표본자료를 이용한 간세포암종 환자의 의료이용 특성 및 치료별 의료비용 분석 (Analysis of Medical Use and Treatment Costs of Hepatocellular Carcinoma Patients Using National Patient Sample Data)

  • 오병찬;조정연;권순홍;이의경;김혜린
    • 한국임상약학회지
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    • 제31권2호
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    • pp.153-159
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    • 2021
  • Background: With increasing economic evaluation studies on the treatment of or screening tools for liver diseases that cause hepatocellular carcinoma (HCC), interest in the analysis of the medical utilization and costs of HCC treatment is increasing. Therefore, we aimed to estimate the medical utilization and costs of HCC patients, and calculate the cost of main procedures for HCC treatment, including liver transplant (LT), hepatic resection (HR), radiofrequency ablation (RFA), and transarterial chemoembolization (TACE). Methods: We analyzed claim data from January to December 2018 from the Health Insurance and Review and Assessment Service-National Patient Sample (HIRA-NPS-2018) dataset, including data of patients diagnosed with HCC (Korean Standard Classification of Diseases code C22.0) who had at least one inpatient claim for HCC. Results: A total of 715 HCC patients were identified. In 2018, the yearly average medical cost per HCC patient was ₩18,460K (thousand), of which ₩14,870K was attributed to HCC. Among the total medical costs of HCC patients, the inpatient cost accounted for the largest portion of both the total medical and HCC-related costs. The major procedures of HCC treatment occurred most frequently in the order of TACE, RFA, HR, and LT. The average medical cost per treatment episode was the highest for LT (₩87,280K), followed by HR (₩10,026K), TACE (₩4,047K), and RFA (₩2,927K). Conclusion: By identifying the medical costs of HCC patients and the costs of the main procedures of HCC treatment, our results provide basic information that could be utilized for cost estimation in liver disease-related economic evaluation studies.

국내 구매사업 시험평가에 미치는 영향요인 분석 (The Analysis of Factors Affecting Test and Evaluation in Domestic Purchase Program)

  • 박종완
    • 한국신뢰성학회지:신뢰성응용연구
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    • 제15권4호
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    • pp.222-232
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    • 2015
  • Purpose : The purpose of this study is to analyse affecting factors of Test and Evaluation and to improve the institution of Test and Evaluation in the Domestic purchase program. Methods : The domestic acquisition program is currently small in terms of size, but it is gradually increasing every year. Still, the domestic purchase program has insufficient regulations and procedures compared to the other procurement methods including research & development. Various problems are likely to occur between test and evaluation group, and defense industries regarding the regulations during Test & Evaluation. Therefore, the regulations and methods need to be amended to upgrade the current domestic purchase program into an effective and flawless one. In this paper, six variables have been chosen by the help of experts working in Ministry of National Defense (MND), Joint Chiefs of Staff (JCS), Army Headquarters and DAPA. Results : The six variables are effectiveness of proposal evaluation, fairness of test and evaluation, sufficiency of operational capabilities, seasonal period of test and evaluation, fulfillment in Integrated Logistics Support (ILS) of the industries, and guaranteeing appropriate environment for related enterprises' participation. Conclusion : This paper can help defense industries to enhance their development capabilities, and to perform tests more fairly and effectively considering the key factors identified in this research.

CANDU 압력관에 대한 건선성평가 시스템 개발-지체수소균열 및 블러스터 평가에의 적용 (Development of CANDU Pressure Tube Integrity Evaluation System : Its Application to Delayed Hydride Cracking and Blister)

  • 곽상록;이준성;김영진;박윤원
    • 한국정밀공학회지
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    • 제19권11호
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    • pp.174-182
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    • 2002
  • The integrity evaluation of pressure tube is essential for the safety of CANDU reactor, and integrity must be assured when flaws or contacts between pressure tube and surrounding calandria tube are found. In order to complete the integrity evaluation, not only complicated and iterative calculation procedures but also a lot of data and knowledge are required. For this reason, an integrity evaluation system, which provides an efficient way of the evaluation with the help of attached databases, was developed. The developed system was built on the basis of ASME Sec.? and FFSG issued by the AECL, and applicable for the evaluation of blister, sharp flaw and blunt notch. Delayed hydride cracking and blister evaluation modules are included in the general flaw and notch evaluation module. In order to verify the developed system, several case studies have been performed and the results were compared with those from AECL. A good agreement was observed between those two results.

농촌개발사업의 추진실적 평가항목 선정 및 가중치 산정에 관한 연구 - 농림어업인 삶의 질 향상 및 농산어촌지역개발 시행계획 추진실적 평가를 중심으로 - (The Selection of Evaluation Items and the Estimation of Its Weight for Rural Development Program : A Case of the Enhancement Program of the Quality of Life for Farmers and Fishermen and Rural Development)

  • 황한철
    • 농촌계획
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    • 제13권2호
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    • pp.17-26
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    • 2007
  • This study aims to develop a rational evaluation system which consists of the selection of evaluation items and the estimation of its weight for the Enhancement Program of the Quality of Life for Farmers and Fishermen and Rural Development. This system has two hierarchical steps. The first step shows the evaluation goals which are relevance, efficiency and effectiveness of the program. The second step stands for the evaluation items which have 11 sub-items such as necessity and externalization for the program, rationality of procedures, feedback and monitoring system, budgetary allocations, information activities, impacts on the program, achievements of the goals and so on. A tentative evaluation system was proposed by brainstorming and Delphi method of expert-group. Weighting values of evaluation items were calculated through pair-comparison works of expert group using stepwise matrix sheets by AHP(Analytic Hierarchy Process).

CANDU 압력관에 대한 건전성 평가 시스템 개발 (Development of Integrity Evaluation System for CANDU Pressure Tube)

  • 곽상록;이준성;김영진;박윤원
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2000년도 추계학술대회논문집A
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    • pp.843-848
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    • 2000
  • The pressure tube is a major component of the CANDU reactor, which supports nuclear fuel bundle and it's containment vessel. If a flaw is found during the periodic inspection from the pressure tubes, the integrity evaluation must be carried out, and the safety requirements must be satisfied for continued service. In order to complete the integrity evaluation, complicated and iterative calculation procedures are required. Besides, a lot of data and knowledge for the evaluation are required for the entire integrity evaluation process. For this reason, an integrity evaluation system, which provides efficient way of evaluation with the help of attached databases, was developed. The developed system was built on the basis of ASME Sec. XI and FFSG(Fitness For Service Guidelines for zirconium alloy pressure tubes in operating CANDU reactors) issued by the AECL, and covers the delayed hydride cracking(DHC). Various analysis methods are provided for the integrity evaluation of pressure tube. In order to verify the developed system, several case studies have been performed and the results were compared with those from AECL. A good agreement was observed between those two results.

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대학도서관 평가 지표의 개발에 관한 연구 (A Research on the Development of Evaluation Indicators for Academic Libraries)

  • 곽동철;윤정옥
    • 한국문헌정보학회지
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    • 제45권2호
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    • pp.309-324
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    • 2011
  • 이 연구의 목적은 우리나라 대학도서관 평가에 적용할 수 있는 평가 지표를 개발하는 것이다. 이 연구에서는 (1) 평가 방법, 절차 및 기준의 확정, (2) 평가에 사용될 정량적 및 정성적 평가 지표의 개발, (3) 시범 평가를 통한 지표의 적용 가능성 평가라는 세 가지 요소로 구성된 대학도서관 평가 모형을 구축하는 동시에 일반 현황 지표, 전국 대학 공동활용 지표, 특성화 지표 및 이용자 만족도 지표를 개발하였다. 이 지표들을 사용하여 2010년 대학도서관 평가 시범사업을 시행함으로써 이들의 적용 가능성 및 타당성을 검증하고자 시도하였다.

한국형 외래환자분류체계의 개선과 평가: 복수시술 및 항암제 진료와 내과적 방문지표를 중심으로 (Refinement and Evaluation of Korean Outpatient Groups for Visits with Multiple Procedures and Chemotherapy, and Medical Visit Indicators)

  • 박하영;강길원;윤성로;박은주;최성운;유승학;양은주
    • 보건행정학회지
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    • 제25권3호
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    • pp.185-196
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    • 2015
  • Background: Issues concerning with the classification accuracy of Korean Outpatient Groups (KOPGs) have been raised by providers and researchers. The KOPG is an outpatient classification system used to measure casemix of outpatient visits and to adjust provider risk in charges by the Health Insurance Review & Assessment Service in managing insurance payments. The objective of this study were to refine KOPGs to improve the classification accuracy and to evaluate the refinement. Methods: We refined the rules used to classify visits with multiple procedures, newly defined chemotherapy drug groups, and modified the medical visit indicators through reviews of other classification systems, data analyses, and consultations with experts. We assessed the improvement by measuring % of variation in case charges reduced by KOPGs and the refined system, Enhanced KOPGs (EKOPGs). We used claims data submitted by providers to the HIRA during the year 2012 in both refinement and evaluation. Results: EKOPGs explicitly allowed additional payments for multiple procedures with exceptions of packaging of routine ancillary services and consolidation of related significant procedures, and discounts ranging from 30% to 70% were defined in additional payments. Thirteen chemotherapy drug KOPGs were added and medical visit indicators were streamlined to include codes for consultation fees for outpatient visits. The % of variance reduction achieved by EKOPGs was 48% for all patients whereas the figure was 40% for KOPGs, and the improvement was larger in data from tertiary and general hospitals than in data from clinics. Conclusion: A significant improvement in the performance of the KOPG was achieved by refining payments for visits with multiple procedures, defining groups for visits with chemotherapy, and revising medical visit indicators.

FACTOR/AIM을 이용한 통합자동 생산시스템의 성능분석을 위한 비교연구 (A Comparative Study of FMS Performance Evaluation Modeling Using FACTOR/AIM)

  • 황흥석
    • 산업공학
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    • 제9권2호
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    • pp.191-202
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    • 1996
  • A variety of approaches on performance evaluation modeling have appeared in the technical literature for flexible manufacturing systems(FMS) which can be evaluated only through computer simulation. This study represents a comparative approach for FMS performance evaluation modeling based on reliability, availability and maintainability, and life cycle cost. The methodology proposed in this research includes the following three-step generative approaches. First, a static model to find the initial system configuration is considered under the assumption that the system availability is given as one (failure and maintenance are not considered), and in second step, a stochastic simulation is proposed to serve as a performance evaluation model for FMS with stochastic failure and repair time. In the last step, we developed a simulation modeling using a simulator, FACTOR/AIM to consider a variety of performance factors and dynamic behavior of FMS. Also the applicability and validity of the proposed approaches has been tested and compared through the results of a sample problem using computer programs and procedures developed in each step.

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감성평가 데이터베이스 구축을 위한 시스템 개발 (Development of Data Base System for the Human Sensibility Evaluation)

  • 이동형;임준묵;배기웅;고복수;강진규;이정훈;남경돈
    • 한국감성과학회:학술대회논문집
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    • 한국감성과학회 2000년도 춘계 학술대회 및 국제 감성공학 심포지움 논문집 Proceeding of the 2000 Spring Conference of KOSES and International Sensibility Ergonomics Symposium
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    • pp.277-281
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    • 2000
  • This paper deals with the construction of database system for the human sensibility evaluation.Recently, although a great deal of research efforts have been made to find out the relationships between products and emotion, the main focus of studies have been on visual and auditory sense and less on human sensibility evaluation. Therefore, we think that continuous and systematic studies on odors and the construction of database system are strongly needed in order to enhance the competitive power of products related to them.In this paper, we developed a human sensibility evaluation database system fitted with the characteristics of our country. 쏜 design procedures of database system are presented. According to these procudures, a new database system is implemented on personal computer using MS Access and Visual and is validated.

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