• 제목/요약/키워드: Grading system

검색결과 706건 처리시간 0.03초

옥살리플라틴 유도 말초신경독성 측정도구의 고찰 (Properties of the Measures to Assess Oxaliplatin-induced Peripheral Neuropathy: A Literature Review)

  • 추상희;이윤주;이영주
    • 대한간호학회지
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    • 제45권6호
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    • pp.783-801
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    • 2015
  • Purpose: The purpose of this study is to provide a comprehensive overview of the various measures available for assessment of oxaliplatin-induced peripheral neuropathy (OXLIPN) and to evaluate the measurement properties of each assessment tool. Methods: A systematic review was conducted to identify existing measures for OXLIPN found in the databases of PubMed, Cochrane Library, Embase, RISS and KoreaMed. The quality of the 24 identified tools was evaluated based on their properties of measurement including content validity, internal consistency, criterion validity, construct validity, reproducibility, responsiveness, floor-ceiling effects and interpretability. Results: Ten (41.7%) of the 24 tools were identified as specific measures for assessing OXLIPN and the most popular type of measures were clinical grading systems by clinicians (58.3%) and only 29.2% of measures were identified as patient reported outcomes. The most frequently used tool was National Cancer Institute-Common Toxicity Criteria (NCI-CTC), but the validity of NCI-CTC has not been reported appropriately. Overall, the Neuropathic Pain Symptom Inventory (NPSI) received the best psychometric scores, and the Chemotherapy-induced Peripheral Neuropathy Assessment Tool (CIPNAT) and Functional Assessment of Cancer Therapy/Gynaecologic Oncology Group-neurotoxicity-12 (FACT/GOG-Ntx-12) followed NPSI. Conclusion: To select appropriate measure, evidences should be accumulated through the clinical use of tools. Therefore, practitioner and researchers are urged to report relevant statistics required for the validation of the currently used measures for assessment of OXLIPN.

수산물 마아케팅 경로(FMC)에 관한 연구 (A Study on the Fisheries Marketing Channels)

  • 강연실
    • 수산경영론집
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    • 제23권2호
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    • pp.101-128
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    • 1992
  • How to distribute fisheries catches from producer to consumer is very important for everybody joined fisheries marketing channels (FMC), because most people are influenced their revenue and expenditure through marketing channels. Many institutions in Korea after 1960's have tried to develop the rationalization of FMC, but they have not gotten the satisfactory results in general in spite of a lot fruits. Comparing with general manufacturing industry, the fisheries industry has some specializations in the marketing channels. It makes them unique structure included wholesale market system similiar to fresh (perishable) food market with expertised technology. Wholesale market collects, distributes the fisheries catches and evaluates in by auction or bidding without consideration of producer's opinion. It is very necessary institution to make a decision to equatible price for fresh food and to play an important role for marketing effectiveness with minimum total transation and with massed reserve among institutions. But it has two weak points to increase the marketing cost and to make products bad fresh (perishable). Therefore, both Producer and consumer want to find the direct channels not to pass through wholesale market and to get more profit. I wanted to explain what problems of traditional FMC are and why the direct channel is necessary as follows in this paper. Chapter II : The types and specialization of FMC Chapter III : The structure and problem of fisheries wholesale market channel Chapter IV Marketing cost of FMC and direct channel I suggested when the direct channel in FMC is designed, new planner must carry out marketing functions which are performanced by wholesaler, middle man and the joined members of auction at wholesale market. In view of consumption area, these functions are : (1) the finding of production partner to make a business ; (2) communication of information ; (3) collecting ; (4) distribution ; (5) selecting and grading ; (6) evaluating ; (7) financing and payment ; (8) organization, in view of consumption area. The government must support also the group or individual of new direct channels to succeed it with (1) furnishing of market information (2) supplying of land and facility (3) financing (4) feed-back of dierct channels totally (5) making an opportunity of communication between producer and consumer. I want to emphasize again wholesale market is necessary and important institution for equatible price of fresh food in spite of the its weak points. At the same time. the direct channels are necessary to reduce the marketing cost and to keep better fresh food.

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논술 채점의 신뢰도에 관한 연구 (Reliability of essay-writing scoring in university entrance exam)

  • 허명회;한상태
    • 응용통계연구
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    • 제9권2호
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    • pp.45-53
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    • 1996
  • 1994년도 대학입시부터 재개된 논술시험이 점차 그 비중을 확대하는 추세에 있다. 논술시험은 특히 1997년도 입시부터 시작될 교육개혁안에 의한 대학입시체제에서 강조된다고 한다. 그러나 논술시험에 대해 우려되는 것이 몇가지 있으며 그 중 하나는 채점의 신뢰도에 관한 것이다. 본 연구에서는 1995년도 K대학교 입시 논술의 채점 신뢰도를 높이기 위하여 취해졌던 연구과정과 그 결과를 평가, 보고한다. 주요 결과는 두 차례에 걸친 독립 채점의 결과 그 차이가 정한 값 이상일 때 재검하여 제3차 채점자가 최종점수를 내는 채점절차가 세 차례에 걸쳐 독립적으로 채점하는 절차보다 신뢰도가 높으며 또한 효율적이라는 것이다.

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방광암 환자의 요세포 검사에서 p53 단백 발현의 의의 (Immunohistochemical Detection of p53 Gene Mutation in Urine Samples in the Patients with Bladder Cancer)

  • 이상숙;배지연;강유나;조영록;박남조;김선영;김정희
    • 대한세포병리학회지
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    • 제7권2호
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    • pp.144-150
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    • 1996
  • Although bladder cancers are very common, little is known about their molecular pathogenesis. It is known that p53 alteration is found in about 60% of muscle-invasive bladder cancer, necessiating aggressive therapy and poor outcome. We examined the nuclear expression of p53 protein, using D07 monoclonal antibody in the urine samples from 31 patients with transitional cell carcinoma of the bladder to investigate the correlation of p53 overexpression with histologic grades and depth of invasion. The positive rate of p53 protein was 27% in superficial bladder tumor, but increased up to 71% in the invasive bladder carcinomas. The overexpression of p53 protein increased according to Mostofi grading system from 18% in grade I, 45% in grade II, and up to 100% in grade III. The p53 expression tended to be higher in the invasive and high grade bladder cancers than in the superficial and low grade ones(p<0.05). These results suggest that immunohistochemical analysis of the urine specimen in the bladder cancer patients could be a useful method of screening for the presence of p53 mutant protein. The mutant p53 protein expression may be an indicator of bladder cancer with more proliferative potential and/or aggressive biologic behavior.

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구안와사(口眼喎斜)에 대한 체침(體鍼)과 동씨침(董氏鍼)의 효과(效果) 비교(比較) (The Effect of Acupuncture and Dong's Acupuncture about Bell' palsy)

  • 이채우;박인범;김상우;김홍기;허성웅;김철홍;윤현민
    • Journal of Acupuncture Research
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    • 제21권2호
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    • pp.287-300
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    • 2004
  • Objective: The aim of this research was to investigate the effect of acupuncture and the effect of Dong's acupuncture on Bell's palsy. Methods: We measured the facial palsy changes of the patients who were admitted for Bell's palsy in the Oriental Medical hospital of Dongeui medical center from 07-01-2003 to 09-30-2003. Bell's palsy patients were divided into two groups. One group(A group) was treated by acupuncture. The other group(B group) was treated by Dong's acupuncture. The effects of these treatment was evaluated by Yanagihara's unweighted grading system. Results : B group was marked more higher than A group in treatment outcome. we discovered that it is significant differences between two groups after 2 week. Conclusion : These results provided that A group is more effective than B group on. For clearly comparing the Effect of Acupuncture and Dong's Acupuncture on Bell's palsy, it is need more sample's number and more treatment's duration.

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안면신경마비의 발생과 사회경제적인 요인과의 관계 (A Study on the Relationship of Incidence of Facial Palsy with Socioeconomic Factors)

  • 정달림;김지훈;이승덕;홍승욱
    • Journal of Acupuncture Research
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    • 제28권1호
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    • pp.117-124
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    • 2011
  • Objectives : Bell's palsy is the most common acute facial paralysis but its causes still unclear. At present, one of the most widely accepted cause is viral infections, and generally socioeconomic factors influence the viral infections. The purpose of this study is to investigate the relationship of incidence of facial palsy with socioeconomic factors. Methods : Seventeen patients with a acute facial palsy, who volunteered and completed all of the assessment measures participated. Using data on 17 participants, we examined the independent contribution of education, income, and occupation to a risk factor of severe facial palsy. Severity of global facial impairment was assessed by the facial disability index (FDI), the house-brackmann facial nerve grading system, WHO quality of life - bref (WHOQOL-BREF) and visual analogue scale (VAS) about discomfort of life. Results : There was no correlation between severity of facial palsy and gender, marriage, education, or occupation. Age greater than 60 years (p<0.05), and low monthly income(p<0.05), poor self-rated health was associated with greater severity of idiopathic facial paralysis. Conclusions : The number of subjects with facial palsy in our study (n-17) was small, and therefore generalization to larger patient populations might be unwarranted. But according to the outcome, we suggest that socioeconomic factors, especially low monthly income influence severity of bell's palsy.

중증 안면마비에 대한 미소안면침 증례보고 (Case Study of Miso Facial Rejuvenation Acupuncture on Intractable Facial Palsy)

  • 이소영;고정민;김주희;권효정;정지윤;송정화;최도영;이재동;이상훈
    • Journal of Acupuncture Research
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    • 제26권1호
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    • pp.163-171
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    • 2009
  • Objectives : This study was designed to evaluate the effect of Miso Facial rejuvenation Acupuncture on severe cases of facial palsy. Methods : Facial palsy patients over the age of 70 with House-Brackmann grading system(HBGS) above Grade V were treated with Miso Facial rejuvenation Acupuncture. The effects of the treatment were evaluated via scales and picture. Results : Before treatment with Miso Facial rejuvenation acupuncture, the three patients showed H-B Gr V. After treatment, they showed improvement to H-B Gr II, III, and II respectively. There also formed nasolabial folds on the palsied side, with better blinking of the eyes, and improved asymmetry of the left and right face. Conclusions : Miso Facial rejuvenation Acupuncture showed marked improvement in intractable facial palsy. Randomized-controlled trial for further evaluation will be needed in the future.

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운동선수의 제5 중족골 피로골절 (Fifth Metatarsal Stress Fracture)

  • 이경태;박영욱;제갈혁;김준범
    • 대한족부족관절학회지
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    • 제16권2호
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    • pp.87-93
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    • 2012
  • Fractures located at the metaphyseal/diaphyseal junction at the base of the fifth metatarsal were first described by Sir Robert Jones in 1902. However, ever since, there has been disagreement and debate regarding the diagnosis, classification, pathomechanics, the incidences, and potential causes of delayed unions and nonunions, and the optimal method of treatment. It appears to be widely agreed that proximal fractures of the metaphyseal/diaphyseal region of the fifth metatarsal are prone to delayed union or even nonunion. Several classifications of proximal fifth metatarsal stress fractures have been devised. Torg et al. classified fractures involving the proximal part of the diaphysis of the fifth metatarsal into three types. The Torg classification is a good grading system that can be used to determine the type of surgery needed as well as for the prediction of prognosis. The ''plantar gap'' might add to the decision-making process for surgery and improve the prediction of patient prognosis. In addition, the new classification using 'plantar gap' might be used for classification of fifth metatarsal stress fracture. Fifth metatarsal stress fractures can be treated conservatively or surgically, and excellent results have been reported for surgery with rapid recovery in athletes. Intramedullary screw fixation has become a popular form of fixation for fifth metatarsal stress fractures. Bone grafting presents the problems of a longer recovery time and additional skin incision for harvesting. The modified tension band wiring is an useful and simple option for surgical treatment of challenging fifth metatarsal stress fractures.

주 관 증후군의 수술적 치료-내상과 절제술과 척골 신경 피하 전방 전위술의 결과 비교- (Medial Epicondylectomy for the Treatment of Cubital Thnnel Syndrome - A Retrospective Comparison with Anterior Subcutaneous Transposition -)

  • 정문상;백구현;김상림;박영천
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.100-108
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    • 1998
  • Surgical treatment of cubital tunnel syndrome has been reported according to a wide variety of techniques since the end of the last century. Theses range from simple decompression to various forms of nerve transposition and medial epicondylectomy. However, we could find only few reports which compare the results between different types of operations. The treatment results of medial epicondylectomy and anterior subcutaneous transposition, were analysed retrospectively. From March 1984 to January 1996, a total of 110 patients had operations for cubital tunnel syndrome. Seventy four of them were followed-up for more than one year, and only they were included in this study. Anterior subcutaneous transposition was performed in 26 patients; and medial epicondylectomy in 48 patients. There were 52 males and 22 females, with an average age of 34 years (range, 13 to 75). The average follow-up period was 40 months (range, 12 to 132). Grading system by Gabel and Amadio were used for evaluation of the patients; pain, sensory and motor dysfunction were checked preoperatively and at last follow-up. In 26 patients of anterior subcutaneous transposition, 7 (27%) were graded as excellent, 11 (42%) good, 3 (12%) fair and 5 (19%) poor. In 48 patients of medial epicondylectomy, 16 (34%) were excellent, 27 (56%) good, 3 (6%) fair and 2 (4%) poor. Sixty nine percent were excellent or good in anterior subcutaneous transposition group, while ninty percent in medial epicondylectomy group. This difference was significant statistically (p<0.01 )., From our experiences, we suggest medial epicondylectomy for the treatment of cubital tunnel syndrome, rather than anterior subcutaneous transposition.

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중국(中國) 성인남성용(成人男性用) 의류치수규격(衣類値數規格) 설정연구(設定硏究) I (A Study on Development of Chinese Men's Apparel Sizing System)

  • 손희순;임순;김지연
    • 패션비즈니스
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    • 제8권1호
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    • pp.1-15
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    • 2004
  • The purpose of this study is to provide for some basic data useful to production of the apparels fit and measured well for the Chinese men. For this purpose, Chinese men's apparel measurements and specifications were determined per area group(Beijing/ Shanghai) according to the Men's Wear Specifications (GB/T 1335.1-1997), National Standards of People's Republic of China. The collected data were statistically processed using SAS 6.12 for technical statistical analysis, correlation analysis, factor analysis, group-wise analysis and ANOVA. The results of this study can be summarized as follows; 1. As a result of dividing the Chinese men into Beijing and Shanghai men and thereby, setting height and upper chest circumference for upper garments and height and waist for lower garments. 2. Analyzing the correlations according to the three-fold classifications of height/upper chest circumference/waist for garment specifications, 17 specifications based on heights and upper chest circumferences for Beijing men's upper garments could be designed within the deviation level of 2%, while 15 specifications based on waist measurements could be designed (between $70{\sim}98cm$) for their lower garments within the deviation level of 4%. Thus, a total of 60 combinations of the specifications could be obtained. 3. 16 specifications based on heights and upper chest circumferences for Shanghai men's upper garments could be designed within the deviation level of 2%, while 16 specifications based on waist measurements could be designed (between $68{\sim}98cm$) for their lower garments within the deviation level of 3%. Thus, a total of 56 combinations of the specifications could be obtained. For other reference measurements, grading measures were set for each type and body part, while the average measures of major body parts were calculated.