• Title/Summary/Keyword: cure rate index

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Applications of Cause-Selecting Control Charts in Hospitals

  • Zhang, Gongxu;Zheng, Huiying;Park, Sung H.
    • Journal of Korean Society for Quality Management
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    • v.22 no.3
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    • pp.142-151
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    • 1994
  • In a hospital, there are many clinical departments. In general, the hospital management often uses the index of cure rate (i.e. the rate of patients recovered by the cure of this hospital) to evaluate the medical quality of each clinical department. But, since the cure rate varies significantly with the rate of patient with severe disease, the evaluation by cure rate is unreasonable and incomplete. This paper proposes a new evaluation method called the cause-selecting evaluation method proposed by Prof. Gongxu Zhang (1990). Besides, this method can also be used to diagnose the abnormality of cure rate. The practical case studies check with the theory very well.

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Influence of Microstructure and Extender Oil on Cure Characteristics of Solution SBR Compounds

  • Ko, Eunah;Choi, Sung-Seen
    • Elastomers and Composites
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    • v.50 no.2
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    • pp.87-91
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    • 2015
  • Cure characteristics of non-oil-extended solution SBR (S-SBR_NO) and oil-extended solution SBR (S-SBR_ EO) compounds reinforced with silica/carbon black were investigated. Minimum and maximum torques of S-SBR_ EO compounds were much smaller than those of S-SBR_NO ones. Delta torques of S-SBR_NO compounds were greater than those of S-SBR_EO ones, and that of S-SBR_NO compound increased with increase in the 1,2-unit content. Optimum cure time ($t_{90}$) of S-SBR compound decreased with increase in the 1,4-unit content, whereas it increased with increase in the 1,2-unit content. Cure rate index of S-SBR compound increased with increase in the 1,4-unit content, whereas it decreased with increase in the 1,2-unit content. Comparing cure characteristics of S-SBR_NO and S-SBR_EO compounds with the same 1,2-unit content, $t_{90}$s of S-SBR_EO compounds were longer than those of S-SBR_NO ones and cure rate indices of S-SBR_EO compounds were smaller than those of S-SBR_NO ones.

Predictors of outcomes after the trans-obturator tape procedure in females with equal severity for stress and urge mixed urinary incontinence

  • Young-Joo Kim
    • Journal of Medicine and Life Science
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    • v.20 no.4
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    • pp.166-171
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    • 2023
  • Mixed urinary incontinence (UI) is common in women. This study aimed to assess the efficacy of anti-incontinence surgery in female patients with equally severe stress UI (SUI) and urge UI (UUI). All patients had equal severity of SUI and UUI. The postoperative cure rate was categorized into the cure group (CG) and failure group (FG). Postoperative satisfaction was categorized into the satisfaction group (SG) and the dissatisfaction group (DG). Statistical significance was set at P<0.05. Ninety patients (SG, 73.3%; DG, 26.7%; CG, 93.3%; FG, 6.7%) were included in the study. In the univariate analysis, body mass index (BMI), total bladder capacity, and overactive bladder symptom score (OABSS) were significantly different between the SG and DG groups. Peak urinary flow, Valsalva leak point pressure (VLPP), and OABSS were significantly different between the CG and FG groups. In the multivariate analysis, OABSS (P=0.001) and BMI (P=0.032) were independent predictors of postoperative satisfaction. VLPP (P=0.023) was the only independent factor associated with the postoperative cure rate. In equal severity of SUI and UUI, VLPP was found to be the only independent factor associated with postoperative cure rates. Higher VLPP values were associated with higher cure rates. BMI and OABSS were identified as independent predictors of postoperative satisfaction, with lower BMI and OABSS associated with higher postoperative satisfaction.

Effects of Foaming Temperature and Carbon black Content on the Cure Behaviors and Foaming Characteristics of the Natural Rubber Foams (발포온도와 카본블랙 함량이 천연고무 발포체의 가황거동 및 발포특성에 미치는 영향)

  • Choi, Kyo-Chang;Kim, Joon-Hyung;Yoon, Jin-Min;Kim, Soo-Yeon
    • Elastomers and Composites
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    • v.41 no.3
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    • pp.147-156
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    • 2006
  • To investigate the influence of the foaming temperature and carbon black content on the cure behaviors and foaming characteristics of the foams. natural rubber (NR) was foamed at five temperature zones (145, 150, 155, 160 and $165^{\circ}C$) and different feeding ratios of the carbon black. A decreasing trend of the scorch time, $t_{s2}$ and cure time, $t_{90}$ was observed upon increasing foaming temperature and carbon black content. The optimal temperature for vulcanization and foaming of NRs in this study was considered to be $165^{\circ}C$ where density of the loomed NRs is lower than those at other four temperature regions. The rule rate index of the NRs foamed at $145^{\circ}C$ is smaller than those at 150, 155, 160 and $165^{\circ}C$. The results of the expansion ratio and micrographs of the foamed NRs were founded to support the density characteristics. The thickness of each of the struts formed inside the rubber matrix decreases with increasing the foaming temperature, while it increases with increasing the carbon black content.

A Clinical Study of Medical Care on Chronic Prostatitis (만성 전립선염의 치료에 대한 임상적 고찰)

  • Lee, Seung-Hee;Shin, Jin-Bong;Jeon, Yong-Cheol;Kim, Sang-Woo;Song, Bong-Keun
    • The Journal of Korean Medicine
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    • v.28 no.3 s.71
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    • pp.156-164
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    • 2007
  • Objectives : Chronic prostatitis is a common disease among adult men, yet it is very difficult to diagnosis and treat. This study was designed to evaluate the clinical effects of herb medicine, acupuncture, and herbal acupuncture therapy on chronic prostatitis. Methods : We investigated 15 chronic prostatitis patients with NIH-CPSI (National Institutes of Health Chronic Prostatitis Symptom Index). They were treated with herb medicine, acupuncture, and herbal acupuncture therapy. Results : After the treatment, NIH-CPSI decreased significantly. As the period of treatment for prostatitis was longer, the cure rate was higher respectively. Conclusions : These findings suggest that oriental medical treatment for chronic prostatitis may promote medical cure.

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Effect of The activating blood flow and removing blood stasis Method to Prostatic disease (전립선(前立腺) 질환(疾患)에 대한 활혈거어법(活血祛瘀法)의 효과(效果))

  • Song, Bong-Keun;Kim, Joong-Kil;Park, Seung-Won;Song, Un-Yong;Jeong, In-Seok
    • The Journal of Internal Korean Medicine
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    • v.21 no.4
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    • pp.615-619
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    • 2000
  • Objective : The prostatic disease is characterized as relatively incurable, chronic and recurrent illness. Because of this property, we have the difficulty in treating this illness. Besides, the drug selectivity is restricted to the specific prostatic membrane, the barrier of prostate. This study was to evaluate the efficency of the activating blood flow and removing blood stasis Method to Prostatic disease. Methods : We investigated 51 prostatic patiens with NIH chronic prostatitis symptom index, digital rectal examination(DRE), expressed prostatic secretion(EPS). After investigation we treated the patients with herb which was aimed to activate the blood flow and remove the blood stasis method to prostatic disease. Results : After the treatment, symptom index score of the prostatic patients was reduced from 11.7 to 7.4. The cure rate of 51 prostatic patients was 76.5%. Also the cure rate of the patients who was treated over 4 weeks was higher than the patients treated below 4 weeks, 87.5% to 66.7% respectively. conclusions : These results indicate that oriental medical theraphy is useful enough to treat the prostatic patients. Therefore, the more research about the herb which has activating blood flow and removing blood stasis effect is necessary.

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Influence of Blend Mode of Extender Oil on the Properties of EPDM/PP-Based Thermoplastic Vulcanizates (이피디엠/폴리프로필렌 열가소성 경화물에서 오일의 블렌드 방식이 경화물의 물성에 미치는 영향)

  • Na, Sung-Su;Song, Ki-Chan;Kim, Su-Kyung
    • Elastomers and Composites
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    • v.44 no.3
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    • pp.315-322
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    • 2009
  • Influence of blend mode of extender oil on the properties of thermoplastic vulcanizates (TPVs), based on an ethylene-propylene-diene copolymer (EPDM) and a polypropylene (PP), was studied. The EPDM/PP TPVs were prepared in an open roll mill using two different modes in blending sequence of paraffinic oil and phenolic curative, i.e., Oil-Cure and Cure-Oil modes. Degree of cross-linking by gel fraction and properties such as hardness, tensile strength, elongation at break, and melt flow rate were investigated as a function of extender oil content for the two modes. Little influence of the blend mode of extender oil on the degree of cross-linking and mechanical behaviors was observed. However, the use of Cure-Oil mode in the preparation of EPDM/PP TPVs resulted in a marked increase in the level of processability as reflected by melt flow index, as compared to the use of Oil-Cure mode.

Clinical study on treatment of HIVD of lumbar spine using Scolopendrid herbal acupuncture (오공약침(蜈蚣藥針)을 이용한 요추간판탈출증(腰椎間板脫出症) 치료(治療)의 임상적(臨床的) 연구(硏究))

  • Koh, Kang-Hoon;Park, So-Young;Choi, Hoi-Gang;So, Ki-Sook;Hwang, Wu-Jun;Lee, Kun-Mok;Kim, Sung-Chul
    • Journal of Acupuncture Research
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    • v.19 no.3
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    • pp.192-206
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    • 2002
  • Objective : This study is performed for the purpose of examining into the efficacy of the scolopendrid(Scolopendra morsitans L) which has been used among the Korean people for the H.I.V.D of lumbar spine. Methods & Results : Using the herbal acupuncture made of scolopendrid(Scolopendra morsitans L), we treated the 20 H.I.V.D patients for 1 week and operated 4 pre and post treatment test ; D.I.T.I, 6 kinds of physical test, Oswestry disability index, and self-conscious pain rate. Trough the test, we saw 43-95% of efficacy rate in each test. And all of the 7 acupuncture point in D.I.T.I, Oswestry disability index and self-conscious pain rate test showed statistically valuable change. Conclusion : We brought to the conclusion that the scolopendrid herbal acupuncture has possibility to be efficient to cure the H.I.V.D patients. So we suggest the possibility to use this new remedy for the H.I.V.D.

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The Clinical Efficacy of Uvulopalatopharyngoplasty in the Treatment of Obstructive Sleep Apnea Syndrome (폐쇄성 수면 무호흡 증후군 치료에서 구개수구개인두성형술의 임상적 유용성)

  • Moon, Hwa-Sik;Choi, Young-Mee;Park, Young-Hak;Kim, Young-Kyoon;Kim, Kwan-Hyoung;Song, Jeong-Sup;Park, Sung-Hak
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1366-1381
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    • 1997
  • Background : Uvulopalatopharyngoplasty(UPPP) has become the most common surgical treatment for obstructive sleep apnea syndrome(OSAS). However, the results of this therapeutic modality have been quite variable with successful results by several authors and poor results by others. Until recently, in Korea, there is only a few reports about the clinical efficacy of UPPP. A prospective study was undertaken to evaluate the effectiveness and complications of UPPP. Method : Twenty-six OSAS patients who had undergone UPPP with preoperative and postoperative polysomnographic studies were included in this study. Two definitions of surgical success were used. The responder was defined, using a conventional criteria, as a 50% or more reduction in apnea index(AI) or apneahypopnea index(AHI) after UPPP, or a postoperative AI of <10 or AHI of <20. The initial cure was defined, using our own criteria, as a postoperative AI of <5 or AHI of <10. Complications were categorized in two groups : early(disorders during the first 10 postoperative days) and late. Results : Eighteen patients(69.2%) were responders, and ten patients(38.5%) were considered as initial cure. On the other hand, in five patients (19.2%), postoperative polysomnographic data demonstrated deterioration compared with preoperative data. Reduction rate of AI or AHI following UPPP was not significantly related to the preoperative body mass index, AI or AHI. There was no significant change of sleep architecture before and after UPPP in responder and initial cure groups. Early complications such as pain, dyspnea, bleeding, nasal reflux, dysphagia or wound disruption were observed in all patients. Late complications such as nasal reflux, voice change, dysphagia, loss of taste, pharyngeal dryness or foreign body sensation were discovered in 22 patients (84.6%). However, all early and late complications were of minor importance. Conclusion : The response to UPPP was favorable in approximately 70% of OSAS patient. However, the initial Cure rate of UPPP was relatively low. We suggest that selection of more appropriate surgical candidates and adequate surgical protocol is necessary to obtain a more successful result with UPPP.

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Clinical Effectiveness of Acupuncture in the Treatment of Non-Alcoholic Fatty Liver Disease: A Systematic Review (비알코올성 지방간 질환에 대한 침치료의 효과 : 체계적 고찰)

  • Hyun, Joon;Lee, Joo-bok;Kim, So-yeon;Han, Chang-woo
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1206-1224
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    • 2018
  • Purpose: This systematic review was planned and performed in order to determine the clinical effectiveness of acupuncture for non-alcoholic fatty liver disease (NAFLD). Methods: We searched related randomized controlled trials in several medical online databases, including China National Knowledge Infrastructure (CNKI), Excerpta Medica dataBASE (EMBASE), Public/Publisher MEDLINE (PubMed), Cochrane Central Register of Controlled Trials (CENTRAL), National Digital Science Library (NDSL), and Research Information Sharing Service (RISS). NAFLD related outcomes were extracted from the included trials and meta-analyzed. Results: From the 8 included trials, the values of the following examinations were extracted: liver ultrasonography, liver CT, body fat CT, aspartate transaminase (AST), alanine transaminase (ALT), gamma-glutamyltransferase (GGT), total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, fasting blood sugar (FBS), hosmeostatic model assessment for insulin resistance (HOMA-IR), weight, body mass index (BMI), waist hip ratio (WHR), obesity degree, body fat mass, body fat rate, leptin, malondialdehyde (MDA), and super oxide dismutase (SOD). In the 4 outcomes, cure rate in liver ultrasonography (RR=1.56; 95%CI=1.05~2.31; P=0.03), cure rate in liver CT (RR=2.23; 95%CI=1.33~3.72; P=0.002), TC (MD=-0.78; 95%CI=-1.41~-0.15; P=0.02), and TG (MD=-2.05; 95%CI=-3.88~-0.21; P=0.03), acupuncture was more effective than the control intervention. Conclusions: In this meta-analysis, acupuncture relieved hepatic steatosis, and reduced TC, and TG in NAFLD patients. more well-planned studies are still needed due to the heterogeneity and the considerable methodological flaws in the analyzed trials.