• Title/Summary/Keyword: prospective

Search Result 3,154, Processing Time 0.028 seconds

The Decision Tree to Analyze the Cases' Ordinary Symptoms Prescribed Yeoldahanso-tang and Taeeumjowi-tang·Choweseuncheng-tang (열다한소탕과 태음조위탕·조위승청탕의 소증 분석을 위한 의사결정나무 구성)

  • Kim, Sang-Hyuk;Park, Man Young;Lee, Siwoo
    • Journal of Sasang Constitutional Medicine
    • /
    • v.29 no.3
    • /
    • pp.248-261
    • /
    • 2017
  • Objectives The purpose of this study is to analyze the decision making process of prescribing Yeoldahanso-tang and Taeeumjowi-tang Choweseuncheng-tang using decision tree. Methods We used collected the prospective clinical data of TE type from September 2012 to July 2015. In this study, we used gender, BMI, blood pressure, pulse and clinical symptoms (digestion, sweat, defecation, urination, sleep, physical status, emotion, heat-coldness, water consumption, facial color) as variables. Decision trees were analyzed using open source R version 3.3.2. Results & Conclusions We found that the decision trees differed among institutions. However, in all institutions, it was found that stool type (ordinary symptom), urine frequency (ordinary and present symptom) and anxiety (ordinary symptom) were important in the decision of prescription. Besides, clinical informations such as sex, Body Mass Index and blood pressure affected the prescription decision.

Detection of Extravasated Contrast Media Using an Infrared Ray Based Extravasation Detection Accessory System (적외선 기반의 혈관외유출 검출시스템을 이용한 조영제의 혈관외유출 검출)

  • Kweon, Dae-Cheol;Jang, Keun-Jo
    • Journal of Biomedical Engineering Research
    • /
    • v.30 no.5
    • /
    • pp.412-417
    • /
    • 2009
  • The purpose of this study was to assess the ability of this device during clinically important episodes of extravasation. The extravasation detection accessory (EDA) system was based of infrared ray with detection sensor, an amplifier, alarm device, receiver, cable and a computer based system. This study was a prospective, observational study in which the EDA system was used to monitor the automated mechanical injection of contrast media. Three hundred patients referred for contrast media enhanced body computed tomography studied in a prospective, observation study in which the EDA system was used to identify and interrupt any injection associated with clinically important extravasation. There were 8 true-positive cases, 276 true-negative cases, 15 false-positive cases and 1 false-negative cases. The EDA system had a sensitivity of 88.8% and a specificity of 94.8% for the detection of clinically important extravasation. The EDA system had good sensitivity for the detection of clinically important extravasation and the EDA system has the clinical potential for the early detection of extravasation of the contrast medium that is administered with power injectors.

Influence of Prescribed Gamitaeeumjowi-tang on Liver Function : Prospective Single-center Pilot Study (가미 태음조위탕 복용이 간기능에 미치는 영향 : 전향적 단일기관 예비연구)

  • Jin, Yong-Huei;Kim, Kang-Sik;Han, In-Yeop;Lee, Hyun-Bae
    • Journal of Korean Medicine for Obesity Research
    • /
    • v.10 no.1
    • /
    • pp.29-40
    • /
    • 2010
  • Objective The aim of this study was to evaluate the influence of Gamitaeeumjowi-tang(GTT) prescribed by doctors of korean(KMD) medicine on liver function. Methods For this single-center, prospective, observational study, we enrolled patients who wished to take GTT prescribed by KMD for losing weight. sixty(60) patients took GTT for 33.8 days and completed questionnaires. Liver function tests(LFTs) were performed bofore(first test) and after each GTT treatment(finish test). For LFT, T-bil, ALP, AST, ALT were measured. Result There were no significant changes in LFT data between the first and finish tests. At first test, levels of test seven(7) patients were more than twice of normal range of upper limit, levels of eight(8) patients were more than normal range of upper limit, less than twice of normal range of upper limit. At last test, levels of nine(9) patients were more than normal range of upper limit, less than twice of normal range of upper limit. Conclusion The current study showed that ingestion of GTT prescribed by KMD did not increase the frequency of abnormal LFTs, at least in the short term.

Risk Factors of Cerebrovascular Disease According to the Level of Blood Pressure among the Prospective Tele-medicine Users (재택진료 잠재적 이용자의 혈압 수준에 따른 뇌혈관 질환 위험요인 분포)

  • Song, Hee-Young;Park, So-Mi;Hwang, Sung-Oh
    • Journal of Korean Biological Nursing Science
    • /
    • v.6 no.2
    • /
    • pp.31-42
    • /
    • 2004
  • Purpose: This study was undertaken to investigate bio-medical and behavioral risk factor of stroke according to the level of blood pressure among the prospective tele-health users. Method: A descriptive study was conducted using interviews with a structured questionnaire. Of the households in the village, 24 households were selected for inclusion in the study. Among all of the residents from these households, a total of 48 residents who completed all the blood tests as well as the questionnaire. Results: Among bio-medical risk factors including demographic characteristics, physiologic variables, and health history, only triglyceride(TG) was significantly different among normal, prehypertension, and hypertension groups(F=3.78, p<.05). However, regarding behavioral variables, those who were classified as prehypertension and hypertension group reported more frequent drinking, those who were in prehypertension group reported highest scores of stress and lowest frequency of exercise, and those who were in normal and hypertension group showed higher scores of interest on health and lower scores of perceived seriousness of disease and health knowledge than those who were in prehypertension group. Conclusion: Identification and implementation of modifiable risk factors of stroke according to the level of blood pressure are crucial for health care utilizing tele-medicine.

  • PDF

A Study Analyzing the Effectiveness of a Prospective Librarian Mentorship Program (예비사서 멘토링 프로그램 운영사례 및 효과분석연구)

  • Noh, Younghee
    • Journal of Korean Library and Information Science Society
    • /
    • v.45 no.1
    • /
    • pp.51-79
    • /
    • 2014
  • This study operated a mentoring program for future librarians and analyzed its effectiveness. As a result, first, the final goals of mentees were much more focused and specific in comparison with their initial goals, and the types of objectives they set for themselves became more in depth and subdivided. Second, the employment performance of the mentoring program was measured by comparing with the employment rate of students who had not participated in mentoring programs, and found that the employment rate of students scheduled to graduate who participated in the mentoring program was 83.33%, which is very high. Third, we compared the mentoring semester grades with the grades before mentoring; students' average score was 3.75 before mentoring, while after mentoring their average score improved slightly to 3.84. However, it was revealed that improvement is necessary in terms of mentoring period length and amount of supervision.

Role and Prospective of Reference Standards for Integrity Controls of Large-scale Structure and Facilities (대형 설비/구조물 안전성에 있어서 국가참조표준의 역할과 전망)

  • Nahm, Seung-Hoon;Lee, Yun-Hee;Baek, Un-Bong;Chung, In-Hyun;Lee, Hae-Moo
    • Proceedings of the KSME Conference
    • /
    • 2007.05a
    • /
    • pp.84-89
    • /
    • 2007
  • In order to guarantee the safety of the facility systems, one of the essential components is information on mechanical properties of materials used for the construction. However, acquisition or accumulation of the mechanical property data in industrial fields is limited because this operation does not yield profit, excepting few materials production companies. Corresponding to the urgent needs and poor economical features, the MOCIE has founded the National Center for Standard Reference Data in the KRISS and also designated the Data Center of Mechanical Properties for Metallic Materials (DCMP) as a principal operating section. The DCMP plays roles of collection, edition and evaluation of the mechanical data and development of reference standards. In this study, several functions of the DCMP and standardization procedures of mechanical properties data will be introduced the prospective of standard reference researches will be discussed based on active feedbacks from industrial fields.

  • PDF

A System Dynamics Approach for Valuing Nuclear Power Technology (System Dynamics를 이용한 원자력발전의 기술가치 평가)

  • Lee, Yong-Suk
    • Korean System Dynamics Review
    • /
    • v.7 no.2
    • /
    • pp.57-80
    • /
    • 2006
  • Nuclear technology made a great contribution to the national economy and society by localization of nuclear power plant design, and by stabilization of electricity price, etc. It is very important to conduct the retrospective analysis for the nuclear technology contribution to the national economy and society, but it is more important to conduct prospective analysis for the nuclear technology contribution. The term "technology value" is often used in the prospective analysis to value the result of technology development. There are various definitions of technology value, but generally it means the increment of future revenue or the reduction of future cost by technology development. These technology valuation methods are widely used in various fields (information technology or energy technology, etc). The main objective of this research is to develop valuation methodology that represents unique characteristics of nuclear power technology. The valuation methodology that incorporates market share changes of generation technologies was developed. The technology valuation model which consists of five modules (electricity demand forecast module, technology development module, market share module, electricity generation module, total cost module) to incorporate market share changes of generation technologies was developed. The nuclear power technology value assessed by this technology valuation model was 3 times more than the value assessed by the conventional method. So it was confirmed that it is very important to incorporates market share changes of generation technologies. The valuation results of nuclear power technology in this study can be used as policy data for ensuring the benefits of nuclear power R&D (Research and Development) investment.

  • PDF

Prospective Multicenter Surveillance Study of Surgical Site Infection after Spinal Surgery in Korea : A Preliminary Study

  • Jeong, Tae Seok;Yee, Gi Taek
    • Journal of Korean Neurosurgical Society
    • /
    • v.61 no.5
    • /
    • pp.608-617
    • /
    • 2018
  • Objective : This study aimed to investigate the rates, types, and risk factors of surgical site infection (SSI) following spinal surgery using data from a Korean SSI surveillance system that included diagnoses made by surgeons. Methods : This was a prospective observational study of patients who underwent spinal surgeries at 42 hospitals in South Korea from January 2017 to December 2017. The procedures included spinal fusion, laminectomy, discectomy, and corpectomy. Univariate and multivariate logistic regression analyses were performed. Results : Of the 3080 cases included, 30 showed infection, and the overall SSI rate was 1.0% (an incidence of 1.2% in spinal fusion and 0.6% in laminectomy). Deep incisional infections were the most common type of SSIs (46.7%). Gram-positive bacteria caused 80% of the infections, and coagulase-negative staphylococci, including Staphylococcus epidermidis, accounted for 58% of the gram-positive bacteria. A longer preoperative hospital stay was significantly associated with the incidence of SSI after both spinal fusion and laminectomy (p=0.013, p<0.001). A combined operation also was associated with SSI after laminectomy (p=0.032). Conclusion : An SSI surveillance system is important for the accurate analysis of SSI. The incidence of SSI after spinal surgery assessed by a national surveillance system was 1.0%. Additional data collection will be needed in future studies to analyze SSI in spinal surgery.

Prospective Multicenter Surveillance Study of Surgical Site Infection after Intracranial Procedures in Korea : A Preliminary Study

  • Jeong, Tae Seok;Yee, Gi Taek
    • Journal of Korean Neurosurgical Society
    • /
    • v.61 no.5
    • /
    • pp.645-652
    • /
    • 2018
  • Objective : This study aimed to investigate the rates, types, and risk factors of surgical site infection (SSI) following intracranial neurosurgical procedures evaluated by a Korean SSI surveillance system. Methods : This was a prospective observational study of patients who underwent neurosurgical procedures at 29 hospitals in South Korea from January 2017 to June 2017. The procedures included craniectomy, craniotomy, cranioplasty, burr hole, and ventriculoperitoneal shunt. Univariate and multivariate logistic regression analyses were performed. Results : Of the 1576 cases included, 30 showed infection, for an overall SSI rate of 1.9%. Organ/space infection was the most common, found in 21 out of the 30 cases (70%). Staphylococcus aureus was the most common (41%) of all bacteria, and Serratia marcescens (12%) was the most common among gram-negative bacteria. In univariate analyses, the p-values for age, preoperative hospital stay duration, and over T-hour were <0.2. In a multivariate analysis of these variables, only preoperative hospital stay was significantly associated with the incidence of SSI (p<0.001), whereas age and over T-hour showed a tendency to increase the risk of SSI (p=0.09 and 0.06). Conclusion : Surveillance systems play important roles in the accurate analysis of SSI. The incidence of SSI after neurosurgical procedures assessed by a national surveillance system was 1.9%. Future studies will provide clinically useful results for SSI when data are accumulated.

Factors Affecting Survival Time of Cholangiocarcinoma Patients: A Prospective Study in Northeast Thailand

  • Woradet, Somkiattiyos;Promthet, Supannee;Songserm, Nopparat;Parkin, Donald Maxwell
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.3
    • /
    • pp.1623-1627
    • /
    • 2013
  • Cholangiocarcinoma (CCA) is a major health problem and cause of death among people in Northeastern Thailand. In this prospective study 171 patients newly diagnosed with CCA by physicians in 5 tertiary hospitals in four provinces of northeastern of Thailand between February and July 2011 were followed up to January 2012. The outcome was survival time from diagnosis to death. A total of 758.4 person-months of follow-up were available. The mortality rate was 16.9 per 100 person-months (95%CI: 14.1-20.1). The median survival time among CCA patients was 4.3 months (95%CI: 3.3-5.1). Cox's proportional hazard model was used to study the independent effects of factors affecting survival time among patients. Statistically significant factors included advanced stage at diagnosis (HR: 2.5, 95%CI: 1.7-3.8), presentation with jaundice (HR: 1.7, 95%CI: 1.1-2.4) or ascites (HR: 2.8, 95%CI: 1.8-4.4), and positive serum carcinoembryonic antigen (HR: 2.3, 95%CI: 1.2-4.3). Patients who had received standard treatment had a better prognosis that those who did not (HR: 0.5, 95%CI: 0.3-0.7).