• 제목/요약/키워드: treatment evaluation

검색결과 6,671건 처리시간 0.036초

The Role of Imaging in Current Treatment Strategies for Pancreatic Adenocarcinoma

  • Hyungjin Rhee;Mi-Suk Park
    • Korean Journal of Radiology
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    • 제22권1호
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    • pp.23-40
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    • 2021
  • In pancreatic cancer, imaging plays an essential role in surveillance, diagnosis, resectability evaluation, and treatment response evaluation. Pancreatic cancer surveillance in high-risk individuals has been attempted using endoscopic ultrasound (EUS) or magnetic resonance imaging (MRI). Imaging diagnosis and resectability evaluation are the most important factors influencing treatment decisions, where computed tomography (CT) is the preferred modality. EUS, MRI, and positron emission tomography play a complementary role to CT. Treatment response evaluation is of increasing clinical importance, especially in patients undergoing neoadjuvant therapy. This review aimed to comprehensively review the role of imaging in relation to the current treatment strategy for pancreatic cancer, including surveillance, diagnosis, evaluation of resectability and treatment response, and prediction of prognosis.

한의 난임 치료의 심신 기능 개선 평가를 위한 표준 평가도구 개발에 대한 임상 한의사 대상 기초 설문조사 (A Basic Survey of Korean Medicine Doctors to Develop Standard Evaluation Tools for Evaluating of Mental and Physical Function Improvement following Korean Medicine Infertility Treatment)

  • 이수진;김동일;최수지
    • 대한한방부인과학회지
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    • 제35권4호
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    • pp.105-120
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    • 2022
  • Objectives: The purpose of this study is to investigate the perception of Korean Medicine (KM) doctors toward infertility treatment evaluation tools and develop a standard evaluation tool for mental and physical function improvement following Korean medicine treatment. Methods: An online survey (Moaform) was conducted, and responses were analyzed for members of the Society of Korean Medicine Obstetrics and Gynecology and KM doctors who participated in the 2021-2022 traditional Korean medicine treatment infertility support program in Gyeonggi-do. Results: In fertility treatment, the most effective indicators that KM doctors wanted to evaluate other than pregnancy and childbirth were reproductive health indicators, overall health improvement, and stress improvement (33.1%, 21.2%, 18.9%). Furthermore, 45.1% of the respondents had experience using the presented infertility stress evaluation tools. For each evaluation tool, 52.1% and 54.6% of the respondents answered that it 'does not reflect the changing circumstances of the times' and that there were 'too many questions'. As for the developing a standard evaluation tool for infertility treatment in KM, KM doctors expected a simple and clear tool focusing on the pregnancy rate. They also wanted the tool to include a reproductive health index, overall function improvement and stress improvements. Conclusions: The survey confirmed the need to evaluate indicators for reproductive health, mental health, and infertility stress in addition to pregnancy rate to assess the effectiveness of KM infertility treatment. It also confirms the necessity of developing an infertility stress evaluation tool with simplified questions that reflects the changing time.

가죽, 모피 가공 및 제조업 폐수처리시설의 경제성 평가 (Economical Assessment of Wastewater Treatment Facilities in Leather Tanning and Finishing Industry)

  • 김재훈;양형재;권오상;이성종
    • 한국물환경학회지
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    • 제23권1호
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    • pp.131-137
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    • 2007
  • Industrial wastewater management guideline and evaluation model of Best Available Technologies for the leather tanning and finishing industry was developed as an economical evaluation model using evaluation of BAT including economical evaluation combined with cost analysis model and cost annualization model in considering of economical factors and non-water environmental factors. It was verified that approximately 10% will be increased annually to modify conventional treatment process ($3,700m^3/d$) of J leather wastewater treatment plant to advanced process of K leather wastewater treatment plant.

근골격계 환자의 평가와 치료에 있어서 컴퓨터 시뮬레이션의 적용 (The Role of Computer Simulation in Assessment and Treatment)

  • 신상훈;남동현
    • 대한한의진단학회지
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    • 제13권2호
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    • pp.140-148
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    • 2009
  • The primary market of acupuncture treatment is concentrated on disorders of the musculoskeletal system. This study researches the clinical use of the musculoskeletal system evaluation with a computer simulation. Two fields are examined - patient evaluation and patient treatment. In the field of evaluation, the simulation is used to evaluates the prognosis of medical treatment. In the field of treatment, the simulation is used to decide the most suitable way to perform surgery using the quantitative evaluation about various cases of surgical results.

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폐기물처리 시설 입지선정 효율화 방안을 위한 사례연구 (A Case Study on Simplified Assessment Method for Site Selection of the Waste Treatment Facilities)

  • 장성호;손영일
    • 환경위생공학
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    • 제15권2호
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    • pp.85-94
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    • 2000
  • The comparative evaluation is the most effective method for site selection because the selection of waste treatment facility is to determine the optimum site out of limited candidate sites. This study adopted the ordinal scale evaluation, one of methods of comparative evaluation. The ordinal scale evaluation aims to determine the investigating items referring to the character of sites, to determine the importance factors for investigating items, and to determine the optimum site according to the quantitative evaluation. This study has focussed on reflecting the opinion of residents to the maximum extent with a weight on social and economic aspects, considering the state of confrontation against each other between the autonomous government organization and local residents, which is being emerged as a social issue relating to the evaluation rating on each item of site selection of an optimum site. Therefore, rational, and clear validity investigations and proper reduction of both time and expenses in site selection as well through this a study.

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성악가를 위한 VAT 음성치료 개발 및 적용 사례연구 (A Case Study on Vocal Aerobic Treatment Voice Therapy Development and Application for Classical Singers)

  • 유재연;이하나
    • 재활복지
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    • 제22권1호
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    • pp.157-168
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    • 2018
  • 본 연구는 반폐쇄성도훈련에 기반을 둔 성대에어로빅치료(Vocal Aerobic Treatment: VAT)가 소프라노 성악가 음성개선에 미치는 영향을 알아보고자 하였다. 연구대상은 성대결절로 음성문제를 호소하는 소프라노 성악가 1명으로 연구를 진행하였다. 연구방법은 치료 전 후 음향학적평가와 주관적 음성평가를 실시하여 측정값을 비교하였으며, 성대에어로빅치료는 주 2회 총 32회기동안 진행하였다. 음향학적 평가는 MDVP (multi-dimensional voice program)와 VRP (voice range profile)를 사용하여 음도, 음질, 음역을 평가하였으며, 주관적 음성평가는 SVHI (singing voice handicap index)로 주관적인 음성만족도를 평가하였다. 음도 평가 결과 치료 후 소프라노 가수에 적절한 기본주파수(Fo)를 유지하였다. 음질평가 결과 주파수변동률(Jitter), 진폭변동률(Shimmer), 배음대소음비(NHR) 수치가 치료 전보다 감소하였다. 음역평가결과 음역의 범위가 넓어졌으며 반음의 개수가 30개에서 35개로 증가하였다. 주관적 음성평가는 설문 보고 후 획득한 총 점수를 문항수로 나눈 결과 3.6점에서 0.6점으로 감소하였으며, 본인이 느끼는 음성문제의 정도가 경미하다고 보고하였다. 이러한 결과를 정리해보면 성대에어로빅치료는 성악가 음성개선에 효과적인 것으로 사료된다. 그러나 본 연구는 소프라노 성악가 1명을 대상으로 한 성대에어로빅치료의 치료 효과에 관한 사례연구로 향후 더 많은 성악가를 대상으로 효과에 대한 연구가 이루어져야 할 것이다. 또한 성악가뿐만 아니라 다양한 직업적 음성사용자를 위한 음성관리 및 음성치료프로그램에 관한 후속 연구가 필요할 것이다.

'장애인 등에 대한 특수교육법' 시행에 따른 치료지원서비스 활성화 방안 : 물리.작업치료를 중심으로 (The Research for the Activation of Treatment Related Service According to the 'Special Education Law': Focusing on Physical.Occupational Therapy)

  • 이병희;정진화
    • 대한물리치료과학회지
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    • 제16권2호
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    • pp.45-55
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    • 2009
  • Background: This thesis aims at suggesting the direction for the introduction of public free treatment support system according to the establishment of [Special Education Law] and the right settlement of therapeutic support service. Method: It introduced the characteristics and the contents of school based PT & OT, diagnosis and evaluation, and operation method. It set up question items and presented intervention plan, and substantial intervention, beginning from the request of whole process. The diagnostic evaluation was described from 4 aspects, which are consideration matters in the time of document drawing and diagnostic evaluation, chiefly centering around SOAP. The flow of overall treatment support service, the allocation of 16 handicapped children for 1 therapist, and the weekly treatment frequency according to the treatment support location and environment were suggested in the concrete operation method. Result: The concrete method should be explored in order to provide handicapped students with requisite services, which are offered by various experts in the amended 'Special Education Law'. In addition, work condition and social welfare, which are equal to school teachers, should be provided for all experts. Conclusion: Along with these things, special education support center should establish the road-map for the education rehabilitation of the handicapped children from the evaluation of early diagnosis of the handicapped children to treatment support and lifelong education.

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대전·충청지역 치과건강보험 요양급여비용 청구자의 인식도 분석조사 (Analysis research about awareness of demanders of recuperation allowance for dental clinic health insurance in Daejun and Chunchung area)

  • 김성희;김민자;남용옥
    • 한국치위생학회지
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    • 제11권2호
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    • pp.275-289
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    • 2011
  • Objectives : The recognition rate for issues and improving resolution for the recuperation income expense claim policy was examined. Methods : 1,135 copies of survey have been sent to the group of people who have claimed the dental recuperation income expense to dental recuperation institutions in Daejeon, Chungcheong Do that are registered to the health insurance evaluation and estimation office as of the May 2010 and 207 surveys that were regarded to be sincere for answering were analyzed. Results : Majority of respondence were belonged to the dentist institutions with more than 5 years of claim experiences as well as 10~50% of claim rate. The recognition of medical fee evaluation guideline was normal level, and negative recognition was higher to the health center with daily charge policy compare to the dental hospital and university affiliated dental center with treatment charge policy, Highest opinion for inappropriateness of dentist with significance was found (p<0.05). The openness of evaluation cases are regarded to be discharged through the transparent evaluation and most of the opinions for insurance claim evaluation adjustment are within the both 'Do not understand the evaluation guideline and program error of disease category, code and program' with significance(p<0.05). The reaction after the evaluation adjustment was high in reflection on the claim process after examining the reason for the evaluation adjustment through the evaluation and estimation office and university affiliated dental institution and dental center was regarded to be most active and deputy reclaimment was seemed to be most actively discharge the objection registration task (p<0.05). The claim error improving resolution recognition was highly prioritized to the accurate charting for the disease title and treatment description, improving the setting of claim program, and most highly recognized by the university affiliated dental hospital/dental center and comparably low by health center(p<0.05). and although the most of the responds of treatment description and browsing the medical fee was positive, 50% of dentists disagreed the idea so that this was creating a significant discrepancy with other groups(p<0.05). Conclusions : From this research, the recognition of medical fee evaluation guideline for dental (university) hospital and dentists were negative and high adjustment experience was examined as lacking of evaluation guideline understanding and error of disease name, code and programs and deputy reclaimment, university affiliated dental hospital/dental center were most actively handle the objection registration tasks and dentists have objection on the treatment description and browsing the treatment fee so that if these indexes can be referred to implement into the recuperation income claim process, this can be regarded to be a opportunity to create mutual credibility between recuperation institution, treatment pensioner and the evaluation institutions.

Analysis of Clinical Research Trends for Acupotomy Treatment of Peripheral Facial Palsy

  • Jeon, Seok Hee;Choi, Ji Min;Yoo, Jae Hee;Shin, Jeong Cheol
    • Journal of Acupuncture Research
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    • 제38권4호
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    • pp.276-283
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    • 2021
  • The purpose of this review was to investigate acupotomy treatment for peripheral facial palsy. By reviewing recent clinical trends, this may contribute to standardizing acupotomy treatment methods. There were 7 randomized controlled trials and 6 case series using acupotomy treatment for peripheral facial palsy published between January 01, 2014 and April 05, 2021, which were retrieved from 9 online databases. The number and characteristics of participants, main treatment sites, combination treatments, size of acupotomy needle, frequency and total period of treatment, evaluation indices, efficacy, and adverse events were analyzed. "Tender point or induration," "infraorbical foramen," and "buccal mucosa" were the most used treatment sites. The sizes of acupotomy needles varied from 20 mm to 80 mm in length, and 0.35 mm to 1.0 mm in diameter. One treatment cycle was performed every 3 to 5-7 days, and the number of treatments per treatment session ranged from 3 to 5-9 cycles. The results were evaluated using 1 to 4 evaluation indices and 9 different evaluation indices were used overall. The efficacy rate was the most used index, followed by the House-Brackmann grade, and electrocardiography. The "Risk of Bias 2," categorized most studies as having "some concerns." There were few adverse events reported.

폐기물 처리시설 입지선정의 효율화 방안에 관한 연구 - 여주군 폐기물 매립지 입지선정 사례를 중심으로 - (A Case Study on Simplified Assessment Method for Site Selection of the Waste Treatment Facilities in Korea)

  • 이무춘;구자건;김기철;권연정
    • 환경영향평가
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    • 제8권1호
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    • pp.71-79
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    • 1999
  • The comparative evaluation is the most effective method for site selection because the selection of waste treatment facility is to determine the optimum site out of limited candidate sites. This study adopted the ordinal scale evaluation, one of methods of comparative evaluation. The ordinal scale evaluation aims to determine the investigating items referring to the character of sites, to determine the importance factors for investigating items, and to determine the optimum site according to the quantitative evaluation. As a result of this study, the defects of the former reports on the environmental characteristics, such as obscurity of meaning and subjective statement, were reduced by the ordinal scale evaluation which is one of the quantitative evaluation methods. This ordinal scale evaluation method has some valuable advantages, such as, to be able to consider the cost-effect efficiency, to consider the objectiveness and the clearness of the reports on the environmental characteristics. Therefore the reducement of social complications about site selection of the indisposed facilities could be expected by this study.

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