• Title/Summary/Keyword: treatment evaluation

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The Role of Imaging in Current Treatment Strategies for Pancreatic Adenocarcinoma

  • Hyungjin Rhee;Mi-Suk Park
    • Korean Journal of Radiology
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    • v.22 no.1
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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.

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 (한의 난임 치료의 심신 기능 개선 평가를 위한 표준 평가도구 개발에 대한 임상 한의사 대상 기초 설문조사)

  • Lee, Soo-Jin;Kim, Dong-Il;Choi, Su-Ji
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.4
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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.

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

  • Kim, Jaehoon;Yang, Hyung jae;Kwon, Oh sang;Lee, Sung jong
    • Journal of Korean Society on Water Environment
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    • v.23 no.1
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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.

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

  • Shin, Sang-Hoon;Nam, Tong-Hyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.2
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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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A Case Study on Simplified Assessment Method for Site Selection of the Waste Treatment Facilities (폐기물처리 시설 입지선정 효율화 방안을 위한 사례연구)

  • 장성호;손영일
    • Journal of environmental and Sanitary engineering
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    • v.15 no.2
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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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A Case Study on Vocal Aerobic Treatment Voice Therapy Development and Application for Classical Singers (성악가를 위한 VAT 음성치료 개발 및 적용 사례연구)

  • Yoo, Jae-Yeon;Lee, Ha-Na
    • 재활복지
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    • v.22 no.1
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    • pp.157-168
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    • 2018
  • The purpose of this study is to investigate the impact of semi-closed vocal training-based Vocal Aerobic Treatment on the voice improvement of soprano. Study subject was one soprano who appealed to the suffering of her voice problem due to vocal cord nodule. A study method of conducting pre/post acoustic evaluation and subjective voice evaluation to compare the measures was used; Vocal Aerobic Treatment was carried out twice a week for a total of 32 session. In the acoustic evaluation, MDVP (multi-dimensional voice program) and VRP (voice range profile) were used to evaluate the pitch, voice quality, and voice range; in the subjective voice evaluation, SVHI (singing voice handicap index) was used to assess voice satisfaction. As a result of the pitch evaluation, the soprano maintained a proper Fo. As a result of the voice quality evaluation, the jitter, shimmer, and the noise harmonic ratio numbers decreased compared to the numbers shown before the treatment. As a result of the voice range evaluation, the scope of the range was broadened, with the number of semitone increasing from 30 to 35. As for the subjective voice evaluation, the result of the total score obtained after the survey report divided by the number of questions showed a decrease from 3.6 to 0.6. The soprano herself reported of having a minor extent of a voice problem. The summary of the above results reflects that Vocal Aerobic Treatment is useful in the voice improvement of vocalists However, as this study is case research regarding the Vocal Aerobic Treatment effect on one soprano, further research on the treatment effect covering many other vocalists is necessary. Also, there is a need for follow-up studies regarding voice management and voice treatment program on not only the vocalists but also the voice users in many other professions.

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

  • Lee, Byoung-Hee;Jung, Jin-Hwa
    • Journal of Korean Physical Therapy Science
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    • v.16 no.2
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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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Analysis research about awareness of demanders of recuperation allowance for dental clinic health insurance in Daejun and Chunchung area (대전·충청지역 치과건강보험 요양급여비용 청구자의 인식도 분석조사)

  • Kim, Sung-Hee;Kim, Min-Ja;Nam, Yong-Ok
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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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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    • v.38 no.4
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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.

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

  • Lee, Mu Choon;Koo, Ja Kon;Kim, Ki Cheol;Kwon, Yeon Jeong
    • Journal of Environmental Impact Assessment
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    • v.8 no.1
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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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