• 품질경영학회지
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• 제22권3호
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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.

• Elastomers and Composites
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• 제50권2호
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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.

• Journal of Medicine and Life Science
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• 제20권4호
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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.

• Elastomers and Composites
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• 제41권3호
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• pp.147-156
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• 2006

본 연구에서는 발포체의 가황거동과 발포특성에 발포온도 및 카본블랙 함량이 미치는 영향을 조사하기 위해 카본블랙을 변량 배합하고 $145^{\circ}C$에서 $165^{\circ}C$까지 $5^{\circ}C$ 간격으로 발포하여 천연고무 발포체를 제조하였다. 발포온도 및 카본블랙 함량이 증가함에 따라 $t_{s2}$ 그리고 $t_{90}$의 감소 경향이 관찰되었다. 본 연구에서 천연고무의 발포 가황특성의 최적 온도는 $165^{\circ}C$ 였으며 이때 발포된 천연고무 밀도가 가장 낮은 것으로 확인되었다. $145^{\circ}C$에서 발포된 천연고무발포체의 가교속도지수가 가장 작은 값을 보였다. 발포 천연고무의 발포 및 모폴로지 특성으로부터 발포체의 밀도 특성을 확인할 수 있었다. 고무내부에 생성된 각 발포 격벽의 두께는 발포온도가 증가함에 따라 감소하는 반면 카본블랙 함량 증가와 더불어 증가함을 보였다.

• 대한한의학회지
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• 제28권3호통권71호
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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.

• 대한한방내과학회지
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• 제21권4호
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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.

• Elastomers and Composites
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• 제44권3호
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• pp.315-322
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• 2009

이피디엠/폴리프로필렌 열가소성 경화물을 오일의 배합 순서를 달리한 두 가지 방식(오일 블렌드 후 가교방식과 가교 후 오일 블렌드 방식)으로 제조하여 가교도(겔분율), 경도, 인장강도, 신율, 용융흐름지수 등을 조사, 오일의 블렌드 방식이 열가소성 경화물의 물성에 미치는 영향을 알아보았다. 오일의 블렌드 방식에 따른 두 경화물의 가교도와 기계적 물성의 차는 크지 않았으나, 가공성에 있어서는 가교 후 오일 블렌드 방식으로 제조한 경화물의 용융흐름지수가 현저히 증가한 결과를 보였다.

• Journal of Acupuncture Research
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• 제19권3호
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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.

• Tuberculosis and Respiratory Diseases
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• 제44권6호
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• pp.1366-1381
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• 1997

연구배경 : 구개수구개인두성형술(uvulopalatopharyngoplasty : UPPP) 은 폐쇄성 수면 무호흡 증후군 환자에서 가장 보편적으로 시행되고 있는 외과적 치료법이지만 치료 효과에 대하여는 논란의 여지가 많으며, 국내 연구 자료는 매우 부족한 실정이다. 방 법 : UPPP를 시행한 폐쇄성 수면 무호흡 증후군 환자들 중에서 일차 추적 수면다원검사가 가능했던 26명을 대상으로 단기 치료 효과를 관찰하였다. 치료 효과는 두가지 기준에 의해 평가하였다. 첫 번째는 일반적인 평가 기준으로써, UPPP 시행으로 무호흡지수(apnea index : AI) 혹은 무호흡-저호흡지수(apnea-hypopnea index : AHI)가 50% 이상 감소한 경우 혹은 UPPP 시행 후의 AI가 10 미만이거나 AHI가 20 미만인 환자들을 효과가 있는 경우 즉 반응군으로 정의하였고, 두 번째는 저자들이 설정한 평가 기준으로써, UPPP 시행 전의 AI 혹은 AHI와 관계없이 UPPP 시행 후의 AI가 5 미만이거나 AHI가 10 미만인 환자들을 단기적으로 폐쇄성 수면 무호흡 증후군이 치유된 경우 즉 치유군으로 간주하였다. 비만도, AI 및 AHI와 UPPP 시행에 의한 AI 및 AHI 감소율과의 관련성을 관찰하였고, 수면 구조를 비교함으로써 UPPP의 시행으로 수면의 질이 개선될 수 있는지 여부를 분석하였다. UPPP 시행 후 10일 이내에 발생한 문제점을 조기 합병증으로 정의 하였고, 10일 이후에 발생한 부작용은 후기 합병증으로 분류하였다. 결 과 : 26명의 환자 중에서 반웅군은 18명(69.2%) 이었고, 10명(38.5%)은 단기적으로 폐쇄성 수면 무호흡 증후군이 치유된 소견을 보였으며 5명(19.2%)은 UPPP 시행 후에 AI 혹은 AHI가 오히려 증가되었다. UPPP 시행 전의 비만도는 AI 감소용 및 AHI 감소율과 상호 관련성이 없었고, UPPP 시행 전의 AI는 AI 감소율과 상관관계가 없었으며, AHI 역시 AHI 감소율과 관련성이 없었다. 전체 대상 환자, 반웅군 및 비반웅군, 치유군 및 비치유군 각각에서 UPPP 시행 전후 수면 구조의 유의한 변화는 없었다. UPPP 시행에 따른 조기 합병증으로 비교적 심한 수술 부위의 통증, 음식물의 비역류, 기침이나 호흡곤란 등의 호흡기 증상, 수술 부위의 출혈, 연하곤란, 귀의 통증 혹은 봉합 부위 파열 등이 전체 환자(100%)에서 발생하였고, 후기 합병증으로 인후의 건조감, 비역류, 음성의 변화, 연하곤란, 인후의 이물감 혹은 미각변화 등이 22명(84.6%)의 환자에서 관찰되었으나, 합병증은 모두 경미한 것이었다. 결 론 : 폐쇄성 수면 무호흡 증후군 환자의 약 70%가 UPPP의 시행으로 호전을 보이지만, 치료 효과가 충분한 경우는 약 40%에 불과하였다. 치료 효과를 높이기 위해서는 엄격한 기준에 의한 적응증의 결정과 더불어 적절한 수술 방법이 필요할 것으로 생각한다.

• 대한한방내과학회지
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• 제39권6호
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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.