• Title/Summary/Keyword: treatment chart

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Study on Effect of Learning Treatment Chart (의안(醫案) 학습효과에 대한 연구)

  • Kim, Yong-Chan;Shin, Hyeun-Kyoo;Kim, Byung-Soo;Kang, Jung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.3
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    • pp.580-585
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    • 2005
  • Treatment chart(醫案) is a document that doctors have described about their own practice. Western doctor's chart has a prescribed form, but otherwise chart of oriental medicine is a free form. As It has no prescribed form, doctors of oriental medicine have recorded important facts that they think especially. For example, details are patient's name, age, sex and address, the name of disease, state of pulse and tongue, state of secretions(stools, urine, perspiration, etc.), color of face, state of sleep and thirst, diagnosis, prescription, improvement of herb, teaching, and so forth. If we study on chart of oriental medicine, we draw a lesson about practices of a famous doctors. Through that we can increase ability of diagnosis and adaptation to circumstance, make ourselves familiar with use of past prescriptions and way of changing prescription, and learn narrative story of past doctors' personal experience, their though and teaching. As chart of oriental medicine had many methods to take a measure to meet the false situation, we can learn that. Through chart of oriental medicine, we can improve our practice of oriental medicine.

The Effect of Graphical Formats on Computer-Based Idea Generation Performance

  • Jung, Joung-Ho
    • The Journal of Information Systems
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    • v.27 no.1
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    • pp.153-169
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    • 2018
  • Purpose Since human brains catch images faster than texts or numbers, infographics has been widely used in business in the form of "information dashboard" to enhance the efficiency of decision-making. Groupware, however, has neglected the adoption and use of infographics, in particular, in the idea generation process. Given that an overall performance of groupware-based idea generation is no better than that of the (paper-and-pencil-based) Nominal Group Technique, Jung et al. (2010) adopted the notion of infographics in the form of performance feedback to solve the productivity paradox. With the consistent results, which demonstrate beneficial effects of infographics on performance enhancement, an interesting observation that groups with the bar chart treatment performed better than groups with the dot chart treatment was made. The main purpose of this study was to find if there were a performance consistency between the outcomes from the previous study and the outcomes from the current study. Design/methodology/approach In experiment 1, we employed the same system used in the previous study (i.e., Jung et al., 2010). As individuals' contributions accumulated, the mechanism visually displayed individuals' performances two-dimensionally in the form of a bar chart or a dot chart. Then, we compared the performance outcomes from this study to the outcomes from previous study (i.e., Jung et al., 2010). In experiment 2, we modified the performance graph to test the effect of "playfulness" on performance by converting dots to car images. Then, we compared the performance outcome from experiment 2 to the outcomes from experiment 1. Findings Just like our interesting (and unexpected) finding in Jung et al.'s study (2010), the outcome confirmed a consistent superior performance of a bar chart. This implies that a bar chart is a better choice when stimulating performance with a visual aid in the context of groupware-based idea generation. Although a bar chart was criticized in a way that errors of length-area judgments are 40 ~ 250% greater than those of positional judgments along a common scale, such illusion turned out to be facilitating upward performance comparison better. Regarding Experiment 2, the outcome showed that the revised-dot graph is as good as the bar graph in terms of quantity and quality score of ideas. We attribute the performance enhancement of the resized-dot to the interaction between the motivational characteristic and the situational characteristic of playfulness because individuals in the revised-dot graph treatment performed better than individuals in the dot graph treatment. Given the order of performance (Bar >= Revised Dot > Dot) that the revised-dot treatment performed the same as (or lower than) the bar treatment, an additional research is warranted to reach to a consistent outcome.

Enhancing value of quality assurance rounds in improving radiotherapy management: a retrospective analysis from King Hussein Cancer Center in Jordan

  • Khader, Jamal K.;Al-Mousa, Abdelatif M.;Mohamad, Issa A.;Abuhijlih, Ramiz A.;Al-Khatib, Sondos A.;Alnsour, Anoud Z.;Asha, Wafa A.;Ramahi, Shada W.;Hosni, Ali A.;Abuhijla, Fawzi J.
    • Radiation Oncology Journal
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    • v.37 no.1
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    • pp.60-65
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    • 2019
  • Purpose: The quality assurance (QA) chart rounds are multidisciplinary meetings to review radiation therapy (RT) treatment plans. This study focus on describing the changes in RT management based on QA round reviews in a single institution. Materials and Methods: After 9 full years of implementation, a retrospective review of all patients whose charts passed through departmental QA chart rounds from 2007 to 2015. The reviewed cases were presented for RT plan review; subcategorized based on decision in QA rounds into: approved, minor modifications or major modifications. Major modification defined as any substantial change which required patient re-simulation or re-planning prior to commencement of RT. Minor modification included treatment plan changes which didn't necessarily require RT re-planning. Results: Overall 7,149 RT treatment plans for different anatomical sites were reviewed at QA rounds. From these treatment plans, 6,654 (93%) were approved, 144 (2%) required minor modifications, while 351 (5%) required major modifications. Major modification included changes in: selected RT dose (96/351, 27%), target volume definition (127/351, 36%), organs-at-risk contouring (10/351, 3%), dose volume objectives/constraints criteria (90/351, 26%), and intent of treatment (28/351, 8%). The RT plans which required major modification according to the tumor subtype were as follows: head and neck (104/904, 12%), thoracic (12/199, 6%), gastrointestinal (33/687,5%), skin (5/106, 5%), genitourinary (16/359, 4%), breast (104/2387, 4%), central nervous system (36/846, 4%), sarcoma (11/277, 4%), pediatric (7/251, 3%), lymphoma (10/423, 2%), gynecological tumors (2/359, 1%), and others (11/351, 3%). Conclusion: Multi-disciplinary standardized QA chart rounds provide a comprehensive and an influential method on RT plans and/or treatment decisions.

Korean Medicine Treatment for 326 patients with Genital Warts : Retrospective Chart Review (성기사마귀환자 326명의 한의학적 치료에 대한 후향적 연구)

  • Lee, Kyoung-Yeob;Lee, Eun;Cho, Nae-Kyoung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.4
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    • pp.196-207
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    • 2015
  • Purpose : To observe effects of Korean Medicine treatment for genital warts.Methods : In a single private clinic from February 2014 to February 2015, we did retrospective chart review for 326 patients with genital warts who had been treated by Korean Medicine. Korean Medicine treatment included herbal treatment and herbal ointment.Results : A total of 326 patients were enrolled in this study: 62.7%(n=219) male, 32.8%(n=107) female. In the type of diagnosis, new diagnosis was 45.4%(n=148) and recurrent disease was 54.6%(n=178). Complete clearance was achieved 63.2%(n=206) and treatment period was 3.5 months(range:1-9). Partial clearance-good was 15%(n=49), partial clearance-poor was 4.9%(n=16), non response was 16.9%(n=55) and the average treatment period was 4.3 months(range:1-14). In complete clearance group, female and the prevalence of less than 1 year were statistically significant(p<0.05). There was no recurrence of genital warts after TKM treatment during follow-up period(4-13months).Conclusion : This study suggest that Korean Medicine may be an effective treatment for genital warts.

Research of Database Model of Kim-YoungHun's Medical Chart (청강 김영훈 진료기록 데이터베이스모형 개발연구)

  • Cha, Wung-Seok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.2
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    • pp.279-291
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    • 2006
  • Cheong-Gang Medical Chart is 60 years worth of diagnosis records kept by Oriental Medicine Doctor Kim Young Hoon [金永勳, 號 晴崗 1882-1974], who held practice in Seoul's Jong-ro from 1915 till 1974. Kim Young Hoon's eldest son, Kim Ki Su (金琦洙) donated the medical records exceeding a thousand volumes to KyungHee University, and researches are being made presently. The author of Cheong-Gang Medical Chart, Kim Young Hoon, was a medical scholar who studied the essence of the traditional medicine of his time. He was handed down the quintessence of traditional medicine by keeping in touch with the prominent oriental doctors in Seoul at that time, and he constantly applied it to his practice and made records of it. Consequently, his diagnosis charts contain a whole new form of prescriptions, treatment skills, and processes of clinical application that have never been seen before in the texts of Korean Medicine. The writer has written a paper on the present condition of Cheong-Gang Medical Chart, which was published in the Journal of Korean Oriental Medicine in 2004. This manuscript reports the results of the test studies made to develop an efficient database model as a prior step to organizing the medical records into a data bank.

Application of Dynamic $\bar{x}$-R Control Chart for Advanced Phase Isolation Ditch (APID) Process (APID공정 내 공정진단을 위한 dynamic $\bar{x}$-R 관리도의 적용)

  • An, Sang-Woo;Kwak, Sung-Keun;Jung, Young-Wook;Chung, Mu-Keun;Park, Jae-Woo
    • Journal of Korean Society on Water Environment
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    • v.25 no.5
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    • pp.704-712
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    • 2009
  • Advanced Phase Isolation Ditch (APID) process was studied to develop economic retrofitting technology, for the plants where retrofitting of common activated sludge process is required. In this study, to evaluate and monitor the effluent water quality ($BOD_5$, SS, T-N, and T-P) and operating conditions (Influent, SVI, SRT, and HRT) as process capable and stable parameters for treating municipal wastewater, a demonstration plant was installed and operated in the existing sewage treatment plant of P city. During this study, the average effluent $BOD_5$, SS, T-N, and T-P concentrations were 7.7, 5.6, 10.8, and 1.6 mg/L. Trend analysis of influent $BOD_5$, SS, T-N, and T-P in APID process were illustrated that APID process need for more strong APID process management on the winter session, such as developing new intermediated aeration mode, operating methods, and managements strategy. At the application of control chart, the signal of uncommon effects at APID process was determined much higher existing control chart tntr conventional control chart in this study. These results indicate that conventional control chart has been collected and determined cleary signal at only stable situation. Therefore, newly developed APID process of dynamic control chart can be one of the useful tool for monitoring and management process.

Traditional Korean Medicine Treatment for Psoriasis Vulgaris: Retrospective Chart Review (보통 건선의 한방치료 경과에 대한 후향적 고찰)

  • Kim, Min-Hee;Lee, Byung-Chul;Yun, Young-Hee;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.1
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    • pp.97-103
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    • 2013
  • Objective : To observe effects of TKM (Traditional Korean Medicine) treatment for psoriasis vulgaris. Methods : We did retrospective chart review for 32 psoriasis vulgaris patients who had been treated by TKM. TKM treatment included acupuncture, herb med, external herbal solution and moxibustion. Result : PASI (Psoriasis Area and Severity Index) 75 responding rate at treatment week 16 was 71.9%. Mild symptom patients' improvement rate and moderate to severe symptom patients' improvement rate was similar. Mean PASI score was increased until treatment week 4 to 8, and after that period, mean PASI score was decreased. Conclusion : This study suggest that TKM may be an effective treatment for psoriasis vulgaris.

Application of Analysis of Means(ANOM) for Design of Experiment (실험계획법에서 평균분석(ANOM)의 응용)

  • Choi, Sung-Woon
    • Proceedings of the Safety Management and Science Conference
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    • 2008.04a
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    • pp.283-293
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    • 2008
  • Analysis of Means(ANOM) is a visualization tool for comparing several means to the grand mean like control chart type. This paper reviews five ANOM methods for continuous data such as ANOM, ANOME (ANOM for Treatment Effects), ANCON (Analysis of Contrasts), ANOMV (ANOM for Variance), ANOMC (ANOM for Correaltion). Three ANOM tools for discrete data such as ANOMNP (ANOM for Nonconforming Proportions), ANOMNC (ANOM for Nonconforming Unit), ANOMNPU (ANOM for Nonconfirmities Per Unit) are also developed.

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The Development of Medical Information Management System of Radiation Oncology Department (방사선종양학과 의료정보관리시스템 개발)

  • Lee, Dong-Hoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.3
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    • pp.655-662
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    • 2010
  • By using lotus notes server-client system, the database related to general information of cancer patients, radiation treatment simulation, cancer treatment information and all kinds of information of radiation oncology department need to be developed for effective information management and also user interface was developed for input and output of information. This database also could be used for clinical study, patient care research and medical education. By the development of this electronic chart of the department of radiation oncology, the clinic datum and medical information management could be connected effectively and treatment information according to treatment machine also could be acquired and contributed for improving treatment efficiency, cutting down the waiting time for clinic.

The Safety and Efficacy of Herbal Medicine for 107 Psoriasis Patients: A Retrospective Chart Review (한약으로 치료 받은 건선 환자 107명의 안전성 및 유효성에 대한 고찰)

  • Lee, Byung-Chul;Choi, Eun-Ji
    • The Journal of Korean Medicine
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    • v.37 no.1
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    • pp.34-40
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    • 2016
  • Objectives: To observe safety and efficacy of herbal medicine for psoriasis patients. Methods: We did retrospective chart review for 107 psoriasis patients who had been treated by herbal medicine for 2 months, and we analyzed the liver function test (LFT) results and Psoriasis Area and Severity Index (PASI) scores of before and after the treatment. Results: The mean LFT and the number of patients with abnormal LFT decreased after the treatments. More than 95% of patients with normal LFT maintained normal results at after the treatment, and only 2.1% and 4.6% patients with normal LFT showed abnormal Glutamic Oxaloacetic Transaminase (GOT) and Glutamic Pyruvic Transaminase (GPT) results at after the treatment. Also, both mean PASI scores for all patients and patients with abnormal LFT before the treatment decreased significantly. Conclusions: This study suggest that herbal medicine may be safe and effective treatment for psoriasis.