• Title/Summary/Keyword: Effectiveness Score

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The Effect of Continuous Nutritional Education and Oral Mucositis Management on Nutritional Status of Patients Undergoing Hematopoietic Stem Cell Transplantation (지속적인 식이교육과 구내점막염 관리가 조혈모세포이식(HSCT) 환자의 영양상태에 미치는 효과)

  • Park, Kyoung-Soon;Lee, Byung-Hwa;Park, Ho-Ran
    • Asian Oncology Nursing
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    • v.10 no.2
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    • pp.119-128
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    • 2010
  • Purpose: This study aimed to evaluate the effectiveness of continuous nutritional education and oral mucositis management on the nutritive status of patients who received hematopoietic stem cell transplantation (HSCT). Methods: After randomly allotting 72 patients who received HSCT to either an experimental group or a control group, intensive and continuous care for preventing malnutrition was conducted in the experimental group while usual routine care was conducted in the control group. The changes of the body scale, blood chemistry profile, oral intake calories, nausea and vomitus, and oral stomatitis scores were measured at three points during their hospitalization using a oral assessment guide and nutrition analysis program: admission, HSCT, and discharge day. The differences between the scores of two groups were analyzed by repeated measures analysis of covariance. Results: The number of total lymphocytes was significantly improved in the experimental group after transplantation (p<.001). Nausea and vomiting score was significantly decreased in the experimental group during the conditioning regimen (p<.001). Conclusion: It was found that continuous nutritional education and oral mucositis control is an effective intervention by improving immune condition. Further investigations concerning direct examination of oral intake with controlling the effect of the chemotherapy are needed to ultimately discern the impact of varying oral nutrition patterns during HSCT.

An Analysis of the Effect of Government Support on Automation and Smart Factory (자동화 및 스마트 공장 구축에 대한 정부 지원사업의 효과 분석)

  • Kang, Jung-Seok;Cho, Keun-Tae
    • Journal of Korea Technology Innovation Society
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    • v.21 no.2
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    • pp.738-766
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    • 2018
  • The purpose of this paper is to figures out the impact on the business performance based on the case studies about the establishment of automated smart factories supported by the government. In this study, the effectiveness of supporting business is verified by comparing supported company with non-supported ones using methods such as T-test and ANOVA. The PSM method was used to solve the selection bias issue between the experimental group and the controlled group. The research results have shown that the effect of the supporting business to the automated system was tenuous, and the amount of sales and research and development costs was increased after a certain schedule passed in case of the supporting project to the smart factory. There is some time lag to appear the effect of the government supporting businesses and the supporting business to the automated system leads to long term sales increase by increasing parameters like research and development costs rather than direct influence. Therefore, this research will be useful information for the process of establishing useful basic data and policies which helps to secure new budget Government Supporting Businesses and find ways improve the business.

Development of Nurse's Handover Standards between Hospital Units using SBAR (SBAR를 이용한 간호단위간 인수인계 표준항목 개발에 관한 연구)

  • Kim, Eun Man;Yu, Mi;Ko, Ji Woon
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.1
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    • pp.127-142
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    • 2015
  • Purpose: The purpose of this study was to develop the adapted standard items of situation, background, assessment, recommendations (SBAR) processing for handover between nursing units in Korean hospitals and evaluate the validity and relevance of the standard items. Methods: A delphi method with 33 experts was used to evaluate content validity of the standard items. Then, 1,175 nurses working in general hospitals of more than 500 beds were recruited to evaluate the validity and relevance of the standard items for clinical implication. Results: Content validity was higher than 0.8. The highest scores for relevance among items in handover standards were state of consciousness in the assessment domain for a ward to a ward transfer ($3.82{\pm}0.40$), for a ward to an ICU ($3.85{\pm}0.38$), an ICU to a ward ($3.81{\pm}0.39$) and an ER to a ward ($3.85{\pm}0.37$). Congenital malformation was the highest relevance score for handover from a delivery room to a neonatal unit ($3.91{\pm}0.30$). Conclusion: This study evaluated validity and relevance of the essential contents for handover standards between units to improve communication quality among nurses. The findings of this study should also be applied in clinical nursing areas and the quality of information and effectiveness of usage of the standard should be evaluated.

The Effects of a Green Based Growth Education Program on Young Children's Environmental Preservation Knowledge, Attitude and Behavior (녹색성장교육에 기초한 프로그램이 유아의 환경보전지식, 태도 및 행동에 미치는 효과)

  • Lee, Mi Jin;Kim, Ji Eun
    • Korean Journal of Childcare and Education
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    • v.10 no.2
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    • pp.153-174
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    • 2014
  • This study started as an effort to solve the serious environmental program that the Korean government and internationally focused on. For the purpose of the study, a green based growth education program was composed that young children could participate in. With this program, the study participants could form attitudes, behavior, and knowledge of environmental preservation. To see the effectiveness of the green growth educational program, the study set up a control and an experimental group. The program was composed with four major content 'ecosystem', 'energy', 'resource', and 'green citizenship'. The study planned 20 sessions including fairy tales, storytelling, art, game, and science activities. The study's participants were a total of 42 five-year-old children. The result of the research showed that the experimental group's environmental preservation knowledge, attitude, and behavior score was significantly higher than the control group. The green growth educational program had a positive effect on young children's knowledge, attitude, and behavior of environmental preservation. This study included the realities of the difficulties applying green growth education in kindergarten, the result provided practical information regarding the green growth educational program to kindergarten teachers.

Comparative Study of Acupuncture, Bee Venom Acupuncture, and Bee Venom Pharmacopuncture on the Treatment of Herniation of Nucleus Pulpous (요추 추간판 탈출증 환자의 침 치료와 봉독침, 봉약침 병행치료에 대한 비교연구)

  • Yu, Sang-Min;Lee, Jong-Young;Lee, Hyang-Suk;Kwon, Ki-Rok
    • Journal of Acupuncture Research
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    • v.23 no.5
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    • pp.39-54
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    • 2006
  • Objectives : Herniation of Nucleus Pulpous (HNP) of Lumbar is one of the most common causes of low back pain. The aim of this study is to investigate the effectiveness of acupuncture, bee venom acupuncture (BVA), and bee venom Pharmacopuncture (BVP) therapy for HNP. Methods : We separated 35 patients with HNP of L-spine into three groups; Acupuncture treated group, BVA treated group, and BVP treated group, and monitored for 30 days. 4 grades of recovery degree, score of Visual Analog Scale (VAS), and Oswestry Disability Index (ODI) were examined for comparison. Results : 1. Visual Analogue Scale of low back pain and radiating pain showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_2, VAS0_3 evaluations. 2. ODI of disability of daily activities showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_1, VAS0_2, and VAS0_3 evaluations. 3. Compared to the Acupuncture group, BVA and BVP groups were improved in S.L.R.T and R.O.M of L-spine as confirmed by the physical examination. 4. Treatment efficacy was more apparent in acute cases as ODI was significantly lower than chronic cases. Conclusion : BVA and BVP therapies can be used in addition to the acupuncture therapy for highly effective treatment of HNP. Further clinical studies are required to verify these findings.

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A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Pyung-Hyung Acupuncture on the Treatment of Peripheral Facial Palsy (말초성 안면신경마비에 대한 평형침 병행치료 효과의 대조군 연구)

  • Yoo, Je-Hyuk;Kim, Kyung-Wook;Kim, Dong-Hyuk;Kim, Jong-Han;Kim, Hyun-Ho;Chung, In-Tae;Kim, Jong-In;Lee, Sang-Hoon;Choi, Do-Young
    • Journal of Acupuncture Research
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    • v.29 no.3
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    • pp.121-128
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    • 2012
  • Objectives : The aim of this study was to observe the effect of Pyung-Hyung acupuncture on peripheral facial palsy. Methods : We investigated 44 cases of patients with peripheral facial paralysis, and divided patients into two groups. We treated one group by complex oriental medical treatment with Pyung-Hyung acupuncture, and the other group by complex oriental medical treatment without Pyung-Hyung acupuncture. To evaluate the effectiveness of treatment applied for two groups, we used Yanagihara's unweighed grading system(Y system) and gross grading system of House-Brackmann(HB score) at baseline and final. Results : 1. The final Y-system in both the Pyung-Hyung acupuncture group and the control group significantly increased compared to the value at baseline. 2. At final, Pyung-Hyung acupuncture group showed significantly increase on Y-system compared with control group. Conclusions : Pyung-Hyung acupuncture can be used for relieving symptoms related with peripheral facial paralysis.

The Effect of Diathermy Treatment through Physiotherapist's Hand on the Pain and Disability Index in Chronic Lumbar Pain Patients (물리치료사 손을 통한 고주파치료가 만성요통 환자의 통증과 장애지수에 미치는 영향)

  • Kwon, Kung;Kim, Chan Mun;Park, Shin-Jun
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.289-294
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    • 2018
  • A test study was conducted to identify the effects of diathermy through therapist's hand on patients with chronic lumbar pain. The study assessed the effectiveness of Winback High Frequency TECAR Therapy on 21 patients suffering from chronic lumbar pain and the testing was held at H Hospital and began in April 2016 and concluded in September 2016. Assessment of pain relief was through a Visual Analogue Scale (VAS) and the Oswestry Disability Questionnaire (ODQ). The results showed a VAS score decrease from $6.67{\pm}1.76$ to $5.52{\pm}2.03$ (p<0.05) and the ODQ results also showed an decrease from $41.19{\pm}2.56$ to $35.14{\pm}5.11$ (p<0.05). Both of these results are indicative of the positive effects that diathermy through therapist's hand has in the treatment of chronic pain, and the necessity for further studies in this field.

The efficacy of dexamethasone injection on postoperative pain in lower third molar surgery

  • Latt, Maung Maung;Kiattavorncharoen, Sirichai;Boonsiriseth, Kiatanant;Pairuchvej, Verasak;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.2
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    • pp.95-102
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    • 2016
  • Background: Surgery on the lower impacted third molar usually involves trauma in the highly vascularized loose connective tissue area, leading to inflammatory sequelae including postoperative pain, swelling, and general oral dysfunction during the immediate post-operative phase. This study aimed to investigate the effectiveness of preoperative injection of a single dose of 8 mg dexamethasone for postoperative pain control in lower third molar surgery. Methods: A controlled, randomized, split-mouth, prospective study involving lower third molar surgery was performed in 31 patients. The randomized sampling group was preoperatively injected, after local anesthesia, with a single dose of dexamethasone (8 mg in 2 ml) through the pterygomandibular space; 2 ml of normal saline (with no dexamethasone) was injected as a placebo. Results: The pain VAS score was significantly different on the day of the operation compared to the first post-operative day (P = 0.00 and 0.01, respectively), but it was not significantly different on the third and seventh postoperative day between the control and study groups. There was a significant reduction in swelling on the second postoperative day, and a difference between the second postoperative day and baseline value in the study group (P < 0.05). Trismus was highly significantly different on the second postoperative day and between baseline and second postoperative day between the groups (P = 0.04 and 0.02, respectively). Descriptive statistics and independent-samples t- test were used to assess the significance of differences. Conclusions: Injection of 8 mg dexamethasone into the pterygomandibular space effectively reduced the postoperative pain and other postoperative sequalae.

Effectiveness of Nursing Interviews on Initial Contacts with In- patients (입원시 정보수집을 위한 간호면담 방법의 효과에 대한 연구)

  • 이평숙
    • Journal of Korean Academy of Nursing
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    • v.7 no.1
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    • pp.88-98
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    • 1977
  • This study was designed to identify a more effective method of nursing interview in gathering informations by comparing the two, the structured and unstructured methods. May through October, 1976, 40patients on psychiatric wards of Korea University Hospital and National Mental Hospital, Seoul, were sampled and interviewed on their admission/within one week of admission. Both methods were used simultaneously by different interviewers ; 48 hour interval were kept between the two approaches of interview. Contents of informations gathered were grouped according to the criteria developed by the researcher, frequency, percentile score and the means were scored, and the two methods were compared; the amount of information gathered, number of questions used, time spent and the general response towards the methodologies. Results of the study are summarized as follows ; 1. 1. 5 times as many informations were gathered through the structured interview. (1366 ; 849) 2. 68.32% of informations gathered through the unstructured interview and 42.46% of the structured interview revealed to be overlapping; through structured interview, more unique informations (57.54%) were gathered. 3. The average of 33.25 minutes were consumed for the structured interview while 95, 50 minutes for the unstructured. Much higher time consumption is revealed in the unstructured. 4. Majority of patients showed positive response towards both approaches of interview (90% each), however, interviewers responded to experience of certain degree of tension (stress) in the unstructured method (35%) 5. The average of 0.88 question were used to gather one information in the structured while 1.87questions for the unstructctured were used. 6. The average of 0.97 minutes were consumed to gather one information in the structured while 4.50minutes for the unstructured. 7. The average of 1.11 minutes were consumed for one question for the structured while 2.41 minutes for the unstructured. The results of the study revealed that the structured interview were more effective in gathering informations; a larger quantity of informations were gathered in shorter time. Recommendations for further in investigations are as follows ; 1. Comparative analysis of informations gathered through the two methods by experienced professional nurse- interviewers is recommended. 2. Comparative analysis of the quality of informations is recommended. 3. Comparative analysis of the interviewing process (interactions) in relation to the characteristics of patients'health problems is recommended.

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Document Summarization Using Mutual Recommendation with LSA and Sense Analysis (LSA를 이용한 문장 상호 추천과 문장 성향 분석을 통한 문서 요약)

  • Lee, Dong-Wook;Baek, Seo-Hyeon;Park, Min-Ji;Park, Jin-Hee;Jung, Hye-Wuk;Lee, Jee-Hyong
    • Journal of the Korean Institute of Intelligent Systems
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    • v.22 no.5
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    • pp.656-662
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    • 2012
  • In this paper, we describe a new summarizing method based on a graph-based and a sense-based analysis. In the graph-based analysis, we convert sentences in a document into word vectors and calculate the similarity between each sentence using LSA. We reflect this similarity of sentences and the rarity scores of words in sentences to define weights of edges in the graph. Meanwhile, in the sense-based analysis, in order to determine the sense of words, subjectivity or objectivity, we built a database which is extended from the golden standards using Wordnet. We calculate the subjectivity of sentences from the sense of words, and select more subjective sentences. Lastly, we combine the results of these two methods. We evaluate the performance of the proposed method using classification games, which are usually used to measure the performances of summarization methods. We compare our method with the MS-Word auto-summarization, and verify the effectiveness of ours.