• Title/Summary/Keyword: Outcome-Based Evaluation

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THE LONG-TERM RESULT OF CONDYLE FRACTURE IN CHILDREN (성장기 아동 하악 과두 골절의 예후에 관한 장기 추적 조사)

  • Choi, Jin-Ho;Ryu, Seung-Hyun;Ryu, Mun-Gwang;Kim, Jae-Woo;Kim, Il-Kyu;Ha, Tae-Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.2
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    • pp.121-130
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    • 2004
  • The purpose of this study was the long-term clinical and radiological evaluation of conservatively treated condylar fractures in children. This study was therefore undertaken to analyze the long-term effects of treating condylar fractures in children with conservative therapy in order to resolve the controversial question of whether complete remodeling occurs in this age or, if not, whether it is more likely to be associated with certain types of fracture or with other factors. This study was based on a series of 11 consecutive children and adolescents, aged between 3 and 15 years, with fractures of the condylar process who had been treated with conservative therapy at the Department of Oral & Maxillofacial surgery, Inha University Hospital, Inchon, Korea. All patients underwent a clinical investigation with special emphasis on Temporomandibular joint function and facial asymmetry. The patients also underwent a radiologic investigation, focusing on fracture remodeling and symmetry of mandible. It consists of panoramic radiograph, PA & lateral cephalogram and 3-D CT. No patient described impaired temporomandibular joint(TMJ) function or pain on the affected side. 2 of 8 (25%) unilateral and 1 bilateral fractures show slight facial asymmetry. Despite apparently excellent recovery of function, there were marked remodeling changes evident on the CT scan. Such changes are not usually evident on panoramic radiograph. Radiologic investigation showed incomplete remodelling(54.5%) and asymmetry of the mandible (27.3%) in some patients. Conservative treatment of condyle fracture in children results in satisfactory long-term outcome of jaw function despite a relative high frequency of radiologically noted aberrations.

Motivating Underserved Vietnamese Americans to Obtain Colorectal Cancer Screening: Evaluation of a Culturally Tailored DVD Intervention

  • Lee, Hee Yun;Tran, Marie;Jin, Seok Won;Bliss, Robin;Yeazel, Mark
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1791-1796
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    • 2014
  • Background: Colorectal cancer (CRC) is a leading cause of cancer death among Vietnamese Americans, yet screening remains underutilized. We investigated the effectiveness of a culturally tailored DVD intervention in promoting CRC screening among unscreened Vietnamese Americans age 50 and over. Materials and Methods: Using a community-based participatory research approach, we conducted a trial comparing twenty-eight subjects who received a mailed DVD in Vietnamese, with twenty-eight subjects who received a mailed brochure in Vietnamese. Subjects completed telephone surveys at baseline, One-month, and one-year. The primary outcome was receipt of screening. Secondary measures were participants' knowledge, attitudes, and beliefs about CRC screening. Two focus groups explored the intervention's acceptability and effectiveness. Results: At one year, CRC screening rates of 57.1% and 42.9% were observed in experimental and control group respectively (p=0.42), Subjects in both groups showed increased knowledge about CRC after one month. Focus group findings revealed that the DVD was an effective method of communicating information and would help promote screening. Conclusions: The findings suggest that culturally tailored, linguistically appropriate content is more important than the type of media used. This relatively low intensity, low cost intervention utilizing a DVD can be another useful method for outreach to the often hard-to-reach unscreened population.

Development of Nursing Practice Standards of Hemodialysis Care According to Admission Types (내원유형별 혈액투석 간호업무 표준개발)

  • Kim, Min Sun;Kim, Moon Sil;Kim, Jung A;Jeong, Eun Ju;Heo, Eun Hwa;Hong, Hwa Jeong;Shin, Hye Sun;Jeong, Yeo Won
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.293-308
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    • 2015
  • Purpose: This study aimed to develop nursing practice standards of hemodialysis care according to admission types. Methods: The standards were developed in four phases. Phase 1: The preliminary standards of hemodialysis care were developed based on literature review and evaluation of professional experts. Phase 2: Content validity was evaluated by 34 professional experts and the standards were modified and revised. Phase 3: Clinical validity was evaluated by 212 hemodialysis nurses. Expert group validated and verified the final outcome. Phase 4: Final standards of hemodialysis care according to admission types were developed. Results: The standard of hemodialysis care for out-patients included 5 standards, 9 contents, 43 nursing activities. The standard for in-patients included 6 standards, 10 contents, 50 nursing activities. The standards for critical patients included 4 standards, 10 contents, 43 nursing activities. There were differences in nursing activities according to admission type. Time required to meet the standards were different according to admission types. Conclusion: The findings of this research demonstrated that the time required for hemodialysis care and appropriate number of nurse would be different according to admission types. Different nursing workload according to admission type of hemodialysis patients need to be considered in allocating nursing manpower.

An evaluation of stream naturalness for Close-to-nature stream restoration in case of Hakui Stream (학의천을 중심으로 본 자연형 하천복원을 위한 하천자연도 평가)

  • Kim, Dong-Chan;Yoon, Young-Seok;Park, Ik-Su
    • Journal of the Korean Society of Industry Convergence
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    • v.6 no.4
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    • pp.315-324
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    • 2003
  • The purpose of this is to evaluate Hakui Stream Naturalness Index(S.N.I). and to find out stats, problems and opportunities of the Hakui stream by assessment standard. Assessment standard is mainly based on physical structure of stream environment. The purpose evaluating sectors and elements are physical form and structure restoration of stream. To find out assessment standard of stream naturalness index, conceptual frame of assessment standard has been established, for which four sections, for example, longitudinal section, lateral section, stream bottom structure and water environment, have been selected. Overall stream naturalness index of the Hakui stream has been distributed at 3rd to 4th grade, and its assessment index accounted for 3.2 to be 3rd grade, and its mode also did 3rd grade. Stream naturalness index of each section was as follows: Longitudinal section index accounted for 3.6 in average to be 4th grade, and later section index did 3.0 to be 3rd grade, and stream bottom structure index did 3.0 to be 3rd grade, and water environment index did 2.7 to be 3rd grade. Analysis of assessment outcome of stream naturalness index has checked status, Problems and opportunities of corresponding stream. Assessment of stream naturalness index of the study provides useful information for restoration of close-to-nature stream, and furthermore has its meaning in checking problems and opportunities of Hakui stream.

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Interprofessional Education Programs for Nursing Students: A Systematic Review (간호대학생을 위한 전문직 간 교육 프로그램에 대한 체계적 문헌고찰)

  • Park, Hayoung;Cho, Jinyoung;Chu, Sang Hui
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.3
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    • pp.235-249
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    • 2018
  • Purpose: The purpose of this study was to investigate how interprofessional education has been designed, implemented, and evaluated in undergraduate programs in nursing through a systematic review. Methods: The literature was searched using the PubMed, CINAHL, EMBASE, and Cochrane central databases to identify interventional studies including teaching-learning activities among nursing students and other disciplines in English between January 2000 and May 2017. Thirty studies were selected for the analysis. Results: Twenty-four studies out of 30 were designed as a pre-post, no control group, quasi-experimental study design. Interprofessional education learners were primarily engaged in medicine, physical therapy, dentistry, occupational therapy, pharmacy, and respiratory therapy. Patient care related activity was the most frequently selected topic and simulation was the most common teaching-learning method. Evaluation of learning outcomes was mainly based on the aspects of teams and collaboration, professional identity, roles and responsibilities, patient care, and communication skills. Nursing students in 26 out of the 30 reviewed studies were found to benefit from interprofessional education, with outcome effects primarily related to changes in learning outcomes. Conclusion: The development and integration of interprofessional education with collaborative practices may offer opportunities in nursing education for training professional nurses of the future.

A Research on Derivation of Strategic Brain Research Areas by the AHP Approach (AHP를 이용한 뇌융합 전략분야 발굴 연구)

  • Kim, Junhuck;Suh, Dukrok;Choi, Jee Hyun;Kim, Han-Gook
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.36-44
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    • 2016
  • This article serves as a guideline to the policy on Korea brain science program. Given limited resources within Korea, setting priorities in brain science topics is important in science policy. In this study, we determined the priorities of important brain science topics based on the frontier properties, innovativeness, and prospective outcome. Firstly, the significant topics were chosen after the interview with the top nationwide brain scientists, which were neuroglia, brain precision medicine, neuromorphic engineering, neuroepigenetics, and brain oscillation. Secondly, the analytic hierarchy process (AHP) survey were conducted to prioritize and assign the important weight for not only the criteria but also the research topics in pair choice evaluation. In regards to the importance among the criteria, prospects of the topic was determined to be the top criterion to ranked criterion to consider in the government investment. The priority of the research topics was determined by the order for the project to be considered in national science policy in a comparative way.

Problems and Solutions for Korean Medical Fee Contract System (건강보험 요양급여비용 계약의 문제점과 개선방안 연구)

  • Shin, Sung-Chul
    • Health Policy and Management
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    • v.19 no.1
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    • pp.1-30
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    • 2009
  • Korean medical fee contract system between the insurer and healthproviders was introduced in 2000. However, a continuous discord among contracting parties concerned and an irrational operation of an arbitration committee of Ministry for Health, Welfare and Family Affairs (MIHWAF) have made it difficult for them to reach to an agreement over last 8 years. The purpose of this study is to observe the current problems of contract system from the view of health insurance law and actual examples. Furthermore, I examined the of breakdown of negotiation by analyzing the eligibility of contracting parties, rationality of Resource Based Relative Value System (RBRVS) and contracting method and fairness of arbitration method in case of negotiation rupture. The results were as follows: First, since the introduction of medical fee contract system, there has been a problem in that both the president of National Health Insurance Corporation (NHIC) and health care provider association have not held strong negotiation power. Second, the frequent changes and notifications of Relative Value Units (RVUs) without any mutual consent between the insurer and provider association negatively have influenced the conversion factors and finally hindered the agreement of contract. Third, a current process that the conversion factors are mediated and determined at the arbitration committee of MIHWAF in the case of contract breakdown between contracting parties has some flaw in that the irrational composition of committee provoked the lack of fairness and objectivity of mediation. Fourth, we can not prospect a satisfactory outcome of arbitration committee because the mediation always has failed to proceed smoothly due to boycott of both committee members from insurer and providers over last 8 years. As a result, we have to make an every effort to resolve problems mentioned above and then dream of an advanced national health insurance system.

Development of an Evaluation Index for Identifying Freeway Traffic Safety Based on Integrating RWIS and VDS Data (기상 및 교통 자료를 이용한 교통류 안전성 판단 지표 개발)

  • Park, Hyunjin;Joo, Shinhye;Oh, Cheol
    • Journal of Korean Society of Transportation
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    • v.32 no.5
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    • pp.441-451
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    • 2014
  • This study proposes a novel performance measure, which is referred to as Hazardous Spacing Index (HSI), to be used for evaluating safety of traffic stream on freeways. The basic principle of the proposed methodology is to investigate whether drivers would have sufficient stopping sight distance (SSD) under limited visibility conditions to eliminate rear-end crash potentials at every time step. Both Road Weather Information Systems (RWIS) and Vehicle Detection Systems (VDS) data were used to derive visibility distance (VD) and SSD, respectively. Moreover, the K-Nearest Neighbors (KNN) method was adopted to predict both VD and SSD in estimating predictive HSIs, which would be used to trigger advanced warning information to encourage safer driving. The outcome of this study is also expected to be used for monitoring freeway traffic stream in terms of safety.

A Study on the Perception about the Job Competency of Engineering graduates (공학계열 졸업생의 직무역량에 관한 인식 연구)

  • Kang, So Yeon;Choi, Keum Jin
    • Journal of Engineering Education Research
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    • v.19 no.2
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    • pp.102-111
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    • 2016
  • This study was implemented for the purpose of analyzing the Job Competency level of accredited and non-accredited program's graduates. And we were seeking way to manage realistic and effective way of Accreditation of Engineering education. In order to achieve the purpose of this study, survey and FGI were done. The study was: accredited program's graduates thought more positively than non-accredited program's graduates, and graduates felt that 11 Job Competencies Level of Work Performance were lower than the needs of job performance. The conclusions of this study were summarized as follows: First, between accredited and non-accredited program's graduates, we could see significant recognition difference about the perception of the needs of job performance. This was because Design curriculum were reinforced and accredited program's graduates had attended design program at accredited program. Second, accredited program's graduates felt higher than non-accredited program's graduates about the perception of level of work performance. This was because the efforts for curriculum reorganizing and teaching methods improvement were done. Third, we could not find significant recognition difference about the perception of the needs for job performance and work level. That was because accredited and non-accredited program were not dealed seperately. The conclusions of this study are summarized as follows: First, The efforts for analyzing job competence of industry and reflecting the program curriculum are needed on the accredited program for engineering education. Second, Government should make the incentive policy about the companies which give some merits to the accreditation graduates, and monitor constantly their real working. Third, in order that the accreditation results can be trustful on staff recruiting or school choosing, accreditation should make outcome-based-evaluation which guarantees competence of graduates.

Knowledge Assets Classification in Construction Industry Through Construction Characteristic and Information (건설업 특징과 생성정보를 통한 건설업 지식자산 분류방안)

  • Lee Tai Sik;Lee Jin Uk
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.333-336
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    • 2001
  • The future industry, intangible assets, like expertise, customer satisfaction, and employee's volition and capability, create more company value than any other components. The company's outcome mostly depends on managing these intangible knowledge assets. Construction industry is trying to adapt knowledge management system to manage their knowledge assets, but Hey do not build up knowledge assets definition and knowledge assets classification as much as other industries do. Most researches related knowledge assets classification are not concentrated on construction industry so it is need to define knowledge assets and establish knowledge assets classification of construction based on construction characteristics and informations. With this research result, construction knowledge assets classification can be the basis of knowledge asscts evaluation and knowledge map for knowledge management system.

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