• Title/Summary/Keyword: Outcome-based Evaluation

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An analysis of emotional English utterances using the prosodic distance between emotional and neutral utterances (영어 감정발화와 중립발화 간의 운율거리를 이용한 감정발화 분석)

  • Yi, So-Pae
    • Phonetics and Speech Sciences
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    • v.12 no.3
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    • pp.25-32
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    • 2020
  • An analysis of emotional English utterances with 7 emotions (calm, happy, sad, angry, fearful, disgust, surprised) was conducted using the measurement of prosodic distance between 672 emotional and 48 neutral utterances. Applying the technique proposed in the automatic evaluation model of English pronunciation to the present study on emotional utterances, Euclidean distance measurement of 3 prosodic elements such as F0, intensity and duration extracted from emotional and neutral utterances was utilized. This paper, furthermore, extended the analytical methods to include Euclidean distance normalization, z-score and z-score normalization resulting in 4 groups of measurement schemes (sqrF0, sqrINT, sqrDUR; norsqrF0, norsqrINT, norsqrDUR; sqrzF0, sqrzINT, sqrzDUR; norsqrzF0, norsqrzINT, norsqrzDUR). All of the results from perceptual analysis and acoustical analysis of emotional utteances consistently indicated the greater effectiveness of norsqrF0, norsqrINT and norsqrDUR, among 4 groups of measurement schemes, which normalized the Euclidean measurement. The greatest acoustical change of prosodic information influenced by emotion was shown in the values of F0 followed by duration and intensity in descending order according to the effect size based on the estimation of distance between emotional utterances and neutral counterparts. Tukey Post Hoc test revealed 4 homogeneous subsets (calm

Comparison between domestic and foreign Clinical guidelines and previous researches on Korean medicine for psoriasis to develop the clinical trial guideline of psoriasis using Korean medicine (건선 한약제제 임상시험 가이드라인 개발을 위한 관련 국내외 가이드라인과 기존 건선치료 한약제제 연구와의 비교)

  • Kang, Se Hyun;Moon, Young-Kyun;Jeong, Woo-Yeol;Nam, Hae-Jung;Kim, Yoon-Bum;Lee, Jun-Hee;Kim, Kyuseok
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.2
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    • pp.12-32
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    • 2016
  • Objectives : The objective of this study is to develop the strategies of the psoriasis clinical trials guideline on Korean medicine by comparison between Clinical guidelines and domestic and foreign clinical trials papers of psoriasis on Korean medicine. Methods : This study is based on analysis of papers on Clinical trials guidelines, Clinical practice guideline and clinical trials about Korean medicine. The papers were searched from Pubmed, Medline, Oasis(Oriental Medicine Advanced Searching Integrated System), Korean Traditional Knowledge Portal and Google portal database. Results : A total 8 Clinical practice guidelines and 2 Clinical trials guidelines were found. Moreover, there were 15 foreign papers about clinical trials and 29 internal articles about case studies. They suggested the diagnostic strategy, classification, effective outcome measure, severity measure, precaution of combination therapy, precaution and treatment period of clinical trials, safety evaluation, patterns of Korean Medicine, clinical specific features on psoriasis.Conclusions : The criteria of every item to provide the clinical trials guideline using Korean medicine on psoriasis were developed by apply the results. If we accumulate the more clinical articles on Korean medicine, it will be great help to develop the reliable standard of that guideline.

Estimation and Assessment of Future Design Rainfall from Non-stationary Rainfall Frequency Analysis using Separation Method (호우분리기법을 적용한 비정상성 빈도해석의 미래확률강우량 산정 및 평가)

  • Son, Chan-Young;Lee, Bo-Ram;Choi, Ji-Hyeok;Moon, Young-Il
    • Journal of Korea Water Resources Association
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    • v.48 no.6
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    • pp.451-461
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    • 2015
  • This study aimed to estimate the future design rainfall through a non-stationary frequency analysis using the rainfall separation technique. First, we classified rainfall in the Korean Peninsula into local downpour and TC-induced rainfall through rainfall separation technique based on the path and size of a typhoon. Furthermore, we performed the analysis of regional rainfall characteristics and trends. In addition, we estimated the future design rainfall through a non-stationary frequency analysis using Gumbel distribution and carried out its quantitative comparison and evaluation. The results of the analysis suggest that the increase and decrease rate of rainfall in the Korean Peninsula were different and the increasing and decreasing tendencies were mutually contradictory at some points. In addition, a non-stationary frequency analysis was carried out by using the rainfall separation technique. The outcome of this analysis suggests that a relatively reasonable future design rainfall can be estimated. Comparing total rainfall with the future design rainfall, differences were found in the southern and eastern regions of the Korean peninsula. This means that climate change may have a different effect on the typhoon and local downpour. Thus, in the future, individual assessment of climate change impacts needs to be done through moisture separation. The results presented here are applicable in future hydraulic structures design, flood control measures related to climate change, and policy establishment.

Evaluating Effectiveness of Lane Departure Warning System by User Perceptions (차선이탈경고장치(LDWS) 이용자 만족도 평가 연구)

  • Joo, Shin-Hye;Oh, Cheol;Lee, Jae-Wan;Lee, Eun-Deok
    • Journal of Korean Society of Transportation
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    • v.30 no.2
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    • pp.43-52
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    • 2012
  • A lane departure warning system (LDWS) is an effective technology-based countermeasure for preventing traffic crashes as it provides warning information to drivers. Understanding the characteristics of perception and satisfaction levels on LDWS is fundamental for deriving better performance and functionality enhancements of the system. The purpose of this study is to evaluate the user satisfaction of LDWS. A survey to collect user perception and user preference data was conducted. Both cross-tabulation analysis and binary logistic regression technique were adopted to identify the factors affecting user satisfaction for LDWS. The results revealed that the accuracy and timeliness of warning information was significant for evaluating the effectiveness of LDWS. In particular, the warning accuracy at a curve segment on the road was the most dominant factor affecting user satisfaction. The outcome of this study would be valuable in evaluating and designing LDWS functionalities.

Microbiological Evaluation for HACCP System Application of Green Vegetable Juice Containing Lactic Acid Bacteria (유산균을 함유한 녹즙의 HACCP 시스템 적용을 위한 미생물학적 위해도 평가)

  • Kwon, Sang-Chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.4924-4931
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    • 2011
  • This research performed to evaluate a production processes reporting by the HACCP system of green vegetable juice products, containing lactic acid bacteria, stage of processing raw materials agricultural products and production facilities of general bacteria and pathogenic micro organism. General bacteria are found from four samples of storage of agricultural products at process stage and water was detected 8.67~14.67 CFU/ml. However, all samples were detected less than 105 CFU/ml as a legal standards after the process of UV sterilization. For the outcome of experiment of E.coli, E.coli O157:H7, B.cereus, L.moonocytogenes, Salmonella spp, Staph.aureus as the food poisoning bacterial, E.coli was detected until UV pre-step process in storage process and B.cereus was detected partly till 1st washing. Since all bacterial, Yeast and Mold are detected in main materials, pre-control method is a necessary to establish for decreasing with a number of initial bacteria of main materials and it is considered to establish the effective ways of washing and sterilization such as production facilities for cross contamination prevention of bacteria and Sthaphylococcus. Based on above results, the process of UV sterilization should be managed with CCP as an important process to reduce or eliminate the general and food poisoning bacterial of green vegetable juice products, including lactic acid bacteria. Therefore, it is considered to need an exhaustive HACCP plan such as control manual of UV sterilization, solution method, verification, education and training and record management.

Development and Evaluation of a Protocol for Bedside Nursing Handoff with Patient Engagement in a Tertiary Hospital in South Korea (한국형 환자참여 간호사 침상인계 프로토콜 개발 및 평가)

  • Lee, Tae Wha;Ji, Yoon Jung;Jang, Yeon Soo;Do, Hyun Ok;Oh, Kyoung Hwan;Kim, Chang Kyung;Chun, Ja Hye;Shin, Hae Kyung;Cho, Mee Young;Bae, Jung Im
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.117-130
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    • 2020
  • Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.

Effects of Therapeutic Interventions for Children With Attention Deficit Hyperactivity Disorder: A Systematic Review (주의력결핍과잉행동 장애아동을 대상으로 제공되는 국내 중재에 대한 고찰 연구)

  • Park, Young-Ju;Kim, EunJoo
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.1
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    • pp.43-53
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    • 2019
  • Objective : This study was designed to find the latest intervention trends in treatment of children with attention deficit hyperactivity disorder (ADHD) in South Korea. Methods : Studies on ADHD published in Korean journals from January 2004 to December 2018 were reviewed. The databases used were DBpia, Google Scholar, RISS, and KISS. The search terms were "attention deficit hyperactivity," "child," and "intervention." A total of 14 studies were selected. The results of this study were as follows: Patient, Intervention, Comparison, Outcome. Results : The level of evidence was the highest in the single subject study of level IV, and the methodological quality was the most common study. The interventional metronome (IM) intervention was the most frequently used, and the evaluation tools used in the measurement were the Long Form Assessment of the Interactive Metronome and the Korean Behavior Child Checklist. The Korean ADHD interventions showed statistically significant improvement in concentration, hyperactivity, task performance, excessive language use, and timing. Conclusions : Various types of interventions were provided for children with ADHD in South Korea. The interventions showed positive effects, and provided basic data for evidence-based implementation in clinical practice. In the future, a model study should be conducted, to establish an effective service delivery system, as well as ongoing research on children with ADHD.

Surgical outcomes of sternal rigid plate fixation from 2005 to 2016 using the American College of Surgeons-National Surgical Quality Improvement Program database

  • Tran, Bao Ngoc N.;Chen, Austin D.;Granoff, Melisa D.;Johnson, Anna Rose;Kamali, Parisa;Singhal, Dhruv;Lee, Bernard T.;Fukudome, Eugene Y.
    • Archives of Plastic Surgery
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    • v.46 no.4
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    • pp.336-343
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    • 2019
  • Background Sternal rigid plate fixation (RPF) has been adopted in recent years in high-risk cases to reduce complications associated with steel wire cerclage, the traditional approach to sternal closure. While sternal RPF has been associated with lower complication rates than wire cerclage, it has its own complication profile that requires evaluation, necessitating a critical examination from a national perspective. This study will report the outcomes and associated risk factors of sternal RPF using a national database. Methods Patients undergoing sternal RPF from 2005 to 2016 in the American College of Surgeons-National Surgical Quality Improvement Program were identified. Demographics, perioperative information, and complication rates were reviewed. Logistic regression analysis was performed to identify risk factors for postoperative complications. Results There were 381 patient cases of RPF identified. The most common complications included bleeding (28.9%), mechanical ventilation >48 hours (16.5%), and reoperation/readmission (15.2%). Top risk factors for complications included dyspnea (odds ratio [OR], 2.672; P<0.001), nonelective procedure (OR, 2.164; P=0.010), congestive heart failure (OR, 2.152; P=0.048), open wound (OR, 1.977; P=0.024), and operating time (OR, 1.005; P<0.001). Conclusions Sternal RPF is associated with increased rates of three primary complications: blood loss requiring transfusion, ventilation >48 hours, and reoperation/readmission, each of which affected over 15% of the study population. Smokers remain at an increased risk for surgical site infection and sternal dehiscence despite RPF's purported benefit to minimize these outcomes. Complications of primary versus delayed sternal RPF are roughly equivalent, but individual patients may perform better with one versus the other based on identified risk factors.

Music Teachers' Perceptions of the Music Therapy Curriculum in Special Education Schools (특수학교 음악교과의 운영과 음악치료적 접근에 대한 교사인식)

  • Gu, Sin-Sil;Hwang, Soon-Young
    • Journal of Music and Human Behavior
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    • v.16 no.1
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    • pp.89-117
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    • 2019
  • The purpose of this study was to explore and better understand special education music teachers' perceptions of their music curriculum. For this purpose, we conducted a focus group interview with seven special education music teachers. During the interview, four major themes and 14 sub-themes were identified. The main themes were the following: (a) types of applied activities and the goals of music classes (e.g., activities to be applied in various ways depending on the characteristics of the disability and intended outcome), (b) difficulty in implementing the music curriculum (e.g., lack of fit between textbook and students' chronological ages, lack of time and focus, self-evaluation of performance as a music teacher, (c) therapeutic experiences during music classes (e.g., expectation for positive effects through music therapy, joy of witnessing changes in students, and sense of togetherness), and (d) obstacles to the therapeutic approach of music classes and need for support (e.g., lack of professional knowledge regarding therapeutic approaches and problems with administrators and school environment). Based on these results, problems in implementing the music therapy approach as part of the music curriculum in special education schools are discussed and practical solutions for educators are offered.

Effects of Depression and Anxiety Symptoms on Specific Cognitive Function by Evaluating Healthy Subjects (정상인을 통해 알아본 우울 증상과 불안 증상이 특정 인지 기능에 미치는 영향)

  • Kim, Kyuho;Nam, Yoon-Young;Han, Jiyeon;Yu, Rina;Ryu, Vin
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.42-48
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    • 2021
  • Objectives : Based on the fact that cognitive functions decline known as comorbid symptoms of depression can precede depression, this study seeks to observe the effects of depressive symptoms and anxiety symptoms on cognitive function in healthy subjects. Methods : To recruit 50 general populations to evaluate cognitive and clinical symptoms and to find out the effects of clinical symptoms on cognitive functions, Pearson correlation and multivariate regression were conducted. Correlation analysis of subdomain cognitive function was conducted for reliability analysis. Results : Trail making test-B that evaluates the execution function correlates with depressive symptoms (r=0.300, p=0.03) and age (r=0.323, p=0.02). Depressive symptoms (β=0.304, p=0.03) and age (β=0.335, p=0.01) were significantly related to Trail making test -B (Adjusted R2=0.148). Subjective cognitive tests correlates with anxiety symptoms (r=0.434, p=0.002). In the correlation between cognitive functional items, Subjective cognitive tests was found to be correlated with other test except Spotter. Conclusions : In this study, depressive symptoms contribute independently to executive functions in addition to demographic characteristics such as age and duration of education. Given that cognitive decline is a common long-term clinical outcome in depression, we expect active early intervention and evaluation of cognitive function to be helpful.