• 한국환경복원기술학회지
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• 제14권1호
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• pp.105-119
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• 2011

In order to develop the indicators which evaluate the management effectiveness for the protected forest areas in Korea, candidate indicators were listed based on literature and experts interviews, then questionnaire survey on the experts were conducted. 5 elements of context, planning, input, process, output and outcome and 32 indicators were selected. Context element includes 6 indicators of 1) documentation and assessment of values; 2) documentation and assessment of threats, 3) influence of government policy, 4) related regulations, 5) community cooperation and 6) the structure of management organization. 6 indicators of Planning element were 1) the management objective, 2) protected area design, 3) protected area size and number, 4) representation, 5) standards and categories and 6) management planning. Input element of 3 indicators were 1) management staff, 2) funding, 3) establishment and application of information. Process element were consisted of 1) governance, 2) management guidelines, 3) human resource management, 4) law enforcement, 5) eco-management, 6) disaster management, 7) education program and 8) research and monitoring. The element of outputs and outcomes were 1) accomplishment of plan, 2) accomplishment of program, 3) private land management, 4) threats change, 5) biodiversity change, 6) ecosystem health and vitality, 7) impact on community, 8) international management level and 9) visitors' satisfaction and variation in civil compliant. It is recommended to have further research on evaluation methods development by applying those above developed indicators for the protected forest areas to ensure the practicality of the indicators.

• 가정∙방문간호학회지
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• 제12권1권
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• pp.41-69
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• 2005

Purpose: This study was performed to evaluate the outcomes of the home care nursing program conducted jointly by thirty two catholic churches and C hospital in Seoul. Method: The subjects included 173 patients who registered for the program during a 4 month-period from November 1, 2004 to February 28, 2005 and received home care services for more than 4 times and 32 professional nurses participating in the program. Using the concept of medical outcome study (MOS), the structure, process, outcome elements were analyzed. Result: 1) A Catholic homecare nursing center and nurses of the C hospital played a central role in providing nursing care, and each church operated its own vehicle from its own office. Home care nurse's job satisfaction was 2.8 out of total score of 4. The major illness was cerebrovascular disease including stroke followed by skeletomuscular disease including degenerative arthritis cancer, and diabetes. Among reasons for accessing the home care nursing program, hypertension management was most prevalent. More than half of the registration was done through catholic churches. Most people who referred the patient to the program was through the church. Most patients received home care nursing 1-2 times a week for 30 to 60 minutes in average and the most frequent type of service provided was basic nursing. 3) The most frequent reason for terminating home care services was death. The change in PPS(Palliative Performance Scale) level from the time of registration and after 4 visits was the same in 45%, decreased in 30%, and improved in 25%. Patient satisfaction was very high, showing 3.4 out of total score of 4. Conclusion: These results proved that the home care nursing program was highly appreciated by subjects and nurses were providing professional care. Thus the two parties involved in the program were actively supporting the program to fulfill their mission. However, several areas needed to be improved such as relating with local community, relating with family doctor, and issue of improving the working conditions for home care nurses.

• Journal of Korean Neurosurgical Society
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• 제49권5호
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• pp.273-277
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• 2011

Objective : A single balloon extrapedicular kyphoplasty has been introduced as one of the unilateral approaches for thoracic compression fractures; however, the unilateral extrapedicular technique in the lumbar area needs a further understanding of structures in the lumbar area. The purpose of the present study is to describe methods and pitfalls of this procedure based on the anatomy of the lumbar area and to analyze clinical outcome and complications. Methods : Anatomical evaluation was performed with 2 human cadavers. A retrospective review of unilateral extrapedicular approaches yielded 74 vertebral levels in 55 patients that were treated with unilateral extrapedicular vertebroplasty and kyphoplasty. Radiographic assessment included the restoration rate of vertebral height and correction of kyphosis. Results : Anatomical evaluation indicates that the safe needle entry zone of bone for the extrapedicular approach was located in the supero-lateral aspect of the junction between the pedicle and vertebral body. The unilateral extrapedicular procedure achieved adequate pain relief with a mean decreases in pain severity of $7.25{\pm}1.5$ and $2.0{\pm}1.4$, respectively. Complications were 1 retroperitoneal hematoma, 6 unilateral fillings and 3 epidural leak of the polymethylmethacrylate. Conclusion : The method of a unilateral extrapedicular approach in kyphoplasty and vertebroplasty in the lumbar area might be similar to that in thoracic approach using a route via the extrapedicular space. However, different anatomical characteristics of the lumbar area should be considered.

• 보건교육건강증진학회지
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• 제20권4호
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• pp.67-78
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• 2003

This investigation was performed to summarize a few prominent features of smoking prevention program studies and to evaluate the quality of smoking prevention program studies using the Quality of Study Rating Form (QSRF). 24 school-based smoking prevention programs were subjected to an evaluation of study quality using QSRF. Study quality was 57.29 points out of 100 points on average, so it cannot be said that study quality was good. Most of the studies described the subjects and the intervention contents and intervention time. 50% stated where the intervention occurred specifically, 50% of the studies either discussed a specific theory that justified the use of one or more intervention methods, or they cited literature said to support the chosen intervention method. Only one study assigned subjects randomly to experimental groups or control groups and 50.0% of the studies showed baseline equality. There was no study where subjects were blind to being in the treatment or control group or where subjects were selected randomly by random sampling procedure. 79.2% of the studies had non-treated control groups and 20.8% of the studies had comparison groups with other treatments in the form of either other delivery methods or other contents. Sample sizes were larger than 21 in the experimental group for all studies. 75% of the studies stated face validity of outcome measure or cited from previous literature. 58.3% of the studies tested reliability and 45.8% reported the reliability measure was a figure of .70 or greater. There was no study where those rating outcomes were rated blind, because researchers generally collected data by themselves. Outcome measures were taken only after the intervention was completed and tests of statistical significance were generally referred to statistical method and p value in all studies. All studies met the criteria that follow-up was greater than 75%. The implications for the future studies were discussed.

• 한국의류학회지
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• 제39권6호
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• pp.852-866
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• 2015

This study analyzes the form of sleeve heads, which is an important internal element that affects the appearance of jacket sleeves. It characterized sleeve head forms by investigating angles, materials, and a combination of formations for 50 sleeve heads. It conducted an appearance evaluation by comparing and analyzing the results. This paper develops a sleeve head appropriately for sleeve construction. The study results are as follows. First, the product was divided into three parts: based on, force receiving, and sleeve cap parts. There were four types of man's sleeve head: straight, arc, and curve A and B types. The woman's sleeve head had two types: straight and curve B type. Second, the feature of each type of sleeve head was analyzed. A straight type emphasized the based on part. An arc type highlighted the force receiving part while the based on part decreased. The sleeve cap part, force receiving part, and based on part were emphasized in the arc type sleeve head. Third, as a result of the appearance evaluation, each type was rank as straight type < arc type ${\leq}$ curve A < curve B. The straight type did not get positive results as it had extra ease when the sleeve head was attached to a Jacket Sleeve. The arc type was evaluated poorly due to an inappropriate sleeve cap composition. The curve type received an excellent overall outcome as it fit into the sleeve cap part well and highlighted the force receiving part in order to minimize front and back wrinkles. Therefore, the curve type made the resemblance of the jacket appearance perfect and closest to the sleeve pattern.

• 정보관리학회지
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• 제35권3호
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• pp.311-325
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• 2018

본 연구는 공공도서관에서 어린이를 대상으로 진행하는 독서프로그램의 성과를 측정하기 위한 프레임워크 개발을 목적으로 한다. 프레임워크 개발을 위한 이론적 토대로 성과 평가에 기반 한 로직모델을 적용하였다. 로직모델의 요소로 제안된 6개 요소 중에서 가정과 외부적 요인을 제외한 투입, 활동, 산출, 성과 요인을 중심으로 프로그램 평가 프레임워크를 개발하였다. 연구결과로, 서울 시내 한 공공도서관에서 연구기간 동안 진행된 4개의 프로그램에 대한 평가 프레임워크와 성과측정을 위한 지표를 제안하였다. 프로그램별로 다양한 성과지표의 개발이 가능하지만 본 연구에서는 도서관 데이터를 기반으로 측정 가능한 지표를 중심으로 제안하였다. 본 연구 결과가 사례 연구로 진행되었지만 대상 프로그램이 공공도서관에서 일반적으로 진행하는 프로그램이라는 점에서 타 도서관의 어린이 대상 프로그램의 평가 프레임워크로 활용될 수 있을 것으로 기대된다.

• 대한족부족관절학회지
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• 제12권2호
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• pp.122-127
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• 2008

Purpose: To evaluate the clinical outcome of proximal plantar fasciitis after nonoperative treatment, and also to find the correlation of the heel pain with the plantar fascia thickness measured by ultrasonography. Materials and Methods: The study is based on 41 patients, 46 feet of the proximal plantar fasciitis that were treated conservatively with at least 12 months follow-up. All were treated with heel pad, Achilles and plantar fascia stretching and pain medications for at least 3 months. Heel ultrasonography was performed at the beginning of the treatment to measure the plantar fascia (PF) thickness and the echogenicity. PF thickness over 4 mm and less were grouped in to group A and B respectively to compare the clinical outcome. Results: Average thickness of the PF at the calcaneal attach was 5.2 mm. Symptom duration before the treatment was average 13.2 month; group A being 14.6 months and group B being 9.0 months with no significant difference (p=0.09). As functional evaluation, Roles-Maudsley score improved from 3.4 initially to 2.3 at final follow-up, while morning heel pain also improved from average VAS pain score of 7.2 to 4.0. However Maudsley and VAS score both didn't show statistical difference between the 2 groups (p>0.05). Conclusion: Plantar fasciitis improved substantially with the nonoperative treatments. However, the 2 groups, divided according to 4 mm thickness by ultrasonography, didn't show significant difference in either symptom duration or in the clinical outcomes.

• Archives of Plastic Surgery
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• 제34권3호
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• pp.330-335
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• 2007

Purpose: The purpose of this study is to evaluate the functional outcome and donor site morbidity of anterolateral thigh free flap(ALT) compared to Radial forearm free flap(RFFF) for the reconstruction of partial glossectomy defect. Methods: 5 ALT free flap (group I) were attempted for partial glossectomy patients. We compared patients undergone ALT flap with those(n=11) of similar size defect reconstructed with RFFF (Group II). Rating scales for articulation and swallowing function were applied and donor site morbidity have been evaluated. Results: The scales for speech function showed no difference between the two groups (average score; group I - 6.4, group II - 6.45). Swallowing function also showed no difference between the two groups(average score; Group I - 6.6, Group II - 6.27). ALT group had one patient with donor site morbidity(numbness). All of the RFFF patients(11/11) complained and suffered from hypertrophic scar, retraction, numbness or hyperpigmentation on forearm donor site. Based on our study, ALT free flap is comparable to that of RFFF in terms of functional assessment in tongue reconstruction. Conclusion: Considering the donor site morbidity, ALT flap is to be valuable to reconstruct partial glossectomy defect.

• 한국의료질향상학회지
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• 제25권1호
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• pp.11-28
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• 2019

Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

• Hip & pelvis
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• 제34권1호
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• pp.45-55
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• 2022

Purpose: The aim of this study was to evaluate the short-term outcome of physiotherapy in patients with acetabular labral tears and to assess the effectiveness of physiotherapy according to the severity of the labral tear. Materials and Methods: Thirty-five patients who underwent physiotherapy for treatment of symptomatic acetabular labral tears were enrolled. We evaluated the severity of the acetabular labral tears, which were classified based on the Czerny classification system using 3-T MRI. Clinical findings of microinstability and extra-articular pathologies of the hip joint were also examined. The International Hip Outcome Tool 12 (iHOT12) was use for evaluation of outcome scores pre- and post-intervention. Results: The mean iHOT12 score showed significant improvement from 44.0 to 73.6 in 4.7 months. Compared with pre-intervention scores, significantly higher post-intervention iHOT12 scores were observed for Czerny stages I and II tears (all P<0.01). However, no significant difference was observed between pre-intervention and post-intervention iHOT12 scores for stage III tears (P=0.061). In addition, seven patients (20.0%) had positive microinstability findings and 22 patients (62.9%) had findings of extra-articular pathologies. Of the 35 patients, eight patients (22.9%) underwent surgical treatment after failure of conservative management; four of these patients had Czerny stage III tears. Conclusion: The iHOT12 score of patients with acetabular labral tears was significantly improved by physiotherapy in the short-term period. Improvement of the clinical score by physiotherapy may be poor in patients with severe acetabular labral tears. Determining the severity of acetabular labral tears can be useful in determining treatment strategies.