• Title/Summary/Keyword: Qualitative Comparative Analysis

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What is the Role of Epidural Injections in the Treatment of Lumbar Discogenic Pain: A Systematic Review of Comparative Analysis with Fusion

  • Manchikanti, Laxmaiah;Staats, Peter S.;Nampiaparampil, Devi E.;Hirsch, Joshua A.
    • The Korean Journal of Pain
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    • v.28 no.2
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    • pp.75-87
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    • 2015
  • Background: Lumbar discogenic pain without pain mediated by a disc herniation, facet joints, or the sacroiliac joints, is common and often results in chronic, persistent pain and disability. After conservative treatment failure, injection therapy, such as an epidural injection, is frequently the next step considered in managing discogenic pain. The objective of this systematic review is to determine the efficacy of lumbar epidural injections in managing discogenic pain without radiculopathy, and compare this approach to lumbar fusion or disc arthroplasty surgery. Methods: A systematic review of randomized trials published from 1966 through October 2014 of all types of epidural injections and lumbar fusion or disc arthroplasty in managing lumbar discogenic pain was performed with methodological quality assessment and grading of evidence. The level of evidence was based on the grading of evidence criteria which, was conducted using 5 levels of evidence ranging from levels I to V. Results: Based on a qualitative assessment of the evidence for both approaches, there is Level II evidence for epidural injections, either caudal or lumbar interlaminar. Conclusions: The available evidence suggests fluoroscopically directed epidural injections provide long-term improvement in back and lower extremity pain for patients with lumbar discogenic pain. There is also limited evidence showing the potential effectiveness of surgical interventions compared to nonsurgical treatments.

The Process of Acceptance of Complementary and Alternative Therapies (CATs) among Nurses: Grounded Theory Approach (간호사의 보완대체요법 수용과정에 관한 연구: 근거이론 접근)

  • Kim, Ae-Kyung;Lee, Young-Shin;Kim, Hyun-Jung
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.669-680
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    • 2013
  • Purpose: This study was done to explore the process of accepting CATs among nurses who experienced CATs in Korea. Methods: Grounded theory methodology was utilized. Data were collected from 10 nurses during individual in-depth interviews. Theoretical sampling was used until the data reached saturation. Data were analyzed using the constant comparative analysis method. Results: The core category emerged as "resolving the doubt and integrating" explaining the process of accepting CATs. The nurses engaged in three stages: need awareness, look for solution and integration. Causal conditions were interest as a nursing intervention and orthodox medical limitations. Context was lack of basis for application and increase in social interest. Strategies were new knowledge acquisition, having a strong will, combined with existing knowledge, and individualized intervention. Intervening conditions were others' eye, exhaustion for nurses and physical environment. Consequences were expanding of the nursing role and improved nurse satisfaction. Conclusion: The results of the study should facilitate application of CATs in nursing practice. To help nurses who are interested in CATs, there is a need for education programs, and further research on CATs.

Development of Competency-oriented Social Multimedia Computer Network Curriculum

  • Huh, Jun-Ho;Seo, Kyungryong
    • Journal of Multimedia Information System
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    • v.1 no.2
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    • pp.133-142
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    • 2014
  • In the revised 2015 curriculum, it is emphasized that fostering of the students as the capable 'creativity-convergent' individuals can be achieved by offering them the opportunities to cultivate the basic knowledge in liberal arts, society and scientific technologies through schooling. While retaining the basic principle of 'fostering creative people', this fundamentally-reformed curriculum involves improvements in the elementary and middle school curriculums in response to the national and social demands in which active responses to the changes in the educational environments and amelioration of the problems posed in the field applications are required. Accordingly, a novel future-oriented curriculum is necessary for the classroom teaching, and to realize the goal, the 'Competence-oriented Social Multimedia Computer Network Curriculum' adopting the virtualization and the 'Bottom-up' methods has been proposed in this paper as a feasible and practical curriculum. Our curriculum will be compared with the recent Cisco high school curriculum and analyzed contemplating recent curriculums in US, UK, Japan and India. Two 1-year practice courses are examined to prove the validity of the proposed curriculum for a period of two years as a qualitative research project. The results of the comparative analysis will show that our proposed curriculum is superior to the Cisco high school curriculum in the aspects of economic feasibility and learning satisfaction.

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Role Adaptation Processes of Family Caregivers with Patients Transferred from Intensive Care Unit to General Ward: Becoming almost a Nurse with Hope and Fear (중환자실에서 일반병동으로 전실하는 환자 가족 돌봄제공자의 역할 적응 과정: 희망과 두려움 속에서 반(半)간호사 되어가기)

  • Kwon, Heui-Kyeong;Song, Misoon
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.603-613
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    • 2014
  • Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

Preceptees' Experiences of Nursing Students in the Clinical Practice with Preceptorship: "Being refined while taking a firm stand with lack" (간호대학생의 임상실습에서 프리셉티 경험: "모자라지만 꿋꿋이 버텨 다듬어지기")

  • Park, Jeong Sook;Park, Young Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.168-180
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    • 2018
  • Purpose: The purpose of this study was to explore preceptees' experience among nursing students in the Clinical Nursing Practice program as integral practice. Specific aims were to identify problems students face as preceptees at a clinical practice and how they interact with preceptors and others. Methods: Grounded theory methodology was utilized. Data were collected from interactive field notes and transcribed notes with individual in-depth interview from 12 senior nursing students who had experiences as a preceptee in the Clinical Nursing Practice. Results: Through constant comparative analysis, a core category emerged as "Being refined while taking a firm stand with lack." The process of "Being refined while taking a firm stand with lack" consisted of four phases: sailing phase, adaptation phase, achievement phase and wistful returning phase. Conclusion: The findings of the study indicate that there is a need for nursing students to understand the limitations and strengths to learning experiences in preceptorship. In addition, the Clinical Nursing Practice as an integral practice program is needed to improve nursing capacity and for proper adaptation to real clinical environment among graduating students.

A Comparative Analysis on Elementary Students방 Scientific Attitudes by Questionnaire and Ethnographic Study (질문지법과 문화기술적 방법에 의한 초등학생의 과학적 태도에 대한 비교 분석)

  • 김운배;김효남
    • Journal of Korean Elementary Science Education
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    • v.19 no.1
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    • pp.1-13
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    • 2000
  • For a profound understanding about the elementary students' scientific attitude, I have performed this study based on the students' opinion by the ethnographic interview and participant observation of science classes. I have analyzed the data by qualitative data analyzing method, and compared the analyzed results with analyzed results by the Likert's scaled as il questionnaire method. To perform this study, I selected one elementary school located in an agricultural village in Choong-Buk Province in Korea and studied four 5th grade students. Here, I present results of this study as follows. First, in ethnographic interview, all informants represented positive reaction to scientific curiosity. But, It is appeared that there are external curiosity and internal curiosity. Internal curiosity is more closely and positively related to problem solving skills. Second, all informants represented positive open-mindness expressing their own opinions actively and accepting other students' opinions. Students who had positive critical-mindness and voluntariness recorded high scores in science achievement. Third, scientific attitude analyzed by ethnographic methods didn't correspond with scientific attitude measured by Likert's scale in all cases. I presumed this discrepant result could come from subjects' different tendency on replying to questionnaire and students' own criterion.

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Multi-Stakeholders in Public and Cultural Diplomacies as Seen through the Lens of Public-Private Partnerships: A Comparative Case Study of Germany and South Korea

  • Kim, Hwa Jung
    • Journal of Contemporary Eastern Asia
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    • v.17 no.1
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    • pp.68-93
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    • 2018
  • With the emergence of partnerships with private actors in public and cultural diplomacies, complexity in the relations among the various stakeholders involved has arisen, and yet the relevant research is insufficient to shed any beneficial light on such issues. By looking at public-private partnerships, the present study determined that resource dependence, trust, and risk are the main factors affecting the feasibility of partnerships, and inductively developed propositions on their effects. In an explorative case study, Germany (decentralized mode of governance) and South Korea (centralized mode of governance) were compared as exemplary contrasting system designs. The results revealed that risk and trust are likely to affect the feasibility of partnerships, whereas resource dependence is not. The following additional findings also were made: (1) there are cultural actors in a 'for profit, but with non-profit purposes' sector; (2) an interpersonal level of trust positively affects partnerships; (3) 'taking risks' brings about 'innovation'; (4) the existence of international commonalities between any two cases depending on the actors' shared role, whether public or private; (5) public actors' emphasis on mutual trust, program budget and execution, innovations coming from taking risks, commitment and ownership, and unexpected situations; (6) private actors' consideration of 'publicness' and grant-seeking or financial support as important incentives, and their desire that public actors to show more trust, professionalism, and ownership with less control over budget execution. With its qualitative approach and in-depth analysis, the present study yielded new insights, notwithstanding the relatively small sample data.

Analysis of the Relation between Biological Classification Ability and Cortisol-hormonal Change of Middle School Students

  • Bae, Ye-Jun;Lee, Il-Sun;Byeon, Jung-Ho;Kwon, Yong-Ju
    • Journal of The Korean Association For Science Education
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    • v.32 no.6
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    • pp.1063-1071
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    • 2012
  • The purpose of this study is to investigate the relation between the classification ability quotient and cortisol-hormonal change of middle school students. Thirty-three students, second graders in middle school, performed the classification task that can be an indicator of students' classification ability. And then amount of the secreted hormone was analyzed during task performance. The study results were as follows: First, the classification methods of students mostly utilized visual, qualitative. Their classification patterns for each subject were static, partial, and non-comparative. Second, the amount of stress-hormone was secreted from students during the experiment decreased in overall after the free classification. It seemed that student-centered activity relieved stress. Third, the classification ability quotient turned out to be significantly correlated to the stress hormone, which means that there was a close relationship between classification ability and stress level. It was also considered that stress had a positive effect on the improvement of classification ability. This study provided physiologically more accurate information on the stress increased in the learning process than other conventional studies based on reports or interviews. Finally, researchers could recognize the effect of stress in the cognitive activity and the need to find an appropriate level of stress in learning processes.

담배의 바이러스 병엽과 건전엽에 있어서의 유이아미노산에 관한 정량적 연구(예보)

  • 이광업
    • Journal of Plant Biology
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    • v.7 no.1
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    • pp.1-4
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    • 1964
  • A comparative study of free amino acid content in healthy and virus diseased tobacco leaves was carried out by author throughout the gorwing season from June to November of 1963. The methods of qualitative analysis of free amino acids applied in this experiment is followed by Moore and Stein. 1,2 Free amino acids determined in this experiment are shown in Fig. Ⅰ, Ⅱ and Table Ⅰ. As the figure and the table are shown, four more amino acids such as a spartic acid, glutamic acid, tyrosine and phenylalanine are detected in the healthy leaves; these four additional amino acids in the healthy leaves are conspicuous. More quantities of asparagine and alanine are detected in the diseased leaves than the healthy leaves and more quantities of tryptophan is detected in the healthy leaves. It is presumed that such amino acids as tyrosine and phenyllanine are decreased by the incooperation of free amino acid to TMV protein in the process of the process of the leaf protein metabolism which is caused by TMV-RNA trapping action in the diseased leaf protoplasm. It is thought that the decrease of asparagine and the increase of asparic acid in the healthy leaves are the results of in incooperaton of NH2, produced by the protein dissimilation in the diseased leaves, to aspartic acid; it's reaction is caused by the respiration of the diseased leaves accelerated by TMV attack. It is presumed, consequently, that the check of the diseased tobacco leave growth is influenced by the reduction of such amino acids as tryptophane and glutamic acid, which reduction may be due to the abnormal protein metabolism and the action of certain enzyme caused by TMV attack on host protoplast.

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Analysis of Assessment Model applying to Internet Business Mall (인티넷 비즈니스몰 평가모델의 분석 연구)

  • 김제홍;주상호
    • Journal of the Korea Society of Computer and Information
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    • v.8 no.2
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    • pp.135-144
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    • 2003
  • This paper focus on the analyzing objective bases for Proper assessment in Internet business mall. UP to now, assessment protocol of Internet business mall has been accomplished with financial factor, traffic factor and no quantitative factor respectively. But decision process of this malls value by one of these factors is not the best method. A new assessment model considering qualitative and quantitative factors is suggested and reviewed with existing model . As a result, a quantitative assessment protocol is appraised by a customer for the reason that this model includes not only comparative superiority between company but also weighting factor in assessment factors.

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