• Title/Summary/Keyword: S-score

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PARK Index and S-score Can Be Good Quality Indicators for the Preventable Mortality in a Single Trauma Center

  • Park, Chan Yong;Lee, Kyung Hag;Lee, Na Yun;Kim, Su Ji;Cho, Hyun Min;Lee, Chan Kyu
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.126-130
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    • 2017
  • Purpose: Preventable Trauma Death Rate (PTDR) using Trauma and Injury Severity Score (TRISS) has been most widely used as a quality indicator in South Korea. However, this method has a small number of deaths corresponding to the denominator. Therefore, it is difficult to check the change of quality improvement for annual mortality, and there is a disadvantage that variation is severe. Therefore, we attempted to improve the quality of the mortality evaluation by reducing the variation by applying the PARK Index (preventable major trauma death rate, PMTDR) which can increase the number of denominator significantly. And the Save score (S-score) was also examined as another quality indicator. Methods: In the PARK Index, the denominator is number of all patients who have survival probability (Ps) larger than 0.25. Numerator is the number of deaths among these. The PARK Index includes only patients with ISS >15. The S-score is calculated in the same way as the W-score, but the S-score includes only patients with ISS >15, which is a difference from the W-score. Results: PARK Index decreased annually and was 12.9 (37/287) in 2014, 9.6 (33/343) in 2015, and 7.3 (52/709) in 2016. S-score increased annually and was -0.29 in 2014, 4.21 in 2015, and 8.75 in 2016. Conclusions: PARK Index and S-score improved annually. This shows that both quality indicators are improving year by year. PARK Index (PMTDR) has 9.5-fold increase in denominator overall compared to PTDR by TRISS. The S-score used only ISS >15 patients as a denominator. Therefore, there is an advantage that the numerical value change is larger than the W-score. In addition, S-score is not affected by the ratio of major trauma patients to minor trauma patients.

Efficacy of Glycopyrrolate in Primary Hyperhidrosis Patients

  • Lee, Hyun-Ho;Kim, Do-Won;Kim, Do-Wan;Kim, Chan
    • The Korean Journal of Pain
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    • v.25 no.1
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    • pp.28-32
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    • 2012
  • Background: Primary hyperhidrosis is a disorder of excessive sweating, which shares several features with anxiety disorders and has a negative impact on a patient's quality of life. Oral glycopyrrolate is one of the treatments available. There are a few published studies on the use of glycopyrrolate given orally in the treatment of hyperhidrosis. Methods: Thies is study was a review of case notes in a series of 36 patients with primary hyperhidrosis. We made a comparison between the Keller's scale score of a pre-glycopyrrolate medication group and the Keller's scale score f a post-glycopyrrolate medication group. The Milanez de Campos score, Short Form_36 (SF-36) score, Beck Depression Inventory (BDI) score, Beck Anxiety Inventory (BAI) score, and autonomic nervous system (ANS) scale score were also compared between the two groups. Results: In the post-glycopyrrolate medication group, there were declines in Keller's scale, and Milanez de Campos scale score and BAI score (P < 0.001). In addition, there were increases in SF_36 score in the post-glycopyrrolate medication group (P = 0.03) However, no changes were seen in, BDI score and ANS score in the post-glycopyrrolate medication group (P < 0.001). Conclusions: Glycopyrrolate is an effective initial method of treating primary hyperhidrosis that, reduces anxiety and improve patients' quality of life.

Effect of Geographic Area on Dietary Quality across Different Age Groups in Korea (연령별 식사의 질에 미치는 지역의 영향)

  • Kim, Hyun Ja;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.24 no.6
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    • pp.453-464
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    • 2019
  • Objectives: The objective of this study was to examine whether dietary quality varies among different age groups and geographic areas, and whether the difference between geographic areas varies across several age groups in Korea. Methods: The subjects were 14,170 subjects who participated in the 2013-2015 Korea National Health and Nutrition Examination Survey. The dietary quality was assessed using the Korean Health Eating Index (KHEI). Age groups were categorized into six groupings, and areas were categorized into urban and rural according to their administrative districts. The effect of area on the KHEI score was analyzed by multiple linear regression analysis. Results: The KHEI was the lowest in the 20-30s group (57.7 ± 0.4 score for 20s and 61.2 ± 0.3 score for 30s) and increased with age (p<0.001), showing the highest score in the 60s (67.9 ± 0.3 score), and then decreased again in the 70s and older (64.6 ± 0.3 score). As a result of comparing the KHEI score by area, the urban areas had higher KHEI scores than did the rural areas (63.5 ± 0.2 score for urban area and 62.2 ± 0.4 score for rural area, p=0.002). The difference between areas was dependent on the age group, showing a significant difference for subjects who were aged from 50s and older (p=0.002 for 50s, p<0.001 for 60s and p<0.001 for 70s and older). After adjusting for confounding factors, the effect of area on the KHEI score was only shown for those subjects in the over 60 years old group (p=0.035 for 60s and p<0.001 for 70s and older). Conclusions: The dietary quality differed according to the age group and geographic area. The dietary quality was lower for younger people than that for older people, and in rural areas compared to that in urban areas, and especially for older adults. The area factor was a very important factor for the dietary quality.

Drug Consumption and Nutritional Status of the Elderly in Chung-buk Area -III. Psychological Effect on Drug Consumption and Nutritional Status- (충북지역 노인들의 약물복용 및 영양상태 -III. 심리적요인이 약물복용 및 영양상태에 미치는영향 -)

  • 박동연;한경희;김기남
    • Korean Journal of Community Nutrition
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    • v.3 no.2
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    • pp.245-260
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    • 1998
  • The influences of depression and health anxieth on the elderly's drug use and nutritional status were evaluated by interviews with questionaire from August to October in 1996. One hundred and thirty-one male and 231 female elderly in Chung-buk area were the sample for this study. Men's depression score was 22.3 and 25.2 for women, respectively out of 27. Women showed a significantly higher score for depression and health anxiety than men. Gender, age, marital status, number of family, education, income, medical insurance, and mobility and region significantly affected the health anxiety score. The higher depression score the elderly had, the more frequently they took drugs. Conversely. the higher depression score the elderly had, the less frequently they took nutritional supplements. For women, the higher depression score the elderly had, the more they smoked. More depressed elderly showed a significantly smaller BMI compared to the less depressed ones. A negative correlationship existed between the depression score and the elderly's nutrient intakes, especially energy intake which showed a significant negative correlation. There were no significant differences between health anxiety score and nutrient intakes of men. Women who had a higher health anxiety score consumed more energy significantly. The depression score did not affect the elderly's blood biochemical indices. Women who had a low health anxiety score showed a significantly higher HDL-C level.

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The Relationship among Blood-stasis, CAVI and Cardiovascular Risk in Stroke Patients (뇌졸중환자의 어혈병태모형과 CAVI, 심혈관질환 위험도간의 상호관계에 관한 임상적 연구)

  • Kim, Seok-Min;Sun, Jong-Joo;Choi, Chang-Min;Jung, Jae-Han;Hwang, Jae-Woong;Min, In-Kyu;Kim, Chang-Hyun;Jung, Woo-Sang;Moon, Sang-Kwan;Cho, Ki-Ho;Bae, Hyung-Sup;Kim, Young-Suk
    • The Journal of Internal Korean Medicine
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    • v.28 no.3
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    • pp.421-433
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    • 2007
  • Objectives : This study was performed to evaluate the relationships among blood-stasis. cardio-ankle vascular index(CAVI) and cardiovascular risk. Methods : We obtained general characteristics. blood-stasis score and CAVI from 150 stroke patients. Blood-stasis score was evaluated by blood-stasis criteria. Cardiovascular risk (the following. Stuart's risk score) was evaluated by Stuart's risk scoring scale. We divided subjects into a blood-stasis group and a non blood-stasis group by blood-stasis scores. high CAVI and normal CAVI groupsby CAVI. We compared the general characteristics. CAVI (excluded from comparison between high CAVI group and normal CAVI group), Stuart's risk score and blood-stasis score (excluded from comparison between blood-stasis group and non blood-stasis group) between each pair of groups. Pearson correlation analysis was applied to examine the relationship between blood stasis score and CAVI, blood stasis score and Stuart's risk score. CAVI and Stuart's risk score. Results : The blood-stasis group had significantly higher CAVI and Stuart's risk scores than the non blood stasis group. The high CAVI group had significantly higher blood-stasis score and Stuart's risk score than the normalCAVI group. In correlation analysis. there were significant positive relationship between blood stasis score and Stuart's risk score, CAVI and Stuart's risk score. and blood stasis score and CAVI. Conclusions : This study suggeststhat there is a significant relationship among blood stasis,CAVI and cardiovascular risk.

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The Impact of Board Activity on The Audit Committee's Effectiveness Score: Empirical Evidence from Saudi Arabia

  • ALJAAIDI, Khaled Salmen;BAGAIS, Omer Ali;ADOW, Anass Hamad Elneel
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.1
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    • pp.179-185
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    • 2021
  • The aim of this study is to examine the impact of board of directors' activity on the audit committee's effectiveness score among manufactured listed companies on Saudi Stock Exchange (Tadawul) for the period 2015-2017. The final sample of this study consists of 195 firm-year observations that represent manufactured companies listed on Saudi Stock Exchange (Tadawul) for the years 2015-2017. The data of this study in terms of board of directors' meetings, audit committee size and meetings, firm leverage, firm performance, and firm age were hand-collected from the annual reports of the considered companies. The Pooled OLS regression's result indicate that audit committee's effectiveness score is influenced by the board of directors' activity. This result gives support to the agency theory prediction. This result is also consistent with the complementary function of corporate governance mechanisms in which board of directors' activity complements the function of audit committee's effectiveness score. The result of this study should be useful for manufacturing companies, Saudi Stock Exchange, auditors, and regulators which relates to the association between board of directors' activity and audit committee's effectiveness score. This study provides a new empirical evidence on the impact of board activity on the audit committee's effectiveness score in an interesting context which is Saudi Arabia.

SCORE SETS IN k-PARTITE TOURNAMENTS

  • Pirzada S.;Naikoo T.A.
    • Journal of applied mathematics & informatics
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    • v.22 no.1_2
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    • pp.237-245
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    • 2006
  • The set S of distinct scores (outdegrees) of the vertices of a k-partite tournament T($X_l,\;X_2, ..., X_k$) is called its score set. In this paper, we prove that every set of n non-negative integers, except {0} and {0, 1}, is a score set of some 3-partite tournament. We also prove that every set of n non-negative integers is a score set of some k-partite tournament for every $n{\ge}k{\ge}2$.

Depression of Stroke Patient자s Family Caregivers and the Relating Factors (뇌졸중 환자 가족 간호자의 우울 및 영향 요인에 관한 연구)

  • 최희정;서문자;김금순;김인자;조남옥
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1531-1542
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    • 2000
  • In this paper, we examined the depression of stroke patient's caregivers and analyzed influencing factors of the depression. The subjects were 215 caregivers who have takencare of stroke survivors in their home. The conceptual model of this study consisted of the caregiver's depression, perceived burden, illness intrusiveness, and patient's ADL. Modified Korean CES-D, modified subjective and objective Burden Scale, Illness intrusiveness(II), and Instrumental Activity of Daily Living(IADL) were used to measure concepts. Path analysis was used to test the model of this study. The results were as follows: 1. The mean depression score was 11.6 which was below the cut-off score of the CES-D. This score indicates that the subjects were higher than normal adults' mean score but not depressive. Eighty-six out of 215 caregivers(40%) were above the cut-off score. This finding was different from previous research results, and the reason might be the patients' capability of ADL. In a group of low capability patient's activities of daily living, caregiver's depression score was 15.5. 2. Caregiver's depression was positively related to caregiver's burden and illness intrusiveness, but negatively related to patient's activities of daily living. 3. The caregiver's perceived burden and illness intrusiveness directly influenced on their depression. Furthermore, the and caregiver's illness intrusiveness led to depression indirectly through their burden. A patient's activities of daily living didn't influence directly on depression but indirectly through caregiver's illness intrusiveness and burden.

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Simulation comparison of standardization methods for interview scores (면접점수 표준화 방법 모의실험 비교)

  • Park, Cheol-Yong
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.2
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    • pp.189-196
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    • 2011
  • In this study, we perform a simulation study to compare frequently used standardization methods for interview scores based on trimmed mean, rank mean, and z-score mean. In this simulation study we assume that interviewer's score is influenced by a weighted average of true interviewee's true score and independent noise whose weight is determined by the professionality of the interviewer. In other words, as interviewer's professionality increases, the observed score becomes closer to the true score and if interviewer's professionality decreases, the observed score becomes closer to the noise instead of the true score. By adding interviewer's tendency bias to the weighed average, final interviewee's score is assumed to be observed. In this simulation, the interviewers's cores for each method are computed and then the method is considered best whose rank correlation between the method's scores and the true scores is highest. Simulation results show that when the true score is from normal distributions, z-score mean is best in general and when the true score is from Laplace distributions, z-score mean is better than rank mean in full interview system, where all interviewers meet all interviewees, and rank mean is better than z-score mean in half split interview system, where the interviewers meet only half of the interviewees. Trimmed mean is worst in general.

A Study on the Correlations between Family Function, Social Support And perceived Mother's Love in the Adolescents (청소년의 가족기능.사회적 지지와 지각된 어머니 사랑간의 관계연구)

  • Song, Mi-Ryeong
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.785-794
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    • 2001
  • Purpose: This study was to find out the correlations amongst family function. social support. and the perceived mother's love in the adolescents. Method: The study subjects were 171 adolescents of whom 43 were middle school students and 128 were high school students. The data consisted of general characteristics. family function. social support and perceived mother's love. The data were analyzed by frequency. mean. percentage. t-test. ANOVA and the Pearson's correlation using the SPSS statistical program. Result: 1. The mean score of the family function in the adolescents was 3.09 (maximum score: 5) and the mean score of cohesion was 3.23 and the mean score of adaptability was 2.94. There were significant differences in the family function according to grade and family type. 2. The mean score of the social support in the adolescents was 2.86 (maximum score: 5) and there was significant difference in the social support according to the fathers occupation. 3. The mean score of the perceived mother's love in the adolescents was 3.57 (maximum score: 5) and there were significant differences in the perceived mother's love according to grade. existence of the mother, the mother's occupation and adolescent's health state. 4. There were positive correlations between the family function, social support and the perceived mother's love. Conclusion: The above results suggest that there is a need to develop social support program for the adolescents in the low economic status. Further, a comprehensive program should be developed to relieve the problems of the adolescents considering the family function. social support and perceived mother's love.

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