• Title/Summary/Keyword: mixed outcomes

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Overcoming Barriers to Research Competency: a nationwide mixed-method study on residency training in the field of Korean medicine

  • Min-jung Lee;Myung-Ho Kim
    • Journal of Pharmacopuncture
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    • v.27 no.2
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    • pp.142-153
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    • 2024
  • Objectives: This study aimed to analyze the educational needs of interns and residents in Korean medicine as the first step in developing an education program to improve their research competencies. Methods: A mixed-method design, incorporating both quantitative and qualitative data collection methods, was used to investigate the educational needs for research competencies among interns and residents working in Korean medicine hospitals nationwide. Data were collected through online surveys and online focus group discussions (FGDs), and processed using descriptive statistical analysis and thematic analysis. The study results were derived by integrating survey data and FGD outcomes. Results: In total, 209 interns and residents participated in the survey, and 11 individuals participated in two rounds of FGDs. The majority of participants felt a lack of systematic education in research and academic writing in postgraduate medical education and highlighted the need for nationally accessible education due to significant disparities in the educational environment across hospitals and specialties. The primary barrier to learning research and academic writing identified by learners was the lack of knowledge, leading to time constraints. Improving learners' research competencies, relationship building, autonomy, and motivation through a support system was deemed crucial. The study also identified diverse learner types and preferred educational topics, indicating a demand for learner-centered education and coaching. Conclusion: This study provides foundational data for designing and developing a program on education on research competencies for interns and residents in Korean medicine and suggests the need for initiatives to strengthen these competencies.

Predictors of outcomes after the trans-obturator tape procedure in females with equal severity for stress and urge mixed urinary incontinence

  • Young-Joo Kim
    • Journal of Medicine and Life Science
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    • v.20 no.4
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    • pp.166-171
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    • 2023
  • Mixed urinary incontinence (UI) is common in women. This study aimed to assess the efficacy of anti-incontinence surgery in female patients with equally severe stress UI (SUI) and urge UI (UUI). All patients had equal severity of SUI and UUI. The postoperative cure rate was categorized into the cure group (CG) and failure group (FG). Postoperative satisfaction was categorized into the satisfaction group (SG) and the dissatisfaction group (DG). Statistical significance was set at P<0.05. Ninety patients (SG, 73.3%; DG, 26.7%; CG, 93.3%; FG, 6.7%) were included in the study. In the univariate analysis, body mass index (BMI), total bladder capacity, and overactive bladder symptom score (OABSS) were significantly different between the SG and DG groups. Peak urinary flow, Valsalva leak point pressure (VLPP), and OABSS were significantly different between the CG and FG groups. In the multivariate analysis, OABSS (P=0.001) and BMI (P=0.032) were independent predictors of postoperative satisfaction. VLPP (P=0.023) was the only independent factor associated with the postoperative cure rate. In equal severity of SUI and UUI, VLPP was found to be the only independent factor associated with postoperative cure rates. Higher VLPP values were associated with higher cure rates. BMI and OABSS were identified as independent predictors of postoperative satisfaction, with lower BMI and OABSS associated with higher postoperative satisfaction.

Infant-rearing experiences of parents during the COVID-19 pandemic in South Korea: a mixed-methods approach

  • In-Hye Song;Kyung-Ah Kang
    • Child Health Nursing Research
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    • v.30 no.1
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    • pp.31-44
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    • 2024
  • Purpose: This study aimed to identify the infant-rearing experiences of parents during the coronavirus disease 2019 (COVID-19) pandemic and provide foundational data for the development of infant-rearing support programs during pandemic situations. Methods: Convergent mixed methods were used to better understand the research outcomes by converging both quantitative and qualitative data. A total of 149 parents with infant-rearing experiences during the pandemic responded to a self-report survey, and 10 parents participated in the interviews. Data were analyzed using Colaizzi's method, descriptive statistics, t-test, one-way analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical regression. Results: Analysis of qualitative data yielded the following three categories: five theme clusters, ten themes, and thirty-nine subthemes. The factors influencing infant-rearing behavior were nuclear family (β=.34, p<.001) and rearing stress (β=-.39, p<.001). The explanatory power of the regression equation was 26.6%. Conclusion: Infectious disease disasters, such as the COVID-19 pandemic, can quickly alter infant-rearing conditions, causing heightened parental anxiety. This may affect infant-rearing behaviors and hinder healthy infant development. Future research should develop a comprehensive tool to measure holistic health-related parenting behaviors across the different stages of child development. Additionally, pediatric nurse practitioners can play an active role in educating parents, supporting parenting, and promoting healthy infant development in their communities, making pediatric nurse practitioners a highly relevant and necessary healthcare profession during infectious disease disasters. Thus, there is a need to improve institutions and build infrastructure at the national level to support them.

A GARCH-MIDAS approach to modelling stock returns

  • Ezekiel NN Nortey;Ruben Agbeli;Godwin Debrah;Theophilus Ansah-Narh;Edmund Fosu Agyemang
    • Communications for Statistical Applications and Methods
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    • v.31 no.5
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    • pp.535-556
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    • 2024
  • Measuring stock market volatility and its determinants is critical for stock market participants, as volatility spillover effects affect corporate performance. This study adopted a novel approach to analysing and implementing GARCH-MIDAS modelling methods. The classical GARCH as a benchmark and the univariate GARCH-MIDAS framework are the GARCH family models whose forecasting outcomes are examined. The outcome of GARCH-MIDAS analyses suggests that inflation, interest rate, exchange rate, and oil price are significant determinants of the volatility of the Johannesburg Stock Market All Share Index. While for Nigeria, the volatility reacts significantly to the exchange rate and oil price. Furthermore, inflation, exchange rate, interest rate, and oil price significantly influence Ghanaian equity volatility, especially for the long-term volatility component. The significant shock of the oil price and exchange rate to volatility is present in all three markets using the generalized autoregressive conditional heteroscedastic-mixed data sampling (GARCH-MIDAS) framework. The GARCH-MIDAS, with a powerful fusion of the GARCH model's volatility-capturing capabilities and the MIDAS approach's ability to handle mixed-frequency data, predicts the volatility for all variables better than the traditional GARCH framework. Incorporating these two techniques provides an innovative and comprehensive approach to modelling stock returns, making it an extremely useful tool for researchers, financial analysts, and investors.

Breakfast Consumption Pattern, Diet Quality and Health Outcomes in Adults from 2001 National Health and Nutrition Survey (2001년 국민건강영양조사에 나타난 아침식사유형에 따른 식사의 질과 건강상태)

  • Shim, Jae-Eun;Paik, Hee-Young;Moon, Hyun-Kyung
    • Journal of Nutrition and Health
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    • v.40 no.5
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    • pp.451-462
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    • 2007
  • This study was conducted to investigate breakfast consumption pattern in relation to diet quality and health outcomes of Korean adults. Data are from 2001 National Health and Nutrition Survey. Dietary information of 3406 adults aged $30{\sim}49$ years and their socio-demographic characteristics, blood lipid profile, fasting blood glucose, blood pressure, anthropometric measurements were analyzed. According to the breakfast consumption of the subjects, they were classified to breakfast skippers and eaters and the eaters' breakfast staple types were defined as RICE, BREAD, NOODLES, MIXED (mixed types including several grain-based dishes), and OTHERS. The proportions of breakfast consumption patterns were 18.4% for skippers, 71.1% for RICE, 2.6% for BREAD, 1.6% for NOODLES, 4.0% for MIXED, and 2.4% for OTHERS. Breakfast skippers had lower daily nutrients intake than breakfast eaters but their health outcomes did not differ from those of eaters. Instead, men with BREAD pattern had higher blood cholesterol and women in NOODLE pattern had higher blood glucose and lower HDL cholesterol. The BREAD pattern breakfast had higher energy contribution from fat and lower nutrient densities and the subjects in BREAD pattern had higher level of household income. Men's BREAD pattern breakfast consisted more animal products than that of women. There was high probability of undernutrition among women in NOODLE pattern and their mean household income was the lowest. From these results, in Korea, breakfast staple types have different food patterns and there was need for developing healthy food patterns appropriate to each staple type. The breakfast consumption pattern had influences on nutrient adequacy of the diet and health outcomes and seemed to represent socio-economic status. These could be used in doing nutrition education in community.

The Change in Quality Characteristics of Hanwoo in Home Meal Replacement Products under Different Cooking and Freezing Methods

  • Kim, Honggyun;Park, Dong Hyeon;Hong, Geun-Pyo;Lee, Sang-Yoon;Choi, Mi-Jung;Cho, Youngjae
    • Food Science of Animal Resources
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    • v.38 no.1
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    • pp.180-188
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    • 2018
  • The market size of home meal replacement (HMR) products has been gradually growing worldwide, even in Korea. In Korean HMR products, meat is the most important food ingredient compared with rice and vegetables. Therefore, this study aimed to evaluate changes in physiochemical and sensory aspects of beef under different preparation processes. For preparing four treatments, beef eye of round (ER) added with salt and sugar (treatment 1) and that without salt and sugar (treatment 2) were mixed with rice and frozen at $-50^{\circ}C$. Beef ER without salt and sugar was also topped onto the rice and frozen (treatment 3), and that was topped onto the rice and precooled before freezing (treatment 4). Physiochemical analyses included cooking and drip losses, shear force, color, salt soluble protein, and sensory attributes were tested. The results showed significantly higher drip loss and total loss in beef ER samples 1 and 2, which were mixed with rice, compared to beef ER samples 3 and 4, which were not mixed with rice. A significantly higher discoloration was also observed in beef ER samples 1 and 2, compared to that in samples 3 and 4. In the partial least squares regression (PLSR) analysis, beef ER sample 4 (precooled before freezing) was highly related to sensory attributes, such as flavor, overall acceptability, and juiciness, and far from non-preferred shear force. As a result, beef ER in HMR sample 4 was the most preferable to the sensory panel, and it had the most desirable physicochemical analysis outcomes.

Reinforcement of Teamwork Ability thru Design Based Experimental Education (설계위주 실험교육에 의한 협동학습 능력 강화)

  • Yi Keon-Young;Ko Hyung-Hwa;Choi Ki-Ho;Kim Bok-Ki
    • Journal of Engineering Education Research
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    • v.7 no.4
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    • pp.32-37
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    • 2004
  • Well organized design based education is the one of the best way to develop the abilities needed for the engineer such as the recognizing and formulating a problem and then solving it creatively and systematically. In order for this, we prepared a course named 'Introduction to the Engineering Design' for the first-year students, which aims at developing creativity and ability to promote a project. Experiment-design mixed courses and theory-design mixed courses, where students have to solve various design problems, are provided for the higher grade students. In this paper, we are focused on the experiment-design mixed course for the second-year students which has been operating from two years ago. Here we show how the teamwork ability is improved. We also present how to operate the course in detail so that anyone can easily get the way to reach the outcomes needed for the engineers.

Life Experiences and Prospects of Welfare/Poverty Exit of the Poor with Work Ability: Mixed Methodology using Sequential Exploratory Design (근로능력이 있는 빈곤층의 경험과 탈수급/탈빈곤 전망에 대한 연구: 순차적 탐구전략에 따른 방법론적 융합)

  • Jo, Joon-Yong
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.19-29
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    • 2016
  • This study analyzes life experiences and prospects of poverty/welfare exit of the poor with work ability utilizing Mixed methodology. Based on Sequential Exploratory Design, it qualitatively analyzes 3 waves of qualitative panel data linked to Korea Welfare Panel Study(KWPS) and presents life changes of 14 poor in the context of their prospects of welfare/poverty exit. Then it proposes hypotheses on the role of education, household economy expectation, self-esteem in the prospects of poverty/welfare exit following the sequential exploratory design to quantitatively test qualitative findings utilizing KWPS(7th). The outcomes of the Structural Equation Model(SEM) suggest that household economy expectation plays mediating role between education and the prospects of welfare/poverty exit. This implies that anti-poverty policy needs to consider a psychological approach to enhance household economy expectations of the poor as well as other material support.

Effects of Kinect-Based Mixed Reality Device on Physical Function and Quality of Life in Breast Cancer Survivors : A randomized controlled trial

  • Byung-Gul Lim;Xinxing Li;Yun-Ho Sung;Si-Woo LEE;Hyun-Jun Kim;Wook Song
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.49-60
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    • 2023
  • Purpose : We aimed to evaluate the impact of a exercise with kinect-based mixed reality device (KMR) on physical function, upper extremity disability, fatigue, and quality of life in breast cancer survivors. We hypothesized that this exercise program would improve physical function, physical activity, fatigue, and quality of life. Methods : Thirty-nine breast cancer survivors were randomized to either the KMR exercise group (KE) or the home stretch group (HS). The KE participated in 8 weeks of exercise, exercising 3 times per week, while the HS performed 8 weeks of stretching exercises, also 3 times per week. Before and after the intervention period, participants underwent assessments of physical function, including body composition, chester step test (CST), and hand grip strength (HGS). Additionally, participants completed questionnaires including the international physical activity questionnaire (IPAQ), disabilities of the arm, shoulder and hand (DASH) questionnaire, and functional assessment of cancer therapy-breast (FACT-B) questionnaire to measure their physical activity levels, upper extremity disability, and quality of life, respectively. Results : Overall, significant improvements were observed in several shoulder movements, body weight, and physical activity, with no significant interaction effects between groups and time. Furthermore, there was a significant group by time interaction for body weight, left flexion, right flexion, right abduction, and left adduction, as well as for upper extremity disability (K-DASH) and quality of life (FACT-B). Conclusion : In conclusion, the KMR exercise program was found to be effective at improving physical function, upper extremity disability, quality of life, and overall well-being in breast cancer survivors. The significant improvements observed in multiple measures and the significant group by time interactions for various outcomes highlight the potential benefits of this KMR exercise program in promoting a better quality of life for breast cancer survivors.

Evaluating Measurements: A Comparative Study of Digital and Plaster Models for Orthodontic Applications in Mixed Dentition

  • Seo Young Shin;Yong Kwon Chae;Ko Eun Lee;Mi Sun Kim;Ok Hyung Nam;Hyo-seol Lee;Sung Chul Choi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.51 no.1
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    • pp.55-65
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    • 2024
  • This study aimed to assess the accuracy of tooth widths, intermolar widths, and arch lengths acquired through two intraoral scanners, including iTero Element Plus Series (Align Technology, Santa Clara, CA, USA) and Trios 4 (3Shape, Copenhagen, Denmark), specifically on mixed dentition. A total of 30 subjects were divided into 2 groups, each undergoing both alginate impressions and intraoral scanning using either the iTero or Trios scanner. The plaster models were measured with a caliper, while the digital models were measured virtually. In the iTero group, all tooth width measurements exhibited differences compared to the plaster values, except for maxillary left lateral incisors (p = 0.179), mandibular right (p = 0.285), and left (p = 0.073) central incisors. The Trios group did not display significant differences in any of the tooth width measurements. Intermolar width comparisons for both groups indicated differences, except for mandibular primary canine to primary canine values (p = 0.426) in the iTero group. Regarding arch length, the mandibular anterior, maxillary right, and left arch lengths in the iTero group demonstrated larger caliper values than those of iTero. Conversely, in the Trios group, all parameters showed smaller caliper values, especially in upper anterior, maxillary right, mandibular right, and mandibular left arch lengths with significance (p = 0.027, 0.007, 0.003, and 0.047, respectively). Despite the differences between the two groups, digital models might be clinically suitable alternatives for plaster models. Pediatric dentists should carefully assess these differences, as a comprehensive evaluation would result in precise orthodontic treatment planning and favorable outcomes for young patients with mixed dentition.