• 제목/요약/키워드: outcome indicators

검색결과 210건 처리시간 0.023초

내원 초기에 측정한 외상환자의 동맥혈 염기결핍의 유용성 (The Usefulness of Initial Arterial Base Deficit in Trauma Patients)

  • 이은헌;최재영;최영철;황성연
    • Journal of Trauma and Injury
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    • 제19권1호
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    • pp.67-73
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    • 2006
  • Purpose: The arterial base deficit (BD) has proven to be useful in the evaluation and management of trauma patients. Indicators such as the Triage-Revised Trauma Score (t-RTS) and the systemic inflammatory response syndrome (SIRS) score have been used as triage tools for emergency trauma patients in Korea. The purpose of this study was to assess the usefulness of the initial BD in predicting injury severity and outcome in the trauma population. Methods: The medical records of 308 consecutive trauma patients admitted to the Emergency Center of Masan Samsung Hospital from January 2004 to December 2004 were carefully examined prospectively and retrospectively, and 291 patients were selected as subjects for this research. The SIRS score and the t-RTS were calculated based on the records from the emergency department, and the BD was calculated based on the arterial blood gas analysis obtained within 30 minutes of admission. The efficiency of the three indicators as triage tools was evaluated by using cross tabulations in two - by - two matrices and by using a receiver operating characteristic (ROC) curve analysis. Results: When the mortality was used as the outcome parameter, the sensitivity and the accuracy of the initial BD were higher than those of the SIRS score (p<0.05) and were same as those of the t-RTS. The areas under the ROC curves of the initial BD, the SIRS score, and the t-RTS were $0.740{\pm}0.087$, $0.696{\pm}0.082$, and $0.871{\pm}0.072$, respectively (95% confidence interval). When emergency operation and blood transfusion requirements were used as outcome parameters, the comparisons of the sensitivities and the accuracies of the initial BD and the other two indicators showed the same pattern as mentioned above. The areas under the ROC curves of the initial BD were 0.7~0.8 and were larger than those of the SIRS score (p<0.05). Conclusion: The ability of the initial BD to predict injury severity and outcome was similar to those of the t-RTS and the SIRS score. Therefore, the authors suggest that the initial BD may be used as an alternative to previous triage tools for trauma patients.

국내 초등학생 대상 동물 매개 중재에 관한 체계적 문헌 고찰 (The Effect of Animal Assisted Therapy for Elementary Students - A Systematic Review -)

  • 배승종;김대식;이선희;배주연
    • 농촌계획
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    • 제28권3호
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    • pp.83-94
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    • 2022
  • This study was attempted to systematically analysis the characteristics and effects of studies that applied animal assisted therapy to elementary students. Literature searches were conducted in 4 domestic academic databases(RISS, KISS, ScienceON, KMBASE). The characteristics of selected 26 studies were individually analyzed and described by publication year, research method, subject characteristics, intervention characteristics, and outcome variables, and the characteristics of the study were systematically summarized. The effect of the assisted therapy was divided into psychological-emotional effect, interpersonal effect, and other effect. Most of the psychological-emotional indicators and interpersonal relationship indicators were found to be effective, and inconsistent results were found for some indicators. It is expected that it can be used as a useful data when conducting assisted therapy studies targeting elementary school students in the future.

베트남 신 농촌개발운동 1단계 (2010-2015) 사업의 성과와 한계 (Accomplishments and Challenges of Vietnamese's NTP-NRD during the 1st Stage(2010-2015))

  • 고순철
    • 농촌지도와개발
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    • 제23권4호
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    • pp.459-470
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    • 2016
  • The purpose of this study was to examine the accomplishments and problems of National Target Program on New Rural Development(NTP-NRD) of the Vietnam government during the 1st stage(2011-2015). Based on the literature review and interview, the following suggestions were drawn with related to 19 criteria and 39 indicators; 1) the relationship between the overall goal and 19 criteria as its measures seems to be inconsistence, so that the meet of the 19 criteria regarded as the goal of the NTP-NRD, 2) there was no measures for the communes, where met the requirement of 19 criteria early, 3) most indicators were output oriented, while outcome level were little, 4) it needed to adjust for the some indicators as the implementation unit from commune level to more wider spatial level.

Policy Fund Loans and Improvement Plans for Small Enterprise

  • Kim, Young-Ki;Kim, Seung-Hee
    • 유통과학연구
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    • 제13권10호
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    • pp.5-13
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    • 2015
  • Purpose - This study aims to suggest appropriate policies and performance indicators for financial aid recipients. It analyzes the existing regular government policy funds support project, especially its propriety and reasonability. Research design, data, and methodology - When financial aid is effective, it should be able to predict small enterprise business results. Additionally, there should be an evaluation, checking before and after performance rates so that the rate of achievement and outcome can be measured. This study's contribution for small enterprises is in researching the best way to improve this support system. Results - The Small Enterprise and Market Service (SEMAS), currently designated as a support organization for implementing the government financial aid project, has assessment indicators. However, these focus mainly on quantitative indicators and survey results. Conclusions - In the future, there is some need to draw up measures, setting the right direction for developing policies for the small enterprise fund loans and improving the management of the plans. Eventually, this effort will dispel concerns about the present support policy, which is considered to be weakening small enterprises.

보건소 건강증진사업 평가지표 개발 (Development of Program Evaluation Indicator : Community Health Center's Health Promotion Program)

  • 송현종;진기남
    • 보건행정학회지
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    • 제13권4호
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    • pp.1-27
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    • 2003
  • The purpose of this study was to develop the evaluation indicator for the health promotion programs of the Community Health Centers and to test its validity. The modified logic model was used as the evaluation model based on the literature reviews. Using this model, four dimensions, eleven sub­dimensions, and forty­one individual indicators were developed. These evaluation indicators are superior in reflecting the distinctiveness of the community health promotion programs, and also flexible enough to accommodate diverse programs. These indicators also emphasize the role of process evaluation, and the diversity of outcomes. To test content validity, survey method of experts in the community health promotion field was conducted. Eleven in three expert groups(professionals, practitioners in Community Health Centers, and policy makers) generally agreed with the validity of evaluation indicators. To examine criteria and construct validity, these indicators were used to evaluate the health promotion programs conducted by the 18 Key Community Health Centers. The data came from the interview surveys of the main health promotion practitioner and 30 visitors from each center. The ranks of these eighteen Community Health Centers were computed from these data. There was no significant difference in ranking either by these indicators or by the existing indicators, which was developed by Technical Support and Evaluation Team for criteria validity. There was no statistically significant difference in ranking between input, process and outcome dimensions. Based on these study results, evaluation indicators developed in this study are valid to evaluate Community Health Center's health promotion program. It can be used both by the Community Health Center for internal evaluation, and by the stakeholders for external evaluation.

Call for an Open Discussion on Empirical Viability of Causal Indicators

  • 김기문;신봉식;;;김기주
    • 한국산업정보학회논문지
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    • 제22권6호
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    • pp.71-84
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    • 2017
  • Over the past decade, we have witnessed Serious Debates in MISQ and Other Journals Between Two Camps that have Differing Views on the use of Causal Indicators to Measure Constructs. There is the Camp that advocates Causal Indicators (ADVOCATE) and the Camp that opposes Their Usage (OPPONENT). The Debates have been primarily centered on the OPPONENT's Argument that the Meaning of a Latent Variable is determined by its Outcome Variables. However, Little Effort has been made to Validate the ADVOCATE's Dispute (Against the OPPONENT's Arguments) that the Meaning of a Latent Variable is decided by its Causal Indicators if there is no Misspecification. Our Study precisely examines the Integrity of the Argument. For this, we empirically examine how the two Primary Psychometric Properties-Comprehensiveness and Interrelationship-of Causal Indicators Influence Theory Testing between Latent Variables through Three Different Tests (i.e., Comprehensive Test, Interrelationship Test, and Mixed Test). Conducted on Two Different Datasets, Our Analysis Consistently Reveals that Structural Path Coefficients are Hardly Sensitive to the Changes (i.e., Misspecification) in the Properties of Causal Indicators. The Discovery offers Important Evidence that the Sound Theoretical Logic of a Causal Model is not in Sync with the Empirical Mechanism of Parameter Estimation. This Underscores that a Latent Variable Formed by Causal Indicators is empirically an elusive notion that is Difficult to Operationalize. As Our Results have Significant Implications on the Integrity of Numerous IS studies which have conducted Theory or Hypothesis Testing Using Causal Indicators, we strongly advocate Open Discussions among Methodologists regarding Our Findings and Their Implications for Both Published IS Research and Future Practices.

A Study of the Relationship Between Cognitive Ability and Information Searching Performance

  • Kim, Chang-Suk
    • 한국도서관정보학회지
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    • 제35권1호
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    • pp.303-317
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    • 2004
  • The purpose of this study was to develop a framework for predicting searching performance through an understanding of how cognitive ability relates to searching process and outcome. Specifically, this study examined the relationship between spatial visualization, logical reasoning, integrative reasoning, and information searching process and outcome. Information searching process was assessed by seven search process indicators: (1) search command selection: (2) combination of search commands; (3) application of Boolean logic: (4) application of truncation; (5) use of limit search function; (6) number of search statements; and (7) number of search errors made. Searching outcome was assessed by the number of correct answers to search questions. Subjects first took three standardized cognitive tests that measured cognitive abilities, and performed online catalog searching in response to seven information search questions. The searches were logged using Lotus ScreenCam, and reviewed for the analysis. Factor analysis was used to find underlying structures of the seven search process variables. Multiple regression analysis was applied to examine the predictive power of three cognitive variables on three extracted factors, and search outcome. Results of the data analysis showed that individual differences in logical reasoning could predict information searching process and outcome.

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중환자전문간호사들의 실무경험: 포커스 그룹 연구 (Korean Critical Care Advanced Practice Nurses' Work Experience: A Focus Group Study)

  • 김금순;김복자;이영희;강지연
    • 중환자간호학회지
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    • 제4권2호
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    • pp.1-14
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    • 2011
  • Purpose: This study was aimed to understand and describe the Korean critical care advanced practice nurses' work experience. Methods: Data was collected through 2 focus group interviews that were held in two different university hospitals in Seoul, Korea. All interviews were recorded and transcribed, and data were analysed using modified qualitative content analysis. Results: Ten themes were drawn from data analysis. They are "Various and complex tasks", "Excellency of advanced nursing practice", "Pressure and responsibility accompanied with pride", "Role identity confusion", "Role conflict", "Leaping and evolving role", "Gap between role and outcome evaluation", "Underestimated outcomes", "Where are my outcomes?" "Searching for outcomes: publicize the role". Conclusion: The results of this study help to understand the role of Korean critical care advanced practice nurses and to guide to outcome evaluation of their role effectiveness. Developing qualitative outcome indicators, cost-effectiveness ananlysis of Korean critical care advanced practice nurses' role, and accumulation of evidences through researches on outcome evaluation will be needed to successfully settle down advanced practice nursing in Korea.

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입원환자의 경구용 levofloxacin 약물 사용 평가 (A trial of Drug use Evaluation of oral levofloxacin in the Hospitalized Patients)

  • 노은숙;박윤희;방은미;김원규;임금숙
    • 한국임상약학회지
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    • 제19권2호
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    • pp.105-109
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    • 2009
  • In July 2008, The National Police Hospital has developed the CPOE system(Computerized Physician Order Entry system) which links the medicine master and introduced the new program for the injectable antimicrobial agents. After introducing new system, we wanted to check the management of oral antimicrobial agents. Because new system has limitation that new system control only the use of the injectable antimicrobial agents. So we tried to evaluate the use of oral levofloxacin, which was chosen by a medical specialist of the infection. We retrospectively analyzed the appropriateness of oral levofloxacin through EMR(Electric Medical Record) of 72 inpatients who received oral levofloxacin in National Police Hospital in December 2008. We applied the modified ASHP(American Society of Health- System Pharmacists) DUE(Drug Use Evaluation) criteria, which is composed of justification of drug use, critical indicators, complications and outcome measures. Acceptable cases of use of levofloxacin were 67(93.01%) and 57cases(79.2%) showed good outcome. However critical indicators were not performed very well. We want to suggest the new system for the management of the medical therapeutics by the pharmacist in charge.

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