• Title/Summary/Keyword: outcome measure

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The Association between Serotonin Reuptake Inhibitors and Obstructive Sleep Apnea in People with Epilepsy-A Retrospective Analysis

  • Cheng, Jocelyn Y.
    • Journal of Sleep Medicine
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    • v.15 no.2
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    • pp.43-47
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    • 2018
  • Objectives: Obstructive sleep apnea (OSA) is common in people with epilepsy (PWE), and confers medical and seizure-related consequences when untreated. Positive airway pressure, the gold-standard for OSA management, is limited by tolerability. As serotonin is involved respiratory control and amelioration of seizure-induced respiratory events, this study aims to determine whether serotonin reuptake inhibitors (SRIs) may represent a potential therapeutic option. Methods: A retrospective study of 100 PWE and OSA ${\geq}18$ years of age was conducted. The primary outcome measure was OSA severity as function of SRI use, with rapid eye movement (REM)-related OSA as a secondary outcome. Results: Older age and depression were more common in those taking an SRI. There was no association between SRIs and OSA severity. However, the SRI group was less likely to have REM-related OSA. Conclusions: In PWE and OSA, SRI use is associated with reduced risk of REM-related OSA, and may represent a potential management strategy.

Homeownership Effects on Participation in Giving and Volunteering (자가소유가 기부와 자원봉사 참여에 미치는 영향)

  • Paik, Jong-Gyu
    • Journal of the Korean Society of Industry Convergence
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    • v.25 no.6_3
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    • pp.1293-1302
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    • 2022
  • The relationship between homeownership and participation in giving and volunteering overall indicates that homeowners are more likely to give and participate in volunteering organizations than renters. This study compared 'giving and participation in volunteering between homeowners(n=6,078) and renters(3,587) in the 14th Korean Welfare Panel Survey data collected in 2019. The outcome measure of study is a binary outcome of giving and volunteering participation. This study accounted for a bias arising from selection on observables. Specifically, this study employed a recursive bivariate probit model to simultaneously estimate respondents' participation in giving and volunteering participation and their selection of homeownership. Findings from this study have provided some evidence that homeowners and renters have different behaviors in giving and volunteering participation. Finally, issues relating to homeownership and social outcomes were discussed. Implications for social work practice and research were further discussed.

Time Series Observations of Outcome Variables and the Factors Associated with the Improvement in the Patient Outcomes of Cataract Surgery (백내장수술환자 결과 변수들의 시계열적 관찰과 진료결과 향상에 영향을 주는 요인)

  • Kim, Han-Joong;Park, Eun-Cheol;Choi, Yoon-Jung;Kang, Hyung-Gon
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.2
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    • pp.175-181
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    • 2001
  • Objectives : To compare the multiple outcomes of patients with cataract surgery at perioperative time,3-4 months and 12 months after surgery and to assess patient outcomes associated with visual improvement(visual acuity of operated eye, visual function-14(VF-14), symptom score). Methods : For this assessment, a prospective study was conducted with 389 patients who had undergone cataract surgery for either one eye or both eyes. The surgery was peformed by 20 ophthalmologists who were practicing at university hospitals and general hospitals. Patients were interviewed and clinical data were obtained. Doctors were questioned with self-reported questionnaire forms. Medical records were examined in order to measure variables related to the surgical process such as surgical methods and ocular comorbidity. The survey was 'conducted at 4 stages' : preoperative time(389 cases), perioperative time(344 cases, 88.4%), postoperative 3-4 months (343 cases, 88.2%), and postoperative 12 months (281 cases, 72.2%). After excluding cases with incomplete data, 198 cases were enrolled in the study. Patient outcomes was measured for any improvement in the functional outcomes(visual acuity of operated eye, visual function, symptom score) at postoperative 3-4 months. Results : The visual acuity(operated, weighted average), symptom score, VF-14 score, satisfaction with vision, and subjective health status were shown to be improved at the perioperative time, postoperative 3-4 months and 12 mouths. An improvement in the Snellen visual acuity score was observed in 190 patients(96.0%), whereas improvements of the VF-14 score and cataract symptom sure were observed in 151 patients(76.3%) and 179 patients(90.4%), respectively. All three outcome measures demonstrated improvement in 137 patients(09.2%). The improvement of the three functional outcomes at 3-4 months after receiving surgery was associated with a lower level of visual function and a higher level of cataract symptom score at perioperative time, as well as a greater experience level of the surgeon. Conclusions : In this study, the estimates of the proportion of patients benefiting from cataract surgery varied with the outcome measure of benefit. Preoperative VF-14 score, a measure of functional impairment related to vision, and symptom score may be better measures of the benefit derived from cataract surgery than the change in visual acuity.

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Psychometric Test of Korean Version of Self-Efficacy and Outcome Expectations for Restorative Care Activities Scale among Nurses (한국판 기능유지간호에 대한 간호사의 자기효능감 및 결과기대감 측정도구의 타당도와 신뢰도)

  • Jung, Dukyoo;Byun, Jinyee;Lee, Minkyung;Kim, Hyejin
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.317-328
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    • 2015
  • The purpose of this study is to measure the validity and reliability of the Korean version of the self-efficacy for restorative care activity (K-SERCA) scale and the outcome expectations for restorative care activity (K-OERCA) scale. Psychometric testing was given to 187 nurses who have worked in 69 long-term care facilities in South Korea via post service and personal visit. Data were collected via structured-questionnaire and analyzed using SPSS/WIN 21.0 and AMOS 22.0. Content, construct validity using confirmatory factor analysis (CFA), criterion validity and internal consistency reliability were conducted. The K-SERCA scale had factor loading of the 10 items ranged from .74 to .87, and was validated by confirmatory factor analysis (CFI=.96, NFI=.94, RMSEA=.10). The K-SERCA scale was also a significantly positive correlation with 'Job satisfaction' (r=.32, p<.001). There was a reliable internal consistency with a Cronbach's ${\alpha}=.94$. The K-OERCA scale had factor loading of the 9 items ranging from .38 to .95, and was validated by confirmatory factor analysis (CFI=.98, NFI=.96, RMSEA=.09). The K-OERCA scale was also a positive correlation with 'Knowledge (r=.26, p<.001)', and 'Job satisfaction (r=.30, p<.001)'. There was a reliable internal consistency with a Cronbach's ${\alpha}=.89$. The results demonstrate that the K-SERCA and K-OERCA scales had satisfactory validity and reliability to measure self-efficacy and outcome expectations for restorative care activities among nurses who have worked in long-term care facilities in South Korea.

Development of a Reproducibility Index for cDNA Microarray Experiments

  • Kim, Byung-Soo;Rha, Sun-Young
    • Proceedings of the Korean Statistical Society Conference
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    • 2002.05a
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    • pp.79-83
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    • 2002
  • Since its introduction in 1995 by Schena et al. cDNA microarrays have been established as a potential tool for high-throughput analysis which allows the global monitoring of expression levels for thousands of genes simultaneously. One of the characteristics of the cDNA microarray data is that there is inherent noise even after the removal of systematic effects in the experiment. Therefore, replication is crucial to the microarray experiment. The assessment of reproducibility among replicates, however, has drawn little attention. Reproducibility may be assessed with several different endpoints along the process of data reduction of the microarray data. We define the reproducibility to be the degree with which replicate arrays duplicate each other. The aim of this note is to develop a novel measure of reproducibility among replicates in the cDNA microarray experiment based on the unprocessed data. Suppose we have p genes and n replicates in a microarray experiment. We first develop a measure of reproducibility between two replicates and generalize this concept for a measure of reproducibility of one replicate against the remaining n-1 replicates. We used the rank of the outcome variable and employed the concept of a measure of tracking in the blood pressure literature. We applied the reproducibility measure to two sets of microarray experiments in which one experiment was performed in a more homogeneous environment, resulting in validation of this novel method. The operational interpretation of this measure is clearer than Pearson's correlation coefficient which might be used as a crude measure of reproducibility of two replicates.

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Exploring the Latent Trait and the Measurement Properties of Korean World Health Organization Quality of Life-BREF Measure Applied to Cancer Survivors

  • Bongsam Choi
    • Physical Therapy Korea
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    • v.30 no.2
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    • pp.120-127
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    • 2023
  • Background: In general, measurement qualities of cross-culturally adapted quality of life (QOL) measures are altered in many aspects, although versions of them are well-validated measures. The latent trait and measurement qualities of the QOL measures for cancer-related samples should be considered when developing cross-culturally adapted measures. Objects: To investigate the latent trait of the translated into Korean World Health Organization Quality of Life-BREF (WHOQOL-BREF) administered to different cancer survivors who had palliative rehabilitation care service (PRCS). Methods: A cross-sectional study with 139 cancer survivors who had an experience of cancer survivorship with PRCS were conducted with a two-step analytic procedure including exploratory factor analysis (EFA) to confirm the latent trait and Rasch rating scale modeling to investigate the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure. Results: While the original WHOQOL-BREF measure constitutes a 4-latent trait, the EFA reveals that 24 items constitute six substantial factors. The item loadings are predominantly spread over factors 1 through 4 in a mixed manner of the latent traits, while the loadings of 'physical health' and 'environmental health' latent traits show similarity to what the original measure intended to assess. The latent trait of the cross-culturally adapted WHOQOL-BREF measure administered to different cancer survivors is likely to reveal more dimensions than the original WHOQOL-BREF measure. Person reliability (i.e., analogous to Cronbach's alpha) and separation are measured with 0.92 and 3.48, respectively. All items except the one item (medical treatment item) fit the Rasch rating model. Conclusion: Findings suggest that the latent trait and the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure should be taken into consideration when applying versions of it to various populations.

Outcome Assessment of a Demonstration Project on Integration of Home Visiting Health Care and Social Welfare Services (보건소 중심의 방문보건.재가복지 통합시범사업 성과)

  • Ahn Yang-Heui;Jang Sei-Jin;Choi Gyun
    • Journal of Korean Public Health Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 2006
  • Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

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${L_{1:1}}^\beta$(t) IN TERMS OF A GENERALIZED MEASURE OF ENTROPY

  • Hooda, D.S.;Ram, Anant
    • Journal of applied mathematics & informatics
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    • v.5 no.1
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    • pp.201-212
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    • 1998
  • In the present paper we define the codes which assign D-alphabet one-one codeword to each outcome of a random variable and the functions which represent possible transormations from one-one codes of size D to suitable codes. By using these functions we obtain lower bounds on the exponentiated mean codeword length for one-one codes in terms of the generalized entropy of order $\alpha$ and type $\beta$ and study the particular cases also.

Scaling of the Korean Version of the GMFM

  • Park, So-Yeon;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.20-25
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    • 2005
  • The Gross Motor Function Measure (GMFM) is an internationally widely used outcome measure. The aim of this study was to evaluate the structural properties of the Korean version of GMFM using the Rasch Model, with regard to scoring within rehabilitation centers in Korea. GMFM data for 206 children with cerebral palsy were collected from 11 outpatient rehabilitation facilities by 29 pediatric therapists. The Winsteps software was used to refine the rating scale. This study suggests that the scoring categories of the Korean version of the GMFM should be collapsed from 0 (subject does not initiate task), 1 (subject initiates task), 2 (subject partially completes task), 3 (subject completes task) to 0 (subject does not initiate task), 1 (subject initiates or partially completes task), 2 (subject completes task) for better accuracy in estimating the gross motor function of children with cerebral palsy.

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A Survay of Satisfaction of Physical Therapy Patients in Kwang-ju (광주지역내 물리치료실 이용 환자의 물리치료 만족도 조사)

  • Kwon Mi-Ji;Kim Seok Hwan
    • The Journal of Korean Physical Therapy
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    • v.15 no.2
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    • pp.1-11
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    • 2003
  • Patients satisfaction continues to receive attention as a measure of the outcome of physical therapy intervention. This study measures patient satisfaction among physical therapists' patients and clients and to identify factors of patient satisfaction that will affect patients decision. The instrument developed by Goldstein et. al(2000) was used. PAtients' opinions of service in each domain were measured using 5-point Likert-type scales. A 20-item instrument designed to measure the domains of patient satisfaction and 8 additional items were included. Data were collected at 8 hospital in Kwang-ju city Descriptive statistics, reliability, ANOVA, cross-tabs and regression analysis were computed. A total 365 individuals completed the instrument. Waiting time, treatment and cost domain predicted the satisfaction of physical therapy

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