• 제목/요약/키워드: Composite score

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Factors influencing the composite quality score from the quality assessment program for long-term care hospitals (요양병원의 입원급여 적정성 평가 결과에 미치는 영향 요인 분석)

  • Lee, Sang-Kab;Seol, Jin-Ju;Lee, Kwang-Soo
    • Korea Journal of Hospital Management
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    • v.25 no.3
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    • pp.78-86
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    • 2020
  • Purposes: This study purposed to identify factors influencing the composite quality score from the quality assessment program for long-term care hospitals Methodology: The study variables was obtained from HIRA(Health Insurance Review and Assessment Service): the composite quality scores and hospital variables such as number of doctors, nurses, beds, medical technicians, medical equipments, administrative region, ownerships from 3rd (2010) to 7th (2018) quality assessment program. National Statistical Portal(www.kosis.go.kr) provided the number of senior citizens aged over 65 in city·county·district area. SAS 9.4 was used for the data processing and used to analyze the data. Findings: The results showed that composite quality score increased past 9 years. Hospital variables such as number of doctor, nurse, medical technicians, bed and public hospitals had significant positive relationship with the composite quality score. Administrative region(district) showed higher scores compare to that of city. Compare to the score of quality assessment year(2010), as the assessment year move to 2012, 2013, 2015, 2018, results showed higher significant positive coefficients. Practical Implication: Continuously improve the performance of long-term care hospitals, current quality assessment program are needed to update their system such as adopting indicators measuring the service process, or compensating the cost for quality assessment program. It will enable to provide more reasonable and accurate performance assessment scores.

Health Behaviors and Health-related Quality of Life among Vulnerable Children in a Community (지역사회 취약계층 아동의 건강행태와 건강관련 삶의 질)

  • Kim, Suyeon;Choo, Jina
    • Research in Community and Public Health Nursing
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    • v.26 no.3
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    • pp.292-302
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    • 2015
  • Purpose: The purpose of this study was to examine the association between health behaviors and health-related quality of life (HRQOL) among vulnerable children in a community. Methods: Using data from 'The Obesity Prevention Framework for Vulnerable Children', a secondary analysis was conducted for 165 children (ages 8~12 years) and their parents who were recruited from 16 K-gu Community Child Centers in Seoul. Six types of health behaviors related to eating and activity were assessed. Each behavior was categorized into the non-recommended vs. recommended levels. The scores of the recommended levels of the six health behaviors were summed up for the composite score of health behaviors. HRQOL was measured by KIDSCREEN-52. Results: The groups with a non-recommended level of fast food intake and sedentary behavior had a significantly lower total score of KIDSCREEN-52 than those with a recommended level. Moreover, the lower composite score of health behaviors was significantly associated with the lower total score of KIDSCREEN-52. Conclusion: Among the vulnerable children, the six recommended health behaviors and their composite score were in significant positive associations with the HRQOL levels. Therefore, nursing strategies for enhancing the recommended levels of health behaviors are needed for vulnerable children.

5 YEARS EVALUATION OF COMPOSITE RESIN RESTORATION ON PERMANENT FIRST MOLAR IN CHILDREN (어린이 제 1 대구치 복합 레진 수복물의 5년 후 임상평가)

  • Kim, In-Young;Kim, Jae-Moon;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.110-117
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    • 2008
  • Clinical performance of resin-based composite material depends on case selection and on the proficiency of the operator. Especially, composite resin restoration on permanent first molar in children have more limitations clinically than adult patients according to stage of tooth eruption and patient's compliance. This study was designed to evaluate the clinical performance of posterior composite resin restoration in children after 5 years. 35 teeth of 16 patients who were received composite resin restoration on permanent first molar in Department of Pediatric dentistry, Pusan National University Hospital between January 2001 and December 2001 were evaluated based on Modified USPHS criteria. From the finding in this study, following conclusions can be made. 1. 6 teeth(17%) of 35 teeth was replaced, so 5-years survival rate of posterior composite resin restoration is 82.9%. 2. As results of each evaluation criteria, on color match, anatomic form, surface roughness, sensitivity/ discomfort, ideal A grade score was 86.2%, 93.1%, 86.2%, 86.2%, clinically accepted B grade score was 13.8%, 0%, 13.8%, 10.3%. On marginal adaptation and marginal discoloration, A grade score was 13.8%, 44.8% and B grade score was 79.3%, 34.5% and secondary caries rate was 20.7%. 3. 69.1% of teeth (20 teeth) was clinically accepted on all evaluation criteria.

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Effects of support feet on active feet during Y-Balance Test (Y-Balance Test 시 지지발이 활동발에 미치는 영향)

  • Byung-Hoon Woo
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.6
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    • pp.1249-1258
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    • 2023
  • The purpose of this study was to reveal the effect of COP variable of support feet on relative reach distance and composite score of active feet during YBT. 29 adults in their 20s(age: 24.4±3.0 yrs, height: 171.0±10.5 cm, weight: 72.1±12.1 kg, leg length: 88.2±5.8 cm) participated in the study. Using YBT, relative reach distance and composite score of active feet were calculated, and COP variables of support feet were measured on left and right support feet. Multiple regression analysis was used to determine the effect of COP variables of support feet during YBT on relative reach distance and composite score. As a result of the study, during YBT, when supporting right feet, the influence of AP COP velocity, ML COP velocity and COP velocity in posterolateral direction was significant, and when supporting left feet, the influence of AP COP velocity, ML COP velocity in posteromedial direction improved relative reach distance and composite score.

Comparison of the National Early Warning Score+Lactate score with the pre-endoscopic Rockall, Glasgow-Blatchford, and AIMS65 scores in patients with upper gastrointestinal bleeding

  • Kim, Daejin;Jo, Sion;Lee, Jae Baek;Jin, Youngho;Jeong, Taeoh;Yoon, Jaechol;Park, Boyoung
    • Clinical and Experimental Emergency Medicine
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    • v.5 no.4
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    • pp.219-229
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    • 2018
  • Objective We compared the predictive value of the National Early Warning Score+Lactate (NEWS+L) score with those of other parameters such as the pre-endoscopic Rockall score (PERS), Glasgow-Blatchford score (GBS), and albumin, international normalized ratio, altered mental status, systolic blood pressure, age older than 65 years score (AIMS65) among patients with upper gastrointestinal bleeding (UGIB). Methods We conducted a retrospective study of patients with UGIB during 2 consecutive years. The primary outcome was the composite of in-hospital death, intensive care unit admission, and the need for ${\geq}5$ packs of red blood cell transfusion within 24 hours. Results Among 530 included patients, the composite outcome occurred in 59 patients (19 inhospital deaths, 13 intensive care unit admissions, and 40 transfusions of ${\geq}5$ packs of red blood cells within 24 hours). The area under the receiver operating characteristic curve of the NEWS+L score for the composite outcome was 0.76 (95% confidence interval, 0.70 to 0.82), which demonstrated a significant difference compared to PERS (0.66, 0.59-0.73, P=0.004), but not to GBS (0.70, 0.64-0.77, P=0.141) and AIMS65 (0.76, 0.70-0.83, P=0.999). The sensitivities of NEWS+L scores of 3 (n=34, 6.4%), 4 (n=92, 17.4%), and 5 (n=171, 32.3%) were 100%, 98.3%, and 96.6%, respectively, while the sensitivity of an AIMS65 score of 0 (n=159, 30.0%) was 91.5%. Conclusion The NEWS+L score showed better discriminative performance than the PERS and comparable discriminative performance to the GBS and AIMS65. The NEWS+L score may be used to identify low-risk patients among patients with UGIB.

A Study of Development of Evaluation Technique for the Subjective Clothing Comfort in Hot-humid Environment -Comparision between the utilization of Fuzzy theory and Factor Analysis- (고온 다습한 환경에서의 주관적 착용 쾌적감 평가도구 개발을 위한 기초 연구 -Fuzzy 이론의 적용방법과 요인분석 방법간의 비교-)

  • 김정화;조승식
    • Journal of the Korean Society of Clothing and Textiles
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    • v.20 no.2
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    • pp.362-372
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    • 1996
  • Recently, need for the development of the quantification of subjective evaluation is growing for the production of high-touch and high-tech textile products. In this study, Fuzzy theory is utilized for the evaluation of the wear comfort of the various blouses. Result of a new evaluation method and factor scores, validity of the new evalution technique adopted fuzzy theory was crosschecked with the results of fator analysis and factor scores. As results, fuzzy theory was proved to be adequate methodology to objectify the subjective evaluation of the adequacy of clothing which is worn. When DUNCAN'S multiple comparion among median of the fuzzy composite score were compared with the results of factor score, the sensitivity of the test methods tends to increase. Therefore, it is suggested that fuzzy weighted checklist is an alternative evaluation scale for the subjective comparison of the textile products. In addition, individual median of fuzzy composite score value should be treated by statistical for the sensitive analysis of subjective evalution.

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Estimation of Genetic Variations for Linear Type Traits and Composite Traits on Holstein Cows (Holstein 젖소의 선형심사형질과 등급형질에 대한 유전변이 추정)

  • 이득환
    • Journal of Animal Science and Technology
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    • v.48 no.2
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    • pp.161-168
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    • 2006
  • Genetic parameters for linear type and composite traits were estimated by using Bayesian inference via Gibbs sampling with a multiple threshold animal model in Holstein cows. Fifteen linear type traits and 5 composite traits were included to estimate genetic variance and covariance components in the model. In this study, 30,204 records were obtained in the cows from 305 sires. Heritability estimates for linear type traits had the estimates as high as 0.28~0.64. Heritability estimates for composite traits were also high, when the traits were assumed to be categorical traits. Final score was more correlated with the composite traits than with the linear type traits.

A Method for Considering Performance Shaping Factors in Quantitative Human Error Analysis (정량적 인적오류 분석에서 수행도형성인자를 고려하기 위한 방법)

  • 정광태
    • Journal of the Korean Society of Safety
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    • v.12 no.1
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    • pp.113-121
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    • 1997
  • Human reliability attempts to make precise quantitative analyses and predictions of the performance of human-machine(or product) systems. In order to yield more precise human error analysis, precise human error probabilities(HEPs) must be used in the analysis. However, because human behavior is influenced by factors that are called performance shaping factors(PSFs), the effects of PSFs must be considered to obtain precise HEPs, These are called basic HEPs or situation-specific HEPs. This paper presents a theoretical method for obtaining basic HEPs (i.e. , considering PSFs) in quantitative human error analysis. In this method, the weight which characterizes the degree of importance of several PSFs is obtained by the analytic hierarchy process. The quality scores of PSFs in the task situation are obtained by percentile concept. These scores are used in conjunction with the relative Importance weights of PSFs to compute the composite quality percentile score of PSFs in the task situation. Then, a new mapping method of the composite quality percentile score of PSFs into a situation-specific basic HEP is proposed with a numerical example.

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Vasovagal syncope with mild versus moderate autonomic dysfunction: a 13-year single-center experience

  • Lee, Han Eoul;Lee, Dong Won
    • Clinical and Experimental Pediatrics
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    • v.65 no.1
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    • pp.47-52
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    • 2022
  • Background: An adequate large-scale pediatric cohort based on nationwide administrative data is lacking in Korea. Purpose: This study aimed to differentiate patients with VVS by autonomic dysfunction severity using the composite autonomic severity score (CASS) and compare the clinical manifestations and prognosis between patient subgroups. Methods: We retrospectively reviewed the medical records of 66 VVS patients divided into 3 groups by CASS. To compare the differences between these groups, we analyzed VVS type, triggers, prodromal symptoms, management of syncope, and prognosis between patients with mild versus moderate autonomic dysfunction. Results: Of our 66 patients with VVS, 41 had mild autonomic dysfunction (62.1%) and 25 had moderate autonomic dysfunction (37.9%). We found no significant intergroup differences in age, sex, inducible factor (P=0.172), prodromal symptoms, laboratory findings, head-up tilt test, type of syncope, or prognosis (P=0.154). Conclusion: We found no evidence that autonomic dysfunction degree is affected by VVS characteristics, test findings, parameters, or prognosis; therefore, no further evaluations are needed to classify autonomic dysfunction severity.

The Effects of Bancassurance on the Stability and Efficiency of Banks: A Simulation Study (방카슈랑스 확대에 따른 은행의 안전성 및 효율성 변화 분석)

  • Na, Dongmin
    • KDI Journal of Economic Policy
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    • v.28 no.1
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    • pp.49-93
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    • 2006
  • This paper conducts an empirical analysis on the effects of bancassurance on stability and efficiency of the Korean banking industry. The stability and the efficiency are measured using Z-score and composite functional form based on the annual data of 2000 to 2004 for all domestic banks and insurance companies. The stability test indicates that expansion of bancassurance decreases the stability of banks. Furthermore, the efficiency test implies that with the extension of bancassurance, the cost efficiency declines while revenue efficiency rises, which results in an overall increase of profit efficiency.

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