• Title/Summary/Keyword: Continuous outcome

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A Comparison Study of Multivariate Binary and Continuous Outcomes

  • Pak, Dae-Woo;Cho, Hyung-Jun
    • The Korean Journal of Applied Statistics
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    • v.25 no.4
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    • pp.605-612
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    • 2012
  • Multivariate data are often generated with multiple outcomes in various fields. Multiple outcomes could be mixed as continuous and discrete. Because of their complexity, the data are often dealt with by separately applying regression analysis to each outcome even though they are associated the each other. This univariate approach results in the low efficiency of estimates for parameters. We study the efficiency gains of the multivariate approaches relative to the univariate approach with the mixed data that include continuous and binary outcomes. All approaches yield consistent estimates for parameters with complete data. By jointly estimating parameters using multivariate methods, it is generally possible to obtain more accurate estimates for parameters than by a univariate approach. The association between continuous and binary outcomes creates a gap in efficiency between multivariate and univariate approaches. We provide a guidance to analyze the mixed data.

Effect of Continuous External Ventricular Drainage on Delayed Ischemic Neurologic Deficits after Aneurysmal Clipping in Spontaneous Subarachnoid Hemorrhage

  • Ryu, Hyeon-Chul;Lim, Jun-Seob;Cho, Kyu-Yong;Park, Seung-Kyu;Kang, Nam-Gu;Jang, Hong-Jeon;Ok, Young-Cheol
    • Journal of Korean Neurosurgical Society
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    • v.41 no.2
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    • pp.95-99
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    • 2007
  • Objective : The purpose of this reports is to describe the influence of continuous external ventricular drainage [EVD] on delayed ischemic neurologic deficit [DIND] after early surgery in ruptured aneurysmal patients. Methods : The authors reviewed 229 patients with aneurysmal subarachnoid hemorrhage [SAH] who had been treated with clipping at a single institution between 1998 and 2004. Of these, 121 patients underwent continuous EVD [Group A] postoperatively, whereas 108 patients did not [Group B]. EVD was performed at ipsilateral Kocher's point and maintained 2 to 14 days postoperatively. Results : DIND occurred in 15.7% [19 cases] of patients in Group A, 25% [27 cases] from Group B [P value=0.112]. Compared with Group A, Group B was more likely to suffer acute symptom of DIND and showed poor response to 3- H therapy. Major symptoms of DIND in Group A were mild confusion [36.8%] and mild deterioration of mental state [26.3%], contrary to weakness of extremities [59.2%] in Group B. At discharge, Glasgow Outcome Scales [GOS] of Group A were : good recovery [63.2%], moderately disabled [21%], severely disabled [10.5%], dead [5.3%] and Group B : good recovery [48.1%], moderately disabled [37%], severely disabled [14.8%] and dead [0%]. Of 121 patients from group A, 35 patients [28.9%] suffered ventriculitis. Conclusion : Continuous EVD after aneurysmal clipping in patients with SAH reduced the risk of DIND and its sequelae, relieved its symptoms, and improved the outcome.

Clinical Characteristics of Small Bowel Perforation due to Blunt Abdominal Trauma (복부 둔상으로 인한 소장 천공의 임상 양상에 대한 고찰)

  • Bae, Jung-Min
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.125-128
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    • 2011
  • Purpose: Blunt small bowel injury (SBI) is frequently combined other organ injury. So, clinical outcome and characteristics of SBI are influenced by other combined injuries. Thus, we analyzed isolated SBI patients and studied clinical outcome and characteristics. Methods: Between 2005 and 2010, 36 consecutive patients undergoing laparotomy due to isolated SBI were identified in a retrospectively collected. Database. Clinical outcome and characteristics were analyzed. Results: Laparotomy was performed in 36 patients. Primary repair was performed 17 patients. Segmental resection of small bowel was performed 19 patients. Median time gap from trauma to operation was 9 hours. In 24 hours from trauma, operation was performed 31 patients. Post operative death was 5 patients. Mean hospital stay was 18 days and median hospital stay was 12 days. There were significant differences between operation type and minor complication and hospital stay. And there were significant differences between time gap in 24 hours and minor complication. But, there were no significant between time gap and mortality. Conclusion: Although this study had many limitations, some valuable information was produced. When operation above 24 hours was delayed in SBI, minor complications were significantly increased. Segmental resection of small bowel in SBI were significantly increased minor complications and hospital stay. So, preventive measures for surgical site infection was important to reduce wound complication and hospital stay. Further continuous study and multi-center study were should be performed to improve clinical outcome in SBI.

Measuring Service Quality of Mobile Trading Systems and its Impact on the Intention to Continuous Use (모바일 증권거래 시스템에 대한 사용자의 지속적 이용의도와 서비스 품질 측정요소)

  • Choi, Jaewon;Jang, Jung Hee;Kim, Beomsoo
    • Journal of Information Technology Services
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    • v.12 no.2
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    • pp.301-319
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    • 2013
  • Wireless and mobile communication technologies enable individuals who trade stocks and bonds to use mobile-based trading services. Due to rapidly developing mobile technologies and adoption of the advanced/smart mobile devices such as smart phones and tablets, the use of mobile trading systems (MTS) have increased at an unexpected rate. Although many prior studies measured service quality on various service-related fields, there are few studies that is related to mobile trading systems compared to more traditional PC-based home trading systems. This research searches determinants of service quality for mobile trading systems and examines the effects of these factors on the intention to mobile trading systems' continuous use. Through an extensive literature review, this research finds three dimensions for mobile trading systems : interaction quality, service environment quality, and service outcome quality. The result of analysis shows that personalization, connectivity, ease of use, informativeness, and monetary value enhance the intention to continuous use. Considering environmental conditions such as the high rate of MTS adoption among individual users and stiffer competition among securities firms, these findings may help practically securities firms' shaping MTS system development strategies for individual users' continuous use and for increasing new users adoption.

The Analysis of Neuro-Physiological Outcome of Patients with Status Epilepticus in an Intensive Care Unit (집중치료실에서 치료한 중첩성 경련 환자의 신경생리학적 결과 분석)

  • Kim, Dae-Sik;Kim, Cheon-Sik
    • Korean Journal of Clinical Laboratory Science
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    • v.37 no.2
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    • pp.96-101
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    • 2005
  • Status epilepticus is a medical emergency, so that rapid and vigorous treatment is required to prevent neuronal damage and systemic complication. Status epilepticus is generally defined as a continuous or intermittent seizure or an unconscious condition after the onset of seizure, lasting for 30 minutes or more. We report here the outcome of status epilepticus. We retrospectively reviewed medical record of 15 patients who were diagnosed with status epilepticus at the Asan Medical Center from January 2003 to February 2004. This outcome was evaluated considering various factors such as age of patients, history of seizures, neurologic impairment, etiology, mortality, return to baseline and initial electroencephalogram (EEG) findings. The range of age was between 1 to 79 years old and the longest duration of treatment was 118 days. Most patients were treated by using pentobarbital, midazolam, phenobarbital and other antiepileptic drugs. The overall mortality was 5 (33%) out of 15 patients. The mortality was related to etiology, underlying other medical conditions and initial EEG findings. 5 (55%) out of the 9 patients with acute etiology, 5 (71%) out of the 7 patients with a multifocal or burst-suppression EEG activity, and 3 (60%) out of the 5 patients with other medical disease were related to mortality. This data demonstrate high mortality due to status epilepticus. Mortality is related to etiology, other medical conditions and abnormalities on the initial EEG.

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Prediction Model for Nursing Work Outcome of Nurses - Focused on Positive Psychological Capital (간호사의 간호업무성과 예측모형 - 긍정심리자본을 중심으로)

  • Lee, Soon Neum;Kim, Jung A
    • Journal of Korean Academy of Nursing
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    • v.50 no.1
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    • pp.1-13
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    • 2020
  • Purpose: The purpose of this study was to construct and test a structural equation model on nursing work outcomes based on Youssef and Luthans' positive psychological capital and integrated conceptual framework of work performance. Methods: This study used a structured questionnaire administered to 340 nurses. Data were analyzed using structural equation modeling. Results: Positive psychological capital showed indirect and direct effects on job satisfaction, retention intention, organizational citizenship behavior, and nursing performance. While, the nursing work environment had direct and indirect effects on job satisfaction and nursing performance, it only had indirect effects on intention to work and organizational citizenship behavior. Additionally, a mediating effect on retention intention and organizational citizenship behavior was found between job satisfaction and nursing performance variables. Conclusion: The nursing organization needs to build a supportive work environment and reinforce positive psychological capital to improve nursing performance. Additionally, it needs to actively manage the necessary parameters involved in the stages of job satisfaction, retention intention, nursing performance, and organizational citizenship behavior of nurses. The findings propose the continuous management of nursing personnel based on nurses' attitude outcome, behavioral intention, behavioral outcome, and stage of role performance.

Remote-Controlled Experiment with Integrated Verification of Learning Outcome

  • Staudt, Volker;Menzner, Stefan;Baue, Pavol
    • Journal of Power Electronics
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    • v.10 no.6
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    • pp.604-610
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    • 2010
  • Experiments in electrical engineering should mirror the key components of successful research and development: Understand the basic theory needed, test the resulting concepts by simulation and verify these, finally, in the experiment. For optimal learning outcome continuous monitoring of the progress of each individual student is necessary, immediately repeating those subjects which have not been learned successfully. Classically, this is the task of the teacher. In case of remote-controlled experiments this monitoring process and the repetition of subjects should be automated for optimal learning outcome. This paper describes a remote-controlled experiment combining theory, simulation and the experiment itself with an automated monitoring process. Only the evaluation of the experimental results and their comparison to the simulation results has to be checked by a teacher. This paper describes the details of the educational structure for a remote-controlled experiment introducing active filtering of harmonics. For better understanding the content of the learning material (theory and simulation) as well as the results of the experiment and the underlying booking system are shortly presented.

What is Outcome-Based Education? (제도적인 관점에서 본 성과중심교육)

  • Kim, Bok Ki;Min, Sang Won;Yoon, Woo Young
    • Korean Medical Education Review
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    • v.15 no.1
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    • pp.1-8
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    • 2013
  • Outcome-Based education (OBE) is reviewed from the institutional perspective. The demand for and international trends in OBE are briefly examined and several term related to OBE, especially educational objective and program outcomes (POs), are introduced. It is stressed that systems for continuous quality improvement and quality assurance should be established to ensure the maintenance of the OBE system. Because the criteria for accreditation contain a criterion regarding the quality assurance related to program outcomes, several critical issues are considered regarding the POs themselves and the reduction of the POs. The core value of OBE is not only to provide appropriate education services to students to prepare them with the minimum skills and abilities for advancing their professional service, but also to guarantee the quality of graduates. In addition, the educational program should be continuously improved by employing the evaluation results acquired during the operation of the OBE systems. It is certain that an OBE system is one important aspect of student-centered education.

Factors related to Continuous Participation in the Pap Smear Screening among Korean Women: using a Structural Model (한국여성의 Pap 도말검사 지속적 참여행위에 관한 설명모델)

  • 박소미
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.160-170
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    • 2000
  • The purpose of this study was to develop an explanatory model to predict factors related to continuous participation in the Pap smear screening among Korean women. A hypothetical model was constructed on the basis of Health Belief Model and extensive review of literature on the Pap smear screening. Exogeneous variables included in this model were knowledge, perceived sensitivity, perceived severity, negative and positive emotional responses and professional support from physicians and nurses. Endogeneous variables were threat to cervical cancer, perceived benefit of the Pap smear screening, perceived barrier, and the final outcome variable was continuous participation in the Pap smear screening. The hypothetical model was tested with an empirical study. The data was collected from 623 married women whose age range was 24 - 83 using a self-reported survey questionnaire which was developed by the researcher. It's Cronbach's alpha score ranged from .6478 to .9118. Data was collected at different locations in Seoul; a university hospital, a local health center, and apartment complexes. Data analysis was done using SPSS 7.5 WIN Program for descriptive statistics and LISREL 8.12a WIN Program for covariance structural analysis. In conclusion, threat, perceived benefit, perceived barrier, positive emotion and professional support had a significant direct effect on continuous participation in the Pap smear screening among Korean women. The results of this study also showed that perceived barrier had the most significant direct effect on continuous participation in the Pap smear screening while negative emotional response had the most significant direct effect on perceived barrier. It can be suggested that decreasing perceived barrier by reducing negative emotional responses may be the most effective strategies for increasing continuous participation in the Pap smear screening among married Korean women.

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The effects of the Partnership in Supply Chain Management with Appling Social Business on the outcome of the SCM (소셜 비즈니스를 활용한 공급 사슬에서의 파트너십이 SCM 성과에 미치는 영향)

  • Kim, So-Chun;Lim, Wang-Kyu
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.1
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    • pp.95-110
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    • 2014
  • The purpose of this research is to further investigate the influence of partnership between with the mediator effect of the social business on the outcome of SCM. IT technology fusion electronic tags, mobile phone, such as cloud computing is also activated in supply chain management of recently, business is faster, if social business is applied here that are smarter, customers or suppliers, there may be communication directly and to further improve the relationship partnership. 150 questionnaires were sent to companies that have introduced SCM to their systems and are operating it. Among 150 questionnaires, 127 collected data were analyzed excluding incomplete 23 data. Statistical methods used in this study were frequency analysis, factor analysis, reliability analysis, t-test, ANOVA, path analysis, Scheffe test and Sobel test with Amos 18.0. and SPSS 21.0. The analytical results are as follows. First, the more the reliability, information share, continuous transaction, effects on the social business are getting higher, the interdependence has little impact on it. Second, the impact on the outcome of SCM, partnerships between companies, showed a significant influence the reliability, the share of information, the continuous transaction, but the interdependence was analysed as an uninfluential factor. Third, the social business is analyses to have a mediator effect in relationship between the partnership and the outcome of SCM.