• Title/Summary/Keyword: Course-based assessment

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Multivariate Analysis of Predictive Factors for the Severity in Stable Patients with Severe Injury Mechanism (중증 손상 기전의 안정된 환자에서 중증도 예측 인자들에 대한 다변량 분석)

  • Lee, Jae Young;Lee, Chang Jae;Lee, Hyoung Ju;Chung, Tae Nyoung;Kim, Eui Chung;Choi, Sung Wook;Kim, Ok Jun;Cho, Yun Kyung
    • Journal of Trauma and Injury
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    • v.25 no.2
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    • pp.49-56
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    • 2012
  • Purpose: For determining the prognosis of critically injured patients, transporting patients to medical facilities capable of providing proper assessment and management, running rapid assessment and making rapid decisions, and providing aggressive resuscitation is vital. Considering the high mortality and morbidity rates in critically injured patients, various studies have been conducted in efforts to reduce those rates. However, studies related to diagnostic factors for predicting severity in critically injured patients are still lacking. Furthermore, patients showing stable vital signs and alert mental status, who are injured via a severe trauma mechanism, may be at a risk of not receiving rapid assessment and management. Thus, this study investigates diagnostic factors, including physical examination and laboratory results, that may help predict severity in trauma patients injured via a severe trauma mechanism, but showing stable vital signs. Methods: From March 2010 to December 2011, all trauma patients who fit into a diagnostic category that activated a major trauma team in CHA Bundang Medical Center were analyzed retrospectively. The retrospective analysis was based on prospective medical records completed at the time of arrival in the emergency department and on sequential laboratory test results. PASW statistics 18(SPSS Inc., Chicago, IL, USA) was used for the statistical analysis. Patients with relatively stable vital signs and alert mental status were selected based on a revised trauma score of more than 7 points. The final diagnosis of major trauma was made based on an injury severity score of greater than 16 points. Diagnostic variables include systolic blood pressure and respiratory rate, glasgow coma scale, initial result from focused abdominal sonography for trauma, and laboratory results from blood tests and urine analyses. To confirm the true significance of the measured values, we applied the Kolmogorov-Smirnov one sample test and the Shapiro-Wilk test. When significance was confirmed, the Student's t-test was used for comparison; when significance was not confirmed, the Mann-Whitney u-test was used. The results of focused abdominal sonography for trauma (FAST) and factors of urine analysis were analyzed using the Chi-square test or Fisher's exact test. Variables with statistical significance were selected as prognostics factors, and they were analyzed using a multivariate logistics regression model. Results: A total of 269 patients activated the major trauma team. Excluding 91 patients who scored a revised trauma score of less than 7 points, 178 patients were subdivided by injury severity score to determine the final major trauma patients. Twenty-one(21) patients from 106 major trauma patients and 9 patients from 72 minor trauma patients were also excluded due to missing medical records or untested blood and urine analysis. The investigated variables with p-values less than 0.05 include the glasgow coma scale, respiratory rate, white blood cell count (WBC), serum AST and ALT, serum creatinine, blood in spot urine, and protein in spot urine. These variables could, thus, be prognostic factors in major trauma patients. A multivariate logistics regression analysis on those 8 variables showed the respiratory rate (p=0.034), WBC (p=0.005) and blood in spot urine (p=0.041) to be independent prognostic factors for predicting the clinical course of major trauma patients. Conclusion: In trauma patients injured via a severe trauma mechanism, but showing stable vital signs and alert mental status, the respiratory rate, WBC count and blood in the urine can be used as predictable factors for severity. Using those laboratory results, rapid assessment of major trauma patients may shorten the time to diagnosis and the time for management.

A Space-Time Cluster of Foot-and-Mouth Disease Outbreaks in South Korea, 2010~2011 (구제역의 시.공간 군집 분석 - 2010~2011 한국에서 발생한 구제역을 사례로 -)

  • Pak, Son Il;Bae, Sun Hak
    • Journal of the Korean association of regional geographers
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    • v.18 no.4
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    • pp.464-472
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    • 2012
  • To assess the space-time clustering of FMD(Foot-and-Mouth Disease) epidemic occurred in Korea between November 2010 to April 2011, geographical information system (GIS)-based spatial analysis technique was used. Farm address and geographic data obtained from a commercial portal site were integrated into GIS software, which we used to map out the color-shading geographic features of the outbreaks through a process called thematic mapping, and to produce a visual representation of the relationship between epidemic course and time throughout the country. FMD cases reported in northern area of Gyounggi province were clustered in space and time within small geographic areas due to the environmental characteristics which livestock population density is high enough to ease transmit FMD virus to the neighboring farm, whereas FMD cases were clustered in space but not in time for southern and eastern area of Gyounggi province. When analyzing the data for 7-day interval, the mean radius of the spatial-time clustering was 25km with minimum 5.4km and maximum 74km. In addition, the radius of clustering was relatively small in the early stage of FMD epidemic, but the size was geographically expanded over the epidemic course. Prior to implementing control measures during the outbreak period, assessment of geographic units potentially affected and identification of risky areas which are subsequently be targeted for specific intervention measures is recommended.

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Development of PBL Package - focusing on dental hygienist roles - (치과위생사 역할중심의 문제중심학습 패키지 개발)

  • Jung, Young-Ran;Hwang, Yoon-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.1
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    • pp.119-132
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    • 2004
  • The purpose of this study was to introduce PBL to dental hygienist education in an effort to raise a question about the inauthentic and inappropriate curriculum. PBL is one of learning methods to enhance the problem-solving ability of learners, and it's attempted to develop a PBL package focusing on dental hygienist roles to lay the foundation for producing competent and expert dental hygienists with a good problem- solving ability. The literature concerned was reviewed from November 2002 through January 2003 to determine whether or not PBL was applicable to dental-hygienist course, and that turned out to be effective for dental hygienist education. And then a PBL package was developed to train students to be knowledgeable and have a knowhow and excellent problem-solving skills. The characteristics of the PBL package could be described as follows: First, that focused on dental hygienist roles to serve the purpose of this study to remedy the current unrealistic and improper curriculum and improve the problem-solving skills of learners. Second, time factor was taken into account. In this four-week course for two credits, there are four classes a week, and it's required to take six or eight weeks to apply the PBL package, which is expected to demotivate students. Therefore, it's planned to conduct more weekly classes to make a proper progress. Third, a wide variety of teaching aids were put to use, and learner would be encouraged to be more interactive and utilize teaching aids properly, and eventually, they could have an opportunity to better express themselves. Fourth, online real-time learner discussion would be attended by this researcher. Learners would have a discussion in real time in the Internet cafe chat room, and different discussion time would be allocated to each team. This researcher would take part in each team's discussion once or more. Fifth, learners would prepare one or more journal(s) about four-hour Internet cafe learning. They have to make it twice a week at least, and it would be a good opportunity for learners to look back on themselves and their teams, and their learning effect would be greater. Specific rules were presented to help them make a successful self-examination. Sixth, there are some spaces in the lower part of objective test sheets to have students describe why they make a particular answer choice. They would be asked to depict the reason of their prior evaluation and lecture assessment especially because their responses would be important for more successful discussion and feedback. Seventh, problem-solving approach was designed to attain learning objectives, stimulate the creative thinking of learners and help them share a more systematic discussion. That would serve as a secondhand guide not to make them digress when they discuss by using information they acquire from a scenario presented in class.

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A Preliminary Study on Setting Philosophy and Curriculum Development in Nursing Education (간호교육 철학정립 및 교육과정 개발을 위한 기초조사)

  • 정연강;김윤회;양광희;한경자;한상임
    • Journal of Korean Academy of Nursing
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    • v.18 no.2
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    • pp.162-188
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    • 1988
  • The purpose of this study is to guide the direction of the Korean nursing education to analysize ⑴ the philosophy and objectives ⑵ curriculum, and ⑶ educational environment. This analysis is based on the data from 50 nursing schools (14 4-year colleges and 35 3-year colleges) The survey was conducted from Dec. 1986 through Jan. 1987 by mail. 1) Educational philosophy and objectives 10 4-year colleges and 8 3-year college program have curricular philosoph. Most popular curricular philosophies are human beings, health, nursing, nursology, nursing education, nurses role in the present and in the future. 10 nursing schools mentioned that human being is the subject to interact with : environment physically, mentally and socially. 2 schools mentioned that health is the state of functioning well physically, mentally and socially. 13 schools mentioned that the nursing is the dynamic act to maintain and to promote the highest possible level of health. 4 schools mentioned that the nursology is an applied science. 4 schools mentioned that nursing education is the process to induce the behavioural changes based on the individual ability. There is different opinion about the nurses' role between 4-year college and 3-year college. In the responses from 4-year colleges they focus on the leadership in effective changes, self-regulating and self-determining responsibilities, applying the new technology, continuing education, and participation in research to further nursing knowledge. In the responses from 3-year colleges, they focus on the education in college, primary health care nursing, direct care provider and public health education. Among 50 respondents 40 schools have educational goals which can be divided into two categories. One is to establish the moral and the other is to develop the professionalism. 2) Curriculm The analsis of curriculum is only based on the data from the 4-year colleges because the most of 3-year colleges follow the curriculum guideline set by the Ministry of Education. a) Comparison of the credits in cultural subject and in nursing major. The average required credit for graduation is 154.6 and the median credit is the range of 140-149. The average credit of cultural subjects is 43.4. In detail, the average number of credit of required course and elective courses are 24.1 and 19.3 respectively. The average credit for major subject is 111.2. In detail, the average credit for required courses and electives course are 100.9 and 10.4 respectively. In 5 colleges, students are offered even on elective course b) Comparison of the credit by class. The average earned credits are as follows : 41.1 in freshman, 400 in sophormore 38.3 in junior and 32.4 in senior. Cultural subjects are studied in early phases. c) Comparison of the compulsory and elective cultural subject by institute. The range of credit is 7-43 in compulsory cultural subjects and there are lot of differences among institutions. While all respondents require liberal arts as compulsary subjects, few respondents lists social science, natural science and behavioral science as required subjects. Social science-related subjects are frequently chosen as cultural subjects d) Distribution of creditsin cultural subjects by institute. The liberal art subjects are taught in 20 institute. English and physical education courses are taught in all instituions. The social science subjects are taught in 15 colleges and the basic Psycology and the Basic sociology are the most popular subjects. The natural science subjects are taught in 7 colleges and Biology and Chemistry are the most popular subjects among them. e) Distribution of credits in major basic courses by institute. Most of the institutes select Anatomy, Microbiology, Physiology, biochemistry and Pathology as basic major courses. f) Comparison of the required and elective courses for nursing major by institutions. Subjects and credit ranges in major are varing by institute. More than half of the respondents select the following subjects as required major subjects. (1) Adults Health Nursing and Practice (19.5 credits) (2) Mother and Child Care and Practice (8.9 credits) (3) Community Health Care and Practice (8.5 credits) (4) Psychiatric Nursing Care and Practice (8.1 credits) (5) Nursing Management and Practice (3.9 credits) (6) Fundamental of Nursing, Nursing Research and Health Assessment and Practice. Three institutions select Introduction to nursing, Rehabilitation Nursing, School Nursing, Public Health Nursing, Nursing English, Communication, Human Development as electives in nursing major. 3) Educational environment a) Nursing institution There are forty-three 3-year colleges and seventeen 4-year colleges and 81.4% of which are private b) Number of students and faculty 19.2% of the students are in 4-year colleges and 80.8% of the students are in 3-year colleges. In 4-year colleges, the number of nursing faculty members is in the other of assistant professor, instructor and professor. In 3-year colleges, the orderiis lecturer, associate professor, full time instructor and assistant professor. In 4-year colleges, 18.8 students are allocated per nursing faculty and in 3-year colleges, 33.1 students are allocated per nursing faculty. c) Clinical practices 66.7% of the 4-year colleges practice over 1201 hours in clinic and 28.5% of 3-year colleges practice over 1201 hours in clinic. In 4-year colleges, 11.5 students are allocated per nursing faculty and in 3-year colleges,17 students are allocated per nursing faculty The survey shows no difference in the procedure between 4-year colleges and 3-year colleges but 3-year colleges choose the more variety practicing site such as special hospital and community health clinic. d) Audiovisual facilities The survey shows a lot of difference in audiovisual facilities among institution and 3-year colleges are less equipped than 4-year colleges.

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Comparative Study on Qualification System of Competency Assessor in Australia and Scotland (스코틀랜드와 호주의 NCS기반 직무능력평가자(Competency Assessor) 자격제도에 관한 비교 연구)

  • Lee, Jungpyo
    • Korean Journal of Comparative Education
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    • v.27 no.1
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    • pp.223-245
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    • 2017
  • The purpose of this study is to examine the qualification system of competency assessor based NCS(National Skill Standards) in Australia and Scotland. To meet the purpose of the study, the characteristics of competency based assessment and the role of assessor was reviewed, and competency assessor qualification system of both countries were analysed. Australia and Scotland have developed the certification system of competency assessor based on national qualification framework. Education and Training Institutes in both countries should meet the requirement of RTOs(Registered Training Organizations) and CRBs(Credit Rating Body), which can develop and operate assessor qualification course based NQF. Also they must ensure all assessors are qualified with competency, currency and professional development and show how they have maintained, upgraded or developed new skills relevant to the current industry needs. In recent years, Korea has been introduced competency based curriculum linked with NCS in education and training sector. Also the introduction of competency assessor qualification system are currently under consideration by government. In this circumstances, the results of comparative analysis about Australia and Scotland can help the Korean government review the policies and strategies qualifying competency assessor. They also provide some implications for exploring and examining assessor qualification system based NCS and KQF(Korean Qualification Framework) in Korea.

Investigation of Scientific Argumentation in the Classes for Elementary Gifted Students (초등 단위 학교 영재 수업에서 나타나는 과학적 논증 과정에 대한 탐색)

  • Lim, Hyeon-Ju;Shin, Young-Joon
    • Journal of Korean Elementary Science Education
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    • v.31 no.4
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    • pp.513-531
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    • 2012
  • This study was to analyze the characteristic of scientific argumentation in the classes for the gifted of elementary school. The participants of this study were 5 fifth graders and 9 sixth graders, 14 in total, from the basic unit schools for gifted students of J elementary school in Incheon city. And it constituted small scale groups made up of 2~3 students with similar or identical ability in scientific reasoning. It had set up hypothesis for each group before the experiment, and students had a group discussion as a whole after the experiment. Classes were conducted 4 times, all courses were recorded as a sound/video. The ability in scientific reasoning of the students was inspected, making use of SRT II by means of pre-survey, and their argumentation levels were analyzed, utilizing 'Rubric for scientific argumentation course assessment.' As a result, argumentations did not incurred in every class. Analysis in argumentations of the students resulted in low level argumentation. This means argumentation cannot incur based on that with the limit in understanding the principle of experiments over the threshold of textbook no matter that he is an gifted student or not. The student both in formal operational period and transition period (2B/3A), the ability of scientific thinking in upper level, was improved of his argumentative ability in an overall aspect. However, a student of concrete operational period, the ability of scientific thinking in lower level, had argumentation with still lower level even after the experiment at the moment of discussing with the students on the upper level of scientific thinking ability.

Development of Rubric for Assessing Computational Thinking Concepts and Programming Ability (컴퓨팅 사고 개념 학습과 프로그래밍 역량 평가를 위한 루브릭 개발)

  • Kim, Jae-Kyung
    • The Journal of Korean Association of Computer Education
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    • v.20 no.6
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    • pp.27-36
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    • 2017
  • Today, a computational thinking course is being introduced in elementary, secondary and higher education curriculums. It is important to encourage a creative talent built on convergence of computational thinking and various major fields. However, proper analysis and evaluation of computational thinking assessment tools in higher education are currently not sufficient. In this study, we developed a rubric to evaluate computational thinking skills in university class from two perspectives: conceptual learning and practical programming training. Moreover, learning achievement and relevance between theory and practice were assessed. The proposed rubric is based on Computational Thinking Practices for assessing the higher education curriculum, and it is defined as a two-level structure which consists of four categories and eight items. The proposed rubric has been applied to a liberal art class in university, and the results were discussed to make future improvements.

A Performance Comparative Evaluation for Finite and Infinite Failure Software Reliability Model using the Erlang Distribution (어랑분포를 적용한 유한 및 무한 고장 소프트웨어 신뢰모형에 관한 성능 비교 평가에 관한 연구)

  • Yang, Tae-Jin
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.9 no.4
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    • pp.351-358
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    • 2016
  • Science and technology is developing rapidly as more powerful software with the rapid development of software testing and reliability assessment by the difficulty increases with the complexity of the software features of the larger increases NHPP software reliability models for failure analysis can have, in the literature, exhibit either constant, monotonic increasing or monotonic decreasing failure occurrence rates per fault. In this paper, finite failure NHPP models that assuming the expected value of the defect and infinite failures NHPP models that repairing software failure point in time reflects the situation, were presented for comparing property. Commonly used in the field of software reliability based on Erlang distribution software reliability model finite failures and infinite failures were presented for performance comparative evaluation problem. As a result, finite failure model is better than infinite failure model effectively. The parameters estimation using maximum likelihood estimation in the course of this study was conducted. As the results of this research, software developers to identify software failure property be able to help is concluded.

A Study on System Development of School Health in Korea -Part II: Developmental Process and Foremost Tasks of School Health Education- (학교보건제도(學校保健制度) 개발(開發)에 관(關)한 연구 -제2부 학교보건교육의 발전과정과 향후 과제-)

  • Chung, Yeon-Kang;Chang, Chang-Gok;Park, In-Hwa;Shu, Sung-Jae
    • Journal of the Korean Society of School Health
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    • v.7 no.1
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    • pp.37-44
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    • 1994
  • This study is designed to shed light on the current status of school health education in Korea and identify its problems. The findings of this study among other things pointed out that health education should be awarded the status on an independent subject in a bid to activate school health education and cope with its problems. Thus for efforts focused on the needs for establishing health education as an independent course as well as for enhancing the awareness of its importance. At this stage further efforts are needed to develop in-depth discussions and add greater variety to the curriculum. Firstly efforts should be made to recognize the health status of students at all levels, i.d., from kindergarten through university. Particulary at this stage when the entire society is going through changes in the types of health problems and disease pattern, the outcome of analyses on the types of health problems and health-related behavior can be used as basic data for framing the contents of school health education. Secondly more active efforts are required to single out the contents of health education and develop health education curricula assessment based on the findings of surveys on that of health education needs. Thirdly the development of school health education curriculum should be accompanied by that of more effective educational methods and materials. In particular, further efforts should be made to develop educational methods designed to make wider use of audio-visual equipments or apply behavior modification techniques so that school health education will be adapted to changed educational environment and the characteristics of health education. Fourthly and most importantly the training and production competent health education teachers is needed. This should be preceded by the amendment of relevant laws and administrative systems.

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A Study on the Change of Adaptive Response Through the Sensory Integration Intervention : Case Study (감각통합치료를 통한 적응반응의 변화 : 사례보고)

  • Kim, Eun-Young;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.6 no.1
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    • pp.63-69
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    • 2008
  • Introduction : This study presents a case report of a child with sensory integration dysfunction(mixed sensory modulation disorder and dyspraxia), and describes strategy of the sensory integration intervention to encourage child's inner drive and the change of adaptive response. Main Subject : The subject was a boy, age 5 years and 10 months, who participated in short-term intensive sensory integration therapy program which was provided in a 2008 sensory integration treatment course. Based on results of assessment to the child, This study identifies the treatment goals, contents of treatment and analyze adaptive response' change of four therapy sessions. Conclusion : This case report demonstrates improvement of the adaptive response by sensory integration intervention and impotent to encourage the child's inner drive. However, subjective date, which is sensory integration may produce an effect that is evident during treatment sessions and in home environment have suggested.

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