• Title/Summary/Keyword: Evaluating outcomes

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Clinical Assessment of Pain and Sensory Function in Peripheral Nerve Injury and Recovery: A Systematic Review of Literature

  • John, Albin A.;Rossettie, Stephen;Rafael, John;Cox, Cameron T.;Ducic, Ivica;Mackay, Brendan J.
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.427-439
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    • 2022
  • Peripheral nerve injuries (PNIs) often present with variable symptoms, making them difficult to diagnose, treat, and monitor. When neurologic compromise is inadequately assessed, suboptimal treatment decisions can result in lasting functional deficits. There are many available tools for evaluating pain and functional status of peripheral nerves. However, the literature lacks a detailed, comprehensive view of the data comparing the clinical utility of these modalities, and there is no consensus on the optimal algorithm for sensory and pain assessment in PNIs. We performed a systematic review of the literature focused on clinical data, evaluating pain and sensory assessment methods in peripheral nerves. We searched through multiple databases, including PubMed/Medline, Embase, and Google Scholar, to identify studies that assessed assessment tools and explored their advantages and disadvantages. A total of 66 studies were selected that assessed various tools used to assess patient's pain and sensory recovery after a PNI. This review may serve as a guide to select the most appropriate assessment tools for monitoring nerve pain and/or sensory function both pre- and postoperatively. As the surgeons work to improve treatments for PNI and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.

Focused on Diabetes Education Practice of Community Health Centers in Korea (당뇨병 적정관리를 위한 교육 실태 분석: 우리나라 보건소를 중심으로)

  • Choi, Eun Jin
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.11-24
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    • 2014
  • Objectives: The purpose of this article was to investigate the current practice of diabetes education along with the specific interventions, process, and outcomes in community health centers in Korea. Methods: Data were collected by a mail questionnaire from September 20, 2012 to December 20, 2012. Among 253, a total of 161 responded, constituting a 63.3% return rate. Results: Primary staff of diabetes education was the nurse and respondents recognized their role largely as a director. More than half of respondents provided education to people with type 2 diabetes by group. Most common service offered was nutrition therapy and the majority of respondents used printed materials. Among 4 criteria of outcomes, eating (nutrition), knowledge scores, blood pressure, and patients' survey on satisfaction were collected most frequently. Nearly three quarters of respondents were not participated in activities for quality improvement and outcomes were not reported properly. Conclusions: The results are able to draw ideas for organizing diabetes education programs and evaluating outcomes in community heath centers. This article has significance that it is the first comprehensive survey of diabetes education practice in community health centers and provides a baseline for establishing national standards of diabetes self-management education.

Model Development and Strategy plan for Implementing Program Outcomes and Assessment ('프로그램학습성과 및 평가'실천을 위한 모형 개발 및 전략에 대한 연구)

  • Kim, Myoung-Lang;Yoon, Woo-Young;Kim, Dong-Hwan;Chung, Jin-Taek
    • Journal of Engineering Education Research
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    • v.10 no.4
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    • pp.29-42
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    • 2007
  • The 'Program outcomes and assessment' is an important criterion evaluating of engineering education in accreditation of engineering education. ABEEK prescribes program outcomes which are the basic capabilities in the application of the fundamental knowledge and practical tools of the engineering field. Also ABEEK asks to prove that all programs are constructed a proper educational curriculum and are satisfied program outcomes and CQI. Therefore program outcomes must satisfy both two key points. First, as a quality control aspect, engineering programs must prove that graduates of accredited programs can perform twelve capabilities. Second, as a continuous quality improvement aspect, accredited programs have to upgrade a level of engineering educational quality. Consequently the purpose of study is to introduce a new model for CQI and QC systems, implementing strategies as an actualizing of program outcomes.

A Proposal of study Designs and Methods for Evaluating the Adverse Health Effects of Agent Orange among Korean Vietnam Veterans (고엽제의 건강위해성 평가를 위한 연구설계와 방법 제안)

  • Yi, Sang-Wook;Won, Jong-Uk;Hong, Jae-Seok;Ohrr, Hee-Choul
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.3
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    • pp.228-236
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    • 2001
  • Objectives : To propose a feasible, valid and appropriate study designs and epidemiologic methods for evaluating the adverse health effects of Agent Orange-chemical defoliants used in Vietnam- in Korea. Methods : A literature study was peformed on Agent Orange, herbicides, pesticides and dioxins. The study subjects, study design, exposure assessment and health outcomes assessment were examined in each study. The potential data sources for the study subjects, study design, exposure assessment and health outcomes assessment in Korea were investigated. Results and Conclusion : In earlier Korean studies, research subjects for studying the effects of Agent Orange were identified from the patients or persons who claimed to have Agent Orange-related diseases due to the difficulties in identifying the entire population of Vietnam veterans in Korea. In this study, an attempt was made to identify the total number of Vietnam veterans in Korea. As a result, the addresses of 20,000 Vietnam veterans were obtained. It is proposed that a retrospective cohort design on a sample of the total number of Vietnam veterans is a feasible and appropriate study design. Self report questionnaires and military records were proposed to assess the exposure level. It is believed that measuring the plasma or tissue TCDD should be used only for a validation study assessing the level of exposure. For the health outcomes assessment, it is possible to obtain the mortality, cancer frequency, physical examination, screening and medical insurance record data.

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Analysis and Optimization of Grinding Condition by Response Surface Model (반응표면모델(RSM)에 의한 평면연삭조건 최적화 및 평가)

  • Kim S.O.;Kwak J.S.;Koo Y.;Sim S.B.;Jeong Y.D.;Ha M.K.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.1257-1260
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    • 2005
  • Grinding process has unique characteristics compared with other machining processes. The cutting edges of the grinding wheel don't have uniformity and act differently on the workpiece at each grinding. The response surface analysis is one of various methods for optimizing and evaluating the process parameters to achieve the desired output. In this study, the effect of the grinding parameters on outcomes of the surface grinding was analyzed experimently. To predict the grinding outcomes and to select the grinding conditions before grinding, the second-order response surface models for the grinding force and the surface roughness were developed.

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Evaluation of Project Manager's Leadership in Construction Projects;Based on LBDQ and Pilot Test (건설 현장소장의 리더십 평가 방안에 관한 연구;LBDQ 기법을 활용한 파일럿 테스트를 중심으로)

  • Gang, Ji-Sun;Kim, Han-Soo
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.209-212
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    • 2007
  • Project managers' leadership in construction projects significantly influence project performance and outcomes. However, due to its conceptual and quantitative nature, leadership is a subject which is difficult to be evaluated or measured despite of the benefits of its measurement. The objective is this paper to apply the LBDQ technique in evaluating project managers' leadership and discuss outcomes through a pilot test.

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Exploring Study Designs for Evaluation of Interventions Aimed to Reduce Occupational Diseases and Injuries

  • van der Molen, Henk F.;Stocks, Susan J.;Frings-Dresen, Monique H.W.
    • Safety and Health at Work
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    • v.7 no.1
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    • pp.83-85
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    • 2016
  • Effective interventions to reduce work-related exposures are available for many types of work-related diseases or injuries. However, knowledge of the impact of these interventions on injury or disease outcomes is scarce due to practical and methodological reasons. Study designs are considered for the evaluation of occupational health interventions on occupational disease or injury. Latency and frequency of occurrence of the health outcomes are two important features when designing an evaluation study with occupational disease or occupational injury as an outcome measure. Controlled evaluation studies-giving strong indications for an intervention effect-seem more suitable for more frequently occurring injuries or diseases. Uncontrolled evaluation time or case series studies are an option for evaluating less frequently occurring injuries or diseases. Interrupted time series offer alternatives to experimental randomized controlled trials to give an insight into the effectiveness of preventive actions in the work setting to decision and policy makers.

Patient-Reported Outcome Measures of the Foot and Ankle (족부족관절 분야의 환자 자가 보고 결과 평가법)

  • Kim, Jiyoun;Kim, Bom Soo
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.1
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    • pp.1-8
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    • 2022
  • The patient-reported outcome measures (PROMs) are important in assessing the patient's overall health, lesion-specific outcomes, and condition-specific outcomes. PROMs are also known as "scoring systems" and are usually in questionnaires. There are almost a hundred different PROMs available in foot and ankle surgery. Each PROM has its merits, demerits, and validity. Selecting an appropriate PROM is important for adequately evaluating a patient's health status. This article summarizes the most frequently used PROMs in the literature on foot and ankle surgery and presents the authors' recommendations.

Implementation of Evidence Based Nursing Education into Nursing Management Clinical Practicum: Outcome Evaluation and Diffusion Strategies (간호관리학 실습에서의 근거기반간호 교육 적용: 결과평가와 확산 전략)

  • Park, Myonghwa
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.1
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    • pp.39-47
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    • 2013
  • Purpose: This practice study was done to describe the process and outcomes of application of Evidence Based Nursing (EBN) Education to nursing management clinical practicum and suggest strategies to diffuse EBN into nursing management education. Methods: Education on the evidence based nursing management process was provided to 65 senior nursing students from a university. Nursing management clinical practicum integrated with EBN. The setting was a five full day-clinical practicum. Group and individual training on EBN process with lectures, small group discussions, conferences, and educational prescription were provided. Outcomes were analyzed using paired t test for 65 participants. Results: Evidence based nursing competency increased significantly showing improvement in understanding EBN, formulating clinical question, searching & classifying the evidence, recognizing level of evidence, considering patient preference, and evaluating outcomes. Nursing students' access and use of evidence based information resource also improved. Conclusion: The results of this study indicate that the application of EBN to nursing management clinical practicum is effective to improve EBN competency in undergraduate students and should be further applied in nursing education using the systematic strategies.

The Relationship Between Despotic Leadership and Employee Outcomes: An Empirical Study from Pakistan

  • KHAN, Hafiz Ghufran Ali;AHMED, Irshad;Ul AIN, Qurat;MUMTAZ, Roohi;IKRAM, Memoona
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.6
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    • pp.331-341
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    • 2022
  • Through emotional exhaustion, this study empirically tests followers' behavioral responses to autocratic leaders. The current research focuses on effects caused by despotic leadership on followers' emotional exhaustion, which leads to employee outcomes such as interpersonal deviances and indirect aggression. The association between despotic leadership and results (employee interpersonal deviance and indirect violence) is investigated in this study. In this study, emotional exhaustion is used as a mediator. Furthermore, negative affectivity is used as a moderator between despotic leadership and emotional exhaustion. A time-lagged framework is employed with a sample of 255 respondents. Age, qualification, marital status, gender, grade, type of organization, department, and job experience are among the eight demographical questions in this study. After evaluating the data for normality, correlation analysis was performed, followed by moderation and mediation analysis. The current study explores the link between despotic leadership and emotional exhaustion among followers, arguing that a despotic leader will leave followers exhausted at work. Emotional exhaustion was also linked to interpersonal deviances, such as indirect aggression, in a significant and positive way. Employee outcomes, such as interpersonal deviances and indirect aggressiveness through emotional exhaustion, will be influenced by a despotic leader, according to the findings.