• Title/Summary/Keyword: Management outcome

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Factors related to oral health management for child in mothers of multicultural families (다문화가정 모친의 자녀 구강건강관리 관련요인)

  • Kim, Mi;Cho, Young-Sik
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.807-819
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    • 2018
  • Objectives: The purpose of this study was to identify the factors affecting the oral health behavior of mothers in multicultural families and the oral health management of children. Methods: The subjects were 303 mothers in multicultural families having children in childhood. To verify the validity of the outcome, a factorial analysis was conducted. To examine differences in the outcome according to socio-demographic characteristics, a one-way ANOVA was used, and the hypothesis was tested through a multiple regression analysis. Results: According to the results, it was found that severity, self-efficacy, sensitivity, and multicultural disability that show attitudes had significant impact on the mother's oral health behavior. Moreover, it was found that self-efficacy, sensitivity, and the mother's oral health behavior that show attitudes had significant impact on the children's oral health management. Conclusions: Based on the results of this study, it would be necessary to increase the interest in mother-and-child oral health, developing a mother-and-child oral health education program targeted toward the oral health of the mothers and children in multicultural families. Moreover, it is essential to educate mothers in multicultural families in order to increase their sense of responsibility toward their children's oral health management, aiming to promote knowledge and to change attitudes and behavior.

Management Outcomes of Aneurysms of Vertebral Artery and its Branches (추골동맥 및 분지부 동맥류의 치료결과)

  • Ahn, Jae Sung;Kim, Joon Soo;Kim, Jeong Hoon;Kwon, Yang;Kwun, Byung Duk
    • Journal of Korean Neurosurgical Society
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    • v.30 no.1
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    • pp.33-40
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    • 2001
  • Objective : Aneurysms of vertebral artery and its branches make up approximately 3% of all intracranial aneurysms. As the aneurysm have an intimate relationship with lower cranial nerves and medulla, surgical management of the aneurysms are one of the challenging neurosurgical problems. The authors analyzed the management outcomes for aneurysms arising from vertebral artery and its branches. Methods : At the authors' institution between May 1989 and Jan. 2000, 42 patients were treated with transcranial and endovascular surgery for aneurysms of vertebral artery and its branches. The medical records and neuroimaging studies of the patients were reviewed retrospectively. Results : Forty two patients were comprised of 28 female and 14 male patients aged from 26-80 year old(mean : 51.8). Of the 42 patients, 37 patients(88%) had subarachnoid hemorrhage. Of the 37 patients with subarachnoid hemorrahge, 35 patients(95%) were in good neurological status(Hunt Hess grade I-III), 2 patients(5%) in poor grade(H-H grade IV-V) before operation. Location of the aneurysm were 16 in vertebral artery, 12 in vertebro-PICA junction, and 14 in the peripheral PICA. Twenty nine patients were treated with transcranial surgery and 13 patients with endovascular surgery. The management outcome of the transcranial surgery was : Glasgow outcome scale(GOS) I and II ; 24, GOS III ; 2, GOS IV ; 1 and GOS V(death) ; 2. The causes of mortality related to transcranial surgery were rebleeding after failure in clipping in one and suspected brainstem infarct in one. Morbidity was attributed to vasospasm(3), lower CN palsy(7, including temporary dysfunction) and pseudomeningocele(1). The management outcome of the endovascular surgery was : Glasgow outcome scale(GOS) I-II ; 9, GOS III ; 1, GOS IV ; 1, and GOS V(death) ; 2. The causes of mortality related to endovascular surgery were sepsis from pneumonia(1) and vasospasm(1). There were one cerebellar infarct and one lateral medullary syndrome. Conclusion : Excellent and good surgical results can be expected in 80% of the patients with aneurysms of vertebral arery and its branches. The outcomes of endovascular surgery in treating vertebral artery aneurysm were satisfactory and endovascular surgery may offer a therapeutic alternative especially in vertebral dissecting aneurysm.

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Management Outcome and Clinical Manifestation of Posterior Circulation Aneurysms VS. Anterior Circulation Aneurysm (후순환계 뇌동맥류의 임상양상과 치료예후 - 전순환계 동맥류와의 비교분석을 중심으로 -)

  • Jeong, Je Hoon;Kim, Gook Ki;Koh, Jun Seok;Lim, Young Jin;Kim, Tae Sung;Leem, Won;Rhee, Bong Arm
    • Journal of Korean Neurosurgical Society
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    • v.30 no.9
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    • pp.1086-1093
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    • 2001
  • Object : With the recent variable treatment modalities and the development of microsurgical techniques, outcomes of surgical and medical management of aneurysm have shown much progress in the last 10 years. However, the management of posterior circulation aneurysm is still a debatable due to its difficulty in limited surgical approach, complicated anatomical structure and many small perforators to vital structure. The purpose of this study is to compare the results of clinical manifestation and outcome of surgery with respect to anterior and posterior circulation aneurysms. Material and Methods : We evaluated the 33 patients with PCAs(posterior circulation aneurysm) and 359 patients with ACAs(anterior circulation aneurysm) treated between 1994 and 1999, retrospectively. Results : Posterior circulation aneurysms showed higher tendency(5 cases, 14.7%) to have unusual shapes, such as dissecting or fusiform compared with anterior circulation aneurysm(15 cases, 4.2%). There were more multiple aneurysms in posterior circulation aneurysm(8 cases, 26.5%) than anterior circulation aneurysm(59 cases, 16.2%). The number of patients with Hunt-Hess grade III or IV on admission were 91(25.3%) in anterior circulation aneurysms, and 14(42.4%) in posterior circulation aneurysms. There were higher incidences of vasospasm and acute hydrocephalus in patients with posterior circulation aneurysm. In cases of anterior circulation aneurysm, neck clipping was possible in 97%. But, in posterior circulation aneurysm, neck clipping was possible only in 67.7% of each. Two hundred forty four cases(85.0%) of all anterior circulation aneurysms and 22 cases(78.6%) of all posterior circulation aneurysms showed good recovery(GR) or moderate disability(MD). The postoperative mortality rates of anterior and posterior circulation aneurysms were 4.9% and 10.7%, respectively. Conclusion : These results indicate that there exist substantial differences with respect to that there were few difference in the aspect of surgery and management outcome between posterior circulation aneurysms and anterior circulation aneurysms.

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Academic Value and Outcome of the Journal of Korean Academy of Nursing Administration (간호행정학회지 게재논문의 학문적 가치와 성과)

  • SeoMun, Gyeong-Ae;Koh, Myung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.4
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    • pp.546-552
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    • 2007
  • Purpose: This study was performed to identify current characteristics(Academic Value and Outcome) of the Journal of Korean Academy of Nursing Administration. Method: This 57 papers analyzed the Journal of Korean Academy of Nursing Administration(2006) and comparisons were made with similar studies in Health and Social Science(2006). Results: The analysis of the contents for the papers were suggested according to research purposes: research compatibility, research creativity, research excellence. Conclusion: It is suggested that in depth research be made on nursing management based on evidence practice, nursing informatics, legal and ethical issues. It is developmental direction for academic value and outcome of the Journal of Korean Academy of Nursing Administration.

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Developing an Outcome-Based Industrial and Systems Engineering Program

  • Alfares, Hesham K.;Al-Turki, Umar M.;Duffuaa, Saleh O.
    • Industrial Engineering and Management Systems
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    • v.9 no.1
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    • pp.60-68
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    • 2010
  • In this paper, a systematic methodology is proposed for developing an outcome-based undergraduate Industrial and Systems Engineering Program at the Systems Engineering Department of King Fahd University of Petroleum & Minerals (KFUPM) in Saudi Arabia. This program is an upgrade of the Industrial Engineering and Operations Research (IE/OR) option, which has been in existence since 1984 and has been revised several times since then. The methodology and process used is motivated by the Accreditation Board for Engineering and Technology (ABET) 2000 criteria and has been employed to develop the program's objectives and outcomes. Subsequently, a curriculum is designed that is expected to deliver the objectives and outcomes. The paper presents the methodology, objectives, outcomes and the developed curriculum of the outcome-based program.

A Study on Social Impacts of Archives through Outcome-based Evaluation (성과평가에 기반 한 기록관의 사회적 영향 분석 연구)

  • Park, Sungjae
    • Journal of Korean Society of Archives and Records Management
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    • v.17 no.1
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    • pp.73-92
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    • 2017
  • Archives identify and preserve records created by society. By making them available to people, archives can be a means of support to the community. The purpose of this study is to develop a model to measure the social impact of archives. Reviewing findings from previous research on the social impact of archives, this study's model is based on the logic model, an outcome-based evaluation model, given that impact is not only followed by outcomes but can be the outcome itself. The scope of social impact is limited to community empowerment in terms of the applicability of the suggested model. The model, which includes short-, medium-, and long-term outcomes, could be used to measure changes in the knowledge, attitudes, and skills of archive users, and the social engagement of the people who experienced those changes in the community. The proposed model could include final outcomes that indicate the increase of community empowerment according to the civil society engagement. It is expected that the model is validated through applying quantitative and qualitative methodologies to measure the social impact of archives.

A Study on the Entry Determinants and an Outcome of Korea's Direct Investment Company to the Vietnam (베트남 직접투자 기업의 진입결정요인과 성과에 관한 연구)

  • Lee, Je-Hong
    • International Commerce and Information Review
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    • v.14 no.3
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    • pp.185-207
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    • 2012
  • Vietnam is the easternmost country on the Indochina Peninsula in Southeast Asia. Many Korean companies have recently invested their factories to Vietnam from China. This Study measures the entry determinants and outcomes of Vietnam foreign direct investment of the Korea company. This study developed a research model to determinant factor in the Vietnam market entry and collected 98 survey responses from the Korean company to Vietnam investment. In the article analysis, Multiple regression results show that Vietnam investment outcome review are positively affected by "Scale of Investment company", "International Experience of Investment company", "Marketing Skill of Investment company" and "Vietnam's Market Scale", "Vietnam's Market Environment" factors in all a hypothesis. However, the result of this analysis showed that the "Financial management of investment company", and "Organization management of investment company" as independence is not statistically significant. This article suggests that the investment outcome of Vietnam foreign direct investment should take earned of the Korea company in Vietnam market.

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The Outcome of Urgent Surgery for Hunt-Hess Grade IV Patients with Ruptured Intracranial Aneurysm (두개강내 동맥류 파열로 인한 Hunt-Hess Grade IV 환자에서의 응급수술의 결과)

  • Oh, Jun Gyu;Kang, Hee In;Moon, Byung Gwan;Lee, Seung Jin;Kim, Joo Seung
    • Journal of Korean Neurosurgical Society
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    • v.30 no.8
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    • pp.1013-1018
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    • 2001
  • Objective : About 40% of patients who admit to the hospital after subarachnoid hemorrhage are poor clinical grade(Hunt-Hess grade IV, V). The majority of these patients have been excluded from early, aggressive treatment. The current study was undertaken to evaluate the outcome of urgent surgery for Hunt-Hess grade IV aneurysmal subarachnoid hemorrhage. Materials and Methods : We reviewed hospital records and radiographic studies of 36 patients who were Hunt-Hess grade IV among 201 cases with ruptured intracranial aneurysm admitted between Sep. 1995 and Dec. 2000. Operated patients were treated with urgent angiography and surgery within 24 hours of presentation, except six patients, and medical records of these patients were reviewed for the clinical course and Glasgow outcome scale(GOS). Results : Overall management results of the 36 patients were good recovery in 13(36.1%), moderate disability in 12 (33.3%), severe disability in 1(2.8%), vegetative state in 1(2.8%) and 9(25.0%) of surgically treated patients had died. Conclusion : Although with limited number of patients, we conclude that urgent surgery for Hunt-Hess grade IV patients results in a better neurologic outcome and urgent surgery combined with aggressive postoperative management can minimize mortality.

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A Review of Anticancer Efficacy Outcome Measures in Clinical Trials of Herbal Medicine for Cancer Patients (한약을 사용한 암환자 대상 임상시험에서의 항암 효능 평가변수 고찰)

  • Chunhoo Cheon;Min Jun Kang;Wonbin Shin;;Hyunsuk Park;Unho Yang;Unseog Yeo
    • Journal of Society of Preventive Korean Medicine
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    • v.28 no.1
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    • pp.119-130
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    • 2024
  • Objectives : The objective of this review is to examine the variety of evaluation parameters utilized in clinical trials that assess the anticancer efficacy of herbal medicine, focusing on the importance of including both symptomatic management and direct anticancer effectiveness. Methods : A detailed literature review was conducted across PubMed, Embase, and the Cochrane Library to identify clinical trials investigating the antitumor efficacy of herbal medicine. The search was performed on February 22, 2024. This review specifically examined the employed outcome measures, which were then categorized and analyzed to understand their relevance and application in evaluating the anticancer properties of herbal medicine. Results : From an initial search of 900 records, 15 clinical trials were selected for in-depth analysis after deduplication and screening. These studies evaluated the efficacy of herbal medicine across various cancers, including hepatocellular carcinoma, colorectal cancer, and breast cancer, using outcome measures such as survival rates, disease control rates, and quality of life improvements. The research spanned multiple countries, primarily in East Asia and the United States, reflecting a global interest in herbal medicine as a complementary approach to cancer treatment. The present study demonstrated that herbal medicine, especially when used alongside standard treatments, potentially improved clinical outcomes and patient well-being. Conclusions : The findings of this review highlight the need for a broader focus on the full range of therapeutic capabilities of herbal medicine, including its direct anticancer effects, in the management of cancer patients. Future oncology research involving herbal medicine should integrate a wide spectrum of clinical endpoints to fully ascertain its impact on cancer treatment and patient health.

A Study on the Searching Behavior of the Online Database Searchers (온라인 데이터베이스 탐색자의 탐색 행태에 관한 연구)

  • 장혜란
    • Journal of the Korean Society for information Management
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    • v.8 no.2
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    • pp.32-73
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    • 1991
  • The purpose of this study is to find important personal characteristics that affect search process and outcome, and to formulate causal models about searching behavior, by examining the channels and the magnitude of the factors identified. The study was designed to conduct a quasi-experiment with 67 student subjects. A total of 29 elements concerned with aptitude, personality, formal education, effectiveness of online training, search process, and search outcome are measured and reduced to 9 variables. 12 hypotheses were tested statistically and path analysis was done to investigate causal relationship among variables. Finally 5 models were formulated.

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