• 제목/요약/키워드: Management outcome

검색결과 1,660건 처리시간 0.023초

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

  • 김미;조영식
    • 한국치위생학회지
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    • 제18권5호
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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.

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

  • 안재성;김준수;김정훈;권양;권병덕
    • Journal of Korean Neurosurgical Society
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    • 제30권1호
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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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후순환계 뇌동맥류의 임상양상과 치료예후 - 전순환계 동맥류와의 비교분석을 중심으로 - (Management Outcome and Clinical Manifestation of Posterior Circulation Aneurysms VS. Anterior Circulation Aneurysm)

  • 정제훈;김국기;고준석;임영진;김태성;임언;이봉암
    • Journal of Korean Neurosurgical Society
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    • 제30권9호
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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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간호행정학회지 게재논문의 학문적 가치와 성과 (Academic Value and Outcome of the Journal of Korean Academy of Nursing Administration)

  • 서문경애;고명숙
    • 간호행정학회지
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    • 제13권4호
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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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    • 제9권1호
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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.

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

  • 박성재
    • 한국기록관리학회지
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    • 제17권1호
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    • pp.73-92
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    • 2017
  • 기록관은 사회의 기록을 저장하고 이용토록함으로써 사회를 지탱하는 기반이 되는 장소이다. 이에 본 연구는 기록관이 사회에 미치는 영향을 분석하기 위한 프레임워크를 개발하였다. 제안 모델은 기존의 기록관의 사회적 영향에 관한 선행연구의 결과를 기반으로 하였으며 영향은 성과의 한 영역이자 축적된 성과의 발현이라는 점에서 대표적인 성과평가 모델중의 하나인 논리모형을 적용하여 개발되었다. 실제 측정을 위한 프레임워크 개발을 위해 광범위한 사회적 영향 중에서 지역사회 강화 측면을 측정하기 위한 모형을 제안했다. 초기, 중기, 장기 성과를 포함하는 제안모형은 기록관 이용을 통해 지식, 태도, 기술의 변화가 만들어 내는 사회적 참여활동의 증가를 측정하였다. 또한 시민의 사회참여의 증가로 인한 지역사회 강화를 최종 성과로 제안하고 있다. 제안된 모형을 기반으로 한 양적/질적 연구가 진행된다면 기록관의 사회적 영향이 분석될 것으로 기대된다

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

  • 이제홍
    • 통상정보연구
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    • 제14권3호
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    • pp.185-207
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    • 2012
  • 베트남은 풍부한 노동력과 성장 잠재력으로 한국 기업들의 투자대상국으로 관심이 높으며, 2011년 9월 현재 약 239억 달러를 투자하고 있어 최대 투자국으로 부상하고 있다. 또한 한국의 대 베트남 투자 패턴도 노동집약적 산업형태에서 고부가가치 형태로 전환하고 있다. 본 연구는 베트남의 직접투자에 따른 경쟁력 결정요인에 따른 투자성과를 분석하여 한국 투자기업의 경쟁력을 확보하는데 있다. 특히, 베트남 투자기업의 대내적인 요인인 기업규모, 마케팅기술, 재무관리, 국제경험, 조직관리 등과 현지 베트남 시장요인인 현지시장규모와 시장환경 등의 요인이 베트남 투자성과에 어떠한 영향을 미치고 있는가를 분석한다. 본 연구결과를 보면 "투자기업의 규모", "투자기업의 국제경험", "투자기업의 마케팅 기술", "현지국의 시장규모", 그리고 "현지국의 시장환경"이 한국기업의 투자성과에 유의한 정(+)의 영향을 미치고 있다. 그러나 "투자기업의 조직관리"와 "투자기업의 재무관리"는 베트남 투자성과에 유의한 영향을 미치지 않아, 가설이 기각되었다. 투자성과에 유의한 영향을 미치지 않았다고 해서 투자기업의 결정요인으로 중요하지 않은 요인은 아니라는 것이다. 그렇기 때문에 한국기업은 베트남에 지속적으로 투자를 하고 있다.

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

  • 오준규;강희인;문병관;이승진;김주승
    • Journal of Korean Neurosurgical Society
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    • 제30권8호
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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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한약을 사용한 암환자 대상 임상시험에서의 항암 효능 평가변수 고찰 (A Review of Anticancer Efficacy Outcome Measures in Clinical Trials of Herbal Medicine for Cancer Patients)

  • 전천후;강민준;신원빈;송진영;박현석;양운호;여운석
    • 대한예방한의학회지
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    • 제28권1호
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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.

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

  • 장혜란
    • 정보관리학회지
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    • 제8권2호
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    • pp.32-73
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    • 1991
  • 본 논문은 탐색자의 개인적 특성이 온라인 서지 데이터베이스 탐색과정 및 탐색 성 과에 미치는 영향을 구명하여 탐색 행태에 관한 모형을 구축하기 위한 것이다. 도서관학과 재학생들을 피험자(N=67)로 하여 측정한 적성, 성격, 정규 교육, 온라인 탐색 교육 효과, 탐 색 과정, 탐색 성과에 대한 29가지 요소를 기초로 하여 9개의 변인을 구성한 후, 12개의 가 설을 검증하여 영향인자를 식별하였고, 경로 분석을 수행하여 5가지의 인과 모형을 구축하 였다.

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