• 기본간호학회지
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• 제25권2호
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• pp.120-133
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• 2018

Purpose: A meta-analysis was conducted to evaluate effectiveness of education programs using video recording and feedback in the improvement of competency in clinical skills for health care majors. Methods: Six databases were searched and inclusion criteria were randomized controlled trials (RCTs) or non-randomized controlled trials (NRTs) reporting level of skill competency using numerical measurements. Data analysis and synthesis were performed using Comprehensive Meta-Analysis software and Revman program. Results: Of 1,568 records, 11 studies met inclusion criteria. Statistically significant effectiveness of education programs using video recording and feedback was identified. A low risk of bias was detected among both RCTs and NRTs. Meta-analysis showed that the intervention groups had more effective improvements in skill competency (standardized mean difference [SMD]: 0.74; 95% CI: 0.33~1.16). Results of subgroup analysis showed higher effects when interventions dealt with one skill, used self-reflection with expert feedback, and included instruction from instructor in the education programs. Conclusion: Findings suggest that schools for health care majors should actively adopt video and feedback based skill training allowing educators to design effective programs. Potential is higher for students to achieve higher competency when they train with one skill at a time, use of instruction and receive feedback from experts.

• 가정과삶의질연구
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• 제25권4호
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• pp.67-86
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• 2007

The present study purposed to examine adolescents' peer relation quality, and school life maladjustment according to the characteristic of their mobile phone use and their mobile phone addiction. The subjects of this study were 490 middle/high school students in Namyangju City. A survey was conducted using a self reporting questionnaire, and collected data were analyzed with SPSS 12.0. The results are as follows. First, mobile phone use was different according to gender, school year and the degree of mobile phone addiction. Second, the addiction group was 12.9% of the subjects, the dependent group was 52.7%, and the non addiction group and 34.5%. Third, in the addiction group, the negative factors of peer relation quality were significantly higher than the positive factors of peer relation quality. Fourth, in the addiction group, all the factors of school life maladjustment were significantly high. Fifth, school life maladjustment was higher when the degree of mobile phone addiction was high and when the negative factors of peer relation quality were high. This suggests the necessity for education on the right use of the mobile phone and mobile phone addiction treatment program; in order to improve adolescents' peer relation quality and ease their school life maladjustment. The results of this study are expected to be useful in developing effective interventions for adolescents' healthy growth.

• 대한간호학회지
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• 제43권2호
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• pp.145-153
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• 2013

Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

• Journal of Chest Surgery
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• 제50권1호
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• pp.1-7
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• 2017

Complex lesions of the thoracic aorta are traditionally treated in 2 surgical steps with the elephant trunk technique. A relatively new approach is the frozen elephant trunk (FET) technique, which potentially allows combined lesions of the thoracic aorta to be treated in a 1-stage procedure combining endovascular treatment with conventional surgery using a hybrid prosthesis. These are very complex and time-consuming operations, and good results can be obtained only if appropriate strategies for myocardial, cerebral, and visceral protection are adopted. However, the FET technique is associated with a non-negligible incidence of spinal cord injury, due to the extensive coverage of the descending aorta with the excessive sacrifice of intercostal arteries. The indications for the FET technique include chronic thoracic aortic dissection, acute or chronic type B dissection when endovascular treatment is contraindicated, chronic aneurysm of the thoracic aorta, and chronic aneurysm of the distal arch. The F ET technique is also indicated in acute type A aortic dissection, especially when the tear is localized in the aortic arch; in cases of distal malperfusion; and in young patients. In light of the great interest in the FET technique, the Vascular Domain of the European Association for cardio-thoracic Surgery published a position paper reporting the current knowledge and the state of the art of the FET technique. Herein, we describe the surgical techniques involved in the FET technique and we report our experience with the F ET technique for the treatment of complex aortic disease of the thoracic aorta.

• 한국응급구조학회지
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• 제24권2호
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• pp.67-77
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• 2020

Purpose: The study aims to improve the quality of emergency medical services by surveying the user's satisfaction of 119 emergency medical services nationwide. Methods: From December 21 to December 27 each year from 2015 to 2017 a total of 5,889 people were surveyed by phone call in fire station. Results: The average degree of satisfaction with the emergency medical services was 4.17±0.70, with 85.1% respondents reporting being 'satisfied'. Factors like being a patient, injuries, residential area, and scene arrival time affected satisfaction. From 2015 to 2017, the satisfaction degree decreased every year, with factors affecting this results including "first aid guidance of phone call" and "rapidity of emergency medical services." The highest satisfaction factors were 'friendly acting of emergency medical services' and 'appropriate offer of emergency medical services', while the lowest satisfaction factors were 'first aid guidance of phone call' and 'adequacy of emergency medical team'. Conclusion: The quality of emergency medical services needs to be improved by managing the quality of phone call first aid guidance and the assignment of adequate emergency medical teams to increase user satisfaction.

• 한국환경과학회지
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• 제24권6호
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• pp.709-720
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• 2015

After analyzing the actual acquisition status of carbon labeling by year and by product for the past four years, as well as its certification in the construction-related sectors of greenhouse gas emission, this study attempted to present the problems and coping strategies upon issuing the carbon labeling certification in the landscape architecture. During the period of this analysis, the carbon labelings were acquired by 134 enterprises, 267 workplaces, and 735 products, while the percentage of acquisition was highest in the regular non-durable goods(49%), followed by energy-consuming durable goods(26%), regular production goods (19%), regular durable goods(3%), and service(3%). Furthermore, the acquisition certifications in construction sectors, were highest in the various pipes/panel(8 cases), followed by concrete(6 cases), gypsum board(4 cases), and landscape architecture materials(2 cases). The landscape architecture only had two cases in the acquisition certification for the first time in 2012, which accounted for 0.27% of the entire certification products, due to the uncertainty in the process, the lack of professionalism, and the lack of comprehension. However, the study conducted on the coping strategies for carbon labeling in the landscape architecture revealed the following: (1) regular reporting system management through the division of labor in the head office and factories, (2) the building of objective DB through the adoption of data management programs such as SAP, (3) continuous promotion and vitalization of the incentive system, (4) the adoption of mandatory or preferential application system in landscaping projects, management, and bidding, (5) enhancement of elasticity in deliberation of certification by recruiting experts in the landscape architecture sectors, and (6) provision of incentives for the cooperative firms acquiring the certification and support for their participation.

• Journal of the Korean Data and Information Science Society
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• 제24권4호
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• pp.723-736
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• 2013

해약율의 추정은 최근 보험제도의 변화 (국제회계기준의 도입에 따른 현금흐름방식의 가격산출체계 시행, 무해약환급금 보험상품의 판매 허용 등)에 따라 보험료의 결정과 손익분석 그리고 리스크 관리 등에 있어서 중요한 요소로 부각되고 있다. 특히, 변액연금은 최저보증옵션으로 인하여 보험계약자의 해약요소가 중요시되고 다른 보험 상품에 비해 복잡하므로 차별성 있는 통계모형의 선택과 분석이 필요하다. 기존의 해약률 연구는 실태분석 또는 회귀분석을 위주로 모형화하는 것에 초점이 맞추어져 있었으나 본 연구에서는 변액연금 계약과 관련된 여러 변수와 최저보증옵션을 반영하기 위하여 생존분석기법 중 하나인 Cox 비례위험모형을 이용하여 해지율을 추정하였다. 변액연금 해지율에 영향을 미치는 주요변수로는 납입방법, 보험료, 보험기간 대비 유지기간, 계약자적립금 대비 최소보증금, 계약자연령이 있으며 본 연구에서는 이에 관하여 분석해보았다.

• 동서간호학연구지
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• 제14권1호
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• pp.14-23
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• 2008

Purpose: The purpose of this study was to identify the relationship between health promoting lifestyle and general characteristics of the person undergoing health checkups in cancer prevention center. Method: A cross-sectional survey was used. This study has been done from February 1 to March 31, 2005 and the subjects of the study were 199 persons who had undergone health checkups in Cancer Prevention Center located in Seoul. Data were collected by using self reporting questionnaire on the health promoting lifestyle. The collected data were analyzed by using t-test, ANOVA, and Pearson's correlation coefficient. Result: The average score of performance in the health promoting lifestyle was 162.99(range of score is 60-240). There were significant differences in scores of health promoting lifestyle according of marital status, age, education and smoking. The score of health promoting lifestyle of the married group was higher than that of the single group. The score of health promoting lifestyle was higher in those aged 60-69 years than in those aged 20-29 years. As compared to college graduates the score of health promoting lifestyle was higher among those whose schooling is less than middle school and higher than a master`s program. The score of health promoting lifestyle was higher among non-smokers than among those who used a cigarette in their life time. There were no differences in scores of health promoting lifestyle according to sex, cancer family history, disease family history and drinking.There was positive relationship between age and health promoting lifestyle. Conclusion: Marital status, age, education and smoking affected Health Promoting Lifestyle of the person undergoing health checkups in Cancer Prevention Center.

• 한국산업정보학회논문지
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• 제5권2호
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• pp.47-55
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• 2000

개발하는 소프트웨어의 비용, 스케줄 및 노력을 예측하기 위하여 오늘날 많은 소프트웨어 비용 모델이 개발되었다. COCOMO II은 비순차적이며, 빠른 개발방법 과정 등의 새로운 소프트웨어 생명주기에 적합한 비용 모델이다. COCOMO II모델에서 최소자승 회귀분석 방법은 조율 방법으로 널리 사용되었다. 전통적인 회귀분석 조율 방법은 데이터 ？에 대한 가정이 위배된다. 즉, 원시자료는 특히 서로 다른 개발조직으로부터 비용인자 등급, 노력, 크기가 수집되며 부정확하고 이상치가 존재한다. 본 논문에서는 이러한 한계를 극복하기 위하여 우리는 COCOMO II모델을 가지고 상대오차를 최소화하는 모델 조율에 대한 새로운 방법을 제안한다. 제안된 방법의 특징은 이상치를 갖는 원시 데이터에 덜 민감한 특성을 갖고 있다. 실험결과, 제안된 새로운 조율방법 MRE가 조정된 결정계수(adj-$R^2$), 표준편차(^$\sigma$), 예측 정도(PRED(L))에서 기존의 전통적 회귀분석 방법보다 우수하게 나타났다.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1994년도 교수 연수회(역학)
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• pp.206-233
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• 1994

The Medical Research Council has for some years encouraged collaborative clinical trials in leukaemia and other cancers, reporting the results in the medical literature. One unreported result which deserves such publication is the development of the expertise to design and analyse such trials. This report was prepared by a group of British and American statisticians, but it is intended for people without any statistical expertise. Part!, which appears in this issue, discusses the design of such trials; Part II, which will appear separately in the January 1977 issue of the Journal, gives full instructions for the statistical analysis of such trials by means of life tables and the logrank test, including a worked example, and discusses the interpretation of trial results, including brief reports of particular trials. Both parts of this report are relevant to all clinical trials which study time to death, and would be equally relevant to clinical trials which study time to other particular classes of untoward event: first stroke, perhaps, or first relapse, metastasis, disease recurrence, thrombosis, transplant rejection, or death from a particular cause. Part I, in this issue, collects together ideas that have mostly already appeared in the medical literature, but Part II, next month, is the first simple account yet published for non-statistical physicians of how to analyse efficiently data from clinical trials of survival duration. Such trials include the majority of all clinical trials of cancer therapy; in cancer trials, however, it may be preferable to use these statistical methods to study time to local recurrence of tumour, or to study time to detectable metastatic spread, in addition to studying total survival. Solid tumours can be staged at diagnosis; if this, or any other available information in some other disease is an important determinant of outcome, it can be used to make the overall logrank test for the whole heterogeneous trial population more sensitive, and more intuitively satisfactory, for it will then only be necessary to compare like with like, and not, by chance, Stage I with Stage III.