• Title/Summary/Keyword: Outcome

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Prognostic Value of Computed Tomography and Gradient-echo Magnetic Resonance Imaging in Diffuse Axonal Injury (미만성 축삭 손상에서 전산화단층촬영과 경사에코 자기공명영상을 이용한 예후의 평가)

  • Jung, Nam-Ki;Jin, Sang-Chan;Choi, Woo-Ik
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.122-131
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    • 2012
  • Purpose: Diffuse axonal injury (DAI) is clinically defined as a coma of over six hours in a head trauma victim without a focal mass lesion. The emergency physician usually resuscitates and stabilizes a comatose head trauma victim in the emergency Department. After assessment and treatment, the prognosis is very important to both the victim and the physician. The prognosis for DAI is based on Glasgow Coma Scale (GCS) and other imaging data. We investigated the prognostic value of computed tomography (CT) and gradient-echo magnetic resonance imaging (GRI) for head trauma victims with DAI. Methods: Fifty-three(53) head trauma victims of DAI were enrolled in this study from 2007 to 2012. During the study period of six years, data on trauma victims were collected retrospectively. We analyzed the differences in the Glasgow Outcome Scale (GOS) result between the CT and the GRI modalities. Results: We classified the study group by using GOS. Between the good outcome subgroup (GOS scores of 4 and 5) and the poor outcome subgroup (GOS score of 1-3), there were no statistical difference in sex, age, initial vital signs and initial GCS score. The good outcome subgroup had non-hemorrhage on CT(52%), which was correlated with good outcome and a shorter awakening time, while a larger number and a deeper location of hemorrhagic lesions on in GRI were correlated with poor outcome in DAI. Conclusion: We conclude that the existence of hemorrhagic lesions on CT, and the number and location of those lesions on GRI had good prognostic value for head trauma victims with DAI.

Predictors of Short-Term Outcome of Kasai Portoenterostomy for Biliary Atresia in Infants: a Single-Center Study

  • Yassin, Noha Adel;El-Tagy, Gamal;Abdelhakeem, Omar Nagy;Asem, Noha;El-Karaksy, Hanaa
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.3
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    • pp.266-275
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    • 2020
  • Purpose: The outcome predictors of Kasai portoenterostomy (KPE) for biliary atresia (BA) are controversial. This study aimed to identify possible short-term outcome predictors of KPE for BA in infants. Methods: This retrospective study included infants with BA who underwent KPE between January 2015 and December 2017 and were followed up for at least 6 months after surgery at the Pediatric Hepatology Unit, Cairo University Pediatric Hospital, Egypt. The short-term outcome was jaundice clearance within 6 months following surgery. All data were compared between the jaundice free group and those with persistent jaundice to identify the predictors of jaundice clearance. Results: The study included 75 infants. The mean age at the time of surgery was 82.43±22.77 days (range, 37-150 days), and 28 (37.3%) infants cleared their jaundice within 6 months postoperative. Age at surgery did not significantly affect the outcome (p=0.518). Infants with persistent jaundice had significantly higher pre-operative levels of aspartate aminotransferase (AST) than those who were jaundice free (p=0.041). Receiver operating characteristic curve analysis showed that preoperative AST ≤180 IU/L was predictive of a successful KPE, with sensitivity 74.5% and specificity 60.7%. Infants with bile plugs in liver biopsy had a 6-fold higher risk of persistent jaundice than those without bile plugs (95% confidence interval: 1.59-20.75, p=0.008). Conclusion: Jaundice clearance after KPE for BA can be predicted using preoperative AST and presence of bile plugs in liver biopsy.

The Relationships of academic self-efficacy, outcome expectation, and department-adaptation of Students Majoring in sports (스포츠 계열 전공 대학생의 학업적 자기효능감, 결과기대 및 학과적응의 인과관계)

  • Lee, Gye-Young;Kim, Al-Chan
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.509-517
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    • 2016
  • The main purpose of this study is to verify cause-and-effect relationship between the influential level of the academic self-efficacy, the expectation for academic outcome and the adaptation to the department for students majoring in sports. To meet the purpose, the survey was conducted with a random sample 514 students who are a major in sports and analyzed. The gathered data is analyzed through the confirmatory factor analysis, correlation analysis and path analysis using SPSS v18.0 and AMOSS v20.0. The result are as follows; The study shows that the academic self-efficacy had a statistically-significant influence on the academic self-efficacy as well as the expectation for academic outcome and had a good influence to students on the adaptation to the department. Moreover, the relationship between the academic self-efficacy and the adaptation to the department shows that even though the academic outcome expectation had indirect effects, it turned out to have a positive influence in statistically. As the conclusion of this study, it is more important to increase the academic outcome expectation to raise the department adaptation for the students who are a major in sports.

Product-Sharing and Outcome Generation: New Contributions of Libraries to Research, Learning and Professional Development in Japanese Context

  • Oda, Mitsuhiro
    • Journal of the Korean Society for Library and Information Science
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    • v.45 no.2
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    • pp.61-74
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    • 2011
  • The author analyses the challenging activities of Japanese libraries in this decade by launching two keywords; "product-sharing" and "outcome generation." "Product-sharing" means that libraries share knowledge, skills, and records which are produced as the result of the services or in the process of activities. And "outcome generation" means that libraries generate any efficiency or effectiveness through their services to users. Using these concepts, reported are the current situation and aspects of Japanese libraries which try to make various contributions to the society; research and learning of the people, and education and training for professional librarians, and so on. In the analysis, the author shows some examples of "product-sharing" at first, including the records of reference transaction and the multi-functioned online public access catalogue. Especially, focused is on the various possibility and adoptability of the Collaborative Reference Database System of the National Diet Library of Japan. This system is one of digital reference service in Japan, and the database of reference transaction records is expected to be useful for research and academic studyies as knowledge-base of professional librarians. And the system is also expected to be a platform for LIS education and professional development in the e-learning environment. Secondly, as the examples of "outcome generation", explained are the problem-solving-type activities, and provision of the collection about books on struggling against disease and illness. A few examples of outcome in the problem-solving-type activities are these; increase of sales in the services for shop managers, business persons, and entrepreneurs, contribution to affluent daily life by providing the local information services to residents and neighbourhoods, and etc. And for both the patients with serious cases and their family or those who nurse them, books about other persons' notes or memorandum are the greatest support, and sometime healing. The author discuss the 'raison d'etre' of these activities focusing on public libraries in Japan.

A Study on How Relational Union with Mother Company Influence Outcome of Aligned Company (모기업과의 관계결속이 협력기업의 성과에 미치는 영향에 관한 연구)

  • Heo Kap-Soo;Yoon Jung-Eob
    • Management & Information Systems Review
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    • v.14
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    • pp.25-50
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    • 2004
  • This study is aiming to present administrative guiding principles and suggestions to find methods to improve and bring up the ethic code of business of aligned companies, by examining how the factors of union of relations depending on characteristics of business, influence outcome of aligned companies, under the circumstances where efforts to improve outcome of aligned company through dealing relation between a mother company and the aligned company. First of all, as a result of analyzing how the characteristics of business have an influence on the relational union, it is shown that characteristics of product, peculiar assets of business, and opportunistic dispositive factors have an influence on reliance and devotion which are relation uniting factors. Under the actively changing circumstances, in order that the manufacturing companies can have a competitiveness, it can be said that shortening of developing period of new products, reduction of manufacturing and operating cost, and improvement of quality and productivity are compulsory factors. This can be achieved by having close relations with aligned companies which provide with parts and materials. As a result of analyzing how relational uniting factors like reliance and devotion influence business outcome of aligned companies. it is found that both reliance and devotion influence administrative outcome, although it is shown that they do not influence economic results such as reduction of cost. Therefore, it can be said that the mutual cooperation is required to increase mutual reliance and devotion, since increase of reliance and devotion are compulsory factors for efficient development of companies where a mother company and the aligned companies coexist, since they ease uncertainty in dealings, and devise administrative outcome.

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Correlation Study on Physiological Stress from Drinking, Alcohol Abstinence Self-efficacy and Outcome Expectancy in Youths (청년기의 음주로 인한 신체적 고통, 음주 결과기대, 금주 자신감과의 관계)

  • Kim, Kyung-Hee;Kim, Jong-Im;Kim, Jong-Sung;Jeon, Hyen-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.73-82
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    • 2009
  • Purpose: The purpose of this study was to identify the relationships among distress from drinking, alcohol abstinence self-efficacy and outcome expectancy in youths. Method: The participants in this study were 174 university students who were enrolled by convenience sampling. The data were collected from March to August, 2005. Descriptive statistics and Pearson's correlation coefficients with SPSS 12.0 were used to analyze the data. Results: There were significant differences in the physical distress from drinking according to gender, age, residence, drinking frequency and drinking capacity. There were significant differences in alcohol abstinence self-efficacy by drinking frequency and drinking capacity. There were significant differences in drinking outcome expectancy according to gender, drinking frequency and drinking capacity. The physical distress from drinking showed a significant positive correlation with alcohol abstinence self-efficacy (r=.312, p=.000) and negative correlation with drinking outcome expectancy (r=-.353, p=.000). Alcohol abstinence self-efficacy showed a significant negative correlation with drinking outcome expectancy (r=-.387, p=.000). Conclusion: There were relationships among physical distress from drinking, alcohol abstinence self-efficacy, and drinking outcome expectancy. These findings provide the basis to prevent problems of drinking by developing alcohol control program for university students.

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A Study on Factors of Education's Outcome using Decision Trees (의사결정트리를 이용한 교육성과 요인에 관한 연구)

  • Kim, Wan-Seop
    • Journal of Engineering Education Research
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    • v.13 no.4
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    • pp.51-59
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    • 2010
  • In order to manage the lectures efficiently in the university and improve the educational outcome, the process is needed that make diagnosis of the present educational outcome of each classes on a lecture and find factors of educational outcome. In most studies for finding the factors of the efficient lecture, statistical methods such as association analysis, regression analysis are used usually, and recently decision tree analysis is employed, too. The decision tree analysis have the merits that is easy to understand a result model, and to be easy to apply for the decision making, but have the weaknesses that is not strong for characteristic of input data such as multicollinearity. This paper indicates the weaknesses of decision tree analysis, and suggests the experimental solution using multiple decision tree algorithm to supplement these problems. The experimental result shows that the suggested method is more effective in finding the reliable factors of the educational outcome.

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The Effect of Quota-Levy System on Disability Employment Outcome in Korea (장애인 고용부담금 부과 여부가 장애인 고용성과에 미치는 영향)

  • Ryu, Jeong Jin
    • 재활복지
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    • v.17 no.4
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    • pp.177-196
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    • 2013
  • The object of this article is to examine the effect of the quota-levy system on employment outcome of people with disabilities in Korea. Merging the data from disability employment report of 16,246 businesses in 2011 and the macroeconomic indicators such as regional economic condition, the author analyzes the effect of quota-levy system on employment outcome of persons with disabilities by using Hierarchical Linear Model(HLM). The finding is that imposing the levy on businesses affects employment outcome of people with disabilities but regional economic condition does not. The rate of employees with disabilities of the levied business is 0.7%p higher than that of the other business. The result of analysis implies that employment outcome of people with disabilities is influenced by the quota-levy system rather than regional economic condition.

The Mediating Effect of Outcome Expectation on the Relationship between the Career Decision-Making Self-Efficacy and the Career Planning of Career Interrupted Women (경력단절 여성의 진로결정 자기효능감과 경력계획의 관계에서 결과기대의 매개효과)

  • Lee, Su Bun;Lee, Jung Hee
    • Journal of vocational education research
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    • v.36 no.2
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    • pp.51-67
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    • 2017
  • The present study aimed to investigate the mediating effect of outcome expectation on the relationship between the career decision-making self-efficacy and the career planning of career interrupted women. Survey data were collected from 270 career interrupted women. To examine the mediating effect, the hierarchical regression analysis had been done according to the procedure suggested by Baron and Kenny(1986). The results of data analysis were summarized as follow: First, the career decision-making self-efficacy, the outcome expectation, and the career planning scores from the career interrupted women showed positive correlations. Second, the result of the hierarchical regression analysis showed that the outcome expectation partially mediated the relationship between the career decision-making self-efficacy and the career planning of career interrupted women. The current results imply that the level of outcome expectation is important for the career counseling for career interrupted women in practice and future research.

Effects of the Positive Psychological Capital, Professional Self-Concept and Self-Leadership on Nursing Work Outcome : Focused on the Nurses in Small and Medium Hospitals (긍정심리자본, 전문직 자아개념, 셀프 리더십이 간호업무성과에 미치는 영향 : 중소병원 간호사를 중심으로)

  • Yang, Hee-Mo
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.87-97
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    • 2018
  • The purpose of this study was to investigate factors affecting nursing work outcome of nurses in small and medium-sized hospitals. The data were collected from 131 nurses working in the four small and medium-sized hospitals located K city using self-reported questionnaires and October 3 2016 to November 1 2016. Nursing work outcome had a significant positive effect on positive psychological capital, professional self-concept and self-leadership. The multiple regression analysis shows that the factors affecting nursing work outcome were positive psychological capital and self-leadership, and their explanation was 44.5%. Based on this research, it is believed that to improve nursing work outcome of nurses in small and medium hospitals, it will be necessary to develop diverse programs to lead nurses themselves positively, responsibly and autonomously.