• Title/Summary/Keyword: Outcome

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Analysis of the association of serum potassium and lactic acid with neurologic outcome in out-of hospital post-cardiac arrest adult patients (자발순환 회복된 병원 외 성인 심정지 환자의 신경학적 예후와 혈청 칼륨 및 젖산 농도와의 관련성 분석)

  • Lee, Yong Heon;Kim, Wonhee;Kang, Gu Hyun;Jang, Yong Soo;Choi, Hyun Young;Kim, Jae Guk
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.5
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    • pp.493-499
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    • 2018
  • Objective: This study aimed to identify the effects of serum potassium and lactate on neurologic outcomes in out-of-hospital post-cardiac arrest adult patients. Methods: This study was a single center, retrospective observational study. We recruited out-of-hospital post-cardiac arrest adult patients admitted to an intensive care unit from 2011 to 2017. Primary outcome was good neurologic outcome at discharge. To evaluate the prognostic impact of serum potassium and lactate, univariate and multivariate logistic regression analyses were performed. Results: A total of 57 patients were included in this study. The number of patients with good neurologic outcome was 19 (33.3%). In the univariate analysis, good neurologic outcome patients showed a higher smoking rate, shorter pre-hospital transportation time, higher rate of percutaneous coronary intervention, and lower severity score (all P<0.05). The good neurologic outcome patients also presented higher pH, lower partial pressure of carbon dioxide, and lower potassium regarding laboratory findings on the first hospital day (all P<0.05). In the multivariate analysis, the independent factors favoring good neurologic outcome were pre-hospital transportation time (adjusted odds ratio [aOR], 0.82; 95% confidence interval [CI], 0.69-0.97; P=0.019) and lower partial pressure of carbon dioxide on the first hospital day (aOR, 0.95; 95% CI, 0.91-0.99; P=0.034). Conclusion: Serum potassium and lactate were not significantly associated with good neurologic outcome in out-of-hospital post-cardiac arrest adult patients. The prognostic factors for good neurologic outcome were pre-hospital transportation time and initial partial pressure of carbon dioxide.

An Analysis on the Social Diffusion of Geo-technologies Outcome : Comparison of Recognition between Experts and Nonexperts (지질자원기술 연구성과의 사회적 확산 분석 : 전문가와 비전문가의 인식 비교)

  • Kim, Chan-Souk;Lee, Hyun-Seon;Kim, Seong-Yong
    • Economic and Environmental Geology
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    • v.45 no.3
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    • pp.335-346
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    • 2012
  • This study investigates the differences of recognition about geo-technologies outcome between experts and nonexperts. Based on these findings, this study would offer suggestions for future communication strategies on research outcome in a various field of scientific research as well as KIGAM. The result shows that there are differences between expert and nonexpert in the level of recognition about geoscience research outcome. The findings of this study emphasize the needs for recognizing the concept that geo-technologies are directly related to people's lives and external communication is necessary.

The Effects of Education Service Quality on Learning Outcome in the Culinary Education Facility: Application of IPA

  • Lee, Ka-Hi;Lee, Sun-Lyung;Namkung, Young
    • Culinary science and hospitality research
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    • v.20 no.5
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    • pp.76-83
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    • 2014
  • This article examines the effects of education service quality of culinary education facility on the learning outcome. For this, items for figuring out the relation between education service quality and the learning outcomes has been deducted through IPA regarding education service quality. Further, the factors of education service, which is for verifying the effects of relevant experiences (culinary certificate) have been examined according to advanced studies. Self administered questionnaires have been prepared by 231 samples in total and the collected data have been analyzed through frequency, factor, reliability and regression analyzing methods by using SPSS 18.0. The results from paired t-test performed on the importance and performance of culinary education service quality indicate that expertise, level of knowledge, education method of instructor and additional convenience facilities (locker and lounge etc) are the most important factors respectively. The results from IPA analysis show that the quadrant 1 includes knowledge level, education method, kindness of instructor. The quadrant 2 contains awareness of instructor while the third one includes culinary facility, tool structure and convenience facility. In addition the quadrant 4 includes hygiene of learning place. According to the results from hypothesis test, education service quality affects learning outcome and the experience (certificate) of learner from culinary education facility results in difference in education service quality and awareness of learning outcome therefore the hypothesis is partially verified.

Relationship Between Nursing Organizational Structure and Nursing Outcome (간호 조직구조와 간호결과의 관계)

  • Lee, Eun-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.1
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    • pp.37-48
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    • 2004
  • Purpose: This study was investigated to identify the relationship among hospital nursing organizational structure(decentralization, communication, bed/nurse ratio), process(nurses' job satisfaction, nurses' clinical experiences, nurses' unit experiences), and nursing outcome(patient satisfaction, physiologic adaptation, length of stay, number of complication). Method: The subjects consisted of 86 hysterectomy patients and 23 nurses in gynecology unit. Data were collected from May 16, 2002 to August 15. 2003 by the structured questionnaires and chart review. Data analysis was done with ANOVA, Pearson's correlation coefficient, path analysis. Result: Relationship between organizational structure and process ; Bed/nurse ratio was negatively related to nurses' job satisfaction(r=- .37, p<.05), and nurses' clinical experience(r=- .69, p<.00). Decentralization(r=.42, p<.05) and comunication(r=.61, p<.00) were positively related to nurses' clinical experiences. Relationship between process and nursing outcome ; There was a significant relationship between nurses' unit experiences and patient satisfaction(r=.63, p<.00), nurses' job satisfaction and physiologic adaptation(r= .44, p<.05), nurses' unit experiences and physiologic adaptation(r=.64, p<.00), Relationship between organizational structure and nursing outcome ; Decentralization and communication were positively related to patient satisfaction(r=.86, p<.00 ; r=.88, p<.00) and physiologic adaptation(r=,51, p<.01, r=.64, p<.00). Conclusion: Nurses' unit experience, communication, decentralization were significant variables for patient satisfaction. Nurses' unit experience, nurses' job satisfaction, communication were significant variables for patient physiologic adaptation.

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Outcome Analysis on Renewable Energy Dissemination Program through Correlation Analysis and Effectiveness Indicator (상관관계분석, 설비투입액 비교 및 효율성 지표를 통한 신재생에너지보급사업의 정량적 성과분석 고찰)

  • Lee, Dong-Geon;Moon, Chang-Kwon;Heo, Eunn-Yeong
    • New & Renewable Energy
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    • v.6 no.2
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    • pp.33-39
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    • 2010
  • The objective of this study is to present a basis for the evaluation on the renewable energy dissemination program in Korea applying the outcome evaluation, one of the five types of evaluation methods of EERE, DOE, and the effectiveness indicator, which is suggested by IEA, OECD. The outcome evaluation quantifies achievements of program outputs and outcomes against planned time frame. We analyze the correlation coefficients between cumulative expenditure on the renewable energy dissemination program and each renewable energy deployment and the unit installation cost of several dissemination programs for the outcome evaluation. Meanwhile, the effectiveness indicator is calculated by dividing the additional renewable energy deployment achieved in a given year by the remaining mid-term realizable potential to 2020 in each source of renewable energy. The results show that correlation coefficients between cumulative expenditure and each renewable energy deployment are significantly positive during the implementation period of each deployment program. And photovoltaic energy, bio energy, and wind power energy show high effectiveness indicator.

Protocol developing : A Systematic Review of Randomized Controlled Trials in Tinnitus - a Focus on Methods of Outcome Measurement (프로토콜 : 이명에 대한 무작위대조임상시험의 체계적 문헌 고찰 - 결과 측정 방법을 중심으로)

  • Lee, Dong-Hyo;Lee, Jung-Hun;Oh, Yong-Leol;Kim, Nam-Kwen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.186-191
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    • 2009
  • 목적 : 체계적 문헌고찰(Systematic Review)은 Protocol 개발과 Review로 구분되며, 본 연구는 국내외 의학논문 검색엔진에 등재된 이명증의 RCT 문헌들을 대상으로 평가지표를 추출하는 Systematic Review를 진행하기 위한 Protocol의 개발을 목적으로 함. 방법 : 문헌고찰을 위한 각 과정들 및 연구에 필요한 사전 결정 인자 들을 연구자 회의와 체계적 문헌고찰 protocol 개발 방식에 근거하여 개발함. 결과 : Outcome measurement의 추출을 위한 Systermatic Review의 진행에 적합한 database의 선정, 각 database에 적합한 검색식, 검색기간, 논문의 선정 및 제외기준, PICO(patient, intervention, comparator, outcome) form의 개발, 질 평가의 근거기준, 각 연구자의 역할, data의 취합 및 분석 방법 등의 결과를 개발하고 결정하였음. 결론 : 이상에서 과정에서 도출된 결과에 근거하여, 향후 Outcome measurement 추출을 위한 Review를 진행하고 차후 Review논문으로 발표할 예정임.

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Measurement of Public Research Outcomes: A Technology Valuation Method

  • Park, Jung-Min;Lim, Seong-Il;Seol, Sung-Soo
    • Asian Journal of Innovation and Policy
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    • v.6 no.2
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    • pp.206-224
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    • 2017
  • This article proposes a logic model for assessing the performance of the outcome of public research as a technology valuation method. It consists of two parts and eight steps. The first part is a scoring system and the second part is a validation process of the performance index derived from scoring by valuation method. The scoring in the first part generally requires a focus group method to find out the value drivers and make an evaluation table. The reason why we call it the technology valuation method is that the first part is derived from the simple evaluation of technology value using checklists for value drive. The second part is the regular technology valuation process. The model is designed for the measurement of unquantifiable outcome. Is knowledge or scientific outcome comparable to the measured outcome? If possible, how big is the unquantifiable outcome? This model is based on financial valuation techniques with clear or acceptable market data. Therefore, it cannot work solely for unquantifiable outcomes without comparable measurable outcomes, unlike economic valuation.

Influence of Alcohol Outcome Expectancy, Depression and Suicidal Ideation on Problem Drinking among College Students (대학생의 음주결과기대, 우울 및 자살생각이 문제음주에 미치는 영향)

  • Lee, Eun Sook;Bong, Eun Ju
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.121-128
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    • 2014
  • Purpose: The purpose of this study was to examine the influence of alcohol outcome expectancy, depression and suicidal ideation on problematic drinking among college students. Methods: This study was conducted using a descriptive survey design. Participants were 205 college students from two universities in Jeollanamdo. Data were collected from March 10 to March 25 in 2014 using self-report questionnaires. Data were analyzed by t-test, ANOVA, Pearson correlation coefficient and multiple regression using SPSS 19.0. Results: Of the participants, 57.6% were in problem drinking group. There were significant positive correlations between alcohol outcome expectancy, depression and problematic drinking of college students. However, suicidal ideation was not correlated with problematic drinking. It was also found that alcohol outcome expectancy, low academic performance and depression influence on problem drinking of college students. These variables did not influence on suicidal ideation. Conclusion: Based on the findings, problem drinking prevention programs should be developed to decrease alcohol outcome expectancy and regulate negative emotions such as depression, in order to prevent problematic drinking among college students.

A Study for the Evaluation of the Educational Outcome of Applied Integrated Curriculum in a Nursing College (일 간호대학 통합교육과정의 교육성과 평가)

  • Yoon, Jin;Cha, Young-Nam;Jang, Hyo-Soon
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.4
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    • pp.387-395
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    • 2008
  • Purpose: The purpose of this study was to evaluate the educational outcome of applied integrated curriculum in a nursing college. In order to evaluate the educational outcome students' ability was surveyed for the four main elements of the curriculum. Four main elements were ability in application of nursing process, communication skill, critical thinking disposition, and competence in nursing profession. Method: The subjects were 97 nursing students who had been educated by the integrated curriculum for 4 years. Data were collected using self-report questionnaire on Dec. 6, 2006, and analyzed by using ANOVA, t-test, and pearson correlation coefficient. Result: The mean score of ability in application of nursing process was 3.78/5.00, communication skill was 3.98/5.00, critical thinking disposition was 3.73/5.00, and competence in nursing profession was 4.04/5.00. There was a significant correlation between four main elements of the curriculum. There was a significant difference in students' level of ability according to subjects' evaluation to the curriculum. Conclusion: The study results suggested that review and supplementation of the integrated curriculum. And further study on the educational outcome in order to upgrade the curriculum are needed.

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The Development of a Client Health Status Outcome Evaluation Instrument in Home Care (가정간호대상자의 건강상태 결과 평가도구 개발)

  • 박현태
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.552-564
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    • 2004
  • Purpose: This study was to develop a client health status outcome evaluation instrument, and examine content validity, reliability, construct validity, and the acceptability of this instrument. Method: A preliminary list was made of such key information as standards, criteria, indicators and measures, by means of a broad review of literature within the field. After determining the preliminary instruments, the study sought to obtain examination, consensus, and modification of two groups of experts in the home-care field. Finally, the instrument examined content validity, reliability, construct validity, and the acceptability of this instrument. Result: The tool was considered of 13 criteria, 48 indicators, and 167 detail measures. The content validity index of the tool was above 0.8 according to the expert group. Regarding the reliability of the evaluators of standards 1 and 2, the degree of agreement between evaluators was high(96.4% through 98.2%). Construct validity in this study, the difference in the mean score between the baseline point and the follow up point of each of standards 1 and 2 was significant, and the mean score of the follow up point was more than that of the baseline point. After examining the acceptability of this instrument with practice managers and home care nurses in home care institutions, a positive opinion was given of this instrument, and it was indicated that to be useful and applicable in home care practice. Conclusion: The results of evaluating client outcome will contribute to overall outcome-based quality improvement and service marketing in home care by providing a constant gauge of home care effectiveness.