• 한국치위생학회지
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• 제16권1호
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• pp.37-43
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• 2016

Objectives: The purpose of the study is to evaluate the contents analysis of the community dental hygiene practice in the dental hygiene students and suggest the outcome based evaluation index of community dental hygiene practice. This study will provide the basic data for the community nursing and social welfare practice. Methods: A self-reported questionnaire was completed by 82 dental hygiene professors and 254 dental hygienists in community health centers after receiving informed consent based on institutional review board from 5th Dec 2014 to 30th Jul 2015. A total of 49 professors and 134 dental hygienists gave the complete answers. The study instrument was adapted from the literature review. The questionnaire consisted of evaluation, purpose of evaluation, and evaluation format. Data were analyzed using SPSS 20.0 program. The contents analysis was carried out through input, process, output, and outcome. Results: The practice outcome evaluation was conducted in 62.9% of the dental hygiene departments and 32.9% of the community health centers. Most of the dental hygiene professors chose "To know what students learned(27.3%)" and "To ensure student's role and behavior in practice(27.3%)." as the purpose of evaluation. The public dental hygienists chose "To score the practice grade(42.1%)." The evaluation method was done anonymously. Conclusions: The outcome based evaluation in community dental hygiene practice was the best method to evaluate the practice education for the competency of the dental hygiene students.

• 벤처혁신연구
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• 제6권2호
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• pp.159-172
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• 2023

본 연구는 대학생의 진로탐색의도에 영향을 미치는 요인을 실증적으로 분석하기 위해 이루어졌다. 실증 분석을 위한 연구모형은 사회인지진로모형(SCCT)을 기반으로 대학생의 특성을 반영하여 도출하였다. 자기효능감과 결과기대를 독립변수로 채택하였다. 이에 대한 선행 변수로 성취경험, 언어적 격려, 대리학습, 긍정적 정서를 채택하였다. 실증분석은 대학생을 대상으로 설문조사를 실시하여 획득한 217부 바탕으로 이루어졌다. 구조방정식으로 검정한 결과는 다음과 같다. 성취경험, 대리학습, 긍정적 정서는 자기효능감에 유의한 정(+)의 영향을 미쳤다. 또한 언어적 격려와 긍정적 정서는 결과기대에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 반면, 언어적 격려는 자기 효능감에 유의한 영향 미치지 않는 것으로 나타났고, 성취경험과 대리학습은 결과기대에 유의한 영향 관계가 검정되지 않았다. 자기효능감과 결과기대 모두 진로 탐색의도에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 영향 관계에 있어서는 결과기대가 자기효능감보다 강한 것으로 분석되었다. 이러한 실증 분석 결과를 바탕으로 본 연구가 가지는 학술적 및 실무적 시사점을 제시했다.

• Journal of Korean Neurosurgical Society
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• 제30권6호
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• pp.699-704
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• 2001

Objectives : The rupture of middle cerebral artery(MCA) aneurysm usually cause or is associated with higher incidence of intracerebral hemorrhages(ICH) than any other aneurysmal ruptures. Also, the outcome of patients who had ICH is known to be worse than patients who had subarachnoid hemorrhage(SAH) only. The authors report the bleeding pattern and outcome of ruptured MCA aneurysm patients. Patients and Methods : A total 106 ruptured MCA aneurysm patients who were surgically treated were included and they were divided into 2 groups by the initial brain CT findings according to the presence or absence of ICH over 10cc in amount. The clinical data were analysed retrospectively. Results : The overall mortality was 18.9%. Among 81 patients(76.4%) who had subarachnoid hemorrhage(SAH) only, 68 patients(84%) showed favorable outcome. Twenty five patients(23.6%) had ICH over 10cc in amount with or without SAH, and among them, 11 patients(44%) showed favorable outcome. The ICH was located in temporal lobe(15 patients, 60%), frontal lobe(3, 12%), sylvian fissure(6, 24%) and frontal-temporal lobe(1, 4%). Among 15 patients who had ICH in temporal lobe, only 4 patients(26.6%) showed favorable outcome and all 3 patients who had ICH in frontal lobe showed favorable outcome. Conclusion : ICH was presented in 23.6% of ruptured MCA aneurysm patients and the prognosis of patients with ICH was worse than patients with SAH only. The ICH was located mainly in the temporal lobe and sylvian fissure.

• 한국환경성돌연변이발암원학회지
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• 제23권1호
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• pp.1-6
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• 2003

The purpose of this study was to evaluate whether the MTHFR variants, folate and vitamin $B_{12}$ deficiencies increase the risk of hyperhomocysteinaemia and adverse pregnancy outcome such as short gestational age or reduced birth weight. Healthy pregnant women (n=136; 24-28 gestational weeks; 20-40 years old), who visited Ewha Womans University Hospital for prenatal care, participated in this study. At the time of delivery, trained nurses recorded the pregnancy outcome from medical chart. We determined maternal MTHFR polymorphisms (C to T subsitution at nucleotide 677) and measured serum homocyteine, vitamin $B_{12}$, and folate concentrations. We compared serum homocysteine level by MTHFR genotype, serum folate and serum vitamin B12 levels using ANOVA. To evaluate the association between serum homocysteine level and pregnancy outcome, we compared the gestational age and birth weight by serum homocysteine levels using multiple regression analysis, adjusting for other potential predictors. Mean level of serum homocysteine was highest among pregnant women of the MTHFR variants with low levels of serum folate and vitamin $B_{12}$. Regarding association with birth outcome, we found the relationship between homocysteine levels and increased gestational age (p=0.03) and reduced birth outcome (p>0.05). Our data demonstrates that serum level of folate and vitamin $B_{12}$ among pregnant women affects significantly serum homocysteine levels, and the genetic polymorphism of MTHFR modulates the relationship between them. However, we did not have conclusive evidence of association between high homocysteine level and adverse pregnancy outcome such as preterm or low birth weight.

• Journal of Korean Neurosurgical Society
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• 제41권5호
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• pp.283-290
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• 2007

Objective : This study was designed to analyze seizure outcome and to investigate the prognostic factors for predicting seizure outcome according to the preoperative evaluations, surgical procedures, topectomy sites and histopathological findings in patients with extratemporal lobe epilepsy [ETLE]. Methods : This study comprised 63 patients with ETLE who underwent surgery. Preoperative evaluations included semiologic analysis, chronic video-EEG monitoring, and neuroimaging studies. Surgical procedures consisted of topectomy in 51 patients, corpus callosotomy in 9, functional hemispherectomy in 2, and vagus nerve stimulation [VNS] in 1. Histopathological findings were reviewed. Postoperative seizure outcomes were assessed by Engel's classification at the average follow up period of 66.8 months. Chi-square test was used for statistics. Results : Total postoperative seizure outcomes were class I in 51 [80%] patients, class II in 6 [10%], class III in 6 [10%]. Patients with structural abnormalities on neuroimaging study showed class I in 49 [88%] patients [p<0.05]. Patients with focal and regional ictal EEG onset revealed class I in 47 [90%] patients [p<0.05]. Semiologic findings, surgical procedures, topectomy sites and histopathological findings did not show statistical correlation with seizure outcome [p<0.05]. Conclusion : A good seizure outcome was obtained in patients with ETLE. The factors for favorable seizure outcome are related to the presence of structural abnormalities on neuroimaging study, and focal and regional ictal EEG onset.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1449-1452
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• 2016

Background: Adult rhabdomyosarcoma (RMS) is a rare and aggressive disease with limited data compared with pediatric RMS. The goal of this study was to determine the treatment outcome and identify factors related to survival outcome in Thailand. Materials and Methods: Adult patients (${\geq}15$ years old) with the pathological diagnosis of RMS between 1985 and 2010 were reviewed. The data were retrospectively reviewed from the pathological results and medical records from Srinagarind Hospital, Khon Kaen University. Results: A total of 34 patients were identified in the study. The median age at diagnosis was 35.5 years and the most common primary sites were extremity and the head and neck region. The incidence of pleomorphic RMS increased with age and none was found in those aged younger than 20 years old. The median survival time was 9.33 months (95%CI: 5.6-13.1). The 1- and 5- year survival rates were 38.2% (22.3-54.0) and 20.6% (9.1-35.3). On multivariate analysis, age and size of tumor did not predict better outcome while chemotherapy and surgery were significantly associated with longer survival. Conclusions: Outcome of adult RMS was poor. Surgery and chemotherapy are strongly associated with better prognosis and multimodality treatment should be incorporated in the clinic.

• 한국콘텐츠학회논문지
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• 제11권2호
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• pp.287-302
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• 2011

본 논문에서는 공연분야 중에서 뮤지컬이란 경험재를 대상으로 사용자가 만족을 느끼는 과정을 기대불일치 관점에서 규명하고자 하였다. 기대와 성과를 시간의 흐름에 따라 분석하여, 주변적인 요소에 대한 기대와 성과를 1차적 기대와 성과로, 공연자체의 콘텐츠, 관람상황에 대한 기대와 성과를 2차적 기대와 성과로 구분하여 관람객들의 만족에 미치는 과정을 동적으로 분석하였다. 연구결과 공연을 보고나서 느끼는 만족에 최종적으로 영향을 미치는 요인이 2차적 성과 즉, 공연콘텐츠와 관람상황이라는 것을 밝혀냈다. 동시에 공연장이나 서비스 등의 주변적 요인들에 대한 기대는 2차적 기대에 영향을 미치고, 이는 곧 2차적 성과에 영향을 줌으로써 만족에까지 영향이 미쳤다. 그러나 실질적으로 1차적인 성과는 2차적 기대에 영향을 주지 않음으로 공연장이나 기타 공연을 보기 전의 서비스들은 크게 관람객의 만족에 영향을 주지 않는 것을 밝힘으로서 공연장 경영을 위한 단초를 제공 할 것으로 기대된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권3호
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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.

• 한국문헌정보학회지
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• 제45권2호
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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.

• 재활복지
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• 제17권4호
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• pp.177-196
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• 2013

본 연구의 목적은 장애인 고용부담금 부과 여부가 장애인 고용성과에 미치는 영향을 실증적으로 분석하는 데 있다. 구체적으로는 장애인 고용부담금을 부과하는 기업과 부과하지 않는 기업의 장애인 고용률 차이를 분석하는 것이다. 분석을 위해 한국장애인고용공단의 2011년도 장애인 고용실시상황 자료와 통계청 및 보건복지부의 거시 자료를 통합하였으며 자료가 내재적 구조임을 감안해 위계적 선형모형(Hierarchical Linear Modeling: HLM)을 이용하였다. 분석결과 장애인 고용부담금 부과 여부는 장애인 고용성과에 영향을 미치며 장애인구 수와 상호작용하는 것으로 나타났다. 장애인 고용부담금을 부과할 경우 부과하지 않을 때보다 장애인 고용률이 0.7%p 이상 높아질 것으로 추정된다. 그러나 지역의 경기와 장애인 고용성과 사이에 인과관계는 나타나지 않았다. 고용성과는 기업이 속한 지역의 경기보다는 기업이 의무를 이행하도록 하는 강제력에 달려 있음을 시사한다.