• Title/Summary/Keyword: Outcome comparison

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Analysis of Nursing Interventions used in Orthopedic Nursing Unit (정형외과 간호단위에 적용되는 간호중재 분석)

  • Kim Hye-Suk;Choi Soon-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.33-41
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    • 2006
  • Purpose: This study was done to identify the Domains, Classes, labels and nursing activities of nursing interventions used with 117 patients who were admitted to orthopedic nursing units. Method: Data were collected in January and February, 2004 using a computerized nursing process program that contained nursing diagnosis-outcome-intervention (NNN) linkages. The program was developed by the researcher. Frequencies and percentages were used in the analysis. Results: Sixty-five nursing intervention labels were identified. The Domains of the nursing interventions showed higher percentages for 'physiological: basic' (75.9%), 'physiological: complex' (12.9%), 'behavioral'(7.8%) 'family'(1.3%), and 'safety'(1.1%). The Classes of nursing interventions showed higher percentages for 'activity and exercise management'(30.8%), 'physical comfort promotion'(19.3%), 'immobility management'(14.5%), 'drug management'(8.1%), and 'coping assistance'(5.6%). Nursing intervention labels showed higher percentages for 'pain management'(14.7%), 'body mechanics promotion'(8.0%), 'exercise therapy : ambulation'(7.2%), 'splinting'(5.4%), and 'positioning'(5.1%). In the comparison of numbers between performed nursing activities and nursing activities of NIC according to nursing intervention label, the mean of combined rate was 52.3%. Conclusion: These findings will help in building of a standardized language for orthopedic nursing units and enhance the quality of nursing care.

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The Effectiveness of Health Promotion Program for the Elderly (노인 건강증진 프로그램의 효과 분석)

  • Im, Mee Young;Mun, Young-Hee
    • Journal of Korean Public Health Nursing
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    • v.27 no.2
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    • pp.384-398
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    • 2013
  • Purpose: This study was conducted in order to identify the effect of a community based health promotion program for elders in Korea. Methods: The PICO-SD (Participants, Intervention, Comparison, Outcome, and Study Design) strategy was established. A search of the electronic bibliographic database of NDSL, RISS, KMbase, and KoreaMed etc. was performed and 28 articles met inclusion criteria. Results: Both exercise and health education were in most programs and were more effective than one of the two. The health education included stress management, mental health, health promotion lifestyle, chronic disease, and medication. Various exercises such as walking, stretching, gymnastics, rhythmic activity, muscle strength, and joint exercise were performed. The programs for elders showed an association with significantly improved muscular strength, flexibility, depression, quality of life, subjective health status, satisfaction with life, self-efficacy, and health promotion behavior. Conclusion: Intervention programs including both exercise and health education are effective in improving health promotion behavior and physical and psychological health status in elders. Therefore, these results could provide useful guidelines for development of effective health intervention programs for the elderly.

A Comparison of the Effects of Self-mobilization and Strengthening Exercise of the Thoracic Region in Young Adults with Thoracic Hyperkyphosis (흉추 자가관절가동술과 근력강화운동이 흉추 후만이 증가된 젊은 성인의 전방머리자세에 미치는 효과)

  • Song, Jeong-Eun;Kim, Suhn-Yeop;Jang, Hyun-Jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.2
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    • pp.11-18
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    • 2013
  • Background: The objective of this study was to compare the efficacies of thoracic self-mobilization and strengthening exercise in young adults with thoracic hyperkyphosis. Methods: The subjects were 30 young adults (11 males, 19 females) with thoracic hyperkyphosis. They were randomly assigned to one of three groups: thoracic self-mobilization, thoracic strengthening exercise, and control group. The thoracic self-mobilization group performed active dynamic exercises, which included thoracic extension and rotation in supine and standing positions. The strengthening exercise group performed resistance exercises involving the back extensor muscle, with an elastic band and dumbbells. The outcome measures were the thoracic kyphosis angle and forward head posture (craniovertebral angle [CVA] and cranial rotation angle [CRA]). Results: Compared with the baseline values, the thoracic kyphosis angle had decreased while the CVA had increased in both training groups (p<.05), but the CRA was significantly decreased in only the strengthening exercise group. Thoracic self mobilization reduced kyphosis and improved CVA, while thoracic strengthening exercise reduced kyphosis and improved CVA and CRA. Conclusion: This study suggests a promising exercise intervention that can improve posture in young adults with thoracic hyperkyphosis.

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Effect of Dual-task Training With Cognitive Motor Task on Walking and Balance Functions in Patients With Chronic Stroke: Randomized Controlled Pilot Study (인지운동 이중과제 훈련이 뇌졸중 환자의 보행과 균형 기능에 미치는 영향: 무작위 대조군 예비연구)

  • Sim, Sun-Mi;Oh, Duck-Won
    • Physical Therapy Korea
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    • v.22 no.2
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    • pp.11-20
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    • 2015
  • The purpose of this study was to evaluate the effect of dual-task training with cognitive effort on the walking and balance functions of chronic stroke patients. The study included 14 chronic stroke patients, who were randomly divided into the experimental group (EG) and control group (CG), each with 7 patients. The EG performed the dual-task training with cognitive effort 3 times a week, 30 minutes for 4 weeks, where as the CG performed single-task training three times a week, for 30 minutes for 4 weeks. Outcome assessments were made with 10 m walk test, timed up and go test, 6 minutes walk test, and Berg balance scale. In within-group comparison, subjects from the EG showed significant differences in all variables (p<.05), while subjects from the CG showed only significant differences in 6 minutes walk test, and Berg balance scale (p<.05). Further, there was significant difference in the improvement rate of 10 m walk test. The findings suggest that the dual-task with cognitive effort may be beneficial for improving walking and balance functions of patients with chronic stroke.

QUALITY ASSURANCE IMPLEMENTATION IN THE NATIONAL CANCER CENTRE

  • Jui, Wong-Toh
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.19-22
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    • 2002
  • The importance of accurate dose delivery in radiotherapy is well documented. Studies have shown that a mere 5% deviation of the prescribed dose can produce an undesirable treatment outcome. Uncertainties in the dose delivery can arise at different stages of the radiotherapy process. Therefore, a good quality assurance programme will ensure the best possible results and consistency of the radiotherapeutic treatment. Quality assurance in any radiotherapy department involves the responsibility of a multi-disciplinary team of radiation oncologists, medical physicists and radiation technologists. This paper will focus on the physical and technical aspects of QA. The organizational structure and responsibility of the physics QA team is outlined and also included the types and frequencies of QA checks. For a QA program to be effective, action levels should be clearly defined and understood by all staff concerned. Data of the Singapore National Cancer Centre's participation over the last ten years with the IAEA / WHO Postal TLD Dose Inter-comparison programme is presented. The data obtained were within the international criteria. For a QA program to be successfully implemented, there must be a commitment by management to provide adequate staff, test equipment, machine time as well as continual training and education. This is in addition to the positive attitudes of all the staff. A quality audit is also necessary to serve as a check and balance to ensure that the QA is in order.

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Survival Following Non Surgical Treatments for Oral Cancer: a Single Institutional Result

  • Larizadeh, Mohammad Hasan;Shabani, Mohammad
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.4133-4136
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    • 2012
  • Aim: To report the results of radiotherapy with or without chemotherapy in the patients with oral cancer. Methods: Over the 2003-2009 periods, a total number of 69 patients with squamous cell carcinoma of the oral cavity that refused surgery or had unresectable tumor were enrolled in this study. A total dose of 60 to 70 Gy (2 Gy per day) was given to the primary tumor and clinically positive nodes. In the patients with locoregionally advanced disease (57 patients with $T_3$, $T_4$ lesions and/ or $N^+$) induction chemotherapy following by concomitant chemoradiation was used. Induction chemotherapy consisted of 3 cycles of Cisplatin and 5-Flourouracil with or without Docetaxel. Weekly cisplatin was used in concomitant protocol. Kaplan-Meier method was used to calculate overall survival. Log-rank test and Cox regression model were used for comparison purposes. Results: Median follow-up was 32 months. The mean age of the patients was 59.2 years. The overall response rate after induction chemotherapy was 68.4%. Actuarial overall survival rates after 2 and 3 years were 38% and 26%, respectively. Clinical stage emerged as the only independent predictor of survival. Conclusion: Outcome of the patients with oral cancer is poor. Presenting with an advanced stage lesion contributed to this result. The role of chemotherapy in advanced cases remains to be defined.

Performance Evaluation of Value Predictor in High Performance Microprocessors (고성능 마이크로프로세서에서 값 예측기의 성능평가)

  • Jeon Byoung-Chan;Kim Hyeock-Jin;RU Dae-Hee
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.2 s.34
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    • pp.87-95
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    • 2005
  • value prediction in high performance micro processors is a technique that exploits Instruction Level Parallelism(ILP) by predicting the outcome of an instruction and by breaking and executing true data dependences. In this paper, the mean Performance improvements by predictor according to a point of time for update of each table as well as prediction accuracy and Prediction rate are measured and assessed by comparison and analysis of value predictor that issues in parallel and run by predicting value, which is for Performance improvements of ILP in micro Processor. For the verification of its validity the SPECint95 benchmark through the simulation is compared by making use of execution driven system.

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The Study on Affecting Subject Accomplishment by Noise (소음이 과제수행에 미치는 영향에 관한 연구)

  • Kim, Sung-Cheol;Park, Keun-Sang;Kim, Kwan-Woo
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.1
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    • pp.121-128
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    • 2010
  • The purpose of this study is to confirm the impact of noise on subject accomplishment as well as physical/mental load, and evaluates the effects of noise-masking and earplug. 15 college students participate in the test, and the comparison is performed by executing four projects according to conditional categories of noise environments; control condition, noise condition, earplug condition, and noise-masking condition. Noise in the field site of the H manufacturer was used as the noise source, the general job aptitude test which consist of linguistic ability, math ability, perception ability, reasoning ability was used as the task of this project. To estimate physical/mental load evaluation, we used the heart rate R-R interval, Criteria flicker fusion frequency(CFF) and measured NASA-TLX workload for subjective evaluation. As the research outcome, it is shown that there is a meaningful difference for the project task score, dropping rate of CFF, the heart rate, and NASA-TLX subjective evaluation score according to conditions of noise environment. Therefore, the impact of noise on capability of subject accomplishment as well as physical/mental load was confirmed along with the effects of using earplug and noise-masking.

An Economic Analysis of Ice Thermal Storage and Absorption Chiller-Heater Systems (빙축열 시스템과 흡수식 냉온수기 공조 방식의 경제성 분석)

  • Lim, Hyun-Woo;Kim, Young-Il;Kim, Kang-San;Kang, Yong-Tae
    • Proceedings of the SAREK Conference
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    • 2009.06a
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    • pp.218-223
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    • 2009
  • Cost related to building equipment accounts for about 85% of the life cycle cost of buildings. Therefore proper selection of air-conditioning system is important for reducing the overall cost of buildings. In this study, large capacity ice thermal storage and absorption chiller-heater for air-conditioning a building with a floor area of $9,900\;m^2$ are compared economically. For easy input and analysis, an Ms Excel VBA program has been developed. To consider all the factors of initial and operation costs effectively, an annual equal payment method is proposed. Under the assumptions made in this study, overall cost of an absorption chiller-heater is less than that of an ice thermal storage, but this is not absolute and different outcome may result if different assumptions are made. This study is useful for those who are interested in choosing an economical air-conditioning system for large-size buildings with simple calculations.

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Differences in the burden of disease of the elderly by socioeconomic status (노인의 사회계층간 질병부담격차)

  • Lee, Chae-Eun;Kwon, Soon-Man
    • Health Policy and Management
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    • v.18 no.4
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    • pp.1-22
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    • 2008
  • Burden of disease analysis provides a unique perspective on health by integrating fatal and non-fatal outcomes, yet allows the outcome of two classes to be examined separately. Although many studies have shown the inequality in health outcomes across socioeconomic status (SES), an analysis and comparison of Disability Adjusted Life Year (DALY) between different socioeconomic groups has been rare. This paper calculates the DALY and analyzes the distribution of DALYs for different SES. This study draws from 3,278 cases from the survey on "The Livelihood and Welfare Needs of the Elderly (2004)". It first provides a comprehensive assessment of the burden of 10 chronic diseases of the elderly based on DALY. Then this paper analyzes inequalities in the burden of disease by the levels of SES such as education, income, family size, occupation, and subjective economic conditions. For the elderly, the burden of disease is the highest for hypertension, arthritis and cancer. DALY rate per 1,000 people for the most socio-economically disadvantaged group is expressed as a multiple of the standardized rate for the least disadvantaged group (Rate Ratios). Family size is strongly related to. the difference in the burden of disease between SES groups, and the elderly Who live alone have higher DALY rate than those who live with their family. Other significant variables related to SES groups include subjective economic conditions, occupation, elderly income, and household income.