• Title/Summary/Keyword: Outcome-based Evaluation

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An Analysis of Extra-Curricular Activities in Childcare Facilities and the Factors Affecting on Expenses of Extra-Curricular Activities (육아지원기관의 특별활동 이용 현황 및 지출 결정요인 분석)

  • Kim, Jin Mi
    • Korean Journal of Childcare and Education
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    • v.10 no.5
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    • pp.5-23
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    • 2014
  • The purpose of this study was to identify factors affecting extra expenses incurred by extracurricular activities, prompted by the problem that the financial burden on households for their children's education and child-care is not showing enough signs of being mitigated, despite increased child-care subsidies from the government. Data for this study was obtained from the 4th Panel Study on Korean Children of Korea Institute of Child Care and Education. The analysis of the study shows that 68.5% of the surveyed children were participating in extracurricular activities and the average number of extracurricular activities they took part in was 2.9. The average extracurricular expenditure was 50.000 won. However, based on the findings of the survey, it was statistically significant to find that the number of extracurricular activities the children participated in and the expenditure the households spent on them varied by area. Variables were inserted in a gradual manner in identifying factors influencing households' expenditure on children's extracurricular activities. The results showed that amongst the variables used, the education level of the mother, the employment status of the mother, the type of the child-care support institution, and the household's place of residence featured prominently, with the place-of-residence factor accounting for most of the reason why a household spent the amount it did. The outcome of the study bears four policy implications: First, there is a need for a specific evaluation of the contents and costs of extracurricular activities and supervision and management of such activities. Second, it is necessary for the central government to provide a specific criteria of necessary expense. Third, throughout the child support agency, the courses and costs of special activities should be monitored regularly. Fourth, there should be extracurricular activity support for underprivileged children.

Evaluation of Drugs for Suicide Attempt and Antidote Uses in Emergency Room of a Hospital in Korea (응급실 내원한 자살 시도 환자의 자살시도용 약물 및 해독제 사용 현황에 대한 평가)

  • Lee, Ok Sang;Cheon, Young Ju;Kim, Jung Tae;Lim, Sung Cil
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.4
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    • pp.304-315
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    • 2012
  • Today, suicide by self-poisoning of prescribed or non-prescribed drugs on purpose has been increasing and is a major cause of mortality. It is very important to treat promptly and properly for saving the lives from those suicides. There is neither an organization such as poison control center nor measurement in S. Korea, though. The object of this study was to evaluate information of frequently used substances for suicide attempt in S. Korea. Our results also can provide healthcare provider including pharmacists and doctors, etc and contribute to increasing health and welfare for Korean. From June $1^{st}$ 2006 to April $30^{th}$ 2012, we retrospectively studied patients visiting emergency room due to suicide attempt. We collected information of underlying disease, history of past medical condition and suicide attempt, ingredient and getting route of ingesting substances, emergency treatment, and outcome by reviewing electronic medical record. We also evaluated actual treatment of self-poisoning and made guide information about antidote medication for S. Korean healthcare provider. Among total 242 cases of suicidal attempts, cases ingesting substances including prescription, non-prescription drugs and agricultural chemicals were 86.4%. The most frequently used drugs for suicide attempt were sedatives-hypnotics (53.6%), followed by analgesics (16.7%) and antidepressants (12.4%). Analgesics including acetaminophen and aspirin were most in teenagers but sedatives-hypnotics including benzodiazepines, non-benzodiazepine (zolpidem) and antihistamine were most in other ages including elderly people. Most frequently used antidote was activated charcoal (62.7%) and specific antidotes for some substances (acetaminophen, aspirin, agricultural chemicals) were also treated properly, accompanying with medication for supportive care. In conclusion, the most used substances for suicide attempt were sedatives-hypnotics and treatments for self-poisoning in emergency room were appropriate based on existing references. Therefore, information of frequently used substances and antidote reflecting these results will be useful for South Korean healthcare provider.

A Study on the Quantification of Forest Land Values Using the Emergy Synthesis (에머지(Emergy) 개념을 이용한 산지가치의 계량화에 관한 연구)

  • Kim, Nam-Kook;Kim, Jin-Lee;Park, Dong-Gi;Lee, Suk-Mo
    • Journal of Environmental Science International
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    • v.17 no.3
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    • pp.305-314
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    • 2008
  • As forest land takes up 65% of the Korean peninsula, there have been continuing conflicts between the development and conservation of forest land. As the income level has changed over time, the usage of forest land in society has changed. There has been increasing demands for forest land for urban development and recreational use. On the other hand, a large proportion of the land is required to be preserved for the forest and the natural ecosystem in it. The existing management system for the forest land has been designed focusing on the management of the trees on the land, and not the land itself. Due to this limitation, the current management system of forest land has failed to protect the forest land from being developed indiscreetly, making it difficult to conserve and develop the forest land in an efficient way. A major question in forest land management is how to integrate economic use activities with the supporting ecosystems to maximize performance of the ecological-economic system. In order to promote sustainable use of forest resources, and to achieve efficient forest land management, it is prerequisite to evaluation on forest resources of natural ecosystems. Quantitative measures are needed that signify how necessary the services and products of forested ecosystems are to human endeavors. In this study, the natural wealth provided by forest land was quantified based on emergy synthesis. Emergy is a universal measure of real wealth of the work of nature and society made on a common basis. Thus, Calculations of emergy provide a basis for making choices about environment and economy following the general public policy to maximize real wealth. The goals of forest land management to achieve balance between the ecology and economy of its integrated system and to foster equity among the diverse outcomes of the forest land were assessed with emergy. Emergy was demonstrated to holistically integrated and quantify the interconnections of a coupled nature-human system allowing the goals of ecological balance and outcome equity to be measured quantitatively. Doing so will provide a better understanding of the basis of forest land wealth and the consequences of management decisions.

Health Status Based on Questionnaire Survey Among Residents Around Camp Carroll, Gyeongsangbuk-do, Korea (설문조사에 근거한 캠프 캐럴 인근 주민의 건강수준)

  • Min, Young-Sun;Lim, Hyun-Sul;Lee, Kwan;Park, Sun Ae;Lee, Duk-Hee;Ju, Young-Su;Yang, Wonho;Kim, Geun-Bae;Yu, Seung Do
    • Journal of Environmental Health Sciences
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    • v.39 no.4
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    • pp.312-321
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    • 2013
  • Objective: In May 2011, an interview with three United States Forces Korea veterans revealed that chemicals believed to be 'Agent Orange' were buried at Camp Carroll (situated in Waegwan, Chilgok-gun, Gyeongsangbuk-do, Korea) in 1978. Many hazardous chemicals, such as perchloroethylene (PCE), trichloroethylene (TCE), and organochlorines were subsequently found in a joint US-ROK environmental investigation, although dioxins or burial evidence related to 'Agent Orange' have been not uncovered. This study was carried out to investigate the relevance of hazardous chemical exposure and health effects of the residents around Camp Carroll. Methods: The authors conducted a health questionnaire survey among residents around Camp Carroll regarding Waegwan groundwater ingestion, length of residence in Waegwan, and physician-diagnosed disease history (such as cancer, hypertension, diabetes and etc.). Logistic regression was performed to identify the associations between hazardous chemical exposure and physician-diagnosed diseases. Results: Among the 5,320 residents, excluding those living outside the Waegwan area, 3,430 subjects age 30 and over were analyzed. Among females, upon correction of age, smoking history and Camp Carroll working history, a higher distribution in the Waegwan groundwater ingestion group was demonstrated for patients with physician-diagnosed cancer and hypertension. The odds ratios have a tendency to increase with increased length of Waegwan groundwater ingestion. Conclusions: This study may be limited by not adopting a cohort study for the evaluation of factors that may confound environmental exposure. Yet it is meaningful that the correlation between Waegwan groundwater ingestion and chronic diseases were found through regression analysis in female; and further, this outcome may be used as a sampling basis for a secondary epidemiologic study.

Institutional Ethnography on Organization of Case Management Practice at a Mental Health Center (정신보건센터 사례관리 실천의 조직화에 관한 제도적 문화기술지)

  • Ha, Ji Seoun
    • Korean Journal of Social Welfare
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    • v.68 no.4
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    • pp.199-224
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    • 2016
  • This study is a research that investigated organization of case management practice at a mental health center. For organization research of case management practice, this study applied the research method of Institutional Ethnography, and analyzed 'work knowledge' and 'texts' data which were obtained through field work that lasted 3 months with 11 study participants. The analysis is not interpretation of the researcher, but it is work that assembles 'work knowledge' of field workers until they reach discovering institutions that organize case management practice. As a result of this study, case management practice of the mental health center was being standardized as 'a service that is biased towards symptom management without comprehensive and continual resources links' by new public management theory, bio-medicine discussion, 'standardization policy', 'treatment rate improvement policy', 'performance-based budget system', 'performance evaluation system' and 'continual linkage policy', mediating texts. This is a different outcome from usefulness of case management that is claimed to support politically.

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The Clinical Usefulness of Halo Sign on CT Image of Trauma Patients (외상환자의 전산화 단층촬영소견에서 나타난 달무리 소견의 임상적 유용성)

  • Lee, Seung Yong;Sohn, You Dong;Ahn, Hee Cheol;Kang, Gu Hyun;Choi, Jung Tae;Ahn, Moo Eob;Seo, Jeong Youl
    • Journal of Trauma and Injury
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    • v.20 no.2
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    • pp.144-148
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    • 2007
  • Purpose: The management of hemorrhagic shock is critical for trauma patients. To assess hemorrhagic shock, the clinician commonly uses a change in positional blood pressure, the shock index, an estimate of the diameter of inferior vena cava based on sonography, and an evaluation of hypoperfusion complex shown on a CT scan. To add the finding for the hypoperfusion complex, the 'halo sign' was introduced recently. To our knowledge, this 'halo sign' has not been evaluated for its clinical usefulness, so we designed this study to evaluate its usefulness and to find the useful CT signs for hypoperfusion complex. Methods: The study was done from January 2007 to May 2007. All medical records and CT images of 124 patients with trauma were reviewed, of which 103 patients were included. Exclusion criteria was as follows: 1) age < 15 year old and 2) head trauma score of AIS ${\geq}$ 5. Results: The value of kappa, to assess the inter-observer agreement, was 0.51 (p < 0.001). The variables of the halo-sign-positive group were statistically different from those of the halo-sign-negative group. The rate of transfusion for the halo-sign-positive group was about 10 times higher than that of the halo-sign-negative group and the rate of mortality was about 6 times higher. Conclusion: In the setting of trauma, early abdominal CT can show diffuse abnormalities due to hypoperfusion complex. Recognition of these signs is important in order to prevent an unwanted outcome in hemorrhagic shock. We conclude that the halo sign is a useful one for hypoperfusion complex and that it is useful for assessing the degree of hemorrhagic shock.

Evaluating Traffic Safety Benefits of Electronic Stability Control System Using a Meta Analysis: Focused on Accident Rates (메타분석을 이용한 차체자세제어장치(ESC)의 교통안전성 효과분석: 사고율 분석을 중심으로)

  • OH, Minsoo;YOUN, Seokmin;JEONG, Eunbi;OH, Cheol
    • Journal of Korean Society of Transportation
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    • v.35 no.4
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    • pp.307-320
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    • 2017
  • The objective of this study is to identify the effectiveness of ESC(Electronic Stability Control) based on a meta analysis technique. Accident Rate, Fatal Crash Rate, Loss of Control Crash Rate were set as indexes of traffic safety evaluation. Also, reviews on the effectiveness of ESC were collected using keyword, 'ESC'. As a result, the Effect size of accident rate odd ratio was 0.90. When ESC system was applied on vehicles, accident rate decreased by 10%. Also, the Effect size of fatal crash rate odd ratio was 0.64. When ESC system was applied on vehicles, fatal crash rate decreased by 36%. Lastly, the Effect size of loss of control crash rate odd ratio was 0.73. When ESC system was applied on vehicles, loss of control crash rate decreased by 27%. The outcome of this study would be effectively used for developing polices and regulations for ESC installation obligation of commercial vehicles.

An Efficiency Analysis of Industry-University-Public Research Institute Collaborative Research: Employing the Input-Output Itemization Model (투입 및 산출 분해모형을 활용한 산학연 협력연구의 효율성 분석)

  • Kim, Hong-Young;Chung, Sunyang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.473-484
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    • 2017
  • This study analyzed collaborative R&D projects funded by the Korean government from 2013-2015. For this analysis, input and output variables of projects were considered, and a combination of those variables was itemized. The output-oriented variable return to scale (VRS) model extended from the DEA methodology was adopted to evaluate the cooperation efficiency of the types of R&D collaboration, which were classified according to the project leader's organizations. In addition, hierarchical cluster analysis was conducted using the efficiency results of the scientific, technical, and economical outcome models. The results showed that cooperation efficiency between large companies and public research institutions was relatively high. Conversely, cooperation among medium-sized companies, small businesses and universities was particularly inefficient. The clustering results demonstrated the various strengths and weaknesses of the types depending on publications, patents, technical loyalties and the number of commercialization. In conclusion, this study suggests differentiated investment portfolios and strategies based on the efficiency results of diverse cooperation types among industries, universities and public research institutions.

Flock composition, breeding strategies and farmers' traits of interest evaluation of Wollo highland sheep and their F1 crosses

  • Amare, Tadesse;Goshu, Gebeyehu;Tamir, Berhan
    • Journal of Animal Science and Technology
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    • v.60 no.5
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    • pp.14.1-14.12
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    • 2018
  • Background: Sheep production is a major component of the livestock sector in Ethiopia. The country owing to the large population of 30.70 million estimated numbers of sheep in the country and out of which about 72.14% are females, and 27.86% are males with diverse genetic resources. The real value of indigenous breeds was often under-estimated mostly due to their poor appearance and relatively low productivity. Developing countries in most cases opt for exotic breeds to increase animal productivity through crossbreeding or breed substitution without properly investigating the production potential of the indigenous breeds. The main objective of the research was to identify sheep flock composition and structure, farmers' traits of interest and breeding objective of Wollo highland sheep, and their $F_1$ crossbreed progenies. Results: Smallholder farmers' flock synthesized from breeding ewes, breeding rams, pre-weaned ewe lambs, pre-weaned ram lambs, unproductive ewes, castrated and fattened rams, with the percentage coverage of 29.2, 13.3, 15.5, 16.5, 12.4, and 12.5%, respectively. The maximum number of flock size was 289.0 sheep per flock and higher in the third stratum. The off-take rate percentage of the three strata presented as 21.9% in 1st stratum, 12% in the 2nd stratum, and 16.4% in the 3rd stratum and higher off-take rate recorded in the first stratum. Sheep producer's traits of interest ranked by growth rate (first), body size (second) and marketing value was third rank. Communal breeding (random mating), village based controlled breeding, mixed type and private ram controlled breeding practice were comprised of 39.7, 61.7, 52 and 71.3%, respectively. The percentages of ewes per flock composition were presented as 36.5, 27.1 and 25.5%, respectively in the 3rd stratum, 2nd stratum and 3rd stratum in the order of their importance's. Conclusion: Genetic improvement practices at smallholder sheep producers situation was showing promising outcome with indigenous Washera $F_1$ crossbred lambs and which designated for weaning rate, body size, marketing age, age at first lambing, good temperament and large litter size in the order of their rank. The contemporary breeding practice tendency indicated that, reduced flock size to improve flock productivity via crossbreeding practices.

Effectiveness of Simple Trauma Team Activation Criteria on Prognosis of Severe Trauma Patients (단순 외상팀 활성화 조건이 중증 외상 환자의 치료 결과에 미치는 영향)

  • Lee, Dong Keon;Lee, Kang Hyun;Cha, Kyoung Chul;Park, Kyoung Hye;Choi, Han Joo;Kim, Hyun;Hwang, Sung Oh
    • Journal of Trauma and Injury
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    • v.22 no.1
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    • pp.71-76
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    • 2009
  • Purpose: The goal of this study was to compare the outcome of the after trauma team (AfterTT) group to the before trauma team (BeforeTT) group. Methods: All trauma patients who visited to emergency room (ER) between July 1, 2006 and February 29,2008 based on trauma registry, with systolic blood pressure (SBP) < 90 mmHg or GCS < 9 were included in this study. We compared the amount of packed RBC transfusion, the ER stay time, the ER visit to CT evaluation time, the ER visit to operation time, the length of ICU stay, the length of hospital admission and the survival discharge rate between the AfterTT group and the BeforeTT group. Patients with brain injuries had little chance of survival. Burn patients, who visited the ER 24 hours after injury and patients who were dead on arrival (DOA) were excluded from this study. Results: Total of 93 patients were included in this study: 42 in the AfterTT group and 51 in the BeforeTT group. The AfterTT group and the Before TT group showed no differences in Revised Trauma Score (RTS) and mean age. The amount of packed RBC transfusion was lower in the AfterTT group, but no statistically significant difference was noted (AfterTT 11${\pm}$11units, BeforeTT 16${\pm}$15units, p=0.136). The ER visit to operation time was shorter in the AfterTT group, but there were no statistically significant difference between the groups (AfterTT 251${\pm}$223 minutes, BeforeTT 486${\pm}$460 minutes, p=0.082). The length of ICU stay was shorter in the AfterTT group, but the difference was not statistically significant (AfterTT 11${\pm}$12 days, Before TT 15${\pm}$30 days, p=0.438). The length of Hospital admission was shorter in the AfterTT group (AfterTT 43${\pm}$37 days, BeforeTT 68${\pm}$70 days, p=0.032), but this difference was not statistically significant. Conclusion: Simple Trauma team activation criteria decreased the amount of packed RBC transfusion and the hospital admission duration. Hemodynamic instability (SBP < 90 mmHg) and decreased mental state (GCS<9) are good indices for activating the trauma team.