• 제목/요약/키워드: Outcomes Measurement

검색결과 295건 처리시간 0.028초

Utility of Toe-brachial Index for Diagnosis of Peripheral Artery Disease

  • Park, Seong-Chul;Choi, Chang-Yong;Ha, Young-In;Yang, Hyung-Eun
    • Archives of Plastic Surgery
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    • 제39권3호
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    • pp.227-231
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    • 2012
  • Background : The ankle brachial pressure index (ABI) is a simple, useful method for diagnosing peripheral artery disease (PAD). Although the ABI is an objective diagnostic method, it has limited reliability in certain scenarios. The aim of the present study was to determine the accuracy and reliability of the toe brachial index (TBI) as a diagnostic tool for detecting stenosis in PAD, associated with normal or low ABI values. Methods : ABI and TBI values were measured in 15 patients with diabetic gangrene who were suspected of having lower extremity arterial insufficiency. The ABI and TBI values were measured using a device that allowed the simultaneous measurement of systolic blood pressure in the upper and lower extremities. In addition, the ABI and TBI values were compared pre- and post-angiography. Results : Patients with an ABI of 0.9-1.3 showed almost no difference between the 2 measurements. The patients with TBI >0.6 had no arterial insufficiency. The patients with TBI <0.6 required vascular intervention with ballooning. After the angiography, the gangrenous wounds decreased in size more rapidly than they did prior to the intervention. Conclusions : Our findings suggest that TBI is the method of choice for evaluating lower limb perfusion disorders. This result requires further studies of TBI in a larger number of patients. Future long-term studies should therefore evaluate the utility of TBI as a means of screening for PAD and the present findings should be regarded as preliminary outcomes.

Between-Group Analysis를 활용한 지역 R&D사업의 기업지원 효과분석 (Between-Group Analysis for the Development of Performance Evaluation Framework of National R&D Programs)

  • 최충익;김철민
    • 지역연구
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    • 제32권4호
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    • pp.3-18
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    • 2016
  • 본 연구는 지역 R&D 성과평가를 위한 방법론으로서 비교그룹 간 분석을 적용하여 실증분석하고 있다. 분석방법론으로 기업 간 분석(between-group analysis)을 제시하고 있으며 핵심 아이디어는 두 가지 측면에서 설명될 수 있다. 첫째, R&D 사업의 효과분석을 위해서는 기간별 성과를 비교하며 분석하는 것이 당해 연도 성과만을 분석하며 비교하는 것보다 타당하다는 점이다. 둘째, 정부의 R&D 투자가 이루어지지 않은 비교집단을 선정하여 제3의 변수들의 효과를 통제한다는 점이다. 분석 결과 기업 간 분석이 의미 있게 나타났으며, 이는 수혜 기업의 성과만을 가지고 전후 비교하는 것보다 수혜를 받지 않는 대조군과의 전후 비교 평가를 통해 더 합리적이고 객관적인 성과평가를 달성할 수 있음을 시사한다.

청바지의 소재별 쾌적감에 관한 연구 (Comport Sensation of Blue Jeans depending on Fiber Contents)

  • 홍문경;이미식;권계화;전정애
    • 한국의류학회지
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    • 제25권2호
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    • pp.237-248
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    • 2001
  • The purpose of this study was to compare the comfort sensation depending on four different kinds of denim blue jeans: cotton, cotton/tencel, tencel, cotton/pp. The objective and subjective experiments were conducted to measure the comfort of blue jeans. To investigate the objective comfort, physical properties related to thermal insulation, moisture properties and hand were measured. For subjective comfort measurement, 5 healthy female college students were taken as subjects. The outcomes of the experiments are as follows: The higher the air permeability and bulk density of the denim, the lower the thermal insulation, the thicker the denim, the higher the thermal insulation. Tencel blending denim showed the higher bulk density, the lower air contents, and consequently the lower thermal insulation than the other denims. Tencel showed the highest moisture regain, and cotton/tencel blend showed the highest water vapor permeability. Tencel denim had relatively better flexibility, shape stability and elastic recovery than the other denims. The total hand values of the denims by KES-FB system were not significantly different. Cotton and cotton/pp denims raised the subjects body temperature after excercise more than tencel or cotton/tencel denims. Average skin temperature was found to have a correlation with micro climate temperature and micro climate humidity. The correlation coefficients were 0.749 and 0.767, respectively. However, average skin temperatures were not significantly different among the materials. Pulse rate was found to be the highest when wearing cotton/pp and the lowest in case of cotton/tencel denim. The energy was consumed in order of cotton>cotton/pp>tencel>cotton/tencel. There was no significant difference in preference before excercise, but, after the excercise, the order of preference changed as the following; cotton/tencel>tencel>cotton/pp>cotton.

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간호 퍼포먼스에 관한 국내 연구의 통합적 고찰 (Integrative literature review of nursing performance in Korea)

  • 조수미;이은주
    • Journal of the Korean Data and Information Science Society
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    • 제26권2호
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    • pp.441-453
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    • 2015
  • 최근 의료 서비스의 질 향상과 환자 안전에 대한 관심이 대두되면서 간호 업무수행에 대한 중요성이 증가하고 있다. 본 연구의 목적은 현재까지 수행된 간호사의 업무수행과 관련된 국내 연구들을 분석함으로써 이들 연구들의 현황 및 문제점을 조사하고 추후 연구의 발전방향을 제시하고자 시도되었다. 간호 퍼포먼스 관련 연구 33편 중 25편은 서술적 상관관계 연구였다. 간호 퍼포먼스를 측정한 도구에 있어서는 15편에서 Park (1989)의 도구 및 이를 기반으로 수정한 도구가 사용되었다. 간호 퍼포먼스에 대한 용어 사용과 정의에 있어서는 일치된 합의가 없었다. 대부분의 연구에서 간호 퍼포먼스를 리더십이나, 임파워먼트 등의 요소들에 의해 영향을 받는 결과값으로 설계하였다. 따라서 추후 연구에서는 국내 간호사의 퍼포먼스에 대한 개념적 기틀을 구축할 것을 제언하며, 간호 퍼포먼스가 의료 환경의 구조적, 과정적, 결과적 변수와는 어떠한 상호관련성을 가지는 지를 총체적으로 확인해보는 연구가 필요할 것으로 사료된다.

S&T Policy Directions for Green Growth in Korea

  • Jang, Jin Gyu
    • STI Policy Review
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    • 제1권1호
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    • pp.1-21
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    • 2010
  • To achieve the "low carbon green growth" vision, the first step is securing core technologies. Therefore, S&T policy direction for green technology development is urgently needed. As of 2008, investment in green technology (GT) development hovered around 10% of the government's total R&D budget. Thus, the Korean government developed a plan to increase that percentage to 15%, by 2013. To develop reasonable investment strategies for green technology development, targeted strategies that reflect technology and market changes by green technology area are needed. However, the overall planning and coordination of national GT development is currently split among, approximately, 10 government ministries. To establish an efficient green technology development system, the so-called "Green Technology R&D Council" should be launched in collaboration with the Presidential Committee on Green Growth and the National Science and Technology Council. Furthermore, to build a solid foundation for commercializing the outcomes of GT development projects and promote GT transfer, the government should undertake two initiatives. First, the government should reinforce GT R&D performance management, by establishing a GT R&D performance management and evaluation system. Second, the government should implement the "customized packaged support for promoting green technology business rights and commercialization" and present "e-marketplace for market-oriented green technologies". Creating a pan-ministerial policy for GT development policy would necessitate restructuring the HR(Human Resources) development system, which is currently separated by technology area. Based upon mid/long-term HR supply and demand forecasts, the government should design differentiated HR development projects, continuously evaluate those projects, and reflect the evaluation results in future policy development. Finally, to create new GT-related industries, the "Green TCS (Testing, Certification, and Standards) System" needs to be implemented. For objective evaluation and diffusion of R&D results by green technology area, a common standardization plan for testing, analysis, and measurement, like the "Green TCS", should be developed and integrated.

3D 프린터에 공급되는 PLA 필라멘트의 물성치 측정 (Measurement of Structural Properties of PLA Filament as a Supplier of 3D Printer)

  • 최원;우재형;전정배;윤성수
    • 한국농공학회논문집
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    • 제57권6호
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    • pp.141-152
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    • 2015
  • Most of agricultural structures are consisted of complex components and exposed to various boundary conditions. There have been no ways to express those structures exactly for model experiment. As an alternative, 3D printer can produce any type of solid model. However, there are limited informations related to structural experiments using 3D printer. The object of this study gives the basic informations to structural engineers who try to use 3D printer for model experiment. When PLA was used as a supplier for 3D printer, the outcomes showed less heat deformation to compare with ABS. To test the material properties, two kinds of experiments (three-point flexibility test and compression test) were executed using universal testing machine. In three-point flexibility test, plastic hinge and its deformation were developed as observed in material such as steel. The behavior was in a linear elastic state, and elastic bending modulus and yield force were evaluated. In the compression test using unbraced columns with hinge-hinge boundary condition, the constant yield forces were observed regardless of different lengths in all columns with same section size, whereas the compressive elastic modulus was increased as the length of column was increased. The suggested results can be used for model experiments of various agricultural structures consisted of single material.

조리교육학원의 교육환경이 교육만족도와 행동의도에 미치는 영향에 관한 연구: 교육기간 조절효과 (The Influence of the Educational Environment of the Cooking Institute on the Educational Satisfaction and the Behavior Intention: Moderating Effect of Educational Period)

  • 이승후;서정희;이종호
    • 한국조리학회지
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    • 제23권7호
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    • pp.194-203
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    • 2017
  • The data collection and questionnaire survey were conducted from July 1, 2016, to August 30, 2016, and the final analysis was conducted with 273 copies. The collected data were analyzed using SPSS (V 23.0) and AMOS (V 21.0) programs. In order to identify the characteristics of the respondents, the frequency analysis was performed, and the reliability analysis and confirmatory factor analysis were performed for each measurement item. The conceptual reliability (CR) and standard variance extraction (AVE) values were calculated to verify the validity. Correlation analysis was conducted to measure the associations among the derived factors. For the hypothesis test, a structural equation modeling was used to test the jointness and organic causality of the whole model. In addition, an alternative model with a nested relationship with the basic model was set up to test the adjustment effect of the learner's educational environment on the educational satisfaction and behavioral intention. The purpose of the study was to examine the effect of educational environment on the educational satisfaction and behavioral intention of students at a cooking education institute in Busan. The implication of this study is that the operators of educational institutions should recognize the human factors as important means of marketing for the activation of cooking education and select instructors by applying more systematic and objective criteria when hiring instructors. Also, consideration should be given to support programs such as training programs and incentives to develop instructor's abilities. In addition, the positive educational outcomes of students may have a positive impact on financial performance, such as livelihood of other students and sales of educational institutions.

지식경영의 동태적 가치사슬 모형 구축 (Dynamic Value Chain Modeling of Knowledge Management)

  • 이영찬
    • 한국정보시스템학회지:정보시스템연구
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    • 제17권3호
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    • pp.205-233
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    • 2008
  • This study suggests the dynamic value chain model, that will be able to not only show changing processes to organization's significant capital by integrating an individual, implicit, and explicit knowledge which affect organizational decision making, but also distinguish the key driver for raising organizational competitive power because it makes possible to analyze sensitivity of performance along with decision making alternatives and policy changes from dynamic view by connecting knowledge management capability, knowledge management activity, and relations with organizational performance with specific strategic map. Recently, a lot of organizations show interest in measuring and evaluating their performance synthetically. In organizations taking knowledge management, they introduce effective value chain model like a dynamic balanced scorecard (DBSC), and therefore they can reflect their knowledge management condition as well as show their changes by checking performance of established vision and strategy periodically. Furthermore, they can ask for their inner members' understanding and participation by communicating with and inspiring their members with awareness that members are one of their group, present a base of benchmarking, and offer significant information for later decision making. The BSC has been a successful framework for measuring an organization's performance in various perspectives through translating an organization's vision and strategy into an interrelated set of key performance indicators and specific actions. The BSC, while having significant strengths over traditional performance measurement methods, however, has its own limitations, due to its static nature, such as overlooking two-way causation between performance indicators and neglecting the impact of delayed feedback flowing from the adoption of new strategies or policy changes. To overcome these limitations, this study employs SD, a methodology for understanding complex systems where dynamic feedback among the interrelated system components significantly impact on the system outcomes. The SD simulation model in the form of DBSC would serve as a useful strategic teaming tool for facilitating an organization's communication process through various scenario analyses as well as predicting the dynamic behavior pattern of their key performance measures over a future time frame. For the demonstration purpose, this study applied the DBSC model to Prototype of Korea manufacturing and service firm.

느린 간호의 개념 분석 (A Concept Analysis of Slow Nursing)

  • 우현미;박정숙
    • 한국융합학회논문지
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    • 제11권5호
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    • pp.381-389
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    • 2020
  • 환자 특히 노인환자들은 자신의 특성과 속도에 적합한 간호를 필요로 하는 데 비해, 우리나라 현실에서는 '빠른 간호'가 강조되는 실정이다. 이에 본 연구는 한국에서의 '느린 간호'의 속성을 파악하고자 한다. Walker & Avant의 방법을 사용하여 문헌고찰을 통해 '느린 간호'에 대한 개념분석을 실시하였다. 2000~2019년 Pubmed, Riss, NDSL, DBPIA, Google scholar에서 '느린', '느림', '느린 간호', '느린 처방'을 핵심단어로 하여 문헌을 찾고 개념분석을 실시한 결과, '느린 간호'의 속성으로 '대상자의 속도 존중', '주의 깊음', '과정 중 안위', '참여', 그리고 '삶의 의미 숙고'가 나타났다. 이러한 '느린 간호'의 속성을 중심으로 모델사례를 도출하였다. '느린 간호'의 선행 요인은 환자의 기능 저하, 심리적 처짐, 무관심, 치료에 대한 두려움, 삶의 의지 부족으로 나타났으며, 느린 간호로 인해 나타나는 결과로는 잠재 능력 발견, 자신감 회복, 건강증진, 의료진과의 의사소통 향상, 신뢰감 및 자아통합감이 도출되었다. 향후 '느린 간호'의 속성을 이용한 측정도구를 개발하여 대상자 간호와 연구에 이바지하기를 기대한다.

재발한 무지 외반증의 치료로 시행한 Scarf 절골술 (Scarf Osteotomy for the Treatment of Recurred Hallux Valgus)

  • 남일현;안길영;문기혁;이영현;최성필;정택영
    • 대한족부족관절학회지
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    • 제17권4호
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    • pp.272-276
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    • 2013
  • Purpose: Recurrence is one of the most common complications after primary correction for hallux valgus deformities. The purpose of this study was to evaluate the usefulness of Scarf osteotomy with axial decompression in the treatment of recurrent hallux valgus. Materials and Methods: From April 2006 to April 2011, 14 cases (12 patients) of recurrent hallux valgus were managed with shortening Scarf osteotomy. Preoperative and postoperative radiographs were reviewed for the measurement of the hallux valgus angle (HVA), intermetatarsal angle (IMA), and the amount of the $1^{st}$ metatarsal shortening. Clinical outcomes including the visual analogue scale (VAS), the AOFAS score, and the range of motion [ROM] of the 1st metatarsophalangeal (MTP) joint were evaluated. Results: The mean HVA decreased from 27.9 degrees to 5.2 and the mean IMA decreased from 12.9 to 3.4. The mean VAS improved from 5.3 to 0.3 and the mean AOFAS score improved from 41 to 90. The mean amount of the 1st metatarsal shortening was 3.4 mm (2-5). The mean ROM of the $1^{st}$ MTP joint improved from 22 degrees (15-35) to 68 (55-75). Conclusion: Scarf osteotomy associated with axial decompression can be a useful revision procedure for the treatment of recurrent hallux valgus deformity.