• 제목/요약/키워드: Outcomes Measurement

검색결과 287건 처리시간 0.028초

환자-치과의사 관계(PDI Patient Dentist Interaction) 평가의 오차원 분석: 일반화가능도 이론 적용 (Analysis of Error Source in Subjective Evaluation on Patient Dentist Interaction : Application of Generalizability Theory)

  • 김주아;조리라
    • 대한치과의사협회지
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    • 제57권8호
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    • pp.448-455
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    • 2019
  • This study aims to apply the Generalizability Theory (G-theory) for estimation of reliability of evaluation scores between raters on Patient Dentist Interaction. Selecting a number of raters as multiple error sources, this study was analyzed the error sources caused by relative magnitude of error variances of interaction between the factors and proceeded with D-study based on the results of G-study for optimal determination of measurement condition. The estimated outcomes of variance component for accuracy among the Patient Dentist Interaction evaluation with G-theory showed that impact of error was the biggest influence factor in students. The second influence was the item effect, and the rater effect was relatively small. The Generalizability coefficients for case1 and case2 which were estimated through the D- study were calculated relatively low.

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Perspectives : Understanding the Pathophysiology of Intraventricular Hemorrhage in Preterm Infants and Considering of the Future Direction for Treatment

  • Young Soo Park
    • Journal of Korean Neurosurgical Society
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    • 제66권3호
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    • pp.298-307
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    • 2023
  • Remarkable advances in neonatal care have significantly improved the survival of extremely low birth weight infants in recent years. However, intraventricular hemorrhage (IVH) continues to be a major complication in preterm infants, leading to a high incidence of cerebral palsy and cognitive impairment. IVH is primarily caused by disruption of the fragile vascular network of the subependymal germinal matrix, and subsequent ventricular dilatation adversely affects the developing infant brain. Based on recent research, periventricular white matter injury is caused not only by ischemia and morphological distortion due to ventricular dilatation but also by free iron and inflammatory cytokines derived from hematoma and its lysates. The current guidelines for the treatment of posthemorrhagic hydrocephalus (PHH) in preterm infants do not provide strong recommendations, but initiating treatment intervention based on ultrasound measurement values before the appearance of clinical symptoms of PHH has been proposed. Moreover, in the past decade, therapeutic interventions that actively remove hematomas and lysates have been introduced. The era is moving beyond cerebrospinal fluid shunt toward therapeutic goals aimed at improving neurodevelopmental outcomes.

Assessing Indonesian Construction Regulations on Quality and Performance

  • Willar, Debby;Rumbayan, Rilya;Manueke, Selfy;Mandagi, Robert
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.481-485
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    • 2015
  • Indonesian construction companies are currently facing high competition both among themselves and with global construction companies. In order to address this issue, the Government of Indonesia has enacted specific regulations and policies relating to the development and implementation of quality management systems (QMSs) ISO 9001 based in construction, acknowledging that the consistency of construction project quality requires a formal quality system as a guarantee to raise quality standards at all project stages. The research has been undertaken to examine the effectiveness of the regulations and policies against several key performance indicators (KPIs) of the ISO 9001 Indonesian construction companies. A comprehensive review of the relevant regulations and policies together with interviews with the Government and National Construction Services Development Board recommend possible additional guidelines and supporting quality system, which intends to measure contractors' project output against defined standards as well as to assess their performance among other similar service providers. The outcomes of the research contribute to the development of the Indonesian own construction industry quality measurement and assessment system.

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Cost Normalization Procedure for Phase-Based Performance Measurement

  • Choi, Jiyong;Yun, Sungmin;Oliveira, Daniel;Mulva, Stephen;Kang, Youngcheol
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.72-76
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    • 2015
  • Capital project benchmarking requires an effective cost normalization process to compare cost performance of projects accomplished in different time and location. Existing cost normalization approaches have been established based on the assumption that all required information for cost normalization is fully identified once a project is completed. Cost normalization, however, is sometimes required to evaluate phase-level outcomes of an ongoing project where the required information is not fully available. This paper aims to provide a cost normalization procedure for phase-based performance assessment. The procedure consists of three normalization steps: currency conversion, location adjustment, and time adjustment considering various scenarios where the required information is not fully identified. This paper also presents how the cost normalization procedure has been applied to the 10-10 Performance Assessment Program, which is a phase-based performance assessment system developed by the Construction Industry Institute (CII). Both researchers and industrial professionals can apply the cost normalization procedure to studies and practices regarding to cost estimation, feasibility analysis, and performance assessment.

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Prospects of the gravitational wave astronomy

  • Lee, Hyung Mok
    • 천문학회보
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    • 제46권1호
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    • pp.27.4-28
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    • 2021
  • Since the first direct detection of the gravitational waves in 2015, more than 50 events coming from the merging of compact binaries composed of black holes and neutron stars have been observed. The simultaneous detection of gravitational waves and electromagnetics waves from the merging of neutron stars opened up multi-messenger astronomy. The forthcoming observations with better sensitivity by the network of ground based detectors will enrich the gravitational wave source populations and provide valuable information regarding stellar evolution, dynamics of dense stellar systems, and star formation history across the cosmic time. The precision of the Hubble constant from the distance measurement of gravitational sources will improve with more binary neutron star events are observed together with the aftweglows. I will also briefly cover the expected scientiic outcomes from the future detectors that are sensitive to much lower frequenies than current detectors.

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진동을 동반한 슬링 운동이 어깨 손상 환자의 관절가동범위, 근력, 통증, 기능장애 수준에 미치는 영향 (Effects of Sling Exercise With Vibration on Range of Motion, Muscle Strength, Pain, Disability in Patients With Shoulder Injuries)

  • 지창연;김선엽
    • 한국전문물리치료학회지
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    • 제26권3호
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    • pp.11-22
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    • 2019
  • Background: Sling exercises are frequently used for the rehabilitation process of patients with shoulder joint injuries, but research on the significant frequency intensity and appropriate treatment duration for sling exercises with local vibration stimulation is lacking. Objects: The aim of this study was to investigate the effects of sling exercise with vibration on shoulder range of motion (ROM), muscle strength, pain, and dysfunction in patients with a medical diagnosis of shoulder joint injury. Methods: Twenty-two patients were randomly assigned to the experiment and control groups. Six sling exercises with and without 50 Hz vibrations were applied in the experiment and control groups, respectively. Each exercise consisted of 3 sets of 5 repetitions performed for 6 weeks. The assessment tools used included shoulder joint range of motion, muscle strength, pain level, and shoulder pain and disability index for functional disability. We conducted re-evaluations before and 3 and 6 weeks after intervention. The changes in the measurement variables were analyzed and compared between the two groups. Results: The ROM of the external rotation of the shoulder joint had a significant interaction between the group and the measurement point (F=3.652, p<.05). In both groups, we found a significant increase in external rotation angle between the measurement points (p<.05). The flexor strength of the shoulder joint significant interaction between the group and the measurement point (F=4.247, p<.05). Both the experiment (p<.01) and control groups (p<.05) showed a significant increase in shoulder flexor strength at the measurement points. After 6 weeks of the interventions, both the groups showed significantly improved VAS (p<.01), SPADI (p<.01), and orthopedic tests (p<.01). However, there was no significant difference between the group and the measurement point in terms of the clinical outcomes observed. Conclusion: The sling exercise with local vibration of 50 Hz affected the external rotation of the shoulder range of motion and improved shoulder flexor strength in the patients with shoulder injuries. Therefore, we propose the use of the sling exercise intervention with vibration in the exercise rehabilitation of patients with shoulder joint injuries.

Clinical Utility of an Automated Pupillometer in Patients with Acute Brain Lesion

  • Park, Jeong Goo;Moon, Chang Taek;Park, Dong Sun;Song, Sang Woo
    • Journal of Korean Neurosurgical Society
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    • 제58권4호
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    • pp.363-367
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    • 2015
  • Objective : The purpose of this study was to evaluate the clinical utility and validity of using a pupillometer to assess patients with acute brain lesions. Methods : Pupillary examinations using an automated pupillometer ($NeurOptics^{(R)}NPi^{TM}$-100 Pupillometer) were performed every 4 hours and were simultaneously assessed using the Glasgow Coma Scale (GCS) and for intracranial pressure (ICP), from admission to discharge or expire in neuro-intensive care unit (NICU). Manual pupillary examinations were also recorded for comparison. By comparing these data, we evaluated the validity of using automated pupillometers to predict clinical outcomes. Results : The mean values of the Neurologic Pupillary index (NPi) were different in the groups examined manually. The GCS correlated well with NPi values, especially in severe brain injury patients (GCS below 9). However, the NPi values were weakly correlated with intracranial pressure (ICP) when the ICP was lower than 30 cm $H_2O$. The NPi value was not affected by age or intensity of illumination. In patients with a "poor" prognosis who had a Glasgow Outcome Scale (GOS) of 1 or 2, the mean initial NPi score was $0.88{\pm}1.68$, whereas the value was $3.89{\pm}0.97$ in patients with a "favorable" prognosis who had a GOS greater than 2 (p<0.001). For predicting clinical outcomes, the initial NPi value of 3.4 had the highest sensitivity and specificity. Conclusion : An automated pupillometer can serve as a simple and useful tool for the accurate measurement of pupillary reactivity in patients with acute brain lesions.

공공도서관 어린이 독서프로그램의 성과 측정을 위한 프레임워크 개발에 관한 연구 (A Study on the Development of Frameworks for Outcomes Measurement of Reading Programs for Children in a Public Library)

  • 박성재;한상우
    • 정보관리학회지
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    • 제35권3호
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    • pp.311-325
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    • 2018
  • 본 연구는 공공도서관에서 어린이를 대상으로 진행하는 독서프로그램의 성과를 측정하기 위한 프레임워크 개발을 목적으로 한다. 프레임워크 개발을 위한 이론적 토대로 성과 평가에 기반 한 로직모델을 적용하였다. 로직모델의 요소로 제안된 6개 요소 중에서 가정과 외부적 요인을 제외한 투입, 활동, 산출, 성과 요인을 중심으로 프로그램 평가 프레임워크를 개발하였다. 연구결과로, 서울 시내 한 공공도서관에서 연구기간 동안 진행된 4개의 프로그램에 대한 평가 프레임워크와 성과측정을 위한 지표를 제안하였다. 프로그램별로 다양한 성과지표의 개발이 가능하지만 본 연구에서는 도서관 데이터를 기반으로 측정 가능한 지표를 중심으로 제안하였다. 본 연구 결과가 사례 연구로 진행되었지만 대상 프로그램이 공공도서관에서 일반적으로 진행하는 프로그램이라는 점에서 타 도서관의 어린이 대상 프로그램의 평가 프레임워크로 활용될 수 있을 것으로 기대된다.

전자유통경로의 성과평가 척도에 관한 연구 (A Study on the Determinants for Measuring Performance of the Electronic Goods Distribution Channel)

  • 황호종
    • 정보학연구
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    • 제2권2호
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    • pp.1-12
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    • 1999
  • 유통경로의 성과를 측정할 수 있는 요인들을 분류하는 접근방법은 연구자의 관점에 따라 다양하게 이루어져 왔다. 그러나 이같이 다양한 성과측정변수들이 실제로 국내의 경로 구성원에 의해 유통성과를 평가할 때 사용되고 있는지의 여부와 국내 유통경로의 경영자들이 판단하는 총체적인 경영성과에 이들 변수들이 차지하는 비중이 차별화 되고 있는지에 대한 연구는 미미하여 왔다. 이에 본 연구는 국내의 전자 유통대리점들을 대상으로 경로 구성원들이 사용하는 성과평가척도의 요소를 살펴보고 이들 요소들이 총 유통성과에서 차지하는 비중을 도출하며 경로구성원의 특성에 따른 측정요소의 차이점이 발생하는가를 검증하는데 그 목적을 두었다. 이를 위해 요인분석을 통해 성과 측정 요소들이 어떠한 공통의 집단으로 나뉘어 지는가를 살펴보며 상관분석을 통해 이들이 총 유통성과를 평가하는데 기여하는 비중을 도출한다. 이에 따른 연구의 결과를 살펴보면 경로구성원의 성과 요인은 재무적 성과 마케팅 지원 성과, 판매원 서비스 및 소비자 만족도 성과 그리고 소비자 소비스 성과의 4 요인으로 분류 되었고 재무적 성과와 마케팅 지원성과 요인이 총유통성과와의 상관도가 가장 높았다. 또한 경로구성원의 특성에 따라 성과척도의 중요 요인에 차이가 발생한다는 사실을 확인 할 수 있었다.

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국외 스마트시티 추진 정책 비교 분석을 통한 성과 확산 방향 설정 (Policy Direction Setting through Comparative Analysis of Foreign Smart City Policies)

  • 정승현
    • 한국산학기술학회논문지
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    • 제21권9호
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    • pp.151-160
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    • 2020
  • 정부의 주요 정책으로 다양한 스마트시티 사업들이 활발히 추진되고 있다. 이러한 정부주도 스마트시티의 성공은 현재 진행 중인 사업들의 성과를 확산 보급시킬 수 있는 지속가능한 거버넌스 구축에 달려있다. 이에 본 연구에서는 미국과 유럽의 스마트시티 정책 사례를 성과 확산의 관점에서 비교 분석하여 국내 스마트시티 거버넌스 구축을 위한 정책방향을 제안하였다. 비교항목은 시범도시, 스마트시티 기술과 서비스의 확산, 성과의 측정, 스마트시티 지식정보의 축적, 표준화로 구분하였다. 분석결과 미국과 유럽의 스마트시티 정책은 성공사례 창출과 확산을 위해 시범도시를 구축하고, 민간부문의 참여기회를 확대하고, 평가체계 개발과 표준화를 통한 기술과 서비스의 재사용과 확산 추진하는 등 각 지표별 항목들이 유기적으로 연계된 것으로 나타났다. 분석된 결과를 바탕으로 국내 스마트시티 성과확산을 위해 시범도시 후속방안의 조기 마련, 사업성과 평가체계 구축, 통합된 지식축적 체계 마련, 민간분야 참여확대를 위한 본격적인 산업활성화 정책추진의 네 가지 정책방향을 제시하였다. 본 연구의 결과는 시범단지와 실증사업 중심으로 진행되고 있는 정부 스마트시티 정책의 후속 과제 발굴과 세부 추진방법을 구체화에 활용될 수 있을 것이다.