• Title/Summary/Keyword: Outcomes Measurement

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

  • Kim, Jooah;Cho, Lee-Ra
    • The Journal of the Korean dental association
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    • v.57 no.8
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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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    • v.66 no.3
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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
    • International conference on construction engineering and project management
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    • 2015.10a
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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
    • International conference on construction engineering and project management
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    • 2015.10a
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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
    • The Bulletin of The Korean Astronomical Society
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    • v.46 no.1
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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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Coronary Physiology-Based Approaches for Plaque Vulnerability: Implications for Risk Prediction and Treatment Strategies

  • Seokhun Yang;Bon-Kwon Koo
    • Korean Circulation Journal
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    • v.53 no.9
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    • pp.581-593
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    • 2023
  • In the catheterization laboratory, the measurement of physiological indexes can help identify functionally significant lesions and has become one of the standard methods to guide treatment decision-making. Plaque vulnerability refers to a coronary plaque susceptible to rupture, enabling risk prediction before coronary events, and it can be detected by defining a certain type of plaque morphology on coronary imaging modalities. Although coronary physiology and plaque vulnerability have been considered different attributes of coronary artery disease, the underlying pathophysiological basis and clinical data indicate a strong correlation between coronary hemodynamic properties and vulnerable plaque. In prediction of coronary events, emerging data have suggested independent and additional implications of a physiology-based approach to a plaque-based approach. This review covers the fundamental interplay between coronary physiology and plaque morphology during disease progression with clinical data supporting this relationship and examines the clinical relevance of physiological indexes in prediction of clinical outcomes and therapeutic decision-making along with plaque vulnerability.

Treatment Strategies of Improving Quality of Care in Patients With Heart Failure

  • Se-Eun Kim;Byung-Su Yoo
    • Korean Circulation Journal
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    • v.53 no.5
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    • pp.294-312
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    • 2023
  • Heart failure (HF) is a global health problem closely related to morbidity and mortality. As the burden of HF increases, it is necessary to manage and treat this condition well. However, there are differences between real-world practice and guidelines for the optimal treatment for HF. Patient-related, healthcare provider-related, and health system-related factors contribute to poor adherence to optimal care. This review article aims to examine HF treatment patterns and treatment adherence in real-world practice, identify clinical gaps to suggest ways to improve the quality of care for HF and clinical outcomes for patients with HF. Although it is important to optimize treatment based on evidence-based guidelines to the greatest extent, it is known that there is still poor treatment adherence, and many patients do not receive guideline-directed medical therapy, especially at the early stages. To improve medication adherence, qualitative evaluation through performance measurement, as well as education of patients, caregivers and medical staff through a multidisciplinary approach are important.

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

  • Chi, Chang-yeon;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.26 no.3
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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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    • v.58 no.4
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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.

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

  • Park, Sung Jae;Han, Sang Woo
    • Journal of the Korean Society for information Management
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    • v.35 no.3
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    • pp.311-325
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    • 2018
  • The purpose of this study is to develop frameworks for evaluating reading programs for children provided by a public library. Logic Model based on outcome evaluations was applied for the framework development. While the logic model is generally composed of six factors, the frameworks developed in this study has four factors including input, activity, output, and outcome. Additionally, this study suggests outcome indicators which were driven from library data. Even though the evaluation frameworks were developed from specific programs operated by a public library, those might be able to be used to evaluate other libraries' programs for children since the target programs are commonly provided by public libraries.