• 제목/요약/키워드: Outcomes analysis

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ABEEK 인증을 대비한 프로그램 교육목적 및 학습성과 설정 (Determination of the Educational Objectives and the Outcomes of the Program for Preparing ABEEK Accreditation)

  • 박강;김정국;박재현
    • 공학교육연구
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    • 제3권2호
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    • pp.51-60
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    • 2000
  • 한국공학교육인증원이 발족되어 각 프로그램에 대한 인증작업이 시작되었으나 이를 준비해야 하는 교수진들은 인증 준비절차에 대한 실무적인 사례가 부족하여 많은 어려움을 겪고 있는 실정이다. 본 논문은 전체 인증 준비과정 중에서 프로그램 교육목적과 학습성과를 선정하는 과정을 구체적으로 제시하고자 한다. 프로그램 교육목적은 교육수요자들의 요구, 교육기관의 교육목적 및 특성, 프로그램별 특성을 반영한 구체적이고 평가 가능한 목적이어야 한다. 프로그램 학습성과는 한국공학교육인증원이 제시한 12가지 학습성과에 프로그램의 특성에 맞는 학습성과를 추가하여 완성하였다. 프로그램 교육목적과 학습성과는 각 과목의 교육목적 및 교육기관의 교육목적들 간에 서로 연관성이 확보되어야 하므로 상관관계분석표를 통하여 연관성을 확인하였다.

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The Analysis of the Treatment Outcomes of Proximal Humeral Fractures with Locking Plates

  • Lee, Kwang-Won;Hwang, Yoon-Sub;Kim, Choon-Myeon;Yang, Dae-Suk;Park, Tae-Soo
    • Clinics in Shoulder and Elbow
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    • 제17권1호
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    • pp.10-17
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    • 2014
  • Background: The aim of this study was to assess the clinical outcomes after treatment of proximal humeral fractures with locking plates, and to determine which factors influence the clinical and radiological outcomes. Methods: Fifty six patients who were treated with locking plates for proximal humeral fractures and had been followed for more than 1 year were enrolled in this study. We performed functional evaluation using the Constant score and analyzed radiographic results. The following factors that may potentially influence the clinical outcomes were assessed: age, gender, type of fracture, presence of medial metaphyseal comminution, bone mineral density, anatomical reduction, restoration of medial mechanical support, and postoperative complications. Results: The mean Constant score was 70.1 points at the final follow-up. Female gender, 4-part fractures, AO type-C fractures, and fractures with medial metaphyseal comminution were associated with a poor clinical outcome. On the other hand, restoration of medial mechanical support and accurate anatomical reduction had a positive influence on clinical outcomes. Postoperative complications resulted in 3 patients (intra-articular screw perforation: 1 patient, varus deformity with screw loosening: 1 patient, nonunion: 1 patient). Conclusions: When treating proximal humeral fractures with locking plate fixation, following factors: a female gender, Neer type 4-part fracture, AO type C fracture, and medial metaphyseal comminution are important risk factors that surgeons should take into consideration. Factors that contribute to better clinical outcomes of operative treatment for humeral fractures are accurate anatomical reduction and restoration of medial mechanical support.

고용의 질이 조직성과에 미치는 영향: 종업원 성과의 매개효과 (The Effect of the Quality of Employment on Organizational Performance: Mediating Effect of Employee Outcomes)

  • 옥지호;박오원
    • 한국콘텐츠학회논문지
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    • 제19권6호
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    • pp.311-324
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    • 2019
  • 본 연구는 고용의 질 수준과 조직성과의 관계에서 종업원 성과의 매개효과를 분석함으로써 고용의 질이 조직성과에 미치는 효과의 구체적인 메커니즘을 파악하는 것을 목적으로 한다. 고용의 질의 당위성에 대한 논의가 확장되면서 이에 대한 연구가 확산되고 있지만, 고용의 질이 어떻게 조직성과에 기여하는지 그 과정을 다룬 연구는 많지 않았다. 실증분석을 위해 국내기업 501개를 대상으로 고용의 질과 종업원 성과(인적자본 역량 및 집단적 조직몰입) 간의 관계 그리고 고용의 질과 조직성과간의 관계에서 종업원 성과의 매개효과를 분석하였다. 분석결과, 고용의 질 수준이 높을수록 종업원의 인적자본 역량과 집단적 조직몰입도가 증가하며, 이들 종업원 성과는 고용의 질과 조직성과간의 관계를 완전매개하는 것으로 밝혀졌다.

Proper Indication of Decompressive Craniectomy for the Patients with Massive Brain Edema after Intra-arterial Thrombectomy

  • Sang-Hyuk Im;Do-Sung Yoo;Hae-Kwan Park
    • Journal of Korean Neurosurgical Society
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    • 제67권2호
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    • pp.227-236
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    • 2024
  • Objective : Numerous studies have indicated that early decompressive craniectomy (DC) for patients with major infarction can be life-saving and enhance neurological outcomes. However, most of these studies were conducted by neurologists before the advent of intra-arterial thrombectomy (IA-Tx). This study aims to determine whether neurological status significantly impacts the final clinical outcome of patients who underwent DC following IA-Tx in major infarction. Methods : This analysis included 67 patients with major anterior circulation major infarction who underwent DC after IA-Tx, with or without intravenous tissue plasminogen activator. We retrospectively reviewed the medical records, radiological findings, and compared the neurological outcomes based on the "surgical time window" and neurological status at the time of surgery. Results : For patients treated with DC following IA-Tx, a Glasgow coma scale (GCS) score of 7 was the lowest score correlated with a favorable outcome (p=0.013). Favorable outcomes were significantly associated with successful recanalization after IA-Tx (p=0.001) and perfusion/diffusion (P/D)-mismatch evident on magnetic resonance imaging performed immediately prior to IA-Tx (p=0.007). However, the surgical time window (within 36 hours, p=0.389; within 48 hours, p=0.283) did not correlate with neurological outcomes. Conclusion : To date, early DC surgery after major infarction is crucial for patient outcomes. However, this study suggests that the indication for DC following IA-Tx should include neurological status (GCS ≤7), as some patients treated with early DC without considering the neurological status may undergo unnecessary surgery. Recanalization of the occluded vessel and P/D-mismatch are important for long-term neurological outcomes.

델파이 방법을 이용한 기술예측의 신뢰도 분석 (An Analysis of the Reliability of Technology Forecasting Outcomes)

  • 윤윤중;이종일
    • 기술혁신학회지
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    • 제1권2호
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    • pp.275-284
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    • 1998
  • This paper investigates the responding patterns between panelists of high and low expertise, overall consistency in responses and the reliability of a technology forecasting outcomes of the study $\ulcorner$The Industrial Technology Forecasting for 2010 and New Strategies$\lrcorner$. The conclusions, based on various tests, are as follows : panelists' responses are tested to be significantly consistent : the panelist group of high expertise are more confident on their responses than the one of low expertise and the convergence ratio is higher in the latter group than in the first.

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Predictive V16alue of Thymidylate Synthase Expression in Gastric Cancer: A Systematic Review with Meta-analysis

  • Hu, Hua-Bin;Kuang, Lei;Zeng, Xiao-Min;Li, Bin;Liu, En-Yi;Zhong, Mei-Zuo
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.261-267
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    • 2012
  • Purpose: The relationship between thymidylate synthase (TS) expression and outcomes in gastric cancer (GC) patients remains controversial, although most studies reported poor survival and reduced response to fluoropyrimidine were related to high TS in tumors. We carried out a systematic review of the literature with meta-analysis to estimate the predictive value of TS expression from published studies. Methods: We indentified 24 studies analysing the outcome data in gastric cancer stratified by TS expression. Effect measures of outcome were hazard ratios (HRs) for overall survival (OS) and event-free survival (EFS), or the odds ratio (OR) for overall response rate (ORR). HRs and ORs from these eligible studies were pooled using random-effects meta-analysis. Results: Fifteen studies investigated outcomes in a total of 844 patients with advanced GC, and nine studies investigated outcomes in a total of 1,235 patients with localized GC undergoing adjuvant therapy. Meta-analysis of estimates showed high TS expression was significantly associated with poor OS in the advanced setting (HR: 1.43, 95%CI: 1.08 - 1.90), and poor EFS in the adjuvant setting (HR: 1.53, 95%CI: 1.01 - 2.32). Subgroup analysis demonstrated TS expression to haves even greater value in predicting OS, EFS and ORR in advanced GC patients treated with fluoropyrimidine monotherapy (HR for OS: 2.32, 95%CI: 1.53 - 3.50; HR for EFS: 1.76, 95%CI: 1.19 - 2.60; OR for ORR: 0.32, 95%CI: 0.11 - 0.95). Conclusion: High levels of TS expression were asssociated with a poorer OS for advanced GC patients compared with low levels. In the adjuvant setting, high TS expression was also associated with a worse EFS. Additional studies with consistent methodology are needed to define the precise predictive value of TS.

The Effect of Locally Administered Fibrinolytic Drugs Following Aneurysmal Subarachnoid Hemorrhage : A Meta-Analysis with Eight Randomized Controlled Studies

  • Jang, Kyoung Min;Choi, Hyun Ho;Nam, Taek Kyun;Park, Yong Sook;Kwon, Jeong Taik;Byun, Jun Soo;Hwang, Doyeon
    • Journal of Korean Neurosurgical Society
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    • 제64권2호
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    • pp.207-216
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    • 2021
  • Objective : Rapid dissolution of blood clots reduces vasospasm and hydrocephalus after subarachnoid hemorrhage (SAH), and locally administered fibrinolytic drugs (LAFDs) could facilitate the dissolution. However, the efficacy of LAFDs remains controversial. The aim of this meta-analysis was to determine the efficacy of LAFDs for vasospasm and hydrocephalus and in clinical outcomes. Methods : From PubMed, EMBASE, and Cochrane database, data were extracted by two authors. Meta-analysis was performed using a random effect model. Inclusion criteria were patients who had LAFDs with urokinase-type or recombinant tissue-plasminogen activator after SAH in comparison with medically untreated patients with fibrinolytic drugs. We only included randomized controlled trials (RCTs) in this analysis. The outcomes of interest were vasospasm, hydrocephalus, mortality, and 90-day unfavorable functional outcome. Results : Data from eight RCTs with 550 patients were included. Pooled-analysis revealed that the LAFDs were significantly associated with lower rates of vasospasm (LAFDs group vs. control group, 26.5% vs. 39.2%; odds ratio [OR], 0.48; 95% confidence interval [CI], 0.32-0.73); hydrocephalus (LAFDs group vs. control group, 26.0% vs. 31.6%; OR, 0.54; 95% CI, 0.32-0.91); and mortality (LAFDs group vs. control group, 10.5% vs. 15.7%; OR, 0.58; 95% CI, 0.34-0.99). The proportion of 90-day unfavorable outcomes was lower in the LAFDs group (LAFDs group vs. control group, 32.7% vs. 43.5%; OR, 0.55; 95% CI, 0.37-0.80). Conclusion : This meta-analysis with eight RCTs indicated that LAFDs were significantly associated with lower rates of vasospasm and hydrocephalus after SAH. Thus, LAFDs could consequently reduce mortality and improve clinical outcome after SAH.

Maternal and fetal outcomes of pregnancies in kidney donors: A 30-year comparative analysis of matched non-donors in a single center

  • Yoo, Kyung Don;Lee, Hajeong;Kim, Yaerim;Park, Sehoon;Park, Joong Shin;Hong, Joon Seok;Jeong, Chang Wook;Kim, Hyeon Hoe;Lee, Jung Pyo;Kim, Dong Ki;Oh, Kook-Hwan;Joo, Kwon Wook;Kim, Yon Su
    • Kidney Research and Clinical Practice
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    • 제37권4호
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    • pp.356-365
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    • 2018
  • Background: Woman kidney donors face obstetric complication risks after kidney donation, such as gestational hypertension and preeclampsia. Studies on childbirth-related complications among Asian women donors are scarce. Methods: This retrospective cohort study included woman donors aged 45 years or younger at the time of kidney donation in a single tertiary hospital between 1985 and 2014. Pregnancy associated complications were investigated using medical records and telephone questionnaires for 426 pregnancies among 225 donors. Matched non-donor controls were selected by propensity score and the maternal and fetal outcomes were compared with those of donors. Primary outcomes were differences in maternal complications, and secondary outcomes were fetal outcomes in pregnancies of the donor and control groups. Results: A total of 56 cases had post-donation pregnancies. The post-donation pregnancies group was younger at the time of donation and older at the time of delivery than the pre-donation pregnancies group, and there were no differences in primary outcomes between the groups except the proportion receiving cesarean section. Comparison of the complication risk between post-donation pregnancies and non-donor matched controls showed no significant differences in gestational hypertension, preeclampsia, or composite outcomes after propensity score matching including age at delivery, era at pregnancy, systolic blood pressure, body weight, and estimated glomerular filtration ratio (odds ratio, 0.63; 95% confidence interval, 0.19-2.14; P = 0.724). Conclusion: This study revealed that maternal and fetal outcomes between woman kidney donors and non-donor matched controls were comparable. Studies with general population pregnancy controls are warranted to compare pregnancy outcomes for donors.

불면환자에 대한 수기치료 효과의 임상 사례 보고 (The Clinical study of Su-Gi therapy's Effects on Insomnia by observing of ISI and PSQI)

  • 김민석;안훈모;김준철
    • 대한의료기공학회지
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    • 제15권1호
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    • pp.61-70
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    • 2015
  • Objectives : The purpose of this study is to investigate the effects of Su-Gi therapy for Insomnia by using ISI scores and PSQI test. Methods : We investigated 4 patients on condition of Insomnia who was hospitalized in the M Korean medicine hospital in Gyeonggi Province from 8th June, 2015 to 21st October, 2015. The Su-Gi therapy was treated on patients once a day for 10 minutes. We figured out the outcome by using ISI scores and PSQI test. Results : There were no differences on average sleeping time and the time to falling a sleep. Meaningful outcomes in values of ISI scores and PSQI test was not deduced after Su-Gi therapy. There were some progress on disturbance of daytime due to insomnia, ISI scores and PSQI test. In the Correlation analysis of outcomes of before and after the Su-Gi therapy, there were some improvements on ISI scores and PSQI tests and some questionnaire but were not enough to reach meaningful outcomes. We concluded that the more treatment time is needed to improve the condition of patients on insomnia as we see in PSQI test, one month is minimum period time to draw the conclusion. Conclusions : Theses outcomes suggest a possibilities that improvements who are suffering from insomnia can be get well when the Su-Gi therapy is performed for sufficient moments.