• Title/Summary/Keyword: Program Outcome

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A Study of New Possibility on Computer Music (컴퓨터음악의 새로운 가능성에 대한 연구)

  • Kim, Sung-Eun;Song, Eun-Jee
    • Journal of Digital Contents Society
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    • v.10 no.4
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    • pp.561-568
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    • 2009
  • In 21C, computer is having a powerful influence on every fields. As music field is no exception, the computer music is regarded as a next generation music. Especially the focus of 21st century's music is now moving from MIDI of 20th century to the Realtime interactive music in which computer is used as a practical instrument. Most european countries and America are doing a lot of research and performing these music. But in Korea, known as a fairly strong IT country, there is no enough perception of the importance of this new outcome of the new media era, and introduction of this music is slow as well. In this paper, we suggest the possibility of using the new way of composition by realtime interactive music in Korea. This can be a strong merit for Korean composers who want to use Korean instruments which were limited to be used as international instruments because of their restricted registers, techniques and so on.

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Effects of the Trunk Exercise Using PNF Combined with Treadmill on Balance and Walking Ability in Individuals with Parkinson's Disease (고유수용성신경근촉진법을 이용한 체간 운동과 트레드밀을 결합한 훈련이 파킨슨병 환자의 균형과 보행 능력에 미치는 영향)

  • Bang, Dae-Hyouk;Cho, Hyuk-Shin
    • PNF and Movement
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    • v.15 no.3
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    • pp.333-341
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    • 2017
  • Purpose: This study was to explore the effects of trunk exercise using PNF combined with treadmill training on balance and walking ability in patients with Parkinson's disease. Methods: This study included 16 patients with Parkinson's disease. Participants were randomly assigned to 2 groups: an experimental group (n=8) and a control group (n=8). All participants underwent treadmill training for 30 minutes. In addition, the experimental group (trunk exercise using PNF) and control group (conventional training) participated in a 30-minute exercise program. Both groups performed the training 5 times per week for 4 weeks. Disease severity (determined using the unified Parkinson's disease rating scale motor subscale, UPDRS-3), balance (determined using the Berg balance scale, BBS), walking speed (determined using the 10-meter walking test, 10MWT), and walking endurance (determined using the 6-minute walking test, 6MWT) were measured at baseline and after 4 weeks. Results: Pre- to post-intervention improvement was noted on all outcome measures for both groups (p<0.05). Post-intervention, there was a significant improvement in the experimental group as compared to the control group for the following measured outcomes (p<0.05): UPDRS-3 (p=0.03; 95% CI, -5.52 to -0.24), BBS (p=0.04; 95% CI, 0.59 to 6.45), 10MWT (p=0.01; 95% CI, -2.19 to -0.42), and 6MWT (p=0.04; 95% CI, 1.81 to 96.72) Conclusion: The results of this study revealed that trunk exercise using PNF plus treadmill training improves balance and walking ability as compared to conventional training plus treadmill training in patients with Parkinson's disease.

Effect of Socioeconomic Status on Healthcare Utilization in Patients with Rare and Incurable Diseases (희귀난치성질환자에서 사회경제적 수준이 의료이용에 미치는 영향)

  • Im, Jun;Kim, Myeong-Hee;Im, Jeong-Soo;Oh, Dae-Gyu
    • Health Policy and Management
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    • v.19 no.4
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    • pp.66-77
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    • 2009
  • This study aims to examine the effect of socioeconomic status (hereafter, SES) on healthcare utilization of the patients with rare and incurable diseases. Information of 2,973 patients who were self-employed insured and utilized healthcare service in 2007 was drawn from the National Health Insurance (hereafter, NHI) claim data. SES was set as four groups based on the monthly contribution. Outcome variable was the expense for outpatient and in-hospital services, which was log-transformed and square-rooted in oder to obtain normal distribution. Covariates included age, gender, residence and diagnosis. To examine the effects after controlling for covariates, we employed generalized estimating equation model, since patients with the same diagnosis are likely to have similar characteristics of demographics and healthcare utilization. Univariate statistics showed that lower SES was associated with less utilization of healthcare services. After controlling for covariates, a significantly smaller amount of money was expended for the lowest SES group compared to the highest one. Rural residence was associated with less utilization, except that residents in Seoul significantly more utilized outpatient services in tertiary hospitals. Considering that there is a subsidy program for the low income patients, such differences in healthcare utilization according to SES seems to result from the burden of out-of-pocket payments for uncovered services of the NHI.

A Stochastic Model to Quantify the Risk of Introduction of Abalone Herpes-like Virus Through Import of Abalones (활 전복 수입에 의한 전복허피스바이러스감염증 (abalone herpes-like virus) 유입 위험평가)

  • Pak, Son-Il
    • Journal of Veterinary Clinics
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    • v.31 no.1
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    • pp.40-45
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    • 2014
  • Abalone herpes-like virus (AbHV) is a fatal disease of abalones that impose severe economic impacts on the industry of infected regions due to high mortality. The aim of this study was to quantify the risk of introducing AbHV into Korea through the importation of live abalones for human consumption by import risk analysis (IRA). Monte Carlo simulation models were developed to provide estimates of the probability that a ton of imported abalone contains at least one AbHV-infected individual, using historical trade data and relevant literatures. A sensitivity analysis with 5,000 iterations was also conducted to determine the extent to which input parameters affect the outcome of the model. Although many uncertainties were present in the data, the results indicated that, if 5,000 tons of abalone were imported from a hypothetical exporting country with low prevalence of AbHV (model 1), there would be at least one AbHV-infected abalones in 4,816 of those tons (96.3%), while there would be at least one AbHV-infected abalones in 100% of those tons imported from country with high prevalence (model 2). Sensitivity analysis indicated that for model 1, prevalence was the strongest influence factor on the predicted number of infections. For model 2, background mortality and washing to reduce the risk of surface contamination during processing were the major contributing factors. Risk management strategies need to be enforced to reduce the risk of AbHV introduction in that at least one infected abalone would remain in a consignment from country even with a low prevalence of AbHV infection. The methodology and the results presented here will contribute to improve the development of AbHV management program, and with more accurate data this IRA model will aid science-based decision-making on mitigation strategies to reduce the risk of AbHV introduction in Korea.

Problem Based Learning : New teaching and learning strategy in nursing education (문제중심학습방법 (Problem Based Learning : PBL) : 간호교육에 있어서의 새로운 학습방법)

  • Kim Hee-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.3
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    • pp.26-33
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    • 1997
  • Problem-Based Learning(PBL) is at the forefront of educational reform. The acceptance of PBL as an educational approach with wide application represents a major change in thinking about educational processes and their relationships to the wider community. In 1969, PBL as a method was introduced at the Medical School of McMaster University in Hamilton, Canada. The most important advantages in PBL are acquiring knowledge that can be retrieved and applied, learning to learn(self-directed learning) and learning to analyze and solve Problems. PBL is widely used within the sector where it had its origin, namely health profession education. A generally accepted starting point in the development of a problem-based curriculum is the set of professional competencies of future graduates, which describe the typical problems professionals have to deal with. Formulating learning objectives highly depends on the format and content of the presented problems. Contrary to that, in a classic course in higher education, it is customary that teachers express objectives in a compulsory subject matter. Curricula which advocate problem-based learning generally use case studies in the form of paper cases, simulations and real patients with the intention of stimulating classroom discussion of clinical and basic science concepts within a problem-solving framework. One goal of using paper cases is to stimulate the learning of basic science within a clinical situation. Through self-directed study the students solve problems and explore the psycho-social dimensions within the cases. The general outcome based on the program evaluation research of PBL is that PBL students respond positively about the learning experience. In summary, PBL is a curriculum design and a teaching/learning strategy which simultaneously develops higher order thinking and disciplinary knowledge bases and skills by placing students in the active role of practitioners(or problem solvers) confronted with a situation(ill-structured problem) which reflects the real world.

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Effect of Aquatic Exercise Program on Pain, Fatigue, Body Composition, Physical Fitness and Psychological Variables in Women with Arthritis (여성 관절염 환자에게 적용한 수중운동과정이 통증과 피로, 신체조성, 체력 및 심리적 변수에 미치는 효과)

  • Lee, Sun-Ok;Chang, Koung-Oh;Ahn, Suk-Hee
    • Women's Health Nursing
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    • v.13 no.3
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    • pp.165-173
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    • 2007
  • Purpose: The purpose of this study was to exam me the effects of aquatic exercise on pain, fatigue, body composition, physical fitness and psychological variables in women with arthritis. Method: With a quasi-experimental design, 37 women who had arthritis were assigned into an experimental group (n=19) or a control group (n=18). Aquatic exercise consisted of one hour of exercise in water, two days per week, for six weeks and a self-help process. Measures included physiologic and psychological variables before and after the exercise. Data was analyzed with the SPSS WIN using descriptive statistics, t-test, and ANCOVA. Result: The mean age of the subjects was 59 years in the experimental group and 52 years in the control group. Pretest scores in outcome variables were similar in both groups except BMI and body fat(%). After controlling for age, shoulder flexibility scores in the experimental group improved more than the control group (Rt: F=10.58, p=.003; Lt: F=5.91, p= .02; Waist: F=4.95, p= .03). Depression scores in the experimental group decreased (F=12.96, p= .001), and self efficacy and quality of life improved more than the others (F=5.07, p= .03; F=6.9l, p= .01). Conclusion: Aquatic exercise can improve waist flexibility and shows consistent findings of improved shoulder flexibility and psychological function in women with arthritis.

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Challenges in the Management of Breast Cancer in a Low Resource Setting in South East Asia

  • Ley, P;Yip, CH;Hong, C;Varughese, J;Camp, L;Bouy, Sok;Maling, E
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3459-3463
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    • 2016
  • Background: Breast cancer is the second most common cancer in women in Cambodia, a low income country in South-East Asia. The Sihanouk Hospital Centre of Hope (SHCH) is a charity hospital set up by an international non-governmental organisation, HOPE Worldwide. In 2008, SHCH partnered with AmeriCares, a global health organisation to set up and deliver a breast cancer programme to provide education, diagnosis and treatment for women with breast cancer. The objective of this study is to characterise the presentation, diagnosis, treatment and outcomes of women treated under this program. Materials and Methods: A total of 215 women newly diagnosed with breast cancer from 1 March 2008 until 31 March 2011 were studied. Age at diagnosis, tumour size, histological type, tumour grade, ER, lymph node involvement, treatment modalities (surgery, radiotherapy, chemotherapy, hormone therapy) were recorded. Data on mortality at 3 years were obtained whenever possible. Results: The median age was 47 years old. Some 77.8% were diagnosed with stage 3 and 4 lesions, and 78.5% underwent mastectomy, of which 28.4% the intent was palliative. Of those whose ER status were known, only 48.3% were ER positive. Only 6 patients could afford chemotherapy while only 1 patient had radiotherapy. Hormone therapy was provided free for those who were ER positive. The overall survival rate at 3 years was 39.1%. Conclusions: Breast cancer presents at a late stage, and because treatment is suboptimal, survival is poor in Cambodia. A more aggressive approach to early detection and treatment needs to be developed to improve outcome from this potentially curable disease.

A Research on Derivation of Strategic Brain Research Areas by the AHP Approach (AHP를 이용한 뇌융합 전략분야 발굴 연구)

  • Kim, Junhuck;Suh, Dukrok;Choi, Jee Hyun;Kim, Han-Gook
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.36-44
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    • 2016
  • This article serves as a guideline to the policy on Korea brain science program. Given limited resources within Korea, setting priorities in brain science topics is important in science policy. In this study, we determined the priorities of important brain science topics based on the frontier properties, innovativeness, and prospective outcome. Firstly, the significant topics were chosen after the interview with the top nationwide brain scientists, which were neuroglia, brain precision medicine, neuromorphic engineering, neuroepigenetics, and brain oscillation. Secondly, the analytic hierarchy process (AHP) survey were conducted to prioritize and assign the important weight for not only the criteria but also the research topics in pair choice evaluation. In regards to the importance among the criteria, prospects of the topic was determined to be the top criterion to ranked criterion to consider in the government investment. The priority of the research topics was determined by the order for the project to be considered in national science policy in a comparative way.

A Study on the Relationships among Nursing Organizational Characteristics, Types of Nursing Organizational Culture and Team Effectiveness at Operating Rooms (수술실의 간호조직특성, 조직문화 유형 및 팀 효과성과의 관계)

  • Kim, Boon-Han;Kim, Yoon-Sook;Jeon, Hye-Won;Kim, Keum-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.385-396
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    • 2006
  • Purpose: This study was a literary investigation in the development of an effective team-raised and cultural nursing organization targeting operating room nurses. This was done by grasping organizational features, different types of nursing organizational culture and team effectiveness, and by analyzing the relationships among variables. Method: The participators were 373 nurses. The data was collected between March 10th and April 28th, 2004. SPSS Win 11.0 program was used for data analysis. Results: Results of this study were as follows: A nursing organization at operating rooms was found to have an organizational culture with the characteristic of a centralized power and hierarchy-oriented organizational culture. With respect to a relationship between operating room organizational characteristics and the types of nursing organizational culture, there was a significant correlation in relationship-oriented culture and innovation-oriented culture. In the relation between the types of operating room organizational culture and team-effectiveness, it showed a significant correlation in team-devotion, peer-groupsatisfactional perception of a team's outcome in decreasing order. Conclusion: The organizational characteristic at operating rooms was power centralization and the culture type was hierarchy-oriented. These are factors that have a negative effect on a team-effectiveness-affecting relationship-oriented culture, innovation-oriented culture and work-oriented culture.

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Simulation in Nursing Education in South Korea: An Integrative Review (한국 간호교육에서의 시뮬레이션: 통합적 고찰)

  • Jang, Ae Ri;Kim, Ja Sook;Kim, Su Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.525-537
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    • 2020
  • This study aimed to determine the current state and characteristics of simulation-based operating processes in nursing education based on the Jeffries theoretical framework in South Korea by taking an integrated look at study findings in order to provide a scientific basis for future simulation-based operating processes. We searched eight databases, including the Korea Education and Research Information Service, National Library, Korean Studies Information Service System, National Digital Science Library, Korea Institute of Science and Technology Information, KOREAMED, and Korean Medical Database, using terms "simulation" and "nursing" as keywords in November 2017 in the Korean language. Sixteen studies were identified, reviewed, and appraised in this integrative review. The literature was categorized into these themes: general study characteristics, operation method, teaching and learning methods, subject characteristics, outcome variables, and theoretical framework. The simulation processes in nursing education in South Korea that were analyzed in this study did not fully reflect the main concepts suggested in the NLN Jeffries simulation framework. Thus, simulation program developers need to consider and incorporate a variety of strategies, based on the identification of essential components, to improve simulation effectiveness.