• Title/Summary/Keyword: outcome

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EEG can Predict Neurologic Outcome in Children Resuscitated from Cardiac Arrest (심정지 후 회복된 소아 환자에서 뇌파를 통한 신경학적 예후 예측)

  • Yang, Dong Hwa;Ha, Seok Gyun;Kim, Hyo Jeong
    • Journal of the Korean Child Neurology Society
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    • v.26 no.4
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    • pp.240-245
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    • 2018
  • Purpose: Early prediction of prognosis of children resuscitated from cardiac arrest is a major challenge. We investigated the utility of electroencephalography (EEG) and laboratory studies for predicting of neurologic outcome in children resuscitated from cardiac arrest. Methods: We retrospectively analyzed medical records of patients who were resuscitated from cardiac arrest from 2006 to 2015 at the Gil Medical Center. Patients aged one month to 18 years were included. EEG analysis included background scoring, reactivity and seizure burden. EEG background was classified score 0 (normal/organized), score 1 (slow and disorganized), score 2 (discontinuous or burst suppression), and score 3 (suppressed and featureless). Neurologic outcome was evaluated by Pediatric Cerebral Performance Category (PCPC) at least 6 months after cardiac arrest. Results: Total 26 patients were evaluated. Nine patients showed good neurologic outcome (PCPC 1, 2, 3) and 17 patients showed poor neurologic outcome (PCPC 4, 5, 6). Patients of poor neurologic outcome group showed EEG background score 3 in 88.2%, whereas 44.4% in patients of good neurologic outcome group (P=0.028). Electrographic ictal discharges except non-convulsive status epilepticus were presented in 44.4% of good neurologic outcome group and 5.9% of poor neurologic outcome group (P=0.034). Ammonia and lactate levels were higher and pH levels were lower in poor outcome group than good neurologic outcome group. Conclusion: Suppressed and featureless EEG background is associated with poor neurologic outcome and electrographic seizures are associated with good neurologic outcome.

Structural Relationships among Engineering Self-Efficacy, Outcome Expectations, Interests, Learning Persistence and Career Preparation Behavior of Engineering Students (공과대학생의 학업지속과 진로준비행동에 영향을 미치는 공학효능감과 결과기대, 흥미간의 구조적 관계)

  • Lee, Myunghwa;Lee, Jeongmin
    • Journal of Engineering Education Research
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    • v.18 no.4
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    • pp.13-25
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    • 2015
  • The purpose of this study was to investigate structural relationships among engineering self-efficacy, outcome expectation, interest, learning persistence, and career preparation behavior of engineering students. Participants (n=428) completed measures of engineering self-efficacy, outcome expectations, interests, learning persistence, and career preparation behavior. Results from structural equation modeling analysis were found to support the proposed model which included learning persistence and career preparation behavior, influence from engineering self-efficacy, outcome expectations, and interests. In addition, major persistence intention and career preparation behavior of engineering college students are influenced by the direct and indirect effects on engineering self-efficacy, interest, and outcome expectations. The implications of the findings on practice for Korean engineering college students are discussed.

Evaluation of renewable energy deployment program using outcome evaluation method and its implication (Outcome evaluation method를 이용한 신.재생에너지 보급보조사업의 평가결과 및 시사점)

  • Moon, Chang-Kwon;Heo, Eun-Nyeong
    • 한국신재생에너지학회:학술대회논문집
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    • 2009.11a
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    • pp.300-300
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    • 2009
  • Outcome Evaluation은 미국의 DOE(Department Of Energy)산하 EERE(Energy Efficiency and Renewable Energy)에서 프로그램 평가를 위해 사용하는 General Program Evaluation Guide에서 언급된 5가지 평가방법 중 하나로 프로그램의 결과를 측정하여 평가하는 방법이다. 이는 프로그램을 시행한 후 일정한 기간이 지난 뒤 프로그램의 목적을 달성함으로써 얻어지는 결과를 추산하여 그 기간 동안 프로그램이 의도했던 목적을 위해 얼마나 잘 수행되었는지를 보여준다. 본 연구에서는 Outcome Evaluation을 이용하여 한국에서 진행되고 있는 신재생에너지 보급사업에 대한 평가를 하였다. 현재 한국의 신재생에너지 보급사업은 크게 보급지원제도와 기반조성사업으로 나누어져 있으나 본 연구에서는 보급지원제도에 중점을 두어 평가를 진행하였다. General Program Evaluation Guide에 따르면 Outcome Evaluation의 방법론은 engineering estimation에서 survival analysis에 이르기까지 다양한 방법론을 제시하지만 본 연구에서는 Tabulation과 Correlation을 주로 활용하였다. 먼저 평가의 대상이 되는 프로그램과 시기를 정하고 평가지표를 산정한 뒤 위와 같은 방법론을 활용해 평가를 진행했고, 그 시사점을 도출하였다.

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Surgery of the Tumors in the Ventricular System

  • Hong, Sang-Won;Choi, Ha-Young;Koh, Eun-Jeong
    • Journal of Korean Neurosurgical Society
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    • v.39 no.1
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    • pp.26-31
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    • 2006
  • Objective : The authors study on the clinical presentations and the surgical outcomes of the tumors in the ventricular system. Methods : 15 patients with ventricular tumor were studied. The clinical presentation, radiological findings, different surgical approaches, and outcome were analyzed. Tumors were classified into three groups based on their locations in MRI : lateral, third and fourth ventricle. Surgical methods were transcortical approach in eight patients, transcallosal approach in four, median suboccipital approach in two, and subfrontal approach in one. Gross total removal was achieved in 10 patients. Subtotal resections were performed in the rest. Glasgow outcome scale was used for evaluation of the surgical outcome. Results : Main clinical presentations were chronic headache in patients with the tumor in the lateral ventricular tumor and sudden onset of headache and consciousness change in patients with the tumor in the third and fourth ventricular tumor Development of hydrocephalus was more predominant in patients with the tumors in the third ventricle. Postoperatively, good outcome [Glasgow outcome scale IV, V] were in 73%, and better results was observed in patients with the tumors in the lateral ventricular tumor. The differences of outcome according to surgical approach were not recognized, even though it was not reliable statistically. Conclusion : In ventricular tumor, postoperative outcome is not good in patients with sudden development of headache, hydrocephalus, high grade tumor. Outcome is good in patients with the tumor in the lateral ventricle relatively. There is no difference in outcome according to the approach method to the tumors. And it is necessary to be aware of various approach methods to the tumors and anatomy surrounding the ventricle for avoidance of neurological complications.

Affective Outcome According to KCUE-Q1(Korean College and University Education Questionnaire) in Nursing Students (간호대학생의 KCUE-Q1(Korean College & University Education Questionnaire)에 따른 비인지적 학습성과)

  • Kim, Ok-Hyun;Choi, Eun-Ju
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.862-872
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    • 2014
  • The purpose of this study was to examine the affective outcome according to KCUE-Q1 in nursing students. The survey was performed with 424 nursing students of 3-year or 4-year that scheduled to graduate from college. Collected data was analyzed using descriptive statistics, t-test, one-way ANOVA and Pearson's correlation coefficient. The level of affective outcome was 2.69. The affective outcome was significantly different according to gender, grade, nursing education accreditation and club activity. Learning passion showed a positive correlation with learning experience and educational outcome. Learning experience showed a positive correlation with leaning passion and educational outcome. The findings of this study indicates a need to develop outcome-based nursing curriculum for nursing students. It is also necessary to evaluate affective outcome in undergraduate nursing students.

A Study on the Outcome of International Trade Practice in Commitment of Electronic Trade (전자무역의 몰입이 무역업무성과에 미치는 영향에 관한 연구)

  • Lee, Jeong-Ho
    • International Commerce and Information Review
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    • v.14 no.4
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    • pp.545-562
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    • 2012
  • This study tried to analyzed the relationship outcome and commitment in order to suggest to a outcome for commitment decision-making of e-trade. 6 hypothesis were constructed for analysis based on previous literature review. The subject of this study is to analyse on electronic trade practice outcome on the international trade practice commitment. This paper investigates the outcome determinants of e-trade commitment. There are 250 sended samples and 188 returns, 168 of them are analyzed on commitment for a electronic trade outcome. The first, multiple regression result shows that the international trade practice outcome are positively affected by the "Overseas market research commitment", "e-L/C Practice commitment", "Clearance Practice commitment", "e-B/L or global logistic commitment", "Payment or e-Nego commitment". However, The "Commerce practice commitment" factors does not affect in the electronic trade practice outcome.

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The Relationship of Self-leadership, Job Satisfaction, and Perceived Outcome in Nurses (간호사의 셀프리더십과 직무만족, 개인성과간의 관계)

  • Seomun, Gyeong-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.1
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    • pp.45-58
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    • 2005
  • Purpose: The purpose of this study was to identify the relationship among self-leadership, job satisfaction, and perceived outcome in nurses. Method: The subjects of study were nurses as a population who were working for the 2 of university hospitals which have over 500 beds in Kyong Ki Province as well as who have been working for over 6 months. The data was collected by questionnaires from 217 nurses and analyzed using descriptive statistics, pearson correlation coefficient, and multiple regression on SPSS 10. 0 version. Results: The degree of Self-leadership was 3.38 out of 5 as a mean point. There was a significant difference in self-leadership according to age, level of education, working department, and position. There was a significant positive correlation between self-relationship and job satisfaction, self-relationship and perceived outcome, and job satisfaction and perceived outcome. The stepwise multiple regression analysis revealed that the most powerful predictor of job satisfaction and perceived outcome was constructive thinking. Conclusion: In conclusion, the result was obtained that self-leadership is much correlated with job-satisfaction of nurse and outcome of nursing practice. Therefore, as a way to promote efficiency of nursing organization, the constant study about self-leadership with the various aspects is needed focusing on self-management and inner motivation as a new leadership paradigm.

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Interaction between Personality and Depression Outcome (인격과 우울증 치료결과의 상호작용)

  • Park, Yong Chon;Kim, Seok Hyeon
    • Korean Journal of Biological Psychiatry
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    • v.8 no.1
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    • pp.47-52
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    • 2001
  • It is known that the personality is the crucial factor in the treatment outcome of depression. The authors tried to identify the results of such studies and various components which determine the treatment outcome of depression. Nearly 60 papers published between the year 1990 and 2000 about the treatment of depression and personality were reviewed. Among them about 30 papers were selected to compare the research methods, results and discussions. The arguments and critics of the papers were discussed. In the many debates, the authors admitted the fact that premorbid personality trait influences the treatment outcome of depression negatively regardless of treatment method. Subtyping of depression is feasible along the presence of good or bad predictors of treatment outcome for depression. Differentiation of depression and personality seems to have no problem, however test of personality state before the development of psychiatric disorder such as depression is not amenable. For example, cluster A personality trait is often misunderstood as depression in clinical setting. In some cases cognitive behavioral therapy is effective in the treatment of depression accompanying personality disorder. The authors insist that the analysis of personality in the dimensional aspect rather than in the categorical aspect gives more information in the research of personality influencing the treatment outcome of depression. In addition, the reason why we understand the relationship between depression and personality were discussed.

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Relationship between Nutritional Status and Clinical Outcome in 120 Hepatoma Patients (간암환자의 영양상태와 치료결과와의 관련성)

  • Han, Bu;Kim, Young-ok
    • The Korean Journal of Food And Nutrition
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    • v.13 no.5
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    • pp.434-439
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    • 2000
  • This study was conducted to investigate the association between initial nutritional status and treatment outcome of hepatoma patients. Initial nutritional status was measured based on weight, serum albumin and total lymphocyte counts. Treatment outcome was measured in the three categories such as complication, treatment status at discharge and mortality. The study subjects were 120 patients with hepatoma cancer admitted at a university hospital in Seoul. The information about initial nutritional status and treatment outcome was collected from medical records. Chi-square test was used to test the association between initial nutritional status and treatment outcome As a result. 76.6% of the subjects were classified as the nutritional risk group based on initial nutritional states. Prevalence of complication was higher in nutritional risk group I and II than that in non-risk group(p<0.05). Death rare of the nutritional risk group was significantly higher than that of non-risk group(p<0.001). The findings suggest the strong association between the initial nutritional status and treatment outcome of hepatoma cancer.

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Outcome Indicators of Quality Nursing Care (질적 간호의 결과적 지표)

  • Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.1
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    • pp.107-118
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    • 1997
  • This study was designed to obtain basic data for development of evaluation tool which would be needed to measure the outcome of general quality nursing care of individual patient. The purpose of this study was to analyze and classify the outcome indicators of quality nursing care. The 29 articles of quality nursing care and outcome measures were selected coveniently, and analyzed to classify the outcome indicators of quality nursing care using open coding method. The results of this study were as follows: 1. Quality nursing care was defined as level of excellence of nursing care to achieve good patient outcome. 2. The 6 domains of which were health status, satisfaction, self care, patient progress and prognosis, and compliance were identified in outcome indicators of quality nursing care 3. Seven indicators of health status domain which were perceived health status, quality of life, well-being, daily activities, physical-physiological status, psychoemotional status, and social role functioning were identified. 4. Two indicators of satifaction domain which were patient satisfaction and family satisfaction were identified. 5. Three indicators of self care domain which were skill, knowledge, and home management were identified. 6. Seven indicators of patient progress and prognosis domain which were change of clinical status, resolution of nursing diagnosis and problem, days of stay, dicahrge state, recovery state, survival were identified. 7. compliance with therapeutic direction compliance was identified as an indicator of compliance domain. 8. It was sugested that studies for development of evaluation tools for outcomes of quality nursing the results of this study could be executed

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