• 제목/요약/키워드: outcome indicators

검색결과 209건 처리시간 0.021초

Three Cases of Intracranial Clear Cell Meningioma

  • Kim, Yeon-Seong;Kim, In-Young;Jung, Shin;Lee, Min-Cheol
    • Journal of Korean Neurosurgical Society
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    • 제38권1호
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    • pp.54-60
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    • 2005
  • The clear cell meningioma[CCM] is a rare and recently described as a histologic variant of meningioma. It has been identified and included in new World Health Organization[WHO] classification of the Central Nervous System[CNS] tumors recently. The CCMs are histologically characterized by sheets of spindled to polygonal cells with clear cytoplasm, which is the expression of high glycogen concentration. The CCMs occur in younger patients and usually are located in the spinal canal and posterior fossa. The most interesting aspect of CCM is the high recurrence rate and aggressiveness. Poor outcome has been shown in intracranial and spinal tumor location, but the indicators that predict outcome have not been established. Until now 22 intracranial CCM cases had been reported in English literature and 3 cases in Korean. The authors report two cases of CCM located at cerebral convexity and one at cavernous sinus those were totally removed [Simpson Grade $I{\sim}II$] by subfrontal, frontal and orbitocranial approaches. The clinical, radiological, histopathological, and neurosurgical features of these cases are discussed with the relevant literatures.

Effectiveness of Electroacupuncture in Patients with Chronic Fatigue Syndrome: A Systematic Review and Meta-analysis

  • Yang, Jaewoo;Shin, Donghoon;Oh, Jihoon;Lim, Jinwoong
    • Journal of Acupuncture Research
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    • 제39권3호
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    • pp.170-181
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    • 2022
  • This review evaluated the efficacy of electroacupuncture (EA) for chronic fatigue syndrome. Randomized controlled trials (RCTs) using EA as an intervention for patients with chronic fatigue syndrome were identified in 6 databases (PUBMED, EMBASE, CNKI, J-STAGE, KMBASE, OASIS). Fatigue indicators were used as the primary outcome measures. The quality-of-life index, efficiency rate, and level of pain were used as secondary outcome measures. There were 408 patients from seven RCTs included in this study. Meta-analysis showed that EA was significantly associated with fatigue relief compared with the control group (n = 141 SMD = -1.55, 95% CI; -2.58 - -0.52, p = 0.003, I2 = 92%). In addition, EA had a statistically significant improvement in quality of life compared with the control group (n = 176, SMD = -2.29, 95% CI; -3.68 - -0.90, p = 0.001, I2 = 96%). One study reported ten cases of bleeding, however, no serious adverse events were reported in any of the included studies. This review determined that EA may have a greater clinical effect than the control group for fatigue relief and improved quality of life. However, there were several risks of bias identified. Not all of the RCTs accurately reported the research method, all studies were conducted in 1 country (China), and the number of studies included were small.

제한항균제 전산 관리 프로그램 도입 전과 후의 반코마이신 사용 평가 (Evaluation of Vancomycin Use before and after the Computerized Restricted Antibiotic Control Program)

  • 안효초;이창섭;이미경;양재헌
    • 약학회지
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    • 제53권3호
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    • pp.107-113
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    • 2009
  • Since 2006, the Computerized Restricted Antibiotic Control Program (CRACP) has been incorporated to facilitate a more efficient approval process of vancomycin use at the Chonbuk National University Hospital. The purposes of the study were to evaluate proper use of vancomycin and to examine if there is any improvement when administering the CRACP. The use of vancomycin was retrospectively reviewed by a medical record review based on the American Society of Hospital Pharmacists (ASHP) criteria (i.e., indication, use of critical process indicators and use of outcome measurements) and compared before (Group I) and after the CRACP (Group II). Two hundred fifty six patient records were evaluated (138 in Group I and 118 in Group II). There was a statistically significant improvement in the report of justification for vancomycin use after CRACP (42.0% vs. 62.7%, p=0.001). Out of eight critical process indicators, two indicators (appropriate cultures prior to medication [68.8% vs. 85.6%, p=0.002] and serum vancomycin level measurement [0% vs. 7.6%, p=0.001]) were significantly improved after CRACP. The total incidence of adverse effects was decreased from 14.5% to 6.8%. In addition, there was a statistically significant difference in WBC count reduction within normal range (52.8% vs. 73.1%, p=0.024). The CRACP appears to be a promising approach to improve use of vacomycin in a hospital setting. However, further evaluation for the long-term period should be performed to confirm the performance of the program.

장애인 사회통합의 지수개발과 측정에 관한 연구 (A Study on the Index of Social Integration of Person with Disabilities and its Measurement)

  • 이익섭
    • 한국사회복지학
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    • 제38권
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    • pp.206-233
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    • 1999
  • 이 연구는 장애인의 사회통합에 대한 지표와 지수를 개발하고 측정조사함으로써 객관적인 평가와 진단을 제시하는 것을 목적으로 한다. 개발될 지수는 장애인의 생활부문을 조사하여 무리나라 장애문제에 대한 좀더 객관적인 평가와 진단을 제시하는 것이다. 장애 통합지수는 현실을 진단하는 단일수치로 표현되며 이는 우리나라 장애인의 사회통합을 결과의 차원에서 평가하고자 하였다. 장애인 사회통합을 측정하는 하위지표로 장애인 (1) 사회적 태도, (2) 물리적 환경, 고용과 교육 두 가지 하위 차원으로 구성된 (3) 사회적 참여, (4) 제도적 통합 등의 네 가지 차원을 선정하였다. 사회적 태도 차원과 물리적 환경 차원은 관찰조사를 통하여 수행되었으며, 사치적 참여 차원과 제도적 통합 차원은 문헌연구를 통하여 수행되었다. 연구결과, 한국의 장애통합지수는 0.4832로 산출되었다. 따라서 한국의 장애인 사회통합 정도는 48%로 그 궁극적인 목표인 완전 사회통합의 절반 수준이라고 결론내리게 되었다. 그러나 이 연구에서 시도한 장애인 사회통합 지수화는 지표의 측정이나 산출된 지수 값에 대한 해석에 제한점을 안고 있어 향후 지표의 설정과 측정의 신뢰성 부분에서 후속연구가 기대된다.

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Regulatory Sentiment and Economic Performance

  • JUNGWOOK KIM;JINKYEONG KIM
    • KDI Journal of Economic Policy
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    • 제45권1호
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    • pp.69-86
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    • 2023
  • Regulatory sentiment refers to the market's subjective evaluation of regulatory reform and is one of the most widely adopted indicators to those charged with implementing and diagnosing regulatory policies. The use of regulatory sentiment in advanced analysis has become universal, albeit it is often limited due to difficulties in articulating consistent and objective quantitative indicators that can meticulously reflect market sentiment overall. Thus, despite ample effort by scholars to read the economic impact of regulatory sentiment in the real economy, causal links are difficult to spot. To fill this gap in the literature, this study analyzes a regulatory sentiment index and economic performance indicators through a text analysis approach and by inspecting diverse tones in media articles. Using different stages of tests, the paper identifies a causal relationship between regulatory sentiment and actual economic activities as measured by private consumption, facility investment, construction investment, gross domestic investment, and employment. Additionally, as a result of analyzing one-unit impulse of regulatory perception, the initial impact on economic growth and private investment was found to be negligible; this was followed by a positive (+) response, after which it converged to zero. Construction investment showed a positive (+) response initially, which then rapidly changed to a negative (-) response and then converged to zero. Gross domestic investment as the initial effect was negligible after showing a positive (+) reaction. Unfortunately, the facility investment outcome was found to be insignificant in the impulse response test. Nevertheless, it can be concluded that it is necessary and important to increase the sensitivity to regulations to promote the economic effectiveness of regulatory reforms. Thus, instead of dealing with policies with the vague goal of merely improving regulatory sentiment, using regulatory sentiment as an indicator of major policies could be an effective approach.

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.

소아 청소년 만성기침 환자를 대상으로 한 중재 임상시험 등록 현황 분석 - WHO ICTRP를 중심으로 - (The Analysis of Registration Status of Interventional Clinical Trials for Children and Adolescents with Chronic Cough - Focused on WHO ICTRP -)

  • 정윤경;최서연;방미란;이준환;이보람;장규태
    • 대한한방소아과학회지
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    • 제37권3호
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    • pp.75-93
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    • 2023
  • Objectives We aimed to analyze the registration status of interventional clinical trials in children and adolescents with chronic cough. Methods All interventional clinical trials registered up to 3 July, 2023 on the international clinical trial registry platform (ICTRP) of the World Health Organization (WHO) were analyzed. Information was extracted including study design, interventions, inclusion and exclusion criteria, and outcome indicators. Results A total of 18 interventional clinical trials were analyzed. For study design, multicentre trials, randomized allocation, parallel group design and phase 4 trials were the most frequently reported. Blinding was used in 44.4% and informed consents were obtained from 61.1%. For intervention, drugs were used in 61.1%, using placebo control group in 27.8%. Quality of life questionnaires were most frequently reported in 50% as the primary outcome, and adverse events were the most as the secondary outcome. In most cases, the assessment timepoints were after two weeks. Conclusions Based on the characteristics of clinical trial design analyzed in this study, it is necessary to design traditional Korean medicine clinical trials with improved quality and accuracy of information.

Marketer-Generated Content Sharing Among Social Broadcasting Users: Effects of Intrinsic Motivations, Social Capital and the Moderating Role of Prevention Focus

  • Li, Yuhao;Wang, Kanliang
    • Asia pacific journal of information systems
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    • 제25권4호
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    • pp.719-745
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    • 2015
  • Social networking services provide individuals with an easy approach for exchanging messages with others based on interpersonal relationships. However, why individuals spread marketer-generated content (MGC) in their online social circles remains unclear. Therefore, we develop a theoretical model to examine how social capital, intrinsic motivations, personal perceptions, past behavior, and personal traits influence MGC sharing behavior of social media users in micro-blogging context. Data collected from 319 social networking users support the proposed model. The results from partial least squares analyses show that enjoyment, perceived control, and outcome expectations are significant indicators of individual's MGC sharing intention in the social broadcasting environment. Results also suggest that social capital, users' intention, and past behavior positively influence the MGC sharing behavior of users. Moreover, individual prevention pride exhibits a significant interaction effect on the relationships between users' MGC sharing and its antecedents. Implications for research and practice are discussed.

기업용 소프트웨어 영업 인력 영업 성과의 영향 요인에 관한 연구 (A Study on the Factors Affecting the Sales Performance of Business Software Salespersons)

  • 연규서;황경태
    • Journal of Information Technology Applications and Management
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    • 제23권2호
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    • pp.113-141
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    • 2016
  • This study identifies and validates the factors that affect sales performance of salespersons in the business software industry. In the study, in order to measure the dependent variable (performance of the salesperson) more comprehensively, multiple items are utilized and both outcome and behavior indicators are used. Independent variables are identified based on the classification of Verbeke et al. [(2011] including sales related knowledge, degree of adaptiveness, role ambiguity, and work engagement. Results of the hypotheses testing show that 'sales related knowledge' and 'work engagement' are statistically significant factors, but 'degree of adaptiveness' and 'role ambiguity' are not. This study has a few limitations and future research direction to overcome the limitation is suggested : use of both perceptions of the salesperson and objective measures in measuring the related variables; study including cognitive ability; analyses of the factors across various types of software companies; and analyses of the factors on the team level.

The effect of radiotherapy on rectal cancer: a histopathological appraisal and prognostic indicators

  • AlQudah, Mohammad;Salmo, Emil;Haboubi, Najib
    • Radiation Oncology Journal
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    • 제38권2호
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    • pp.77-83
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    • 2020
  • The management of rectal cancer is a major undertaking. There are currently multiple treatment modalities with variable degrees of complications. Radiotherapy (RT) is one of the more frequently used modalities either on its own or more frequently with chemotherapy mostly before the definitive surgery. The outcome of RT is unpredictable. RT has its serious side effects and there are no guarantees of its usefulness in all patients. This article outlines the effect of RT on the tumor, reviews the various staging systems of responses to RT and present recent evidence of which case is less responsive to such treatments to avoid unnecessary complications.