• Title/Summary/Keyword: Appropriate use criteria

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Development of a novel set of criteria to select methodology for designing product service systems

  • Tran, Tuananh;Park, Joon Young
    • Journal of Computational Design and Engineering
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    • v.3 no.2
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    • pp.112-120
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    • 2016
  • This paper proposes eight groups of twenty nine scoring criteria that can help designers and practitioners to compare and select an appropriate methodology for a certain problem in designing product service system (PSS). PSS has been researched for more than a decade and is now becoming more and more popular in academia as well as industry. Despite that fact, the adoption of PSS is still limited for its potential. One of the main reasons is that designing PSS itself is a challenge. Designers and developers face difficulties in choosing appropriate PSS design methodologies for their projects so that they can design effective PSS offerings. By proposing eight groups of twenty nine scoring criteria, this paper enables a "step by step" process to identify the most appropriate design methodology for a company's PSS problem. An example is also introduced to illustrate the use of the proposed scoring criteria and provide a clear picture of how different design methodologies can be utilized at their best in terms of application.

Drug Use Evaluation of Letrozole in Breast Cancer Patients at Regional Cancer Hospitals in Thailand

  • Ketkaew, Chaninun;Kiatying-Angsulee, Niyada
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.6055-6059
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    • 2015
  • Background: Medication policy development in Thailand is continually promoting rational drug use. Letrozole, an endocrine therapy drug, is usually prescribed for post-menopausal status early and advanced stage breast cancer. After Ministry of Public Health announced Letrozole as compulsory licensed drug in 2009, more breast cancer patients can access to this drug at low cost especially those within universal coverage schemes. To ensure that Letrozole is rationally prescribed, the drug utilization study was conducted. Objectives: The aim of this study was to describe the appropriate use of Letrozole in breast cancer and the relationship between appropriate use and health benefit schemes. Materials and Methods: A retrospective study to evaluate use of Letrozole in breast cancer patients was performed for six months between January - June 2010 in seven regional cancer hospitals, Thailand. All prescriptions of Letrozole were identified from pharmacy dispensing databases and prescription papers. A medical record review was also performed to evaluate appropriate use referring to the drug use evaluation criteria. The approved criterion of this study was referred from the guideline of Thai National Formulary version 2010. Results: There were 681 prescriptions of Letrozole for 254 breast cancer patients with an average age of $58.6{\pm}10.0years$. The patients in universal coverage scheme (UCS), civil servant medication benefit scheme (CSMBS) and social security scheme (SSS) were 77.7%, 18.5% and 8.7% respectively. 10.6% were prescribed Letrozole for the first time. Letrozole were prescribed by oncologists (82.8%). The average number of tablets per prescription was $58{\pm}10$. Calcium supplements were prescribed concomitant with Letrozole for 19.4%. To assess drug use evaluation criteria, 45 prescriptions were excluded because of uncompleted clinical data, 636 prescriptions were evaluated. The study showed 86 prescriptions (13.5%) with inappropriate use including 6 (0.9%) not prescribed for estrogen receptor (ER) and/or progesterone receptor (PR) positive, 31 (4.9%) not prescribed for post-menopausal and 49 (7.7%) not prescribed for an appropriate duration. Appropriate use percentages in different health benefit schemes were similar, 85.7% of CSMBS, 86.4% of SSS and 86.7% of UCS. The relationship between health benefit scheme and appropriate use of Letrozole was not significantly different, ${\chi}^2$ (2, N = 636) = 0.081, p > 0.05. Conclusions: The study showed inappropriate use in breast cancer patients because of non-compliance with duration, menopausal status and hormone receptor requirements. To prescribe appropriate indication did not referred to the appropriate practice along the treatment. Drug use evaluation proved very useful for detecting the sign of inappropriate use and allows immediate feedback to the stakeholder for developing medication policy in the future. Importantly, there was no significantly difference in appropriate use of Letrozole across health benefit schemes.

Comparing Perceptions of Evaluative Criteria in EFL Writing Between Learner and Instructor Group

  • Shin, You-Sun
    • English Language & Literature Teaching
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    • v.17 no.1
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    • pp.191-208
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    • 2011
  • The quantitative study investigated perceptions of evaluative criteria in L2 writing between two groups - learners (N=212) and instructors (N=52) in Korea. Specifically, the purpose of the study is (1) to examine learners' and instructors' perceptions on evaluative criteria in L2 writing and to provide empirical evidence concerning how they respond to a list of them and (2) to ultimately devise appropriate rating criteria applicable to an EFL context like Korea. Analyses of evaluative criteria were conducted using factor analysis and yielded the following results: learner and instructor groups perceived the evaluative criteria differently and weighted them in a different way. For the learner group, the combined elements of grammar and language in use were identified as Factor 1 and mechanics as Factor 2. The results may infer that learners' response patterns are primarily linked to their instructors' writing practice in class, which may largely focus on grammatical knowledge based on lexical use and mechanical accuracy. Similarly, the instructor group acknowledged grammatical knowledge as Factor 1 and lexical use as Factor 2. The first two factors found in both learner and instructor groups indicate that in an EFL context like Korea, the form-then-content way of teaching and learning is still being considered more effective in L2 writing than any other method. Taking into consideration these perceptive similarities and differences between learners and instructors, the categories of evaluative criteria in writing include content and organization, grammar, mechanics, language in use, and flow of the essay, respectively.

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Planning Controls for Land Use Safety (토지이용의 위험성 제어계획 -사용 밀도에 따른 기준치 설정의 접근방법-)

  • 노삼규
    • Fire Science and Engineering
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    • v.10 no.2
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    • pp.20-27
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    • 1996
  • This paper discussed the limit of existing safety controls where the use of land around hazardous industry. There is a gap between engineering evaluation of acceptable criteria for loss reduction and risk exposure to the areas of high risk outside plants from the aspects of risk perception. The paper performed how land use safety could be designed between the density of uses with the duration of risk exposure by type of land use. It concluded the needs of multi-dimensional presentation for an appropriate risk controls on existing and future land use safety.

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Developing pragmatic awareness through English teaching materials (영어교재를 통한 화용론 지도 방안)

  • Chang, Bok-Myung
    • English Language & Literature Teaching
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    • no.6
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    • pp.179-197
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    • 2000
  • Of interest to second language researchers and classroom teachers today is whether and in what wats formal instruction can promote the development of appropriate use of the target language. Most formal instruction is closely related with the use of textbooks in ESL classrooms, so this study focuses on ESL textbooks. In order to learn to communicate successfully, students should use textbooks which specify the rules of language use for the community in which they are operating. This study examines the speech acts of compliment across 8 middle school English textbooks published in Korea. This study analyses the speech acts of compliment according to the following criteria : 1) vocabulary - adjective, verb, intensifier 2) sentence pattern 3) social strategy - invitation to talk, greetings, farewells, expression of gratitude, etc. 4) types of response. As a result of this study some suggestions is giver to promote the development of appropriate use of English through English textbooks.

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Numerical Range Criteria for Classification of Value Engineering Proposals based on Value Improvement Types (VE제안의 가치향상 유형별 수치적 범위기준 제시)

  • Nam, Keong-Woo;Jang, Myunghoun
    • Journal of Advanced Engineering and Technology
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    • v.11 no.4
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    • pp.287-294
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    • 2018
  • Since its introduction in Korea, design VE has widely been used as a means to enhance values in the construction industry. However, a greater emphasis is still placed on cost reduction in approach attitudes and performance evaluations on the implementation of design VE. In this regard, this study presented a performance evaluation method for cost, function, and value of VE proposals. Numerical criteria on the increase and decrease of cost and function that can classify the value enhancement type of VE proposals were proposed based on the performance evaluation method. It is expected that the use of numerical criteria for the type classification of VE proposal, and cost and performance evaluation method proposed in this study will make it possible to conduct a clear and more intuitive evaluation of VE proposal. However, it is appropriate to use the numerical criteria as a guideline to apply the new performance evaluation method for VE proposals. Therefore, it is necessary to conduct a statistical analysis with a wider range of users after the repeated application of the findings of this study, and thus to carry out research for presenting the numerical criteria for various types of users.

Suicide Prevention Policy Guideline Model Considering Privacy Law in Korea

  • Do-Hyun Kwon
    • Korean Journal of Biological Psychiatry
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    • v.30 no.1
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    • pp.7-16
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    • 2023
  • Objectives This study aimed to review the Korean Constitution articles 14 and 20 of the "Law on suicide prevention" and investigate public perceptions of specific improvements to suicide prevention policies using results from the Korean 2018 National Survey on Suicide. Methods The questionnaire was designed to analyzing the act restricts sharing of patient information between hospitals, making it difficult to track suicide attempts. The questionnaire was also designed to suggest further medical and normative criteria for objective judgment of continuous follow-up utilizing suicide risk evaluations and proportional principle review that consider patients' and medical staff's basic rights. Results This study identified the result of the 1500 respondents, 79.1% believed that Korea should allow suicide prevention management to be implemented without requiring individual consent to protect suicide attempters. Conclusions According the results, I propose the following criteria for policy improvement: use of anonymized information and non-profit research for technical and ethical considerations, access to medical information only for therapeutic purposes, and use of surgical severity assessment criteria appropriate for Korea.

Assessment of Urban Land Suitability Analysis for Public Park Planning

  • Sungmin Cho
    • International journal of advanced smart convergence
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    • v.13 no.3
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    • pp.259-266
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    • 2024
  • One of the most time consuming issues in a city development is the identification of suitable areas for urban infrastructures and proper land uses. Suitability analysis is the process and procedures to find the best available land in given area -that is, the ability of a system to select the needs of users in land use. This paper studied the usage of Geographic Information System technique and methods for the selection of the most appropriate sites for public park in the city of Gwangju. GIS was used as a standard technique to find the best available sites for development in urban areas. For this cause, digital elevation model and spatial data were used to produce different thematic layers by using software Idrisi. Criteria for finding the suitable site for park development were decided to evaluate the land and the followings 4 criteria were selected: on land with less than 3 degrees in slope, outside a 200m buffer around lakes, on land currently designated as forests, and 20ha or greater in size. To meet and measure each criterion, distance and context operators were applied to reclassify the importance of certain weight and Boolean images were generated to meet the criteria. These weights and maps has been combined using ArcGIS tools and the final map was prepared showing the most suitable sites. We may assist city planners and government officials in future development of public facilities including parks and related land use plans at urban level and act as to ensure proper land use planning and management of the urban areas.

Development of Eligibility Criteria for Comprehensive Medication Management Programs in Long-term Care Facilities Using RAND/UCLA Appropriateness Method (RAND/UCLA Appropriateness Method를 이용한 요양시설의 포괄적 약물관리 프로그램의 대상자 기준 개발)

  • Jang, Suhyun;Kang, Cinoo;Ah, Youngmi;Lee, Ju-Yeun;Kim, Jung-Ha;Jang, Sunmee
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.3
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    • pp.260-269
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    • 2022
  • Background: Comprehensive medication management is essential to achieve safe and optimal drug use for the elderly in long-term care facilities (LTCF). This study aimed to develop eligibility criteria for "Comprehensive medication management program in LTCF" using the RAND/UCLA Appropriateness Method (RAM). Furthermore, we attempted to estimate the number of beneficiaries who met the criteria by analyzing the National Health Insurance claims data. Methods: Twelve criteria were selected initially. We composed a panel of 14 experts with expertise in long-term care. We conducted two survey rounds to reach a consensus. Rating for appropriateness and decision regarding agreement were applied per RAM. We analyzed the National Health Insurance data to estimate the number of LTCF residents who met each eligibility criterion. Results: Of the 11 items agreed upon, ten items were determined to be appropriate. In 2018, 83.6% of 165,994 residents of LTCF met one or more eligibility criteria. The largest number of subjects met the "New residents of LTCF" criterion, followed by "Take high-alert drugs" and "Chronic excessive polypharmacy." Since the items evaluated as most appropriate by the expert panel and those with a large number of subjects were similar, we confirmed the external validity of our criteria. Conclusion: It is worth noting that this is the first attempt to establish the eligibility criteria for medication management in LTCF. Further preliminary research is needed to identify the selected subjects' drug-related problems and revise the criteria according to the results.

Building capacity for ecological assessment using diatoms in UK rivers

  • Kelly, Martyn
    • Journal of Ecology and Environment
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    • v.36 no.1
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    • pp.89-94
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    • 2013
  • Diatoms have become an integral part of the UK's freshwater monitoring strategy over the past two decades, mostly in response to increasingly stringent European Union (EU) legislation. The use of diatoms is based on strong correlations between diatom assemblages and environmental variables, and from knowledge of the "expected" (= "reference") state of each river. The nationwide overview of the ecological health of rivers this gives allows those stretches of rivers which fail to meet EU criteria to be identified. This, in turn, allows appropriate remediation measures to be planned. Because diatom assemblages vary in space and time, even within a single water body, effective use of diatoms requires a consistent approach in order to minimise uncertainty. This includes the use of methods which comply with European Standards, a training and accreditation scheme for analysts, and a suite of quality assurance methods. Those aspects of uncertainty that cannot be readily controlled have been quantified and all estimates of ecological status are accompanied by the appropriate "confidence of class" and "risk of misclassification". This, in turn, helps planners prioritise those locations which are most likely to benefit from remediation.