• Title/Summary/Keyword: Appropriateness criteria

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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.

A Study on Appropriateness of Performance Criteria of Smoke Control System for Underground Spaces (I) (지하공간에 대한 제연설비 성능기준의 적정성 고찰(I))

  • Ahn, Chan-Sol;Kim, Heung-Youl;Yoo, Yong-Ho;Jeon, Gyu-Yeop
    • Proceedings of the SAREK Conference
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    • 2008.11a
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    • pp.103-106
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    • 2008
  • This study is intended to evaluate the characteristics of smoke spreading and the appropriateness of evacuation time extended by operation of smoke control system during fire within the underground space of the building structured in compliance with the smoke control system performance criteria from the local fire safety standard, which has been currently applied to the buildings in Korea. Using the heat release per unit weight of the combustibles, a numerical analysis both in case of smoke control system in operation and the system not in operation was carried out at the several different shopping malls. From the viewpoint of securing the evacuation time, the results were compared in an attempt to assess the appropriateness of the fire safety criteria.

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A Study on the Corset Type Long-Line Brassieres Pattern Development for Adult Women : focusing on women in their 20s (성인 여성용 코르셋형 롱라인브래지어 패턴개발 - 20대 여성을 대상으로 -)

  • Sohn, Hoo Jo;Na, Mi-Hyang
    • Fashion & Textile Research Journal
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    • v.14 no.6
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    • pp.960-967
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    • 2012
  • The study aims to design the corset type long-line bra patterns that compensate part-somatotype of women in their 20s. The corset type long-line research bra patterns consist of 4 sections: cup, front bodice, back bodice, and shoulder strap. The full cup is made up of 2 lower part pieces and 1 upper part piece, and the shoulder strap is 16 millimeters wide. The method to design the patterns is shown in figure 4 and figure 5. The result of wearing test showed that, while the wearing testers recognized some significant differences in 19 out of 26 criteria, the examiners did in 17 out of 23. The criteria more than 1 in an average value between research bras and commercial bras were 'appropriateness of breadth of shoulder strap', 'appropriateness of pressure of armhole circumference'. 'appropriateness of pressure of waist', 'suitability of side line and body curve', 'appropriateness of positional pressure of chest circumference', 'appropriateness of positional pressure of upper part line', 'appropriateness of positional pressure of bottom part line', and 'satisfaction of whole silhouette of side and back'. The research and commercial bras were evaluated 4.23 and 3.44 respectively by the testers, and 4.25 and 3.40 by the examiners. The former ones were scored higher by both parties. They were also appreciated higher in general silhouettes of fitting and appearance.

The Analysis of Sensitivity of Imported Fisheries with Regard to Non-Economic Considerations Using AHP (AHP를 이용한 수입수산물의 비경제적 민감도 분석에 관한 연구)

  • Jang, Young-Soo;Park, Cheol-Hyung
    • The Journal of Fisheries Business Administration
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    • v.37 no.3 s.72
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    • pp.65-83
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    • 2006
  • This study is to obtain the order of the sensitivity of importing marine products with regard to non - economic aspects of considerations under the free - trade. Three criteria are extracted considering various aspects of Korean fishery society. They are the socio - economic, resource - environmental, and policy - appropriateness criterion. The Analytic Hierachy Process(AHP) is used to obtain the estimates of weights among these criteria. First of all, the weights between economic and non - economic in the first hierachy of sensitivity criteria turn out to be 83.3% and 16.7%. Second, the weights among three criteria in the non - economic aspect, the second hierachy, are following that the socio - economic criterion is 19.6%, resource - environmental 31.1%, and policy - appropriateness 49.3% respectively. 47 selected fishes are evaluated based on these three non - economic criteria using 9- point scales. The over - all order of sensitivity is a croaker, hairtail, flatfish, sea breams, and so forth in descending order. The least sensitive fish turns out to be an angler. In addition to the over - all order, the sensitivity based on the three specific non - economic aspects is also investigated. The most sensitive fish in terms of the socio - economic criterion is an hairtail while the least one is a filefish. The most sensitive fish in terms of the resource - environmental criterion is an abalone while the least one is an angler. Finally, the most sensitive fish in terms of the policy - appropriateness is a mackerel while the least one is a small octopus.

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An Appropriateness Evaluation of Cesarean Section, Cholecystectomy, and Admission in Pediatric Pneumonia (입원과 수술시행의 적정성 평가)

  • Kim, Chang-Yup;Ahn, Hyeong-Sik;Lee, Young-Seong;Kwon, Young-Dae;Kim, Yong-Ik;Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.4 s.40
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    • pp.413-428
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    • 1992
  • The aim of this study was to evaluate the appropriateness of some kinds of surgery and admission, such as cesarean section (C/S), cholecystectomy, and pediatric pneumonia. For appropriateness evaluation, we ourselves developed some criteria, which were included in the category of explicit and linear criteria, with the assistance of specialists of relevant clinical field. The evaluation of appropriateness was performed by two family physicians. The major findings were as follows: 1. For cesarean section, 77.6% of deliveries were determined to be 'appropriate', but the level of appropriateness was not significantly different among hospitals and between hospital groups by size. The most freqeunt indication of C/S was repeated operation, followed by cephalopelvic disproportion (CPD). The labor trials for vaginal delivery among repeated C/S and CPD cases were performed in 24.5% of pertinent deliveries. 2. About 73.8% of cholecystectomy cases was appropriate to one of the surgical indications, without significant differences among hospitals. Of surgical indications, 'sufficiently frequent and intense symptom recurrence' was the most frequent, and 'confirmed acute cholecystitis' was the second. 3. Of children admitted due to pneumonia, only 57.4% of cases satisfied admission criteria, and the level of appropriateness of admission was different among hospitals. The common reasons fur admission were 'failure to initial treatment', 'suspected bacterial pneumonia', 'young infant', etc. We could find that there were differences of quality among hospitals in some procedures, especially in the pediatric pneumonia and labor trial before C/S, which suggested that the implementation of quality assurance activiteis would be necessary in this country. In this study, we used some simple and primitive research tools and the numbers of subjects and tracer procedures were limited. So advanced studios with plentiful subjects and more representative diseases or procedures should be tried.

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Reliability and Validity of the Appropriateness Evaluation Protocol for Public Hospitals in Korea

  • Lee, Clara;Kim, Stella Jung-Hyun;Lee, Changwoo;Shin, Euichul
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.5
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    • pp.316-322
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    • 2019
  • Objectives: This study was conducted to assess the applicability of the Appropriateness Evaluation Protocol (AEP) for public hospitals in Korea. Methods: In May 2016, 1500 admission claims were collected from Korean public district hospitals using stratified random sampling. Of these claims, 560 admissions to 37 hospitals were retrieved for analysis. Medical records administrators determined the appropriateness of admission using the criteria detailed in the AEP, and a physician separately assessed the appropriateness of admission based on her clinical judgment. To examine the applicability of the AEP, the concordance of the decisions made between a pair of AEP reviewers and between an AEP reviewer and a physician reviewer was compared. Results: The results showed an almost perfect inter-rater agreement between the AEP reviewers and a moderate agreement between the AEP reviewers and the physician. The sensitivity and specificity of the AEP were calculated as 0.86 and 0.56, respectively. Conclusions: Our findings suggest that the AEP could potentially be applied to Korean public hospitals as a reliable and valid instrument for assessing the appropriateness of admissions.

Evaluation Criteria for Appropriateness of Bicycle Riding Path Considering Cyclist's Trip Purposes (자전거 이용자의 통행목적을 고려한 주행경로 적정성 평가지표 개발)

  • Kim, Eui-Jin;Kim, Dong-Kyu
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.4
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    • pp.12-25
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    • 2016
  • The purpose of this study is providing an evaluation criteria for appropriateness of bicycle riding path considering trip purpose based on cyclist's response of importance and satisfaction. The survey presents a quantified criteria of evaluating appropriateness of the bicycle path by investigating difference of impotance and satisfaction between two purposes among 5 selected influence factors about bicycle lane and bicycle parking facility, and in case of commuting purpose, information of destination is additionally considered. All the influence factors are analyzed by Analytical Hierarchy Process (AHP) which yields importance. For the factors which have a huge difference between two purposes, evaluation criteria using a GIS Data of respondent's path and satisfaction of each factors is developed, and other factors are made it by reviewing literature. The importance analyzed by AHP and evaluation criteria can provide a path based LOS for cyclist, and this information can be improved through user's response from app or search engine in the future. and by considering individual's evaluation, it can provide individually specified information.

Use of Fuzzy Set Theoretical Approach in Radioactive Waste Management (방사성 폐기물관리에 모호집합론적 접근법의 적용)

  • 문주현;김성호
    • Proceedings of the Korea Society for Energy Engineering kosee Conference
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    • 1998.10a
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    • pp.64-68
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    • 1998
  • This paper discusses the potential application of fuzzy set theory to the decision-making in the area of radioactive waste management. the approach proposed in this study is based on the concepts of fuzzy set theory and the hierarchical structure analysis. The linguistic variables and fuzzy numbers are used to aggregate the decision maker's subjective assessments of the decision criteria and of the decision alternatives with respect to these criteria. For each alternative, the fuzzy appropriateness index is evaluated to obtain the final score. Using total integral value method, one of methods for ranking fuzzy numbers, the fuzzy appropriateness indices are ranked. As a case problem, selection of the most suitable option for spent fuel storage is illustrated.

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Optimization for Ventilation Capacity of Large Enclosure Considering Fire Load (화재하중을 고려한 대공간 제배연 용량 최적화 연구)

  • Ahn, Chan-Sol;Kim, A-Ram
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2011.11a
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    • pp.478-481
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    • 2011
  • This study is intended to evaluate and optimize the characteristics of smoke spreading and the appropriateness of evacuation time extended by operation of smoke control system during fire within the underground space of the building structured in compliance with the smoke control system performance criteria from the local fire safety standard, which has been currently applied to the buildings in Korea. Using the heat release per unit weight of the combustibles, a numerical analysis both in case of smoke control system in operation and the system not in operation was carried out at the several different shopping malls. From the viewpoint of securing the evacuation time, the results were compared in an attempt to assess the appropriateness of the fire safety criteria.

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A Study on the Performance Criteria of Smoke Control System for Underground Spaces Through Numerical Analysis (수치해석을 통한 지하공간의 제연설비 성능기준 검토)

  • Ahn, Chan-Sol;Chae, Han-Sic;Kim, Hyeung-Youl
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2008.11a
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    • pp.356-362
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    • 2008
  • This study is intended to evaluate the characteristics of smoke spreading and the appropriateness of evacuation time extended by operation of smoke control system during fire within the underground space of the building structured in compliance with the smoke control system performance criteria from the local fire safety standard in Korea. As a preceding review of this study, the combustibles was categorized and identified their heat release rates. For validate the estimated values, modeling a single underground shop was carried out. And a numerical analysis both in case of smoke control system in operation and the system not in operation was carried out of underground space. From the viewpoint of securing the evacuation time, the results were compared in an attempt to assess the appropriateness of the fire safety criteria.

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