• 제목/요약/키워드: Appropriateness criteria

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집중치료 후 증후군의 신체적 장애 측정도구에 관한 체계적 고찰 (Instruments to Assess Physical Impairments in Post-Intensive Care Syndrome: A Systematic Review)

  • 강지연;이민주;정연진;김수경;조영신;박정훈;이순영;홍지원
    • 중환자간호학회지
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    • 제11권1호
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    • pp.46-66
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    • 2018
  • Purpose : The purpose of this study was to systematically review the instruments utilized to assess physical impairment in post-intensive care syndrome (PICS) of intensive care unit (ICU) survivors. Method : Online databases searched were MEDLINE, Cochrane, CINAHL, and Embase. Studies that met the following criteria were included: 1) the study population exclusively had experience with ICU admission; 2) the study assessed pulmonary, neuromuscular, and physical functions; and 3) the study was published in English language journals after 2007. Results : A total of 56 instruments (2 pulmonary, 25 neuromuscular, 29 physical function) from 94 studies were reviewed. They were classified into self-report, observation, and measurement according to the type of assessment. No instrument measured all 3 areas of physical impairment. Five instruments were originally developed for the ICU patients. The most frequently applied instruments were the Medical Research Council and the 36-item Short Form Survey (physical component summary), which were used in 23 studies each. Only 13.8% of reviewed studies reported the reliability or validity of the instruments. Conclusion : Our results suggest that the appropriateness of instruments assessing physical impairment in PICS cannot be guaranteed. Despite the multidimensional concept of physical disabilities, most studies measured only one area, and studies that reported psychometric properties were limited. Accordingly, we propose to develop a unique and multifaceted instrument for ICU survivors.

Design Conditions for Dolphin Berth by Tanker Fleet Analysis

  • Kang, Seok-Jin;Lee, Joong-Woo;Lee, Dong-Hyun;Kim, Hee-Jae
    • 한국항해항만학회지
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    • 제37권6호
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    • pp.647-653
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    • 2013
  • Energy acquisition due to the increase of oil price is one of the most important issues and policy for most countries. Various tankers have been built in the world and sent to the trade market. It is necessary to build the port infrastructure and facilities to give them proper services such as mooring, packing, storing, and transshipment, etc. However, the domestic guidelines or standards for design and construction for the dolphin berth among these facilities are out of date and do not meet the recent trend of tanker types. Therefore, it requires amendment on the guidelines or standards. In this study, a detailed analysis of the tanker fleet, covering 8,000 ships under operation and order to build, is made to estimate the proper PBL(Parallel Body Length) of each tanker class. After discussion and comparison on the dolphin berth design and construction codes of various countries, those are the leading countries of tanker operation and management, suggestion was made to amend on the design code. The referred codes are of Korea, Japan, UK, USA, and Canada. The analysis of tanker fleet shows the PBL as 0.45L under the normal ballast condition. In order to verify the deduced amendment on the domestic design code for dolphin berth, it was selected one of the domestic dolphin berth, located at the Yeosu oil terminal, which is almost completed to construct. The design criteria and expected tankers to moor in that terminal were analyzed and the appropriateness and countermeasure for deficiency were summarized.

2015 개정교육과정의 SW교육 관한 초등 전문가 교사와 일반 교사의 인식 비교 (Comparisons of the Perceptions on Software Education between Software Experts and Regular Elementary Teachers)

  • 송정범
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2019년도 춘계학술대회
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    • pp.378-381
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    • 2019
  • 이 연구에서는 2015 개정교육과정에 의해 교실 속으로 들어온 소프트웨어교육에 대한 일반 교사와 전문가 교사 대상 인식을 비교하였다. 인식 비교를 위해 교육과정 편제의 17시간 시수, 성취 기준 진술, 교육과정에는 5-6학년에 편제되어 있으나 교과서는 6학년에만 포함되어 있는 점에 대한 적절성을 물어보었다. 일반 교사는 3가지 사항 모두 적절하다라는 의견이 많았다. 반면, 전문가 교사는 부적절하다가 많았다. 향후 인식 전환을 위한 연수 등 다양한 기회 제공이 필요할 것으로 판단된다. 아울러 실과 교육과정과 교과서에 교육용 로봇이 도입된 것에 대한 자유 응답식 의견의 주요 키워드를 분석할 결과 일반 교사와 전문가 교사 도입에 대한 긍정적인 키워드가 도출되었다. 그러나, 일반 교사들은 지원, 어려움, 문제 같은 수동적이고 소극적인 키워드, 전문가 교사는 활용, 교육 등 도입 후 교육적인 활용 부분에 대해 차이점을 보였다. 향후 일반 교사에게는 교구 지원, 초급 난이도 연수를 전문가 교사에게는 교과 연계 방안 등의 사례 제공이 필요하리라 사료된다.

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전문가 설문조사를 통한 국내 성능위주설계 개선 방향설정에 관한 연구 (A Study on Establishment of Performance-Based Design Direction through Analysis of Expert Survey)

  • 정혜민;홍원화;손종영;전규엽
    • 대한건축학회논문집:계획계
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    • 제34권2호
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    • pp.23-31
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    • 2018
  • In recent years, as the development of construction technology and population increase, buildings are becoming more complex and high-rise. These large scale buildings are difficult to secure fire and evacuation safety when fire occurs. So it is necessary to prepare specific measures. According to this situation, in 2011, Republic of Korea officially launched Performance-based Design in "Fire-fighting system Installation business Act". But even 6 years passed since the enforcement, there are still faces manifold problems in the course of implementation. In order to examine the necessary improvements, in this study, I conducted interviews and questionnaires with experts, investigated the improvement items under current laws. And draw up a measures for that items. The subjects of the survey were fire-fighting officer, professional engineer fire fighting, fire protection planner and professor in Daegu. As a result of twice surveys, a total of 19 items are derived. And then compared and analyzed the criteria of overseas countries, and suggested improvement directions for final items. In addition, conducted a third questionnaire survey on the proposed improvement direction to verify the appropriateness of the alternative. The results of this study will be used as basic data to deal with the general problems of performance-based design in future, and further study on each item will be needed.

Back-to-Back 보강토옹벽의 옹벽폭비에 따른 최적 보강길이비 산정을 위한 수치해석적 연구 (Numerical Analysis for Optimal Reinforcement Length Ratio According to Width-to-Height Ratio of Back-to-Back MSE)

  • 박춘식;김동광
    • 한국지반공학회논문집
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    • 제36권12호
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    • pp.69-76
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    • 2020
  • Back-to-Back 보강토옹벽은 좁은 구간에 양립하는 옹벽의 형식을 가지기 때문에 벽체간의 이격거리에 따라 보강재가 겹치게 되어 보강재 간의 상호작용에 의한 응력 변화와 일체화된 상태에서 전체가 거동하는 문제 등으로 설계단계에서 신중한 접근이 필요하나 현재 국내에 정형화된 설계기준이나 지침이 전무한 상태이다. 본 연구는 이러한 Back-to-Back 보강토옹벽에 대해 옹벽폭 대 높이비(옹벽폭비, Wb/H)에 따른 최적 보강길이비에 대해 고찰하였다. 옹벽폭비는 FHWA 설계기준의 Case II에 해당하는 1.1H, 1.4H, 1.7H, 2.0H, 높이는 일반적으로 가장 많이 적용되고 있는 3.0m, 5.0m, 7.0m, 10.0m를 대상으로 하였으며, 각 조건에서 수치해석을 통해 FHWA 설계기준의 적정성과 옹벽의 높이 및 옹벽폭비에 따른 최적 보강길이비를 제안하였다.

통합 환경 관리를 위한 수질 환경의 질 목표 수준 설정 방법에 관한 연구 (A study on the method of setting the water quality target level for integrated environmental management)

  • 황현정;간종범;서지혜;이선경;김영란
    • 상하수도학회지
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    • 제35권3호
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    • pp.187-196
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    • 2021
  • When evaluating the extent of the impact of water pollutants on the surrounding area, we would like to present the target level (proposal) of the quality of the environment, which is the standard for evaluation. We propose the environmental quality target level for substances that need to be applied domestically by investigating overseas cases operating the integrated environmental management system and the implications of domestic environmental pollutant management. The appropriateness of the environmental quality target level reviewed in this study was determined using data from the water quality measuring network, and future improvement measures were proposed. We review the available methodologies for setting quality objectives for the environment. It proposed the environmental quality target level for 21 substances that have domestic water pollutant emission standards and do not have environmental standards, and proposed future improvement measures. If it is necessary to add quality target-level items of the environment in the future, it is believed that expansion will be possible based on the methodology presented in this study.

Rasch 모형을 이용한 한국어판 중환자실경험 측정도구의 문항 분석 (Item analysis of the Korean version of the Intensive Care Experience Questionnaire: Using the Rasch Model based on Item Response Theory)

  • 강지연;김민희
    • 중환자간호학회지
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    • 제15권3호
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    • pp.37-50
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    • 2022
  • Purpose : This study aimed to examine the item characteristics of the Korean version of the intensive care experience questionnaire (K-ICEQ) using the Rasch analysis model of the item response theory. Methods : In this methodological study, the validity of the scale was examined, and a secondary analysis was conducted using cohort data of patients who were discharged from the intensive care units (ICU). Data from 891 patients who responded to the K-ICEQ upon ICU discharge were analyzed. The WINSTEP program was used to analyze item characteristics, including item difficulty, fit indices, appropriateness scale, and separation reliability. Results : The difficulty level of all 26 items of the K-ICEQ was appropriate, and the fit indices of the 25 items, except for item 18, were good. The 5-point scale of the K-ICEQ was not appropriate in the three subscales. The item separation reliability was good in all subscales, but did not meet the criteria in terms of respondents. Conclusion : The results of examining the item characteristics of the K-ICEQ revealed a good degree of difficulty, fitness, and item separation reliability. To increase the validity of the K-ICEQ, we suggest the rearrangement of the overall item order, modification of the item description of the "recall of experience" subscale, and reduction of the scale response level.

민간기관 모바일 전자고지서비스를 위한 연계정보 변환기준 수립에 대한 연구 (A Study on Establishment of Connecting Information Conversion Criteria for Mobile Electronic Notification Service of Private Institutions)

  • 김종배
    • 문화기술의 융합
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    • 제7권4호
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    • pp.735-743
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    • 2021
  • 모바일 전자고지서비스는 지류를 사용하여 우편으로 송달하던 고지서 대신 공인전자문서중계자를 통해 모바일 전자고지서를 본인명의 스마트폰으로 송달하는 서비스이다. 전자고지서비스 제공을 위해서는 발송기관과 공인전자문서중계자가 간의 동일한 이용자를 식별하기 위해 정보가 필요하다. 본 논문에서는 모바일 전자고지서비스를 위해 이용자 식별정보로 사용하는 연계정보 (Connecting Information: CI)의 안전한 변환과 활용을 위한 기준을 제안한다. 제안한 방안에서는 전자고지문 발송요청기관인 민간기관이 이용자의 주민등록번호를 본인확인기관에게 제공하여 연계정보로 변환할 시 그 적정성에 대해 검증하기 위한 기술적 관리적 심의기준과 처리 및 활용방안을 제안함으로써 안전하고 효율적인 모바일 전자고지서비스가 가능할 것이다. 주민등록번호를 연계정보로 변환 요청 시 적정성 심의기준을 제시함으로써 관련 기관들이 보다 효과적으로 전자고지서비스를 제공할 수 있을 것이다. 제안한 방안을 모바일 전자고지서비스에 적용함으로써 서비스 활성화와 이용자 개인정보 보호 강화에 기여할 수 있다.

콘크리트 구조부재의 3차원 스트럿-타이 모델 해석 및 설계 (3-Dimensional Strut-Tie Model Analysis and Design of Structural Concrete)

  • 윤영묵;박정웅
    • 대한토목학회논문집
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    • 제26권3A호
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    • pp.411-419
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    • 2006
  • 본 연구에서는 현재의 설계기준에서 명확하게 제시하지 못하고 있는 3차원 응력교란영역의 설계를 위해 3차원 스트럿-타이 모델을 이용하는 새로운 설계방법을 제안하였고, 실무자들이 이 방법에 따라 콘크리트 구조부재를 설계하는데 편리함을 제공해주는 실용적인 3차원 스트럿-타이 모델 전용 그래픽 프로그램을 개발하였다. 격자 스트럿-타이 모델을 사용함으로서 모델 선정에 따른 주관성을 배제하였고, 3차원 파괴면, 압축주응력 흐름의 방향, 그리고 스트럿의 방향 등을 이용하여 3차원 스트럿의 유효강도를 계산하는 방법을 개발하였다. 본 연구의 해석과정은 스트럿의 최대단면적과 필요단면적을 이용하여 최대하중을 계산한 다음, 계산된 타이의 필요단면적을 배근된 철근의 단면적으로 대치시켜 증분하중단계를 이용한 비선형 트러스 해석을 수행하는 방법이다. 설계과정은 주어진 설계하중에 대하여 필요철근량을 산정하고 스트럿과 절점의 강도를 검토하는 일련의 설계방법이다. 따라서 제안된 방법은 유한요소해석과의 상호작용을 통하여 스트럿-타이 모델의 단점을 보완하고 장점을 최대한 활용하기 위한 컴퓨터에 기반한 스트럿-타이 모델 방법으로 분류될 수 있다. 제안된 방법의 타당성을 검증하기 위하여 파괴실험이 수행된 9개의 말뚝기초 공시체의 파괴강도 예측 및 교각코핑부의 설계를 수행하였고, 그 결과를 기존의 연구결과 및 기존 설계기준에 의한 해석 및 설계결과와 비교하였다.

Using an appropriate rotation-based criterion to account for torsional irregularity in reinforced concrete buildings

  • Akshara S P;M Abdul Akbar;T M Madhavan Pillai;Rakesh Pasunuti;Renil Sabhadiya
    • Earthquakes and Structures
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    • 제26권5호
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    • pp.349-361
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    • 2024
  • Excessive torsional behaviour is one of the major reasons for failure of buildings, as inferred from past earthquakes. Numerous seismic codes across the world specify a displacement-based or drift-based criterion for classifying buildings as torsionally irregular. In recent years, quite a few researchers have pointed out some of the inherent deficiencies associated with the current codal guidelines on torsional irregularity. This short communication paper aims to envisage the need for a revision of the displacement-based guidelines on torsional irregularity, and further highlight the appropriateness of a rotation-based criterion. A set of 6 reinforced concrete building models with asymmetric shear walls are analysed using ETABS v18.0.2, by varying the number of stories from 1 to 9, and the torsional irregularity coefficient of various stories is calculated using the displacement-based formula. Since rotation about the vertical axis is a direct indication of the twist experienced by a building, the calculated torsional irregularity coefficients of all stories are compared with the corresponding floor rotations. The conflicting results obtained for the torsional irregularity coefficients are projected through five categories, namely mismatch with floor rotations, inconsistency in trend, lack of clarity in incorporation of negative values, sensitivity to low values of displacement and error conceived in the mathematical formulation. The findings indicate that the irregularity coefficient does not accurately represent the torsional behaviour of buildings in a realistic sense. The Indian seismic code-based values of 1.2 and 1.4, which are used to characterize buildings as torsionally irregular are observed to be highly sensitive to the numerical values of displacements, rather than the actual degree of rotation. The study thus emphasizes the revision of current guidelines based on a more relevant rotation-based or eccentricity-based approach.