• Title/Summary/Keyword: Appropriateness criteria

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Association between job types of economically active population and sleep appropriateness among South Koreans (국내 경제활동 인구의 직업유형별 적정수면과의 연관성)

  • Kim, Sun Jung;Kim, Dong Jun;Gim, Eun Na;Yu, Tae Gyu
    • Korea Journal of Hospital Management
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    • v.25 no.3
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    • pp.67-77
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    • 2020
  • Background: As of 2016, average Koreans sleep 7 hours and 42 minutes, the lowest figure among Organization for Economic Cooperation and Development(OECD) countries, and the number of people with sleep disorders reached 561,000. Accordingly, the government has promoted the provision of 'Multiple Sleep Test' to strengthen the diagnosis service for patients with 'sleep disorder' in july 2018. As a result, healthcare costs for patients with sleep disorder is on the rise every year. In this study, we utilized 'Appropriate Sleep' criteria of United States's National Sleep Foundation(NSF) then investigated Korean's sleep pertinence using 「7th National Health and Nutrition Survey for 2016-2018」 by different occupational type, demographic characteristics, socio-economic characteristics, and health behaviors. Methods: We performed descriptive analysis to examine differences of sleep appropriateness by various sample characteristics. Multivariate logistic regression models were used to examine sleep appropriateness by occupational type and other variables. We also analyzed subgroup models to investigate. Results: As a result, a total of 1,948 (18.37%) study subjects experienced in-appropriate sleep. Results of the Multivariate logistic regression analysis revealed that blue color group had a higher odds ratio (OR) for experiencing in-appropriate sleep (OR=1.179). In addition, the odds ratio of experienced in-appropriate sleep among the elderly aged 70 and over was 2.698, and the odds ratio of the overstressed group was 1.299. Furthermore, sub-group analysis showed that blue color job of female(Or=1.334), high school or below(OR=1.404), divorce/death/separation(OR=2.039), 25%ile-50%lie income group(OR=1.411) more likely experienced in-appropriate sleep. Conclusion: Growing sleep disorder patients and related health care costs are expected. Government should apply detailed 'total periodic sleep disorder management policy' including pre-consultation, examination, diagnosis, treatment, post-consultation, self-management especially to vulnerable population that this study found.

Audit of Appropriateness of Fresh Frozen Plasma Transfusion (신선동결혈장의 적정수혈 분석)

  • Seo, Youkyung;Kim, Moon Jung;Kim, Sinyoung;Kim, Hyun Ok
    • The Korean Journal of Blood Transfusion
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    • v.23 no.2
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    • pp.136-144
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    • 2012
  • Background: Fresh frozen plasma (FFP) transfusion is administered primarily for management of acquired bleeding disorders. However, in practice, FFP transfusion is increasing without a solid rationale. Methods: We conducted an audit to evaluate the appropriateness of the indications for FFP transfusion during the period from July 2010 through June 2011. Assessment of the appropriateness of the indications was based on the national transfusion guidelines and the transfusion criteria promulgated by the Severance Hospital. Results: In total, 17,733 units of plasma were transfused to 1,949 patients over 4,982 events. We found that administration of FFP was not in compliance with the recommended guidelines in 1,990 events. The number of total FFP transfusions was higher in medical departments (Gastroenterology) than in surgical departments (Thoracic and cardiovascular surgery, General surgery). However, the proportion of cases of inappropriate transfusion was higher in surgical departments than in medical departments. Both the total number of FFP transfusion and the proportion of inappropriate transfusion were high in patient with neoplasm, disease of the digestive system, and diseases of the circulatory system. Conclusion: Continuous monitoring on appropriateness for FFP transfusion and feedback to the physician are critical in securing the transfusion safety as well as maintaining the quality of FFP transfusion. New-found indication for FFP transfusion should be investigated and applied in timely manner.

Structural Performance of 800 MPa High-Strength Steel Members and Application to Highrise and Mega Building Structures

  • Lee, Cheol-Ho
    • International Journal of High-Rise Buildings
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    • v.6 no.3
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    • pp.249-259
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    • 2017
  • The use of high-strength steels in construction of highrise and mega building structures can bring about many technological advantages from fabrication to erection. However, key design criteria such as local and lateral stability in current steel design specifications were developed based on tests of ordinary steels which have stress-strain characteristics very different from that of high strength steels. A series of tests on 800 MPa tensile strength steel (HSA800) members are summarized in this paper which were conducted to investigate the appropriateness of extrapolating current ordinary-steel based design criteria to high strength steels. 800 MPa I-shape beam specimens designed according to flange local buckling (FLB) criteria of the AISC Specification developed a sufficient strength for elastic design and a marginal rotation capacity for plastic design. It is shown that, without introducing distinct and significant yield plateau to the stress-strain property of high-strength steel, it is inherently difficult to achieve a high rotation capacity even if all the current stability limits are met. 800 MPa I-shape beam specimens with both low and high warping rigidity exhibited sufficient lateral torsional buckling (LTB) strength. HSA800 short-column specimens with various edge restraint exhibited sufficient local buckling strength under uniform compression and generally outperformed ordinary steel specimens. The experimental P-M strength was much higher than the AISC nominal P-M strength. The measured residual stresses indicated that the impact of residual stress on inelastic buckling of high-strength steel is less. Cyclic seismic test results showed that HSA800 members have the potential to be used as non-ductile members or members with limited ductility demand in seismic load resisting systems. Finally, recent applications of 800 MPa high strength steel to highrise and mega building structures in Korea are briefly presented.

A Study on Recognition and Improvement for the Evaluation of University Education on the Perspective of Industry (산업계관점 대학평가에 대한 인식 및 개선방안 연구)

  • Ko, Hyuk-Jin;Lee, Seok-Won;Han, Jiyoung
    • Journal of Engineering Education Research
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    • v.20 no.5
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    • pp.74-86
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    • 2017
  • The purpose of this study is to analyze the perceptions of college officials about the evaluation of university education on the perspective of industry, to make policy proposals for improvement by analyzing the preparing process of the departments that have received the evaluation of the best universities, In order to achieve the purpose of the study, we conducted literature review, survey studies, and in-depth interviews. The survey was conducted by professors related to this system, and finally the results of 51 responses were used for analysis. The contents of the survey were composed of the recognition, appropriateness, the utilization of the results, the proliferation and improvement plan of the evaluation of university education on the perspective of industry. In-depth interviews conducted 1:1 interviews with 5 professors. The evaluation of university education on the perspective of industry is generally perceived to be a bridge between industry and university education, but there is room for improvement in evaluation criteria, operating methods, and promotion strategies to public.

A Study of Knowledge of Medical Insurance Costs by Clinical Nurses (임상간호사의 의료보험수가 지식정도)

  • Lee Hea-Shoon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.300-306
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    • 2003
  • Purpose: This study was done to help provide patients with information on medical insurance cost through medical insurance education for nurses, to increase effective management, check on omissions in treatment and appropriateness and accuracy of fees, and to contribute to the economic growth of hospital by providing nurses with necessary knowledge about medical insurance cost. Method: The participants in this study were clinical nurses in general hospitals. The study instrument was a questionnaire developed by the researcher through reference to data for medical insurance education. The data were analyzed with percentages, means, ANOVA, and Duncan method using SPSS PC+10. Result: The results on knowledge of medical insurance according to general characteristics of the nurses showed that there were significant differences according to age: (p=.0036) highest level of education (p=.0007), position (p=.0010) and place where education on medical insurance was received (p=.0093). Conclusion: Continuous in-service education for clinical nurses is reflected in increased knowledge about medical insurance costs but special attention needs to be given to younger nurses and nurses with less education, as well as staff nurses, and those nurses who only received education on medical insurance during their schooling. Accordingly, in-service education is necessary for nurses at the time of orientation so that they have knowledge on standards for recuperation allowance, guidelines to calculate material costs, and guidelines to calculate drug rates. In addition, as medical insurance cost frequently change, all nurses need continuous in-service education.

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Establishment of Test Conditions and Interlaboratory Comparison Study of Neuro-2a Assay for Saxitoxin Detection (Saxitoxin 검출을 위한 Neuro-2a 시험법 조건 확립 및 실험실 간 변동성 비교 연구)

  • Youngjin Kim;Jooree Seo;Jun Kim;Jeong-In Park;Jong Hee Kim;Hyun Park;Young-Seok Han;Youn-Jung Kim
    • Journal of Marine Life Science
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    • v.9 no.1
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    • pp.9-21
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    • 2024
  • Paralytic shellfish poisoning (PSP) including Saxitoxin (STX) is caused by harmful algae, and poisoning occurs when the contaminated seafood is consumed. The mouse bioassay (MBA), a standard test method for detecting PSP, is being sanctioned in many countries due to its low detection limit and the animal concerns. An alternative to the MBA is the Neuro-2a cell-based assay. This study aimed to establish various test conditions for Neuro-2a assay, including cell density, culture conditions, and STX treatment conditions, to suit the domestic laboratory environment. As a result, the initial cell density was set to 40,000 cells/well and the incubation time to 24 hours. Additionally, the concentration of Ouabain and Veratridine (O/V) was set to 500/50 μM, at which most cells died. In this study, we identified eight concentrations of STX, ranging from 368 to 47,056 fg/μl, which produced an S-shaped dose-response curve when treated with O/V. Through inter-laboratory variability comparison of the Neuro-2a assay, we established five Quality Control Criteria to verify the appropriateness of the experiments and six Data Criteria (Top and Bottom OD, EC50, EC20, Hill slop, and R2 of graph) to determine the reliability of the experimental data. The Neuro-2a assay conducted under the established conditions showed an EC50 value of approximately 1,800~3,500 fg/μl. The intra- & inter-lab variability comparison results showed that the coefficients of variation (CVs) for the Quality Control and Data values ranged from 1.98% to 29.15%, confirming the reproducibility of the experiments. This study presented Quality Control Criteria and Data Criteria to assess the appropriateness of the experiments and confirmed the excellent repeatability and reproducibility of the Neuro-2a assay. To apply the Neuro-2a assay as an alternative method for detecting PSP in domestic seafood, it is essential to establish a toxin extraction method from seafood and toxin quantification methods, and perform correlation analysis with MBA and instrumental analysis methods.

Financial Education for Children Using the Internet: An Analysis on Interactive Financial Education Web Sites (인터넷을 이용한 어린이 금융교육: 쌍방향 금융교육 웹사이트 현황 분석)

  • Choi Nam Sook;Baek Eunyoung
    • Journal of Family Resource Management and Policy Review
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    • v.8 no.1
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    • pp.47-60
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    • 2004
  • Recognizing a tremendous increase in the Internet users and popularity of E-learning through the Internet, this study attempted to analyze interactive financial education web sites for children. Using meta search engines and major search engines, interactive financial education web sites identified based on the three criteria and analyzed in terms of the appropriateness for specific age groups, the coverage of contents related to the basic knowledge for financial literacy, and the interactive activities. The results showed that financial education web sites for children were needed to be improved in terms of both quantity and quality. The study also provides a guideline how to search for an appropriate financial education web sites for children when parents want teach about money to their children.

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Verification Study of Train/Bridge Interaction Analysis through Field Tests of a High Speed Railway Bridge (고속철도 교량의 속도별 주행시험을 통한 교량/열차 상호작용해석의 검증)

  • Kim, Sung-Il;Lee, Joo-Beom;Kim, Hyun-Min;Lee, Hee-Up
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.1555-1561
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    • 2011
  • The dynamic behavior of a bridge under moving loads has been investigated over many years. Especially, with the introduction of High Speed Railway, numerous theoretical studies on the interaction problem between bridges and trains are carried out. In the present study, advanced bridge/train interaction analyses are performed and compared with field tests of a simply-supported 40m long PSC box girder bridge of Kyung-Bu High Speed Railway. Vertical displacements and vertical accelerations of a bridge with increasing speeds are analyzed. In addition, wheel load reduction rates and accelerations of a car-body of the train are investigated for a study of appropriateness of traffic safety criteria of bridge design specification.

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Comparative Analysis on Methods for Evaluating Vulnerability of Debris Flow Hazard (토석류 재해 위험성 평가 방법의 비교 분석)

  • Joe, Jeong-Ha;Hwang, Hui-Seok;Yoo, Nam-Jae
    • Journal of Industrial Technology
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    • v.36
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    • pp.49-55
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    • 2016
  • Different criteria for evaluating vulnerability of debris flow hazard proposed by various institutes such as Korea Forest Service(KFS), Korea Institute of Geoscience and Mineral Resources(KIGAM), Ministry of Public Safety and Security (MPSS) and Korea Expressway Corporation (KEC) were reviewed and discussed. Assessment of debris flow hazard for natural slopes around land for house development was carried out on the basis of the report about results of performing in-situ survey. Results of evaluating vulnerability of debris flow hazard by using these methods were compared to each other to discuss appropriateness of their evaluation and to recommend improvement.

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THE DEVELOPMENT OF A ZERO-INFLATED RASCH MODEL

  • Kim, Sungyeun;Lee, Guemin
    • The Pure and Applied Mathematics
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    • v.20 no.1
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    • pp.59-70
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    • 2013
  • The purpose of this study was to develop a zero-inflated Rasch (ZI-Rasch) model, a combination of the Rasch model and the ZIP model. The ZI-Rasch model was considered in this study as an appropriate alternative to the Rasch model for zero-inflated data. To investigate the relative appropriateness of the ZI-Rasch model, several analyses were conducted using PROC NLMIXED procedures in SAS under various simulation conditions. Sets of criteria for model evaluations (-2LL, AIC, AICC, and BIC) and parameter estimations (RMSE, and $r$) from the ZI-Rasch model were compared with those from the Rasch model. In the data-model fit indices, regardless of the simulation conditions, the ZI-Rasch model produced better fit statistics than did the Rasch model, even when the response data were generated from the Rasch model. In terms of item parameter ${\lambda}$ estimations, the ZI-Rasch model produced estimates similar to those of the Rasch model.