• 제목/요약/키워드: Appropriateness studies

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비외상성 급성 복부 통증 환자에게 시행한 복부 전산화단층촬 영과 복부 단순 촬영의 적정성 비교 (The Comparison of Appropriateness of Abdominal Computed Tomography (CT) and Abdominal Radiography Imaging Modality for Patients with Acute Nontraumatic Abdominal Pain)

  • 송정흡;염헌규
    • 한국의료질향상학회지
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    • 제24권2호
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    • pp.15-25
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    • 2018
  • Purpose: To compare the Appropriateness of abdominal CT to abdominal radiography as an imaging modality in terms of the diagnostic value, medical costs and decision making times for patients presented to the emergency department with nontraumatic abdominal pain. Methods: This study used the records of 530 cases presented to the emergency department(ED) with nontraumatic abdominal pain from February to March 2012. Imaging modalities were categorized into abdominal radiography and CT (radiography first or CT first) or radiography alone or CT alone. The diagnostic value, total medical costs and effect on decision making time of the each imaging modalities were compared. Especially, in retrospective review, to evaluate the predictability of the abdominal radiography, alit was assumed that all the 530 cases performed that exam as initial imaging. Results: Among 530 cases, 255 cases underwent abdominal radiography only, 28 cases underwent abdominal CT only and the remnant 247 cases underwent abdominal CT with plain abdominal radiography. The diagnostic value was higher in the cases with abdominal CT (268/275, 97.5%) than in the cases with plain abdominal radiography (19/255, 7.5%).The number of cases predicted by abdominal radiography only as initial imaging were 39/530 (7.4%). In cases where the patients performed the abdominal CT as the first imaging modality thereby omitting the abdominal radiography, the total diagnostic imaging fee was lower than in cases with plain abdominal radiography first followed by the abdominal CT (277,140 vs. 284,226(mean, Korean Won)). Although diagnostic value of the plain abdominal radiography as first imaging modality was lower than the abdominal CT, Decision making time, average duration of hospital stay was longer and the total medical costs was higher than abdominal CT. Conclusion: As an imaging modality in the ED for patients with acute nontraumatic abdominal pain, plain abdominal radiography is an avoidable procedure when viewed in terms of the diagnostic value and total medical costs and decision making times comparing with abdominal CT.

운전자 정보시스템용 사용자 인터페이스 메타포 개발 (Developing User Interface Metaphors for Driver Information Systems)

  • 박용성;한성호;박원규;조영석
    • 대한인간공학회지
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    • 제28권2호
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    • pp.57-67
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    • 2009
  • This study proposed a practical metaphor development process that consisted of three steps: 1) identifying major functions, 2) developing metaphor candidates, and 3) evaluating appropriateness of the candidates. In the first step, a total of 27 functions might be implemented in a driver information system (DIS) in the near future. Then, three metaphor candidates were selected from existing metaphors, which were reported to be more practical than others by previous studies. Finally, the candidates were evaluated on their appropriateness for driver information systems by using a quick and simple survey. As a result, two metaphors (a PC and a secretary) were identified as the most appropriate ones. The two metaphors can be used to design a variety of interfaces and interactions for driver information systems. In addition, the development process proposed in this study could be applied to developing metaphors for emerging devices with a variety of functions (e.g. PMPs, MP3s, and electronic dictionaries) as well as driver information systems.

Support Vector Machine Classification Using Training Sets of Small Mixed Pixels: An Appropriateness Assessment of IKONOS Imagery

  • Yu, Byeong-Hyeok;Chi, Kwang-Hoon
    • 대한원격탐사학회지
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    • 제24권5호
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    • pp.507-515
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    • 2008
  • Many studies have generally used a large number of pure pixels as an approach to training set design. The training set are used, however, varies between classifiers. In the recent research, it was reported that small mixed pixels between classes are actually more useful than larger pure pixels of each class in Support Vector Machine (SVM) classification. We evaluated a usability of small mixed pixels as a training set for the classification of high-resolution satellite imagery. We presented an advanced approach to obtain a mixed pixel readily, and evaluated the appropriateness with the land cover classification from IKONOS satellite imagery. The results showed that the accuracy of the classification based on small mixed pixels is nearly identical to the accuracy of the classification based on large pure pixels. However, it also showed a limitation that small mixed pixels used may provide insufficient information to separate the classes. Small mixed pixels of the class border region provide cost-effective training sets, but its use with other pixels must be considered in use of high-resolution satellite imagery or relatively complex land cover situations.

A Study on the Reliability Evaluation Index Development for the Information Resources Retained by Institutions: Focusing on Humanities Assets

  • Jeong, Dae-Keun;Noh, Younghee
    • International Journal of Knowledge Content Development & Technology
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    • 제9권2호
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    • pp.65-89
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    • 2019
  • This study has the aim of developing an evaluation index that can help evaluate the reliability of the information resources of institutions retaining humanities assets for the purposes of laying out the foundation for providing one-stop portal service for humanities assets. To this end, the evaluation index was derived through the analysis of previous research, case studies, and interviews with experts, the derived evaluation index was then applied to the humanities assets retaining institutions to verify the utility. The institutional information resources' reliability evaluation index consisted of the two dimensions of the institutions' own reliability evaluation index. The institution provided a service and system evaluation index. The institutions' own reliability evaluation index consisted of 25 points for institutional authority, 25 points for data collection and construction, 30 points for data provision, and 20 points for appropriateness of data, for a total of 100 points, respectively. The institution provided service and system evaluation indexes consisting of 25 points for information quality, 15 points for appropriateness (decency), 15 points for accessibility, 20 points for tangibility, 15 points for form, and 10 points for cooperation, for the total of 100 points, respectively. The derived evaluation index was used to evaluate the utility of 6 institutions representing humanities assets through application. Consequently, the reliability of the information resources retained by the Research Information Service System (RISS) of the Korea Education & Research Information Service (KERIS) turned out to be the highest.

정부출연연구기관 기관평가시스템 유효성 분석 모형: 유효성 분석을 위한 새로운 접근방법 (A New Model for Effectiveness Analysis of Government- supported R&D Institutes Evaluation System)

  • 이민형
    • 기술혁신연구
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    • 제13권3호
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    • pp.175-196
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    • 2005
  • This Paper examines analytic studies of the evaluation system used for evaluating government-supported R&D Institutes (GSRIs), and designs a new model for analyzing the evaluation system's effectiveness. The analytic models in existing studies use the meta evaluation and balanced scorecard (BSC) models. However, theses studies focused on the structure and elements of the evaluation system for examples, the appropriateness of the elements within the evaluation system and the balance of the evaluation index. Accordingly, the effectiveness of the GSRI evaluation system, that is, the evaluation's influence on GSRI performance improvement was not analyzed. This study uses the institution theory and contingency theory perspectives as related to government organization management to develop an analytical model of GSRI evaluation system effectiveness. The new model proposes an analytical approach for improving the effectiveness of the GSRI evaluation system in an institutionalized environment.

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환자진료결과연구에 대한 고찰 -미국의 PORT 연구를 중심으로- (Review on Patient Outcomes Research)

  • 박은철;김한중;조우현;손명세
    • 한국의료질향상학회지
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    • 제5권1호
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    • pp.152-165
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    • 1998
  • Background : In this paper patient outcomes research is going to be reviewed and described, to be compared with relevant studies, and to consider the application in Korea. Methods : We compiled and reviewed the articles and materials related to patient outcomes research especially by PORT(Patient Outcomes Research Team) and rearranged them for seeking the main point and comparing with relevant studies. Results : Patient outcomes research emphasizes patient outcomes as well as conventional clinical outcomes. It is prospective study observing effectiveness in real situation instead of efficacy in ideal condition. Patient outcomes research comprises of 6 fields ; literature review and meta-analysis, use of claims data, decision modeling, outcomes assessment, cost of care, dissemination of research findings. SAA(small-area variations analysis), appropriateness study and clinical practice guideline are connected with patient outcomes research. Conclusion : In view of the fact that current medical policy in Korea is shifting its focus from accessibility to the improvement in quality and cost containment, and is stressing patient-based research, patient outcomes research is one direction for which the medicine is accountable and assessable. Considering that the number of patient receiving medical treatment in Korea is higher than the West, patient outcomes research has competitive power as against the West.

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해양기상부이 관측자료를 이용한 풍랑특보의 적절성 평가 (Evaluation of the Appropriateness of High Wind Wave Alert by Comparing the Marine Meteorological Observation Buoy Data)

  • 강민균;설동일
    • 한국항해항만학회지
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    • 제46권1호
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    • pp.11-17
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    • 2022
  • 풍랑특보는 우리나라 부근을 항행하는 선박 및 해상 업무 종사자에게 큰 영향을 미친다. 이 연구에서는 최근 11년(2010-2020년) 동안 기상청에서 발표한 서해·남해·동해의 앞바다 및 먼바다의 풍랑특보와 주요 해양기상부이의 관측자료를 비교·분석하여 풍랑특보의 적절성을 평가하였다. 각 해역에 대한 풍랑특보와 해양기상부이 관측자료를 일별, 월별, 연별로 통계를 내어 연평균, 월평균, 계절별로 비교한 결과, 풍랑특보의 적중률이 전 해역에 걸쳐 매우 낮았으며, 특히 남해 앞바다와 제주도 앞바다의 적중률은 겨울에 가장 낮은 것으로 분석되었다. 해상에서의 풍랑특보가 어선의 어업활동, 여객선 운항 및 관광, 해상 레저활동 등에 미치는 영향을 고려할 때 해양기상 예·특보의 정확성을 개선할 필요가 있음을 확인하였다.

사회적 거리와 정서가 도덕 판단에 미치는 영향 (Effects of social distance and mood on moral judgment - focusing on moral dilemmas)

  • 현주하;엄기민;한광희
    • 감성과학
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    • 제12권4호
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    • pp.411-424
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    • 2009
  • 본 연구는 '자아'와 친한 정도를 나타내는 '사회적 거리'와 사고에 관여하는 요인으로 알려진 유발된 정서가 도덕적 딜레마에서의 도덕 판단에 어떠한 영향을 미치는지 알아보았다. 실험 1은 딜레마 속 행위자의 사회적 거리에 따라 도덕성 및 행동 적합성에 대한 판단이 달라지는지 살펴보았다. 실험 결과, 사회적 거리에 따라 도덕성에 대한 판단에 차이가 있다는 것을 확인하였다. 즉, 동일한 행동이라도 낯선 사람보다 자신과 가까운 대상이 했을 때 행위의 도덕성에 대해 덜 엄격하게 판단하였다. 이러한 사회적 거리에 따른 도덕성의 판단 차이는 비개인적 딜레마에서 두드러지게 나타났다. 반면 행동의 적절성 판단에 있어서 사회적 거리에 따른 차이는 발견되지 않았다. 실험 2에서는 유발된 정서에 따라 딜레마 속 행동에 대한 도덕성 및 행동 적합성에 대한 판단이 달라지는가를 알아보고자 하였다. 실험 결과, 정서의 쾌-불쾌 차원은 도덕성을 가늠하는 데에는 차이를 보이지 않지만, 행동이 얼마나 적절한 것인가를 판단하는 경우에는 영향을 미친다는 것을 확인할 수 있었다. 본 연구의 결과는 사회적 거리와 정서에 따라 도덕 판단이 달라질 수 있다는 것을 밝혔다. 또한 두 종류의 딜레마 모두에서 사람들이 도덕성과 행동 적합성을 구분한다는 것을 확인하였을 뿐만 아니라 이들을 판단하는데 영향을 미칠 수 있는 요인이 다를 수 있다는 것을 보여주었다는 데에 그 의의가 있다.

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침 임상연구방법론 연구: 요통 임상연구 사례를 중심으로 (Study on Clinical Research Methodologies for Acupuncture: Based on Review of Clinical Studies on Back Pain)

  • 박유리
    • Korean Journal of Acupuncture
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    • 제31권4호
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    • pp.158-167
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    • 2014
  • Objectives : The results from randomized controlled trials on traditional medicine have been negative or ambiguous. The appropriateness of the research methodology started to be questioned. However, the research methodology appropriate for studying traditional medicine has not been well-established. This study aims to explore the appropriate research methodologies for clinical studies on acupuncture. Methods : Clinical researches evaluating the efficacy and effectiveness of acupuncture for back pain were systematically searched and evaluated focusing on research methodology. The acupuncture treatment protocol is evaluated by 9 items which is individual treatment based on diagnosis, combining proximal and distal acupoints, exact location of acupoint, De Qi, adequate stimulation, duration of acupuncture, treatment sessions, treatment interval, and establishing relationship between patients and doctors. Results : Systematic review of acupuncture researches on low back pain suggested that observational studies and pragmatic trials rather than explanatory studies could incorporate these elements. Qualitative studies also could help understanding complex characteristics of acupuncture treatment which could not be evaluated by quantitative studies. Conclusions : In designing clinical researches on acupuncture, various study designs, especially observational study and pragmatic study, should be considered according to research objectives and subjects. The efforts to incorporate the core characteristics of acupuncture practiced in everyday clinical setting are also essential.

초등학생용 수학에 대한 태도척도의 개발과 타당화 (Validation of a Scale for Elementary School Students' Attitudes toward Mathematics)

  • 정혜영;이경화
    • 아동학회지
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    • 제27권5호
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    • pp.49-65
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    • 2006
  • This attitudes scale for prediction of mathematics achievement by elementary school students was developed from 50 initial items from the literature rated for content validity by 30 experts. The ratings rendered 31 revised items used for exploratory factor analysis and reliability tests. The 31 items were administered to 183 elementary students in 4th, 5th, and 6th grades, yielding 4 factors : enjoyment, confidence, value, and motivation with high inter-items consistency. To confirm appropriateness of the constructed model and to test its predictability in mathematics achievements, confirmative factor analysis and discriminant analysis were performed on 693 cases. Results showed that the attitude scale model of 4 factors can be recommended for use in the measurement of elementary school students' attitudes toward mathematics.

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