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Evaluation of the Quality of Care among Hospitalized Adult Patients with Community-Acquired Pneumonia in Korea

  • Hong, Ji Young;Kang, Young Ae
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.3
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    • pp.175-186
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    • 2018
  • Pneumonia is an important cause of morbidity and mortality. Since 2014, the Health Insurance Review and Assessment Service (HIRA) has assessed the overall quality of care among hospitalized adult patients with community-acquired pneumonia (CAP) provided by all medical institutions in Korea. A committee of the Korea Academy of Tuberculosis and Respiratory Diseases developed the hospital inpatient quality measures set for CAP consisting of eight core measures and five monitoring measures. The composite measure score was calculated. The medical records of hospitalized adult patients ages 18 years or more with CAP from October to December 2014 were evaluated. The data of 523 hospitals (42 tertiary hospitals [8.0%], 256 general hospitals [49%], and 225 hospitals [43.0%]) and 15,432 cases (tertiary hospitals, 1,673 cases [10.8%]; general hospitals, 8,803 cases [57.1%]; hospitals, 4,956 cases [32.1%]) were analyzed. We found large variations among institutions in terms of performance of care measures for CAP. For the composite measure score, the mean value was 66.7 (tertiary hospitals, 98.5; general hospitals, 79.2; hospitals, 43.8). Despite significant differences in measure scores between tertiary, general hospitals and hospitals, no significant differences were found in mortality between hospitals. Further studies are needed to determine the care measures appropriate for CAP.

Development an Evaluation Tool for Evaluation of Hypertension Prevention and Management Program in Community Health Posts (보건진료소의 고혈압예방 및 관리사업 평가도구 개발)

  • Cho, Won-Jung;Kwon, Myung-Soon
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.197-208
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    • 2004
  • Purpose: This study was to develop an effective evaluation tool for evaluation of hypertension prevention and management program(HPMP) in community health posts (CHPs). Method: Evaluation tool composed from the literature review, the field visiting, and the in-depth interviews with the community health practitioners. Result: The evaluation tool had four domains, each with different maximum points:, hypertension prevention (35), hypertension management (40), environment of the CHPs(10), and evaluation system of the HPMP(15). The first domain was hypertension prevention with sub-domains of health education, and early detection of patients with hypertension. The second domain was hypertension management with sub-domains of management of health records of patients, education and counseling, and treatment and follow-up of patients. The third domain was the environment of the CHPs with subdomains of accessibility of CHPs to residents, accessibility of general health data to the public, and availability of health information to the public by multimedia. The fourth domain was the evaluation system of the HPMP with the subdomains of planning of program, formative evaluation, process evaluation, and summative evaluation. Conclusion: The newly developed evaluation tool will contribute not only to plan and set goals for evaluation of HPMP in CHPs.

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Bayesian demand model based seismic vulnerability assessment of a concrete girder bridge

  • Bayat, M.;Kia, M.;Soltangharaei, V.;Ahmadi, H.R.;Ziehl, P.
    • Advances in concrete construction
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    • v.9 no.4
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    • pp.337-343
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    • 2020
  • In the present study, by employing fragility analysis, the seismic vulnerability of a concrete girder bridge, one of the most common existing structural bridge systems, has been performed. To this end, drift demand model as a fundamental ingredient of any probabilistic decision-making analyses is initially developed in terms of the two most common intensity measures, i.e., PGA and Sa (T1). Developing a probabilistic demand model requires a reliable database that is established in this paper by performing incremental dynamic analysis (IDA) under a set of 20 ground motion records. Next, by employing Bayesian statistical inference drift demand models are developed based on pre-collapse data obtained from IDA. Then, the accuracy and reasonability of the developed models are investigated by plotting diagnosis graphs. This graphical analysis demonstrates probabilistic demand model developed in terms of PGA is more reliable. Afterward, fragility curves according to PGA based-demand model are developed.

The Roles of Online Instructional Facilitators and Student Performance of Online Class Activity

  • LEE, Jung Wan
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.8
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    • pp.723-733
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    • 2020
  • The study investigates the effects of online instructional facilitator's qualities on student performance of online class activities. The study explores the roles of instructional facilitators who may influence student performance of online class activities and their academic achievement. The study employs a set of aggregated data from 1,362 subjects and 10 facilitators who participated in multiple online classes. The results of independent samples t-test reveal that the student performance in online classes has no association with facilitators' educational background or academic degree, as well as demographic characteristics, student evaluation records and instructional achievement. The results of multiple regression analysis show that the facilitator engagement has a positive relation to the enhancement of student interaction, reading discussion messages, and the quality of discussion messages in online discussions. The results of correlation analysis show that the facilitator engagement has a positive impact on both increasing the number of reading discussion messages and enhancing the quality of discussion messages. The facilitator engagement increases the quantity of reading discussion postings and enhances the quality of discussion messages, which would be a substantial contribution to student performance by facilitators. The findings suggest that student performance and academic achievement in online classes are not independent of facilitator engagement.

A Development of Optimal Travel Course Recommendation System based on Altered TSP and Elasticsearch Algorithm (변형된 TSP 및 엘라스틱서치 알고리즘 기반의 최적 여행지 코스 추천 시스템 개발)

  • Kim, Jun-Yeong;Jo, Kyeong-Ho;Park, Jun;Jung, Se-Hoon;Sim, Chun-Bo
    • Journal of Korea Multimedia Society
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    • v.22 no.9
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    • pp.1108-1121
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    • 2019
  • As the quality and level of life rise, many people are doing search for various pieces of information about tourism. In addition, users prefer the search methods reflecting individual opinions such as SNS and blogs to the official websites of tourist destination. Many of previous studies focused on a recommendation system for tourist courses based on the GPS information and past travel records of users, but such a system was not capable of recommending the latest tourist trends. This study thus set out to collect and analyze the latest SNS data to recommend tourist destination of high interest among users. It also aimed to propose an altered TSP algorithm to recommend the optimal routes to the recommended destination within an area and a system to recommend the optimal tourist courses by applying the Elasticsearch engine. The altered TSP algorithm proposed in the study used the location information of users instead of Dijkstra's algorithm technique used in previous studies to select a certain tourist destination and allowed users to check the recommended courses for the entire tourist destination within an area, thus offering more diverse tourist destination recommendations than previous studies.

Effect of errors in pedigree on the accuracy of estimated breeding value for carcass traits in Korean Hanwoo cattle

  • Nwogwugwu, Chiemela Peter;Kim, Yeongkuk;Chung, Yun Ji;Jang, Sung Bong;Roh, Seung Hee;Kim, Sidong;Lee, Jun Heon;Choi, Tae Jeong;Lee, Seung-Hwan
    • Asian-Australasian Journal of Animal Sciences
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    • v.33 no.7
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    • pp.1057-1067
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    • 2020
  • Objective: This study evaluated the effect of pedigree errors (PEs) on the accuracy of estimated breeding value (EBV) and genetic gain for carcass traits in Korean Hanwoo cattle. Methods: The raw data set was based on the pedigree records of Korean Hanwoo cattle. The animals' information was obtained using Hanwoo registration records from Korean animal improvement association database. The record comprised of 46,704 animals, where the number of the sires used was 1,298 and the dams were 38,366 animals. The traits considered were carcass weight (CWT), eye muscle area (EMA), back fat thickness (BFT), and marbling score (MS). Errors were introduced in the pedigree dataset through randomly assigning sires to all progenies. The error rates substituted were 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, and 80%, respectively. A simulation was performed to produce a population of 1,650 animals from the pedigree data. A restricted maximum likelihood based animal model was applied to estimate the EBV, accuracy of the EBV, expected genetic gain, variance components, and heritability (h2) estimates for carcass traits. Correlation of the simulated data under PEs was also estimated using Pearson's method. Results: The results showed that the carcass traits per slaughter year were not consistent. The average CWT, EMA, BFT, and MS were 342.60 kg, 78.76 ㎠, 8.63 mm, and 3.31, respectively. When errors were introduced in the pedigree, the accuracy of EBV, genetic gain and h2 of carcass traits was reduced in this study. In addition, the correlation of the simulation was slightly affected under PEs. Conclusion: This study reveals the effect of PEs on the accuracy of EBV and genetic parameters for carcass traits, which provides valuable information for further study in Korean Hanwoo cattle.

Estimation of Genetic Parameters for Milk Production Traits Using a Random Regression Test-day Model in Holstein Cows in Korea

  • Kim, Byeong-Woo;Lee, Deukhwan;Jeon, Jin-Tae;Lee, Jung-Gyu
    • Asian-Australasian Journal of Animal Sciences
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    • v.22 no.7
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    • pp.923-930
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    • 2009
  • This study was conducted to compare three models: two random regression models with and without considering heterogeneity in the residual variances and a lactation model (LM) for evaluating the genetic ability of Holstein cows in Korea. Two datasets were prepared for this study. To apply the test-day random regression model, 94,390 test-day records were prepared from 15,263 cows. The second data set consisted of 14,704 lactation records covering milk production over 305 days. Raw milk yield and composition data were collected from 1998 to 2002 by the National Agricultural Cooperative Federation' dairy cattle improvement center by way of its milk testing program, which is nationally based. The pedigree information for this analysis was collected by the Korean Animal Improvement Association. The random regression models (RRMs) are single-trait animal models that consider each lactation record as an independent trait. Estimates of covariance were assumed to be different ones. In order to consider heterogeneity of residual variance in the analysis, test-days were classified into 29 classes. By considering heterogeneity of residual variance, variation for lactation performance in the early lactation classes was higher than during the middle classes and variance was lower in the late lactation classes than in the other two classes. This may be due to feeding management system and physiological properties of Holstein cows in Korea. Over classes e6 to e26 (covering 61 to 270 DIM), there was little change in residual variance, suggesting that a model with homogeneity of variance be used restricting the data to these days only. Estimates of heritability for milk yield ranged from 0.154 to 0.455, for which the estimates were variable depending on different lactation periods. Most of the heritabilities for milk yield using the RRM were higher than in the lactation model, and the estimate of genetic variance of milk yield was lower in the late lactation period than in the early or middle periods.

Application of Artificial Neural Networks for Prediction of the Unconfined Compressive Strength (UCS) of Sedimentary Rocks in Daegu (대구지역 퇴적암의 일축압축강도 예측을 위한 인공신경망 적용)

  • Yim Sung-Bin;Kim Gyo-Won;Seo Yong-Seok
    • The Journal of Engineering Geology
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    • v.15 no.1
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    • pp.67-76
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    • 2005
  • This paper presents the application of a neural network for prediction of the unconfined compressive strength from physical properties and schmidt hardness number on rock samples. To investigate the suitability of this approach, the results of analysis using a neural network are compared to predictions obtained by statistical relations. The data sets containing 55 rock sample records which are composed of sandstone and shale were assembled in Daegu area. They were used to learn the neural network model with the back-propagation teaming algorithm. The rock characteristics as the teaming input of the neural network are: schmidt hardness number, specific gravity, absorption, porosity, p-wave velocity and S-wave velocity, while the corresponding unconfined compressive strength value functions as the teaming output of the neural network. A data set containing 45 test results was used to train the networks with the back-propagation teaming algorithm. Another data set of 10 test results was used to validate the generalization and prediction capabilities of the neural network.

Effectiveness of golf skills to average score using records of PGA, LPGA, KPGA, KLPGA : Multi-group path analysis (프로골프 경기기록을 활용한 다중집단분석 : 경로분석 적용)

  • Kim, Sae Hyung;Cho, Jung Hwan
    • Journal of the Korean Data and Information Science Society
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    • v.24 no.3
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    • pp.543-555
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    • 2013
  • This study is to analyze effectiveness of golf skills (driving distance, rating of fairway, green in regulation, sand save ratio, recovery ratio, putting average) to average score using records of PGA, LPGA, KPGA, KLPGA. Independent variables were driving distance, rating of fairway, green in regulation, sand save ratio or recovery ratio, putting average. Dependent variable was the scoring average in this study. To analyze these variables, multi-group (PGA vs LPGA, KPGA vs KLPGA, PGA vs KPGA, LPGA vs KLPGA) path analysis was used through AMOS 18.0 program and significance level was set at 0.05. As the result, the variables that show significant differences of path coefficient between PGA model and LPGA model were driving distance and green in regulation to average score. The variables that show significant differences of path coefficient between KPGA model and KLPGA model were driving distance, recovery ratio, and putting average to average score. The variables that show significant differences of path coefficient between PGA model and KPGA model were driving distance, recovery ratio, and putting average to average score. There was not significant difference of path coefficient between LPGA model and KLPGA model.

A review of Classical Archaeology (고전고고학(古典考古學) 재론(再論))

  • Lee, Min Seok
    • Korean Journal of Heritage: History & Science
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    • v.51 no.4
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    • pp.170-191
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    • 2018
  • Until now, the Korean archeological community has only been able to introduce the findings of classical archaeology developed in the West, and it also suffers from a lack of concepts and academic achievements. The domestic archeological community also started to develop later than that of the West, when it began to analyze ancient history and relics through the classic works of history titled Samguk sagi (三國史記) and Samguk yusa (三國遺事). Furthermore, it is actively utilizing the Chinese classics, such as the Samgukji (三國志) and Huhanseo (後漢書), as well as certain Japanese classics such as Ilbonsegi (日本書紀). Due to the total lack of domestic classics, however, there are few details about the formation of ancient polities, national changes, and inter-country negotiations and exchanges, as well as numerous other unresolved issues. This study raises the need to revamp classical archaeology in order to solve these problems. The concept of classical means 'all records made in the past' in the shallow sense, while the meaning of the historiography means "historical records according to the taxonomy of the old book." Classical archaeology is a field in which the classics are analyzed and interpreted so as to study the culture of the past. This section has set up a wide range of classical categories, and has found that the classics can be used in a meaningful way in classical archaeology through the use of the Gongjagae (孔子家語). The use of the classics in classical archaeology could produce significant results if the relevant DB is managed by various institutions and organizations using proper techniques of analysis including big data analysis.