• Title/Summary/Keyword: Internal Members

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Comparison of Internal Audits by A University Hospital Institutional Review Board Members and Quality Assurance Officers: Factors Influencing Internal Audit Results (A 대학병원 Institutional Review Board 위원 기반 내부 점검 사례 및 Quality Assurance 담당자 내부 점검과의 비교: 내부 점검 결과에 영향을 미치는 요인)

  • Na-Ya Ha;Byung-In Choe
    • The Journal of KAIRB
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    • v.6 no.2
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    • pp.48-55
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    • 2024
  • Purpose: The purpose of this study is to introduce the Institutional Review Board (IRB) member-based internal audit method performed at A University Hospital, a secondary medical institution, and to identify the differences in audit results according to the characteristics of each auditor and the factors affecting the internal audit results. Furthermore, we will find out what needs to be improved in the internal audits to achieve Quality assurance (QA) objectives for human subject research conducted in medical institutions. Methods: The auditors were divided into group A (IRB member belonging to institution A) and group B (clinical trial QA administrator belonging to other institutions) and independently inspected the 2 studies using the same internal audit checklist (consisting of 11 domains, 130 items), and the differences in the internal inspection checklists written by each auditor were compared and analyzed. Results: In the case of audit for the study 1, the number of missing checklists is 1 for group A and 0 for group B, and the number of the matters to be pointed out is 1 for group A and 12 for group B. In the case of audit for the study 2, the number of missing checklists is 2 for both A and B, and the number of points is 5 for A and 4 for B. The differences in the internal audit results written by each auditor that the authors verified are summarized as follows. First, there were more comments from group B auditor than from group A auditor. Second, the results may vary because each auditor has different criteria for evaluating the appropriateness of an item. Third, there are cases where the questions on the checklist are vague or the definition is not clear, so they have the same opinion but check it with different answers. Fourth, if the auditors make a mistake when filling out the checklist, it causes to led to different the results. Conclusion: We propose the following items that should be improved in order to conduct consistent and efficient internal audits. First, it is necessary to test the tool in order to carry out reliable and consistent internal audits. Second, it is necessary to complete specialized training related to internal audit before conducting internal audit. Third, before notifying the audit results, it is necessary to have a procedure or a final review system to check whether the audit contents are appropriate. Fourth, Institutional support is needed to recruit specialized personnel for internal audits.

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Emergent damage pattern recognition using immune network theory

  • Chen, Bo;Zang, Chuanzhi
    • Smart Structures and Systems
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    • v.8 no.1
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    • pp.69-92
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    • 2011
  • This paper presents an emergent pattern recognition approach based on the immune network theory and hierarchical clustering algorithms. The immune network allows its components to change and learn patterns by changing the strength of connections between individual components. The presented immune-network-based approach achieves emergent pattern recognition by dynamically generating an internal image for the input data patterns. The members (feature vectors for each data pattern) of the internal image are produced by an immune network model to form a network of antibody memory cells. To classify antibody memory cells to different data patterns, hierarchical clustering algorithms are used to create an antibody memory cell clustering. In addition, evaluation graphs and L method are used to determine the best number of clusters for the antibody memory cell clustering. The presented immune-network-based emergent pattern recognition (INEPR) algorithm can automatically generate an internal image mapping to the input data patterns without the need of specifying the number of patterns in advance. The INEPR algorithm has been tested using a benchmark civil structure. The test results show that the INEPR algorithm is able to recognize new structural damage patterns.

Structural Behavior of Two-Seam Cold Formed Square CFT Column to Beam Connections (2심 냉간성형 각형 CFT기둥-보 접합부의 구조거동)

  • Oh, Heon-Keun;Kim, Sun-Hee;Park, Chan-Myun;Choi, Sung-Mo
    • Journal of Korean Association for Spatial Structures
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    • v.12 no.4
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    • pp.81-90
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    • 2012
  • The concrete-filled tube (CFT) column has the excellent structural performance. But it is difficult to connect with column and beam because of closed section. Its Solution, 2 members of ㄷchennel in which Internal diaphragm is installed were welded beforehand and the method of making Rectangular Steel Tube was proposed. According to upside and downside junction shape, Internal diaphragm suggested as symmetric specimen and asymmetric specimen. The upper and lower diaphragm of the Symmetric specimen used the same horizontal and The upper diaphragm of the Asymmetric specimen used the horizontal plate and the lower diaphragm used the vertically plate. In this research, 4 T-shape column to beam steps connections were tested with cyclic loading experiment in order to evaluate the structural capability of the offered connection. Symmetric specimens be a failure in 0.03rad from beam flange. And Asymmetric specimens be a failure in 0.05rad from column interface. The comparison results of All specimens shown similar to energy absorption capacity in 0.02rad.

Report on the Korean Standard Differentiation of the Symptoms and Signs for the Stroke-1 (한의 중풍변증 표준안-I에 대한 보고)

  • Kim Joong-Kil;Seol In-Chan;Lee In;Jo Hyun-Kyung;Yu Byeong-Chan;Choi Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.229-234
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    • 2006
  • To develop the Korean standard differentiation of the symptoms and signs for the stroke(KSDS), the committee on Stroke Diagnosis Standardization of traditional Korean medicine(TKM) was organized dy nineteen experts in college of Korean medicine. On July 9th 2005, the second consultation meeting was held in Daejeon, Korea. Fifteen experts of the committee attended the meeting and they discussed the KSDS and came to a consensus. The 15-member committee consensus was as follows: First, board members defined the stroke on the basis of TKM. Second, they divided the symptoms and signs of stroke into five categories- fire and heat, dampness and phlegm, blood stasis, qi deficiency, yin deficiency. Third, the symptom indicator of each differentiation type for the stroke was recommended. KSDS-1 will be applied to the clinical practice and revised.

Attitudes toward Social Issues Related to Opioid Use among Palliative Care Physicians

  • In Cheol Hwang;Seong Hoon Shin;Youn Seon Choi;Myung Ah Lee;DaeKyun Kim;Kyung Hee Lee
    • Journal of Hospice and Palliative Care
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    • v.27 no.1
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    • pp.45-49
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    • 2024
  • Purpose: This study investigated palliative care physicians' attitudes regarding social issues related to opioid use. Methods: An email survey was sent to 674 physicians who were members of the Korean Society for Hospice and Palliative Care (KSHPC). Results: Data from 66 physicians were analyzed (response rate, 9.8%). About 70% of participants stated that their prescribing patterns were not influenced by social issues related to opioid use, and 90% of participants thought that additional regulations should be limited to non-cancer pain. Under the current circumstances, pain education for physicians is urgently needed, as well as increased awareness among the public. Half of the respondents identified the KSHPC as the primary organization responsible for providing pain education. Conclusion: Palliative care physicians' prescribing patterns were not influenced by social issues related to opioid use, and these issues also should not affect cancer pain control.

The Impact of Company's Environmental Orientation on Satisfaction, Organizational Commitment, and Loyalty (기업의 환경 지향성이 직원 만족, 조직 몰입, 충성도에 미치는 영향)

  • Young-Mi Jeon
    • Journal of Information Technology Applications and Management
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    • v.31 no.4
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    • pp.163-178
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    • 2024
  • The development of industry since the Industrial Revolution has caused environmental destruction and is threatening to destroy the order of the Earth's ecosystem. Due to the severity of environmental problems, companies are facing a crisis where they may lose competitiveness if their management strategies do not prioritize environmental issues. This study studied the impact of a company's environmental orientation on employee satisfaction, organizational commitment, and loyalty. This study studied the impact of a company's environmental orientation on employee satisfaction, organizational commitment, and loyalty. As a result of the study, the internal and external environmental orientation of the company on satisfaction had a significant positive influence and were all adopted, while the internal and external environmental orientation on organizational commitment were all rejected as they had no significant impact. Satisfaction was found to have a significant positive (+) effect on organizational commitment and a significant positive (+) effect on loyalty, so both were adopted. Organizational commitment was adopted because it had a significant positive effect on loyalty, and internal and external environmental orientation had no significant effect on loyalty, so it was all rejected. A company's green environmental orientation plays an important role in a company's sustainable growth and can be formed based on the company's will. Therefore, this study shows that a company's environmental orientation improves the company's environmentally friendly image and provides positive value to organizational members, leading to improved corporate performance.

Loss and Grief in Asian Culture (아시아 문화권에서의 상실과 슬픔)

  • Hong, Young-Seon;Yeom, Chang-Hwan;Lee, Kyung-Shik
    • Journal of Hospice and Palliative Care
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    • v.1 no.1
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    • pp.1-5
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    • 1998
  • Grief is the ordinarily self-limited complex of symptoms and processes that constitute the acute reaction to a significant loss. And it is the reaction of the dying as well as the bereaved. Every culture has had its own ways of grief and mourning. The definition of healthy grief and mourning, in terms of both emotional expression and the length of time it should continue, mostly depend upon the type of culture as well as the type of religion. So the manner of grief and mourning greatly differs from culture to culture. In the most of the Asian countries, influenced by Confucianism, Taoism, and Buddhism, death is traditionally considered the most significant life cycle transition. In Chinese culture, many rituals have evolved to help family members deal with their loss, over the past five thousand years. Confucianism taught the virtues of filial piety and righteousness. These rules and many customs added since the time of Cofucius, have been loyally followed and practiced by many Asian people. However, Buddhists have different ideas. They believe in karma and reincarnation and in predetermination of one's present life by good or bad deeds in the present life and past lives. Display of uncontrollable emotion is not encouraged. Continuity of family relations after death is very important. The ancient practice of the ancestor worship is still followed in many Asian households. Many Buddhist do not practice ancestor worship; family members honor the deceased by placing a memorial plate in the temple for continued chanting purposes. The mourning rituals have been dramatically curtailed in the past 50 years. For example, political, social and economic forces have shaped the current mourning practices of Chinese in different countries. There are many clinical implications in helping Asian to deal better with the emotional strains of the experience of loss. The therapiest must respect the cultural framework through which the client perceives family losses.

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Experimental Study on Sloshing Loads in a B-Type Independent Tank (독립형 화물창 내부의 슬로싱 하중에 대한 실험적 연구)

  • Kim, Sang-Yeob;Ahn, Yangjun;Kim, Yonghwan;Heo, Joo-Ho;Jeong, Taeseok;Lee, Chul-Ho;Kim, Do-Hyun
    • Journal of the Society of Naval Architects of Korea
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    • v.50 no.6
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    • pp.390-398
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    • 2013
  • In this paper, an experimental study on sloshing problems in an independent B-type tank of STX Offshore and Shipbuilding Co. is described. Recently STX Offshore and Shipbuilding Co. introduced a new design of an independent B-type tank in order to reduce sloshing impact loads on LNG CCS. This tank has many internal members, so that sloshing flow and the resultant hydrodynamic loads are very different from those in typical membrane tanks. In this study, a series of sloshing experiment have been carried out for 1/50 scale model, and the main characteristics of sloshing load on the independent tank are observed. The properly scaled internal members such as swash bulkhead, center bulkhead and stringers have been installed in the test tank model, but sloshing pressures are measured on the tank walls only. The forced excitation signals have been generated by using the predicted ship motion in irregular sea states. The characteristics of sloshing loads on this tank have been observed in different filling levels with various heading angles, and sea states. In this paper, some key findings from the model tests are discussed.

Investigation of earthquake angle effect on the seismic performance of steel bridges

  • Altunisik, Ahmet C.;Kalkan, Ebru
    • Steel and Composite Structures
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    • v.22 no.4
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    • pp.855-874
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    • 2016
  • In this paper, it is aimed to evaluate the earthquake angle influence on the seismic performance of steel highway bridges. Upper-deck steel highway bridge, which has arch type load bearing system with a total length of 216 m, has been selected as an application and analyzed using finite element methods. The bridge is subjected to 1992 Erzincan earthquake ground motion components in nineteen directions whose values range between 0 to 90 degrees, with an increment of 5 degrees. The seismic weight is calculated using full dead load plus 30% of live load. The variation of maximum displacements in each directions and internal forces such as axial forces, shear forces and bending moments for bridge arch and deck are attained to determine the earthquake angle influence on the seismic performance. The results show that angle of seismic input motion considerably influences the response of the bridge. It is seen that maximum arch displacements are obtained at X, Y and Z direction for $0^{\circ}$, $65^{\circ}$ and $5^{\circ}$, respectively. The results are changed considerably with the different earthquake angle. The maximum differences are calculated as 57.06%, 114.4% and 55.71% for X, Y and Z directions, respectively. The maximum axial forces, shear forces and bending moments are obtained for bridge arch at $90^{\circ}$, $5^{\circ}$ and $0^{\circ}$, respectively. The maximum differences are calculated as 49.12%, 37.37% and 51.50%, respectively. The maximum shear forces and bending moments are obtained for bridge deck at $0^{\circ}$. The maximum differences are calculated as 49.67%, and 49.15%, respectively. It is seen from the study that the variation of earthquake angle effect the structural performance of highway bridges considerably. But, there is not any specific earthquake angle of incidence for each structures or members which increases the value of internal forces of all structural members together. Each member gets its maximum value of in a specific angle of incidence.

A Study on the Relationship Between Health Protective Behavior and Health Locus of Control (예방적 건강행위와 건강통제위 성격 성향과의 관계에 대한 연구)

  • 김정희
    • Journal of Korean Academy of Nursing
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    • v.15 no.2
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    • pp.49-61
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    • 1985
  • It is assumed that the more society advances in its complexity and development, the more people pay attention to their health and accordingly the more people tend to practice health protective behavior. Most of human behavior is based on social inter-actions. The concept in Locus of Control has been developed from social learning theory to help better understanding the social phenomena affecting human behavior. Multidimensional Health Locus of Control is consisted of three dimensions: Internal, Powerful Others and Chance. This study was conducted to find out the health protective behavior patterns of the people and its relationship with Health Locus of Control as an influencing factor to their behavior. All the subjects in this study were the ones of the bank employees in Seoul, Among the total of 1,430 bank employees, 761 were chosen as a sampled subjects. Questionnair survey was conducted from March 4 to March 13, 1985. Research instruments used in this study were two kinds, one was the Health Locus of Control Scale developed by Wallston & Wallston and the other was the Measuring Scale for Health Protective Behavior developed by the investigator. Analysis of data was done by using Descriptive Statistics, X²-test, t-test, ANOVA, Pearson's correlation coefficient. The results of this study are summarized as follows: The mean score of Internal was 24.1, Powerful others was 19.7 and Chance was 15.3 out of maximum range of 6-30 respectively. The mean score of Health Protective Behavior Scale fell as 53.2 out of a maximum range of 18-90. Internals were more likely closely related with sex, educational levels and religion, Powerful others were related with age, educational levels and the number of family members. Chances were related with edu cational levels. The older the subjects were, the more concerned about their health. They tended to practice more favorable health protective behaviors. Furthermore, married people tended to fay more attention to their health than single individuals. Also, the number of family members and religion affected their attitudes in the health protective behavior patterns. Internals and Powerful Others were related with health protective behaviors. If one believes he can do something about his health and others play a significant role on his health, he is more apt protective patterns more suitable for health and actually shows that he is better off.

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