• Journal of Biosystems Engineering
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• 제37권4호
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• pp.258-264
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• 2012

Purpose: This review aims at introducing 3 modeling approaches classified into 3 categories based on the purpose (estimation or prediction), structure (linear or non-linear) and phase (steady-state or dynamic-state); 1) statistical approaches, 2) kinetic modeling and 3) mechanistic modeling. We hope that this review can be a useful guide in the model-based approach of calcium metabolism as well as illustrates an application of engineering tools in studying biosystems. Background: The meaning of biosystems has been expanded, including agricultural/food system as well as biological systems like genes, cells and metabolisms. This expansion has required a useful tool for assessing the biosystems and modeling has arisen as a method that satisfies the current inquiry. To suit for the flow of the era, examining the system which is a little bit far from the traditional biosystems may be interesting issue, which can enlarge our insights and provide new ideas for prospective biosystem-researches. Herein, calcium metabolic models reviewed as an example of application of modeling approaches into the biosystems. Review: Calcium is an essential nutrient widely involved in animal and human metabolism including bone mineralization and signaling pathways. For this reason, the calcium metabolic system has been studied in various research fields of academia and industries. To study calcium metabolism, model-based system analyses have been utilized according to the purpose, subject characteristics, metabolic sites of interest, and experimental design. Either individual metabolic pathways or a whole homeostasis has been modeled in a number of studies.

• 보건행정학회지
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• 제31권4호
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• pp.399-408
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• 2021

The emergency medical service system in Korea was built upon the Emergency Medical Service Act, 1995 to respond adequately to be much in demand for emergency medical services. In addition, the government recognized the importance of the trauma care system and set out to plan for the designation and establishment of the regional trauma center by 2012. This study aimed to investigate features of quality management and trauma fee schedule on better understanding of trauma care system. First, quality management of the regional trauma center has been implemented by several quality programs involved in quality assessment, committee on trauma quality management, and mortality and morbidity conference. Second, the trauma fee schedule has reflected a specific quality of severe traumatic conditions and added the result to it, which are graded A, B, and C according to quality assessment. Although the government has contributed to instituting a trauma quality assessment program and trauma fee schedule for the regional trauma center, it could not lead to such a fixed standard for quality management of them. Therefore, it will promote discussion on the sustainability of the regional trauma center that requires reducing preventable trauma death rate and the way to apply comprehensive quality management.

• 경영과학
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• 제12권3호
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• pp.77-95
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• 1995

This paper shows the case study of risk analysis in an weapon system research and development project. For risk analysis, an advanced stochastic networking technique-VERT (Venture Evaluation and Review Technique) is used. Assumptions for activities of network diagram and conversion methods from PERT ( Program Evaluation and Review Technique) to VERT are discussed. Also, simulation result is presented and discussed.

• 토지주택연구
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• 제14권1호
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• pp.99-114
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• 2023

본 연구는 2021년부터 시행된 교육시설 안전인증제도의 적정성 및 적용성을 검토하고 개선방향을 도출하기 위해 수행되었다. 연구는 기존 인증제도 분석 및 해외 교육시설 안전 및 환경평가제도 사례 탐구, 인증 수행 전문가 대상 FGI를 통한 보완 및 개선점 도출, FGI 분석결과를 적용한 새로운 인증절차 모델 제시, 전문가 자문 기반 인증수행 모델 검토 및 객관성 부여의 단계로 진행되었다. 제시한 모델은 기존 제도에서 수행되었던 인증절차를 예비, 심사, 사후관리의 3단계로 세분화하여 운영되도록 구성했다. 인증절차의 각 단계에는 이론검토 및 FGI 과정에서 도출된 개선점을 보완한 피드백 시스템을 적용하여 평가 과정 및 평가자 구성상 발생할 수 있는 실제적 문제점을 예방할 수 있는 절차를 구성했다. 연구결과에 따라 제시된 인증수행 모델은 인증제도 운영위원 자격을 갖춘 전문가들을 대상으로 자문을 수행했으며, 심사자 및 중재자 선정기준 등 인증수행 모델의 세부기준에 대한 명시를 권고했으며, 전반적인 평가체계의 구조에 치명적인 결함이 없다는 자문결과를 도출했다. 이에 따라 본 연구에서 제시한 인증수행 모델 개선안의 객관적 검토를 함께 수행했다.

• 산업경영시스템학회지
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• 제15권26호
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• pp.99-109
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• 1992

This paper presents a cost model of the system which is managed under a continuous review (Q,r) policy at each retailer and peridic review (R,T) policy at the central warehouse. An iterative procedure is performed to find the optimal or near-optimal' solution for the policy parameters at each retailers and a central warehouse in this study.

• 대한인간공학회지
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• 제15권1호
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• pp.53-67
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• 1996

Since Romberg's test in 1953, the analysis of postural sway during upright stance has been widely used as a tool for evaluating balance and disorders of the postural control system. This review describes the methods that have been used to evaluste the static and dynamic performance of the postural control system. Various identification methods of postural control system based on standing balance are discussed and measures of postural sway are described. The application areas of standign balance research, with an emphasis on postural control evaluations, are also briefly described. This review can be used to gain an understanding of the dynamics of human standing balance.

• 간호행정학회지
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• 제14권3호
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• pp.229-240
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• 2008

Purpose: To develop the patient classification system based on the resource utilization for reimbursement of long-term care hospitals in Korea. Method: Health Insurance Review & Assessment Service (HIRA) conducted a survey in July 2006 that included 2,899 patients from 35 long-term care hospitals. To calculate resource utilization, we measured care time of direct care staff (physicians, nursing personnel, physical and occupational therapists, social workers). The survey of patient characteristics included ADL, cognitive and behavioral status, diseases and treatments. Major category criteria was developed by modified delphi method from 9 experts. Each category was divided into 2-3 groups by ADL using tree regression. Relative resource use was expressed as a case mix index (CMI) calculated as a proportion of mean resource use. Result: This patient classification system composed of 6 major categories (ultra high medical care, high medical care, medium medical care, behavioral problem, impaired cognition and reduced physical function) and 11 subgroups by ADL score. The differences of CMI between groups were statistically significant (p<.0001). Homogeneity of groups was examined by total coefficient of variation (CV) of CMI. The range of CV was 29.68-40.77%. Conclusions: This patient classification system is feasible for reimbursement of long-term care hospitals.

• 한국태양에너지학회 논문집
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• 제22권4호
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• pp.107-119
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• 2002

A review on the papers published in the Korean Journal of Solar Energy between 2000 and 2002 has been done. Focus has been put on current status of research in the aspect of Insolation. Solar Collector and Storage System, Solar Heating and Cooling System, Solar Cell and Lighting System, Active and Passive Solar Building, Heat Transfer in Solar Energy and Natural Energy. The conclusions are as follows. 1) Many studies on Insolation were conducted to optimize the usage of Solar Energy. 2) A review of the recent studies on solar thermal shows that there were many papers on solar collector and storage system. However, studies on the HVAC system using solar energy were relatively insufficient. 3) To produce high efficient solar cell. various experimental and numerical papers were published. However studies on control system, solar cell and lighting were seemed to be insufficient. 4) Studies on using solar energy in passive solar buildings were widely carried out, however, studies based on synthetic analysis of buildings and BIPV were insufficient. 5) Studies on heat transfer were mainly about heat exchanger, performance of heat pipe and multi air conditioner. 6) Studies on energy resources except for solar energy, such as hydraulic power and wind power etc. were very few.

• Journal of Preventive Medicine and Public Health
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• 제45권3호
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• pp.148-155
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• 2012

Since the reformation of the National Health Insurance Act in 2000, the Health Insurance Review and Assessment Service (HIRA) in the Republic of Korea has performed quality assessments for healthcare providers. The HIRA Value Incentive Program (VIP), established in July 2007, provides incentives for excellent-quality institutions and disincentives for poorquality ones. The program is implemented based on data collected between July 2007 and December 2009. The goal of the VIP is to improve the overall quality of care and decrease the quality gaps among healthcare institutions. Thus far, the VIP has targeted acute myocardial infarction (AMI) and Caesarian section (C-section) care. The incentives and disincentives awarded to the hospitals by their composite quality scores of the AMI and C-section scores. The results of the VIP showed continuous and marked improvement in the composite quality scores of the AMI and C-section measures between 2007 and 2010. With the demonstrated success of the VIP project, the Ministry of Health and Welfare expanded the program in 2011 to include general hospitals. The HIRA VIP was deemed applicable to the Korean healthcare system, but before it can be expanded further, the program must overcome several major concerns, as follows: inclusion of resource use measures, rigorous evaluation of impact, application of the VIP to the changing payment system, and expansion of the VIP to primary care clinics.

• 한국임상약학회지
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• 제31권2호
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• pp.104-114
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• 2021

Objective: To explore the perception of drug utilization review (DUR) system and DUR modernization pilot project among healthcare professionals and patients. Methods: We conducted 8 times of focus group interviews (FGI) between August 1, 2019 to December 31, 2019. The healthcare professionals and patients who participated in the DUR modernization pilot project were included in the present study. Based on the type of project participation or medical institution, the participants were divided into the following four groups: group 1, hospital; group 2, clinic; group 3, pharmacy; and group 4, patient. Within each group, interviews were conducted under a pre-defined agenda to identify the implicit perceptions of the participants; the contents of the interviews were, then, categorized. Results: Healthcare professionals established a consensus on the positive aspects of the DUR system and DUR modernization pilot project. However, substantial concerns remain, such as additional workload associated with monitoring adverse events or acquiring consents from patients. Furthermore, a difference of opinion over the DUR convenience system was observed. Among 3 DUR convenience system, the personal medication history review service was highly utilized, but pop-up hold function and communication system was rarely used. Conclusion: We observed that systematic intervention using the DUR system is effective for both healthcare providers and consumers. Adverse events caused by inappropriate drug use can be prevented by continuous patient monitoring. Therefore, the role of DUR system needs to be expanded to establish a safe drug management system.