• Structural Monitoring and Maintenance
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• 제8권4호
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• pp.361-378
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• 2021

While the pavement rating system is being utilized for periodic road condition assessment in the Eastern Region municipality of Saudi Arabia, the condition assessment is costly, time-consuming, and not comprehensive as only few parts of the road are randomly selected for the assessment. Thus, this study is aimed at developing a condition assessment model for a specific sample of a residential road network in Dammam City based on an individual road and a road network. The model was developed using the Analytical Hierarchy Process (AHP) according to the defect types and their levels of severity. The defects were arranged according to four categories: structure, construction, environmental, and miscellaneous, which was adopted from sewer condition coding systems. The developed model was validated by municipality experts and was adjudged to be acceptable and more economical compared to results from the Eastern region municipality (Saudi Arabia) model. The outcome of this paper can assist with the allocation of the government's budget for maintenance and capital programs across all Saudi municipalities through maintaining road infrastructure assets at the required level of services.

• Journal of Chest Surgery
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• 제55권2호
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• pp.118-125
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• 2022

Background: A time course analysis was undertaken to evaluate how perioperative process-of-care and outcome measures evolved after implementation of an enhanced recovery after thoracic surgery (ERATS) program. Methods: Outcome and process-of-care measures were compared between patients undergoing major elective thoracic surgery during a 9-month pre-ERATS implementation period to those at 1-3, 4-6, and 7-9 months post-ERATS implementation. Outcome measures included length of stay, the 30-day readmission rate, 30-day emergency department visits, and minor and major adverse events. Process measures included first time to activity, out-of-bed, ambulation, fluid diet, diet as tolerated, as well as removal of the first and last chest tube, epidural, patient-controlled analgesia, and Foley and intravenous catheters. Results: In total, 704 patients (352 pre-ERATS, 352 post-ERATS) were included. Mobilization-related process measures, including time to first activity (16.5 vs. 6.8 hours, p<0.001), out-of-bed (17.6 vs. 8.9 hours, p<0.001), and ambulation (32.4 vs. 25.4 hours, p=0.04) saw statistically significant improvements by 1-3 months post-ERATS implementation compared to pre-ERATS. Time to Foley removal improved by 4-6 months post-ERATS (19.5 vs. 18.2 hours, p=0.003). Outcome measures, including the 30-day readmission rate and emergency department visits, steadily decreased post-ERATS. By 7-9 months post-ERATS, both minor (18.2% vs. 7.9%, p=0.009) and major (13.6% vs. 4.4%, p=0.007) adverse events demonstrated statistically significant improvements. Length of stay trended towards improvement from 6.2 days pre-ERATS to 4.8 days by 7-9 months post-ERATS (p=0.06). Conclusion: The adoption of ERATS led to improvements in multiple process-of-care measures, which may collectively and gradually achieve optimization of clinical outcomes.

• 한국의료질향상학회지
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• 제25권1호
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• pp.11-28
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• 2019

Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

• 한국수소및신에너지학회논문집
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• 제25권6호
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• pp.609-619
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• 2014

In the present study, the frequency of the undesired accident was estimated for a quantitative risk assessment of a large-scale hydrogen liquefaction plant. As a representative example, the hydrogen liquefaction plant located in Ingolstadt, Germany was chosen. From the analysis of the liquefaction process and operating conditions, it was found that a $LH_2$ storage tank was one of the most dangerous facilities. Based on the accident scenarios, frequencies of possible accidents were quantitatively evaluated by using both fault tree analysis and event tree analysis. The overall expected frequency of the loss containment of hydrogen from the $LH_2$ storage tank was $6.83{\times}10^{-1}$times/yr (once per 1.5 years). It showed that only 0.1% of the hydrogen release from the $LH_2$ storage tank occurred instantaneously. Also, the incident outcome frequencies were calculated by multiplying the expected frequencies with the conditional probabilities resulting from the event tree diagram for hydrogen release. The results showed that most of the incident outcomes were dominated by fire, which was 71.8% of the entire accident outcome. The rest of the accident (about 27.7%) might have no effect to the population.

• Safety and Health at Work
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• 제11권4호
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• pp.385-396
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• 2020

Teachers are facing various job demands with psychosocial aspects being fundamental due to the nature of the occupation. Although teachers' work is associated with different psychosocial health risks, little is known on how to identify and tackle those. Thus, a systematic literature search as per the PRISMA statement was conducted via MEDLINE (PubMed), PSYNDEX (PubPsych), and ScienceDirect. Two reviewers independently screened 2261 titles and abstracts and 169 full-texts. According to the inclusion criteria established a priori, articles from peer-reviewed journals (English or German) on psychosocial risk management in teachers were incorporated. Despite a comprehensive and sensitive search, only four publications could be identified, outlining a process to implement risk management and different assessment tools. Taken together, data presented in the articles were scarce. Recommendations for process steps and the assessment of psychosocial risks can be derived from the findings. To implement effective psychosocial risk management in the teaching profession, further research is needed, though. Effective and practicable approaches, which are accepted by the target group, should be further developed and investigated. Relevant causes of occupational strain in the teaching profession must be identified and assessed reliably. Low-threshold interventions should be implemented, and the outcome must be evaluated afterward.

• Geomechanics and Engineering
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• 제9권1호
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• pp.57-81
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• 2015

Water inrush and mud outburst always restricts the tunnel constructions in mountain area, which becomes a major geological barrier against the development of underground engineering. In view of the complex disaster-causing mechanism and difficult quantitative predictions of water inrush and mud outburst, several theoretical methods are adopted to realize dynamic assessment of water inrush in the progressive process of tunnel construction. Concerning both the geological condition and construction situation, eleven risk factors are quantitatively described and an assessment system is developed to evaluate the water inrush risk. In the static assessment, the weights of eight risk factors about the geological condition are determined using Analytic Hierarchy Process (AHP). Each factor is scored by experts and the synthesis scores are weighted. The risk level is ultimately determined based on the scoring outcome which is derived from the sum of products of weights and comprehensive scores. In the secondary assessment, the eight risk factors in static assessment and three factors about construction situation are quantitatively analyzed using fuzzy evaluation method. Subordinate levels and weight of factors are prepared and then used to calculate the comprehensive subordinate degree and risk level. In the dynamic assessment, the classical field of the eleven risk factors is normalized by using the extension evaluation method. From the input of the matter-element, weights of risk factors are determined and correlation analysis is carried out to determine the risk level. This system has been applied to the dynamic assessment of water inrush during construction of the Yuanliangshan tunnel of Yuhuai Railway. The assessment results are consistent with the actual excavation, which verifies the rationality and feasibility of the software. The developed system is believed capable to be back-up and applied for risk assessment of water inrush in the underground engineering construction.

• 대한지구과학교육학회지
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• 제12권3호
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• pp.239-251
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• 2019

이 연구는 예비초등학교 교사들을 대상으로 한 과학 수업에서 과정 중심 평가를 운영하고 그 효과를 알아내는 것을 목표로 한다. 본 연구에서 수행한 과정 중심 평가는 단위 수업 중에 실시되었으며, 학생의 학습행동에서 유의성이 인정될 때 점수가 매겨졌다. 연구결과에 근거한 결론은 다음과 같다. 첫째, 수업시간에 실시한 과정정중심평가가 평가로서 적절한지에 대해 학생들의 평가는 평균 3.6점이었다. 둘째, 학생들이 제시한 평가 근거에서, 긍정적인 주요내용은 "결과가 아닌 과정을 평가", "수업 참여에 긍정적으로 기여함", "사고 활동의 촉진"이다. 셋째, 학생이 제시한 평가근거에서 부정적 내용은 '평가방법과 결과의 객관성 결여', '학생들의 개별 성향이 평가결과에 관여함', '교과 지식의 학습효과 미흡' 등이 주요 내용이다.

• 보건교육건강증진학회지
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• 제21권2호
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• pp.1-16
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• 2004

The ultimate goal of health promotion programs is to improve the quality of life through promoting community health. Since the performance of health promotion programs are greatly affected by the quality of the planning and implementation process of the programs, the proper quality assessment of the program process is very important. According to existing literature, the tool for assessing the quality of the process and implementation as well as the outcome. However, no assessment tool for the quality of the process of health promotion programs has been developed in Korea. The purpose of the study is to develop a quality assessment tool for the process of health promotion programs being conducted at public health centers in Korea. The quality assessment tool developed in the study consists of the following four domains： strategic planning (14 items), program management (11 items), monitoring and evaluation (13 items), and resources and information (15 items). The strategic planning deals with the function of the planning staff and committees, community data analysis, the feasibility of the program, and the approach methods for attaining the goal of the program. The program management includes items on the qualification and power of the program staff. Monitoring and evaluation deals with the planning and education for monitoring, reporting and communication among program units, and feedback after monitoring. Finally, the resource and information covers the planning and activities for obtaining resources and information, community networking, beneficiaries' response, and consulting activity of the staff.

• 농촌계획
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• 제14권2호
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• pp.77-84
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• 2008

Amenity landscapes in rural areas are becoming increasingly important as a resource to enhance the (public) interest in rural landscapes and to vitalize the rural areas. Befitting the times, the objective of this project is to discover the amenity landscapes distributed throughout the rural areas and to produce material in the form of a publication for the promotion of the aforementioned landscapes. For such purposes, local autonomous bodies, rural amenity resource investigation team, and experts on landscape found rural amenity landscapes and entered them for a selection process, out of which the top 100 rural amenity landscapes were ultimately selected based both on the assessment system developed by the researchers and on the assessment process executed by the assessment committee. The following two categories of assessment criteria for the amenity landscapes were presented: village-related assessment criteria including value as resource and use value; landscape-resources-related assessment criteria, including aesthetic value, identity, adherence to traditionality, and sustainability. Assessment for each criteria item was made by applying a 5-point Likert scale throughout. The sum of the points for each landscape was then converted at a 100 point scale for ultimate use in selection of the top 100 landscapes. This paper is the outcome of such series of processes and systems.

• 한국군사과학기술학회지
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• 제13권5호
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• pp.808-817
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• 2010

This paper proposes a novel appoach which can assess the system technical maturity for use in Defense R&D Program reviews. As the weapon systems become more complicated, the success and effectiveness of R&D outcome heavily depend on the application and tailoring of systems engineering process and methods. It is a difficult task to assess the system readiness level(SRL) of the system being developed. A system-focused approach for managing weapon systems development and making effective and efficient decisions during the development lifecycle is critical to ensure the success of the program. The proposed weighted average SRL can facilitate the system technical maturity assessment without expending heavy work load.