• 제목/요약/키워드: The Measures of agreement

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Repeat Auditing of Primary Health-care Facilities Against Standards for Occupational Health and Infection Control: A Study of Compliance and Reliability

  • Cloete, Brynt;Yassi, Annalee;Ehrlich, Rodney
    • Safety and Health at Work
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    • 제11권1호
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    • pp.10-18
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    • 2020
  • Background: The elevated risk of occupational infection such as tuberculosis among health workers in many countries raises the question of whether the quality of occupational health and safety (OHS) and infection prevention and control (IPC) can be improved by auditing. The objectives of this study were to measure (1) audited compliance of primary health-care facilities in South Africa with national standards for OHS and IPC, (2) change in compliance at reaudit three years after baseline, and (3) the inter-rater reliability of the audit. Methods: The study analyzed audits of 60 primary health-care facilities in the Western Cape Province of South Africa. Baseline external audits in the time period 2011-2012 were compared with follow-up internal audits in 2014-2015. Audits at 25 facilities that had both internal and external audits conducted in 2014/2015 were used to measure reliability. Results: At baseline, 25% of 60 facilities were "noncompliant" (audit score<50%), 48% "conditionally compliant" (score >50 < 80%), and only 27% "compliant" (score >80%). Overall, there was no significant improvement in compliance three years after baseline. Percentage agreement on specific items between internal and external audits ranged from 28% to 92% and kappa from -0.8 to 0.41 (poor to moderate). Conclusion: Low baseline compliance with OHS-IPC measures and lack of improvement over three years reflect the difficulties of quality improvement in these domains. Low inter-rater reliability of the audit instrument undermines the audit process. Evidence-based investment of effort is required if repeat auditing is to contribute to occupational risk reduction for health workers.

RELIABILITY and VALIDITY of DUAL PROBE-FIXING FRAME for REHABILITATIVE ULTRASOUND IMAGING for EXERCISES with VISUAL FEEDBACK

  • Na-eun Byeon;Jang-hoon Shin;Wan-hee Lee
    • Physical Therapy Rehabilitation Science
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    • 제12권3호
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    • pp.259-267
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    • 2023
  • Objective: Rehabilitative ultrasound imaging is a safe and noninvasive technique for evaluating muscle thickness. A dual probe-fixing frame (DPF) can provide visual feedback during exercises targeting specific muscles. The purpose of this research was to verify the reliability and validity of the DPF for dual-probe ultrasound (DPU)-based visual feedback exercises, allowing users to use both hands freely. Design: This cross-sectional study used repeated measures to compare muscle thickness measurements obtained using the handheld device and DPF with DPU. Methods: Twenty healthy adults participated in the study. Measurements were taken over two sessions, with a two-day interval between the sessions. The thicknesses of the rectus abdominis (RA) and transverse abdominis (TrA) muscles were measured using DPU. The DPF with DPU developed by the research team, was used along with a laptop-based muscle viewer. Bland-Altman analysis and intraclass correlation coefficients (ICCs) calculations were used in statistical analyses to evaluate agreement and reliability, respectively. Results: The results of the Bland-Altman analysis showed small average differences between the handheld and DPF methods for both RA and TrA muscle thicknesses. Inter-rater reliability analysis showed high ICC values for DPF measurements of both RA (0.908-0.912) and TrA (0.892-741) muscle thicknesses. Intra-rater reliability analysis also showed good ICC values for measurements taken by a single examiner over two days. Conclusion: The findings of this study demonstrate that the DPF provides reliable and valid measurements of muscle thickness during visual feedback exercises using the DPU.

사육곰 구호를 위한 곰 공원 계획 (Bear Park Plan to Promote the Welfare of Breeding Bears, South Korea)

  • 이민주;이정환;박현철;이관규;차진열
    • 한국환경복원기술학회지
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    • 제17권6호
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    • pp.73-91
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    • 2014
  • Recently the countries breeding bears such as China and Vietnam are promoting a policy that gives relief to wild animals through agreement with AAF and WSPA. Currently our country has lacking breeding space for the increased number of bred bears due to the prohibition of bear import and export from joining the CITES in 1992. There needs to be a place that treats, protects accepts breed bears in the terms of animal welfare. The bear park was hoped to be designed as a means to give relief to bears and promote harmony with the local society, and is made of parking area, waiting area, visitors center, treatment research management facilities, restaurants, food warehouse, food store, bear museum, sanitation facilities, gondola, plaza, rehabilitation area for wild animals, outdoor exhibition center, direct indirect experience area of wild animals, resting facilities and areas, photo zones, bear playground, bear experiencing facilities, fences, information facilities, tree protection facilities and more. The design can be used as a reference in examining alternative measures following the future change in breeding policy as a bear park example which reflected the ecology of a bear in the term of animal welfare.

In vitro evaluation of color and translucency reproduction of maxillofacial prostheses using a computerized system

  • Nemli, Secil Karakoca;Gungor, Merve Bankoglu;Bagkur, Meral;Bal, Bilge Turhan;Arici, Yeliz Kasko
    • The Journal of Advanced Prosthodontics
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    • 제10권6호
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    • pp.422-429
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    • 2018
  • PURPOSE. Accurate color matching of maxillofacial prostheses to skin is important for esthetics. A computerized color matching system specific to human skin has recently been developed. The purpose of this study was to evaluate the accuracy in color and translucency matching of the computerized color matching system across different skin colors. MATERIALS AND METHODS. The silicone was colored to simulate 28 different skin colors (n=5) to serve as "target skin colors". Using a spectrocolorometer (e-skin), color codes were determined for "replicate skin color" fabrication. CIELAB Delta-E between target skin color-replicate skin color pairs and translucency parameter were calculated. CIELAB Delta-E values were compared with one-way ANOVA and Tukey multiple-comparison. The agreement between $L^*$, $a^*$, $b^*$ and translucency parameter of target skin colors and replicate skin color were calculated by a two-way mixed average measures intraclass correlation coefficient. Translucency parameter of target skin color- replicate skin color pairs were compared with Paired t-test (${\alpha}=.05$). RESULTS. The mean CIELAB Delta-E value was 3.83 and significant differences were found among colors. The intraclass correlation coefficient showed excellent reliability for $L^*$, $a^*$, $b^*$ and good reliability for translucency parameter (P<.001). The mean translucency parameter of replicate skin colors was significantly higher than that of translucency parameter. CONCLUSION. The computerized color matching system specific to human skin was found to be reliable in terms of color and translucency between target skin colors and replicate skin color.

디지털 무역협정의 국경 간 데이터 이전 자유화 연구 (A Study on Liberalization of Cross-Border Data Transfer in Digital Trade Agreements)

  • 정재승
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 춘계학술대회
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    • pp.627-628
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    • 2022
  • 디지털 무역은 관련 산업 및 거래의 종류가 다양하고 범위도 넓어서 국제적으로 통용되는 명문화된 정의는 없으나, 일반적으로 기존 상품 중심의 전자상거래를 포함, '인터넷과 ICT 등 디지털 기술을 이용한 국가간 교역 활동(상품+서비스+Data) 전반'을 의미한다. 최근에는 4차 산업혁명으로 인한 IT 등 기술의 발전으로 디지털 무역에 혁신적인 변화가 발생하고 있고, 미국, EU, 일본 등 선진국들은 데이터 이동 자유화 등 디지털 무역 이슈를 디지털무역협정의 협상안건에 포함시키고 있다. 국경 간 데이터 이동 자유화에 대한 쟁점은 디지털 무역 활성화를 위해 데이터 이동의 자유가 필요하나, 정보 보안과 사생활 침해의 위험성도 증가한다는 것이다. 선진국들의 방향을 살펴보면, 미국은 규제 최소화, 유럽은 역내 단일시장화는 찬성하나 소극적 대외 개방, 중국은 규제를 통한 독자적 시장육성 입장을 치하고 있다. 따라서 국경간 데이터 이동 제한조치 강화 조치는 최근 국가별로 정책이 시행되고 있거나 조만간 국제적 합의가 예정되어 있는 이슈로 우리나라도 이에 대한 긴밀한 대응이 필요하다.

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중국의 반덤핑 제도 과제와 대응방안 (A Study on the issues and measures of the China's Anti-dumping law)

  • 오문갑
    • 통상정보연구
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    • 제16권1호
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    • pp.117-142
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    • 2014
  • 반덤핑제도는 정상가격 이하로 판매되는 덤핑 수입으로 인해 야기되는 국내 산업에 대한 피해를 구제하기 위한 관세조치로서, 상계관세제도, 세이프가드와 함께 대표적인 무역구제 제도이다. 중국의 경우 반덤핑 관련 법령에서 행정재심사 관련 내용을 포함하고 있는 법령으로는 '반덤핑조례', '반덤핑신규수출 자재심사 잠정규칙', '반덤핑 관세 환급 잠정규칙' 등이 있다. 중국의 반덤핑제도는 2002년 첫 조사 개시가 이루어진 후 2004년부터 시작하여 사건 수가 점차 많아지고 있다. 그러나 중국의 반덤핑조례가 금번 개정을 거쳐 구 조례에서 문제점으로 지적되어 오던 실효성과 구체성의 결여를 상당 부분 보완하는 등 획기적인 발전을 거두고 있다는 것 또한 부정할 수 없다. 동 조례는 기본적으로 WTO반 덤핑협정의 내용을 대부분 수용하고 있으며 일부 내용은 미국, EU등 선진국의 관련규정을 참조하여 도입하고 있다. 이러한 변화는 선례를 통한 예측 가능성을 보다 향상시키고 있다. WTO 가입을 계기로 중국은 WTO규범에 일치시키기 위해 국내법에 대해 폐지, 개정 작업을 하고 있다. 반덤핑법도 그 중의 한 부분이지만 WTO규범에 완전히 일치하는 제도적 장치를 마련하기까지는 많은 경험과 시간을 필요로 할 것으로 보인다.

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한국 프로야구 선수들의 경기력과 연봉의 관계 분석 (A study on relationship between the performance of professional baseball players and annual salary)

  • 승희배;강기훈
    • Journal of the Korean Data and Information Science Society
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    • 제23권2호
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    • pp.285-298
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    • 2012
  • 본 연구는 프로야구 선수들의 경기력을 세분화하고 섬세하게 측정 할 수 있는 세이버메트릭스 기법을 적용하여 한국 프로야구 8개 구단의 타자들을 대상으로 세이버메트릭스 지수를 통해서 알아본 선수들의 경기력과 연봉간의 패턴을 분석하고자 한다. 연구 방법으로는 한국 프로야구 8개 구단의 2009년, 2010년도 타자들의 경기 기록과 차년도 연봉 자료를 수집한 후, 세이버메트릭스 지수를 계산하여 연봉과의 관계를 주성분분석을 통해 살펴보았다. 각 구단별로 일부 상이한 결과도 있었지만 전반적으로는 경기력이 높은 선수들에게 많은 연봉이 지급되고 있음을 확인하였다. 본 연구의 결과는 각 구단 및 타자들이 연봉협상에 임할 때 중요한 참고 자료가 될 수 있다고 판단된다.

냉기침강효과를 고려한 복잡지형의 최저기온 분포 추정 (Minimum Temperature Mapping in Complex Terrain Considering Cold Air Drainage)

  • 정유란;서형호;황규홍;황범석;윤진일
    • 한국농림기상학회지
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    • 제4권3호
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    • pp.133-140
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    • 2002
  • Site-specific minimum temperature forecasts are critical in a short-term decision making procedure for preventive measures as well as a long-term strategy such as site selection in fruits industry. Nocturnal cold air pools frequently termed in mountainous areas under anticyclonic systems are very dangerous to the flowering buds in spring over Korea, but the spatial resolution to detect them exceeds the current weather forecast scale. To supplement the insufficient spatial resolution of official forecasts, we developed a GIS - assisted frost risk assesment scheme for using in mountainous areas. Daily minimum temperature data were obtained from 6 sites located in a 2.1 by 2.1 km area with complex topography near the southern edge of Sobaek mountains during radiative cooling nights in spring 2001. A digital elevation model with a 10 m spatial resolution was prepared for the entire study area and the cold air inflow was simulated for each grid cell by counting the number of surrounding cells coming into the processing cell. Primitive temperature surfaces were prepared for the corresponding dates by interpolating the Korea Meteorological Administration's automated observational data with the lapse rate correction. The cell temperature values corresponding to the 6 observation sites were extracted from the primitive temperature surface, and subtracted from the observed values to obtain the estimation error. The errors were regressed to the flow accumulation at the corresponding cells, delineating a statistically significant relationship. When we applied this relationship to the primitive temperature surfaces of frost nights during April 2002, there was a good agreement with the observations, showing a feasibility of site-specific frost warning system development in mountainous areas.

Comparative Studies on the Relative Efficacy of DL-methionine and Liquid Methionine Hydroxy Analogue in Growing Pigs

  • Zimmermann, B.;Mosenthin, R.;Rademacher, M.;Lynch, P.B.;Esteve-Garcia, E.
    • Asian-Australasian Journal of Animal Sciences
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    • 제18권7호
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    • pp.1003-1010
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    • 2005
  • A study consisting of 3 trials was designed to assess the relative biological efficacy of DL-methionine (DL-Met) in comparison to liquid methionine hydroxy analogue (MHA-FA) in growing pigs. In trial I a basal diet was supplemented with three graded levels of DL-methionine (0.25, 0.50 and 0.75 g/kg) or liquid MHA-FA (0.0285, 0.0570 and 0.0855 g/kg) on equimolar basis. The basal diet contained 18.3% CP, 0.22% Met and 0.51% Met+Cys, which is below the methionine requirement for weaned pigs between 10 and 20 kg BW according to NRC (1998) but adequate in all other essential nutrients and energy. Using an exponential model, the efficacy of the two methionine sources was estimated from nitrogen retention data obtained in 42 piglets with an initial BW between 11.0 kg (Exp. 1) and 11.7 kg (Exp. 2). In trials II and III, with a total of 192 and 96 pigs, and with an initial BW of 10.6 and 21 kg, respectively, growth response criteria were assessed to determine if in agreement with previous studies in pigs and poultry a biological effectiveness of about 65% on average could be confirmed for liquid MHA-FA in comparison to DL-met. Based on N-retention (trial I) the biological efficacy of liquid MHA-FA on a weight-to-weight basis was calculated to be 62% relative to DL-met. Basically, these results were confirmed using growth response criteria as measures; the results of trial II and III revealed no significant differences in growth performance and feed conversion between treatments indicating that 100 parts of liquid MHA-FA can be replaced by 65 parts of DL-met.

A Study on Strategies of Public R&D to Achieve National Carbon Neutrality: Focusing on the Implications of the Republic of Korea

  • Song, Jaeryoung;Kim, Cheolhu
    • Asian Journal of Innovation and Policy
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    • 제11권1호
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    • pp.1-29
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    • 2022
  • Climate action is at the top of the agenda in the international community, as demonstrated at the 2021 G7 Summit and the 2021 UN Climate Summit. Major developed countries are scrambling to make a transition to a green economy and create a new growth momentum. Following the Paris Climate Agreement in 2016, they focus on "carbon neutrality" as an effective means of tackling climate change. The Republic of Korea, a high-carbon economy, submitted its second Nationally Determined Contribution and announced carbon neutrality as a top policy priority. Accordingly, the country increases government budget in research and development (R&D) and science and technology (S&T) policies. Against this backdrop, this study analyzed policies on carbon-neutral S&T and R&D in major advanced countries. The analysis was made by identifying globally pending issues in carbon-neutral policies and climate technology. In addition, focus group interviews were conducted six times with 10 experts to come up with three R&D strategies and action plans for government-funded research institutes to achieve carbon neutrality. To be specific, the following measures were suggested. First, creative and innovative R&D programs are required to solve the problem of carbon emissions. Second, it is necessary to establish carbon neutrality policies and infrastructure which are sustainable to run and manage. Third, it is crucial to promote cooperation in climate technology based on excellence. In conclusion, the strategies proposed in this study are expected to provide directions and implications for policymakers, researchers, and scholars in science and technology to develop effective strategies to achieve national carbon neutrality.