The purpose of this study was to develop the classification of home-based long-term care activities and to test its validity. In this study, the taxonomy of long-term care activities was structured according to the service domain and process. Two expert groups participated in making a draft of the taxonomy that was composed of 7 service domains, 22 care needs, 22 service objectives, and 114 activities. Reliability and validity of the taxonomy was tested in a sample of 152 elderly subjects who used the home-based long-term care services. Based on the factor analysis of 114 activities, 21 factors were extracted from 114 activities. Internal consistency of the factors was high. Content validity was confirmed by the CVI. Long-term care insurance grade was used to assess the criterion validity. Among 21 care needs, 12 cares needs were significantly different from their grade. The classification of home-based long-term care activities demonstrated reliability and validity. In conclusion, the use of this classification is recommended while communicating with the elderly subjects, service providers, and the 3rd party payers.
Lee, Seungmin;Wang, Wonjoon;Kim, Donghyun;Han, Heechan;Kim, Soojun;Kim, Hung Soo
Journal of Korea Water Resources Association
/
v.56
no.10
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pp.619-629
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2023
Recent intensification of climate change has led to an increase in damages caused by droughts. Currently, in Korea, the Standardized Precipitation Index (SPI) is used as a criterion to classify the intensity of droughts. Based on the accumulated precipitation over the past six months (SPI-6), meteorological drought intensities are classified into four categories: concern, caution, alert, and severe. However, there is a limitation in classifying drought intensity solely based on precipitation. To overcome the limitations of the meteorological drought warning criteria based on SPI, this study collected emergency water supply damage data from the National Drought Information Portal (NDIP) to classify drought intensity. Factors of SPI, such as precipitation, and factors used to calculate evapotranspiration, such as temperature and humidity, were indexed using min-max normalization. Coefficients for each factor were determined based on the Genetic Algorithm (GA). The drought intensity based on emergency water supply was used as the dependent variable, and the coefficients of each meteorological factor determined by GA were used as coefficients to derive a new Drought Severity Classification Index (DSCI). After deriving the DSCI, cumulative distribution functions were used to present intensity stage classification boundaries. It is anticipated that using the proposed DSCI in this study will allow for more accurate drought intensity classification than the traditional SPI, supporting decision-making for disaster management personnel.
Journal of Korean Academy of Nursing Administration
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v.4
no.1
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pp.107-127
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1998
The purpose of this study was to develop an evaluation tool for the quality of nursing care in abdominal surgery patient. The target subjects of the tool were adult patients having abdominal surgery under general anesthesia. Process-outcome framework was selected for the development of the tool in this study. The results were as follows. 1. Nine standards. 40 criteria and 88 indicators were developed. A standard was summary statement of the ideal level of excellencein a dimension of quality of nursing care. which could be evaluated by criteria. Several criteria indicated a specific standard and each criterion could be measured by observable and measurable indicators. 2. The standards were divided into two dimensions. One was process dimension which contained four standards(23 criteria), the other was outcome dimension which contatined five standards(17 criteria). 3. Average CVI was .985 at 9 standards. .947 at 40 criteria. and .987 at 88 indicators. 4. The evaluation tool for the quality of nursing care in abdminal surgery patients was a criterion-referenced tool. And data collection methods of the tool were investigation of patient's record and interview( or questionnaire) with the patients. 5. Interrater reliabilities of the tool were ; r= .7572 (agreement between two raters), and pI=.8487 (intraclass correlation between five raters who rated the 84 patients). 6. Internal consistency reliability ${\alpha}$ was .6194, which was obtained from 32 criteria. Eight criteria were missed in the analyzing process because of data omission. 7. Scores of the process and the outcome dimensions showed significant. but low correlation(r= .3759, p < .001). 8. There were significant differences in total scores between the hospitals and the departments of surgery(F = 15.233. p .0001). There was also significant interaction effect between hospitals and departments to total score(F = 8.396. p = .0001). Construct validity of the toool was verified by the known-group method. these kinds of difference were expected by the nursing experts participated in the study. From these results, more specific patient classification is suggested for the development of evaluation tool of the quallity of nursing care. And indicators to be used for objective measurement for the quality of nursing care must be developed.
To select the criteria, literature review was made in the quantitative case of conservation biology, foreign country's EIA and domestic ecology. Among them, a few factors was extracted. To applicate the criteria to domestic forest ecosystem, expert opinion survey was executed to the ecologist. The results were summarized as follows; 1. Classification of sites was made of land use system which is related to forest ecosystem or forest conservation. Sites are divided into 3 categories which are nature preservation area, seminature preservation area and urbanized area. Evaluation criteria is consisted of rarity and naturalness. 2. Each area had different criteria composition according to the site characteristics. Criteria of nature preservation area is rarity in the broad sense (distribution pattern of vegetation), vegetation size, successional stage and depth of organic matters. Those of seminature preservation area are rarity in the broad sense (distribution area of vegetation), vegetation size, successional stage, diameter at breath height and depth of organic matters. And those of urbanized area are vegetation distribution in area, successional stage, age of forest and diameter of breath height. The basic data of criterion was gathered by field survey. 3. Evaluation index and total naturalness index was obtained by adding the each criterion. It is made up of two categories-rarity and naturalness. TNi is divided into 3 grades. Grade I is more than 70% for TNi, grade IT is 50~70%, and grade III is below 50%. According to the each grade, permitted action and facilities were suggested.. This research just focuses on the evaluation of vegetation quality and the assessment results do not directly judge conservation or development. To make better evaluation criteria, various fields of forest ecosystem-geological or physical nature environment and fauna ecosystem etc. -will be added wholly to this research.
Background: Dental treatment has shifted to the center of the community, and the public policy of the country has expanded to support the vulnerable classes such as the disabled. The dental profession needs education regarding oral health services for persons with disabilities, and it is necessary to derive the competencies for this. Therefore, we conducted this study to derive the normative ability to understand the role of a dental hygienist in the oral health service for persons with disabilities and improvement plans for education. Methods: We conducted a qualitative analysis for deriving competencies by analyzing the data collected through in-depth interviews with experts in order to obtain abilities through practical experience. Based on the competency criterion, relevant competency in the interview response was derived using the priori method, and it was confirmed whether the derived ability matched the ability determined by the respondent. Results: The professional conduct competencies of dental hygienists, devised by the Korean Association of Dental Hygiene, consists of professional behavior, ethical decision-making, self-assessment skills, lifelong learning, and accumulated evidence. Also, core competencies of the American Dental Education Association competencies for dental hygienist classification such as ethics, responsibility for professional actions, and critical thinking skills were used as the criterion. The dental hygienist's abilities needed for oral health care for people with disabilities, especially in the detailed abilities to fulfill these social needs, were clarified. Conclusion: To activate oral health care for people with disabilities, it is necessary for dental hygienists to fulfill their appropriate roles, and for this purpose, competency-based curriculum restructuring is indispensable. A social safety net for improving the oral health of people with disabilities can be secured by improving the required skills-based education system of dental hygienists and strengthening the related infrastructure.
Entrance floor in hospital has became important space for medical service in holistic perspective and image enhancement. However, basically a discussion of the qualitative properties and the role of public space is paucity in change of public spaces paradigm. In accordance with this problem, this study consider the change of paradigm in public space based on earlier studies and create classification criterion of space. According to the criterion, G/D ratio and the qualitative spatial area ratio of 26 general hospitals which were planned over 500 beds are analyzed by case study method. The conclusion of this study is as follows. 1) The space according to the medical function is variable element. So the public space should be planned from function-subordinate space to self-reliance space in the future. 2) There is no correlation between the high G/D ratio and the high ratio of qualitative spacial area. In other word It's hard to say that the public space which G/D ratio is high is qualitative space. 3) Since 2000, various types in accordance with the circulation system is applied to public space. And ratio of qualitative spacial area is relatively high in the street type and the concourse type. 4) The qualitative spatial area ratio of stay space is higher than passage's one.
Purpose: To determine the extent and rate of prescription drug therapy, especially polypharmacy and the prevalence of potentially inappropriate medication use in Korean elderly ambulatory patients based on an explicit criterion. Methods: Performed a retrospective study of 65 years or older ambulatory patients visiting a university hospital based clinic from January 2002 to April 2004. Study determined the patterns of drug prescription per Anatomical Therapeutic Chemical Classification and the potentially inappropriate medication usage based on explicit Beers criteria. Results: Of the 4,042 elderly patients the mean number of prescription was $2.2{\pm}2.0$, which was similar between genders and all age groups within the elderly. 10.7% of patients were prescribed with more than 5 medications concurrently. The most frequently prescribed medication was the drugs used for treating nervous system diseases (44.3%), followed by alimentary tract/metabolism disorders (27.6%), cardiovascular disease (10.7%), blood/blood forming disorders (4.3%), respiratory disorders (6.5%), and musculoskeletal diseases (3.2%). A total of 511 elderly (13%) was prescribed with medication that met the criteria for=1 potentially inappropriate drugs for the elderly. This proportion was similar between genders and all age groups within the elderly. Among these 511 elderly patients the mean number of potentially inappropriate drugs prescribed was $5.1{\pm}3.3$ drugs. Potentially inappropriately prescribed drugs included amitriptyline (76 cases), diazepam (69 cases), ketorolac (57 cases), short acting nifedipine (44 cases), triazolam (38 cases), and hydroxyzine (38 cases). Conclusion: Potentially inappropriate drug prescribing in Korean ambulatory elderly patients are common. Education programs and interventions aimed at optimizing the prescribing and dispensing of the most appropriate drugs are needed.
There have been many studies from the genetic system to physical activity and emotional expression such that there are gender differences. The purpose of this study was to determine how the structural characteristics of cortical thickness differ between males and females. This study used data from the Human Connectome Project (HCP). To analyze age-specific sexual dimorphisms of cortical thickness, selected 8-80 year old subjects were divided into five detailed age range groups according to each criterion. A total of 1,700 individual brain MRI T1 data were registered in stereotaxic space for analysis and classified into white matter (WM), gray matter (GM), and cerebro-spinal fluid (CSF). For surface-based analysis, the WM/GM surface was reconstructed from a spherical polygon model with 40962 vertices per hemisphere, and each vertex was extended to the GM/CSF boundary. Cortical thickness was then measured between each vertex using the t-link method. In the statistical analysis, intracranial volume was used as a covariate to exclude the effect of the difference in brain size of each individual, and the result of using age as a covariate was added to confirm the age effect within each group. Gender differences in cortical thickness had significant results by group. This may be an index to explain diseases with sexual dimorphism in prevalence or become a basis for explaining the characteristics of each sex that appear in behavior, personality, and aging. Therefore, the results of our study could be a criterion for age classification in future studies and for understanding 'normal' sexual dimorphism.
Recommender system is the tool for E-commerce company based on the internet for increasing their sales ratio in the market. Recommender system suggests the list of items which night be wanted by customers. This list generated by the result of customers' preference prediction through the prediction algorithm automatically. Recommender system will be able to offer not only the important information for marketing strategy but also reduce the cost of customers' information retrieval trough the analysis of customers' purchase patterns and features. But there are several problems like as the extension of the users and items scales and if the recommendation to customers generated by unreliable recommender system makes the customer royalty to the system to weaken. In this study, we propose the criterion for pre-evaluation on the prediction performance only using the preference ratings on the items which are rated by customers before prediction process and we study the features of customers who are classified through this classification criterion.
The investigation of marine accidents in Korea can not handle the international codes and guidelines and is being followed the conventional methods with a big gab to the international criterion and procedure. Also there is no proper investigation manual which is cope with the new era and surrounding circumstances. This study analyzed the investigation manual of other countries, and proposed new investigation manual according to the analysis and international standards and procedure as followings; (1) Develop own investigation manual separating from the field manual which is mixed with judge, (2) Correct and improve the error and hazy words in the existing field manual which is not compatible a current situation, (3) The contents of new manual should be changed to cope with the international rules, criterion and procedures. The list of contents and index is added, an abundant explanation and examples are given, and charts and illustrations are inserted to make the users understand easily. Also the inquiry techniques according to the classification of each accidents are included.
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