• 약학회지
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• 제59권6호
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• pp.278-283
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• 2015

The computerized prospective Drug Utilization Review (DUR) program supported by the Korean government has provided alerts to physicians and pharmacists since December 2010. This study aims to propose and apply the tiering system in "drug combinations to avoid (DCA)" and "age-precaution" alerts based on severity to improve the compliance of users. To propose the severity and clinical importance of 647 DCA alerts and 140 age precautions, a Delphi evaluation survey was conducted. An expert panel comprising 5 clinical pharmacists and 5 physicians were participated in mail surveys. Based on the results of Delphi survey, DCA pairs were classified into 3 groups; group 1 (70.6%), 2 (26.9%), and 3 (2.8%). Drug-age precaution ingredients were also classified into three groups; group 1 (53.6%), group 2 (40.7%), and group 3 (5.7%). When this grouping was applied to claim data from 2011 to 2013, the majority of alerts had occurred in the groups of high severity. Presenting DUR alerts with severity level is expected to improve the compliance of clinicians. The implementation of tiering system in DUR criteria should be considered.

• 한국환경보건학회지
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• 제36권5호
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• pp.373-382
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• 2010

A number of recent studies have shown that occupational stress is closely associated with increased fatigue and decreased job satisfaction. This study was designed to assess stress in workers in the field of EIA (environment impact assessment) from July 2009 through september 2009, and questionnaires were uesd to analyze the stress scores and identify the primary factors influencing stress in this occupation. The number of respondents was 272 working in the Capital (Seoul and Kyunggido), Chungcheongdo, Jejudo area. A structured questionnaire was used to evaluate the participants' socio-demographics, job-related factors, health-related behaviors, occupational stress, reaction factor (self-perceived fatigue, job satisfaction) and buffer factor (social support). Occupational stress and self-perceived fatigue were assessed using the Korean Occupational Stress Scale-Short Form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively. The analysis revealed a strong correlation between occupational stress, job satisfaction, and social support, with occupational stress being associated with an increased risk of fatigue and decreased job satisfaction. In the multiple regression analysis(stepwise), the main factors influencing occupational stress were found to be job satisfaction, supervisor, fatigue, working time, no. of personnel, career. The results of this study suggest that occupational stress is a determinant predictor of self perceived fatigue and job satisfaction. Thus, a strong recommendation is made for a stress management program for reduction of occupational stress, and for the development of relevant experts on the health and quality of life of environment impact assessment workers.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.267-275
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• 2012

Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

• 대한통합의학회지
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• 제7권1호
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• pp.47-56
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• 2019

Purpose: The present study confirms the content validity and understanding level of the questions of the Korean version of caries management by risk assessment (CAMBRA). Methods: To develop the Korean version of CAMBRA for children aged 0-5 years, a series of steps were followed: first, translation and reverse-translation processes were conducted by an expert committee. To establish content validity, CAMBRA was modified to adapt to the conditions in Korea by 17 dental hygiene professionals with a master's or a higher degree. The responses were analyzed using analysis of frequency and descriptive statistics. Content validity was verified by calculating the content validity index (CVI). The survey was administered to 64 mothers and caregivers to assess the understanding level of questions of the Korean version of CAMBRA. Results: Content validity of each of the items showed an S-CVI/AVE value of 0.79, but the content validities varied from 0.63 to 1.0. The understanding level of each question was between 3.56 and 4.46, thus showing favorable results. Conclusion: It was concluded that the test items verified for content validity were suitable for assessing caries risk for children of ages 0-5 years. This study would contribute to improving children's oral health and disease prevention by providing timely intervention.

• Safety and Health at Work
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• 제11권4호
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• pp.543-549
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• 2020

Background: The working conditions of bus drivers are difficult; they lead to occupational diseases and require careful study, particularly in Ukraine. The objective of the article is the description of occupational health risks of passenger bus drivers that lead to deteriorating health. Methods: The risk assessment was performed using a modified Risk Score method, which allowed determining the generalized level of danger to the driver's health. The hygienic hazards level was assessed as based on Stevenson's law, which was generalized later. Results: Based on the modification of the Risk Score method, it was possible to depart from expert assessments method of the risk level and calculate the general indicator based on the degree of dependence of the impact on the human body on its intensity, proposed by V. Minko. This allows objective determining of the impact of hygiene hazards on the health of the driver and to predict the occurrence of occupational diseases associated with the cardiovascular system, musculoskeletal system, and partial or complete disability due to the accumulation of emotional fatigue. The hazard assessment was carried out for three brands of passenger buses common in Ukraine, in which the driver is exposed to the dangers of fever, vibration, noise, harmful impurities in the bus cabin, and emotional load. Conclusion: The health of drivers in the cabins of passenger buses is most affected by hygiene hazards: fever, vibration, and emotional stress. The generalized level of risk is calculated by the modified method of Risk Score is 0.83; -0.99, -0.92 respectively.

• Geomechanics and Engineering
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• 제27권6호
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• pp.605-614
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• 2021

Water inrush from fault is one of the most severe hazards during tunnel excavation. However, the traditional evaluation methods are deficient in both quantitative evaluation and uncertainty handling. In this paper, a comprehensive methodology method combined intuitionistic fuzzy AHP with a Bayesian network for the risk assessment of water inrush from fault in the subsea tunnel was proposed. Through the intuitionistic fuzzy analytic hierarchy process to replace the traditional expert scoring method to determine the prior probability of the node in the Bayesian network. After the field data is normalized, it is classified according to the data range. Then, using obtained results into the Bayesian network, conduct a risk assessment with field data which have processed of water inrush disaster on the tunnel. Simultaneously, a sensitivity analysis technique was utilized to investigate each factor's contribution rate to determine the most critical factor affecting tunnel water inrush risk. Taking Qingdao Kiaochow Bay Tunnel as an example, by predictive analysis of fifteen fault zones, thirteen of them are consistent with the actual situation which shows that the IFAHP-Bayesian Network method is feasible and applicable. Through sensitivity analysis, it is shown that the Fissure development and Apparent resistivity are more critical comparing than other factor especially the Permeability coefficient and Fault dip. The method can provide planners and engineers with adequate decision-making support, which is vital to prevent and control tunnel water inrush.

• 생태와환경
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• 제55권4호
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• pp.390-397
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• 2022

북극 이사회 산하 "북극동식물보전 워킹그룹"은 북극 생물다양성을 보전하고 생물자원의 지속가능성을 보장하기 위해 모니터링, 평가, 정책, 전문가 그룹 활동을 수행하고 그 결과를 정부들과 북극원주민들에게 전달한다. 북극 동식물보전 워킹그룹의 주요업무는 모니터링, 평가, 전략 사업으로 구성되어 있다. 주요 모니터링 사업은 "환북극 생물다양성 모니터링 (해양, 담수, 육상, 연안) 프로그램", 평가 사업은 "북극생물다양성평가", 전략 사업은 "북극철 새이니셔티브"이다. 우리나라는 2013년 북극 이사회 옵서버 국가 지위 획득 후 2015년부터 북극철새이니셔티브 사업에 직접 참여하고 있다. 북극철새이니셔티브는 북극에서 번식하는 철새들이 이용하는 전 세계 이동경로 상의 서식지를 보전하고 불법 사냥을 방지하는 것이 목적이다. 따라서, 철새 이동경로상의 옵서버 국가들이 직접적으로 사업에 참여하고 있다. 우리나라는 2030년까지 북극협력사업 참여를 위한 우선순위 선정 시 기존에 참여하고 있는 북극 철새이니셔티브와 국내 공공기관들이 운영 중인 북극 관련 아카데미 프로그램을 활용해 "CAFF 청년 프로그램" 참여 방안을 고려할 필요가 있다.

• 교육녹색환경연구
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• 제13권1호
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• pp.41-49
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• 2014

Currently G-SEED certification standards was in an effort to building energy-saving and carbon emissions reduction. In this study, focusing on school facilities to suggest an alternative improve green building certification standards through data analysis and conduct an expert Delphi survey. In this study, evaluation of the existing areas of green building certification 7-5 suggest that one out. There are five proposed areas of ecology, health, function, energy and resources. Further it can add areas of economics and $LCCO_2$. Through the assessment items of foreign certification standards evaluated to the feasibility of introducing in Korea. Furthermore taking into account the characteristics of each class, kindergarten, elementary, primary, middle and high schools, College or University were broken down by purpose.

• 중환자간호학회지
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• 제10권3호
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• pp.41-52
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• 2017

Purpose : This concept analysis identified attributes and defined triage competency among emergency nurses. Method : Walker and Avant's approach was used to guide the concept analysis. A literature review was completed including 26 studies, 5 reports of related associations, and 5 books. Results : The concept of triage competency in emergency nurses was identified as five attributes: clinical judgment, expert assessment, management of medical resources, timely decision, and communication. Antecedents of the concept were triage education and emergency room experience. The consequences of the concept were efficiency of care, patient rating, and safety. Triage competency in emergency nurses was defined as the comprehensive ability to prioritize patients' urgency and allocate limited medical resources. Conclusion : This study is meaningful since it clarified triage competency among emergency nurses. The attributes and empirical indicators of this study will likely lay the foundation for development of triage competency metrics.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2004년도 춘계 학술대회 발표논문집
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• pp.239-242
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• 2004

An automatic pronunciation correction system provides users with correction guidelines for each pronunciation error. For this purpose, we propose a speech recognition system which automatically classifies pronunciation errors when Koreans speak a foreign language. In this paper, we also propose machine scoring methods for automatic assessment of pronunciation quality by the speech recognizer. Scores obtained from an expert human listener are used as the reference to evaluate the different machine scores and to provide targets when training some of algorithms. We use a log-likelihood score and a normalized log-likelihood score as machine scoring methods. Experimental results show that the normalized log-likelihood score had higher correlation with human scores than that obtained using the log-likelihood score.