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Prioritizing Themes Using a Delphi Survey on Patient Safety Theme Reports (환자안전 주제별 보고서의 주제 우선순위 설정: 델파이 조사를 통한 분석)

  • Park, Jeong Yun;Shin, Eun-Jung;Kim, Rhieun;Kim, Sukyeong;Park, Choon-Seon;Park, Taezoon;Choi, Yun-Kyoung;Heo, Young-Hee
    • Quality Improvement in Health Care
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    • v.28 no.1
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    • pp.45-54
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    • 2022
  • Purpose: The study aims to identify the theme list and priority criteria of patient safety theme reports in South Korea. Methods: The survey was conducted twice, and the importance of each criterion and theme was measured on a nine-point scale using the Delphi technique by a panel of 19 patient safety experts. The criteria included severity, universality, preventability, and organizational-social impact. Descriptive statistics such as frequency, percentage, mean, standard deviation, median, and interval quartile range were used to analyze the data. Results: The parameters were assigned a weighted average of 35% for severity, 20% for universality, 30% for preventability, and 15% for organizational-social impact, respectively. The final top three rankings were surgery safety, blood transfusion safety, and medication safety. In addition to expert opinion, for the theme that is selected based on the priority ranking, one to five sub-topics can be derived from the theme based on the priority ranking, societal demands, or the yearly priority list of patient safety incidents. Conclusion: It is recommended that the official patient safety center distribute the report in the form of a summary that can be utilized nationwide at medical institutions, government institutions, and other places. Updates, as well as accumulated theme reports, will serve as the baseline data for the proposal of the system and for the policy designed to implement and improve institutions' safety practices as a standard of domestic patient safety practice guidelines.

Relationship between Albuminuria and Uric Acid to High-Density Lipoprotein Cholesterol Ratio in Korean Adults (대한민국 성인에서 알부민뇨와 요산 대 고밀도 지단백 콜레스테롤 비율의 관련성)

  • Hyun YOON
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.167-173
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    • 2023
  • This study assesses the urine microalbumin to urine creatinine ratio (uACR) with uric acid and the association with the high-density lipoprotein cholesterol (UA/HDL-C) ratio in Korean adults. Data from the 2019 Korean National Health and Nutrition Examination Survey was procured and included 5,845 adults aged 20 years or older. Several key findings were obtained in the present study. After adjusting for the related variables (age, gender, hypertension, obesity, type 2 diabetes mellitus, and chronic kidney disease), the uACR was found to be positively associated with the quartiles of the UA/HDL-C ratio (P=0.002). Moreover, after adjusting for related variables, the odds ratio (OR) of albuminuria (uACR≥30.0 mg/g) was not significant in quartile 2 (Q2) (OR, 1.015; 95% confidence interval [CI], 0.757~1.361) and Q3 (OR, 1.090; 95% CI, 0.811~1.465) but was significantly higher in Q4 (OR, 1.416; 95% CI, 1.044~1.921) as compared to Q1 of the UA/HDL-C ratio. We conclude that since the UA/HDL-C ratio is positively associated with albuminuria in Korean adults, an increased UA/HDL-C ratio could be applied as a useful measure to assess albuminuria in Korean adults.

Estimation of Appropriate Wage by Development of Wage Survey Framework for Forest Workers (산림사업 작업자 임금실태조사 프레임워크 개발을 통한 적정 노임단가 추정)

  • Hye-in Park;Cham Kim;Sung-Min Choi
    • Journal of Korean Society of Forest Science
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    • v.112 no.2
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    • pp.217-229
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    • 2023
  • Forest projects often apply construction industry labor rates, without considering the demanding work conditions and labor intensity unique to forest operations, resulting in workplace issues. This study aims to analyze forest operations' characteristics and wage survey methods in other fields to establish a framework for surveying the wages of forest workers. The developed framework was tested through direct surveys conducted with all forest operation companies. Survey items included actual wages by occupation, identification and removal of outliers using quartile deviation, and occupation-based wage calculation. Results revealed that the appropriate wages for 2022 were as follows: KRW 163,376 for general workers, KRW 221,407 for special workers, KRW 250,045 for work leaders, and KRW 239,863 for wood cutters. These figures were 16.27% higher than those derived from the standard construction wage survey. The developed framework was validated by comparing the appropriate wages with both the standard construction wage survey and the forestry workers' wage. The results indicated that the wages calculated using the developed framework were 4.5% more similar to the forestry workers' wage compared with those from the standard construction wage survey. Consequently, the standard construction wage survey was deemed unsuitable for forest projects. To ensure efficient forest operations, it is imperative to conduct wage surveys using the developed framework over multiple years to accumulate sufficient data.

Temporal distritution analysis of design rainfall by significance test of regression coefficients (회귀계수의 유의성 검정방법에 따른 설계강우량 시간분포 분석)

  • Park, Jin Heea;Lee, Jae Joon
    • Journal of Korea Water Resources Association
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    • v.55 no.4
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    • pp.257-266
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    • 2022
  • Inundation damage is increasing every year due to localized heavy rain and an increase of rainfall exceeding the design frequency. Accordingly, the importance of hydraulic structures for flood control and defense is also increasing. The hydraulic structures are designed according to its purpose and performance, and the amount of flood is an important calculation factor. However, in Korea, design rainfall is used as input data for hydrological analysis for the design of hydraulic structures due to the lack of sufficient data and the lack of reliability of observation data. Accurate probability rainfall and its temporal distribution are important factors to estimate the design rainfall. In practice, the regression equation of temporal distribution for the design rainfall is calculated using the cumulative rainfall percentage of Huff's quartile method. In addition, the 6th order polynomial regression equation which shows high overall accuracy, is uniformly used. In this study, the optimized regression equation of temporal distribution is derived using the variable selection method according to the principle of parsimony in statistical modeling. The derived regression equation of temporal distribution is verified through the significance test. As a result of this study, it is most appropriate to derive the regression equation of temporal distribution using the stepwise selection method, which has the advantages of both forward selection and backward elimination.

A Study on The Success Factors of Youth Enterprises (청년창업 성공요인에 관한 연구: 창업전문가를 대상으로)

  • Shim, Hyeon Min;Seol, Byung Moon
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.17 no.2
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    • pp.1-13
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    • 2022
  • This study derived the success factors of youth enterprises by applying the Delphi Method to start-up experts. Through this, it aims to improve understanding of youth enterprises in entrepreneurship education and start-up support projects and contribute to the development of education and support programs suitable for youth enterprises. Also The purpose of this study is to help youth entrepreneurs solve their curiosity about the success factors of youth enterprises, identify the factors that youth entrepreneurs should first secure or perform among the factors they need to consider during start-ups, and use limited resources efficiently and effectively to succeed. In this study, the Delphi Survey was conducted twice in total. The first Delphi Survey utilized the Modified Delphi Method using structured closed-ended questions, and a pilot test was conducted on youth entrepreneurs and start-up experts to compensate for the problem of the Modified Delphi Method. In the first Delphi Survey, IBM SPSS Statistics 22 and Microsoft Office Excel 2016 were used to calculate the mean, standard deviation, median, interquartile range, and content validity ratio. In the Delphi 2nd survey, the same statistical values in the 1st survey and additionally cronbach's alpha were calculated. As a result of the Delphi Survey, four factors, such as the entrepreneurial characteristics, entrepreneurial preparation, entrepreneurial strategy, and entrepreneurial environment, and 22 sub-factors were derived as success factors for youth enterprises.

Evaluation of Runoff‧Peak Rate Runoff and Sediment Yield under Various Rainfall Intensities and Patterns Using WEPP Watershed Model (다양한 강우강도 및 패턴에 따른 WEPP 모형의 유출‧첨두유출‧토양유실량 평가)

  • Choi, Jae-Wan;Ryu, Ji-Chul;Kim, Ik-Jae;Lim, Kyoung-Jae
    • Journal of Korea Water Resources Association
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    • v.45 no.8
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    • pp.795-804
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    • 2012
  • Recently, changes in rainfall intensity and patterns have been causing increasing soil loss worldwide. As a result, the water ecosystem becomes worse and crops yield are reduced with soil loss and nutrient loss with it. Many studies have been proposed to estimate runoff and soil loss to predict or decrease non-point source pollution. Although the USLE has been used for many years in estimating soil losses, the USLE cannot reflect effects on soil loss of changes in rainfall intensity and patterns. The WEPP, physically based model, is capable of predicting soil loss and runoff using various rainfall intensity. In this study, the WEPP model was simulated for sediment yield, runoff and peak runoff using data of 5, 10, 30, 60 minute term rainfall, Huff's method and design rainfall. In case of rainfall interval of 5 minutes and 60 minutes, the sediment and runoff values decreased by 24% and 19%, respectively. The peak rate runoff values decreased by 16% when rainfall interval changed from 5 minutes to 60 minutes, indicating the peak rate runoff values are affected by rainfall intensity to some degrees. As a result of simulating using Huff's method, all values (sediment yield, runoff, peak runoff) were found to be the greatest at third quartile. According to the analysis under various design rainfall conditions (2, 3, 5, 10, 20, 30, 50, 100, 200, 300 years frequency), sediment yield, runoff, and peak runoff of 906.2%, 249.4% and 183.9% were estimated using 2 year to 300 year frequency rainfall data.

Pre-Evaluation for Prediction Accuracy by Using the Customer's Ratings in Collaborative Filtering (협업필터링에서 고객의 평가치를 이용한 선호도 예측의 사전평가에 관한 연구)

  • Lee, Seok-Jun;Kim, Sun-Ok
    • Asia pacific journal of information systems
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    • v.17 no.4
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    • pp.187-206
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    • 2007
  • The development of computer and information technology has been combined with the information superhighway internet infrastructure, so information widely spreads not only in special fields but also in the daily lives of people. Information ubiquity influences the traditional way of transaction, and leads a new E-commerce which distinguishes from the existing E-commerce. Not only goods as physical but also service as non-physical come into E-commerce. As the scale of E-Commerce is being enlarged as well. It keeps people from finding information they want. Recommender systems are now becoming the main tools for E-Commerce to mitigate the information overload. Recommender systems can be defined as systems for suggesting some Items(goods or service) considering customers' interests or tastes. They are being used by E-commerce web sites to suggest products to their customers who want to find something for them and to provide them with information to help them decide which to purchase. There are several approaches of recommending goods to customer in recommender system but in this study, the main subject is focused on collaborative filtering technique. This study presents a possibility of pre-evaluation for the prediction performance of customer's preference in collaborative filtering before the process of customer's preference prediction. Pre-evaluation for the prediction performance of each customer having low performance is classified by using the statistical features of ratings rated by each customer is conducted before the prediction process. In this study, MovieLens 100K dataset is used to analyze the accuracy of classification. The classification criteria are set by using the training sets divided 80% from the 100K dataset. In the process of classification, the customers are divided into two groups, classified group and non classified group. To compare the prediction performance of classified group and non classified group, the prediction process runs the 20% test set through the Neighborhood Based Collaborative Filtering Algorithm and Correspondence Mean Algorithm. The prediction errors from those prediction algorithm are allocated to each customer and compared with each user's error. Research hypothesis : Two research hypotheses are formulated in this study to test the accuracy of the classification criterion as follows. Hypothesis 1: The estimation accuracy of groups classified according to the standard deviation of each user's ratings has significant difference. To test the Hypothesis 1, the standard deviation is calculated for each user in training set which is divided 80% from MovieLens 100K dataset. Four groups are classified according to the quartile of the each user's standard deviations. It is compared to test the estimation errors of each group which results from test set are significantly different. Hypothesis 2: The estimation accuracy of groups that are classified according to the distribution of each user's ratings have significant differences. To test the Hypothesis 2, the distributions of each user's ratings are compared with the distribution of ratings of all customers in training set which is divided 80% from MovieLens 100K dataset. It assumes that the customers whose ratings' distribution are different from that of all customers would have low performance, so six types of different distributions are set to be compared. The test groups are classified into fit group or non-fit group according to the each type of different distribution assumed. The degrees in accordance with each type of distribution and each customer's distributions are tested by the test of ${\chi}^2$ goodness-of-fit and classified two groups for testing the difference of the mean of errors. Also, the degree of goodness-of-fit with the distribution of each user's ratings and the average distribution of the ratings in the training set are closely related to the prediction errors from those prediction algorithms. Through this study, the customers who have lower performance of prediction than the rest in the system are classified by those two criteria, which are set by statistical features of customers ratings in the training set, before the prediction process.

Differential Relations of Depression, Anxiety and Sleep Disturbances by Gender in Young Adolescents (청소년에서 우울 및 불안 증상과 수면 곤란의 성별에 따른 차별적 관련성)

  • Kim, Eun-Jin;Kang, Su-Gyeong;Moon, Myeong-Sung;Lim, Se-Won;Oh, Kang-Seob
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.2
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    • pp.62-71
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    • 2010
  • Objectives : The aim of the study was to investigate the prevalence by gender and to evaluate associations of depression, anxiety and sleep disturbances in a large sample of adolescents from the general population. Methods : 1422 subjects, aged 14 years students were recruited in the seven middle-school of the local community. The self-report questionnaire(Children's Depression Inventory : CDI, Beck Anxiety Inventory : BAI and Pittsburgh Sleep Quality Index : PSQI) was used for screening depression, anxiety and sleep disturbances in adolescent. CDI, BAI, and PSQI score was categorized into the following quartiles : $\leq$21, 22-25, 26-28, and $\geq$29 ; $\leq$21, 22-26, 27-31, and $\geq$32 ; $\geq$5, <5. The cut-off score is that CDI is 22, BAI is 22 and PSQI is 5. The result was analyzed using the independent t-test, the chi-square test and logistic regression analyses. Results : The mean CDI score($12.52{\pm}8.32$ vs. $10.39{\pm}7.52$ ; p=0.003), BAI($7.77{\pm}7.93$ vs. $9.84{\pm}9.04$ ; p<0.001) and PSQI($4.57{\pm}2.67$ vs. $3.64{\pm}2.30$ ; p=0.013) of girls were significantly higher than for boys. But, boys in the fourth quartile of CDI(CDI$\geq$29) and BAI(BAI$\geq$32) were at significantly elevated risk for sleep disturbances more than for girls after adjustment for sex, history of psychiatric treatment(CDI odd ratio, 14.66 ; 95% CI, 4.17-51.53, BAI odd ratio, 32.99 ; 95% CI, 4.26-255.39). Conclusion : The results suggest that high CDI, BAI score appears to increase the risk for developing sleep disturbances in boys more than girls.

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Dietary assessment according to intake of Korean soup and stew in Korean adults: Based on the 2011~2014 Korea National Health and Nutrition Examination Survey (한국 성인의 국물 음식류 섭취에 따른 식생활 평가 : 2011~2014 국민건강영양조사 자료를 이용하여)

  • Kwon, Yong-Suk;Han, Gyusang
    • Journal of Nutrition and Health
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    • v.49 no.5
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    • pp.335-346
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    • 2016
  • Purpose: This study was conducted to conduct dietary assessment of Korean adults according to intake of Korean soup and stew. Methods: To accomplish this study, 20,926 adults aged 19 yr or higher who participated in the dietary intake survey (24 h recall method) were analyzed from the data of the 2011~2014 Korea National Health and Nutrition Examination Survey (KNHANES). The items included in the soup and stew were guk, tang, jjigae, jijimi, and jeongol. Results: Intakes of soup and stew of subjects were divided into quartiles; intake range by quartile was Q1: < 22.96 g, Q2: 22.96~98.75 g, Q3: 98.75~212.23 g, and Q4: $${\geq_-}212.24g$$. In the case of the Q4 group, male, married, employed, higher educated, and high income subjects showed increased intakes of soup and stew. In addition, sodium intake among nutrient intakes increased from 3,849.04 mg in Q1 group to 5,363.57 mg in Q4 group. Intakes of cereals/grains, potatoes/starches, legumes, seeds/nuts, vegetables, mushrooms, fruits, meat, fishes/shell fishes, milks/dairy products, oils/fats, and seasonings among all foods significantly increased from Q1 group to Q4 group. Lastly, in the multivariable regression analysis, male, higher age, married, eating breakfast, consumption of snacks, prepared meals from home/institution, average eating-out frequency per week, energy consumption, and sodium intake related parameters increased intake of Korean soup and stew. Conclusion: Excessive intake of sodium was related to high blood pressure and metabolic syndrome. Thus, there are needs to improve dietary guidelines and nutrition education for balanced intake of soup and stew.

Validation Study of a Dietary Questionnaire for Assessing Exposure to Food-Borne Hazards (식품으로 인한 유해물질 노출조사를 위한 식생활 설문지의 타당도 평가)

  • Kim, Hye-Mi;Choi, Seul-Ki;Shin, Sang-Ah;Lee, Kyung-Youn;Shin, Sang-Hee;Lee, Jung-Won;Yu, Soo-Hyun;Nam, Hye-Soen;Kim, Mi-Gyeong;Joung, Hyo-Jee
    • Journal of Nutrition and Health
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    • v.44 no.2
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    • pp.171-180
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    • 2011
  • Assessing human exposure to food-borne hazards requires standardized assessment tools. The objective of this study was to validate a newly developed dietary assessment questionnaire to assess human exposure to food-borne hazards, which include dietary behavior and food consumption patterns such as eating frequency, types of food containers and cooking methods. A total of 216 adults were recruited for two questionnaire surveys (questionnaire 1 and 2) about 1 week apart with a 3 day diet record. Reproducibility was evaluated by comparing responses from questionnaires 1 and 2, and validity was checked by comparing responses from questionnaire 2 and the 3 day diet record. Comparisons were based on the percent agreement and Spearman's rank correlation coefficient. The mean exact agreement of food containers at purchase between questionnaires 1 and 2 was 73.5%, for storing containers it was 71.9%, and for cooking methods it was 83.0%. The mean correlation coefficient for food intake frequency between questionnaires 1 and 2 was 0.71 (range, 0.50-0.83). The mean correlation coefficient of the food intake frequency between questionnaire 2 and the 3 day diet record was 0.21 (range, 0.04-0.48). The exact and adjacent agreement of food intake frequency quartile assessed by questionnaire 2 and the 3 day diet record was 65.4% (range, 51.0-82.1%). Although the correlation coefficient for food intake frequency between questionnaire 2 and the 3 day diet record was low, the exact and adjacent food intake frequency agreement was higher than 50% and reproducibility of the dietary behaviors exceeded 70%. Therefore, the questionnaire developed in this study could be applied to assess diets for the human exposure to food-borne hazards as a qualitative assessment in a large population.