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Application of Patient Safety Indicators using Korean National Hospital Discharge In-depth Injury Survey (퇴원손상심층자료를 이용한 환자안전지표의 적용)

  • Kim, Yoo-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2293-2303
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    • 2013
  • Objective: This study aims to determine whether national patient safety indicators (PSIs) can be calculated. Methods: Using PSI criteria from Organization for Economic Co-Operation and Development (OECD) Health Technical Papers 19 based on the Agency for Healthcare Research and Quality (AHRQ), PSIs were identified in the Korean National Hospital Discharge In-depth Injury Survey (KNHDIIS) database for 875,622 inpatient admissions between 2004 and 2008. Logistic regression was used to estimate factors of variations for PSIs. Results: From 2004 to 2008, 3,084 PSI events of 8 PSIs occurred for over 80 thousands discharges. Rates per 1,000 events for decubitus ulcer (PSI3, 4.88), foreign body left during procedure (PSI5, 0.05), postoperative sepsis (PSI13, 1.32), birth trauma-injury to neonate (PSI17, 7.92) and obstetric trauma-vaginal delivery (PSI18, 32.81) are all identified between ranges from maximum to minimum of OECD rates, respectively. However, rates per 1,000 events for selected infections due to medical care (PSI7, 0.22), postoperative pulmonary embolism or deep vein thrombosis (PSI12, 0.90) and accidental puncture or laceration (PSI15, 0.71) are below the minimum of OECD range. 7 PSIs except PSI 18 showed statistically significant relationship with number of secondary diagnoses. When adjusting patient characteristics, there are statistically significant different rates according to bed size or location of hospitals. Conclusion: This is the first empirical study to identify nationally number of adverse events and PSIs using administrative database. While many factors influencing these results such as quality of data, clinical data and so on are remain, the results indicate opportunities for estimate national statistics for patient safety. Furthermore outcome research such as mortality related to adverse events is needed based on results of this study.

Research of z-axis geometric dose efficiency in multi-detector computed tomography (MDCT 장치의 z-축 기하학적 선량효율에 관한 연구)

  • Kim, You-Hyun;Kim, Moon-Chan
    • Journal of radiological science and technology
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    • v.29 no.3
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    • pp.167-175
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    • 2006
  • With the recent prevalence of helical CT and multi-slice CT, which deliver higher radiation dose than conventional CT due to overbeaming effect in X-ray exposure and interpolation technique in image reconstruction. Although multi-detector and helical CT scanner provide a variety of opportunities for patient dose reduction, the potential risk for high radiation levels in CT examination can't be overemphasized in spite of acquiring more diagnostic information. So much more concerns is necessary about dose characteristics of CT scanner, especially dose efficient design as well as dose modulation software, because dose efficiency built into the scanner's design is probably the most important aspect of successful low dose clinical performance. This study was conducted to evaluate z-axis geometric dose efficiency in single detector CT and each level multi-detector CT, as well as to compare z-axis dose efficiency with change of technical scan parameters such as focal spot size of tube, beam collimation, detector combination, scan mode, pitch size, slice width and interval. The results obtained were as follows ; 1. SDCT was most highest and 4 MDCT was most lowest in z-axis geometric dose efficiency among SDCT, 4, 8, 16, 64 slice MDCT made by GE manufacture. 2. Small focal spot was 0.67-13.62% higher than large focal spot in z-axis geometric dose efficiency at MDCT. 3. Large beam collimation was 3.13-51.52% higher than small beam collimation in z-axis geometric dose efficiency at MDCT. 4. Z-axis geometric dose efficiency was same at 4 slice MDCT in all condition and 8 slice MDCT of large beam collimation with change of detector combination, but was changed irregularly at 8 slice MDCT of small beam collimation and 16 slice MDCT in all condition with change of detector combination. 5. There was no significant difference for z-axis geometric dose efficiency between conventional scan and helical scan, and with change of pitch factor, as well as change of slice width or interval for image reconstruction. As a conclusion, for reduction of patient radiation dose delivered from CT examination we are particularly concerned with dose efficiency of equipment and have to select proper scanning parameters which increase z-axis geometric dose efficiency within the range of preserving optimum clinical information in MDCT examination.

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A Study on the Impact of Organizational Commitment on Workers' Turnover Intention and Organizational Performance: Based on Analysis of Welfare Organizations in Busan, Korea (조직몰입이 이직의도와 사업성과에 미치는 영향: 부산지역 사회복지조직을 중심으로)

  • Seo, Jong-Soo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.4
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    • pp.215-225
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    • 2016
  • There is growing attention towards the performance of non-profit organizations (NPO) as cases of moral hazard have emerged as social issues and the public becomes interested in the accountability of NPOs. Social welfare is among the representative service areas of NPOs, and it is regarded as a human service because it is delivered by people. Therefore, human capital-measured by criteria such as levels of organizational commitment-significantly affects the performance of social welfare organizations. However, these organizations have a high turnover rate due to inadequate working environments, heavy workloads, intensive work, and poor remuneration. Against this background, we surveyed social welfare organizations located in Busan and examined how workers' organizational commitment affects their turnover intention and the performance of the organization. For data analysis, SPSS WIN 18.0 was used, and variable-specific frequency analysis and technical statistics were used to identify general properties. A Pearson correlation analysis and a multiple regression analysis were conducted to investigate correlations and causal relationships among main variables. The results showed that the social workers' level of organizational commitment was 3.36 for normative commitment, 3.07 for continuance commitment, and 2.75 for affective commitment. The level of normative commitment was slightly higher than moderate, continuance commitment was close to moderate, and affective commitment was lower than moderate. The surveyed social workers' turnover intention was 2.71, and organizational performance was 2.79; both of those results were slightly lower than moderate. It was observed that affective commitment, marital status, workload, and age affected social workers' turnover intention. Their affective commitment, gender, and age affected the organization's performance. These results suggest that, for launching or operating an NPO, it is important to manage human capital effectively, particularly their affective commitment, to lower workers' turnover intention and improve organizational performance.

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A Comparative Study on the Awareness of between Students and Teachers on the Actual Condition of career Guidance at Vocational High Schools (전문계 고교 진로지도 실태에 대한 학생과 교원의 인식 비교 연구)

  • Lee, Byung-Wook;Jung, Hyun-Ok;Lee, Chan-Joo
    • 대한공업교육학회지
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    • v.37 no.1
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    • pp.87-106
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    • 2012
  • The purpose of this research is to provide basic materials in developing an efficient career guidance method of Vocational High Schools on the basis of analyzing awareness differences in students, teachers and between students and teachers as well as awareness differences according to a position of teachers in terms of the actual condition of career guidance and improvements with the target of students and teachers at Vocational High Schools. The survey was carried out by targeting students and teachers at Vocational High Schools in the Seoul Metropolis. The results of this research are as follows. First, it appeared that the awareness of students on the career guidance level of Vocational High Schools is insufficient, and students answered that employment guidance is more insufficient compared to educational guidance. In addition, the awareness of students on the career guidance conditions appeared to be generally insufficient. Second, in case of awareness of teachers on the career guidance conditions of Vocational High Schools, teachers answered that arrangement of teachers in full charge of career guidance, career counselling room, securing and utilization of latest career information and information search systems capable of using the internet for career guidance are sufficient, whereas they answered that time for career guidance, operating budget of a career counselling room and linkage with external institutions are insufficient. Third, they answered that career guidance conditions are generally sufficient in the order of a principal, vice-principal and teachers. The principal is cognizing that career guidance conditions are sufficient all question items, and the vice-principal answered that career guidance conditions are insufficient in only operating budget of a career counselling room and linkage with external institutions. Teachers answered that career guidance conditions are insufficient in only time for career guidance, operating budget of a career counselling room and linkage with external institutions. In addition, compared to teachers, the principal was cognizing that career guidance conditions are sufficient except operating budget of the career counselling room through analysis of awareness difference among principle, vice-principle and teachers. Fourth, students answered that career guidance conditions are insufficient in all question items, but teachers cognized that career guidance conditions are sufficient in all question items excluding time for career guidance. Among them, what showed a difference of the biggest awareness was analyzed as information search systems capable of using the Internet.

Effect of Heating Temperature and Time of Coffee Waste on The Adsorptivity of Formaldehyde (폼알데하이드 흡착능에 대한 커피부산물의 열처리 조건 영향)

  • Ahn, Sye Hee
    • Journal of the Korean Wood Science and Technology
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    • v.43 no.3
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    • pp.390-399
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    • 2015
  • This study was conducted to examine the potential use of coffee waste (CW) as an adsorbent of HCHO by adding into fiberboard. For the purpose, CW treated with various temperatures and times was placed in desiccator with a HCHO solution and then the HCHO adsorptivity of the CW was measured by acetylacetone (ATAN) and DNPH methods. In the results of ATAN analysis, amount of HCHO adsorbed in distilled water was the lowest on the non-treated CW and steadily increased to $100^{\circ}C$-treated temperature. However, over the $100^{\circ}C$, heating temperature (H-Temp) had not an effect on the HCHO adsorptivity of CW. Amount of HCHO adsorbed on CW itself was the highest at $100^{\circ}C$ H-Temp, following by $50^{\circ}C$, $150^{\circ}C$, $0^{\circ}C$, $250^{\circ}C$ and $200^{\circ}C$. For the HCHO adsorptivity of CW measured by DNPH methods, HCHO was not detected in the distilled water stirred with non-treated CW, but detected from the distilled water stirred with heating-treated CW. The content was the highest in the CW heating-treated at $100^{\circ}C$ for 10 min. In addition, HCHO adsorbed on CW itself increased to the H-Temp of $100^{\circ}C$ regardless of heating time, but decreased or reduced greatly degree of the increase over $100^{\circ}C$ H-Temp. In conclusion, optimal heating conditions of CW for the HCHO adsorption might be H-Temp between 100 and $150^{\circ}C$ with 10 min according as technical and economical reasons. Heating-treated CW manufactured with above the conditions can be used as an adsorbent in conventional fiberboard production for reducing HCHO emssion.

Empirical Study for the Appraisal System of Execution Capacity using Correlation Analysis (상관관계분석을 이용한 시공능력평가 제도의 실증적 고찰)

  • Jeong, Keun Chae
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.2
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    • pp.3-14
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    • 2018
  • The system to appraise the execution capabilities of construction companies had been began as the Construction Contract Restriction System in 1958, was changed as the Construction Subcontract Restriction System in 1961, and finally has been operated as the Appraisal and Public Announcement of Execution Capacity (APAEC) from 1996. The APAEC system has been utilized as a firm and unique tool for assessing the execution capacities of construction companies despite many problems and continuous system changes. In spite of numerous studies to improve the APAEC system, however, efforts to analyze the system from the empirical point of view were insufficient. In this study, we analyze the status of APAEC system through analyzing correlations among assessment results of the APAEC, earned values of construction works, construction management performance indexes, and macroeconomic indexes for the past 10 years from 2007 to 2016. As a result of the analysis, it was found that Appraisal Value of Execution Capacity (AVEC) is excessively inflated in engineering and landscaping areas compared to Earned Value of Construction Work (EVCW) and the correlations between the AVECs and EVECs are not high in the areas of engineering, industrial equipment, and landscaping. In addition, technical appraisal values are excessively inflated in engineering and landscaping areas and correlations between AVEC and its components are high in the areas of engineering & building, industrial equipment, and large companies, but low in the areas of engineering, building, landscaping, and small and medium companies. Finally, the concentration of the AVEC is intensifying more and more and the concentration deteriorates construction management performance indexes and macroeconomic indexes. If we continuously improve the APAEC system based on the implications derived in this study, the APAEC system will be able to maintain it's position of a firm and unique means to access the execution capacities of construction companies.

A Study on the Production Structure and Biomass Productivity of Quercus variabilis Natural Forest (굴참나무천연림(天然林)의 생산구조(生産構造) 및 물질생산력(物質生産力)에 관(關)한 연구(硏究))

  • Kim, Si Kyung;Jeong, Jwa Yong
    • Journal of Korean Society of Forest Science
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    • v.70 no.1
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    • pp.91-102
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    • 1985
  • Growth and biomass production of natural stands of Quercus variabilis in relation to tree density were studied to obtain basic guide lines for future tending operation. Two natural stands of Quercus variabilis located at 900m (A stand: 6,600trees/ha, $15.84m^2/ha$, $\frac{19}{17-20}$) and 800m (B stand: 4,300trees/ha, $16.65m^2/ha$, $\frac{20}{17-21}$) elevation in Sancheong, Kyongnam Province were selected for the comparative study and following results were obtained through a sample plot method. After diameter of individual trees in the sample plots was measured, twelve average trees from each diameter class were cut felled to measure dry weight of $W_S$, $W_B$, $W_L$, $W_{Ba}$, and standing biomass and biomass production rates by a allometrior regressions related to $D^2H$. Vertical distribution of leaves along the stems indicated that photosynthesis was carried out 2.2m above the ground in Stand A and 1.2m in Stand B. Maximum photosynthesis was located 4.2m and 6.2m above the ground in Stand A and B, respectively. Leaf area index was 4.25ha/ha for Stand A, and 3.89ha/ha for Stand B. Above-ground standing biomass was 49.51 ton/ha for Stand A and 59.20 ton/ha and net annual production was 6.75 ton/ha/yr. for Stand A and 8.99 ton/ha/yr. for Stand B. The ratio of net annual production to standing biomass was 17.5% for Stand A and 16.7% for Stand B. Net assimilation rate was 2.75kg/kg/yr. for Stand A and 3.58kg/kg/yr. for Stand B. Stem wood production rate was 1.46kg/kg/yr. for Stand A and 2.09kg/kg/yr. for Stand B. Bark production rate was 0.60 kg/kg/yr. for Stand A and 0.34kg/kg/yr. for Stand B. Above data indicated that Stand B utilized growing spaces and sites more efficiently than Stand A. It is concluded chat productivity of natural stands of Quercus variabilis can be enhanced through optimization of basal areas and number of tree per hectare and that sound management of natural oak stands should be based on systematic sampling of the area for periodic productivity estimation.

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A Study on the Equations of Estimating the Leaf Area of Broad-Leaf Species in Mt. Jiri (지리산(智異山) 주요(主要) 활엽수종(闊葉樹種)의 엽면적(葉面積) 추정식(推定式)에 대(對)한 연구(硏究))

  • Kim, Si Kyung;Lee, Kyeong Hack
    • Journal of Korean Society of Forest Science
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    • v.70 no.1
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    • pp.103-108
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    • 1985
  • This paper is concerned with estimating equations of leaf area(A) obtained from linear measurements - leaf length(L) and leaf width(W) - on the leaves of 13 species composing a natural mixed stand in Mt. Jiri. This method is known to be rapid and non-destructive in estimating leaf area. The equation of A=bLW is frequently used in rough and rapid estimation. Each species in this study has its own coefficient b according to its geometrical leaf shape. The range of coefficients of 13 species was 0.579 to 0.717. This means that the relationship A=2/3LW is suitable to most broad leaf species in a natural mixed stand in Mt. Jiri. When more precise estimation of leaf area is needed, full regression equation is used. In this study, the form of ${\log}A=b_0+b_1{\log}LW$ was the most precise estimation equation in 8 species. In addition to this, the form of $A=b_0+b_1LW$ and $A=b_0+b_1L^2+b_2W^2$ were founded to be suitable for estimation of leaf area. In comparision of these two forms, the determination coefficient were about the same, but the F-value of the former was greater than that of the latter. Therefore, the use of the former seems to be more reliable and practical.

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Online news-based stock price forecasting considering homogeneity in the industrial sector (산업군 내 동질성을 고려한 온라인 뉴스 기반 주가예측)

  • Seong, Nohyoon;Nam, Kihwan
    • Journal of Intelligence and Information Systems
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    • v.24 no.2
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    • pp.1-19
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    • 2018
  • Since stock movements forecasting is an important issue both academically and practically, studies related to stock price prediction have been actively conducted. The stock price forecasting research is classified into structured data and unstructured data, and it is divided into technical analysis, fundamental analysis and media effect analysis in detail. In the big data era, research on stock price prediction combining big data is actively underway. Based on a large number of data, stock prediction research mainly focuses on machine learning techniques. Especially, research methods that combine the effects of media are attracting attention recently, among which researches that analyze online news and utilize online news to forecast stock prices are becoming main. Previous studies predicting stock prices through online news are mostly sentiment analysis of news, making different corpus for each company, and making a dictionary that predicts stock prices by recording responses according to the past stock price. Therefore, existing studies have examined the impact of online news on individual companies. For example, stock movements of Samsung Electronics are predicted with only online news of Samsung Electronics. In addition, a method of considering influences among highly relevant companies has also been studied recently. For example, stock movements of Samsung Electronics are predicted with news of Samsung Electronics and a highly related company like LG Electronics.These previous studies examine the effects of news of industrial sector with homogeneity on the individual company. In the previous studies, homogeneous industries are classified according to the Global Industrial Classification Standard. In other words, the existing studies were analyzed under the assumption that industries divided into Global Industrial Classification Standard have homogeneity. However, existing studies have limitations in that they do not take into account influential companies with high relevance or reflect the existence of heterogeneity within the same Global Industrial Classification Standard sectors. As a result of our examining the various sectors, it can be seen that there are sectors that show the industrial sectors are not a homogeneous group. To overcome these limitations of existing studies that do not reflect heterogeneity, our study suggests a methodology that reflects the heterogeneous effects of the industrial sector that affect the stock price by applying k-means clustering. Multiple Kernel Learning is mainly used to integrate data with various characteristics. Multiple Kernel Learning has several kernels, each of which receives and predicts different data. To incorporate effects of target firm and its relevant firms simultaneously, we used Multiple Kernel Learning. Each kernel was assigned to predict stock prices with variables of financial news of the industrial group divided by the target firm, K-means cluster analysis. In order to prove that the suggested methodology is appropriate, experiments were conducted through three years of online news and stock prices. The results of this study are as follows. (1) We confirmed that the information of the industrial sectors related to target company also contains meaningful information to predict stock movements of target company and confirmed that machine learning algorithm has better predictive power when considering the news of the relevant companies and target company's news together. (2) It is important to predict stock movements with varying number of clusters according to the level of homogeneity in the industrial sector. In other words, when stock prices are homogeneous in industrial sectors, it is important to use relational effect at the level of industry group without analyzing clusters or to use it in small number of clusters. When the stock price is heterogeneous in industry group, it is important to cluster them into groups. This study has a contribution that we testified firms classified as Global Industrial Classification Standard have heterogeneity and suggested it is necessary to define the relevance through machine learning and statistical analysis methodology rather than simply defining it in the Global Industrial Classification Standard. It has also contribution that we proved the efficiency of the prediction model reflecting heterogeneity.

A Study on the Influence of Human Resource Management Practices of Venture Firms on Performance (벤처기업의 인적자원관리가 기업성과에 미치는 영향에 관한 연구)

  • Weon, Jong-Ha
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.2 no.3
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    • pp.61-102
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    • 2007
  • This study empirically analyzed how human resource management(HRM) practices affect the performance of venture firms using The results of the study are as follows: First of all, several HRM practices were found to affect organizational performance significantly. Specifically, ${(1)}$ recruitment and selection practices were negatively related to turnover, which seemed to mean that effective staffing including development of good recruitment pools and rigorous selection process lower turnover, and ${(2)}$ training and development, compensation, and labor-management relations were positively related to subjective performance of the firms, which implied that as the venture firms provide more opportunities of training and development to employees, provide compensation on the basis of performance, and develop cooperative labor-management relations, the subjective performance of the venture firms Increases. Secondly, negative interaction effects were found to exist between competitive strategies and HRM practices on organizational performance. Specifically, ${(1)}$ the interaction between differentiation strategy and compensation were significantly related to turnover, ${(2)}$ HRM planning and training and development interacted with differentiation strategy to significantly affect subjective organizational performance, and ${(3)}$ HRM planning, selection, training and development, compensation and communication practices interacted with technology innovation strategy to affect subjective organizational performance. So far, there have not been many studies which deal with HRM practices of venture firms in Korea. Thus, it is hoped that this study stimulate more research efforts on theory development and empirical studies on HRM practices of venture firms. Also, it is hoped that government conduct more policy studies and provide more resources in HRM area of the venture firms. Specifically, it is suggested that government take proactive steps to improve industrial skilled staff and technical researcher systems in order to alleviate the problems of workforce shortages in venture firms. And it IS also suggested that regional human resource development programs be introduced with the participation of the firms, local governments, and universities.

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