• 한국임상약학회지
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• 제32권3호
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• pp.260-269
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• 2022

Background: Comprehensive medication management is essential to achieve safe and optimal drug use for the elderly in long-term care facilities (LTCF). This study aimed to develop eligibility criteria for "Comprehensive medication management program in LTCF" using the RAND/UCLA Appropriateness Method (RAM). Furthermore, we attempted to estimate the number of beneficiaries who met the criteria by analyzing the National Health Insurance claims data. Methods: Twelve criteria were selected initially. We composed a panel of 14 experts with expertise in long-term care. We conducted two survey rounds to reach a consensus. Rating for appropriateness and decision regarding agreement were applied per RAM. We analyzed the National Health Insurance data to estimate the number of LTCF residents who met each eligibility criterion. Results: Of the 11 items agreed upon, ten items were determined to be appropriate. In 2018, 83.6% of 165,994 residents of LTCF met one or more eligibility criteria. The largest number of subjects met the "New residents of LTCF" criterion, followed by "Take high-alert drugs" and "Chronic excessive polypharmacy." Since the items evaluated as most appropriate by the expert panel and those with a large number of subjects were similar, we confirmed the external validity of our criteria. Conclusion: It is worth noting that this is the first attempt to establish the eligibility criteria for medication management in LTCF. Further preliminary research is needed to identify the selected subjects' drug-related problems and revise the criteria according to the results.

• 대한설비공학회:학술대회논문집
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• 대한설비공학회 2008년도 동계학술발표대회 논문집
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• pp.103-106
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• 2008

This study is intended to evaluate the characteristics of smoke spreading and the appropriateness of evacuation time extended by operation of smoke control system during fire within the underground space of the building structured in compliance with the smoke control system performance criteria from the local fire safety standard, which has been currently applied to the buildings in Korea. Using the heat release per unit weight of the combustibles, a numerical analysis both in case of smoke control system in operation and the system not in operation was carried out at the several different shopping malls. From the viewpoint of securing the evacuation time, the results were compared in an attempt to assess the appropriateness of the fire safety criteria.

• 한국의류산업학회지
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• 제14권6호
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• pp.960-967
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• 2012

The study aims to design the corset type long-line bra patterns that compensate part-somatotype of women in their 20s. The corset type long-line research bra patterns consist of 4 sections: cup, front bodice, back bodice, and shoulder strap. The full cup is made up of 2 lower part pieces and 1 upper part piece, and the shoulder strap is 16 millimeters wide. The method to design the patterns is shown in figure 4 and figure 5. The result of wearing test showed that, while the wearing testers recognized some significant differences in 19 out of 26 criteria, the examiners did in 17 out of 23. The criteria more than 1 in an average value between research bras and commercial bras were 'appropriateness of breadth of shoulder strap', 'appropriateness of pressure of armhole circumference'. 'appropriateness of pressure of waist', 'suitability of side line and body curve', 'appropriateness of positional pressure of chest circumference', 'appropriateness of positional pressure of upper part line', 'appropriateness of positional pressure of bottom part line', and 'satisfaction of whole silhouette of side and back'. The research and commercial bras were evaluated 4.23 and 3.44 respectively by the testers, and 4.25 and 3.40 by the examiners. The former ones were scored higher by both parties. They were also appreciated higher in general silhouettes of fitting and appearance.

• 수산경영론집
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• 제37권3호
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• pp.65-83
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• 2006

This study is to obtain the order of the sensitivity of importing marine products with regard to non - economic aspects of considerations under the free - trade. Three criteria are extracted considering various aspects of Korean fishery society. They are the socio - economic, resource - environmental, and policy - appropriateness criterion. The Analytic Hierachy Process(AHP) is used to obtain the estimates of weights among these criteria. First of all, the weights between economic and non - economic in the first hierachy of sensitivity criteria turn out to be 83.3% and 16.7%. Second, the weights among three criteria in the non - economic aspect, the second hierachy, are following that the socio - economic criterion is 19.6%, resource - environmental 31.1%, and policy - appropriateness 49.3% respectively. 47 selected fishes are evaluated based on these three non - economic criteria using 9- point scales. The over - all order of sensitivity is a croaker, hairtail, flatfish, sea breams, and so forth in descending order. The least sensitive fish turns out to be an angler. In addition to the over - all order, the sensitivity based on the three specific non - economic aspects is also investigated. The most sensitive fish in terms of the socio - economic criterion is an hairtail while the least one is a filefish. The most sensitive fish in terms of the resource - environmental criterion is an abalone while the least one is an angler. Finally, the most sensitive fish in terms of the policy - appropriateness is a mackerel while the least one is a small octopus.

• Journal of Preventive Medicine and Public Health
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• 제25권4호
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• pp.413-428
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• 1992

The aim of this study was to evaluate the appropriateness of some kinds of surgery and admission, such as cesarean section (C/S), cholecystectomy, and pediatric pneumonia. For appropriateness evaluation, we ourselves developed some criteria, which were included in the category of explicit and linear criteria, with the assistance of specialists of relevant clinical field. The evaluation of appropriateness was performed by two family physicians. The major findings were as follows: 1. For cesarean section, 77.6% of deliveries were determined to be 'appropriate', but the level of appropriateness was not significantly different among hospitals and between hospital groups by size. The most freqeunt indication of C/S was repeated operation, followed by cephalopelvic disproportion (CPD). The labor trials for vaginal delivery among repeated C/S and CPD cases were performed in 24.5% of pertinent deliveries. 2. About 73.8% of cholecystectomy cases was appropriate to one of the surgical indications, without significant differences among hospitals. Of surgical indications, 'sufficiently frequent and intense symptom recurrence' was the most frequent, and 'confirmed acute cholecystitis' was the second. 3. Of children admitted due to pneumonia, only 57.4% of cases satisfied admission criteria, and the level of appropriateness of admission was different among hospitals. The common reasons fur admission were 'failure to initial treatment', 'suspected bacterial pneumonia', 'young infant', etc. We could find that there were differences of quality among hospitals in some procedures, especially in the pediatric pneumonia and labor trial before C/S, which suggested that the implementation of quality assurance activiteis would be necessary in this country. In this study, we used some simple and primitive research tools and the numbers of subjects and tracer procedures were limited. So advanced studios with plentiful subjects and more representative diseases or procedures should be tried.

• Journal of Preventive Medicine and Public Health
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• 제52권5호
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• pp.316-322
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• 2019

Objectives: This study was conducted to assess the applicability of the Appropriateness Evaluation Protocol (AEP) for public hospitals in Korea. Methods: In May 2016, 1500 admission claims were collected from Korean public district hospitals using stratified random sampling. Of these claims, 560 admissions to 37 hospitals were retrieved for analysis. Medical records administrators determined the appropriateness of admission using the criteria detailed in the AEP, and a physician separately assessed the appropriateness of admission based on her clinical judgment. To examine the applicability of the AEP, the concordance of the decisions made between a pair of AEP reviewers and between an AEP reviewer and a physician reviewer was compared. Results: The results showed an almost perfect inter-rater agreement between the AEP reviewers and a moderate agreement between the AEP reviewers and the physician. The sensitivity and specificity of the AEP were calculated as 0.86 and 0.56, respectively. Conclusions: Our findings suggest that the AEP could potentially be applied to Korean public hospitals as a reliable and valid instrument for assessing the appropriateness of admissions.

• 한국ITS학회 논문지
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• 제15권4호
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• pp.12-25
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• 2016

본 연구는 자전거 주행경로에 대한 중요도와 만족도 조사를 바탕으로 목적별 주행경로 적정성 평가지표 제시를 목적으로 한다. 사전설문으로 선정된 총 5가지 영향요인에 대해 여가와 통근목적 공통으로 중요도와 만족도를 조사하고, 통근의 경우 목적지 정보에 대해 추가적으로 조사한다. 조사된 각 항목에 대해 분석적 계층화기법(Analytical Hierarchy Process : AHP)을 통해 항목별 중요도를 산출하고, 목적별 차이가 큰 항목에 대해서 목적별로 차등화 된 평가지표를 제시한다. 분석결과 자전거 도로의 연결성과 보도, 차도와의 분리 항목의 차이가 크게 도출되었으며 이 항목에 대해선 만족도를 바탕으로 모형을 만들 수 있는 순서형 프로빗 모형을 사용하였으며, 그 외 항목에 대해서는 기존연구에 주행경로정보를 반영해 평가지표를 선정한다. 선정된 평가지표와 항목별 중요도를 통해 경로에 대한 정량적 서비스수준을 제공 할 수 있고 향후 app이나 검색엔진 등에서 이용자의 Feedback을 통해 모형의 설명력을 제고할 수 있으며, 모형에 대한 이용자별 평가 정보들을 활용해 개별 이용자의 성향에 특화된 맞춤형 개선방안을 도출할 수 있을 것으로 기대된다.

• 한국에너지공학회:학술대회논문집
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• 한국에너지공학회 1998년도 추계 학술발표회 논문집
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• pp.64-68
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• 1998

This paper discusses the potential application of fuzzy set theory to the decision-making in the area of radioactive waste management. the approach proposed in this study is based on the concepts of fuzzy set theory and the hierarchical structure analysis. The linguistic variables and fuzzy numbers are used to aggregate the decision maker's subjective assessments of the decision criteria and of the decision alternatives with respect to these criteria. For each alternative, the fuzzy appropriateness index is evaluated to obtain the final score. Using total integral value method, one of methods for ranking fuzzy numbers, the fuzzy appropriateness indices are ranked. As a case problem, selection of the most suitable option for spent fuel storage is illustrated.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2011년도 추계학술논문발표회 논문집
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• pp.478-481
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• 2011

This study is intended to evaluate and optimize the characteristics of smoke spreading and the appropriateness of evacuation time extended by operation of smoke control system during fire within the underground space of the building structured in compliance with the smoke control system performance criteria from the local fire safety standard, which has been currently applied to the buildings in Korea. Using the heat release per unit weight of the combustibles, a numerical analysis both in case of smoke control system in operation and the system not in operation was carried out at the several different shopping malls. From the viewpoint of securing the evacuation time, the results were compared in an attempt to assess the appropriateness of the fire safety criteria.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2008년도 추계학술논문발표회 논문집
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• pp.356-362
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• 2008

본 연구에서는 국내 화재 안전 기준 중 제연설비의 성능기준에 의해 지하 공간 건축물이 준공된 후 임의의 지점에서 화재가 발생했을 경우를 모델링하여 연기 확산 현상을 분석하고 제연 설비의 작동에 의한 재실자의 피난시간 연장과의 적정성을 검토하는 것이 목적이다. 본 연구의 선행연구에서는 가연물의 종류와 발열량을 추정하였으며 추정 값의 검토를 위하여 임의의 단일지하상가를 모델링하여 검증하였다. 그리고 지하상가의 제연설비가 작동될 경우와 작동되지 않을 경우에 대한 수치해석 결과를 비교하였으며 재실자의 피난시간을 확보하는 관점에서 화재 안전 기준에 대한 적정성을 검토하였다.