• 제목/요약/키워드: Assessment unit

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의약품 처방·조제지원서비스(Drug Utilization Review)사업이 병용금기 처방률에 미치는 영향 (The Effect of Korean Prospective Drug Utilization Review Program on the Prescription Rate of Drug-Drug Interactions)

  • 김동숙;박주희;전하림;박찬미;강현아
    • 보건행정학회지
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    • 제24권2호
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    • pp.120-127
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    • 2014
  • Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

LCA에 기초한 패시브 공동주택의 친환경성 평가에 관한 연구 (A Study on the Environmental Impact Assessment for Passive Apartment based on Life Cycle Assessment)

  • 공유리;태성호;송수원;노승준
    • 한국건축시공학회지
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    • 제14권6호
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    • pp.537-543
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    • 2014
  • 본 연구는 전과정 평가에 기초한 패시브 공동주택의 친환경성을 평가하는 것을 목적으로 한다. 이를 위해 LCA에 관한 이론적 고찰을 토대로 전과정 단계별 물량정보 및 에너지 사용량 데이터를 구축하였다. 또한, 국가 LCI DB에 기초한 원단위 데이터베이스를 활용하여 산성화, 부영양화, 지구온난화, 자원고갈, 오존층파괴, 광화학적산화물에 대한 환경영향을 평가 분석하였다. 그 결과 패시브 공동주택이 일반 공동주택보다 6대 환경영향에서 환경적으로 우수한 것으로 평가 되었으며 이는 에너지 소비량의 절감이 운영단계에서 6대 환경영향을 큰 폭으로 감소시켰기 때문인 것으로 분석되었다. 이로 인해 건설단계에서의 환경영향의 비중이 상대적으로 증가됨에 따라 기존 에너지 절감 중심의 친환경 기술의 적용과 함께 투입물량의 절감 및 환경영향이 적은 친환경 건축재료의 적용을 통해 전 생애 주기 관점에서 친환경 기술의 적용이 필요할 것으로 사료된다.

Tobacco Use and Quit Behaviour Assessment in the Global Adult Tobacco Survey (GATS): Invalid Responses and Implications

  • Jena, Pratap Kumar;Kishore, Jugal;Pati, Sanghamitra;Sarkar, Bidyut Kanti;Das, Sagarika
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6563-6568
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    • 2013
  • Background: Tobacco use and quit attempts are two key indicators of the Global Adult Tobacco Survey (GATS) that assess quit attempts among current as well as former tobacco users. The relevant data have inherent policy implications for tobacco cessation programme evaluation. This study aimed to review the concepts of quit attempt assessment and quantifying invalid responses considering GATS-India data. Materials and Methods: GATS assessment of tobacco use and quit attempts were examined in the current literature. Two categories of invalid responses were identified by stratified analysis of the duration of last quit attempt among current users and duration of abstinence among former users. Category A included absolute invalid responses when time-frame of assessment of current tobacco use and less than former tobacco use were violated. Category B included responses that violated the unit of measurement of time. Results: Current daily use, current less than daily use and former use in GATS were imprecisely defined with overlapping of time-frame of assessment. Overall responses of 3,102 current smokers, 4,036 current smokeless users, 1,904 former smokers and 1,343 former smokeless users were analyzed to quantify invalid responses. Analysis indicated overall 21.2% (category A: 7.32%; category B: 17.7%) and 22.7% (category A: 8.05%; category B: 18.1%) invalid responses among current smokers and smokeless users respectively regarding their duration of last quit attempt. Similarly overall 6.62% (category A: 4.7%; category B: 2.3%) and 10.6% (category A: 8.6%; category B: 3.5%) invalid responses were identified among former smokers and smokeless users respectively regarding their duration of abstinence. Conclusions: High invalid responses for a single assessment are due to the imprecise definition of current use, former use and quit attempt; and failure to utilize opportunity of direct data entry interface use during the survey to validate responses instantly. Redefining tobacco use and quit attempts considering an appropriate timeframe would reduce invalid responses.

사회적 평가 지표를 반영한 도시 홍수취약성 평가 (A Study on Urban Flood Vulnerability Assessment Considering Social Impact)

  • 이규민;최진원;전경수
    • 토지주택연구
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    • 제11권1호
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    • pp.109-116
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    • 2020
  • This study aims to establish an approach to assess urban flood vulnerability by identifying social characteristics such as the road transportation and the vulnerable groups. Assessment procedures comprise three steps as: (1) composing the assessment criteria to reflect the urban characteristics; (2) calculating the weight; and (3) evaluating the vulnerability. The criteria were adopted by Delphi survey technique. Four criteria as land cover, residents, vulnerable areas, and disaster response were adopted in the current study. To determine the weight set of criteria, subjective and objective methods were combined. The weight set was determined using the combined method which reflects the Delphi method and Entropy analysis. In the process of data-based construction, GIS tools wwere used to extract administrative unit materials such as land cover, road status, and slope. Data on population and other social criteria were collected through the National Statistical Office and the Seoul Metropolitan statistical data. TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) technique, which uses materials from cell units in order to rank the closest distance to the best case and the farthest distance from the worst case by calculating the distances to the area of assessment, was applied to assess. The study area was the Dorimcheon basin, a flood special treatment area of Seoul city. The results from the current study indicates that the established urban flood vulnerability assessment approach is able to predict the inherent vulnerable factors in urban regions and to propose the area of priority control.

중학교 유전과 진화 단원의 만화를 활용한 형성평가에 대한 연구 (Study on Formative Assessment using Cartoon for 'Genetics and Evolution' Unit of Middle School)

  • 이계영;소금현;여성희
    • 한국과학교육학회지
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    • 제28권2호
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    • pp.120-129
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    • 2008
  • 본 연구에서는 중학교 3학년 "유전과 진화"단원 학습을 위해 만화를 활용한 형성평가 문항을 총 17개 개발하고, 이를 실험집단 73명과 통제집단 78명을 대상으로 적용하였다. 이에 학생들의 평가에 대한 인식 및 태도와 학업성취도 변화에 효과적인지를 알아보았다. 그 결과 만화를 활용한 형성평가는 학생들의 평가에 대한 부정적인 인식과 태도를 긍정적으로 변화시키는데 효과적인 것으로 나타났으며 특히, 학생들이 평가의 유용성을 인식하고(p<.05) 시험에 대한 불안감을 감소시키는 데 효과적인 것으로 나타났다(p<.01). 또한 개발된 만화를 활용한 형성평가는 서술형 지문의 형성평가에 비해 학생들의 학업성취도 향상에 긍정적인 효과를 갖는 것으로 나타났다(p<.05). 이는 "유전과 진화"단원의 추상적인 개념들을 그림으로 표현하여 학습내용과 문항의 이해를 더 쉽게 하기 때문인 것으로 판단된다. 따라서 만화를 활용한 형성평가는 학습내용의 이해와 흥미도의 향상에 기여하며 수업에 적극 활용했을 때 학생들의 평가에 대한 불안을 극복하고 평가에 대한 긍정적인 인식을 줄 수 있는 평가방법이라고 할 수 있다.

Risk of Recrudescence of Lymphatic Filariasis after Post-MDA Surveillance in Brugia malayi Endemic Belitung District, Indonesia

  • Santoso, Santoso;Yahya, Yahya;Supranelfy, Yanelza;Suryaningtyas, Nungki Hapsari;Taviv, Yulian;Yenni, Aprioza;Arisanti, Maya;Mayasari, Rika;Mahdalena, Vivin;Nurmaliani, Rizki;Marini, Marini;Krishnamoorthy, K.;Pangaribuan, Helena Ullyartha
    • Parasites, Hosts and Diseases
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    • 제58권6호
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    • pp.627-634
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    • 2020
  • Belitung district in Bangka-Belitung Province, Indonesia with a population of 0.27 million is endemic for Brugia malayi and 5 rounds of mass drug administration (MDA) were completed by 2010. Based on the results of 3 transmission assessment surveys (TAS), the district is declared as achieving elimination of lymphatic filariasis (LF) in 2017. The findings of an independent survey conducted by the National Institute of Health Research and Development (NIHRD) in the same year showed microfilaria (Mf) prevalence of 1.3% in this district. In 2019, NIHRD conducted microfilaria survey in 2 villages in Belitung district. Screening of 311 and 360 individuals in Lasar and Suak Gual villages showed Mf prevalence of 5.1% and 2.2% with mean Mf density of 120 and 354 mf/ml in the respective villages. Mf prevalence was significantly higher among farmers and fishermen compared to others and the gender specific difference was not significant. The results of a questionnaire based interview showed that 62.4% of the respondents reported to have participated in MDA in Lasar while it was 57.7% in Suak Gual village. About 42% of the Mf positive cases did not participate in MDA. Environmental surveys identified many swampy areas supporting the breeding of Mansonia vector species. Persistence of infection is evident and in the event of successful TAS3 it is necessary to monitor the situation and plan for focal MDA. Appropriate surveillance strategies including xenomonitoring in post-MDA situations need to be developed to prevent resurgence of infection. Possible role of animal reservoirs is discussed.

DEA-AR 모형을 이용한 일관제철소 철광석 브랜드별 효율성 평가 (The Efficiency Assessment of the Iron Ore Brands Using DEA-AR Model in an Integrated Steel Mill)

  • 성덕현;변귀원
    • 한국IT서비스학회지
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    • 제12권4호
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    • pp.255-265
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    • 2013
  • This paper proposes a DEA-AR model for the efficiency evaluation of the iron ore brands in an integrated steel mill. The input factor is defined as unit cost of each brand based on CIF and two output factors are chosen as Fe and Al which are the important ingredients of iron ore. The relative importance between two output factors is determined by several experts using AHP model. The efficiency of each brand is determined using DEA and DEA-AR models. The negative correlation between the DEA-AR efficiency and the unit cost (CIF) is shown as significant whereas no significant correlation exist between the efficiency and the output factors. Also, the Kruskal Wallis rank sum test shows that there exist efficiency differences among the iron ore types whereas no difference is shown among the countries. The result could be utilized in selecting good brands of iron ores based on the DEA-AR efficiency in an integrated steel mill.

업무용 빌딩 소재 사무실의 실내환기 평가 (Assessment of indoor ventilation in commercial office buildings)

  • 정지연;이광용;이병규
    • 한국산업보건학회지
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    • 제18권2호
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    • pp.115-121
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    • 2008
  • In winter season, the survey was performed in three commercial office buildings in the metropolitan Seoul, Pusan, and Gwangju city. The purpose of the survey was to evaluate the effectiveness of ventilation for offices in commercial buildings. The data were compared to standard of applicable to the indoor ventilation in office. The results indicated that the most commercial office buildings used the air handing unit and fan coil unit as HVAC system, and the intake amount of fresh outdoor air were very inadequate to compared to the ASHRAE standard value of $0.57\;m^3/min/person$. Also the surveyed all commercial office building used the HVAC system as a meas of controlling temperature for office indoor air. Ultimately, these results presented that there were possibility of evoking indoor air quality problems by the insufficient ventilation.

Toxicogenomic Assessment of Drugs-Induced Hepatotoxicity

  • Park, Joon-Suk;Hwang, Jae-Woong;Lee, Yong-Soon;Hwang, Seung-Yong;Jung, Jin-Wook;Kang, Jong-Soo;Lee, Gyoung-Jae;Lee, Wan-Seon;Jeon, Ki-Seon;Kang, Kyung-Sun
    • 한국환경성돌연변이발암원학회:학술대회논문집
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    • 한국환경성돌연변이발암원학회 2003년도 춘계학술대회
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    • pp.48-49
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    • 2003
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선박엔진의 Supply Unit용 SNCM420H의 절삭특성 (Cutting Characteristic of SNCM420H steel for Ship Engine Supply Unit)

  • 최원식;성봉수;강창원;문희준;권주리
    • 한국생산제조학회지
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    • 제19권5호
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    • pp.631-636
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    • 2010
  • SNCM420 steel is one of the cam shaft materials which are used in the supply unit for ship engine cam shaft. In this study the assessment of cutting behavior was conducted for the SNCM 420 steel and SM45C steel with various cutting conditions as depth of cut 0.5, 1.0, 1.5, 2.0mm and feed rate 0.1~0.3m/rev. The controlled chip was produced in feed rate 0.2, depth of cut 1.0 for SNCM420 and feed rate 0.2, depth of cut 2.0 for SM45C. There is no difference cutting force between SM45C and SNCM420 steels.