Background: Guideline for practice is useful because it can be the standard for assessment and way to improve quality. We need to take account of expert opinion and consensus as well as scientific evidences to develope practice guideline because it should be practical. Delphi method has been developed to gather opinions from experts fairly. This study was designed to develop practice guideline and apply it to practices as a method to improve quality in primary medical care. Methods: Hypertension(in adults over 18 years old) was selected as a target problem. Self questionnaires about management of hypertensive patients were developed by a researcher with advice of 11 experts. The questionnaires were designed to response as a 5 pont scale. The results of previous questionary were given to respondents in second and third questionnaires. If needed, the questionnaires were changed on the previous responses. The items with medium greater than or equal to 4 point in 1st and 2nd responses were accepted in guideline. The items with medium lesser than or equal to 3 point were questioned again about whether they can be excluded or not. The criteria for assessment was made with reference to guideline and applied to 85 hypertensive patients of 9 family practitioners. At 3 months after practice guideline had been given to family practitioners, performance of same practitioners was assessed with 36 new hypertensive patients. Results: 23 professors in family medicine, 22 family practitioners and 6 cardiologists, responded among 50, 50, 15 respectively. Practice guideline with 33 items was developed as a result of 3 times questionaires. The difference of responses between professors in family medicine, family practitioners and cardiologists was not significant. Performance of practice was improved in diagnosis, history taking about 6 fields, laboratory examination and decision making about time of pharmaceutical prescription. It was not improved in physical examination, life style modification, method of pharmaceutical prescription, choice of initial antihypertensives and history taking about duration of disease and diet habit. It was decreased in history taking about psychosocial factors. The assessment scores were low in history taking, physical examination and life style modification before and after use of practice guideline. Conclusion: Practice guideline for hypertension could be developed by Delphi method. Performance of practice improved partially after use of guideline.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.7
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pp.400-409
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2016
The geospatial information industry has the advantage of being able to converge with other industries to create new value. Therefore, efforts are underway to promote the growth of this dwindling national industry by endorsing policies and initiatives to promote its convergence with other industries. In this study, feedback was collected from experts in various fields through three rounds of polls using the Delphi method. The poll results were used to investigate the causes of hindrance to the growth of the geospatial information industry and to build a comprehensive solution to this problem. As a result, 27 strategies were constructed based on the users' requirements related to policy, data and service, including the demands for establishing public polling methods, enhancing data quality and advertisement. Since the coefficient of variance fell between 0.11 and 0.20 in the importance evaluation, an amicable consensus was reached between the experts. Considering that the convergence of industries is achieved through the integration of various types of technology and information, it is important to consider the requirements of users in different industries. In this respect, the results of this study will serve as a useful base for constructing mid-to-long term road maps to promote the development of the geospatial information industry.
Time-Triggered Architecture (TTA), one of real-time software design paradigms which executes tasks in timely manner, has long been advocated as being better suited in fore-sighting system behavior than event-triggered architecture (ETA). To gain this valuable feature of TTA, however, precise task designing process is mandatory. Alternatively, ETA tries to execute tasks whenever paired events are occurred. It provides intuitive and flexible basement to add/remove tasks and, moreover, better response time performance. However ETA is difficult to analyze because system behavior might be different depending on the order of interrupts detected by the system. Many previous researches recommended TTA when developing safety-critical real-time systems, but cost problem of task designing process and insufficient consensus for applying rigorous software engineering practice are still challenging in practice. This paper describes software refactoring process which applying TTA approach into ETA based embedded software in artificial heart system. We implemented dedicated interrupt monitoring program to capture existing tasks' real-time characteristics. Based on the captured information, proper task designing process is done. Real-time analysis using RMA (Rate-Monotonic Analysis) verified that new design guarantees timeliness of the system. Empirical experiments revealed that revised design is as efficient, when measured in terms of system's external output, as the old design and enhances predictability of the system behavior as well.
Journal of the Korean Association of Geographic Information Studies
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v.17
no.4
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pp.144-155
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2014
The industrial areas including large industrial complexes formed by the process of the growth-oriented industrialization in the past have been attributed to worsening the urban competitiveness of cities due to their infrastructure shortages and aging. Government-led regeneration projects for old industrial complexes have been implemented on a trial basis, but there is a problem with applying a uniform regeneration planning to all the regional industrial complexes with different circumstances and physical environments. In this context, this study diagnosed the social conditions and physical characteristics of the Sasang industrial area in the city of Busan formed by private-led projects in the past and then tried to suggest its regeneration directions. The study area was characterized as its weakening industrial function, infrastructure shortage, and increasing development pressure. Based on these regional characteristics, the regeneration directions were suggested. In the planning phase, pubic-led infrastructure expansion is first needed and urban renewal needs to be applied to some areas designated as priority maintenance areas. In the implementation phase, stepwise projects are required in the medium to long term and it is important to build upon the consensus with private companies through establishing collaborative governance.
This study analyzed on the basis of the norms and experience the Seongnam youth dividend ordinance. Youth dividend pros in the normative dimension to understand in order to achieve social justice. Further, youth dividend can replace the existing policy. On the other hand, the opposite of youth dividend is pointed out that the policy is ambiguous without morally justifiable. Also it has been pointed out inefficiencies means. Youth dividend Pros empirical dimension is a social considerations measures, there is a need for innovation by the failure of existing measures. On the other hand, youth dividend opposed to target efficiency is low, and that the problem is often to the contents of the salary. Because both sides are too contrast, consensus is difficult, can be political point of view is a significant impact. The basic income is a new thought experiment for human self-realization. Therefore, the production social welfare policy personality is a different policy science. That is, it is a long-term care social policy that requires a holistic life support. In addition, a non-empirical policy that requires a material support for the substantial freedom. Therefore, it is necessary to understand the philosophical meaning than scientific evaluation of traditional policy aiming to realize autonomous life. Therefore, radio waves of basic income through the welfare politics and exercise is still important strategy.
As personal data breach reared up as a problem domestically and globally, organizations appointing chief privacy officers (CPOs) are increasing. Related Korean laws, 'Personal Data Protection Act' and 'the Act on Promotion of Information and Communication Network Utilization and Information Protection, etc.' require personal data processing organizations to appoint CPOs. Research on the characteristics and role of CPO is called for because of the importance of CPO being emphasized. There are many researches on top management's role and their impact on organizational performance using the Upper Echelon theory. This study investigates what influence the characteristics of CPO gives on the organizational privacy performance. CPO's definition varies depending on industry, organization size, required responsibility and power. This study defines CPO as 'a person who takes responsibility for all the duties on handling the organization's privacy,' This research assumes that CPO characteristics such as role, personality and background knowledge have an influence on the organizational privacy performance. This study applies the part relevant to the upper echelon's characteristics and performance of the executives (CEOs, CIOs etc.) for CPO. First, following Mintzberg and other managerial role classification, information, strategic, and diplomacy roles are defined as the role of CPO. Second, the "Big Five" taxonomy on individual's personality was suggested in 1990. Among these five personalities, extraversion and conscientiousness are drawn as the personality characteristics of CPO. Third, advance study suggests complex knowledge of technology, law and business is necessary for CPO. Technical, legal, and business background knowledge are drawn as the background knowledge of CPO. To test this model empirically, 120 samples of data collected from CPOs of domestic organizations are used. Factor analysis is carried out and convergent validity and discriminant validity were verified using SPSS and Smart PLS, and the causal relationships between the CPO's role, personality, background knowledge and the organizational privacy performance are analyzed as well. The result of the analysis shows that CPO's diplomacy role and strategic role have significant impacts on organizational privacy performance. This reveals that CPO's active communication with other organizations is needed. Differentiated privacy policy or strategy of organizations is also important. Legal background knowledge and technical background knowledge were also found to be significant determinants to organizational privacy performance. In addition, CPOs conscientiousness has a positive impact on organizational privacy performance. The practical implication of this study is as follows: First, the research can be a yardstick for judgment when companies select CPOs and vest authority in them. Second, not only companies but also CPOs can judge what ability they should concentrate on for development of their career relevant to their job through results of this research. Cultural social value, citizen's consensus on the right to privacy, expected CPO's role will change in process of time. In future study, long-term time-series analysis based research can reveal these changes and can also offer practical implications for government and private organization's policy making on information privacy.
Kim, Jung-Hoon;Min, Kyung-Ju;Lee, Mi-Sook;Lim, Si-Yeong
Spatial Information Research
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v.18
no.1
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pp.19-26
/
2010
It is important to manage the underground facilities efficiently because they are directly related to the convenience and safety of citizens. But the fact that the different agencies take on a role of managing the underground facilities respectively makes it impossible. So Korean government has exerted great efforts to solve this problem through several projects. Korean government expects that the ubiquitous technologies such as sensor and wireless communication in the domain of the underground facilities management will be useful. It is main duty of u-City Management Center to monitor several situations about the underground facilities using ubiquitous technologies. But there is no consensus about what concrete situations it has to monitor even though u-cities under construction. Because local governments or related companies are in charge of carrying out these roles yet, there is no legal basis on which to do these tasks by the center. And it is needed to develop new technologies for u-services efficiently. Because technologies for u-service are vast, various and converged, so it necessary to develop them according to priority or in cooperation with other developers. In this paper, we classify the monitoring items for each facility which were investigated by a recent research. It is expected to make use of defining the role of the center and developing technologies with u-service.
This study is to explore how the stakeholder views the community needs in a different way in the local district of Korea. The researchers delivered the 3 independent questionnaires to the three types of the community people who are residents, social service providers, governmental officials in charge of local social services. An in-depth analysis was performed to identify the different perspectives of the stakeholder toward the community needs on the basis of the combined approach with the order ranking method and two independent sample T and Z tests. As the result, the three noticeable findings were discovered as follows: First, while the social service providers reported the community needs at the most serious level, the residents expressed the community needs at the least serious level. Second, the stakeholder showed more diverse opinions for the needs of the service activities than the community problem. Third, there was a difference among the stakeholder in the degree of consensus according to the two different analysis methods. The researchers discussed the implication of the major findings in relation to the community needs assessment, and suggested the practical recommendations to improve the activities of the community needs assessment for the community welfare planning in Korea.
Journal of the Korean Society for Library and Information Science
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v.24
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pp.139-169
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1993
The major purpose of this study is to scrutinize and analyze various factors in numerous aspects of two different library systems for the visually handicapped, namely braille library and a special section for the visually handicapped in the public library system. The analyses may provide theoretical and conceptual framework on which strategies to enhance services for the visually handicapped is to be developed. More specifically, this study seeks (1) to examine a linkage between the degree of maintenance of staffs, collections, and equipment and the level of satisfactions of librarians and (2) to come up with more effective mechanisms of welfare services for the visually handicapped in each library system. This research is qualitative-descriptive and uses interview method. Fourteen libraries throughout the nation (4 public libraries with a reading room for the visually handicapped and 8 braille libraries) which had been in operation more than one year were selected as subjects for the research. Findings and results of the analyses are summarized as follows : 1. There seems to be general consensus that each of public and braille library has significant but, to a certain extent, different roles to play in order to enhance library services for the visually handicapped. Recruitment of qualified librarians, increase of the volume of collection, and enlargement of reading room space are noted as immediate concerns for the former. For the latter, it was suggested that increase of the number of staff for publishing, securing more equipments for pulication in braille, and wider scope as well as more variety of publications are the pressing problems at hand. 2. Both public and braille library employ one librarian for the visually handicapped who is required to have educational background in library science and special education. In addition, one must have competence in reading braille types. 3. Majority of reading rooms in those libraries is so small in physical aspect that size and number of seats are 66m2 and 15 seats respectively because circulation services are mainly in use due to the problem of inaccessibility which is commonly suffered by the visually handicapped. 4. Library services for the visually handicapped are heavily concentrated upon the large urban area. In fact, most of braille libraries are located in Seoul whereas a reading room for the visually handicapped in the public library system are exclusively placed in the large cities such as Inchon, Taejon, and Taegu. 5. All of the public library is neither equipped with necessary facilities to publish in braille nor secured supporting instruments which may facilitate library use for the visually handicapped. On the contrary, most of braille libraries are equipped with arrangements to publish in braille despite supporting devices are gererally lacking. 6. Consequently, provision of services In the public library is largely confined to reading and circulation of materials purchased from braille libraries while major task of braille libraries centers around publication and distributions of the reading materials in braille.
Among 46 Acinetobacter baumannii isolates collected in 2004, two imipenem-resistant isolates were obtained from clinical specimens taken from patients hospitalized in Busan, Republic of Korea. Two carbapenemase-producing isolates were further investigated to determine the mechanism of resistance. These isolates were analyzed by antibiotic susceptibility testing, microbiological tests of carbapenemase activity, determination of pI, transconjugation test, enterobacterial repetitive consensus (ERIC)-PCR, and DNA sequencing. Two cases of infection by A. baumannii producing the IMP-1 ${\beta}$-lactamase were detected. The isolates were characterized by a modified cloverleaf synergy test and EDTA-disk synergy test. Isoelectric focusing of crude bacterial extracts revealed nitrocefin-positive bands with a pI value of 9.0. PCR amplification and characterization of the amplicons by direct sequencing indicated that the isolates carried a $bla_{IMP-l}$ determinant. The isolates were characterized by a multidrug resistance phenotype, including penicillins, extended-spectrum cephalosporins, carbapenems, and aminoglycosides. These results indicate that the observed imipenem resistance of two Korean A. baumannii isolates was due to the spread of an IMP-1-producing clone. Our microbiological test of carbapenemase activity is simple to screen class B metallo-${\beta}$-lactamase-producing clinical isolates to determine their clinical impact and to prevent further spread. This study shows that the $bla_{IMP-l}$ resistance determinant, which is emerging in Korea, may become an emerging therapeutic problem, since clinicians are advised not to use extended-spectrum cephalosporins, imipenem, and aminoglycosides. This observation emphasizes the importance of having effective control measures in Asian hospitals, such as early detection of colonized patients, isolation procedures, and a judicious use of antibiotics.
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