• Journal of Digital Convergence
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• 제12권2호
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• pp.379-389
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• 2014

The purpose of this study is to optimize the patient(examinee) flow in a health examination center via a simulation model and to improve operational efficiency. Two experimentation scenarios were implemented into the simulation model to determine which proposed scenario provides better improvement in terms of the following performance measures: LOS(Length of Stay), staff utilization, and occupancy level. The simulation results demonstrated that there was no significant difference in response results of two scenarios. Although the original motivation of this study was suggest optimal policy for a patient(examinee) flow, the insight into applying simulation in efficiently managing hospital operations is of more value. Simulation approach is a powerful technique that supports efficient decision-making compared to traditional healthcare management approach based on past experience, feelings, and intuition. Therefore, the proposed experimentation model has wide applicability in healthcare systems.

• Journal of the Korean Society of Radiology
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• 제13권7호
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• pp.1005-1014
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• 2019

The purpose of this study is to evaluate the usefulness of coronary computed tomography angiography of coronary artery disease for the purpose fo health screening according to gender and age. In addition the association between hematological factors (Glucose, total cholesterol, visceral fat, body mass index, triglycerides, high density lipoprotein (HDL), low density lipoprotein (LDL)) and coronary artery disease is investigated. A retrospective analysis of coronary computed tomography angiography with 299 subjects showed that the detection rate of coronary artery disease was higher in men over 50 years of age and it was statistically significant. In particular, the prevalence rate of men (37.9%) was about 2 times higher than that of women (17.0%). Glucose and HDL as hematological factors associated with coronary artery disease were statistically significant. The prevention and management of coronary artery disease seems to require the control of glucose and high density lipoprotein (HDL). Although it is not statistically significant with other hematological factors, the need for management of coronary artery disease was identified. the coronary computed tomography angiography of coronary artery has higher radiation doses than other CT scans. Therefore, for the purpose of screening, coronary computed tomography angiography should be considered in consideration of the sex and age of the examinee, and detection of coronary artery disease through other non-invasive tests should be prioritized over coronary computed tomography angiography.

• Korean Journal of Cognitive Science
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• 제21권2호
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• pp.283-307
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• 2010

In this study, a new open-ended format math testing system for elementary school students has been proposed. This system is an application of the recently proposed Constructive Multiple-choice Testing (CMT) system on math testing. The CMT system is a testing system in which the examinee has to respond to an item twice, first in an open ended format, and then in the multiple choice format. The advantages of this system is that process information can easily be obtained and that the examinee can receive feedback immediately after the test, based on his/her multiple choice responses. This open-ended format math testing system includes the manager mode, which allows the generation of the test items and student account management, and the testing mode, which allows the students to input their solution process using the menu bar and the keyboard. When two groups, one tested using the CMT system and the other tested using the paper and pencil test, were compared, there was no significant difference in average scores between the two groups although the testing time was longer for the group tested using the CMT system. This result suggests that the open-ended format math testing system proposed in this study can be used effectively in the actual classroom setting.

• Journal of the Korea Academia-Industrial cooperation Society
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• 제14권8호
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• pp.3748-3759
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• 2013

The purpose of this study was to examine the classification accuracies of ML, MAP, and EAP methods under DINA model. For this purpose, this study examined the classification accuracies of the classification methods under the various conditions: the number of attributes, the ability distribution of examinees, and test length. To accomplish this purpose, this study used a simulation method. For the simulation study, data was simulated under the various simulation conditions including the number of attributes (K= 5, 7), the ability distribution of examinees (high, middle, low), and test length (J= 15, 30, 45). Additionally, the percent of agreements between true skill patterns(true ${\alpha}$) and skill patterns estimated by the ML, MAP, and EAP methods were calculated. The summary of the main results of this study is as follows: First, When the number of attributes was 5 and 7, the EAP method showed relatively higher average in the percent of exact agreement than the ML and MAP methods. Second, under the same conditions, as the number of attributes increased, the average percent of exact agreement decreased in ML, MAP, and EAP methods. Third, when the prior distribution of examinees ability was different from low to high under the conditions of the same test length, the EAP method showed relatively higher average in the percent of exact agreement than those of the ML and MAP methods. Fourth, the average percent of exact agreement increased in all methods, ML, MAP, and EAP when the test length increased from 15 to 30 and 45 under the conditions of the same the ability distribution of examinees.

• Health Policy and Management
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• 제16권1호
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• pp.1-16
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• 2006

Recently, there has been prevailing of the combined utilization (CU) with herbs and prescribed drugs in medical therapies in the world. But the information about frequency, efficacy and safety of this CU has not well known in Korea, yet. This study aimed to identify the status of CU by Koreans, and to inquire which side effects of CU represent to those people. A self-completed questionnaire survey was performed through each health examination center in twenty general hospitals and one oriental hospital. Of the initial 2,100 health examinees, 1,851 were participated in this survey, resulting in a response rate of 88.1%. The proportion of CD was 26.3%. The most commonly mentioned reason of CD was 'to promote general health and well-being' (17l persons, 35.5%). The main route of taking CD was self-purchase at drugstore or at herbs market, followed by the prescription of (oriental)physicians. 33.0% (151 persons) of those who took the CD rated it as effective. 93 respondents (19.8%) were experienced several adverse effects including nausea, fatigue, and dizziness. The growing simultaneous use of herbal products and pharmaceutical drugs by Korean consumers may be continuously increased the risk of herb-drug interactions. The medical professionals should be provided with comprehensive and up-to-date information about potential benefits and risks of herbs and prescribed drugs. In the future studies it may be recommended to deal common cold, health promotion, indigestion, headache, and hypertension for the effect and safety of the CD by well-organized prospective study design.

• Journal of the Korean Society of Marine Environment & Safety
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• 제25권5호
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• pp.511-518
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• 2019

This study aimed to extract the priority safety improvement factors for coastal passenger ships and analyze the perception gap between groups. To extract the improvement factors, we formed an expert group with maritime safety supervisors, passenger-ship safety inspectors (PSIs), and captains of passenger ships, and then conducted a Delphi survey. We found, using a hierarchy process, that the improvement factors were divided into three factors in Level 1 and ten factors in Level 2. For the relative importance analysis using the AHP (Analytic Hierarchy Process) model, we also formed two groups: an inspector group with maritime safety supervisors and PSIs, and an examinee group with safety managers, captains, and crews. Consequently, the factors of designation of public transportation for passenger ships and supporting the welfare of the crew were evaluated as the most important among the extracted factors. We conducted a t-test for the analysis of the perception gap between the two groups. Three perception gaps were found: increasing the inspection personnel, strengthening the qualification of the inspection personnel, and expanding the safety operation center. The result of this study will be useful for improving the safety policy of coastal passenger ships.

• Journal of Physiology & Pathology in Korean Medicine
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• 제27권3호
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• pp.313-317
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• 2013

In order to standardize the pressure/depth against radial artery, the externally-applied-pressure measuring system was fabricated and evaluated. Based on the resistance-variable characteristic of the very thin($10{\mu}m$) film conductive tape along the pressure of a tip of a examiner's hand, this system was designed. The change of the pressure was processed through voltage regulator and Matlab S/W, then showed on computer monitor. The signal output through voltage regulator, and Matlab S/W was evaluated on various conditions. The evaluation was executed on these cases; an examiner slowly increases and decreases the pressure, rapidly increases and decreases the pressure, sequentially increases and decreases the pressure, sustains the pressure, micro-changes the pressure. As a pulse examiner varies the pressure on the radial artery of the examinee, the system's real-time output consistently varies according to the pressure. From the results, it is concluded that this system consistently shows the pressure of the tip of a examiner's hand in real time without interrupting the evaluation of the radial artery pulse. Therefore this system is expected to standardize the value of the pressure/depth externally applied by an examiner.

• Biomedical Science Letters
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• 제22권4호
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• pp.115-126
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• 2016

Audiometric calibration is a prerequisite for securing the reliability of audiometric test results by checking the internal consistency of the relevant instrument. The purpose of this review is to help instrument operators understand the calibration procedure of aural acoustic immittance instrument which is frequently used for objective assessment. By referring to the latest international standards and the national standards relevant to the aural acoustic immittance instrument, the following parameters will be reviewed: 1) introduction of performance characteristics, 2) detailed procedure of the calibration method. According to the newest international and national standards [IEC 60645-5 (2004), ANSI S3.39-1987 (R2012)], the aural acoustic immittance instrument basically includes six components: 1) calibration cavity, 2) acoustic immittance analysis system, 3) probe assembly/unit and signal, 4) pneumatic air-pressure pump system, 5) acoustic reflex activator system and 6) tympanogram and acoustic reflex plotting system, each of these components should meet set standards. The result of behavioral hearing tests is influenced by various complex factors including the examinee's cooperation, background noise of the examination room, measurement method, skill level of the audiologist and calibration status, but the objective hearing tests is more influenced by the calibration status of the instrument than any other factors. The audiologist should take full responsibility for the reliability of the hearing test result, so he/she should carry out the calibration check and adjustments of aural acoustic immittance instrument periodically and maintain the instrument continuously by referring to the newest standards and the manufacturer's instruction manual.

• Journal of the Korea Academia-Industrial cooperation Society
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• 제11권4호
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• pp.1266-1271
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• 2010

In this paper, we implemented a heartbeat-signal monitoring system that can measure and check the heartbeat of a human body in any time and anywhere. The implemented prototype is composed of heartbeat measurement terminal, gateway, and server that collect and process data. The terminal compose sensor network using ZigBee protocol. And server acquire heartbeat signal through differentiating collected data two times, and store above data to database and manage it. We can understand the status of examinee's heart without restriction and self-awareness. Through experiment, we confirmed the possibility of ubiquitous healthcare system based on sonsor network using the ZigBee.

• International Journal of Contents
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• 제4권2호
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• pp.19-23
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• 2008

This paper presents a novel method to construct a personalized e-Learning system based on dynamic estimations of item parameters and learners' abilities, where the learning content objects are of the same intrinsic quality or homogeneously distributed and the estimations are carried out using IRT(Item Response Theory). The system dynamically connects the test and the corresponding learning procedures. Test results are directly applied to estimate examinee's ability and are used to modify the item parameters and the difficulties of learning content objects during the learning procedure is being operated. We define the learning unit 'Node' as an amount of learning objects operated so that new parameters can be re-estimated. There are various content objects in a Node and the parameters estimated at the end of current Node are directly applied to the next Node. We offer the most appropriate learning Node for a person's ability throughout the estimation processes of IRT. As a result, this scheme improves learning efficiency in web-base e-Learning environments offering the most appropriate learning objects and items to the individual students according to their estimated abilities. This scheme can be applied to any e-Learning subject having homogeneous learning objects and unidimensional test items. In order to construct the system, we present an operation scenario using the proposed system architecture with the essential databases and agents.