Backgrounds: Inpatient Classification System for Korean Medicine (KDRG-KM) was developed and has been applied for monitoring the costs of KM hospitals. Yet severity of patients' condition is not applied in the KDRG-KM. Objectives: This study aimed to develop the severity classification methods for KDRG-KM and assessed the explanation powers of severity adjusted KDRG-KM. Methods: Clinical experts panel was organized based on the recommendations from 12 clinical societies of Korean Medicine. Two expert panel workshops were held to develop the severity classification options, and the Delphi survey was performed to measure CCL(Complexity and Comorbidity Level) scores. Explanation powers were calculated using the inpatient EDI claim data issued by hospitals and clinics in 2012. Results: Two options for severity classification were deduced based on the severity classification principle in the domestic and foreign DRG systems. The option one is to classify severity groups using CCL and PCCL(Patient Clinical Complexity Level) scores, and the option two is to form a severity group with patients who belonged principal diagnosis-secondary diagnosis combinations which prolonged length of stay. All two options enhanced explanation powers less than 1%. For third option, patients who received certain treatments for severe conditions were grouped into severity group. The treatment expense of the severity group was significantly higher than that of other patients groups. Conclusions: Applying the severity classifications using principal diagnosis and secondary diagnoses can advance the KDRG-KM for genuine KM hospitalization. More practically, including patients with procedures for severe conditions in a severity group needs to be considered.
Journal of The Korean Association of Information Education
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v.18
no.2
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pp.285-294
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2014
Recently, research using robots as a learning tool has increasingly been conducted in K-12 education area. It has been known that hands-on robots give positive educational effect not only on science and mathematics, but on STEAM activity, and help improve the abilities necessary in the 21 century, such as critical thinking, creativity, communication skills, and team work. Despite many research achievements, there is still few research on robot based curriculum to improve the instrumental application of robots in the primary and secondary education fields. In other words, there is a lack of studies of systematic educational contents, educational methods and educational evaluation to increase the instrumental application according to schools and class years. Therefore, this study analyzed domestic and foreign robot based curriculums and relevant cases to develop 'robot' related educational programs in primary school and middle school, suggested the achievement objectives in the robot area as a sub category of the computer science curriculum which will be revised, and proposed teaching-learning method and evaluation method.
One of the latest teaching strategies is smart classroom teaching. Teaching is carried out with the assistance of smart teaching technologies to improve teacher-student contact, increase students' learning autonomy, and give fresh ideas for the fulfillment of students' deep learning. Computer-based technology has improved students' language learning and significantly motivating them to continue learning while also stimulating their creativity and enthusiasm. However, the difficulties and barriers that many EFL instructors are faced on seeking to integrate information and communication technology (ICT) into their instruction have raised discussions and concerns regarding ICT's real worth in the language classroom. This is a case study that includes observations in the classroom, field notes, interviews, and written materials. In EFL classrooms, both computer-based and non-computer-based activities were recorded and analyzed. The main instrument in this study was a survey questionnaire comprising 43 items, which was used to examine the efficiency of ICT integration in teaching and learning in public schools in Kuala Lumpur. A total of 101 questionnaires were delivered, while each responder being requested to read the statements provided. The total number of respondents for this study was 101 teachers from Kuala Lumpur's public secondary schools. The questionnaire was randomly distributed to respondents with a teaching background. This study indicated the accuracy of utilizing Teaching-Learning-Based Optimization (TLBO) in analyzing the survey results and potential for students to learn English as a foreign language using computers. Also, the usage of foreign language may be improved if real computer-based activities are introduced into the lesson.
Lee Hak Sung;Kang Choong-Min;Kang Byung-Wook;Lee Sang-Kwun
Journal of Korean Society for Atmospheric Environment
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v.21
no.3
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pp.329-341
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2005
The purpose of this study is to study the $PM_{2.5}$ source characteristics affecting the Seoul area using a chemical mass balance (CMB) receptor model. This study was also to evaluate the $PM_{2.5}$ source profiles, which were directly measured and developed. Asian Dust Storm usually occurred in the spring, and very high $PM_{2.5}$ concentrations were observed in the fall among the sampling periods. So the ambient data collected in the spring and fall were evaluated. The CMB model results as well as the $PM_{2.5}$ source profiles were validated using the diagnostic categories, such as: source contribution estimate, t-statistic, R-square, Chi-square, and percent of total mass explained. In the spring months, the magnitude of $PM_{2.5}$ mass contributors was in the following order: Chinese aerosol $(31.7\%)>$ secondary aerosols ($22.3\%$: ammonium sulfate $13.4\%$ and ammonium nitrate $8.9\%)>$ vehicles ($16.1\%$: gasoline vehicle $1.4\%$ and diesel vehicles $14.7\%)>$biomass burning $(15.5\%)>$ geological material $(10.5\%)$. In the fall months, the general trend of the $PM_{2.5}$ mass contributors was the following: biomass burning $(31.1\%)>$ vehicles ($26.9\%$: gasoline vehicle $5.1\%$ and diesel vehicles $21.8\%)>$ secondary aerosols ($23.0\%$: ammonium sulfate $9.1\%$ and ammonium nitrate $13.9\%)>$ Chinese aerosol $(10.7\%)$. The results show that the $PM_{2.5}$ mass in the Seoul area was mainly affected by the Chinese area.
Lee, Jong Tae;Son, Jihwan;Kim, Jounghwa;Choi, Yongjoo;Yoo, Heung-Min;Kim, Ki Joon;Kim, Jeong Soo;Park, Sung Wook;Park, Gyutae;Park, Taehyun;Kang, Seokwon;Lee, Taehyoung
Asian Journal of Atmospheric Environment
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v.10
no.1
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pp.51-56
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2016
Particulate matter (PM) in the atmosphere has wide-ranging health, environmental, and climate effects, many of which are attributed to fine-mode secondary organic aerosols. PM concentrations are significantly enhanced by primary particle emissions from traffic sources. Recently, in order to reduce $CO_2$ and increase fuel economy, gasoline direct injected (GDI) engine technology is increasingly used in vehicle manufactures. The popularization of GDI technique has resulted in increasing of concerns on environmental protection. In order to better understand variations in chemical composition of particulate matter from emissions of GDI vehicle versus a port fuel injected (PFI) vehicle, a high time resolution chemical composition of PM emissions from GDI and PFI vehicles was measured at facility of Transport Pollution Research Center (TPRC), National Institute of Environmental Research (NIER), Korea. Continuous measurements of inorganic and organic species in PM were conducted using an Aerodyne high-resolution time-of-flight aerosol mass spectrometer (HR-ToF-AMS). The HR-ToF-AMS provides insight into non-refractory PM composition, including concentrations of nitrate, sulfate, hydrocarbon-like and oxygenated organic aerosol, and organic mass with 20 sec time resolution. Many cases of PM emissions during the study were dominated by organic and nitrate aerosol. An overview of observed PM characteristics will be provided along with an analysis of comparison of GDI vehicle versus PFI vehicle in PM emission rates and oxidation states.
Purpose - Exports have long been regarded as significant drivers of sustainable competitive advantage and growth among small and medium enterprises (SMEs). The export activities of SMEs are particularly important in the context of export-oriented economies such as Korea. Although many studies have examined the determinants of exports, it is difficult to find empirical studies about the determinants of the export performance of regional SMEs. This study investigates the determinants of export performance in the regional SME context based on an integrated approach that combines the environment factor of industrial organization theory, competitive strategy theory, and the competences of the resource-based view. Research design, data, and methodology - To empirically analyze the determinants of export performance in the regional SMEs, data were collected from firms in the Daegu metropolitan area. Data were collected directly through questionnaire surveys; in addition, secondary financial data were also taken from the KIS-VALUE database. Out of the 175 responses that were received, 143 were considered to be worth examining. After testing the reliability and validity of the variables through multiple items such as environmental turbulence and competitive strategy, hypotheses were verified by using five multi-regression models. These models were: a control model with organizational size and age, an environmental model with technology and market turbulence, a competency model with R&D and foreign distribution channels, a strategy model with product and market differentiation, and an integrated model including all of these variables. Results - First, as a control variable, the organization size has significant positive effects on export performance. Second, technology turbulence based on industrial organization theory has significant positive effects on export performance, but market turbulence does not affect export performance. Third, the foreign market distribution competency of the resource-based view has strong positive effects on export performance, but the R&D competency does not affect export performance. Fourth, the product differentiation strategy from competitive strategy theory positively impacts export performance, but market differentiation does not affect export performance. Finally, in the integrated model, only the foreign distribution competency of the resource-based view has a significant effect on export performance. Conclusions - The empirical results of this study verified the usefulness of the rationales behind the three theories to explain the export performance of the regional SMEs, especially the importance of the foreign market distribution competency from the resource-based view. With regard to practical considerations, this study's implications suggest that the use of technological environmental changes by industries is better than the use of market changes. Further, the use of the product differentiation strategy is more effective than the use of the market-driving strategy, and the distribution channel competency plays a stronger role than the technology-oriented competency with regard to the export performance position of regional SMEs. Future studies should examine relational perspectives, such as trust among channel partners. Therefore, the configuration approach is more useful in enhancing pragmatism by comparing high- and low-export companies.
Seo, Young-Kyo;Jeong, Eun-Hui;Seo, Seok-Jun;Hwang, Yun-Jeong;Han, Jin-Seok;Bae, Sung-Ok
Journal of Korean Society for Atmospheric Environment
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v.24
no.2
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pp.206-219
/
2008
The purpose of this study is to evaluate concentrations of carbonyl compounds during summer season in Seoul metropolitan area. The air samples were collected at 7 sites in this area from June 2001 to June 2003. The carbonyl compounds were analyzed by DNPH/HPLC method. The analytical method applied in this study showed good repeatability, linearity, and sensitivity. The most abundant carbonyl was formaldehyde (average 4.48 ppb), and followed by acetone, acetaldehyde, methyl ethyl ketone, butyraldehyde, propionaldehyde and benzaldehyde, respectively. Concentrations of carbonyl compounds in June were higher than those in August. There was not only higher solar radiation but also higher ozone concentration in June than in August. As a result o photochemical reactions, carbonyl compounds from both primary and secondary sources are likely to contribute to the formation of ozone. The contributions to photochemical ozone creation of two carbonyl compounds such as formaldehyde and acetaldehyde were estimated to be about 70%. Ratios of formaldehyde to acetaldehyde in this study ranged from 1.13 to 4.26, which are generally equivalent levels to those of other urban areas in domestic and foreign countries.
Kwon, Oh Nam;Kim, Young Rock;Ko, Ho Kyoung;Rim, Haemee;Park, Jung Sook;Park, Jee Hyun;Park, Soomin;Lee, Kyungwon;Park, Jin Hee
The Mathematical Education
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v.61
no.1
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pp.199-220
/
2022
This study aims to elicit the vision of the future human being and mathematical competencies that next generation should pursue to be nurtured through mathematics education as regarding the need for a national mid-term to long-term mathematics education standard for nurturing learners that can accommodate changes in the future society is emerging. The research team established the criterion for domains of mathematical competencies through the analysis of prior research, and then, refined three dimensions of mathematical competencies and the domains of each dimension through expert advice (9 people in total, 3 times) and focus group interviews (10 people in total, 4 times). After conducting a large-scale survey (295 people in total) which includes elementary and secondary teachers, professors, and researchers, etc., the vision of the future human being and mathematical competencies were elicited. In order to utilize the vision of the future human being and mathematical competencies, five stages of research on the development and utilization of mathematics education standards were proposed. Cooperating with related organizations, securing the research project period and expanding the scope of research team composition, and providing web-based documentation of mathematics education standards will be needed for the follow-up studies.
Journal of The Korean Association For Science Education
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v.26
no.7
/
pp.775-789
/
2006
The purpose of this study was to analyze the relevance of the school science contents that have been implemented for the 7-10th grade students in Korea since 2001. To fulfill the purpose of the study, we 1) analyzed the 7th national science curriculum of Korea, California science standards, the national science curriculum of England, Japanese national science curriculum, and current Korean and Japanese science textbooks, 2) conducted a nationwide survey in order to gather opinions from students, teachers, and science specialists. The main findings of this research were as follows: First, the number of topics presented at each grade level should be reduced and similar topics and themes should be integrated for students' deeper understanding. Second, science contents were excessive compared to the allotted teaching time and to foreign countries. Thus, the excessive overlapping and repetition of science contents should be avoided among the primary, middle and high school level, and the number of science concepts and activities should be reduced to an appropriate level considering time allotment for science classes, teachers' workload, laboratory conditions, etc. Third, to cope with the decreasing students' understanding and interests in science as school level and school year goes up, the science curriculum and textbooks should be developed to allow for student to learn science concepts by solving problems confronted in their daily lives. Fourth, a differentiated curriculum such as in-depth and supplementary course should be described not in science contents, but in teaching and learning strategy.
Purpose: The purpose of this study was secondary analysis to explore about risk factors with breast cancer on a basis of primary literature. Methods: This study was searched articles by using CINAHL, MEDLINE, Riss4u, Internet website regarding breast cancer. This study searched for the journal published in Korea and foreign countries from 2000 to 2008, about risk factors of breast cancer. This study was reviewed 42 articles (5 experimental study, 35 survey, 1 qualitative study, 1 report) suitable for the research objectives. Results: Magnitude of risk breast cancer (++) was age, geographic region, family history, mutations in BRCA1, BRCA2 genes and in other penetrance genes, radiation, history of benign breast disease, late age of menopause, early age of menarch, nulliparity and older age at first birth, high mammographic breast density, high insulin-like growth factor 1 level. Magnitude of risk factor (+) was hormone replacement therapy, oral contraceptives use, obesity, tall stature, alcohol consumption, high prolactin level, high saturated fat and well-done meat intake, polymorphisms in low penetrance gene, high socioeconomic status. Conclusion: A breast cancer screening protocol according to magnitude of risk factors is needed for disease prevention. The nurses need to educate and counsel women with risk factors of breast cancer.
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