• 한국산학기술학회논문지
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• 제17권10호
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• pp.709-718
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• 2016

본 논문은 경관계획의 질적 향상을 위한 조망점 선정에 초점을 두어 기존에 연구된 연구문헌 및 도서, 보고서 등을 중심으로 실제로 제시되거나 연구된 항목들을 중심으로 조망점을 설정하였다. 다수의 제시된 항목들을 다시 정리 및 분류하여 이를 SPSS 통계를 통해 조망점 선정의 평가 항목을 유출하고. 계층별 지표의 상대적 중요도를 측정하여 조망점의 가중치 설정과 우선순위를 선정하였다. 본 연구의 결과로 첫째, 경관시뮬레이션에 대한 구체적이고 체계적인 계획을 수립하기 위해 전문가 설문을 통해 16개 조망점을 설정하였다. 둘째, 조망점 평가를 위한 중분류 항목에서는 조망성 > 공공성 > 장소성의 순으로 나타나, 조망성을 가장 중요시 여기는 것으로 나타났다. 셋째, 조망점별 우선순위는 1순위: 조망점의 시각적 개방성, 2순위: 조망대상으로의 조망성 양호정도, 3순위: 문화재 공간, 4순위: 역사성, 5순위: 공공장소, 6순위: 관문적 역할을 하는 장소, 7순위: 대상을 조망할 수 있는 지형, 8순위: 많은 인구가 거주하거나 이용하는 장소, 9순위: 대상물의 다양한 형태와 주변경관을 파악할 수 있는 장소, 10순위: 생태보호 지역, 11순위: 하천 및 수변공간, 12순위: 시야각 (양각-부각), 13순위: 조망방향, 14순위: 주요도로, 15순위: 조망점과 대상물 간의 거리, 16순위: 평야 및 농경지순으로 나타났다. 이러한 결과는 향후 경관계획의 질적 향상을 위한 체계적이고 신뢰성 있는 분석의 틀을 마련하고, 경관시뮬레이션 평가 검토 시 참고 자료로 활용할 수 있을 것으로 기대된다.

• 한국컴퓨터정보학회논문지
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• 제26권8호
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• pp.23-30
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• 2021

본 연구에선 제조 공정에서의 양/불량 판정을 위한 오토인코더(AE) 기반의 이상 탐지 방법들의 비교 분석과 우수한 성능을 보인 이상치 판별 기준을 제시한다. 제조 현장의 특성상 불량 데이터의 수는 적고, 불량의 형태가 다양하다. 이러한 특성은 정상과 비정상 데이터를 모두 활용하는 인공지능 기반 양/불량 판정 모델의 성능을 저하시키고, 성능 향상을 위한 비정상 데이터의 추가 확보에 시간과 비용을 발생시킨다. 이러한 문제를 해결하기 위해서 정상 데이터만을 이용해 이상 탐지를 수행하는 AE, VAE 등 AE 기반의 모델에 관한 연구들이 진행되고 있다. 본 연구에서는 Convolutional AE, VAE, Dilated VAE 모델을 기반으로 잔차 이미지에 대한 통계치와 MSE, 정보 엔트로피를 이상치 판별 기준으로 선정하여 각 모델의 성능을 비교 분석했다. 특히 Convolutional AE 모델에 대해서 범위 값을 적용했을 때, AUC PRC 0.9570, F1 Score 0.8812, AUC ROC 0.9548, 정확도 87.60%의 가장 우수한 성능을 보였다. 이는 기존의 이상치 판별 기준으로 자주 사용되었던 MSE에 비해 정확도 기준 약 20%P(Percentage Point)의 성능 향상을 보이며, 이상치 판별 기준에 따른 모델 성능 향상이 가능함을 확인하였다.

• 지역사회간호학회지
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• 제6권1호
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• pp.55-73
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• 1995

An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance. The research design used was nonequivalent control group pretest - protest design. The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life. Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years. Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks. The data was collected from August, 1993 to October, 1993. Data were analyzed with $X^2-test$, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program. Results were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment $\ulcorner$F=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)$\lrcorner$ 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group $\ulcorner$F=10.59(p=.002), F=6.97(p=.011)$\lrcorner$. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance $\ulcornerx^2=7.73(p=.025),\;x^2=8.86\;(p=.011)\lrcorner$ 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL $\ulcornerx^2=11.39(p=.003),\;x^2=9.02(p=.011)\lrcorner$. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group $\ulcorner$F=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)$\lrcorner$. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.

• 한국의료질향상학회지
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• 제9권1호
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• pp.52-64
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• 2002

Background : Coding of principal diagnosis is essential component for producing reliable health statistics. We performed this study to evaluate the current practice of principal diagnoses determination and coding, and to give some basic data to improve coding of principal diagnosis. Method : Nineteen medical record administrators (MRAs) of 3 university hospitals participated in coding principal Dx. from August 1, 2001 to August 31, 2001. From each hospital, 10 medical records of patients with high frequency disease were selected randomly. Each 10 medical records were grouped into three (A. B, C). Then, these 30 medical records were given to each MRAs for coding. At the same time questionnaire was given to each of them. Questions were to prove how they decide and code the principal diagnosis among many current diagnoses; how they decide and code the principal diagnosis when they see irrelevant diagnosis recorded as the principal diagnosis in medical record, when only tentative diagnoses were recorded without final diagnosis, and when different diagnoses were recorded in different sheets of same record. Agreement of coding among 3 hospitals were compared and survey results were analysed with SAS 6.12. Results : Agreement of coding was found in medical records 5-6 of each 10 medical records. Causes of disagreement were as follows. Difference of clinician's opinion from each hospital; mixed use of guideline from KCD-3 and guideline from DRG; difference in 4th digit classification according to the absence of pathology report in the medical record; difference of abbreviations among hospitals. 57.9% of MRAs selected the principal diagnosis recorded by physician, 42.1% of MRAs decided principal diagnosis after consulting to KCD-3 guideline. When there were difficulties in determining the principal diagnosis, 42.1% of MRAs decided principal diagnosis after discussion with the physician, 26.3% after discussion with fellow MRAs. Conclusion : There were differences in codings among hospitals. To minimize the difference, we suggest the development of disease-specific guidelines for coding in addition to the current general guideline such as KCD-3. To do this, Coding Clinic which can produce guidelines is needed.

• Journal of Korean Neurosurgical Society
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• 제65권5호
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• pp.751-757
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• 2022

Objective : Tumours of the brain are a rare occurrence accounting for approximately 2% of all neoplasms in adults. Few studies have been done in Nigeria on the profile of brain tumours. The aim of this study is to determine the profile of brain tumours in general and determine the change in Kanofsky Performance Score (KPS) after treatment. Methods : This is a prospective hospital-based study in Kaduna. All consecutive patients over 18 years of age with diagnosis of brain tumours from January 2016 to December 2019 were included in the study. Demographic and clinical data was collected using a proforma during the study. Patients who received treatment were followed up for 12 months. The primary outcome data was the difference in the quality of life as measured by KPS at the point of first contact and at 1-month after treatment and at 12-month follow up. Data obtained was analysed with SPSS version 25.0 for Windows. Descriptive statistics was done to determine the profile. Paired t-test at 95% confidence interval was done to check for significant correlation between the mean KPS. Results : A total of 39 consecutive patients were included in the study. There was a slight male preponderance with a M : F of 1.17 : 1. Meningioma and metastasis were more common in females while gliomas and pituitary tumours were more common in males. The mean age of patients was 49.8 years and standard deviation of 11.8 years. Pituitary tumours were the most common tumours. The most common location of the tumour was frontal lobe followed by the pituitary gland. The mean duration of symptoms before neurosurgical consultation was 38 weeks. The most common presenting symptoms of patient with brain tumour was headache. The quality of life improve compare to the baseline in 81% of patient at discharge and at 1 year follow up. The overall mortality rate was 25.6%. Conclusion : The most common brain tumour in our study is pituitary tumour. Most patients present late. The most common presenting symptoms is headache. There is significant improvement in the KPS of patients following treatment. The overall mortality rate at 1-year post treatment is 25.6%.

• 한국의료질향상학회지
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• 제1권1호
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• pp.96-108
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• 1994

Background: An appropriate use of hospital beds can improve productivity of hospital significantly. The authors' previous study revealed that approximately one third of Korean hospital bed days and one sixth of admissions were inappropriately used, when it was measured by Appropriateness Evaluation Protocol(AEP) and Delay Tool modified into Korean situation by the authors. This study aims to evaluate applicability of the instruments in a new hospital. More specifically the study aims to measure appropriateness of the instruments used by newly trained nurse reviewers at a new hospital setting. Methods: In order to evaluate applicability of these instruments, agreement rates of the scores recorded by newly trained nurse reviewers with by skilled nurse reviewer and also compared with the scores recorded by physician's implicit decision were assessed. Agreement rates were derived from concurrent application of AEP and Delay Tool to 52 admissions and 104 patient days from internal medicine, pediatrics, and general surgery of one university hospital. Overall agreement rate, specific nonacute agreement rate, and kappa statistics were used to indicate level of agreement. Results: Overall agreement rates on appropriateness between newly trained nurse reviewers and skilled nurse reviewer were 100% in admission and 98% in bed days. Overall agreement rates on reason for inappropriateness between newly trained nurse reviewers and skilled nurse reviewer were 96% in admission and 91% in bed days. Overall agreement rates between newly trained nurse reviewers and physician reviewer were 86% in admission and 87% in bed days. Conclusion: Results indicated that AEP and Delay Tool were applicable to a new hospital in detecting inappropriate utilization of beds and reasoning of the inappropriateness. These instruments could contribute to enhance efficiency of hospital use, through continuous monitoring of level of inappropriate hospital use at national or individual hospital level.

• 한국의료질향상학회지
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• 제5권1호
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• pp.42-57
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• 1998

Background : It is increasing the concern for patient satisfaction as a customer information. This study was planned to investigate the activities related to patient satisfaction survey at the Korean hospitals. Methods : We performed the nationwide survey on 235 general hospitals by using the self-administrated checklist from Sep. 9 to Oct. 9, 1996. The response rate were 50.2%. We analyzed the descriptive statistics and chi-square test by SAS software on 118 hospitals. Results : First of all, 62.7% of study hospitals showed to conduct the patient satisfaction survey, and most of hospitals which did not conduct it had a plan to do it within 5 years. The reason that hospitals did not conduct satisfaction survey was due to a lack of administrator's interest or adequate questionnaire form. Second, the bigger, public and being more located in the big city or opened more than 10 years, the more hospitals conducted the patient satisfaction survey. Also, patient satisfaction survey was mainly handled by planning dept. or administrative team. Third, most hospitals had their own way of making questionnaires without proving reliability and validity. The results of the survey were applied to hospital management timely, and were mostly reported to top manager level. Most CEO concerned about the results of satisfaction survey. Fourth, the staffs in charge of survey had problems such as skill related to data analysis and development of questionnaire and they suggested that this problems could be solved through inducing the implementation of the survey results on hospital management, support for the development of standardized questionnaires and increasing the top manager's interests. Fifth, most questionnaires composed of lots of questioning items on hospital equipments and environment, and kindness of hospital employee to patients. Conclusions : Although this study had some limitations in generalization due to low response rate in big hospitals, it is meaningful to find the present state and the problems related to patient satisfaction survey of the general hospitals. We can conclude that there are increasing the concern for patient satisfaction survey among the hospitals nationwide, and it can be needed for technical support related to development of survey tool or method.

• 재활치료과학
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• 제9권3호
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• pp.23-34
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• 2020

목적 : 최근 건강한 삶의 질 증진을 위해 모바일 기반의 헬스 서비스 제공을 원하는 개인 늘어나고 있다. 본 연구는 고령자의 건강한 라이프스타일 확립을 위하여 라이프스타일 평가와 케어를 할 수 있는 앱 개발의 기초자료로써 활용하고자, 사용자의 요구도와 선호도를 조사, 분석하였다. 연구방법 : 지역사회에 거주하는 55세 이상의 스마트폰을 이용하는 장노년층 총 84명을 대상으로 설문 조사가 실시되었다. 자료 분석은 SPSS version 25.0을 이용하여 기술통계와 일원 배치 분산분석을 하였다. 결과 : 라이프스타일 평가 및 케어 앱의 콘텐츠와 관련하여 고령자가 중요하게 여기는 분야는 하루 걸음수 측정, 전반적 신체활동, 혈압측정, 수면 수준 측정, 균형잡힌 식습관 측정, 일일 수행 활동의 종류 및 시간 측정에서 전반적으로 높은 요구도를 보였다. 이러한 라이프스타일이 관리 될 수 있도록 앱 안에서 보여지는 기록에 대한 선호도로는 '하루 걸음 수를 그래프로 기록 및 관리기능', '하루음식 섭취 열량을 제공', '일일 운동의 시행 횟수와 시간을 제공', '시간별 활동의 종류와 수행시간을 제공' 등이 라이프스타일의 관리를 위한 기록 부분에 필요한 콘텐츠로 조사되었다. 또한 그룹 간 차이로는 장년층에서는 활동참여를 주요한 콘텐츠로 보는 반면, 고령층은 이에 대한 중요도를 적게 보였다. 결론 : 본 연구는 고령자의 건강과 삶의 질 증진을 위한 모바일 헬스 기반의 라이프스타일의 프로파일링 및 케어를 앱 개발을 위해 사용자가 필요로 하는 컨텐츠를 조사하고, 컨텐츠의 디스플레이방식에 대한 선호도를 조사, 분석하였다, 이는 향후 모바일 헬스 기반의 라이프스타일 평가 및 케어 앱 개발에 있어서 중요한 기초자료가 될 것으로 사료된다.

• 디지털융복합연구
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• 제16권1호
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• pp.409-420
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• 2018

본 연구는 여가스포츠 참여자(사회인 야구)의 심리적 행복감의 예측요인을 규명하여 개발을 위한 전략을 제시하고자 시도된 융합연구이다. 연구대상자는 J도 여가스포츠(사회인 야구) 참여자 151명을 대상으로, 자가 보고식 설문지를 이용하여 자료 수집을 하였다. 자료 분석은 서술적 통계, t-test, ANOVA, Scheffe' test, Pearson's correlation, 다중 공선성 진단 후 단계적 회귀분석을 시행하였다. 연구 결과 여가스포츠 참여자(사회인 야구)의 심리적 행복감의 가장 큰 예측요인으로는 대인관계능력(${\beta}=.190$)으로 심리적 행복감에 대하여 46.9%의 설명력을 나타내어 가장 중요한 변수이며, 삶의 질, 자기효능감 3개의 설명변수가 심리적 행복감(Adj. $R^2=.541$, F=59.57, p<.001)에 대한 설명력은 54.1%였다. 이상의 결과로 심리적 행복감 증진을 위해 대인관계능력과 자기효능감 및 삶의 질을 향상시키는 프로그램 개발이 필요하며, 향후 객관화된 측정을 통한 심리적 행복감 예측요인 영향력 확인을 위한 반복연구가 필요하다.

• 한국의료질향상학회지
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• 제28권1호
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• pp.45-54
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• 2022

Purpose: The study aims to identify the theme list and priority criteria of patient safety theme reports in South Korea. Methods: The survey was conducted twice, and the importance of each criterion and theme was measured on a nine-point scale using the Delphi technique by a panel of 19 patient safety experts. The criteria included severity, universality, preventability, and organizational-social impact. Descriptive statistics such as frequency, percentage, mean, standard deviation, median, and interval quartile range were used to analyze the data. Results: The parameters were assigned a weighted average of 35% for severity, 20% for universality, 30% for preventability, and 15% for organizational-social impact, respectively. The final top three rankings were surgery safety, blood transfusion safety, and medication safety. In addition to expert opinion, for the theme that is selected based on the priority ranking, one to five sub-topics can be derived from the theme based on the priority ranking, societal demands, or the yearly priority list of patient safety incidents. Conclusion: It is recommended that the official patient safety center distribute the report in the form of a summary that can be utilized nationwide at medical institutions, government institutions, and other places. Updates, as well as accumulated theme reports, will serve as the baseline data for the proposal of the system and for the policy designed to implement and improve institutions' safety practices as a standard of domestic patient safety practice guidelines.