• Korean Medical Education Review
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• v.22 no.2
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• pp.131-142
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• 2020

A systematic educational program evaluation system for continuous quality improvement in undergraduate medical education is essential. Monitoring and evaluation (M&E) are two distinct but complementary processes referred to in an evaluation system that emphasizes formative purpose. Monitoring involves regular data collection for tracking process and results, while evaluation requires periodic judgment for improvement. We have recently completed implementing an educational evaluation using the M&E concept in a medical school. The evaluation system consists of two loops, one at the lesson/course level and the other at the phase/graduation level. We conducted evaluation activities in four stages: planning, monitoring, evaluation, and improvement. In the planning phase, we clarified the purpose of evaluation, formulated a plan to engage stakeholders, determined evaluation criteria and indicators, and developed an evaluation plan. Next, during the monitoring phase, we developed evaluation instruments and methods and then collected data. In the evaluation phase, we analyzed results and evaluated the criteria of the two loops. Finally, we reviewed the evaluation results with stakeholders to make improvements. We have recognized several problems including excessive burden, lack of expertise, insufficient consideration of stakeholders' evaluation questions, and inefficient data collection. We need to share the value of evaluation and build a system gradually.

• Health Policy and Management
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• v.6 no.2
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• pp.131-148
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• 1996

This study was carried out by using questionnaires with 200 general doctors serving as the director of health subcenter in Kyongsangbuk-do Province as of January 1995. The results are summarized as follows. It was shown that the general characteristics consisted of 53 directors in the lst year(26.5%), 85 in the 2nd year(42.5%) and 62 in the 3rd year(31.0%). The percentage spent on their medical service showed that 73.0% of those directors spent more than 90% on their medical service. Based on their general service attitiude, 0% answered that the director of the health subcenter completes the given duties as the director, and 24.5% did that the director has the sense of responsibility and duty. Multiple answers concerning inconvenience and difficulties of the health subcenter director showed that less monthly salary accounted for 75.5%, no administrative power for 50.0%, insufficient medical instruments for 35.5%, insufficient budget for 30.0%, respect. In conclusion, in order for the health subcenter to meet the function as the primary medical clinic, it is required to arange the plans to inspire the public health doctors' service desire to that they can give the medical service as good as the private primary medical clinics, to convert existing concept of the public health doctors' placement in Myon administrative district into new concept in Gun by breaking from a uniform placement, and to consider an intensive placement according to the relevant projects so that preventive health activities can be planned and carried out.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.6
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• pp.2935-2937
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• 2014

Studies of the causes of cancer, early detection, prevention or treatment need accurate, comprehensive, and timely cancer data. The clinical laboratory provides important cancer information needed for physicians which influence clinical decisions regarding treatment, diagnosis and patient monitoring. Poor communication between health care providers and clinical laboratory personnel can lead to medical errors and wrong decisions in providing cancer care. Because of the key impact of laboratory information on cancer diagnosis and treatment the quality of the tests, lab reports, and appropriate lab management are very important. A laboratory information management system (LIMS) can have an important role in diagnosis, fast and effective access to cancer data, decrease redundancy and costs, and facilitate the integration and collection of data from different types of instruments and systems. In spite of significant advantages LIMS is limited by factors such as problems in adaption to new instruments that may change existing work processes. Applications of intelligent software simultaneously with existing information systems, in addition to remove these restrictions, have important benefits including adding additional non-laboratory-generated information to the reports, facilitating decision making, and improving quality and productivity of cancer care services. Laboratory systems must have flexibility to change and have the capability to develop and benefit from intelligent devices. Intelligent laboratory information management systems need to benefit from informatics tools and latest technologies like open sources. The aim of this commentary is to survey application, opportunities and necessity of intelligent clinical laboratory as a tool to increase cancer care management productivity.

• Safety and Health at Work
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• v.12 no.4
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• pp.462-470
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• 2021

Background: Fatigue is pervasive, under-reported, and potentially deadly where flight operations are concerned. The aviation industry appears to lack a standardized, practical, and easily replicable protocol for fatigue risk assessment which can be consistently applied across operators. Aim: Our paper sought to present a framework, supported by real-world data with subjective and objective parameters, to monitor aircrew fatigue and performance, and to determine the safe crew configuration for commercial airline operations. Methods: Our protocol identified risk factors for fatigue-induced performance degradation as triggers for fatigue risk and performance assessment. Using both subjective and objective measurements of sleep, fatigue, and performance in the form of instruments such as the Karolinska Sleepiness Scale, Samn-Perelli Crew Status Check, Psychomotor Vigilance Task, sleep logs, and a wearable actigraph for sleep log correlation and sleep duration and quality charting, a workflow flagging fatigue-prone flight operations for risk mitigation was developed and trialed. Results: In an operational study aimed at occupational assessment of fatigue and performance in airline pilots on a three-men crew versus a four-men crew for a long-haul flight, we affirmed the technical feasibility of our proposed framework and approach, the validity of the battery of assessment instruments, and the meaningful interpretation of fatigue and work performance indicators to enable the formulation of safe work recommendations. Conclusion: A standardized occupational assessment protocol like ours is useful to achieve consistency and objectivity in the occupational assessment of fatigue and work performance.

• The Korean Journal of Emergency Medical Services
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• v.9 no.1
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• pp.15-23
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• 2005

The purpose of this study is to analyze the propriety of portable digital X-ray Equipment for Emergency Medical Services in Daejon Emergency Medical Center in Korea. The major instruments of this study were Korean Self-Analysis Opinionnaire, Questionnaire contains 35 items which measure emergency medical personal opnions. To take the analysis of data, the total of 92 persons were investigated in Medical Information Center in Daejon Metropolitan City from 2005. 20. April to 2004. 25. May. The data were analyzed by the path analysis SPSS program. First, portable X-RAY equipment is needed to apply it to emergency. Second, it should have small and light structure compared with old equipments and have high voltage generator unit for X-RAY using inverter. Third, it should be able to send the shot data that is digital detector type without film to doctors in emergency center.

• Korean Journal of Biological Psychiatry
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• v.17 no.1
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• pp.15-25
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• 2010

Objectives : The Big Five Inventory(BFI) and the Big Five Inventory-10(BFI-10) are widely used instruments for the evaluation of personality in various cultures, while they have not been formally validated in Korea. This study aimed to develop the Korean versions of BFI(BFI-K) and BFI 10(BFI-K-10) with a Korean elderly population. Methods : The study sample consisted of 1,038 community dwelling elders. BFI-K and BFI-K-10 were administered. For the reliability analyses, scores on Guttmans' split half and Cronbach's ${\alpha}$ were estimated. For the validity analyses, the Korean version of Geriatric Depression Scale(KGDS) and the State-Trait Anxiety Inventory(STAI) were investigated. Results : The reliability of the BFI-K was good(Guttmans' split half=0.59-0.78, Cronbach's ${\alpha}$=0.52-0.75). Scores on the BFI-K-10 were significantly correlated with the scores on BFI-K. Scores on the BFI-K and the BFI-K-10 were significantly correlated with the scores on KGDS and STAI. Conclusion : Both BFI-K and BFI-K-10 might be reliable and valid instruments to evaluate the personality in Korean community elders. BFI-K-10 is short and easy to be administered, and therefore it would be very convenient to use.

• Journal of Industrial Technology
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• v.33 no.A
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• pp.3-8
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• 2013

Reduction of risk plays a pivotal role in the development of medical instruments. A hyperbaric oxygen chamber, as a medical device, is known to help medical therapy for diversity of diseases through provision of high purity oxygen. The use of hyperbaric oxygen is expected to increase in the future and study to rigorously examine reliability and safety is needed. We have performed risk assessment for a newly developed hyperbaric oxygen chamber in this study. We first briefly discussed the system structure and concept of risk assessment for the study. Based on the hazards identified, we performed preliminary hazard analysis for the chamber.

• Journal of Industrial Technology
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• v.33 no.A
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• pp.9-14
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• 2013

Reliability plays a pivotal role in the development of medical instruments. A hyperbaric oxygen chamber, as a medical/health device, is known to help medical therapy for diversity of diseases through provision of high purity oxygen. The use of hyperbaric oxygen chamber is expected to increase in the future and study to examine reliability and safety is needed. We have performed reliability assessment for a newly developed hyperbaric oxygen chamber in this study. We first briefly discussed the system structure and mechanism. We then performed FMEA (Failure Mode and Effect Analysis) for the chamber. We drew major failure modes affecting the system performance and performed in depth analysis for measuring the expected effects.

• Journal of Korean Neurosurgical Society
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• v.60 no.3
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• pp.322-326
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• 2017

Neuroendoscopic surgery is performed because it causes minimal damage to normal structures, carries a lower rate of complications, and achieves excellent outcomes. Surgeons using an endoscope and related instruments can perform complex operations through very small incisions, which is especially useful for minimally invasive procedures for the brain and spine. Neuroendoscopic surgery is now performed in cases of obstructive hydrocephalus, various intraventricular lesions, hypothalamic hamartomas, craniosynostosis, skull base tumors, and spinal lesions. This review discusses the brief history of neuroendoscopy and the current state and future perspectives of endoscopic surgery.

• Journal of Korean Medical classics
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• v.32 no.1
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• pp.95-104
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• 2019

Objectives : Through the study of Chuna of "Naegyung", this study attempts to secure the basis of Chuna therapy. Methods : This study selected sentences such as Kyo, Gyo, Do, Ma, Mun, Bu, Ahn, Ol, In, Jeol, Jo, Chu, Tan(喬, ?, 導, 摩, ?, ?, 按, ?, 引, 切, ?, 推, 彈), etc. to try various studies related to Chuna. Results : As for Chuna in "Naegyung", the origin and role of Chuna, the instruments of Chuna, the mechanism of Chuna treatment, the application range of Chuna, and the notes of Chuna, etc. are summarized in this study. Conclusions : Based on Chuna of "Naegyung", it is necessary to study the development process of Chuna and to create various manual techniques of Chuna.